Tobacco-Free Living: Smoke-Free
Housing Implementation Guide
STATEWIDE HEALTH IMPROVEMENT PARTNERSHIP (SHIP)
OFFICE OF STATEWIDE HEALTH IMPROVEMENT INITIATIVES
TOBACCO-FREE LIVING: SMOKE-FREE HOUSING
Tobacco-Free Living: Smoke-free Housing Implementation Guide
Minnesota Department of Health
Office of Statewide Health Improvement Initiatives
Tobacco Prevention and Control
PO Box 64882, St. Paul, MN 55164-0882
651-201-3535
http://www.health.mn.gov/tobacco
November 2016
Upon request, this material will be made available in an alternative format such as large print, Braille or audio
recording. NOTE: Content in this guide is subject to change. Watch Basecamp for news on any updates.
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TOBACCO-FREE LIVING: SMOKE-FREE HOUSING
Contents
Description of Smoke-Free Housing ........................................................................................ 5
Priority Populations ................................................................................................................. 5
Seniors ................................................................................................................................. 6
Youth and Young Adults ...................................................................................................... 6
Racial and Ethnic Minorities ................................................................................................ 6
Lower Income ...................................................................................................................... 6
Scope of Strategy ..................................................................................................................... 7
Public Housing Requirement ............................................................................................... 8
Innovation and Promising Practices .................................................................................... 8
Foundational Practices ............................................................................................................ 8
Sample Work Plan and Activities ............................................................................................. 9
Cessation Linkages ................................................................................................................. 10
Strategy Requirements and Restrictions ............................................................................... 10
Getting Started: Guides to Policy Adoption and Implementation ........................................ 12
Step-by-Step Guides to Implementation .......................................................................... 12
Recommended Reading and Materials ............................................................................. 12
MDH Technical Assistance and Training ................................................................................ 13
Policy, Systems, and Environment (PSE) TA ...................................................................... 14
Legal Technical Assistance and Training ........................................................................... 15
Assessing Retail Environment Technical Assistance and Training .................................... 15
Attachments .......................................................................................................................... 15
Minnesota Resources ............................................................................................................ 15
National Resources ................................................................................................................ 16
References ............................................................................................................................. 19
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TOBACCO-FREE LIVING: SMOKE-FREE HOUSING
Overview
Tobacco use and exposure is the single most preventable cause of disease, disability, and death
in the United States. i Yet, over 580,000 adults in Minnesota smoke and 55,400 young people
use tobacco. ii,iii Each year, approximately 480,000 Americans die from tobacco-related
illnesses. iv In Minnesota, over 5,100 people die each year from smoking. v More deaths are
caused each year by tobacco than from HIV, illegal drug use, alcohol use, motor vehicle injury,
suicide, and murder combined. vi For every person who dies from tobacco use, 30 more live with
at least one serious tobacco-related illness.iv On average, smokers die 10 years earlier than
nonsmokers. vii The 2004 Surgeon General’s report showed that smoking impacts nearly every
organ of the body. Tobacco use in any form—even occasional use—causes serious diseases and
health problems, including:
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Cancer, including cancers of the lung, bladder, kidney, pancreas, colorectal, liver, mouth,
and throat
Heart disease and stroke
Lung diseases, including emphysema, bronchitis, tuberculosis, and chronic obstructive
pulmonary disease (COPD)
Infertility, erectile dysfunction, and pregnancy complications, including ectopic
pregnancy, preterm birth, low birth weight, and birth defects in infants
Gum disease
Diabetes
Rheumatoid arthritis
Impaired immune function
Vision problems, including age-related macular degenerationiv
Secondhand smoke impacts the health of users and nonusers alike. According to the 2006
Surgeon General’s report, there is no safe level of exposure to secondhand smoke. An
estimated 41,000 of these tobacco-related deaths are the result of secondhand smoke
exposure.iv Secondhand smoke from cigarettes and cigars causes heart disease, stroke, and lung
cancer in adults and a number of additional health problems in infants and children, including:
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Asthma
Respiratory infections
Impaired lung function
Ear infections
Sudden infant death syndrome (SIDS) viii
Tobacco imposes a significant financial burden on society. In the U.S., tobacco use is
responsible for an estimated $289 billion in direct medical expenses and lost productivity each
year. Of this, secondhand smoke exposure alone costs $5.6 billion a year in lost productivity.iv
Smoking costs Minnesotans nearly $3 billion in excess health care costs each year, which
equates to an additional $554 per every man, woman, and child in the state.v
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Description of Smoke-Free Housing
The Minnesota Clean Indoor Air Act (MCIAA) was amended in 2007 with the Freedom to
Breathe provisions to further protect employees and the public from the health hazards of
secondhand smoke. While the MCIAA was extended to prohibit smoking ix in the common areas
(i.e. hallways, laundry rooms, rental offices) of rental housing, this prohibition does not extend
to all indoor spaces within apartment buildings – such as the individual residential units.ix It also
does not cover indoor areas of common interest communities (CIC), like condos.
