CITY OF HEALDSBURG
CITY COUNCIL
SPECIAL MEETING AGENDA
Healdsburg Golf Club at Tayman Park Meeting Date: April 18, 2025 Clubhouse Time: 9:00 AM
927 S. Fitch Mountain Road Date Posted: April 14, 2025
Healdsburg, CA 95448
(707) 431-3317
www.healdsburg.gov
1. CALL TO ORDER/ROLL CALL
A. Mayor’s Welcome
B. City Manager’s Remarks and Agenda Overview
2. DISCUSSION ON CITY COUNCIL GOALS FOR FY 2025-26
A. Public Comment
B. Ice Breaker
C. Council Interests & Best Practices
D. City Manager’s Update – Overview of the City Budget
E. Discuss Council Goals for FY 2025-26
F. Lunch
G. Continued Goal Setting Discussion and Deliberation
H. Public Comment
I. Closing Comments
3. ADJOURN CITY COUNCIL SPECIAL MEETING
SB 343 - DOCUMENTS RELATED TO OPEN SESSION AGENDAS: Any writings or documents provided to a majority of the City Council/Redevelopment Successor Agency Board regarding any item on this agenda after the posting of this agenda and not otherwise exempt from disclosure, will be made available for public review in the City Clerk's Office located at City Hall, 401 Grove Street, Healdsburg, during normal business hours. If supplemental materials are made available to the members of the City Council/Redevelopment Successor Agency Board at the meeting, a copy will be available for public review at the City Hall Council Chambers, 401 Grove Street, Healdsburg, CA 95448.
These writings will be made available in appropriate alternative formats upon request by a person with a disability, as required by the Americans with Disabilities Act.
DISABLED ACCOMMODATIONS: The City of Healdsburg will make reasonable accommodations for persons having special needs due to disabilities. Please contact Raina Allan, City Clerk, at Healdsburg City Hall, 401 Grove Street, Healdsburg, California, 431-3317, at least 72 hours prior to the meeting, to ensure the necessary accommodations are made.
CITY OF HEALDSBURG
CITY COUNCIL AGENDA STAFF REPORT
MEETING DATE: April 18, 2025
SUBJECT: Discussion on City Council Goals for FY 2025-26 PREPARED BY: Raina Allan, City Clerk
STRATEGIC INITIATIVE(S):
Establish Proactive Policies/Programs to Continue to Promote Economic Diversity & Sustainable Growth
Pursue Initiatives that Promote Environmental Stewardship Expand Affordable Housing Opportunities
Maintain and Improve Infrastructure and Facilities
Provide Effective Governance
Maintain and Enhance Public Health and Safety
Provide Resident-Driven Community Services
RECOMMENDED ACTION(S):
Receive presentation, discuss Council Goals for FY 2025-26 and provide direction to staff.
COMMUNITY ENGAGEMENT/OUTREACH:
The City Council’s annual goal setting session offers the City Council an opportunity to take stock of the current projects underway in the City and to provide direction on goals for the upcoming fiscal year. The 2025 goal setting session will identify goals for the fiscal year beginning on July 1, 2025 and concluding on June 30, 2026, although certain projects and programs are likely to take longer than one year to complete. At this year’s session, staff and our facilitator will provide an overview of desired outcomes for the day, a summary of ongoing work and a brief overview of the City’s financial condition across major funds. The majority of the time will be reserved for City Council discussion.
This work session is open to the public and opportunities for Public Comment will be provided at both the beginning and the end of the day. Because the work session is not a regular meeting of the City Council, no formal action will be taken. Based on City Council direction at the conclusion, staff anticipates bringing a summary of the proposed FY2025/26 goals to a future City Council meeting for consideration and adoption.
