Smokefree Policies in Workplaces with Labor Unions

 

 

Smokefree workplace policies were adopted for five Missouri automobile assembly plants within months of each other from November, 2003 to March, 2004, affecting over 17,000 employees.

 

Smoking has normally been allowed in automobile assembly plants for years.  For the last several years, smoking has been prohibited in the offices and other white-collar areas.  However, smoking has continued in the manufacturing and other blue-collar areas of the plants.

 

A line-worker in the DaimlerChrysler South Assembly Plant in Fenton, Missouri, a suburb of St. Louis, suffered from asthmatic distress a number of times due to exposure to secondhand smoke on the job.  One episode required a trip to a hospital emergency room.  The worker had repeatedly asked the United Auto Workers (UAW) union steward and plant management for relief, which didn’t produce desired results. 

 

The worker then told her story to the St. Louis Post Dispatch, which ran a story June 20, 2003, featuring her health condition and the lack of accommodation. 

 

Following the news story, the Missouri Department of Health and Senior Services (DHSS) received a number of complaints in the next few weeks from employees in automobile assembly plants in the St. Louis area.  These included DaimlerChrysler South and North Assembly Plants (separate companies and separate UAW locals) in Fenton, General Motors in Wentzville, and Ford Motor Company in Hazelwood.  All complained of secondhand smoke exposure at the worksite.  Most preferred to remain anonymous for fear of reprisals from either their employer or co-workers.

 

These reports and subsequent news stories in the Post Dispatch confirmed the long held practice of allowing smoking throughout the manufacturing side of the plants as an accepted norm.  Quotes from leaders of affected union locals included:

-         smoking is allowed in the plant “due to the open area of a plant this size”

-         “It’s a big building with ventilation throughout and they’re not working shoulder to shoulder in here.  Usually people are six or more feet apart.  You might not even smell the smoke.” 

-         “It’s never been an issue.  The ventilation system is really good.  Most of the smokers are respectful and, if somebody doesn’t like the smoke, they just don’t smoke around them.  But for the most part over here we’ve had no problem.”

 

A spokesman for the DaimlerChrysler’s headquarters remarked about smoking in the plants as, “Basically, our employees want it.  It’s been (that way) for a long time.”

 

 

Health Agency Roles

 

The Missouri law addressing smoking in public places and what DHSS could and could not do to abate the problem was explained to each complainant.  The state law prohibits smoking in indoor public places, as defined, unless it is confined to a designated smoking area.  Places of employment are considered in the definition of a public place.  Designated smoking areas, if established, are to be no more than 30% of the total space and isolated by means of utilizing available ventilation systems and physical barriers.  Definition of “available ventilation systems” is not provided and is open to interpretation as to whether it means what existing ventilation systems already onsite at the facility or what systems are available on the market.

 

This law does not charge any state department with the authority to implement and enforce this law.  Violations of the law include smoking in other than a designated smoking area or a person in charge allowing someone to smoke in other than a designated area.  Non-compliance with the 30% maximum size for a designated smoking area is not a violation.   The penalty for violation is an infraction.  With no agency named for enforcement, the responsibility falls to the local prosecutor.

 

Because DHSS recognizes that exposure to secondhand smoke is a de facto health risk, an offer is made to complainants for DHSS to send a letter to the person in charge informing them of a concern their facility may not be in compliance with the law, the health risks of secondhand smoke, an offer to help them get into compliance, and encouragement for them to adopt a smokefree policy.  Complainants are also informed that DHSS cannot force the person in charge to comply with the law.  Additionally, it is a matter of practice that the complainant’s identity is not revealed.  A blind copy of the letter is offered to the complainant.

 

With this information, a majority of complainants indicated a desire for DHSS to send a letter.  Only a few complainants provided their names and addresses in order to receive blind copies of the letters.

 

Within a short period of receiving the letters, management from each of the automobile assembly plants responded as to their intentions to abate the complaints.  Although the companies are competitors, their management staff have congenial relations with their counterparts in each other’s companies.  The human resources (HR) directors for each plant held joint meetings as they viewed this as a common problem that should be answered with a common solution.  This was especially important since the UAW is at each plant and consistency in response would be vital in acceptance and implementation.

 

Partnerships and Support

 

An invitation from the plants’ HR directors was made for DHSS and local clean air coalition members to participate in meetings with them, to be followed with meetings that would include UAW representation.  Coalition members included representatives of the American Lung Association, National Council on Alcohol & Drug Abuse, St. Louis County Health Department, St. Louis University’s School of Public Health, and the Missouri Partnership on Smoking or Health.

