BEC Webinar: Creating Smoke-Free Environments in Your Community


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Overview of how to create smoke-free housing, lodging, hospitals, colleges and worksites presented by the Breathe Easy Coalition of Maine and the Partnership for a Tobacco-Free Maine on December 15, 2011.

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  • In September, the MTFCN released a new policy support packet – filled with tools to help your campus implement a tobacco-free policy; a tobacco-free campus fact sheet was also released, filled with talking points to support going tobacco-free
  • Why go beyond what is required by state law
  • And resource took kit!
  • BEC Webinar: Creating Smoke-Free Environments in Your Community

    1. 1. CREATING SMOKE-FREE ENVIRONMENTSDecember 15, 2011 Presented by: Partnership for a Tobacco-Free Maine and Breathe Easy Coalition of Maine
    2. 2. Webinar Tips All participants will be muted throughout the presentation. If you have a question, please type it into the box in the control panel – we will answer questions at the end. The presentation will be available online at by 12/21/11.
    3. 3. Who we are: PTM The Partnership For A Tobacco-Free Maine is committed to its mission to reducing death and disability due to tobacco use among Maine citizens and creating an environment that is supportive of a tobacco-free life.
    4. 4. Who we are: BECThe Breathe Easy Coalition of Maine works toreduce exposure to secondhand smoke throughthe promotion of strong voluntary policies thatlead to reduced tobacco use and tobacco-freeliving throughout Maine. BEC is an umbrellacoalition of the: Smoke-Free Housing Coalition of Maine Maine Tobacco-Free College Network Maine Tobacco-Free Hospital Network
    5. 5. Presentation Goals/Outline Provide an overview of strategies, tips and resources for addressing PTM objectives 4, 6, 10 and worksite policies. Outline:  Overview: Secondhand and Thirdhand Smoke  Smoke-Free Housing/Smoke-Free Homes Pledge  Smoke-Free Lodging  Tobacco-Free Colleges  Tobacco-Free Hospitals  Tobacco-Free Worksites  Questions
    6. 6. Talking Points on Smoke-FreeEnvironments It‟s about the smoke, not the smoker. Secondhand smoke travels and is harmful to others – in both indoor and outdoor settings. Prohibiting smoking saves will save you money Communicating the policy is the key to successful implementation. Tobacco use remains the leading cause of preventable disease and death – smoking policies change the social norm around use.
    7. 7. Secondhand Smoke is Deadly Defined as tobacco smoke that is exhaled by smokers or is given off by the burning end of a cigarette that is inhaled involuntarily or passively by someone who is not smoking. There is no safe level of exposure to secondhand smoke. Secondhand smoke contains thousands of chemicals, at least 69 of which are known to cause cancer. Non-smokers exposed to secondhand smoke at home or work increase their risk of developing heart disease by 25- 30%.
    8. 8. Secondhand Smoke is Deadly Secondhand smoke exposure causes disease and premature death in children and adults who do not smoke.  Children exposed to secondhand smoke are at an increased risk health issues, including: sudden infant death syndrome (SIDS), acute respiratory infections, ear problems, learning disabilities, behavioral problems and more severe asthma. Only 100% smoke-free indoor space policies fully protect nonsmokers from exposure to secondhand smoke. Separating smokers from nonsmokers within a building by cleaning the air and ventilation practices does not eliminate the harmful effects of secondhand smoke.
    9. 9. Secondhand Smoke is Dangerous for Youth  Kids exposed to secondhand smoke in the home are:  44% more likely to suffer from asthma  Miss more days of school per year than kids in SFH  Adolescent exposure to secondhand smoke has been linked to higher risk of ADHD and learning disabilities.  Secondhand smoke exposure increases the risk of middle ear infections and hearing loss inARC-NE, 2006children.ARC-NE, 2006, Pediatrics, 2011Pediatrics, 2011
    10. 10. Thirdhand Smoke is Dangerous What is it?  Tobacco smoke contamination (or nicotine residue) that remains after the cigarette has been extinguished. The toxins linger in carpets, sofas, clothes, hair, skin and on other surfaces long after a cigarette is put out. Thirdhand smoke builds up over time and resists normal cleaning.  Thirdhand smoke can‟t be eliminated by airing out rooms, opening windows or using fans or air conditioners, or confining smoking to only certain areas of a home.
