12/06/2006
Jean McNeil/NHC To rweedon@bellsouth.net
e
10/27/200612:09 PM cc David ERice/NHC@NHC
bcc
Subject Andrea Press - confidential
History c;~ This message has been forwarded
Hi Bob
We had a customer, Andrea Press, who went directly downtown with a request that we
change the leash law ordinance. She received six citations on her pet pit bull dogs, one
for tie-out, three for county fee (two cancelled), and two for rabies vaccination (also
cancelled). She was also given the standard information on appealing the citations. She
did appeal, which was scheduled for November 8, 2006. She was advised to wait on the
tie-out citation, but I believe she has decided to go forward with the county license fee
citation at the hearing that day.
She wants to make a change to the tie-out law, because she has a problem with her dogs
being free around each other in her yard. She verbally stated to Daisy Brown that she
needed to keep them tethered, because they would fight each other if they were loose.
We have made an administrative allowance to the law, which gives a person the okay to
have their pet tied-out, if they are in the yard with their animal. Officer Kerwin would not
have written the citation, if she had been in the yard with the dogs at the time she went to
the residence.
Arguments in support of not tying out your pet include animal cruelty issues and
aggression tendencies for those pets that are left unattended on lead. We made the
allowance, since they are not generally a problem when an owner is present. She
requested an audience at the Board of Health. She may go to the December 6 meeting,
which I will not be able to attend. Dave has asked that you help in this area to address
® her concerns. I will have copies of her information at next week's meeting, and we can
discuss this at that time.
Thanks,Jean
Jean P. McNeil, DVM
New Hanover County
Animal Control Services Manager
(910) 798-7505
(910) 341-4349 fax
NOTICE E-Mail correspondence to and from this address may be subject to the Norrn Carolina Pubiic Records
Caw.
8
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Ali
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G. Robert Weedon, DVM, MPH
• New Hanover County Board of Health
Memo
TO. New Hanover County Board of Health Members
Fronn Bob Weedon
CC: David Rice, Health Director
Date: November 17, 2006
Re: Chaining or tethering dogs
I have been asked by Mr. Rice and Dr. McNeil to compile some information on chaining or tethering
dogs in preparation for the complaint against the New Hanover County Board of Health by Andrea
Press. Dr. McNeil summarized Ms. Press' complaint:
We had a customer, Andrea Press, who went directly downtown with a request that
• we change the leash law ordinance. She received sic citations on her pet pit bull
dogs, one for tie-out, three for county fee (two cancelled), and two for rabies
vaccination (also cancelled). She was also given the standard information on
appealing the citations. She did appeal, which was scheduled for November 8, 2006.
She was advised to wait on the tie-out citation, but I believe she has decided to go
forward with the county license fee citation at the hearing that day.
She wants to make a change to the tie-out law, because she has a problem with her
dogs being free around each other in her yard. She verbally stated to Daisy Brown
that she needed to keep them tethered, because they would fight each other if they
were loose. We have made an administrative allowance to the law, which gives a
person the okay to have their pet tied-out, if they are in the yard with their animal.
Officer Kerwin would not have written the citation, 'rf she had been in the yard with the
dogs at the time she went to the residence.
It is unclear to me why the Board of Health is hearing this. In my opinion, we should refer this matter to
the Animal Control Services Advisory Committee. I have included some information on arguments
against chaining or tethering of dogs from the Humane Society of the United States (HSUS). The
information enclosed is selected from an article entitled The Facts About Chaining or Tethering Dogs
which can be found on the HSUS website.'
The New Hanover County ordinance was put into place for the protection of people and animals, for
many of the reasons mentioned in the enclosed article. Please do not hesitate to contact me if you
have any questions or concerns. I thank you in advance for your attention to this matter.
http:,'/www.hsus.orgipets/issues affecting our nets/animal abuse and neglecUthe facts a
•
bout chaininq_or tethering dogs.html
1
9
Arguments against chaining or tethering dogs
According to the Humane Society of the United States, dogs are naturally social beings who thrive on •
interaction with human beings and other animals. A dog kept chained in one spot for hours, days,
months, or even years suffers immense psychological damage. An otherwise friendly and docile dog,
when kept continuously chained, becomes neurotic, unhappy, anxious, and often aggressive.
In many cases, the necks of chained dogs become raw and covered with sores, the result of
improperly fitted collars and the dogs' constant yanking and straining to escape confinement. Dogs
have even been found with collars embedded in their necks, the result of years of neglect at the end of
a chain. In one case, a veterinarian had to euthanize a dog whose collar, an electrical cord, was so
embedded in the animal's neck that it was difficult to see the plug.
In addition to The Humane Society of the United States and numerous animal experts, the U. S.
Department of Agriculture (USDA). issued a statement in the July 2, 1996, Federal Register against
tethering:
"Our experience in enforcing the Animal Welfare Act has led us to conclude that
continuous confinement of dogs by a tether is inhumane. A tether significantly restricts
a dog's movement. A tether can also become tangled around or hooked on the dog's
shelter structure or other objects, furrier restricting the dog's movement and
potentially causing injury.
"
Dogs tethered for long periods can become highly aggressive. Dogs feel naturally protective of their
territory; when confronted with a perceived threat, they respond according to their fight-or-flight instinct.
A chained dog, unable to take flight, often feels forced to fight, attacking any unfamiliar animal or
person who unwittingly wanders into his or her territory.
Numerous attacks on people by tethered dogs have been documented. For example, a study
published in the September 15, 2000, issue of the Journal of the American Veterinary Medical •
Association reported that 17% of dogs involved in fatal attacks on humans between 1979 and 1998
were restrained on their owners' property at the time of the attack. Tragically, the victims of such
attacks are often children who are unaware of the chained dog's presence until it is too late.
Furthermore, a tethered dog who finally does get loose from his chains may remain aggressive, and is
likely to chase and attack unsuspecting passersby and pets.
Animal control and humane agencies receive countless calls every day from citizens concerned about
animals in these cruel situations. Animal control officers, paid at taxpayer expense, spend many hours .
trying to educate pet owners about the dangers and cruelty involved in this practice.
A chained animal is caught in a vicious cycle; frustrated by long periods of boredom and social
isolation, he becomes a neurotic shell of his former self-further deterring human interaction and
kindness. In the end, the helpless dog can only suffer the frustration of watching the world go byn
isolation--a cruel fate for what is by nature a highly social animal. Any city, county, or state that bans
this practice is a safer, more humane community.
•
• Page 2
10
• New Hanover County Health Department
Revenue and Expenditure Summaries for October 2006
Cumulative: 33.33% Month 4 of 12
Revenues
Current Year Prior Year
Type of Budgeted Revenue Balance % Budgeted Revenue Balance %
Revenue Amount Earned Remaining Amount Earned Remaining
Federal & State 1,966,073 1,019,493 $ 948,580 51.80% 1,860,591 1,077,278 $ 783,313 57.90%
AC Fees 611,161 193,615 $ 417,546 31.68% 659,496 224,829 $ 434,667 34.09%
Medicaid 1,706,494 292,179 $ 1,414,315 17.12% 1,500,300 414,765 $ 1,085,535 27.65%
Medicaid Max 150,500 0 $ 150,500 0.00% 0 0 $
EH Fees 310,000 63,875 $ 246,125 20.60% 300,212 74,317 $ 225,895 24.75% - -
Health Fees 250,200 99,632 $ 150,568 39.82% 128,000 64,377 $ 63,623 50.29%
Health Choice 35,125 5,539 $ 29,586 15.77% 0 0 $
Other 2,729,161 855,885 $ 1,873,276 31.36% 3,053,386 763,182 $ 2,290,204 24.99%
Totals $ 7,760,714 $ 2,530,218 $ 5,230,496 32.60% $ 7,501,985 $ 2,618,747 $ 4,883,238 34.91%
Expenditures
. Current Year. Prior Year
• Type of Budgeted Expended Balance % Budgeted Expended Balance %
Expenditure Amount Amount Remaining Amount Amount Remaining
Salary &Fringe $ 12,163,729 $ 2,998,750 $ 9,164,979 24.65% $ 11,315,151 $ 2,835,374 $ 8,479,777 25.06%
Operating $ 2,232,216 $ 581,333 $ 1,650,883 26.04% $ 1,893,430 $ 445,904 $ 1,447,526 23.55%
Capital Outlay $ 88,585 $ 30,940 $ 57,645 34.93% $ 679,225 $ 166,395 $ 512,830 24.50%
X
NIHIM Room=
Totals $ 14,484,530 $ 3,611,023 $ 10,873,507 24.93% $ 13,887,606 $ 3,447,673 $ 10,440,133 24.83%
Summary
Budgeted Actual %
FY 06-07 FY 06-07 .
Expenditures:
Salaries & Fringe $ 12,163,729 $ 2,998,750
Operating $ 2,232,216 $ 581,333
Capital Outlay $ 88,585 $ 30,940
Total Expenditures $ 14,484,530 $ 3,611,023 24.93%
Revenue: $ 7,760,714 $ 2,530,218 32.60%
Net County $ 6,723,816 $ 1,080,805 16.07%
• Revenue and Expenditure Summary
For the Month of October 2006
11
•
•
•
NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 06.07
Date (BOH Grant Requested Pending Received Denied
111112006 No Activity for November 2006
• 10/412006
March of Dimes -Maternity Care
Coordination expenditures for Baby Love
Program Baby Boutique and Learning Center $3,000 $3,000
91612007 No Activity for September 2006
8/212006 No Activi for Au ust 2006
7/5/2006 I ervtce oor tnation Family
Counseling Program (Cape Fear Memorial
Foundation) - Funding for Licensed Clinical
Social Worker for 3 years $260,000 $75,000 $185,000
Eat Smart Move More - Community Grant
(NC Dept of Public Health Physical Activi
and Nutrition Branch $16,495 $12,416 $4,079
6/7/2006 Living Well (Cape Fear Memorial
Foundation) Ratify grant received to produce
Living Well publication - $0 $12,000
Landfall Foundation - Purchase CPR
supplies and instruction manuals for school
nurses $2,300 $2,300
5/312006 Diabetic Supplies (Cape Fear Memorial
Foundation $21,000 $21,000
NHCDHHS - Division of Medical Assistance
- Health Check Coordination Funding $33,873 $33,873
4/5/2006
NC Pandemic Influenza Planning Funds -
. Pandemic Influenza planning. Ratification of
grant application submitted for 3/2/06 deadline
Note: Full funding expected per State
notification; currently partial funding
confirmed with additional award to follow. $49,030 $49,030
31112006 No Activity for March 2006
Child Care Nursing (Smart Start) .
Continuation funding for existing grant
2/1/2006 program $186,600 $160,000 $26,600
Health Check Coord. (Smart Start)
Continuation funding for existing grant
program - $45,800 $12,000 $33,800
amlly Assessment oor . ( mart Start) Continuation funding for FAC portion of
Navigator program 'NOTE: May receive
$44,000 in 21d hase if funds avail. $113,000 $44,000 $69,000
NC Institute for Public Health - Accreditation
- assistance with improvement in areas
(policies/procedures & continuing ad training
log). $17,034 $4,150 $12,884
Tabled by BOH Pediatric Primary Care (United
not approved Way/NHRMC) Start-up funds to support new
for submission primary care program for pediatric patients $30,000 $0
Cape Fear Memorial Foundation- Obesity
1/412006 Grant (3 year period $300,000 $225,000 $75,000
• Cape Fear United Way- Panorex Grant $38,000 $38,000
NC Office of Minority Health & Health
Disparities- Interpreter Grant $20,000 $20,000
NACCHO Grant-Addressing Disability in
Local Public Health. Collaboration with
12/7/2005 UNCW. $25,000 $25,000
NOTE: Notification received since last report. 12
Program did not apply for grant.
NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 06.07
Date BOH Grant Requested Pending Received Denied
Office of Research, Demonstrations and
11/2/2005 Rural Health- Pediatric Prima Care Grant $50,000 $50,000 •
Health Carolinians-Contract Coordinator $5,000 $5,000 I
10/12/2005 No activity for October 2005.
9/7/2005 No activity for September 2005.
Wolfe-NC Public Health Association
Prenatal Grant for FY 05-06 and FY 06-07
8/3/2005 assistance for diabetic prenatal patients. $5,000 $5,000
allocating
North Carolina Alliance(NCAH) for $5,000 from
Secondhand Smoke- Local Control existing PA
Initiative-if approved and awarded PA funds ' allocaflng budget- ' Grantvvas
to be used for educational purposes and eS,oog from approved by not approved
existing PA NHC-CC by RWJ
media campaigns only. budget 9/19/05 Foundation
7/6/2005 No activity for July 2005.
NC Dept of Insurance- Office of State Fire ` -
6/1/2005 Marshall- Risk Watch Continuation Grant $ . 25,000 $ 25,000
HUD (partnership with City of Wilmington)
Lead Outreach and Education Program (3
year funding $ 275,000 - $275,000
Ministering Circle- Good Shepherd
Ministries Clinic supply 8 Equipment $ 15,000 $ 15,000 $
No activity for May 2005. I
Cape Fear Memorial Foundation- Living
4/6/2005 Well Program $ 20,000 $ 20,000 $
National Safe Kids Coalition-Mobile Van for
3/212005 Car Seat Checks $ 49,500 $ 49,500 $
Smart Start- Child Care Nursing Program $ 239,000 - $ 170,000 $ 69,000 •
Smart Start- Health Check Coordination
Program $ 43,800 $ 43,800
Smart Start- Navigator Program $ 155,000 $ 44,000 $111,000
2/2/2005 No activity for February 2005.
Champion McDowell Davis Charitable
1/5/2005 Foundation - Good Shepherd Clinic $ 56,400 $ 56,400
12/1/2004 No activity for December 2004. I
March of Dimes-Maternity Care Coordination
Program educational supplies and incentives
11/7/2004 for pregnant women. $ 3,000 $ 3,000 $ -
10/612004 No activity to report for October 2004. I
9/112004 No activity to report for September 2004.
