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Smokefree Legislation Success from the Ground Up

Smokefree Legislation Success from the Ground Up. MICHAEL C. CALDWELL, MD, MPH Past President, National Association of County & City Health Officials Commissioner, Dutchess County Department of Health American Public Health Association November 8, 2006. DUTCHESS COUNTY, NEW YORK.

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Smokefree Legislation Success from the Ground Up

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  1. Smokefree Legislation Success from the Ground Up MICHAEL C. CALDWELL, MD, MPH Past President, National Association of County & City Health Officials Commissioner, Dutchess County Department of Health American Public Health Association November 8, 2006

  2. DUTCHESS COUNTY, NEW YORK

  3. KEY ELEMENTS • PASSION • COURAGE • SCIENTIFIC DATA • COALITION BUILDING • STRATEGIC PLANNING • EXECUTION & EDUCTION / EVALUATION & MODIFICATION

  4. ACS AHA ALA Medical Society Doctors Nurses Hospitals Key Community Leaders COALITION BUILDING“Usual Suspects”

  5. CFTK ANR NACCHO ASTHO Professional Societies Non Profits Coalition Groups Medical Societies JOIN & CONTRIBUTEto STATE AND NATIONAL LEADERS

  6. 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.

  7. 1998 46 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.

  8. 1999 Passage of HCRA (Health Care Reform Act): This started funding of the NYS Tobacco Control Program Tobacco sales tax increased by 55¢. The highest in the nation. Dutchess County Board of Health passes smoking regulation – which was overturned by Federal District Court on July 7, 2000.

  9. 2001 Self Service Display Ban Putnam County BOH and then Legislature pass Public Health Law to regulate secondhand smoke.

  10. 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.

  11. 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

  12. IDEAS • Meet Regularly • Plan • Act • Identify Community Champion • Look for Non Traditional Partners (Business Community, etc.) • Evaluate and Chart Progress

  13. Great American Smokeout

  14. Cigarette Billboard Advertising

  15. Cigarette Billboard Advertising – Part 2

  16. Vending Machines

  17. Dunkin Donuts Goes Smokefree

  18. Plague

  19. Community Education Plan • Many Elements • Many Actors • Many Opportunities

  20. Keep Moving Forward…

  21. Michael C. Caldwell, MD, MPH Dutchess County Commissioner of Health 387 Main Street Poughkeepsie, NY 12601 (845) 486-3432 mcaldwell@co.dutchess.ny.us www.DUTCHESSNY.gov Special Acknowledgement: Christopher Wren, GIS Technician

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