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From: Warren, Monica E Sent: Friday, February 19, 2010 8:48 AM To: Rebecca.Horn@ky.

gov Cc: Hahn, Ellen J; Riker, Carol A; Wagner, Kristian K; Bossick, Michael J Subject: KCSP Spring Conference-invitation to speak Good morning Becky, I hope you are getting some sun today! The Kentucky Center for Smoke-free Policy would like to invite you to speak in a breakout session at our Annual Spring Conference. With your experience in Daviess, Harenderson and now Ohio county we would like you to do a presentation on avoiding loopholes in smoke-free policy. This could include hookah bars, bingo halls, e-cigarettes, etc. If you agree to do this presentation, you will collaborating with one other person. The conference will take place March 25th in Lexington at the Doubletree on Richmond Road. The attendees will be largely community advocates, and there is a possibility some policymakers will join us as well. Please let me know if you are available and interested in participating, or if you have questions. You have a great base of knowledge having worked with these communities, we would love for you to share it with others! Thanks, and hope to hear from you soon, Monica Mundy Community Advisor

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From: Sent: To: Subject: Attachments: Importance:

Christin E. Miller <actionoffice@bellsouth.net> Tuesday, June 22, 2010 3:15 PM kvhexec@kyvoicesforhealth.org KVH Meeting Request Letter has been Delivered Beshear Meeting Request 6-22-10-FINAL Sign-On.pdf High

Attention: Kentucky Voices for Health Leadership Team and Stakeholders


We would like to thank all of the organizations that were quickly able to sign on to our letter to the Governor requesting a meeting to discuss the need for consumer/advocate input into the strategic planning and ongoing dialogue on implementation of the federal health care reform legislation. A copy of the attached letter was hand-delivered earlier today to the Governors Office, to Executive Cabinet Secretary/State Budget Director Mary Lassiter, Chief of Staff Adam Edelen and Scheduler Courtney French. We will be following up with these and other key contacts to get the earliest possible response from the Governor. Thank you for your advocacy!

Kentucky Voices for Health

120 Sears Avenue, Suite 212 Louisville, KY 40207 Phone: 1-877-894-0222 Email: info@kyvoicesforhealth.org www.kyvoicesforhealth.org

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From: Jodi Mitchell <KVHexec@kyvoicesforhealth.org> Sent: Tuesday, August 10, 2010 6:00 PM To: 'Jodi Mitchell' Subject: KY Voices for Health - Post-Gov Mtg Conference Call, Aug 25 3:30 PM ATTN: KY VOICES FOR HEALTH STAKEHOLDERS Representatives of KY Voices for Health will be meeting with Governor Beshear, Secretary Miller and Secretary Lassiter on Tuesday, August 24th to discuss the Commonwealth's efforts to plan and implement the health reform law and to advocate for consumer input and transparency. Given the limited number of representatives that are able to participate in the meeting, we wanted to ensure involvement by all KY Voices for Health stakeholders. KY Voices for Health will host a post-meeting conference call to summarize the discussion and input recieved from the meeting. We hope you will join us for this wrap-up; please see the conference call details below: POST- GOV MEETING CONFERENCE CALL: Wednesday, August 25th at 3:30 PM Toll Free Access #: 1-877-366-0711 Participant Passcode #: 50488965# The talking points and goals of the meeting are only to address the need for consumer engagement in health reform implementation and coordination, and transparency regarding decisions made and actions taken by agencies involved in implementation. Specific issues regarding the new health reform law will not be addressed. In the KVH meeting request letter, we suggested a consolidated web-based site that would be the source of information for all health reform implementation actions. KVH also noted activities in other states to set up advisory committees and the opportunity to solicit consumer input. KY Voices for Health was pleased to assist in convening this meeting and looks forward to engaging the broad stakeholder community on health reform implementation efforts. You may access a variety of Health Reform Implementation resources directly from the home page at www.kyvoicesforhealth.org <http://www.kyvoicesforhealth.org/> including our latest Issue Brief "The New Health Reform Law: What it Means for Kentuckians." In addition, a KVH Meetings web page has been created (Access through "About Us") where KVH meeting information including Agendas, Meeting Handouts, and Meeting Summaries. Materials for this thursday's meeting have been posted. Please do not hesitate to contact me, should you have any questions or concerns. We hope to see (or hear) you at the KVH meeting this Thursday!
Jodi Mitchell Executive Director Kentucky Voices for Health 120 Sears Avenue, Suite 212 Louisville, KY 40207 Phone: 502-552-1406 Fax: 502-690-3555 Email: KVHexec@kyvoicesforhealth.org www.kyvoicesforhealth.org