Non-smoking renters living in multi-unit housing are involuntarily exposed to secondhand
smoke from sources located somewhere else in the building. Studies have shown that despite
attempts to seal and ventilate individual units, the air movement from one unit to another, or
throughout an entire multi-unit building, can be significant. x
Fortunately, the proprietor, property manager or Association Board has the option of
establishing and enforcing a smoke-free (or tobacco-free) policy for the entire building and
grounds. xi A more restrictive policy is the only way to help protect residents, guests, and staff
from involuntary exposure to secondhand smoke and the health-related consequences
associated with such exposure.
The primary goal of this strategy is to decrease Minnesotans’ secondhand smoke exposure in
their homes by increasing access to smoke-free housing options. Grantees will work with the
housing industry, CICs, and other local decision makers to educate them on the benefits of
smoke-free housing, inform them of evidence-based strategies, and assist them with the
adoption and implementation of such protections.
The secondary goal is to increase access to quit services. Grantees will work with staff to
promote existing resources.
This strategy addresses multiple Minnesota Department of Health (MDH) goals, including:
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Eliminating exposure to secondhand smoke
Reducing current tobacco use among adults and youth
Preventing initiation of tobacco use among youth and young adults
Identifying and addressing tobacco-related disparities
Priority Populations
MDH is charged with protecting, maintaining, and improving the health of all Minnesotans
through policy, systems, and environmental (PSE) change. MDH places a special focus on
identifying and eliminating health disparities in communities which suffer a disproportionate
burden of death and disease caused by tobacco use and exposure.
Gaps or exceptions in the clean indoor air law, which allow smoking in multi-unit housing, can
disproportionally affect many Minnesotans. Multi-unit buildings can be home to many
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TOBACCO-FREE LIVING: SMOKE-FREE HOUSING
segments of the population, but some that live in multi-unit housing are considered priority
populations because of their health inequities.
Seniors
In the U.S., 16 percent of rental housing occupants are 65 years of age or older.xvii This means
nearly one-fifth of the rental population is of an age at which chronic health conditions that are
affected or caused by secondhand smoke exposure are common. With the aging Baby Boomer
population, this number is expected to rise significantly.
Youth and Young Adults
Youth and young adults also constitute a significant percentage of the population in multi-unit
housing, both rental and CIC. Forty-three percent of all people under the age of 30 live in rental
housing. xii This means that nearly half of the population whose health and immune systems
may still be developing live in an environment that can be affected by exposure to the
secondhand smoke of other residents in the building.
Racial and Ethnic Minorities
According to the 2015 American Community Survey, 46.3% of all rental households in the
United States were minority families. xiii It is particularly important to protect these households
from involuntarily secondhand smoke exposure because many minority populations have
higher than average rates of certain chronic diseases. According to the Centers for Disease
Control and Prevention (CDC), current asthma prevalence is higher among the multi-racial,
Puerto Rican Hispanics, and non-Hispanic blacks than among non-Hispanic whites. xiv A similar
study by the CDC concluded that black men and women age 45-74 have much higher rates of
coronary heart disease deaths than women and men of the three other races. xv “A higher
percentage of black women (37.9 percent) than white women (19.4 percent) died before age
75 as a result of chronic heart disease, as did black men (61.5 percent) compared with white
men (41.5 percent).” The same disparity between blacks and whites was seen among men and
women who died of stroke. xv Protecting minority populations from secondhand smoke
exposure in the home can help prevent the onset or worsening of asthma, coronary heart
disease, stroke, and many other chronic illnesses.
