TobaccoFree School Campus Policy

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Tobacco-Free School Campus Policy

• Annual Coordinated School Health Conference
• Salt Fork State Park Lodge
• June 17, 2008

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Todays Session

• Youth tobacco use trends
• Tobacco industry marketing in Ohio
• What is a 100 TFS campus policy?
• Why adopt a 100 TFS campus policy
• Steps in an advocacy campaign
• Example of an actual advocacy campaign
• TFS campus policy and CSH and wellness
• Resources

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• What is happening with tobacco use in Ohio youth?

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Any Tobacco Use, Past 30 Days
Ohio Youth Tobacco Survey, ODH, 2006
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High school students who smoke now and want to
quit smoking by gender and year
Ohio Youth Tobacco Survey, ODH, 2006
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Toll of Tobacco in Ohios Youth

• 21.6 HS students smoke
• 11.6 of MS students use any tobacco product
• 20,800 students under 18 become daily smokers
  each year
• 26.8 million packs of cigarettes bought or smoked
  by Ohio youth each year
• 2007 Youth Risk Behavior Surveillance Survey
• tobaccofreekids.org, 5/2008

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Serious Consequences

• Deaths from Smoking
• 293,000 youth now under 18 in Ohio will die
  prematurely from smoking

• Monetary Costs
• 4.3 billion annually in health care costs in
  Ohio
• 4.7 smoking-caused productivity losses in Ohio
• 642 per household in tax burden from
  smoking-caused government expenditures

Source tobaccofreekids.org, May 2008
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Male Tobacco Use (other than cigarettes - OTP)

• 37.4 of males ages 18-24 use other tobacco
  products (cigar, pipe, smokeless tobacco)
• Why a concern?
• Current data is probably underestimated
• Not taxed at same rate as cigarettes, so cheaper
  alternative.
• Sold individually!

Adult Tobacco Survey, OTPF, ODH, 2006
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ever heard of. . . .

• Snus?
• Hookahs?
• Black and Milds

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Snus
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Hookah
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.It cost about 10 per flavor, and I think we
chose something like strawberry and watermelon.
they taste good and make you forget that youre
turning your lungs into a toxic waste dump
My Space quote
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Hookah bars
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When a hookah smoker is exposed to hookah smoke
for 45-60 minutes, it is the equivalent of
smoking 15 cigarettes

• Hookah bars are reported to be in 43 states
• Hookah bars on the West Coast are notorious for
• Setting up near colleges and high schools
• Providing minors with hookah tobacco
• Claiming to be tobacco stores when they are not

Source Dian Kiser, Californias Clean Air
Project, as presented 4/14/08 at TPPC Conference,
Beyond Cigarettes, Policy Responses to Other
Tobacco Products, Columbus, Ohio
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Cigars, little cigars, cigarillos

• One cigar can have the amount of tobacco of an
  entire pack of cigarettes
• We dont have GREAT data on cigar usage, or
  inclusion in anti-tobacco advertising
• Flavors, flavors, flavors . . .

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Flavors like...
Grape Apple Pineapple Peach Watermelon Strawberry
Chocolate Sour apple Vanilla
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Black and Milds are seen as different than
cigarettes to some young adults, they are
cleaner, more culturally tied to hip hop and are
felt to represent status
Source Johns Hopkins Bloomberg School of Public
Health, and Baltimore Health Department report
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Tobacco Industry Marketing

• To youth?
• To women?
• To certain ethnic groups?

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Samples of free products given at ladies only
events
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• Rolling Stone, Glamour, Cosmopolitan and Elle

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Tobacco industry IS in our communities.
Home of the Bucyrus Redmen
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Tobacco Industry Marketing
Industry spends 2 million a day just in
Ohio. 724 million per year in Ohio.
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What is a 100 comprehensive tobacco-free school
campus policy?

• 4 Primary Elements
• Who does the policy apply to?
• - Everyone staff, faculty, students, parents,
  visitors
• What does the policy apply to?
• - All forms of tobacco, including combustible
  and smokeless tobacco
• Where does the policy apply?
• - On all school property indoor buildings,
  outdoor grounds, school vehicles
• Can we create exceptions to the policy?
• - NO exceptions for designated times or areas

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Why should a school district adopt a 100 TFS
Policy?

• Creates a healthy school environment
• According to the EPA, secondhand smoke is a Group
  A carcinogen
• Secondhand smoke is particularly hazardous to
  children with asthma or respiratory ailments
• Tobacco use has a detrimental effect on the
  healthy development of children

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Why should a school district adopt a 100 TFS
policy?

• Promotes positive role-modeling and provides
  consistency in messages
• Reinforces educational and health messages
• Avoids negative role modeling observing others,
  particularly adults using tobacco products,
  normalizes tobacco use for young people
• If a child does not begin tobacco use before
  leaving high school, he/she is more likely to
  abstain from tobacco use as an adult
• The Influence of School Smoking Policies on
  Student Tobacco Use Archives of Pediatrics
  Adolescent Medicine

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Why should a school district adopt a 100 TFS
Policy

• Reduces safety and environmental hazards, and
  maintenance and cleaning costs
• Protects the district from the risk of fires
  and/or liability
• Encourages cessation among employees
• A decrease in the number of smoking employees may
  result in lower absenteeism (and better
  productivity), and lower health care costs.

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Why cant we simply rely on the current laws?

• The Ohio Smoke-Free Workplace Act prohibits
  smoking in buildings, and in some cases,
  vehicles.
• The Federal Pro-Children Act prohibits smoking in
  buildings.
• Ohio Revised Code 3313.751 prohibits student use
  and possession of tobacco on school property.
• Compliance with these laws does not result in
  100 tobacco-free schools.
• Current laws do not address
• - outdoor smoking
• - smokeless tobacco

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Have other school districts adopted 100 TFS
policies?

