Madison County - Kelly Owens E-Mails (E-Cigarette FOIA Request Results)

disserv@eku.
edu CONFIDENTIALITY NOTICE: The materials contained in this electronic transmission are private and confidential and are the property of the sender. The information contained in the material is privileged and is intended only for the use of the individual(s) or entity(ies) named above. If you are not the intended recipient, be advised that any unauthorized disclosure, copying, distribution or the taking of any action in reliance on the contents of this electronically transmitted information is strictly prohibited. If you have received this electronic transmission in error, please immediately notify the sender and delete the information.
From: Riker, Carol A [riker@email.uky.edu] Sent: Wednesday, April 06, 2011 12:11 PM To: Owens, Kelly S (LHD - Madison Co) Cc: Hahn, Ellen J; Wagner, Kristian K; Fallin, Amanda T; Mundy, Monica E; Johnson, John D; Kercsmar, Sarah Subject: FW: letter from KY Freedom Coalition Attachments: heath board letter.doc Importance: Kelly, Similar questions are being raised in Bullitt Co where the Fiscal Court and the cities in Bullitt are suing the BOH to determine whether they indeed have the authority to make such a regulation. Bullitt BOH has good legal representation so hopefully this will result in good case law on smoke-free regulations. Thanks for sending on. I'm sure that staff will research this letter and organization as soon as we can get to it. Carol From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov] Sent: Tuesday, April 05, 2011 3:19 PM To: Riker, Carol A Subject: FW: letter from KY Freedom Coalition Importance: High Just received the attached letter. Wow, we are really making some people angry! :) Kelly S. Owens, MPH, CHES Tobacco Prevention and Cessation Specialist/Health Educator II High
Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043 Web Address: http://www.madisoncountyhealthdept.org/ Need Help Quitting? http://www.becomeanex.org/ [cid:image004.jpg@01CBF3A4.D1765390] P Please consider the environment before printing this e-mail
From: Hawkins, Ruth R (LHD-Madison Co) Sent: Tuesday, April 05, 2011 3:15 PM To: Owens, Kelly S (LHD - Madison Co) Subject: FW: letter from KY Freedom Coalition FYI.... Ruth R. Hawkins, MSN, RN, MCHES Health Education Director Madison County Health Department 1001 Ace Dr. Berea, KY 40403 859-228-2041 (office) 859-986-1027 (Fax) www.madisoncountyhealthdept.org [cid:image003.png@01CBF3A4.35DBE260] <https://cid13f3e6899c99da27.skydrive.live.com/redir.aspx?page=play&resid=13F3E6899C99DA27!108&p arid=13F3E6899C99DA27!107&type=1&Bsrc=Photomail&Bpub=SDX.Photos&authkey=rxz4sm1r Onw$> From: Crewe, Nancy M (LHD-Madison Co) Sent: Tuesday, April 05, 2011 11:26 AM To: Reed, David A (LHD-Madison Co.); Hawkins, Ruth R (LHD-Madison Co) Cc: Turner, Barbara S (LHD-Madison Co) Subject: FW: letter from KY Freedom Coalition FYI, Ruth and David. I have printed this off and will give each Board member a copy at tomorrow PM's meeting and I emailed Mr. Latham to this effect.
Nancy Nancy M. Crewe Public Health Director Madison County Health Department 214-216 Boggs Lane P.O. Box 1208 Richmond, KY 40476-1208 859-626-4241/cell 859-200-4657 email NancyM.Crewe@ky.gov http://www.madisoncountyhealthdept.org/ Please consider the environment before printing this email. NOTICE OF CONFIDENTIALITY: This e-mail, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain confidential information that is legally privileged and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are notified that any review, use, disclosure, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies of the original message. From: Laura Latham [mailto:hllatham@bellsouth.net] Sent: Tuesday, April 05, 2011 9:37 AM To: Crewe, Nancy M (LHD-Madison Co) Subject: letter Dear Nancy, Please be advised of our intentions. Thanks. Hal Latham From: Hahn, Ellen J [ejhahn00@email.uky.edu] Sent: Sunday, May 29, 2011 10:53 AM To: Johnson, John D; Owens, Kelly S (LHD - Madison Co) Subject: Fw: Fwd: Monica asked us to send you this post from TMZ Ellen J. Hahn, PhD Professor, UK CON 859-257-2358 ________________________________ From: Mundy, Monica E To: Hahn, Ellen J; Riker, Carol A; Wagner, Kristian K; Fallin, Amanda T Sent: Sat May 28 17:56:17 2011 Subject: Fwd: Monica asked us to send you this post from TMZ
I saw this on a website and thought I would share. Monica E. Mundy, MPH Staff Associate Kentucky Center for Smoke-free Policy Begin forwarded message: From: Monica Mundy <monni24@gmail.com<mailto:monni24@gmail.com>> Date: May 28, 2011 5:55:08 PM EDT To: "Mundy, Monica E" <monica.mundy@uky.edu<mailto:monica.mundy@uky.edu>> Subject: Fwd: Monica asked us to send you this post from TMZ
Monica E. Mundy, MPH Staff Associate Kentucky Center for Smoke-free Policy Begin forwarded message: From: "Monica" <<mailto:comments@tmz123.com>comments@tmz123.com<mailto:comments@tmz123.com> > Date: May 28, 2011 5:47:49 PM EDT To: "<mailto:Monni24@gmail.com>Monni24@gmail.com<mailto:Monni24@gmail.com>" <<mailto:Monni24@gmail.com>Monni24@gmail.com<mailto:Monni24@gmail.com>> Subject: Monica asked us to send you this post from TMZ Reply-To: "Monica" <<mailto:Monni24@gmail.com>Monni24@gmail.com<mailto:Monni24@gmail.com>> From: TMZ<http://www.tmz.com> URL: <http://www.tmz.com/2011/05/28/lindsay-lohan-electronic-cigarette-house-arrest-scriptposed-photos/> <http://www.tmz.com/2011/05/28/lindsay-lohan-electronic-cigarette-housearrest-script-posed-photos/> http://www.tmz.com/2011/05/28/lindsay-lohan-electroniccigarette-house-arrest-script-posed-photos/ Sent from: Monica<mailto:Monni24@gmail.com> (<mailto:Monni24@gmail.com>Monni24@gmail.com<mailto:Monni24@gmail.com>) Sent to: <mailto:Monni24@gmail.com> <mailto:Monni24@gmail.com> Monni24@gmail.com<mailto:Monni24@gmail.com> ________________________________
Lindsay Lohan -- Felling Blu<http://www.tmz.com/2011/05/28/lindsay-lohan-electroniccigarette-house-arrest-script-posed-photos/> Originally posted May 28th 2011 12:59 PM PDT by TMZ Staff Lindsay Lohan<http://www.tmz.com/person/lindsay-lohan/> is making the most of her time under house arrest by reading scripts ... and endorsing a line of electronic cigarettes! [http://media.tmz.com/2011/05/28/0528-lindsay-lohan-smoking-blu-cig2-credit.jpg] A company called Blu Cigs sent around the posed pics today, saying Lindsay "is determined to better her career and her health and has started using Blu Cigs as a deterrent to lighting up." One step at a time. See also * Lindsay Lohan -- Trapped In PARADISE<http://www.tmz.com/2011/05/28/lindsay-lohanhouse-arrest-photo-tanning-ankle-bracelet-electronic-necklace-venice-beach-townhouse/> * Lindsay House Arrest -- Best Vacation Planning Ever!!<http://www.tmz.com/2011/05/27/lindsay-lohan-house-arrest-venice-townhouse-beachtmz-on-tv/> * Lindsay Lohan -- The ART Of The House Arrest<http://www.tmz.com/2011/05/27/lindsaylohan-art-painting-brush-canvas-house-arrest-vanice-california/> From: Hahn, Ellen J [ejhahn00@email.uky.edu] Sent: Saturday, May 28, 2011 7:33 AM To: Riker, Carol A; Grana, Rachel Cc: Johnson, John D; Owens, Kelly S (LHD - Madison Co) Subject: E Cig article in Philadelphia paper Hi, Did you see this article? http://articles.philly.com/2011-05-25/news/29582141_1_e-cigarettes-real-cigarette-nicotine At first I thought it might be an article that is really an 'ad' but it is written by a staff writer. There is a bit more in here about our 'friend' Conley. Ellen J. Hahn, PhD, RN Professor and Director, Clean Indoor Air Partnership Director, Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease University of Kentucky
College of Nursing and College of Public Health 751 Rose St. Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu<mailto:ejhahn00@email.uky.edu> www.mc.uky.edu/tobaccopolicy<http://www.mc.uky.edu/tobaccopolicy> www.kcsp.uky.edu<http://www.kcsp.uky.edu/> [cid:image001.jpg@01CC1D09.869DEE30]<http://www.kcsp.uky.edu/>Find kysmokefree on [cid:image002.png@01CC1D09.869DEE30] <http://twitter.com/kysmokefree> and [cid:image003.png@01CC1D09.869DEE30] <http://www.facebook.com/pages/kysmokefree/121589417877279?ref=ts> [cid:image004.gif@01CC1D09.869DEE30] From: Darville, Audrey K [audrey.darville@uky.edu] Sent: Wednesday, May 04, 2011 7:59 PM To: Hahn, Ellen J; Riker, Carol A; Owens, Kelly S (LHD - Madison Co) Subject: RE: Animoto - Vaapor-Stix radio debut Kelly, The e-cig manufacturers have skillfully strategized to place these products in a regulatory loophole. The FDA only recently decided not to pursue an appeal of the decision to have them regulated as tobacco products rather than drug delivery devices. But exactly what regulation as tobacco products entails is still being sorted out as there are so many concerns regarding e-cigs that go beyond promotion as a cessation product: flavorings that make them appealing to youth, use in the delivery of other drugs and identifying the safety of what is actually in the cartridges, and child-proofing concerns with packaging of cartridges that can break and cause toxic exposure to concentrated levels of nicotine, to name a few. That said, there is also a voice within the cessation community that e-cigs may have some value as a cessation product if properly tested and regulated. Sorry, there's no easy answers at the moment related to regulation of these devices. However the concerns seem to carry enough validity that many tobacco-free institutions are banning their use based on the reasonable assumption that these products will need to have a proven safety record before the industry claims are accepted. Audrey Audrey Darville, APRN, CTTS, PhD candidate Certified Tobacco Treatment Specialist UKHealthCare University of Kentucky
450 F College of Nursing Lexington, KY 40536-0284 859-323-4222 audrey.darville@uky.edu -----Original Message----From: Hahn, Ellen J Sent: Wednesday, May 04, 2011 5:40 PM To: Riker, Carol A; Owens, Kelly S (LHD - Madison Co) Cc: Darville, Audrey K Subject: RE: Animoto - Vaapor-Stix radio debut Kelly--The FDA plans to regulate ecigs as a tobacco product but they have not yet done so. FDA is still trying to get its act together in regulating traditional tobacco products, so I expect it will take awhile. The advertising regulations were in place for traditional tobacco products, and I don't know how quickly they will move to regulate ecigs, or if the restrictions in place for traditional cigs will automatically apply to ecigs. You could get on the FDA site and pose these questions. Audrey may have other information. Hang in there, Ellen Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease University of Kentucky College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on and
-----Original Message-----
From: Riker, Carol A Sent: Wednesday, May 04, 2011 11:09 AM To: Owens, Kelly S (LHD - Madison Co) Cc: Hahn, Ellen J; Darville, Audrey K Subject: RE: Animoto - Vaapor-Stix radio debut Good question... I'll have to look into that. Carol -----Original Message----From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov] Sent: Wednesday, May 04, 2011 11:06 AM To: Centers, Irene (CHFS HPB-Health Promotions); Beauchamp, Jan (CHFS HPB-Health Promotions); Riker, Carol A; Hahn, Ellen J Subject: Animoto - Vaapor-Stix radio debut Importance: High http://animoto.com/play/q0EBgn6zRqIkFCAhIwCtVQ Vapor Stix (our local e-cig vendor) has a radio ad that is getting lots of air time. (VERY EXPENSIVE...) My question is, w/ these devices now being under FDA regulation as a tobacco product, do the same rules regarding advertising apply? Kelly S. Owens, MPH, CHES Tobacco Prevention and Cessation Specialist/Health Educator III/CPS Technician Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043 Web Address: http://www.madisoncountyhealthdept.org/ Need Help Quitting? http://www.becomeanex.org/
P Please consider the environment before printing this e-mail
From: Riker, Carol A [riker@email.uky.edu]
Sent: Thursday, April 28, 2011 11:31 AM To: Owens, Kelly S (LHD - Madison Co) Cc: Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E Subject: RE: Consumer Group Praises FDA Concession to Court of Appeals Ruling Attachments: tobcont KCSP e-cig Op Ed Hahn FINAL 4-11.pdf Hi Kelly, We just finished up the OP-ED piece and sent to the Herald-Leader. See if you would like us to send to the Richmond paper too. Carol -----Original Message----From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov] Sent: Thursday, April 28, 2011 8:58 AM To: Hawkins, Ruth R (LHD-Madison Co); Steer, Emily (LHD-Mercer Co); Riker, Carol A; Hahn, Ellen J; Crewe, Nancy M (LHD-Madison Co); Green, Christie L (LHD-Madison Co) Subject: Consumer Group Praises FDA Concession to Court of Appeals Ruling Importance: High http://www.onlineprnews.com/news/131461-1303836584-consumer-group-praises-fdaconcession-to-court-of-appeals-ruling.html FYI- This was a link from Vapor Stix website. This is NOT good news. Kelly S. Owens, MPH, CHES Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043 Web Address: http://www.madisoncountyhealthdept.org/ Need Help Quitting? http://www.becomeanex.org/
From: Green, Christie L (LHD-Madison Co) Sent: Monday, April 18, 2011 1:56 PM To: Beverly, Patrece E. (LHD - Pike Co.); mchd@madisoncountyhealthdept.org Cc: Crewe, Nancy M (LHD-Madison Co); Owens, Kelly S (LHD - Madison Co); Hawkins, Ruth R (LHD-Madison Co) Subject: RE: Letter regarding Indoor Air Policy change Thank you for your support and positive comments. I am forwarding this message to the Tobacco Prevention and Control Coordinator and the Public Health Director.
Christie L. Green Development and Communications Public Information Officer Madison County Health Dept. 214 Boggs Lane Richmond, KY 40476-1208 859-623-7312 cell 859-661-0853 www.madisoncountyhealthdept.org <http://www.madison-co-ky-health.org>
From: Beverly, Patrece E. (LHD - Pike Co.) [mailto:PatreceE.Beverly@ky.gov] Sent: Monday, April 18, 2011 1:54 PM To: mchd@madisoncountyhealthdept.org Subject: Letter regarding Indoor Air Policy change
To Whom It May Concern:
The Partnership for a Fit Pike County would like to take this opportunity to express our support, commending the Madison County Board of Health's decision to strengthen the Clean Indoor Air Policy in its community. We know this must be addressed from a public health perspective and feel that it will only enhance existing smoke-free policies .
We applaud the position you have taken in making your community a healthier place to live, work, and play.
Sincerely,
Danita Bartley, Co-Chair Partnership for a Fit Pike County
Patrece Beverly, Co-Chair Partnership for a Fit Pike County
Partnership for a Fit Pike County www.fitpikecounty.org Pike County Health Department (606)437-5500
