TECC Technical Assistance Portfolio 2023-2024


tecc Tobacco Education Clearinghouse of California

Copyright © 2024 California Department of Public Health. Funded under contract #21-10001. Please note, not all images are real photos from the project or coalition and are a mock up or rendering.


2........................................................ Advertisements

10......................................................Before & After 14......................................................Brochures & Booklets

22.....................................................Fact Cards, Rack Cards, & Postcards

28.....................................................Fact Sheets & Flyers

40..................................................... Logos

48.....................................................Signs & Posters 53..................................................... Miscellaneous


Mono County Tobacco Education Program

Bus Advertisement

Mono County Tobacco Education Program

Bus Advertisements


Mono County Tobacco Education Program

Bus Advertisements

TECC Portfolio 2023 - 2024


Nevada County Tobacco Use Prevention Program

Movie Theater Ad


TECC Portfolio 2023 - 2024


Del Norte County Tobacco Use Prevention Program (TUPP)



Mono County Tobacco Education Program


TECC Portfolio 2023 - 2024


Before & After

Del Norte Tobacco Use Prevention Program (TUPP)

Fact Sheet



Del Norte Tobacco Use Prevention Program (TUPP)

Fact Sheet



SB793 - California's Flavored Tobacco Law

Tips for Compliance California’s state law that prohibits the sale of most flavored tobacco products went into effect on December 21, 2022. Retailers, their agents, and their employees are no longer allowed to sell the following: California Law Prohibits Retailers from Selling Most Kinds of Flavored Tobacco Products SB793

Effective date: December 21, 2022

The sales of the following products are no longer permitted per Senate Bill (SB) 793 (Chapter 34, Statutes of 2020).

Flavored e-cigarettes or vapes that deliver nicotine or another vaporized liquid, e-juice, pods, or cartridges Menthol cigarettes Flavored little cigars and cigarillos

Flavored smokeless tobacco products Flavored blunt wraps Flavored loose-leaf roll-your-own tobacco Flavored tobacco rolling papers Tobacco product flavor enhancers

• Flavored e-cigarettes or vapes that deliver nicotine or another vaporized liquid, e-juice, pods, or cartridges • Menthol cigarettes • Flavored little cigars and cigarillos • Flavored smokeless tobacco products • Flavored loose-leaf, roll-your-own tobacco • Flavored tobacco rolling papers • Tobacco product flavor enhancers The minimum age to purchase tobacco and alcohol in California is 21 years old.

EXAMPLES OF TOBACCO PRODUCTS NOW PROHIBITED UNDER SB793 Images shown are for educational purposes only.

Flavors include: fruits, candy, sweets, mint, menthol, and/or any flavors that have a distinguishable taste and aroma.

Flavors include menthol, fruit, candy, sweets, mint, and any other flavors that have a distinctive taste or aroma.

For additional resources on how to comply with SB793, visit: http://cdph.ca.gov/tobacco

For free help quitting tobacco and nicotine: Visit kickitca.org Call 1-800-300-8086 Text “Quit Smoking” or “Quit Vaping” to 66819

For more information, contact: Del Norte County Tobacco Use Prevention Program (TUPP) https://www.co.del-norte.ca.us/TUPP crystal.yang@dnco.org

For additional resources visit: http://cdph.ca.gov/tobacco For free help to quit visit: kickitCA.org

The minimum age to purchase tobacco and alcohol in California is 21 years old.



https://www.co.del-norte.ca.us/TUPP crystal.yang@dnco.org

©2023. California Department of Public Health. Funded under grant #CTCP-21-08.


Breath Again Tobacco Prevention

Rack Card



Tobacco Waste info



The Problem

MICROPLASTIC Cigarette butts are made from microplastic called cellulose acetate. Microplastic is

Cigarette butts are made from microplastic called cellulose acetate.

CIGARETTE FILTERS The tobacco industry produces about 6 trillion filtered cigarettes each year.

Microplastics are tiny enough to get into our food chain.

tiny enough to get into our drinking water and food. We eat and breathe it – it’s in our lungs, blood, and stool.


Which Means

ARE THEY REALLY TRASH ? The toxic chemicals in cigarette butts and vapes officially put them in the category of “toxic waste” and make them nearly impossible to dispose of safely.

The tobacco industry produces an estimated 6 trillion filtered cigarettes each year.

Cigarette butts are the #1 most littered item on Earth.

Microplastics have been found in drinking water, apples, broccoli, lettuce, seafood, and more.

VAPE WASTE Vape waste includes disposable vapes, pods, e-liquid containers, and batteries. 3-IN-1 Vape waste is especially bad for the environment because it is three forms of waste in one: • plastic waste (packaging, pod) • hazardous waste (nicotine residue) • electronic waste (battery, heating element) LEARN MORE Learn more about the environmental impact of tobacco waste: undo.org/ environmental-impact CONTACT US: Breathe Again Tobacco Prevention 707-485-0361 ext. 113 Jaime Gutierrez - outreach@rvrpomo.net Tara Martinez - engagement@rvrpomo.net

FILTERS AND VAPE WASTE ARE TOXIC The chemicals in cigarette butts and vapes are toxic. Tobacco litter and vape

Studies have found microplastics in human lungs, blood, and stool– which means we’re

Cigarette butts are the #1 most littered item on Earth.

ingesting and breathing in these dangerous chemicals.

waste are officially “toxic waste.” This makes it very difficult to dispose of them safely.