2.1 Packet Pg. 2
In order to assist the City Council in identification of goals for the upcoming fiscal year, the attached document includes the following exhibits:
- A summary of the City Council’s seven Strategic Initiatives from the City’s current Strategic Plan. All City Council goals are categorized under one of these initiatives. - A status update on City Council goals for the current fiscal year (2024-25) - A brief summary of 37 potential goals for the upcoming year that have been identified by City staff. In general, these will be ongoing projects or regulatory obligations that are familiar to the City Council and already incorporated into the City’s work plan. In some instances, the City Council may wish to discuss them during the Goal Setting session to determine if they should remain on the list or be modified in some way. - Potential goals for the upcoming year that were submitted by councilmembers in preparatory meetings with the facilitator.
- A “dashboard” showing the staff-proposed goals for the upcoming year in chart form.
ATTACHMENT(S):
Agenda Packet Goal Setting - Attachment FINAL
Exhibit 5 - Draft Goals Dashboard FINAL
Public Comment
2.1 Packet Pg. 3
ATTACHMENT A
WORKING DRAFT
FY 25/26 Goals for City of Healdsburg
Background for the April 18th Goal Setting Council Retreat This document is a draft of potential goals for 2025/2026 for the Healdsburg City Council to review and provide direction on at the April 18th Goal Setting Retreat. To help provide a more comprehensive overview for Council consideration, staff and the consultant have prepared the following:
1. Used the City’s Strategic Initiatives to update and sort the FY 2024/2025 Goals. (Exhibit 1)
2. Removed goals that have been completed this year or are on track to be completed by this summer. (Exhibit 2).
3. Edited some goals for improved specificity or adjusted them to be more realistic for completion within the next year. (Exhibit B)
4. Recommended new goals based on emerging opportunities, identified organizational or community needs, or external requirements. Merged these new goals with the updated FY 24/25 goals. (Exhibit 5)
5. Prepared brief descriptions of each goal for context and explanations. (Exhibit 3)
6. Solicited input from individual Council Members regarding new goals that each Council Member was interested in bringing forward and discussing with their colleagues. (Exhibit 4) Council Members will also have the opportunity to propose new goal areas during the retreat discussion.
EXHBIT 1
City of Healdsburg Strategic Initiatives
2.1.a
Packet Pg. 4
Attachment: Agenda Packet Goal Setting - Attachment FINAL (4837 : City Council Goal Setting - FY2025-26) EXHBIT 2
FY 24/25 Completed Goals & Updated Goals
COMPLETED GOALS
(partial list) TO BE COMPLETED BY 7/25 REPLACED BYUPDATED SPECIFIC GOALS ▪ Housing Element Work Group
(HEWG)
▪ Municipal Recycled Water
Pipeline
▪ Fire Fuels Reduction
▪ Complete New Fire Substation
▪ Complete Park Naming Process
▪ Arts and Culture Commission
▪ Streamline Process to Watch
Council Meetings
▪ Select a City Flower/Plant
and/or Tree
▪ Villa Chanticleer Capital
Replacement Plan
▪ Foley Family Community
Pavilion
▪ Library Upgrades
▪ Consider Strengthening and
Expanding the Local Preference
Policy
▪ Housing Element
Implementation / Land Use
Code Updates
▪ Saggio Hills Affordable Housing
▪ 155 Dry Creek Affordable
Housing
▪ Aquifer Storage and Recovery
(ASR) Wells
▪ Begin the Process of the LongTerm Visioning for the
Community Center and Pool
▪ Implement Community Wildfire
Protection Plan
▪ Arts and Culture Master Plan
Implementation
EXHBIT 3
DRAFT – FY 25/26 Goal Descriptions
Goal Description New
Funding?
ECONOMIC DIVERSITY & SUSTAINABLE GROWTH
Housing Element Land Use
Code Updates (Density Bonus
Ordinance, SB 9 Ordinance, SB
684 & SB 1123 Ordinance)
The Housing Element calls for amendments to the City’s Land Use Code that expand housing development capacity and reduce constraints, including increasing density. Recent changes in State law mandate opportunities for infill development at higher densities which need to be incorporated into the Land Use Code.
