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HomeMy WebLinkAboutCOUNCIL - AGENDA ITEM - 04/08/2014 - SMOKING ORDINANCE EXPANSION OPTIONSDATE: STAFF: April 8, 2014 Beth Sowder, Neighborhood Services Manager WORK SESSION ITEM City Council SUBJECT FOR DISCUSSION Smoking Ordinance Expansion Options. EXECUTIVE SUMMARY The purpose of this work session is to discuss potential options to expand the smoking regulations in Fort Collins. City Council indicated a desire to look into further expanding the City’s smoking regulations at the Council Work Session on August 13, 2013. This item provides background information, community feedback, and information about actions taken in other communities. The additional smoking regulations to be discussed include restrictions related to: 1. Electronic Smoking Devices 2. 100% Hotel/Motel Rooms 3. Natural Areas, Parks, & Trails 4. Public Events & Festivals 5. Old Town or Downtown Area. GENERAL DIRECTION SOUGHT AND SPECIFIC QUESTIONS TO BE ANSWERED 1. What additional smoking regulations, if any, would Council like to formally consider? 2. If Council would like to formally consider additional smoking regulations, what time frame would be appropriate? 3. What additional information is needed? BACKGROUND / DISCUSSION History In 1984, Fort Collins was the first city in Colorado to pass a comprehensive smoking ordinance. The ordinance limited smoking in public buildings and required restaurants to have no-smoking sections. It was passed by City Council, and then placed onto the ballot by referendum led by the tobacco industry in an interest to overturn it. The voters affirmed the Council decision by voting to support the ordinance. In 2003, Fort Collins was one of the first communities in Colorado to designate bars, restaurants, and workplaces as smoke-free. In 2006, the Fort Collins’ Smoking Ordinance was amended to conform to the Colorado Indoor Clean Air Act which helped the community regulate smoking in all indoor public places. In 2013, Fort Collins expanded the smoking ordinance to prohibit smoking in outdoor dining areas, bar patios, and Transfort’s public transit facilities. During the City Council August 13, 2013 Work Session regarding the expanded smoking regulations, Council also directed staff to explore additional smoking restrictions including: 1. Electronic Smoking Devices 2. 100% Hotel/Motel Rooms 3. Natural Areas, Parks, and Trails 4. Public Events and Festivals 5. Old Town or Downtown Area April 8, 2014 Page 2 Secondhand smoke exposure is proven to be harmful at any level, including in outdoor areas that are next to buildings or have a high density of tobacco users. As a result, many cities have taken steps to protect their residents, especially children or those with chronic diseases, from the dangers of secondhand smoke exposure by creating smoke-free zones, especially in high-use outdoor areas such as playgrounds, parks, trails, downtowns, or at public events. In areas where people gather for recreation or a healthy activity, breathing tobacco smoke can be an unexpected nuisance. A 2013 Colorado Tobacco Attitudes and Behavior survey found that more than half (56%) of persons surveyed reported “putting up with someone smoking around them”, with the biggest annoyance experienced in public parks. Tobacco butts are toxic and can be poisonous to small children or animals if consumed. Smoke- free areas often reduce the amount of litter that is present, improving the appearance of local parks and reducing clean up time and costs. Fort Collins is known as a healthy community. Creating smoke-free areas generally result in a reduction of tobacco use and improved community health. The City of Fort Collins has received many honors and awards, including awards related to being a healthy community. In 2013, Fort Collins was named the 4th Healthiest Mid- Size City in the U.S. by the Gallup-Healthways Survey. Tobacco rates are considered when overall health ratings of a community are determined, and healthy community designations provide economic appeal and community attractiveness. The City staff team (including Parks, Recreation, Natural Areas, Police, City Attorney’s Office, and Environmental Services) discussed the smoking ordinance expansion options, researched other communities’ smoking regulations, and discussed how enforcement would work. Additionally, the City of Fort Collins launched an informal on-line survey to gauge the communities’ current experiences and level of interest in expanding smoking regulations in specific areas. More than 2,100 responses were received. (Attachment 1). 1. Electronic Smoking Devices Currently, electronic smoking devices are not regulated within the city. If City Council chooses to regulate electronic smoking devices, it could be added to the City’s current smoking ordinance, which would ban their use from all areas where smoking is prohibited. This would include all bars, restaurants, workplaces, outdoor dining areas, bar patios, and transit facilities. Electronic cigarettes or vaporizers are devices that vaporize and deliver to the lungs of the user a chemical mixture composed of nicotine, propylene glycol and other chemicals. Some e-devices are offered without nicotine, and some are offered in flavors that can be attractive to youth (candy or fruit flavors). When users inhale, a battery operated vaporizer heats a liquid solution into a vapor. E-devices are also being used with highly concentrated marijuana oil or wax, and may provide a discreet way of using marijuana in public settings. The vapor from these devices may look like smoke from a conventional cigarette, which