Vape Waste

Vape waste is waste associated with vapes, including disposable vapes, pods or cartridges, e-liquid containers and packaging, and vape batteries.

Cigarette butts are the #1 most

discarded item on California beaches and waterways.


Vape waste is especially bad for the environment because it is three forms of waste in one: plastic waste (packaging, pod), hazardous waste (nicotine reservoir, nicotine residue) , and electronic waste (lithium-ion battery, heating element). All of these are hazardous for the environment.

Cigarette filters put us all in danger—the filters do not make smoking safer and they damage all living things. The industry makes filters from microplastic fibers, which pollute our soil, food, and water. New studies suggest these plastics are linked to changes in DNA. They’re destroying our environment—and may wind up inside you and the ones you love.

The industry’s cigarette filters scam could put us all in danger. The industry makes filters from microplastic fibers, which filter practically nothing. Microplastics contaminate our soil, food, and water, and new studies suggest links to mutations in DNA. They’re destroying our environment – and may wind up inside you and the ones you love. tobacco

On California beaches, there are 9x more cigarette butts than plastic straws Cigarette Butts are the #1 most discarded item on California beaches and waterways..

©2023. California Department of Public Health. Funded under grant #20-10653.

Vapes are toxic waste polluting Our Environment - UNDO.org The Environmental Destruction Topic Page (undo.org)

©2023. California Department of Public Health. Funded under grant #20-10653.

TECC Portfolio 2023 - 2024


Brochures & Booklets

Leadership in Equity Action & Development (LEAD)


Napa County Tobacco Control Program






Napa County Tobacco Control Program https://www.countyofnapa.org/2276/ Napa-County-Tobacco-Control-Program Contact: Nancy Wynne de Rivera Nancy.WynnedeRivera@countyofnapa.org 707-299-1908




smokefree .gov Smokefree was created by the National Cancer Institute (NCI) to help you or someone you care about quit smoking. Smokefree.gov offers personalized quit plans that can keep people on track and help them manage cravings and stress. A text messaging

Most adults who smoke in the U.S. say they want to quit. 1 • In 2015, 68.0% (22.7 million people) said that they wanted to quit smoking. • In 2018, 55.1% (21.5 million people) said that they had tried to quit in the past year. • In 2018, 7.5% of adults who smoke (2.9 million people) successfully quit smoking in the past year. You can quit smoking. Most people who quit smoking try several times before they quit for good. 3 Tips to help you quit. People are more likely to succeed at quitting if: 4 • They get help from a quit coach or support group • They use quitting aids like nicotine gum, patches, or lozenges • They keep trying even after a slip Every time you try to quit, you learn more about what works for you.


Contact Kick It California to get free, confidential, personalized help to quit tobacco and nicotine. Kick It California Call 1-800-300-8086 Visit kickitca.org Text “Quit Smoking” or “Quit Vaping” to 66819 Download the free No Butts or No Vape mobile apps

If you quit smoking, you can:

Live longer and feel better

Breathe easier

Have healthier skin and teeth

program offers encouragement, advice, and tips for free 24/7. Visit smokefree.gov Text “START” to 47848 to enroll Download free QuitGuide and quitSTART mobile apps

Save money

Quitting helps your body heal When you quit smoking your body starts healing within minutes and continues to heal over time. 2




BecomeAnEX (EX) offers customized quit plans that learn and grow with you. Since 2008, Truth Initiative has partnered with the Mayo Clinic Nicotine Dependence Center to run EX. It is free to use and has helped over 900,000 tobacco users. Visit www.becomeanex.org

Time after quitting Health changes

Sources: 1. Centers for Disease Control and Prevention. (2022, March 21). Smoking cessation: Fast facts. Centers for Disease Control and Prevention. Retrieved October 28, 2022, from https://www.cdc.gov/tobacco/data_statistics/ fact_sheets/cessation/smoking-cessation-fast-facts/index.html 2. Centers for Disease Control and Prevention (CDC). Smoking and Tobacco Use: Benefits of Quitting. 2020. Accessed at https://www.cdc.gov/ tobacco/quit_smoking/how_to_quit/benefits/index.htm 3. Food & Drug Administration. What It’s Like to Quit Smoking. (October 13, 2022). https://www.fda.gov/tobacco-products/health-effects-tobacco use/what-its-quit-smoking 4. Centers for Disease Control and Prevention (CDC). Learn About Quit Smoking Medicines. Accessed at https://www.cdc.gov/tobacco/ campaign/tips/quit-smoking/quit-smoking-medications/index.html

20 minutes

lower heart rate and blood pressure less coughing and shortness of breath

This is Quitting is a free and anonymous text messaging program from Truth Initiative designed to help young people quit vaping. Visit: https://truthinitiative.org/ thisisquitting Text “DITCHVAPE” to 88709

1-12 months

1-2 years

lower risk of heart attack

5-10 years

lower risk of stroke

Brought to you by Napa County Tobacco Control Program

10-15 years

lower risk of lung cancer

© 2023. Napa County Department of Public Health. Funded under contract # CTCP-21-28


