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Home My WebLink About2019-11-04 Community Health Commission AgendaAgenda Community Health Commission City Of Edina, Minnesota Edina City Hall - Community Room Monday, November 4, 2019 6:30 PM I.Call To Order II.Roll Call III.Approval Of Meeting Agenda IV.Approval Of Meeting Minutes A.Approval of October 14, 2019 Meeting Minutes V.Community Comment During "Community Comment," the Board/Commission will invite residents to share relevant issues or concerns. Individuals must limit their comments to three minutes. The Chair may limit the number of speakers on the same issue in the interest of time and topic. Generally speaking, items that are elsewhere on tonight's agenda may not be addressed during Community Comment. Individuals should not expect the Chair or Board/Commission Members to respond to their comments tonight. Instead, the Board/Commission might refer the matter to sta% for consideration at a future meeting. VI.Reports/Recommendations A.2019-2020 Work Plan Discussion B.Flavored Tobacco Products Advisory Communication Discussion VII.Chair And Member Comments VIII.Sta. Comments IX.Adjournment The City of Edina wants all residents to be comfortable being part of the public process. If you need assistance in the way of hearing ampli3cation, an interpreter, large-print documents or something else, please call 952-927-8861 72 hours in advance of the meeting. !"#$ % !"# $"% & &' ()(* ## + ,% &'( ' )) * ''+, ++- .), +, - ## + ,%% / $ )) *) ' , ++ 0 ., +, #& ./01.! ,%% - - # 2 ! ,+ )3+ 4#, %& )'# ( , , )! , &,+ &,+ &+## * 4#, " ( "#(+, ( ( ) - %& 4#, %& (+5& )!& (, + # ## )106, 2 )7( ) & ) 100"+ + + )!,& 83, # 9)"& # )% +,,#1:6(;.000 ,,+ )-6< + # # -,, = 9 Approved by Council 12/4/18 COMMUNITY HEALTH COMMISSION Commission: Community Health Commission 2019 Annual Work Plan Initiative #1 Council Charge (Proposed Charge Completed by CM) ☒ 1 (Study & Report) ☐ 2 (Review & Comment) ☐ 3 (Review & Recommend) ☐ 4 (Review & Decide) Target Completion Date Budget Required (Staff Liaison) Staff Support Required (Staff Liaison) Initiative Type: ☐ New Initiative ☒ Continued Initiative ☐ Ongoing Responsibility Q2 2019 ☐ Funds available Funds are available for this project. ☒ Staff Liaison: Hrs____ ☐ CTS (including Video) ☐ Other Staff: Hrs_____ Research and evaluate current regulations regarding secondhand smoke and tobacco use, specifically in multi-unit housing living situations and other public areas such as restaurant patios. Receive Edina Multi-Unit Housing Resident Survey from Bloomington Public Health regarding smoking preferences/behavior. ☒ Funds not available Lead Commissioners: Progress Report: Initiative #2 Council Charge (Proposed Charge Completed by CM) ☒ 1 (Study & Report) ☐ 2 (Review & Comment) ☐ 3 (Review & Recommend) ☐ 4 (Review & Decide) Target Completion Date Budget Required (Staff Liaison) Staff Support Required (Staff Liaison) Initiative Type: ☒ New Initiative ☐ Continued Initiative ☐ Ongoing Responsibility All of 2019 ☐ Funds available Funds are available for this project. ☒ Staff Liaison: Hrs____ ☐ CTS (including Video) ☐ Other Staff: Hrs_____ Study and report on possible city actions to reduce access and usage of vaping/e- cigarettes for youth. ☒ Funds not available Lead Commissioners: Progress Report: Approved by Council 12/4/18 COMMUNITY HEALTH COMMISSION Initiative #3 Council Charge (Proposed Charge Completed by CM) ☐ 1 (Study & Report) ☐ 2 (Review & Comment) ☐ 3 (Review & Recommend) ☒ 4 (Review & Decide) Target Completion Date Budget Required (Staff Liaison) Staff Support Required (Staff Liaison) Initiative Type: ☒ New Initiative ☐ Continued Initiative ☐ Ongoing Responsibility December 2019 ☐ Funds available Funds are available for this project. ☒ Staff Liaison: Hrs____ ☐ CTS (including Video) ☐ Other Staff: Hrs_____ Chair/co-chair a cross-commission committee (see partners) to complete requirement for Edina to receive the AARP City Designation. -Complete Walk Audit Tool Kit provided by AARP -October Senior Expo and Designation ☐ Funds not available Lead Commissioners: Partners: Community Health Commission [LEAD], Human Rights & Relations Commission, Parks & Recreation Commission, Transportation Commission Progress Report: Parking Lot: (These items have been considered by the BC, but not proposed as part of this year’s work plan. If the BC decides they would like to work on them in the current year, it would need to be approved by Council.) Statement by City regarding firearm safety or gun violence Local opioid efforts, including Police led take-back programs City-wide mental health assessment Technology and health – social media, isolation, bullying Community Health 2020 DRAFT Commission Work Plan Template Initiative Initiative Type Completion Date Council Charge New Q3 2020 Lead Commissioners Budget Staff Support None No additional Initiative Initiative Type Completion Date Council Charge New Q1 2020 Lead Commissioners Budget Staff Support None No additional Initiative Initiative Type Completion Date Council Charge Continue Q4 2020 Lead Commissioners Budget Staff Support None No additional Chair/co-chair a cross-commission committee (see partners) to evaluate process for Edina to receive AARP City Designation. Draft report to City Council regarding possible actions moving forward. Amanda Herr Staff Liaison Comments: Initiative is not on Health Division work plan. 2. Initiative is the role of the Commission. 