• As of June 17, 2008, the Tobacco Public Policy
  Center has identified 173 Ohio school districts
  with 100 tobacco-free school policies.

• At least 16 states have state-wide tobacco-free
  school laws or regulations.

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Who supports the adoption of 100 TFS policies?

• 89 of Ohioans

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Who supports the adoption of 100 TFS policies?

• American Cancer Society
• American Heart Association
• American Lung Association
• Buckeye Assoc. of School Administrators
• Campaign for Tobacco-Free Kids
• Ohio Association of School Nurses
• Ohio Dept. of Alcohol and Drug Addiction Services
• Ohio Department of Education
• Ohio Department of Health
• Ohio Education Association
• State Planning Comm. for Health Education in Ohio
• Tobacco Public Policy Center
• Center for Disease Control

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Who supports the adoption of 100 TFS policies?

• National School Boards Association
• NSBA urges local school boards to enact and
  enforce Comprehensive Tobacco-Free School
  Policies that include prohibition of tobacco
  use by students, school staff, parents, and
  visitors on school property, in school vehicles,
  and at school-sponsored functions
• - Beliefs Policies of the National School
  Boards Association (as amended March 28, 2008,
  Orlando, Fla.), p. 17.

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Who supports the adoption of 100 TFS policies?

• National Association of State Boards of Education
• State boards of education are being urged to
  make schools tobacco-free environments by
  strictly prohibiting the use of tobacco by anyone
  students, staff, and visitors in school, on
  school grounds, and at all school-related
  activities
• - October 3, 2007, NASBE News Release

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Steps in an Advocacy Campaign

• Step 1 Adoption (convincing the school board to
  adopt the policy)
• Step 2 Implementation and enforcement
• Creating and executing an implementation plan
• Communicating the plan to students, staff,
  visitors and the community
• Step 3 Evaluation
• Evaluating the effectiveness of the policy to
  determine compliance
• Updating and changing the implementation plan as
  needed

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TFS Advocacy Coalition

• Teachers and other school staff
• School nurses and guidance counselors
• Students
• Parents
• Local health care providers
• Community-based agencies and organizations
• Smokers and non-smokers
• If supportive principals, superintendents,
  school board members, law enforcement

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Strategies for Communicating the TFS Campus Policy

• Articles in local newspapers
• Reminders in school publications and website
• Statements in student and employee handbooks
• Letters to parents
• Announcements at sporting events and other school
  activities
• Statements in sports programs
• Signs and banners
• Compliance language in vendor contracts

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• Advocating for 100
• Tobacco-free School Campus Policies in Delaware
  County School Districts

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TFS Campus Policy and School Wellness

• Similar goals - environments for students and
  workplaces for staff.
• Processes for achieving goals are similar.
• More effective when systemic, sustainable changes
  are made, i.e., TFS campus policy.
• Both efforts benefit from engaging schools,
  families and communities.
• Supporters and partners involved are often the
  same (school health or wellness committee
  members).

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Coordinated School Health Components

• Healthy School Environment
• Health Promotion for Staff
• Family/Community Involvement

• Health Education
• Physical Education
• Health Services
• Nutrition Services
• Counseling Psychological Services

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TFS Campus Policy CSH

• Health Education TFS campus policies reinforce
  messages in school-based prevention programs
  (reduces mixed messages)
• Physical Education Physical education can teach
  students about the effects of tobacco use on
  sports/athletic performance, and reinforce why a
  TFS campus policy is important

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TFS Campus Policy CSH

• Nutrition Services Nutrition staff can address
  smoking for weight loss issues
• Health Services
• Can make referrals to cessation programs for
  students and staff
• Nursing staff can deliver prevention messages
• TFS campus policies reduce exposure to secondhand
  smoke which can prevent the need for students and
  staff to access health services

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TFS Campus Policy CSH

• Counseling Psychological Services Can help
  identify tobacco cessation services for students,
  staff and parents who want to quit because of the
  implementation of a new TFS campus policy
• Healthy School Environment TFS campus policies
• Helps create a positive school climate
• Reduces maintenance costs and safety issues
  caused by tobacco use
• Decreases student exposure to negative role
  modeling

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TFS Campus Policy CSH

• Health Promotion for Staff TFS campus policies
• Encourages staff to pursue healthy lifestyles
  (reduces health risks by motivating tobacco users
  to quit)
• Creates positive role models
• Decreases absenteeism
• Improves productivity
• Reduces health care costs

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TFS Campus Policy CSH

• Family/Community Involvement
• Provide a tobacco-free home environment
• Set tobacco-free values as a parent
• Talk to children about tobacco-related homework
  assignments or projects
• Join a school health or wellness committee, and
  advocate for a TFS campus policy
• Encourage and support tobacco cessation for
  children already using tobacco products
• Promote and model positive, healthy lifestyles
  and behaviors

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Final Thoughts

• TFS campus policies impact students, staff and
  the community.
• Adoption of TFS campus policies helps to create
  healthy school environments.
• When talking about wellness, broaden the scope to
  include tobacco.
• Incorporate advocacy for tobacco-free school
  campus policies into your efforts to advocate for
  sound nutrition and opportunities for physical
  activity.

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Michele ShoughOhio Department of Health Tobacco
Prevention Programs614-644-7852mshough_at_otpf.org
Darren NealyTobacco Public Policy
Center614-236-7235dnealy_at_law.capital.eduLori
KannallyDelaware General Health
District740-203-2029lori_at_delawarehealth.org