Tobacco Free Humboldt




FAQ Why are you inspecting my business? On July 11, 2023, the Humboldt County Board of Supervisors passed an ordinance mandating a tobacco retail license in unincorporated Humboldt County. This means that all tobacco retailers must obtain licenses to sell tobacco, as well as comply with all county, state and federal laws. On Jan. 15, 2024, the Board implemented a fee structure which allows tobacco retailers to apply for a local license. What are you looking for? We are visiting to provide education and information to help you comply with all tobacco-related laws and ordinances that apply to your business. We will be looking for compliance with local, state and federal laws including Article 5 of the Health and Safety Code of California (formerly known as SB793 or Prop 31), the STAKE Act and the Humboldt County Tobacco Retail Licensing Ordinance. What is going to happen during the inspection? Staff from the Department of Health & Human Services Division of Environmental Health (DEH) will come into your store and identify themselves. They will inspect the products on your shelves, posted licenses, signage and store displays. They will talk with you about what they see. They will take notes and pictures. If they find products that should not be sold or any other potential violation, they will let you know and will discuss how to fix the issue. At the end of the inspection, they will conduct an exit interview and provide you with a written report.

LOCAL RESOURCES Eureka Chamber of Commerce 707-442-3728 hours 9 a.m. to 4 p.m North Coast Small Business Development Center 707-445-9720 Women’s Business Center at Jedi 530-926-6670 Tobacco-Free Humboldt 707-268-2131 STATE RESOURCES California Office of the Small Business Advocate calosba.ca.gov Has online resources and potential financial incentives. FEDERAL RESOURCES U.S. Small Business Administration sba.gov/district/san-francisco Provides business counseling and other resources. 415-744-6820 hours 8 a.m. to 4:30 p.m.

VIOLATION PROCESS What if I'm selling a product that isn't legal? During the inspection, if products that are not permitted to be sold are found, you as the retailer/retailer’s agent will be notified and given up to 30 days to fix the issue on the first violation. On a return compliance check, if the products are still out, that will constitute a second violation and you will be given an addition 30 days to come back into compliance. Failure to come into compliance after the second violation may trigger administrative and/or financial action to be taken on the violation. DEH will provide information on how to correct the violation and provide time to do so. Do I have any rights in terms of violations during an inspection? Yes, you have the right to file an appeal. You can ask your inspector for more information on this if it occurs. Can I file a complaint if I have concerns about the inspection or inspector? Yes, you may contact DEH at 1-707-445-6215 to report a complaint.

CONTACT US 100 H St. Eureka, CA 95501 707-445-6215 EnvHealth@co.humboldt.ca.us humboldtgov.org/TRL

HOW DO I RENEW OR OBTAIN A TOBACCO RETAIL LICENSE? The term of a tobacco retailer license is one year. To renew a tobacco retail license, the retailer must submit a license fee and apply for the renewal of the license no later than 30 days prior to the expiration of a current license. • Late fees may be applied if the payment of the annual license fee is not made by the expiration date. • An application for a tobacco retail license shall include proof of all necessary state licenses, an application fee that is nonrefundable and the license fee.


707-445-6215 EnvHealth@co.humboldt.ca.us

©2023. California Department of Public Health. Funded under contract #21-12.

TECC Portfolio 2023 - 2024


Communities Energized for Health




Quit Resources Kick It California Call 1-800-300-8086 Text “Quit Smoking” or “Quit Vaping” to 66819 www.kickitca.org

Tobacco Quit Kit

© 2023. California Department of Public Health. Funded under contract #20-10379.




When stressed Visualize yourself relaxing in a pleasant place, take a few deep breaths, squeeze a stress ball and revisit your reasons why you’re quitting.

Change Your Routines To Break The Habit

Welcome To Your Quit Kit

What's In Your Quit Kit?

CHOOSE A METHOD You can opt to quit tobacco by going “cold turkey,” by gradually decreasing your use, with the help of medications, or other techniques. Your doctor or local stop- smoking program can help you decide. MY 3 REASONS WHY What are your top 3 reasons for quitting? Review them regularly to remind yourself why you are worth the effort. CONGRATULATIONS! By putting this advice to use, you are on the path to improved health. Quitting tobacco is a challenging task, but millions of people have proven that it can be done. So can you! The practical tips presented here will make it easier for you.

MINI NOTEBOOK AND PEN Use the notebook and pen to journal your triggers, wins, and emotions as you quit. It may be helpful to keep a list of reasons you want to quit to refer to during tough times. MINTS, GUM, AND TOOTHPICKS If you miss the feeling of having something in your mouth, try toothpicks, mints, or gum. STRESS BALL If you miss the feeling of a cigarette in your hand, hold something else – a pencil, a paper clip, a marble, a pipe cleaner, or stress ball for example.

When you first get up in the morning Immediately take a shower, dress, eat, and get out the door.

After morning coffee and after meals Brush your teeth.

When watching TV Munch on celery or carrots.

When driving Bring ice water, chew on a straw, listen to music.

