Tobacco Documents Online

~=- =?.tiG ~-'.:.''E': CITIZE.`IS' P.k%-rM CN S-'_C:{i JG ?ND cT-.ALTF-i 'I'::urs:ay, Septerber 11, 1°80 1:00 - 4:00 p.:a. Baker-Ol' z ;•+est Ca-,nleY - ?rm 3500 N. Locan Slzreet IdZLS l.^.C , :,LJG 1C3I1 13 I 'IML'TF..S Ccnference F3Dan 1C Baker-olin West ~?ui.ldir.g Michigan Depart;ent of Public Health Mcn'ay, Axgust 18, 1980 1:00-4:00 p.m. M,enbers Present: Margaret Lee Arthur Weaver, M.D. Douglas Vilnius Terry Gerald (representing Rep. Raynrnxi Hocd) Senatar WiLlian Sederhurg h3or:ert Reir.stein MsnbPSs Pbsent: Dcrald 3reckcn, Ph.D. Michael : Ycrt'_..-ncre Walter Mar:er III Scott Simcnfs, Dr. P.H., Vice-C-air Rcbex`t C-.1e.i_n Janice Mle~~f t James Howard Ben Barker, D.D.S., C-z..i: Eleanor Barber Charles MitGhr.er Virginia Rjoll^.ede George Watts James Terrian, M.D. 'IIzanas Hunter Staff Present: W'iL?iam Clextan, Associate Director af Irxa1 Health Services Sunny Sun Nai Fang, Chief, Office of Health Fsaucatic:n Renr.eth Warner, Ph.D., Project Directcr Rhcrda Runu:er, Student Assistant, Office of Health F~ucaticn Walter 'wheeler, Assistant to the Di.:ec+-..cr for Prcgran Develcpme-:t DouR-y las Park, Bureau of Erwr -crs*x--ntal ar:d 0--.inat i.cnal Health F3isse1l Holme.s, K.D., Division of Ghronic Disease Wanda Jubb, bii.c.h.igan Der.art-nent of rtucztion m Glests : ~ Jis^.e Asselin, !Zic..~igan Dental Associ.aticn Brick Lancaste--, Deputy Chief, Off:.ce of Health Fx3ucaticn aic'zael Scaniola, ; Sicc2ican Tcbacco and Car.dy Vendors Associ.at?.cn Bill Thar, Mid-Mic.w.gan Dist`ict Eealth Depaz-tnent R1C.tC Davenccrt, AniE'Sican IiTslg ASSOc13tiCn Te3 Beideraieden, knerican h=. Associat,.cr. I I I r I il I L -42-

I 1 i i t ~ I- I. Call To Crder 'I,"~ meeting was called to order at 1:00 p.m. Ben Barker and Scott S:.-crrs wer~e acpointeci by Doc..or Reizen to serre as G'iairpesscn and Vice-G-La-i.-pex-scn respec-tively. Me Vice-Chair--erson c:.aired the meeti^.g because t^.e C-.air- Ferson was unable to attend. II. Pgenda Revieea The agenda was reviewed and no additions were made. 111. Arrorrrral of '.Kinutes Robert Crtwein's name was missing fran the list of ",viambe_rs Absent" on the July 17 minutes.Thz minutes were then unarListnusly aFnrovefl . IV. IntrcdLrticm of Visitors V. Legal Subcamittm Report The Lecal Subcortmittee's wxrk to date was reviewed. A wnrking draft of a ":Zichigan Clean Air Act" was presented in sLmmazy. This represents increased protection of nons.-inkers' rights over previous legislation. Me bill is de- signed to amend the Public Health Code, Environmental Health Section. It establishes environmental standards and prohibits sinking in publ.ic places and worksites ezceot in desigr.ated areas. The bill was presented arimarily for the r?npl's infoanaticn. The :Kichigan Clean Air Act' will be on the next meeti^r,'s a en:a, at which time it will be voted on for adoption. Cosnrer.ts on the bill are to be sutinitt.ed in writing to Scott Simends or Rhcrida Rurr.er witZin ten days. A suggestion was made to solicit carirents fran groups that may be affected by such legislation. It was suggested that the Gove.rnor's office be contacted to dete` if the Citizens' Panel has the authority to hold a public hearing. Either a public hearing could be held by the panel before the report is sub- mitted to the Governor, or a hearing could be held by the Governor's office after the subnission of the report. Prcpesed legislation was discussed. Senate Bill DTo. 388 prohibits sc'^.ool officials, emplcyees, pupils, and teachers fran smking on the pzcoert<y of a sci=l district. House Bill No. 5542 raises the szmo}eing age fran 18 to 19 years.Me Legal Subecnmittee reamrerrLs supporting proposed legislation relating to the prahibition of sraking, consistent with the panel's efforts to reduce the consumption of cigarettes. It uas noted that some sc3zools provide sunking areas for students who are 18 years of age or older, and that smeking behavior of minors is difficult to monitcr. -43-

The Faz:el uas ur.ce_~--.sin abcut t:.eir si.,.~crt for Hcuse Bill ~;o. 5J-12, as it ~..culd be a law diffic.lt to enforce. Cn the other :.and, Senate Si" Nc. 388 wauld carale*.nent the pri:.ciple sciples of the drafted "~Li&_ican Clean r.ct" . Proposed Senate Bills Nos. 263 and 236 wi-Lc:z would orchibit snoki.c :.z =ub1ic olaces a_re i.^cltr?e3 wit'zin the frameaork of the drafted "Mic:^scan Clean At.r Actle_ - The sale of cigarettes in verdir.g machir.es was discussed. The Le~..-al (Sub- caamittee presented tao possible alterr.atives: 1) to crohibit all cigarette sales thrcuqh verrding machines; or 2) to raise the license fee cn vending rrach3nes. It was felt that r.:i..^.ors rrsay easily obt3in their cigarettes f=n unattended vending machih.es. E.ither strategy ~%culd r,axe ve-~,n.g :rzc:^.i•:e cigarettes mare inaccessible to minors. It was noted that the subccr.mittee did not possess aciecw,ate data on the purcnasinq patterns and behavicrs ef teenage smrkers. Aceording to apanPl r,xrber, a survey of ..unors de*...e=nined t.~.at cny y a+rall percentage of cigarettes were bcught t'zrcugh vp-ndi*-, machines. 'LTM:e r.Tajority of cigarettes were obtained through friends, carents, and retail steres. Tf:e Far.el requested a copy of the survey. It was noted that bt•. Banzhaf III, an attorney for ?,cticn on Snnki.^.g and Health, has suggested that the State take prciiibiti~,e actions acai^.st cigarette vending machine sales to prevent numrs f=nn smkir:g on a regul~r basis. Fhforceramnt issues were raised. It is =lear what a&ninistrative body is re- sponsible for enforcing the res7ttriction of cigarette sales to minors. A panel me<nber suggested that the panel address carwii.ance issues regarding utiat laws should be enforced, procedures to be used, and cost of enforcenent. More infcanatien is needed on effective carpliance :nec:n-anis+^s. It was sucr,ested that enforce:nent procedures with severe per.alties may be effective. This suggestion was tabled to the Legal Subcormittee. Furt~trer discussion of the cigarette vending machine and e_zfo.rcement issues wi11 be resi=ned at the next panel meAting. VI. Educaticn/-Media/Publi.city Subca;anittee Reoart 11'.e cropesed educaticn/media/Publicity alter.^.a~,..ives were reviewed. Regarding in-serv~e ce t~3q n irf-~ and ccnt=mang er-i-cation, a r_ar.el merber sLrgesy- that fure.ir.g may be a crcble:a. nie respc:nse was that some~ voluntary agencies presetly are providing smkis=g educaticai prtx;rams. The appzoach wculd be to tan into alrezriy existing snaki_ng arxi health ectivities.F=xding is available for a"tr a i n i ng of trair.ers " c.arksh,oo to be c=x!ucted by t'r.e Derz,r _ ~ent of ELz:caticn. 2'le svbarrmittee has not develcped speciiic recrimere-aticns fer c:n=re'r.e_n.sive school health educaticn, as this is alreacy bei.^-g handled by the Office of Health and `-Sedical Affairs (CHM) . The Gcve_TM,cr recuested that MIA cocra...i.n.ate I i I I ( I 1 i. I E i L I L