Lower Income
Across the board, the greatest single predictor of tobacco use is low socioeconomic status
(SES). Low SES populations are multi-cultural, multi-ethnic, multi-lingual, and dispersed
throughout the United States. Low SES characteristics include: low-income, individuals with less
than 12 years of education, medically underserved, unemployed, and the working poor. xvi They
can also include soldiers and veterans, the LGBTQ community, blue-collar workers and those
living with mental illness. Low-income people smoke at a higher rate, have more exposure to
secondhand smoke, spend more money on cigarettes or other tobacco products, and will die
more often due to tobacco use. xvii
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TOBACCO-FREE LIVING: SMOKE-FREE HOUSING
Scope of Strategy
Smoke-free housing is a national movement – one to which Minnesota has been both an early
adopter and leader. MDH has funded smoke-free housing initiatives since about 2001. Grantees
across Minnesota have helped property managers adopt voluntary 100 percent smoke-free
building policies in thousands of buildings across the state. Some policies are even more
comprehensive and include outdoor spaces (e.g. patios, parking lots, picnic areas, playgrounds,
entrances) or are 100 percent tobacco-free from curb-to-curb. This can be accomplished with
the model lease addendum policy language. The model policy and adoption steps can be found
in the Guides to Strategy Implementation section of this document.
During the community assessment and planning phase, grantees will begin by reviewing
training modules and tools listed in the Getting Started: Guides to Implementation section of
this document. Grantees will also assess their community’s smoke-free housing needs and
determine their priorities. Sample community housing assessments and checklists can be
obtained from the technical assistance providers: the Association for Nonsmokers – Minnesota
(ANSR) and the American Lung Association in Minnesota (ALAMN).
While MDH once directed grantees to focus on renter-occupied multi-family housing with four
or more units, the scope of this strategy is much broader today. Grantees can now work on
housing types that are more reflective of their communities while aligning with the goal of
eliminating tobacco-related disparities. Grantees may choose their own methodology and
select targets based on their community needs and community readiness. Examples of
selection criteria could include geography, demographics, special populations, housing type,
policy reach, and tobacco-related disparities. However, MDH strongly encourages grantees to
work toward (as well as support) smoke-free policies in public housing authorities within their
grant region.
Grantees will work with individual property managers or owners to adopt voluntary smoke-free
policies by including the model lease addendum in their lease. This is sometimes referred to as
a “building-by-building” approach. Grantees with smoke-free housing experience will continue
to work with individual property managers or owners by assisting them with adoption steps.
Grantees may also utilize a “systems level” approach and work with management companies to
adopt a smoke-free policy for their entire portfolio. The systems level approach has the
potential to reach more tenants with a single policy change. Grantees may work on one or both
approaches, simultaneously, or as opportunities arise. Grantees with smoke-free housing
experience are required to also work on other types of housing that do not fit the mold of
renter-occupied and multi-unit housing such as, but not limited to:
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Owner-occupied multi-unit housing (condominiums, townhomes, and cooperatives)
Renter-occupied single-family homes
Hotels and motels
Transitional or temporary housing
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Grantees opting to work on a systems-level approach or the alternative housing types
mentioned above must work with a technical assistance provider from the onset. Grantees
must also coordinate with other programs or grantees who may be working with the same
management company to prevent overlap.
Public Housing Requirement
On Dec. 5, 2016, the Department of Housing and Urban Development (HUD) published a
smoke-free housing rule for all public housing nationwide making the effective date February 2,
2017. All public housing authorities (PHA) must have a smoke-free policy in place by August 3,
2018. Grantees are responsible for supporting PHAs that seek assistance with implementing,
enforcing, or expanding a smoke-free policy.
PHAs must document the policy in their annual plan and tenant leases. PHAs can use either
method so long as the required procedures are followed. There are different notice periods for
each method and a requirement to allow for resident feedback on lease form changes. HUD
clarified that a smoke-free policy is likely to be a significant PHA annual plan amendment,
which requires resident engagement and public meetings. Resident advisory boards are
required to be consulted for PHA plan changes, and HUD encourages PHAs to obtain board
approval when creating their smoke-free policies. This discussion is on pp. 33-34 of the rule
posted to HUD’s website. Grantees should be a resource and provide tools for these
processes. Additionally, grantees should promote cessation resources with the staff and
residents. Please refer to the Cessation Linkages section for more details.
Innovation and Promising Practices
Grantees may, in addition to working with individual property managers or owners to adopt
smoke free policies, explore advanced policy options such as, but not limited to:
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Smoke-free rental housing ordinances
Smoke-free rental housing or multi-unit housing licensing requirement
Smoke-free insurance incentives
Grantees may propose alternative housing types or PSE changes that have not been mentioned,
but must provide a justification addressing the need and targeted population. Grantees
interested in working on an innovative, promising, or alternative strategy must first receive
MDH’s approval and are required to work closely with a technical assistance provider from the
onset.
Foundational Practices
Start with these foundational practices steps before beginning to implement this strategy.
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Assess and identify health inequities and disparities to determine which priority
populations and communities to work with.
Engage affected communities.
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Communicate and build capacity of people affected and decision-makers.
