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

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

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 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.

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

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

14. Great American Smokeout

15. Cigarette Billboard Advertising

16. Cigarette Billboard Advertising – Part 2

17. Vending Machines

18. Dunkin Donuts Goes Smokefree

19. Plague

30. Community Education Plan Many Elements Many Actors Many Opportunities

32. Keep Moving Forward…

34. 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