Minimal
Station Area Specific Plan –
Planning Grant
The City has been awarded a $1.13M grant to plan for increased housing, employment, and multi-modal connectivity within ½ mile of the planned SMART station, including the South Entry Area.
Anticipated to be a 3-year planning effort with significant public outreach and engagement. Work for the upcoming year would be consultant selection and project launch.
No
Objective Design Standards Changes in State housing law limit discretionary review, such as design review, of certain housing projects. Objective Design Standards are guidelines that involve no subjective judgment by a public official and can help ensure that projects meet community design goals.
Minimal
2025 CA Building Code
Update/Adoption
The triennial update of the CA Building Code must be adopted prior to January 1, 2026. The 2025 California building code update, primarily focuses on energy efficiency, mandates increased use of heat pumps in new homes and certain commercial buildings, aiming to reduce greenhouse gas emissions and save energy costs.
No
2.1.a
Packet Pg. 5
Attachment: Agenda Packet Goal Setting - Attachment FINAL (4837 : City Council Goal Setting - FY2025-26) The CMS includes measure BE-2.2 requiring revisiting the City’s need for a building electrification ordinance at each building code cycle update. Additionally, during adoption of the 2025 Building Code the City Council could consider adopting portions of the CalGreen code to further promote energy efficiency within development.
Update Parklet Program for
2026 and Beyond
The current licenses for parklets will expire early in January 2026.
Based on City Council direction, staff will update the program guidelines to address administrative issues and policy objectives, and complete new license agreements with businesses that wish to continue with the program.
No
ENVIRONMENTAL STEWARDSHIP *From Climate Mobilization Study Update of Tree Ordinances –
Protection & List*
The Climate Mobilization Strategy Action CS-1.2 calls for the development of a new Tree Protection Ordinance to include protection for native and heritage trees. In addition the CMS called an updated Recommended Tree List that better reflects Healdsburg’s climate and trees appropriate for planting along rights-of-way that won’t damage sidewalks.
No
Complete ASR Test Wells &
Identify Future Funding*
The Aquifer Storage and Recovery (ASR) wells will increase the City’s water supplies during the dry summer months when surface waters (Russian River) are the most limited. This project will prove the availability and capacity of water stored within deep-aquifers underneath the City of Healdsburg. A subsequent phase, subject to Federal or State funding, will construct the final wells and place them into operation.
Yes, local
match
depending
on grants
Renewable Energy
Procurement Plan*
CMS measure BE-1.1 and BE-1.2 include actions to formulate renewable energy procurement plan based upon forecasted energy needs due to building and transportation electrification.
No
AFFORDABLE HOUSING
Inclusionary Housing
Ordinance Update – Update
in-lieu fee for smaller projects
Update in-lieu fee for smaller projects including the definition of smaller projects to decrease cost barriers for small infill housing projects.
No
Support permitting process for
Saggio Hills Affordable
Housing & 155 Dry Creek
Affordable Housing
Assist with processing and facilitating the permitting process for these key City-sponsored affordable housing projects to commence construction.
No
Facilitate the Exploration of a
Community Housing Land
Trust
Support the development of a private Housing Land Trust to secure land for future RHNA compliance and to increase moderate to middleincome housing opportunities through land banking and other programs.
Not at this
stage
Complete Renovations of
Victory Studios & Apartments
Oversee the finalization of renovations to the City-owned Victory Studios & Apartments to provide an improved quality of life for tenants and to address neighborhood integration.
No, grant
funded
INFRASTRUCTURE & FACILITIES *From Climate Mobilization Study
PARKS / LANDSCAPING / STREETS / BIKES / PEDESTRIAN
Healdsburg Avenue Complete
Street Project – Design*
Complete design process for this project which will reduce the vehicle lanes to provide protected bike lanes and improve safety for all users from Powell to city limits.
Not now.
Funding
shortfall is
possible.
