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A HARMONIZED ENVIRONMENTAL TOBACCO SMOKE (ETS)

BY-LAW FOR THE CITY OF TORONTO, POLICY OPTIONS AND

RECOMMENDATIONS - COMMUNITY INPUT PROCESS

Secretary, Board of Health

(April 6, 1999)

Recommendations:

The Board of Health at its meeting on April 6, 1999:

(1)adopted the report dated March 26, 1999, from the Medical Officer of health with respect to the community input process for a harmonized Environmental Tobacco Smoke (ETS) By-law for the City of Toronto; and

(2)forwards such report to the Community Councils for staff presentation and deputations on the policy options and recommendations paper attached thereto, at the Community Council meetings scheduled to be held on May 26 and 27, 1999, with recommendations from the Community Councils to be referred to the Medical Officer of Health and the City Solicitor for consideration and recommendations back to the Board of Health at its meeting on June28 and 29, 1999.

The Board of Health reports, for the information of the Community Councils, having requested the Medical Officer of Health to include in the information being forwarded for discussion:

(i)comment on the "economic hardship" clause in use in some U.S. jurisdictions; and

(ii)a summary of the various economic analyses that have been undertaken.

Background:

The Board of Health at its meeting on April 6, 1999, had before it a report (March 26, 1999) from the Medical Officer of Health respecting a harmonized Environmental Tobacco Smoke By-law for the City of Toronto; and recommending that the Board of Health:

(1)adopt the process outlined in this report to seek public input on the proposed ETS by-law for the City of Toronto; and

(2)forward the attached policy options and recommendations paper to Community Councils for staff presentation and deputations.

The Board of Health also had before it a copy of a petition addressed to Councillors Case Ootes, Jane Pitfield and Michael Prue, for Ward 1, submitted by approximately 35 students at Leaside High School seeking support in creating a smoke-free environment in all Toronto restaurants.

Trudy Perrin

Secretary,

Board of Health

Attachments

_______

A HARMONIZED ENVIRONMENTAL TOBACCO SMOKE (ETS)

BY-LAW FOR THE CITY OF TORONTO, POLICY OPTIONS AND

RECOMMENDATIONS - COMMUNITY INPUT PROCESS

Medical Officer of Health

(March 26, 1999)

Purpose:

The purpose of this report is to outline a process to obtain community input on proposed options for a harmonized ETS by-law and strategies to achieve smoke-free public places in the City of Toronto as set out in the attached document dated March 26, 1999, from the Medical Officer of Health, entitled "A Harmonized Environmental Tobacco Smoke (ETS) By-law for the City of Toronto".

Financial Implications:

None, for the public consultation process prior to Council approval. Additional one-time funding will be required in 1999 and 2000 for public communication, for which provincial funding will be sought.

Recommendation:

It is recommended that the Board of Health:

1)Adopt the process outlined in this report to seek public input on the proposed ETS by-law for the City of Toronto; and

(2)Forward the attached policy options and recommendations paper to Community Councils for staff presentation and deputations.

Background and Discussion:

Historically, public consultation has played an important part in the development of Environmental Tobacco Smoke (ETS) by-laws in all of the former municipalities. Public and stakeholder input towards the policy options has been obtained through a variety of means, including community meetings, focus groups and public opinion surveys. Public input to the proposed by-law has been formally sought through deputations at Boards of Health and City Councils.

During the past year, Toronto Public Health has consulted with the health and hospitality sectors as well as the public, on an Environmental Tobacco Smoke by-law that is protective of health for the new City of Toronto. The attached document from the Medical Officer of Health provides a comprehensive review of issues related to Environmental Tobacco Smoke, along with policy options and recommendations for a new by-law.