Prioritize needs and identify how to implement PSE changes by selecting activities.
Sustain partnerships and efforts.
The general steps to implement these foundational practices include:
1. Assemble a team to conduct a community assessment.
2. Review existing data and collect additional data, as needed, related to population
demographics and disease and risk factor data disparities and inequities.
3. Determine the existence and location of community stakeholders, organizations and
resources.
4. Assess the opportunities and gaps.
5. Summarize and analyze the assessment data to select priority populations and
communities to work with on this strategy.
The starting points for these foundational practices will vary, depending upon how much
previous assessment work has been done in your communities through SHIP or other grants,
programs and public health work. Some grantees may have already identified priority
populations and communities with health inequities and others may be just beginning the
process. Build on existing work wherever possible.
Sample Work Plan and Activities
Community Assessment and Planning: Document public health problem, assess community
needs and readiness, and identify policy opportunities.
Activities/Milestones:
Review of existing training modules and recommended reading list in SFH Guide complete
Community Housing Assessment complete
Identify tobacco-related disparities in community
Housing targets and priorities determined
Community Education and Engagement: Build support and implement the policy change
Activities/Milestones:
Assess property manager of rental or owner-occupied multi-unit housing for knowledge,
readiness, and opinions
Develop and implement a manager and community outreach plan
Develop and implement public education activities about secondhand smoke exposure
Assess renter’s tobacco use, knowledge, readiness, and opinions (before and after policy
implementation)
Supporting Policy Adoption and Implementation: Build capacity and sustainability
Activities/Milestones:
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Monitor policy implementation and assist with implementation needs and enforcement
concerns
Build and maintain manager relationships
Engage the media to educate about the dangers of secondhand smoke and policy changes
Cessation Linkages
All Minnesota residents — whether covered by a health plan or not — have access to free
support to quit. Additionally, as of Jan. 1, 2016, Minnesotans insured through Medical
Assistance and MinnesotaCare have free coverage for cessation counseling and smoking
cessation medications.
Grantees must incorporate linkages (promotion or referrals) to cessation services in all
buildings that go smoke free. Cessation linkages may include promoting existing community
cessation programs (i.e. through a local clinic or hospital) or statewide cessation resources,
such as Freedom from Smoking, QUITPLAN Services® and the Call it Quits Referral Program.
Grantees may work with local health care clinics to support cessation by notifying health care
staff of the smoke free housing policy, and directing staff to cessation resources for their
patients. Grantees may also use funds to train their partners in tobacco treatment best
practices.
Call it Quits Referral Program. The Call it Quits Referral Program (formerly the MN Clinic Fax
Referral Program) enables health care providers to use a single form and fax number to refer
patients who use tobacco to quit line support. This program is administered by the Minnesota
Department of health supported by Minnesota Tobacco Quitlines, a collaboration among
Minnesota’s major health plans (Blue Cross and Blue Shield of Minnesota, HealthPartners,
Medica, PreferredOne and UCare) and ClearWay Minnesota.
The Call it Quits Referral Program now allows organizations outside of the health care setting,
including housing authorities, the ability to refer individuals to quit line support. This means
tobacco users would not be required to see a doctor or visit a clinic to be referred to cessation
support. Grantees may choose to implement the Call it Quits Referral Program with housing
staff by providing training and resources to assist staff in the referral process.
For more information about the Call it Quits Referral Program, please e-mail
[email protected].
Strategy Requirements and Restrictions
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All smoke-free housing policies must meet the minimum requirement – all indoor
spaces must be 100 percent smoke free. This does not prohibit grantees from working
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toward more comprehensive policies that could include some or all outdoor spaces,
electronic nicotine delivery devices (ENDs), or prohibit use of all tobacco products on
the property. MDH encourages grantees to offer all the policy options to the property
manager/owner. To learn more about the model lease addendum and policy options for
individual properties, see the section called Step-by-Step Guides to Implementation.
Grantees must incorporate linkages (promotion or referrals) to cessation services in all
buildings that go smoke free. Grantees may also use funds to train their partners in
tobacco treatment best practices. MDH funds may not be used to purchase nicotine
replacement therapy (NRT) or tobacco cessation treatment for residents, managers, or
housing staff.
If another grantee or agency is funded to work on smoke-free housing in your grant
region, determine which geographies and types of housing are covered by those funds
and focus on the remaining counties/cities or other types of housing. Grantees are
encouraged to work with a TA provider to facilitate this process.
