& air quality workforce at the smoke - free palace casino 2 0 14 • m i s s i s s i p p i t o b a c c o d a t a The Palace Casino growth two years after implementing a smoke-free policy T he Palace Casino in Biloxi implemented a smokefree policy when it reopened on June 14, 2011. The casino voluntarily prohibited smoking inside all of the casino facility, with the exception of a smoking lounge located off of the casino floor. The purpose of this brief is to summarize the available data about the potential economic impact of this new policy. The Mississippi Gaming Commission releases quarterly reports that provide data on all of the nonreservation casinos. Although these reports do not release revenue data, the commission does release data on the number of employees, number of slot games, and number of table games for each casino. This brief examines these data for the Palace Casino, in the context of the Coastal Region Casinos. coastal region casinos 1. Beau Rivage 7. Island View Casino 2. Boomtown 8. Isle of Capri 3. Grand Casino 9. Palace Casino 4. Hard Rock Casino 10.Sliver Slipper 5. Hollywood Casino 11.Treasure Bay 6. Imperial Palace n u m b e r o f e m p l oy e e s at t h e pa l a c e c a s i n o 519 525 642 566 620 610 { smoke-free 538 2008/9 2009/10 pe rc e nt o f tota l 14 94 2007/8 2008/9 2010/11 (coa sta l ) 13 2009/10 56 2010/11 2011/12 2012/13 2013/14 = 50 Employees % 0 5 . 6 6 % 1 2 .6 .10% e m ploy e es at th e pa l ac e c a s i n o smoke-free 2007/8 Number of employees at the Palace Casino increased by 16% after going smoke-free. 2011/12 2012/13 2013/14 Percent of coastal employees who work at the Palace Casino increased by 25% after going smoke-free. 1 Air Quality & Workforce at the Smoke-Free Palace Casino : January 2015 n u m b e r o f h o t e l e m p l oy e e s at t h e pa l a c e c a s i n o 75 76 75 96 93 94 { smoke-free 80 2007/8 2008/9 2009/10 5.00% 5.29% 2007/8 2008/9 (coa sta l ) 2012/13 2011/12 = 5 Employees 2013/14 h ote l e m ploy e es at th e pa l ac e c a s i n o 7.43% % 1 8 . 6 2% 2 . 6 9 smoke-free pe rc e nt o f tota l 2010/11 Number of hotel employees at the Palace Casino increased by 23% after going smoke-free. 2009/10 2010/11 2011/12 2012/13 3.9% 2013/14 Percent of coastal hotel employees who work at the Palace Casino increased by 9% after going smoke-free. n u m b e r o f s l o t s at t h e pa l a c e c a s i n o 811 801 804 1,059 1,001 930 { smoke-free 814 2007/8 2008/9 2009/10 2010/11 2011/12 2012/13 2013/14 Air Quality & Workforce at the Smoke-Free Palace Casino : January 2015 Number of slots at the Palace Casino increased by 23% after going smoke-free. = 100 Slots 2 5.55% 2007/8 5.72% 8% 6 . 5 5.59% 2008/9 2009/10 7.33% s l o t s at t h e pa l a c e c a s i n o smoke-free ( c o a s ta l ) p e r c e n t o f t o ta l 2010/11 6.81% 6.47% 2011/12 2012/13 2013/14 Percent of coastal slots located at the Palace Casino increased by 22% after going smoke-free. n u m b e r o f ta b l e s at t h e pa l a c e c a s i n o 15 15 16 26 24 26 smoke-free 14 2008/9 2009/10 2010/11 p e r c e n t o f t o ta l % 4 3 . 3 2007/8 ( c o a s ta l ) % 3 5 . 3 3.46% 2008/9 2009/10 2011/12 3.93% 2010/11 2012/13 2013/14 = 2 Tables 6.07%5.88% 60% ta b l e s at t h e pa l a c e c a s i n o 5. smoke-free 2007/8 { Number of tables at the Palace Casino increased by 66% after going smoke-free. 2011/12 2012/13 2013/14 Percent of coastal tables located at the Palace Casino increased by 66% after going smoke-free. 3 Air Quality & Workforce at the Smoke-Free Palace Casino : January 2015 results methods • Data from the Mississippi Gaming Commission demonstrate that the Palace Casino experienced no reduction in the number of employees, slot games, or table games during the year after implementing a smoke-free policy in June of 2011. • Data from the Coastal Region Casinos demonstrate no reduction in the Palace Casino market share of the region after implementing a smoke-free policy in June of 2011, as measured by the number of employees, slot games, or table games. Although it is possible that the modest increases observed after the smoke-free policy are because the casino