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Prevention works. There are numerous examples of public health campaigns that have been very successful at changing attitudes and behaviors of individuals. Anti-drunk driving campaigns such as "Don't Let Friends Drive Drunk" have significantly decreased the number of alcohol-related auto fatalities. Similarly, public awareness campaigns which encourage seat belt use led to a decrease in the number of injuries and fatalities caused by crashes even before states began passing seat belt laws. In the area of tobacco use the Environmental Tobacco Smoke (ETS) movement nationwide has caused dramatic reductions in smoking in the workplace and in public places.30 When adequately funded over a sustained period of time, comprehensive state tobacco control programs have demonstrated their efficacy in reducing tobacco use. When Massachusetts and California received sufficient financial resources to fully fund their tobacco control programs, the programs led to substantial reductions in youth initiation of tobacco use and declines in overall consumption of tobacco. A variety of partnerships is integral to the success of a comprehensive tobacco control program. DHSS is committed to working with existing coalitions and creating new ones to realize the goals of this program. Partnerships with current advocacy and service organizations and legislators as well as community and business coalitions yet to be developed will provide the overall framework for this program. In addition, it will be important to keep local and State policymakers aware of the tobacco control programs in the communities and progress that is made toward achieving our goals. Community partnerships based on geography and/or other affiliations such as race, ethnicity, age or profession have the capacity to change community perceptions of tobacco use as acceptable behavior. Not only can these partnerships decrease the acceptability of tobacco use - the primary goal of a comprehensive program - but they can also work to achieve every other goal of this initiative.
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