 

The HR directors were in agreement that after receiving notification letters from DHSS, the plants were not in compliance with the state law.  However, they did not desire to merely comply with the law, but to use this situation as an opportunity to adopt smokefree workplace policies.  Assistance was asked of DHSS and the coalition in providing information and technical assistance, including suggestions for strategies for implementing such policy.

Prior to the meetings, DHSS convened telephone conference calls with coalition members and Graham Kelder, an attorney with the Organized Labor Tobacco Control Network (OLTCN), part of the Dana Farber Cancer Institute.  Mr. Kelder provided good insight into the historical relationships between labor and management, and how to couch concepts into terms more receptive to either side.  For example, management would have interest in secondhand smoke as a cause for lost productivity, higher absenteeism due to illness, and higher health care costs.  Labor may be more receptive to see secondhand smoke as one more of several workplace safety issues, especially if they can be convinced that secondhand smoke is a known human carcinogen (e.g. “Would you allow your co-worker/employee to be exposed to asbestos, arsenic, radon, etc.?  Yet, these and 200 more toxins are in secondhand smoke.”) 

Mr. Kelder stressed that a common interest to union membership is reaching retirement.  He suggested informing union membership as to how secondhand smoke can affect retirement, whether it is the quality of life in retirement or if the worker will even live to see retirement.

He mentioned that Taft-Hartley Health & Welfare Funds are jointly contributed by management and labor and it is to both’s advantage to reduce health care claims on this fund.  That is, the less money spent on health care means more money available for retirement benefits.  Unfortunately, both management and UAW for each of the automobile plants stated that Taft-Hartley was not in effect for their locals.  But, this should be kept in mind when dealing with unions in other areas.

He also noted that both management and union should be asked what their current collective bargaining agreement stipulates regarding smoking and secondhand smoke and that this can be a topic for future bargaining agreements.

Mr. Kelder agreed that tobacco cessation assistance is essential.  Trust and credibility can be lost if cessation assistance is not offered.  If coverage is not already provided in the health insurance, it could be made an issue in the next round of collective bargaining.  This could also be attractive to management as cessation can bring down health care costs.

Mr. Kelder noted that in past cases, firefighters and cotton mill workers had difficulty proving work-related disability for respiratory ailments when they also were smokers.  It is beneficial to employees to have a smokefree environment to encourage reduction/cessation of tobacco use.  This could facilitate determination of disability for future claims.

In addition, consultation and materials were obtained from Ms. Susan Weisman, Director of WorkSHIFTS, of the Tobacco Law Project of the William Mitchell College of Law in St. Paul, Minnesota; and from Ms. Debra Chaplan, Director of Special Programs, of the State Building and Construction Trades Council in Oakland, California, which developed the Building Trades Ignite Less Tobacco (BUILT) program to encourage tobacco cessation among blue collar occupations. 

 

Materials from these organizations as well as literature from other sources were assembled into packets for distribution at each meeting.  A description of packet contents is described in the Additional Information portion of this report.

 

Key Events

 

In the meeting with management from all the automobile plants, it was related by DHSS that smokefree policies for automakers was not without precedent.  Earlier enactment of state or local smokefree workplace legislation in Delaware, Michigan and Oklahoma affected other automobile assembly plants in those areas.  It was suggested their counterparts in these plants be consulted on how they implemented the policy, what worked and what didn’t work, what obstacles were encountered and how they resolved them, and what they would do differently.

 

Management from each plant agreed that secondhand smoke is a health risk.  There concerns were on how to implement a smokefree policy, obtain cooperation from the UAW locals, obtain cooperation from the employees, monitor effectiveness, apply fair enforcement, and offer tobacco cessation assistance.  The coalition members from the American Lung Association and the St. Louis County Health Department offered cessation assistance training, which was accepted by management.

 

Management agreed that the policy change should not be implemented quickly, but that an announcement of the change should be made at least two months before going into effect.  This would provide employees with time to mentally prepare for the change and be more accepting when it occurs.  It was anticipated that as the implementation date grew closer, more interest would be shown in accepting the offer of cessation assistance.

 

Management then arranged for follow up meetings at three of the four area plants with participation of the union officers for UAW local for the particular plant.  Using materials from OLTCN, WorkSHIFTS, BUILT and other sources, the coalition assembled packets to be distributed at these meetings.  Information included the health effects of secondhand smoke, impact on health care, impact on retirement, and cessation assistance.

