HHS ITEM #1
January 31, 2013
Worksession
MEMORANDUM
January 30, 2013
TO:
FROM:
SUBJECT:
Health and Human Services Committee
Amanda Mihill, Legislative
Attorney~0.J.O
Worksession: Bil133-12, Health and Sanitation
Smoking
County Property
Bill 33-12, Health and Sanitation Smoking - County Property, sponsored by Councilmembers
Floreen, Navarro, Rice, Riemer, Leventhal, EIrich, and Andrews, was introduced on November
27,2012. A public hearing was held on January 22 (see testimony ©57-61).
Background
What would the Proposed Regulation do?
As introduced, Bill 33-12 would prohibit smoking on
property ovvned or leased by the County (see ©24 for a list of County-owned property and ©40
for a list of County-leased property). The ban would exclude County rights-of-way. Materials
from the chief sponsor, Councilmember Floreen begin on ©4.
What Health Concerns are Associated with Secondhand Smoke?
The United States Surgeon
General first raised the topic of involuntary smoking in a 1972 Surgeon General's report entitled
"The Health Consequences of Smoking". In 1986, the Surgeon General devoted an entire report
on the health issues regarding involuntary smoking. The most recent version of this report, "The
Health Consequences of Involuntary Exposure to Tobacco Smoke," was issued in 2006 and is
available
from
Council
staff
or
at
the
following
website:
http://www.surgeongeneral.gov/librarv/secondhandsmoke/. According to the Surgeon General,
exposure to secondhand smoke can cause a variety of health ailments, including heart disease,
lung cancer,' respiratory diseases such as asthma and pneumonia, and sudden infant death
syndrome. A pamphlet describing the health risks of secondhand smoke is on ©46. The
Surgeon General has stated that there is no risk-free level of exposure to secondhand smoke.
Issues for Committee Discussion
How would Bill
33-12
be enforced?
County Executive Leggett conceptually supports the bill,
but questions what the expectation is regarding how Bill 33-12 will be enforced. The
enforcement procedures in §24-9, where this bill would be codified, state:
(1) Any violation of this Section is a class C civil violation. Each day a
violation exists is a separate offense.
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(2)
(3)
The County Attorney or any affected party may file an action in a court
with jurisdiction to enjoin repeated violations of the Section.
The Director of the Department of Health and Human Services may
suspend a license issued under Chapter 15 for up to 3 days if the Director
finds, under the procedures of Section 15-16, that the operator of an eating
and drinking establishment has knowingly and repeatedly violated any
provision of this Section.
Committee members may wish to ask Executive staff if additional enforcement language would
be beneficial. For instance, when the Council adopted the Board of Health regulation prohibiting
smoking in indoor common areas of multi-family dwellings and playgrounds, DHHS requested,
and the Council adopted, the following language:
As part of its investigation into a complaint filed, the Department of
Health and Human Services may require a complainant to provide an
affidavit or other corroborating information that would support the
issuance of a citation.
Committee members should understand that there are some properties in which another entity
may enforce the ban (e.g., golf courses operated by the Revenue Authority and some park
property that may be County-owned, but managed by the Parks Department).
Should smoking be prohibited at bus shelters or bus stops?
Several constituents requested the
Council expand the proposed ban to include bus stops and bus shelters. County Executive
Leggett supports extending the ban to include bus stops and bus shelters. There are other
jurisdictions across the country that prohibit smoking in these areas. For example:
• Fairfax County prohibits smoking in any bus shelter owned by the County.
• San Antonio, Texas prohibits "smoking in, and within 20 feet of outdoor public
transportation stations, platforms, and shelters" under the city's authority.
• Berkeley, California prohibits smoking "within 25 feet of any bus stop". Bus stop is not
defined.
• A Durham County Board of Health Rule prohibits smoking inion City and County bus
stops. Bus stop is defined as "a designated area, whether enclosed or unenclosed, where
buses stop for passengers to board or exit a bus." Bus stop includes "areas at bus stops
and bus shelters, beginning at the bus stop sign or at either edge of the bus shelter and
extending the length of the bus."
Council staff has contacted several of these jurisdictions, but has been unable to glean
information regarding how these bans are enforced and how many citations have been issued.
If Committee members are interested in extending the ban to include bus stops and bus shelters
in the County rights-of-way, CounciJ staff recommends clearly defining what constitutes a bus
stop. For instance, smoking could be prohibited a certain number of feet on either side of a pole
indicating a bus stop in that location.
Should smoking be prohibited at golf courses?
The Council received several letters from
constituents urging the Council not to prohibit smoking at golf courses. At the public hearing,
2
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John O'Hara, speaking on behalf of MD group Against Smokers Pollution, indicated that they
would include golf courses in the proposed ban. According to the information provided by the
Department of General Services, the County owns one golf course that is operated by the
Revenue Authority: Falls Road Golf Course. Unless exempted, this property would be subject
to the ban. Committee members may wish to discuss whether there should be an exemption for
golf courses.
Should there be exceptions for certain HHS facilities?
Executive staff have raised concerns
with the impact Bill 33-12 may have on County-owned and -leased facilities that house programs
used to treat people with addictions. Executive staff are concerned that prohibiting smoking in
these types of facilities would negatively impact the treatment of people who are stepping down
from hard drugs. Executive staff recommend amending Bill 33-12 to allow the Director to
designate an area outside where smoking would be permitted if the Director finds that the
prohibition would impede the treatment of these individuals. If Committee members concur,
Council staffwill work with Executive staff to
draft
responsive language.
Would Bill
33-12
impact private residences?
Council staff has asked Executive staff to research
whether the County owns any buildings in which residents live. If so, Committee members may
wish to discuss whether Bill 33-12 should be amended to exempt private residences from the
prohibitions.
This packet contains:
Bill 33-12
Legislative Request Report
Sponsor materials
Fiscal and Economic Impact Statement
List of County-owned property
.List of County-leased property
Surgeon General pamphlet on secondhand smoke
Selected Testimony
Circle
#
1
3
4
19
24
40
46
57
F:\LA W\BILLS\1233 Health· Smoking - County Property\HHS Memo.Doc
3
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Bill No.
33-12
Concerning: Health and Sanitation ­
Smoking - County Property
Revised:
10/17/2012
Draft No. _1_
Introduced:
November 27. 2012
May 27.2014
Expires:
Enacted: _ _ _ _ _ _ _ _ __
Executive:
- - - - - - - - - -
Effective: _ _ _ _ _ _ _ _ __
Sunset Date: _-.,-_ _ _ _ _ __
Ch,
Laws of Mont. Co. _ ___
COUNTY COUNCIL
FOR MONTGOMERY COUNTY, MARYLAND
By: Councilmembers Floreen, Navarro, Rice, Riemer, Leventhal, EIrich, and Andrews
AN ACT
to:
(1)
(2)
prohibit smoking on property owned or leased by the County; and
generally amend County law on smoking.
By amending
Montgomery County Code
Chapter 24, Health and Sanitation
Section 24-9
Boldface
Underlining
[Single boldface brackets]
Double underlining
[[Double boldface bracketsD
.,. .,. .,.
Heading or defined term.
Added to existing law by original bill.
Deleted from existing law by original bill.
Added by amendment.
Deletedfrom existing law or the bill by amendment.
Existing law unaffected by bill.
The County Council for Montgomery County, Maryland approves the following Act:
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BILL
No. 33-12
.
1
2
Sec. 1. Section 24-9 is amended as follows
24-9. Smoking in public places.
3
4
5
*
(b)
moron any:
*
*
Smoking prohibited in certain public places. A person must not smoke
6
7
8
9
10
11
*
(9)
*
*
Restroom, except a restroom in a private residence; [or]
(10)
Enclosed auditorium, concert or lecture hall[.]; or
OJ)
property that is owned or leased
Qy
the County, except
£!
County
right-of-way.
*
Approved:
*
*
12
13
Roger Berliner, President, County Council
Date
14
15
Approved:
Isiah Leggett, County Executive
Date
16
17
This is a correct copy ofCouncil action.
~
"
Linda M. Lauer, Clerk ofthe Council
Date
W
f:\lawlbills\1233 health smoking - county propertylbill1.doc
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LEGISLATIVE REQUEST REPORT
Bill 33-12
Health and Sanitation Smoking
-
County Property
DESCRIPTION:
PROBLEM:
Bill 33-12 would prohibit smoking on property owned or leased by
the County, excluding County rights-of-way.
Smoking is known to cause cancer and other illnesses. The Centers
for Disease Control state that there is no risk-free level of exposure to
secondhand smoke.
To reduce employees' and visitors' exposure to secondhand smoke.
Health and Human Services
To be requested.
To be requested.
To be requested.
To be researched.
Amanda Mihill, 240-777-7815
To be researched.
