Tobacco-Free KU Progress Report

January 20, 2015

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Table of Contents Summary of Additions and Updates.............................................................................................................4 Introduction............................................................................................................................. .................................5 Tobacco-Free KU…….......................................................................................................................................6-13 Charge…………………………………………………………………………………………………………...…….6 Three Process Approach……………………………………………………………………………………6-7 Governance Structure and Members………………………………………………………..……….7-10 Kansas Health Foundation Grant…………………………………………………………………….…...10 Website………………………………….……………………………………………………………………….....10 Timeline………………………………….…………………………………………………………………....10-12 Future Plans…………………………………………………………………………………………………........13 KU Smoking and Tobacco Policies………………………………………………………………………….13-14 Current Smoking Policy………………………………………………………………………………………13 Proposed Tobacco Policy………………………………………………………………………………….…13 Assessment of Policy…………………………………………………………………………………………..14 Campus and Community Involvement…………………………………………………………………..14-19 Student Contributions…………………………………………………………………………………...14-16 Class Projects………………………………………………………………………………………………..16-17

Focus Groups…………………………………………………………………………………………..……17-18 Community Efforts and Collaboration……………………………………………………………18-19

Institutions of Higher Education: Smoke-Free or Tobacco-Free Campuses…………19-20 KBOR Schools’ Plans for Becoming Smoke-Free/Tobacco-Free…………………………….19 US Colleges and Universities that are Smoke-Free or Tobacco-Free…………….…..19-20 Rationale for Becoming a Tobacco-Free Campus………………………………………………….20-26

Why Support a Tobacco-Free Policy……………………………………..………………………….….20 Research to Affirm Being Tobacco-Free…………………………………………………….……20-21 Impact of Tobacco Use…………………………………………………………………………….……..21-23 Snapshot for the State of Kansas Regarding Tobacco Use……………………………...…23-24 Smoke-Free vs. Tobacco-Free…………………………………………………………………….…..25-26

Use and Exposure to Various Tobacco Products………………………………………………….…26-28 Electronic Cigarettes……………………………………………………………………………………..……26 Menthol ………………………………………………………………………………………………....….…26-27

Secondhand Smoke…………………………………………………………………………………….………27 Thirdhand Smoke……………………………………………………………………………….…………27-28

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Tobacco Cessation Information and Resources………………………………………………………..28 Tobacco Resources………………………………………………………………………………………………..29-32 Global………………………………………………………………………………………………………………..29 National………………………………………………………………………………………………………..29-30 State…................................................................................................................................ ...........................30 Local…………………………………………………………………………………………………………….30-31

Relevant Research….……………………………………………………………………………………..31-32 Appendices…………………………………………………………………………………………………………….33-40

Appendix 1: Tobacco-Free Campus Flyer……………………………..…………………………..…33 Appendix 2: Toilet Talk Newsletter (excerpt)………………………………………………………34 Appendix 3: Proposed Tobacco Policy…………………………………………………………....35-40

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Summary of Additions and Updates

Section Action Summary of Change Tobacco-Free KU – Timeline

Updated Activities, events, meetings, etc. completed from October 2014 to present.

Tobacco-Free KU – Future Plans

Updated Additional activities, events, meetings, etc. planned for Spring 2015.

KU Smoking and Tobacco Policies

Added To include current policy, proposed policy, and assessment of policy.

Campus and Community Involvement – Student Contributions

Updated Great American Smokeout and butt litter pick-up.

Campus and Community Involvement – Class Projects

Updated Results from JOUR 460 and JOUR 560.

Campus and Community Involvement – Focus Groups

Added To include a summary of meetings with various focus groups.

Campus and Community Involvement – Community Efforts and Collaboration

Updated New development from KDHE.

Use & Exposure to Various Tobacco Products

Added To include the health-related risks of use and/or exposure to various tobacco products.

Tobacco Cessation Information & Resources

Added To include tobacco cessation information and resources.

Appendices Updated Appendix 2: Toilet Talk Newsletter (excerpt) Appendix 3: Proposed Tobacco Policy

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Introduction The University of Kansas is engaged in an initiative to promote a respectful, healthy, and clean environment for students, faculty, staff and visitors with a tobacco-free KU. The project is being co-sponsored with student representation and the KU departments of Human Resources, Student Health Services, and Recreation Services. It is our goal to revise the University’s smoking policy and achieve a tobacco-free KU environment. This initiative has the support of the Office of the Executive Vice Chancellor/Provost. As of October 1, 2014, 1,478 universities and colleges nation-wide have self-reported that they are either a smoke-free or tobacco-free campus (502 are smoke–free; 976 are tobacco-free). Out of respect for students, faculty, staff, visitors and the campus environment, the Tobacco-Free KU Steering Committee is working towards becoming a tobacco-free campus. Additionally, as is well documented, tobacco use is the leading cause of premature/preventable death, responsible for more than 400,000 deaths a year in the US. These statistics do not include the numerous serious health problems, financial costs, and lost productivity associated with tobacco use. Tobacco addiction begins almost exclusively among youth and young adults. The 2012 Surgeon General's Report shows that 99% of smokers began smoking and using other forms of tobacco by age 26, making college and university campuses a critical target for tobacco use prevention and cessation efforts. Advancing toward a tobacco-free campus is a consolidated effort to protect our youth and young adults against this epidemic. By adopting a successful and sustainable tobacco-free policy, the KU campus will make a positive impact on the health of others and within the environment in which they learn, live, and work.

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Tobacco-Free KU Charge While progress has been made in the last couple of years in terms of tobacco use on campus, there continues to be concerns. Reflecting these concerns, a survey of the student body was conducted by students in spring 2013 with a positive response rate indicating interest in a more restrictive smoking policy. At a meeting on March 12, 2013, SenEx unanimously passed the following resolution: “SenEx encourages Student Senate in its initiative to develop a more restrictive smoking policy at the University of Kansas.” At a March 29, 2013 meeting, the University Senate adopted the following resolution: “The University Senate encourages Student Senate in its initiative to develop a more restrictive smoking policy at the University

of Kansas.”

The Department of Human Resources then conducted a survey of faculty and staff in April 2013 to ascertain interest in a more restrictive KU smoking policy. With an 18% response rate, 59% of the respondents were interested in a more restrictive smoking policy. Of the respondents, 66% supported a smoke-free campus while 49% supported a tobacco-free campus. Sufficient interest was demonstrated to pursue a more restrictive campus smoking policy. At that time, a Steering Committee was formed to explore the feasibility of making the campus a tobacco-free environment.

Three Process Approach In June 2013, three members of the Steering Committee attended a National Tobacco Policy Summit in Kansas City, MO hosted by the National Center for Tobacco Policy. Based on the recommendations learned at the summit, three processes were identified as important phases to pursue. 1. Assessment Process: Research the campus knowledge base regarding tobacco use and the perceptions related to tobacco policy.

Administer surveys to students and faculty & staff.

Form committee(s) to explore the feasibility of making the campus a tobacco-free environment using the data collected.