 

While there were some commonalities of union concerns at each meeting, the views about prohibiting smoking varied for each union local.  Union officials at the plant where the employee was featured in the Post Dispatch news story did not share management’s desire for a smokefree workplace policy throughout the plant.

 

At the conclusion of the coalition’s presentation, some of the union leaders voiced that a single employee was causing problems for other employees by infringing on their “right” to smoke.  They were reminded that DHSS received complaints from a number of employees in the plant.  The local president expressed that this policy was being forced on them and left the meeting.  The other union officials followed.

 

The meeting with another plant was different from that of the first plant.  Union officials sat at the conference table among management and coalition members.  During the coalition presentation union officials and plant management asked questions and made comments, allowing for good dialog.  It appeared to be accepted that secondhand smoke was a health risk and an employee should not be subjecting a fellow employee to a health risk.  The meeting adjourned on a positive note.  In fact, after the meeting several union officials stayed behind to discuss items one-on-one with coalition members.

 

A meeting at the third plant began with management reading a summary statement that the plant was not in compliance with the state law and that while the primary goal was to achieve compliance, they prefer to be smokefree.  They acknowledged that this may be a contract negotiating issue.

 

After the coalition presentation, one of the management staff asked if after being informed that secondhand smoke is a health risk and they continued to allow smoking in the plant, could the company face a liability suit if a non-smoking employee exposed to on-the-job secondhand smoke would develop a smoking related disease.  Likewise, could the UAW be sued if they successfully resisted efforts for the plant to be smokefree?  The coalition responded that management and labor would have to consult their respective attorneys for advice.

 

A union official stated this would be a cultural change and as such, should be approached slowly and through education.  He stated that in 1953 the UAW fought for the right to smoke on the line; that any right is not so easily wrested away; and that a right taken from one group of union members will be viewed as an attack on all union members. 

 

The coalition pointed out that in 1953, the danger of smoking, much less secondhand smoke, was not known; and much has been learned in the last half-century.  Now knowing the health effects, is it still a right for one group of union members to cause harm to their fellow non-smoking union members?

 

The union official also stated that the dilution factor is not being considered.  The plant is approximately 79 acres, has 35 foot high ceilings and high air exchanges.  He asked what proof could be shown that secondhand smoke is really a danger on the line.

 

The coalition had obtained information from James Repace, a health physicist with a specialization in ventilation and secondhand smoke exposure.  Mr. Repace had conducted a study in a tool-and-die factory with comparable dimensions.  He had found that air samples from the line and biological samples from nonsmokers indicated chemicals from secondhand smoke were detected.  A suggestion was made for monitoring the air quality on the line, but the union official did not respond.

 

Management related that one line worker told him that she had tried quitting smoking several times and that the smokefree policy would give her the incentive to quit for good.  He stated he saw a positive attitude among most employees regarding implementation of a smokefree policy.

 

Management at each plant considered that smoking cessation assistance may be more attractive to union members if the companies covered most or all of the expenses and if the assistance could be provided on company time.

 

Outcomes

 

The smokefree workplace policies were enacted at the Ford Motor Company on November 3, 2003 (this also included their plant in the Kansas City area); both DaimlerChrysler plants effective after Christmas break on January 5, 2004; and at the General Motors plant on effective on March 1, 2004 when the employees returned to the job after the plant was re-tooled for the next model year.

 

It was recognized that some smoking employees would likely test the enforcement of the policy or would try to sneak a smoke.  After the effective date of the policies, DHSS continued to receive some complaints about secondhand smoke.  However, the bulk of complaints concerned the one plant where the union representatives were not supportive of the policy.

 

DHSS SSDHSSforwarded all complaints to the HR staff of the plants for investigation.  Several complaints concerned outside contract employees.  The contractors were informed of the company policy and the smoking discontinued.  Other complaints alleged that union stewards and line supervisors ignored smoking on the line.  It is not known if these complaints were justified or corrected.

 

Lessons Learned

 

While there are commonalities among union locals, each one has their own unique culture.  Whether overtly displayed or not, union members may be skeptical of “outsiders” especially if it may impact their culture.  When working with the private sector, it is important to earn credibility for factual information and that your interests are for the common good.

Employee participation in cessation assistance was lower than hoped.  Anecdotal information was shared with management that an automobile plant in Michigan offered a tobacco cessation class to their employees and only a few people participated.  Near the beginning of deer hunting season, another class was offered on getting in shape for deer hunting.  Nearly 600 employees showed up.  A primary feature was developing the stamina and lung capacity for hauling your deer out of the woods.  And a major means for increasing stamina and lung capacity was … tobacco cessation.  The same message, but packaged in a more attractive wrapping.

