Cen enter ers for D Diseas ease e Control an and P Preven - PowerPoint PPT Presentation

Cen enter ers for D Diseas ease e Control an and P Preven ention Smo moke ke-free M ee Multi-Uni nit H Hous using ng National al Cen enter er for Chronic Diseas ease e Preven ention an and Heal Health Promotion: Paul ul H Hun unting ng, MPH PH - Div ivis isio ion of Communit ity Healt lth Step ephen en B Bab abb, M MPH H – Office e on S Smoking an and Heal Health December 5, 5, 2012 2012

CDC Commitment to S State an and Community H Heal alth  Office on n Smoking ng and nd Heal ealth (OSH)  Divi vision n of Communi unity Heal ealth (DCH) 2

DCH  Core Prin rincip iple les – Maximize health impact – Achieve health equity – Use and expand the evidence base for sustainable systems and environmental change 3

OSH SH  Lead ead f fed eder eral al ag agen ency for compreh ehen ensive e tobac acco con ontrol ol  Goals: – Prevent tobacco use initiation – Promote tobacco use cessation – Eliminate secondhand smoke (SHS) exposure – Identify and eliminate tobacco- related disparities 4

The DCH Portfolio… R acial and E thnic A pproaches to C ommunity H ealth  Serves as the cornerstone of CDC 's efforts to eliminate health disparities. Healthy Communities Program  Mobilizes 306 communities and 50 states to prevent chronic diseases in multiple community sectors. C ommunities P utting P revention to W ork  Drives local initiatives that will make healthy living easier, for more than 50M people, through sustainable strategies and environmental changes. C ommunity T ransformation G rants  Develops and implements initiatives to reduce chronic disease risk factors creating healthier communities where people live, work, play, and go to school for both large jurisdictions, tribes and smaller communities.

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Advancing ng h health e equity in a a population on-wid ide approac ach In theory, policy and environmental improvements should affect all equally. In practice, this may not be the case. Bec ecau ause o e of:  Patchwork adoption in states, Counties and Communities  Differential enforcement  Selection factors  Community relationships  Implementation challenges 7

Why P Population-wid ide?  St State actio ion p paves the w way for lo local in l innovatio ion  Estab ablishes es p prec eced eden ent  Broad ad s stroke e ap approac aches es to p preven ention  Local al ac action  Can n be hi highl ghly i impactful ul  Freq equen ently i informs the n e next phas ase e of state e an and n national al le level l polic licy  Can an be e highly t tar arget eted ed  Stren engthen ens l linkag ages es bet etween een local al an and s state e public h heal ealth  Increas eases es l local al l level el cap apac acity t to support s state- le level s l strategic ic d dir irectio ion

Reachi hing ng 1 1 in in 3 U.S. C Cit itiz izens Thr hrough ugh Communi unity T Trans nsformation n Gr Grants  Goal of CDC’s Community Transformation Grants (CTG) - Create a healthier America by:  Building capacity to implement evidence- and practice-based policy, environmental, programmatic, and infrastructure changes to prevent chronic disease  Supporting implementation of interventions across five broad areas:  Tobacco–Free Living  Active Living and Healthy Eating  Community-Clinical and Other Preventive Services  Social and Emotional Wellness  Healthy and Safe Physical Environment

Tobacco Control ol and D DCH In n DCH, CTG is j jus ust p part o of the he P Pictur ure  CPPW C Com ommunities are funded f for or T Tob obacco C o Con ontrol ol  Counter er ad adver ertising  SHS HS/Tobac acco use e res estrictions (Compreh ehen ensive e CIA, , MUH, H, Outdoor Areas eas, et , etc.) .)  Pricing ng and nd P Promotions ns  Heal ealthy C Communities es P Program am  SHS/Tobacco use restrictions (Comprehensive CIA, MUH, Outdoor Areas, etc.)  Ces essat ation r ref efer erral al  Reg egulat ation of r ret etai ail outlet ets  REA EACH  Ident ntification n of promising ng practices in n Ind ndian C n Count untry  Cultural ally ap appropriat ate ap e approac aches es to smoke-free ee an and tobac acco- free ee policy  Enha nhance commun unity inf nfrastruc uctur ure a and nd cessation n services

State-level Tobacco Control Efforts  Fund state tobacco control programs  Also fund: • 8 Territories • 7 National Networks • 8 Tribal Support Centers  Evidence-based, comprehensive approaches  Develop and disseminate best practices  Work closely with: • other federal agencies • e.g., FDA Center for Tobacco Products • national nongovernmental partners

Smo moke ke-free e MUH an and C CTG  CTG progr grams w working ng in M n MUH settings ngs are b bui uilding o ng off ex exper erien ences es an and l lear earnings from CPPW an and other er community l lev evel el program ams.  For t the n e nex ext s sev ever eral al year ears, 2 27 C CTG f funded ed c communities es ar are e working t to creat eate e smoke-free M ee MUH. For E Exam ample: e:  Increas ease t e the n e number er o of R Roches ester er (NY) Hous using ng Aut uthority (RHA) uni units w with es estab ablished ed prohibitive e ex exposure e to tobac acco s smoke e prac actices es from 0 to 1100 by D Dec ecem ember er 2014.  Increas ease e the he num number o of cities in LA C Coun unty that at i implem emen ent ev eviden ence-bas ased ed juris isdic ictio ion-wide s e strat ateg egies es that at will red educe e ex exposure e to S SHS HS in multi-uni unit housing an and as associat ated ed outdoor ar areas eas from 0 to 1 12 b by S Sep eptem ember er 2016. 2016.  Increase t the number of f familie ilies liv livin ing in in smoke ke-/tobacco cco-free mul ultiuni unit housing to 126000 126000 by S September 2016 2016 in t the City of Austin.  Increas ease t e the n e number er o of s smoke-free b buildings ngs w with h mul ulti-uni unit ho hous using i ng in n rur ural an and/or low SES ar areas eas o of Ver ermont f from 0 0 to 13, 13,000 000 by S September 2013. 2013.

Smo moke ke-free e MUH an and O OSH  One ne o of OSH’s four ur c core go goals is e elimina nating ng SHS e exposur ure  The h e home i e is an an i importan ant s source o e of SHS ex exposure  Mai ain p plac ace w e wher ere e children en ar are ex e exposed ed  Inc ncreasingl ngly i important nt sour urce for no nons nsmoking a ng adul ults  MUH r resident nts with ho h hous useho hold no no-smokin ing rule les c can s still ill be ex e exposed ed to SHS i infiltrat ation  Sm Smoke-free h ee homes es an and s smoke-free M ee MUH:  protect nonsmokers from SHS  help smokers quit  address disparities (low-SES, racial/ethnic)  OSH SH r role  Exten end s scien ence e bas ase  Provide t e tec echnical al as assistan ance e an and t trai aining  Work with partners (e (e.g .g., H ., HUD)

DCH S Successes in M MUH  Souther ern N Nevad ada H a Heal ealth District • The Southern Nevada Regional Housing Authority (SNRHA) now requires all public housing to be smoke free including all properties owned and managed by SNRHA, including the apartment rented by the resident, the building in which the dwelling unit is located, and all common areas inside and outside the building up to 15 feet from each building and 50 feet from the buildings entry. Reach – 12,964 Residences. o  Los os A Angeles Cou ount nty • LA County CPPW program has made significant contributions that have supported seven cities in the implementation of population-wide smoke-free multi-unit housing policies. With approximately 40% of all county residents living in MUH, these improvements have created smoke-free housing for approximately 230,000 residents. 15

DCH S Successes in M MUH  Boston Public lic H Healt lth C Commis issio ion • Boston Public Health Commission is providing funding and technical assistance to 5 non-profit community development corporations to offer 1,700 new units of smoke-free housing. Further, beginning in September of 2012 Boston Housing Authority began to transition all of its 64 public housing developments to be smoke-free Reach – 12,000 Residences and over 23,000 residents. o  Seattl ttle, W WA • Washington’ s Seattle Housing Authority is implementing a policy that will make all 6,000 dwelling units owned by the agency smoke-free. The policy covers common areas, all residential apartment units, including L ow-Income Public Housing (L IPH) units as well as all units in HOPE V I communities, special portfolio buildings, and privately managed buildings. o Reach - Over 26,000 low-income households in Seattle. 16