News Release

Health Department of Northwest Michigan
serving Antrim, Charlevoix, Emmet, and Otsego Counties
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New Surgeon General's Report Calls on Michigan to make the next generation tobacco-free
An estimated 18.8% of Michigan youth smoke cigarettes

(March 9, 2012) Almost 50 years after the landmark 1964 Surgeon General's Report on tobacco, Dr. Regina Benjamin, United States Surgeon General, released a new report and called on the nation to make the next generation tobacco-free. According to the report, Preventing Tobacco Use Among Youth and Young Adults, far too many youth and young adults are using tobacco. Today more than 600,000 middle school students and 3 million high school students smoke cigarettes. In Michigan alone, an estimated 18.8% of Michigan high school students smoke.

Teen smoking rates for northern Michigan track with state rates, according to the Michigan Profile for Healthy Youth (MiPHY), a survey of middle and high schools every other year. In the most recent survey, conducted during the 2010/11 academic year, 16.4% of high school students in Antrim County smoke, 18.8% in Emmet County, and 20.3% in Charlevoix County. (MiPHY results are not available at the county level for Otsego County).

Each day more than 1,200 people die due to smoking.  For every one of those deaths, at least two new youths or young adults become regular smokers.  And 90 percent of these replacement smokers smoke their first cigarette before they turn age 18.

The comprehensive report provides further scientific evidence on young people's sensitivity to nicotine. The younger they are when they start using tobacco, the more likely they are to get addicted and the more heavily addicted they will become. Nicotine addiction will cause about 3 out of 4 teens to smoke into adulthood, even if they intend to quit after a few years.

The report finds that tobacco marketing is a key factor in causing young people to start using tobacco, and nicotine addiction keeps them using it. More than $1 million an hour is spent on marketing tobacco products in this country—and 99% of all new smokers come from youth and young adult populations who are enticed to smoke by this marketing. Tobacco companies say their marketing only promotes brand choices among adult smokers—but regardless of intent, it encourages underage youth to smoke. The more young people are exposed to cigarette advertising and promotional activities, the more likely they are to smoke. The report shows tobacco advertising and promotion encourages the myth that smoking makes and keeps you thin. This message is especially appealing to young girls. This report concludes that teen smokers are not thinner than non-smokers.

Images in tobacco marketing make tobacco use look appealing to young people who want to fit in with their peers. Kids and teens see smoking in their social circles, movies they watch, video games they play, Web sites they visit, and many communities where they live. Smoking is often portrayed as a normal, acceptable, even appealing activity; young people exposed to these images are more likely to smoke. And in 2010, nearly a third of top-grossing movies for children—those with G, PG, or PG-13 ratings—contained images of tobacco use. The report concludes that smoking in movies causes youth to start smoking.

“The evidence in the new Surgeon General's report clearly demonstrates the need for intensified and sustained efforts to prevent our young people from using tobacco,” said Lynne DeMoor, who coordinates the Tobacco Reduction Coalition of Northwest Michigan. “We know what works: comprehensive efforts that include mass media campaigns, 100 percent smoke-free laws in restaurants, bars and worksites, high cigarette prices, evidence-based school programs, and sustained community-wide efforts. We must redouble our efforts to protect the young people in Michigan.”

While the long-term health effects of tobacco use are well-known, this report concludes that smoking early in life has substantial health risks that begin almost immediately—even for youth and young adults. For heart disease, we see early damage in most young smokers and those most sensitive die very young. Smoking during youth and adolescence slows down lung growth. Teens who smoke are not only short of breath today—they may end up as adults with lungs that never reach their full capacity. That damage is permanent.

“If Michigan fully funded its tobacco control program and adopted the strategies outlined in the report, youth smoking rates could decline by half in six years,” said DeMoor. “Most importantly, we would greatly reduce the staggering toll that tobacco takes on our families and communities.”

The Health Department of Northwest Michigan is mandated by the Michigan Public Health Code to promote wellness, prevent disease, provide quality healthcare, address health problems of vulnerable populations, and protect the environment for the residents and visitors of Antrim, Charlevoix, Emmet, and Otsego counties. For online copies of the full Surgeon General's report, executive summary, and an easy-to-read guide on tobacco use and young people, visit