Office of the State Fire Marshal- NC
Department of Insurance- Risk Watch
8/4/2004 continuation funding (3 years) 25,000 $ 25,000
NC Physical Activity and Nutrition Branch
Eat Smart Move More North Carolina $ 20,000 $ 20,000
NC March of Dimes Community Grant -
7/7/2004 Program- Smoking Cessation- $ 50,000 $ - $ - $
Wolfe-NCPHA Prenatal Grant- Diabetic
Supplies for Prenatal Patients $ 5,000 $ 5,000
Totals $2,202,832 $3,000 $1,165,469 $966,363
0.14% 52.91% 43.87%
Pending Grants 1 3%
Funded Total Request 16 52%
Partial) Funded 9 29% •
Denied Total Request 6 19%
Numbers of Grants Applied For 31 100%
13
As of 11/1512006
NOTE: Notification received since last report.
Program did not apply for grant.
• NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date: BOH Mtg.
Agenda: ® 12/06/06; County
Commissioner's Mtg.
12/18/06
Department: Health Presenter: Janet McCumbee, Personal
Health Services Mgr. and Kim Roane,
Business Mgr.
Contact: Kim Roane, 798-6522
Subject: Budget Amendment - Approval of Proposed Fees for Travel Shot Clinic -
Personal Health Services
Brief Summary:
The New Hanover County Health Department (NHCHD) is proposing to add fees to the
NHCHD Fee Policy for vaccines and medications to be offered in the new travel shot
clinic. The adopted budget for fiscal year 07 includes expenditures and revenues for the
new travel shot clinic services. In preparation for the introduction of these services in
2007, there is a need to establish the fees for each vaccine and medication offered.
• Recommended Motion and Requested Actions: To accept and approve our request to add
to the New Hanover County Health Department Fee Policy the fees for vaccines and
medications to be offered in the new Travel Shot Clinic and to submit the request to the
New Hanover Count Board of Commissioners for their consideration.
Funding Source:
Will above action result in:
?New Position Number of Position(s)
OPosition(s) Modification or change
®No Change in Position(s)
Explanation: A half-time LPN position was already approved in the adopted budget for
FY07.
Attachments: Proposed Fees for Travel Shot Clinic
~e~rr~rcrt
~ i ~~~e,e Y G~eiY
-
14
•
• Travel Shot Clinic Proposed Fees
Visit fee: LU202 Limited Interview International Travel fee: $35.00
Product Fee
Typhoid oral capsule bottle of 4 40.00
Typhoid in'ectible 1 dose 52.00
Polio Adult 1 dose 27.00
Immune Globulin 1 dose 20.00
Japanese Encephalitis 1 dose 107.00
Yellow Fever 1 dose 82.00
Chloro uine 1 dose 4.00
Malarone (pediatric) 1 dose 2.00
Malarone adult 1 dose 5.00
Doxycycline (50 mg) each .10
Do c cline 75 m each 4.00
Dox c cline 100 m each .10
•
•
15
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II
. NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date: BOH Mtg.
Agenda: ® 12/06/06; County
Commissioner's Mtg.
12/18/06
Department: Health Presenter: Scott Harrelson, Deputy Health
Director
Contact: Scott Harrelson, 798-6592
Subject: Grant Application - Duke Endowment Funds, NHRMC - Dental Unit - Personal
Health Services - $40,000
Brief Summary: New Hanover County Health Department is a member agency of the
Cape Fear Healthy Carolinians Task Force. The Task Force is made up of local
organizations and individuals. The Task Force mission is to improve the health and well
being of New Hanover County and Brunswick County residents. One of the committees
of the Task Force is Access to Care. New Hanover Regional Medical Center is an active
partner in this committee and has an opportunity to apply for grant funding from The
Duke Endowment to improve access to care in Brunswick and New Hanover counties.
They have invited us as a participant on the Access to Care Committee to submit a
• request through them to the Duke Endowment. We would like to apply for funds to pay
for direct dental care for indigent children in the amount of $25,000. After our first year
of operation once we have built up a patient base and a fund balance we will be able to
sustain some charity care. However, this is not possible during the first year of operation
because the fund balance does not exist yet. We would also like to ask for $15,000 for
sedation equipment to provide sedation dentistry in the outpatient clinics of one of the
Brunswick County hospitals. This is a crucial service, which needs to be provided for the
population of children the dental unit serves.
Recommended Motion and Requested Actions: To ratify the application which was
submitted by the December 5th deadline, and if awarded, to approve the acceptance of the
grant for $40,000 ($25,000 in direct treatment funds and $15,000 for sedation equipment)
from Duke Endowment for children with no dental coverage and to approve any
associated budget amendment related to the receipt of the gant funds and to submit to the
New Hanover Count Commissioners for their consideration.
Funding Source: Duke Endowment, NHRMC to apply for funding
Will above action result in:
?New Position Number of Position(s)
?Position(s) Modification or change
• ®No Change in Position(s)
Ex lanation:
16
Attachments: Applicable portions of the ant application,
•
17
• Duke Endowment Application
Mobile Dental Unit
IV. Current Situation/ Statement of Need
According to the most recent county level oral health data, 1 out of every 4
kindergartners in Brunswick.County has untreated dental decay, 1 out of every 5
kindergartners in New Hanover County has untreated dental decay. There are
approximately 6,290 uninsured children below age 18. The number of undocumented
children is also growing. In 1999-2000 our WIC (Women Infant Children) program in
the Health Department served 181 Hispanic clients. In 2005-2006 we served 1174
Hispanic clients. That is an increase of 549% over six years. North Carolina has the
fastest growing Hispanic population in the United States, which is the primary reason for
the increase in undocumented individuals with no medical coverage.
Our uninsured children are not only undocumented though, many are children of the
working poor who do not have medical coverage, much less dental coverage.
V. Background
The current resources in our area such as the 3 Medicaid dental clinics and the New
Hanover Community Health Center cannot meet the current demand for low income
pediatric dentistry and the private dental community is disconcerted due to poor show
rates. These factors transcend in to many young children in Brunswick and New
• Hanover counties not receiving dental care.
Transportation is another barrier that many of these children face. The mobile dental unit
visits local elementary schools and accepts patient referrals from outside the school in the
afternoons. The schools that we target with this program have free and reduced lunch
populations of 70-84%. This is the true advantage of this program, we are on site at the
schools so we have no down time in our clinic. If one child is sick or taking a test we just
go to the next name on the list. We have a captive audience. So far we have had a great
response. We normally like to see at least 50 children at one school location that request
the service at the location we are at right now 250 children have requested dental
services.
The mobile dental unit has very low overhead. Grants from Kate B. Reynolds Charitable
Trust, Cape Fear Memorial Foundation and the United Way have paid for the unit and the
equipment. The ongoing costs are staff, three dental assistants, one administrative
support person, a contract dentist and supplies. The school sites even pay for the
electricity for the unit. The unit does not utilize county or state dollars. Medicaid, NC
Health Choice and cash payments are the only sources of income. We do utilize a sliding
fee scale but we can only slide to 60% and we require payment up front to assure
sustainability for the program. Because of this we do not have a surplus of cash in the
program budget until we ramp up the patient load, ramp up production and begin to
realize a profit. For this reason the first year we cannot afford to provide charity care for
• indigent children with no dental coverage such as Medicaid or NC Health Choice.
18
t'
The dental unit is supported by a network of community partners through our local •
Healthy Carolinians task force. We have support from Brunswick County and New
Hanover County. Not monetary support, but technical assistance, referrals, maintenance
and repairs.
The children that we see do not currently have a dental provider. For many of them it is
their first experience with a dentist. Most of the children we see have numerous dental
caries and require sedation dentistry. In order to meet the demand for sedation dentistry
we would need to facilitate an agreement with at least one of the Brunswick County
hospitals to utilize their outpatient surgery units to provide sedation dentistry. The
equipment to provide this service would be approximately $15,000.
VI. Budget
$25,000 for direct patient care
$15,000 sedation equipment
•
•
19
r
1 NEW HANOVER COUNTY BOARD OF COMMISSIONERS
• Request for Board Action
Agenda: Consent Meeting Date: BOH Mtg.
Agenda: ® 12/06/06; County
Commissioner's Meeting
12/18/06
Department: Health Presenter: Dr. Jean P. McNeil, Animal
Control Services Manager
Contact: Dr. Jean P. McNeil, 798-7505
Subject: Animal Control Services - Request for an Additional Animal Control Officer
Brief Summary: On October 26, 2006, the Health Director, Animal Control Services
Manager and the County Manager discussed the need to open the Animal Shelter on
Saturdays. Based on that discussion, it was agreed to request an additional Animal
Control Officer due to a lack of capacity. An additional officer position would aid in
coverage for opening the shelter on Saturdays. This position has an annual salary of
$27,810. The budget amendment includes a request for salary for the remainder of FY07,
along with funds for purchase of uniforms and a mobile laptop and printer for the
officer's use. Other equipment and supplies, such as a vehicle, are already available for
use by this new officer and do not require additional purchase in the current fiscal year.
• The Shelter had been available on Saturdays to the public until June 2002, with Saturday
hours from 10 a.m. until 1:45 p.m. (Note: These hours coincide with a partner agency,
New Hanover Humane Society located on 23rd Street.)
The decision was made in 2002 to discontinue Saturday hours when staff was reduced by
two (2) officers (One (1) officer was reinstated to the Health Department budget in
2005). The County Manager has requested that we again provide Saturday hours to
improve customer service.
Recommended Motion and Requested Actions: To recommend approval of the request
for one additional full time Animal Control Officer and associated budget amendment to
the New Hanover County Board of Health and to submit the request and budget
amendment to the New Hanover Count Board of Commissioners for their consideration.
Funding Source: New Hanover Count Contingency Funds
Will above action result in:
®New Position Number of Position(s)
?Position(s) Modification or change
?No Change in Position(s)
• Ex lanation: One full time Animal Control Officer Please see attachment
20
Attachments: Animal Control Services PowerPoint Presentation •
•
•
21
Animal Control Services
Cost for Additional
Full-time Animal Control Officer
For Second Half of 2007
•
Salary/fringe: $20,000 (6 months including fringe - annual salary is $27,810)
Uniforms: 300 (coat, shirts, pants, boots)
Laptop & acces. 3.200 (laptop, mobile mounting accessories, printer, aircard)
Total $23,500
•
22
ill •
it
•
Animal Control Services
December 18, 2006
•
W-0
Animal Control Officer Schedule
S Wd. Tvndx R'MeeWn iOmdn' Bid4 SNardm' Seed^ Almdn'
r ~ 10:30-0 I0J0.7 OK 10a0.] Ott 10}0.] ~ 43:30
t
? OQ 0.6:30 szo 6630 M . - • ' 66:30
1 ,
m 6ao0 ~ 6-x:30 ! orc on sa:30 e-J:36 46a0
IA, ort i 4600 e4:30 - d-6u0 ort ort 66:30
i
V 8330 8-130 H30 8-130 OH Ott 8-3_10
~ I
cl 6-+eo I e-J 30 6-130 ~ e-130 on uao
Crt ",)o 66:30 "630 011 ? Off _ Off 8600
•
23
Positive Rabies Cases per Year
New Hanover County
30
25
20
15 p Fosti~m Cases
10
5
ill
0 . lit
1996 1998 2000 2002 2004
•
M.,
Bite Cases per Year -
New Hanover County
600
500
400
300 O fifes
200 - - - HU
100
1
0
1991 1993 1995 1997 1999 2001 2003 2005
24
4 `
Number of Registrations at Local -
Veterinary Offices
18500
18000
17500
17000
16500
16000 O Re ' tradons
11500
15000
14500
14000
1998 1999 2000 2001 2002 2003 2004 2005
•
Dangerous Dog Cases per Year
250
200
150
100 y B Cases
50
0
1995 1997 1999 2001 2003 2005,
•
25
P
Animals Processed
4000M
tt'
7 LjA~
2500 " +AADpUPWOM%
2000
1500 a tee' i.: -s-Euthaidzed
,r e y P'
10000 ,FA -rTohl
500 t
r
Spay- Neuter Surgeries
900
800
700
600
500
400 O Stir eries
300
200
100
0
2OW 2005 2006•"
• Rml surgery performedw SqW bc'_]. 2004
Through November 8.2006
26
1j
Population - New Hanover County
200000
180000
160000
140000
120000
100000
80000 Po anon
60000
40000
20000
0
1990 1995 2000 2005 2006
•
j Personnel - Number of 2•:
Animal Control Officers
8
7 P
6
4 El Number of
3 officers
2
I
0
1990 1995 2000 2004 2005 2006
•
27
•
•
New Hanover County Board of Health
2007 Meeting Dates
• January 3, 2007
• February 7, 2007
• March 7, 2007
• April 4, 2007
• April 12, 2007 - Staff Appreciation Luncheon
• May 2, 2007
• June 6, 2007
• July 11, 2007
• August 1, 2007
• September 5, 2007
• October 3, 2007
• November 7, 2007
• December 5, 2007
• December 13, 2007 - Holiday Celebration
i
28
2007 Executive Committee
Meeting Dates
5:45 p.m.
• January 30, 2007
• February 27, 2007
• March 27, 2007
• April 24, 2007 .
• May 29, 2007
• June 26, 2007
• July 24, 2007
• August 28, 2007
• September 18, 2007
• October 30, 2007
• November 27, 2007
• December 18, 2007
29
6PPX066
Press and I am a four year resident of New Hanover
Andrea
Hello, name
• a dog owner; the president of Cape Fear APBT Club, the
County. . I am also
treasurer of f Ed r Don States. I ams alsoa young professional that works in the
Dog Owners s o of
medical field here in Wilmington.