3. Initiative is reasonable, to be completed by commission City Manager Comments: Progress Report: Study and report regarding benefits of social connectedness, including examples of local government initiatives from around the country to reduce social isolation. Progress Report: Draft Advisory Communcation to City Council on regulating sale of flavored tobacco and tobacco-related products, including e-cigarettes. Greg Wright Staff Liaison Comments: 1. Initiative is not on Health Division work plan. 2. Initiative fits role of commission. 3. Initiative is reasonable, commission members will complete City Manager Comments: Initiative Initiative Type Completion Date Council Charge New Q3 2020 Lead Commissioners Budget Staff Support None No additional Parking Lot Edina Public Schools - lack of provision of feminine hygiene products in school restrooms Local opioid efforts, including Police-led take back programs - publicity campaign, how do people know this is available? Statement by City regarding firearm safety or gun violence Technology and health - social media, isolation, bullying Study and report possible smoke-free multi-unit property policies, possible ordinance language, and programs. Gather examples from other cities. Staff Liaison Comments: 1. Initiative not on Health Division work plan. 2. Role of Commission to advise Edina Community Health Board (Council) regarding Public Health City Manager Comments: Progress Report: City Manager Comments: Progress Report: Staff Liaison Comments: 1. Initiative not on Health Division work plan. 2. Intitiative is the role of the Commission(s) 3. Initiative may be more resource intensive than previously thought, demanding staff time beyond initial efforts by Commissions to obtain and maintain designation. 5. May require further investment of time/resources that Date: November 4, 2019 Agenda Item #: VI.B. To:Community Health Commission Item Type: From:Greg Wright Item Activity: Subject:Flavored Tobacco Products Advisory Communication Discussion Discussion CITY OF EDINA 4801 West 50th Street Edina, MN 55424 www.edinamn.gov ACTION REQUESTED: INTRODUCTION: Discuss/edit draft advisory communication regarding regulation of flavored tobacco/vaping products in the City. ATTACHMENTS: Description Draft Advisory Communication Regarding Flavored Vaping Products Action requested: The Edina Community Health Commission recommends that the City Council consider revising City Code Chapter 12, Article VI, to reduce vaping by youth in the city by banning the sale of flavored vaping products. Situation: Youth use of electronic vaping devices has grown explosively since 2015.1 The 2018 National Youth Tobacco Survey (NYTS) notes a “…startling rise in youth e-cigarette use”, noting a 48% increase in e- cigarette use among middle school students between 2017 and 2018, to 4.9%. Equally disturbing, the survey found a 78% increase nationally among high school students, to 20.8%.1 Another national study found 20.2% of 10th grade students and 25.4% of high school seniors used e-cigarettes within the previous 30 days.2 The 2019 Minnesota Student Survey for the Edina School district reports that amongst 11th grade students, 23.7% had tried vaping, 17.2% at least once a month, 7.6% daily, findings supported by reports from the EHS student newspaper.3,4,5 Why do youth use e-cigarettes, predominantly flavored products?6,7 The most commonly cited reasons cited by the NYTS were use by friends or family members (39.0%), availability of flavors (31.0%), and the belief that they are less harmful than other forms of tobacco (17.1%).8 E-cigarette manufacturers discovered that the burning sensation from vaped tobacco-derived products could be ameliorated by chemically altering nicotine to produce non-irritating nicotine salts.9 The introduction of flavored products lacking this burning sensation made these products attractive to youth with no prior experience with combustible tobacco products. Many youth believe that vaping, especially with non- nicotine containing liquids, is nonaddictive, safe and more discreet than smoking. Many of those products thought to be nicotine-free do, in fact, contain the drug, exposing adolescents to the manifold risks of nicotine addiction.10 The rise in student vaping is a matter of significant concern. E-cigarette use is associated with roughly a 4-fold increase in the risk of later combustible cigarette or other tobacco use.11 Indeed, the surge in e- cigarette use from 2017 to 2018 was associated with increases in overall tobacco product use “…of 38% among high school students and 29% among middle school students, negating declines seen in the previous few years.” 