GOALS AND
OBJECTIVES:
COORDINATION:
FISCAL IMPACT:
ECONOMIC
IMPACT:
EVALUATION:
EXPERIEN CE
ELSEWHERE:
SOURCE OF
INFORMATION:
APPLICATION
WITHIN
MUNICIPALITIES:
PENALTIES:
Class C
f:\law\bills\1233 health - smoking - county property\legislative request repo
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Montgomery
County Council
From the Office ofCouncilmember Nancy Floreen
November 13, 2012
CONTACT: Jed Millard 240-777-7959
N
E
W
S
Councilmember Floreen Will Introduce Bill
to Ban Smoking on Montgomery Property
On
Thursda~
Nov.
1~
in Rockville/She Will Host Event
With American Cancer Society to Mark
3;th
Great American
Smokeout and Offer Details on the Legislation
ROCKVILLE, Md., November 13, 2012-Montgomery County Councilmember Nancy
Floreen at 11 :30 a.m. on Thursday, Nov. 15, will hold a news conference in Rockville to
give details on a bill she will introduce that would ban smoking on property owned or
leased by Montgomery County. The ban would include all County properties except
R
E
L
E
public rights of way.
The bill, which is scheduled for introduction on Nov 27, is co-sponsored by Council
Vice President Nancy Navarro and Councilmembers Craig Rice, Hans Riemer, George
Leventhal and Marc Eirich. A public hearing on the bill is tentatively scheduled for Jan.
15.
The news event will be held in the Third Floor Hearing Room of the Council Office
Building, which is located at 100 Maryland Ave. in Rockville. Representatives of the
American Cancer Society will be present as the event coincides with the organization's
37
th
Great American Smokeout. The Smokeout is an annual event that urges smokers to
give up their smoking habits.
"I have unfortunately spent a lot of time over the past year with people who have
cancer," said Councilmember Floreen, a survivor of breast cancer. "I want to do
everything I can to help prevent this awful disease in all of its forms, and this is a good
place to start."
A
S
E
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2
In Montgomery County, one in 12 adults smoke cigarettes. Nationally, tobacco use is
responsible for one in five deaths, and an annual toll of 443,000 deaths. Smok.ing
accounts for at least 30 percent of
all
cancer deaths and is associated with increased risk
for 15 types of cancer. Tobacco use remains the single, largest preventable cause of
disease and premature death in the U.S.
"The Great American Smokeout is about helping people quit, and we know that passing
this bill is critical to helping people in Montgomery County do just that," said Bonita
Pennino, Government Relations Director for the American Cancer Society's Cancer
Action Network. "In addition we know that strong smoke-free laws mean fewer smokers
and reduced health care costs."
####
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Montgomery County
Tobacco Use by Adults: 2000-2010
Maryland Department of Health and Mental Hygiene
"i~~"'t":"",:
;:{
"Y" '
"<"::::;;;lJ,.',:'
-'''::~.c,-,"
To
b
acco
1
Use
P
reventlon
an
de
essatlon
P
rogram
CURRENT USE OF TOBACCO PRODUCTS
Current Adult (Age 18 and Older) Use ofTobacco Products
Proportion (%), Confidence Interval (CI), and Estimated Number of Adults
TOBACCO PRODUCTS
,
,. ,­ "
I
!
2000
Baseline Data
DATA NOTAVAILABLE
FOR 2000
I
'
-,
"
Prevalence (%), CI, and Number Adults :
2002
!
i
2006
DATA NOT AVAILABLE
FOR 2006
2008'
2010
Any Tobacco Product
(All Adult Populations)
DATA NOT AVAILABLE
FOR 2002
DATA NOT AVAILABLE DATA NOT AVAILABLE
FOR 2010
FOR 2008
Any
Tobacco Product
(AdultMinorityPopulatio~s)
"
DATA NOT AVAILABLE
FOR 2000
,
,
DATA NOT AVAILABLE
FOR 2002
DATA NOT AVAILABLE
FOR 2006
DATA NOT AVAILABLE DATA NOT AVAILABLE
FOR 2008
FOR 2010
Cigarette
"
13.2%±3.1%
82,261
15.8% ± 4.1%
110,320
9.3%±2.4%
70,439
8.0%±2.8%
55,297
8.0%±2.6%
55,245
Cigar
DATA NOT AVAIlABLE
FOR 2000
DATA NOT AVAILABLE
FOR 2002
DATA NOT AVAILABLE
FOR 2006
DATA NOT AVAILABLE DATA NOT AVAILABLE
FOR.2008
FOR 2010
Smokeless Tobacco
1.1%±0.9%
6,928
DATA NOT AVAILABLE
FOR 2002
DATA NOT AVAILABLE
FOR 2006
DATA NOT AVAILABLE
FOR 2008
1.1%±0.7%
7,281
INITIATION OF TOBACCO USE IN PAST YEAR
Current Adult (Age 18 and Older) Use ofTobacco Products
Proportion (%), Confidence Interval (Ci), and Estimated Number of Adults
2
(
I,~ITIATION'
I
,.
2000
Elaseline Data
NOT AVAILABLE­
TOO FEW INITIATING
RESPONDENTS
Preval,ence
(%l~
CI, and Number Adults
i
2002
NOT AVAILABlE-
TOO FEW INITIATING
RESPONDENTS
2006
NOT AVAILABlE-
TOO FEW INITIATING
RESPONDENTS
2008
NOT AVAlLABLE-
TOO FEW INITIATING
RESPONDENTS
2010
DATA NOT AVAILABLE
FOR 2010
Adult Population
CESSATION OF TOBACCO USE IN PAST YEAR
Current Adult (Age 18 and Older) Use ofTobacco Products
Proportion (%), Confidence Interval (CI), and Estimated Number of Adults
3
CESSATION
Prevale'nce (%), CI, and Number Adults
200(f
Baseline Data
25.2%
±
13.0%
8,174
.... "
. '2002
31.5% ± 17.3%
11,947
I'
2006
35.2% ± 16.5%
10,928
I
2008
34.3% ± 13.6%
12,073
I
I
i
2010
DATA NOT AVAILABLE
FOR 2010
Adult Population
i
1 Source: Behavioral Risk Factor Surveillance Survey, 2.000,
2.O0~
2006, 2008, and: 2010. The Behavioral Risk Factor Surveillance Survey collects data on use of cigarettes and smokefess tobacco
only~
It does not collect
data on use of cigars or any other tobacco product. Thus, estimates
of
these behaviors are unavailable for 2000, 2002, 2006,2008, and: 2010'. Estimates
use of smokeless tobacco are available for 2000 and 2010 only.
2. Source: Maryland Adult Tobacco Survey,
2000
1
Z002, 2006, and 200S.
3 Source: Marytand Adult Tobacco Survey, 2000,2002,2006, and 2008.
• Estimates of prevalence are stated as a percentage
(%)
of the total
relevant population .
• Confidence Intervals
(±%)
appear immediately following prevalence estimates .
• Statistically significant change between survey years is underlined, between 2000 and 2010 preceded by an asterisk
'*'.
Page
120
APPENDIX.
g. -
ADULT PREVALENCEI' (NITIATIONI'
&
CESSATION
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1
CURRENT CIGARETTE SMOKING ­
Pregnant Women
4
-
.
, Proportion
(%)
of Selected Populations and Number for Pregnant Women from
100%
of Birth Certificates
-
2006
2007
2008
2009
6.1%
I
,
6,593
POPULATIONS
Prevalence
(%)
and Number Adults
2000
Baseline Data
I
2001
8.7%
8,361
2002
I
2003
7.7%
7,759
2004
7.4%
7,508
,2005
6.9%
7,001
i
Maryland Statewide
"
9.2%
8,842
i
I
i
8.0%
7,879
6.8%
I
6.6%
7,267
7,152
6.6%
7,113
0
Montgomery County.
2.5%
327
2.0%
269
1.3%
168
I
I
1.3%
171
1.0%
142
0.9%
120
I
.
0
0.7%
I
05%
95
68
I
06%
I
80
0.6%
76
ADULT HOUSEHOLDS WITH MINOR CHILDREN
s
Current Aclult (Age
18
and Older), Proportion
(%),
Confidence Interval (CI), and Estimated Number of Adults
POpULATIONS
Prevalence
(%)
and Number Adults
2000
Baseline Data
19.9%±4.4%
51,360
2002
19.4%·±4,7%
52,278
2006"
20.8%±4.5%
59,233
·2008
14.0%±3.4%
43,342
I
2010
Proll0rtion
i
with Adult Smokers
I
DATA NOT
' AVAILABLE FOR
2010
MOST IMPORTANT REASON FOR WANTING TO QUIT SMOKING CIGARETTES, 2008
6
(Top 3 Reported as 'Most Important Reason'
by
Former Smokers and Smokers Trying to Quit)
I
~~"",;.,,,"-''''
Wi!"