increased its square footage during the renovation preceding the smoke-free policy, there was no evidence of a reduction in workforce or the amount of gaming. • Based on the publicly available data from the Mississippi Gaming Commission, the implementation of a smoke-free policy did not harm the Palace Casino. • Palace Casino data are examined for the number of employees, number of slot games, and number of table games for fiscal years 2007/08-2013/14. • Data are also examined for the total number of employees, number of slot games, and number of table games in the Coastal Region. • The New Palace Casino implemented their smokefree policy in mid-June of 2011, and thus these data provide post-policy data. • Raw numbers of employees, slot games, and table games are provided for the New Palace Casino. • Percent of employees, slot games, and table games in the Coastal Region that are housed in the New Palace Casino are also provided. These data illustrate the amount of the casino market in the Coastal Region that the New Palace Casino occupies. cautionary note • The number of employees, slot games, and table games serve as a proxy for revenue (because revenue data is not available) and may not perfectly correlate with revenue. • Although it is not possible to determine to what extent the observed growth is due to the renovation, increased gaming floor, and smokefree policy, these results clearly demonstrate that the Palace Casino did not suffer as a result of implementing a smoke-free policy. Air Quality & Workforce at the Smoke-Free Palace Casino : January 2015 4 A Tobacco Smoke & Methods f r o m t h e 2 013 m i s s i s s i p p i a i r q u a l i t y s t u d y r e p o r t ccording to the Surgeon General, there is no safe level of exposure to secondhand smoke1. Tobacco smoke contains more than 7,000 chemicals, of which at least 69 cause cancer2. Acute risks of secondhand smoke exposure include sudden infant death syndrome, acute respiratory problems, otitis media, increased asthma severity, and myocardial infarction. The numerous chronic and acute harms of tobacco smoke have been documented in many literature reviews1,2. a m e r i c a n h e a r t a s s o c i at i o n Tobacco smoke causes about 46,000 heart disease deaths and 3,400 lung cancer deaths. Studies show that the risk of developing heart disease is about 25-30 percent higher among people exposed to environmental tobacco smoke at home or work. Secondhand smoke promotes illness, too. Children of smokers have many more respiratory infections than do children of nonsmokers. Nonsmoking women exposed to tobacco smoke are also more likely to have low-birthweight babies. american cancer society Secondhand smoke (SHS) is classified as a “known human carcinogen” (cancer-causing agent) by the US Environmental Protection Agency (EPA), the US National Toxicology Program, and the International Agency for Research on Cancer (IARC), a branch of the World Health Organization. Tobacco smoke contains more than 7,000 chemical compounds. More than 250 of these chemicals are known to be harmful, and at least 69 are known to cause cancer. SHS has been linked to lung cancer. There is also some evidence suggesting it may be linked with childhood leukemia and cancers of the larynx (voice box), pharynx (throat), brain, bladder, rectum, stomach, and breast. u . s . e n v i r o n m e n ta l p r o t e c t i o n a g e n c y Health studies have shown a significant association between exposure to fine particles and premature death from heart or lung disease. Fine 5 particles can aggravate heart and lung diseases and have been linked to effects such as: cardiovascular symptoms; cardiac arrhythmias; heart attacks; respiratory symptoms; asthma attacks; and bronchitis. These effects can result in increased hospital admissions, emergency room visits, absences from school or work, and restricted activity days. Individuals that may be particularly sensitive to fine particle exposure include people with heart or lung disease, older adults, and children. methods n October through early December 2012, I indoor air quality was assessed in nine Mississippi