TECC TA Portfolio 2020

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.

vs

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

IN

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

© 2020. California Department of Public Health. Funded under contract #18-10814.

TECC Portfolio 2020

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