';':'·'.i·
I
:O'">""J}
<~'~,:::,.;:.
,.
.'r;;.:{•.
'E:'·~'i';'.,~
.,."...
i ;
':"~ >~J:,;;<~~
:if "", '-:":
.!.~~.~~,:..~'.;;'
.:I
Health
Ha~r
~s
ofSmoking,
6%
'
"C
...
nI
nI
.<
s::
I
>"''''''-''""
'.i~.,o"'"
','"
"'''fC''.''''"'"' ..,
.'.
I
" .c
.. "",,]
.."",,,,,,,,;',,,,,,,, '. -.
",',;",.;;>~'"'
....'''''
'"" '.' .,'
".~:
..,,, i
"h,';'","';"
Health Pre blemsfrom
Smokin
F,17,2%
:iE
'C'. ""
<C
I
~.~:
I
.
"
.
.-"".,",...
",,'
.,,"
'.;.~
,
-,---
....
,
..
....
:.
."
',::,,~]set
Ex
mple for Children,
13.2%
I
0%
5%
I
10%
15%
20%
25%
30%
35%
:
>
...
QI
I
Health Probl
~msfrom
Smoking,
L6.7%
....
s::
~
0
E
0
~
.• Example prChiidren,
f
11.!
~%
,
0%
5%
10%
15%
20%
25%
30%
35°
4 Source: Vita! Statistics
. 5 Soun::e! Maryland Aduft: Tobacco Survey, 2000
1
2002, 2006
1
and 2008.
6 Source: Maryland Adult Tobacco Survev:. 2000, 2002, 2006, and 2:008.
Page
121·
~
~ ~.
;C",
-~
. ' ; , '
-: ,','
C'·
APPENDIX B - ADUl.T PREVALENCE,.INLTIATION,.
&
CESSATION
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Montgomery County
Tobacco Use by Youth:
20:00-2010
Maryland Department of Health and Mental Hygiene
Tobacco Use Prevention and Cessation Program
I
CURRENT USE OF TOBACCO PRODUCTS
Underage
«18)
Public Middle and High School Youth (Combined)
Proportion
(%)
and Estimated Number of Youth
TOBACCO PRODUCTS.
Any Tobacco Product
(All Youth Populations)
I
2000
Baseline Data
16.6%±4·1%
10,604
Prevalence(%), CI, and NumberYouth ,
I
1
2002
14.9%±2.7%
10,561
15.0%±2.4%
5,755
9.5%±2.1%
6,474
6.1%±1.3%
4,152
3.7%±0.8%
2,545
4.6%±0.9%
3,177
3.1%±0.8%,
2,109
2.S%±0.8%
i
2006
14.3%±1.7%
10,519
14.5%±1.8%
6,058
9.0%±1.3%
6,414
6.2%±1.0%
4,423
5.0%±0,9%
3,640
5.2%±0.8%
3,801
5.S%±0.9%
4,219
3.3%±0.7%
2,364
I
2008
11.5% ±1.4%
8,348
11.7%±1.6%
4,823
6.9% ±0.8%
4,971
7.7% ±1.0%
5,529
4.6%±0.9%
3,246
3.0%±0.5%
2,136
2.5%±0.6%
1,755
i
2010
13.1%±2.3%
9,599
14.5%±2.3%
6,730
*7.1%±1.5%
5,182
7.1%±1.5%
5,153
PIPE SPECIFIC DATA
NOT AVAILABLE FOR
Any Tobacco Product
(Minority Youth) .
15.9%±~.4%
'4,507
12.1% ±3.4%
7,455
6.6o/c,±1·8%
4,107
2.9%±0,7%
1,853
5.0% ± 1.6% "
3,087
3.4%±0.8%
2,113
2.9%±1.1%
. >'.
Cigarette
Cigar
Pipe
(tobacco)
Bidi
Kretek
Smokeless Tobacco'
,.
2010
BIOI SPECIFIC DATA
NOT AVAILABLE FOR
2010
KRETEK SPECIFIC DATA
NOT AVAILABLE FOR
2010
2.2%±0.6%
1,563
2.6%±0.6%
1,849
•.•••.••
f,.;···
1;83&
.' 1'.1,870
I .'
i
INITIATION OF TOBACCO USE IN PAST YEAR
Underage
«18)
Public Middle and High School Youth Combined, Proportion
(%)
and Estimated Number of Youth
I"
.'
"
INITIATION'
Prevalence (%), CI, and NumberYouth,
2000
Baseline Data
15.S% ± 3,4%
10,100
14.9%±2.7%
I
I
2002
13.4% ±2.8%
9,546
12.4%±2.5%
4,785
1
2006
13.1%±1.7%
9,640
11.S%±1.6%
200S
11.7%±1.3%
8,497
10.6%±1.1%
4,355
2010
All Youth
Minority Youth
i
15.0%±2.5%
11,066
16.3%±2.4%
7,581 '
4,232
I
4,906
CESSATION OF TOBACCO USE IN PAST YEAR
Underage
«18)
Public Middle and High School Youth Combined, Proportion
(%)
and Estimated Number of Youth
'. , ......
Prevalence
(%),
CI, and
C~SSATION
..,'r,
Numbe~Youth
I
'.
'Baseline Data
36.9%±6.9%
1,955
. 46.7%
±
12.1%
987
2000
2002
43.7%±3.5%
2,046
49.4%±5.3%
2006
45.0%±6.2%
1,577
47.9% ±7.9%
995
i
200S
39.4%±S.6%
1,481
41.6%t6.1%
I
!
2010
*50.S% t 6.4%
1,881
. 52.3%±6.2%
1,452
All Youth
Minority Youth
I
1,218
i
1,010
• Estimates of prevalence are stated as a percentage
(%)
of the total relevant population .
• Confidence Intervals
(tl')
appear Immediately followmg prevalence estimates .
• Statistically significant change from the previous survey year are underlined; change between 2000 and 2010 preceded by an asterisk
'*'.
CS;
APPENDDCA-YOUlH PREVAlENCE,..
lNlTIATlON...
&
CESSA1l0N
Page 68
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CURRENT CIGARETTE SMOKING - School Type, Gender
&
Minorities
Underage
«18)
Public Middle and High School Youth
Proportion
(%)
and Estimated Number of Youth
.
YOUTH POPULATIONS
...
..
.
....
·2000
Baseline Data
3.7%±l.5%
1,065
3.3%±2.1%
450
3.8%±2.5%
558
4.4%±1.7%
566
19.4%±2.5%
6,389
19.6% ± 4.4%
3,217
18.8%
±
3.9%
3,101
15.4% :2.9%.
2,222
Prevalence
(%), CI,
and NumberYouth
2002
3.1%±1.0%
981
2.3% ±0.9%
346
4.0%:tl.8%
635
3.9%±1.2%
685
14.9%:t2.0%
5,494
14.1%t2·5%
2,583
15.4%:1:1.9%
2,836
14.0%±1.!l%
2,683
2006
3.0%±1.2%
916
2.1%:l:1.3%
320
3.6%±l.8%
556
3.3%±1.S%
553
13.4%±1.5%
5,498
12.8% ± 2.0% .
2,573
14.0%:1:1.9%
2,899
12.9% :t 1.7%
3,006
2008
1.3%±0.7%
408
1.0%:l:Oj%
146
1.7%± 1.1%
262
1.8%±0.9%
316
11.1%±1.3%
4,563
8.9%±1.3%
. 1,823
13.1%:1:2.0%
2,700
11.2% ±1.3% .
2,543
2010
2.7%±1.2%
816
2.3%:t1.6%
362
3.1%±1.5%
454
3.7%±1·7%
706
*10.4%
±
1.5%
4,366
*8.2%
±
1.7% .