Warm regards,

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From: Sent: To: Subject: Attachments:

Jodi Mitchell <KVHexec@kyvoicesforhealth.org> Friday, December 10, 2010 5:24 PM kvhexec@kyvoicesforhealth.org KY Voices for Health Update - 12/10/10 IJC draft agenda 12-15-10.doc

Kentucky Voices for Health Update 12/10/10


1. 2. 3. 4. 5. 6. 7. 8. KY Voices for Health Updates Coalition Priorities Health and Welfare Committee Meeting Dec. 15 (attached agenda) Prefiled Bills of Possible Interest Congress Passes Bill Averting Cut In Medicare Reimbursements Public Health Funds Continue to be Target New Surgeon Generals Report Focuses On How Tobacco Smoke Causes Disease New Guidelines Increases Transparency For Consumers In Mini-Med Plans Other Items of Interest (FYI) A Webinar Discussion on Next Steps for Community Prevention in the Affordable Care Act. Health Action 2011 Conference

KY Voices for Health Updates Coalition Priorities At the December meeting of the Kentucky Voices for Health, stakeholders approved a revised priorities document. The priorities represent broad themes of interest that reflect common values shared by broad stakeholder involvement. These priorities will serve as a guide as the coalition works together on advocacy initiatives. To view the KVH priorities, go to http://kyvoicesforhealth.com/about_us.html. For organizations wishing to join the coalition in building a healthier Kentucky, please see the endorsement form at http://kyvoicesforhealth.com/images/files/OurIssues/KVH_EndorsementForm_12-10_Final.pdf. Health and Welfare Committee Meeting Dec. 15 The next meeting of the Interim Joint Committee on Health and Welfare will be on Wednesday, December 15, 2010, at 1:00 p.m. in Room 129 of the Capitol Annex. Agenda items include Mortality Review System, Transparency in the Mortality Review System and Adult Abuse Registry/Background Check, Neglect and Abuse of Children: Trends, Clean Water Strategies, Report on Trends in Injury Prevention and Research (Attached Agenda) Prefiled Bills of Possible Interest There have been a variety of bills related to coalition priorities prefiled for the 2011 Session of possible interest to KVH stakeholders. See http://www.lrc.ky.gov/record/11RS/prefiled.htm to review prefiled bills by date, sponsor, or heading. Congress Passes Bill Averting Cut in Medicare Reimbursements The House approved a one-year "doc fix" Thursday afternoon that will prevent a dramatic cut in Medicare physician payments. The House action took place one day after the Senate approved the $19.2 billion fix by unanimous consent. Without the action, Medicare payments to doctors would have been cut 25 percent on Jan. 1, sparking fears that Medicare beneficiaries' access to physicians would be limited. Obama urged Congress to pass the bill, even though it taps into the healthcare reform law for funding. This makes the fifth time Congress has approved a temporary fix to Medicare physician rates this year Public Health Funds Continue to be Target Republicans have long derided the multibillion Prevention and Public Health Fund as wasteful spending, scoffing at its investment in bike paths and farmers' markets. One Republican Senate aide quipped that it was a "slush fund for jungle gyms." The fund, which began this year with $500 million, will grow to a $2 billion per year allocation by 2015. Totaling $15 billion over the next 10 years, the fund would be nearly enough to offset an entire, yearlong doc fix. Public health groups have fiercely defended the fund as a crucial, early investment in Americans' health that will prevent serious problems down the road. While Republicans campaigned heavily on repealing and replacing health reform, they readily admit many such efforts will stall in the Senate or, if not that, at the president's veto. More realistically, they will aim to dismantle small components of the law. New Surgeon Generals Report Focuses on How Tobacco Smoke Causes Disease Exposure to tobacco smoke even occasional smoking or secondhand smoke causes immediate damage to your body that can lead to serious illness or death, according to a report released today by U.S. Surgeon General Regina M. Benjamin. The

comprehensive scientific report - Benjamins first Surgeon Generals report and the 30 th tobacco-related Surgeon Generals report issued since 1964 - describes specific pathways by which tobacco smoke damages the human body and leads to disease and death. The report, How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease,

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finds that cellular damage and tissue inflammation from tobacco smoke are immediate, and that repeated exposure weakens the bodys ability to heal the damage. The report also explains why it is so difficult to quit smoking. According to the research, cigarettes are designed for addiction. The design and contents of current tobacco products make them more attractive and addictive than ever before. Todays cigarettes deliver nicotine more quickly and efficiently than cigarettes of many years ago. View the report and learn more http://www.surgeongeneral.gov/library/tobaccosmoke/index.html.

