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

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      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.


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