Grove Street Neighborhood
Plan – Begin Construction*
Initiate construction of this project which will include curb gutter and sidewalk for project limits from grant to Dry Creek, as well as making other improvements for all users.
Not now.
Funding
2.1.a
Packet Pg. 6
Attachment: Agenda Packet Goal Setting - Attachment FINAL (4837 : City Council Goal Setting - FY2025-26) shortfall is
possible.
Ward Street Neighborhood
Plan – Infrastructure Planning
Determine scope of improvements on Adeline, Ward, Palm, and South University to bring this neighborhood up to expected standards for pavement condition, drainage, and ADA compliant walkways.
No
Active Transportation Plan
Implementation
Discuss possible low construction cost project to repurpose parking on Front Street from Healdsburg Avenue to the entrance to Foss Creek pathway.
No
Complete March Avenue
Pavement Rehabilitation &
Enhanced Crossing @ Lupine
& Prentice*
The project will reconstruct the pavement on this heavily used collector street and will also make pedestrian improvements.
No
WATER
Dry Creek Well Field -
Construction Drawings
This project restores and improves pumping capacity at the Dry Creek Well field located within the City’s Corporation Yard in order to source more water from Lake Sonoma and lessen the City exposure to future droughts. This effort will help mitigate shrinking water supplies within the Upper Russian River directly related to the loss of the Potter Valley Project. Development of the construction drawings and documents is not currently funded and will require appropriation of additional CIP funds.
Yes
Sonoma Water Purchase
Agreement for Additional
Water
The current water supply agreement with Sonoma Water expires at the end of 2025. Renewal of this contract and purchasing of additional stored water will increase the City drought resiliency, especially when considering the loss of the Potter Valley Project.
No
INFRASTRUCTURE
Evaluate and Implement Flood
Monitoring Technology
Plan locations for stream gauges, cameras, and rain gauges to better track and predict flooding.
Minimal at
this stage.
EFFECTIVE GOVERNANCE
Update the City’s Five-Year
Strategic Plan
The City’s current, which serves as a high-level vision document, fiveyear Strategic Plan runs through 2025. Development of a new Strategic Plan will be a multi-pronged effort involving significant community engagement and multiple meetings of the City Council. $60-80k
anticipated
Review City Council Policy for
Taking Positions on Legislation
and Ballot Measures
At a previous Council meeting, the City Council agreed to consider this item as part of the annual goal setting meeting. The Council may opt to address this item individually and/or as part of a larger review of the City Council protocols document that was last updated in 2018.
No
Determine whether to reestablish Zoom comments for
Council/Commission meetings
At a previous Council meeting, the City Council agreed to consider this item as part of the annual goal setting meeting. The Council may opt to address this item individually and/or as part of a larger review of the City Council protocols document that was last updated in 2018.
No
PUBLIC HEALTH & SAFETY
FIRE
Fire Department Standards
of Cover Study
A contract was awarded at the April 8th City Council meeting. This project will also include a Community Risk Assessment and a Strategic Plan for the Fire Department. It is expected to take roughly six months to complete.
No
Fit and Finish Fire Substation After completing construction, complete the furnishing of the station and relocate equipment so that the station will be ready to be upstaffed during Red Flag Warnings and High Fire Danger Days.
No
2.1.a
Packet Pg. 7
Attachment: Agenda Packet Goal Setting - Attachment FINAL (4837 : City Council Goal Setting - FY2025-26) Roll-out of Wildfire
Mitigation Program – Parcelto-Parcel Inspections
Software has been selected for the Parcel-to-Parcel Wildfire Mitigation Assessment Program, with the intent for future use and funding through countywide Measure H. Program buildout and launch targeted for late spring to early summer.
No
Development of a
Community Chipper
Program & Funding
Exploration
Initial staff goal is to launch the program this summer. The long-term objective is to secure funding for the program through Measure H via FireSafe Sonoma.
