TECC TA Portfolio 2020

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2020 PORTFOLIO tecc Tobacco Education Clearinghouse of California

TABLE OF CONTENTS

5 Fact Card, Postcards & Rack Cards 15 Fact Sheets & Brochures 33 Logos

37 Miscellaneous 45 Advertisements 51 Signs 57 Before and Afters 63 30-Year Report

Copyright © 2021. This material is a component of progress reporting for activities funded by California Tobacco Control Program, under contract #16- 10064. The Tobacco Education Clearinghouse of California is a project of ETR. Please note, not all images are real photos from the project or coalition, and are a mock up or rendering. tecc Tobacco Education Clearinghouse of California

Free Help to Quit Tobacco For SMOKERS call 1-800-NO-BUTTS Or Text “NoSmokes” to 66819

Keep your family and community healthy – learn how to quit using tobacco products

To QUIT CHEW call 1-800-844-CHEW www.nobutts.org

For VAPE USERS call 1-844-8-NO-VAPE Or text “NoVapes” to 66819 www.novapes.org For more tools to quit, visit Smokefree.gov

Fact Card, Postcards & Rack Cards

Did you know?

Adults in rural areas are more likely to smoke cigarettes and use smokeless tobacco products such as chew, dip, and snuff. People in rural communities have a 20% higher chance of developing lung cancer .

Sources: 1. Center for Behavioral Health Statistics and Quality. 2016 National Survey on Drug Use and Health: Detailed Tables. 2017 2. Singh et al. Socioeconomic, Rural-Urban, and Racial Inequalities In US Cancer Mortality: Part I—All Cancers and Lung Cancer and Part II—Colorectal, Prostate, Breast, and Cervical Cancers external icon.2011. 3. U.S. Department of Health and Human Services. The Health Consequences of Smoking: A Report of the Surgeon General, 2004.

What happens after you quit smoking?

1 YEAR Risk for heart

1 MONTH Lung function begins to improve.

1 DAY The risk of heart attack

disease decreases by half.

begins to decrease.

Pala Tobacco Program

ReACT Program

Coalition/Project Name Hispanic/Latino Coordinating Center

Coalition/Project Name Native Star F undation

Secondhand Aerosol Fact Card

Material Name/Description Secondhand Smoke in Multiunit Housing (Spanish) Postcard (one-sided)

Material Name/Description Preson lized Postcards on Flavored Tobacco, derived from FlavorsHookKids Campaign

Protect Your Home & Community

THIS IS NOT A PEN. IT’S FLAVORED TOBACCO.

Secondhand Aerosol IT’S NOT JUST HARMLESS WATER VAPOR

People near someone vaping can easily inhale the secondhand aerosol

El humo de segunda mano puede entrar en otras unidades a través de pasillos y escaleras. El humo de segunda mano puede entrar en otras unidades a través de pasillos y escaleras. Usted pued hablar con el ncargado del edificio. Puede recomendar que hagan las unid des libres del humo de segunda mano. El humo de segunda mano puede entrar en otras unidades a través de pasillos y escaleras. Usted puede h blar con el en rgado del edificio. Puede recomendar que hagan las unidades libres del humo de segunda mano. © 2020. Departamento de Salud Pública de California, Patrocinado bajo el contrato #17-10593. Usted puede hablar con el encargado del edificio. Puede recomendar que hagan las unidades libres del humo de segunda mano. © 2020. Departamento de Salud Pública de California, Patrocinado bajo el contrato #17-10593.

DID YOU KNOW? Vaping creates an aerosol made up of tiny toxic particles—NOT harmless ‘water vapor’

This aerosol has at least 10 chemicals known to cause cancer and other health problems

E-cigarettes produce an aerosol that is incorrectly called “water vapor” by the tobacco industry. This aerosol can be harmful to both the user and people standing nearby. One of the main chemicals found in the aerosol is propylene glycol. When you breathe in propylene glycol it can cause eye, throat, and airway irritation. Over time, you can even develop asthma. Secondhand aerosol also contains: • Nicotine • Tiny particles that can go deep into the lungs • Diacetyl, used in many vape flavors, and is linked to a serious lung disease

APARTAMENTOS

FlavorsHookKids.org

APARTAMENTOS

• Benzene which is found in car exhaust • Heavy metals, such as nickel, tin, and lead

THIS IS NOT

Desarrollado por el Centro de Coordinación Hispano Latino

THIRDHAND AEROSOL IS AN ‘AGED’ SECONDHAND AEROSOL Secondhand aerosol travels through the air and settles on surfaces It reacts with the air and becomes more toxic over time Toxins can be absorbed through skin, breathed in, or swallowed For help quitting contact 1-844-8-NO-VAPE or text “NoVapes” to 66819

Reducing exposure to secondhand aerosol is important. In fact, e-cigarette aerosol is a new source of environmental pollution. Everyone has the right to breathe clean and healthy air. For more information and solutions to protect your family visit tobaccofreeca.com

Desarrollado por el Centro de Coordinación Hispano Latino

POPCORN it’s flavored tobacco.

Sources 1. Wieslander, G., et al. “Experimental exposure to propylene glycol mist in aviation emergency training: acute ocular and respiratory effects.” Occupational and Environmental Medicine 58:10 649-655, 2001. 2. Choi, H., et al. “Sources of Propylene Glycol and Glycol Ethers in Air at Home,” International Journal of Environmental Research and Public Health 7(12): 4213–4237, 2010. 3. U.S. Department of Health and Human Services. E-Cigarette Use Among Youth and Young Adults. 2016. 4. Nguyen KH, et al. Perceptions of Harm to Children Exposed to Secondhand Aerosol From Electronic Vapor Products, Styles Survey, 2015.

