1. Impact of Smokefree Workplace Exemptions and Preemption on Worker Health Kristen Rohde, MA, Michael Stark, PhD, Stephen Hecht, PhD, Barbara Pizacani, PhD, Julie Maher, PhD, Julia Dilley, MES, Michael Boysun, MPH

2. Background Oregon’s Comprehensive Tobacco Prevention and Education Program (TPEP) County Coalitions working to pass local smokefree workplace ordinances 2001 Statewide Clean Indoor Air Act Exemptions & preemption Grandfather clause

3. Where Do We Go From Here? Oregon Provided a “Natural Experiment” Some workers protected by local ordinance while others cannot be protected due to preemption Measuring the Levels of a Tobacco- Specific Carcinogen (NNK) Among Nonsmokers Exposed to Secondhand Smoke Work of Steve Hecht and others

4. Moving Forward CDC-OSH Provided Direction on How to Proceed Possible Funding Sources Flight Attendant Medical Research Institute Robert Wood Johnson Links to Labs Receiving Approval to Apply for Grant The advantage of being a local health department

5. Recruitment & Eligibility Obtaining Eligible Participants Recruitment Print media Flyers County coalition members How to avoid “cheaters” Eligible Workplaces Smoking practices within the workplace Ambient air

7. Implementation Phone Interview Screen for eligibility Obtain informed consent Collection Kit Mailing Participant calls when kit is received Decide upon a workshift Site Visit Face-to-Face Meeting

8. Current Status Completed Data Collection in the Portland Area (Unprotected) Actively Recruiting in the Control Communities (Protected) Vancouver, WA Supplement Working Manuscript in the Fall

9. Lessons Learned…..So Far A Successful Tobacco Control Program is Not Enough Availability of Resources in Tobacco Control Community Allow Enough Time to Navigate the Bureaucracy High Level of Concern Among Exposed Workers

10. Contact Information Kristen Rohde Program Design and Evaluation Services Multnomah County Health Department/Oregon Department of Human Services kristen.rohde@state.or.us 503-731-4291 x587