2. Implementation Process: Develop a plan to work through the operational issues related to the change in policy.

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Establish an implementation date.

Create a communications plan. Educate the campus community as well as the surrounding community. Provide cessation support. Form an enforcement/compliance plan of action.

3. Sustained Process: Establish programs and activities to provide continued support of the newly implemented change in policy.

Periodically evaluate the effectiveness of the policy. Educate the campus and the community of the policy and progress. Act proactively, nurturing culture change through ongoing, assertive, and respectful

means. Commit and reinforce an active enforcement mechanism to avoid fostering non-

compliance. Governance Structure and Members In pursuit of becoming a tobacco-free campus, the following committees were formed to assist in the process: Leadership Committee

Name Title Department

Tammara Durham Vice Provost for Student

Affairs

Office of the Vice Provost

for Student Affairs

Diane Goddard Vice Provost for Administration & Finance

Office of the Provost

Amy Smith Director Policy Office

The Leadership Committee supports the initiative by:

providing needed resources; facilitating relevant administrative processes; guiding the resolution of relevant issues; supporting requests for executive approvals; and

advocating for cultural change.

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Steering Committee

Name Title Department/Organization

Karrey Britt Communications Coordinator

Lawrence-Douglas County Health Department

Charlie Bryan Community Health Planner Lawrence-Douglas County Health Department

Ola Faucher (Chair) Director Human Resources

Heidi Garcia Program Director Student Health Services

Rebecca Garza Health Promotion Specialist Lawrence-Douglas County Health Department

Ashley Hrabe Student B.E.A.K. Campus Organization

Derek Reed Assistant Professor Applied Behavioral Sciences

Ben Saathoff Assistant Director, Fitness/Wellness

Recreation Services

Madi Vannaman Associate Director Human Resources

The Steering Committee supports the initiative by:

determining how a tobacco-free KU environment may be best achieved;

communicating project progress; developing and advocating for a tobacco-free policy; developing and implementing educational programs and events; facilitating collaboration with KU, local, and state community contacts; identifying and managing supporting resources as appropriate; recommending supporting changes to key administrative contacts; and serving as cultural change agents.

Stakeholder Committee

Name Title Department/Organization

Aynsley Anderson Community Education Coordinator

Lawrence Memorial Hospital

Erica Anderson Youth/Community Outreach Coordinator

Tobacco-Free Kansas Coalition

Vince Avila Interim Director Facilities Services

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Delores Barnard Accounting Specialist University Support Staff

Senate

Jose Belardo Regional Health Administrator

HHS/OASH/Region VII

Jessica Boyle Manager, Human Resources Kansas Memorial Student Unions

Laurie Comstock Director of Special Projects Endowment

Mona Franklin Human Resources Specialist Haskell Indian Nations University

Holly Frye Outreach Coordinator Kansas Department of Health and Environment

Kip Grosshans Associate Director Department of Student Housing

Chris Keary Assistant Chief Public Safety Office

Beth Liu Student

Student Health Advisory Board

Shannon Livengood Student Peer Health Educator

Janelle Martin Director of Education and Learning Services/Executive Director

Lawrence Memorial Hospital/Douglas County Community Health

Improvement Partnership

Jenny McKee Health Educator Student Health Services/Unclassified Senate Delegate

Frank Reeb Director, Human Resources Athletics Corporation

Jeff Severin Director Center for Sustainability

Lauren Silver Student Peer Health Educator

Culin Thompson Student

Gavin Young Communications Coordinator

Public Affairs

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The Stakeholder Committee will serve in an advisory role to:

provide advice on how a tobacco-free KU environment may be best achieved; provide resources as appropriate or possible; connect the KU initiative with other relevant programs; and to serve as cultural change agents in achieving a tobacco-free KU environment.

Kansas Health Foundation Grant The University of Kansas received a $25,000 grant from the Kansas Health Foundation to help research the viability of making the campus tobacco-free. Through this supportive funding, KU obtained the consulting services of Ty Patterson. Ty is

the Director of the National Center for Tobacco Policy. He is a highly regarded expert on developing and implementing tobacco policies for higher education institutions, and is

assisting the Committees in this process. Website To disseminate information and keep the KU and local communities updated on the process, a website (www.tobaccofree.ku.edu) was developed. The website includes information about the governance structure; timeline; activities and events; and resources, such as cessation info, relevant research, and survey results; as well as a links to get involved, B.E.A.K. (Breathe Easy at KU) Student Organization, and to follow B.E.A.K. on Facebook. The intent of the website is to provide up-to-date information to the public, accessible at any

time. Timeline

Timeframe Event

March 2013 Student survey administered regarding stricter tobacco policy, smoke- or tobacco- free campus; results supported change.

March 2013 University Senate Executive Committee resolution: "SenEx encourages Student Senate in its initiative to develop a more restrictive smoking policy at the University of Kansas."

March 2013 University Senate resolution: "University Senate encourages Student Senate in its initiative to develop a more restrictive smoking policy at the University of Kansas."

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April 2013 Faculty/staff survey administered regarding stricter tobacco policy, smoke- or tobacco- free campus; results supported change.

May 2013

Steering Committee was established with support of the Office of the Provost to explore the feasibility of making the campus a tobacco-free environment. Steering Committee began to meet monthly to develop the initiative.

June 2013 Members of the Steering Committee attended the National Policy Summit in Kansas City, MO hosted by the National Center for Tobacco Policy.

September 2013 Campus organization B.E.A.K. (Breathe Easy at KU) was established to assist with the initiative through student support.

December 2013

Grant funds were awarded from the Kansas Health Foundation to obtain consulting help for initiative and to fund campus activities. Secured consulting assistance of Ty Patterson, Executive Director of the National Center for Tobacco Policy.

February 2014 Current smoking policy was revised by University Administration to prohibit use of electronic cigarettes.

April 2014 Tobacco-Free KU website went live.

April 2014 Consultant met with the Committees and various campus departments to discuss the initiative and process.

May 2014 B.E.A.K. members seek additional student support.

September 2014 Steering Committee obtained support from KU professors to recruit undergraduate student volunteers/assistants.

September 2014 Tabling event to gather thoughts and questions about becoming tobacco-free and distributed a flyer (see Appendix 1).

October 2014

Stakeholder Committee met with Consultant to discuss the progress on this initiative and future plans. Meeting notes are listed on www.tobaccofree.ku.edu under ‘Activities and Events, Stakeholder Committee Meeting Notes’.

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October 2014

Members of the Steering Committee met with the Department of Student Housing Residence Staff to discuss initiative. Meeting notes are listed on www.tobaccofree.ku.edu under ‘Activities and Events, Miscellaneous Notes’.

October 2014

Members of the Steering Committee met with Unclassified Senate to discuss initiative. Meeting notes are listed on www.tobaccofree.ku.edu under ‘Activities and Events, Miscellaneous Notes’.

November 2014

Members of the Steering Committee met with University and Faculty Senates to discuss initiative. Meeting notes are listed on www.tobaccofree.ku.edu under ‘Activities and Events, Miscellaneous Notes’.