When at home after work or school Keep busy, do chores or things you enjoy and don’t associate with tobacco. When in social situations Avoid alcohol, coffee, and other drinks you associate with smoking. Sip slowly on ice water. Socialize with non-smokers at parties. Tell your friends you’re quitting.

When waiting Always carry a book or magazine, sip water.

When on the phone Keep your hands busy doodling on a pad or walk around. When upset Exercise, go for a walk, write in a journal, or call or text a friend who knows you’ve quit and share your feelings.

SET A QUIT DATE Make the commitment. Tell people about it!

I will quit on:

TECC Portfolio 2023 - 2024


San Bernardino County Tobacco Control Program


Community Engagement Agreement



Table of Contents

Designing Your Own CEA Program




What is a CEA?


The Effectiveness of CEAs


most impacted by tobacco-related disparities and located in the various regions of the county that are characterized as urban, suburban, desert, rural, valley, and mountain With increased funding allocations from Proposition 56, the California Healthcare, Research, and Prevention Tobacco Act of 2016, CHC was able to achieve its objective of reaching priority populations and geographically distanced communities of the county through the development and implementation of a CEA Program During the 4 5-year plan period, the program awarded 15 CEAs to community organizations throughout the county ranging between $3,824 - $5,000, for a total amount of $72,675 in grant funding As a result of the CEA Program and partnerships developed during the implementation of funded activities, tobacco prevention policy campaigns were successful in communities such as Adelanto, Colton, and Hesperia In 2022, an evaluation was conducted of CHC’s CEA Program in San Bernardino County The purpose of the evaluation was two-fold: (1) to assess the satisfaction of the funded participant organizations in the program, and gather their ideas for ways to improve the CEA program, and (2) to identify how these educational campaigns may have fostered community empowerment

WHAT IS A CEA? A Community Engagement Agreement (CEA) is a type of subcontract, valued at less than $5,000 CEAs are meant to support California Tobacco Prevention Program (CTPP)-funded projects in completing approved scope of work (SOW) activities This funding allows agencies that may be new to tobacco prevention to explore creative ideas that advance local policy campaigns and community engagement work CEAs can help CTPP-funded projects engage otherwise hard to-reach communities Utilizing CEAs is meant to simplify the opportunity to engage with partners who are possibly less familiar with tobacco-related work, help build buy-in and familiarity with tobacco related issues, and establish organizational relationships that can ultimately lead to increased authentic community engagement THE EFFECTIVENESS OF CEAS When developing the 2017-2021 San Bernardino County LLA Tobacco Control Plan, California Health Collaborative (CHC) explored ways to expand the program’s reach and services with the populations CEAS CAN HELP YOU ENGAGE WITH COMMUNITY PARTNERS IN CREATIVE WAYS.

Activity/ Activities

CEA Considerations Based on the CTPP Administrative Guidelines






Direct CEAs vs CEA Program


As discussed previously, CTPP-funded projects can decide to award CEAs as one-off opportunities for partners and other interested agencies, or they can establish a more formal CEA Program that seeks to award funds to a range of projects on a yearly basis A CEA Program can be structured in a way that best fits the needs of the funded project and most strategically supports the policy campaigns of Coalition members and community partners The following section of the toolkit will outline the different steps to take when establishing a CEA Program as well as how activities completed by CEA recipients can be monitored and reported by the CTPP-funded project ELIGIBLE ORGANIZATIONS The key to a successful CEA Program is to have a wide range of organizations receive funding to participate CEAs serve as a unique mechanism through which CTPP-funded projects can engage new and non-traditional partners with the work To allow for this to happen, it is recommended that eligibility requirements be as flexible as possible, within the limitations of our funding RECRUITMENT I

Most nonprofit organizations with a valid tax ID are eligible for a CEA, as long as they are able to certify that they do not have any conflict of interest that would affect their ability to engage in tobacco prevention work This predominately means that they are not currently accepting funds from the tobacco industry or its affiliates The most recently updated Certification of No Conflict-of-Interest form that CEA recipients should be asked to sign is included in the Policy Section of the CTPP Administrative and Policy Manual found in OTIS CTPP-funded projects are advised to routinely monitor this form in OTIS to be certain it is the most up-to-date version Aside from ensuring that the funded agency does not have a conflict of interest with the tobacco or cannabis industries, it is also important to determine that the potential CEA recipient is not already in some way receiving tobacco tax revenue This would include K-12 public schools that receive tobacco tax funding through the Office of Education or private and public institutions receiving Tobacco Related Disease Research Program (TRDRP) funds The key point to consider is that CEA funds should not overlap with any other tobacco tax funding




Eligible Organizations






Dissemination Plan



Informational Meeting/Bidders’ Conference






Award Notification and Contracting Requirements


VII Onboarding Recipients


VIII Reporting and Work Plans


VIII Evaluating Your CEA Program









Request for Applications (Sample)



Review and Scoring (Sample)


The responses were overwhelmingly positive


Evaluation (Sample)









Follow-up/ Further Probing Question(s)

Question # Primary KII Questions

Inquire how they were or were not supported Include any specific TA examples

Do you feel you were supported in completing the application?


Anything else you want to say about the application process?


