Kentucky ACTION and Campaign For TobaccoFree Kids

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Kentucky ACTION and Campaign For Tobacco-Free
Kids Secondhand Smoke and Smoke-Free Laws
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Smoke-Free Restaurant and Bar Laws
Restaurants Bars
Restaurants
OR law effective 1/1/09. NE law effective
6/1/09. The Montana and Utah laws extend to
bars in 2009.
July 2008
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Percent of Population Covered By Smoke-Free Laws
(Including Bars)

2007 40
1998 12 CA Law in effect
Includes laws in effect by April 2007
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With Every Breath of Secondhand Smoke . . .

• A toxic soup of more than 4,000 chemical
  compounds
• Secondhand smoke contains at least 69 carcinogens

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What Is In Cigarette Smoke?
Ammonia . . . Benzene . . . Arsenic . . Nickel .
. . Lead. . . Polonium-210 . . . Carbon Monoxide
. . . Formaldehyde. . . Hydrogen Cyanide . . .
StyreneHydrazine . . Beryllium. . . Chromium
(only hexavalent) . . . Cadmium . . .
Acetaldhehyde . . . Ethyl carbamate . . .
Ethylene oxide . . . Propylene oxide . . .
Methyleugenol . . . Benzo(b)fluoranthene . . .
Vinyl chloride . . . 1,3-Butadeine. . .
Benzo(j)fluoranthene . . . Benzo(k)fluoranthene .
. . Benzo(a)pyrene . . . Dibenz(a,h)anthracene .
. . Dibenzo(a,l)pyrene . . . Dibenzo(a,e)pyrene .
. . Indeno(1,2,3-cd)pyrene . . .
5-Methylchrysene . . . N-Nitrosodimethylamine . .
. N-Nitrosoethylmethylamine Nitrosodiethylamine
. . . N-Nitrosodi-n-propylamine . . .
N-Nitroso-di-n-butylamine . . . . .
N-Nitrosopyrrolidine . . .N-Nitrosopiperidine . .
. And thousands more . . .
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More Than an AnnoyanceSecondhand Smoke Causes

• Cancer
• Heart Disease and Stroke
• Chronic Lung Ailments
• Respiratory Infections
• Low Birth Weight
• SIDS
• Eye and Nasal Irritation
• Tens of thousands of U.S. deaths each year

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Secondhand Smoke Causes Heart Disease

• 5 minutes of exposure stiffens the aorta (harder
  for the heart to pump blood).
• 20 minutes of exposure causes excess blood
  clotting (increasing risk of heart attack and
  stroke).
• 30 minutes of exposure limits the ability of the
  blood to manage LDL ("bad") cholesterol leading
  to the build up of arterial fat deposits
  (increasing risk of heart attack and stroke).
• 2 hours of exposure can speed up the heart rate
  and lead to abnormal heart rhythms (which may
  cause death).

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. . . the data are sufficient to warrant caution
regarding exposure to secondhand smoke.
Clinicians should be aware that such exposure
can pose acute risks, and all patients at
increased risk of coronary heart disease or with
known coronary artery disease should be advised
to avoid all indoor environments that permit
smoking.
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The Medical Society of New Jersey (MSNJ) today
became the first state medical society to take
action on the Centers for Disease Control and
Preventions recommendation that patients at risk
for heart disease should avoid indoor
environments that allow smoking.
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TOO MANY PEOPLE STILL HAVE TO BREATHE
SECONDHAND SMOKE
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Impact On Workers

• Restaurant and bar workers are among the least
  protected of the entire labor force
• Exposed to secondhand smoke for many hours each
  day
• Increased risk of cancer, heart disease and
  serious lung ailments

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Smoke-Free Law Improves Respiratory Health of
BartendersPercent of San Francisco Bartenders
Reporting Respiratory Symptoms
Within two months of bars going smoke-free,
complaints of respiratory problems among the
sample of bartenders dropped by almost 60.
Before Smoke-Free Law
After Smoke-Free Law
Bartenders Respiratory Health After
Establishment of Smoke-Free Bars and Taverns
Journal of the American Medical Association
December 1998
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Smoke-Free Law Decreases Symptoms Among
Hospitality WorkersPercent of New York Bar,
Restaurant and Bowling Center Workers Reporting
Sensory Symptoms
Within one year of the smoke-free law, complaints
of sensory symptoms (red or irritated eyes, sore
or scratchy throat, runny nose, sneezing or nose
irritation) among the sample of hospitality
employees dropped by 57.
Before Smoke-Free Law
After Smoke-Free Law
Changes in hospitality workers exposure to
secondhand smoke following the implementation of
New Yorks smoke-free law Tobacco Control July
2005
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Health Effects of the Smoking Ban. This study
clearly demonstrates that the recent introduction
of legislation in Scotland prohibiting smoking in
enclosed public places has led to a rapid and
marked improvement in the health of bar workers.
Indeed, on average employees had been working in
a bar for more than 9 years, but improvements in
health were evident only 1 month after the
introduction of a smoke-free policy.
JAMA, October 11, 2006
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Success In New York City
The city and states combined comprehensive
approach of excise tax increases, smoke-free
workplace laws and assistance for smokers who
want to quit drastically reduced smoking. The
number of adult smokers in NYC declined by 15
percent in just two years thats 188,000 fewer
smokers.
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Philip Morris Internal Document Impact of
smoke-free workplace policies on cigarette
consumption and smoking prevalence
Philip Morris POL data base of over 25,000 workers
1. Total prohibition of smoking in the workplace
strongly affects industry volume. Smokers facing
these restrictions consume 11-15 less than
average and quit at a rate that is 84 higher
than average.
2. Milder workplace restrictions such as smoking
only in designated areas, have much less impact
on quitting rates and very little effect
on consumption.
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Promoting the Smoke-Free Law in Madison, WI
. . . stood up for the smoking ban and even
weathered a recall attempt over it. Now the ban
is a success for workers, families and the local
economy.
Mayor Dave won re-election with 62 of the vote.
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100 Smoke-Free Workplaces

• Preserve EVERYONES right to breathe clean indoor
  air
• Protect EVERYONE from the harms of secondhand
  smoke
• Encourage patronage of restaurants bars
• Decrease costs to business
• Help smokers quit
• Make voters happy