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Home My WebLink About2022-04-11 CHC AgendaAgenda Community Health Commission City Of Edina, Minnesota Edina Public Works Multi-Purpose Room Monday, April 11, 2022 6:30 PM I.Call To Order II.Roll Call III.Approval Of Meeting Agenda IV.Approval Of Meeting Minutes A.Minutes: Community Health Commission March 14, 2022 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.Subcommittee Membership Review/Edit B.Advisory Communication Update C.May 17 Joint Work Session with City Council Discussion VII.Chair And Member Comments VIII.Sta1 Comments A.COVID Situation Update B.Opioid Settlement Update C.Virtual Meeting Bill Update D.Human Rights and Relations Commission Collaboration Update 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 ampli4cation, an interpreter, large-print documents or something else, please call 952-927-8861 72 hours in advance of the meeting. MINUTES Community Health Commission March 14, 2022 at 6:30 PM City Hall, Community Room I.Call To Order II.Roll Call Present: Ellie Mullen, Ben Hykes, Philip King-Lowe, Nick Mattison, Rob Loesch, Tracy Nelson, Julia Selleys, Mary Absolon. Absent: Greg Wright, Michael Wood A.New Member Introductions III.Approval Of Meeting Agenda Motion by Tracy Nelson to approve meeting agenda. Seconded by Julia Selleys. Motion Carried. IV.Approval Of Meeting Minutes A.Draft Minutes CHC February 14 Motion by Julia Selleys to approve February 14 meeting minutes. Seconded by Tracy Nelson. Motion Carried. V.Community Comment VI.Reports/Recommendations A.Racism as a Public Health Emergency Motion by Tracy Nelson to approve members to work with Human Rights and Relations Commission on Racism as a Public Health Emergency work plan initiative: Philip King-Lowe, Nick Mattison, Ellie Mullen, Tracy Nelson (Alternate). Seconded by Philip King-Lowe. Motion Carried. B.Work Plan Initiative Updates VII.Chair And Member Comments VIII.Staff Comments Community Health Commission joint work session with City Council scheduled for May 17th, 2022 at 5:30 pm. Part of April CHC meeting to be used for preparation. IX.Adjournment Motion by Nick Mattison to adjourn. Seconded by Julia Selleys. Motion Carried. Date: November 8th, 2021 From: Edina Community Health Commission Subject: Smoke-Free Multi-Unit Property Polices Action Requested: Study and report possible smoke-free multi-unit property policies, possible ordinance language, and programs. Gather examples from other cities. Background: In early 2018, Bloomington Public Health (BPH) and the Association for Non-Smokers (ANSR) Minnesota’s Live Smoke Free program administered a survey to residents in to two types of multi-unit housing properties in the City of Edina: those with a smoke-free policy (i.e. smoking of tobacco is not allowed anywhere indoors) and those with a smoking-allowed policy. View PDF of CHC Agenda and Survey Presentation Key Survey Takeaways • Majority of all respondents (97%) don’t allow smoking in their units even with a smoking-allowed policy present. • Majority of respondents surveyed (94%) support a smoke-free building-wide policy. • Despite 97% of all respondents not allowing the smoking of tobacco products in their units, (99% in smoke-free vs 93% in smoking-allowed properties), 46% of these respondents are still exposed to secondhand smoke from all buildings. This includes 39% in smoke-free vs. 64% in smoking-allowed buildings. • Negative health impact of secondhand smoke exposure was reported by 8% of respondents. • Majority of respondents (91% in smoke-free properties and 90% in smoking-allowed properties) indicated they would support a multi-unit housing smoking related citywide ordinance. • As a result of this survey, the Edina Community Health Commission was tasked with providing a study & report on the potential polices, programs, and ordinance language related to this subject. Review of National, State, & Local Policy Efforts: • A 2017 rule from the Department of Housing and Urban Development instructed public housing agencies to develop and implement smoke-free polices by August 1, 2018. However, this rule contained exemptions for mixed funding properties and voucher-based programs. o https://www.federalregister.gov/documents/2016/12/05/2016-28986/instituting-smoke- free-public-housing Page 2 • In January 2019, The Public Health Law Center at Mitchell-Hamline School of Law released a report to reinforce the legality of smoke-free policies. o https://www.publichealthlawcenter.org/sites/default/files/resources/No-Constitutional- Right-Smoke-Toke-2019.pdf • A 2019 survey of multi-unit property residents in Ramsey County conducted by Saint Paul – Ramsey County Public Health and Live Smoke Free showed high level of support for smoke-free policies in both subsidized and market-rate housing. o Fact Sheet: https://mnsmokefreehousing.org/wp-content/uploads/Summary-2-Page- infographic.pdf o Full Report: https://mnsmokefreehousing.org/wp-content/uploads/Ramsey-County-Multi- Unit-Housing-Resident-Survey-Aggregate-Report.pdf • Dakota County received the 2020 Achievement in Health Award from the National Association of Counties for its work implementing smoke-free affordable housing. o https://explorer.naco.org/cf_naco/cffiles_web/awards/Award_program.cfm?SEARCHID=A4 9981 o Dakota County, MN – Stories of Progress: https://mnsmokefreehousing.org/dakotacounty/ • In January 2021, the City of St. Paul amended the City’s Truth in Sale of Housing reports to include disclosure