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Leo Beletsky - One of the best experts on this subject based on the ideXlab platform.

  • re proposed Ordinance no ns xxx amending the santa ana municipal code health and sanitation prohibiting syringe exchange programs in the city of santa ana
    Social Science Research Network, 2020
    Co-Authors: Leo Beletsky, Amy Judd Lieberman, Corey S Davis, Rafik Nader Wahbi
    Abstract:

    The continuing crisis of opioid-related harm poses a threat to the health and lives of thousands of individuals with Substance Use Disorder (SUD). To ensure that these risks are mitigated in Santa Ana, we urge the Santa Ana City Council to reject the proposed Ordinance adding article XV Syringe exchange programs (SEPs) to chapter 18 of the Santa Ana Municipal code. The primary concern of the City Council relates to discarded syringes in the community. We share this concern. The solution, however, is not to ban SEPs; rather, the City should draw on best available evidence to address this community challenge, including the deployment of syringe services in a way that have helped other jurisdictions effectively reduce syringe litter. This proposed Ordinance would aggravate the very problem it is purporting to solve. Further, the proposed Ordinance is not just bad public health policy; it may also be bad law. Should the City Council move forward with this Ordinance, it might expose Santa Ana taxpayers to litigation on several fronts, including claims for violations of the Americans with Disabilities Act (ADA), Section 504 of the Rehabilitation Act (RA), and the Equal Protection Clause of the U.S. Constitution. In recent years, courts have struck down numerous local Ordinances targeting SUD treatment facilities and their clients as discriminatory under the ADA and the RA; similar analysis is applicable to syringe exchange programs.

Rafik Nader Wahbi - One of the best experts on this subject based on the ideXlab platform.

  • re proposed Ordinance no ns xxx amending the santa ana municipal code health and sanitation prohibiting syringe exchange programs in the city of santa ana
    Social Science Research Network, 2020
    Co-Authors: Leo Beletsky, Amy Judd Lieberman, Corey S Davis, Rafik Nader Wahbi
    Abstract:

    The continuing crisis of opioid-related harm poses a threat to the health and lives of thousands of individuals with Substance Use Disorder (SUD). To ensure that these risks are mitigated in Santa Ana, we urge the Santa Ana City Council to reject the proposed Ordinance adding article XV Syringe exchange programs (SEPs) to chapter 18 of the Santa Ana Municipal code. The primary concern of the City Council relates to discarded syringes in the community. We share this concern. The solution, however, is not to ban SEPs; rather, the City should draw on best available evidence to address this community challenge, including the deployment of syringe services in a way that have helped other jurisdictions effectively reduce syringe litter. This proposed Ordinance would aggravate the very problem it is purporting to solve. Further, the proposed Ordinance is not just bad public health policy; it may also be bad law. Should the City Council move forward with this Ordinance, it might expose Santa Ana taxpayers to litigation on several fronts, including claims for violations of the Americans with Disabilities Act (ADA), Section 504 of the Rehabilitation Act (RA), and the Equal Protection Clause of the U.S. Constitution. In recent years, courts have struck down numerous local Ordinances targeting SUD treatment facilities and their clients as discriminatory under the ADA and the RA; similar analysis is applicable to syringe exchange programs.

Mori J Krantz - One of the best experts on this subject based on the ideXlab platform.

  • reduction in acute myocardial infarction hospitalization after implementation of a smoking Ordinance
    The American Journal of Medicine, 2011
    Co-Authors: Gerrit Bruintjes, Becki Bucher Bartelson, Paul Hurst, Arnold H Levinson, John E Hokanson, Mori J Krantz
    Abstract:

    Abstract Background Smoking Ordinances have been associated with reduced acute myocardial infarction rates, but nearly all studies lack patient-level data. Objective We determined whether a smoking Ordinance was associated with a reduction in hospitalizations for acute myocardial infarction, irrespective of smoking status and infarct presentation (ST elevation vs. non-ST elevation). Methods Detailed chart abstraction of biomarkers to confirm first acute myocardial infarction events was performed from the single community hospital serving Greeley, Colorado and adjacent zip codes, 17 months before and 31 months after implementing a public smoking Ordinance. Poisson regression analysis, adjusted for population growth, was used to assess changes in mean incidence rates. Results A total of 706 hospitalizations were identified from July 2002 through June 2006: 482 among Greeley city residents and 224 within adjacent zip code areas. A postOrdinance reduction in hospitalizations was observed in Greeley (relative risk [RR] 0.73; 95% confidence interval [CI], 0.59-0.90). A smaller, nonsignificant decrease was noted in the area immediately surrounding Greeley (RR 0.83; 95% CI, 0.61-1.14). However, the comparison of relative risk reductions between Greeley and the surrounding area was not significant ( P =.48). The reduction in Greeley was more pronounced among smokers (RR 0.44; 95% CI, 0.29-0.65) than nonsmokers (RR 0.86; 95% CI, 0.67-1.09) and did not differ by acute myocardial infarction presentation ( P =.38). Conclusions A smoking Ordinance was associated with a decrease in acute myocardial infarction hospitalizations of a magnitude similar to previous reports, but could not be distinguished from the adjacent geographic area. Reductions were greatest among smokers, despite previous studies suggesting that benefits accrue primarily among nonsmokers. Smoke-free policy may therefore exert a beneficial effect among smokers, who are disproportionately exposed to direct and sidestream smoke.