Grantees should also be responsive to all manager and renter inquiries within their
grant region. In other words, the word is out about smoke-free housing. Managers may
contact you directly or may be referred to you from other organizations. Grantees are
expected to assist all inquiring managers and renters in your area who seek smoke-free
housing assistance.
Grantees should also be responsive to requests for assistance from homeowners or
managers of common interest communities, CICs (like condos, townhomes, and
cooperatives), in your area. Smoke-free policies in CICs are growing in popularity, and it
is likely you may receive requests for assistance from this type of multi-unit housing. The
process to adopt a smoke-free policy in a CIC is slightly different than in rental
properties. Grantees are expected to work closely with a TA provider to facilitate this
process.
Grantees may request smoke-free building and smoke-free property signage at no cost
from ANSR while supplies last. The grantee may request the signage directly on behalf of
the property manager or refer the property manager to ANSR to place an order. Both
ANSR and ALAMN have signage templates if a manager is interested in customized
signage. The grantee is free to purchase customized signage if it is in their budget.
Any materials and signage developed with grant dollars must be approved by MDH
before production.
Grantees cannot use funds for designated smoking area signs or similar items (e.g.
ashtrays) that promote tobacco use.
Grantees must coordinate their tobacco work with other tobacco programs or grants in
their area, especially those also working on smoke-free housing in the region. These
partners could include but are not limited to other MDH grants, ClearWay, Blue Cross
Blue Shield of Minnesota, or other tobacco, alcohol, or substance abuse prevention
grants. If you need help identifying existing work, please contact a tobacco TA provider
for assistance.
Multi-unit/rental housing management companies span the state and do not stop at
grantees’ catchment areas. When working with a specific company, as a courtesy,
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TOBACCO-FREE LIVING: SMOKE-FREE HOUSING
please inform other grantees who may be affected and determine whether a joint
approach is more beneficial. Two tools are available for communicating with other
grantees: MDH’s Basecamp (to communicate with SHIP and TFC grantees) and the MN
Smoke-Free Housing Advocates Basecamp (to communicate with SHIP, TFC, BCBS, and
CW grantees), managed by ANSR. If you need help identifying other grantees, please
contact a tobacco TA provider for assistance.
Getting Started: Guides to Policy
Adoption and Implementation
Step-by-Step Guides to Implementation
Association for Nonsmokers – Minnesota’s (ANSR) Live Smoke Free program – Developing a
Smoke-Free Multi-Unit Housing Program: A Guide for Tobacco Control Professionals: Step-bystep manual and corresponding recorded webinar series that assists tobacco control
professionals in creating a local smoke-free multi-housing program. You may order a free copy
of the manual here: http://www.mnsmokefreehousing.org/cppw/index.html
Association for Nonsmokers-Minnesota’s (ANSR) Live Smoke Free program- Adopting a
Smoke-Free Policy in Condominiums and Townhomes: Step-by-step resource packet for
condominium boards and homeowners interested in adopting a smoke-free policy.
http://www.mnsmokefreehousing.org/cic/cic_index
American Lung Association (ALAMN), Smoke-Free Policies in Multi-Unit Housing – Steps for
Success: The American Lung Association worked with experts around the United States to
develop this online curriculum on how to implement a smoke-free policy in multi-unit housing
properties. http://www.lung.org/stop-smoking/about-smoking/smokefree-housing.html
Recommended Reading and Materials
CDC’s Healthy Homes Manual: Smoke-Free Policies in Multiunit Housing
http://www.cdc.gov/healthyhomes/Healthy_Homes_Manual_WEB.pdf
Center of Energy & Environment: Secondhand Smoke and the Movement of Indoor Air
https://www.mncee.org/resources/projects/secondhand-smoke-research/
Department of Housing and Urban Development (HUD) Smoke-Free Housing Toolkits: These
Smoke-Free Housing Toolkits are provided by the U.S. Department of Housing and Urban
Development (HUD) in partnership with the American Academy of Pediatrics, the American
Lung Association, and the U.S. Department of Health and Human Services. They are a
compilation of existing educational, "how-to" and resource brochures, pamphlets and other
information designed to assist owners/management agents and residents of public and assisted
multi-family housing who want safer and healthier homes.
http://portal.hud.gov/hudportal/HUD?src=/smokefreetoolkits1
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Minnesota’s Freedom to Breathe Law and Multi-Unit Housing: Freedom to Breathe (FTB) does
not regulate smoking within individual rental dwellings (only indoor common areas). However,
managers are able to restrict smoking in spaces not covered by the FTB such as individual units
and outdoor spaces.
http://www.health.state.mn.us/divs/eh/indoorair/mciaa/ftb/docs/f2brental.pdf
Public Health Law Center: Regulating Smoking in Housing
http://www.publichealthlawcenter.org/topics/tobacco-control/smoke-free-tobacco-freeplaces/housing
The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon
General, 2014 http://www.surgeongeneral.gov/library/reports/50-years-ofprogress/index.html
MDH Technical Assistance and Training
Group Learning and Training Opportunities
Grantees must budget for at least one staff member to attend three regional in-person
trainings and one two-day statewide meeting per year. Tobacco-free living topics will be
incorporated into these trainings and meeting. Announcements on trainings and meetings will
provided in the Making it Better Log.