can confuse or weaken current smoking regulations. The FDA has not regulated electronic smoking devices nor declared them as an effective cessation product. E- cigarette packaging is not required to include health warnings or ingredient labels. Some are advertised as smoking cessation tools despite a lack of credible evidence that they are effective quit smoking aids. The FDA recommends that people seeking to quit smoking should use FDA-approved quit smoking aids. It is expected that regulations on e-cigarettes will come from the FDA in 2014. A recent study published in the journal Nicotine and Tobacco Research found that e-cigarettes are a source of secondhand exposure to nicotine and other chemicals which could be harmful to bystanders. However, e- cigarette supporters caution that there is not enough available information about the health effects to draw conclusions. April 8, 2014 Page 3 While Colorado currently does not have state regulations for electronic smoking devices, several other state and local governments have decided to regulate e-cigarette use: Oklahoma - banned the use of e-cigarettes on state-owned property Los Angeles and San Francisco - City Council and San Francisco Board of Supervisory - voted to ban e- cigarettes from restaurants, bars, nightclubs, and outdoor areas where tobacco smoking is generally restricted (parks, beaches, farmers markets, recreational areas, and outdoor dining spaces) New York and Chicago - City Council extended the city’s ban on smoking in public places to include e- cigarettes Utah, New Jersey, and North Dakota - passed legislation prohibiting e-cigarettes wherever regular smoking is banned Nationally, 108 municipalities include e-cigarettes in their local smoking ordinances - including Durango, CO. The Fort Collins smoking survey asked: Do you think electronic smoking devices should be regulated in the same manner as regular tobacco smoking products? The results show: Yes 48% No 30% No Opinion 22% 2. 100% Hotel/Motel Rooms The current Fort Collins Smoking Ordinance aligns with the Colorado Clean Indoor Air Act, requiring at least 75% of hotel or motel rooms to be no smoking rooms. Additionally, the City’s smoking ordinance prohibits smoking within 20 feet of any entryway. City Council could choose to require that 100% of hotel/motel rooms be smoke- free. The primary benefit of this requirement would be to protect hospitality industry workers who may have considerable exposure. In 2006, the U.S. Surgeon General’s report determined there was no risk-free level of secondhand smoke. The 2014 Surgeon General’s report expanded the list of diseases and adverse health effects caused by secondhand smoke and, for the first time, linked secondhand smoke exposure to strokes in adults. Tobacco smoke exposure is especially dangerous for the health of children, pregnant women, and persons with chronic diseases who might visit local hotels/motels as well as hospitality industry workers who may have considerable exposure during work. Of recent concern is third-hand smoke, the tobacco residue from cigarettes, cigars, and other combustible tobacco products that is left behind after smoking and built up on surfaces and furnishings. These sticky, highly toxic particulates, like nicotine, can cling to walls and ceilings and be absorbed into carpets, draperies, and other upholsteries. Nicotine remains on surfaces for days and weeks, so carcinogens continue to be created over time, which are then inhaled, absorbed, or ingested. Though the effects of third-hand smoke are not yet clear, a 2013 study in hotels found that when a hotel allows smoking in any of its rooms, the smoke gets into all of its rooms. Larimer County Department of Health and Environment conducted a survey of hotel/motel owners within Loveland and Fort Collins city limits in order to assess how many allowed smoking in their rooms. The results included: 20 business owners were surveyed and 15 (75%) indicated that they do not allow smoking in any rooms of their hotel/motel. This same percentage said that an expansion to a 100% smoke-free policy would have no impact or a positive impact on their business. 16 (80%) said that the Fort Collins Smoking Ordinance that was implemented in 2003 had no impact or a positive impact on their business. Economy motels that were booked for short term residential purposes were more likely to allow smoking and less likely to be 100% smoke-free. One hotel with frequent international visitors perceived higher customer demand for smoking rooms. April 8, 2014 Page 4 Nationally, the following have 100% smoke-free hotel/motel room policies: 93 municipalities (none in Colorado) 5 states (Indiana, Michigan, Nebraska, North Dakota, and Wisconsin) Many large chains hotels (including Marriott, Westin, and Comfort Inn) The Fort Collins smoking survey asked: Do you think 100% of hotel/motel rooms in the City of Fort Collins should be smoke-free? The results show: Yes 56% No 34% No Opinion 10% 3. Natural Areas, Parks, and Trails Currently, the City's smoking ordinance does not apply to Natural Areas, parks, or trails. If Council chooses to regulate smoking in these outdoor areas, staff recommends considering specific locations within parks, trails, and Natural Areas. The City of Fort Collins Natural Areas Department and staff support the adoption of a citywide policy or expanded smoking ordinance to prohibit smoking specific to natural area properties for the following reasons: 1. Public safety/structure protection in the event of a wildfire resulting from the use of lighted smoking paraphernalia in natural areas. 