Inter-Departmental Correspondence

Health System



August 19, 2010


September 14, 2010







Honorable Board of Supervisors


Jean S. Fraser, Chief, Health System


Brian J. Zamora, Director, Community Health



Acceptance of Allocation Agreement with the California Department of Public Health, Tobacco Control Program



Adopt a Resolution authorizing the Chief of the Health System to execute an Acceptance of Allocation Agreement from the California Department of Public Health, Tobacco Control Program, for the Tobacco Prevention Program in the amount of $150,000 for the term of July 1, 2010 through June 30, 2011, and to execute all subsequent Acceptance of Allocation Agreements through June 30, 2013.



In November 1988 California voters approved the California Tobacco Health Protection Act of 1988, also known as Prop 99. This referendum increased the State cigarette tax by 25 cents per pack and added an equivalent amount on other tobacco products. Revenues generated were earmarked for programs to reduce smoking, to provide health care services to indigents, to support tobacco-related research, and to fund resource programs for the environment. The California Department of Public Health, Tobacco Control Program provides a portion of this funding to 61 Local Lead Agencies statewide for implementation of a comprehensive tobacco prevention program. San Mateo County receives $150,000 annually for these activities.


In the past year, the Tobacco Prevention Program (TPP) has seen great success on several fronts. Examples include: Foster City implemented a smoke-free parks policy, Menlo Park implemented the Tobacco Retail License ordinance and South San Francisco passed a resolution that advocates that youth be protected from pro-tobacco messages in movies. Youth leaders have been actively involved in conducting tobacco purchase surveys, peer education efforts, and advocacy with local policymakers. A press conference about youth access to tobacco included Assembly member Jerry Hill, Superintendent of Schools Jack O’Connell as well as many local city council members. Inspired by youth leaders, Assembly member Hill stated his intent to introduce a bill that would make the tobacco retail license a statewide mandate.


With guidance from the San Mateo County Tobacco Education Coalition, a collaborative of over 15 partner organizations representing hospitals, educational facilities, community-based organizations, health volunteers, and residents, the TPP has developed a three-year scope of work for FY 2010-13, with three major goals: protect residents from secondhand smoke in multi-unit housing complexes, reduce youth exposure to pro-tobacco images in film, and address the social determinants of health in the community.


Because the State has requested that the signatory of this document be the same person listed as the Official Agency Contact in the State’s Online Tobacco Information System, it is requested that your Board extend signing authority to Chief of the Health System for each of the three one-year Allocation Agreements directly related to this Project. The TPP operates in compliance with the requirements stipulated by the State Tobacco Control Program as noted in the Acceptance of Allocation Agreement.


The Resolution has been reviewed and approved by County Counsel.


This Agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing allocated funding for TPP to implement the 3-year scope of work with guidance from the San Mateo County Tobacco Education Coalition. It is anticipated that this will lead to enactment of at least 2 new local city policies be put in place in FY 2010-11.


Performance Measure(s):


FY 2009-10

FY 2010-11

Number of new policies implemented which designate events and/or venues to be smoke-free.



*Performance for FY 2009-10 exceeded projection.


The term of the Allocation Agreement is July 1, 2010 through June 30, 2011, and the amount is $150,000. The State revenue and contract expenditures are included in the Community Health tentatively Adopted FY 2010-11 Budget. There is no Net County Cost associated with this Acceptance of Allocation Agreement.