Cost-effectiveness: These questions concern the impact of the funding; whether these organizations could have implemented these activities without such funding; and, the overall value of time, money, and activities associated with the funding

Frequently Asked Questions (FAQ)

Inquire to get at specifics of the impact of activities

How much impact do you think your activities had?


What opportunities did this grant funding allow your organization to do that it wouldn’t have had the resources to do otherwise? We sometimes use a term “bang for the buck” to describe cost-effectiveness Thinking back on the earlier question about the activity you felt was most effective, did it have a bang for the buck?



doing a competitive bidding process In all cases, CEA awardees must be selected in a fair and unbiased manner to eliminate any real or perceived allegation of preference (e g , favoritism, bias, or nepotism) The process to select a CEA may be formal through a competitive bid process (RFP or Invitation to Bid document, scored selection criteria, justification provided if three bids are unable to be obtained, etc ) or informal (i e no formal award process), as best determined by the prime agency A competitive bid process would only be required if the award amount is $5,000 or more within the prime agency’s entire project term This, however, would be considered a subcontract and not a CEA and would therefore require approval from the prime agency’s CTPP Program Consultant and Procurement Manager For more information on the competitive bid process, please see Section 305 of the Policy Section of the CTPP Administrative and Policy Manual Q4: Are there differences between a CEA Program and a direct CEA? A4: Yes A CEA Program can provide more structure to the way CEAs are awarded, and by providing the funding opportunity annually with a similar release date and implementation period every year, prospective applicants know what to expect and

Q1: What are the benefits of Community Engagement Agreements (CEA)? A1: Community Engagement Agreements support CTPP-funded projects in completing approved SOW activities CEAs can help CTPP funded projects engage otherwise hard-to-reach communities, and the funding allows agencies that may be new to tobacco prevention to explore creative ideas that advance local policy campaigns and community engagement work Utilizing CEAs can simplify the opportunity to engage with partners who may be less familiar with tobacco related work, can help build buy-in and familiarity with tobacco-related issues and can establish organizational relationships that can ultimately lead to increased authentic community engagement Q2: Is a CEA a small grant? A2: Yes A CEA is a type of subcontract (the agreement is between the prime agency funded by CTPP and a third party) to perform a component of the prime agency’s SOW approved by CTPP Q3: Must CEAs be selected through a competitive bidding process? A3: No However, there are considerations for not

Inquire to get at specifics on cost effectiveness


Was the time invested in these grant activities worth it?


Overall Satisfaction : This area deals with the respondents’ perceptions of satisfaction after having gone through a set of questioning that had them thinking deeply about the whole process and its impact(s) They are also asked about any other information the respondents care to share

How satisfied are you overall with the grant process from start to finish?


Is there anything you’d recommend changing for the whole grant process?


Is there anything else you’d like to say about the whole process?


EVALUATION METHODOLOGY CONCLUSION This sample was meant to provide a general overview of the evaluation process and offer a series of recommendations on how to best conduct evaluation with qualitative data It is suggested, where feasible, a series of mock interviews be utilized so that inexperienced interviewers can gain some confidence and develop greater ability to conduct valid interviews In addition, CTPP-funded projects are encouraged to tailor the questions used to gain the input from CEA recipients that is most beneficial to the project’s goals and objectives with providing this funding opportunity







TECC Portfolio 2023 - 2024


Fact Cards, Rack Cards, & Postcards

Asian Pacific Islander Partners and Advocates Countering Tobacco

Fact Card

Latino Coordinating Center

Fact Card


LET’S PROTECT OUR FAMILIES AND FIGHT BACK » Talk to your family and friends about the dangers of smoking. » Make your voice heard! Join a local coalition, write a Facebook post, or tweet to share the facts and express your opinion. » Share trusted resources on social media www.flavorshookkids.org and www.tobaccofreeca.com » Support policies that make it harder to buy menthol cigarettes and flavored tobacco products in your community » For free help quitting tobacco call 1-800-300-8086 or go to wwwkickitca.org Special services are available for teens.

LATINO COORDINATING CENTER For a Tobacco-Free California LATINO COORDINATING CENTER For a Tobacco-Free California

The tobacco industry continues to burden Latino communities throughout California. » 9.8% of Latino adults in California use tobacco, that’s approximately 1.1 million Latino smokers. 1 » 5.6% of Latino high school students in California use tobacco. 2 » 4.6% of Latino high school students use e-cigarettes. 2 » More than 43,000 Latinos in the U.S. are diagnosed with tobacco-related cancer each year and more than 18,000 die as a result. 3

The tobacco industry has created flavored products that appeal to latinos such as horchata, churros and tres leches.


SCAN THE QR CODE For free help quitting tobacco and nicotine.

References: 1. California Health Interview Survey. CHIS 2016 to CHIS 2021 Adult Files. Los Angeles, CA: UCLA Center for Health Policy Research; October 2022. 2. California Youth Tobacco Survey. CYTS 2022. Berkeley, CA: RTI International; 2023. 3. Henley, SJ, et al. Vital Signs: Disparities in Tobacco-Related Cancer Incidence and Mortality - United States, 2004-2013. MMWR Morbidity and Mortality Weekly Report. 2016;65(44):1212-1218.

This information is not a substitute for professional medical care or legal help. If you have questions or concerns, please talk with a health care provider. ©2023. California Department of Public Health. Funded under contract #22-11161.