1,798
*12.7% ±1.9%
2.568
*11.1% ± 1.3%
Middle School (MS)
MS Females
MS Males
MS Minorities
High School (HS)
HS Females
HSMaies
lis
Minorities
±
2,!m··
Montgomery County - Current Cigarette Smoking
(Underage Middle
&
High School Youth,
by
Grade)
50%T
----------------~L:~::~==~::~~~~==~::~~2:0~10::==~M:a~~~I:an~d~2~o~'~--------,
G
40%+-----------------~---------------------------------------------------------~
30%+-----------------------------------------------------------------~~------~
20%+-------------------------------------------~ ~--------~~~------_I.~~~--~
10%+---------------------~··~r~------~
~
_______6_t_h_G_r_ad_e_·____7_t_h_G_ra_d_e__--_g_t_h_G_ra_d_e_____9_t_h_G_r_2d_e_____
l_0t_h_G_r_2_de ____
_
l_1_th_G_r_2_de
_____
1_2t_h_G_r_2d_e ___
~~
_
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Evolution of Montgomery County smoking laws
1977 Prohibited smoking in elevators, retail stores where more than 8 persons
work at any time, public areas of health care facilities, public schools,
County government facilities, and theaters. Exceptions: private enclosed
offices, when facilities are closed to the public, central areas of malls,
barbershops, and beauty shops (Bill 26-76, effective 5-5-77)
1979 Required patient rooms in hospitals to be nonsmoking unless otherwise
requested by all occupants.. (Bill 53-79, effective 3-12-80)
1981 Required employers to "consider the needs of nonsmoking employees and
... accommodate their need to the extent possible." (Bill 53-81, effective
11-15-82)
1986 Prohibited smoking in rail transit stations and most County government
workplaces. Exceptions to the workplace prohibition: designated smoking
areas, private enclosed offices. (Bill 27-85, effective 4-28-86)
1987 Required all restaurants with at least 50 seats to have a no-smoking area
covering at least 50% of the total seating area '(Bill 1-87, effective 7-10­
87)
1988 Prohibited smoking in public areas of offices, retail stores, banks,
factories, and other private businesses. Exceptions: mom & pop stores
(where no more
than
2 persons work at any time), private functions not
open to the public. Also prohibited smoking in public restrooms and
auditoriums. (Bill 27-87, effective 6-9-88)
1990 Prohibited smoking in shared workplaces, and required employers to post
notices and inform employees. Exceptions: mom & pop businesses, other
businesses when all employees sharing the workplace consent. (Bill 51­
89, effective 5-24-90)
1992 Prohibited sale of tobacco products from vending machines, except in
private clubs. (Bill 5-91, 64-91, effective 5-1-92) County law declared
invalid by Circuit Court 4-19-93; Court of Appeals declared similar laws
from cities of Bowie and Takoma Park preempted by state law later in
1993.
1994 Prohibited smoking in
all
County government workplaces, with no
designated smoking areas. (BillA2-93, effective 5-2-94)
1998 Prohibited a person in the business of selling or distributing tobacco
products for commercial purposes to distribute any tobacco product,
(!J
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cigarette rolling paper, or tobacco product coupons'tb a minor (Bill 13-98;
also adopted as Board of Health regulation(Council Resolution 13-1410))
1999 Conformed County law to state workplace smoking regulations by
dropping references to workplaces in County law, thus focusing County
law on public places (Bill 3-99, effective 6-29-99)
1999 Prohibited smoking in all restaurants (Council Resolution 14-70, adopting
Board of Health regulation). Regulation declared invalid because of
improper adoption by Maryland Court of Appeals 5-2-03
2000 Required retail sellers to display or store tobacco products in a place that is
not accessible to quyers without the intervention of the seller (Bill 23-00,
effective February 19,2001)
2003 Prohibited smoking in all restaurants except certain private clubs with
liquor licenses (Bill 15-03,
~ffective
October 9,2003)
2011 Prohibited smoking in indoor common areas of multi-family residential
units and playgrounds (Council Resolution 17-210, adopting Board of
Health regulation, effective August 12, 2011)
-
F;\LAW\TOPICS\SmokinglHistory Of Smoking Laws Updated,DOC
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Tobacco Use - Fact Sheet
American Cancer Society Great American Smokeout® 2012
• Tobacco use remains the single largest preventable cause of disease and premature
death in the United States.;
• For every person who dies from a smoking-related disease, 20 more people suffer with
at least one serious illness from smoking.
ii
• In the US, tobacco use is responsible for nearly 1 in 5 deaths, or about 443,000
i
premature deaths each year.
.
• On average, smokers die 13 to 14 years earlier than nonsmokers.
iii
• The risk of developing lung cancer is about 23 times higher in male smokers and 13
times higher in female smokers, compared to lifelong nonsmokers.
i
• Tobacco use increases the risk of myeloid leukemia and cancers of the lung, mouth,
nasal cavities, larynx, throat, esophagus, stomach, colorectum, liver, pancreas, kidney,
bladder, uterine cervix, and ovaries.
i
.
• Tobacco use accounts for at least 30% of all cancer deaths and 80% of lung cancer
deaths.
i
• Thousands of young people begin smoking every day,iV
o Each day, more than 3,800 people younger than 18 smoke their first cigarette.
o Each day, about 1,000 people younger than 18 begin smoking on a daily basis.
• Cigars contain many ofthe same carcinogens that are found in cigarettes. Cigar
smoking increases the
~isk
of cancers of the lung, mouth, throat, larynx, l7sophagus, and'
probably the pancreas.
I
• Sales of little cigars increased by 240% from 1993 to 2007.
i
• Smokeless tobacco products are a major source of cancer-causing nitrosamines
(chemical compounds) and a known cause of human cancer. They increase the risk of
developing cancer of the mouth and throat, esophagus, and pancreas.
i
• Sales of smokeless tobacco products are growing at a more rapid pace than cigarettes.
While sales of cigarettes declined by 42% between 1990 and 2006, per capita sales of
smokeless products in the US nearly doubled.
i
Global Tobacco Use
In 2011, tobacco use killed almost 6 million people, with 80% of these deaths occurring
in low- and middle-income countries,! and current trends show that tobacco use will
v
cause more than 8 million deaths annually by 2039.
vi
• 43 tlillion cigarettes have been smoked in the last decade.
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• Smoking rates are increasing among women, particularly young women, in many
countries. Women and children account for 75% of the deaths caused by secondhand
smoke.
vi
Costs and Expenditures
• Cigarette smoking costs the United States more than
$19~
billion (Le., $97 billion in lost
productivity plus $96 billion in health care expenditures).
VII
.• Secondhand smoke costs United States more than $10 billion (I.e., health care
expenditures, morbidity, and mortality).viii
• The tobacco industry receives annual profits of almost $6,000 per death caused by
tobacco.
vi
Smoking Cessation
• People who quit, at any age, live longer than people who continue to smoke.
i
• Smokers who quit before age 50 cut their risk of dying in the next 15 years in half,
compared to those who continue to smoke. i
• Large disparities in smoking prevalence and cessation continue to exist. Smokers with
an undergraduate or graduate degree are more likely to quit than those with less formal
i
education.
• Many adult smokers want to quit smoking.
o Approximately 69% of smokers want to quit completely.
o Approximately 52% of smokers attempted to quit in 2010.
ix
Secondhand Smoke
Secondhand smoke contains more than 7,000 chemicals, at least 69 of which cause
cancer.
i
• Each year, about 3,400 nonsmoking adults die of lung cancer as a result of breathing
secondhand smoke. i
• Secondhand smoke may
cau~e
coughing, wheezing, chest tightness, and reduced lung
function in adult nonsmokers.'
American Cancer Society.
Cancer Facts
&
Figures 2012.
Atlanta: American Cancer Society; 2012.
ij
Centers for Disease Control and Prevention. Cigarette Smoking-Attributable Morbidity-United States, 2000. Morbidity and
Mortality Weekly Report 2003;52(35):842-4 [accessed 2012 Jun 7]).
iii
Centers for Disease Control and Prevention. Annual Smoking-Attributable Mortality, Years of Potential Life Lost, and
Productivity Losses-United States, 1995-1999. Morbidity and Mortality Weekly Report 2002;51(14):300-3 [accessed 2012 Jun
i
7].
iv
Substance Abuse and Mental Health Administration. Results from the 2010 National Survey on Drug Use and
r;:::)\,
Health: National Findings Rockville (MD): Office of Applied Studies [accessed 2012 Jun 7].
0J;
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World Health Organization. WHO Report on the Global Tobacco Epidemic, 2009. Geneva: World Health Organization, 2008
[accessed 2012 Jun 7].
VI
Eriksen M, Mackay J, Ross
H.
The Tobacco Atlas. Fourth Ed. Atlanta, GA: American Cancer Society; NewYor!c, NY: World
Lung Foundation; 2012. Also available at \vww.TobaccoAtlas.org.
vii
Centers for Disease Control and Prevention. Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity
Losses-United States, 2000-2004. Morbidity and Mortality Weekly Report 2008;57(45):1226-8 [accessed 2012 Jun 71.
viii
Behan DF, Eriksen:MP, Lin Y. Economic Effects of Environmental Tobacco Smoke Report !§lSchaumburg, IL: Society of
Actuaries; 2005 [accessed 2012 Jun 7].
ix
Centers for Disease Control and Prevention. Quitting Smoking Among Adults-United States,
2001-2010.
Morbidity and Mortality Weekly Report [serial online)
2011;60(44):1513-19
[accessed
2012
JUll
7).
v
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CDC - Fact Sheet - Health Effects of Secondhand Smoke - Smoking .. ,
http://www.cdc. govItobaccoldata_statistics/fact_sheets/secondhand_ ...