2. Natural Resource protection which requires a heightened attention to non-irrigated, minimally landscaped areas which are sensitive to habitat-changing fires. 3. Public support for natural areas being places of refuge from toxic substances. 4. Reduction of litter which remains in a non-biodegradable state. 5. Natural Areas could easily be zoned and posted as non-smoking areas with a high rate of voluntary compliance. The smoking survey indicated that 80% of respondents strongly or somewhat support new regulations prohibiting smoking in Natural Areas. When considering expanding smoking regulations to parks and trails, most respondents strongly or somewhat support new regulations prohibiting smoking within specific area of parks. Based on the survey responses as well as staff observations, it appears that the highest priorities are certain areas within Parks (parking lots, shelters, seating, fields/courts, and playgrounds). If Council chooses to expand the smoking ordinance to certain areas within parks, Parks and Recreation staff recommends exempting golf courses (excluding clubhouses and decks) because of the impact to the golfing public, the low impact to other customers, and the potential impact to golf enterprise fund. One of the survey questions asked: How strongly would you support new regulations prohibiting smoking in the following outdoor areas (percent responding somewhat or strongly support)? Playgrounds 85% Bleachers/Sporting Event Seating 82% Park Shelters 81% Athletic Fields/Courts 80% Trails 80% Skate Parks 75% Dog Parks 74% Parks Parking Lots 72% Golf Courses 70% There are many examples both nationally and locally of municipalities that have enacted smoking regulations in April 8, 2014 Page 5 these outdoor areas. (Attachment 2) When looking at other communities’ smoking regulations, there are three primary options for developing smoke-free outdoor public areas including: 1. Make all parks/recreation areas and public events smoke-free (with no designated smoking areas) - Colorado examples include: Avon, Winter Park, Arvada, Edgewater, Brighton, and Greeley (if area is defined as a public place). 2. Make all parks/recreation areas and public events smoke-free and allow or establish designated smoking areas - Colorado example includes Centennial. 3. Make some parks/recreation areas and public events smoke-free - this includes activities that are primarily family-oriented. Colorado examples include: Golden, Lakewood, Timnath, Grand Junction, Steamboat Springs, Durango, Commerce City, and Denver. Outdoor areas, by their nature, have places that are more likely to impact people and other areas that are more open and are less likely to be bothersome. When considering the creation of smoke-free zones, the potential areas that would likely impact more people could include: All enclosed or partially enclosed areas Areas where staff or volunteers are working Areas with fixed seating Areas where food or drink are served Playgrounds/children-focused areas Main thoroughfares. Additionally, there are some important factors to consider if designated smoking areas are allowed, including: Developing areas away from main thoroughfares Developing clear signage Clearly communicating a designated location Not allowing children in the area Clearly identifying whether it is a temporary location (e.g., for public events). If smoking is prohibited in certain outdoor areas, additional outreach, signage, and prevention resources may be needed to address high tobacco use behaviors in certain recreation areas or public events. Current examples of concentrated smoking areas include: parks near high schools, certain parts of Old Town frequented by youth, parks where transient populations gather, and some special events such as concerts and festivals attended by young adults. The smoking survey also asked how often people are currently impacted by secondhand smoke or notice cigarette litter in the following locations (percentage that answered somewhat often, often, or very often): Secondhand Smoke Cigarette Litter Old Town/Downtown 75% 79% Public Events 70% 75% Parks Parking Lots 41% 63% Park Shelters 31% 53% Bleachers/Sports Seating 29% 44% Athletic Fields/Courts 25% 36% Playgrounds 24% 38% Natural Areas 20% 30% Trails 20% 32% Skate Parks 13% 22% Dog Parks 14% 23% Golf Courses 12% 17% April 8, 2014 Page 6 4. Public Events Currently, the smoking ordinance does not apply to public events. The smoking survey indicates that 80% of respondents strongly or somewhat support new regulations prohibiting smoking at public events/festivals. If Council chooses to regulate smoking at public events, staff recommends considering the options mentioned above. Feedback from those hosting Public Events Staff met with event promoters that host some of the larger public events (New West Fest, Taste of Fort Collins, and Tour de Fat) to discuss their needs, concerns, and questions regarding potential smoke-free public events. While they agreed that smoke-free events may be appreciated by many of their patrons, they also believe that some patrons would not be supportive. Some of their concerns include: Patrons would have to exit the event area unless there was a designated smoking area within the event Public Relations Possible loss of patrons if they can’t smoke at the event Enforcement Potential issues with the crews and talent (set-up and tear-down) If non-smoking events were required, the event organizers agreed that it would be helpful for them to promote and regulate if: There was signage in the park indicating no-smoking Information was provided by the City that they could give to their