Additionally, grantees should participate in the monthly connect calls. These calls will be a peerto-peer learning environment facilitated by the American Lung Association. More formal
webinars may replace these calls in order to present timely research, resources, and news. The
call schedule can be found on Basecamp.
Individualized Technical Assistance
Local communities are strongly encouraged to work with a technical assistance provider for
further guidance and policy planning.
There are four organizations providing technical assistance and training on the tobacco retail
environment, local licensing, land use and zoning, as well as advertising, marketing, and
product and sales regulations for Minnesota communities through MDH.
Tobacco technical assistance and training has three components – PSE Consultation, Legal
Technical Assistance, and Tobacco Retail Environment Assessment. To ensure efficiencies and
to address distinct regional needs, PSE consultation services will be divided between two
organizations. All grantees will work with the Public Health Law Center in coordination with
either ANSR or ALA on policy development as well as Counter Tools regarding retail assessment
tools.
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Policy, Systems, and Environment (PSE) TA
PSE TA providers serve as tobacco prevention and control policy experts and provide
individualized consultation to MDH grantees on PSE change phases including strategy
development, policy adoption, implementation, and enforcement. PSE TA providers
demonstrate deep expertise in tobacco control PSE processes, best practices, and
implementation and enforcement strategies and be able to accommodate specific community
needs and strengths when assisting grantees.
PSE TA providers provide technical support for all tobacco control PSE strategies chosen by
MDH grantees. They have the capacity to provide:
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Provide one-on-one consultation around PSE change to grantees.
Provide strategy-specific resources such as toolkits, templates, factsheets, talking
points, sample policies, and enforcement guides that can be adapted for communities.
Work with grantees to co-create and develop needed materials and resources.
The Association for Nonsmokers – Minnesota (ANSR)
Esha Seth, MDH TA Lead
[email protected]
651-646-3005
The following SHIP grantees should contact ANSR for 1:1 PSE TA services:
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Anoka County
Benton County
Bloomington-Edina-Richfield
Carver County
Chisago County
Dakota County
Hennepin County
Isanti-Mille Lacs-Kanabec- Pine
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Minneapolis
Scott County
Sherburne County
St. Paul- Ramsey
Stearns County
Washington County
Wright County
American Lung Association of the Upper Midwest
Erin Simmons, MDH TA Lead
[email protected]
507-382-7421
The following SHIP grantees should contact ALA for 1:1 PSE TA services:
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Blue Earth
Brown-Nicollet- Le Sueur-Waseca
Cass
Countryside
Crow Wing
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Des Moines Valley with Nobles County
Dodge-Steele
Faribault-Martin- Watonwan
Fillmore-Houston
Freeborn
TOBACCO-FREE LIVING: SMOKE-FREE HOUSING
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Goodhue
Healthy Northland
Health 4 Life
Horizon
Kandiyohi-Renville
Meeker-McLeod-Sibley
Morrison-Todd-Wadena
Mower
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North Country
Olmsted
Polk-Norman-Mahnomen
Quin
Rice
Southwest Health and Human Services
Wabasha
Winona
Legal Technical Assistance and Training
The Public Health Law Center provides statewide legal technical assistance and training for
MDH grantees. PHLC and the Tobacco Control Legal Consortium has an extensive set of helpful
guides, fact sheets, tips and tools, toolkits, reports, sample policies, and webinars.
Scott Kelly, MDH TA Lead
[email protected]
651-695-7611
Assessing Retail Environment Technical Assistance and Training
Counter Tools provides all MDH grantees with online interactive store mapping and storeauditing tools to assist with their POS work. To gain access to these tools, contact your grant
manager. Associated is Counter Tobacco.org, which is a CDC-funded website with information
and resources for organizations working to counteract tobacco product sales and marketing at
the point-of-sale.