November 2014 Members of the Steering Committee met with the Office of Multicultural Affairs to discuss initiative.

November 2014 Members of the Steering Committee met with the Sustainability Leadership Board to discuss initiative.

November 2014 Students partnered with Student Health Services to support the Great American Smokeout and provide information about becoming tobacco-free.

November 2014

Toilet Talk Newsletter featured information about tobacco use and becoming a tobacco-free campus. This newsletter is displayed in all bathroom stalls in all residence halls, libraries, and health center on campus (see Appendix 2 for excerpt).

November 2014 Created draft wording for assessment component of policy.

December 2014 Added FAQ’s to the website.

December 2014 Discussed and refined draft wording for assessment component of policy.

December 2014 Partnered with SUA to engage students in a viewing of “Thank You for Smoking” movie.

January 2015 Town Hall Meeting – To view the PowerPoint presentation and/or video, visit www.tobaccofree.ku.edu.

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Future Plans

The Steering Committee has planned several events throughout the upcoming semester to include, but not limited to:

1/20/15 - Stakeholder Committee Meeting 2/2015 - Partner with SUA to engage students in a viewing of “Up in Smoke” movie 2/2015 – Community involvement event – TBD 2/2015 – Town Hall Meeting for Students 3/2015 – Tabling Event – TBD 3/2015 – Meet with Neighborhood Associations that surround campus 4/14/2015 - Stakeholder Committee Meeting 4/18/2015 – Partner with the Big Event to support student engagement in

community efforts 4/2015 – Participate in the Faculty and Staff Wellness Fair

5/2015 – Provide therapy dogs during the week of finals Ongoing – Meet with various student organizations to discuss the initiative

KU Smoking and Tobacco Policies Current Smoking Policy State law prohibits smoking within and near buildings that are the property of the State of Kansas. Kansas Board of Regents and university policies prohibit the sale of tobacco products in facilities owned or operated by the University of Kansas and its affiliated corporations.

This policy sets forth the university’s restrictions on the use of tobacco products and electronic cigarettes, and complies with the requirements of Kansas law and related policies. Inclusive policy details are available at www.policy.ku.edu/provost/smoking-policy. Proposed Tobacco Policy Kansas, along with over 1,000 universities nation-wide, promotes a respectful, healthy, and clean environment with a tobacco-free KU. State law, Kansas Board of Regents and University policies articulate prohibitions for smoking, use of electronic cigarettes or any future

product which simulates or approximates tobacco use or smoking, and the sale of tobacco products. This policy sets forth the University’s restrictions on the use of tobacco products and electronic cigarettes effective July 1, 2015. Inclusive proposed policy details are available in Appendix 3.

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Assessment of Policy

The Steering Committee agreed on draft language regarding the assessment component of the policy. The draft language reads: "As part of the University of Kansas’s mission to facilitate innovation, creative activity, discovery, and the application and dissemination of knowledge in an effort to promote well-being, the University will engage in an on-going formative evaluation of the policy and its: (a) reception by constituents, (b) impact on the campus and community, and (c) efficacy in reducing tobacco use. Formal formative evaluation will be conducted on an annual basis; results will be disseminated in publicly accessible policy progress reports.” Toward this end, the Steering Committee envisions annual surveying of campus constituents

regarding support for the policy, perceptions of effectiveness, and ratings of smoking behavior. Data on the impact on the campus and community may be gleaned from campus-

wide surveys, but may also be obtained by examining the Douglas county data from the Kansas Behavioral Risk Factor Surveillance System, a publicly available database provided by the Kansas Department of Health and Environment. Efficacy regarding tobacco use cessation will be assessed by conducting standardized observations of known smoking “hot spots” on campus to count the number of smokers observed; such data will indicate levels of compliance, in addition to direct observation of tobacco use. Note that the direct observation component is rarely included in university policy; thus, KU will be on the forefront of tobacco use assessment in tobacco-free campus initiatives. Baseline levels of smoking at the “hot spots” will begin in Spring 2015. These “hot spots” should be observed during the same week each year following implementation of the policy to assess changes from baseline (pre-

policy).

Campus and Community Involvement Student Contributions This initiative to become a tobacco-free campus began with students. Students came forward wanting a more restrictive smoking policy. Within the entire process, students have an integral role in creating, implementing, and sustaining a successful tobacco-free policy. The student organization B.E.A.K. (Breathe Easy At KU) is a student-led organization in

support of the tobacco-free campus initiative, has an objective to be a transparent organization by engaging with the student body and administrators on campus, raising awareness and gaining support for the tobacco-free initiative, and reaching out to the various governances on campus.

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B.E.A.K. participated in multiple events

throughout the 2013-2014 school year to achieve this objective. During the Fall 2013 semester, a petition was distributed throughout multiple courses at the institution to gain support. Additionally, an online petition was started and spread amongst students by the students that serve as stakeholders for the initiative and participants for B.E.A.K. Through these efforts we gained support from 623 students. This number will be brought to the Student Senate’s attention to convey the voice of the students that chose to

sign the petition.

Furthermore, B.E.A.K. participated in multiple health and wellness fairs, which was sponsored by the Peer Health Educators on campus. Our participation consisted of tabling, distributing flyers, gaining signatures for the petition, and assisting the Peer Health Educators with their displays as well. B.E.A.K. also wanted to reach out to the faculty and staff as well by tabling at the faculty and staff wellness fair on campus.

On May 7th, 2014, multiple students volunteered to raise awareness for a tobacco-free campus by tabling on the Stauffer-Flint lawn for the day. The tabling consisted of student activity. The activity consisted of asking students to answer the following

questions on a stick note, ‘What’s one word you think of when you hear the word tobacco?’, ‘Have you seen anyone violate the current tobacco policy and done nothing about it?’, ‘Where are some hot spots around campus?’, and ‘Do

you have any questions about a tobacco-free campus?’ B.E.A.K. engaged with over 200 students to gain responses and signatures for the petition described above. Currently, the tobacco-free initiative is in planning for more opportunities to reach out to the students, faculty, and staff.

Once dates have been finalized we will be using social media, the initiative’s website, and other tools to advertise these events.

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In observance of the Great American Smokeout on November 20, 2015, B.E.A.K. partnered

with Peer Health Educators from Student Health Services to bring about awareness of the initiative and the issue of butt litter on campus. In the weeks prior to the smokeout, students gathered cigarettes butts from various locations on campus. The butts collected were displayed in a case and used at a tabling event on main campus.