patrons, post on their website and social media They could show that it’s a City requirement (not the event organizer requirement) Designated smoking areas were allowed, so the smokers had a reasonable place to go 5. Old Town/Downtown Currently, the smoking ordinance only applies to outdoor areas within the Old Town/Downtown area on outdoor dining areas, bar patios, and 20 feet from patios and entrances. The smoking survey indicates that 79% of respondents strongly or somewhat support new regulations prohibiting smoking in the Old Town/Downtown area. Staff spoke with representatives from Boulder because the City of Boulder enacted a smoking ban on the Pearl Street Mall in 2013, and staff wanted to learn what has or has not worked well for them. In discussions with Boulder, the following elements of success were highlighted: Significant outreach and education leading up to implementation (personal contact) Signage is extremely important Work with businesses to be role models Must have clear, understandable boundaries (See Attachment #4) Enforcement from Code Compliance and Police Mall Officers Start with warnings, then citations with fines that are substantial ($100) o Since enforcement began in 2013, they have issued 92 tickets  27 paid fines (totaling $2,700)  Only 1 was issued to a juvenile  Only 3 cases were dismissed  Many referred to collections for failure to appear Based on conversations with Boulder, it is important to identify an area with clear boundaries when considering implementing a downtown smoking ban. Old Town Square could be a potential area to consider since it is primarily a pedestrian area with clear boundaries (Attachment 3). The larger Downtown District might be more April 8, 2014 Page 7 challenging to identify clear boundaries. A smoking ban in this area could be effective all the time or could apply only during certain hours when families are more likely to be present. The smoking survey asked the general question about whether people would support smoking regulations in Old Town/Downtown (79% support as mentioned above). Additionally, the survey asked: Would you support restricting smoking in Old Town/Downtown areas during specified hours such as between 5 a.m. and 11 p.m.? The response was: Yes 69% No 24% No Opinion 7% Enforcement Other municipalities have found that people generally voluntarily comply when informed and given an opportunity and staff anticipates this would be true in Fort Collins, as well. Fort Collins is fortunate to have organizations that support smoke-free public policies (including Tobacco Free Larimer County and the Youth Coalition) that the City could partner with for education and related public health information assistance. Staff believes that a significant amount of time and some resources, primarily for signage and messaging, will be needed for education and outreach prior to implementation of enforcement. Based on information obtained from other communities and experience here in Fort Collins, staff recommends a tiered approach for enforcing any new code changes emphasizing education and voluntary compliance. Education, promotion, signs, and messaging would be the first step to ensuring awareness of any new expansions to the smoking regulations. Awareness and signage leads to the ability of people to point to a sign or use peer-enforcement as a way to further gain compliance. As with other current enforcement practices, complaints would be responded to by the appropriate staff (Natural Areas Rangers, Parks Rangers, other city staff, or event organizers), and Police would only be contacted if compliance was not reached through other methods. Additional Survey Information Youth Coalition (Attachment 5) The Youth Coalition conducted a “Fort Collins Youth Tobacco Survey” in March that had 228 respondents. The respondents were primarily between the ages of 14 and 19 years old. Below represents the percentage of respondents who agree or strongly agree with the following statements: - Children being exposed to secondhand smoke in parks/playgrounds is a problem 87% - Cigarette butt litter in parks/playgrounds is a problem 86% - Teens using tobacco in parks/playgrounds near my school is a problem 80% - I think tobacco use should be prohibited in parks/playgrounds 78% Another question asked: If Fort Collins were to ban smoking and tobacco use in outdoor areas, which outdoor areas should be tobacco free (pick as many as you think)? Playgrounds 87% Natural Areas 80% Bleachers/Seating Areas 72% Athletic Fields 68% Park Shelters 68% Dog Parks 68% Trails 63% Public Events 55% Old Town/Downtown 39% April 8, 2014 Page 8 Skate Parks 37% Parking lots 27% Health District of Northern Larimer County (Attachment 6) The Health District of Northern Larimer County recently conducted the 2013 Community Health Survey. Every three years this survey is conducted to collect data on a variety of health conditions and behaviors, healthcare affordability and coverage, access to healthcare and need for various services. A total of 2,819 surveys were returned from adult residents of Larimer County, with an estimated response rate of about 40%. The data for the following question regarding smoking is for 1,599 surveys returned by respondents with a Fort Collins zip code. In the survey, respondents were asked several questions about their tobacco use and, at the request of local health policy experts, about policies regarding the sale and use of tobacco. One question that was included in the survey was: “Would you favor or oppose policies that would prohibit smoking in outdoor public areas such as restaurant patios, recreation