George Cruz, Pacific Partners for Tobacco

Transcription

Pacific Partners for Tobacco Free Islands
American Samoa, Commonwealth of the Northern Mariana Islands, Federated States of Micronesia,
Republic of the Marshall Islands, Republic of Palau and Territory of Guahan
20th ANNUAL APPEAL CONFERENCE
“Pathways Of Change”
George J. Cruz
Co-Chairman
San Francisco, California
September 24, 2014
USAPI – UNITED STATES AFFILIATED PACIFIC ISLANDS
US Flag Islands
American Samoa (AS)
Commonwealth of the Northern Mariana Islands
(CNMI – Saipan, Tinian, Rota & Northern Islands)
Territory of Guam (Guam)
Non-US Flag Islands
Federates States of Micronesia
(FSM – Pohnpei, Kosrae, Chuuk & Yap)
Republic of the Marshall Islands (RMI)
Republic of Palau (RoP)
Pacific Islanders: Who we are?
• Polynesians
• Hawaiians, Samoans, Tongans, Maori, Tahitians, Cook Islanders, etc.
• Micronesians
• Chamorros, Carolinians, Chuukese, Pohnpeians, Yapese,
Marshallese, Palauans, Kosraeans, etc.
• Melanesians
• Papuans, Solomon Islanders, Fijians, Vanuatu Islanders, etc.
MISSION STATEMENT
Our mission is to weave together our resources, appropriate
practices and experiences, and drawing strength from our
cultures and relationships for a Tobacco-Free Pacific.
VISION
We envision a Tobacco-Free Pacific and its people
“Before you know where you are
going, You must be aware of where
you came from.”
- Lino Taitano
Elder & Chief Carolinian Community, Saipan
PRE-WORLD WAR II:
THE PACIFIC ISLANDS
Early 1800’s Carolinians on the Island of Tinian
Source: Micronesian Seminar
Palauan
Traditional
Healers
Source: MicSem
• 1940’s U.S Navy health survey
• Found: intestinal parasites, yaws,
tuberculosis and skin diseases
• Complete absence of malnutrition
or obesity
• No indication of diabetes
• Almost no hypertension
POST-WORLD WAR II:
THE PACIFIC ISLANDS…TODAY
Marshall Islands Kwajalein Atoll
1944
Source: MicSem
2009 Tobacco Prevalence Rates Among Men
40.0%
35.0%
30.0%
25.0%
20.0%
15.0%
10.0%
5.0%
0.0%
[VALUE]
[VALUE]
[VALUE]
[VALUE]
Guam*
* BRFSS +STePS
[VALUE]
Federated
States of
Micronesia+
Republic of the
Marshall
Islands+
Republic of
Palau+
U.S. National*
* World Health Organization, USAPI NCD Core Surveillance Indicators, 2013
THE PACIFIC ISLANDS:
HEALTH EQUITY?
Cost of Goods
Avg. Cost / Various within each PJ
Spam
Corn Beef
Gas/Petro
Rice (50lbs)
$2.62 /can
$3.75 /can
$5.26/gal
$35.00/sack
Cabbage
Tomatoes
Apples
Grapes
$2.29/lb.
$1.69/lb.
$2.25/lb.
$2.79/lb.
Average Minimum Wage per Hour
Guam
American Samoa
CNMI
Palau
RMI
FSM
$7.25 (increases to $10.10 over 3 years)
$5.59 (next increase 9/2015)
$5.55 (next increase 10/2014)
$3.50 (last increase was 16 years ago)
$2.00
$1.56 (Average – varies in each state)
2011 Per Capita Health Expenditures
[VALUE]
$10,000
$8,000
$6,000
$4,000
[VALUE]
[VALUE]
[VALUE]
$2,000
$0
Federated States of
Micronesia
CIA World Factbook
Republic of the
Marshall Islands
Republic of Palau
United States
PACIFIC PARTNERS:
OUR ROLE IN CHANGING THE PACIFIC
Our Role
Policy:
• Promote Smoke Free Air & other Tobacco Control
Legislation (i.e. betel nut, Clean Indoor Air Laws, etc.)
Education:
• Provide publication opportunities for PJ programs (i.e.
Pacific Tobacco Control & Prevention Monograph)
Training:
• Provide Basic Tobacco Intervention (BTI) & Advance
Tobacco Training for adults/providers
Direct Service:
• Provide & Certify Advanced Tobacco Cessation
Counselors
Our Contribution
Education:
• Developed youth & adult forums within schools & community to
provide education & awareness
Policy:
• At least three USAPI have tobacco tax rates of at least $2.75 – only
7 U.S. states have higher taxes. Palau will go from $3.00 to $4.00 as
of January 1, 2015.
Training:
• Collaborated with local chiefs of most PJ’s such as Council of
Chiefs in Palau, Chiefs in American Samoa & Faith Based Leaders
(Catholic, Protestants, etc.)
Our Regional-Collaborative Needs
a.
FUNDING – For Our Jurisdictions
1. Data Collection – Support for Collection & Analysis
2. Quarterly Conference Calls
3. Annual Regional Conference & Face-To-Face Meeting
b.
TECHNICAL ASSISTANCE/TRAINING
1. Program Evaluations, Development & Expertise (Tools, Maintenance,
Sustainability)
2. On-island Coalition Support for grass-root NGO’s & CBO’s
c.
REGIONALLY
1. Increase BTI & Advanced Tobacco Cessation Trainings
20th ANNUAL APPEAL CONFERENCE
“Pathways To Change”
Un Dangkulo Na Si Yu’us Ma’ase, Ghilisow,
Thank You Very Much!

George Cruz, Pacific Partners for Tobacco

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