Tales of the City: Banning Tobacco Sales in San Francisco Pharmacies

90 Minutes

Mitchell H. Katz, MD

Director, Los Angeles County Department of Health Services

Mitchell H. Katz, MD is the Director of the Los Angeles County Department of Health Services, the second largest health system in the nation. Previously, he was the Director of Health for the City and County of San Francisco for thirteen years. Prior to becoming the Director in San Francisco, he served the Department in a number of positions, including Director of the AIDS Office and Director of the Emergency Medical Services Agency. He practices medicine as a primary care doctor at Edward R. Roybal Comprehensive Health Center.

Karen S. Hudmon, DrPH, MS, RPh, CTTS

Professor of Pharmacy Practice at the Purdue University College of Pharmacy and Clinical Professor at the University of California San Francisco School of Pharmacy

Karen S. Hudmon, DrPH, MS, RPh, CTTS, is Professor of Pharmacy Practice at the Purdue University College of Pharmacy and Clinical Professor at the University of California San Francisco School of Pharmacy. She’s a licensed pharmacist and a cancer prevention researcher with 30 years of tobacco research experience and has personally provided tobacco cessation training to more than 30,000 health professionals.

Karen was one of the original authors of the Rx for Change: Clinician-Assisted Tobacco Cessation training program, which is used globally to train students and licensed clinicians to apply evidence-based approaches for helping patients quit. Currently, Karen’s research is funded by the NIH and the Indiana State Department of Health. She testified in favor of legislation to advance Indiana pharmacists’ role in prescribing cessation medications, was instrumental in drafting the statewide protocol, and is leading statewide training efforts.

Webinar Objectives
  • Understand the toll of tobacco and pharmacists’ role in public health and tobacco cessation interventions
  • Describe the first ban of tobacco sales in San Francisco community pharmacies, including the political, economic, and legal objections
  • Illustrate future implications for community pharmacies and tobacco control, and advice for other municipalities considering a similar move
Additional Resources Cited in the Webinar
  • RX FOR CHANGE - Clinician Assisted Tobacco Cessation Curriculum http://rxforchange.ucsf.edu
    A comprehensive tobacco cessation education tool that provides not only clinicians and students, but also clinical staff, with the knowledge and skills necessary to offer comprehensive tobacco cessation counseling to patients who use tobacco. It covers information about the epidemiology of tobacco use, pharmacotherapy, and brief behavioral interventions.

  • From Dr. Karen Hudmon's webinar presentation:

    • "In 2005, pharmacy cigarette sales represented 3.05% of total cigarette sales, increasing to 4.54% by 2009."

    • The measurement definition: Pharmacy cigarette sales were tabulated for 2005-2009 from AC Nielsen ScanTrack data. These data represent point of purchase sales from all standalone US pharmacies with at least $1 million in annual sales, which includes approximately 95% of all standalone US pharmacies.

    • Reference: Seidenberg, AB. Behm, I. Rees, VW. Connolly, GN. "Cigarette sales in pharmacies in the USA (2005-2009)."(2012). Tob Control. 21(5):509-510.

    • Dr. Karen Hudmon's complete reference list

  • Contact Karen Hudmon, DrPH, MS, RPh, at [email protected] if you would like to get involved in this initiative

  • Citations from Dr. Mitchell Katz's webinar presentation, slide "Bans change perception of tobacco":

    • "In Massachusetts youth from towns with strong bans against smoking in restaurants were more likely to say they thought smoking is socially unacceptable." - Albers AB, et al. Relation between local restaurant smoking regulations and attitudes towards the prevalence and social acceptability of smoking. Tob Control. (2004).1294:347-355.

    • "National survey found that adolescents who worked in smoke-free workplaces were less likely to smoke." - Farkas AJ et al. Association between household and workplace smoking restrictions and adolescent smoking. (2000). JAMA. 284(6):717-722.