areas, or playgrounds?” Of Fort Collins residents, 74% “strongly” or “somewhat” favor a policy that would prohibit smoking in outdoor public areas. ATTACHMENTS 1. Fort Collins Smoking Survey 2014 (PDF) 2. Smoke-Free Outdoor Recreation Areas, Downtowns, Events in Colorado Matrix (PDF) 3. Maps of Old Town Square and Downtown District (PDF) 4. Boulder Courtesy Cards (PDF) 5. Youth Coalition Survey (PDF) 6. Health District of Northern Larimer County Survey (PDF) 7. Powerpoint presentation (PDF) Fort Collins Youth Tobacco Survey 1 / 17 0% 0 3.95% 9 0.44% 1 44.74% 102 50.44% 115 0.44% 1 Q1 What school do you attend? Answered: 228 Skipped: 0 Total 228 Centennial High School Fort Collins High School Fossil Ridge High School Poudre High School Rocky Mountain High School Other 0% 20% 40% 60% 80% 100% Answer Choices Responses Centennial High School Fort Collins High School Fossil Ridge High School Poudre High School Rocky Mountain High School Other Fort Collins Youth Tobacco Survey 2 / 17 0% 0 0% 0 9.65% 22 22.37% 51 26.32% 60 28.95% 66 10.53% 24 2.19% 5 Q2 What is your age? Answered: 228 Skipped: 0 Total 228 12 or younger 13 14 15 16 17 18 19 or older 0% 20% 40% 60% 80% 100% Answer Choices Responses 12 or younger 13 14 15 16 17 18 19 or older Fort Collins Youth Tobacco Survey 3 / 17 Q3 In general, how big of a problem do you think each of the following issues is in our community? Answered: 228 Skipped: 0 Fort Collins Youth Tobacco Survey 4 / 17 51.10% 116 44.93% 102 2.20% 5 1.76% 4 227 45.81% 46.70% 6.61% 0.88% Major problem Minor problem Not a problem I don't know Tobacco Use Secondhand smoke Cigarette litter Tobacco company... 0% 20% 40% 60% 80% 100% Major problem Minor problem Not a problem I don't know Total Tobacco Use Secondhand smoke Fort Collins Youth Tobacco Survey 5 / 17 45.81% 104 46.70% 106 6.61% 15 0.88% 2 227 50.88% 115 38.05% 86 9.29% 21 1.77% 4 226 36.61% 82 41.96% 94 15.63% 35 5.80% 13 224 Secondhand smoke Cigarette litter Tobacco company marketing Fort Collins Youth Tobacco Survey 6 / 17 8.89% 20 32.44% 73 41.33% 93 9.78% 22 7.56% 17 Q4 How often do you or someone from your family visit a public park or playground? Answered: 225 Skipped: 3 Total 225 Once a day Once a week Once a month Once a year Never 0% 20% 40% 60% 80% 100% Answer Choices Responses Once a day Once a week Once a month Once a year Never Fort Collins Youth Tobacco Survey 7 / 17 8.93% 20 35.71% 80 34.38% 77 12.05% 27 8.93% 20 Q5 In the past, how often have you seen or been exposed to other teens using tobacco at parks or playgrounds? Answered: 224 Skipped: 4 Total 224 Always Often Sometimes Occasionally Never 0% 20% 40% 60% 80% 100% Answer Choices Responses Always Often Sometimes Occasionally Never Fort Collins Youth Tobacco Survey 8 / 17 11.21% 25 35.87% 80 28.70% 64 17.94% 40 6.28% 14 Q6 In the past, how often have you seen or been exposed to adults using tobacco at parks or playgrounds? Answered: 223 Skipped: 5 Total 223 Always Often Sometimes Occasionally Never 0% 20% 40% 60% 80% 100% Answer Choices Responses Always Often Sometimes Occasionally Never Fort Collins Youth Tobacco Survey 9 / 17 Q7 How much do you agree with the following statements? Answered: 226 Skipped: 2 Children being exposed to... Cigarette butt litter in... Teens using tobacco in... I think tobacco use... Fort Collins Youth Tobacco Survey 10 / 17 56.64% 128 30.53% 69 8.85% 20 2.21% 5 1.77% 4 226 46.90% 106 38.94% 88 10.62% 24 2.65% 6 0.88% 2 226 43.75% 98 36.16% 81 11.61% 26 7.59% 17 0.89% 2 224 51.56% 116 26.22% 59 13.33% 30 6.22% 14 2.67% 6 225 Strongly Agree Agree Not Sure Disagree Strongly Disagree 0% 20% 40% 60% 80% 100% Strongly Agree Agree Not Sure Disagree Strongly Disagree Total Children being exposed to secondhand smoke and tobacco in parks/playgrounds is a problem Cigarette butt litter in parks/playgrounds is a problem Teens using tobacco in parks/playgrounds near my school is a problem Fort Collins Youth Tobacco Survey 11 / 17 87.39% 194 63.06% 140 54.95% 122 39.19% 87 72.07% 160 68.47% 152 36.94% 82 Q8 If Fort Collins were to ban smoking and tobacco use in outdoor areas, which outdoor areas should be tobacco free? Check as many as you think. Answered: 222 Skipped: 6 Playgrounds Trails Public Events/Festi... Old Town/Downtow... Bleachers/Sport ing event... Athletic fields Skate parks Shelters/Picnic areas Parking lots Dog parks Natural areas 0% 20% 40% 60% 80% 100% Answer Choices Responses Playgrounds Trails Public Events/Festivals (like New West Fest) Old Town/Downtown areas Bleachers/Sporting event seating areas Athletic fields Skate parks Fort Collins Youth Tobacco Survey 12 / 17 68.02% 151 26.58% 59 68.92% 153 80.63% 179 Total Respondents: 222 Shelters/Picnic areas Parking lots Dog parks Natural areas Fort Collins Youth Tobacco Survey 13 / 17 69.82% 155 17.12% 38 4.95% 11 8.11% 18 Q9 Please describe your level of tobacco use. Answered: 222 Skipped: 6 Total 222 I have never used tobacco I have tried tobacco I currently use tobacco I have used tobacco in t... 0% 20% 40% 60% 80% 100% Answer Choices Responses I have never used tobacco I have tried tobacco I currently use tobacco I have used tobacco in the past, but quit Fort Collins Youth Tobacco Survey 14 / 17 Q10 Please describe your current level of knowledge in the following areas: Answered: 223 Skipped: 5 Excellent Good Average Poor Health risks of tobacco Health risks of secondhan... How tobacco companies... Environmental effects of... 0% 20% 40% 60% 80% 100% Fort Collins Youth Tobacco Survey 15 / 17 42.60% 95 40.81% 91 13.90% 31 2.69% 6 223 35.59% 79 39.19% 87 21.17% 47 4.05% 9 222 29.28% 65 34.68% 77 24.32% 54 11.71% 26 222 