municipalities. We applied a purposeful convenience sample rather than a random sample of venues for logistic reasons. Also, a small random sample of venues would unlikely be representative of the entire population of venues in the state. Three of the communities had 100% comprehensive smokefree ordinances (Clinton, Jackson, Pearl), three had partial smoke-free ordinances (Gulfport, McComb, Olive Branch), and three had no ordinance regarding smoking (Biloxi, Cleveland, West Point). The results reported here are from one smoke-free casino with no observed smoking and three smoking-permitted casinos with observed smoking. microgr ams per cubic meter ( /m 3) Air quality is assessed based on Particulate Matter (PM). The size of particles is directly linked to their potential for causing health problems. Very small particles generally pass through the throat and nose and enter the lungs. Once inhaled, these particles can affect the heart and lungs and cause serious health effects. Air quality levels are defined as the mass of particulate matter ≤2.5 microns in diameter in a volume of air: micrograms per cubic meter (μg/ m3). A microgram is one millionth of a gram. A cubic meter (approximately 39” X 39” X 39”) describes a volume of air that is about the size of a washing machine. Air Quality & Workforce at the Smoke-Free Palace Casino : January 2015 Methods & References f r o m t h e 2 013 m i s s i s s i p p i a i r q u a l i t y s t u d y r e p o r t We used a TSI SidePak Monitor using the protocol developed by the Roswell Park Cancer Institute4 to measure the concentration of fine particle air pollution. The specific class of respirable suspended particles (RSPs) monitored was particulate matter ≤2.5 microns in diameter (PM2.5), a commonly used marker for tobacco smoke exposure5,6. Air quality studies typically monitor particles of this size because PM2.5 are released in significant amounts from burning cigarettes, are easily inhaled deep into the lungs, and cause a variety of adverse health effects including cardiovascular and respiratory morbidity and death. t h e r o s w e l l pa r k c a n c e r i n s t i t u t e protocol7 The number of people inside the venue and the number of burning cigarettes were recorded during sampling. These observations were averaged over the time inside the venue to determine the average number of people on the premises and the average number of burning cigarettes. Room dimensions were also determined using a combination a counting of construction materials of a known size such as floor tiles or estimation. Room volumes were calculated from these dimensions. The active smoker density was calculated by dividing the average number of burning cigarettes by the volume of the room in meters. A TSI SidePak AM510 Personal Aerosol Monitor (TSI, Inc., St. Paul, MN) was used to sample and record the levels of respirable suspended particles in the air. The SidePak uses a built-in sampling pump to draw air through the device where the particulate matter in the air scatters the light from a laser. This portable light-scattering aerosol monitor was fitted with a 2.5 μm impactor in order to measure the concentration of particulate matter with a massmedian aerodynamic diameter less than or equal to 2.5 μm, or PM2.5. Tobacco smoke particles are almost exclusively less than 2.5 μm with a massmedian diameter of 0.2 μm. The Sidepak was used with a calibration factor setting of 0.32, suitable for secondhand smoke. In addition, the SidePak was zero-calibrated prior to each use by attaching a HEPA filter according to the manufacturer’s specifications. Sampling was discreet in order not to disturb the occupants’ normal behavior. For each venue, the first and last minute of logged data were removed because they are averaged with outdoor and entryway air. The remaining data points were averaged to provide an average PM2.5 concentration within the venue. references 1. U.S. Department of Health and Human Services. The health consequences of involuntary exposure to secondhand smoke: a report of the Surgeon General. 2006. 