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MINUTES -Draft ORANGE COUNTY BOARD OF HEALTH January 27, 2015 • Combustible cigarette use is going down among North Carolina youth; however, tobacco use is increasing. That trend is driven by both e- cigarettes and hookah use. Next, Alejandra Camargo, TRU Co- President, Carrboro High School, shared her perspective and observations on e- cigarette use among teens. Ms. Camargo stated that it is a growing fad with posts on social media including vaping memes. She continued by stating that many of her peers don't think it's harmful and consider it a better alternative than combustible cigarettes. She noted that there isn't a label on them stating their ingredients. The advertisement of the wide selection of appealing flavors such as cookies and cream and chameleon are enticing to youth. Ms. Camargo also mentioned that many youth and adults are smoking in places where they shouldn't such as while riding on the transit bus and in the classroom. She hopes that a policy on e- cigarettes is created to deter this from continuing. Ms. Austin continued the presentation by providing an overview of the current governmental regulations. Only e- cigarettes that are marketed for therapeutic purposes are currently regulated by the FDA. The FDA has issued a proposed rule that would extend the agency's tobacco authority to cover additional products that meet the legal definition of a tobacco product, such as e- cigarettes, which would include requirements such as warning labels and for manufacturers to register with the FDA and seek the agency's review of new products. There are 8 states that include e- cigarettes in their smoke -free laws which mostly cover bars, restaurants and workplaces. Ms. Austin also noted that there is no statewide policy in North Carolina restricting e- cigarette use; however, there are more than 50 counties and municipalities in NC that prohibit e- cigarette use in or on government property. Lastly, Ms. Austin reviewed the potential exposure in public places. Although there is not research on e- cigarettes use patterns, she mentioned our best indicator is to look at what the research told us about exposure to secondhand smoke before it was regulated. For example, restaurants were a primary place of exposure for adults and children, especially those from non- smoking homes. Secondhand smoke exposure experienced by servers and bartenders was also a concern as the highest concentrations of nicotine measured in public places was found in bars and lounges. Potential policy options were presented to the Board of Health. Staff recommended developing a policy to prohibit use of e- cigarettes in indoor areas of bars and restaurants. The BOH members had several questions that were addressed by Ms. Austin and Dr. Bridger. Motion to pass the resolution to develop a policy to prohibit use of e- cigarettes in indoor areas of bars and restaurants was made by Susan Elmore, seconded by Reena Mehta and carried without dissent. C. 211d Quarter Financial Reports and D. 2tl Quarter Billing Dashboard Reports Rebecca Crawford, Finance & Administrative Services Division Director, gave a report on the 2nd quarter revenue and billing accuracy. Her report is as follows: • Total Health Department Revenue: Average YTD monthly revenue in FY16 after the 2nd Quarter is $236k /month or $1.49 million YTD, representing 47.7% of our overall budgeted revenue for the year. This is an increase from an average of $218k /month in FY15. Expenses were in line with revenues at 46.41 %. S: \Managers Working Files \BOH \Agenda & Abstracts \2016 Agenda & Abstracts/ February Page 3