1 With the acquisition of vaping devices, individuals of any age have the capability to use those devices with illicit fluids containing, among other chemicals, tetrahydrocannabinol (THC), the prime suspect in the etiology of severe or fatal vaping-related pulmonary disease.12 Of cases of severe lung injury related to vaping, 54% have been in individuals under age 25 13, a finding that accentuates the importance of preventing young people from starting to use e-cigarettes. Further, inhaled products from commercially available vaping liquids, whether nicotine-containing or not, include ultrafine particles, diacetyl, formaldehyde and benzene (both carcinogens), volatile organic chemicals, heavy metals, and other toxins.14 Assessment: Although not a solution as a single measure, a ban of flavored vaping liquids may lead to a reduction in the number of young people who take up e-cigarettes.6 The Food and Drug Administration (FDA) issued a statement on September 11, 2019 that the agency planned to “… (clear) the market of …non-tobacco- flavored e-cigarette products.” 15 Yet on September 25, 2019, the Acting Commissioner of the FDA testified before a U.S. House subcommittee that “…FDA intends to enforce existing law that limits the marketing of (flavored) products.”16 Current FDA rules merely prevent sale in vending machines and in locations in which children under 18 have access. He continued, “This policy does not mean that flavored e-cigarettes could never be marketed.”16 At the state level, State Senator Carla Nelson plans to introduce a bill to ban sale of flavored products in Minnesota but, as pointed out in the Star-Tribune (October 29, 2019,): “… legislation at the Capitol is not a sure thing.” 17 Recommendation: In the absence of expeditious state or federal action, the Edina Commission on Public Health recommends that the City of Edina join other local jurisdictions6 to amend the City Code to add language similar to that of Hennepin County Ordinance 21, Section 7(D), banning the sale of flavored vaping liquids within city limits. The Commission anticipates that other nearby municipalities may follow suit, as they did with the Edina Tobacco 21 initiative, until momentum is sufficient to lead to action at the state or federal level. References: 1. US Food and Drug Administration. 2018 National Youth Tobacco Survey. fda.gov/tobacco-products/youth-and- tobacco/youth-and-tobacco-use-results-national-youth-tobacco-survey 2. Miech R, Johnston, O’Malley P et al. Trends in adolescent vaping 2017-2019. N Engl J Med 2019;381:1490-1491 3. Minnesota Department of Education. Minnesota Student Survey reports 2013-2019 (w20.education.state.mn.us/MDAAnalytics/DataTopic.jsp?TOPICID=242) 4. Schwinghammer W. Vape haze lingers in EHS bathrooms. Zephyrus March 16,2018 5. Li I. Vaping related deaths have risen: are Edina students next? Zephyrus October 14, 2019 6. Corey CG, Ambrose BK, Apelberg BJ et al. Flavored Tobacco Product Use Among Middle and High School Students — United States, 2014. MMWR Morb Mort Wkly Rep 2015;64:1066-1070 7. Morean ME, Butler ER, Bold KW, Kong G, Camenga DR, et al. Preferring more e-cigarette flavors is associated with e- cigarette use frequency among adolescents but not adults. PLoS ONE 13: e0204349. https://doi.org/10.1371/journal.pone.0204349 8. Tsai J, Walton K, Coleman BN et al. Reasons for electronic cigarette use among middle and high school students— National Youth Tobacco Survey, United States, 2016. MMWR Morb Mort Wkly Rep 2018;67:196-200 9. Fraga J-A. The dangers of Juuling. National Center for Health Research website (2019). center4research.org/the- dangers-of-juuling 10. NIDA. Teens using vaping devices in record numbers. National Institute on Drug Abuse website. https://www.drugabuse.gov/news-events/news-releases/2018/12/teens-using-vaping-devices-in-record-numbers. December 17, 2018 11. Miech R, Patrick ME, O'Malley PM, et al. E-cigarette use as a predictor of cigarette smoking: results from a 1-year follow-up of a national sample of 12th grade students. Tobacco Control 2017;26:e106-e111 12. Moritz ED, Zapata LB, Lekiachvili A, et al. Update: Characteristics of Patients in a National Outbreak of E-cigarette, or Vaping, Product Use–Associated Lung Injuries — United States, October 2019. MMWR Morb Mortal Wkly Rep 2019;68:985–989 13. Ibid. Table 14. Sassano MF, Davis ES, Keating JE et al. Evaluation of e-liquid toxicity using an open-source high-throughput screening assay. PLoS Biol 16(3);e2003904. https://doi.org/10.1371/journal.pbio.2003904 15. US Food and Drug Administration FDA News Release, September 11, 2019. Trump Administration Combating Epidemic of Youth E-Cigarette Use with Plan to Clear Market of Unauthorized, Non-Tobacco-Flavored E-Cigarette Products. https://www.fda.gov/news-events/press-announcements/trump-administration-combating-epidemic- youth-e-cigarette-use-plan-clear-market-unauthorized-non 16. US Food and Drug Administration FDA News Release, September 25, 2019. Remarks prepared for testimony before a U.S. House Energy and Commerce Subcommittee on FDA Regulation of Electronic Nicotine Delivery Systems and Investigation of Vaping Illnesses. https://www.fda.gov/news-events/press-announcements/remarks-prepared- testimony-us-house-energy-and-commerce-subcommittee-fda-regulation-electronic 17. Star-Tribune, October 29,2019; B1 (quotation on page B5)