Pala Tobacco Program (760) 891-3533 Camille Henry-Walford, chenrywalford@palatribe.com Monah Hanson, mhanson@palatribe.com

ADDICTION IS NOT A PHASE .

The less dangerous tobacco seems to teens, the more they use it.

References 1. California Department of Public Health, California Tobacco Control Program. State Health Officer’s Report on E-Cigarettes: A Community Health Threat . 2015 2. American Nonsmokers’ Rights Foundation. Electronic Smoking Devices and Secondhand Aerosol. 2016. [Accessed 5/2020] © 2020 California Department of Public Health. Funded under contract #19-10384.

LEARN THE TOBACCO INDUSTRY’S LATEST TRICKS AND HOW TO FIGHT BACK. FlavorsHookKids.org

TECC Portfolio 2020

Keeping Our Lungs Safe

Faith-Based Fact Card

African American and Menthol Fact Card

WE ARE NOT PROFIT THE TRUTH

Did you know... 1. The 80-90% of African Americans who smoke use menthol cigarettes. 2. Menthol cigarettes are often cheaper in African American neighborhoods. 3. There at 10x as many tobacco advertisements and retailers in African American neighborhoods. 4. 45,000 African Americans die every year from smoking-induced illnesses such as cancer, heart disease, and stroke. 5. Tobacco kills more African Americans annually than AIDS, alcohol, illegal drugs, car accidents, murders, and suicides COMBINED .

Protect the Health of Our Faith Community

Big Tobacco began marketing menthol cigarettes to African Americans in the 1960s. More African Americans die from health issues due to smoking than AIDS, car crashes, murders, drug, and alcohol abuse combined.

Menthol makes it easier to start but harder to quit . Menthol also hides the strong taste of tobacco. This lets smokers take deep breaths which causes harmful particles to go deeper into the lungs. Almost half of African Americans would quit smoking if menthol cigarettes were banned.

HOSEA 4:6 My people are destroyed for lack of knowledge…

Today, nearly 90% of African American smokers use menthol products.

VOICE YOUR CONCERN • Join the Keeping Our Lungs Safe coalition to

Join the Keeping Our Lungs Safe Coalition » Learn about the dangers of tobacco and the impact it has on the African American community. » Assist church campuses to adopt formal smoke free policies. » Gain new skills on how to improve the health of the community. » Collaborate with other city residents and community-based organizations. Free Help to Quit Tobacco FOR SMOKERS CALL 1-800-NO-BUTTS Or Text “NoSmokes” to 66819 www.nobutts.org FOR VAPE USERS CALL 1-844-8-NO-VAPE Or text “NoVapes” to 66819 www.novapes.org Contact Us

become an advocate for our community ! • Learn more about how the tobacco industry targets African Americans visit: www.tobaccofreeca.com/we-are-not-profit/

African Communities Public Health Coalition Carson, Lancaster, Palmdale, Hawthorne (213) 909-0985

FREE HELP TO QUIT TOBACCO For Smokers call 1-800-NO-BUTTS Or Text “NoSmokes” to 66819

© 2020. California Department of Public Health. Funded under contract #18-10757. • U.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. (2014). • Pearson, JL, et al. A Ban on Menthol Cigarettes: Impact on Public Opinion and Smokers’ Intention to Quit. American Journal of Public Health , 102.11 (2012): 107-14. SOURCES • Gardiner, PS. The African Americanization of Menthol Cigarette Use in the United States. Nicotine & Tobacco Research , 6, no. Supplemental 1 (2004): S55-S65. • Giovino, GA, et al. Differential Trends in Cigarette Smoking in the USA: Is Menthol Slowing Progress? Tobacco Control , 24.1 (2015): 28-37. • Kreslake, J.M., et al., Tobacco industry control of menthol in cigarettes and targeting of adolescents and young adults. American Journal of Public Health , 2008. 98(9): p. 1685. • Xu, JQ, et al. Deaths: Final Data for 2016. National Vital Statistics Reports , 67.5 (2018).

Keeping Our Lungs Safe

Sources: 1. Food and Drug Administration. Preliminary Scientific Evaluation of the Possible Public Health Effects of Menthol Versus Nonmenthol Cigarettes .2013. 2. Cantrell, J. et al. Marketing little cigars and cigarillos: advertising, price, and associations with neighborhood demographics. American Journal of Public Health. 2013. 3. U.S. Department of Health and Human Services. Tobacco Use Among U.S. Racial/Ethnic Minority Groups—African Americans, American Indians and Alaska Natives, Asian Americans and Pacific Islanders, and Hispanics: A Report of the Surgeon General.1998. 4. Robinson, R.G. et al. Pathways to Freedom: Winning the Fight Against Tobacco. 2006.

www.nobutts.org For Vape Users call 1-844-8-NO-VAPE Or text “NoVapes” to 66819 www.novapes.org

African Communities Public Health Coalition Inglewood, Gardena, Carson (213) 909-0985 africancoalition.org/kols/

The Nile Sisters Development Initiative Lancaster, Compton (619) 265-2959

The G.R.E.E.N. Foundation Palmdale, Hawthorne 323-229-3411

Multiunit Housing (MUH) Fact Card

TECC Portfolio 2020

API PACT

Coalition/Project Name

Coalition/Project Name Merced County

Secondhand Smoke Mailer Postcard, resized and adapted for a digital ad and social media post.

Material Name/Description

Material Name/Description Fl vo s Postcard (front and back)

4.25”x11”Postcard Mailer

DID YOUKNOW? 41,000 NON-SMOKERS DIE from secondhand smoke exposure every year in the U.S. 1 Tobacco-Free Policies In Outdoor Areas Create Healthier Communities!