No
City Open Space Wildfire
Management Plan
Continue collaborative wildfire mitigation work with the Community Services Department on both the Fitch Mountain Open Space Preserve (FMOSP) and Healdsburg Ridge Open Space Preserve (HROSP). Develop shared budget and strategy to continue Fire Fuel Reduction work.
No
POLICE
Police Recruitment &
Retention Initiative
Develop a structured, comprehensive program to attract and retain toptier candidates and minimize vacancies which negatively impact department operations
No
Strengthen emergency
preparedness and disaster
response
Implement targeted outreach campaigns to enhance disaster response and preparedness for vulnerable populations and high-risk areas.
No
PUBLIC SAFETY
Police & Fire Facilities
Assessments and Plans
Conduct comprehensive assessments of police and fire facilities and develop a plan to meet current and future operational needs.
No
COMMUNITY SERVICES
POLICIES/PROGRAMS
Implement Arts & Culture
Master Plan – research
branding/identity, future
funding, % for the Arts
Continue implementation of the Arts & Culture Master Plan with a focus on incorporating artistic components into the Foley Family Community Pavilion project; developing branding and identity for the arts in Healdsburg, and research and develop a recommendation for a proposed Percent for Arts ordinance.
No
Revise City-HUSD Joint Use
Agreement
Update the agreement between the City and Healdsburg Unified School District for sharing of facilities to address recent improvements, renovations, and additions to facilities owned and operated by each organization.
No
Launch the Foley Family
Community Pavilion
Operational Plan
Develop an operational plan that would include operating and use policies, rental opportunities and fees, staffing, and maintenance of the facility.
Not at this
stage
COMMUNITY FACILITIES
Develop an Implementation
Plan and Funding Strategy
for Abel De Luna
Community Center
Multicultural Center Vision
Develop a strategy and funding plan for implementing the vision set forth in the Healthcare Foundation’s Multicultural Center Plan which is focused on the Community Center facility. Work would be implemented in collaboration with the Healthcare Foundation of Northern Sonoma County and Corazon Healdsburg.
Not at this
stage. $500k
County
grant
anticipated.
PARK / OPEN SPACE
Laura Fish Somersal Park
Development – Complete
Design & Begin Phase 1
Construction
Complete the design and begin construction of Phase 1 of the park to include a multipurpose trail, creek restoration, and support facilities such as parking and restrooms.
TBD. Staff
working to
align scope
with
available
funding.
2.1.a
Packet Pg. 8
Attachment: Agenda Packet Goal Setting - Attachment FINAL (4837 : City Council Goal Setting - FY2025-26) Badger Park Redevelopment
– Complete Design & Begin
Phase 1 Construction
Complete the design and begin construction of Phase 1 of the park to include enhanced river access and installation of permanent restrooms TBD
EXHBIT 4
Proposed New Goals Submitted by Council Members
(Organized by Council Member Name)
Mayor Evelyn Mitchell
▪ Build public trust & enhance City communication
▪ Update Council Protocols
▪ Support Latino community and immigration issues
Vice Mayor Chris Herrod
▪ Host a meeting with business leaders to discuss Healdsburg’s economic trends ▪ Improve public trust and public outreach by the City
▪ Receive a report of zoning options for additional housing ▪ Review the City’s Naming Policy for Community Assets
Council Member Ron Edwards
▪ Support a Compassionate Communities End-of-Life program at the Senior Center ▪ Increase investment in streets and sidewalks
▪ Update the City’s Governance Policy to reflect districts, including holding community meetings in districts ▪ Update the historic home policy to better identify which homes have historic relevance Council Member David Hagele
▪ Review options to eliminate/reduce barriers (costs, fees, streamlining, policies) to encourage housing development within our current guidelines
▪ Improve City information and outreach to the community ▪ Review & update Council Protocols