    11. 11. Thirdhand Smoke is Dangerous Infants, children and non-smoking adults are at-risk of tobacco related health problems when they inhale, ingest or touch surfaces/materials containing thirdhand smoke. Dangers of thirdhand smoke include a higher risk heart disease, stroke and other smoking related diseases. Thirdhand smoke is a particular health hazard for infants and children.  Infants exposed are more likely to die of Sudden Infant Death Syndrome (SIDS).  Infants and children have an increased risk of asthma and can be a trigger for asthma sufferers.
    12. 12. SHS/THS Resources Coming Soon from BEC: secondhand smoke and thirdhand smoke fact sheets Various Resources available at
    13. 13. Smoke-Free Housing PTM Work Plan Objective 4
    14. 14. Myths vs. Realities aboutSmoke-Free Housing Smoke-Free Housing Is Not• About targeting people who smoke or making people quit• About evicting people who smoke Smoke-Free Housing Is• Saving property owners/managers money• About the smoke, not the smoker• Providing healthy indoor air for all residents of multi- unit housing• Protecting the integrity of multi-unit buildings
    15. 15. Key Messages• It‟s about the smoke, not the smoker!• You are not asking people to quit, only to take the behavior somewhere else, for the health of all residents and the safety of the property.• There is no „right‟ to smoke, but there is a right to breathe clean air.• Fair housing laws do not protect smoking behavior. In fact, NONSMOKERS may be eligible for protection from SHS under Fair Housing laws.
    16. 16. Who is going smoke-free inMaine Public and Tribal Housing Breathe Easy, You’re Living in Maine: Authorities  100% of Maine‟s Public Housing Private developments Authorities (20 of 20) (subsidized and market-rate)  2/5 Tribal Housing Authorities “Mom and Pop” landlords  48% of all Maine Rental Housing Condominium associations (market rate and subsidized multi- unit housing) Behavioral health facilities Group homes and transitional housing developments Nursing and assisted living facilities
    17. 17. Why Are Property Owners Adopting 100% Smoke-Free Policies?• Fire Danger• Property Damage• Turnover savings• Insurance savings• Happier & healthier tenants• Liability• Tenants prefer smoke-free housing
    18. 18. Tenants want smoke-freehousing 7 out of 10 Maine MUH tenants would prefer to live in smoke-free housing. 43% would pay more to live in a smoke-free environment. Town/County % YES % NO Housing Authorities 76% 24% in Androscoggin Sanford Housing 71% 29% Authority Brunswick Housing 76% 24% Authority Total 74% 26%
    19. 19. What Property Owners/ManagersNeed to KnowSmoke-free policies are healthy choices foryour building and tenants:  There is no risk-free level of exposure to secondhand smoke.  Upto 65% of air is exchanged between units – tobacco smoke toxins move with this air and can be harmful to the health of neighbors.  Smoking is the leading cause of residential fire death in Maine and the US.
    20. 20. Maine‟s Landlord DisclosureLaw An Act To Improve Awareness of Smoking Policies in Maine Rental Housing. Signed into Law by Gov. LePage on June 2nd and took effect on September 28th 2011. All property owners must notify tenants (or potential tenants) in writing, of whether smoking is allowed on the premises and if so, where. Full law language: 5th/chapters/PUBLIC199.asp
    21. 21. Disclosure Law Resources Disclosure Law FAQ Template disclosure form Template smoke-free lease addendums and policy language with disclosure statements Available to answer additional questions about the disclosure law Available at or by contacting the Coalition
    22. 22. Smoke-Free HousingResources Free signage, window clingsand other materials Sample smoke-free leaseaddendums and policylanguage Fact sheets Implementation and enforcement tips Free technical assistance for adoption and implementation Available at or by contacting the Coalition
    23. 23. Smoke-Free HousingResources Smoke-Free Homes Pledge Program  Encourage families in your community to make their homes smoke-free with the pledge program.