Centers for Disease Control and Prevention
. CDC
2417:
Sewing
Liv~s.
Protecting
Peopt@.TM
Health Effects of Secondhand Smoke
Overview (#oveI'View)
Secondhand Smoke Causes Heart Disease (#heart)
Secondhand Smoke Causes Lung Cancer (#lung)
Secondhand Smoke Causes SIDS (#sids)
Secondhand Smoke and Children (#children)
References (#ref)
For Further Information C#info)
Overview
Secondhand smoke is the combination of smoke from the burning end of a cigarette and the
smoke breathed out by smokers. Secondhand smoke contains more than 7000 chemicals.
Hundreds are toxic and about 70 can cause cancer.1
,2
There is no risk-free level of exposure to secondhand smoke.
Secondhand smoke
causes numerous health problems in infants and children, including severe asthma attacks,
respiratory infections, ear infections, and sudden infant death syndrome (SIDS).1 Some of the
health conditions caused by secondhand smoke in adults include heart disease and lung cancer.1
Secondhand Smoke Causes Heart Disease
Exposure to secondhand smoke has immediate adverse effects on the
cardiovascular system and can cause coronary heart disease.
1
,3
• Secondhand smoke causes an estimated 46,000 premature deaths from heart disease each
year in the United States among nonsmokers.4
• Nonsmokers who are exposed to secondhand smoke at home or at work increase their risk of
developing heart disease by 25-30%.1
@
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DC - Fact Sheet - Health Effects of Secondhand Smoke - Smoking ...
http://v.'WW.cdc.gOY
Itobaccol
data_statistics/fact_sheets!secondhand
_"'1
Breathing secondhand smoke can have immediate adverse effects on your blood
and blood vessels, increasing the risk
ofhaving
a heart
att~<::~.1,2
• Breathing secondhand smoke interferes with the normal functioning of the heart, blood, and
vascular systems in ways that increase the risk of having a heart attack.
• Even brief secondhand smoke exposure can damage the lining of blood vessels and cause
your blood platelets to become stickier. These changes can cause a deadly heart attack.
People who already have heart disease are at especially high risk of suffering
adverse effects from breathing secondhand smoke and should take special
precautions to avoid even brief exposures. 1
Secondhand Smoke Causes Lung Cancer
Secondhand smoke causes lung cancer in adults who themselves have never
smoked. 1
• Nonsmokers who are exposed to secondhand smoke at home or at work increase their risk of
developing lung cancer by
20-30%.1
.
• Secondhand smoke causes an estimated
3,400
lung cancer deaths among U.S. nonsmokers
each year.
4,5
Nonsmokers who are exposed to secondhand smoke are inhaling many of the same
cancer-causing substances and poisons as smokers. 1
,2
• Secondhand smoke contains about
70
cancer-causing chemicals.
• Even brief secondhand smoke exposure can damage cells in ways that set the cancer process
in motion.
• As
'With
active smoking, the longer the duration and the higher the level of exposure to
secondhand smoke, the greater the risk of developing lung cancer .
. .
~
-
,
~-
,.
Secondhand Smoke Causes SIDS
SIns is the sudden, unexplained, unexpected death of an infant in the first year of
life. SIns is the leading cause of death in otherwise healthy infants.6 Secondhand
smoke increases the risk for SInS.1
• Smoking by women during pregnancy increases the risk for SIDS.7
• Infants who are exposed to secondhand smoke after birth are also at greater risk for SIDSb
• Chemicals in secondhand smoke appear to affect the brain in ways that interfere with its
~
regulation of infants' breathing.
1
• Infants who die from srDS have higher concentrations of nicotine in their lungs and higher
of5
11114/20123:37
PM
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CDC - Fact Sheet - Health Effects of Secondhand Smoke - Smoking ...
http://www.cdc.govItobaccol
data_statistics/fact_sheets/s econdhand_...
levels of cotinine (a biological marker for secondhand smoke exposure) than infants who die
from other causes.1
Parents can help protect their babies from SIDS by taking the following three
actions:
8
• Do not smoke when pregnant.
• Do not smoke in the home or around the baby.
• Put the baby down to sleep on its back.
Secondhand Sn10ke and Children
.--
..
..
.
Secondhand smoke can cause serious health problems in children.
9
• Studies show that older children whose parents smoke get sick more often. Their lungs grow
less than children who do not breathe secondhand smoke, and they get more bronchitis and
pneumonia.
• Wheezing and coughing are more common in children who breathe secondhand smoke ..
• Secondhand smoke can trigger an asthma attack in a child. Children with asthma who are
around secondhand smoke have more severe and frequent asthma attacks. A severe asthma
attack can put a child's life in danger.
• Children whose parents smoke around them get more ear infections. They also have fluid in
their ears more often and have more operations to put in ear tubes for drainage.
Parents can help protect their children from secondhand smoke by taking the
, following actions:
9
• Do not allow anyone to smoke near your child.
• Do not smoke or allow others to smoke in your home or car. Opening a window does not
protect your children from s m o k e . ,
• Use a smoke-free day care center.
• Do not take your child to restaurants or other indoor public places that allow smoking.
• Teach children to stay away from secondhand smoke.
References
1.
u.s.
Department of Health and Human Services.
The Health Consequences of
Involuntary E::q>osure to Tobacco Smoke: A Report ofthe Surgeon General
(jtobacco/data statistics/sgr/sgr 2oo6/index.htm).
Atlanta: U.S. Department of Health
and Human Services, Centers for Disease Control and Prevention, Coordinating Center for
Health Promotion, National Center for Chronic Disease Prevention and Health Promotion,
Office on Smoking and Health, 2006 [accessed 2011 Mar 1 1 ] . @ l
2.
U.S. Department of Health and Human Services.
A Report ofthe Surgeon General:
How Tobacco Smoke Causes Disease: What
It
Means to You ((tobacco
/data statistics/sgr/201o(consumer booklet/index.htm).
Atlanta: U.S. Department of
30f5
11/14/2012
3:37
p~
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DC - Fact Sheet - Health Effects of Secondhand Smoke - Smoking ...
http;//www.cdc.gov/tobacco/data_statistics/fact_sheets/secondhand_ ...
7
Health and Human Services, Centers for Disease Control and Prevention, National Center
for Chronic Disease Prevention and Health Promotio,n, Office on Smoking and Health, 2010
,
[accessed 2011 Mar 11].
3. Institute of Medicine.
Secondhand Smoke Exposure and Cardiovascular Effects:
Making Sense of the Evidence (http://www.iom.edu/-/media/Files/Report%2oFiles
!2oo9!Secondhand-Smoke-Exposure-and-Cardiovascular-Effects-Making-Sel
~.c
+1.
~
'U~~.:I~_ ~~ISecondhand%2oSmoke%2o%2oReport%20BriefOA.203.Pdf)
rfiJ
(PDF-707.47
KB). Washington: National Academy of Sciences, Institute of Medicine, 2009
[accessed 2011 Mar 11].
4. Centers for Disease Control and Prevention.
Smoking-Attributable Mortality, Years
of Potential life Lost, and Productivity Losses-United States,
2000-2004
(http://www.cdc.gov/mmwr/preview/mmwrhtmllmmS74Sa3.htm) .
Morbidity and
Mortality Weekly Report 2008;57(45):1226-8 [accessed 2011 Mar 11].
5. American Cancer Society.
Cancer Facts and Figures
2009
(http://www.c-
---- --­
I
~~.,!groupsl
content/@nholdocuments/document!sooSo9webpdf.pdfl
rfiJ.
(PDF-l.
7
MB)
Atlanta: American Cancer Society, 2009 [cited 2011 Mar
11].
6. American Academy of Pediatrics, Task Force on Sudden Infant Death Syndrome.
The
Changing Concept of Sudden Infant Death Syndrome: Diagnostic Coding ,
Shifts; Controversies Regarding the Sleeping Environment; and New Variables
to Consider in Reducing Risk.
Pediatrics 2005;116(5):1245-55 [cited 2011 Mar 11].
7. U.S. Department of Health and Human Services.
The Health Consequences of
Smoking: A Report of the Surgeon General (/tobacco/data statistics
Isgr/sgr
2oo4/index.html.
Atlanta: U.S. Department of Health and Human Services,
Centers for Disease Control and Prevention, National Center for Chronic Disease
Prevention and Health Promotion, Office on Smoking and Health, 2004 [accessed 2011
Mar 11].
.,
8. National Institutes of Health.
Safe Sleep for Your Baby: Ten Ways to Reduce the
Risk of Sudden Infant Death Syndrome (SIDS) (http://www.nichd.nih.gov
Ipublicationslpubs/safe sleep gen.cfm)
rfiJ.
Rockville (MD): National Institutes of .