From: Riker, Carol A [riker@email.uky.edu] Sent: Monday, April 18, 2011 1:55 PM To: Owens, Kelly S (LHD - Madison Co) Cc: Hahn, Ellen J Subject: RE: e-cigarettes Thanks for letting me know, Kelly. Were still working on an op ed and Ill send along when we get it done. Carol From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov] Sent: Monday, April 18, 2011 8:29 AM To: John Johnstone Cc: Hawkins, Ruth R (LHD-Madison Co); Riker, Carol A Subject: RE: e-cigarettes Thanks, Dr. Johnstone. I like your closing quote very fitting. What these folks desire most is controversy. Thank you for taking the time to read the fax. Kelly S. Owens, MPH, CHES Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043 Web Address: http://www.madisoncountyhealthdept.org/ Need Help Quitting? http://www.becomeanex.org/ [cid:image001.jpg@01CBFDD0.2DD24150] P Please consider the environment before printing this e-mail
From: John Johnstone [mailto:theflying_spur@yahoo.com] Sent: Saturday, April 16, 2011 5:58 PM To: Owens, Kelly S (LHD - Madison Co) Subject: Re: e-cigarettes Of course, my initial response was one of contempt and rage. When I settled down I decided it was actually a compliment. Her "facts" are exactly the concerns of the FDA, WHO, American Cancer Society, et al. I have roughed out a dictation in response but I feel it would be giving to much credence to the "authority" of her obviously proprietary and commercial organization to honor her letter with a response. We are right, we have the backing of the scientific and medical communities and our only reward is the protection of the health of our citizens. I don't think we should get in a media war with these jerks. As I heard a politician say: "Never get on a wrestling match with a pig - you both get dirty and the pig likes it. John M. Johnstone Sent from my iPhone On Apr 15, 2011, at 9:14 AM, "Owens, Kelly S (LHD - Madison Co)" <KellyS.Owens@ky.gov<mailto:KellyS.Owens@ky.gov>> wrote: FYI- I just faxed a copy of an editorial printed in yesterdays Richmond Register. You may wish to respond. Thanks again, Kelly S. Owens, MPH, CHES Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043 Web Address: http://www.madisoncountyhealthdept.org/ Need Help Quitting? http://www.becomeanex.org/ <image003.jpg> P Please consider the environment before printing this e-mail
From: John Johnstone [mailto:theflying_spur@yahoo.com]
Sent: Wednesday, April 13, 2011 7:24 PM To: Owens, Kelly S (LHD - Madison Co) Subject: Re: e-cigarettes It is an issue near and dear to my heart (and everybody else's) so the thanks go to you. Keep ip the good work. Other locations need your guidance. John M. Johnstone Sent from my iPhone On Apr 13, 2011, at 11:04 AM, "Owens, Kelly S (LHD - Madison Co)" <KellyS.Owens@ky.gov<mailto:KellyS.Owens@ky.gov>> wrote: Dr. Johnstone: A thousand times, THANK YOU!! I know you are a VERY busy individual. I appreciate you taking the time to focus on this important issue. Kelly S. Owens, MPH, CHES Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 ________________________________ From: John Johnstone [mailto:theflying_spur@yahoo.com] Sent: Wed 4/13/2011 9:07 AM To: Owens, Kelly S (LHD - Madison Co) Cc: John M. Johnstone Subject: e-cigarettes Here is the actual presentation I made. If you have any questions, please let me know. And the last slide is the one I didn't use about Lagunesen's comments.
From: Green, Christie L (LHD-Madison Co) Sent: Thursday, April 14, 2011 9:31 AM To: Owens, Kelly S (LHD - Madison Co); Hawkins, Ruth R (LHD-Madison Co) Cc: Crewe, Nancy M (LHD-Madison Co); Turner, Barbara S (LHD-Madison Co) Subject: FW: BOH Smoking Regulation A message from our website contact us link.
From: Mattingly, Rodney R (LHD-Lincoln Trail Dist) [mailto:RodneyR.Mattingly@ky.gov] Sent: Thursday, April 14, 2011 9:14 AM To: mchd@madisoncountyhealthdept.org Subject: BOH Smoking Regulation
To Whom This May Concern Thank You!
As a former resident of Madison County, (who still occasionally visits and has friends there) graduate of EKU and former professional musician, I can say that this is truly a wonderful thing you have done for the citizens, workers, youth and visitors to Madison County. In the 70s & 80s Richmond was known for many things, public health was not one of those.
After all the information that has become available the last few years and the ease at which a person can find this info, it is still amazing to me that people are resistant to clean air regulation. Thank you for your leadership on this important health issue.
I leave you with this quote from an unknown author, Real leaders are ordinary people with extraordinary determination. Stay the course, and full speed ahead!
Regards, Rod Mattingly
Rod Mattingly Tobacco Program Coordinator/Lincoln Trail Health District Community Health Education Specialist -
Washington County Health Clinic 302 East Main Street, Springfield, Ky. 40069 ph: 859-336-3989 fax:859-336-9162 rodneyr.mattingly@ky.gov Want to Quit? 1-800-QUIT NOW - or - http://www.becomeanex.org/
________________________________
From: John Johnstone [theflying_spur@yahoo.com] Sent: Wednesday, April 13, 2011 9:07 AM To: Owens, Kelly S (LHD - Madison Co) Cc: John M. Johnstone Subject: e-cigarettes Attachments: E-CIGARETTES J JohnstoneFINAL.pptx Here is the actual presentation I made. If you have any questions, please let me know. And the last slide is the one I didn't use about Lagunesen's comments. From: Cain, John H [jhcain0@email.uky.edu] Sent: Tuesday, April 12, 2011 12:38 PM To: Johnson, John D Cc: Owens, Kelly S (LHD - Madison Co) Subject: RE: Madison County BOH Regulation As someone who recently relocated to Madison County from a KY county without a smoking ordinance as well as a healthcare provider working in Madison and the surrounding area, I am thrilled to receive this news. Please send my gratitude to members of the Madison County Board of Health. John H. Cain, MPAS, PA-C State Co-Chair, Kentucky Action for Healthy Kids 118 Holly Hill Drive Berea, KY 40403 606-216-6302 (Mobile)
606-398-7225 (Fax) jhcain0@uky.edu <mailto:jhcain0@uky.edu> Farm to School. A win for kids, schools, farmers, and communities. www.farmtoschool.org <http://www.farmtoschool.org/> . ________________________________ From: Johnson, John D Sent: Tuesday, April 12, 2011 12:24 PM To: Johnson, John D Subject: Madison County BOH Regulation
KCSP Partners,
I want to clarify my email from last week regarding Madison Countys Board of Health regulation. The new regulation adds e-cigarettes and hookah to the definition of smoking so that these forms of smoking are prohibited. Also, the exemption for retail tobacco stores was eliminated, so those retail stores are no longer exempt from the regulation.
If you would like to express your appreciation and support to the Madison County Board of Health, but do not have contact information for its members, Kelly Owens (KellyS.Owens@ky.gov) has agreed to pass your comments along to the board. Please send your comments to Kelly as you are able.
Thanks,
John
John D. Johnson, MA
Community Liaison Kentucky Center for Smoke-free Policy University of Kentucky College of Nursing 751 Rose Street, College of Nursing 509 Lexington, Kentucky 40536-0232 859-323-4587 859-323-1057 (FAX) jdjohnson@uky.edu www.kcsp.uky.edu <https://exchange.uky.edu/owa/UrlBlockedError.aspx>
<http://www.kcsp.uky.edu/> Find kysmokefree on <http://twitter.com/kysmokefree> and <http://www.facebook.com/pages/kysmokefree/121589417877279?ref=ts>
From: Crewe, Nancy M (LHD-Madison Co) Sent: Friday, April 08, 2011 10:33 AM To: Hawkins, Ruth R (LHD-Madison Co); Owens, Kelly S (LHD - Madison Co) Subject: FW: Fact sheet on E-CIGARETTES More public feedback
Nancy
Nancy M. Crewe Public Health Director Madison County Health Department 214-216 Boggs Lane P.O. Box 1208 Richmond, KY 40476-1208 859-626-4241/cell 859-200-4657 email NancyM.Crewe@ky.gov http://www.madisoncountyhealthdept.org/ Please consider the environment before printing this email.
NOTICE OF CONFIDENTIALITY: This e-mail, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain confidential information that is legally privileged and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are notified that any review, use, disclosure, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies of the original message.
From: Hensley, Martin (LHD-Madison Co ) Sent: Friday, April 08, 2011 10:12 AM To: Crewe, Nancy M (LHD-Madison Co) Subject: FW: Fact sheet on E-CIGARETTES
From: Michael Thornberry [mailto Sent: Friday, April 08, 2011 9:38 AM To: mchd@madisoncountyhealthdept.org Subject: Fact sheet on E-CIGARETTES
Good morning,
I recently read over your document advertised as a Fact sheet on E-CIGARETTES and found that it includes inaccuracies and fallacies.
I urge your to take a look at some of the studies and lab reports that you can find at The Consume Advocates for Smoke-Free Alternatives Association <http://www.casaa.org/resources/lab.asp> . If you are not aware of them, CASAA is an organization that works to provide information to people and organizations about the alternatives to smoking in order to reduce instances of deadly cigarette use. In their own words:
CASAA is a non-profit organization that works to ensure the availability of reduced harm alternatives to smoking and to provide smokers and non-smokers alike with truthful information about such alternatives.
I found them to be an invaluable resource when I decided to quit smoking after 20 years.
Thank you for your time,
Michael Thornberry From: Riker, Carol A [riker@email.uky.edu] Sent: Friday, April 08, 2011 9:53 AM To: Owens, Kelly S (LHD - Madison Co); Hahn, Ellen J; Robertson, Heather E; michael.ballard@eku.edu Subject: RE: E-Cig Ban Attachments: tobcont KCSP e-cig Laugesen comment re testing & regulation.pdf; tobcont KCSP e-cig Miracle or Menace Flouris 2010.pdf; tobcont KCSP e-cig Research Agenda Etter 3-11.pdf
Kelly et al,
Im wondering if the group that wanted to speak out on e-cigs have been recruited recently by CASAA or people representing them locally, or perhaps by the local retailers of e-cigarettes. They didnt seem to know that there had been 2 opportunities to speak prior to second reading. Thats one reason we would love to know who actually paid for the expensive ad.
When Kiyoung and I left the meeting the group that congregated outside was saying, I wish someone had educated them. They obviously feel educated by whatever facts they have been given by the retailers, but are unaware of just how much is not known about e-cigs and the fact that the manufacture of e-cigs is completely unregulated.
Ill attach a couple of articles for Mikes benefit. I love the quote from the last one about the current situation with e-cigarettes being an uncontrolled experiment without safety and efficacy tests and regulation of manufacture.
Did you see the article in the Herald-Leader by Kocher? It gave too much play to a comment by the medical director for the Consumer Advocates for Smoke-Free Alternatives Association saying that there is no evidence e-cigarettes harmed anyone. I was thinking that an op-ed piece would be good. What about your paper, Kelly? Have they published since Wednesdays decision?
Kiyoung is here for a few weeks and will be back in June. Let me know how we can help.
Thanks, Carol From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov] Sent: Friday, April 08, 2011 8:40 AM To: Riker, Carol A; Hahn, Ellen J; Robertson, Heather E; michael.ballard@eku.edu Subject: FW: E-Cig Ban Importance: High
FYIThis email was received after the BOH decision to include e-cigarettes in MCHR700.00
Dr. Ballard do you know this person? She really doesnt seem to have much of a grasp on the subject. Nor did she seem to hear any of Dr. Johnstones presentation.
Kelly S. Owens, MPH, CHES Tobacco Prevention and Cessation Specialist/Health Educator II
Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043 Web Address: http://www.madisoncountyhealthdept.org/
Need Help Quitting? http://www.becomeanex.org/
From: Crewe, Nancy M (LHD-Madison Co) Sent: Thursday, April 07, 2011 4:32 PM To: Hawkins, Ruth R (LHD-Madison Co); Owens, Kelly S (LHD - Madison Co) Subject: FW: E-Cig Ban Importance: High
See email below forwarded to me by Christie.
Nancy
Nancy M. Crewe Public Health Director Madison County Health Department 214-216 Boggs Lane P.O. Box 1208 Richmond, KY 40476-1208 859-626-4241/cell 859-200-4657 email NancyM.Crewe@ky.gov http://www.madisoncountyhealthdept.org/ Please consider the environment before printing this email. NOTICE OF CONFIDENTIALITY: This e-mail, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain confidential information that is legally privileged and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are notified that any review, use, disclosure, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies of the original message.
From: Green, Christie L (LHD-Madison Co) Sent: Thursday, April 07, 2011 10:45 AM To: Crewe, Nancy M (LHD-Madison Co) Subject: FW: E-Cig Ban Importance: High Christie L. Green Development and Communications Public Information Officer Madison County Health Dept. 214 Boggs Lane Richmond, KY 40476-1208 859-623-7312 cell 859-661-0853 www.madisoncountyhealthdept.org <http://www.madison-co-ky-health.org> "...what it really takes to change the world isn't so much wealth or power as creativity, determination and passion." Nicholas Kristof Please consider the environment before printing this e-mail.
NOTICE OF CONFIDENTIALITY: This e-mail, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain confidential information that is legally privileged and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are notified that any review, use, disclosure, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies of the original message.
From: Brookshire, Crystal [mailto Sent: Thursday, April 07, 2011 10:29 AM To: mchd@madisoncountyhealthdept.org Subject: E-Cig Ban Importance: High
To Whom it Concerns:
I just want to say thank you for taking the time out of your busy schedules to take into consideration this issue. I will say however that I was very disappointed that our CIVAL RIGHTS were not addressed, issued, or heard! I have went to higher authorities over this issue! And believe me I WILL NOT let this die!!
I am also disappointed in the lack of evidence provided in the so called presentation by a Cardiologist who apparently knows nothing about this product! His presentation must have been put together two days before the meeting by a 6 year old! I work with Students at a College that can give better evidence and presentations than he could!! I am also displeased with the situation as a whole! I am also very, very displeased that the presentation at the end put King James in it!! Nowhere in my bible or King James era does it say anything about smoking and Electronic Cigarette for Duhh they werent invented back then, and its no different than drinking a cup of coffee, energy drink, soda, or drinking alcohol! May God have mercy on your souls for this in-judgment of this product!! For it has helped 500,000 people to quit smoking regain their lives and health back that havent been able to other wise through your Smoking Sensation classes! I know because Ive talked to these people as well! The whole MADE in CHINA is bull crap, yes they do come from China but the Juice is made in the good old