Class Projects In Fall 2014, the Steering Committee will be working with two Journalism Professors, Tien-Tsung Lee and Janet Rose, on how to market the initiative as an educational campaign. Professor Lee will work with students to analysis the campaign objective and to identify:

marketing issues; the impact on students, faculty, staff, alumni and guests; review other Big 12 schools’ policies and processes; attitudes towards tobacco products from students, faculty, and staff; and ways to reach the KU and local communities. Professor Rose will then take the information obtained by Professor Lee and work with students to develop a marketing campaign to be implemented in Spring 2015. RESULTS: Students in JOUR 460: Research Methods in Strategic Communication, with Dr. Lee Tien-Tsung, were assigned to find out what students, faculty, staff thought about becoming a tobacco-free campus and then develop strategic communications for that target audience. Students in JOUR 560: Message Development, with Dr. Janet Rose, were assigned to take the information obtained from JOUR 460 and develop messages for the Steering

Committee to use on campus. The messages are to be conveyed through flyers, videos, and social media. Ideas for messaging:

Tobacky is Tacky/#TobackyisTacky

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Spark a Revolution/#SavetheTeam, #RespectKU

BEAK the Habit/# Morethanahabit Suggestions for events:

BEAK the Habit Week o Tabling o Incorporate therapy dogs o Invite a guest speaker o Town Hall Meeting

Promote tobacco cessation and programs available o Focus group with individuals that would like to quit to gather ideas o Incorporate therapy dogs

Friendly rivalry…Beat K-State in becoming tobacco-free o Need promo items, such as t-shirts and bracelets

Team up with: o Breast Cancer Awareness o KU Dance Marathon o Human Society o Student volunteers

In Spring 2015, the Steering Committee has secured the assistance of Dr. Jomella Watson-Thompson’s ABSC 310 course (Building Healthy Communities) in creating opportunities for student involvement. Dr. Watson-Thompson’s course enrolls 60 students and requires students to engage in a community behavior change project that fulfills requirements for the

KU Certification in Service Learning. Members of the committee will deliver a brief overview of the initiative in one of Dr. Watson-Thompson’s class meetings in early spring. Dr. Watson-Thompson has agreed to allow students to use the initiative for the course requirement. Dr. Watson-Thompson may have other interested students in her laboratory that will be willing to assist with efforts. Focus Groups Office of Multicultural Affairs During a staff meeting on November 6, 2014, the Office of Multicultural Affairs gave feedback on the Tobacco-Free KU draft policy. While they had not heard of the initiative prior to the

meeting, they were interested in understanding how this policy would be related to their mission of creating a socially just space. While they want to be respectful of smokers and welcome all people onto the campus, they wanted to take into consideration the effect that secondhand smoke has on the community. For example, is it just that a person, especially a child, is exposed to secondhand smoke on the University of Kansas campus? One particular

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concern was the policy implications for specific groups of people, such as international

students, who may be coming to KU from places without any tobacco control. While supportive of the effort, they advised the Steering Committee to answer more questions and increase the level of community education. Sustainability Leadership Board On November 21, 2014, the Sustainability Leadership Board discussed the Tobacco-Free KU policy with a member of the Tobacco-Free KU Steering Committee. This group had many questions about enforcement and implementation of the policy. For example, they asked the Steering Committee – how do we respond to people’s ideas about a “right to smoke”? In general, they agreed that cigarette butt litter is indeed a big problem on campus that we need to address. However, their questions focused on the issue of expanding the conversation to

the idea that all litter is inappropriate – whether it is cigarette butts or plastic bottles. Similar to other stakeholders, they wondered how this policy would affect international students

who have less access to off-campus smoking opportunities than domestic KU students. Additionally, they worried that the tobacco-free policy would result in people simply moving the place they smoke to cars. This would result in cigarette butt litter building up in the parking lots and running into our storm drains. Hopefully, the KU campus can work on the issue of litter overall. Community Efforts and Collaboration In Douglas County, the Tobacco-Free Living Work Group of the LiveWell Lawrence Coalition was created to develop and expand public support for system changes that transform

community values around tobacco. Tobacco is a leading cause of death in Douglas County. This coalition provides oversight to, and collaborates with, the Lawrence-Douglas County Health Department to support tobacco control and prevention efforts through the Chronic Disease Risk Reduction program funded through the Kansas Department of Health and Environment. Through this grant-funded program, LiveWell implements and promotes community-based interventions that focus on the following areas:

preventing initiation of tobacco use among youth and young adults; promoting quitting among adults and youth; eliminating exposure to secondhand smoke; and

identifying and eliminating tobacco-related disparities among population groups. Several members of the KU Steering Committee serve on the LiveWell Tobacco-Free Living Work Group; furthermore, the KU Committees have representation from local and state entities including, Lawrence-Douglas County Health Department, Lawrence Memorial

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Hospital, Douglas County Community Health Improvement Partnership, Kansas Department

of Health and Environment (KDHE), Tobacco-Free Kansas Coalition, and the Office of the Assistant Secretary for Health (ASH) of the U.S. Department and Health Human Services (HHS) Region VII. One new development from KDHE is that they shared their goals and objectives for the 2016 Chronic Disease Risk Reduction program, and under their prevention goal, they included an objective about increasing the number of colleges/universities implementing 100% tobacco free policies.

Institutions of Higher Education: Smoke-Free or Tobacco-Free Campuses

Kansas Board of Regents Schools’ Plans for Becoming Smoke-Free or Tobacco-Free

Working towards becoming a smoke-free or tobacco-free campus is at the forefront of the other 5 Kansas Board of Regents Public Universities. As of September 2014, here is information regarding on each school’s progress toward becoming smoke-free or tobacco-free:

Emporia State University, Emporia – To begin the process within the next year. Fort Hays State University, Hays – Organized Tobacco-Free Task Force and have

hired Ty Patterson as consultant. Kansas State University, Manhattan – Resolution to be smoke-free campus was

approved by Student Senate in February 2014 and Faculty Senate in April. The current published policy has yet to be revised.

Pittsburg State University, Pittsburg – Will be a tobacco-free campus in 2015. Hired Ty Patterson as consultant.

Wichita State University, Wichita – Organized “Wu and Me Tobacco-Free” Task Force and are in the early stages of the process.

US Colleges and Universities that are Smoke-Free or Tobacco-Free The Tobacco Free College Campus Initiative (www.tobaccofreecampus.org) report states that as of October 1, 2014, 1,478 universities and colleges nation-wide have self-reported that they are either a smoke-free or tobacco-free campus (502 are smoke–free; 976 are tobacco-free). In addition, a rapidly growing number (292) now also prohibit the use of e-

cigarettes anywhere on campus. A few states have taken statewide approaches. Oklahoma and Georgia require that the campuses of all state-supported institutions be tobacco-free. Arkansas requires that all state-supported institutions of higher education be smoke-free. And Iowa requires all campuses, public and private, to be smoke-free. In addition, in June 2013 the Louisiana legislature overwhelmingly passed a new smoke-free law applying to all

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public post-secondary educational institutions, which all covered schools must comply with

by August 2014. Other states, such as New York, are considering similar measures. To view the full report, visit no-smoke.org/pdf/smokefreecollegesuniversities.pdf.

