1 / 31

Smoke-Free By-laws - Health Necessity and Good Economics

Smoke-Free By-laws - Health Necessity and Good Economics. By-laws in Ontario. + 250 municipalities have by-laws (~950) + 50% of population Most are “ Silver ’ Standard - DSA’s (‘magic’ line on the floor), DSR’s (glass aquarium), exemptions for adult sites.

zenaida-hall
Download Presentation

Smoke-Free By-laws - Health Necessity and Good Economics

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Smoke-Free By-laws - Health Necessity and Good Economics

  2. By-laws in Ontario • + 250 municipalities have by-laws (~950) • + 50% of population • Most are “Silver’ Standard - DSA’s (‘magic’ line on the floor), DSR’s (glass aquarium), exemptions for adult sites. • Trend - “Gold” Standard - 9 Cities 100%Smoke-Free Ottawa, Waterloo, Guelph, Cornwall etc.

  3. Rationale Emerging science on harm of second-hand smoke • US - EPA ‘93, Ont. Medical Assoc. ‘96, Thunder Bay District Board of Health - Smoke-Free Resolutions in ‘96, ’98 Cost effectiveness of intervention 1) Evaluated as a “Best Practice” 2) Population-wide protection 3) Self-Enforcing 4) More $ back faster

  4. Tobacco’s Toll -District of Thunder Bay • This year 85 men and 59 women and their families will learn that they have lung cancer; • 98 will die of lung cancer (one third of all cancer deaths in the district) • 124 will die of respiratory diseases; • 532 will die from circulatory diseases; • More than 4889 hositalizations for lung and circulatory problems.

  5. Short Term - ETS • 30 minutes exposure de-tunes the heart of the healthy non-smoker • Becomes like the ‘sluggish’ heart of a smoker - JAMA, Vol. 286 No. 4, July 25, 2001

  6. Long Term - ETS • Asthma aggravation, bronchitis &pneumonia deaths, cancers, decreased lung function, heart disease and stroke • Plus, you & your clothes always stink.

  7. Long Term # 2 • New Research - “26 occupational smoker years doubles cancer risk” - International Journal of Cancer, July 2001 Exposed to one smoker x 26 years = 2 x Two smokers x 13 years = 2 x risk 13 smokers x 2 years = 2 x risk One bartender and 26 smoking customers = x 2 cancer risk in one year!

  8. Physicians Statement

  9. Health Necessity Second-Hand Smoke • Third Leading Cause of Preventable Death • Non-smokers are injured by same diseases and conditions as active smokers - cancer, heart disease & respiratory problems • Toll - 24 to 36 deaths in N.W.O. (How would we respond if this toll was a yearly school bus tragedy …?)

  10. Legal Issues • Smoke-free By-laws are legal - 17 challenges, all turned down • Most recent court cases; Toronto, Waterloo & Ottawa • Hospitality industry pays the court costs.! • Liability - Bar Worker - Throat cancer after 11 years = $466,000 Au. Waiter - Heart disease after 5 years = $86,000 US

  11. Northwestern Ontario • Fifteen Years Effort • Yes - Changes in Public Attitude • Limited Legislative Impact • “Blue Collar, Lunchbox” Towns • Councils don’t decide by science! • Small Towns Lead - Ear Falls - 100% Schreiber, Terrace Bay & Timmins

  12. History - Thunder Bay • Smoke-Free Space Committee - 1985 / 86 - • Public Opinion Survey N = 903 82% - Yes to regulation 89% - Yes to non & smoking sections • Thunder Bay Council passes By-law - nibbled to death over six months !

  13. - G.A.A.S.P. -Getting Active About Smoking Passively • Tobacco Free Thunder Bay - ‘95-’97 • Pre & Post Public Opinion Surveys 57% - 100% all smoke-free 32% - 100% some but not all 10% - No to any By-lawN = 382 • General Public - Changes in attitude & behaviour City Council - No Action

  14. Smoke-Free Spaces -1997Survey by Northwestern H.U. • Residents of Kenora-Rainy River N = 384 64% - all enclosed spaces smoke-free Would use more / same less Restaurants 80% 16.7% Bars 40.4% 15.4% Bingo 36.7% 8.3%

  15. Latest Public Opinion Surveys • Thunder Bay Health and Safety Survey - Statistics Canada - Feb.1998 Supporta by-law either 100% smoke-free or separately vented room? 72% - Agreed 22% - Disagreed 6% - No opinion N = 556

