Smoking and Medical Oxygen: What’s a Landlord to Do?

April 26th, 2010

Landlords face a bad choice.  If they stop tenants from smoking around medical oxygen, they’ll face claims of breach of contract, handicap discrimination, and violation of civil rights.  If they ignore a known danger, and someone gets hurt, they may be liable.


Oxygen isn’t flammable, but it accelerates fires.  In an oxygen-rich atmosphere, an ember—like the one on the end of a cigarette—will burst into flame.   If you are using oxygen equipment for a respiratory problem—as smokers often must—the gas will seep into your clothes and hair.  The consequences can be dire.

“I had one woman die in a fire,” a medical equipment rep told me.  “When they found her, the plastic tubes from the oxygen were melted to her face and neck.”  Horror stories like that abound in fliers and press releases from the state fire marshal’s office.  “A 71-year-old man who used home oxygen died in a flash fire,” reads one.  “Even after shutting off the oxygen, his clothing and the room were still oxygen enriched. When he lit his cigarette, his clothing suddenly caught fire.  His wife and daughter suffered burns on their hands trying to extinguish the flames.”

In 2009, home oxygen was a factor in five severe fire incidents, according to statistics compiled by the fire marshal.  There have been 24 deaths since 1997 and more than 50 serious injuries.  “There is no safe way to smoke if you use home oxygen,” the fire marshal’s office adds.  “Even after the tank may be shut off, the danger remains.”

If it’s so dangerous, why not make it illegal?  The answer is that they’ve tried.  The Board of Fire Prevention Regulations has considered the problem and always stepped away from it—partly because the Commonwealth’s ban on public smoking does not apply to residences, private clubs, churches, hotel rooms, and in some cases even nursing homes.  There’s a reluctance to ban oxygen users from these places, when smokers are allowed.

So what we have instead is a PR campaign, which started in January, where the fire marshal says bluntly,   “Do not allow smoking inside of a home where oxygen is used.”  Nonsmoking tenants will put the landlord on notice and demand a response.  Then it’s up to individual building owners and management companies to enforce that prohibition or risk being sued for negligence when their invitees—literally–light up.

Some public housing authorities have banned all smoking, as the city of Boston is planning to do.  But that’s not easy for a private landlord.  First, it’s a restriction the lease didn’t contain when the tenant signed it.  A smoker could say it’s a breach of contract.  Second, it’s not easy to rent apartments these days.  Tenants might move somewhere where they can poison themselves and stink up their apartments in peace.

Of course, the landlord can simply ignore the warning.  Fast forward to the trial after the fire.  Plaintiff’s attorney, dramatically pointing his finger at the landlord’s chest:  “So you knew about the fire marshal’s warning:  ‘Do not allow smoking inside of a home where oxygen is used.’  Is there anything about that warning you did not understand?  And the other tenants begged—literally begged—you to take action, correct?  And you decided, for financial reasons, to ignore them, didn’t you?  You valued money over the lives of the people you had a duty to protect….”

The third alternative is to promulgate a policy.  But what would that say?  You can’t tell, from the hallway, whether the oxygen is on when someone is smoking.  And the danger remains even after the oxygen has been turned off.  That means you have to ban all smoking and open flame in apartments where oxygen generating equipment is used, whether or not it’s turned on.

Smokers will say the rule violates their civil rights.  “I didn’t fight in World War II so I could be told what to do in my own apartment,” a tenant of one elderly housing complex said to me during a discussion of the landlord’s new policy.   Condo owners will feel even more strongly about being told what they can do in the units they own.

It’s not hard to formulate a response to the claim of a vested right to smoke in one’s home.  I’ve looked in the Constitution, and I can’t find a fundamental right to set fire to your neighbors.   Smokers are not a protected class, and smoking is not a disability.   See Brashear v. Simms, 138 F.Supp.2d 693, 695 (D.Md. 2001); 42 U.S.C. § 12201(b).

Tenants will probably say the new rule is a material change in the terms of the lease they signed when they moved in.  They’ll say they relied on those terms when they left their former homes or apartments—where they smoked at will.

If a landlord wants to wait until the lease renews, he can insert an appropriate provision into the new lease.  But waiting, in the face of a known danger, may not be an option.  Any decent apartment complex lease has a provision that allows the landlord to promulgate rules that are not inconsistent with its terms.  And it probably has a general prohibition against acts that cause or threaten to cause physical harm or hazardous conditions to others.

A bit thornier is the claim of discrimination.  “My rights are being stepped on,” a tenant said to me.  “I’m disabled.  I need oxygen.  And there’s nothing outside to sit on.  I’m getting it both ways.”   Having emphysema or some other respiratory illness meets the definition of a handicap, because it interferes with major life activities.  If only handicapped tenants are forbidden to smoke in their apartments, they will say the rule is discriminatory.  They are being denied a privilege afforded to every other tenant.  The landlord would be well advised to enter into a dialog with the tenants to see what, if any, accommodation is reasonable.

The first thing smokers will suggest is that the old-fashioned, green tanks—which just pour oxygen into the air—are a thing of the past.  They’ll argue that the new delivery systems produce oxygen on demand.  It goes into the patient’s lungs and comes out as carbon dioxide, eliminating any danger of fire.  I actually called up corporate counsel for the company that makes the new systems and explained that I was trying to straddle the line between an MCAD complaint and a wrongful death action.  “I feel your pain,” she said, laughing.  As long as she was in a good mood, I asked whether she would write me a letter stating that the equipment was safe around cigarettes.  She stopped laughing.  “There is no type of oxygen that is safe for smoking,” she said.  “If we know they’re smoking, we often require them to sign a waiver.”

Next, they’ll ask for a smoking lounge, but that’s probably not an option.  The public smoking statute, G.L. c. 270, § 22, permits a “designated smoking room” in a “lodging home.”  It seems, at first glance, that an apartment complex fits the definition of a dwelling which contains rooming units in which space is let for compensation.   But according to Cheryl Sbarra, senior staff attorney for the Massachusetts Association of Health Boards, this provision refers to dormitories and boarding houses—not apartment buildings.  “This is not the first time a landlord asked whether he could build a private smoking room,” she said.  “The answer has always been, unequivocally, no.”

The best the landlord can do is to create an outdoor space, which is not enclosed, where people can smoke.  He could designate a covered area near the building where tenants can stay out of the rain and sit comfortably as they pollute the air.  But they’ll have to leave their oxygen tanks behind.

Joel originally published this story in Massachusetts Lawyers Weekly on April 26, 2010.

posted by: joelrosen in LANDLORD-TENANT & SECTION 8 | 7 Comments

7 Responses to “Smoking and Medical Oxygen: What’s a Landlord to Do?”

  1. John Moore says:

    It’s no violation of a person’s fundamental rights to prevent them from creating a nuisance. Although both smoking and using supplemental oxygen are legal by themselves, combining them creates a hazard. Many lease contracts already include provisions preventing dangerous activities, true? I don’t know that a change in lease would be necessary then, but instead an invocation of the contract as written.

    Regarding the discrimination claim, it seems to me that a landlord could effect a rule preventing smoking in an apartment where supplemental oxygen is present with no real trouble, so long as it’s a policy of general applicability: no person can smoke in an apartment where supplemental oxygen is used. Since it applies to all persons, not only handicapped persons, there would be no discrimination based on handicap. As long as the rule has a rational basis (safety and fire prevention) there should be no problem. (I know, I’m applying the rationality test to private parties here.)

    As for the economic consequences of possibly losing a tenant: landlords lose tenants periodically for any number of reasons. Who’s to say that the LL wouldn’t lose one of the neighboring tenants for failing to enforce a safety concern?

  2. Lisa bonfiglio says:

    I am in Colorado helping my mom who has lung cancer and brain cancer and asthmaas well as other things she is on oxygen she lives in an apartment her neighbors window is 2 feet from her front door and he sits there and smokes I asked him could he please shut his window while he smokes he said NO I couldn’t believe it I asked him do you know my mother is really really sick and can’t breath and the smoke is really hard on her he said he didn’t care it’s his apartment I am still in shock what can I do??

  3. joelrosen says:

    A person is entitled to use his apartment as he likes, but he is not entitled to create a nuisance. That is, he cannot unreasonably interfere with your mother’s enjoyment of her property.

    It’s up to a judge to decide whether his conduct is reasonable and whether the interference with your mom’s rights is substantial. But as a matter of common sense, I can’t see how it would hurt him to close the window nearest to your mother’s apartment when he is smoking.

    Why don’t you start by talking to the landlord?

  4. jose medina says:

    My girlfriend needs oxygen/c-pap to breath at night. She hasnt been able to breath because the landlord refuses to smoke outside. He doesnt care. Can i withhold the rent from him in order to get a response. What can i do. Ive mentioned her use of oxygen. he doesnt seem to care. What rights do i have. 4 bedroom home. Living room is where manager lives. Owner lives outside the home.

  5. joelrosen says:

    The landlord is required to provide reasonable accommodation to your girlfriend’s disability. Consider filing a complaint with the Mass. Commission Against Discrimination.

  6. Bryan Combs says:

    I have a neighbor who has emphysema and has oxygen systems in her apartment and she chain smokes. She took the oxygen signs off her doors. Im worried about fire risk? What should i do?

  7. joelrosen says:

    You should let management know she is creating a fire hazard.

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