26.91% 60 36.77% 82 27.80% 62 8.52% 19 223 Excellent Good Average Poor Total Health risks of tobacco Health risks of secondhand smoke How tobacco companies market to children and teens Environmental effects of tobacco use and cigarette litter Fort Collins Youth Tobacco Survey 16 / 17 12.16% 27 33.33% 74 33.78% 75 18.92% 42 1.80% 4 Q11 How many teens (<18 years) do you think smoke or use tobacco in Larimer County? Answered: 222 Skipped: 6 Total 222 Less than 20% 20-40% 40-60% 60-80% 80% or more 0% 20% 40% 60% 80% 100% Answer Choices Responses Less than 20% 20-40% 40-60% 60-80% 80% or more Fort Collins Youth Tobacco Survey 17 / 17 4.50% 10 28.83% 64 38.74% 86 21.17% 47 6.76% 15 Q12 How many adults (>18 years) do you think smoke or use tobacco in Larimer County? Answered: 222 Skipped: 6 Total 222 Less than 20% 20-40% 40-60% 60-80% 80% or more 0% 20% 40% 60% 80% 100% Answer Choices Responses Less than 20% 20-40% 40-60% 60-80% 80% or more March 2014 1 Level of Support for a Policy to Prohibit Smoking in Outdoor Public Areas Fort Collins Respondents to the 2013 Larimer County Health Survey The Community Health Survey Every three years the Health District of Northern Larimer County (the Health District) conducts a community health survey of adults living in Larimer County Colorado. The most recent survey was conducted in late 2013. The 2013 community health survey was a written, 16-page, 83-question survey designed to collect data on a variety of health conditions and behaviors, healthcare affordability and coverage, access to healthcare and need for various services. A total of 2,819 surveys were returned from adult residents of Larimer County, with an estimated response rate of about 40%. The data in this report is for 1,599 surveys returned by respondents with a Fort Collins zip code (80521-80528). More information about the survey is provided on page 4 of this report. Summary In the 2013 Community Health Survey conducted by the Health District, respondents were asked several questions about their tobacco use and, at the request of local health policy experts, about policies regarding the sale and use of tobacco. One question that was included in the survey was: “Would you favor or oppose policies that would prohibit smoking in outdoor public areas such as restaurant patios, recreation areas or playgrounds?” Respondents could answer on a five-point scale ranging from “strongly favor” to “strongly oppose.” Tables for all data are included in the appendix. Of Fort Collins residents, 74% “strongly” or “somewhat” favor a policy that would prohibit smoking in outdoor public areas. Support is fairly evenly distributed across age groups although males are more likely to oppose the policy as females. Support for this policy is associated with current smoking status. Twelve percent of survey respondents, or 173 people, reported using cigarettes, cigars, cigarillos, or pipes (including hookah) on some days or every day. Among the current smokers, 39% are in favor of the outdoor smoking restriction policy and 45% oppose. This compares with non-smokers, 79% of whom support the policy and 13% oppose it. A more detailed look at the results by age, gender and smoking status follows. Support for Prohibiting Smoking in Outdoor Public Areas In the 2013 Community Health Survey, respondents were asked, “Would you favor or oppose policies that would prohibit smoking in outdoor public areas such as restaurant patios, recreation areas or playgrounds?” They could answer on a five point scale ranging from “strongly favor” to “strongly oppose,” including “somewhat favor,” “no opinion” and “somewhat oppose.” Tables for graphed data are included in the Appendix. March 2014 2 “Would you favor or oppose policies that would prohibit smoking in outdoor public areas such as restaurant patios, recreation areas or playgrounds?”1 Overall, 74% of Fort Collins residents reported that they “strongly favor” or “somewhat favor” policies that would prohibit smoking in outdoor public areas such as restaurant patios, recreation areas or playgrounds. Fort Collins respondents are more than 4 times more likely to support the policy than they are to oppose it. Females are more likely than males to “strongly” or “somewhat” favor a policy to prohibit smoking in outdoor public areas. When considering respondents who “strongly oppose” or “somewhat oppose” this policy, males are about twice as likely to be in opposition than females. 58% 16% 9% 9% 8% 0% 10% 20% 30% 40% 50% 60% 70% Strongly favor Somewhat favor No opinion Somewhat oppose Strongly oppose Percent of Respondents Overall support for policies that would prohibit smoking in outdoor public areas 52% 17% 9% 11% 11% 64% 16% 8% 6% 6% 0% 20% 40% 60% 80% Strongly favor Somewhat favor No opinion Somewhat oppose Strongly oppose Support for policies that would prohibit smoking in outdoor public areas by gender Male Female March 2014 3 Age was not a factor in level of favoring and opposing this item. Across all age groups respondents were over 4 times more likely to “strongly favor” or “somewhat favor” a policy that would prohibit smoking in outdoor public areas than they were to “strongly oppose” or “somewhat oppose” this policy. Only 8% to 9% of respondents, in all age groups, report that they “strongly oppose” a policy of this nature. When we consider the Fort Collins population by smoker status, we find that 12% report using cigarettes, cigars, cigarillos, or pipes (including hookah) at least some days. Of survey respondents, that 12% represents 173 individuals, compared with 88% or 1,296 respondents who do not report using cigarettes, cigars, cigarillos, or