USA, so this goes to show that you dont know what youre talking about, bet you didnt know that either! Hhhmm!! Your Board member Michael Oliver hit it on the nose and you still wouldnt listen, he has more sense the rest of you!
I will also let you know that I have been an avid user of the E-cig for 8 months! I have quit smoking real cigarettes since then and tried everything and wouldnt have quit otherwise! My 12 year old daughter thinks this whole thing with banning is stupid and totally supports me using this product! She hasnt been sick since Ive been using it! And if you would have given us a chance you would have seen that Larry in the wheelchair had COPD and going to the hospital for treatments on oxygen 24/7 since smoking the E-Cig over a year ago he is off his oxygen and getting his health back, along with my father who has emphysema, but oh wait you dont know that till now.hhhmm!!
I am also displeased because I had sent an email over 4 months ago to this agency and never received a reply back! This board was sent several documents that proved our claims that there is no harm to bystanders or second hand smoke but this was never shared either!! I know your system is corrupt as with other so called board, government, and agencies because apparently the person that has yelled the loudest (Cigarette companies) and others where the ones that helped get this Stupid ban passed! How much money were you paid to pass the ban? There are two sides to every story and ours wasnt heard!!
I will let you know that this BAN will be very hard to police since it is a vapor and that I can still go to the bathroom, sit at my desk, my house, and my car and other public buildings because the Vapor disappears, bet you didnt know that did you!
So I hope your decision on this was based on facts in which you didnt have and the fact that if you really care about humans as you say and want them to quit you would have done so!!
Your mission statement on your website should be changed in which none of these were considered at the meeting or in a whole!
God Bless!
Crystal Brookshire
disserv@eku.edu CONFIDENTIALITY NOTICE: The materials contained in this electronic transmission are private and confidential and are the property of the sender. The information contained in the material is privileged and is intended only for the use of the individual(s) or entity(ies) named above. If you are not the intended recipient, be advised that any unauthorized disclosure, copying, distribution or the taking of any action in reliance on the contents of this electronically transmitted information is strictly prohibited. If you have received this electronic transmission in error, please immediately notify the sender and delete the information.
From: Crewe, Nancy M (LHD-Madison Co) Sent: Friday, April 08, 2011 9:33 AM To: Owens, Kelly S (LHD - Madison Co) Subject: RE: E-Cig Ban
I agree. It certainly in keeping with mindset and responses we witnessed from those who came to Wednesday nights Board meeting.
Nancy
From: Owens, Kelly S (LHD - Madison Co) Sent: Friday, April 08, 2011 9:10 AM To: Crewe, Nancy M (LHD-Madison Co) Subject: RE: E-Cig Ban
Well, it takes all kinds This response doesnt surprise me.
I wonder Ms. Brookshires supervisor is aware that she is using their offices name and university email (during business hours) to respond with her opinion on this matter? I suspect the university wouldnt be pleased.
Kelly S. Owens, MPH, CHES Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043 Web Address: http://www.madisoncountyhealthdept.org/
Need Help Quitting? http://www.becomeanex.org/
From: Crewe, Nancy M (LHD-Madison Co) Sent: Thursday, April 07, 2011 4:32 PM To: Hawkins, Ruth R (LHD-Madison Co); Owens, Kelly S (LHD - Madison Co) Subject: FW: E-Cig Ban Importance: High
See email below forwarded to me by Christie.
Nancy
From: Green, Christie L (LHD-Madison Co) Sent: Thursday, April 07, 2011 10:45 AM To: Crewe, Nancy M (LHD-Madison Co) Subject: FW: E-Cig Ban Importance: High
Christie L. Green Development and Communications Public Information Officer Madison County Health Dept. 214 Boggs Lane Richmond, KY 40476-1208 859-623-7312 cell 859-661-0853 www.madisoncountyhealthdept.org <http://www.madison-co-ky-health.org> "...what it really takes to change the world isn't so much wealth or power as creativity, determination and passion." Nicholas Kristof Please consider the environment before printing this e-mail.
From: Brookshire, Crystal [mailto: Sent: Thursday, April 07, 2011 10:29 AM To: mchd@madisoncountyhealthdept.org Subject: E-Cig Ban Importance: High
To Whom it Concerns:
I just want to say thank you for taking the time out of your busy schedules to take into consideration this issue. I will say however that I was very disappointed that our CIVAL RIGHTS were not addressed, issued, or heard! I have went to higher authorities over this issue! And believe me I WILL NOT let this die!!
I am also disappointed in the lack of evidence provided in the so called presentation by a Cardiologist who apparently knows nothing about this product! His presentation must have been put together two days before the meeting by a 6 year old! I work with Students at a College that can give better evidence and presentations than he could!! I am also displeased with the situation as a whole! I am also very, very displeased that the presentation at the end put King James in it!! Nowhere in my bible or King James era does it say anything about smoking and Electronic Cigarette for Duhh they werent invented back then, and its no different than drinking a cup of coffee, energy drink, soda, or drinking alcohol! May God have mercy on your souls for this in-judgment of this product!! For it has helped 500,000 people to quit smoking regain their lives and health back that havent been able to other wise through your Smoking Sensation classes! I know because Ive talked to these people as well! The whole MADE in CHINA is bull crap, yes they do come from China but the Juice is made in the good old USA, so this goes to show that you dont know what youre talking about, bet you didnt know that either! Hhhmm!! Your Board member Michael Oliver hit it on the nose and you still wouldnt listen, he has more sense the rest of you!
I will also let you know that I have been an avid user of the E-cig for 8 months! I have quit smoking real cigarettes since then and tried everything and wouldnt have quit otherwise! My 12 year old daughter thinks this whole thing with banning is stupid and totally supports me using this product! She hasnt been sick since Ive been using it! And if you would have given us a chance you would have seen that Larry in the wheelchair had COPD and going to the hospital for treatments on oxygen 24/7 since smoking the E-Cig over a year ago he is off his oxygen and getting his health back, along with my father who has emphysema, but oh wait you dont know that till now.hhhmm!!
I am also displeased because I had sent an email over 4 months ago to this agency and never received a reply back! This board was sent several documents that proved our claims that there is no harm to bystanders or second hand smoke but this was never shared either!! I know your system is corrupt as with other so called board, government, and agencies because apparently the person that has yelled the loudest (Cigarette companies) and others where the ones that helped get this Stupid ban passed! How much money were you paid to pass the ban? There are two sides to every story and ours wasnt heard!!
I will let you know that this BAN will be very hard to police since it is a vapor and that I can still go to the bathroom, sit at my desk, my house, and my car and other public buildings because the Vapor disappears, bet you didnt know that did you!
So I hope your decision on this was based on facts in which you didnt have and the fact that if you really care about humans as you say and want them to quit you would have done so!!
Your mission statement on your website should be changed in which none of these were considered at the meeting or in a whole!
God Bless!
Crystal Brookshire
disserv@eku.edu CONFIDENTIALITY NOTICE: The materials contained in this electronic transmission are private and confidential and are the property of the sender. The information contained in the material is privileged and is intended only for the use of the individual(s) or entity(ies) named above. If you are not the intended recipient, be advised that any unauthorized disclosure, copying,
distribution or the taking of any action in reliance on the contents of this electronically transmitted information is strictly prohibited. If you have received this electronic transmission in error, please immediately notify the sender and delete the information.
From: Riker, Carol A [riker@email.uky.edu] Sent: Thursday, April 07, 2011 10:50 AM To: Owens, Kelly S (LHD - Madison Co) Cc: Johnson, John D; Marijanovic, Nina Subject: RE: language of amendments Hi Kelly, Thanks for sending the language of the amendments for our website. So do we start counting days today and say June 5 is the implementation date (did I count right?) Also, I find that we need to know the date of first reading for the amendments. Thanks for your help! Carol From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov] Sent: Thursday, April 07, 2011 9:56 AM To: Hahn, Ellen J; Riker, Carol A Cc: Johnson, John D; Marijanovic, Nina Subject: RE: language of amendments The amendments will take effect in 60 days. As when the regulation was passed in 2007, there will be a 30 day period before actual citations are given. Kelly S. Owens, MPH, CHES Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043 Web Address: http://www.madisoncountyhealthdept.org/ Need Help Quitting? http://www.becomeanex.org/ [cid:image001.jpg@01CBF511.9A97A630]
From: Hahn, Ellen J [mailto:ejhahn00@email.uky.edu] Sent: Thursday, April 07, 2011 9:00 AM To: Riker, Carol A; Owens, Kelly S (LHD - Madison Co) Cc: Johnson, John D; Marijanovic, Nina Subject: RE: language of amendments Kelly, I want to say CONGRATULATIONS as well. Madison County is leading the state in best practices for smoke-free policy development. We appreciate you! Ellen Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease University of Kentucky College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu [cid:image002.jpg@01CBF511.9A97A630]<http://www.kcsp.uky.edu/>Find kysmokefree on [cid:image003.png@01CBF511.9A97A630] <http://twitter.com/kysmokefree> and [cid:image004.png@01CBF511.9A97A630] <http://www.facebook.com/pages/kysmokefree/121589417877279?ref=ts> [cid:image005.gif@01CBF511.9A97A630] From: Riker, Carol A Sent: Thursday, April 07, 2011 8:52 AM To: Owens, Kelly S (LHD - Madison Co) Cc: Johnson, John D; Marijanovic, Nina; Hahn, Ellen J Subject: language of amendments
Hi Kelly and congratulations. I'm really proud of the BOH and so glad Dr. Tobin congratulated them on their dedication to health. Could you please send us the new language and the date when it will go into effect? Many thanks, Carol Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities Faculty Associate, Kentucky Center for Smoke-free Policy 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Cell: 859-619-3776 Office Phone: 859-323-6615 Fax: 859-323-1057 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu [cid:image002.jpg@01CBF511.9A97A630]<http://www.kcsp.uky.edu/>Find kysmokefree on [cid:image003.png@01CBF511.9A97A630] <http://twitter.com/kysmokefree> and [cid:image004.png@01CBF511.9A97A630] <http://www.facebook.com/pages/kysmokefree/121589417877279?ref=ts> [cid:image005.gif@01CBF511.9A97A630]
From: Hawkins, Ruth R (LHD-Madison Co) Sent: Tuesday, April 05, 2011 3:15 PM To: Owens, Kelly S (LHD - Madison Co) Subject: FW: letter from KY Freedom Coalition Attachments: heath board letter.doc FYI.
Ruth R. Hawkins, MSN, RN, MCHES Health Education Director Madison County Health Department 1001 Ace Dr. Berea, KY 40403 859-228-2041 (office) 859-986-1027 (Fax) www.madisoncountyhealthdept.org
<https://cid13f3e6899c99da27.skydrive.live.com/redir.aspx?page=play&resid=13F3E6899C99DA27!108&p arid=13F3E6899C99DA27!107&type=1&Bsrc=Photomail&Bpub=SDX.Photos&authkey=rxz4sm1r Onw$>
From: Crewe, Nancy M (LHD-Madison Co) Sent: Tuesday, April 05, 2011 11:26 AM To: Reed, David A (LHD-Madison Co.); Hawkins, Ruth R (LHD-Madison Co) Cc: Turner, Barbara S (LHD-Madison Co) Subject: FW: letter from KY Freedom Coalition
FYI, Ruth and David. I have printed this off and will give each Board member a copy at tomorrow PMs meeting and I emailed Mr. Latham to this effect.
Nancy
Nancy M. Crewe Public Health Director
Madison County Health Department 214-216 Boggs Lane P.O. Box 1208 Richmond, KY 40476-1208 859-626-4241/cell 859-200-4657 email NancyM.Crewe@ky.gov http://www.madisoncountyhealthdept.org/ Please consider the environment before printing this email. NOTICE OF CONFIDENTIALITY: This e-mail, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain confidential information that is legally privileged and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are notified that any review, use, disclosure, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies of the original message.
From: Laura Latham [mailto:hllatham@bellsouth.net] Sent: Tuesday, April 05, 2011 9:37 AM To: Crewe, Nancy M (LHD-Madison Co) Subject: letter
Dear Nancy, Please be advised of our intentions. Thanks.
Hal Latham From: Riker, Carol A [riker@email.uky.edu] Sent: Monday, April 04, 2011 5:49 PM To: Owens, Kelly S (LHD - Madison Co) Cc: Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E; Kiyoung Lee Subject: FDA tests Attachments: tobcont KCSP e-cig FDA eval 5-4-09 UCM173250.pdf
Forgot to comment on FDA tests; will try to get more lay explanation from Kiyoung, but the part about the Sparging Apparatus and Headspace results and second page of Table show some results on simulating Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities Faculty Associate, Kentucky Center for Smoke-free Policy 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Cell: 859-619-3776 Office Phone: 859-323-6615 Fax: 859-323-1057 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu [cid:image001.jpg@01CBF2F0.9DFBAA60]<http://www.kcsp.uky.edu/> Find kysmokefree on [cid:image002.png@01CBF2F0.9DFBAA60] <http://twitter.com/kysmokefree> and [cid:image003.png@01CBF2F0.9DFBAA60] <http://www.facebook.com/pages/kysmokefree/121589417877279?ref=ts> [cid:image004.gif@01CBF2F0.9DFBAA60]