Only one plant provided DHSS a copy of their smokefree policy.  It is not known if internal policies are considered proprietary information or if there were other reasons for not providing copies. 

Some complainants requested DHSS to investigate for violation of the state law.  Although the smokefree policy is voluntary by the companies, the state law requires that smoking is only permitted in designated smoking areas and since none are established, any smoking indoors would be a violation of the law.  Regardless, DHSS has no authority to enter the plants to independently assess policy compliance. Information about investigations or resolution of complaints were not provided by management. 

While several employers in Missouri have previously adopted smokefree workplace policies, the publicity about the automobile plants adoption of such policies had a ripple effect where several other employers, including manufacturing companies, also adopted policies for either totally smokefree workplaces or have severely restricted where smoking may be permitted.

 

Enhancements and Modifications

 

Events and information subsequent to the meetings with plant management and union officials may be helpful to other health departments and coalitions that may need to interact with these parties.  These relate to health care costs, employer cost/benefits calculation for tobacco cessation assistance, and the potential for employee litigation.  While the litigation information is not suggested to be used as a “scare tactic” the information could still be provided.

Cost of Health Care

Health care costs will likely become a driving force for smokefree workplace policies and tobacco cessation assistance.  Former U.S. Health and Human Services Secretary Tommy Thompson pointed out in an April, 2005 speech at the Detroit Regional Chamber of Commerce that the rising cost of caring for employees and retirees is a significant problem for automakers, who spent $10 billion on health care last year.  Thompson marveled that health care expenses now cost an average of $1,525 per vehicle for U.S. automakers.

Yet, education for UAW leadership is still needed.  In response to Thompson’s observation, UAW union president Ron Gettelfinger said he doesn't support a ban on smoking in assembly plants as a way to lower health care costs, saying automakers should be more concerned with the chemicals workers are exposed to than with smoking.  He is clearly unaware that secondhand smoke contains more than 4000 chemicals, 200 of which are toxic and 69 are carcinogenic; and that secondhand smoke can have a synergistic effect with fumes from solvents, welding and other workplace exposures.

 

 

Cost/Benefit for Tobacco Cessation Assistance

 

Several organizations have produced cost/benefit models to help employers determine the economic impact of offering tobacco cessation assistance to their employees.  One such model is available as a web-based interactive return on investment tool online from America’s Health Insurance Plans at www.ahip.org (click on ROI Calculator for Smoking Cessation).  This and other models demonstrate a positive return on investment for health insurance plans, payors and employers.

 

Employee Litigation

 

As the potential for litigation was asked by management staff at one plant, it was found that North Dakota Attorney General Wayne Stenehjem issued an opinion on April 14, 2004 regarding a state labor law as it may be construed to provide authority for the state to promulgate rules regarding smokefree workplaces.  Within his opinion were references to suits in other states, including a Missouri case heard in September, 1982 in which an employee obtained a restraining order to prevent his employer from permitting him to be exposed to secondhand smoke at the worksite (Smith v. Western Electric Co. 643 S.W.2d 10 MO App. 1982).  A similar case was cited for New Jersey (Shimp v. New Jersey Bell Telephone Co., 368 A.2d 408 [N.J. Super. Ch. Div. 1976]).

 

As the one UAW official had commented earlier that in 1953 they fought for the right to smoke on the line, Attorney General Stenehjem’s opinion also noted that courts have upheld smoke workplace policies, rejecting claims that there is a right to smoke.  (Fagan v. Axelrod, 550 N.Y.S.2d 552, 558 [N.Y. Sup. Ct. 1990] and Doughty v. Board of County Comm’rs, 731 F.Supp. 423, 426 [D.Colo. 1989]).

 

Workers compensation suits are also increasingly becoming a factor.  

 

A non-smoking, otherwise healthy waiter who suffered a heart attack as a result of working in a smoke-filled bar received $85,000 in a workers' compensation lawsuit. (Ubhi v. State Compensation Insurance Fund, Cat 'n' Fiddle Restaurant, California Workers' Compensation Appeals Board, 1990).

Nonsmoking workers harmed by secondhand smoke in the workplace have won lawsuits against their employers based on a number of issues, including Workers' Compensation, Unemployment Compensation, Wrongful Termination, Negligence, and Disability Benefits (Sweda, E., Summary of Legal Cases Regarding Smoking in the Workplace and Other Places. Boston, MA: Tobacco Control Resource Center, Inc., September 1998.)

