1. FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 1 Healthy Air Campaign November 18, 2015 1

2. FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 2 Today’s Presenter 2 Jennifer Kaufer, MPP Virginia Healthy Air Coordinator American Lung Association in Virginia 571-336-7014 | jkaufer@lunginfo.org

3. FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 3 Presentation Highlights Agenda: Campaign Overview—Why we’re fighting for healthy air and need your help to win The Impact of Dirty Air on Your Health Protecting the Air We Breathe One Story at a Time Advocacy Toolbox—Letters to the editor, op-eds, social media and press interviews Sharing Your Story—Volunteer roles and support Staying in Touch 3

4. FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 4 Healthy Air Campaign Goals: 1.Defend federal clean air safeguards against efforts to block, weaken and/or delay implementation. 2.Win long-overdue federal clean air safeguards to reduce air pollution including ozone, carbon, particulate matter, and mercury and air toxics. NOTE: The American Lung Association and the Healthy Air Campaign is nonpartisan and non-electoral. 4 American Lung Association: Healthy Air Campaign Overview

5. FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 5 FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 5 Healthy Air Campaign in 2015 Goals: 1.Promote a strong Clean Power Plan in Virginia 2.Protect newly updated ozone standards 3.Defend EPA Clean Air Act Authority from attacks at the federal and state level.

6. FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 6 Strategy: 1.Win the narrative by framing the choice: Decision-makers either fight to protect children’s health, or fight to defend big polluters. 2.Leverage credibility of health and medical community to keep pressure on the White House, EPA and Congress – and state leadership. 3.Elevate voices and stories of health partners and volunteers whose lives are impacted by dirty air. In 2015, reminding decision-makers of the human health impacts of air pollution is more important than ever. American Lung Association: Healthy Air Campaign Overview 6

7. FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 7 A Trusted Coalition of Health Experts * American Association of Cardiovascular and Pulmonary Rehabilitation * American Association of Respiratory Care * American College of Occupational and Environmental Medicine * American College of Preventive Medicine * American Medical Association * American Nurses Association * The Cleveland Clinic * Health Care Without Harm * March of Dimes * National Assembly on School-Based Health Care * National Association for Medical Direction of Respiratory Care National Home Oxygen Patients Association * Public Health Institute * 7

8. FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 8 Time for a Pop Quiz! Who isat increased risk from air pollution? 8

9. FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 9 Pop Quiz Answers: Who is at increased risk from air pollution? Someone in every family! 1.Infants and children 2.Older adults 3.People with asthma, COPD and other chronic lung health problems 4.People with diabetes and cardiovascular disease 5.Low income communities 6. People who work and exercise outdoors 9

10. FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 10 What’s the Impact of Dirty Air on Your Health? Ozone Pollution / Smog 1.Causes respiratory harm (e.g. worsened asthma, worsened COPD, inflammation) 2.Causes early death (both short-term and long-term exposure) 3.Likely to cause cardiovascular harm (e.g. heart attacks, strokes, heart disease, congestive heart failure) 4.May cause harm to the central nervous system 5.May cause reproductive and developmental harm 10

11. FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 11 What’s the Impact of Dirty Air on Your Health? Particle Pollution / Soot 1.Causes early death (both short-term and long- term exposure) 2.Causes cardiovascular harm (e.g. heart attacks, strokes, heart disease, congestive heart failure) 3.Causes respiratory harm (e.g. worsened asthma, worsened COPD, inflammation) 4.Causes cancer 5.May cause reproductive and developmental harm 11

12. FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 12 Protecting Lung Health is Our Number One Goal There are countless good reasons to fight for healthy air. The Lung Association’s primary goal and concern is to protect lung health. 12

13. FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 13 Take the Survey! of How would you rate the quality of your community’s air? 13

14. FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 14 State of the Air Report 14

15. FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 15 Your Role in the Fight for Healthy Air Some things you can do: Understand healthy air basics Talk with friends and neighbors Call, email or meet with lawmakers to share why healthy air matters Provide comment at public hearings Write and sign letters to the editor and op-eds Harness the power of social media 15

16. FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 16 Your Story Shapes Policies that Save Lives! Policymakers want to hear from you! Your story is the strength of this campaign and puts healthy air into perspective when we’re fighting against attacks from big polluters! Your story is more powerful than faceless statistics. Your story makes a measurable difference. Your story is appreciated by all who need healthy air! 16

17. FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 17 Telling Your Personal Story Consider this: Do you or a loved one have asthma or another lung disease that puts you at risk on unhealthy air days? Are you someone who exercises outdoors and knows that poor air quality puts you at risk? Do you often miss work to care for a child with asthma? Do you notice high pollution days in your community? Your story helps decision makers see the connection between dirty air and poor health. It’s okay to keep it simple. 17

18. FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 19 Join our Story Library: Fightingforair.org 18

19. FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 20 Take a Peak Inside Campaign Our Toolbox Tools of the Trade: Ways to get the message out and share your story Letters to the Editor and to Elected Officials Op-eds Public Hearings Phone Calls and Meetings with Lawmakers Social Media and Blogs Press Interviews—TV, Radio, Newspapers Videos and Testimonies Meetings and Special Events Fighting for Air Website Story Library 20

20. FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 21 Healthy Air Campaign: Op-eds and Letters to the Editor Short, sweet & powerful Read by key decision makers Requires rapid response Often written to counteract a negative article or action Can be used to praise or scold lawmaker actions Your signature matters! Letter to the EditorVS.Op-eds 20 Positioned “Opposite the Editorial Page” Provides in depth analysis of a key policy issue Read by key decision makers and opinion leaders Requires rapid response Harder to get published than Letters to the Editor Your signature matters! As a respiratory therapist and asthma educator, I applaud U.S. Rep. Chelli Pingree, D-1 st District, for standing up for Public health, transparency and the credibility of our scientific leaders by opposing two bills that came up for a vote last week in Congress: the Secret Science Reform Act of 2015 and the EPA Science Advisory Board Reform Act of 2015… Portland Press Herald March 24, 2015

21. FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 23 Spread Healthy Air News! Sample Hashtags: #CleanAir4Kids #Asthma #HealthyAir Amplify campaign messages: Retweet, Like and Share @AmericanLungVA Tweets and Posts Link information back to the Fighting for Air website: FightingforAir.org Join Us Online: Help Us Get “Social” 21

22. FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 25 Healthy Air Campaign: Profiles of Success Mom battles pollution so kids can breathe better BYLINE: Sally Voth svoth@winchesterstar.com, THE WINCHESTER STARsvoth@winchesterstar.com June 20, 2014 Dian Colman Volunteer with ALA in Virginia Mother of three kids with asthma Wrote letter to President Obama supporting carbon limits Letter was mentioned by President Obama during June 2 rollout event for carbon stds Featured in national and local media 22

23. FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 28 Healthy Campaign: Next Steps… Let’s Stay in Touch! Will you share your story on FightingforAir.org? We want to hear your ideas, questions and concerns. We’ll be sending you regular campaign updates by email. More training opportunities will be coming. Some of our volunteer asks will require rapid response from you. Know it’s okay to say no. 23

24. FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 29 Healthy Air Campaign: Questions Your questions are always welcome! 24

25. FOR INTERNAL USE ONLY DO NOT DISTRIBUTE. Confidential and proprietary property of the American Lung Association, all rights reserved. 30 Our Credo 30 We will breathe easier when the air in every American community is clean and healthy. We will breathe easier when people are free from the addictive grip of tobacco and the debilitating effects of lung disease. We will breathe easier when the air in our public spaces and workplaces is clear of secondhand smoke. We will breathe easier when children no longer battle airborne poisons or fear an asthma attack. Until then, we are fighting for air.