▪ Install Water Bottle Filling Stations at Little League Field and Rec Park/Prune Packers stadium ▪ Council Chamber Improvements/Upgrades
Council Member Ariel Kelley
▪ Identify sources for revenue for infrastructure and roadway repair needs ▪ Improve system to manage constituent requests and issues ▪ Improve City information and proactive outreach communication to the community ▪ Prioritize the creation of an inclusive "magical bridge" playground for Laura Fish Somersal park ▪ Explore the purchase of permanent recreational access easement for the Syar river pathway at Badger Park EXHBIT 5
Draft 25/26 Goal Dashboard (see next page)
2.1.a
Packet Pg. 9
Attachment: Agenda Packet Goal Setting - Attachment FINAL (4837 : City Council Goal Setting - FY2025-26)
COMMUNITY
SERVICES
PUBLIC HEALTH &
SAFETY
EFFECTIVE
GOVERNANCE
INFRASTRUCTURE &
FACILITIES
AFFORDABLE
HOUSING
ENVIRONMENTAL
STEWARDSHIP
ECONOMIC
DIVERSITY &
SUSTAINABLE
GROWTH
POLICIES/PROGRAMS
§ Implement Arts & Culture
Master Plan – research
branding/identity, future
funding, % for the Arts
§ Revise City-HUSD Joint Use
Agreement
§ Launch the Foley Family
Community Pavilion
Operational Plan
COMMUNITY FACILITIES
§ Develop an Implementation
Plan and Funding Strategy for
Abel De Luna Community
Center Multicultural Center
Vision
PARK / OPEN SPACE
§ Laura Fish Somersal Park
Development – Complete
Design & Begin Phase 1
Construction
§ Badger Park Redevelopment –
Complete Design & Begin
Phase 1 Construction
FIRE
§ Fire Department
Standards of Cover Study
§ Fit and Finish Fire
Substation
§ Roll-out of Wildfire
Mitigation Program –
Parcel-to-Parcel
Inspections
§ Development of a
Community Chipper
Program & Funding
Exploration
§ City Open Space Wildfire
Management Plan
POLICE
§ Police Recruitment &
Retention Initiative
§ Strengthen Emergency
Preparedness and
Disaster Response
BOTH
§ Police & Fire Facilities
Assessments and Plans
§ Update the City’s FiveYear Strategic Plan
§ Review City Council
Policy for Taking Positions
on Legislation and Ballot
Measures (Consider
expanding to full review
of council protocols)
§ Determine whether to reestablish Zoom
comments for
Council/Commission
meetings
PARKS / LANDSCAPING
STREETS / BIKES / PEDESTRIAN
§ Healdsburg Avenue
Complete Street Project –
Design*
§ Grove Street Neighborhood
Plan – Begin Construction*
§ Ward Street Neighborhood
Plan – Infrastructure
Planning
§ Active Transportation Plan
Implementation*
§ Complete March Avenue
Pavement Rehabilitation &
Enhanced Crossing @
Lupine*
*From Climate Mobilization
Study
WATER
§ Dry Creek Well Field -
Construction Drawings
§ Sonoma Water Purchase
Agreement for Additional
Water
INFRASTRUCTURE
§ Evaluate and Implement
Flood Monitoring
Technology
§ Inclusionary Housing
Ordinance Update –
Update in-lieu fee for
smaller projects
§ Support permitting
process for Saggio Hills
Affordable Housing &
155 Dry Creek
Affordable Housing
§ Facilitate the
Exploration of a
Community Housing
Land Trust
§ Complete Renovations
of Victory Studios &
Apartments
§ Update of Tree
Ordinances –
Protection & List*
§ Complete ASR Test
Wells & Identify
Future Funding*
§ Renewable Energy
Procurement Plan*
*From Climate
Mobilization Study
§ Housing Element Land
Use Code Updates
(Density Bonus
Ordinance, SB 9
Ordinance, SB 684 & SB
1123 Ordinance)
§ Station Area Specific Plan
– Planning Grant
§ Objective Design
Standards
§ 2025 CA Building Code
Update/Adoption
§ Update Parklet Program
for 2026 and Beyond
EXHIBIT 5 - DRAFT GOALS DASHBOARD -- CITY OF HEALDSBURG – 25/26 City Council Goals & Active Projects
2.1.b
Packet Pg. 10
Attachment: Exhibit 5 - Draft Goals Dashboard FINAL (4837 : City Council Goal Setting - FY2025-26)
HEARTS OF SONOMA COUNTY
PARTNER ORGANIZATIONS:
Aliados Health
American Heart Association of
the North Bay
Community Action Partnership
Sonoma County
Ceres Community Project
Kaiser Permanente Santa Rosa
Northern California Center for
Well-Being
Partnership HealthPlan of
California
Healthy Petaluma
Petaluma Health Center
Santa Rosa Community Health
Sutter Santa Rosa Family
Medicine Residency
Providence Medical Group
Providence Community Health
Programs
Sonoma County Department of
Health Services
Sutter Medical Group of the
Redwoods
Tobacco Free Sonoma County
Community Coalition
April 14, 2025
Dear Council members,
Hearts of Sonoma County (HSC) encourages you to prioritize the health of Healdsburg youth as part of your current strategic planning and goal setting by strengthening your city’s pioneering tobacco retail license (TRL) ordinance. Youth are at risk from the alarming increase in use and acceptance of flavored tobacco and electronic cigarettes over the past few years. Vaping represents a serious threat to the immediate and long-term health of young people, including hospitalization, permanent lung damage, and even death. Electronic Smoking Devices (ESDs) use (e.g., ecigarettes and vapes) is linked to mood disorders and nicotine causes permanent cognitive changes in the developing brain (FDA). In addition, teens who use e-cigarettes are more likely to progress to smoking cigarettes in the future, with all the health risks this entails, i or to become dual users of both electronic and regular cigarettes, which carries the greatest health risks of all.ii
For this reason, we urge you to include updating and adopting a comprehensive TRL for Healdsburg that includes a ban on e- cigarette sales, discounting, and that sets a minimum price as one of your goals for this year. There is strong support for comprehensive, standardized TRL policies across all local jurisdictions in Sonoma County. Public health representatives, healthcare providers, nonprofit leaders, parents, and advocates for our most marginalized and vulnerable community members support updating and strengthening TRLs to protect our youth.
Hearts of Sonoma County is an initiative launched in 2014 with the goal to prevent heart attacks and strokes—leading causes of premature death and disability in Sonoma County—through prevention, earlier detection, and better management of chronic health conditions such as hypertension, diabetes, and obesity. Nicotine use is a key risk factor for hypertension and cardiovascular disease. Working collaboratively with health systems, hospitals, medical providers, community health centers, and community-based organizations, HSC has successfully contributed to improving adult blood pressure control in Sonoma County—a key step
2.1.c
Packet Pg. 11
Attachment: Public Comment (4837 : City Council Goal Setting - FY2025-26) Hearts of Sonoma County TRL Letter
April 14, 2025
The vision of Hearts of Sonoma County is to reduce heart attacks and strokes as a major killer of people in Sonoma County. Hearts of Sonoma County is improving cardiovascular disease prevention and management through active collaboration across healthcare organizations, community and social service partners, and community members to inspire good health and achieve health equity. for reducing heart attacks and strokes in Sonoma County. iii
We know that nicotine addiction often originates in adolescence with studies showing that close to 90% of adult daily smokers started before the age of 18, and that teens are more susceptible to nicotine addiction.iv According to the Centers for Disease Control and Prevention (CDC), youth are more likely than adults to use e-cigarettes. The updated 2024 “Monitoring the Future” National Survey shows that 6% of 8th graders, 10% of 10th graders, and 15% of 12th graders have vaped nicotine in the past 30 days.v One vaping device can contain as much nicotine as 590 cigarettes.vi Local data reflect these disturbing national trends. In Sonoma County as of January 2024, 8% of 9th graders and 13% of 11th graders reported using e-cigarettes recently. Among alternative school students, the number was 30%.vii This epidemic in vaping is driven by the marketing of flavored tobacco products as well as misunderstanding among youth about the dangers of these products.viii Nicotine use in any form remains the single largest preventable cause of disease and premature death and is directly responsible for one in five deaths nationally.ixIn Sonoma County, 11% of premature deaths are caused by tobacco smoking.
x
Vaping among young people threatens to undo decades-long reductions in smoking and tobacco use, with devastating consequences for the long-term health of this generation, the healthcare sector, and our community.
Changes in public policy are among the most effective approaches to achieve optimal health outcomes for people. Considering current alarming trends, HSC strongly urges you to consider strengthening Healdsburg’s TRL. Furthermore, we strongly recommend consistency with other TRLs in the county.
Thank you for your partnership in protecting and championing the lifelong health of youth in Healdsburg and throughout Sonoma County.
Sincerely,
Hearts of Sonoma County Leadership Team on behalf of HSC partners
2.1.c
Packet Pg. 12
Attachment: Public Comment (4837 : City Council Goal Setting - FY2025-26) Hearts of Sonoma County TRL Letter
April 14, 2025
Hearts of Sonoma County Leadership Team
Karissa Moreno MA
Executive Director
Center for Well-Being
Kayla Flores Tindall, MD MPH
Family Medicine Provider
Community, Integrative, & Lifestyle Medicine
Curriculum Director
KP Santa Rosa Family Medicine Residency
Lifestyle Medicine Facility Lead
Kaiser Permanente Santa Rosa
Beth Paul
Senior Director of Population Health
Sonoma Community Action Network
Danny Toub MD AAHIVS, Core Faculty
Sutter Santa Rosa Family Medicine Residency
Population Health Equity Clinician Lead
Santa Rosa Community Health
Lori Houston
Community Health Planning Analyst
Sonoma County Dept of Health Services
i Rand Corporation (2018): https://www.rand.org/news/press/2018/10/02.html ii Stanton A. Glantzl, Nhung Nguyen, Andre Luiz Oliveira da Silva. Population-Based Disease Odds for E-Cigarettes and Dual Use versus Cigarettes. NEJM Evidence 2024; EVIDoa2300229. https://evidence.nejm.org/doi/abs/10.1056/EVIDoa2300229 iii Cheadle A, Rosaschi M, Burden D, Ferguson M, Greaves B, Houston L, et al. A Community-Wide Collaboration to Reduce Cardiovascular Disease Risk: The Hearts of Sonoma County Initiative. Prev Chronic Dis 2019;16:180596.
DOI: http://dx.doi.org/10.5888/pcd16.180596
iv Kong G, Krishnan-Sarin S. A call to end the epidemic of adolescent E-cigarette use. Drug and Alcohol Dependence. 2017;174:215–221. doi: 10.1016/j.drugalcdep.2017.03.001. [PMC free article] [PubMed] v Monitoring the Future Survey 2022: https://monitoringthefuture.org/wp-content/uploads/2022/12/mtf2022.pdf vi
Stanford Prevention Toolkit,
https://med.stanford.edu/halpern-felsher-reach-lab/resources.html vii Hong, H., Addictive Behaviors, https://doi.org/10/1016/j.addbeh.2018.11.020 viii Youth Truth Survey, https://www.sonomacf.org/nonprofits/the-sonoma-county-youthtruth-survey/ ix U.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014 [accessed 2018 Feb 22].
x
Source: Calculated using CDC methodology for Smoking Attributable Mortality, Sonoma County DHS; CHIS 2018- 2022 pooled estimates; CDHP, CCDF 2018-2022 deaths; CPS-II(82-88)
2.1.c
Packet Pg. 13
Attachment: Public Comment (4837 : City Council Goal Setting - FY2025-26)