of smoking rules. Additionally, a smoking policy disclosure form now must be filed with the Department of Safety and Inspections for multi-unit dwellings. o https://library.municode.com/mn/st._paul/codes/code_of_ordinances?nodeId=PTIILECO_T ITXIXCOPR_CH194SMPODI • As of July 1, 2021, the American Nonsmokers’ Rights Foundation listed 40 Minnesota communities with some form of smoke-free policy in place for publicly owned multi-unit housing. o https://no-smoke.org/wp-content/uploads/pdf/public-housing-authorities.pdf Review of Existing Policies: • Austin Housing Authority - Austin, TX o https://www.hacanet.org/wp-content/uploads/2018/03/ACOP-12-21-17.pdf#page=236 • Raleigh Housing Authority - Raleigh, NC o https://www.rhaonline.com/wp- content/uploads/2017/07/RHA_Smoke_Free_Housing_and_Building_Policy_approved_082 417.pdf Page 3 Examples of Model Policies: • Mitchell Hamline Public Health Law Center – Model Ordinance o https://www.publichealthlawcenter.org/sites/default/files/resources/CA-Smoke-free- MUH-Model-Ordinance.pdf • Americans for Nonsmokers Rights – Model Ordinance (Written broadly but can be parsed down to apply to multi-unit housing) o https://nonsmokersrights.org/sites/default/files/2019-09/modelordinance.pdf Example Education & Outreach Efforts: • Live Smoke Free, a non-profit program of the Association for Nonsmokers-Minnesota provides a database of smoke-free properties and resources for property owners/managers considering implementation of smoke-free policies. Their database is linked by a variety of state, county, and municipal websites. o https://mnsmokefreehousing.org/smoke-free-housing-directory/ • Minnesota Department of Health – Clean Indoor Air Act, Rental Apartment Building Guidelines o https://www.health.state.mn.us/communities/environment/air/mciaa/rental.html • City of Minneapolis – Smoke-Free Rental Housing Campaign o https://www2.minneapolismn.gov/government/programs-initiatives/healthy- living/tobacco-free-minneapolis/smoke-free-housing/ • MN Department of Public Safety: Fire Risk – In 2019, smoking accounted for only 2% of structure fires, but 21% of known fire related fatalities. o https://dps.mn.gov/divisions/sfm/mfirs/Documents/Fire%20in%20Minnesota/Fire-in- Minnesota-2019.pdf As more states and localities explore and implement policies restricting smoking in multi-unit properties, additional research and resources have become more widely available. • Minnesota Smoke-Free Housing o https://mnsmokefreehousing.org/resources/research/ • Mitchell Hamline Public Health Law Center smoke-free housing resources o Smoke-Free Housing Resource Library  https://www.publichealthlawcenter.org/topics/commercial-tobacco- control/smoke-free-tobacco-free-places/housing Page 4 o 2019 Report on marijuana use in Multi-Unit Settings  https://www.publichealthlawcenter.org/sites/default/files/resources/Marijuana- in-Multi-Unit-Residential-Setting-2019-1.pdf o Model Lease Addendum  https://www.publichealthlawcenter.org/sites/default/files/resources/PHLC-Model- Smoke-Free-Lease-Addendum.pdf o Model Condo Policy  https://www.publichealthlawcenter.org/sites/default/files/resources/PHLC-Model- Smoke-Free-Condo-Policy.pdf • American Lung Association – Smoke-Free Communities Success Stories o https://www.lung.org/policy-advocacy/tobacco/smokefree-environments/expanding- smokefree-communities • National Housing Law Project – A Guide to Equitable Smoke-Free Public Housing o https://www.nhlp.org/wp-content/uploads/FINAL_-A-Guide-to-Equitable-Smoke-Free- Public-Housing-2020.01.14.pdf Date: March 22, 2022 To: Mayor and Council From: Community Health Commission Subject: Recommendations to Improve Awareness and Management of Opioids in Edina Action Requested: Accept Advisory Communication Introduction: The 2021 work plan for the Edina Commission on Community Health (“Commission”) included an initiative to ”…study and report on existing programs in Edina and Hennepin County regarding opiate use. Provide examples of efforts to increase public awareness of existing programs.” The Commission found that municipalities, including Edina, fail to use city resources to widely publicize the opioid crisis; fail to facilitate drug disposal; and that the Edina school system does not routinely provide education regarding opiates in the curriculum. The 2022 Commission work plan includes a work plan item for specific recommendations to the Edina City Council to increase local awareness and improve management of the opioid crisis within the city. The following recommendations complete this 2022 work plan initiative. Background: In a 2021 review of local measures to enhance awareness of the opioid crisis, the Community Health Commission noted that drug overdose deaths, primarily from opiates, had increased from 18,000 in 1999 to over 70,000 by 2019.(1) During the Covid-19 pandemic, deaths have accelerated to over 100,000 in 2021. The Centers for Disease Control and Prevention provisional data for 2021 reported that overdose deaths linked to synthetic opioids such as fentanyl tripled among teenagers and went up five times among Black teen in the past two years. The Commission noted that: 1. Many municipal websites in the metropolitan area, including Edina’s, do not present easy access to information about the opioid crisis or the appropriate disposal of unused opiate or other medications. 