LA County Bans Flavored E-Cigs and Flavored Tobacco to Protect Youth

 

With nicotine use back on the rise among youth after decades of decline, the Board of Supervisors approved an ordinance banning flavored e-cigarettes and flavored tobacco products, including menthol, throughout Los Angeles County’s unincorporated areas.

The ordinance regulates smoke shops by establishing business licensing requirements and by further strengthening existing public health laws.

“The growing popularity of e-cigarettes and vaping puts the health and wellbeing of our communities, particularly our youth, at risk,” Supervisor Mark Ridley-Thomas said. “This is not an assault on businesses but a thoughtful and balanced approach to regulation.”

“For decades, we were making incredible progress in decreasing tobacco use among young people. But flavored e-cigarettes have reversed that trend. Now nearly 1 in 10 high schoolers report using e-cigarettes,” said Supervisor Janice Hahn. “By taking action now and banning the sale of flavored products that mask the smell and taste of tobacco, we may be able to save this next generation from the same terrible health effects of nicotine addiction that generations before them suffered from.”

 

According to the LA County Department of Public Health, 1 in 10 high school students are current e-cigarette users; 83 percent of current tobacco users reported using a flavored tobacco product; and 61 percent of current e-cigarette users bought e-cigarettes from vape shops.

“The rapid increase of severe vaping-associated pulmonary illness proves we have no time to lose in protecting populations disproportionately targeted by the tobacco and e-cigarette industries, especially our youth,” LA County Public Health Director Dr. Barbara Ferrer said.  “With 530 cases nationally, sixteen of which are in LA County, including one death, the time to make real change is now.”

More than 100 students attended the Board of Supervisors meeting to support the ordinance, led by United Parents and Students. Experts from UCLA, USC, Charles R. Drew University of Medicine and Science, American Lung Association, American Heart Association, and many other organizations testified in support of the ordinance.

Annie Tegen, Western Regional Advocacy Director with the Campaign for Tobacco-Free Kids, applauded what she described as a strong ordinance that would protect Los Angeles youth from the dangers of tobacco. “This measure will go a long way toward combating the youth e-cigarette epidemic as well as keeping dangerous menthol cigarettes out of the hands of Los Angeles kids,” she said.

“Because of menthol, African American communities experience the greatest burden of tobacco-related mortality of any racial or ethnic group in the United States,” said the Rev. John Cager III, Pastor of Ward African Methodist Episcopal Church. “When the FDA banned flavored cigarettes in 2009, they left an exemption for menthol because it was just too profitable for the tobacco industry. The Supervisors must reverse this mistake and make Los Angeles County a leader in putting Black lives before Big Tobacco.”

Supervisors Ridley-Thomas and Hahn filed a motion in early 2018 directing Public Health to work with the LA County Department of Regional Planning, County Counsel, Sheriff, Treasurer and Tax Collector, and community stakeholders to assess the number and location of nuisance tobacco shops countywide, and to research ways to monitor and regulate them. The motion also called for developing education and outreach strategies to address the use of tobacco and certain other substances.

Some of their findings and recommendations became the basis of the ordinance.

Currently, LA County has 85 tobacco shops. To give them time to come into compliance with the new requirements, Supervisor Ridley-Thomas filed a motion to extend the implementation period to 180 days.

Public Health will work with the LA County Department of Consumer and Business Affairs to offer small-business concierge services and other resources for businesses that are impacted by this ordinance.

LA County’s First Behavioral Health Center

Twelve years after its closure, the original Martin Luther King, Jr.  Hospital building will be repurposed into the state-of-the-art Martin Luther King, Jr. Behavioral Health Center with a groundbreaking scheduled on October 23.

The Board of Supervisors on Tuesday unanimously approved entering into a contract with Bernard Bros. Inc. to design and build the 500,000 sq. ft. MLK Behavioral Health Center, envisioned to provide fully-integrated inpatient, outpatient and supportive services for some of Los Angeles County’s most vulnerable populations, including those struggling with mental illness, substance use disorders and homelessness, and those who have been in the criminal justice system.

“I can think of no better way to breathe new life into the building that previously housed the original Martin Luther King, Jr. Hospital than to transform it into a one-stop-shop for helping our community members with a variety of mental and physical health needs,” said Supervisor Mark Ridley-Thomas, who spearheaded the project.

The MLK Behavioral Health Center will be the latest addition to the 42-acre MLK Medical Campus in Willowbrook, which already houses the MLK Community Hospital, Outpatient Center, Recuperative Care Center, Mental Health Urgent Care Clinic, and Center for Public Health, which includes the Community Healing and Trauma Prevention Center. The Child and Family Well-Being Center and the Medical Office Building are under construction and will open next year.