Leadership in Equity Action & Development (LEAD)

Rack Card

What You Can Do: + Join the Tobacco Coalition at your local Public Health Department + Support local laws that prevent tobacco companies from targeting Black people with special discounts or advertising + Reach out to the African American Family and Cultural Center or the LEAD Project about how you can be involved in the fight against the tobacco industry For more information on how you can help make a change, contact:

The Deadly Tobacco Influencer

The tobacco industry has worked hard to be a part of Black communities. Tobacco companies support Black organizations, sponsor

events, and spend millions of dollars on advertising in Black neighborhoods. For example: • There are more ads for cheap tobacco in Black neighborhoods. 1 • The average prices for the cheapest packs of cigarettes and single cigars are lower in Black Communities. 1 As a result, tobacco addiction has had a devastating impact on Black people in the U.S. Black men have the highest rates

healthcollaborative.org/lead @lead.equity.action

References 1. Tobacco Free CA. Story of Inequity: African American/Black. 2019. https://tobaccofreeca.com/story-of-inequity/african american-black/. [Accessed 11/2021]. 2. Centers for Disease Control and Prevention. African American Men and Lung Cancer. 2021. www.cdc.gov/cancer/lung/basic_ info/african-american-infographic.htm#ShareableGraphics. [Accessed 11/2021]. 3. Centers for Disease Control and Prevention. African American and Tobacco Use. 2020. www.cdc.gov/tobacco/disparities/ african-americans/index.htm . [Accessed 11/2021]. © 2023. California Department of Public Health. Funded under contract #20-10377.

of lung cancer in the U.S. Lung cancers are mostly caused by smoking. 2 Tobacco is a major cause of heart disease, cancer, and stroke , which are the three leading causes of deaths for African Americans in the U.S. 3

TECC Portfolio 2023 - 2024


OUT Against Big Tobacco Central Valley (OABT-CV)




YOU CAN BE OUT , TOO! Share resources to help quit tobacco + The Trevor Project: 1-866-488-7386 + Trans Lifeline: 1-877-565-8860 + SmokeFree: 1-800-QUIT-NOW + Every Try Counts!: 1-877-44U-QUIT

WHAT’S THE ISSUE? Big Tobacco spends millions every year to keep people hooked on their harmful products. One of their most successful predatory tactics is giving away tobacco products with massive discounts at practically no cost. These discounts are advertised more often to people with low incomes and neighborhoods made up of BIPOC communities, making it easier for people to start using tobacco, especially youth. DANGEROUS DISCOUNTS

Sources: • Hamilton-Moseley, K. R., McNeel, T. S., Choi, K. (2023). Cumulative cigarette discount coupon exposure and trajectories of cigarette smoking: a longitudinal analysis in US adults. Tobacco Control. https://doi: 10.1136/tc-2022-057801 • Liber, A.C., Sánchez-Romero, L.M., Cadham, C.J., Yuan, Z., Li, Y., Oh, H., Cook, S., Warner, K. E., Henriksen, L., Mistry, R., Meza, R, Fleischer, N. L., Levy, D.T. (2022). Tobacco Couponing: A Systematic Review of Exposures and Effects on Tobacco Initiation and Cessation. Nicotine & Tobacco Research. https://doi: 10.1093/ntr/ntac037 • Federal Trade Commission. (2022, August 31). FTC Report Highlights Dramatic Surge in Sale of Flavored Disposable E-Cigarettes and Menthol E-Cigarette Cartridges. https://www.ftc.gov/ news-events/news/press-releases/2022/08/ftc-report-highlights-dramatic-surge-sale-flavored disposable-e-cigarettes-menthol-e-cigarette • Zarei, K., Hamilton-Moseley, K. R., Chen-Sankey, J., et al. (2023) Financial hardship during the COVID-19 pandemic and increased receipt of commercial tobacco discount coupons among US adults who use commercial tobacco. Tobacco Control. https://doi: 10.1136/tc-2022-057814 • Choi, K. (2016). The associations between exposure to tobacco coupons and predictors of smoking behaviours among US youth. Tobacco Control. https://doi: 25:232-235. ©2023. California Department of Public Health. Funded under contract #20-10363. Folks who use tobacco products and are going through financial difficulties get more discounts from tobacco companies. About 13% of young people are exposed to tobacco coupons, which makes them more likely to try tobacco products. 13% In 2020, the tobacco industry ramped up efforts to hand out free or super cheap e-cigarette products because of new federal regulations designed to limit youth access.


Coupons or rebates distributed through mail, email, products, and social media Free or deeply discounted samples or “gifts”

@outagainstbigtobacco @OutTobacco

Marketing or promotions such as “buy one, get one free”


Sources: • Lee, J. G. L., Henriksen, L., Rose, S. W., Moreland-Russell, S., & Ribisl, K. M. (2015). A systematic review of neighborhood disparities in Point-of-Sale tobacco marketing. American Journal of Public Health, 105(9), e8–e18. https://doi. org/10.2105/ajph.2015.302777 • Truth Initiative. (2019). How local governments are countering industry efforts to sell cheap tobacco. https://truthinitiative.org/research-resources/tobacco prevention-efforts/how-local-governments-are-countering-industry-efforts • Choi, K., Chen, J. C., Tan, A. S., Soneji, S., & Moran, M. B. (2018). Receipt of tobacco direct mail/email discount coupons and trajectories of cigarette smoking behaviours in a nationally representative longitudinal cohort of US adults. Tobacco Control, 28(3), 282–288. https://doi.org/10.1136/ tobaccocontrol-2018-054363


California Tobacco Prevention Program (CTPP)


Don’t get fined for selling tobacco to minors. Tobacco stings are happening now in California and they could cost you!