pipes (including hookah). Strongly favor Somewhat favor No opinion Somewhat oppose Strongly oppose 18-29 58% 14% 12% 8% 8% 30-49 62% 15% 8% 7% 8% 50-69 55% 18% 7% 11% 9% 70+ 57% 17% 9% 9% 8% 0% 10% 20% 30% 40% 50% 60% 70% Percent of Respondents Support for policies that would prohibit smoking in outdoor public areas by age group * Smokers are defined as those who report using cigarettes, cigars, cigarillos, or pipes (including hookah) at least some days 88% 12% Percent of respondents who smoke* at least some days Non-smoker Smoker March 2014 4 Smokers are more evenly split among those who favor and those who oppose the policies than non-smokers. Thirty-nine percent of smokers “strongly” or “somewhat” favor policies that would prohibit smoking in outdoor public places, while 45% “strongly” or “somewhat” oppose these policies. Of non-smokers, the majority (79%) “strongly” or “somewhat” favor the policies, with just 13% who “strongly” or “somewhat” oppose them. About The Community Health Survey Every three years the Health District of Northern Larimer County (the Health District) conducts a community health survey of adults living in Larimer County Colorado to determine the health status and health care needs of Health District residents. A triennial process is used so that health status trends may be followed and heath service needs within the community can be understood on a regular basis. The information obtained from the assessment is used to guide the planning, implementation, and evaluation of services that the Health District provides. One of the assessment components is a written community health survey. The first community health survey was conducted in 1995 and has been repeated every three years. The 2013 survey is the Health District’s seventh community health survey. The 2013 community health survey was a written, 16-page, 83-question survey designed to collect data on a variety of health conditions and behaviors, healthcare affordability and coverage, access to healthcare and need for various services. A random-sample of approximately 7,300 households in Larimer County were contacted by mail and asked to participate in the survey by return mail or through a secure online survey. A total of 2,819 surveys were returned from adult residents of Larimer County, resulting in an overall response rate of about 40%. Data was weighted by age and gender using the 2013 estimated Larimer County population from the Colorado State Demography Office. Weighting is a common statistical technique used to assure representation of underrepresented groups in the sample. Some caution should be applied when interpreting survey results as only a part of the population, a sample, is used to represent the whole population. Sampling error, also referred to as the margin of error, can be estimated mathematically. The margin of error for this survey, at a 95% confidence level, is about+/-2.5% (for proportions around 50%). That is, for every 95 out 100 samples drawn using the same survey Strongly favor Somewhat favor No opinion Somewhat oppose Strongly oppose Smoker 23% 16% 16% 16% 29% Non-smoker 63% 16% 8% 7% 6% 0% 10% 20% 30% 40% 50% 60% 70% Percent of Respondents Support for policies that would prohibit smoking in outdoor public areas by smoker status* *Smokers are defined as those who report using cigarettes, cigars, cigarillos, or pipes (including hookah) at least some days March 2014 5 methodology, the estimated proportions would be no more than about 2.5 percentage points away from their true values in the population. In addition to sampling errors, caution is needed because there could be errors from things like how questions were worded or problems in how the survey was administered. These types of errors cannot be estimated mathematically, although good faith efforts were made to reduce known sources of bias and errors. The Community Health Survey is conducted across Larimer County. The Health District of Northern Larimer County (Health District) service area includes the northern two-thirds of Larimer County and includes Fort Collins, Wellington, Timnath, Livermore and Red Feather Lakes (shown in green). The southern part of the county includes Loveland, Estes Park, Masonville and Berthoud (shown in white). About this Preliminary Data Summary This data summary was prepared by Health District of Northern Larimer County staff. The Health District is a special district serving the northern two-thirds of Larimer County, Colorado, supported by local property tax dollars and governed by a publicly elected five-member board. The Health District provides dental, mental health, prescription assistance, and health promotion services to the communities it serves. For more information about this summary or the Health District, please contact Susan Hewitt, Evaluation Coordinator, at (970) 224-5209, or by e-mail at shewitt@healthdistrict.org. March 2014 6 Appendix “Would you favor or oppose policies that would prohibit smoking in outdoor public areas such as restaurant patios, recreation areas or playgrounds?” Would you favor or oppose policies that would prohibit smoking in outdoor public areas such as restaurant patios, recreation areas or playgrounds? All ages Strongly favor 58% Somewhat favor 16% No opinion 9% Somewhat oppose 9% Strongly oppose 8% Would you favor or oppose policies that would prohibit smoking in outdoor public areas such as restaurant patios, recreation areas or playgrounds? Sex All Male Female Strongly favor 52% 64% 58% Somewhat favor 17% 16% 16% No opinion 9% 8% 9% Somewhat oppose 11% 6% 9% Strongly oppose 11% 6% 8% Would you favor