Measuring Indoor Air Quality and Engaging California Indian Stakeholders at the Win-River Resort and Casino: Collaborative Smoke-Free Policy Development

Neil E. Klepeis, Narinder Dhaliwal, Gary Hayward, Viviana Acevedo-Bolton, Wayne R. Ott, Nathan Read, Steve Layton, Ruoting Jiang, Kai-Chung Cheng, Lynn M. Hildemann, James L. Repace, Stephanie Taylor, Seow-Ling Ong, Francisco O. Buchting, Juliet P. Lee and Roland S. Moore
Additional contact information
Neil E. Klepeis: Education, Training, and Research, Inc., Scotts Valley, CA 95066, USA
Narinder Dhaliwal: Education, Training, and Research, Inc., Scotts Valley, CA 95066, USA
Gary Hayward: Win-River Resort & Casino, Redding Rancheria, Redding, CA 96001, USA
Viviana Acevedo-Bolton: Department of Civil and Environmental Engineering, Stanford University, Stanford, CA 94305, USA
Wayne R. Ott: Department of Civil and Environmental Engineering, Stanford University, Stanford, CA 94305, USA
Nathan Read: Shasta County Public Health Tobacco Education Program, Shasta County Public Health, Redding, CA 96001, USA
Steve Layton: Shasta County Public Health Tobacco Education Program, Shasta County Public Health, Redding, CA 96001, USA
Ruoting Jiang: Department of Civil and Environmental Engineering, Stanford University, Stanford, CA 94305, USA
Kai-Chung Cheng: Department of Civil and Environmental Engineering, Stanford University, Stanford, CA 94305, USA
Lynn M. Hildemann: Department of Civil and Environmental Engineering, Stanford University, Stanford, CA 94305, USA
James L. Repace: Repace Associates, Inc., Secondhand Smoke Consultants, Bowie, MD 20720, USA
Stephanie Taylor: Shasta County Public Health Tobacco Education Program, Shasta County Public Health, Redding, CA 96001, USA
Seow-Ling Ong: Education, Training, and Research, Inc., Scotts Valley, CA 95066, USA
Francisco O. Buchting: Buchting Consulting, Oakland, CA 94612, USA
Juliet P. Lee: Prevention Research Center, Pacific Institute for Research and Evaluation (PIRE), Oakland, CA 94612, USA
Roland S. Moore: Prevention Research Center, Pacific Institute for Research and Evaluation (PIRE), Oakland, CA 94612, USA

IJERPH, 2016, vol. 13, issue 1, 1-26

Abstract: Most casinos owned by sovereign American Indian nations allow smoking, even in U.S. states such as California where state laws restrict workplace smoking. Collaborations between casinos and public health workers are needed to promote smoke-free policies that protect workers and patrons from secondhand tobacco smoke (SHS) exposure and risks. Over seven years, a coalition of public health professionals provided technical assistance to the Redding Rancheria tribe in Redding, California in establishing a smoke-free policy at the Win-River Resort and Casino. The coalition provided information to the casino general manager that included site-specific measurement of employee and visitor PM 2.5 personal exposure, area concentrations of airborne nicotine and PM 2.5 , visitor urinary cotinine, and patron and staff opinions (surveys, focus groups, and a Town Hall meeting). The manager communicated results to tribal membership, including evidence of high SHS exposures and support for a smoke-free policy. Subsequently, in concert with hotel expansion, the Redding Rancheria Tribal Council voted to accept a 100% restriction of smoking inside the casino, whereupon PM 2.5 exposure in main smoking areas dropped by 98%. A 70% partial-smoke-free policy was instituted ~1 year later in the face of revenue loss. The success of the collaboration in promoting a smoke-free policy, and the key element of air quality feedback, which appeared to be a central driver, may provide a model for similar efforts.

Keywords: air quality monitoring; smoke-free gambling; Native Americans; American Indians; hospitality business; worker protection policy; occupational exposure reduction; smoking; airborne nicotine; urinary cotinine; PM 2.5; secondhand tobacco smoke (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2016
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