2. U.S. Department of Health and Human Services. How tobacco smoke causes disease: the biology and behavioral basis from smoking-attributable disease - a report of the Surgeon General. 2010. 3. Travers M. Indoor Air Monitoring Protocol. Roswell Park Cancer Institute. 2006. 4. Connolly GN, Carpenter CM, Travers MJ, et al. How smoke-free laws improve air quality: a global study of Irish pubs. Nicotine Tobacco Research, 2009;11:600–5. 5. (Link) --> CDC. Indoor air quality in hospitality venues before and after implementation of a clean indoor air law—western New York, 2003. MMWR 2004;53:1038–41. Air Quality & Workforce at the Smoke-Free Palace Casino : January 2015 6 u s e pa a i r Q u a l i t y i n D e X Air Qualit y PM 2.5 (μg/m3) ≥251 People wit h he ar t or lung dise ase, older adult s, and children should remain indoors and ke ep activit y levels low. Ever yone else should avoid all physical activit y out doors. 151-250 People wit h he ar t or lung dise ase, older adult s, and children should a void all physical activit y out doors. Ever yone else should avoid prolonge d or he av y exer tion. Unhealthy 66 -150 People wit h he ar t or lung dise ase, older adult s, and children should avoid prolonge d or he a v y exer tion. Ever yone else should re duce prolonge d or he av y exer tion. Unhealthy for S ensitive Groups 41- 65 People wit h he ar t or lung dise ase, older adult s, and children should re duce prolonge d or he a v y exer tion. Moderat e 16 -40 Unusuall y sensitive p e ople should consider re ducing prolonge d or he av y exer tion. Good ≤15 None. Hazardous Ver y Unhealthy source 7 Health Advisor y : the 2013 mississippi air quality study report Air Quality & Workforce at the Smoke-Free Palace Casino : January 2015 smoke-free | pa l ac e c a s i n o Smoke-‐Free Biloxi Casino 160 140 ai r Qualit y i n D eX 120 Ver y Unhe alt hy PM2.5 PM2.5 100 Very Unhealthy Unhe alt hy Unhealthy 80 Unhealthy or Sensi9ve Groups Unhe altfhy for S ensitive Groups Moderate M o derat e 60 Good Goo d Air Quality 40 Air Q ualit y 20 0 14:46:18 14:48:48 14:51:18 14:53:48 14:56:18 14:58:48 15:01:18 15:03:48 15:06:18 15:08:48 Time TIME PM2.5 = 1.3 μg/m3 This PM2.5 level is wit hin t he current U.S. Environment al Prot e ction Agenc y ’s t hreshold for Goo d Air Q ualit y. source : venue 30 the 2013 mississippi air quality study report Air Quality & Workforce at the Smoke-Free Palace Casino : January 2015 8 smoking allowed | b i loXi c as i n o Smoking Allowed Biloxi Casino 160 140 120 ai r Qualit y i n D eX Ver y Unhe althy PM2.5 PM2.5 100 Very Unhealthy Unhe althy Unhealthy 80 Unhealthy for Sensi8ve Groups Unhe althy for S ensitive Groups Moderate M o derat e 60 Good Goo d Air Quality 40 Air Q ualit y 20 0 22:12:59 22:15:29 22:17:59 22:20:29 22:22:59 22:25:29 22:27:59 Time TIME PM2.5 = 57.9 μg/m3 This PM2.5 level exce e ds the current U.S. Environment al Prot e ction Agenc y ’s t hreshold for Unhe alt hy for S e nsit ive Groups Air Q ualit y. venue 29 source 9 : the 2013 mississippi air quality study report Air Quality & Workforce at the Smoke-Free Palace Casino : January 2015 s m o k iSmoking n g a lA lo w e dBiloxi | bCiasino loXi c as i n o llowed 160 140 ai r Qualit y i n D eX 120 Ver y Unhe althy Very Unhealthy PM2.5 PM2.5 100 Unhe alt hy Unhealthy 80 Unhe althy ffor S ensitive Groups Unhealthy or Sensi9ve Groups M oModerate derat e 60 GoGood od 40 AirAir QQualit uality y 20 0 21:21:04 21:23:34 21:26:04 21:28:34 21:31:04 21:33:34 Time TIME PM2.5 = 4 4.9 μg/m3 This PM2.5 level exce e ds the current U.S. Environment al Prot e ction Agenc y ’s t hreshold for Unhe alt hy for S e nsit ive Groups Air Q ualit y. venue 28 } f o r source m o r e : the 2013 mississippi air quality study report i n f o r m a t i o n c o n t a c t Robert McMillen, Ph.D. Social Science Research Center Mississippi State University ro b e r t . mc m i l l e n @ s s rc . ms s tat e . e d u One Research Blvd., Suite 103 P: 662.325.7127 Starkville, MS 39759 F: 662.325.7966 w w w. s s rc . ms s tat e . e d u w w w. ms s tat e . e d u ms to bacco data . o rg Air Quality & Workforce at the Smoke-Free Palace Casino : January 2015 10
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