Health, National Institute of Child Health and Human Development, 2003 [accessed 2011
Mar 11].
. 9. U.S. Department of Health and Human Services.
The Health Consequences of
Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General:
Secondhand Smoke: What
It
Means To You. (http
~eneral.gov
llibrary/secondhandsmokefsecondhandsmoke.pdfl
rfiJ.
(PDF-ll.05
MB)
Atlanta: U.S.
Department of Health and Human Services, Centers for Disease Control and Prevention,
National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking
and Health, 2006 [accessed 2011 Mar 11].
I
I
For Further Information
Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion
Office on Smoking and Health
E-mail: tobaccoinfo@cdc.gov (manto :tobaccoinfo@cdc.gov)
Phone: 1-80o-CDC-INFO
Media Inquiries: Contact CDC's Office on Smoking and Health press line at 770-488-5493.
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11114/20123:37
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OFFICE OF MANAGEMENT AND BUDGET
Isiah Leggett
Jennifer A. Hughes
County Executive
MEMORANDUM
Director
December
13,2012
TO:
FROM:
Nancy Navarro, President County Council
Office of Manage
Jennifer A.
:Joseph F.
Beach~F>irector,
Department ofFinance
.~~...,....-.},.
Hu~~ector,
SUBJECT:
Council BiI133-12, Health and Sanitation - Smoking-County
Please find attached the fiscal and economic impact statements for the above-referenced
legislation.
JAH:a2a
c: Kathleen Boucher, Assistant Chief Administrative Officer
Lisa Austin, Offices of the County Executive
Joy Nurmi, Special Assistant to the County Executive
Patrick Lacefield, Director, Public hlformation Office
Joseph F. Beach, Director, Department ofFinance
Michael Coveyou, Department of Finance
David Platt, Department of Finance
Uma Ahluwalia, Director, Department ofHealth and Human Services
Clark Beil, Department ofHealth and Human Services
Pat Brennan, Department ofHealth and Human Services
Lisa Stafford, Department ofHealth and Human Services
Pofen Salem, Office of Management 'and Budget
Ayo Apollon, Office of Management and Budget
Office of the Director
101 Monroe Street, 14th Floor • Rockville, Maryland 20850 • 240-777-2800
www.montgome1)'countymd.gov
@
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Fiscal Impact Statement
Council Bill 33-12, Health and Sanitation - Smoking-County
1. Legislative Summary.
This bill would prohibit smoldng on property owned or leased by the County,
excludilllg County
rights~of-way,
thus reducing employees' and visitors' exposure to
second hand smoke.
2.
An
estimate of changes in County revenues and expenditures regardless of whether the
revenues or expenditures are assumed in the recommended or approved budget. Includes
source of infonnation, assumptions, and methodologies used.
No increase in revenues due to the difficulty of enforcing immediate violations of the
law. Expenditures are difficult to estimate due to the unknown number of
complaints that might be received. Due to the large number of County properties
affected by this legislation there could be initially a large number
0;£
complaints.
Both County. Police and HHS have authority to investigate complaints and to issue
citations for violations of Section 24-9 and 24-9Aof the County Code. Under current
regulation, violations by county employees are reported to immediate supervisors.
Continued violations are reported to L&R, and then forwarded to appropriate
Department director and CAO.
It
is unclear how violations by visitors to County
facilities will be managed.
Licensure and Regulatory Services estimates three complaints per week for the iwst
year of enforcement. Estimating one hour of investigation and enforcement labor
for each complaint at $50.00 per hour the first year expenditure for public health
labor would be $7,800. Employee training and education is estimated at $3,450 (see
item 6). Total expenditures are estimated to be approximately $11,250 for the first
year. There maybe additional cost associated with public outreach and signage at
all County leased and owned properties. However these expenditures would depend
on later budget decisions.
3. Revenue and expenditure estimates covering at least the next 6 fiscal years.
As observed with other smoking regulations that have been passed, the iwst year of
enforcement tends to be the most labor intensive. Subsequent years are difficult to
anticipate but estimated to be
%
of the initial year expenditure or $1,950 per year.
4.
An
actuarial analysis through the entire amortization period for each bill that wOllld affect
retiree pension or group insurance costs.
N/A
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5. Later actions that may affect future revenue and expenditures if the bill authorizes future
spending.
N/A
6.
An
estimate of the staff time needed to implement the bill.
It
is difficult to accurately estimate the staff training, education and development of
inspection procedures. This office estimates 3 hours training and public outreach
for each employee at $50 per hour for 23 employees is $3,450.
7.
An
explanation of how the addition of new staff responsibilities would affect other duties.
Investigation of complaints at County properties during normal work hours will
reduce the number of other state mandated inspections that would be completed.
Currently L&R is only able to complete approximately 75% of total mandated
inspections. That percentage will dJrOp further-perhaps by 1-2%--given increased
enforcements duties assigned to L&R in recent legislation-e.g., defibrillators at
community pools, smoking bans in multi-unit buildings and playgrounds. In
addition staff may be required to flex time off during normal work hours to avoid
overtime if after hours or weekend investigations are required, further reducing the
ability to fulfill regular inspection duties.
8.
An
estimate of costs when an additional appropriation is needed.
N/A
9. A description of any variable that could affect revenue and cost estimates.
The number of complaints and the time required to investigate and enforce is highly
unpredictable.
10. Ranges ofrevenue or expenditures that are uncertain or difficult to proj ect.
Labor costs assoeiated with implementation and enforcement is difficult to
project.
11.
If
a bill is likely to have no fiscal impact, why that is the case.
N/A
12. Other fiscal impacts or comments.
N/A
13. The following contributed to and concurred
with
this analysis: (Enter name and
department).
Clark Beil, Department of Health & Human Services (DHHS)
Date
..
..
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Economic Impact Statement
Council Bill 33-12, Health and Sanitation - Smoking - County Property
Background:
Bil133-12 prohibits smoking on or in property owned or leased by the County-it
excepts County right of way from this prohibition.
1. The sources of information, assumptions, and methodologies used.
"The Economic Impact of Michigan's Dr. Ron Davis Smoke Free Air Law: A Report to
the Michigan Department of Community Health;" Helen Levy,
PhD,
Institute for Social
Research at the University of Michigan, August 6, 2012.
Federal Reserve Bank of St. Louis Regional Economic Development, Vol. 2 Number 2.
2006: "On the Economic Analysis of Smoking Bans" by Michael
R.
Pakko
(St.
Louis
Fed)
"Review of Economic Studies on Smoking Bans in Bars and Restaurants" Information
Brief for the Minnesota House of Representatives, by the MHOR's Research
Department (March 2006)
2. A description of any variable that could affect economic impact statements.
See #3 below.
3. The bill's positive or negative effect, if any on employment, spending, saving,
investment, incomes, and property value in the County.
This bill has no measurable economic impact. The most recent study is from the Institute
for Social Research at the University of Michigan which conducted a study of the two
year old smoking ban enacted by the State of Michigan and found "no significant
negative effect of the ban on aggregate bar and restaurant sales or on cigarette sales."
(The ban was on smoking in the workplace, not just at bars and restaurants). The Study
concludes that "the evidence is consistent with the results of studies from other state and
localities that have found no significant negative economic effects associated with
smoking bans.
4.
If
a bill is likely to have no economic impact, why is that the case?
See #3 above.
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Economic'Impact
Statement
Council Bill 33-12, Health and Sanitation - Smoking - County Property
5. The following contributed to and concurred
with
this analysis: David Platt and Mike
Coveyou, Finance.