Did you know? Most youth say flavors is the main reason they try tobacco. In Merced County, 9 out of 10 stores sell flavored tobacco products —a 14% increase since 2016. As a resident of , I support efforts to ban the sale of flavored tobacco products to protect our youth. Name: Address: City: Zip Code: Signature:

209-725-8240 www.healthcollaborative.org

For more information and possible solutions for your community, contact us today at (559) 244-4553 apipact@healthcollaborative.org Find us on @APIPACT

Tobacco-Free Policies in Outdoor Areas Can:

• Promote healthy lifestyles and set a good example for children. • Create a cleaner and safer environment with less tobacco litter and fire risk. • Protect people from secondhand smoke which weakens the immune system and can make a Coronavirus infection more severe. 2

WELCOME TO OUR

TOBACCO-FREE OUTDOOR AREA

Sources 1. U.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. 2014. 2. Alnahari S. et al. Coronavirus Report April 2020. UC Merced Nicotine & Cannabis Policy Center. 2020. © 2020. California Department of Public Health. Funded under contract #17-10970.

Source: Merced County Results. Healthy Stores for a Healthy Community. 2020. https://healthystoreshealthycommunity.com/counties/merced/ [Accessed 7/2020].

Social Media Post

Digital Ad

STAND UP TO BIG TOBACCO & BIG VAPE Protect Our Youth From Flavored Tobacco Products & Nicotine!

TECC Portfolio 2020

Free Help to Quit Tobacco For SMOKERS call 1-800-NO-BUTTS Or Text “NoSmokes” to 66819

Glenn County

Merced County

Keep your family and community healthy – learn how to quit using tobacco products

Oral Health Rack Card

Secondhand Smoke and Outdoors Rack Card

You canmake a difference!

To QUIT CHEW call 1-800-844-CHEW www.nobutts.org

Making outdoor spaces such as parks, restaurant patios, and trails smokefree, models healthy behavior for children and youth. Educate lawmakers on laws that ban smoking and vaping in outdoor public spaces

For VAPE USERS call 1-844-8-NO-VAPE Or text “NoVapes” to 66819 www.novapes.org For more tools to quit, visit Smokefree.gov

Why do we need smokefree outdoor areas? Protect our community from the hazards of smoking and vaping! DID YOU KNOW?

Reach out to us for assistance to make our community smokefree

Did you know?

WE ARE HERE TO HELP!

Secondhand smoke can travel over 20 feet once it is exhaled. Children are easily exposed to smoke in public outdoor areas. Children and animals can pick up littered cigarette butts and eat them. When nicotine is eaten, it is poisonous .

Breathing secondhand smoke from e-cigarettes/ vaping devices is also harmful to your health.

A program of California Health Collaborative

209-725-8240 mctcp@healthcollaborative.org www.healthcollaborative.org

What happens after you quit smoking?

Local fire departments respond to nearly 30,000 outdoor fires a year caused by smoking .

© 2020. California Department of Public Health. Funded under contract #17-10006. 3. U.S. Department of Health and Human Services. The Health Consequences Of Smoking – 50 Years Of Progress: 2014. 4. Hall, J.R., Jr. National Fire Protection Association. The Smoking Material Problem. 2013. Sources 1. Repace, J. Measurements of Outdoor Air Pollution from Secondhand Smoke on the UMBC Campus.2005. 2. U.S. Department of Health and Human Services. E-Cigarette Use Among Youth and Young Adults. 2016.

ALA - North Valley

1 YEAR Risk for heart

Cessation Rack Card

1 MONTH Lung function begins to improve.

1 DAY The risk of heart attack

disease decreases by half.

TECC Portfolio 2020

begins to decrease.

Fact Sheets & Brochures

American Lung Association North Valley Rural Smokefree Healthcare Facility

Butte County

API PACT

FULSToP

MUH Property Managers

Livingston/Visalia Fact sheet

SF Faith Based Facility

Protect Livingston Youth

Protect the Health of Your Congregation

The Benefits of Smoke-free Healthcare Campuses in Rural Communities

ROADMAP TO SMOKE-FREE HOUSING THE RIGHT DECISION FOR BUSINESS AND HEALTH DEVELOP Decide what areas will be smoke-free. A 100% smoke-free policy has the biggest impact on reducing cleanup costs, fire risks, and health effects. Information to include in the policy: • Non-smoking areas • Effective dates • Smoking definition • Consequences for violations 1

76% of Butte County residents prefer smoke-free housing.

In Livingston,

People living in rural areas are more likely to breathe secondhand smoke at work and at home. This has led to higher rates of death and disease from tobacco-related illness such as lung cancer.

There is significantlymore tobacco use in rural communities

When people like where they live, they stay longer and attract other people like them.

Having a voluntary tobacco-free policy creates a healthy environment for everyone visiting your faith-based facility. Smoke-free policies are a formal and binding agreement that distinguishes where smoking cannot take place.

ALL TOBACCO STORES

100%

ADULTTOBACCO USE

25.6% Rural Communities 14.6% in CA

Smoking in African, African American/Black, & Caribbean Communities

There are many benefits to having a tobacco-free facility: + Reduces secondhand and thirdhand smoke exposure.

near schools sell menthol or flavored tobacco products 1

The tobacco industry has a long history of targeting minority communities. Some of their tactics include: + Intense advertising and heavily discounting. tobacco products (especially menthol cigarettes). + Sponsoring cultural events. + Donations to civic organizations and scholarship programs. DID YOU KNOW?