The Tobacco Education Clearinghouse of California 5619 Scotts Valley Drive, Suite 140 Scotts Valley, CA 95066

What you need to know: ✚ ID. Clerks must check IDs of those buying ANY type of tobacco to verify they are 21 years of age or older. ✚ FINES. Tobacco store owners selling ANY type of tobacco to persons under 21 face fines from $400 to $6,000. ✚ PENALTIES. Store owners or their employees caught selling ANY type of tobacco to anyone under 21 risk losing their tobacco retailer license. ✚ FLAVORED TOBACCO. The sale of flavored tobacco products to persons of any age is against the law. You are responsible for training employees on tobacco laws. Free training materials are available at: bit.ly/TobaccoRetailers Order free Stop Tobacco Access to Kids Enforcement (STAKE) Act age-of-sale warning signs by calling 1-800-258-9090. See STAKE Act, California Business and Professions Code Sections 22950-22964 for information related to the minimum tobacco age of sale, California Business Professions Code Sections 22970-22991 for State of California tobacco licensing requirements described above, and California Health and Safety Code Section 104559.5 for information related to the sale of flavored tobacco products. This mailing was made possible by funds received from the California Department of Public Health under Proposition 56.

TECC Portfolio 2023 - 2024


Fact Sheets & Flyers

Butte County Public Health Department Tobacco Education

Fact Sheet

Communities Energized for Health

Communities Energized for Health

Fact Sheet

Fact Sheet

Tehama County Residents Deserve to Have Healthy & Smokefree Homes


A smokefree healthcare facility is a win for everybody! Your health care center works hard to promote wellness in Amador County. Clients visit your site for health and social services. When your facility is smokefree you: » Reduce secondhand smoke exposure for everyone. » Reduce smoking-related healthcare costs. » Reduce toxic tobacco litter and cleaning costs. » Decrease the risk of accidental fire. » Decrease employee absences due to smoking related illnesses. When your agency adopts a smokefree policy, you lead the way to healthier lifestyle choices.

What’s the Issue? Communities Energized for Health (CEH) spoke with residents living in Tehama County about their experience with secondhand smoke. Here’s what we found:

In the U.S., 41,000 nonsmokers die from secondhand smoke each year. 1

There is no safe level of exposure to secondhand smoke. It is especially dangerous for children and can cause lasting damage to growing lungs. 1

OVER 70% of residents surveyed have been bothered by secondhand smoke drifting into common areas.

NEARLY 80% have

What is a smokefree healthcare facility? A smokefree policy states where smoking can and cannot take place.

We should have a law to protect kids in this complex.

been bothered by secondhand smoke in their home.


The goal is to reduce exposure to secondhand smoke. Because secondhand smoke can enter your facility through vents, electrical outlets, windows, and even tiny cracks in the walls, the only way to ensure the safety of your patients and staff is by adopting a 100% smokefree healthcare facility policy. A smokefree policy does not require staff or patients to stop smoking if they don’t want to quit. It simply restricts where smoking is allowed. When you make your care facility smokefree, you create a healthier environment.

99% of Tehama County residents support a comprehensive smokefree multiunit housing policy.

Contact Communities Energized for Health to learn how your health care facility can become smokefree!


Nicole Morg an, MPH Nicole.morgan@etr.org www.etr.org/ceh 510-913-9708

“I hope this (smokefree apartments) becomes a reality.”

“I have no idea why anyone is allowed to or would consider smoking near a health care facility, but I see it all the time.”


Amador County Resident

“It is especially important that secondhand smoke be eliminated surrounding healthcare facilities due to the health and well-being of the patients that need to visit these places.”

For assistance with smokefree policies, contact: nicole.morgan@etr.org

Amador County Resident

REFERENCE: 1. U.S. Department of Health and Human Services. (2014). The health consequences of smoking – 50 years of progress: A report of the surgeon general. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health ©2024. California Department of Public Health. Funded under grant # CTCP-20-10379.

Data Source: Convenience sample of 80 Tehama County residents who participated in public opinion polls in June 2022. The survey was administered by Communities Energized for Health, a project of ETR.

©2024. California Department of Public Health. Funded under contract # 20-10379.


