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<p class="MsoNormal">Greetings TPEP partners: <o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Please see the attached agenda and handouts for the Pregnancy and Tobacco Use Work Group call on Monday, December 14<sup>th</sup> from 2:30-3:30pm. Call in information: 1-877-336-1831. Participant #:559758.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">All are welcome to join.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">~Beth<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">P.S. – Here is a recent article of interest on the topic<b><span style="color:black;background:white">:
</span></b><o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><b><u><span style="color:black;background:white"><a href="http://www.dailyastorian.com/rising-cigarette-taxes-tied-to-lower-infant-deaths-study-da-ap-webfeeds-news-nation-world716be0a8bb274817b77a3a3d65651c01">Rising cigarette taxes are
tied to declines in U.S. infant deaths, 11 years of data suggest</a><o:p></o:p></span></u></b></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif"">CHICAGO (AP) — When it costs more to smoke, fewer babies die, according to a new study that links rising cigarette taxes with declines in infant mortality,
especially among blacks.<o:p></o:p></span></p>
<p style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif"">With nearly 4 million annual births nationwide, the results suggest that a $1 increase in cigarette taxes would be expected to lead to 750 fewer infant
deaths each year, the researchers said.<o:p></o:p></span></p>
<p style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif"">Smoking during pregnancy can lead to complications including sometimes dangerous premature births and sudden infant death syndrome. U.S. smoking rates
declined during years examined in the study — 1999 to 2010. The research, paid for by the National Institutes of Health, was published online Tuesday in the journal Pediatrics.<o:p></o:p></span></p>
<p style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif""><o:p> </o:p></span></p>
<p style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif"">THE STUDY<o:p></o:p></span></p>
<p style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif""><o:p> </o:p></span></p>
<p style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif"">Cigarettes are subject to state and federal excise taxes. Dr. Stephen Patrick of Vanderbilt University and colleagues examined data on changes in those
taxes and cigarette prices from every state over 11 years. They also analyzed federal data on infant mortality in each state.<o:p></o:p></span></p>
<p style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif"">Taxes per cigarette pack increased from 84 cents to $2.37 on average, adjusted for inflation. Infant mortality per 1,000 births decreased from about
7 deaths to 6 deaths on average. Among blacks, deaths declined from about 14 to 11 per 1,000 births.<o:p></o:p></span></p>
<p style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif"">The researchers considered factors other than smoking that influence infant mortality, including family income and education, but still found a link
with rising taxes.<o:p></o:p></span></p>
<p style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif""><o:p> </o:p></span></p>
<p style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif"">THE CONTEXT<o:p></o:p></span></p>
<p style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif""><o:p> </o:p></span></p>
<p style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif"">Almost 11 percent of U.S. women smoke during pregnancy, federal data show. Previous studies have linked higher cigarette taxes with declines in smoking
during pregnancy and with better newborn health. The researchers say their work is the first examining these taxes and U.S. infant mortality rates.<o:p></o:p></span></p>
<p style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif"">Raising tobacco taxes is among strategies the Centers for Disease Control and Prevention supports to reduce smoking. A U.S. Surgeon General report
last year said reducing smoking among pregnant women and women of reproductive age "remains a critical component of public health efforts to improve maternal and child health."<o:p></o:p></span></p>
<p style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif""><o:p> </o:p></span></p>
<p style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif"">LIMITATIONS<o:p></o:p></span></p>
<p style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif""><o:p> </o:p></span></p>
<p style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif"">The researchers say the taxes could have negative consequences for pregnant smokers who don't quit and can't afford to buy necessities because of high
cigarette prices — a possibility the study didn't examine. The study lacked information on all variables that could affect infant mortality. Still, they say their study adds to evidence for policymakers to consider in seeking ways to reduce infant deaths.<o:p></o:p></span></p>
<p style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif"">___<o:p></o:p></span></p>
<p style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif"">Online:<o:p></o:p></span></p>
<p style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif"">Pediatrics:
<a href="http://www.pediatrics.org" target="_blank">http://www.pediatrics.org</a><o:p></o:p></span></p>
<p style="margin:0in;margin-bottom:.0001pt"><span style="font-size:11.0pt;font-family:"Calibri","sans-serif"">CDC:
<a href="http://tinyurl.com/obybgyp" target="_blank">http://tinyurl.com/obybgyp</a><o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><b><span style="font-size:14.0pt;font-family:"Arial","sans-serif"">Beth Sanders<o:p></o:p></span></b></p>
<p class="MsoNormal"><i><span style="font-size:3.0pt;font-family:"Arial","sans-serif""><o:p> </o:p></span></i></p>
<p class="MsoNormal"><i><span style="font-size:14.0pt;font-family:"Arial","sans-serif"">Health Equity Systems Coordinator
<o:p></o:p></span></i></p>
<p class="MsoNormal"><span style="font-size:3.0pt;font-family:"Arial","sans-serif""><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt;font-family:"Arial","sans-serif"">Public Health Division<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:3.0pt;font-family:"Arial","sans-serif""><o:p> </o:p></span></p>
<p class="MsoNormal"><a href="mailto:elizabeth.c.sanders@state.or.us"><span style="font-size:14.0pt;font-family:"Arial","sans-serif"">elizabeth.c.sanders@state.or.us</span></a><span style="font-size:14.0pt;font-family:"Arial","sans-serif""><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:3.0pt;font-family:"Arial","sans-serif""><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:14.0pt;font-family:"Arial","sans-serif"">971-673-0563<o:p></o:p></span></p>
<p class="MsoNormal"><b><span style="font-size:14.0pt;font-family:"Arial","sans-serif""><o:p> </o:p></span></b></p>
<p class="MsoNormal"><img border="0" width="199" height="75" id="Picture_x0020_1" src="cid:image001.jpg@01D130D3.843F2AE0" alt="cid:image001.jpg@01D10D96.C6B9DCE0"><o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif"">CONFIDENTIALITY NOTICE<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial","sans-serif"">This email may contain information that is privileged, confidential, or otherwise exempt from disclosure under applicable law. If you are not the addressee or it appears from the context or
otherwise that you have received this email in error, please advise me immediately by reply email, keep the contents confidential, and immediately delete the message and any attachments from your system.
<o:p></o:p></span></p>
<p class="MsoNormal"><b><span style="font-size:14.0pt;font-family:"Arial","sans-serif""><o:p> </o:p></span></b></p>
<p class="MsoNormal"><o:p> </o:p></p>
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