The reason I am here today is that on October 11"', Animal Control came to my
home and cited me for what I feel was being a responsible dog owner. The officer
told me that in New Hanover County, you are not allowed to tether your dog
unless you are outside with it. After reviewing your county ordinance, I, several
lawyers as well as multiple dog organizations and the County Commissioner could
not locate where in fact it states this. What we did find was that your ordinance
states tethering does not constitute adequate security in this county. My property is
surrounded by a fence with padlocked gates that has securely confined my dogs
for the four years I have been here. My fence is my primary enclosure. I use
tethering as one means of exercising my show dogs. According to your ordinance,
this would exempt me from the citation I received.
Also upon reviewing your ordinance, I noticed it is a lesser fine to allow an animal
to run loose than it is to be sure it remains on your property. In fact, it would be
cheaper for me to allow all of my pit bull terriers to roam my neighborhood than it
would be to tether one of them in my yard. This has red flagged all the dog
organizations I am involved in as it seems public safety is not a concern. How can
you expect your residents to believe they are to be responsible with their pets if
there is a lesser punishment for being irresponsible?
NHC has had its share of dog attacks and dogs at large that become a public
hazard. Many of these instances were the result of a dog that got loose from a pen
or fenced yard. Back in September, the police had to shoot two boxer puppies
because they scaled a 6 foot fence and became aggressive. And just last month in
King's Grant, a fence hopping pit bull attacked two different neighbor's dogs, on
three separate occasions. Back in August my neighbor's chow was found in the
middle of Blue Clay Road struck dead by a car, he too escaped his concrete floor,
metal top pen. If these dogs were allowed to be securely confined to their owner's
property by means of a safe tether system, these incidences would not have
occurred. I have provided you a state map that clearly shows it is completely legal
to tether in 95 NC counties. Two counties have time limits, two counties don't
allow it in their major cities, and one county, New Hanover, claims they have
outlawed it although the ordinance reads differently.
I understand Animal Control's concern about the safety of a tethered animal. I
agree, I do not want to see dogs getting hurt because their owners don't know how
• to properly set them up. I have offered to help AC organize a means of educating
the public. I am willing to use the resources of my club, and it members holdto
• clinics at a store in Castle Hayne that has agreed to carry the proper equipment
build a safe tether system. Even a permit through AC, say $25, to be allowed to
tether your dog would greatly help to enforce that it is being done properly. They
would have the names and addresses in their system. It also shows that not
everyone that tethers just wants to throw their dog out back. Some dogs just
cannot be confined by fencing. Many breeds are known for their escape artist
abilities, and we need to allow owners the means of keeping them safe and secure,
as well as keeping our community safe. I do not think a dog should be tethered out
in the open, a fence must be provided around the animal. Your ordinance already
allows this as long as that fence keeps the dog confined. AC is enforcing a law that
does not exist. It is a play on words, and as you can see by my being here today, it
was just a matter of time before someone figured this out.
I own American Pit Bull Terriers that I show in conformation and weight pull. I
currently have two champions, one grand champion and two AKC awarded
Canine Good Citizens at my home. One of my girls was 10 months old when she
became a champion and is now used to advertise a brand of dog food here locally.
My dogs can be found on the cover and inside pages of their breed magazine, The
Gazette, and have never bothered my neighbors. They have traveled to 17 states
between March and November just this year alone, they are hardly neglected,
abused, or left outside to rot. They are outstanding ambassadors of their often
slandered breed and I feel I have a right to decide how I can keep them safe,
secure and happy, as well as keeping my community safe, secure, and happy. They
are my life, and I would protect them with it. I thank you for allowing me to speak
here in front of you today, and want you to understand I am here to help, not hurt,
the citizens of this community. Wilmington is a great place to live, and I want to
keep it that way, for me, my dogs, and my future family.
Questions?
Andrea L Press
910-297-3582
capefearapbtclub@earthlink.net
•
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tuC11l..Lb 1. IN GENERAL Page 4 of 15
owner's or possessors' prr:,nises:
a. Any animal wilici,, is found at large off the premises of its
• under the restraint of a competent Person. owner and not
b. Any animal which damages the property of anyone other than its owner,
including but not limited to turning over garbage containers or damaging gardens,
flowers or vegetables.
c. Any animal which is a vicious animal.
d. Maintaining animals in an environment of unsanitary condition is in violation
of section 5-15.
a. Any which
virtue dangero s`to he publ c h afth, o safety oewelfa ePe and locaiion is offensive or
f. Any animal which barks, whines or howls in an excessive, continuous or
untimely manner.
g. Any animal which is diseased and/or dangerous to the public health.
h. Any animal which habitually or repeatedly chases, snaps at, attacks or barks
at pedestrians, bicycles or vehicles, and is not in an enclosure or under restraint.
i. Failure to confine a female dog or cat while in heat in such a manner that she
will not be in contact with another dog or cat, nor create a nuisance; but this
section shall not be construed to prohibit the intentional breeding of animals
within an enclosed area on the premises of the owner of an animal which is being
bred.
Rabbit shelter means an area sufficient in size to contain a constrained rabbit in a normal
. sitting, turning and stretching position. The shelter must be structurally sound, provide
predators and adverse environments, and be easily sanitized. The roof must have enough overhang to
protect the rabbit from rain. protection from
Restraint means the state of a dog if it is controlled by means of a , or is on or a
vehicle being driven or parked, or is within a secure enclosure. Exceptions toarestra nt are as fo lolws:
Organized and lawful dog functions; e.g., hunting, obedience training, field and water training, law
enforcement training and/or in the pursuit of working or competing in those legal endeavors. A dog shall
be maintained securely on the property of its owner. Ropes, chains and the like shall not constitute
adequate security under this chapter.
Secure enclosure means a padloc
en, wit locked om or locked outbuild ng with a cokncrete bottoms concrete bottom and a
secured top and/or a
Spayed female means any female which has been surgically altered to prevent conception.
Stray animal means any animal within he county wandering at large or lost and which does not
have an owner, or does not bear evidence of the identification of any owner, or any dog or cat within county whose owner, if determinable, has failed to pay. for and
vaccination tag. bis
Procure county license/rabies
U
naltered animal means any unspayed female or unneutered male animal.
Vicious animal
in any ma ner ca using njuary or the eso abl P 'has made e likelihood of injury ors one who habitual or re attack on a human by biting or
attacks faun stock or other pets.
IY repeatedly
• (Code 1978, § 3-4; Ord. of 5-15-2006, 3, 4)
Cross references: Definitions generally, § 1-2.
State law references: Animal welfare act, G.S. 19A-20 at seq.
http://Iibraryl-municode.com/mcc/DocView/I1337/j/18/19 10/15/2006
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Addendum 1
• INTRO
My name is Tom Garner. I have been an Orange County resident and dog breeder for 28 years. During
most of this time I've kept dogs in both fenced kennel runs and on chains. This side-by-side comparison
has provided a great opportunity for me to evaluate the merits of both methods of keeping a dog.
Currently, Orange County ordinances allow dogs to be kept in 10 x 10 pens and also on 10 ft. long
chains. Let's look at what a dog experiences dimensionally with these two minimums:
y
WIN
•
RELIABILITY
How do pens and chains compare in terms of reliability? A properly assembled chain setup in good
condition with a quality collar is escape proof. On the other hand, it is commonplace within my
experience for dogs to climb over or dig under pens. Some even learn how to open doors. Pens often fail
to do their job, particularly with more determined, athletic breeds.
SAFETY
What about your dog's safety in a pen vs. on a chain? I don't believe I've ever seen a dog injured by a
proper chain setup. However, I have seen numerous cases of dogs breaking teeth from biting on chain link
fencing. I've also seen several cases of dogs rupturing leg muscles and tendons from jumping vertically
• on their rear legs, attempting to scale a fence.
•
i •
~I
North Carolina Responsible Animal Owners Alliance
• PO Box 455
Stem, North Carolina 27581
Commissioner Greer:
Our organization has been contacted by Andrea Press regarding citations she
received from Animal Control. Normally we are not involved in matters between
citizens and the Animal Control departments, but this situation needs clarification.
Andrea Press has been cited for restraining her dogs by chaining/tethering. The
Officer stated that tethering is prohibited by New Hanover County ordinances.
I found several references to a "fact" that chaining/tethering is not allowed in New
Hanover, but I can find no statement to that effect in the ordinance.
Section 5-4 Definitions states:
Restraint means the state of a dog if it is controlled by means of a leash, or is on or within
a vehicle being driven or parked, or is within a secure enclosure. Exceptions to restraint
are as follows: Organized and lawful dog functions; e.g., hunting, obedience training,
field and water training, law enforcement training and/or in the pursuit of working or
competing in those legal endeavors. A dog shall be maintained securely on the property
of its owner. Ropes, chains and the like shall not constitute adequate security under this
• chapter.
This reference to ropes and chains is not applicable in this case, as the dogs
were additionally within a secure fenced in yard. If, in fact, it is the manner of
restraint the Officer objected to, these dogs are granted exception as the method
of chaining/tethering is "in the pursuit of working or competing in those legal
endeavors."
The ordinance I obtained from the County website makes no other reference to
chaining/tethering. Andrea Press has lived in her current residence for 4 years,
and during this time, Animal Control has not received a single complaint
regarding her dogs. Therefore, these dogs do not qualify as public nuisances, nor
do they qualify as vicious dogs: both instances might subject her to different
circumstances and regulations.
Additionally, these dogs are conformation and weight pull champions within their
breed. They do not fit the public perception of pit bulls. It is my sincere hope that
they are not being singled out for being American Pit Bull Terriers. As stated in
your ordinance, Section 5-4, definition of public nuisance, item number 2 states
"...which shall constitute prima facie evidence of a public nuisance by way of example
and not limited to certain types of animals, are actions involving animals or conditions
maintained or permitted by the animals' owner or possessors This statement
further indemnifies Andrea and her dogs from being subjected to discrimination
•
• based on the breed of dog she maintains, and the conditions under which they
are maintained.
Your attention to this matter will be greatly appreciated. If there has been a
revision to the County's Animal ordinances, then the county web page should be
updated to redirect citizens to the current ordinance.
Our Board of Directors have reviewed the ordinance, and cannot find standing
for the citation regarding chaining/tethering of dogs, yet several newspaper
articles cite New Hanover County as banning this practice.
We look forward to clarification of the ordinance and any further information you
may have regarding Andrea Press and her American Pit Bull Terriers.
If you would like to respond, please do so by email to ncraoa _yahoo.com
or by mail to the address listed above.
Thank you for your assistance.
Natalie Rowntree
Board of Directors
North Carolina Responsible Animal Owners Alliance
•
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1 AMERICAN DOG BREEDERS ASSOCIATION INC.
&4go- • " vo. Re. m+ e.rt CRY, R++ u++o
Posidon statement on dog containment
The American Dog Breeders Association Inc. (ADBA) favors all forms of dog containment to the
owner's property. We have found that as long as the dog is trained, socialized, exercised, and given
proper attention, the containment method used is not a factor in its behavior or temperament. Doc
BEHAVIOR ONLY BECOMES PROBLEMATIC WHEN A DOG IS NOT PROPERLY TRAINED, NOT
PROPERLY SOCIALIZED, AND IS NOT GIVEN PROPER ATTENTION.
All dogs need to have some freedom within limitations. Constant kenneling, constant chaining, or
constantly living oh a cable run with no off time is not obtaining the ultimate potential that a dog
can achieve. THE ADBA BELIEVES THAT THE INDIVIDUAL DOG OWNER IS THE BEST AUTHORITY
TO CHOOSE FROM THIS LIST OF APPROVED METHODS OF DOG CONTAINMENT, WITH ADDED
SPECIFICATIONS, FOR HIS/HER DOG(S) ACCORDING TO THE HOUSING ENVIRONMENT OF THE
OWNER.
KENNELING: A kennel must be large enough for a dog to comfortably have shelter from the
elements, enough movement room, a place to eliminate body waste and escape proof. A concrete
slab floor or patio block floor over sand is an ideal method to prevent digging escape and for ease of
cleaning (Other methods include wire fencing placed under several inches of dirt and pine chips)
The top must be secure and escape proof with a cover for protection from the elements. Shade must
be provided at all times. A rubber mat or a horse stall mat in the sleeping area prevents pressure sores.
The dog should be taken out of the kennel daily for training, playtime, exercise, and/or attention.
Constant inspection and maintenance is required of any containment type used.
STEEL CABLE RUN: A 1/2 inch diameter steel cable is nm tautly between two in-ground mounts
that are made of bent rebar sunk in concrete twelve feet apart and two feet deep, leaving a six inch high
loop of rebar above ground level. The cable secured with hammer down cable fasteners. Large steel 0.
ring, complete with a swivel to correct any twisting of the chain, attaches to the steel cable. The chain
should be six feet long of sufficient test chain strength it cannot be broken. (800 pounds to a max of
1,000 pounds is sufficient for most adult dogs.) The collar should be of buckle type, leather or nylon -
not chain - with a welded O-ring with swivel for chain attachment, of strength and quality that is
equivalent to the test strength of the chain. The collar should be tight enough to prevent escape while
loose enough to allow two fingers to be able to slip under it. Collars must be checked often to insure
proper fit. The run area must be free from entanglement obstructions. The dog must have adequate
housing to protect it from the elements and shade must be provided at all times. The dog should
have "off cable" time daily for socialization, training, play, exercise, and attention. A perimeter
fence should be in place to prevent trespass by children or animals not belonging to the dog owner.
Constant inspection and maintenance.is required of any containment type used.
TETHERING: A strong center mount attachment may be employed to safely tether a dog. That
• mount may be made of a length of rebar bent into a hairpin shape and sunk in cement two feet deep,
•
• leaving four inches of the bend above ground, or any other strong, escape-proof type mount,
including an automobile axel. A large steel O-ring, complete with a swivel to correct any twisting of
the chain, attaches the chain to the mount. The chain must be at a minimum five times the length of
the dog. The collar should be of buckle type, leather or nylon - not chain - with a welded O-ring
with swivel for chain attachment and ofa strength and quality that is equivalent to the test strength of
the chain. The collar should be tight enough to prevent escape while loose enough to allow two fingers
to be able to slip under it. Collars must be checked often to insure proper fit. Remove any entanglement
obstacles from the immediate area. Adequate shelter must be provided along the perimeter of the
tether area, to protect the dog comfortably from the elements. Shade must be available at all times
of the day. A perimeter fence should be in place to prevent the trespass by children or animals not
belonging to the dog owner. The dog should have daily "off tether time" for socialization, training,
play, exercise, and attention. Constant inspection and maintenance is required of any containment
type used.