Rationale for Becoming a Tobacco-Free Campus Why Support a Tobacco-Free Policy Creating a Clean, Safe, and Sustainable Campus Environment Institutions of higher education should think critically about the influence they can have on environmental change and social justice issues related to tobacco. A healthy environment is key to providing a foundation for the long term investment made by students while making

a statement for global responsibility. There is No Safe Level of Exposure to Secondhand Smoke In 2006, the Surgeon General released the most definitive study of secondhand smoke ever conducted indicating, “There is NO safe level of secondhand smoke.” Tobacco–Free Policies Ultimately Save Time, Money, and Years of Human Life Being tobacco-free contributes to the health and longevity of the university’s greatest resource – its people. There will be Increased work-place efficiency and decreased healthcare costs. Tobacco-Free Policies Increase Cessation Rates

Tobacco–free policies have been shown to be effective for reducing overall use rates and protecting the health of the majority who choose not to use tobacco. The CDC has made policy change part of its “best practices” because of the demonstrated effectiveness. Tobacco Use Among Young Adults (18-24) is a Concern

Young adults are disparately affected by tobacco. The tobacco industry is counting on this age group becoming addicted in order to secure sales for the future. Comprehensive tobacco polices reduce initiation and use. Research to Affirm Being Tobacco-Free

The Steering Committee is actively reviewing the scientific literature on smoking cessation efforts related to campus initiatives. At this time, the committee has identified several peer-reviewed studies examining the effects of tobacco-free campus initiatives (many in universities similar to the University of Kansas), but our research remains ongoing. We are optimistic of our efforts given that many of our proposed components are supported by these

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empirical studies. It is noteworthy that most of the peer reviewed studies we have identified

have been published in the past five years, indicating a growing trend in both policy development and empirical research on the topic of tobacco-free campuses. Moreover, the recency of these publications suggest that these findings can likely be generalized to today’s population of University of Kansas staff, students, and stakeholders. Continued formal review of the literature will inform future efforts and decisions by the committee. Impact of Tobacco Use Health

According to the World Health Organization (WHO) and the Centers for Disease Control (CDC), tobacco is the number one preventable cause of death.

Tobacco use killed 100 million people in the 20th century. If current trends continue, tobacco will kill one billion people in the 21st century. Source:

www.tobaccofreekids.org. Approximately 400, 000 people in the U.S. die each year from their own tobacco use.

Source: www.tobaccofreekids.org. According to the University of Kansas National College Health Assessment

administered in the spring of 2013: Cigarette use within the last 30 days o 71% of students have never used o 14% have used, but not in the last 30 days o 12% use regularly o 3% use daily

Tobacco from a water pipe (hookah) use within the last 30 days o 66% of students have never used o 24% have used, but not in the last 30 days o 10% use regularly o 0% use daily Cigar, little cigar, clove cigarette use within the last 30 days o 73% of students have never used o 20% have used, but not in the last 30 days o 7% use regularly o 0% use daily Smokeless tobacco use within the last 30 days

o 83% of students have never used o 9% have used, but not in the last 30 days o 6% use regularly o 2% use daily

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A lifetime tobacco user is at high risk of developing a range of potentially lethal

diseases, including: o Several forms of cancer, including cancer of the lung, oral, esophagus, throat,

pancreas, bone marrow (myeloid leukemia), kidney, cervix, ovary, liver, bladder, bowel and stomach.

o Lung diseases such as chronic obstructive pulmonary disease, which includes chronic bronchitis and emphysema.

o Coronary artery disease, heart disease, heart attack and stroke. o Ulcers of the digestive system. o Osteoporosis and hip fracture. o Poor blood circulation in feet and hands, which can lead to pain and, in severe

cases, gangrene and amputation.

Environment and Sustainability

Secondhand Smoke In 2006, the Surgeon General released the most definitive study of secondhand smoke ever conducted. The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General states:

There is no safe level of secondhand smoke. Breathing even a little secondhand smoke can be dangerous.

Secondhand smoke contains over 4,000 chemicals, 200 of which are poisons and 43 are carcinogens.

Litter “Cigarette butts are the most littered item in America. Worldwide, 4.3 trillion are littered annually. Their chemicals contribute to a non-point source carried through storm drains by rainfall and urban runoff to our lakes, rivers, wetlands, coastal waters, and even our underground sources of drinking water.” Source: www.cigarettelitter.org. Decomposition Products “Cigarette filters pose a serious litter and toxic waste disposal problem. Cellulose acetate is photodegradable but not bio-degradable. Although ultraviolet rays from the sun will eventually break the filter into smaller pieces under ideal environmental conditions, the source material never disappears; essentially becomes diluted in water or soil.” Source:

Cigarette Butts and the Case for an Environmental Policy on Hazardous Waste.

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Economics and the Workplace

The tobacco industry is one of the most profitable businesses in the US, making billions of dollars every year. But the costs of smoking are far higher than the income from cigarette sales.

Recent numbers reported from the American Cancer Society show that annual smoking-attributable economic costs in the US are estimated to be between $289 to 332.5 billion. This total includes:

o $132.5 to 175.9 billion for direct medical care of adults o $151 billion for lost productivity due to premature deaths o $5.6 billion for lost productivity due to exposure to secondhand smoke

Smoking-caused productivity losses in the United States is $97 billion. o The CDC puts a $3,383 price tag on each employee that smokes; furthermore,

$1,760 in lost productivity and $1,623 in excess medical costs. Tobacco use in the workplace leads to increased sick leave and less productive time

at work. o Employees who use tobacco use three times more sick leave. o Tobacco use while at work results in an average of one month per year of

unproductive time at work. o Over half of productivity costs are due to unproductive time at work. Source: Journal of Occupational and Environmental Medicine, 2006.

Health care costs for smokers are 40% higher than non-smokers. Source: New England Journal of Medicine, 2006.

According to the American Cancer Society, average medical insurance payments for smokers is $1,145 and $762 for non-smokers.

Global Issues

Tobacco kills – Tobacco-related illnesses kill 6 million people worldwide each year (1 every 6 seconds) and may reach more than 8 million a year by 2030.

Tobacco exacerbates poverty – Many studies have shown that in the poorest households in some low-income countries as much as 10% of total household expenditure is on tobacco.

Tobacco contributes to world hunger - Use of land for tobacco denies 10 to 20 million people of food.

Tobacco production damages the environment. Tobacco reduces economic productivity. While the Tobacco industry may employ people, this can be considered an example

of “wasted labor”, capital and resources. Source: www.globalissues.org/article/533/tobacco.

Snapshot for the State of Kansas Regarding Tobacco Use

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Smoke-Free vs. Tobacco-Free Definitions: A smoke-free policy is one that limits or eliminates the use of smoke- producing tobacco. The primary concern of a smoke-free policy is secondhand smoke. A tobacco-free policy limits or eliminates the use of any tobacco product, including, but not limited to, spit tobacco, snus, other “smokeless” products, hookah, electronic cigarettes, (e-cigarettes), etc. The primary concern of a tobacco- free policy is overall health and ethical behavior of the institution. Comparisons of smoke-free vs. tobacco-free

Tobacco-free emphasizes the health of all, including the user. Smoke-free is primarily about the health of other people (due to secondhand smoke exposure).

Allowing smokeless/spit tobacco products implies a bystander mentality. e.g. “It is fine if you harm yourself with spit/snus/etc. tobacco. Just don’t smoke.”