New Guidelines Increases Transparency for Consumers in Mini-Med Plans The Department of Health and Human Services released new guidelines this week that require issuers of so-called "mini-med" plans to explicitly and "in plain language" explain the financial and coverage limitations inherent in them. Insurers must also direct consumers to a government website, healthcare.gov, where they can obtain additional information about the product types. The Affordable Care Act will end limited-benefit health insurance plans, sometimes called mini-med plans, in 2014 and provide Americans with affordable, high-quality coverage options. Unfortunately, today, mini-med plans are often the only type of private insurance available to some workers. In order to protect coverage for these workers, HHS has issued temporary waivers from rules restricting the level of annual limits to some group health plans and health insurance issuers. More information about the new guidance can be found at http://www.healthcare.gov/news/factsheets/increasing_transparency.html. The guidance can be found at http://www.hhs.gov/ociio/regulations/annual_limit_waivers.html. Other Items of Interest A Webinar Discussion on Next Steps for Community Prevention in the Affordable Care Act. The webinar is scheduled for Monday, December 20th, 12:00 - 1:30 p.m. PST (3:00 - 4:30 EST). Updates will be provided on the status of community prevention provisions in the Affordable Care Act; next steps and actions that communities and advocates can take to further the understanding of policy makers, media and the local community about the value of community prevention; and to share recent examples of community prevention successes. To register: https://publichealthinstitute.webex.com/publichealthinstitute/onstage/g.php?t=a&d=962892801 Health Action 2011 Conference Families USA is pleased to announce Health Action 2011, the conference for consumer health advocates. The meeting will be held at the Hyatt Regency Washington on Capitol Hill in Washington, DC from January 27-29, 2011. Health Action 2011 will provide advocates from across the country with the knowledge and tools they need to protect, implement, and optimize the Affordable Care Act. The conference will help advocates prepare for the coming year by laying a strong foundation for the majority of reforms that take effect in 2014. We hope you can join us. For more information, please visit www.healthaction2011.org, write, or call Families USA at 1201 New York Ave. NW, Suite 1100, Washington, DC 20005, 202-628-3030, conference@familiesusa.org. Welcome to our newest KVH Stakeholders! Kentucky Protection & Advocacy Kentucky Action for Healthy Kids National Association of Social Workers KY Chapter

Jodi Mitchell Executive Director Kentucky Voices for Health Phone: 502-552-1406 Fax: 502-690-3555 Email: KVHexec@kyvoicesforhealth.org www.kyvoicesforhealth.org

KVH Logo.jpg

Building a healthy Kentucky together!

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From: Riker, Carol A Sent: Wednesday, November 17, 2010 11:33 AM To: Brown, Cynthia G (LHD-Bullitt Co) Cc: Hahn, Ellen J; Johnson, John D; Mundy, Monica E Subject: last forum Hi Cynthia, No, I hadn't seen the article, so thanks! I was so sorry to hear you broke your (foot?) How are you doing? Also wondering how your mission trip went? I was glad to attend the forum; it was a packed house and I was coughing half way through it! Brittany, Patty, Thrissie and everyone did a GREAT job! Talked with Swannie for a couple minutes after the forum and it's apparent that he is looking at existing KY regulations, so I'm preparing a summary of updates that might be needed in Clark Co's regulation as that is the latest one passed. I think I mentioned that Madison has received several requests for waiver for hookahs and calls about e-cigarettes, so they currently are considering amendments to deal with those issues. Also, I encouraged Swannie to send any regulation drafts to us so we can send to Tobacco Control Legal Consortium for review; we would then provide that review with a summary to you all. When do you think we would need to provide the Clark Co summary to Swannie to have the best impact? Thanks and wishing you all a great Thanksgiving! Carol

-----Original Message----From: Brown, Cynthia G (LHD-Bullitt Co) [mailto:CynthiaG.Brown@ky.gov] Sent: Wednesday, November 17, 2010 10:24 AM To: Riker, Carol A Subject: FW: A visitor at our website thought you'd enjoy this article from Pioneer News I'm guessing you have seen this already--but sending it just in case you haven't. Cynthia headline: Smoking ban proposal gains steam as forums conclude summary:The fourth and final public hearing held to discuss a proposed countywide smoking ban drew a full house at the Bullitt County Health Department to take part in the debate. Please follow this link to view this article: http://www.pioneernews.net/cgi-bin/c2.cgi?093+article+EmailedStory+20101 109162458093093001