HOUSEDOGS: Dogs whose owners contain them to the house or apartment must ensure that
his/her dog receives adequate exercise to maintain a healthy cardio-vascular system. Housedogs are
prone to having toenail breakage and they must have proper toenail care. Often housedogs become
overweight due to excess amounts of food and lack of exercise. Owners of active, performance
breeds utilize treadmills and other exercise equipment, when time or surroundings restrict the dog's
daily exercise/playtime. Going outside should be more than just a trip for elimination of bodily waste.
Housedogs should have proper training, socialization, as well as daily, exercise and/or playtime.
IN CONCLUSION: In today's society, dog containment is necessary to protect not only the animal but
as a responsible citizen and dog owner. The dog owner needs to take this step to protect him/her self
• from liability.
Each owner's property will differ, so no one method works for all. All equipment must be regularly
maintained to prevent injury or loss of containment of the dog. ADBA approves all of the above
methods as long as the dog has adequate care, and nurturing. That care and nurturing must include
training, socialization, attention, exercise and play time.
•
EBA's Official Positon on is.:ues
• P.O. Box 879
Walker, LA 70785
Tethering of Animals
Utilizing a tether for containment of an animal has advantages which cannot be
obtained through the use of "kenneling" an animal. "Kenneled" animals are
prone to joint stiffness and pad problems from continuous exposure to concrete
flooring. "Pressure sores" become evident and lead to chronic sores that will
not heal. Space is limited thus promoting a weakened animal due to lack of
proper exercise and stimulation of the cardiovascular system. If an owner of
keeper chooses to use tethering for containment of an animal, the device used
must be of adequate length to promote a sound cardiovascular system and
allow freedom of movement in any and all directions within the boundaries of
confinement with the area free of obstacles which may cause entanglement.
Materials used for tethering the animal will not include that which may be
chewed through such as nylon rope when tethering of an animal is
unsupervised.
•
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All American Dog Registry, PO box 90265, Tuscon, AZ 85752
The acceptable containment of domestic dogs
The official position of the All American Dog Registry, an American Pit Bull Terrier registry, is that the
dog owner is the proper authority to choose the type of containment that
best suits the individual needs of their animal.
Many serious animal control problems are caused by pets at large. Loose dogs are a threat to the public safety.
Even a friendly dog that is allowed to run at large can cause an automobile accident, or knock down a child or
elderly person and cause injury. Dogs must be safely confined so as to prevent escape from the owner's
property. Equipment should be checked frequently to prevent accidental failure.
The method of containment has little bearing on the psychological well being of the dog when the owner
provides adequate training, socialization and human interaction. Dogs are social animals. Isolation from the
"pack" is how they punish one another. It can create behavior problems where none existed before. If you are
not interested in spending a little "quality time" with your dog(s), then choose a lower maintenance pet. The
backyard, kennel, tether or crate should not be considered a full time baby sitter or replacement for
human/canine interaction.
Dogs (and many people) are naturally territorial. Once a dog knows the limitations of his space, it is perfectly
normal for him to defend it against intruders. This behavior can be self reinforcing if the intruder leaves
quickly, like the mailman or the meter reader. It benefits everyone if the dogs' location avoids unnecessary
aggravation.
Dogs are den animals. They are quite content to sleep in a plastic barrel filled with fresh hay. While lavish
living quarters with matching bedding may be esthetically pleasing and ease our guilt; clean, warm, dry and non
xic are more important to our canine companions.
imum requirements the owner must provide for the dog are shelter appropriate to the climate with shade
from the sun and cover from the rain/snow, and a safe environment in which to live. The dog should have
access to food and fresh drinking water daily. Anything less constitutes negligence.
All dogs should be contained to their owner's property in either a residence, a securely fenced yard, kennel
enclosure, or properly fastened tether.
Residential Concerns: If a dog is left unattended in the residence, the owner should make every effort to "dog
proof' the house as you would for a small child. Make sure that all doors and windows are secure. Designating
one room with interactive toys may be a better alternative. Otherwise, an airline kennel or wire crate can be
used as a "den" and safe haven while the owner is away. The crate should be large enough that the dog can
stand up and turn around comfortably.
Secure Fencing: Fencing should be in good repair and capable of keeping the dog in and neighborhood
children or their body parts out. If the dog is a climber or you live in an area where feral dogs or coyotes are a
problem, installing a top rail roller system will help keep everyone safe. Likewise, steps should be taken to
prevent the possibility of digging out. Any entry gate should be secure and preferably locked.
Kennel Enclosure: A kennel enclosure should be large enough that the dog can move about freely and
eliminate body waste away from the sleeping area. For safety, it should have a secure top or a top rail roller to
prevent escape and be constructed in such a manner that the dog cannot dig out. The door latch should have a
clip or a lock and be located high enough so as not to be easily reached by a child
Tethering: Contrary to popular and persistent mythology, tethering in and of itself does not increase territorial
aggression, or make dogs statistically more likely to attack. Of the documented dog bite fatalities that occurred
on the owners property, method of containment was not a relevant factor as cases were split roughly equal
doongst dogs that were unrestrained in the residence, unrestrained in the yard and restrained in the yard. A
tethered dog is just unable to chase or nm someone down for more than a few feet, making tethering a safe
method of containment When properly executed, tethering is a reasonable and secure way to confine a dog to
the owner's property. Dogs have been tethered since the beginning of time and the species has flourished, none
the worse for wear. However, every precaution must be made to protect the uneducated and unsuspecting public
III •
II •
from dogs that are not behind a visible barrier. A sign warning of a dog being on the property should be
prominently posted in the presence of a dog(s) that is only tethered.
There are two accepted methods of extended tethering; a cable run (trolley) system or a central tie down. In
t i er method, the dog should be secured with a buckle collar, no less than one inch in diameter or a specially
gned harness and all attachment rings should be welded closed. Choke chains and collars with "quick
release" buckles are not suitable. The tether should be made of a steel cable or chain that is of adequate strength
to secure the dog and long enough to allow freedom of movement for sufficient exercise, with a swivel at both
ends. The area must have shelter and water placed within easy reach of the dog and be free of any obstructions
that could cause entanglement
Please access our web site at www.online-aadr.com
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R£SP07r7 c'£Vol O?07Z£RS 0? -X ?V5 E45-75 R& 5'7,P 7£S
1116 Pepper:, Rd
Hodgenville KY 42748
• 270-358-5729
POSITION STATEMENT ON DOG CONTAINMENT
Responsible Dog Owners of the Eastern States favor all forms of dog containment to the owner's property. Our
experience with dogs is that as long as a dog is trained, socialized, and given proper attention that the
containment method is not a factor in its behavior, or temperament. Dog behavior only becomes problematic
when a dog is not properly trained, not properly socialized, and not given proper attention.
All dogs need to have some freedom within limitations. Constant kenneling, constant chaining, or constantly
living on a cable run with no off time makes a dog highly protective, even obsessive of its territory. Responsible
Dog Owners of the Eastern States believes that the individual dog owner is the best authority to choose from
this list of approved methods of dog containment with added specifications, for his/her
dog(s).
KENNELING; A kennel must be large enough for a dog to comfortably have a house, move room, a place to
eliminate body waste, a concrete slab floor, or patio block floor over sand to prevent digging escape, and for
ease of cleaning. It must have an escape proof roof cover with protection from the elements. Shade must be
provided for at all times. A rubber mat or a horse stall mat prevents pressure sores. The dog should be taken out
of the kennel several times a day for training, play, and/or attention.
STEEL CABLE RUN; A S inch diameter steel cable is run tautly between two in-ground mounts that are made
of bent rebar sunk in concrete twelve feet apart, and two feet deep, leaving a six inch high loop of rebar above
g und level. The cable is secured with cable fasteners. The dog's chain is attached to the steel cable by a large
el O ring, of a strength that cannot be broken by the dog. The chain should be six feet long, and of a strength
that the dog cannot break. The run area must be free from entanglement obstructions. The dog must have
adequate housing to protect it from the elements, and shade must be provided at all times. The dog should have
several off cable times each day for training, play and/or attention.
TETHERING:
Utilizing a tether for containment of an animal has advantages that cannot be obtained through the use of
"kenneling" an animal. "Kenneled" animals are prone to joint stiffness and pad problems from the continuous
exposure to concrete flooring. "Pressure sores" become evident and lead to chronic sores that will not heal.
Space is limited thus producing a weakened animal due to lack of proper exercise and stimulation of the
cardiovascular system. If an owner or keeper chooses to use tethering for containment of an animal, the device
used must be of adequate length to promote a sound cardiovascular system and allow freedom of movement in
any and all directions within the boundaries of confinement with the area free of obstacles which may cause
entanglement. Materials used for tethering the animal will not include that which may be chewed through such
as nylon rope when tethering of an animal left unsupervised. A chain must be of adequate strength to hold the
animal without causing undue stress on the animal. A central tie down stake must be used to attach the chain to
with a swivel incorporated on the end closest to the animal to prevent the chain from entangling upon itself.
Shade and housing are a must for any animal and must be available within the length of the tether. The house
should be placed in such a manor to allow the animal to be able to go into the house and turn around. The
opening in the house should be adequate to allow for ventilation and ease of movement of the animal. Food and
fresh water should be placed within easy reach of the animal but not in such a way as to entangle in the tether. A
d rule of thumb when designing a tether for an animal is that it should be a minimum of 4 times the length
the animal. This allows for enough room for the animal to obtain adequate cardiovascular exercise.
i •
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The Tether Issue
While innocence sleeps ...We are ever vigilant.
Only do not agree that tethering a dog makes it more aggressive. I have 43 that are tethered and there is not
an aggressive dog in the pack. I feel that the main trouble with most tethers is they are too short- My shortest
tether is 10 feet and that is on a puppy. And I do agree with one portion, the tether issue is indeed tied to the bsl
issue. If they tell you that your dogs must be contained but that you may not tether them there are going to be a
problem I have several dogs that will get out of a kennel. Even with a top on it they get out. They have to go on
a tether or I go to jail. So, I tether. Tethering an animal if it is done correctly does not cause aggression in a dog,
just as leaving a dog in a kennel without human companionship, can cause aggression. Case in point, my
neighbor has a yellow lab that is never taken out of his 4x 10 kennel. He would eat you for breakfast given half a
chance. My dogs are on tethers and are very human friendly. Aggression is not caused by a tether; it is caused
by lack of human contact. Any responsible owner spends time with their animal, in so doing you encourage and
foster the human/dog bond. I have heard the ARs tout for quite some time now that tethering causes aggression;
I take issue with them all. It is lack of human contact and training that causes aggression. Take the time to enjoy
your dog, spend a few extra minutes a day in a doggy cuddle, it helps lower your blood pressure and helps take
anger management to a whole new level. The best therapist I have ever had in my life was a little black/white
APBT named Cactus, he has dried more of my tears and calmed more of my fears than the therapist that my
insurance company paid thousands of dollars for. In closing I will say that I have tethered my animals all my
life, starting with the beagles when I was a little girl up through my APBTs. Not once have I seen tethering
cause aggression, but I have seen a lack of human companionship cause aggression or even abuse to an animal
will cause aggression, but not once have I seen a properly socialized and loved animal turned mean because of a
tether.
~esiastes 9:4 "For him that is joined to all living there is hope:
living dog is better than a dead lion."
Sandi Coy RN chairwoman.
Responsible Dog Owners Eastern States
Responsible Dog Owners of Kentucky.
1116 Peppers Rd.
Hodgenville KY 42748
270-358-5729
270-3074438
"He is your friend, your partner, your defender, your dog. You are his I
life, his love, his leader. He will be yours, faithful & true, to the
last beat of his heart. You owe it to him to be worthy of such
devotion." Unknown
SPONSORED LINKS American politics United state federal government
United states constitution
Bsl Politics
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• NEW HANOVER COUNTY HELATH DEPARTMENT
FOREIGN TRAVEL CLINIC
The New Hanover County Health Department would like to re-institute a Foreign Travel
Clinic which was terminated in 1993 due to budget constraints and staff reductions. If
approved, we plan to begin the clinic in early 2007. Currently, there are two known
providers of foreign travel vaccinations in our county.
The health department has always been a source for obtaining vaccinations. We provide
skilled and knowledgeable nurses, competitive prices, and easy accessibility to services.
How Will the Health Department Provide Services:
8
The Foreign Travel Clinic will see clients by scheduled appointments using our open
access scheduling system. We will provide immunizations, international certificates of
vaccination, malaria prevention medications, and travel consultation per standing orders
as reviewed by our medical consultant. Patients will require a thirty minute appointment
to receive theses services.
• The health department will initially provide appointments at 20 hours per work. Since
our services will be provided by registered nurses, a Licensed Practical Nurse will be
hired to work in the General Clinic for twenty hours per week to relieve the RN to work
the Foreign Travel Clinic. The part-time LPN position was included in the 2006-2007
budget based on projected revenues from the Foreign Travel Clinic.
The Traveler:
An individual or individuals that choose New Hanover County Health Department for
their foreign travel needs will begin by making an appointment. The client will be asked
their travel itinerary to help determine their foreign travel needs.
Using the TRAVAX program from Shoreland, Inc., a plan of care will be established.
Reference: Travax Program Overview and Travax Provider Health Report
On the day of the visit, the client will be screened for drug allergies, current health
conditions, medications, etc, due to possible contraindications with vaccines or
prophylactic malarial medications. The client will be provided consultation related to
their travel itinerary using the Travax Provider Health Report and the Yellow Book:
Health Information for International Travelers.
