Smoke-Free Policy in Kentucky:Aren’t We There Yet?

DPH and LHD Nurses Meeting

June 20, 2013

No amount of secondhand smoke is safe.—U.S. Surgeon General Richard H. Carmona, 2006

www.otherwords.org

Contains:•Over 7,000 Chemicals•Hundreds of Toxins•70 Known Carcinogens

Causes:•Heart Disease•Asthma Attacks•COPD•DNA Damage & Cancer

Public Opinion: Where Are We?

Source: Kentucky Health Issues Poll 2012, Foundation for a Healthy Kentucky

Local Ordinances Or State Law?

Home Rule?Preemption?Exemptions?

“The successful implementation of smoke-free laws in smaller communities lays the groundwork for the adoption of similar laws by larger cities and, ultimately, at the state level.”

–CDC MMWR, Nov 16, 2012

Exemptions—Like Developing Drug Resistance?

Pursue an ordinance

Compromise—i.e. exemptions--feeling better?

Exemptions become the standard—spread to other communities

HB190• Prohibited smoking in enclosed public places or places of

employment• Within 15 feet of entrances, exits, windows, ventilation

intakes• Included hotels, inns, and other accommodations rented

to guests• Was non-preemptive (allowed local ordinances &

regulations to be more restrictive)• Included e-cigarettes and hookahs

Progress…Passed Health and Welfare Committee with 11 votesSmoke-Free Rally at Capitol, February 14, 2013

Recommitted to House Judiciary—Why?

Judiciary Committee—March 4Opportunity to address questions and objections:ConstitutionalityPrivate Property RightsEconomic ImpactExemptions

Progress…

….And E-Cigs

New CDC Tips from Former Smokers campaign ads.

Jamason—Lexington, KY

At age 16, secondhand smoke exposure at work triggered the most severe asthma attack of his life, hospitalizing him for four days.

Kentucky Smoke-Free Hospitality VideoCDC Foundation

http://www.youtube.com/smokefreebusiness

Indoor air quality is poor in Kentucky restaurants and bars that allow smoking.

E-Cigarettes—It’s just vapor?

What Now?

Illustration: Juan Osborne

Angela Criswell, MA, CPSTobacco Prevention and Cessation Program Manager

Kentucky Department for Public Health

Angela.Criswell@ky.gov(502) 564-9358 x4023