  16. 2002 Nipigon/Red Rock/Dorion-Hurkett Tobacco By-Law Survey: All Respondents 100 90 80 70 60 50 Percent 40 30 20 10 0 Second-hand smoke In favour of In favour of bar by- If DSR, go out more If smoke-free, go out Do you smoke? hazardous? restaurant by-law law or same more or same 97.3 83.8 63.0 93.1 81.6 24.7 All three towns Nipigon Smoke-Free - Survey

  17. Thunder Bay - Advisory Committee on a Smoke-Free By-law • Chaired by the Manager of Licensing & Enforcement • One City Councillor - Lawrence Timko • Each Hospitality Sector has one rep. plus 4 Health Reps. • Report by Sept. 2002 • Based on Sudbury’s experience

  18. Thunder Bay - Consensus • It’s a health issue • It’s a workplace issue - Don’t centre out the hospitality sites. • Level Playing Field - “We can live with a by-law if it’s the same for all.” • Phase-in - Businesses become accustomed to smoke-free regulation • 100% Smoke-Free is the goal.!

  19. Regional:Schreiber & Terrace Bay • Smoke-Free 2000 Committee - 5 Doctors & 1 Dentist - 2 1/2 years education & lobbying • Smoke-Free Question on Nov. 2000 Municipal Election - (Under Bill 62 if majority support Council must implement.) • Focus on sites used by children & families. • April 30th, 2001 - Restaurants and rented facilities smoke-free. Bars etc. no one under 18 allowed.

  20. Schreiber & Terrace Bay Billboards • Four billboards to increase restaurant traffic especially summer tourist trade. • One approx.. three hours away and the second within one hours driving time both east and west of the two communities. • A work in progress - The billboards will be selling the idea of smoke-free year-round.

  21. Kenora - Rainy River Northwestern Health Unit’s different approach • Postcards to 30,000 households • + 20% positive return(Wow!) • Ultimatum > 19 Municipalities - Have a plan for 100% smoke-free by May 31 or “Closure Orders” issued under Health Protection Act • Ear Falls passes 100% By-law - April ‘02

  22. The Issues # 1 Public Space versus Private Space • Strong belief among owners / managers “My Business, my space.., I decide. Don’t tell me what to do.” • Minority support among public. • FACT - In law all restaurants / bars, etc. are “public spaces” • Municipalities can pass smoke-free regulation - 17 court cases support

  23. The Issues # 2 Mixed Use Facilities • Roadhouses; Both a restaurant & bar depending on time of night. • Level Playing Field - Concern by all owners - A bar with smoking…,ups food service and scoops business from non-smoking restaurants. • Yet public sees bars as ‘different’.

  24. Issues # 3 D.S.R. - Designated Smoking Rooms - Separately ventilated, enclosed, smoking areas • Pro - Allows smoking on-site • Con - Employees still exposed Are children allowed? Small business costs high Some cities allow and others require 100% smoke-free as final step.

  25. Issues # 4 Economic Impact • No objective evidence of city-wide decline in profit - revenue neutral • Often slight increase due to ordering more meals vs. drinks • Transition - Victoria - First month down , by third month alcohol sales back with 100% smoke-free by-law. (year end - revenue & staff up)

  26. #4b • Ottawa -100% smoke-free in Sept. ‘01 KPMG Accountants - Sept. to Nov. ‘01 • Hospitality employment  6.5% • Unemployment Insurance 9% Oct. • Bankrupts down over previous year Ottawa Sun Poll Dec. ‘01 Go out more to Bars / Restaurants 30% Go out less…., 17% Same…., 53%

  27. Issues # 5 Ventilation Solution - Choice “Modern technology will solve..,” • Tobacco Industry initiative to protect market share. (8%~14%) • Funding Restaurant Association and third party front groups • $800,000 to Ont. Rest. Assoc. • No independent scientific organization backs ventilation.

  28. Issues # 6 Casinos - Under provincial legislation - Some cities include. Legions - “They fought the war so they can smoke in peace” Country / Curling Clubs - Yet, if it walks like a duck, is it a duck? Economic Exemptions - Good theory but most cities chose not to.

  29. Key Elements • Level Playing Field - Restaurants & Bars need same regulation. • Simple, straight forward rules (not like Windsor’s multi-categories) • Short Phase-in - Six months or up to a year for an interim by-law • Bars - Check for first nine months • Public Communication vital Wonder why it took so long…!!

More Related