. Beach, Director
~ruJl1tment
of Fmance
(=/I'V/I2­
Date
'
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COUNTY-OWNED PROPERTY
!COMMENTS
LEGALDESC
FACILlTy_(\JA_M_E_________
LTS AT GERMANTOWN
GRAUEL'S -ADDITION ToSpENCERVILLE----(­
___ ..... _______
'rOBYTOVVN
.Stream ValleyNacant
-
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Page 1
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COUNTY-OWNED PROPERTY
PAR A RANDOLPH ASSOCIATES &ADJ PARCE. Bartlett Tree Service
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Page 2
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COUNTY-OWNED PROPERTY
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COUNTY-OWNED PROPERTY
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COUNTY-OWNED PROPERTY
-
LAYHILL
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COUNTY-OWNED PROPERTY
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COUNTY-OWNED PROPERTY
Page 7
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COUNTY-OWNED PROPERTY
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COUNTY-OWNED PROPERTY
Page 9
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COUNTY
~OWNED
PROPERTY
Page 10
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COUNTY-OWNED PROPERTY
PLAT
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19042 OUTLOT A BATCHELLORS FOREST EST
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Page 11
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COUNTY-OWNED PROPERTY
Parcel
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Page
12
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COUNTY -OWNED PROPERTY
Page 13
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COUNTY-OWNED PROPERTY
Page 14
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COUNTY-OWNED PROPERTY
CH CH SEC
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Page
15
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COUNTY-OWNED PROPERTY
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Leased Spaces
8516,20,32,36 and 40
Anniversary Circle
12500 Ardennes
Rockville
Avenue
One Bank Street, Suite
240
Gaithersburg
1110 Bonifant Street
Silver Spring
G'burglWrhse
G'burg/Record Ctr
Corrections
DTS - PSCC Overflow
Capital
Development/Fare Media
Sales, Bus lounge
7300 Calhoun Place
Rockville
4848 Cordell Ave
Bethesda
9210 Corporate Blvd
#230 Gaithersburg
15800 Crabbs Branch
Way
Suite 205
Rockville
17101 Darnestown ­
Germantown Road,
Quince Orchard Tower
4805 Edgemoor Lane
Bethesda
BCC
701 Dover Road Unit C
Rockville
100 Edison Park Drive
Gaithersburg
8630 Fenton Street
Silver
17B Firstfield Road, Ste
106 Gaithersburg
JAC
Emergency Shelter
Police SID
Police Stress
Management
DTS/Antenna
BCC RSC
DFRS Warehouse
GE Tech Building
HHS
DFRS Stress
Management
(ii)
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19627 Fisher Avenue
Poolesville
1820 Franwell Avenue
Silver Spring
Arcola Elementary
18753 N. Frederick
Avenue Gaithersburg
9121-B Gaither Road
Gaithersburg
9125 Gaither Road
Gaithersburg
12612 Galway Drive
Galway Elementary
School
22610 Gateway Center
Drive, Building Two,
Suite 300
12518 Greenly Drive
Silver Spring
Connecticut Park
8653 Grovemont Circle
Gaithersburg
8663 & 8673
Grovemont Circle
Gaithersburg
455 E Gude Drive
Rockville, MD 20850­
1315
8300 Helgerman Court
Gaithersburg
8316 Helgerman Court
Gaithersburg
8434 Helgerman Court
Gaithersburg
7511 Holly Avenue
Library
I
Storefront
Montgomery Child Care
Association
Arcola Elementary
Board of Elections
Police Vehicle Evidence
Police-Special Ops Div
Montgomery Child Care
Association
Galway Elementary
DFRS - Clarksburg
Interim Fire Station
Rockville Day Care
Association
Child Care
Connecticut Park
DFRS
DFRS
DSWS Storage G012
Police-Evidence
Warehouse
Police-Fraud, FARU,
Pawn, Red Light
Police-ATEU Speed
Camera Van Storage
Child Care - Takoma
Park Elementary School
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451 Hungerford Drive
Rockville
451 Hungerford Drive
Suite 700
Rockville
10900 Inwood Avenue
Silver Spring
600 East Jefferson
Street Rockville
600 East Jefferson
Street Rockville
11711 Joseph Mill Road
Rockville
Lakeforest Mall
11200 Lockwood Drive
Berkshire Towers
12260 MacDonald
Chapel Dr.
Gaithersburg
21200 Martinsburg
Road
Dickerson
One Metro Center
Bethesda
2-4 Metropolitan Court
Gaithersburg
7-1 Metropolitan Court
Gaithersburg
51 Monroe Street, 17th
Rockville
Lease #23240
51 Monroe Street
Suite 802,
Rockville
Lease
#27515
HHS Parking
HHS Families Foremost
Glen Haven ES
Child Care
CUPF
&
Parking
24 sp
Family Justice Center
incl 75 pkng spaces
Veirs Mill Child Care
Gaithersburg Library
DTS/Antenna
Thurgood Marshall
Child Care
Dickerson Generating
Plant Antenna
DTS
Department of Libraries
Materials Management
Warehouse
HHS - Montgomery Cares
HHS
ChiidrenNouth/Family
Off. of the Insp. General
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51 Monroe Street
3rd Floor
Rockville
51 Monroe Street
Suite PW07
Rockville
51 Monroe Street
3rd Floor - PARKING
Rockville
199
E.
Montgomery
Avenue Rockville
Enterprise Resource
Planning Program
MC311 Call Center
Enterprise Resource
Planning - PARKING
Sheriff's Department
18410 Muncaster Road
Rockville
6601 New Hampshire
Avenue,
Takoma Park
7676 New Hampshire
Ave
Takoma Park
4901, 4915, 4925,
4935,4941,4943
Nicholson Court
Kensington
1335 Piccard Drive
Rockville
8513 Piney Branch
Road
Silver
Spring
RIVERBEND ROAD
8700 Potomac Hills
Drive
Fairfax, VA
1300 Quince Orchard
Drive
GaithersburQ
8413 Ramsey Avenue
Silver Spring
Co-operative Ext Service
DTS/Antenna
HHS-CYOC
DOTlTransit Services
Kensington Transit Depot
HHS
HHS TESS Center
DTS
ECC
Commuter Services
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1901 Research Blvd.
Suite 330
Rockville
5601 River Road
Bethesda
DFRS - Stress
Management
DTS/Antenna
Division of Operations
87 Total Pk Sp
Rockville Core Parking
111 Rockville Pike,
Suite #800
Rockville
111 Rockville Pike,
Suite #800
Rockville
Lot 444-7026-49sp
Lot 497 -7043-38sp
Economic Development
Department of Economic
Development
PARKING
Lot 573-7023
255 Rockville Pike
Rockville
Master Lease
255 Rockville Pike
Rockville
Treasury Lease
255 Rockville Pike
Rockville
NRC Building,
11555 Rockville Pike
Rockville
Rockville Library
Parking
Rockville Town Center
981 Rollins Avenue
Rockville
14935 Southlawn Lane
Rockville, MD
1109 Spring Street
Suite 407,
Silver Spring
NDA - Procurement,
DEP, OMS, L&R, & HHS
Urinalysis, DPS, DTS
Parking: 240 spaces
17 additional spaces
Treasury & CE
CountyStat
20 parking spaces
Parking
48 spaces
DTS/Antenna
Department of Libraries
(97sp)
Lot 771­
0064
HHS - OAS Clinic
DFRS/DLC
Apparatus-Warehouse
PLD-Maint. Unit
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47 State Circle
Suite 303
Annapolis
23201 Stringtown Road
Clarksburg, MD 20871
13400 Tamarack Road
Silver Spring
2729 University Blvd.
Silver Spring
11 North Washington
St.
4th Floor Ste
450
&
Ste 310
Rockville
255 N Washington
Street
Rockville
45 West Watkins Mill
Road
Gaithersburg
Metro Ctr, Bethesda
Berkshire Towers,
11200 Lockwood Drive
Silver Spring
12250 Wilkins Avenue
Rockville
Intergovernmental Affairs
Clarksburg Ombudsman
Page Elementary
Child Care
Wheaton Day Labor
Center
CASA of Maryland
HHS Community Support
Network
HHS
PARKING
Police - 6th District
DIST IAntenna
DIST/Antenna
Women's Shelter
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Secondhand smoke is dangerous.
The
Surgeon
General
of
the
Un
iced
States,
worki ng
with
a
ream
ofIeading
health
exp
erts,
studied
how
breathing
secondhand
tobacco
smoke
affecrs you.
This
booklet explains
what
scie
ntists
have learned
about
the
dangers
of secondhand smoke.
It also
tells
you
how
to
protect
yourself and your
family.
What is secondhand
smoke?
When
a
person
smokes
near
you,
you
brea
the
secondhand
smoke.
Secondha nd
smoke
is
th
e
combination
of
smoke
from
the burning
e
nd
of
the
cigarette
a
nd
the smoke breathed
ou
t
by
smokers.
When
you breathe
secondhand smoke,
it is
like
YOli
are
smoking.
Whether
you
are
yo
ung
or old,
healthy
or
sick, secondhand
smoke
is dangerous.
.'
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What we now know:
There
is no
safe
amou
nt
of
secondhand
smoke .
Breathing
even
a
lirtle
seco
ndhand
smoke
ca
n
be dangerous.
No
amount of secondhand
smoke is
s
afe.
When
you are around
a person who is
smoki
ng.
you
inhale
the
same
dangerous
chemicals
as
he
or she
does. Breathing
seco
ndh
and smoke ca
n make you
sick. Some
of
the di
seases
that
secondhand
smoke
causes
ca
n
kill
you.
Protect
yourself:
do
nor
breathe secondhand
smoke.
Bur
completely avoiding secondhand
smoke
is
very
hard
ro
do.
Most
of
us
breathe
it
w
heth
er we
know
it
or
not.
You
can
breathe
secondh and smoke
in
restaurants,
arou
nd the
doorways
of
bu
ildings,
and ar
work..