Tobacco-free campuses help change the overall societal social norm about the acceptability of tobacco use.

Many public K-12 schools are already tobacco-free. Students will be accustomed to this policy.

Eliminating spit tobacco would reduce waste on campuses (used tobacco, tobacco containers, spit containers, spit on sidewalks, etc.).

Tobacco-free eliminates loopholes that might be exposed by the tobacco industry. The tobacco industry has begun marketing products that are both smokeless and spitless (e.g. snus, tablets, lozenges, and lotions). They are desperately trying to gain back consumers as more and more communities go smoke free. Many of these products are targeted to young adults, and they would certainly love to descend on the campus to promote the tobacco items.

A smoking-only ban could inadvertently cause a rise in other tobacco usage. With no smoking on campus, students may become more aware of spit tobacco use, perceiving it as “acceptable” behavior. The message becomes, “Students here can use spit tobacco.” Students should not perceive that any tobacco use is acceptable.

A tobacco-free policy eliminates any confusion for faculty, staff, students and visitors about what is or is not allowed on campus.

The university can send a clear message about being a place that promotes health. Tobacco is not a safe product, and it has no place on university campuses.

If the university becomes tobacco-free, it could be a regional and national leader and set the standard for other universities.

Smoke-free policies may only address cigarettes. A tobacco-free policy can be more comprehensive, prohibiting hookahs, pipes, and other devices for smoking tobacco.

Source: www.tobaccofreeu.org.

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Designated smoking areas Enforcement is more manageable than distance rules, but it may be difficult to

encourage the campus community to utilize designated areas during bad weather or if located in inconvenient locations.

College incurs costs with infrastructure expenses of designated shelters. Reduces litter near buildings but requires ongoing cleaning of designated areas. Creates ambiguity and enables an unhealthy habit.

Use and Exposure to Various Tobacco Products

Electronic Cigarettes

An electronic cigarette (e-cigarette) is a cigarette-shaped device containing a nicotine-

based liquid that is vaporized and inhaled, used to simulate the experience of smoking

tobacco. The battery operated device contains a cartridge that holds the nicotine-based

liquid (and flavoring) that heats up so users inhale a vapor, rather than smoke. Aside from

nicotine being highly addictive, the device delivers multiple toxic chemicals, including

carcinogens into the body. Commonly, users feel this product is safer than real cigarettes;

furthermore, users may smoke more with e-cigarette use than with regular cigarette use,

which greatly increases their exposure to thousands of toxins.

This product is marketed towards youth as there is currently no federal regulation or

restrictions for youth to purchase this product. According to the Centers for Disease

Control and Prevention, nearly 250,000 youths who had never before smoked tried e-cigs

in 2013 — a threefold increase since 2011. What’s more, about 3 out of every 4 teen

smokers go on to smoke as an adult, due to their addiction to nicotine (the primary

ingredient in e-cigarettes).

Menthol

Menthol is a substance naturally found in mint plants such as peppermint and spearmint.

It gives a cooling sensation and is frequently used to relieve minor pain and irritation and

to prevent infection. But, menthol is found in cigarettes, cigars, little cigars, smokeless

tobacco products, and tobacco rolling paper. In 2009, Congress passed the Family

Smoking Prevention and Tobacco Control Act, banning all flavorings from cigarettes

except menthol, but granting the Food and Drug Administration (FDA) the authority to

extend that ban to menthol. Today, about 90% of cigarettes marketed in the United States

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contain menthol, even if they are not advertised as menthol cigarettes.

Concerns associated with menthol use:

Menthol is an insidious ingredient in most cigarettes and other tobacco products.

It eases the harsh sensations associated with smoking, making tobacco products

more palatable and appealing and thereby facilitating their initiation and

perpetuating their use.

Menthol is used by the tobacco industry to target groups that historically were less

apt to smoke—young people, blacks and women.

Menthol facilitates early initiation of tobacco products, increases the risks of

addiction and makes cessation more difficult, particularly among black smokers.

Research suggests that removing menthol from tobacco products could reduce

smoking initiation rates and survey data indicate that many menthol smokers

would attempt to quit smoking rather than switch to non-menthol products.

Source: www.smokefree.gov and www.casacolumbia.org.

Secondhand Smoke

Secondhand smoke is the combination of smoke from the burning end of a cigarette and

the smoke breathed out by smokers. Since the 1964 Surgeon General’s Report, more than

20 million Americans have died because of smoking; furthermore, 2.5 million adults who

were nonsmokers died because they breathed secondhand smoke.

There is no risk-free level of exposure to secondhand smoke.

Secondhand smoke causes numerous health problems in infants and children,

including more frequent and severe asthma attacks, respiratory infections, ear

infections, and sudden infant death syndrome (SIDS).

Smoking during pregnancy results in more than 1,000 infant deaths annually.

Some of the health conditions caused by secondhand smoke in adults include

coronary heart disease, stroke, and lung cancer.

Source: www.surgeongeneral.gov.

Thirdhand Smoke

We know that smoking and secondhand smoke exposure are harmful, but what about

"thirdhand smoke"? This is a relatively new term used to describe the residual

contamination from tobacco smoke that lingers in rooms long after smoking stops.

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Thirdhand smoke residue builds up on surfaces over time and resists normal cleaning.

Thirdhand smoke can't be eliminated by airing out rooms, opening windows, using fans

or air conditioners, or confining smoking to only certain areas of a home.

Studies show that thirdhand smoke clings to hair, skin, clothes, furniture, drapes, walls,

bedding, carpets, dust, vehicles and other surfaces, even long after smoking has stopped.

Infants, children and nonsmoking adults may be at risk of tobacco-related health

problems when they inhale, ingest or touch substances containing thirdhand smoke.

Tobacco Cessation Information and Resources

Nicotine, in any form, is highly additive as it causes the brain to release adrenaline,

creating a buzz of pleasure and energy. Addiction is not prejudice; furthermore, anyone

with a brain can become addicted. But, tobacco cessation is possible and help is readily

available. Know and utilize the resources available.

www.kanquit.org is a service provided through a partnership between the Kansas

Department of Health and Environment and Alere Wellbeing. To get started, enroll online

or call 1-800-QUIT-NOW.

www.smokefree.gov provides free, online, accurate, evidence-based information and

professional assistance to help support the immediate and long-term needs of people

trying to quit smoking.

www.sincemylastcigarette.com allows a person to track progress in regards to how long

has it been since you quit, how much money have you saved, and how many cigarettes did

you manage to avoid.

University of Kansas Medical Center provides free, online tools for smoking cessation at

www.kumed.com/health-library/healthy-living/smoking.

KanUquit Tobacco Cessation Program is a 6-week tobacco cessation program free for all

KU students. The program is designed to help tobacco users identify a quit date and

develop a plan of action. For more information, contact Kelsey Fortin at

kelseyf123@ku.edu.