I I I- I s a task Sorce to develoo a sc^.col health eaucati:.n =L3n «izich speci_`ica11 f deals with L-:-service and -=e-se_n,7ice trai.^.:_.~:g, and buccet c.^.nsideraticrss n-Lis plan is being desigr.ed to help scY,=ls in develcci.^g, i.^:plement' ng, and evaluati:.c d=rene*zsi:.,e sc.~=l health educatica r ogrm-s . A r.ar.el r,~:rbe* suggested that smoking cessaticn rrocrars be directed at the smoking population in secendazy sc.'~.ools. Z'he subc=rnitt--e was asked to =Lsider smking cessation programs for the sc.'=l-aced population as a specific proposal. n^..e suggestion was rmade that if oormliance mc^.ani~.-Rs are :rade more effective, t'ien mir.Qrs who are fosnd buying or smoking cigarettes cculd be referred to i s i ~ : smoki.^g cessation programs. Tl:e panel agreed that local health departrents should coccP.rate with hosbitais, clinics, and I?ealth Mainte.nance Organizations to provide a sroking education cer.~cr.e-nt in established pre-natal, parent, and patient education Frogram. Smkir.g preventicn and education prnerairs should provide evaluation data to s1zppcrt their effectiveness. Any request for proposals can stipulate that well done evaluation studies be a part of any proposed smoking prevention and edt=ation program. A panel marber suggested that ongoing consultation for smoking and health activities be provided to educators. The subc,-czrmit},.ee encourages locall health denartments to facilitate and co- ordinate sm.king prevention and education activities wit`zin their juris- dicti.ons. It was suggested that the suhczrnnit}..ee clearly delineate the fcr:n this leadership role should take. I I Several pan,el merbers expressed their interest in the fcz.-aticn of a pranir.ent citizens' group to publicly advocate mnssmking beP^avicr. . The subcatmi ttee was asked to identify additional resporLsibilities of a citizens' group. Qr.e task might be for the group to encourage national f irns ( e. g. McDonalds ) to adopt a no-smking theme. A survey of teenagers conducted in 1979, Teenage stnkina: Inme3iate and Lcng Ter.n Patterns, shews a decrease in sinkii:g in all sex and age categories, except 17- year old girls. Infozmaticn shculd be obtained ccncexning the reasons for this decline so that these nensncking behaviors can be encouraged. VII. Public Catr.tients Tt-x:)se wh.o direc+r,.ed craiments to the Citizens' Panel were the following: 1. Jime Asselin, Educaticn C,oordir.ator, Mic'^.igan Dental Association 2. Fti.r-k L`avPS=rt, Amasican Zaung Assoc.:.ation: ar.d, 3. Bill Thar, '-`ed;cal Director, :Zid -Mic'zigan District Healt.z Departnent. A-Ll --:bL.c ccrments wese included in the record. -45- ~

1 VIII. Vew Busir.ess Greccory Srni.th resigre3 as a r=-ber of the Ci*~c`^s' ?ar.el. 'I'::=-z.s ~ Vi ce-President of the Naticnal Baruc of Cetroit, :as apccizted to z':e ?a.^el. Receiat of correspcnce.xe frGm Jchn 3ar.zhaf IyI, Dire=},.;r cf ?r-..'_cn cai S;nokizg and Health, was ackr.cwled5ed. A letter was also sent te Soctor Reizen frcm the Direci= of the Ceoar--ent of State Police. He stated that his staff, as well as the U.S. Dexrt-nent of --easux-y, Bureau of ALccrzl, Tobacco and Firear,^is, believe there vculd be :rn suhstsnti3l i^~xct ut_ cn stn :c,r, li.^g shzuld the excise tax on ci--arettes be ra.ise3. Albert Zack, Principal of Franklin iiicn School, subn.itteid a pcsiticn xpe: to the Citizens' Panel. The agenda for the Septerber 11 meetir.g will include four :m.i_-i itz.:s: 1) specif ic proposals fraa the Education/M~PubL' city 5ubca;ir.it}tee , 2) ex: cr-..ic recanren3aticns that have been either accepted or tabled, 3) propcsals fr cr,i the Iegal 5libca:mittee; and 4) alternative prcrosals as yet tu~is:..:sser?, such as an ongoing panel to :~nitor simkis:g and health activities. During the Octcbes meeting, a prelimisary draft of the final repcrt wiL be reviewe3, discussed and amerde3. A firal revisicn arx-I adctticn of the reoort will be made at the November panel n~ting. _ . The tent3tive foarat of the final report was cistr:buteci to each panel :re-bo-- for their review. I I i i The meeting adjourned at 4:00 p.m. I -46- I ~ I ~ L