COMMUNICATE • Send letters to current residents that explain the new policy and the benefits of smoke-free housing. • Advertise your property as smoke-free and explain the policy to prospective residents prior to signing the lease. 2

A smoke-free policy states where smoking can and cannot take place. Having smoke-free policies on your healthcare campus, greatly reduces tobacco exposure for both employees and patients. Other benefits: • Encourages employees, patients, and community members to quit smoking • Reduces healthcare costs • Promotes a healthy environment Begin creating a healthier community today! Contact your local tobacco coalition to receive assistance implementing a smoke-free policy.

+ Secondhand smoke contains more than 7,000 chemicals, 70 are known to cause cancer. It can trigger asthma attacks and increase risk of heart disease, stroke, and cancer. + Thirdhand smoke is the residue left behind on surfaces where people have been smoking. Overtime, it reacts with elements in the air and becomes more toxic. It is very difficult to eliminate and can be absorbed through the skin, inhaled, or swallowed. + Provides opportunities to model healthy behaviors (especially for youth) + Smoke-free policies can reduce smoking rates and make it easier for smokers to quit. + Improves safety & cleanliness + Cigarette butts cause thousands of fires every year. + Children can pick up littered cigarette butts and eat them. When nicotine is eaten, it is poisonous.

Why Limit Flavored Tobacco Sales Near Schools? Reduces youth access to tobacco products and exposure to tobacco advertisements. 2

90%OF LIVINGSTON RESIDENTS surveyed in support of a policy that restricts the sales of flavored tobacco products within 1,000 feet of schools and youth serving organizations. 3

APPLY • Current leases with tenant consent: Insert smoke-free addendum or create new lease with smoke-free clause. • Current lease without tenant consent: At the end of fixed term, renew lease with smoke-free addendum or create new lease with smoke- free clause. • Month-to-month leases: Give at least 30-day notice before the change. • New leases: Include the policy in all new leases. 3

THERE ARE UP TO 10X MORE TOBACCO ADS

FREE RESOURCES California Smokers’ Helpline • Smokers: 1-800-NO-BUTTS (1-800-662-8887) | nobutts.org • Vape users: 1-844-8-NO-VAPE (1-844-866-8273) | novapes.org

What can be done? Local governments have traditionally used zoning laws to promote health — for instance, by adding Conditional Use Permits (CUPs), this gives governments an extra layer of oversight in controlling what type of businesses can exist in certain areas which can help to: • restrict the sale of flavored tobacco products including menthol and electronic smoking devices; • limit retailer proximity to areas populated by youth such as schools and parks; • limit the total number of tobacco stores in your community; • require a minimum distance between retailers; • and impose penalties on tobacco retailers who sale to youth under 21 years old. 4

BLACK COMMUNITIES Because of this, tobacco use is a major contributor to the three main causes of death among African Americans—heart disease, cancer, and stroke. Contact FULSToP today for information on adopting a voluntary tobacco-free policy for your faith-based organization! For more information visit nilesisters.org/fulstop/faith-organizations/ San Diego County: FULSToP@nilesisters.org Orange County: info@thegreenfoundation.net © 2019. California Department of Public Health. Funded under contract #17–10977. References: 1. U.S. Department of Health and Human Services. The Health Consequences of Smoking – 50 Years of Progress. 2014. 2. Jacob, P, et al. Thirdhand Smoke: New Evidence, Challenges, and Future Directions. Chemical Research in Toxicology. 2016. 3. Campaign for Tobacco-Free Kids. Tobacco Company Marketing to African Americans. 2018. FULSToP (Families Uniting Locally to Solve Tobacco Proliferation)

ENFORCE • Post “no smoking” signs. • Respond promptly to complaints. • Enforce the rules as you would any lease violation. • Offer resident education and quitting resources 4

SOURCES 1. Tobacco Free CA. (2018). Story of Inequity: Rural Communities. https://tobaccofreeca.com/story-of-inequity/rural/. [Accessed 7/2020]. 2. Morris, C, et al. Tobacco-Free Toolkit for Community Health Facilities: National Edition. Behavioral Health & Wellness Pro¬gram, University of Colorado, Denver. https://smokingcessationleadership.ucsf.edu/sites/smokingcessationleadership.ucsf.edu/files/Downloads/Toolkits/ tf_policy_toolkit.pdf. [Accessed 7/2020]. 3. Health Resources and Services Administration(2015). The health and wellbeing of children in rural areas: A portrait of states and the nation 2011-2012. Retrieved from https://mchb.hrsa.gov/nsch/2011-12/rural-health/childs-family/smoking-household.html 4. Centers for Disease Control and Prevention (2019). Tobacco use by geographic region . Retrieved from https://www.cdc.gov/tobacco/ disparities/geographic/index.htm 5. Placer County Department of Health and Human Services (2017). Adopt a smokefree healthcare facility. Retrieved from https://www.placer. ca.gov/3093/Smoke-Free-Campus

For more information and possible solutions for your community, contact us:

Contact us for free signage and support to make your property smoke-free: Lynze Thornburg | lthornburg@buttecounty.net | (530) 552-4051 © 2020. California Department of Public Health. Funded under contract #17-04. Sources available on back.

(559)-244-4553 apipact@healthcollaborative.org @APIPACT

TECC Portfolio 2020

Imperial County

Hispanic/Latino Coordinating Center

Brawley Fact Sheet

MUH Fact Sheet

Protect Our Youth In Brawley

What are ways TRLs benefit communities? » Protect youth. TRLs are extremely effective at reducing illegal tobacco sales to underage youth. » Promote health for all. Because to- bacco retailers tend to be concen- trated in lower income communities, policies that affect tobacco access will have a greater impact to ensure ev- eryone has a fair opportunity to live a healthy, tobacco-free life. » Finance enforcement. Local TRL or- dinances allow jurisdictions to charge fees to sufficiently cover all enforce- ment costs and gives more control to impose meaningful penalties for illegal sales to youth.