or oppose policies that would prohibit smoking in outdoor public areas such as restaurant patios, recreation areas or playgrounds? Age Groups All Ages 18-29 30-49 50-69 70+ Strongly favor 58% 62% 55% 57% 58% Somewhat favor 14% 15% 18% 17% 16% No opinion 12% 8% 7% 9% 9% Somewhat oppose 8% 7% 11% 9% 9% Strongly oppose 8% 8% 9% 8% 8% Would you favor or oppose policies that would prohibit smoking in outdoor public areas such as restaurant patios, recreation areas or playgrounds? Smoker Status Smoker: uses cigarettes, cigars, cigarillos, or pipes (including hookah) at least some days Non-smoker: does not use cigarettes, cigars, cigarillos, or pipes (including hookah) Total Strongly favor 23% 63% 59% Somewhat favor 16% 16% 16% No opinion 16% 8% 9% Somewhat oppose 16% 7% 8% Strongly oppose 29% 6% 8% Total 12% 88% 100% 1 Smoking Ordinance Expansion Options City Council Work Session April 8, 2014 Beth Sowder, Neighborhood Services Manager ATTACHMENT 7 2 Purpose • Discuss potential options to expand smoking regulations in Fort Collins • Areas to consider: – Electronic Smoking Devices – 100% Hotel/Motel Rooms – Natural Areas, Parks, & Trails – Public Events & Festivals – Old Town or Downtown Area 3 General Direction Sought 1. What additional smoking regulations, if any, would Council like to formally consider? 2. If Council would like to formally consider additional smoking regulations, what time frame would be appropriate? 3. What additional information is needed? 4 History • 1984 – no-smoking sections – Fort Collins was the first city in CO to pass a comprehensive smoking ordinance • 2003 – Fort Collins designated bars, restaurants, and workplaces as smoke-free • 2006 – Colorado Indoor Clean Air Act • 2013 – Fort Collins expanded smoking regulations to include outdoor dining areas, bar patios, and Transfort’s public transit facilities 5 Outdoor Areas • Why? – Secondhand smoke exposure is proven to be harmful at any level, including outdoors – Many cities have created smoke-free zones especially in high-use outdoor areas – Outdoor areas for recreation and healthy activities – Cigarette butts are toxic and create trashy appearance – Smoke-free areas often reduce tobacco use and litter 6 Electronic Smoking Devices • Not regulated in Fort Collins • Not regulated by FDA • Could add to City’s ordinance • Deliver chemicals to lungs • Health impacts are unknown 7 E-Cigarette Laws • Several other state and local regulations: – Oklahoma, Utah, New Jersey, North Dakota – Los Angeles, San Francisco, New York, Chicago – Nationally, 108 municipalities • Fort Collins Survey: Regulate e-cigs? – Yes 48% – No 30% – No opinion 22% 8 100% Hotel/Motel Rooms • Currently, 75% required smoke-free and 20 feet from entrances • Could require 100% rooms smoke-free • Primary benefit to hospitality industry workers and non-smoker guests • Third-hand smoke – recent health concern 9 Hotel/Motel Room Data • 20 hotels/motels surveyed – 75% do not allow smoking at all • 80% said the 2003 smoking ordinance had no impact or positive impact on their business • Nationally, 93 municipalities and 5 states have 100% smoke-free policies • Fort Collins Survey – 100% smoke-free rooms? – Yes 56% – No 34% – No opinion 10% 10 Natural Areas, Parks, Trails • Current smoking regulations do not apply • Natural Areas support • Specific Park areas (shelters, seating, fields/courts, and playgrounds) • Some outdoor areas have more impact than others • Exempt golf courses 11 Options: Smoke-Free Outdoor Areas 1. All recreation areas and public events smoke-free with no designated smoking areas 2. All recreation areas and public events smoke-free and allow or establish designated smoking areas 3. Some recreation areas and public events smoke-free 12 Fort Collins Survey Percentage currently impacted by secondhand smoke or notice cigarette litter. 0 50 100 Golf Courses Dog Parks Skate Parks Trails Natural Areas Playgrounds Fields/Courts Bleachers/Seating Park Shelters Parks Parking Lots Public Events Old Town/Downtown Cigarette Litter Secondhand Smoke 13 Public Events/Festivals • Current regulations do not apply • Feedback from Event Organizers: – Concerns – public relations, loss of patrons, enforcement, issues with smokers having to leave • It would be helpful if: – Clear signage – Information provided by City – City Requirement (not theirs) – Designated smoking areas 14 Old Town/Downtown • Current smoking regulations apply only on outdoor dining areas, bar patios, and 20 feet from patios and doors • Smoking Survey – 79% support • Smoking Survey – support ban 5 a.m. – 11 p.m. – Yes 69% – No 24% – No Opinion 7% 15 Boulder Pearl Street Mall • City of Boulder enacted smoking ban on Pearl Street Mall in 2013. – Outreach & education – Signage – Work with businesses – Clear, understandable boundaries – Code Compliance and Police enforcement – Warnings then citations 16 17 Enforcement • Voluntary Compliance • Partners for education and assistance • Signage and messaging • Tiered approach • Appropriate staff respond to complaints • Police contacted if compliance not reached 18 Additional Survey Info • Youth Coalition – Strong support to ban smoking in playgrounds and near schools • Health District of Northern Larimer County – 74% favor a policy prohibiting smoking in outdoor public areas 19 General Direction Sought 1. What additional smoking regulations, if any, would Council like to formally consider? 2. If Council would like to formally consider additional smoking regulations, what time frame would be appropriate? 3. What additional information is needed? I think tobacco use should be prohibited in parks/playgrounds