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Tobacco Resources

Global Centers for Disease Control and Prevention – Global Tobacco Control www.cdc.gov/tobacco/global Global Issues - Tobacco www.globalissues.org/article/533/tobacco Human Rights Watch – The Hidden Victims of Tobacco www.hrw.org/news/2012/09/05/hidden-victims-tobacco The New England Journal of Medicine www.nejm.org Occupational & Environmental Medicine Journal www.oem.bmj.com Tobacco Control Journal www.tobaccocontrol.bmj.com World Health Organization – Tobacco Free Initiative www.who.int/tobacco/research/economics/rationale/environment/en National American Cancer Society - Tobacco www.cancer.org/healthy/stayawayfromtobacco/index American for Non-Smoker’s Rights

Homepage: www.no-smoke.org

List of Smoke Free and Tobacco Free College Campuses: no-smoke.org/pdf/smokefreecollegesuniversities.pdf

American College Health Association - Position Statement on Tobacco on College Campuses www.acha.org/Publications/docs/Position_Statement_on_Tobacco_Nov2011.pdf American Lung Association www.lung.org

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CASA Columbia – Ending Addiction Changes Everything www.casacolumbia.org Centers of Disease Control and Prevention - Smoking and Tobacco Use, Secondhand Smoke www.cdc.gov/tobacco CigaretteLitter.org www.cigarettelitter.org smokefree.gov – It Doesn’t Matter Where You Start. Just Start. www.smokefree.gov Tobacco-Free College Campus Initiative www.tobaccofreecampus.org TobaccoFreeU.org www.tobaccofreeu.org U.S. Dept. of Health and Human Services

Ending the Tobacco Epidemic www.hhs.gov/ash/initiatives/tobacco SurgeonGeneral.gov www.surgeongeneral.gov

Tobacco-Free Kids www.tobaccofreekids.org State Kansas Clean Air Act www.kssmokefree.org Kansas Department of Health and Environment - Tobacco Use Prevention Program www.kdheks.gov/tobacco/index.html Tobacco Free Kansas Coalition www.tobaccofreekansas.org Local Tobacco-Free KU www.tobaccofree.ku.edu

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Tobacco-Free Living (LiveWell Lawrence) www.livewelllawrence.org/home-new/tobacco-free-living Relevant Research A Review of Interventions to Reduce Tobacco Use in Colleges and Universities www.ncbi.nlm.nih.gov/pubmed/15710275 An Intervention to Increase Compliance with a Tobacco-Free University Policy www.ncbi.nlm.nih.gov/pubmed/23286592 Analyzing Exposure, Use, and Policies Related to Tobacco Use on Campus for the Development of Comprehensive Tobacco Policies at Canadian Post-secondary Institutions www.link.springer.com/article/10.1007%2Fs10900-013-9717-6 Changes in Smokeless Tobacco Use over Four Years Following a Campus-Wide Anti-tobacco Intervention www.ntr.oxfordjournals.org/content/early/2013/01/09/ntr.nts337.full Changes in Smoking Prevalence, Attitudes, and Beliefs Over 4 Years Following A Campus-Wide Anti-Tobacco Intervention www.ncbi.nlm.nih.gov/pubmed/23002798 Cigarette Butts and the Case for an Environmental Policy on Hazardous Waste www.ncbi.nlm.nih.gov/pmc/articles/PMC2697937 College Campus Smoking Policies and Programs and Students' Smoking Behaviors www.biomedcentral.com/1471-2458/5/74 Enforcing an Outdoor Smoking Ban on a College Campus: Effects of a Multicomponent Approach www.tandfonline.com/doi/abs/10.1080/07448480903221285#.VA9KjxZuXC8 The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General 2006 www.cdc.gov/tobacco/data_statistics/sgr No Smoking Here: Examining Reasons for Noncompliance with a Smoke-Free Policy in a Large University www.ntr.oxfordjournals.org/content/16/7/976 Perceptions of College and University Presidents Regarding Tobacco-Free Campus Policies www.tandfonline.com/doi/abs/10.1080/07448481.2013.877019

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Students’ Opinion of Tobacco Control Policies Recommended For US Colleges: A National Survey www.tobaccocontrol.bmj.com/content/12/3/251.short Thirdhand Smoke Causes DNA Damage in Human Cells www.mutage.oxfordjournals.org/content/early/2013/03/04/mutage.get013.abstract

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Appendix 1: Tobacco-Free Campus Flyer

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Appendix 2: Toilet Talk Newsletter (excerpt)

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Appendix 3: Proposed Tobacco Policy

Title* Tobacco Free KU

Document Type* Policy Guideline

Procedure Form

Purpose & Applies To*

Purpose* Kansas, along with over 1,000 universities nation-wide, promotes a respectful, healthy, and clean environment with a tobacco-free KU. State law, Kansas Board of Regents and University policies articulate prohibitions for smoking, use of electronic cigarettes or any future product which simulates or approximates tobacco use or smoking, and the sale of tobacco products. This policy sets forth the University’s restrictions on the use of tobacco products and electronic cigarettes effective July 1, 2015.

Applies To* Faculty, staff, students and visitors of the Lawrence and Edwards campuses and all other university sites reporting to the Lawrence campus.

Campus* (Please select if the policy will apply to the entire University, to a main campus and all reporting units, or to a specific campus or campuses. The selections in this section determine which logo(s) appear on the policy.)

All University

Lawrence campus & all reporting units

KUMC campus & all reporting units

Lawrence KU Medical Center

Edwards Wichita

Parsons Salina

Juniper Gardens

Yoder

Topeka

Policy Statement, Special Circumstances, & Consequences

Policy Statement* Smoking, including the use of electronic cigarettes or any future product which simulates or approximates tobacco use or smoking, and tobacco use are not permitted on the Lawrence and Edwards’ campuses and all other university sites reporting to the Lawrence campus, Kansas and Burge Unions, the Adams Alumni Center, and the facilities of the KU Center for Research, Inc. (KUCR). Visitors to campus will be respectfully informed of the University policy and encouraged to support a tobacco free environment. Any exclusions to this prohibition are noted below.

KU is strongly committed to supporting individuals to become tobacco free to encourage a respectful, healthier, and more productive learning/living environment for all

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members of our campus community. Studies, many conducted by our KU colleagues, have proven time and again that tobacco is a leading cause of death from many diseases, both for those who use tobacco products and those who are exposed to them on a second or third-hand basis.

Tobacco cessation programs and support will be available to faculty, staff, and students as identified below.

FDA-approved nicotine replacement therapy products for the purpose of cessation are permitted.

The success of this policy depends upon the thoughtfulness, consideration and cooperation of tobacco users and non-tobacco users. Leaders and those to whom this policy applies share the responsibility for adhering to and enforcing the policy.

Concerns about tobacco use should be respectfully addressed in the moment whenever feasible.

Concerns, questions or comments regarding the University’s Tobacco Free Policy should be referred to the Department of Human Resources. Depending upon the nature of the contact, Human Resources may redirect the inquiry to an appropriate person, department or organization.

The University will not advertise tobacco on University owned, operated, or leased property or at any University sponsored event or University owned or sponsored media.

Cessation Support:

The University is committed to supporting all faculty, staff, and students who wish to stop using tobacco or nicotine products.