Public and stakeholder input on the recommendations can be obtained through a deputation process similar to that followed in the past, with the addition of deputations at Community Councils to ensure local input. The following process and time-line is recommended:

Process Meeting Date(s)
Board of Health Board of Health to refer the Medical Officer of Health's public consultation document to Community Councils for staff presentation and deputations. April 6, 1999
Community Councils Public deputations with recommendations from Community Councils referred to the Medical Officer of Health and the City Solicitor for consideration and recommendations back to the Board of Health. May 26 and 27, 1999
Board of Health The Medical Officer of Health and the City Solicitor to report back to Board of Health on June 28, 1999, at which time the Board will hear deputations on the original public consultation document and any follow-up staff reports, including the solicitor's draft by-law. The Board will debate the issue at a special meeting on June 29, 1999, and forward it recommendations to City Council for consideration. June 28 and 29, 1999

Conclusion:

The public consultation process outlined in this report will ensure input from a variety of interests prior to the by-law's enactment by Council.

Contact Name:

Liz Janzen

Regional Director, South Region

Tel: 392-7458

Fax: 392-0713

VENTILATION OPTION FOR THE ENVIRONMENTAL TOBACCO SMOKE

(ETS) BY-LAW

Secretary, Board of Health

(May 6, 1999)

Recommendation:

The Board of Health reports, for the information of the Community Councils, having adopted the report dated April 28, 1999, from the Chair, Board of Health; and having further requested the Medical Officer of Health to:

(1)report back to the next meeting of the Board on whether the Ontario Restaurant Association has responded; and

(2)circulate the final consolidated report on the ETS By-law in sufficient time to provide members of the Board the opportunity for review prior to the Board meeting on June28and29, 1999.

Background:

The Board of Health at its meeting on May 6, 1999, had before it a report (April 28, 1999) from Councillor John Filion, Chair, Board of Health, recommending that:

(1)the Ontario Restaurant Association provide to the Medical Officer of Health, by May31,1999, specific details on the ventilation technology which they believe to be an effective alternative to 100 percent smoke-free status for hospitality establishments, along with independent scientific evidence supporting the effectiveness of this technology; and

(2)the Medical Officer of Health report to the Board of Health by June 28, 1999, regarding the appropriateness of including a ventilation option in the proposed ETS by-law.

Trudy Perrin

Secretary,

Board of Health

Attachment

(Report dated April 28, 1999, from

Councillor John Filion, Chair, Board of Health)

Recommendations:

(1)That the Ontario Restaurant Association provide to the Medical Officer of Health, by May31, 1999, specific details on the ventilation technology, which they believe to be an effective alternative to 100 percent smoke-free status for hospitality establishments, along with independent scientific evidence supporting the effectiveness of this technology; and

(2)that the Medical Officer of Health report to the Board of Health by June 28, 1999, regarding the appropriateness of including a ventilation option in the proposed ETS by-law.

Background:

In her report on April 6, 1999, the Medical Officer of Health clearly outlines the health risk that environmental tobacco smoke (ETS) presents in the City of Toronto. ETS (often referred to as second-hand smoke) causes breathing problems for children, allergy sufferers, and people with heart or lung disease. ETS causes eye irritation and headaches, and it increases the long-term risk of heart attacks and lung cancer, especially in exposed workers. The report also explains how restaurant and bar employees are the most affected and yet have the least amount of legal protection compared with other workers. In order to address this serious health risk, the Medical Officer of Health recommends that smoking be prohibited in workplaces and public places.

As an alternative to prohibiting smoking, some members of the hospitality industry suggest that new ventilation systems are available that could remove the EST and thereby allow hospitality patrons to continue smoking. The Ontario Restaurant Association (ORA) has also claimed that new ventilation technology can create the equivalent of smoke-free indoor air.

As the Medical Officer of Health reports, there are at least 43 chemicals in ETS that can cause cancer in human. These chemicals are in the form of tiny solid particles, gases, or both. Since there is no safe level of exposure to ETS, a ventilation system would have to remove all of these harmful chemicals from the air to provide the same level of protection as smoking ban. After investigating available ventilation technology, the Medical Officer of Health did not identify any ventilation system that is capable of achieving this objective.

In order for the Board to make informed decisions on the feasibility of including a ventilation option in the proposed ETS by-law, I am recommending that the ORA be requested to clearly identify these new technologies and provide detailed information to the Board, through the Medical Officer of Health, regarding where such systems are in use, their design and methods of operation, as well as independent scientific evaluation of their respective effectiveness.

 

   
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