From: Green, Christie L (LHD-Madison Co) Sent: Monday, April 04, 2011 5:26 PM To: Owens, Kelly S (LHD - Madison Co) Subject: RE: Electronic Nicotine Delivery Systems (ENDS)/E-CIGS Thanks Kelly. I understand the sirens theyre going off here, too. I appreciate your help with this. cg
_____________________________________________ From: Owens, Kelly S (LHD - Madison Co)
Sent: Monday, April 04, 2011 5:25 PM To: Green, Christie L (LHD-Madison Co) Cc: Hawkins, Ruth R (LHD-Madison Co) Subject: Electronic Nicotine Delivery Systems (ENDS)/E-CIGS Importance: High Nicotine is very toxic. Nicotine is sold as pesticide. So there is Material Safety Data Sheet for nicotine. http://www.sciencelab.com/msds.php?msdsId=9926222 As you can see in section 3, nicotine is very toxic to human No question. Although there is no combustion in the ENDS, the ENDS vapor still include at least nicotine (very toxic to human) and according to preliminary lab testing other toxic chemicals. ENDS may produce less chemicals than cigarettes per puff, but exposure can be significant if there are many e-cig users and each user use e-cig longer. The Surgeon General said that there is no safe level of SHS. Therefore, ENDS vapor can be harmful. Manufacturers have not fully disclosed the chemicals used in ENDS There are few data on their emissions or actual human exposure Their health effects have not been studied Hope this is enough. Sorry for the delay, we have had more computer issues. (and the sirens have been going off, very distracting).
Kelly S. Owens, MPH, CHES Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043 Web Address: http://www.madisoncountyhealthdept.org/ Need Help Quitting? http://www.becomeanex.org/
<< OLE Object: Picture (Device Independent Bitmap) >> P Please consider the environment before printing this e-mail
From: Riker, Carol A [riker@email.uky.edu] Sent: Monday, April 04, 2011 5:18 PM To: Kiyoung Lee; Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E; Owens, Kelly S (LHD - Madison Co) Subject: RE: FW: mist & vapor tests Very nice, concise answer!!! Thanks, Kiyoung. Ill send you an email with some of the questions I wanted to pose to you, next. Many thanks, Carol From: Kiyoung Lee [mailto:cleanair@snu.ac.kr] Sent: Monday, April 04, 2011 5:14 PM To: Riker, Carol A; Kiyoung Lee; Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E; Owens Kelly S (LHD - Madison Co) Subject: Re: FW: mist & vapor tests let me address (2) first 2) Nicotine is very toxic. Nicotine is sold as pesticide. So there is Material Safety Data Sheet for nicotine. http://www.sciencelab.com/msds.php?msdsId=9926222 As you can see in section 3, nicotine is very toxic to human It is easy question. (1) although there is no combustion in the ENDS, the ENDS vapor still include at least nicotine (ver toxic to human), formaldehyde (human carcinogen), and other toxic chemicals.
ENDS may produce less chemicals than cigarettes per puff, but exposure can be significant if there are many e-cig users and each user use e-cig longer. Surgeon general said that there is no safe level of SHS. Therefore, ENDS vapor can be harmful. --- Original Message --From : "Riker, Carol A"<riker@email.uky.edu> To : "Kiyoung Lee"<cleanair@snu.ac.kr> Date : 2011/04/05 ??? ?? 5:47:14 Subject : FW: mist & vapor tests I wanted to talk with you about these documents before giving to Kelly, but she got a rush inquiry from the paper. They wanted responses to these assertions: 1. ENDS are not harmful since there is no combustion
2. Nicotine is not harmful Im going to call Kelly and talk to her about this now and how she might approach the papers questions, but if you have ideas and are online, then reply to all. Thanks, Carol From: Riker, Carol A Sent: Monday, April 04, 2011 4:44 PM To: 'Owens, Kelly S (LHD - Madison Co)' Subject: mist & vapor tests In the pdf look on the left anywhere that it says Mist. On the HTML doc it will take a minute to load. You can see what he found trace amounts of Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities Faculty Associate, Kentucky Center for Smoke-free Policy 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Cell: 859-619-3776 Office Phone: 859-323-6615 Fax: 859-323-1057
www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu [cid:image002.jpg@01CBF2E7.6F7A8A20]<http://www.kcsp.uky.edu/>Find kysmokefree on [cid:image003.png@01CBF2E6.D313A130] <http://twitter.com/kysmokefree> and [cid:image004.png@01CBF2E6.D313A130] <http://www.facebook.com/pages/kysmokefree/121589417877279?ref=ts> [cid:image005.gif@01CBF2E6.D313A130]
Kiyoung Lee Associate Professor School of Public Health Seoul National University Tel: 02-880-2735 From: Kiyoung Lee [cleanair@snu.ac.kr] Sent: Monday, April 04, 2011 5:14 PM To: Riker Carol A; Kiyoung Lee; Hahn Ellen J; Johnson John D; Kercsmar Sarah; Mundy Monica E; Owens, Kelly S (LHD - Madison Co) Subject: Re: FW: mist & vapor tests let me address (2) first 2) Nicotine is very toxic. Nicotine is sold as pesticide. So there is Material Safety Data Sheet for nicotine. http://www.sciencelab.com/msds.php?msdsId=9926222 As you can see in section 3, nicotine is very toxic to human It is easy question. (1) although there is no combustion in the ENDS, the ENDS vapor still include at least nicotine (ver toxic to human), formaldehyde (human carcinogen), and other toxic chemicals. ENDS may produce less chemicals than cigarettes per puff, but exposure can be significant if there are many e-cig users and each user use e-cig longer.
Surgeon general said that there is no safe level of SHS. Therefore, ENDS vapor can be harmful. --- Original Message --From : "Riker, Carol A" To : "Kiyoung Lee" Date : 2011/04/05 ??? ?? 5:47:14 Subject : FW: mist & vapor tests v\:* {behavior:url(#default#VML);} o\:* {behavior:url(#default#VML);} w\:* {behavior:url(#default#VML);} .shape {behavior:url(#default#VML);}
I wanted to talk with you about these documents before giving to Kelly, but she got a rush inquiry from the paper. They wanted responses to these assertions: 1. ENDS are not harmful since there is no combustion 2. Nicotine is not harmful I’m going to call Kelly and talk to her about this now and how she might approach the paper’s questions, but if you have ideas and are online, then reply to all. Thanks, Carol
From: Riker, Carol A Sent: Monday, April 04, 2011 4:44 PM To: 'Owens, Kelly S (LHD - Madison Co)' Subject: mist & vapor tests
In the pdf look on the left anywhere that it says Mist. On the HTML doc – it will take a minute to load. You can see what he found trace amounts of
Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities Faculty Associate, Kentucky Center for Smoke-free Policy 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Cell: 859-619-3776 Office Phone: 859-323-6615 Fax: 859-323-1057 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu
Find kysmokefree on and
From: Riker, Carol A [riker@email.uky.edu] Sent: Monday, April 04, 2011 5:09 PM To: Owens, Kelly S (LHD - Madison Co) Cc: Hahn, Ellen J; Kercsmar, Sarah; Johnson, John D; Mundy, Monica E; Kiyoung Lee Subject: Laugesen's comment Attachments: tobcont KCSP e-cig Miracle or Menace Flouris 2010.pdf Kelly,
Heres the article (attached) and the site where you can go down to the comments:
http://www.bmj.com/content/340/bmj.c311.extract
Then to Laugesens comment which says it all: http://www.bmj.com/content/340/bmj.c311.extract/reply#bmj_el_230082
Carol
Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities Faculty Associate, Kentucky Center for Smoke-free Policy
555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Cell: 859-619-3776 Office Phone: 859-323-6615 Fax: 859-323-1057 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu
From: Riker, Carol A [riker@email.uky.edu] Sent: Monday, April 04, 2011 4:49 PM To: Owens, Kelly S (LHD - Madison Co) Cc: Hahn, Ellen J; Johnson, John D; Mundy, Monica E; Kercsmar, Sarah; Kiyoung Lee Subject: nicotine Attachments: tobcont KCSP SHS & Nic Dep & Cess Okoli PHN_250107 FINAL.pdf The more sources of nicotine exposure, the more apt to form dependence and less likely to intend to quit or try to quit.
Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities Faculty Associate, Kentucky Center for Smoke-free Policy 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Cell: 859-619-3776 Office Phone: 859-323-6615 Fax: 859-323-1057 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu [cid:image001.jpg@01CBF2E8.422B4EA0]<http://www.kcsp.uky.edu/> Find kysmokefree on [cid:image002.png@01CBF2E8.422B4EA0] <http://twitter.com/kysmokefree> and [cid:image003.png@01CBF2E8.422B4EA0] <http://www.facebook.com/pages/kysmokefree/121589417877279?ref=ts> [cid:image004.gif@01CBF2E8.422B4EA0]
From: Riker, Carol A [riker@email.uky.edu] Sent: Monday, April 04, 2011 4:47 PM To: Kiyoung Lee Cc: Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E; Owens, Kelly S (LHD - Madison Co) Subject: FW: mist & vapor tests Attachments: tobcont KCSP e-cig Laugesen mist & safety tests 2009.pdf; tobcont KCSP e-cig laugesen 2009 No SHS.mht I wanted to talk with you about these documents before giving to Kelly, but she got a rush inquiry from the paper. They wanted responses to these assertions: 1. ENDS are not harmful since there is no combustion
2. Nicotine is not harmful I'm going to call Kelly and talk to her about this now and how she might approach the paper's questions, but if you have ideas and are online, then reply to all.
Thanks, Carol From: Riker, Carol A Sent: Monday, April 04, 2011 4:44 PM To: 'Owens, Kelly S (LHD - Madison Co)' Subject: mist & vapor tests In the pdf look on the left anywhere that it says Mist. On the HTML doc - it will take a minute to load. You can see what he found trace amounts of Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities Faculty Associate, Kentucky Center for Smoke-free Policy 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Cell: 859-619-3776 Office Phone: 859-323-6615 Fax: 859-323-1057 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu [cid:image002.jpg@01CBF2E7.6F7A8A20]<http://www.kcsp.uky.edu/>Find kysmokefree on [cid:image003.png@01CBF2E6.D313A130] <http://twitter.com/kysmokefree> and [cid:image004.png@01CBF2E6.D313A130] <http://www.facebook.com/pages/kysmokefree/121589417877279?ref=ts> [cid:image005.gif@01CBF2E6.D313A130]
From: Riker, Carol A [riker@email.uky.edu] Sent: Monday, April 04, 2011 4:44 PM To: Owens, Kelly S (LHD - Madison Co) Subject: mist & vapor tests Attachments: tobcont KCSP e-cig Laugesen mist & safety tests 2009.pdf; tobcont KCSP e-cig laugesen 2009 No SHS.mht
In the pdf look on the left anywhere that it says Mist. On the HTML doc - it will take a minute to load. You can see what he found trace amounts of Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities Faculty Associate, Kentucky Center for Smoke-free Policy 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Cell: 859-619-3776 Office Phone: 859-323-6615 Fax: 859-323-1057 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu [cid:image002.jpg@01CBF2E7.6F7A8A20]<http://www.kcsp.uky.edu/> Find kysmokefree on [cid:image003.png@01CBF2E6.D313A130] <http://twitter.com/kysmokefree> and [cid:image004.png@01CBF2E6.D313A130] <http://www.facebook.com/pages/kysmokefree/121589417877279?ref=ts> [cid:image005.gif@01CBF2E6.D313A130]
From: Riker, Carol A [riker@email.uky.edu] Sent: Monday, April 04, 2011 4:35 PM To: Owens, Kelly S (LHD - Madison Co) Cc: Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E; Kiyoung Lee Subject: FW: Laugesen's tests on e-cig mist Hi Kelly, Here is Kiyoungs email about the level of formaldehyde his Korean colleague found in the vapor; quite a bit over the EPA level.. Looking for more info for your response to the paper.
Carol From: Kiyoung Lee [mailto:cleanair@snu.ac.kr] Sent: Saturday, April 02, 2011 4:39 PM To: Riker, Carol A; Hahn, Ellen J; Johnson, John D Subject: Re: Laugesen's tests on e-cig mist Hi Carol I look at this quickly. So I put some of my comments in the file. I may have to study more. There are many information. Interestingly, 2008 report showed formaldehyde concentration of 0.25 ppm in vapor. My Korean colleague detected formaldehyde in cartridge. "Formaldehyde, a colorless, pungent-smelling gas, can cause watery eyes, burning sensations in the eyes and throat, nausea, and difficulty in breathing in some humans exposed at elevated levels (above 0.1 parts per million)." US EPA http://www.epa.gov/iaq/formalde.html Kiyoung --- Original Message --From : "Riker, Carol A"<riker@email.uky.edu> To : "Kiyoung Lee"<cleanair@snu.ac.kr> Date : 2011/04/03 ??? ?? 4:37:37 Subject : Laugesen's tests on e-cig mist Hi Kiyoung, As youve probably heard, were working on refuting the one-pager that CASAA took from us and revised. I was wondering if you have any comments on Laugesens work to evaluate the safety of the e-cig mist? Its hard for me to know if this is valid work or not. Laugesen was funded by the e-cig company, Ruyan, so of course Im suspicious. See attachments and info from website, below. Ive also attached the one-pager as revised by CASAA, with a couple of preliminary comments by John Johnson, KCSP Community Liaison. Thanks!
Carol Riker PS I did not get to come to your presentation because I needed to be timekeeper for another at the same time. Safety results, efficacy results, April 2009: See www.healthnz.co.nz/Dublin.htm<http://www.healthnz.co.nz/Dublin.htm> 1) E-cigarette Safety: Ruyan e-cigarette benchtop tests. Poster 5-11. See. www.healthnz.co.nz/DublinEcigBenchtopHandout.pdf<http://www.healthnz.co.nz/DublinEcigB enchtopHandout.pdf> The poster itself is found in the following two powerpoint files: http://www.healthnz.co.nz/DublinEcigPoster1.ppt and http://www.healthnz.co.nz/DublinEcigPoster2.ppt The mist of the e-cigarette has been rigorously tested. Of over 50 priority-listed cigarette smoke toxicants tested, none was detectable in the mist of the Ruyan e-cigarette, except for a trace of mercury close to the limit of detection. Some toxicants remain to be tested before the results are submitted for publication shortly in a peer-reviewed journal. On the basis of findings to date, inhaling mist from the e-cigarette is rated several orders of magnitude (100 to 1000 times) less dangerous than smoking tobacco cigarettes. The nicotine dose per puff is comparable to that of a medicinal nicotine inhaler. E-cigarette nicotine is apparently not absorbed from the lung, but from the upper airways. Comment: Given that continued smoking of cigarettes carries a cumulative 1 in 2 death risk, the findings, argue for 1) less stringent regulation for very low-risk non-medicinal nicotine cigarette substitute products 2) the sale of this brand as a non-medicinal cigarette substitute, as its emissions have been tested.
Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities Faculty Associate, Kentucky Center for Smoke-free Policy 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Cell: 859-619-3776
Office Phone: 859-323-6615 Fax: 859-323-1057 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu [cid:image002.jpg@01CBF14B.E4B32CE0]<http://www.kcsp.uky.edu/>Find kysmokefree on [cid:image003.png@01CBF14A.1FAC98B0] <http://twitter.com/kysmokefree> and [cid:image004.png@01CBF14A.1FAC98B0] <http://www.facebook.com/pages/kysmokefree/121589417877279?ref=ts> [cid:image005.gif@01CBF14A.1FAC98B0]
Kiyoung Lee Associate Professor School of Public Health Seoul National University Tel: 02-880-2735 From: Hawkins, Ruth R (LHD-Madison Co) Sent: Monday, April 04, 2011 4:20 PM To: Owens, Kelly S (LHD - Madison Co) Subject: RE: here it is.. Attachments: E-CIGARETTES.J.Johnstone.pptx
Ruth R. Hawkins, MSN, RN, MCHES Health Education Director Madison County Health Department 1001 Ace Dr. Berea, KY 40403 859-228-2041 (office)
859-986-1027 (Fax) www.madisoncountyhealthdept.org
<https://cid13f3e6899c99da27.skydrive.live.com/redir.aspx?page=play&resid=13F3E6899C99DA27!108&p arid=13F3E6899C99DA27!107&type=1&Bsrc=Photomail&Bpub=SDX.Photos&authkey=rxz4sm1r Onw$>
From: Owens, Kelly S (LHD - Madison Co) Sent: Monday, April 04, 2011 3:57 PM To: Hawkins, Ruth R (LHD-Madison Co) Subject: here it is..
From: Riker, Carol A [riker@email.uky.edu] Sent: Monday, April 04, 2011 2:26 PM To: Owens, Kelly S (LHD - Madison Co) Cc: Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E Subject: article Attachments: tobcont KCSP e-cig Research Agenda Etter 3-11.pdf Many of these authors are cited by CASAA
Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities
Faculty Associate, Kentucky Center for Smoke-free Policy 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Cell: 859-619-3776 Office Phone: 859-323-6615 Fax: 859-323-1057 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu
From: Green, Christie L (LHD-Madison Co) Sent: Tuesday, March 22, 2011 8:14 AM To: Hawkins, Ruth R (LHD-Madison Co); Owens, Kelly S (LHD - Madison Co) Subject: FW: Clean Indoor Air Regulation Comments from the website. I have not responded to the sender.
cg
From: Jerry Hacker [mailt Sent: Monday, March 21, 2011 7:21 PM To: mchd@madisoncountyhealthdept.org Subject: Clean Indoor Air Regulation
I oppose the inclusion of electronic cigarettes into the Clean Indoor Air Regulation. E-cigs release absolutely NO toxins ... period. By doing this you are taking away one of the benefits of this fine product. If this passes you are encouraging people to stay with tobacco cigarettes because one of the reasons most switch is because they can use them were tobacco is not allowed. People will be more reluctant to to switch to a cleaner alternative if you take away one of it's greatest benefits. http://www.e-cig.org/2010/01/13/scientific-testing-verifies-electronic-cigarette-vapor-doesnot-contain-carcinogenic-tsnas/ Thank you, Jerry Hacker From: Elaine Keller [ekeller@casaa.org] Sent: Monday, March 21, 2011 5:51 PM To: Owens, Kelly S (LHD - Madison Co) Cc: ejhahn00@uky.edu; Owens, Kelly S (LHD - Madison Co); board@casaa.org; mchd@madisoncountyhealthdept.org Subject: E-Cigarettes and Smoke-free Policies Attachments: E-cigarettes_and_Smoke-free_Policies.pdf Dear Ms. Owens:
The Consumer Advocates for Smoke-free Alternatives Association (CASAA) is pleased to be able to provide you with information regarding research on electronic cigarettes. CASAA is a nonprofit organization that works to ensure the availability of reduced harm alternatives to
smoking and to provide smokers and non-smokers alike with truthful information about such alternatives.
The document E-cigarettes and Smoke-free Policies posted on the Madison County Health Department web site (http://www.madisoncountyhealthdept.org/Documents/Community/One-pager%20ecigarettes%20and%20Secondhand%20Smoke%20EH%20112110.pdf) contains many inaccuracies. Only one of the sources (Trtchounian et al, 2010) describes the findings of research conducted on electronic cigarettes. The remaining sources include a press release, opinion pieces, and research conducted on smoke. This document appears to be based on a document of the same name produced by the Tobacco Policy Research Program at the University of Kentucky, so I am copying Ellen Hahn on this message as well.
Bullet points in the document regarding the FDAs testing of 18 cartridges are based on an FDA press conference, rather than the on the laboratory report issued by the scientist who conducted the testing. http://www.fda.gov/downloads/Drugs/ScienceResearch/UCM173250.pdf
Inaccurate statements were lifted verbatim from the press release, e.g. they contain carcinogens and toxic chemicals such as diethylene glycol, an ingredient used in antifreeze. The truth of the matter is that the 8 nanograms of tobacco-specific nitrosamines (TSNAs) found in the liquid of a high dose cartridge are no more likely to cause cancer than the 8 nanograms of the very same TSNAs in a 21-mg Nicoderm patch. No TSNAs were detected in the vapor. There was only one potentially toxic chemical found, again in the liquid but not the vapor. However, the quantity of diethylene glycol (DEG) that the FDA measured was 0.01 ml -thousands of times below the toxic level of 1 ml per kg. Screening for tobacco-specific impurities in the vapor was negative except for a non-toxic quantity of ?-Nicotyrine.
When you compare the lab report to statements in the press release, it becomes obvious that the FDA found nothing in the e-cigarettes tested that would endanger health. However, the Agency used inflammatory wording in its press conference to make it appear as though the using an e-cigarette is more dangerous than continuing to smoke. That is egregious behavior on the part of officials of an Agency charged with protection of public health.
Henningfield and Zaatari might suspect that e-cigarettes emit carcinogens, but the scientists who actually studied the vapor have found no carcinogens--or any other harmful substance--in vapor. One such scientist is Dr. Murray Laugesen of Health New Zealand who has been studying e-cigarettes for over four years. He states, Lacking any active ingredient or any gaseous products of combustion, the PG mist or smoke is not harmful to bystanders. More than one researcher has found that e-cigarette vapor contains only one-tenth the amount of nicotine as a puff of tobacco smoke, and most of the nicotine is absorbed by the user, rather than exhaled.
Sliemans research was conducted on smoke residue. Including bullet points that imply Sliemans study results are applicable to e-cigarette vapor is a gross misrepresentation of the science.
In 1990, there were 43.8 million smokers. Twenty years later that number stands at over 46 million smokers. The smoking prevalence statistics and the smoking cessation rates tell us quite clearly that a more effective approach is needed. In Harm Reduction in Nicotine Addiction: Helping Smokers Who Cant Quit, a 2007 report by the Tobacco Advisory Group for the Royal College of Physicians, the authors discuss the relative harm of different nicotine products. They state that many lives could be saved and much morbidity prevented if we recommended that smokers substitute less hazardous alternatives for smoking.
All of the smoking cessation programs in existence today are based on the concept of imposing nicotine abstinence--an approach that does not work for the overwhelming majority of smokers. When used as directed, to wean down and off nicotine, the FDA-approved products have a 7% success rate at 6 months, dropping to 5% at one year, and only 2% after 20 months. (Moore D, Aveyard P, Connock, M, Wang D, Fry-Smith A, Barton P: Effectiveness and safety of nicotine replacement therapy assisted reduction to stop smoking: systematic review and metaanalysis. BMJ 338:b1024 2009.)
The success rates reported in surveys of e-cigarette users indicate that the harm reduction approach is much more effective than the nicotine abstinence approach. In studies limited to a single product, success rates of 31% have been reported (Siegel, et al. Electronic Cigarettes as a Smoking-Cessation Tool: Results from an Online Survey. American Journal of Preventive Medicine. http://www.ajpm-online.net/webfiles/images/journals/amepre/AMEPRE3013.pdf).
Im sure you will agree that a 6-month point prevalence rate of smoking abstinence of 31% is superior to a 7% rate of smoking abstinence.
Now what happens if you dont limit users to a single product, allow them to find the combination of hardware and liquid that works best for them, and provide advice and assistance by an online community of experienced users? Success rates soar. A survey of 270 e-cigarette consumers (303 before excluding possible duplicates) found that 100% smoked before starting to use the e-cigarette, 92% had tried to stop smoking63% trying 4 or more times to do so, and 87% had tried pharmaceutical nicotine products. Only 1% reported that pharmaceutical products helped them to stop smoking permanently. How well did the ecigarette work? Only 3% were using the product in addition to smoking, 15% were using them as a partial replacement for smoking, and an astonishing 82% were using them as a complete replacement for smoking.
Which would save more lives? If a range of 2% to 7% of smokers can quit nicotine altogether, or if a range of 31% to 82% of smoker are able to abstain from smoking but use a less hazardous alternative source of nicotine?
In the case of Smoking Everywhere and Sottera (dba NJOY) versus the U.S. Food and Drug Administration, the Honorable Richard J. Leon, of the U.S. District Court for the District of Columbia stated that the FDA failed to provide any evidence that the products have harmed anyone. Since that opinion was issued, millions more of the products have been sold; and to date there have been zero reports of any serious adverse event. Side effects reported are no different from those reported with use of FDA-approved nicotine products.
Both the lower court and the U.S. District Court of Appeals for the District of Columbia have issued opinions that, as long as vendors make no claims that electronic cigarettes can cure or treat a disease, the FDA cannot regulate the products as a drug or drug-delivery device combination under the Food Drug and Cosmetics Act. If electronic cigarettes are marketed without health claims, the FDA can use the authority granted under the Family Smoking Prevention and Tobacco Control Act to regulate e-cigarettes as tobacco products.
There is no evidence that vapor presents any sort of danger to bystanders. In fact the same surveys that report exceptional rates of smoking abstinence with e-cigarette use also report that more than 90% of users are experiencing health improvements. Given that fact, how could the vapor they exhale possibly endanger the health of bystanders?
When continuing smokers see electronic cigarette users staying in a nice, climate-controlled environment while they are exiled outside to the elements, this observation can serve as a powerful incentive. They may think, Why not give e-cigarettes a try? Many e-cigarette users at first had no intention of quitting smoking. But once they began using an e-cigarette, they no longer had any urge to smoke.
CASAA has revised E-cigarettes and Smoke-free Policies to provide a more accurate picture of the scientific facts about e-cigarettes. A copy is attached. I have sent a printed copy of this document to members of the Madison County Board of Health. Feel free to contact me with any questions you might have.
Very truly yours,
Elaine Keller CASAA Vice President http://www.casaa.org <http://www.casaa.org/>
(703) 244-8692 From: Amy Barkley [ABarkley@TobaccoFreeKids.org] Sent: Tuesday, January 25, 2011 2:31 PM To: ron.smith@eku.com Cc: Owens, Kelly S (LHD - Madison Co) Subject: NY Assembly committee approves ban on e-cigarettes until FDA regulates Attachments: Final Policy Guidance on E-Cigarettes 4-7-10.pdf
Ron - thought you might be interested in the story below. Also attached is our official position on e-cigarettes. Please let me know if you need more information! Amy
From: Vince Willmore Sent: Tuesday, January 25, 2011 2:23 PM To: State Actions Task Force Subject: AP - NY Assembly committee approves ban on e-cigarettes until FDA regulates
NY lawmakers advance bill to ban 'e-cigarettes' until FDA rules; NY could be first to bar them 25 January 2011 Associated Press Newswires (c) 2011. The Associated Press. All Rights Reserved. ALBANY, N.Y. (AP) - A key New York Assembly committee has advanced a bill that could make the state the first to ban electronic cigarettes. The devices advertised heavily on the Internet promise all the pleasures of smoking without the deadly health threat. Health Committee Chairman Richard Gottfried (GOT'-freed) says the legislation passed Tuesday is a public health measure. It would ban e-cigarettes in New York until the federal government decides how to regulate their use. Currently, children can buy the plastic devices, which contain nicotine and aren't covered by indoor smoking bans. Health officials say e-cigarettes are just another addictive habit, one that can hook kids early. But advocates say it helps people cut down or quit smoking tobacco. THIS IS A BREAKING NEWS UPDATE. Check back soon for further information. AP's earlier story is below.
ALBANY, N.Y. (AP) -- New York lawmakers are considering what could become the first state ban on electronic cigarettes, devices touted on the Internet in ads promising all the pleasures of smoking without the deadly health threat. Health officials say e-cigarettes are just another addictive habit, one that can hook kids early and legally on smoking. But advocates who have used the devices to quit or cut down smoking tobacco call the battery-operated smokes a miracle. "I got interested in this because I saw all these ads for e-cigarettes, so I did some research," said Assemblywoman Linda Rosenthal, a Manhattan Democrat. "I found what is in the e-cigarettes is a mystery." She wants to ban e-cigarettes in New York until they are more thoroughly investigated and regulated. The bill could be voted out of the Assembly Health Committee as early as Tuesday, said Rosenthal, a 20-year smoker who quit more than a dozen years ago. Her bill was approved in the Assembly last year but stalled in the Senate, which was then controlled by Democrats. Senate Health Committee Chairman Kemp Hannon, a Republican, said the bill likely will be considered by his committee and a hearing may be held, but it's too early to predict what will happen with the proposal. E-cigarettes have prompted debate nationwide since they became widely available in the United States in 2006. But as either a tobacco cigarette substitute or a much more extensively tested and restricted drug-delivery device, the future of e-cigarettes will likely be decided by the Food and Drug Administration. The FDA lost a court case last year after trying to treat ecigarettes as drug-delivery devices, rather than tobacco products, because e-cigarettes heat nicotine extracted from tobacco. Powerful lobbies are involved. If treated as a tobacco product, e-cigarettes would avoid the research and trials required of competitors in the pharmaceutical industry, including antismoking patches and inhalers. As a medical device, e-cigarettes could draw opposition from that powerful lobby as a fresh and less expensive competitor. Advocates of e-cigarettes are now watching New York "very closely. They kind of snuck up on us," said Elaine Keller of Springfield, Va., vice president of the Consumer Advocates for SmokeFree Alternatives Association. "I would still be smoking if not for this product," she said. Keller said she has been tobacco free since March 2009 after 45 years of smoking. She said her group amounts to a grass-roots effort of those who feel the government has blocked this "miracle" product.
"There is no industry support on this thing at all," she said of the organization. "We want to keep it this way so no one can say we are a shill for the tobacco, drug or e-cigarette industry." She also tries to recast the safety question. "I can't point to anything to say it's 100 percent safe," Keller said. "The thing is, it only needs to be safer. The only standard is that it's safer than smoking."
Vince Willmore Vice President, Communications Campaign for Tobacco-Free Kids 1400 I Street NW, Suite 1200 Washington, DC 20005 PH: 202-296-5469 FX: 202-296-5427 www.tobaccofreekids.org<http://www.tobaccofreekids.org> From: Farris, Leslie D (LHD-Madison Co) Sent: Wednesday, January 19, 2011 4:20 PM To: Owens, Kelly S (LHD - Madison Co) Subject: Emailing: 052 Attachments: 052.jpg <<052.jpg>> Your message is ready to be sent with the following file or link attachments: 052 Note: To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. From: Riker, Carol A [riker@email.uky.edu] Sent: Saturday, January 15, 2011 6:28 PM To: Owens, Kelly S (LHD - Madison Co); Hawkins, Ruth R (LHD-Madison Co) Cc: Hahn, Ellen J; Johnson, John D; Mundy, Monica E; Kercsmar, Sarah Subject: formaldehyde in e-cig Hi Kelly and Ruth,
Ellen has just learned from scientists that formaldehyde has been found in a number of ecigarettes. Formaldehyde is listed as a known human carcinogen by IARC and a probable human carcinogen by US EPA. Apparently if formaldehyde is in the fluid in the cylinder, then it will be in the vapor. Just wanted you to be aware as you go into the BOH meeting. It seems we continue to learn more about e-cigs but it's unlikely that they are just emitting "water vapor!" Let us know how it goes! Carol Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Phone: 859-323-6615 Fax: 859-323-1057 Cell: 859-619-3776 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on Twitter<http://www.twitter.com/kysmokefree> and Facebook<http://www.facebook.com/#!/pages/kysmokefree/121589417877279?ref=ts> Smoke-free Communities: Good for People, Good for Business [cid:image001.gif@01CBB4E1.0A7DD0D0]
From: Hensley, Martin (LHD-Madison Co ) Sent: Wednesday, January 12, 2011 8:37 AM To: Crewe, Nancy M (LHD-Madison Co); Kellerman, Kimberly J (LHD-Madison Co); Hawkins, Ruth R (LHD-Madison Co); Dixon, Marvin (LHD-Madison Co) Cc: Owens, Kelly S (LHD - Madison Co); Green, Christie L (LHD-Madison Co)
Subject: Final CIAR comments Attachments: CIAR Comments.pdf One comment was registered on the web site after the report was printed yesterday. Here is the final copy. Thanks, Martin Hensley Madison County Health Department Technical Support 214 Boggs Lane Richmond, KY 40475 Phone: (859) 626-4507 "An imperfect plan implemented immediately and violently will always succeed better than a perfect plan." General George S. Patton P Please consider the environment before printing this e-mail Notice of Confidentiality: This e-mail, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain confidential information that is legally privileged and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are notified that any review, use, disclosure, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies of the original message.
From: Riker, Carol A [riker@email.uky.edu] Sent: Tuesday, January 11, 2011 2:58 PM To: Owens, Kelly S (LHD - Madison Co); Hawkins, Ruth R (LHD-Madison Co) Cc: Hahn, Ellen J; Johnson, John D; Mundy, Monica E Subject: state S-F bill Attachments: tobcont KCSP State HB 193.rtf Here's the state bill which includes e-cig. Carol Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor
Community Advisor, Rural Smoke-free Communities 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Phone: 859-323-6615 Fax: 859-323-1057 Cell: 859-619-3776 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on Twitter<http://www.twitter.com/kysmokefree> and Facebook<http://www.facebook.com/#!/pages/kysmokefree/121589417877279?ref=ts> Smoke-free Communities: Good for People, Good for Business [cid:image001.gif@01CBB19F.F4C7C3C0]
From: Riker, Carol A [riker@email.uky.edu] Sent: Tuesday, January 11, 2011 2:11 PM To: Owens, Kelly S (LHD - Madison Co); Hawkins, Ruth R (LHD-Madison Co) Cc: Hahn, Ellen J; Johnson, John D; Mundy, Monica E Subject: FW: article Attachments: electronic.pdf Here you go, Kelly. Carol From: O'malley, Gail A Sent: Tuesday, January 11, 2011 11:49 AM To: Riker, Carol A Subject: RE: article
From: Riker, Carol A Sent: Tuesday, January 11, 2011 10:14 AM To: O'malley, Gail A Subject: article
Madison Co Health Dept would like to have the full text of an article in the latest issue of Tobacco Control called Electronic Nicotine Delivery Devices - Is there a need for regulation. Could you try to get a pdf of it please. They are gathering info for their Bd of Health who is considering amending their regulation to include e-cigs. Thanks Carol Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Phone: 859-323-6615 Fax: 859-323-1057 Cell: 859-619-3776 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on Twitter<http://www.twitter.com/kysmokefree> and Facebook<http://www.facebook.com/#!/pages/kysmokefree/121589417877279?ref=ts> Smoke-free Communities: Good for People, Good for Business [cid:image001.gif@01CBB185.8C54B740]
From: Hawkins, Ruth R (LHD-Madison Co) Sent: Tuesday, January 11, 2011 9:56 AM To: Owens, Kelly S (LHD - Madison Co) Subject: e-cigarettes statement http://www.aaphp.org/special/joelstobac/2010/20100402AAPHPEcigLegisStatemnt.pdf American Association of Public Health Physicians statement - April 2010
Referenced in one of the comments received from the public via our website. Ruth R. Hawkins, MSN, RN, CHES Health Education Director Madison County Health Department 1001 Ace Dr. Berea, KY 40403 859-228-2041 (office) 859-986-1027 (Fax) Website: www.madison-co-ky-health.org From: Hawkins, Ruth R (LHD-Madison Co) Sent: Tuesday, January 11, 2011 9:17 AM To: Owens, Kelly S (LHD - Madison Co) Cc: Crewe, Nancy M (LHD-Madison Co) Subject: FW: King County Web Page Recommendation Thought this might be of interest. Ruth
From: King County Web site [mailto:no.reply@kingcounty.gov] Sent: Monday, January 10, 2011 7:32 PM To: Hawkins, Ruth R (LHD-Madison Co) Subject: King County Web Page Recommendation
Dec. 16: Board of Health approves electronic cigarette regulations http://www.kingcounty.gov/council/news/2010/December/JP_Ecig.aspx This page was sent to you by: ruthdavis@roadrunner.com From: email@addthis.com on behalf of ruthr.hawkins@roadrunner.com Sent: Monday, January 10, 2011 8:20 PM To: Hawkins, Ruth R (LHD-Madison Co); Owens, Kelly S (LHD - Madison Co) Subject: Electronic cigarettes are unsafe and pose health risks, study finds
http://www.sciencedaily.com/releases/2010/12/101203141932.htm --This message was sent by ruthr.hawkins@roadrunner.com via http://addthis.com. Please note that AddThis does not verify email addresses. Make sharing easier with the AddThis Toolbar: http://www.addthis.com/go/toolbar-em From: Hawkins, Ruth R (LHD-Madison Co) Sent: Monday, January 10, 2011 4:46 PM To: Owens, Kelly S (LHD - Madison Co) Subject: UC Riverside Web Page: UCR Newsroom: Electronic Cigarettes Are Unsafe and Pose Health Risks Thought you might be interested in this Web page on ucr.edu: http://newsroom.ucr.edu/news_item.html?action=page&id=2506 From: Riker, Carol A [riker@email.uky.edu] Sent: Thursday, January 06, 2011 6:34 PM To: Owens, Kelly S (LHD - Madison Co); Hawkins, Ruth R (LHD-Madison Co) Cc: Hahn, Ellen J; Johnson, John D; Mundy, Monica E Subject: E-cigarette references for BOH member Attachments: tobcont KCSP e-cig Internet Phenom Yamin 2010.pdf; tobcont KCSP e-cig vs trad cig vacuum req & aerosol density Trtchounian 2010.pdf; tobcont KCSP e-cig Regulation kuehn JAMA update.pdf; tobcont KCSP e-cig ENDS science TC henningfield 2010.pdf; tobcont KCSP ECigarettes Final Policy Guidance Tri Agencies 4-7-10.pdf Hi Kelly and Ruth,
I think I neglected to copy Ruth earlier on the Thirdhand Smoke & FDA info I sent. Can you forward that to Ruth, Kelly, or do you need for me resend?
Ill send the other references on the e-cig one-pager with this email. (You can access the ASH website for that one.)
Let us know how things go and if we can help.
Carol
Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Phone: 859-323-6615 Fax: 859-323-1057 Cell: 859-619-3776 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu
Find kysmokefree on Twitter <http://www.twitter.com/kysmokefree> and Facebook <http://www.facebook.com/#!/pages/kysmokefree/121589417877279?ref=ts>
Smoke-free Communities:
Good for People, Good for Business
From: Riker, Carol A [riker@email.uky.edu] Sent: Thursday, January 06, 2011 9:35 AM To: Owens, Kelly S (LHD - Madison Co) Cc: Hahn, Ellen J; Johnson, John D; Mundy, Monica E Subject: info on thirdhand smoke for e-cig discussion Attachments: tobcont KCSP thirdhand smoke residential matt 2010.pdf; tobcont KCSP e-cig FDA warns of H Risks 7-09.pdf; tobcont KCSP e-cig FDA Lab Analysis PHFocus.mht; tobcont KCSP e-cig FDA warning 7-22-09.mht Kelly,
I sent you Sleiman yesterday on Thirdhand Smoke(THS). Im sending Matt today because it has the best description of THS that Ive seen. As we discussed yesterday, this article is on residential exposure, so if you send to the BOH member you should emphasize that the same processes and dangers occur in workplaces covered by your ordinance.
I have not seen any science yet where the vapor from e-cigarettes has been tested. One would expect that whatever ingredients are in the cylinder may also be in the vapor and exhaled by the smoker. We know nicotine is in most of the e-cigarettes and we have the science on what happens when nicotine deposits in the indoor environment (Matt and Sleiman), so that seems like a concrete danger. As Matt says, THS includes inhalation exposure to compounds reemitted into the air from indoor surfaces and particle resuspended from deposits(p.1)
FDA did limited testing (see lab analysis for most helpful info on that). Heres what FDA said in the Warning: Because these products have not been submitted to the FDA for evaluation or approval, at this time the agency has no way of knowing, except for the limited testing it has performed, the levels of nicotine or the amounts or kinds of other chemicals that the various brands of these products deliver to the user. Ellen will check with James Repace and Kiyoung Lee to see if there is any testing out there that hasnt been reported in the literature. Im going to Frankfort and will send you other article from the one-pager this afternoon. Hope this helpful. Carol
Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232
Phone: 859-323-6615 Fax: 859-323-1057 Cell: 859-619-3776 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu
Smoke-free Communities: Good for People, Good for Business
From: Riker, Carol A [riker@email.uky.edu] Sent: Wednesday, January 05, 2011 11:50 AM To: Owens, Kelly S (LHD - Madison Co) Cc: Hahn, Ellen J; Johnson, John D; Mundy, Monica E Subject: articles on e-cig Attachments: One_pager ecig_onepager REVISED FINAL 122310.pdf; Summary 12-13-10 SFKY meeting AB.pdf; tobcont KCSP Thirdhand smoke sleiman.pdf Here is the properly formatted ecig one-pager (no content changes) and a summary of the state mtg that snowy day!
Ill send you the articles I have from the 1-pager and any others Ellen thinks will be helpful. Part of the case certainly will be that at least nicotine (maybe other contents) are exhaled by the user and then cause danger as thirdhand smoke.
Carol
Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Phone: 859-323-6615 Fax: 859-323-1057 Cell: 859-619-3776 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu
Smoke-free Communities: Good for People, Good for Business
From: Green, Christie L (LHD-Madison Co) Sent: Friday, December 10, 2010 12:35 PM To: Owens, Kelly S (LHD - Madison Co); Hawkins, Ruth R (LHD-Madison Co); Crewe, Nancy M (LHD-Madison Co) Cc: Hensley, Martin (LHD-Madison Co ) Subject: public comment, clean indoor air reg Attachments: Press Release - Clean Indoor Air Regulation public comment.docx Hello, Here is the language that went to the papers. I failed to get this notice out in time to allow the 30 day comment period with a deadline of 7 January. Kelly & I talked it over, and agreed to run it in the Register as a legal ad on Sunday, which changes the deadline date to Tuesday, 11 January. I have also sent it as a PSA to the Berea Citizen and am hopeful that they will run it with no charge on Thursday, 16 December.
Marty, when I try to open the webpage for editing, Im encountering an error with the contribute software. Can you please change the deadline to 11 January?
Thank you,
cg
Christie L. Green Development and Communications Public Information Officer Madison County Health Dept. 214 Boggs Lane Richmond, KY 40476-1208 859-623-7312 cell 859-661-0853 www.madison-co-ky-health.org <http://www.madison-co-ky-health.org> "...what it really takes to change the world isn't so much wealth or power as creativity, determination and passion." Nicholas Kristof Please consider the environment before printing this e-mail.
From: Hahn, Ellen J [ejhahn00@email.uky.edu] Sent: Tuesday, December 07, 2010 6:56 AM To: Owens, Kelly S (LHD - Madison Co); Riker, Carol A; Johnson, John D Subject: RE: E cigarette / Clean Air Help I find this an interesting quote from Monty: Our concern is that if they include this in the ban, then many of those who have left regular cigarettes for the E cigarettes will return to smoking regular cigarettes. By asking e-cig users to go outside (like the smokers), it is not logical to think that somehow the e-cig users will start smoking again....
Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease University of Kentucky College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on Twitter<http://www.twitter.com/kysmokefree> and Facebook<http://www.facebook.com/#!/pages/kysmokefree/121589417877279?ref=ts> ! [cid:image002.gif@01CB95DB.CA039540] From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov] Sent: Monday, December 06, 2010 2:02 PM To: Hahn, Ellen J; Riker, Carol A; Johnson, John D Subject: FW: E cigarette / Clean Air Help
Kelly S. Owens, MPH, CHES Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043 Web Address: www.madison-co-ky-health.org Need Help Quitting? http://www.becomeanex.org/ [cid:image003.jpg@01CB95DB.CA039540] P Please consider the environment before printing this e-mail
From: Crewe, Nancy M (LHD-Madison Co) Sent: Monday, December 06, 2010 12:33 PM To: Hawkins, Ruth R (LHD-Madison Co); Owens, Kelly S (LHD - Madison Co) Cc: Green, Christie L (LHD-Madison Co) Subject: FW: E cigarette / Clean Air Help FYI, ladies. See previous correspondence. A couple more to come. Nancy Nancy M. Crewe Public Health Director Madison County Health Department 214-216 Boggs Lane P.O. Box 1208 Richmond, KY 40476-1208 859-626-4241/cell 859-200-4657 email NancyM.Crewe@ky.gov http://www.madison-co-ky-health.org/ Please consider the environment before printing this email. NOTICE OF CONFIDENTIALITY: This e-mail, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain confidential information that is legally privileged and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are notified that any review, use, disclosure, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies of the original message. From: Information @ Penbrandt.com [mailto:info@penbrandt.com] Sent: Friday, December 03, 2010 8:07 PM To: editor@richmondregister.com; Crewe, Nancy M (LHD-Madison Co) Subject: Fw: E cigarette / Clean Air Help Hi Monty, While you're right that trace levels of carcinogens were found in the electronic cigarette fluid, there is no evidence that any significant amount of carcinogens or other known toxic substances are present in the exhaled vapor from electronic cigarette use. I can't provide you with any documentation because this is a "negative" finding - the lack of evidence. If any evidence is presented at the hearing purporting to show that vapor emitted by electronic cigarette users contains dangerous chemicals or carcinogens, I would like to hear about it so that I can assess the validity of that information. All I can say is that I am not aware of any such information at the present time.
Mike Michael Siegel, MD, MPH Professor Department of Community Health Sciences Boston University School of Public Health 801 Massachusetts Avenue, 3rd Floor Boston, MA 02118
From: Information @ Penbrandt.com Sent: Friday, December 03, 2010 3:07 PM To: Siegel, Michael Subject: E cigarette / Clean Air Help Michael Siegel, MD, MPH Depart of Community Health Services Boston University School of Public Health 617-638-5167 Hello Dr. Siegel, We are a group of citizens of Madison County, Kentucky. Our county Board of Health passed a smoking ban a little over two years ago to prohibit smoking indoors at public places. They have now had a 1st reading of a ordinance to include E-cigarettes in this ban. They are basing there decision on the FDA report that carcinogens exist in the fluid from the Ecigs. However, they only have power to enact this ordinance if these "chemicals or carcinogens" exist in the 2nd hand vapor emitted from these devices. We are looking for information to whether these devices have been proven to have these things in the 2nd hand vapor that would warranty including them in the "clean air" ban. Can you please advise? Many of us have quit smoking regular cigarettes with these E cigarettes, and know of several HUNDRED households in this county that are now smoke-free because of them. Our concern is that if they include this in the ban, then many of those who have left regular cigarettes for the E cigarettes will return to smoking regular cigarettes.
Sincerely, Monty R. Pennington of behalf of Concerned Citizens of Madison County, Kentucky From: Hahn, Ellen J [ejhahn00@email.uky.edu] Sent: Tuesday, December 07, 2010 6:52 AM To: Owens, Kelly S (LHD - Madison Co); Riker, Carol A; Johnson, John D Subject: RE: E cigarette / Clean Air Help Kelly--If the e-cigarette activists would use their time to get the FDA to approve e-cigarettes as a safe tobacco treatment strategy instead of fighting smoke-free laws, they would have more credibility. Instead, this is an orchestrated, well-organized attempt by the e-cigarette industry to sell their products and keep smokers addicted to nicotine when they cannot smoke in public or at work. I would argue that they can still use e-cigarettes outside. The new MMWR on dual use is interesting. The new push by the addiction industries is to encourage other acceptable products during times when smokers cannot smoke due to smoke-free restrictions. Audrey Darville, certified tobacco treatment specialist, has done a lot of research on ecigarettes and she is a tobacco treatment specialist if you need her to help at all. An op-ed in the Richmond Register by a known medical professional would be helpful, in my opinion. Ellen Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease University of Kentucky College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on Twitter<http://www.twitter.com/kysmokefree> and Facebook<http://www.facebook.com/#!/pages/kysmokefree/121589417877279?ref=ts> ! [cid:image001.gif@01CB95DB.2FA4B150]
From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov] Sent: Monday, December 06, 2010 2:03 PM To: Hahn, Ellen J; Riker, Carol A; Johnson, John D Subject: FW: E cigarette / Clean Air Help Another message sent to our director over the weekend. I think we have certainly gotten some attention!! Kelly S. Owens, MPH, CHES Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043 Web Address: www.madison-co-ky-health.org Need Help Quitting? http://www.becomeanex.org/ [cid:image002.jpg@01CB95DB.2FA4B150] P Please consider the environment before printing this e-mail
From: Crewe, Nancy M (LHD-Madison Co) Sent: Monday, December 06, 2010 12:33 PM To: Hawkins, Ruth R (LHD-Madison Co); Owens, Kelly S (LHD - Madison Co) Cc: Green, Christie L (LHD-Madison Co) Subject: FW: E cigarette / Clean Air Help FYI, ladies. See previous correspondence. Nancy Nancy M. Crewe Public Health Director Madison County Health Department 214-216 Boggs Lane P.O. Box 1208 Richmond, KY 40476-1208 859-626-4241/cell 859-200-4657 email NancyM.Crewe@ky.gov http://www.madison-co-ky-health.org/ Please consider the environment before printing this email.
NOTICE OF CONFIDENTIALITY: This e-mail, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain confidential information that is legally privileged and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are notified that any review, use, disclosure, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies of the original message. From: Information @ Penbrandt.com [mailto:info@penbrandt.com] Sent: Friday, December 03, 2010 8:09 PM To: editor@richmondregister.com; Crewe, Nancy M (LHD-Madison Co) Subject: Fw: E cigarette / Clean Air Help Monty R. Pennington Penbrandt Prehistoric Artifacts http://www.penbrandt.com ----- Original Message ----From: Thomas Kiklas inLife Media<mailto:tkiklas@myinlife.com> To: Information @ Penbrandt.com<mailto:info@penbrandt.com> Sent: Friday, December 03, 2010 3:35 PM Subject: Re: E cigarette / Clean Air Help Mr. Pennington, Thank for your email and concern. We at inLife have committed a great deal of time and resources to bring to the public and legislative bodies the science and experiences of our e-cig clients. There are now over 500,000 e-cig users in the U.S. and over 20+ scientific studies on the constituents of the a-cig. In not one study (inclusive of the FDA's 4/22/09 study) have there ever any single ingredient or combination of ingredients that are at any levels harmful to humans. You reference in your email that "the FDA report that carcinogens exist in the fluid from the E-cigs". This report by the FDA has been greatly criticized by many Tobacco Harm Researchers and scientists as being alarmist and devoid of any scientific merit and I direct to this rebuttal from our industry website that should help you dispel false claims of harmful or toxic levels of ingredients in the e-cig: http://truthaboutecigs.com/scares_2.php Please review the website www.truthaboutecigs.com<http://www.truthaboutecigs.com> for more science on the e-cig as once a legislative body has strictly the scientific facts on this truly amazing technology (http://truthaboutecigs.com/studies.php ) can they then make an informed decision of whether it is wise to ban a product that only has 5 main ingredients (propylene glycol, glycerol, nicotine, water and flavoring and all ingredients have been in the U.S. food supply for generations and none banned by the FDA) and send their constituents back to the
one product that we know kills over 500,000 annually and contains over 6,000 chemicals in which 66 are known toxins. If you would like further information or wish to speak to me you can contact me directly. Thank you greatly for taking your time to contact inLife and do your due diligence about the ecig and best of luck. Thomas R. Kiklas Director of Media inLife 949-250-9600 x108 From: Hahn, Ellen J [ejhahn00@email.uky.edu] Sent: Tuesday, December 07, 2010 6:46 AM To: Owens, Kelly S (LHD - Madison Co); Riker, Carol A; Johnson, John D Subject: RE: E cigarette / Clean Air Help Kelly, Please note the Dr. Rodu is on the Board of Directors for US Tobacco and has funding from the smokeless tobacco industry. He is a big supporter of use of smokeless tobacco to quit smoking. Ellen Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease University of Kentucky College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on Twitter<http://www.twitter.com/kysmokefree> and Facebook<http://www.facebook.com/#!/pages/kysmokefree/121589417877279?ref=ts> ! [cid:image001.gif@01CB95DA.6024BA60] From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov] Sent: Monday, December 06, 2010 2:05 PM To: Hahn, Ellen J; Riker, Carol A; Johnson, John D
Subject: FW: E cigarette / Clean Air Help Well, I stated this morning that things had been quiet after last week's BOH.... :) Kelly S. Owens, MPH, CHES Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043 Web Address: www.madison-co-ky-health.org Need Help Quitting? http://www.becomeanex.org/ [cid:image002.jpg@01CB95DA.6024BA60] P Please consider the environment before printing this e-mail
From: Crewe, Nancy M (LHD-Madison Co) Sent: Monday, December 06, 2010 12:32 PM To: Owens, Kelly S (LHD - Madison Co); Hawkins, Ruth R (LHD-Madison Co) Cc: Green, Christie L (LHD-Madison Co) Subject: FW: E cigarette / Clean Air Help FYI, ladies. See previous correspondence. Nancy Nancy M. Crewe Public Health Director Madison County Health Department 214-216 Boggs Lane P.O. Box 1208 Richmond, KY 40476-1208 859-626-4241/cell 859-200-4657 email NancyM.Crewe@ky.gov http://www.madison-co-ky-health.org/ Please consider the environment before printing this email. NOTICE OF CONFIDENTIALITY: This e-mail, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain confidential information that is legally privileged and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are notified that any review, use, disclosure, distribution, or copying of this communication is strictly prohibited. If you have received this
communication in error, please contact the sender by reply e-mail and destroy all copies of the original message. From: Information @ Penbrandt.com [mailto:info@penbrandt.com] Sent: Friday, December 03, 2010 8:11 PM To: editor@richmondregister.com; Crewe, Nancy M (LHD-Madison Co) Subject: Fw: E cigarette / Clean Air Help From: Brad Rodu<mailto:brad.rodu@louisville.edu> To: Information @ Penbrandt.com<mailto:info@penbrandt.com> Sent: Friday, December 03, 2010 3:50 PM Subject: Re: E cigarette / Clean Air Help Monty, Thanks for your message. I strongly support the availability of electronic cigarettes as vastly safer alternatives for smokers, and I believe that use of the devices in public places has virtually no impact on non-vapers. However, there is no scientific evidence that informs your question: Do "chemicals or carcinogens" exist in the 2nd hand vapor emitted from these devices? We cannot underestimate the technology that makes it possible to measure vanishingly small and insignificant quantities of putative contaminants, but I do not know of any published studies that address this issue. I understand that many former smokers in Madison County are dependent on e-cigarettes to stay smoke-free. But I am a bit skeptical about your statement that a public indoor ban on ecigarettes would force vapers to start smoking again. I don't believe that vapers, most of whom know that e-cigarettes are vastly safer, would return to conventional cigarettes if an indoor ban was implemented (with either product they would be forced outside). One option is for vapers to use other smoke-free nicotine/tobacco products if they need to spend a lot of time in places where e-cigarettes were banned. This is a difficult issue. Please don't hesitate to contact me if you need any other information. Best regards,
Brad Rodu Professor of Medicine Endowed Chair, Tobacco Harm Reduction Research University of Louisville Room 208
Clinical Translational Res. Bldg. 505 South Hancock Street Louisville, KY 40202 Phone: 502-852-7793 Fax: 502-852-7979 Email: brad.rodu@louisville.edu<mailto:brad.rodu@louisville.edu> www.smokersonly.org<http://www.smokersonly.org/> http://rodutobaccotruth.blogspot.com<http://rodutobaccotruth.blogspot.com/> From: Centers, Irene (CHFS HPB-Health Promotions) Sent: Wednesday, November 03, 2010 3:56 PM To: Owens, Kelly S (LHD - Madison Co) Subject: FW: Board of Health proposed timeline Kelly Heres the info you requested. Best of luck! Irene Centers Tobacco Prevention and Cessation Department for Public Health
_____________________________________________ From: Moore, Pam (CHS-PH) Sent: Wednesday, November 03, 2010 3:54 PM To: Centers, Irene (CHFS HPB-Health Promotions) Cc: Davis, Steve MD (CHS-PH) Subject: Board of Health proposed timeline <<Board of Health proposed timeline.docx>> Irene you may share this with Madison County thanks, Pam

Madison County - Kelly Owens E-Mails (E-Cigarette FOIA Request Results)

Enviado por

Dados do documento

Título original

Direitos autorais

Formatos disponíveis

Compartilhar este documento

Compartilhar ou incorporar documento

Opções de compartilhamento

Você considera este documento útil?

Este conteúdo é inapropriado?

Direitos autorais:

Formatos disponíveis

Madison County - Kelly Owens E-Mails (E-Cigarette FOIA Request Results)

Enviado por

Direitos autorais:

Formatos disponíveis

disserv@eku.

P Please consider the environment before printing this e-mail

From: Riker, Carol A [riker@email.uky.edu]

P Please consider the environment before printing this e-mail

To Whom It May Concern:

Danita Bartley, Co-Chair Partnership for a Fit Pike County

Patrece Beverly, Co-Chair Partnership for a Fit Pike County

From: John Johnstone [mailto:theflying_spur@yahoo.com]

To Whom This May Concern Thank You!

Regards, Rod Mattingly

<http://www.kcsp.uky.edu/> Find kysmokefree on <http://twitter.com/kysmokefree> and <http://www.facebook.com/pages/kysmokefree/121589417877279?ref=ts>

Thank you for your time,

Need Help Quitting? http://www.becomeanex.org/

P Please consider the environment before printing this e-mail

See email below forwarded to me by Christie.

Well, it takes all kinds This response doesnt surprise me.

Need Help Quitting? http://www.becomeanex.org/

P Please consider the environment before printing this e-mail

See email below forwarded to me by Christie.

P Please consider the environment before printing this e-mail

<https://cid13f3e6899c99da27.skydrive.live.com/redir.aspx?page=play&resid=13F3E6899C99DA27!108&p arid=13F3E6899C99DA27!107&type=1&Bsrc=Photomail&Bpub=SDX.Photos&authkey=rxz4sm1r Onw$>

Nancy M. Crewe Public Health Director

Dear Nancy, Please be advised of our intentions. Thanks.

_____________________________________________ From: Owens, Kelly S (LHD - Madison Co)

Find kysmokefree on and

Then to Laugesens comment which says it all: http://www.bmj.com/content/340/bmj.c311.extract/reply#bmj_el_230082

<http://www.kcsp.uky.edu/> Find kysmokefree on <http://twitter.com/kysmokefree> and <http://www.facebook.com/pages/kysmokefree/121589417877279?ref=ts>

859-986-1027 (Fax) www.madisoncountyhealthdept.org

<https://cid13f3e6899c99da27.skydrive.live.com/redir.aspx?page=play&resid=13F3E6899C99DA27!108&p arid=13F3E6899C99DA27!107&type=1&Bsrc=Photomail&Bpub=SDX.Photos&authkey=rxz4sm1r Onw$>

<http://www.kcsp.uky.edu/> Find kysmokefree on <http://twitter.com/kysmokefree> and <http://www.facebook.com/pages/kysmokefree/121589417877279?ref=ts>

Very truly yours,

Elaine Keller CASAA Vice President http://www.casaa.org <http://www.casaa.org/>

Let us know how things go and if we can help.

Find kysmokefree on Twitter <http://www.twitter.com/kysmokefree> and Facebook <http://www.facebook.com/#!/pages/kysmokefree/121589417877279?ref=ts>

Good for People, Good for Business

Phone: 859-323-6615 Fax: 859-323-1057 Cell: 859-619-3776 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu

Find kysmokefree on Twitter <http://www.twitter.com/kysmokefree> and Facebook <http://www.facebook.com/#!/pages/kysmokefree/121589417877279?ref=ts>

Smoke-free Communities: Good for People, Good for Business

Find kysmokefree on Twitter <http://www.twitter.com/kysmokefree> and Facebook <http://www.facebook.com/#!/pages/kysmokefree/121589417877279?ref=ts>

Smoke-free Communities: Good for People, Good for Business

Você também pode gostar