Assistance for faculty and staff to overcome tobacco or nicotine use or addiction is available through the State of Kansas Employee Health Plan’s Tobacco Cessation Program to those eligible for that program.

Assistance for students to overcome tobacco or nicotine use or addiction is available through the Watkins Student Health Center’s KanUQuit program.

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Assistance to anyone who wants to quit tobaccos use is available through the KanQuit program.

Communication:

Leaders, managers and supervisors are responsible for leading by example and respectfully communicating the policy to faculty, staff, students, volunteers, vendors, and visitors.

Faculty, staff, students, volunteers, and visitors who observe individuals using tobacco on University property are encouraged and empowered to respectfully explain that its use is prohibited by reminding those individuals about the policy in a respectful manner.

Signage:

Installation and maintenance of signage are the responsibility of Facilities Services in consultation with the Department of Human Resources.

Signage must be placed appropriately on entrances to and exits from buildings, including parking garages, and on university owned and leased vehicles.

Areas that experience difficulties with tobacco use may request supplemental signage from Facilities Services.

Respect and Responsibility:

The success of this policy relies on the thoughtfulness, consideration, and cooperation of each individual. All members of the university community share the responsibility of adhering to and enforcing the policy and have the responsibility for bringing it to the attention of visitors. All students, faculty, staff, vendors, volunteers, and visitors are expected to cooperate with this policy. Individuals are encouraged and empowered to respectfully inform others about the policy in an ongoing effort to support a tobacco free environment, improve individual health, and encourage a culture of respectful cooperation.

University leaders, managers and supervisors are expected to support individuals becoming tobacco free and to promote cooperation in their areas of responsibility and on the larger campus.

Student Affairs staff have a special responsibility to promote cooperation among students.

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Any complaints should be brought to the attention of the appropriate university authority. Violation of this policy will be addressed through existing employee and students disciplinary processes. If conflicts or problems should arise, environmental, safety, and health considerations will prevail. Should disciplinary action be considered, it would be based on the principle of progressive discipline which seeks resolution at the lowest level of correction and escalation to more formal steps for repeat or serious offenses.

Policy Assessment: As part of the University of Kansas’s mission to facilitate innovation, creative activity, discovery, and the application and dissemination of knowledge in an effort to promote well-being, the University will engage in an on-going formative evaluation of the policy and its: (a) reception by constituents, (b) impact on the campus and community, and (c) efficacy in reducing tobacco use. Formal formative evaluation will be conducted every two years; results will be disseminated in publicly accessible policy progress reports.

Exclusions or Special Circumstances Exempted is the traditional or sacred use of tobacco. KU will continue to be a "tobacco honoring" campus for Native American spiritual and cultural ceremonies, when requests are made and approved in advance by the Office of the Vice Provost for Student Affairs. This Tobacco Free Policy will in no way prohibit the use of traditional/ceremonial/sacred use of tobacco or infringe in any manner on any off-campus tobacco cultivation or harvesting for spiritual and ceremonial use.

In Memorial Stadium, smoking, including the use of electronic cigarettes or any future product which simulates or approximates tobacco use or smoking, and tobacco use are limited to designated areas and are prohibited in the press box, concourses, and all seating areas.

All facilities operated by Student Housing are smoke free and governed by rules established by Student Housing.

Visitors to campus events will be reminded of the policy in public announcements at events and by members of the campus community as appropriate; however enforcement does not apply to them.

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The University policy does not apply to properties leased by the University where offices occupy a portion of a building not owned by the University.

The University policy applies to all properties that the University of Kansas leases from The Kansas University Endowment Association.

Persons who violate the provisions of K.S.A. 21-4009 through 21-4014 may be guilty of a cigarette or tobacco infraction punishable by fines ranging from $100.00 to $500.00.

The University will not discharge, refuse to hire or retaliate against an employee, applicant or customer for reporting or attempting to prosecute a violation of these state statutes.

Consequences

Contacts & Dates

Policy Owner* Human Resources

Contact* Department of Human Resources 103 Carruth-O’Leary Hall 1246 W. Campus Road Lawrence, KS 66045 785-864-4946 hrdept@ku.edu

Approved by* Provost and Executive Vice Chancellor

Approval Date* (MM-DD-YYYY) TBD

Effective Date* (MM-DD-YYYY) TBD

Review Cycle* Semi-annual Annual Biennial

Background and Related Documents

Background

Related Policies Tobacco Products, Policy on Sale of (All-University)

Related Procedures

Related Forms

Related Other Kansas Statutes Annotated (KSA) 21-6109 et seq.

Definitions, Keywords, History

Definitions Tobacco is defined as all tobacco-derived or containing products, including and not limited to, cigarettes (including clove, bidis, kreteks), electronic cigarettes, cigars and cigarillos, hookah smoked products, tobacco pipes, and oral tobacco (e.g., spit and spitless, smokeless, chew, snuff) and nasal tobacco (e.g. snuff, snus). It also includes any product intended to mimic tobacco products, contain tobacco flavoring, or deliver nicotine. However, it does not include Drugs, Devices, or Combination Products approved for sale

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by the U.S. Food and Drug Administration, as those terms are defined in the Federal Food, Drug and Cosmetic Act, used for the purpose of cessation. Tobacco use includes smoking, chewing tobacco, or using tobacco products such as snuff, e-cigarettes or any future product which simulates or approximates tobacco use or smoking, “Electronic smoking device” means any electronic product that delivers nicotine or other substances to the person inhaling from the device, including, but not limited to an electronic cigarette, e-cigar, e-pipe, vape pen or e-hookah. Electronic smoking device includes any component, part, or accessory of such a product, whether or not sold separately. Electronic smoking device does not include Drugs, Devices, or Combination Products approved for sale by the U.S. Food and Drug Administration, as those terms are defined in the Federal Food, Drug and Cosmetic Act. “Smoking” means inhaling, exhaling, burning, or carrying any lighted or heated cigar, cigarette, or pipe, or any other lighted or heated tobacco or plant product intended for inhalation, including hookahs and marijuana, whether natural or synthetic, in any manner or in any form. “Smoking” also includes the use of an electronic smoking device which creates an aerosol or vapor, in any manner or in any form, or the use of any oral smoking device.

Keywords* Smoking, tobacco use, chewing tobacco, snuff, tobacco products, electronic, cigarette

Review, Approval & Change History of Current Smoking Policy: http://policy.ku.edu/provost/smoking-policy

Implemented July 1, 1993; updated September 28, 2000, July 5, 2002, and May 8, 2008; revised to reflect a change in state law effective July 1, 2010, and approved by Provost and Executive Vice Chancellor Jeffrey S. Vitter on September 7, 2010; updated October 3, 2012, to reflect changes in contact information; updated May 24, 2013 to add language prohibiting smoking within Memorial Stadium; updated February 2014 to include electronic cigarettes.

Category

Categories Operational; Personnel: Affiliates/Volunteers; Personnel: Faculty, Academic Staff; Personnel: Staff; Personnel: Student Employees

Sub-categories Facilities; Workplace Rules & Guidelines