Over the last decade, well over $1 billion has been invested in Willowbrook, dramatically improving the community’s amenities. In addition to the still-expanding MLK Medical Campus, Willowbrook has also seen improvements in its public transportation system, streets, parks and libraries, as well as a significant expansion in its pool of affordable apartments.

“Over the last decade, we have transformed the MLK Medical Campus into a center of excellence that provides holistic care for our community,” Supervisor Ridley-Thomas said. “With the MLK Behavioral Health Center, we are intent on establishing a cutting-edge continuum of care that promotes mental health, recovery, trauma prevention, rehabilitation, and many other essential wrap-around services that foster long-term wellness for our patients and the community at large.”

MLK Behavioral Health Center Open House at the MLK Center for Public Health on August 7, 2019. Photo by Martin Zamora / Board of Supervisors

The $335-million MLK Behavioral Health Center will house clinical and behavioral staff from the Departments of Mental Health, Public Health and Health Services. The Probation Department, Office of Diversion and Reentry (ODR), and Workforce Development, Aging and Community Services (WDACS) will sponsor rehabilitative, vocational and training opportunities intended to give people the skills they need to reintegrate into society. This is the first time all of these County services will be available under one roof.

“We are revitalizing the former King/Drew Hospital as a collaborative resource for behavioral health that will set a new standard for how a public system can deliver on its promise to provide restorative care and at the same time invest heavily in community reintegration,” LA County Mental Health Director Dr. Jonathan Sherin said. “With an arc of services across all levels of treatment intensity alongside an array of opportunities that support recovery, LA County is stepping up to address the needs of its most vulnerable populations. The MLK Behavioral Health Center will not only bring hope and healing to individuals, but to a community and a region that has been underserved for far too long.”

“With the opening of the MLK Behavioral Health Center, we will continue to work together to transform how services are delivered to LA County residents,” added LA County Health Services Director Dr. Christina Ghaly. “Having the ability to screen and assess depression to motivate healthier behaviors and provide comprehensive care for those with serious mental illness is an essential component of high-quality, financially sustainable healthcare and the future of population-based healthcare.”

LA County Public Health Director Dr. Barbara Ferrer said, “We are uniquely positioned to offer hope for our residents struggling with behavioral health concerns through an integrated approach that places patients at the center.”

LA County Probation Chief Terri McDonald added, “The ability of Probation staff to connect our clients to critical onsite reentry services, such as behavioral health counseling and job training, improves client outcomes and community safety.”

“The Behavioral Health Center will enable us to strengthen critical services for older and dependent adults,” said WDACS Acting Director Otto Solorzano.  “We are thrilled to be part of this visionary effort to establish comprehensive behavioral health services for communities served by the Martin Luther King Jr. Community Hospital.” ODR Judge Peter Espinoza (ret.), said, “With the MLK Behavioral Health Center, the people we serve will have an easily accessible location in the community from which to take advantage of the critical mental health, substance use, housing and job readiness services that they need to successfully reenter society after a stint in the criminal justice system.”

Eradicating HIV in LA County and Beyond

Supervisor Mark Ridley-Thomas with Dr. Robert Redfield, director of Centers for Disease Control and Prevention. Photo by Bryan Chan/Board of Supervisors

Supervisor Mark Ridley-Thomas’ opening remarks at a meeting on HIV Prevention with  Centers for Disease Control and Prevention (CDC)  Director Dr. Robert Redfield and other  federal and Los Angeles County public health officials.

“The fact that Dr. Redfield– a preeminent leader in HIV research and programs–is the director of the CDC says a lot about CDC’s commitment to eradicating HIV, and LA County is dedicated to being a partner in its efforts.

“HIV and STIs have been, and will continue to be, my priority policy areas, especially considering their disproportionate impact among communities of color.

“To that end, my staff and I have worked closely with many of you here for years. And while there has been a mix of good news and bad news over the years, I want to recognize the progress that we’ve made and must continue to make.

“For example, it cannot be taken for granted that as government agencies, we are addressing HIV in the context of health equity, and squarely acknowledging the sexism, racism, homophobia and classism that impact our systems of care. DPH continues this conversation through the Office of Health Equity, and also by publishing its City and Community Health Profile Report which compare and contrast the health data of various communities throughout Los Angeles County.

“This report looks at the various social determinants of health, which show that life expectancy, disease transmission and other health factors are complexly intertwined with access to food, parks, and housing security. Activities like this continue to push the dialogue on health disparities and social determinants in a way that is interdisciplinary and comprehensive.

“Additionally, we are seeing more youth engaging in advocating for their own reproductive health, and leading the conversation about their bodies, their safety, and their health. This is why we must continue to invest more in school-based health centers, as well as outreach, education, and empowerment programs for our youth. To that end, our Departments of Public Health and Mental Health are working collaboratively with school districts to see how we can bring more investment into our schools.