Glenn County Tobacco Education Program

Fact Sheet

SUPPORT SMOKEFREE OUTDOOR PUBLIC AREAS IN GLENN COUNTY The Glenn County Tobacco Education Program asked county residents what they think about tobacco use in outdoor public areas. 1 Most of the people said they believe drifting secondhand smoke and tobacco litter

Smokefree outdoor public areas are good for everybody! They:

Help keep our community beautiful and reduce toxic litter, which can harm local wildlife and pollute water. Lower the risk of fires, which can be devastating to our rural communities and ecosystems. 5 Improve air quality, which can help people with conditions like asthma and COPD.

are problems in their community. Here’s what we found:

People living in rural areas are also more likely to be exposed to secondhand smoke and less likely to live in communities with smokefree air policies. 6 We can protect the health and safety of our loved ones with smokefree outdoor policies in Glenn County. As local community leaders, you can contact your local county supervisor to show your support for smokefree outdoor public areas in Glenn County, and protect the health of all Glenn County residents.

99% of residents think tobacco products are harmful to people’s health

82% of respondents support a law that prohibits smoking or vaping in outdoor public places —including parks, dining, and worksites

72% say that tobacco litter is a problem in their community .

For more information, contact the Glenn County Tobacco Education Program: (530) 934-6588

Why do smokefree outdoor spaces matter?

There is no risk-free level of secondhand smoke . 2 Even outdoors, you can be exposed to high levels of it if someone is smoking or vaping nearby. 3 Breathing secondhand smoke is especially dangerous for babies and children —it can

Breathing secondhand smoke can increase your risk of heart disease, lung cancer, and stroke . 2

Breathing secondhand smoke from e-cigarettes or vapes is also harmful to your health. 4

REFERENCES 1. Public Opinion Survey for the Glenn County Tobacco Education Program, 2022.

2. U.S. Department of Health and Human Services. The Health Consequences of Smoking – 50 Years of Progress. 2014. 3. Cameron, M., et al. (2010). Secondhand Smoke Exposure in Outdoor Dining Areas and Its Correlates. Tobacco Control Journal. 4. California Department of Public Health. What You Need to Know About All Secondhand Smoke, Vape, and Marijuana. 2021. 5. Americans for Nonsmokers’ Rights Foundation. Wildfires, Air Quality, and Cigarette Butts: Smokefree Laws Save Money and Lives. 2018. https://no-smoke. org/wildfire-air-quality-and-cigarette-butts-smokefree-laws-save-money-lives/ [Accessed 06/2023] 6. Buettner-Schmidt, K., et al. (2019). Disparities in Rural Tobacco Use, Smoke-Free Policies, and Tobacco Taxes. Western Journal of Nursing Research, 41(8), 1184–1202. https://doi.org/10.1177/0193945919828061

increase the risk of sudden infant death syndrome, ear infections, and asthma. 2

©2023. California Department of Public Health. Funded under contract #21-11.

TECC Portfolio 2023 - 2024


Kern County Tobacco Education Program

Fact Sheets



Escanee el código QR para acceder los sitios web de todos estos recursos: kccessation.my.canva.site


En español



Scan QR code to access these resources online: kccessation.my.canva.site

En Persona

Mensajes de texto


App Program

Consulte con su doctor sobre sus opciones de terapia de reemplazo de nicotina para ayudarle dejar de fumar.

Taller o en grupo

Aplicación móvil


Text Program

Consult your doctor about nicotine replacement therapy options to help you quit smoking.

Asesoramiento individual

Herramientas de autoayuda

Individual Counseling

Self-help Tools



Servicios Ofrecidos



Services Offered

Kaiser Permanente

1 (866) 862-4295

Kaiser Permanente

1 (866) 862-4295

Kern Family Health Care

(661) 327-4030

Kern Family Health Care

(661) 327-4030

Bakersfield American Indian Health Project Kern County Behavioral Health and Recovery Services American Lung Association (Online) American Lung Association (Ridgecrest, CA location)

(661) 327-4030

Bakersfield American Indian Health Project Kern County Behavioral Health and Recovery Services American Lung Association (Online) American Lung Association (Ridgecrest, CA location)

Con Membresía

(661) 327-4030

Members Only

(866) 266-4898 (24 hrs)

(866) 266-4898 (24 hrs)

(562) 933-0977

(562) 933-0977

(760) 499-3584

(760) 499-3584

Disponible al público

Kick It California

1 (800) 300-8086

Available to the public

Kick It California

1 (800) 300-8086

Enviar Mensaje “Dejar de Fumar” al 66819 o “No Vapear” al 66819

Text “Quit Vaping” to 66819 or “Quit Smoking” to 66819

Kick It California

Kick It California

Enviar Mensaje “Esp” al 47848



Text QUIT to 47848

Truth Initiative

“DITCHVAPE” al 88709

Truth Initiative

Text DITCHVAPE to 88709

Escanee el código QR para bajar aplicación Escanee el código QR para bajar aplicación

Scan QR code to download app Scan QR code to download app



Text and App programs



Programa de Texto y Aplicación

Ultima actualización 12/1/2023. Póngase en contacto con la organización de interés para asegurase de que la información es correcta. Para más información, póngase en contacto con el Programa para la prevención del tabaco en publichealth@kerncounty.com. ©2023. Departamento de Salud Pública de California. Financiado bajo el contrato #CTCP-21-15.

ast updated 12/1/23. Please contact the organization of interest to ensure that information is accurate. For more information contact the Tobacco Prevention Program at publichealth@kerncounty.com. ©2023. California Department of Public Health. Funded under contract # CTCP-21-15.

Materials can be translated upon request.


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