Smokefree laws that limit SHS exposure in MUH protect all tenants.

Example of an Enforcement Model: Berkeley Ordinance: 9 ✚ Enforcement authority: health housing and community service department ✚ Rent-controlled housing is exempt from evictions ✚ Fines not exceeding $500 Additional Resource Smokefree Multi-unit Housing Model Ordinance www.publichealthlawcenter.org/sites/ default/files/resources/CA-Smoke-free- MUH-Model-Ordinance.pdf

SMOKEFREE MULTI-UNIT HOUSING IN LATINO COMMUNITIES

Join the growing number of cities working to improve the health of their communities! Use your influence to have your city adopt a TRL ordinance that will positively impact the health and well-being of residents and protect the youth within your community. Our Tobacco Education Project is available to support you! For more information you can also contact the Coalition for a Tobacco-Free Imperial County www.tobaccofreeic.com icsmokefreecoalition@gmail.com Follow & Like Us on Facebook at Tobacco-Free Imperial County

Nearly 200 in California have adopted TRL policies cities and counties

to youth under age 21 of stores in Brawley illegally sold tobacco products

There are many ways we can protect families living in MUH Establish Smokefree Units: Require properties to be 100% smokefree or establish partial smokefree policies such as having designated areas. City and county ordinances are effective for the entire MUH population by providing more uniform and permanent protection. 7 Create Smokefree Zones around Complexes: In addition to making MUH properties smokefree, establishing no-smoking zones around properties can prevent exposure to SHS (at least 25 feet from entryways and windows). 8

What’s the Issue? Secondhand Smoke (SHS ) is the smoke from combustible tobacco, electronic smoking devices, or marijuana products that smokers and non-smokers inhale. 1 Thirdhand Smoke (THS) consists of the smoke particles that remain on surfaces after smoking has taken place. These smoke particles are pollutants that cannot be removed by conventional cleaning methods .2 Latinos Are Disproportionately Affected by SHS and THS When smoking occurs in a multi-unit housing (MUH) complex, SHS travels into non-smokers’ units through the vents, walls, floors, and windows. 4 In California, approximately 45% of Latinos live in MUH . Latinos are at a higher risk of adverse health effects of SHS and THS compared to non-Hispanic whites .5

SMOKERS WHO ARE REGULARLY EXPOSED TO SHS AT WORK OR IN THEIR HOMES SUFFER FROM: 25-30% increased risk of heart disease

The City of Coachella adopted a Tobacco Retail License in 2009 and illegal tobacco sales rates dropped from 69% to 11%.

70% 60% 50% 40% 30% 20% 10% 0%

20-30% increased risk of strokes

hlcc@healthcollaborative.org www.healthcollaborative.org/hlcc

In order to reduce illegal sales of tobacco products to minors, many cities and counties in California have passed tobacco retail license (TRL) ordinances. TOBACCO PRODUCT USE AMONG HIGH SCHOOL STUDENTS IN CALIFORNIA (2019)

8,000 NON-SMOKERS DIE ANNUALLY FROM A SHS-RELATED STROKE 3

Imperial County Public Health Department Tobacco Education Project 442-265-1390

References 1. Secondhand Smoke. Smokefree.gov, https://smokefree.gov/quit-smoking/why-you-should-quit/secondhand-smoke [Accessed 9/2020]. 2. Burton, Adrian. Does the smoke ever really clear? Thirdhand smoke exposure raises new concerns. (2011): A70-A74 3. Health Effects of Secondhand Smoke. Centers for Disease Control and Prevention. 2020. www.cdc.gov/tobacco/data_ statistics/fact_sheets/secondhand_smoke/health_effects/index.htm [Accessed 9/2020]. 4. Is Secondhand Smoke Infiltrating Your Apartment or Condominium.” American Lung Association. 2020. www.lung.org/our- initiatives/tobacco/smokefree-environments/multi-unit-housing/secondhand-smoke.html [Accessed 9/2020]. 5. King, B. A., et al. National and state estimates of secondhand smoke infiltration among US multiunit housing residents. Nicotine & tobacco research. 15(7), (2012):1316-1321. 6. Public Opinion Research Survey: July 2006 Survey of California Latino Renters About Smoke-free Multi-Unit Housing Laws. American Lung Association of California Center for Tobacco Policy and Organizing. 7. Becoming a Policy Wonk on Smoke-free Multi-Unit Housing. American Lung Association of California Center for Tobacco Policy and Organizing. 2013. http://tobaccopolicycenter.org/wp-content/uploads/2017/11/719.pdf [Accessed 9/2020]. 8. Smoke-Free Multi-Unit Housing Approaches to Protect Tenants from Secondhand Smoke. ChangeLabSolutions. 2013. 9. Matrix of Strong Local Smokefree Multi-Unit Housing. American Lung Association of California The Center for Tobacco Policy and Organizing. 2017. http://tobaccopolicycenter.org/wp-content/uploads/2017/11/722.pdf [Accessed 9/2020].

95% OF LATINO RENTERS SURVEYED PREFER SMOKEFREE HOUSING

PRODUCTS CIGARETTES LITTLE CIGARS OR CIGARRILLOS

TOTAL %

References: 1. California Department of Public Health. California Tobacco Facts and Figures . 2019. 2. ChangeLab Solutions. Tobacco Retailer Licensing An Effective Tool for Public Health . June 2018. 3. ChangeLab Solutions. Comprehensive Tobacco Retailer Licensing Ordinance . February 2019. 4. Imperial County Tobacco Education Project. Youth Tobacco Purchase Survey-Brawley . December 2019. 5. The Center for Tobacco Policy & Organizing. Tobacco Retailer Licensing is Effective . 2018.