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d
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• Vaccines that are needed for travel to the area will be provided. Prophylactic malaria
medication will be provided in-house based on patient's weight and length of stay.
For example, a client traveling to Argentina may use Chloroquine as an anti-malarial
medication. The patient will be staying for one week and weighs 175. The patient will
be given Chloroquine 500mg x 6 pills (pre-packaged by our pharmacy) and will take one
pill the week before the trip, one pill at the destination, and four weeks after leaving the
malaria area, always taken on the same day of the week.
Subsequent vaccinations in a series may be given through the general clinic.
Vaccinations will be documented on the North Carolina Immunization Registry and an
International Certificate of Vaccination will be provided to the client.
Available vaccinations will include:
• Hepatitis A
• Hepatitis B
• Hepatitis A/B (Twimix)
• Td
• Tdap (Tetanus, diphtheria, and pertussis)
• MMR (measles, mumps, and rubella
• Varicella
• Meningococcal (Menactra and Menomune)
• • Influenza (based on availability)
• Typhoid (oral and injectable)
• Polio adult
• Immune Globulin
• Japanese encephalitis
• Rabies
• Yellow fever (including yellow fever uniform stamp)
Anti-malaria medications will be pre-packaged based on client's weight and length of
stay:
• Chloroquine
• Malarone
• Doxycycline
*At this time, we are evaluating the process of allowing prenatal clients to be serviced
through the Foreign Travel Clinic.
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•
Overview of Public Health's Revised Embargo Authority
Aimee Wall
UNC School of Government
I. What is embargo?
State law does not define the term "embargo." The dictionary definition of embargo is
"an order of a government forbidding foreign ships to enter, or any ships to leave, its
ports" or "an official suspension of commerce or other activity." Oxford American
Dictionary (1999). The latter definition is the one most appropriate in the
environmental health context. If public health officials are going to embargo food or
drink, they are basically ordering a person or company not to sell or otherwise
dispose of the food or drink until a court decides whether it should be destroyed.
Another word that is typically used is "detain" or "detention." In the context of public
health's authority with respect to food and drink, the terms are interchangeable.
In short, a public health embargo consists of an official placing a tag on a food or
drink item indicating that the food is adulterated or misbranded and then petitioning a
court for an order of condemnation. The public health embargo authority is found in
® G.S. 130A-21 (as amended by S.L. 2006-80). The public health law cross-references
the embargo procedure used by the N.C. Department of Agriculture and Consumer
Services (DACS) found in G.S. 106-125.
II. Who may exercise embargo authority
a. Shellfish and Grade A milk: The embargo authority related to shellfish (scallops,
shellfish and crustacean) is unchanged. Therefore, environmental health
specialists authorized in food, lodging and institutions may exercise embargo
authority.
b. Other food and drink
i. Who? With respect to other food and drink, the law provides that the
following persons may exercise embargo authority:
1. A Department of Environment and Natural Resources (DENR)
regional environmental health specialist (REHS) or an REHS's
superior; or
2. A local health director, after consultation with an REHS or an
REHS's superior.
11/06-1
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ii. Delegation: The law includes specific language prohibiting delegation of
embargo authority to individual environmental health specialists (EHS) in
local health departments. Therefore, it is critical that the health director or
REHS - not an EHS - is the only person actually ordering an embargo.
Despite the limitations on the actual embargo authority, an EHS or EHS
supervisor is likely to play an important role in the embargo process. The
EHS will probably be the first person to witness the potential problem
food or drink and will investigate the situation by initiating a conversation
with the person in charge regarding the condition of the food or drink and
possibly suggesting voluntary disposal of the product. The EHS will
probably also contact the health director and stay closely involved if the
embargo process moves forward.
iii. Consultation: The law requires that the health director consult with an
REHS or an REHS's superior before issuing an embargo order. The form
of this consultation will likely vary depending on the circumstances. It
could mean a telephone conversation or a site visit. Whatever form it
takes, health directors should document the consultation as part of the
embargo process.
iv. Notification: When any embargo action is taken, the law requires DENR
or the local health director to notify the Department of Agriculture and
Consumer Services.
III. What types of establishments and situations are subject to embargo authority?
a. Milk and shellfish authority is unchanged.
b. Other food and drink: The embargo authority of public health officials is limited
to (1) regulated establishments and (2) communicable disease investigations. Ifla
public health official is faced with a situation where he lacks embargo authority,
he should consult with representatives of DACS to determine whether it has
jurisdiction.
i. Regulated establishments: The law authorizes embargo in "an
establishment that is subject to regulation" by DENR pursuant to Chapter
130A.
II
11/06-2
® 1. Who is included? The following types of establishments are
subject to embargo authority
a. G.S. 130A-235: Institutions (e.g., nursing homes,
hospitals, orphanages)
b. G.S. 130A-236: Schools
c. G.S. 130A-248: Food and lodging (e.g., restaurants, food
stands, commissaries, mobile food units, pushcarts, and
temporary food stands, hotels, motels, bed and breakfasts,
summer camps)
d. G.S. Chapter 130A, Article 8, Part 7: Mass gatherings
2. Who is excluded?
a. Anyone exempt from regulation under Chapter 130A, such
as private clubs (G.S. 130A-250(5)).
b. Areas of and products in regulated establishments that are
subject to regulation by the DACS, such as packaged hot
dogs in a meat market.
c. Establishments regulated by DACS, such as ice cream
shops.
d. Jails (G.S. 153A-226)
e. Child care facilities (G.S. 110-91)
® ii. Communicable disease investigations: The law also authorizes embargo
in an establishment that is the subject of an investigation pursuant to G.S.
130A-144. Note that the scope of this authority is slightly more expansive
- it will apply in any establishment that is the subject of an investigation,
whether it is regulated by DENR or not.
IV. Under what conditions may food or drink be embargoed?
a. Adulterated: The law authorizes the use of embargo authority if food or drink is
adulterated, as that term is defined in G.S. 106-129. The term essentially means
that the food or drink has been mixed or altered such that it may result in human
illness and/or death if consumed
i. Examples could include food or drink that:
1. Is cross contaminated with organic substances such as blood, fecal
matter (animal or human) or chemicals such as petroleum products,
pesticides and cleaning solutions
2. Has begun to decompose.
3. Has a foreign object in it.
11/06-3
b. Misbranded: The law also authorizes the use of embargo authority if food or
drink is misbranded, as that term is defined in G.S. 106-130.
i. Examples could include
1. Missing or incomplete labeling (e.g., required information missing
on labels such as shellfish certification numbers). I
2. Obscured or concealed labels (e.g., when required to be present;
the sell-by date is concealed or obscured by addition of other
labels).
V. What are some alternatives to exercising embargo authority?
a. Voluntary disposal: When an EHS is conducting an inspection or responding to a
complaint, she may educate the owner or manager about unsafe food or drink and
explain that it should not be served to the public. The EHS, health director or
REHS can ask the owner or manager to dispose of the food voluntarily.
i
b. Permit action: If an EHS concludes that food or drink presents an imminent
hazard (as defined in G.S. 130A-2), she has the authority to immediately suspend
or revoke a permit pursuant to G.S. 130A-23(d).
c. Imminent hazard: If an EHS concludes that food or drink presents an imminent
hazard (as defined in G.S. 130A-2), she can also contact the health director or
DENR and evaluate the possibility of exercising imminent hazard authority under
G.S. 130A-20. Under this law, the health director or state public health official'
has the authority to immediately abate the hazard, which could include seizing the
food or drink to prevent it being served to the public. It is conceivable that this
authority could also be used to allow the health official to take steps to
immediately destroy the food or drink if, for example, it is causing harm (e.g.,
emitting noxious gases).
d. Public health nuisance: A health director or state public health official could
theoretically conclude that the food or drink constituted a public health nuisance
(which is not defined in state law). G.S. 130A-19. If so, he could issue an order
requiring the owner or manager "abate" the nuisance, which could mean not
serving it to the public. The only way to enforce such an order, however, is to go
to court. Given that the process is so comparable to embargo authority, it may be
more appropriate to rely on embargo than the less specific nuisance authority.
e. Injunction: Public health officials also have the option of going to court to seek, an
injunction under G.S. 130A-18. An injunction has the benefit of longevity. In
other words, an embargo order would effectively eliminate one lot of food or
drink but an injunction could allow a court to order an owner or manager to never
serve certain food or drink in the future. Depending on the circumstances, an
injunction may be a more appropriate remedy than embargo or perhaps it could be
combined with embargo.
11/06-4
® f. Misdemeanor: Public health officials always have the option of charging an
owner or manager with a Class 1 misdemeanor under G.S. 130A-25 for violations
of any provision of Chapter 130A and rules adopted by the Commission for
Health Services. A criminal charge could be a useful enforcement tool if, for
example, a person is operating without a permit or is repeatedly violating
applicable statute or rules.
11/06-5
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Statutes Related to
Public Health's Embargo Authority*
Table of Contents
Statute . Title Page
G.S. 130A-2 Definition: Imminent hazard
G.S. 130A-18 Injunctions
G.S. 130A-19 Public health nuisances
G.S. 130A-20 Imminent hazard
G.S. 130A-21 Embargo
G.S.130A-25 Misdemeanor
Suspension and revocation of permits and program
G.S. 130A-23 participation
G.S. 130A-144 Investigation and control measures
G.S. 106-121 Definitions and general consideration.
Detention of product or article suspected of being
G.S. 106-125 adulterated or misbranded
G.S. 106-129 Foods deemed to be adulterated
G.S. 106-130 Foods deemed misbranded
G.S. 106-132 Additives etc. deemed unsafe.
I
* Important note: These are the statutes in effect in November 2006. When exercising embargo
authority, please consult the official statutes to ensure that you are relying upon the most recent version
of the law. The statutory compilation on the General Assembly's website is typically updated on an
annual basis (http://www.ncleg.net/gascripts/Statutes/Statutes.asp).
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Statutes Related to Public Health's Embargo Authority (11/2006)
Page]
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DRAFT
COUNTYWIDE GOALS
As recommended by the Government Finance Officers Association (GFOA), and
the National Advisory Council on State and Local Budgeting, the following
Countywide Goals have been designed to guide the development of the fiscal
year 2007-2008 budget. These goals have been developed to provide direction
for County departments in their allocation of resources to areas the County
Commissioners deem to be most important.
Long-Term Goals:
t) Provide a Safe Community for All New Hanover County Citizens.
2) Continue Investing in Electronic Technology for Citizens to Easily
and Efficiently Conduct County Business.
3) Protect the Environment and the Quality of Life Enjoyed by New
Hanover County Citizens.
4) Ensure the Health and Welfare of all New Hanover County Citizens.
• 5) Ensure Equality for All New Hanover County Citizens.
6) Provide Prompt, Courteous, and Professional Services to the
Citizens of New Hanover County.
7) Provide for the Educational, Cultural, and Recreational Needs of the
Community.
8) Ensure the Financial Stability and Legal Protection of the County.
9) Promote Sound Economic Growth.
1
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
REQUEST FOR BOARD ACTION •
Meeting Date: 12/04/06
Regular Item 5 Estimated Time: Page Number:
Department: Budget Presenter: Cam Griffin
Contact: Cam Griffin
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SUBJECT:
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Countywide Goals for FY07-08
BRIEF SUMMARY:
Each year at the beginning of the budget process, the County Commissioners establish goals for the County to guide the
development of the budget for the next fiscal year.
The attached draft goals address long-term concerns and issues and provide direction to County departments i1n
establishing the budget for their department.
RECOMMENDED MOTION AND REQUESTED ACTIONS:
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Staff recommends that the Commissioners consider the attached draft goals for FY 07-08.
FUNDING SOURCE: •
Will above action result in: Number of Positions:
Explanation:
ATTACHMENTS:
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Countywide GOALS condensed. doc
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REVIEWED BY:
LEGAL: N/A FINANCE: NIA BUDGET: HUMAN RESOURCES: N/A
COUNTY MANAGER'S COMMENTS AND RECOMMENDATIONS:
Establish goals.
COMMISSIONERS' ACTIONS/COMMENTS:
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• New Hanover County
Animal Control Services
Advisory Committee
Meeting Minutes 10/11/06
Welcome-to-new member =-Dianne-Connor,-member-at-large.
Guest = Keith Farmer 910-520-7400 cell phone or 910-791-1224 home on
baby iguanas. He requested we pass an ordinance similar to Brunswick
County's as follows:
"Animals Given Away As Prizes. No live animal shall be given away, raffled or offered
as a prize, premium, or advertising device for, or an inducement to enter, any contest,
game, or other competition involving skill or chance."
Old Business
1. Advisory Committee by-laws.
Still in process of revising these for final dispursement.
2. School education update - UNCW student group.
Jean will attend their meeting 10/18 to discuss options.
3. Shelter open on Saturdays.
• Meeting w/ county manager on 10/26.
4. Inner city rabies clinic.
Whitney is heading this up. Greatest need = volunteers for 11/181-
3p.m. at the community center.
5. Advisory committee member training.
Still available. Jean suggested coming during shelter hours.
6. Area veterinarians - public forum.
Staff needs to consider in January. Bob said perhaps April?
7. ACS staff.
Gave handout of current staff w/ names and positions.
8. ACS adoption play area.
Checking to see about landscaping.
9. C.A.T. vaccination form.
Bob brought a form for groups to use. Discussed revisions.
New Business
1. New member.
Jewell Ann has already gone, so need her spot filled now.
• 2. Ashley HS pet program.
Karen Campbell would like to continue this project. Patrice said they •
failed to re-apply for a grant. Asked about ACS having a satellite
shelter, but not likely to happen. May combine w/ #6 = prison plan.
3. FOF at Kure Beach elsewhere).
Had an issue there. Mainly mentioned so committee would know that
only-FOF-exemption-was-for-licensing. JoE. Added-that-she-had-told
-each-colony- caretaker_that the_cats_were_okay_as-long as_there_were.no
complaints.
4. Statewide differential licensing.
Dr. David Beauchamp has approached Jean as president of the state
veterinary board about statewide differential licensing.