When
someone smokes
in
sid e a
home,
everyone
inside breathes
secondhand
smoke. Some
children eve
n
breathe
smoke
in
day
ca
re
.
There
is
no
safe
amount
of second
hand
smoke.
ChJdren
,
pregnant
women, older
people,
and
people with heart
or
breat
hing
problems
should
be especially
care
fuL Even
being
arou nd
secondhand smoke
for
a
short
time
can
hurt your
health.
Some effects
are
temporary. But
others
are permanent.
Breathing
seco
ndh
and smoke is
a
known
cause
of sudd en
infanr death
syndrome
(SmS).
Children
are also more likely
to have lung problems,
ear
infections.
and
severe
asthma
from
being
around
smoke
.
Secondh
and smoke causes
heart
disease
and
lung
cancer.
Separate "no
smoking" sections
DO NOT
protect
you
from
secondha
nd
smoke
.
Neither
does
filtering
the
air
or
opening
a
wind
ow.
Many
states
and
co
mmunities have
passed
laws
making
--
--
workplaces,
public places,
restaurants,
and
bars
smoke-free
.
Bur millions
of
children
and
adul
ts
still
breathe
seco
ndhand
smoke
in their homes,
ca
rs,
workplaces,
and
in
public places.
2
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Secondhand
s
moke contains poisons.
The
chemicals
found in
seco
ndhand
smoke
hurt
your
healch
and
many
are
kn
ow
n
to
ca
use
cancer.
You brea th
e
in thousands
of
chemi
cals
when
you are around
someone who is
smoking.
4
~
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Babies are hurt by secondhand
smoke.
Tobacco
smoke
harms
babies
before and after they
are
born.
Unb
orn
babies are hurt when
their
morhers
smoke
or
if
others
smoke
around
their
mothers.
Babies
also
may
breathe secondhand
smoke
after
they are
born.
Because th
eir
bod
ies
are developing,
poisons
in
smoke
hurr babies
even more
chan
adults.
Babies
under
a
year
old
are in
the most
danger.
Secondhand smoke is a known cause of
sudden
infant death
syndrome
(5105).
The
sudden, unexplai ned,
unexpected
death
of an
infant
before
age
1
year
is
known
as
SIDS.
The
exact way
these
deaThs
happen
is
still
not know n.
We
suspect
it
may be
caused
by
changes in the
brain or
lungs
that
aHeet
how
a
baby breaches.
During
pregna ncy,
many
of
rhe compounds
in
second hand
smoke change
the
way
a baby's braiu develops. Mothers
who
smo
ke
while
pregn
ant
are
more
likely
to
have their
babies
die
ofSIDS.
Babies
who
are
arou
nd
secondhand
smok~from
lheir
mother, their
fath
er,
or
anyone
els~aft
e
r
they
are
born
,
are
also
more
likely
to die of
SlDS
th
an children
who are not around
seco
nd
hand smoke.
'.
7
ct)...
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Secondhand
smoke
causes low birth weight
and
lung problems in
infants.
Babies whose moth
ers
are around
......
...-~~.
secondhand smoke
are
ruore
hkely
/"
~
.
~t:~~~t,
,
have lowe r
birth weights.
These babies
can
have mo
re
to
Older children
are in
danger,
too.
Studies
show
that
olde
r
children
whose
pare nrs
smoke get
sick
more
ofren.
Like
babies, th
eir
lungs
grow less than
children
who do
not
breathe
seco
ndhand
smoke.
They
get
mO
bronchitis and
pneumonia.
re
Wheeziug
and
coughing are
also more
co
mmo
n
in child
ren
who
breathe secondhand
smoke.
-". ., . . . :
$:
.
,~
.
;'"
.
.
(;£
'
-
J
I-..~n·
','"v#
.
J"'j,IfJ-~
A""f
-:
.
...
­
~
health
problems because they
breathe
smoke.
For
exa
mple,
th
ey
afC
m
o
re
likely
to
have
infec tions
than babies who
are
not
around
secondhand
smoke.
Srudies
show
that
babies
whose
mothers
smoke
while pregnant
are
more likely
to
have lun
gs
that
do not
develop
in
a
normal way. Babies who breathe
secondhand smoke
after birth
also
have weaker lungs.
These
problems
can
co
ntinue
as
they grow
older
and even
when
they
become adults.
Protect your
children's liealUl.
Do
not
sI/ow
'~}'01>8
!o
""",.
_ryovrchifd.
Secon dha
nd
smoke
can
trigge
r
an
asthma
attack
in
a child.
Child
ren
with asthma
who
are
around
secondha
nd
smoke
have
worse
asthma
arracks
and have
arracks
more
often.
M
ore
than 40 percent
of
childre
n
who
go
to
the
emerge
ncy room
for
asth
ma Live
with
smokers.
A
seve
re asthma
arrack
can put
a child's
life in danger.
Ear
infections
are
painful.
Children whose
parents
smoke
arouud
them
gc
r
more
ear
infec
tio
ns.
They
also
have fluid in their
ears
more
often aud
have
more
opera
tions
[Q
put
in
ea
r
rubes
for drain
age.
Do.nor
smoke
or
allow
othtlrs
to
smOks
'"
YOUI
~
01'
car;
OPf(fItng
,8
w~w
does'
not
prott1Cf
)O(Irchlrdntm
from smoke.
.
!Joe.
_1m.
day.c....
COI1tcr.:
00
noz
ralio
YOlJ'
chrld
to
re:staumnts
orothor
fndooi
public
places
that
. ­
MIAT
THE
SCIENCE SAYS
smalling.
Toaeh
oId.r
klda
to Slay away
from
$eCOOdhand
.rnosce.
8
9
®
,~~
.....
"~~,.."
.._
11
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~~
'~~
Secondhand smoke hurts adults
too.
The
longer
you are
arou
nd
seeondh
and
smoke,
th
e
more
Likely
it
is
to
hurr
you.
Nonsmokers
who
breathe
smoke
at
home
or
at
work
are more
likely
to
beco
me sick
and
die
from heart
disease
and
lu
ng ca
ncer.
Studies
show
that
seco
ndhand
smoke
may
cause
other se
rious di
seases,
too.
WHAT CAN
YOLI DO)
Protect your health.
Mor&
lO.sraurants
and
bars
lam smoJre'(MQ
IfJan ever.
NOIII Yor'rt
Crfy
resttr:l,lIilnls
Secondhand
smoke
is
bad for
your heart.
Brea thing
secondhand
smoke
makes the
platelets in your bl
ood behave
like
those
of
a
regular
smoker.
Even a
shon
rime
in
a
smoky
room
causes you
r
blood
platelees
to
stick
together.
Secondhand
smoke
also
damages
the
lining
of
yom
blood vessels. In
you
r
heart,
these
bad changes
can
cause a
deadly
heart
attack.
Secondhand
smoke
changes
how
you
r
heart,
blood,
and
blood
vessds
work
in
man
y ways.
Adults
who
brea
the
5
hours
of
secondhand
smoke
daily
have
hlgher
"bad"
cbolesterol
that
clogs
arteries.
lmd bats
it>cI'IhlSed bJisU1ess
by
9
perce"r afrer bocoming
:::;moko
·f/oo
Cl1vose
fll:'sta.ufant&
dfld
bars
that
ara
smoke­
frea
ThanA loom
fOf
being
~makP.-free
t
II
Lot
oV'/nr+/'S of
bLlsinaosscs thal are not
SfT'JOjlf~·
fr~
knoll'.
that
smoke
bethelS
you
Tefl
!lIem
a
"flu
5mohlng~
seChOn
~
not
good
anougtl
11
~
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People who have heart
disease should
be very careful not
to go
where they will be
around secondhand smoke.
The bottom line is
rhat
breathing secondhand
smoke
makes it
more
likely
that
you
will get
heart disease,
have a
heart
arrack,
and die
ea
rly.
Secondhand smoke
hurts your
lungs.
Secondhand
smoke
includes many
chemicals rhat are dangerous for
you
r
lungs.
Secondhand
smoke
is
especially
dangerous
for young
child
ren
and
adults
with
heart
and
lung disease.
Secondhand smoke causes lung
cancer.
Secondha
nd
tobacc
o
smoke
contains the
sa
me cancer-
causing chemicals
thar
smoke
rs
inhale.
Secondhand
smoke causes
lung
ca
nce r
in
adults
who don't
smoke.
Breathing
in
second
hand
smoke at
home or work
increases you r
chances of gerting
lung
ca
nce r
by
20
percenr
to
30
pe
rce
nt.
12
©
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WHAT CAN
EHPLOYE~
Protect
your workers.
DO!
Secondhand smoke causes
other breathing problems.
Secondhand smoke
affects how well
your
lungs
work,
especially
if
you
already
have
asthma
Or
other
breathing problems.