    24. 24. Tobacco-Free Colleges PTM Work Plan Objective 6
    25. 25. Why are schools going tobacco-free?• Tobacco-free policies create a healthier and safer environment for students, staff, faculty and visitors.• Going tobacco-free is a way show your commitment to the environment.• Tobacco-free campus changes the social norm around tobacco.• Policies remove exposure to tobacco smoke on campus.
    26. 26. Tobacco Use on Campus • Tobacco-free campus policies don‟t require anyone to quit but prohibits tobacco use on campus grounds. The majority of the campus community won‟t have to alter habits if the campus goes tobacco-free: • About 75% of students and 80% of faculty and staff are non- smokers. Most smokers began smoking before the age of 24; 28% of college smokers began to smoke regularly at or after 19 – when they were already in college. The majority of the campus community believe people should be protected from secondhand smoke: • 88% of young adults and 90% of all adults believe this.Partnership for a Tobacco-Free Maine, American Cancer Society
    27. 27. Steps for Tobacco-Free PolicyAdoption1. Establish a policy committee/workgroup.2. Determine policy parameters – draft plan (timeframe, policy language, enforcement strategies, etc).3. Build support of key stakeholders (administration, student leaders, faculty and staff leaders).4. Communicate policy to campus community prior to when it takes effect and post signage.5. Prepare and distribute educational materials on policy, tobacco use, quitting and secondhand smoke to faculty, staff and students.6. Implement and enforce tobacco-free campus policy.
    28. 28. Gold Star Standards of ExcellenceAwards Program• MTFCN has developed a program to recognize institutions of higher learning taking steps to create tobacco-free environments and promote tobacco-free lifestyles.• All Maine schools that meet at least five of the ten policy standards will be recognized at the inaugural awards celebration – all schools are encouraged to apply. • Annually applications will be released in September and the recognition celebration will be in November.• 2011 Awards: 8 schools and three individual gold stars recognized!
    29. 29. Resources from the MTFCN
    30. 30. Tobacco-Free Hospitals PTM Work Plan Objective 6
    31. 31. What is a tobacco-free policy? A 100% tobacco-free policy is one that prohibits smoking and the use of any tobacco products on the hospital campus, including in buildings, parking areas, garages, grounds, and vehicles parked on hospital property.
    32. 32. Tobacco-Free Hospitals in Maine Mercy Hospital, Portland  Franklin Memorial The Aroostook Medical Center, Hospital, Farmington Presque Isle  Goodall Hospital, Sanford Blue Hill Memorial Hospital, Blue  Miles Memorial Hill Hospital, Damariscotta C.A. Dean Memorial Hospital,  Spring Harbor Hospital, Portland Greenvill  St. Andrews Hospital, Boothbay Down East Community Hospital, Harbor Machais  Waldo County General Eastern Maine Medical Center, Hospital, Belfast Bangor  Northern Maine Medical Inland Hospital, Madison Center, Fort Kent Sebasticook Vally Hospital,  Mount Desert Island Hospital, Bar Pittsfield Harbor Parkview Adventist Medical  Cary Medical Center, Caribou Center, Brunswick Penobscot Bay Medical Center, Rockport 19 of Maine‟s 39 Hospitals are 100% Tobacco-Free.
    33. 33. Why go tobacco-free? Tobacco-free campus policies are a great example of a hospital‟s commitment to providing a safe and healthy environment for patients, employees, visitors and the community as a whole. Tobacco-free policies are a best practice and proven concept – at least 19 hospitals in Maine have already adopted 100% tobacco-free policies.
