Wednesday, May 30, :00 a.m. 4 th Floor Conference Room E County Office Building AGENDA

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1 OSWEGO COUNTY LEGISLATURE County Office Building 46 East Bridge Street Oswego, NY Phone (315) Fax (315) TO: FROM: SUBJ: Leg. Morris Sorbello, Vice Chair; Leg. Frank Castiglia, Jr.; Leg. Mary Ellen Chesbro; Leg. Heather DelConte; Leg. Margaret Kastler; Leg. Milferd Potter Leg. James Karasek, Chair Health Committee Meeting DATE: May 25, 2018 Wednesday, May 30, :00 a.m. 4 th Floor Conference Room E County Office Building AGENDA (Tentative) 1. Approval of Minutes 2. NYS Rural Health Network Grant Partnership Agreement 3. Budget Modification 2018 State Aid Incentive Award 4. Presentation 2017 Tobacco Enforcement Grant (Natalie Roy) 5. A00273/S03978 Discussion 6. Directors Report

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8 Tobacco Enforcement Program Natalie J. Roy Health Committee 5/30/18

9 Adolescent Tobacco Use Prevention Act (ATUPA) Public Health Law Article 13-F Regulation of Tobacco Products and Herbal Cigarettes; Distribution to Minors

10 Accomplishments... Completed annual application & agreement for funding ($43,304 for grant 4/1/17 3/31/18) Maintained up-to-date inventory, including compliance & enforcement status in ehips (Environmental Health Information & Permitting System) for 106 Retail Vendors Validated quarterly performance reports and prepared annual narrative report Trained one Youth Tobacco Aide (must be years old) Researched Tobacco 21 laws

11 Adult Posting Checks (Calendar year) Conducted 132 adult compliance checks and 2 educational visits at retail stores Registered with Department of Taxation and Finance (DTF) to sell tobacco Required signage is posted Display & store tobacco, herbal cigarettes and electronic cigarettes and liquid nicotine either behind the counter or in a locked container Comply with minimum package size requirements

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13 Youth Compliance Checks (Calendar year) Completed 121 youth compliance checks at retail stores Includes re-inspections conducted at facilities with active points on their record* No Sales to Youth! * Two additional compliance checks are required at each facility with active points

14 Sales to Youth

15 100% 100% 99% 2016 Compliance Rate 99% 100% 99% 98% 97% 99% 98% 96% 100% 98% 98% 97% 96% 93% 89% 72% 83% % 100% 80% 60% 40% 20% 0%

16 300 YOUTH COMPLIANCE CHECKS & SALES (Retail & Vending) TOTAL CHECKS & SALES YEARS Series1 Series2

17 TOTAL & REPEAT SALES TOTAL SALES YEARS Series1 Series2

18 TOTAL FINES COLLECTED $14, $12, $10, $8, $6, $4, $2, $0.00 $7,500 $12,800 FINES COLLECTED $10,600 * $50 surcharge / violation required by law, effective 2003 $4,250 $3,100 $3,269 $2,400 $1,800 $1,600 $900 $900 $600 $900 $300 $0 $100 $0 $300 $0 $ YEARS

19 Active Points (Current) Name Points Effective Date Removal Date Smoker s Choice West Oswego (City) Oswego Xpress Mart Inc. Oswego (City) C & J Grocery & Deli Schroeppel 1 1/1/15 1/1/18 2 4/1/16 4/1/19 2 3/1/18 3/1/21 2 Points - Employee did not complete a certified tobacco sales training class prior to the sale

20 Vending Machines

21 Tobacco 21 Bills A00273 (Rosenthal) Increases the age to purchase tobacco products from 18 years old to 21 years old 1/5/17 Referred to Health, 6/15/17 Referred to Codes, 1/3/18 Referred to Codes S03978 (Savino) Increases the age to purchase tobacco products from 18 years old to 21 years old 1/31/17 Referred to Health, 4/25/17 Reported and Committed to Finance, 1/3/18 Referred to Health Board of Health sent letters of support for these bills last year (4/13/17)

22 Tobacco 21 States Hawaii effective 1/1/16 California effective 6/9/16 New Jersey effective 11/1/17 Maine effective 7/1/18 Oregon effective 1/1/18

23 NYS Tobacco 21 Counties (+ NYC) New York City Suffolk Albany Cattaraugus Chautauqua Cortland Schenectady Onondaga Orange Tompkins Rockland 2018

24 Clean Indoor Air Act Public Health Law Article 13-E Regulation of Smoking in Public and Work Places

25 CIAA Complaints

26 CIAA Complaints

27 CIAA Violations

28 Fines Collected $500 0 $1,000 $1,500 $2,100 $3,000 $3,000 $6,598 $10,600 $0 $2,000 $4,000 $6,000 $8,000 $10,000 $12,000

29 Active Waivers Name Expiration Date Off-Track Betting Central Square *4/9/18 (Closed 2018) Off-Track Betting Phoenix *4/9/18 *The Board received a request for renewal from the Phoenix OTB on March 8, 2018 and it was reviewed at the Board s regular April 6, 2018 meeting. The Board held discussions surrounding enforcement of the CIAA and its prior enacted waiver policies. To better protect the public health and comply with the original intent of the CIAA, the Board rescinded its CIAA waiver issuance and waiver renewal policies.

30 CIAA Amendments Banned the use of e-cigarettes and Vaping indoors in all places where smoking tobacco products is prohibited, Hospital and Residential Health Care Facilities Grounds and Playgrounds Effective November 21, 2017 News Release & ed permitted facilities Purchased No Vaping signs with COLA funds and distributed and made available to all facilities

31 Signs Available

32 e-cigarettes Bills *A.8014 (Rosenthal) /S.1223 (Akshar) AN ACT to amend the PHL to prohibit the distribution without charge of electronic cigarettes to minors; requires such distribution be made only to an individual who demonstrates, through a driver's license or other photographic identification card issued by a government entity or educational institution indicating that the individual is at least eighteen years of age. 4/6/18 Delivered to Governor, 4/11/18 Board sent letter of support, 4/18/18 Signed by Governor Effective: Immediately

33 Agencies take action against companies selling e-liquids that resemble children s juice boxes, candies and cookies FDA Announces Enforcement Actions and New Youth Tobacco Prevention Plan Related to JUUL and Other E- Cigarettes Statement from FDA Commissioner Scott Gottlieb, M.D., on new enforcement actions and a Youth Tobacco Prevention Plan to stop youth use of, and access to, JUUL and other e-cigarettes

34 Cool-Looking and Sweet, Juul Is a Vice Teens Can t Resist Big City E-CIGARETTE USE IN CLASSROOMS BOOMS AS TEACHERS BLAME JUUL VAPE

35 JUUL VAPE: FDA BEGINS NATIONWIDE CRACKDOWN ON PRODUCT AND OTHER E-CIGARETTE BRANDS Juul, the vape device teens are getting hooked on If you ve seen people sucking on USB flash drives, they re probably Juuling. Juul delivers a hit of nicotine like a cigarette. That s because of its nicotine salts. Vaping devices, with Juul in the center. AP

36 BEYOND THE HYPE: EVIDENCE YOUTH ACCESS TO & USE OF JUUL Public health concerns Most tobacco & nicotine e-juice use starts in youth E-cigarettes are the most popular tobacco product for youth Exposure to nicotine can harm the developing brain & cause addiction Brain development continues into early 20s Youth who use e-cigarettes are more likely to use cigarettes & other conventional tobacco products Youth are attracted to flavors most start with flavors 4/26/18

37 Thank you! Questions?

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