Orange County NC Website
MINUTES-Final <br />ORANGE COUNTY BOARD OF HEALTH <br />January 27, 2016 <br />S:\Managers Working Files\BOH\Agenda & Abstracts\2016 Agenda & Abstracts/ February Page 3 <br />• Combustible cigarette use is going down among North Carolina youth; however, tobacco <br />use is increasing. That trend is driven by both e-cigarettes and hookah use. <br /> <br />Next, Alejandra Camargo, TRU Co-President, Carrboro High School, shared her perspective <br />and observations on e-cigarette use among teens. Ms. Camargo stated that it is a growing fad <br />with posts on social media including vaping memes. She continued by stating that many of her <br />peers don’t think it’s harmful and consider it a better alternative than combustible cigarettes. <br />She noted that there isn’t a label on them stating their ingredients. The advertisement of the <br />wide selection of appealing flavors such as cookies and cream and chameleon are enticing to <br />youth. Ms. Camargo also mentioned that many youth and adults are smoking in places where <br />they shouldn’t such as while riding on the transit bus and in the classroom. She hopes that a <br />policy on e-cigarettes is created to deter this from continuing. <br /> <br />Ms. Austin continued the presentation by providing an overview of the current governmental <br />regulations. Only e-cigarettes that are marketed for therapeutic purposes are currently <br />regulated by the FDA. The FDA has issued a proposed rule that would extend the agency’s <br />tobacco authority to cover additional products that meet the legal definition of a tobacco product, <br />such as e-cigarettes, which would include requirements such as warning labels and for <br />manufacturers to register with the FDA and seek the agency’s review of new products. There <br />are 8 states that include e-cigarettes in their smoke-free laws which mostly cover bars, <br />restaurants and workplaces. Ms. Austin also noted that there is no statewide policy in North <br />Carolina restricting e-cigarette use; however, there are more than 50 counties and municipalities <br />in NC that prohibit e-cigarette use in or on government property. <br /> <br />Lastly, Ms. Austin reviewed the potential exposure in public places. Although there is not <br />research on e-cigarettes use patterns, she mentioned our best indicator is to look at what the <br />research told us about exposure to secondhand smoke before it was regulated. For example, <br />restaurants were a primary place of exposure for adults and children, especially those from non- <br />smoking homes. Secondhand smoke exposure experienced by servers and bartenders was <br />also a concern as the highest concentrations of nicotine measured in public places was found in <br />bars and lounges. Potential policy options were presented to the Board of Health. Staff <br />recommended developing a policy to prohibit use of e-cigarettes in indoor areas of bars and <br />restaurants. <br /> <br />The BOH members had several questions that were addressed by Ms. Austin and Dr. <br />Bridger. <br /> <br />Motion to pass the resolution to develop a policy to prohibit use of e-cigarettes in indoor <br />areas of bars and restaurants was made by Susan Elmore, seconded by Reena Mehta <br />and carried without dissent. <br /> <br />C. 2nd Quarter Financial Reports and D. 2nd Quarter Billing Dashboard Reports <br /> <br />Rebecca Crawford, Finance & Administrative Services Division Director, gave a report on the <br />2nd quarter revenue and billing accuracy. Her report is as follows: <br /> <br />• Total Health Department Revenue: Average YTD monthly revenue in FY16 after the 2nd <br />Quarter is $236k/month or $1.49 million YTD, representing 47.7% of our overall <br />budgeted revenue for the year. This is an increase from an average of $218k/month in <br />FY15. Expenses were in line with revenues at 46.41%. <br />