5. Fund-raiser = this year's stuffed animal..
"Juggles" the bear. Money (donations!) due by 11/13.
6. Prison/pet partner program.
Whitney has an interest here and a community contact, Iris.
7. Pet evacuation law.
President Bush passed this into law this week. States that every
community must provide shelter for evacuated pets.
8. NC DA&CS inspections.
Dr. Lee Hunter heads this group. Animal control agencies will be
inspected like private kennels have been.
9. Trust fund money.
Some discussion on what to use this for included Phase II on surgeries
and:a possible kennel for prison/pet partner program.
1O.Veterinary reimbursement on ACS calls.
Currently at $50. Some have asked for more. ACS budget can barely
handle this amount. Tabled for now.
11.Neighbor complaint calls. i
No solution for unfounded complaints.
12.Committee meeting dates.
Next scheduled for January 10, 2007.
13.Building community partners.
Cindy suggested doing engraved plaques or a certificate of
appreciation. Consider area veterinarians that have routinely helped
us with injured and/or sick animals.
14.Where do we go from here?
Keep thinking of new ideas!
RROjEC/
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of New Hanover,
Brunswick and
Fender Counties
GREATAMERICAN
SMOK
Project ASSIST is a community coalition that works to reduce death and o v e m b e r 16th
disability from tobacco, through education and advocacy in New Hanover,
Brunswick and Pender counties. The coalition is grant funded from the Centers
for Disease Control and Prevention, and overseen the Tobacco Prevention 2006
and Control Branch of the North Carolina Department of Health and Human
Services. For more information about this Coalition, please call 910-798-6548.
Every year, smokers across the nation take part in the American
F9 Cancer Society's Great American Smokeout® by smoking less or
quitting for the day on the third Thursday of November. The event
' challenges people to stop using tobacco and raises awareness of
the many effective ways to quit for good.
r « : According to the American Cancer Society, research shows that
smokers are most successful in kicking the habit when they have
some means of support, such as nicotine replacement products,
counseling, prescription medicine to lessen cravings, guide books,
and the encouragement of friends and family members.
m Despite that, only about 1 in 7 current smokers reports having
tried any of the recommended therapies during his or her last quit 0
attempt. If you need help getting started, call 1-800-QUIT-NOW,
QUIT FOR A DAY. and talk to a certified smoking cessation counselor today!
r And remember- don't quit quitting! It takes the average person
ZAaa Great Amarkan Smokeoup i a d seven quit attempts before they are successful in eliminating
Sopportunttytoquitforaday.Mvrhystop; p tobacco from their life!
Wake it your msolutlon to stay quit for t
# Earoiina T'Use Quit une the benefits
every stepoftiteway.
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Of auuittina
9*%bett4 Y0U w11L m.' I- W1rs F v It's no secret that smoking is bad for your health - even if you smoke low-tar and low-nicotine
cigarettes. In fact, smoking harms nearly every organ of your body and causes a long list of diseases
wkh including cancer, heart diseases and lung diseases. It even harms the health of unborn babies.
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-r?Qe healtf118r In the new)*" - Some people feel they have smoked too long to benefit from quitting. Others feel they haven't
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' . 4« " smoked enough to be at risk. No matter how long you have smoked, you will be healthier starting
f* p6"rlr - 6", phoft ;Up tv* the minute that you quit.
Can t1W 's,
finally trained ~QuiGohes tree t
tld and Msko[lCe WM',d10Q0ng Me d$h dr ' Y If your last cigarette was: ese are some of the changes you may experience:
rl to yt?t4 S(Uii b ~g = s minutes ago earl rate drops to normal
4~ 20 12 hours ago. arbon monoxide level in bloodstream drops to normal'
Tattit *0 **Vk" toward
" weeks to eart attack risk begins to drop and lung function begins to im
months ago. rove _.t
1 to 9 monthsago oughtng and shortness of breath decrease
i"°` I year ago dded risk of coronary heart disease is half that of a smoker's
a ? v : , to 15 years ago troke risk is reduced to that of a non-smoker's
ung cancer death rate is about half that of a smoker's; risk of
ancers of the mouth, throat, esophagus, bladder, kidney, and
10 years ago • anereas decreases
F , ` + u ,tom $ r 15 years ago sk of coronary heart disease is back to that of a non smoker's
' _ 'y'• g. - Source: Centers for Disease Control and Prevention
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The Debate is over, and the statistics are clear. Secondhand smoking is smoking! Whether
it's in your home or in your favorite restaurant, the adverse effects of secondhand smoke
are immediate.
After a childhood spent in Alaska, relocating to North Carolina has been an adjustment. The beauty of the Alaskan mountain ranges is equal to that of North Carolina's
beaches. This change of scenery has been an adventure, as was getting my first job as a waitress. Shortly after arriving in North Carolina I applied at several restaurants
for a waitress position. Within a week I was hired by a local diner, and began working right away. After a couple days spent working in a small one-room diner with
no ventilation, the smoke began to irritate me. It began with headaches, associated with pressure in my upper cheeks and nasal passages, eventually accompanied by a
constant nauseous feeling. Finally, a month and a half after the start of my employment I became so ill I could hardly get out of bed, the headaches had become migraines,
and there was a burning in the back of my throat that even water could not quench.
I was forced to call in sick to work that day, and visited a clinic in the hopes of getting a diagnosis. The doctor stated that I was suffering from sinusitis, which he said
- p .rj ....Q.. v muwu ua nuo ours Ma uviaa nilluOluD, NlLLl.ll LG Ja1LL
was a direct result of the environmental tobacco smoke in my workplace. I was then told that if I did not quit my job, the sinusitis could become chronic. He then wrote
me several prescriptions for antibiotics, and a note to take to my employer. It took me two weeks to fully recover.
Not only did the second hand smoke negatively impact my health, but it also cost me my job. t =
What I am trying to convey is the seriousness of secondhand smoke; there is nothing trivial about it. It is a public health hazard that effects people both young and old.
According to the American Lung Association 3,000 non-smokers will die this year as a result of a carcinogen found in secondhand"sinoke. And, according to the American
Heart Association, 27,000-62,000 more non-smokers in the US will die from heart disease caused by secondhand smoke. A
Clearly secondhand smoking is just as harmful as smoking. Since I'm a 16-year-old minor, the laws of this state will not allow me to smoke. Yet, as a result of my
workplace environment, I experienced the same health hazards just as if I was smoking. I fail to see the logic in this, and I'm certain you will too.
Something must be done to eliminate secondhand smoke from the workplace, because no one should ever have to endanger his or her health in order to hold down a
job. That is why I am calling on our local legislators to pass a bill in January that gives each individual county the power to pass smoke free bans in their restaurants and
bars. Because second hand smoke affects more than just the smoker, it impacts the employer, the employees, and the patrons.
This article was written by Caroline Daugherty, a sixteen year old Brunswick County resident and tobacco prevention youth advocate.
a +
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P'€tOjE
SS On Thursday, November 16th, the American Cancer Society will celebrate the 30th Annual Great
cnerer
of Nrw wanove. American Smokeout. This event was "
-
Ownswlckand ` started in the late 1970's to encourage smokers across the nation to
fend" Counti quit smoking for the day. The objective r . >'of the Great American Smokeout is that just one day of nut smoking
will help smokers begin, the process of quitting.
Coastal Horizons Center is using this important event as a time to reach out toarea restaurants that employ or serve teens, and
ask them to consider becoming smoke-free.
"Our program works to prevent teen tobacco use and teen exposure to secondhand smoke," said program coordinator Deeanna
Hale-Holland. "Many restaurant owners don't realize that adopting a smoke-free policy will not only protect teen employees and patrons from secondhand
smoke, but provide positive role-modeling for other youth."
According to Coastal Horizons Center, smoke-free policies provide a healthier and safer environment for teen employees and patrons. There is less
employee sick leave caused by exposure to secondhand smoke; people with asthma and other respiratory problems will become regular customers; families
with children will dine out more often; fire danger is reduced. There is also a financial benefit for owners of restaurants. Eliminating smoking reduces
cleaning and maintenance costs; furniture lasts longer; and there is less risk of lawsuits from employees who become ill from being exposed to secondhand
smoke.
Studies show that adopting a policy of 100% smoke-free dining does not hurt revenue. According to a recent Elon University Poll, 65% of North Carolinians
support a law to ban smoking in all restaurants, bars and workplaces.
Secondhand smoke is a major concern because of the health consequences to nonsmokers. It is the combination of the smoke that comes from the burning
end of a cigarette, cigar or pipe and the smoke exhaled by a smoker. According to the Centers for Disease Control and Prevention (CDC), nonsmokers
exposed to secondhand smoke are exposed to approximately 4,000 chemicals, including cyanide and arsenic. Of these chemicals more than 40 are known
to cause cancer. The National Cancer Institute (NCI) reports that secondhand smoke is responsible for more than 3,000 lung cancer deaths every year.
People who regularly breathe secondhand smoke also face an increased risk of heart disease and.developing other types of cancers:
Exposure to secondhand smoke is also a very dangerous health risk to children. According to NCI, secondhand smoke is responsible-for over 300,000
serious respiratory ailments in children each year, including bronchitis, ear infections, asthma attacks and pneumonia. This results in nearly 15,000
hospitalizations each year and causes nearly 3,000 sudden infant death syndrome (SIDS) deaths in the U.S. annually..
Restaurant owners can support the Great American Smokeout by choosing this day, November 16th, as the first day to implement
a smoke-free policy in their restaurants in order to protect teen patrons and j
employees. Another step towards policy change could
be to allocate.one or two days a week as teen and family nights with smoke-free dining. If not ready to take that step, restaurant
owners can participate by making November 16th a smoke-free dining day. According to a recent report by the U.S. Surgeon
General, there is no safe level of exposure to secondhand smoke.
These efforts are funded by a grant from the Health and Wellness Trust Fund. For more information on becoming a smoke-free tAa * r
m
restaurant,` please call Coastal Horizons Center at (910) 202-0840 or Erin Cummings with Project ASSIST at (910) 343-6500.
mom= NATIONAL ~e a
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IJllLW1J IJl~Jl1llWL~
-
ABOUT THE N(C
IHIEAUL7!'HANA ° e
WELLNESS
TRUSTFUND: °
The NC Health and Wellness Trust
Fund makes North Carolina stronger,
both physically and economically, by funding programs that promote
preventive health. Created by the General Assembly in 2000 to allocate MM
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a portion of North Carolina's share of the national tobacco settlement,
HWTF has invested $127 million to support preventive health initiatives
and $78 million to fund a prescription drug assistance program. For more
information, please visit www.HealthWelINC.com.
C K
a
Page 4
4 RO) Ee-
ss~(.r
of New Ha»over,
endetCounh
Pinder Coun * SMOKE FREE RESTAURANTS IN
f
WILMINGTON & SURROUNDING AREAS
CAROLINA BEACH
Cottage D & U Diner NoFo Cafe Hole-In-One at Goose Bay Bo Sue's
Courtyard By Marriot Dairy Queen Opus Jade Garden- Leland Corianders
Frank's Pizza David's Deli and Restaurant. Orange Julius Joseph's Italian Bistro Crabby Mike's
Generations Deli Downtown Pita Delite KFC Dairy Queen
Granny's Country Kitchen Dick's Dogs and Burgers Pizza Pan Kohl's Domino's
Hardees Dog House Portland Grille Kopp's Quick Stop I & II Hardee's
Kate's Breakfast and Lunch Dunkin Donuts c:Qutzno's Subs McDonalds.... Lanier's Campground
Mama Mia's Echo Farms Country Club -Ray's Restaurant New China Max's Pizza -
Michaelangelos Pizza Everyday Gourmet Rudino's Papa John's Pizza Mollie's Restaurant
Subway Fire Bowl Sarku Japan Phil's Sandwich Shop New York Corner Deli
Top Wok Firehouse Subs Sawmill Port City Java Subway
Flaming Amy's Sbarro Pizza Pharmacy Restaurant `
CASTLE HAYN E Folk's Cafe South College Sandwich The Pieehouse Restaurant
cx Hardees of HWY 117 French's Classic Burgers Spiro's Breakfast and Lunch Subway, `
Frontier Food to Go Steak Escape Sugar Shack;
KURE BEACH Genki Japanese Restaurant Subway
Freddie's Restaurante Golden China Taco Bell A` PENDER COUNTY
Golden Dragon Tailwind Deli News and Gifts , Burgaw
WILMINGTON Good Goody House Target Food Avenue A B Gnlle and Ice Cream
A Southern Thyme Gumby's Pizza Terrazzo Andy
ATaste of Italy Han-dee Hugo Tidal' Creek Co-op China King"
Andy's Cheesesteaks Hardees The Woods at Holly Tree zD&B Restaurant
Anton s Caribbean Cafe
Y' Hibachi Express Tokyo Deli ` ~:I3ee srDrng=~~
Antonios Pizzeria Hollywood East Cinema Grill Two Guys Grille Domno
Arab Shrine Club Honey Baked Ham Company UNCW Cafeterias Holland's Shelter Creek Restaurant t~4t 1 to
Arby's I Love NY Pizza Verizon Wireless Cafeteria Maria's Courtyard ' I J
Artisan Market and Cafe Indochine Restaurant Wendy's McDonald's
Atlanta Bread Company Invista What's Cookin' Scotchman " 1
Bagel Basket Jackson's Big Oak,BBQ. _.-Wilmington Ice.House M Skat!s
Bagel Oven Cafe Jellybeans WilmingtonTeaRoom Subway r ,j
= a'
Barnes and Noble Cafe Jersey Mikes WiLningtoniari/Percy's Siecliuan.Pavihon
Bayan
Jesters Java r `Wnghtsville Cafe U Wash and Dry Gnll E ',i
Bear Rock Cafe Jeters at the Mall..Zero's ` Your Conventence ;
Bellas Sweets and Spirits Jeters Hot Dogs z 6- '`a~~
Rrntn R.v L.e A4..- AATDIGt-iTCV11 I F RFA('t4 14A MPCTFAn ~r
Bento Box Joe Muggs WRIGHTSVILLE BEACH HAMPSTEAD o
Blimpies Subs Jones Seafood House Mercer's Restaurant Andy's 4
Bolangles Jungle Rapids Verandah Cafe-Holiday Inn China Garden
Bon Appetit K's Cafe Vito's Pizzeria Domino's
Boodles Ken's Bagels and Deli King's Table _
Brasserie On Soleil Kohl's Frozen Custard BRUNSWICKCOUNTY Old Point Country Club Grill
Brigade Boys and Girls Club Krazy Pizza Andy's- Shallotte Panda Chinese Restaurant "
Brightmore KS Cafe and Catering Archibald's Deli Pizza's 2 U This logo signifies a smoke free
Brooklyn Pizza Company Lake Shore Commons Bart's BBQ Player's Cafe establishment. For the most
Burger King Le Catalan Beck's Port City Java please
Cafe at Temptations Lovey's Natural Foods Bella Cucina Scotchman ccurrent isitent liwwst st of of restaurants, rgand click
v Cameron Art Museum Lucky Star BHI Clubhouse Subway the to
Carolina BBQ Lupita's Bakery Billy Bass Seafood The Bagel Bakery on go.
