Hookah Lounges Today Marijuana and E-Cigarette Lounges Tomorrow?

Transcription

1 Hookah Lounges Today Marijuana and E-Cigarette Lounges Tomorrow? Keri Moore, Snohomish Health District, Everett, WA Scott Neal, Public Health Seattle & King County, Seattle, WA Gregory Jacoby, McGavick Graves, P. S., for Tacoma-Pierce County Health Department, Tacoma, WA Scott Daniels, Kitsap Public Health District, Bremerton, WA

2 Polling Question Which of these topics is of most concern to your health organization? A. E-cigarettes B. Hookah lounges C. Marijuana

3 Cigarettes, Hookah, E-Cigarettes, & Marijuana 30.0% 10th & 12th Grade Use in Past 30 Days 26.7% 25.0% 20.0% 19.3% 15.0% 15.6% 16.7% 10.0% 9.5% 8.9% 6.7% 5.0% 3.9% 0.0% Cigarettes Hookah E-Cigarettes Marijuana 10th Grade 12th Grade

4 Four Counties Tackle These Concerns

5 The Concern: Hookah Originated in ancient Persia and India Typically smoked in groups with the same mouthpiece passed from person to person Tobacco available in a variety of flavors

6 How It Is Used Tobacco Bowl Sweetly flavored tobacco is burned by charcoal Pipe Stem Base Smoke cooled by water at base Hose Flexible hose draws smoke through water in base

7 Misconceptions About Hookah Smoke goes over water, so anything harmful is filtered It s fruit flavored, so it s not harmful Not addictive It s only tea leaves or dried fruit

8 Concerns Nearly a quarter of college women try smoking hookah for the first time during their freshman year. (Science Daily, July 2012) Hookah smokers may absorb higher concentrations of nicotine and toxins generally found in cigarette smoke because of more frequent puffing, depth of inhalation, and longer smoking sessions.

9 Polling Question Are hookah lounges operating in your jurisdiction? A. Yes B. No C. Don t know

10 Snohomish County Hookah Concerns

11 Hookah Lounge: The Hideout

12 Enforcement Strategies Treat same as other smoking in public places (SIPP) violations Speak with owner(s) Conduct inspections Take legal action

13 Legal Proceedings Against The Hideout Court case February 2013 Private Club argument Volunteers

14 King County Hookah Concerns

15 Hookah Lounges Fifteen lounges! Fewer than five lounges Huh What s a hookah lounge?

16 Hookah Lounge Loophole This chapter is not intended to restrict smoking in private facilities which are occasionally open to the public except upon the occasions when the facility is open to the public.

17 King County Board of Health Defined Employee means any individual who is employed by an employer (includes volunteers, others performing work). Open to the public means explicitly or implicitly authorizing or inviting entry or use by the public. King County Board of Health Code 19.03, revised in 2010

18 Pierce County Hookah Concerns

19 Hookah Lounges

20 SIPP Enforcement Tools Adopt local SIPP law (RCW ) Clarify and supplement state law Enforcement activities Inspections Notices of violation Civil penalties Legal action Injuctive relief

21 The Concern: E-Cigarettes Battery Indicator light Atomizing device Inhaler (liquid container)

22 Advertising and Marketing

23 Use of E- Cigarettes, by Middle and High School Students

24 E-Cigarette Policy Questions Do e-cigs help people stop smoking? Do they result in increased nicotine addiction or smoking, especially for youth? Are there long-term health impacts from use or exposure? Where can they be used?

25 There is still a lot we don t know about these products, including whether they will decrease or increase use of traditional cigarettes. CDC Director Thomas Frieden, MD, MPH

26 King County E-Cigarette Concerns

27 E-Cigarettes: Restrictions Defined as electronic smoking devices and unapproved nicotine delivery products No sales to minors Sampling prohibited Coupons restricted to in-person transaction Vending machines restricted to adult-only venues Use of e-smoking devices prohibited from public places and places of employment King County Board of Heath Code 19.12, adopted in 2010

28 Kitsap County E-Cigarette Concerns

29 Kitsap Regulatory Timeline State Initiative 901 Approved State Initiative 502 Approved ??? Kitsap Clean Indoor Air Ordinance Kitsap SIPP Ordinance Electronic Smoking Devices and Unregulated Nicotine Delivery Products Ordinance

30 Kitsap E-Cigarette Policy Options The Kitsap Public Health Board Policy Committee supports restrictions on use by minors Sales to minors (banned under State law) Sampling and coupons Inappropriate vending machine locations No consensus yet on establishing use restrictions for adults

31 Kitsap E-Cigarette Policy Options, cont. Policy Committee is evaluating the following restrictions for adults: King County option: Bans use in all public places and places of employment Pierce County option: As above, but exempts bars, taverns, casinos, e-cig retailers, and if allowed, places of employment (not public places)

32 What About Marijuana? Connection to the smoking in public places law RCW (1) Definition of smoke or smoking Informal Attorney General opinion

33 Marijuana Enforcement Challenges Marijuana version of a hookah lounge Private club for eating and drinking marijuanainfused products Private club for vaping marijuana Bars serving alcohol and allowing marijuana use

34 Dedicated Marijuana Fund Grant opportunities

35 Questions? Scott Daniels Administrator Kitsap Public Health District Gregory A. Jacoby McGavick Graves, P.S. Keri Moore Healthy Communities Specialist Snohomish Health District Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County scott.neal@kingcounty.gov