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From: Owens, Kelly S (LHD - Madison Co) <KellyS.Owens@ky.gov> Sent: Monday, April 04, 2011 10:47 AM To: Hahn, Ellen J; Riker, Carol A; Robertson, Heather E Subject: Layaway electronic cigarettes? http://www.vapor-stix.net/layaway.html Can't afford them? Money tight? VaporStix offers layaway!!! Wow, not only are they taking tips from the "Tobacco Playbook" in their defense and marketing of these products... looks like they are also stealing ideas from K-MART!! :) (What is next, a "Blue Light Special?") -My attempt @ humor this Monday Morning. FYIKelly 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/

P Please consider the environment before printing this e-mail

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From: Sent: To: Subject:

ShareThis <notifier@bounces.sharethis.com> on behalf of riker@email.uky.edu Friday, December 03, 2010 11:31 AM Riker, Carol A Madison Board gives first approval to smoking ban changes

Board gives first approval to smoking ban changes


Source: richmondregister.com

The Madison County Board of Health approved first reading Wednesday of an amended Clean Indoor Air Regulation policy which will prohibit use of e-cigarettes in public places. The amendment also provides stricter definitions about where smoking is allowed and an amended definition of smoking. Previously, the order defined smoking as inhaling, exhaling, burning or carrying any lighted cigar, cigarette, pipe, or other combustible tobacco product.
riker@email.uky.edu sent this using ShareThis.

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From: Sent: To: Cc: Subject:

Riker, Carol A Monday, October 18, 2010 10:40 AM Mahoney, Maggie; Armstrong, Kate; David Schaibley (david.schaibley@wmitchell.edu) Hahn, Ellen J; Robertson, Heather E; Mundy, Monica E; Johnson, John D Madison County KY BOH regulation proposed amendments

Hi Maggie, Kate, and David, Madison Countys smoke-free BOH regulation has been in effect since June 2007. Recently they have had 3 or 4 requests for waivers to establish Hookah businesses. On one college campus in Madison County hookah is smoked outside on campus. Apparently entrepreneurs simply set up under a tree and offer this service. The health department also has received several calls asking whether e-cigarettes are covered under the smoke-free regulation. Amendments to the smoke-free regulation were proposed at the last BOH meeting (attached). Kelly Owens, Tobacco Coordinator, has asked that we send the proposed amendments to you for your review. Ill also attach the original regulation. Specific questions posed by the BOH include: 1. Could there be any legal repercussions if they remove the Tobacco Retailer exemption? 2. Do e-cigarettes fit within the ordinance? (Are there hazards to the non-smoker?) We have done a literature review and continue to search other sources, but so far have not found any air quality testing where e-cigarettes are used indoors. Since FDA tests revealed some info about the contents of the e-cigarette cartridge and a vapor is formed, one would imagine that some of these contents get into the air via the device or user exhalations, but we havent found any data on emissions yet. Of course, Kelly Owens would like to clean up both the tobacco retailer exemption and the ecig loophole while amendments to the regulation is being considered. I know you all are swamped and we do have a little time with this as the health department needs info by late November. Many thanks, Carol Riker 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 and Facebook


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

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Madison County Suggested Amendments

From: Owens, Kelly S (LHD - Madison Co) <KellyS.Owens@ky.gov> Sent: Wednesday, October 13, 2010 2:09 PM To: Hahn, Ellen J; Riker, Carol A Cc: Hawkins, Ruth (KYTC) Subject: Madison County Suggested Amendments Importance: High Follow Up Flag: Follow up Flag Status: Flagged Attached is a copy of the suggested amendments to MCHR700.00 (Madison Countys Indoor Air Regulation). The proposed amendments are currently being reviewed by our county attorney. There were a couple of concerns amongst the board members: Would there be any legal repercussions in striking the Retail Tobacco Store Exemption?

