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Montana Public Health Association Conference
Karen G. LaneOctober 14, 2015
TobaccoFree Policyin Helena’s Developed City Parks
Health Impacts from Tobacco
Tobacco use
leading preventable cause of death in the United States, >400,000 deaths each year.
1,400 Montanans die from tobacco-related diseasescardiopulmonary disease, some cancers, and other illnesses as a result of their tobacco addiction.
On average, adults who smoke die 13 to 14 years earlier than nonsmokers.
Health Factors for the Non Tobacco User“Secondhand smoke”
3rd leading cause of preventable death - killing 53,000 people in the U.S. each year.
It contributes to lung disease, aggravates asthma, impairs blood circulation, bronchitis and pneumonia.
In children - increased severity and number of asthma attacks, bronchitis and middle ear infections.
Infants - increased the risk of Sudden Infant Death Syndrome. Secondhand smoke is a known human cancer-causing agent
and scientific studies have demonstrated a direct relationship between exposure to secondhand smoke and lung cancer as well as heart and other diseases.
Nonsmokers are exposed to over 4,500 chemicals and 50 carcinogens in secondhand smoke. These chemicals include formaldehyde carbon monoxide, methane, lead and benzene.
Health Status Changes Among Persons Who Quit Smoking9
AFTER PHYSICAL BENEFITS 2 Weeks Lung function and circulation improve 9 months Lungs improve capacity to clear
and reduce infection 1 year Risk of heart disease drops to half
that of a smoker 5-15 years Risk of stroke is the same as that of a
nonsmoker 10 years Risk of lung cancer is half that of a
smoker 15 years Risk of heart disease is similar to that
of someone who never smoked
9. The Cost of Smoking to Business.‖ American Cancer Society.
www.cancer.org/docroot/NWS/content/NWS_2_1x_The_Cost_of_ Smoking_to_Business.asp
Outdoor 2nd Hand Smoke No safe level of outdoor 2nd hand smoke
Outdoor levels may be as high as indoor levels and a health risk to people in close proximity
Exposure causes SIDS, asthma, cleft palate and premature death in children
People who begin smoking during adolescence frequently are addicted by age 20 and are more likely to continue as adults.
Role modeling unhealthy behaviors to young people.
Cigarette trash causes fires and wildfires
Small children playing in parks and on city rec grounds are more likely to ingest cigarette butts. Birds, fish eat tobacco trash.
Toxins in the tobacco products and wrappings pollute air, soil and water.
- Lewis and Clark Co Board of Health Resolution
Tobacco-Free Outdoor Spaces Mount Helena Music Festival
Symphony Under the Stars
Alive@Five
Shakespeare in the Park
Chalk Up Helena
City-County Health
Department
Helena Youth Soccer
Association
Tobacco Free Schools of
Excellence
Blue Cross Blue Shield
YMCA
YWCA
St. Peter’s Hospital
Helena Food Share
Helena Housing Authority
Rocky Mountain Development
Council
Helena Brewers
Centennial Park
Steps to Tobacco Free City Parks Policy Centennial Park>All developed parks
Two Rounds of Assessment (2012 ,2014)
Methods:
1) Community survey2) Observational survey- YMCA Kid’s Camp, park clean-up3) User groups phone interviews4) Staff in-person interviews
Community Tobacco Survey 2012
Please tell us what you think about tobacco-free recreational places for our community by answering the following questions.
Tobacco use should be prohibited in the following places:
(For each place, circle the number on the scale that best describes how you feel.)
1. City/County Parks strongly disagree 1 2 3 4 5 strongly agree
2. Playgrounds strongly disagree 1 2 3 4 5 strongly agree
3. Outdoor sports facilities strongly disagree 1 2 3 4 5 strongly agree
4. Skateboard/bike parks strongly disagree 1 2 3 4 5 strongly agree
5. Hiking/biking trails strongly disagree 1 2 3 4 5 strongly agree
6. Picnic grounds strongly disagree 1 2 3 4 5 strongly agree
7. Golf courses strongly disagree 1 2 3 4 5 strongly agree
8. Beaches strongly disagree 1 2 3 4 5 strongly agree
9. Boat & fishing docks strongly disagree 1 2 3 4 5 strongly agree
10. Campgrounds strongly disagree 1 2 3 4 5 strongly agree
How often does someone from your family visit Helena-area parks?
Once a week Once a month Once a year
Where do you live?
In Helena Within 20 miles of Helena Over 20 mi from Helena
What is your age? 6-10 11-17 18-24 25-39 40-50 51+
Are you a… Parent Grandparent Youth leader
Youth sports coach/official Youth sports participant
Smoker Former smoker Non-smoker
Parks
Playg
roun
ds
Outdo
or S
ports Fa
cilit
ies
Skat
eboa
rd /
Bike
Park
Hiking
/ Biking
Trails
Picnic Gro
unds
Golf Cou
rses
Beach
es
Boat L
aunc
hes / F
ishing
Acc
ess
Campg
roun
ds
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
% of total marked 5% of total marked ≥ 4 % ot total marked ≤ 3
Outdoor Public Places
Community Tobacco Survey Results 2012
% T
ota
l
Tobacco use should be prohibited in the following
places::
Park Cleanup
70+ K-5th graders
An hour’s worth of cigarette
cleanup at Nature and Hill Parks
*Two, 2-liter containers
LEWIS AND CLARKCITY-COUNTY BOARD OF HEALTH TO: Members of the City of Helena Commission: Mayor Jim Smith, Commissioner Dan Ellison,Commissioner Matt Elsaesser, Commissioner Katherine Haque-Hausrath, Commissioner Dick Thweatt FROM: Lewis and Clark City-County Board of Health, Ken Wallace, Vice Chair
RE: Recommendation to designate Centennial Park Tobacco Free DATE: July 26, 2012
On July 11, 2012, the City/County Parks Board voted unanimously to recommend to the City Commission that Centennial Park be designated Tobacco Free. The Lewis and Clark City-County Board of Health supports this recommendation. On July 26, 2012, the Board of Health passed a resolution to recommend that the City of Helena and Lewis and Clark County pass policy that designates all public parks as tobacco free.
Tobacco-Free Centennial Park
City Commission Adopted resolution Tobacco-Free policy Centennial Park December 3rd, 2012
Centennial Park Tobacco Free! “You are receiving this message because you have
been involved (in one way or another!) with some aspect or future project at Centennial Park. As you know we will be celebrating the "new and improved" Centennial Park on August 21, 2012.
The event will be a rededication of the park as well as recognition of the 10th Anniversary of Old Glory Landmark, held in conjunction with an Alive @ Five event in the park. I wanted to highlight two upcoming opportunities for you to promote your project, committee/organization and involvement in the park.”
-Amy Teegarden, Director of Helena Parks and Recreation
Signs are Key
Centennial Park Tobacco Free 2012 Pilot
> Promised to assess after initial period
Second Round of Assessing Summer 2014
1) Community survey – added 2 questions 2) Observational survey- YMCA Kid’s Camp, park clean-up 3) User groups phone interviews 4) Staff in-person interviews
Community Survey
0
10
20
30
40
50
60
70
80
90
100
Neutral, disagree, or strongly disagree (≤3)
Strongly agree (5)
Agree or strongly agree (≥4)
Pe
rce
nt
of
tota
l (%
)
____________________
Parks Clean-up
YMCA Kid’s Camp
ONE hour of clean-up!!!
Results Suggested: Broad acceptance of the policy when
they are aware of it Lack of awareness of the policy More signs needed particularly in
parking area, entrances, ball field and skate board park
More public education on an ongoing basis is needed
Continue to have T-F requirement in User Group contracts and add that they provide education to their constituents
City-County Parks Board
September 3rd meeting
Following this presentation and a discussion, the Board unanimously approved recommending to the City Commission continued tobacco-free policy at Centennial Park and expansion to the other developed City parks.