CFCC Food Court Manhattan Bagel Bojangle's- Shallotte Topsail Greens Snack Bar
Charlotte's Uptown Eatery Marc's on Market Burger King- Shallotte XYZ Pizza
Checkers Marriott Courtyard Calabash Deli
Chick fil A Mayfaire Cinemas Captain Nance's Seafood ROCKY POINT
China Garden McDonald's Captain Pete's Freshway
China King Meritt's Burger House 'Cinelli's at Ocean Isle Beach Grand Oak Driving Range
China One Minch Sushi Cook's Nook Hardee's -
China Star Ming Tree Derbster's Dining Paul's Place
China Wok Moe's Southwest Grill Double Eagle Grill Wendy's
Chopstix Express Montego Bay Ella's
r'huck E Cheese Nagila Great Wall SURF CITY
Cici's Pizza Nikki's Fresh Gourmet Hardees Andy's
City Club Cubbies Nino's Pizza and Pasta Holden Beach Pier and Grill Batson's Gallery
i
CM
t
i
7
e
PLEASE REVIEW
"SECONDHAND TOBACCO SMOKE"
INFORMATION BEFORE MEETING!!
Thanks
•
• We're not blowing smoke
Strong smoke-free laws are important because:
• There is overwhelming scientific evidence that secondhand tobacco smoke is a direct
cause of lung cancer (causing an estimated 3,000 nonsmokers to die each year), heart
disease (35,000 deaths each year), and lung and bronchial infections (affecting a
quarter million children every year).
• In June the US Surgeon General issued a report on involuntary smoking stating that
nonsmokers who are exposed to secondhand smoke at home or at work increase their
risk of developing heart disease by 25-30% and increase their risk of developing lung
cancer by 20-30%.
• Also, according to the new report, breathing secondhand smoke for even a short time
can have immediate adverse effects on the cardiovascular system and interferes with
normal function of the heart, blood and vascular systems in ways that increase the
risk of a heart attack.
• Smoke-free laws help protect restaurant and bar employees and patrons from the
harms of secondhand smoke.
• Smoke-free laws help the seven out of every ten smokers who want to quit smoking
by providing them with public environments free from any pressure or temptation to
smoke.
• Secondhand smoke can cause asthma in small children, and worsen asthma attacks in
• all who suffer. It's a known trigger for asthma attacks.
• The CDC issued a commentary to doctors in 2004 warning that anyone who suffers
from heart disease or has risk factors for heart disease can have a heart attack after as
little as 30 minutes of exposure to secondhand smoke.
It's not just a critical health issue, but a financial one as well.
• Employees who smoke cost their employers an average of $1,429 per year per
smoker.
• According to the Campaign for Tobacco Free Kids, annual health care costs in North
Carolina directly caused by smoking are $2.26 billion and smoking-related
productivity losses in our state are $3.15 billion.
• The Society of Actuaries issued a 2005 report finding that secondhand smoke costs
the U.S. economy roughly $10 billion a year: $5 billion in estimated medical costs
associated with secondhand smoke exposure, and another $4.6 billion in lost wages.
• According to the Journal of Occupational and Environmental Medicine, reducing just
one health risk increases a person's productivity on the job by 9 percent and reduces
absenteeism by 2 percent.
• Numerous studies have shown that going smoke-free does not hurt business. In
reality, business often improves because going smoke-free makes the entire dining
• experience safer and more enjoyable.
. • A report from New York City found that in the year after the city's comprehensive
smoke-free law took effect March 30, 2003, business receipts for restaurants and bars
increased, employment rose, the number of liquor licenses increased, virtually all
establishments are complying with the law, and the vast majority of New Yorkers
support the law.
• Smoke-free indoor environments lead to lower maintenance expenses, lower
insurance premiums and lower labor costs. All this equals greater profits and a
healthier and safer environment for employees, employers, and patrons alike.
Another concern is government telling businesses what to do. Most people agree that
where there is a public health hazard, it is the role of the government to help mitigate the
risk. This is why there are health inspections of restaurants and there is a law that requires
those who handle food to wash their hands. We have laws against driving while
intoxicated. Much like smoking, these are personal behavior choices, but when the risk of
harm to the public is apparent, it is imperative that laws are in place to protect the public
over the rights of an individual.
Project ASSIST of New Hanover, Pender and Brunswick Counties is not asking that
the government step in and tell restaurants and workplaces what to do, but is asking the
state for an exemption from the 1993 law, so that the citizens in our area can decide for
themselves whether or not restaurants and workplaces should be smoke-free.
•
•
• X57 Today's Special
y~ 100% Smokefree
1. wr
Carolina Beach Brooklyn Pizza Company Jellybeans
Burger King Jersey Mikes
Cottage Cafe at Temptations Jesters Java
Courtyard By Marriot Cameron Art Museum Jeters at the Mall
Frank's Pizza Carolina BBQ Jeters Hot Dogs
Generations CFCC Food Court Joe Muggs
Granny's Country Kitchen Charlotte's Uptown Eatery Jones Seafood House
Hardees Checkers Jungle Rapids
Kate's Breakfast and Lunch Chick fil A K's Cafe
Mama Mia's China Garden Ken's Bagels and Deli
Michaelangelos Pizza China King Kohl's Frozen Custard
Subway China One Krazy Pizza
Top Wok China Star KS Cafe and Catering
China Wok Lake Shore Commons
Castle Hayne Chopstix Express Le Catalan
Chuck E Cheese Levey's Natural Foods
Hardees of HWY 117 Cici's Pizza Lucky Star -
City Club Cubbies Lupita's Bakery
• Kure Beach D & U Diner Manhattan Bagel
Dairy Queen Marc's on Market
Freddie's Restaurante David's Deli and Restaurant Marriott Courtyard
Deli Downtown Mayfaire Cinemas
Wilmington Dick's Dogs and Burgers McDonald's
Dog House Merin's Burger House
A Southern Thyme Dunkin Donuts Minch Sushi
A Taste of Italy Echo Farms Country Club Ming Tree
Andy's Cheesesteaks Everyday Gourmet Moe's Southwest Grill
Anntony's Caribbean Cafe Fire Bowl Montego Bay
Antonios Pizzeria Firehouse Subs Nagila
Arab Shrine Club Flaming Amy's Nikki's Fresh Gourmet
Arby's Folk's Cafe Nino's Pizza and Pasta
Artisan Market and Cafe French's Classic Burgers NoFo Cafe
Atlanta Bread Company Frontier Food to Go Opus
Bagel Basket Genki Japanese Restaurant Orange Julius
Bagel Oven Cafe Golden China Pita Delite
Barnes and Noble Cafe Golden Dragon Pizza Pan
Bayan Good Goody House Portland Grille
Bear Rock Cafe Gumby's Pizza Quizno's Subs
Bellas Sweets and Spirits Han-dee Hugo Ray's Restaurant
Bento Box Hardees Rudino's
Blimpies Subs Hibachi Express Sarku Japan
Bojangles Hollywood East Cinema Grill Sawmill
Bon Appetit Honey Baked Ham Company Sbarro Pizza
Boodles I Love NY Pizza South College Sandwich
• Brasserie Du Soleil Indochine Restaurant Spiro's Breakfast and Lunch
Brigade Boys and Girls Club Invista Steak Escape
Brightmore Jackson's Big Oak BBQ Subway
Taco Bell Holden Beach Pier and Grill Scotchman
Tailwind Deli News and Hole-In-One at Goose Bay Subway •
Gifts Jade Garden- Leland The Bagel Bakery
Target Food Avenue Joseph's Italian Bistro Topsail Greens Snack Bar
Terrazzo KFC XYZ Pizza
Tidal Creek Co-op Kohl's
The Woods at Holly Tree Kopp's Quick Stop I & II Rocky Point
Tokyo Deli McDonalds Freshway
Two Guys Grille New China Grand Oak Driving Range
UNCW Cafeterias Papa John's Pizza Hardee's
Verizon Wireless Cafeteria Phil's Sandwich Shop Paul's Place
Wendy's Port City Java Wendy's
What's Cookin' Pharmacy Restaurant
Wilmington Ice House The Pierhouse Restaurant Surf City
Wilmington Tea Room Subway Andy's
Wilmingtonian/Percy's Sugar Shack Batson's Gallery
Wrightsville Caf6 Bo Sue's
Zero's Pender County Corianders
Burgaw Crabby Mike's
Wrightsville Beach A B Grille and Ice Cream Dairy Queen
Andy's Domino's
Mercer's Restaurant China King Hardee's
Verandah Cafe-Holiday Inn D&B Restaurant Lanier's Campground
Vito's Pizzeria Dee's Drug Max's Pizza
Domino's Mollie's Restaurant
Brunswick County Holland's Shelter Creek New York Corner Deli
Restaurant Subway
Andy's- Shallotte Maria's Courtyard •
Archibald's Deli McDonald's
Bart's BBQ Scotchman
Beck's Skat's
Bella Cucina Subway
BHI Clubhouse Szechuan Pavilion
Billy Bass Seafood U Wash and Dry Grill
Bojangle's- Shallotte Your Convenience
Burger King- Shallotte
Calabash Deli Hampstead
Captain Nance's Seafood Andy's
Captain Pete's China Garden
Cinelli's at Ocean Isle Beach Domino's
Cook's Nook King's Table
Derbster's Dining Old Point Country Club Grill
Double Eagle Grill Panda Chinese Restaurant
Ella's Pizza's 2 U
Great Wall Player's Cafe
Hardees Port City Java
•
• ELOWUNIVERSITY
C Tu y
Elon University Poll finds support for N.C. smoking ban at 65 percent
A new Elon University Poll shows 65 percent of respondents said they would support or strongly
support a statewide law in North Carolina that would prohibit smoking in public places. Thirty-one
percent said they would oppose or strongly oppose the same statewide law.
The poll, conducted September 24-28 by the Elon University Institute for Politics and Public
Affairs, surveyed 649 North Carolina residents. The poll has a margin of error of plus or minus 3.9
percent. For this survey, public places were defined as public buildings, offices, restaurants and
bars.
"It appears that the historical ties to tobacco in this state are now essentially severed, as anti-
smoking sentiments prevail among North Carolinians," said Hunter Bacot, director of the Elon
University Poll.
• Eighty-six percent said they agree or strongly agree that employees in North Carolina should be
able to work in a smoke-free environment, while 7 percent of respondents said they disagree or
strongly disagree.
Some resistance to the smoking ban is evident, with 42 percent of respondents indicating they
disagree or strongly disagree that all restaurants and bars should ban smoking.
"It's obvious from these results that North Carolinians prefer smoke free environments," said
Bacot. "The only resistance to a statewide ban appears when respondents are presented with the
prospect of such a smoking ban being imposed unilaterally on all restaurants and bars."
Seventy-nine percent of respondents said restaurant employees should be able to work in a smoke-
free environment. Eighty-four percent said people eating in a restaurant should be free from
second-hand smoke and 57 percent said they are either more likely or much more likely to visit a
place for eating or entertainment where smoking is not allowed.
Sixty-one percent of respondents said they were more likely or much more likely to keep visiting
their favorite place for eating or entertainment if smoking were not allowed. Sixty percent of
respondents said they prefer to visit restaurants and entertainment places that do not allow
smoking, and 69 percent said they request a non-smoking table when they visit a restaurant that
permits smoking.
The Elon University Poll has conducted several polls annually since 2000. The non-partisan Elon
University Poll conducts frequent scientific telephone polls on issues of importance to citizens.
The poll results are shared with media, citizens and researchers to facilitate representative
democracy and public policy making through the better understanding of the opinions and needs of
citizens in the state and region.
•
Tobacco free Government Tobacco Use
Making the Case in North Carolina
The number one preventable cause of death
in the United States and North Carolina
A How-to Guide
Tobacco Use Today Secondhand Smoke (SHS)
United States North Carolina Also known as environmental tobacco smoke
• Deaths - 435,000/yr. - 15,000/yr. (ETS) is a mixture of the smoke
Medical • From the burning end of tobacco products
(
Costs >$75 billion $1.9 billion • The smoke exhaled by smokers
Total >$150 billion $4.75 billion (mainstream smoke)
costs
sw.a: curs ro. oi..~ corooi,b anw~ma sme Hoopla, xmz
Secondhand Smoke is a Serious Secondhand Smoke is Costly
Health Hazard
Lung cancer - estimated 3000 new cases/yr. • Exposure to secondhand tobacco smoke
Coronary heart disease - 20-50% excess (SHS) is responsible for annual costs of $10
risk; 30,000 deaths/yr Billion in the USA.