2.0% 2.3% 1.7%

It’s up to individual communities to decide who will implement and enforce a TRL law. Multiple agencies might be involved: one agency may issue the license (e.g. city manager or the agency that issues general business licenses), while another agency, such as the police department, may monitor compliance.

The “ Survey of California Latino Renters About Smokefree Multi-Unit Housing Laws ” was the first-ever statewide survey (2006) of Latinos’ attitudes towards SHS in MUH and found that 95% of respondents would prefer to live in an apartment building where smoking is not allowed anywhere or where there are separate smoking and non-smoking sections. 6

HOOKAH

ELECTRONIC SMOKING DEVICES 10.9% SMOKELESS TOBACCO 0.8%

2020. California Department of Public Health. Funded under contract #17-10593.

TECC Portfolio 2020

FOLLOWUS ON SOCIALMEDIA

PCPHATURP

@pcphatobaccousereductionprogra

COALITION ACTIVITIES

Collect data and write letters of support Educate the community about the dangers of tobacco

Promote cessation programs

Speak at Board of Supervisors meetings or Portola City Council meetings

BENEFITS OF JOINING? » Help prevent another generation of tobacco users » Learn community organizing skills » Collaborate with other residents and community organizations » Bring positive change to your community MEMBERSHIP Membership is free! All members will serve a three-year term. Members will: » Attend in-person and virtual coalition meetings » Participate in coalition activities » Join established workgroups or committees

Serving the community since 1989.

MISSION STATEMENT Decrease tobacco use in Plumas County by reducing health disparities and changing cultural norms through education and public policy.

We are seeking volunteers to help us reduce tobacco use in Plumas County!

COALITION GOALS » Reduce tobacco use and secondhand smoke » Advocate for tobacco control policies » Promote partnerships between coalition members and community groups » Include populations most impacted by the harms of tobacco in the coalition

Plumas County

MEETING TIME

4th Tuesday of every month from 1:00 pm – 2:00 pm.

For more information: plumastobaccofreetaskforce@gmail.com

Coalition Brochure

TECC Portfolio 2020

LUCHA

Madera County

COVID and MUH Fact Sheet

Smokefree Outdoor Areas Flyer

Flavors Near School

PROTECT MADERA COUNTY YOUTH FROM TOBACCO ADDICTION 8out of 10 youth who use tobacco start with a flavored product. • Many tobacco products come in kid-friendly flavors like caramel, bubble gum, wild berry and mint • Flavors mask the harsh taste of tobacco which makes it easier for kids to smoke. • Youth think flavored products are safer than unflavored products.

CITY OF MADERA PARKS ARE NOW SMOKE & VAPE FREE

How do smokefree policies protect Latino families?

STRONG SMOKEFREE POLICIES PROHIBIT SMOKING ANYWHERE ON THE PROPERTY INCLUDING:

Did you know? As of June 2019 , all public parks, walking trails, and outdoor dining in the City of Madera are smoke & vape-free!

HOW ARE CITY-WIDE SMOKEFREE POLICIES ENFORCED? ® Education and signage are used to let people know where they can and cannot smoke. ® Warning letters are given to people who violate the policy. ® Repeated violations may result in fines or community service but never leads to evictions.

Inside all units

LATINOS MAKE UP 60% OF COVID-19 CASES IN CALIFORNIA

On balconies and patios

IN CALIFORNIA, ABOUT 45% OF LATINOS LIVE IN MULTI- UNIT HOUSING . 4

In Madera County, there are 23 tobacco retailers within 1000 feet of schools.

Common areas such as lobbies, stairwells, pools, and parking lots

60%

1000 ft

Higher than any other racial/ethnic group. 1

Tobacco-free outdoor areas benefit the community by Improving health and wellbeing of community members Reducing fire risks

Why Limit Flavored Tobacco Sales Near Schools? exposure to tobacco advertisements access to tobacco products

® Since families are spending more time at home to help stop the spread of COVID-19, they may have greater exposure to secondhand smoke.

youth tobacco use

For more information and resources to quit smoking, contact:

WHAT ARE THE BENEFITS OF A CITY-WIDE SMOKEFREE POLICY? ® It avoids relying on ALL housing complexes to individually implement smokefree policies.

LUCHA Tabaco (916) 556-3344 LUCHA@healthedcouncil.org https://rb.gy/pigd38

® Exposure to secondhand smoke weakens the immune system and can make COVID-19 infections more severe. 2

Reducing litter from toxic tobacco products

Increasing support for those who want to quit smoking

WHAT CAN BE DONE? Local governments have traditionally used zoning laws to promote health — for instance, by adding Conditional Use Permits (CUPs). This gives governments an extra layer of oversight in controlling what type of businesses can exist in certain areas which can help to: • Restrict the sale of flavored tobacco products including menthol and electronic smoking devices. • Limit how close tobacco can be sold to areas populated by youth such as schools and parks. • Limit the total number of tobacco stores in your community. • Require a minimum distance between retailers. • Impose penalties on retailers for selling tobacco to youth under 21 years old.

92% of City of Madera residents who participated in the survey would support a policy

92%

Protecting animals from eating poisonous tobacco litter.

Keeping the air free from secondhand smoke

restricting the sale of flavored tobacco products near schools and other areas youth gather.

® It protects all community members, no matter where they live.

