Prevention Matters

Today, Secretary of Health and Human Services Kathleen Sebelius released a report highlighting the health insurance premium and out-of-pocket savings families and businesses can receive under the “Affordable Care Act” in 2014. Between 1999-2009 premiums more than doubled by rising over $7,500 for families that get their health insurance through an employer.

The report outlines several of the provisions the “Affordable Care Act” has and will implement. Provisions already in progress include new resources for states to improve their review of proposed health insurance premium rate increases and the eligibility for small businesses to receive tax credits that covers up to 35 percent of insurance costs of their employees.

The provisions for families that will be implemented disclose the importance of State-based Health Insurance Exchanges to middle-class families and tax credits that reduce cost sharing. Small businesses will also experience significant cost savings. By 2014, small businesses on average could save up to $350 per family policy and will be eligible for tax credits up to 50 percent of premiums. All businesses will likely see lower premiums of $2,000 per family by 2019.

Partnership for Prevention’s new Leading by Example The Value of Worksite Health Promotion to Small and Medium Sized Employers publication provides real examples of successful worksite health promotion programs for small to medium sized employers. The employers highlighted in this publication have taken the initiative to reduce health care costs by increasing the health of their employees. The publication can be downloaded at http://prevent.org/Initiatives/Leading-by-Example.aspx.

For more information please visit:
http://www.hhs.gov/news/press/2011pres/01/20110128a.html

"Best and Worst News for Prevention” is based on a purposive sample consisting of expert staff members who each week choose to share their opinions on the best and worst news for prevention.

BEST

Study Shows Building Up to 10,000 Steps a Day May Lead to Weight Loss and Better Insulin Sensitivity

Building up to 10,000 steps a day can help control weight and may reduce diabetes risk, suggests new research in the journal BMJ.

Of 592 middle-aged Australian adults, those who increased the number of steps they took during a five-year period and built up to 10,000 steps per day had a lower body mass index, less belly fat, and better insulin sensitivity than their counterparts who did not take as many steps daily during the same time period. Of 592 middle-aged Australian adults, those who increased the number of steps they took during a five-year period and built up to 10,000 steps per day had a lower body mass index, less belly fat, and better insulin sensitivity than their counterparts who did not take as many steps daily during the same time period.


WORST

Smoking 'causes damage in minutes', US experts claim


Smoking damages the body in minutes rather than years, according to research in the US. The report, published in Chemical Research in Toxicology, shows that chemicals which cause cancer form rapidly after smoking.

Scientists involved in the small-scale study described the results as a stark warning to people considering smoking. Anti-smoking charity Ash described the research as "chilling" and as a warning that it is never too early to quit.

The long term impact of smoking, from heart disease to a range of cancers, is well known. This study suggests the damage begins just moments after the first cigarette is smoked.


The “Best and Worst” awards are announced each week in “Prevention Matters,” the blog of Partnership for Prevention. "Best and Worst News for Prevention” is based on a purposive sample of expert staff members who each week choose to share their opinions on the best and worst news for prevention. More information is available at http://www.prevent.org/.

"Best and Worst News for Prevention” is based on a purposive sample consisting of expert staff members who each week choose to share their opinions on the best and worst news for prevention.

BEST

KC Health Department hands out vouchers for flu shots

If you are uninsured in the metropolitan area and still need a flu shot, the Kansas City Health Department has a deal for you: It is handing out 25,000 vouchers for free vaccinations at Walgreens pharmacies. Walgreens donated 350,000 of the vouchers to the U.S. Department of Health and Human Services. The department is distributing them to Kansas City and more than a dozen other areas nationwide where there are disparities in vaccination rates and opportunities to address them.

“They’re targeting people who wouldn’t usually get a flu shot; they don’t have insurance or their insurance doesn’t cover it,” said the Health Department’s Jeff Hershberger. The department last week began handing out thousands of vouchers to community organizations.


WORST

Youths With STDs May Not Admit They Had Sex: Young People Not Always Truthful About Sexual Activity, So Routine STD Screenings Are Needed


Young people who say they’ve abstained from sexual intercourse may not be telling the whole truth, an important finding in the ongoing battle against the spread of sexually transmitted diseases. Researchers at Emory University in Atlanta examined data on 14,012 young adults in their early 20s, who completed a computer-assisted interviewing survey and provided a urine specimen aimed at detecting three common STDs: chlamydia, gonorrhea, and trichomoniasis.

More than 10% of the young people found to have at least one of the STDs had reported not having penile/vaginal sexual intercourse in the past 12 months. This suggests that routine screening of STDs may be a better way to reduce transmission of diseases.


The “Best and Worst” awards are announced each week in “Prevention Matters,” the blog of Partnership for Prevention. "Best and Worst News for Prevention” is based on a purposive sample of expert staff members who each week choose to share their opinions on the best and worst news for prevention. More information is available at http://www.prevent.org/.

Partnership for Prevention has awarded three new ActionToQuit State Grants to Georgia, Iowa and Michigan for the implementation of innovative strategies to increase access to tobacco cessation treatments. Funds are to be used primarily for the development of state alliances/summit meetings and the creation of strategic plans. The projects will range from focusing on employer groups and health care systems to increasing cessation coverage for Medicaid recipients.

The six original ActionToQuit grantees - Colorado, Florida, Nevada, New England, New York and Virginia – have also received funds to continue efforts made in 2010. Funds will be used to the implement the state strategic plans developed during the first year of the program.

With funding from the Pfizer Foundation, Partnership hopes to dramatically increase access to and use of proven tobacco cessation treatments through this grant program. The focus of the ActionToQuit State Grants is system and policy change in tobacco cessation which will be accomplished through the strengthening of state level alliances for tobacco cessation. These alliances will chart a course for increasing coverage for these services in States, strengthen quitlines, work with health systems/employers/insurers, and promote the importance of tobacco cessation. As a result, utilization of these treatments will increase and tobacco use will decline.

To learn more about the ActionToQuit state grant program and the 2011 projects, please visit http://actiontoquit.org/stateprojects/.

Partnership for Prevention is pleased to submit these comments to the U.S. Food and Drug Administration in regard to required textual warnings and accompanying graphics to be displayed on cigarette packages and in cigarette advertisements.

Partnership commends the FDA on the development of the new graphic health warnings. We urge the FDA to proceed with the implementation of the warnings without delay. The tobacco industry will inevitably work to impede and overturn the plans for the new health warnings on cigarette packages and advertisements, to take effect 15 months after issuance of this final rule. However, it is crucial that the FDA stay the course. According to the Centers for Disease Control and Prevention, an estimated 46 million people (aged 18 years and older) in the United States currently smoke cigarettes. Each day in the U.S., approximately 3,450 young people between 12 and 17 years of age smoke their first cigarette, and an estimated 850 youth become daily cigarette smokers. These statistics make it clear that more needs to be done to reduce the initiation of tobacco use and the prompt enforcement of this Family Smoking Prevention and Tobacco Control Act requirement will be a step in the right direction. These graphic health warnings will not only help young people to never start smoking, but also be beneficial in helping adults to quit.

Partnership for Prevention also strongly supports that 1-800-QUITNOW be required on all cigarette packages as a way to offer help to smokers who want to quit. A report released by the North American Quitline Consortium in 2010 showed that the total number of tobacco users accessing quitline services in FY 2009 was 515,000 (representing 1.2 percent of smokers), an increase of 129.7% over the FY 2005 level of 224,000. Quitlines are being used now more than ever so including the national access number on cigarette packages would be a simple and practical way to aid smokers who want to quit.

We thank you for the opportunity to comment on the cigarette warning labels and for your consideration of our views. Please contact David Zauche, Managing Senior Fellow & Senior Program Officer, at (202) 375-7807 or dzauche@prevent.org for further information or assistance.