In McCarthy vs. Department of Social and Health Services, the Washington Supreme Court held that pulmonary disease caused by secondhand smoke was not considered to be a disease or injury covered by the Washington State Labor and Industries Workers' Compensation Act.  Employees can sue their employers under common tort law for harm caused by the employer's decision to expose them to a known cancer-causing agent, secondhand smoke.  A business owner's Commercial General Liability policy also excludes secondhand smoke claims where the Standard Pollution Exclusion excludes bodily injury claims from smoke and noxious fumes.  Seasoned underwriters and adjusters, all have concluded that there is absolutely no coverage under a CGL policy.  (DeLorenzo, Dan, “Warning: Smoke is hazardous to business healthThe News Tribune [Tacoma WA], February 25, 2004  www.tribnet.com/opinion/story/4781096p-4725075c.html)

 

Additional Information

 

Websites for the following organizations provided excellent resources, such as one-page fact sheets, that were used as handouts in the packets distributed at meetings.  Web addresses are: 

Organized Labor Tobacco Control Network www.laborandtobacco.org

WorkSHIFTS www.workSHIFTS.org

Building Trades Ignite Less Tobacco (BUILT)  www.sbctc.org/built

 

Since the meetings, additional recommended resources are at the website for the Americans for Nonsmokers’ Rights and include:

Smokefree Air is a Union Issue at:

 www.no-smoke.org/pdf/Smokefree_Air_is_a_Union_Issue.pdf

Legal Requirements to Protect Nonsmokers at: www.no-smoke.org/htmlpage.php?id=48

Union Leaders Support Smokefree Workplaces at:

 www.no-smoke.org/htmlpage.php?id=25

 

Information packet materials included:

Missouri’s Clean Indoor Air Law” Missouri Department of Health and Senior Services, March, 2003,  www.dhss.mo.gov/SmokingAndTobacco

“Is Smoking Good for Business?” Missouri Department of Health and Senior Services, January, 2003,  http://www.dhss.mo.gov/SmokingAndTobacco/BusinessAndSmoking.pdf

“Building Air Quality – A Guide for Building Owners and Facility Managers”, Environmental Protection Agency and National Institute for Occupational Safety & Health, December 1991, pp 41-42.  http://www.cdc.gov/niosh/pdfs/iaq.pdf

Howard, John, “Smoking is an Occupational Hazard”, American Journal of Industrial Medicine 46: 161-169 (2004)

“Smoke-Free Worksites:  Why is Controlling Environmental Tobacco Smoke Important to Unions” a PowerPoint developed by the Tobacco Free Missouri – St. Louis Coalition.  Describes health risks, work safety issue (including quotes from a letter from the president of the Massachusetts AFL-CIO), financial and retirement impacts, benefits to management, and opportunities for change. 

Tobacco News Flash coalition newsletters

“Give Tobacco the Boot” Building Trades Ignite Less Tobacco (BUILT)  www.sbctc.org/built

“Secondhand Smoke – The Health Consequences” WorkSHIFTS, www.wmitchell.edu/TobaccoLaw/resources/Health%20Conseq.pdf

“Blue Collar Workers and Tobacco” WorkSHIFTS,

www.wmitchell.edu/TobaccoLaw/resources/Blue%20Collar%20Workers.pdf

“Designing Effective Tobacco Control Programs for Blue Collar Workers” WorkSHIFTS www.wmitchell.edu/TobaccoLaw/resources/Effective%20Prog.pdf

“When Smokers Quit” one-page flyer from American Lung Association of Missouri

“How to Quit Smoking” printed from www.cdc.gov/tobacco/quit/canquit.htm

“What’s in Tobacco Smoke” one-page flyer by Health EDCO

“Secondhand Smoke - - It’s no joke” Channing L. Bete Co., Inc. 1993.

“You Can Quit Smoking” U.S. Department of Health and Human Services, June, 2000, ISSN-1530-6402

“Breaking Free from Smoking Addiction” Channing L. Bete Co., Inc. 1998.

“Quitting Smoking – Common Problems, Good Solutions” Journeyworks Publishing, 2002.

“How to Help a Friend or Family Member Quit Smoking” Journeyworks Publishing, 2001.

 

 

Contact Information

 

Stanley R. Cowan, R.S.

Community Tobacco Use Prevention Program Coordinator

Missouri Dept of Health & Senior Services

Health Promotion Unit

Division of Community Health

Section of Chronic Disease Prevention & Health Promotion

P. O. Box 570

920 Wildwood

Jefferson City  MO  65102-0570

Phone: 573-522-2820

Fax:  573-522-2899

stan.cowan@dhss.mo.gov