  • reduction in the incidence of acute myocardial infarction associated with a citywide smoking Ordinance
    Circulation, 2006
    Co-Authors: Carl E Bartecchi, Becki Bucher Bartelson, Robert N Alsever, Christine Nevinwoods, William Thomas, Raymond O Estacio, Mori J Krantz
    Abstract:

    Background— Secondhand smoke exposure increases the risk of acute myocardial infarction (AMI). One study (Helena, Mont) examined the issue and found a decrease in AMI associated with a smoke-free Ordinance. We sought to determine the impact of a smoke-free Ordinance on AMI admission rates in another geographically isolated community (Pueblo, Colo). Methods and Results— We assessed AMI hospitalizations in Pueblo during a 3-year period, 1.5 years before and 1.5 years after implementation of a smoke-free Ordinance. We compared the AMI hospitalization rates among individuals residing within city limits, the area where the Ordinance applied, versus those outside city limits. We also compared AMI rates during this time period with another geographically isolated but proximal community, El Paso County, Colo, that did not have an Ordinance. A total of 855 patients were hospitalized with a diagnosis of primary AMI in Pueblo between January 1, 2002, and December 31, 2004. A reduction in AMI hospitalizations was obs...

Abby C King - One of the best experts on this subject based on the ideXlab platform.

  • impact of san francisco s toy Ordinance on restaurants and children s food purchases 2011 2012
    Preventing Chronic Disease, 2014
    Co-Authors: Jennifer J Otten, Eric B Hekler, Rebecca A Krukowski, Matthew P Buman, Brian E Saelens, Christopher D Gardner, Kristopher Kapphahn, Benjamin A Goldstein, Laura S Odonohue, Abby C King
    Abstract:

    Introduction In 2011, San Francisco passed the first citywide Ordinance to improve the nutritional standards of children’s meals sold at restaurants by preventing the giving away of free toys or other incentives with meals unless nutritional criteria were met. This study examined the impact of the Healthy Food Incentives Ordinance at Ordinance-affected restaurants on restaurant response (eg, toy-distribution practices, change in children’s menus), and the energy and nutrient content of all orders and children’s-meal–only orders purchased for children aged 0 through 12 years.

  • food marketing to children through toys response of restaurants to the first u s toy Ordinance
    American Journal of Preventive Medicine, 2012
    Co-Authors: Jennifer J Otten, Eric B Hekler, Rebecca A Krukowski, Matthew P Buman, Brian E Saelens, Christopher D Gardner, Abby C King
    Abstract:

    Purpose: To assess how Ordinance-affected restaurants changed their child menus, marketing, and toy distribution practices relative to non-affected restaurants. Methods: Children’s menu items and child-directed marketing and toy distribution practices were examined before and at two time points after Ordinance implementation (from July through November 2010) at Ordinance-affected fast-food restaurants compared with demographically matched unaffected same-chain restaurants using the Children’s Menu Assessment tool.

Jennifer J Otten - One of the best experts on this subject based on the ideXlab platform.

  • early evidence on the impact of seattle s minimum wage Ordinance
    2016 Fall Conference: The Role of Research in Making Government More Effective, 2016
    Co-Authors: Heather D Hill, Jennifer J Otten, Emma Van Inwegen, Jacob L Vigdor
    Abstract:

    This paper provides an overview of Seattle’s 2014 Ordinance mandating a gradual increase to a $15 minimum wage. It then outlines a research agenda for a comprehensive evaluation of the effects of this Ordinance, to be executed concurrently with the phase-in period. The evaluation is using original data on area prices, and on employer and worker perspectives, as well as secondary survey and state administrative data. This paper presents results from a series of investigations of consumer prices, including intensive field collection from grocery stores and small businesses. Most investigations use difference-in-difference methodology comparing trends in Seattle to those in nearby jurisdictions. Results show no statistically significant impact of Seattle’s initial increase to an $11 minimum wage on consumer prices, though estimates are imprecise enough to be consistent with the small positive effects observed in other studies and suggestive of a more concentrated impact in the restaurant industry.

  • impact of san francisco s toy Ordinance on restaurants and children s food purchases 2011 2012
    Preventing Chronic Disease, 2014
    Co-Authors: Jennifer J Otten, Eric B Hekler, Rebecca A Krukowski, Matthew P Buman, Brian E Saelens, Christopher D Gardner, Kristopher Kapphahn, Benjamin A Goldstein, Laura S Odonohue, Abby C King
    Abstract:

    Introduction In 2011, San Francisco passed the first citywide Ordinance to improve the nutritional standards of children’s meals sold at restaurants by preventing the giving away of free toys or other incentives with meals unless nutritional criteria were met. This study examined the impact of the Healthy Food Incentives Ordinance at Ordinance-affected restaurants on restaurant response (eg, toy-distribution practices, change in children’s menus), and the energy and nutrient content of all orders and children’s-meal–only orders purchased for children aged 0 through 12 years.

  • food marketing to children through toys response of restaurants to the first u s toy Ordinance
    American Journal of Preventive Medicine, 2012
    Co-Authors: Jennifer J Otten, Eric B Hekler, Rebecca A Krukowski, Matthew P Buman, Brian E Saelens, Christopher D Gardner, Abby C King
    Abstract:

    Purpose: To assess how Ordinance-affected restaurants changed their child menus, marketing, and toy distribution practices relative to non-affected restaurants. Methods: Children’s menu items and child-directed marketing and toy distribution practices were examined before and at two time points after Ordinance implementation (from July through November 2010) at Ordinance-affected fast-food restaurants compared with demographically matched unaffected same-chain restaurants using the Children’s Menu Assessment tool.