Presentations
• City County Parks Board
• Helena Administrative meeting –commissioners voted to include proposed resolution on Commission agenda
• Board of Health meetings
• Gathered Supporters for the City Commission meeting
• Commission unanimously adopted the resolution for Tobacco Free Developed City Parks!
Again,Signs are Key
150 signs
Partnership
Montana Department of Public Health and Human Services
+ Helena Parks and
Recreation Department +
Lewis and Clark Public Health
An Education and Awareness Campaign is Essential
Community involvement in planning and communication
Messages in multiple media & venues Focus on the health and safety of
everyone, not individual rights (not a protected class).
Give tips/role model on how to respond to violations
Publicize cessation resources-QuitLine
Think About ITHealthy Communities Coalition exercise
*What would a Tobacco Free Park experience be like?
*How would it feel, look, and smell?
What would you do if you saw someone smoking or spitting tobacco in the park?
Remembering your vision, how would you respond? What would you say?
What will you do to communicate to the public about our tobacco free parks?
Attend the launch events?
Bring family, friends, clients to the launch events?
Put articles or announcements in your newsletter?
Write a letter to the editor?
Be interviewed by the media?
Cultural/traditional use v.
commercial/recreational use:
MT Clean Indoor Air Act exemption:
(e) a site that is being used in connection with the practice of cultural activities by American Indians that is in accordance with the American Indian Religious Freedom Act, 42 U.S.C. 1996 and 1996a.
What Else?
What successes and challenges have you
experienced?
Contact information:Karen Lane, [email protected]
Montana CIAA Protocol for Lewis and Clark County11/16/2009, 3 of 4
Within the Act, the following definitions apply:
1) “Board” means the Lewis and Clark City-County Board of Health and itsdesignees (Lewis & Clark County Tobacco Use Prevention Program).
(2) “Cigarette” includes any electronic device, including but not limitedto “electronic cigarettes,” that can deliver inhaled doses of nicotine bydelivering a vaporized solution.
(7) “Smoke” means:(a) the gaseous products (which carry airborne toxic particles)of burning tobacco or something similar to tobacco, or(b) the fumes and/or vapor (which carry airborne toxic particles)resulting from the action of heat on a liquid such as occurs in an ecigarette.
4 of 4(8) "Smoking" or "to smoke" includes inhaling and exhaling the fumes oftobacco or something similar to tobacco or the act of lighting,smoking, or carrying a lighted cigar, cigarette, pipe, or any smokeableproduct.
LEWIS AND CLARK CITY-COUNTY HEALTH DEPARTMENTBOARD OF HEALTH - MINUTES316 N. Park, Room 309, HELENA, MONTANA 59601May 24, 2012Ratification of the Montana Clean Indoor Air Act (CIAA) Implementation Protocols for Lewis and Clark County: Dorothy Bradshaw, Division Administrator, requested ratification of the Montana Clean Indoor Air Act Implementation Protocol for Lewis and Clark County, on pages 12-15 of the board packet. Dorothy highlighted the protocol definitions for reasonable distance, enclosed space, partially open space and the clarification of definitions for “cigarette” and “smoke.” Dorothy noted that the protocols were developed to further clarify the Montana Clean Indoor Air Act for businesses in Lewis and Clark County. Jeremy Gersovitz, deputy county attorney for Lewis and Clark County, stated that he was the prosecutor for the first case in Montana to go to trial under the Montana Clean Indoor Air Act. He asked the Board to ratify the Montana Clean Indoor Air Act Implementation Protocols that the Health Department adopted in November 2009. Jeremy stated that the County Attorney’s Office recommends formal ratification of the CIAA protocols by the Board of Health as the enforcing body of the CIAA law. Ratification is part of a general effort to make enforcement and documentation concerning the CIAA more efficient and clear. Commissioner Hunthausen made a motion to ratify, approve, and confirm the Montana Clean Indoor Air Act Implementation Protocol for Lewis and Clark County. Mayor Strainer seconded the motion. The motion carried 5-0.