    34. 34. Policy Adoption Steps Establish a policy committee/workgroup Draft a tobacco-free policy Gain approval and support from hospital stakeholders Communicate policy before it goes into effect Prepare and distribute educational materials for employees, patients, visitors on the policy and quit resources Implement and enforce policy
    35. 35. Gold Star Standards Awards Hospitals that meet at least 6 Standards are encouraged to apply and be recognized! Applications will be made available on www.MaineTobaccoFreeHospitalNetwork .org and will be sent to all hospitals. Annually applications released in January – awards program held at Maine Hospital Association in March. 2011 Awards: 20 Hospitals and 8 Individual Gold Stars Recognized!
    36. 36. Resources from the MTFHN
    37. 37. Smoke-Free Lodging PTM Objective 10: Creating Smoke-Free hotels, motels and other lodging establishments
    38. 38. Smoke free policies save money forowners and managers. Allowing smoking in guest rooms can cause extensive damage. Furniture, carpets, countertops and surfaces are impacted and will need replacement and/or painting much faster than non-smoking rooms. Risk of fire is significantly increased and smoking is the leading cause of fire related death.  Average dollar loss per hotel/motel fire (2005-07): $16,190. Cleaning costs are higher in rooms where smoking has been allowed. Fabrics, including carpets, drapes; bedspreads and upholstery retain odors and require deep cleaning or replacement.
    39. 39. Majority of guests prefer a 100%smoke-free hotel environment. Smoke travels readily between rooms, into hallways and throughout the building’s through the ventilation systems. According to the American Society of Heating, Refrigerating & Air conditioning Engineers (ASHRAE) “…the only means of effectively eliminating health risks associated with indoor exposure is to ban smoking activity.” Smoking can cause extensive damage to guest rooms - more costly to maintain guest rooms where smoking is allowed then not.
    40. 40. Majority of guests prefer a 100%smoke-free hotel environment. Guests prefer smoke-free lodging but supply doesn’t yet meet demand – hotels can stand out by going smoke-free! Smoke free travel is quickly becoming the norm, not the exception.  Following the example and experience of small independent motels and hotels, Westin Hotels was the first major chain to create a smoke free hotel brand in 2006, Marriott soon followed in all of its brands from the most expensive to the most affordable; yet not all hotel chains have changed to a smoke free status.
    41. 41. Learning more about SF lodging Lodging survey is under development using a Survey Monkey format. Kudos and thanks go to Kelly Corson for drafting the following questions:  How many lodging units are within your establishment?  Do any of these units share a common wall?  Do you allow smoking in any of your units/  Do you have a tobacco policy or disclosure form that is acknowledged by all guests at the time of check-in?  Do you impose a penalty charge if a guest smokes in a non-smoking unit?  If tobacco use or smoking is presently allowed on your property, have you considered going smoke-free or tobacco-free? Additional questions can be modified to alert lodging providers to the fact that their local HMP can and will provide technical assistance, resources and additional tools to help them in drafting a policy.
    42. 42. Tobacco-Free Workplaces
    43. 43. It‟s the Law Every employer must establish a written policy that, at a minimum, complies with current Maine law. The employer is responsible for: writing the policy; posting the policy; providing a copy for any employee who requests it; supervising the effective implementation of the policy. This work fits under the Priority Framework; Strategy PF 1.3. The assessment in the online tool has been updated and is aligned with the law. PTM recommends that you suggest that employers consider going beyond the law, and create tobacco free policies, due to the rise in the use of smokeless tobacco nationally and in Maine. For more information, please call me at your convenience at 207-287-
    44. 44. Worksite Resources The best resource is the Good Work! Kit (Item # 836 for the full kit)  Find it at by clicking on the Workplace Materials tab along with a shorter brochure that covers the basics (Item #840) A Summary of Maine Laws (Item #846) is helpful to have on hand.  Find it on the PTM store under the tab marked Newsletters, facts & laws Signs, signs, everywhere signs….  Free and readily available, please do offer the range of signs to employers;  Familiarize yourself with the products available by scanning the signs under the Workplace, Secondhand Smoke, and Facts & Laws sections.  (Items range from clings, large and small signs, decals, and more)
    45. 45. Questions?Contact PTM materials: www.ptmstore.orgContact past BEC presentations: