U/B-1 CITY OF VANCOUVER M E M O R A N D U M From: CITY CLERK'S OFFICE Date: February 27, 1996 Refer File: 4105-3 To: VANCOUVER CITY COUNCIL Subject: SMOKE FREE INDOOR AIR BY-LAW - REGIONAL PROPOSAL еееееееееееееееееееееееееееееееееееееееееееееееееееееееееееееееее Three Special Meetings of Vancouver City Council were held on September 18, October 24 and November 7, 1995, for the purpose of hearing delegations on a proposed smoking ban. During those three meetings, Council heard a total of ninety speakers, then deferred its decision to a future meeting. Subsequently, on December 5, 1995, Council agreed to participate in a regional consultation process initiated by the G.V.R.D. The resulting proposal is set out in the attached February 16, 1996, Policy Report. CITY CLERK NLargent:as Attachment. U/B-1 REPORT ATTACHMENT POLICY REPORT HEALTH Date: February 16, 1996 File #: CC0196 TO: Vancouver City Council FROM: Medical Health Officer SUBJECT: Smoke-free Indoor Air By-law - Regional Proposal RECOMMENDATIONS A. THAT the Vancouver Health By-law #6580 be amended, to generally incorporate the principles reflected in the draft wording of Appendix 1 of this report, effectively prohibiting smoking in all indoor public places as of May 31, 1996, with smoking permitted only in those commercial establishments where entry by minors is restricted by law. B. THAT the Director of Legal Services be instructed to bring forward the necessary by-law amendments. C. THAT the Medical Health Officer be directed to not carry out active enforcement of the by-law until December 1, 1996 to allow for public education and the communication of its provisions to those affected. D. THAT the G.V.R.D. Task Group on a regional smoking by-law strategy be advised of the actions taken by City Council in this matter. MANAGER'S COMMENTS The General Manager of Community Services notes the recommended resolution of this issue is largely consistent with the joint proposal put forward by the Industry Group and the Medical Health Officer, through the Metropolitan Board of Health. However, the suggested "grandfathering" provision in the joint proposal to exempt buildings which upgrade to present air quality standards from further upgrading for ten years has been excluded, on the advice of the Director of Legal Services. In view of this change, and the limitations of the ASHRAE standard, the General Manager supports an alternative recommendation to A, as follows: A1. THAT the Vancouver Health By-law #6580 be amended to incorporate the principles reflected in the draft wording of Appendix 1 of this report, excepting the requirements for the installation of ventilation and air cleaning equipment and related monitoring and reporting, effectively prohibiting smoking in all indoor public places as of May 31, 1996, with smoking permitted only in those commercial establishments where entry by minors is restricted by law. The General Manager of Community Services, RECOMMENDS approval of A1 and B through D. COUNCIL POLICY Health By-law #6580, as amended from time to time, sets controls and limits on where individuals can smoke in indoor public places and the workplace. On December 8, 1994, Council passed the following motions: "A. THAT Council endorse, in principle, strategies to achieve smoke-free indoor environments, subject to a report back on public consultation. B. THAT the Medical Health Officer carry out a public consultation process through the spring of 1995 toward the establishment of an implementation schedule for smoke-free indoor environments." PURPOSE This report brings back to Council for consideration a proposed regional strategy for achieving smoke-free indoor air in public establishments. It recommends that Council adopt an approach put forward jointly by the Industry Group and the Medical Health Officers, endorsed by the Metropolitan Board of Health and the voluntary health agencies. BACKGROUND On December 8, 1994, Council considered a report from the Medical Health Officer on moving towards an objective of 100% Smoke-free Public Indoor environments. Council endorsed, in principle, the objective of smoke-free indoor environments while leaving the effective date open for further discussion. In addition Council directed the Medical Health Officer to carry out a public consultation process "toward the establishment of an implementation schedule for smoke-free indoor environments."In the spring of 1995, staff commissioned a public opinion survey which indicated strong support for a smoke-free indoor air by-law. During the summer public and stakeholder consultations were conducted which indicated a high level of industry concerns, especially with respect to economic impacts and enforcement issues. Staff prepared a report to Council based on the public health objectives and in response to the stakeholder comments and concerns. In response to this report, Council heard from more than 100 delegations over three nights in September, October and November of 1995. The Lower Mainland Hospitality Industry Group's submissions consistently opposed a prohibition on smoking indoors and proposed a "clean indoor air" alternative based on a ventilation standard (ASHRAE 62-1989). At the conclusion of the three Special Council meetings, Council took no action, awaiting a regional initiative from the Council of Councils. A Council of Councils meeting in early December, 1995 resulted in a general consensus that a regionally consistent approach to the indoor smoking issue needed to be found. As a result, individual Councils were asked to endorse a regional coordinating approach and submit candidates from their Council to sit on a regional Task Force. The Task Force was to explore the possibility of a regional by-law and recommend such a model by-law, through the Regional Administrators back to the respective Councils. Subsequent to the Council of Councils meeting a series of meetings were convened, with the assistance of Dr. Frederic Bass, between Dr. Blatherwick and Bruce Clarke of the Lower Mainland Hospitality Industry Group. The intention was to explore the possibility of a joint solution to the indoor smoking issue. These meetings concluded in mid-January with a draft approach to a by-law which both parties were willing to put forward to the G.V.R.D. process through the Metropolitan Board of Health. The Metropolitan Board of Health endorsed the proposal on January 24, 1996 and communicated this to the Chair of the G.V.R.D. The proposal was introduced and discussed at a meeting of the G.V.R.D. Task Force on February 7, 1996. The general consensus at that meeting was that the proposal provided a good framework for a regionally consistent approach and should be taken back to the respective Councils for an indication of support, in principle. It was also clear that some councillors felt that their Councils would view the proposal as a baseline but would likely entertain more restrictive by-laws. DISCUSSION The joint proposal drafted by the Industry Group and the Medical Health Officer enshrines the following key principles: 1. Recognition that Environmental Tobacco Smoke (ETS) has a detrimental effect on public and employee health; 2. The need for a prioritized, practical regulatory and educational approach to address these health risks; 3. The elimination of the involuntary risk of exposure to ETS in our young people is recognized as an effective priority measure; and 4. The reduction of "voluntary" exposure to ETS by adults in adult-oriented establishments is an objective that can be achieved through the appropriate application of best available control technology and administrative controls. It was with these principles in mind that the joint proposal was crafted and eventually presented to the Metropolitan Board of Health on January 24 for discussion and endorsation. The key features of the joint proposal are contained in the draft by-law wording attached as Appendix 1. This draft is provided to Council as an example of some common provisions that could be incorporated into a regionally-consistent set of municipal smoking by-laws. It has not been thoroughly reviewed by the Director of Legal Services and will likely not resemble the final wording of the by-law. In summary the key features are: 1. The by-law would start from the premise that all indoor public places would be smoke-free. This would include all places of employment, common public areas (lobbies, stairways, reception areas), places of public assembly (e.g. arenas, convention centres, halls), malls (including food fairs), commercial establishments (including retail and service establishments) and restaurants. In addition smoking would be prohibited in taxis, limousines and vehicles for hire. This is a significant expansion, from the current by- law, of the types of facilities where smoking would be prohibited. In addition the exemption for "private social functions" has been removed, implying that irrespective of the nature of the function, all places of public assembly are non-smoking. 2. Smoking would be permitted in commercial establishments where entry by minors is prohibited (by law or provincial policy - e.g. liquor outlets, casinos, bingo halls), provided such establishments install, operate and maintain ventilation/air cleaning equipment meeting standards and conditions contained in an appendix to the by-law (at a minimum the ASHRAE 62-1989 standard). Establishments wishing to be exempted under this provision would have to submit to the Medical Health Officer, within 60 days of enactment of the by-law, a Letter of Undertaking committing to have the ventilation/air cleaning upgrade completed by December 31, 1997. New establishments approved after the enactment date would have to meet the ventilation/air cleaning provisions upon opening. Requirements for regular maintenance/service contracts, annual ventilation/air quality testing and reporting and the installation of warning signs would accompany an exemption under this section. The Industry Group has requested that the by-law include a "grandfathering" provision which would protect for ten years facilities that upgrade from having to further upgrade should standards or regulations become more stringent. The Director of Legal Services advises that such a provision would not be permitted under the Charter. 3. Smoking would be permitted in "smoking rooms" of a commercial establishment or workplace. A smoking room is defined as a room, designated by the proprietor, in which smoking is permitted and which is physically separated and air tight, with four walls, a ceiling and a tight-fitting door. The room would be heated, cooled and ventilated separate from the rest of the establishment and would be exhausted to the outside so as to provide a negative pressure within the room. Finally, there would be a requirement that no minor nor any employee would need to enter the room while it was occupied by smokers. Staff have had discussions with representatives of the voluntary health agencies (Canadian Cancer Society, Heart & Stroke Foundation, B.C. Lung Association and the B.C. Medical Association) who have been very active in supporting the Smoke- free Indoor By-law Initiative from its inception. They are reasonably comfortable with the joint position put forward and view it as a significant step in the right direction. OTHER ISSUES In formulating this joint recommendation a number of related issues were raised and are discussed below: 1. Enforcement: Although enforcement was a key concern to industry under the previous proposal, the issue has become less significant under this joint proposal. Much of the monitoring and compliance checking of the air quality option would be carried out by industry or industry associations, in cooperation with the Medical Health Officer. Environmental Health Officers would likely perform spot checks to ensure compliance with the ventilation standards. Enforcement of the smoke-free provisions in restaurants and other establishments should not become a serious issue, provided time is spent in educating both the public and the operators of the bylaw requirements and the social norm of non-smoking. 2. Outdoor Patios: Although this is primarily an indoor smoke-free bylaw, for clarity and consistency the Medical Health Officer recommends that patios of smoke-free establishments also remain smoke- free. This is consistent with how current City by-laws interpret the outdoor (patio or sidewalk) seating as being a contiguous part of the establishment. It would also ensure a level playing field within the foodservices sector in that establishments without patios would not be placed at a disadvantage. It would also prevent a proliferation of large outdoor patios to "get around" the smoking restriction. Finally, it would not have the effect of reserving the "best" seats (during the summer) for only smokers. This recommendation is put forward more as an equity issue than a public health issue, which it is not. 3. Air Quality/Ventilation standard: Some in the health sector have questioned why the Medical Health Officer would agree to including ASHRAE 62-1989 as a ventilation standard, given the arguments he put forward previously that the ASHRAE standard is a comfort standard not a health standard. The minimum standard proposed under the air quality/ventilation approach is one put forward by the Industry Group as a way of improving on the indoor air quality currently found in their establishments. It is not presented by the Medical Health Officer as a standard that is protective of public health. Nevertheless, it has the potential of reducing adult exposure to ETS, especially given the predicted decrease in number of smokers in the general population. 4. Industry request for grandfathering of facilities that improve air quality from more stringent standards? In order for this joint proposal to work the Industry Group made it quite clear that they needed some assurance that they could recover their capital investments in ventilation/air cleaning equipment (in some cases exceeding $50,000) and wanted some certainty that they would not be subjected to new regulations/standards if they did upgrade. They sought a 10 year "moratorium" from the date of enactment of the by-law. Staff were quick to point out that we could not, in any way, bind future Councils from adopting and applying more stringent regulations. Neither can staff predict what other agencies (e.g. W.C.B) or senior levels of government might do with the ETS issue. The Director of Legal Services has advised that such an "existing non-conforming" designation is not permitted under the Charter. Staff have discussed this turn of events with the Industry Group and have opted to put forward the air quality/ventilation approach without an accompanying "grandfathering" provision at this time. Staff will continue to work with the Industry Group to address any remaining concerns. 5. Why bother with including the "ventilation requirement" at all? Some have argued that the by-law should exempt "adult-oriented" facilities outright from this round of restrictions, leaving the door open to revisit the issue 3 to 5 years down the road. This approach would allow staff to research the experiences of jurisdictions such as California where prohibitions on smoking in liquor outlets are scheduled to take effect January 1, 1997. However, in order for this proposal to remain a joint solution with the Industry Group, staff have recommended it to Council complete with the ventilation option. The Medical Health Officer recommends that the by-law come into effect on May 31, 1996 (appropriately, World No Tobacco Day) and that active enforcement not take place until December 1, 1996. The reasons for this phased implementation are discussed in the following section. IMPLEMENTATION/COMMUNICATION PLAN Staff are recommending a phased implementation approach whereby the by-law is approved in principle at this meeting (and the results communicated back to the G.V.R.D. process) but does not become effective until May 31, 1996. The intervening period will be used to communicate the new requirements to the business community as well as to the general public and to carry out further education about the effects of ETS. Once the by-law comes into effect, phase 2 of the implementation plan commences with environmental health officers and industry representatives educating the affected businesses on compliance with the by-law. Staff propose that a "moratorium" period of 6 months (to November 30,1996) be provided during which no active enforcement (i.e. tickets, by-law charges) takes place, but where violations are brought to the operators attention. Staff would work closely with the business community to address implementation problems that might arise. ENVIRONMENTAL IMPACTS The most obvious environmental impact will be evident inside public buildings where the air will be significantly cleaner. One potential problem exists with the disposal of cigarette butts outside of buildings. The provision of ashtrays may be necessitated at major entrances but a decision on this should await implementation of the by-law. SOCIAL IMPACTS/IMPACTS ON CHILDREN AND YOUTH Clearly the emphasis on eliminating the exposure of our youth to ETS in public venues is one that should have a major positive impact on the long term health of our youth. One "side-effect" of a 100% smoke-free requirement experienced in other jurisdictions is a slight reduction in smoking prevalence. Any reduction in smoking prevalence amongst youth would be welcomed. In the long term, any reduced expenditures in health care for individuals affected by ETS, may free up resources for other social programs. FINANCIAL IMPACTS Staff have previously addressed the issue of economic impacts (or lack thereof) from a smoking prohibition. The results from California, New York and other jurisdictions with respect to no negative impacts on the foodservices sector revenues are irrefutable. Experience in other jurisdictions also indicate cost savings for operators from lower maintenance, cleaning and health insurance costs as well as the avoidance of lawsuits. The ventilation option will increase costs for operators of adult-oriented facilities, not only from the original capital outlay but from maintenance/service costs, air quality testing costs and increased heating/cooling costs. Financial impacts on the City should be minor; initial efforts at education and enforcement may require a minor reprioritization of environmental health officer resources, but no additional staff resources will be required. Over time, the need for enforcement is expected to decrease, reducing the drain on health board resources. In Vancouver, enforcement/monitoring would be carried out by the Environmental Health Division of the Vancouver Health Board. CONCLUSION This report recommends an historic shift in public policy for the City of Vancouver, one that ultimately provides the citizens, visitors and workers in the City with an appropriate level of protection from exposure to environmental tobacco smoke. The adoption of the recommendations contained in this report will establish the norm for indoor public places as being non-smoking, with a few exceptions for adult-oriented establishments. The arrival at a joint proposal has been a positive step in the process of arriving at a clean indoor air by-law. Although there still remain some strong feelings and concerns, especially on the part of the restaurant association, staff have concluded that what is presented in this report forms a reasonable approach, based firmly on the protection of our children's health. The Medical Health Officer recommends that Council endorse the proposed by-law and send a strong signal to the rest of the G.V.R.D. municipalities to enact similar legislation. * * * * *