smokefree legislation success from the ground up michael c. caldwell, md, mph past president,...

Smokefree Legislation Success from the

Ground Up

MICHAEL C. CALDWELL, MD, MPHPast President, National Association of County & City Health Officials

Commissioner, Dutchess County Department of Health

American Public Health AssociationNovember 8, 2006

DUTCHESS COUNTY, NEW YORK

KEY ELEMENTS

• PASSION• COURAGE• SCIENTIFIC DATA• COALITION BUILDING• STRATEGIC PLANNING• EXECUTION & EDUCTION /

EVALUATION & MODIFICATION

COALITION BUILDING“Usual Suspects”

• ACS• AHA• ALA

• Medical Society• Doctors• Nurses• Hospitals• Key Community

Leaders

JOIN & CONTRIBUTEto STATE AND NATIONAL

LEADERS

• CFTK• ANR• NACCHO• ASTHO• Professional

Societies

• Non Profits• Coalition Groups• Medical Societies

1996

Westchester County Board of Health passes a Clean Indoor Air Ordinance to

regulate secondhand smoke.

This was challenged – However it was upheld by the NYS Appeals Court.

Nassau County Board of Health passes strict smoking regulations but

was overturned by Federal Court in 1997.

199846 states agree to a $206 billion

dollar settlement with the tobacco industry. NY receives $25 billion over

25 years.

Niagara County Board of Health passes second hand smoke regulations … but is

overturned in 1999 by a US District Judge.

1999Passage of HCRA (Health Care Reform Act):

This started funding of the NYS Tobacco Control Program

Dutchess County Board of Health passes smoking regulation – which was overturned by Federal District Court on July 7, 2000.

Tobacco sales tax increased by 55¢. The highest in the nation.

2001Self Service Display Ban

Putnam County BOH and then

Legislature pass Public

Health Law to regulate

secondhand smoke.

2002

Cigarette sales tax increase of 39¢ bringing the total tax to $1.50. The second highest in the nation.

Mayor Bloomberg introduces NYC Smoke-Free Air Act to protect all workers from second-

hand smoke.

Dutchess & Nassau County Legislatures pass strong Public Health Laws to regulate

secondhand smoke.

KEY DATESDutchess County, NY

• August 1999 BOH Passes Reg• July 2000 Judge Overturns• Sept 2002 County Leg Passes• Jan 2003 Dutchess Law Effective• March 2003 State Law Passes• July 2003 State Law Implemented

IDEAS

• Meet Regularly• Plan• Act• Identify Community Champion• Look for Non Traditional Partners

(Business Community, etc.)

• Evaluate and Chart Progress

Great American Smokeout

Cigarette Billboard Advertising

Cigarette Billboard Advertising – Part 2

Vending Machines

Dunkin Donuts Goes Smokefree

Plague

Community Education Plan

• Many Elements• Many Actors• Many Opportunities

Keep Moving Forward…

Michael C. Caldwell, MD, MPH

Dutchess CountyCommissioner of Health

387 Main StreetPoughkeepsie, NY 12601

(845) 486-3432

mcaldwell@co.dutchess.ny.uswww.DUTCHESSNY.gov

Special Acknowledgement: Christopher Wren, GIS Technician