Indiana University School of Medicine, Department of Public Health, 714 N Senate Ave EF 203B, Indianapolis, IN 46202, USA.
Prev Chronic Dis. 2012;9:E37. doi: 10.5888/pcd9.110144. Epub 2012 Jan 12.
The Indiana Tobacco Prevention and Cessation Agency (ITPC) was created in 2000 to address high tobacco use rates. This independent state agency, using Centers for Disease Control and Prevention (CDC) Best Practices for Comprehensive Tobacco Control Programs, administered a comprehensive program that supported community health coalitions and evidence-based public policy changes. From 2000 to 2011, ITPC operated in difficult budgetary and political environments and with less than 20% of the funding recommended by CDC. ITPC and its partners enabled social and cultural changes, reduced cigarette use rates, and increased the number of community smoke-free environments. Public health leaders in Indiana agreed that the independent agency model was effective in reducing the costs associated with tobacco-use-related disease and death. Despite broad public support for ITPC and its work, on April 29, 2011, the Indiana legislature passed a controversial budget bill that abolished the ITPC executive board and transferred its budget and function to the Indiana State Department of Health (ISDH). Although the tobacco control program is not insulated from political interference, the ISDH commissioner has created a new Tobacco Prevention and Cessation Commission, whose members report directly to him, with commitment to continue the programmatic focus of the former ITPC. Restoring full funding to the tobacco control program is necessary if Indiana's goal of decreasing the health care and business costs of tobacco use-related diseases are to be achieved.
印第安纳州烟草预防和戒烟机构（ITPC）成立于 2000 年，旨在解决高烟草使用率问题。这个独立的州级机构采用疾病控制与预防中心（CDC）全面烟草控制计划最佳实践，实施了一项综合性计划，支持社区卫生联盟和基于证据的公共政策改革。从 2000 年到 2011 年，ITPC 在困难的预算和政治环境中运作，资金不到 CDC 建议的 20%。ITPC 及其合作伙伴推动了社会和文化变革，降低了吸烟率，并增加了社区无烟环境的数量。印第安纳州的公共卫生领导人一致认为，独立机构模式在降低与烟草使用相关的疾病和死亡相关成本方面是有效的。尽管公众广泛支持 ITPC 及其工作，但 2011 年 4 月 29 日，印第安纳州立法机构通过了一项有争议的预算法案，废除了 ITPC 执行委员会，并将其预算和职能转移到印第安纳州卫生部（ISDH）。尽管烟草控制计划不受政治干预的影响，但 ISDH 专员创建了一个新的烟草预防和戒烟委员会，其成员直接向他报告，承诺继续前任 ITPC 的计划重点。如果印第安纳州要实现降低与烟草使用相关的疾病的医疗保健和商业成本的目标，就有必要为烟草控制计划提供全额资金。