® People who live in apartments or condos (multi-unit housing) are more likely to be exposed to secondhand smoke because it can drift into individual units through doors, vents, walls, floors, and windows. 3

Sources: 1. California Department of Public Health. COVID-19 Statewide Update. 2020. https://update.covid19.ca.gov/. [Accessed 9/2020]. 2. American Nonsmokers’ Rights Foundation. Respiratory Risk Factors and COVID-19. 2020 https://no-smoke.org/ respiratory-risk-factors-covid-19/. [Accessed 9/2020]. 3. U.S. Department of Health and Human Services. The Health Consequences of Involuntary Exposure to Tobacco Smoke. 2006. 4. King, B. A., et al. National and state estimates of secondhand smoke infiltration among US multiunit housing residents. Nicotine & tobacco research, 15(7), (2012): 1316- 1321. 5. California Tobacco Control Program, California Department of Public Health. California Tobacco Facts and Figures 2019. 2019.

Thank you for helping us keep our outdoor areas tobacco-free!

For more information contact:

Madera County Tobacco Control Program (559) 675-7893

Join more than 140 local jurisdictions in California that have adopted smokefree multi-unit housing ordinances. 5

TECC Portfolio 2020

Benefits of going smokefree: • Makes customers and employees happier and healthier. • Improves the environment by reducing tobacco/vape litter and keeps our community healthy and beautiful. • Models positive behaviors for youth. • Positive economic impact on businesses. California’s SMOKEFREE WORKPLACE LAW prohibits smoking cigarettes, hookah, and e-cigarettes in all indoor workplaces, including restaurants and bars. JOIN THE SEVERAL CITIES such as Carlsbad, Chula Vista, Del Mar, El Cajon, Encinitas, Escondido, Imperial Beach, National City, Oceanside, Unincorporated San Diego, and Solana Beach that have adopted smokefree outdoor dining and bar patio laws!

Fresh Air Dining in the City of San Diego

For help with smokefree dining policies contact:

Carlo Patenia cpatenia@saysandiego.org

collectivecoalitionSD

Why is it important to have smokefree outdoor dining?

• It’s not just cigarettes you need to worry about! Secondhand exposure to e-cigarettes/vaping devices, cigarillos, and hookah is also harmful to your health. • Employees and customers are more likely to be exposed to thirdhand smoke which sticks to surfaces such as walls and furniture and becomes toxic overtime.

• Breathing secondhand smoke can increase your risk of lung cancer, heart disease, and stroke . • Even outdoors, you can be exposed to high levels of secondhand smoke if someone is smoking nearby—even brief exposure can be dangerous.

Sources 1. U.S. Department of Health and Human Services. The Health Consequences of Involuntary Exposure to Tobacco Smoke: A report of the Surgeon General. 2006. 2. Cameron, M., et al. Secondhand Smoke Exposure in Outdoor Dining Areas and Its Correlates, Tobacco Control Journal, 2010. 3. California Tobacco Control Program. What you need to know about all secondhand smoke and vape. 2019 4. American Cancer Society, Cancer Action Network. Smoke-Free Policies: Good for business . 2014. 5. SAY San Diego. Public Opinion Survey- Smoke-Free Outdoor Dining . 2020. 6. American Nonsmokers’ Rights Foundation. Municipalities with Smoke free Outdoor Dining and Bar Patio Laws . 2020. 7. California Tobacco Control Program. Thirdhand Smoke . California Department of Public Health. 2017. 8. Smoke-Free San Diego. Dining Patios. 2020. https://www.smokefreesandiego.org/policies/dining-patios/. [Accessed 9/2020].

Did you know?

77%

would vote for a City Council or Mayoral candidate who supports a smokefree dining policy .

of people surveyed in the city of San Diego have been bothered by secondhand smoke in an outdoor dining area .

NCADD-OC

71%

of people surveyed support a law that prohibits tobacco use in outdoor dining of restaurants, bars, and night clubs in the city of San Diego.

Smokefree Dining Fact Sheet

TECC Portfolio 2020

Nevada County

Pala Tobacco Program

Sonoma County

St Mary Medical Center

No Vaping Flyer

Tobacco Free Workplace

TRL Facts Sheet

MUH Fact Sheet

Benefits of a Tobacco* Free Workplace

Protect Our Youth

YOUR COMMUNITY DESERVES TO HAVE Healthy and Smokefree Homes

Did you know? • Most Sonoma County 11th graders (86%) report e-cigarettes are easy to get . 1 • 20 Sonoma County middle and high schools made up of predominately Latinx (90%) students were found to have high vaping rates . 2

Tobacco is the leading cause of preventable death in the U.S. Secondhand smoke and vape aerosol contain harmful chemicals known to cause cancer and other health problems. Help protect the health of your employees and visitors by making your workplace tobacco free. TOBACCO FREE WORKPLACES: Make it less convenient to use tobacco and can even encourage people to quit ! Reduce healthcare costs to the company Have less tobacco litter and fewer cleaning costs TOBACCO FREE POLICIES: Clearly state where people are allowed and not allowed to use tobacco Should include all electronic smoking devices (vapes) and smokeless tobacco Can share resources to help people quit

Gardena can join more than 140 local jurisdictions in California to make apartments (and other multi-unit housing) smokefree. As Gardena residents, you can play an important role to help protect the health of your community.

Tobacco Industry Tactics Stores that sell tobacco are more highly concentrated in communities of color. In fact, tobacco companies target their products and advertising in order to appeal to the Latinx population. This includes: • Cigarette brands such as “Rio” and “Dorado” • Flavored tobacco including e-liquids in horchata, churro, and tres leches flavors What can we do to protect our youth? Requiring a tobacco retail license (TRL) to sell tobacco is a simple yet powerful tool to keep youth from using tobacco. When stores are required to have a license, they are monitored more closely, and there are fewer illegal sales to minors. A TRL can also shield against tobacco industry tactics that have resulted in Latinx populations and other communities of color experiencing greater health inequities such as higher rates of tobacco-related diseases.