“While we celebrate these markers of progress, we also understand the gravity of the work yet to be done. For example, the advancement of biomedical tools has increased our arsenal to combat HIV infection, and have also contributed to the repeal of California’s HIV Transmission Law last year. And yet, despite the availability of PrEP and PEP, new infections among certain communities are still high, particularly among African-American men and women.

“Preliminary findings from a National Institutes of Health-funded study by Dr. Cynthia Davis at Charles Drew University demonstrated that there is a need for greater education on PrEP and PEP in the African-American community among at-risk individuals. Major concerns expressed with PrEP and PEP had to do with the cost of use these interventions; side effects; PrEP’s inability to provide protection from other STIs; difficultly of maintaining adherence; and stigma. Study participants also mentioned that there was limited education available on the benefits of PrEP, and there was almost total lack of knowledge on PEP. These preliminary findings give us great cause for pause, and to reevaluate our messaging and outreach to at-risk communities. We must invest more in targeted and culturally-competent outreach programs.

“On top of these continuing health disparities, new challenges are posed by the dramatic changes in the ways individuals connect via new technology and media. Government programs often do not lead on these trends, but we must act faster if we want to make our messages relevant. That means using social media, producing culturally relevant messaging, and working collaboratively with technology, media and entertainment companies.

“Additionally, like many other cities, LA County is contending with an unprecedented homelessness crisis, which directly impacts the work that DPH and other services providers are doing to  protect the health of our residents, both housed and unhoused.

“While we will dive deeper into many of these challenges today, I commend the work and dedication of everyone here to meet those challenges. I look forward to what I’m sure will be a robust and meaningful discussion on this issue, and for future collaborations.”

Ending Child Poverty Bus Tour Kick-off

St. Johns CEO and President, Jim Mangia, California Governor Gavin Newsom, Assemblymember Autumn Burke, and Supervisor Ridley-Thomas in front of the Child Poverty Bus. Photo by Bryan Chan / Board of Supervisors

More than 200 people gathered at the Frasyer Clinic Parking Lot of St. John’s Well Child and Family Center (SJWCFC) for the kick-off of the “End Child Poverty Bus Tour.” The tour, led by the “End Child Poverty in California” coalition, for its Los Angeles stop, featured an array of elected officials, community members and leaders, local parents, and anti-poverty advocates. Standing in front of the bus that will carry anti-child poverty advocates all the way to Sacramento, Supervisor Ridley-Thomas, Gov. Newsom, St. Johns CEO and President, Jim Mangia, and other elected officials and community leaders spoke at length on the moral urgency of confronting child poverty.

“In the words of MLK Jr.: ‘The curse of poverty has no justification in our age.’ The “End Child Poverty Plan” is an important first step to reducing child poverty in our state.” said Los Angeles County Board Supervisor, Mark Ridley-Thomas. “It also directly connects to our efforts in combatting homelessness. It sends a clear message that our work must be bold and our policy agenda must be steady to lift children and families out of poverty.”

“This is a state that is the richest but also the poorest in the nation. When we talk in terms of child poverty, the number of children living below or near the poverty level is nearly than half of the children of this state,” said California Governor Gavin Newsom. “But we finally have a plan for the millions of Californians who deserve more and we’re talking about implementing this plan in a strategic and nuanced way. This is about doing justice to our ideals.”

State legislation that created the “Lifting Children and Families Out of Poverty Task Force” to develop an anti-poverty plan was released just before Governor Newsom and legislature took their oaths of office in January. The “End Child Poverty in California” Coalition has rallied people and organizations and lobbied elected officials to adopt the Task Force’s End Child Poverty Plan, which would end deep child poverty in just four years when fully implemented. The plan would also reduce overall child poverty by 50 percent over the next decade.

“We are doing this because there almost two million children living in poverty. We are going to change that,” said Jim Mangia, President and CEO of St. John’s Well Child & Family Center. “This is a movement that is powered by a coalition that comes together under the End Child Poverty California coalition that combines the strength of organization and the plan from the Task Force with the wisdom and commitment of elected officials.”

Governor Newsom recently released his May revised budget which includes investments to address deep child poverty. The End Child Poverty Bus Tour’s aim is to highlight this start and create the necessary momentum to pass the Governor’s budget and the End Child Poverty Plan-related legislation this year and next. The coalition on the bus will make stops and hold open press events in Los Angeles, Pomona, Weedpatch, Fresno, Salinas, Oakland, and Sacramento.

Breaking Ground on a First-of-its-Kind Child and Wellbeing Center in South LA

Hundreds of people came out to celebrate as Supervisor Mark Ridley-Thomas led the groundbreaking ceremony for the first-of-its-kind Martin Luther King, Jr. Child and Family Well-being Center, slated to open in Willowbrook in April 2020.