Jennifer Grant, MDH TA Lead
[email protected]
919-694-3066 x212
Attachments
SHIP Tobacco TA Provider Assignments Map
Minnesota Resources
Minnesota Department of Health is the lead state health agency. The Office for Statewide
Health Improvement Initiatives (OSHII) is an office within the Health Improvement Bureau. Both
the Tobacco Prevention and Control Program (TPC) and Statewide Health Improvement
Partnership (SHIP) are within OSHII. http://www.health.state.mn.us/
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The Office for Statewide Health Improvement Initiatives (OSHII)
http://www.health.state.mn.us/divs/oshii/about.html
Tobacco Control & Prevention Program (TPC)
http://www.health.state.mn.us/divs/hpcd/tpc/
Statewide Health Improvement Partnership (SHIP)
http://www.health.state.mn.us/divs/oshii/ship/index.html
Center for Health Statistics
http://www.health.state.mn.us/divs/chs/
Minnesota Public Health Data Access
https://apps.health.state.mn.us/mndata/
Center for Prevention - Blue Cross Blue Shield of Minnesota. The Center for Prevention at Blue
Cross and Blue Shield of Minnesota delivers on Blue Cross’ long-term commitment to improve
the health of all Minnesotans by tackling four leading causes of heart disease and cancer:
tobacco use, obesity, lack of physical activity and unhealthy eating.
http://www.centerforpreventionmn.com/what-we-do/our-focus-areas/tobacco-use
ClearWay Minnesota. The mission of ClearWay Minnesota is to enhance life in Minnesota by
reducing tobacco use and exposure to secondhand smoke through research, action and
collaboration. Created in 1998 and entrusted with overseeing 3 percent of the state’s tobacco
settlement funds, ClearWay operates under the ongoing jurisdiction of the Ramsey County
District Court. http://clearwaymn.org/
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•
Tobacco Is Still a Problem
www.stillaproblem.com
QUITPLAN® Services
http://clearwaymn.org/quitting/quitplan-services/
https://www.quitplan.com/
Call it Quits Referral Program. (See Cessation Linkages)
•
www.health.mn.gov/callitquits
For more information about the Call it Quits Referral Program, please e-mail
[email protected].
National Resources
Center for Disease Control and Prevention – Office on Smoking and Health (OSH). OSH is the
lead federal agency for comprehensive tobacco prevention and control. OSH is a division within
the National Center for Chronic Disease Prevention and Health Promotion, which is located
within CDC’s Coordinating Center for Health Promotion.
http://www.cdc.gov/tobacco/index.htm
•
Health Effects:
http://www.cdc.gov/tobacco/basic_information/health_effects/index.htm
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TOBACCO-FREE LIVING: SMOKE-FREE HOUSING
•
•
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Secondhand Smoke:
http://www.cdc.gov/tobacco/basic_information/secondhand_smoke/index.htm
Smokeless Tobacco:
http://www.cdc.gov/tobacco/basic_information/smokeless/index.htm
Health Disparities:
http://www.cdc.gov/minorityhealth/CHDIReport.html
Publications and Products:
http://nccd.cdc.gov/osh_pub_catalog/Home.aspx
State and Community Resources:
http://www.cdc.gov/tobacco/stateandcommunity/index.htm
Resource Center: How-to guides and model policies from around the country.
http://www.cdc.gov/CommunitiesPuttingPreventiontoWork/resources/index.htm
CDC Best Practices for Comprehensive Tobacco Control Program – 2014:
http://www.cdc.gov/tobacco/stateandcommunity/best_practices/index.htm
The Guide to Community Preventive Services – Tobacco Use Prevention and Control:
http://www.thecommunityguide.org/tobacco/index.html
CDC Best Practices User Guide: Coalitions – State and Community Interventions:
ftp://ftp.cdc.gov/pub/fda/fda/user_guide.pdf
Winnable Battles: http://www.cdc.gov/WinnableBattles/Tobacco/index.html
Tobacco Control Legal Consortium. The Consortium is a national legal network for tobacco
control policy. Drawing on experts in its eight affiliated legal centers, the Consortium works on
the wide spectrum of tobacco law-related issues, ranging from smoke-free policies to tobacco
control funding laws to regulation of flavored cigarettes. The Consortium has developed
multiple publications related to smoke-free policies and multi-unit housing.
http://www.tclconline.org
Americans for Nonsmokers Rights (ANR). ANR is a national organization that provides
information and useful resources for managers and renters about smoke-free multi-unit
housing including apartments, condominiums and public housing authorities. http://nosmoke.org/goingsmokefree.php?dp=d11
Center for Public Health and Tobacco Policy. This resource for public health communities in
New York and Vermont has a collection of resources related to smoke-free housing.