2. Communities in the metropolitan area in general do not make multiple disposal bin sites available. In Edina in early 2022, two commercial medication disposal bin sites, CVS and Walgreens pharmacies, are located in adjacent buildings on York Avenue. Currently, only one of those two bins is operative. Close by, a third site is in the Fairview Southdale Hospital pharmacy. No disposal bin site is located north of Highway 62 or west of France Avenue. 3. Many municipalities in the area do not make medication disposal bags readily available at convenient times and retail locations (e.g., pharmacies, grocery and convenience stores). In Edina, medication disposal bags for home use may only be obtained during limited hours at the Police Station or #1 Fire Station. A desk officer of the Edina Police Department (“Department”) estimated that in 2021 the Department passed out Page 2 only about 12 medication disposal bags (personal communication). The Department reported that several people came with too many bottles and were unable to dispose of medications by using the medication disposal bags. The Department referred these individuals to a medication disposal bin, the problems of which are highlighted above. 4. Medications may be disposed at home through use of medication disposal bags that may be discarded in trash, but community-wide disposal of medications in homes is impeded by an apparent lack of awareness of and access to medication disposal bags. 5. Improvement in medication disposal is a critical component in reducing the risk of easy access to unused prescription opioids in home medicine cabinets, especially for adolescents who are “…particularly at risk for misuse and subsequent overdose…Informing the public on medicine disposal…help(s) reduce non- prescribed access to opioid medications.” (2) 6. The Edina School System does not include opioid education in the curriculum.(3) Recommendation: 1. Website enhancement: Given the serious threat to health posed by misused opiates, the Commission recommends that the Edina website create a highly visible “opiate icon” to direct site visitors to an opiate information page. The page should present statistics on opiate abuse and deaths, comment on the importance of safe storage of medications, particularly opiates, and should emphasize the importance of prompt and safe disposal of all medications, especially opiates, either at home or in city-wide disposal bins. The Commission suggests that the “opiate icon” should appear not only on the website but throughout multiple City publications and posters to enhance public recognition and awareness of the problem as well as steps proposed to improve management of the crisis (see below). 2. Publicity: a. The Commission recommends that the City create posters displaying the “opiate icon” to place in retail outlets, particularly pharmacies, grocery and convenience stores, liquor stores, and municipal buildings. The posters should encourage Edina residents to promptly and properly dispose of their opiates, as well as other medications, either at one of the pharmacies with disposal bins or at home with an approved medication disposal bag in trash. The poster should include a QR code and URL address to direct residents to the Edina website page with information about opiates and drug disposal. b. City publications that are sent to Edina residents should include occasional articles, tagged with the “opiate icon”, describing the opioid crisis and the importance of proper disposal of medications. Similar information should appear periodically from the city on the Nextdoor app. Page 3 3. Medication disposal: a. The Commission believes the ready availability of medication disposal bags is the measure most likely to lead to improved community-wide management of outdated or unneeded opiates and other medications. b. The Commission recommends that a sample medication disposal bag be sent by the city to each household in Edina. The Commission also suggests that the City subsidize bulk purchases of medication disposal bags to be readily available free or at a discount at multiple convenient locations in Edina, particularly pharmacies, grocery, convenience, and liquor stores. In addition, Police and Fire Department locations should continue to offer disposal bags for pick up. Expanded access to medication bags in homes will likely expand the appropriate disposition of medications. c. The number of medication disposal bins should be expanded and located in 4-5 convenient locations within the city. 4. Education: The Commission recommends that the City Council approach the Edina Board of Education to suggest inclusion of education regarding opiates in classes that already devote discussion to alcohol, tobacco, and vaping. References: 1. Hedegaard H, Miniño AM, Spencer MR, Warner M. Drug overdose deaths in the United States, 1999–2020. NCHS Data Brief, no 428. Hyattsville, MD: National Center for Health Statistics. 2021. DOI: https://dx.doi.org/10.15620/cdc:112340external icon 2. Opioid Prevention Steering Committee, Hennepin County. Opioid Response Strategic Framework 2020. https://www. https://www.hennepin.us/-/media/hennepinus/your-government/projects- initiatives/documents/opioid-response-strategic-framework-2020.pdf 3. Candi Davenport, Licensed Drug and Alcohol Counselor, Edina School District, personal communication Date: April 11, 2022 Agenda Item #: VI.C. To:Community Health Commission Item Type: From: Item Activity: Subject:May 17 Joint Work Session with City Council Discussion CITY OF EDINA 4801 West 50th Street Edina, MN 55424 www.edinamn.gov ACTION REQUESTED: INTRODUCTION: