smokefree legislation success from the ground up michael c. caldwell, md, mph past president,...
TRANSCRIPT
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
Special Acknowledgement: Christopher Wren, GIS Technician