http://tobaccopolicycenter.org/tobacco-control/smoke-free-housing/
Legal Resource Center for Public Health Policy. This organization has a number of smoke-free
resources for review.
http://www.law.umaryland.edu/programs/publichealth/tobacco/smokefree_policies.html#smo
kefree_indoors
ChangeLab Solutions. An organization working primarily with California communities on public
health issues, some of their materials may be useful in understanding smoke-free multi-unit
housing issues. http://changelabsolutions.org/healthy-housing
Public Health Advocacy Institute (PHAI). Located at Northeastern University School of Law,
PHAI has developed an array of resources to provide support to renters, managers, and
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TOBACCO-FREE LIVING: SMOKE-FREE HOUSING
condominium owners and associations to better understand the benefits and challenges of
making homes 100% smoke-free. http://www.phaionline.org/projects/tobacco-control/smokefree-homes/
Smoke-Free Environments Law Project. This national organization provides legal information
related to smoke-free multi-unit housing, including public housing facilities. Click on ETS &
Apartments. http://www.tcsg.org/sfelp/home.htm
Tobacco Technical Assistance Consortium (TTAC) – Resources Overview. TTAC has compiled a
list of tobacco control websites and web resources to provide you with trustworthy sources of
information to support evidence-based work in tobacco prevention and control. While this is
not an exhaustive list, the items included are used by many of TTAC’s staff and partners in their
daily work. http://www.ttac.org/resources/
Healthy People 2020 – Tobacco Use: Healthy People provides science-based, 10-year national
objectives for improving health of all Americans.
http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=41
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References
Centers for Disease Control and Prevention. Annual smoking—attributable mortality, years of potential life lost, and
productivity losses—United States, 2000–2004. MMWR. 2008;57(45):1226–1228. Available from
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5745a3.htm.
ii Tobacco Use in Minnesota: 2014 Update. Minneapolis, MN: ClearWay Minnesota℠ and Minnesota Department of Health;
January 2015.
iii Teens and Tobacco in Minnesota, 2011 Update: Results from the Minnesota Youth Tobacco and Asthma Survey. St. Paul, MN:
Minnesota Department of Health; November 2011.
iv U.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of Progress: A Report of
the Surgeon General. 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, 2014 [accessed 2014 Apr
24].
i
v
Blue Cross and Blue Shield of Minnesota. Health Care Costs and Smoking in Minnesota. 2010.
Jha P, Ramasundarahettige C, Landsman V, Rostron B, Thun M, Anderson RN, McAfee T, Peto R. 21st Century Hazards of
Smoking and Benefits of Cessation in the United States .New England Journal of Medicine 2013;368:341–50 [accessed 2014
Apr 24]
viii Office of the Surgeon General, 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. Washington, DC:
2006. http://www.surgeongeneral.gov/library/reports/secondhandsmoke/index.html
ix Minn. Stat. §§ 144.411-.417. http://www.health.state.mn.us/divs/eh/indoorair/mciaa/ftb/mciaa.pdf
x Center of Energy & Environment: Secondhand Smoke and the Movement of Indoor Air http://www.mncee.org/InnovationExchange/Projects/Current/Environmental-Tobacco-Smoke/
xi http://www.health.state.mn.us/divs/eh/indoorair/mciaa/ftb/docs/f2brental.pdf
xii “NMHC tabulations of 2012 Current Population Survey, Annual Social and Economic Supplement.” U.S. Census Bureau, n.d.
Web. Jan 2013.
xiii AMERICAN COMMUNITY SURVEY. Demographic Characteristics for Occupied Housing Units. Web. Nov 2016,
http://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=ACS_15_1YR_S2502&prodType=table.
xiv Moorman, J.,MS., H. Zahran, MD, B. Truman, MD, and M. Molla, PhD. Current Asthma Prevalence – United States, 2006-2008.
Rep. no. 60(01);84-86. Center for Disease Control, 14 Jan. 2011. Web. Jan 2013.
xv Keenan, N., PhD, and K. Shaw, MS. Coronary Heart Disease and Stroke Deaths – United States, 2006. Rep. no, 60(01). Center
for Disease Control, 14 Jan. 2011. Web. Jan. 2013.
xvi National Network on Tobacco Prevention & Poverty, Smoking Habits and Prevention Strategies in Low Socio-economic Status
Populations, 2004.
xvii CDC, “Cigarette Smoking Among Adults – United States, 2008,” MMWR 58(44), November 13, 2009,
http://www.cdc.gov/mmwr/PDF/wk/mm5844.pdf.
vii
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