Countering tobacco at the point of sale Breakout Session Countering tobacco at the point of sale

Engaging Youth & communities to address tobacco density Deidre M. Sully, MPH Dsully@healthsolutions.org Twitter: @DeidreSully, @NYCSmokeFree

Tobacco Retail Proliferation

Engagement Strategies

Engagement Strategies Engage & Educate Tobacco Density Maps Digital/Multi-media: PowToons Mobilize Peer-to-Peer & Community Education Legislator Education Earned Media/Social Media

Tobacco Density Mapping

Tobacco Density Mapping

Digital & Multi-Media Projects: PowToons

Ronnica, Age 16, Brooklyn, NY

Peer-to-Peer & Community Education

Peer-to-Peer & Community Education

Educating Legislators

Earned Media

Earned Media

Measureable Results 2,300+ Students Reached 30+ Fellows Hosted 65+ Schools

Twitter: @DeidreSully, @NYCSmokeFree THANK YOU! Deidre M. Sully, MPH DSully@healthsolutions.org NYCSmokeFree.org Twitter: @DeidreSully, @NYCSmokeFree

The Virginia Synar and Retailer Assessment Project Environmental Strategies to Combat Tobacco-Related Health Disparities The Virginia Synar and Retailer Assessment Project Colleen Hughes Behavioral Health Wellness Consultant Virginia Department of Behavioral Health and Developmental Services Nina Baltierra Director of Programs Counter Tools

Background Briefly describe retailer verification project Retailer Violation Rate (RVR) 2013 – 10.73% 2014 – 9.0% 2015 – 10.4% 2016 – 9.5%

Why Environmental Strategies? Environmental strategies have the greatest reach and impact Traditional data sources don’t capture or accurately reflect what’s in the environment Scans pick up emerging issues, challenges, and trends Accurate lists allow for more comprehensive compliance checks by law enforcement Reduce collective risk Create lasting change Are cost-effective Require community organizing

Merchant Education Historically, Synar had not been done correctly. Merchant Education was reintroduced in 2014 with minimum expectations. In 2016, Counter Tools Phase II was introduced. All retailers will receive merchant education by June 30, 2018. Merchant Education materials include materials to be used to train staff as well as material to inform patrons. 8.5x11 posters, 11x17 posters, fact sheets, window clings, merchant support guide, merchant pledge, and counter mat.

Counter Tools Store Audit Store name and location Does the actual store name match the assigned name? Ability to survey store Yes or No – store doesn’t exist, closed, membership required, unsafe Store type Convenience with or with out gas, drug store, grocery, vape shop, etc. Store exterior Products advertised outside? Store interior Products advertised inside? WIC accepted? Graphic health warning? Product placement Functional Objects Trashcans, calendars, clocks, signature pads, etc. Tobacco Products Cigarettes, cigarillos, cigars, smokeless, vapor products Prices Cheapest pack, price promotions? Merchant education and pledge form Received materials? Signed pledge? Occurring simultaneously as Merchant Education are Store Audits. CSB’s received funds to purchase technology (tablets and wifi cards) CSB’s were trained by Counter Tools in June 2016, up to the CSB to train their community partners All stores will receive an audit by June 30, 2018

Engaging Youth 40 Community Service Boards across the state Each CSB is associated with at least 1 Community Coalition 40 boards – some are 1 city catchment area (RBHA), 1 county catchment area (Chesterfield), some multi-county MMPN – 10 Counties

Substance Abuse Prevention Coalition of Alexandria As part of their Kick Butts Day activities

Merchant Education and Store Audits

Next Steps – Policy Changes! Limit the number of exterior advertisements Limit the number of interior advertisements Do not allow advertisements to be placed within 3 feet of the floor Do not allow products to be placed within 12 inches of candy or other youth-appealing products Increase price of tobacco products through non-tax approaches like restriction of coupons and price promotions make very clear that any advertisement restriction has to be content-neutral and not target tobacco ads.

Department of Behavioral Health and Developmental Services For More Information: Colleen Hughes Department of Behavioral Health and Developmental Services colleen.hughes@dbhds.virginia.gov (804) 663-7289 Nina Baltierra Counter Tools nina@countertools.org (919) 694-3066 x209