There are many ways to strengthen TRL policies to protect youth, including: Restricting the sale of flavored tobacco

Did you know?

Well, of course you spend more time and money because let’s say if they have carpet you want to deep clean the carpet. Sometimes, if they’ve had shades and they have blinds and they’ve lived there for a while you can’t really reuse the blinds because they’re yellow, so there is an additional cost. GARDENA PROPERTY OWNER

WANT FREE HELP TO QUIT VAPING? Text ‘Quit Vaping’ to 66819 Call 1-844-8-NOVAPE www.novapes.org TAKING BACKOUR BATHROOMS

People living in apartments are more likely to breathe secondhand smoke . It can enter homes through vents, electrical outlets, windows, and even tiny cracks in walls. 38% of Gardena residents have experienced secondhand smoke drifting into their home. About 1 in 4 of Gardena residents live with someone who’s health has been impacted because of secondhand smoke.

(including menthol) and nicotine e-cigarettes/vaping products.

Establishing package sizes along with price minimum so that tobacco products are less affordable to youth.

• For example: Selling little cigars in package size no smaller than 5 per pack at a minimum price of $5 per pack. TRLs also promote health for all. Because tobacco retailers tend to be concentrated in low-income and communities of color, policies that reduce tobacco access will have a greater impact to ensure everyone has a fair opportunity to live a healthy, tobacco-free life.

DID YOU KNOW?

Property owners ALSO benefit from smokefree housing! » Smokefree housing reduces fire risk and lowers insurance premiums . » Save Money! Cleaning a smoker’s unit: Average Cost $5000 . Currently, Gardena residents are only protected from secondhand smoke if their housing complex chooses to implement smokefree policies. A City-wide smokefree policy helps protect all Gardena residents.

Tobacco use results in loss of productivity and more sick days for employees.

Gardena residents WANT and BENEFIT from smokefree housing! » 95% already do not allow smoking in their house. » 88% say they prefer living in a smokefree complex. » Smokefree environments make it easier for smokers to quit or attempt to quit. Join Advocates Invested in Restoring the Environment (AIRE) Coalition to become an advocate for our community and make a change on smokefree housing for everyone!

For free help quitting tobacco: California Smokers’ Helpline

Join us in making a healthier tomorrow!

Pala Tobacco PROGRAM

For SMOKERS call 1-800-NO-BUTTS Or text “NoSmokes” to 66819 www.nobutts.org

For VAPE USERS call 1-844-8-NO-VAPE Or text “NoVapes” to 66819 www.novapes.org

Example City of Healdsburg License Fee: $445/year Enforcement Authority: City Police Department

As local lawmakers, you can play an important role to having strong TRL policies in our community that will protect our youth and have a lasting impact on our health. Our Tobacco Control Program can help!

12196 Pala Mission Rd Pala, CA 92059 (760)-891-3533

To join AIRE Coalition, contact us at: airecoalition@gmail.com (562) 233-0816

In partnership with the:

preventioninfo@sonoma-county.org www.sonoma-county.org/health/

* ”Tobacco” is referring to commercial tobacco and not tobacco that is used for sacred or ceremonial purposes.

TECC Portfolio 2020

Fresh Air, Fresh Eats SMOKE-FREE DINING

Pho Noodle House

BOBA

How can you support smoke-free outdoor dining?

Make your voice heard! » Ask people not to smoke around you. » Ask your favorite restaurant or coffee shop to make their patio smoke-free. » Let people know how smoking affects you and your family. » Tell your city council members you want smoke-free outdoor dining. » Support local organizations working to reduce secondhand smoke in your community.

To get involved contact:

Claudia Pinedo, MPH Los Angeles Tobacco Prevention Network Dignity Health

Why is it important to have smoke-free outdoor dining?

St. Mary Medical Center Families in Good Health 562-233-0310

Free Help to Quit Smoking California Smokers’ Helpline 1-800-No-Butts (1-800-662-8887) www.nobutts.org

REFERENCES » U.S. Department of Health & Human Services. The Health Consequences of Smoking – 50 Years of Progress: A Report of the Surgeon General. 2014. » Cameron, M., et al. Secondhand Smoke Exposure in Outdoor Dining Areas and Its Correlates. Tobacco Control Journal, 19.1 (2010): 19-23. » California Tobacco Control Program. What You Need to Know About all Secondhand Smoke and Vape. 2019 » St. Mary’s Medical Center. Public Intercept Survey - Smoking in Outdoor Dining Areas . 2019. © 2020. California Department of Public Health. Funded under contract #17-10979.

» Breathing secondhand

» Even outdoors, you can be exposed to high levels of secondhand smoke if someone is smoking nearby—even brief exposure can be dangerous.

» It’s not just cigarettes

smoke can increase your risk of lung cancer, heart disease, and stroke .

you need to worry about! Secondhand exposure to e-cigarettes/vaping devices, cigarillos, hookah,

and marijuana is also harmful to your health.

Going smoke-free: » Makes customers and employees happier and healthier. » Helps keep our community beautiful and reduces tobacco litter. » Models positive behaviors for youth.

A RECENT SURVEY OF ROSEMEAD RESIDENTS FOUND THAT:

St Mary Medical Center

Would be more likely to frequent restaurants, cafes, and bars if there was a smoke-free outdoor dining policy

Prefer to dine at restaurants with smoke-free outdoor dining areas

85%

89%

Smokefree Dining Fact Sheet (Multiple Languages)

TECC Portfolio 2020

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