control efforts is declining as its budget has been decreasing in recent years. No more than 1 percent of CDC’s budget supports the Office on Smoking and Health, he said. The amount of money CDC allocates to fund state tobacco control efforts is a tiny fraction of the CDC-recommended $3.7 billion, McGoldrick stressed. “There is a dose-response relationship between resources and advocacy, just as there is for drugs. We have to do everything in our power to reinvigorate the advocacy infrastructure if we are going to keep making progress on tobacco control policy levers that we know work,” he said.

McAfee noted that the tobacco industry spends 23 times more on tobacco promotion than states do on tobacco control programs—$10.5 billion spent by the industry in 2008 compared to less than $500 million spent at the state level, despite the fact that states collect $25 billion a year from the taxes on tobacco products and the Master Settlement Agreement


FIGURE 9 The tobacco industry outspends state tobacco prevention efforts by 23 to 1. Although tobacco-related state and federal revenues comprise around $40 billion, state tobacco control program budgets are less than $500 million, which is less than the Centers for Disease Control and Prevention (CDC)-recommended $3.7 billion, and 23 times less than the $10.5 billion spent by the tobacco industry on marketing and promotion.

SOURCES: McAfee presentation (June 11, 2012); Campaign for Tobacco-Free Kids (2012b,d); CDC (2007c).

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