HCR 76 Smoke-Free LA Jeanie Donovan jeanie@labudget.org - - PowerPoint PPT Presentation

Jeanie Donovan jeanie@labudget.org

225.614.9126

www.labudget.org

HCR 76 – Smoke-Free LA

Louisiana has high smoking rates

Source: Center for Disease Control, Adult (2016) and Youth Risk Behavior (2017) Surveys. 22.8% 15.5% 12.3% 7.6%

0% 5% 10% 15% 20% 25%

Louisiana United States

Percentage of population that smokes

Adults Teenagers

Smoking and secondhand smoke kill thousands each year

Source: State-Level Cancer Mortality Attributable to Cigarette Smoking in the United States, JAMA Intern Med. 2016;176(12):1792-1798. Published online October 24, 2016.

Smoking- related, 3,044 Non- smoking related, 6,306

Deaths from cancer in Louisiana, 2014

Smoking

• related,

7,210 Non- smoking related, 14,365

Average annual deaths in Louisiana, 2005-09

Source: Center for Disease Control, State Tobacco Activities and Evaluation (STATE) System, 2005-2009

Secondhand smoke causes cancer and heart disease

• Secondhand smoke causes 7,333 annual

deaths from lung cancer nationwide.1

• Secondhand smoke causes 33,951 annual

deaths from heart disease nationwide.1

• Even relatively brief exposure to secondhand

smoke can cause heart disease and heart attacks.2

Sources:

• 1. U.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of Progress. A Report of the

Surgeon General. Atlanta: U.S., 2014

• 2. Institute of Medicine. 2010. Secondhand Smoke Exposure and Cardiovascular Effects: Making Sense of the Evidence. Washington,
• DC. The National Academies Press.

Secondhand smoke harms non-smoking hospitality workers and patrons

• Casino workers are exposed to hazardous levels of toxic secondhand

smoke at work and tobacco-specific carcinogens increased in the body through a worker’s shift.1

• Secondhand smoke kills 6 in every 10,000 non-smoking casino workers' in

Pennsylvania annually.2

• Good ventilation does not mitigate effects of secondhand smoke. One study

found with sophisticated ventilation system, metabolized nicotine increased by 456% and carcinogens increased by 112% after four hours of exposure.3

• “The only means of effectively eliminating health risks associated with

indoor exposure is to ban smoking activities.” - American Society of Heating, Refrigerating, and Air Conditioning Engineers’4

• 1. National Institute for Occupational Health and Safety. Environmental and Biological Assessment of Environmental Tobacco Smoke Among

Casino Dealers. May 2009

• 2. James L. Repace. “Secondhand Smoke in Pennsylvania Casinos: A Study of Nonsmokers’ Exposure, Does, and Risk.” Am J Public
• Health. 2009 Aug; 99(8): 1478–1485.
• 3. Anderson, K. et al, “Metabolites of Tobacco-Specific Lung Carcinogen in Nonsmoking Casino Patron,” Cancer Epidemiology, Biomarkers &

Prevention, 12:1544-1546, December 2003.

• 4. ASHRAE Position Document on Environmental Tobacco Smoke. June 19, 2016.

https://www.ashrae.org/File%20Library/About/Position%20Documents/ASHRAE_PD_Environmental_Tobacco_Smoke_2016.pdf

Local example:1

• Fine particle air pollution fell by

96 percent in New Orleans bars that had previously allowed smoking two months after smoke-free ordinance

• Fine particle air pollution

virtually eliminated (99% reduction) in Harrah’s two months after smoke-free

• rdinance

National data:2

Smoke-free laws reduce exposure to secondhand smoke

Sources:

• 1. New Orleans, Louisiana. Indoor Air Quality Monitoring Study. Roswell Park Cancer Institute.

August 2015.

• 2. Centers for Disease Control and Prevention. Vital Signs: Nonsmokers’ Exposure to

Secondhand Smoke—United States.

87.9% 40.1% 25.4% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 1988-1991 2007-2008 2011-2012

Nonsmokers with measureable levels of cotinine (nicotine-enzyme)

• As estimated 12 percent of

state Medicaid expenditures in Louisiana are attributable to smoking.1

• 12 percent of state’s share of

2016-2017 Medicaid expenditures is $348 million.2

• Total smoking-related health care

costs in Louisiana equal $1.9 billion.3

Smoking-related illness costs the state millions

Sources:

• 1. Armour et al. “State-Level Medicaid Expenditures Attributable to Smoking,” Preventing

Chronic Disease, Vol 6: No. 3, July 2009.

• 2. Louisiana Department of Health. Medicaid Annual Report, 2016-17.
• 3. Center for Disease Control and Prevention. State Tobacco Activities Tracking and

Evaluation (STATE) System. 2009.

Hospitality workers are likely to be eligible for Medicaid expansion

Occupation Median Wage Annual Mean Wage Number

• f

workers Bartender $8.84 $19,260 8,950 Bartender helper $8.95 $19,080 5,980 Food server, non- restaurant $8.99 $19,990 3,720 Gaming dealer $9.07 $22,100 3,220 Gaming service worker $10.33 $25,610 740 Gaming change provider and cashier $10.38 $22,910 1,080 Gaming and sports books, writers and runner $9.38 $19,520 60 Total “floor” workers employed in Louisiana bars and casinos: 20,530

Medicaid eligibility thresholds Household Size

Max Modified Adjusted Gross Income

1

$16,753

2

$22,715

3

$28,676

4

$34,638

Source: U.S. Department of Labor, Bureau of Labor Statistics, May 2017 State Occupational Employment and Wage Estimates, Louisiana

Smoke-free laws reduce smoking prevalence

• In 2010, a systematic review of research by

the Task Force on Community Preventive Services found:

• Smoke-free laws are associated with median

6.4% increase in cessation of tobacco use

• Smoke-free laws and policies are associated

with a median 3.4% decrease in tobacco use prevalence.

Source: Hopkins DP, Razi S, Leeks KD, Priva Kalra G, Chattopadhyay SK, Soler RE, et al. Task Force on Community Preventive Services. Smoke-Free Policies to Reduce Tobacco Use: A Systematic Review. American Journal of Preventive Medicine 2010;38(2 Suppl):S275–89

Smoke-free laws could save lives and state funds

Statewide smoke-free law prohibits smoking in bars and casinos Clean air in and around all of Louisiana’s hospitality venues Reduced prevalence

• f smoking-related

related illness and death in hospitality workers Reduced prevalence of smoking among general population Reduction in

• verall health

care expenditures for smoking- related illnesses Reduction in state Medicaid expenditures on smoking-related illnesses

&

Contact Info

• Jeanie@labudget.org
• 225-614-9126