HomeMy WebLinkAboutTobacco Free PolicyCHANGE IS IN THE AIR:
TOBACCO FREE WORKSITES
David Visiko M.S.
Tobacco Prevention & Control Coordinator
Deschutes County Health Services
Deschutes County History
•Smoking prohibited 30 feet of any county building
entrance or facility.
•Smoking and tobacco use is not allowed in any County
building, facility or automobile
•October, 2009: OAR requires addiction outpatient
programs to be 100% tobacco free facilities and grounds.
•Health Services Campus, Courthouse Annex, Downtown Health
Center, and Wall Street Services Building affected.
•Community Development Building and Mike Maier County Services
Building (proximity to child care center and health services).
Source: Dr. Tomas R. Frieden, Director, U.S. Centers for Disease Control & Prevention
3
0
10
20
30
40
50
60
70
80
90
100
Per capita cigarette pack sales
Oregon vs. rest of United States, FY 1993 - 2010
OR rest of US
In 1996, Oregonians
pass Measure 44,
raising the tobacco tax
and funding the
Tobacco Prevention
and Education Program
TPEP shut down for
six months &
restarted with funding
cut 60%
TPEP funding
restored to voter-
approved
Measure 44 level
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Orzechowski and Walker (2011). The Tax Burden on Tobacco.
Tobacco is the Leading Preventable
Cause of Death in the U.S.
0
100,000
200,000
300,000
400,000
500,000
Tobacco
Related
Diet & Inactivity Other Causes
AIDS
Alcohol
Firearms
Illegal Drug Use
Motor Vehicle
Poor Diet/Physical
Inactivity
Passive Smoking
Active Smoking
JAMA, March 10, 2004 Vol 291, No.10
Tobacco’s toll on Deschutes County
in One Year
•14% of adults regularly smoke
•4,471 people suffer from a serious tobacco related illness
•22% of all deaths in Deschutes County
•$42 million is spent on medical care
•$38 million in productivity lost
Cost Impact of Tobacco Use
$5,600 per smoker per year when you factor in:
•Greater health care costs
•Increased absenteeism
•Work time spent on smoking rituals
•Higher life insurance premiums
•Greater risk of occupational injury
•Costlier disability
•More disciplinary action
86% of Deschutes County Adults
Currently Do Not Use Tobacco
133,924 Adults in Deschutes County
115,041
86%
18,883
14%
70% of Deschutes County tobacco users want to quit
Positive Impacts of Proposed Policy
Can positively impact 95% of our adult population
•Can positively impact Deschutes County residents who do
not smoke by reducing their exposure to secondhand
smoke and eliminating smoking triggers.
AND
•Can assist tobacco users who want to quit, reducing
chronic disease and its impact on health care costs.
Adult Quit Patterns
Deschutes County smokers have the
greatest desire to quit smoking in the state.
•47% of Oregonians stopped smoking for a day or longer
in the past year in an attempt to quit
•61% of smokers in Deschutes County attempted to
quit for at least one day (highest prevalence in the
state;).Oregon Tobacco Facts, 2011, page 18.
Deschutes County survey shows support
for tobacco-free policy
More than 800 people completed a survey fielded by
Deschutes County Health Services to determine the level
of support for establishing a 100% tobacco-free policy at
some or all of Deschutes County properties.
84% of survey respondents were in favor of 100% tobacco-
free county properties.
Public Opinion Survey Results Feb.2012
71%
13%
7%
9%
Respondents' views on importance of establishing tobacco-free
buildings and grounds in Deschutes County
Very important
Somewhat important
Not very important
Not important at all
N=803
Survey Results at a Glance:
•91% visit Deschutes County Offices
•86% try to avoid Second Hand Smoke
•91% think Second Hand Smoke is harmful
•84% think tobacco free buildings important
804 survey respondents
Where do we go from here?
•Recommendation
to go 100%
tobacco free
•If supported, next
steps:
•Obtain management
support
•Establish policy
implementation committee
•Information & Input
Sessions with staff
Compliance of Proposed Policy
Internal and External Communication Plan.
•Clearly communicate the policy to staff and public
Compliance with this policy is the shared responsibility of
all Deschutes County personnel.
•Any person who observes a violation of the policy is authorized and
encouraged to communicate the policy with courtesy and respect.
Management and supervisory staff are responsible for
ongoing compliance with this policy within their respected
work areas.
•Management and staff are expected to adhere to standard practice
in resolving any issues of noncompliance with employees.