Among children: - $5 Billion direct medical cost
- Greater incidence of pneumonia, - $5 Billion indirect costs (Costs associated with
bronchiolitis, and bronchitis disability)
- Decrease in lung growth rate • Number of people exposed and level of
exposure are decreasing.
•
1
V Major Conclusions of the 2006 Major Conclusions of the 2006
Surgeon General's Report on Surgeon General's Report on
` nvolunta Smokin Involunta S okin
2. Exposed children have increased risk for
1. Secondhand smoke causes premature .
death and disease in children and in adults Sudden infant death syndrome (SIDS)
who do not smoke. • Acute respiratory infections
• Ear problems
• More severe asthma
Parents' smoking impacts their children by
• Causing respiratory symptoms
• Slowing lung growth
Major Conclusions of the 2006 Major Conclusions of the 2006
Surgeon General's Report on Surgeon General's Report on
Involunta Smokin Involuntary Smoking
3. Exposing adults to secondhand smoke 4. The scientific evidence indicates
causes •
• immediate adverse effects on the • There is no risk-free level of exposure to
cardiovascular system secondhand smoke.
• coronary heart disease
• lung cancer
1
of the 2006 a or Conc usions of the 2006
Major ConLC
Surgeon GReport on Surgeon General's Report on
I V I nta Involuntary Smoking
5. Many millions of Americans, both children 6. Eliminating Indoor smoking fully protects
.
and adults, are still exposed to nonsmokers from exposure to secondhand
secondhand smoke in their homes and smoke.
`•R'. workplaces despite substantial progress in
tobacco control. Separating smokers from nonsmokers,
cleaning the air, and ventilating buildings
cannot eliminate exposure to secondhand
smoke.
•
2
„ Ventilation S60 66 Sections DON'T WORKI
n a
• Does not protect from exposure to SHS
• The new position statement of the American PEFJXG r~Elxc
Society of Heating, Refrigeration, and Air-
Conditioning Engineers (ASHRAE) reaffirms:
- There is no safe level of exposure to SHS { r'
- Ventilation and other air filtration technologies -i
cannot eliminate all the health risks
- Tobacco smoke does not belong in indoor areas.
NO s~MOgNG inwubnc abo•t
mNO oMeaew..u lic Prc beam.
Cardiovascular Risks of Second
Helena, Montana Study Hand Smoke
Sargent, RP, at al. Reduced incidence of • Risk of acute myocardial infarction from
• admissions for myocardial infarction exposure to tobacco smoke is biologically
associated with public smoking ban: before feasible
and after study. BMJ, 328:977-980.2004. • Even small exposures induce changes in
Smoking ban for 6 months vessels that can lead to heart attack
MI admissions fell significantly, increased • Short term reductions in heart attacks after
after that time reduction of exposure to SHS are
biologically plausible
PoMacek,T., Balk. S. Commentary'. Haw A. an0 Reve,ablo Are Tim
Cakoovascular Rieke of Sew N HaM Smoke? BIN. 328980-983, Apra 24.
2001. .
CARDIO 2000 DATA
Cardiovascular Risks of Second Second Hand Smoke:
Hand Smoke Cardiovascular Risk
"Clinicians should be aware that such SHS Work Exposure
exposure can pose acute risks, and all Relative Risk of Heart Attack
patients at increased risk of coronary heart 3
disease or with known coronary artery 25
a 2-
disease should be advised to avoid all indoor ; 1.5
environments that permit smoking'
a' , - -
0.5 -
Pedhacek,T.,Babb, S. Commentary: How Acute and Reversible Are 0 NSINE NSEH NSEW NSEWH SNE SEW
The Cardlova30ulaf Rk53b of Second Hand Smoke? Exposure level
BMJ. 328:980-903, Apol 24.2004
• IM NonsnWker mt exposed =1
3
SHS and Cognitive Abilities -
Ilk
Children and Adolescents You-
AIAEBak DS ninz
qY
• 4,399 youth aged 6-16; NHANES III and I -
serum cotinine values (<15 ng/ml)
• Reading, math, visuo-spatial and short-term
memory abilities tested
• Significant inverse relationship b/t serum r
ootinine and reading, math, and block design ^
• Greater magnitude of cognitive deficits at very
.
low cotinine levels
Yolton, K et al. Exposure to Environmcntal Tobacco Smoke and
Cognitive Abilities among U.S. Children and Adolescents.
environmental Health Perspectives, 113(1).98-103. Jannay2005 a••p +n t~.~~.vo„n u.*,o,. _k
Tobacco Free Policies for Fabroef ke-free Air Laws in N.C.:
North Carolina history of the past decade
• 1993-NC General Assembly enacted a law limiting state and
local governments' authority to regulate smoking in public places •
• state Goyemment Buildings - Mandated up to 20% of indoor
space be set aside for smoking (unless impracticable) and
preempted stronger local rules.
j
• Restaurants and Bars -No restrictions
'Ia1Y ° - (note: there are no free standing bars in NC as there are in
other states)
Where Everyone has the right to breath clean air. • Private Workplaces - No restrictions
Exemptions to State Law Chipping Away at the Barriers to
,In the original 1993 Legislation) Provide Smokefree Air for all
• Child Care Centers • Overriding premise = right to smokefree air
• Hospitals, nursing homes and mental health • NC Strategy = "chip away" at the 1993 barriers by:
facilities - Educating about serious health risks of SHS
• Non-profits focused on tobacco prevention - Building support for effective policies
- Adding exemptions to the law
• Enclosed elevators
• Goal to make all NC workplaces smokefree/tobacco
• Libraries and museums free
• Public Transportation
•
4
Exemptions to State Law (2003) (cdndnued) Exemptions to State Law (2005-06)
(continued)
• Health Departments and Social Services
• Schools including all property and school- - (grmrdsupbo Wff.)
related events • Pawns
• UNC Campuses - residence halls, wellness- a Indoor Arenas (seating over 23,000)
related facilities and laboratories
• NC General Assembly declared snlokefree July
2006
• Community Colleges
Provisions to Regulate Smoking in
Next Strategic Steps 2007) Government facilities
• Title and Purpose (for a new rule or law set
• • Prohibit tobacco use in all state government the stage)
buildings, grounds, motorfleet vehicles,
meetings, and contracted spaces. • Definition of facilities to cover buildings,
grounds, rental space, meetings offsite
• Permit local governments to determine their
own tobacco use control rules e Coverall Facilities, Grounds and Motorfleet
vehicles
Provisions to Regulate Smoking in Smoke-free Air Policies at the State-level
Government facilities (continued) 'smo•aeamaponmbmoMM inauonowsa wioremuran,nrs
prrvakw iaaes am goverme,e bugdires.
• Protect All Workers • DaG are (1502)
• Delaware (2002)
• Maine (2003)
• No Designated Areas New ron (20M)
• COnnBCllcut (00)
(2
• b (2004)
• No Clauses Allowing Ventilation 1knode vd,no Wand re0047
Vermm
• t (2005)
• No Minors Clauses • washinvon (2005)
• N. Jersey (200fi)
• Hawaii (2006)
• Limited Exceptions 11 nebons and 2 Canadian Pnwinces nave snnokef ee nw unods and
bare by law as of July 1, 2008
• Clear Enforcement
i
5
Tobacco Use
Cessation Smoking Cessation
• Goes hand in glove with a no tobacco use "...Is the easiest thing I ever did, i ought to
policy know because I have done It a thousand
times'.
• Promote cessation strategies and benefits 6 - mark Twain
months before policy implementation
• Help tobacco users quit by offering evidence • On average, a tobacco user may need 4-6 quit
based tobacco cessation interventions and attempts in order to be successful
pharmacotherapy • attempts tobacco use at work increases quit
P
• Contact the Tobacco Prevention and Control • Pharmaeotherapy doubles success rates
Branch for assistance with tobacco use • Media messages and a supportive work
cessation programs. environment are also helpful
North Carolina Smoke-free Air Policies at the State-level
M darnolurymanworc Sircnele)ensravarcs.Ws.
Tobacco Use Quitline 'Seala,eesfamsems
M re nq ms a d 90 •emmap eWdirya.
• California (1998)
• 1-800-QUIT-NOW (1-800-7848669) Delaware (x02)
• Mama (2993) •
• Toll-free; SAM -Midnight, 7 days/week; Ne y (200)
• All NC residents - youth and adult connenicm (2004)
• Proactive - Trained quit coaches can Cali tobacco • Maseachusem (2004)
• Rhode Island (20)4)
users back , vennaN (2005)
• Multilingual • Washingmn (loos)
• Funding: NC Tobacco Prevention and Control Branch; • New Jersey (2006)
• Hawall (2006)
support from Health and Wet and • 11 natens and 8 Canadian Provinces have smokehee eestaueame and
Blue Cross Blue Shield NC earsbylawasefJVIy1.2006
HealthC•' Wellness
I
Successful Implementation of a
~x Tobacco-Free Government
Policy
www.quitnownc.org
6
What is 'a Tobacco-Free Government Benefits to government
Policy? agencies
• Prohibits tobacco use anytime anywhere by anyone on
government grounds' and at government events • Eliminates or reduces exposure to SHS, a serious
es or
• includes es contractors, employees, visitors, and students health hazard
• Decrease in staff tobacco use; many are prompted to
• By law, government grounds currently means within 50
eand a supportive
feet of the building. This may change in the 2007 environment quit, especially are if benefits offered
session. • Cleaner environment
• Many Health Directors for practical reasons
recommend one designated smoking area outdoors • No staff loss - even improved hiring - based on
that is not visible to the public and is away from doors, 100% tobacco free schools movement in 78 of 115
windows and intake vents. NC school districts
• Reduced tobacco attributable health care costs with
employees who quit tobacco use
History of the Policy
as ofSaistamber,2006 Enforcement vs. Compliance
e NC has long historic, soaal, econolric and political ties to
tobacco • Agency staff and visitors will need to COmPYI with the
•
.19931egillation required state buildings to set aside policy. The most effective way to get compliance is to controlled 20% of space as practicable for r smoking smoking and preempted inform folks of the policy.
stronger local governnnent
General Assembly gave local health and social services • Informing staff and visitors about the policy before
depatlments power to enact smokefree policies indoors and they visit, or use tobacco on, government campuses
within 50 feet of the buildings, even if co-located with other
govemment buildings in 2005. reduces the need for reminders.
e Local Health Directors Associabon proposes to restore decision. • Develop an implementation plan.
baking authonty on tobacco use in government buildings,
grounds, and motorteets to NC local governments in 2007. • How to handle violations?
Remind people of the policy, and ask them to comply.
Welcome To
An Implementation Plan The NC Division of
Public Health
Tobacco Free Facilities
I. D .lop strategies to , Develop seat lost, to
effectively communicate the effectively communicate the
rqw policy to staff new policy to visrtors
Eiribiase • Ma]h-l.) revs Wry.ewm ®I
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7
An Implementation Plan An Implementation Plan
s. Develop Appropriate Sanctions for Staff
2. Develop "lid Program Support & Resources and Emphasis should be on helping and not use tobacco proluds, notiust
ways to Inform those affected ppmshhg come who do
Most who use tobacco want to cult, and the resources el to help them
When violates are caught, it Is a manm O get them Ma help trey need
For staff and/or visitors who would like to quit. to quit
• 1$00-QUIT-NOW (1$00-7&4$669) SAMPLE
• www.QUITNOWNC.Oro is Reminder. ask if they want help in quitting. discuss benefits offered
• Fax Referral Program to the Quitline 2w. Written notificatoo It offer oftcasoo education class andi internal to
• Cessation classes offered through hospital, health Quitline services
department Wamirg and Martel to Emp~loyee Assistance Program (PAP) Pr Quitline
seal (1-900AUIRNO4VI
Also consider.....
- Refenal to physician
An Implementation Plan rAn Implementation Plan
4. Compliance among staff, contractors 5. Plan for Monitoring and Feedback
• Place notification of tobacco free policy in me contract-similar to
alcohal, drag policies
• al co drugs same agencies charyea owning fee tor smoking In Get feedback -chloride. Ndtors, daft
vehicles
•
Monitor complaints 8 compliments (wren? Mel who?)
• Remember, contmobat and staff can go off-gwemment property
• Need sufficient lead time between dates of passage and Keep records for future use
implementation- use that time to inform sued, contractors and public Compere# of staff sick days taken before and after the policy
• Rowan SIGNS and vetral reminders at all local
• Make staff aware of cessatlon resources
• Staff most remind folio of ability, when seen using tobacco pmducb -
Government officials must expect and give Nero the power to do so.
Verbal and nonverbal (signs and tends that explain the policy)
reminders can be used.
• Consistency is key, especially in the beginning
Common Challenges Common Challenges
Staff who are long-term tobacco users Staff who won't intervene when visitor violations occur
Staff must understand scope of ban
• Give 9.6 months lead time to quit or cut back Admnisbation must give staff authority to inteneene - expect them
to do so
• Cessation opportunities, resources Friendly reminders are usually the only intervention
Oew70% of adult tobacco users wart 0 dust and hate student, tried to necessary
putt Second reminded Should be done by someone with dear
authority and be accompanied with a warning that failure to
• People don't quit their job - they quit smoking-based on the comply with pdicy means smoker will be asked to leave
experience of the Tobacco Free Schools antl Tobacco Free Third rentlnderl Often involves request for smoker to leave
Hospitals pavements in NC grounds.
If people view tobacco free policy as effective, there will
• Stan can go off cartpus to use tobacco be fewer violations- by staff and visitors
Early intervention and consistency are crucial
I Is •
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State Resources For You For further assistance, contact:
1-000-0UR+JOW (1-800.]81-8889)
Tobacco Prevention and Control Branch
Wan W.ouru. (919) 707-5400
FpM w Iaox ]m~vr« .,aauw~ Sally Herndon Malek, MPH
T.ha . F. School. Slyn. Proj.cl (919) 707-5401
« SaIIv.Malekfau)ncmail. net
C..unaeon.nd T.c .J.I f,.alal8nce
]m.nn w...nm.e cmoa ar.sn, siaro]-um
•
i
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