The three-story, 55,000 square foot building will have a Pediatric Medical Hub Clinic on the first floor, an Autism Wellness Center on the second floor, and a Family Justice Center on the third floor, staffed by several Los Angeles County Departments and community-based service providers to maximize collaboration and service integration.

Supervisor Ridley-Thomas speaks at the groundbreaking ceremony. Photo by Diandra Jay / Board of Supervisors

“This Center represents the latest in a series of transformational investments in human infrastructure,” Supervisor Ridley-Thomas said. “We are continuing our commitment to the health of the mind, body and soul of this community. I contend that these are the most critical investments we can make, especially when we focus on children, adolescents, and families.”

The first floor of the Child and Family Well-being Center will replace the three trailers currently serving as the MLK Pediatric Medical Hub Clinic, which provides outpatient clinical services for at-risk pediatric and adolescent patients and their families. The County Departments of Health Services (DHS), Mental Health (DMH), Public Health (DPH), and Children and Family Services (DCFS) will all have staff at the new Center to provide services such as pediatric and adolescent health care for foster youth, and forensic medical examinations, hearing and vision screenings, trauma-informed mental health services, family visitation, and Parent-Child Interactive Therapy.

“The MLK Pediatric Medical Hub Clinic on the MLK Medical Campus is one of the busiest in the County’s system, situated in the region of LA County with the highest density of DCFS cases and managing over 8,000 referrals a year,” County Health Services Director Christina Ghaly said. “Given its critical role in evaluating and caring for children in the DCFS system, DHS is thrilled to be breaking ground on a new state-of-the-art facility that will allow for an expanded set of services that will be provided in an integrated, collaborative manner by County and community-based organizations. Through greater partnership, we will be able to better meet the comprehensive health needs of these most vulnerable children.”

Breaking ground for the Martin Luther King, Jr. Child and Family Well-being Center. Photo by Diandra Jay / Board of Supervisors

“The MLK Child and Family Well-being Center is very specifically designed to help DCFS succeed in addressing a multitude of the challenges faced by those engaged in the child welfare system, with a particular focus on the prevention and mitigation of trauma,” County Mental Health Director Jonathan Sherin said. “It heralds a new era of partnership between key LA County departments and the private sector, recognizing that we must always put the wellbeing of our kids and households at the center of everything we do.”

The second floor will house an Autism Wellness Center operated by St. John’s Well Child and Family Center, and the Special Needs Network (SNN). The Autism Wellness Center will provide comprehensive screening, medical, dental, and behavioral health services for special needs children, teens and adults. Other high quality services will include Applied Behavior Analysis, speech and occupational therapies, outdoor sports courts, a yoga center and music, technology and creative spaces.

“Finally, South Los Angeles will have a state-of-the-art health and development center for children with autism and their families that will provide high quality medical and dental care as well as developmental services to an area and a population that has lacked these critical services for far too long,” St. John’s Well Child and Family Center CEO Jim Mangia said. “St. John’s is honored to partner with SNN and Supervisor Mark Ridley-Thomas to create this unique and comprehensive program.”

SNN founder and president Areva Martin speaks. Photo by Diandra Jay / Board of Supervisors

“If you should speak to anyone affected by autism, a learning, intellectual or developmental disability, chances are you will hear stories of hidden suffering, shame and discrimination in nearly every sector of their lives. The SNN Autism Wellness Center seeks to change that,” SNN founder and president Areva Martin said. “Through a holistic approach and comprehensive mix of personal and community health and justice, this one-of-a-kind center will provide the kinds of much needed early diagnostic and intervention services sorely missing in communities of color—the kinds that will have a lasting impact on the health of the entire County of Los Angeles.”

The third floor will house a Family Justice Center where a multi-disciplinary team of professionals will work together, under one roof, to provide supportive services to those affected by domestic, family, intimate partner, and sexual violence.

“We are grateful to be working with our County partners to establish the Family Justice Center,” County Public Health Director Dr. Barbara Ferrer said. “This wonderful resource for families and children in South LA will help residents confronting domestic violence, not just to assure immediate safety and legal needs, but also to promote long-term family health and well-being.  The Family Justice Center will apply the family-centered, compassionate, culturally-competent approach of the Well-being Center to families for whom domestic violence may be occurring against a back-drop of poverty, racism and other forms of social marginalization.

The MLK Child and Family Well-being Center is the latest addition to a still-expanding MLK Medical Campus, which already includes the MLK Community Hospital, MLK Outpatient Center, MLK Mental Health Urgent Care Center, MLK Recuperative Care Center, and MLK Center for Public Health. MLK Medical Office Building is currently under construction, and plans are underway for the MLK Behavioral Health Center.

Renderings of the Martin Luther King, Jr. Child and Family Well-being Center at the groundbreaking ceremony. Photo by Diandra Jay / Board of Supervisors