What does the science say about e-cigarettes? Do they pose a SECONDHAND hazard? If not, they do not feel that these devices would fall under the realm of MCHR 700.00. Any assistance you can provide will be most appreciated. The next scheduled BOH meeting is on December 1 st at 7pm. Thank you,
<<700ammend2010.docx>>

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/

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Madison County Suggested Amendments

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From: Action on Smoking and Health <jbanzhaf@ash.org> Sent: Monday, August 09, 2010 8:04 AM To: Hahn, Ellen J Subject: Major E-Cigarette Company Settles Law Suit

Large E-Cigarette Company Settles Law Suit


Makes Major Concessions, Copycat Suits Likely

One of the country's largest e-cigarette [e-cig] companies has been forced to make major concessions to settle a law suit which threatened to put it out of business, says Action on Smoking and Health (ASH), the national legal-action antismoking organization which helped inspire the legal action. Under the legally-binding settlement agreement, the company agreed not to sell e-cigs to minors, sell flavored e-cig cartridges that could appeal to minors, advertise its product as a device that can help people quit smoking, sell cartridges that contain vitamins unless they're scientifically proven to boost health, or claim its e-cigs are safer than tobacco cigarettes without scientific proof. Previous law suits actually stopped several e-cig companies from continuing to do business in a state, notes public interest law professor John Banzhaf, Executive Director of ASH. The settlement comes on the heels of an announcement by ASH of a new scientific study highlighting new dangers to users of e-cigs. http://www.prlog.org/10831614cigarettes-new-potential-dangers-for-users-and-new-ban-in-singapore.html The Food and Drug Administration [FDA] had already concluded that e-cigs pose "acute health risks," that the "danger posed by the unrestricted distribution of [these] unregulated products containing toxic chemicals cannot seriously be questioned," and that they have caused a wide variety of potentially serious problems "including racing pulse, dizziness, slurred speech, mouth ulcers, heartburn, coughing, diarrhea, and sore throat." It has declared the products "illegal." Many medical experts, as well as major public health organizations, share these concerns, and have argued for many of the restrictions included in this new legal settlement. E-cigs have already been banned in Australia, Brazil, Canada, Israel, Mexico, New Zealand, and Singapore, restricted in Finland and Malaysia, are pending restriction in the UK as a drug, and the subject of law suits in several states. In part as a result of urging by ASH, New Jersey and Suffolk County, NY, have prohibited their use in nosmoking sections, and New York is also moving to ban them. E-cigs, which emit into the air a mixture of nicotine (a deadly and addictive drug which can contribute to fatal heart attacks), propylene glycol (a respiratory irritant used in antifreeze and known to cause respiratory tract infections), and other substances the FDA has labeled "carcinogenic" and "toxic," can also be used to administer other dangerous substances. ASH has previously reported to the FDA instances in which ecigs are being marketed as containing Ciallis, as well as others containing a potent form of marijuana. http://www.cigarettesreviews.com/fda-may-ban-marijuana-ecigarettes Banzhaf suggests that this very recent legal victory will probably encourage additional law suits against e-cig companies, since the legal complaints which initiated them as well as the settlements are public documents which can easily be copied and/or rewritten by others. With minor modifications, they can easily be used in other
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jurisdictions also, he notes. ASH is actively encouraging such law suits, says Banzhaf. ASH does not oppose the use of e-cigs to help smokers quit. But it has actively sought - through legal action, regulation, and legislation - to attain many of the goals just achieved in this settlement. These including restrictions on the sale to minors, prevention of misleading claims, bans on kid-friendly-flavors, etc. For a copy of the settlement, see http://ash.org/settlementcalecig PROFESSOR JOHN F. BANZHAF III Professor of Public Interest Law at GWU, FAMRI Dr. William Cahan Distinguished Professor, FELLOW, World Technology Network, and Executive Director and Chief Counsel Action on Smoking and Health (ASH) America's First Antismoking Organization 2013 H Street, NW Washington, DC 20006, USA (202) 659-4310 // (703) 527-8418 Internet: http://ash.org/
Forward email This email was sent to ejhahn00@pop.uky.edu by jbanzhaf@ash.org. Instant removal with SafeUnsubscribe | Privacy Policy. Action on Smoking and Health | 2013 H St NW | Washington | DC | 20006

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From: Sent: Subject:

Bossick, Michael J Sunday, March 28, 2010 11:45 AM March KCSP Community Partner Newsletter

KentucKy center For SmoKe-Free Policy

community Partner newsletter

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


Welcome to the Kentucky Center for Smoke-Free Policy (KCSP) Community Partners Newsletter! This Newsletter contains: thank you to KcSP Spring conference Presenters, Awardees, and Participants Smoke-free Policy updates congratulations to Smoke-free Glasgow! congratulations to Smoke-free Bardstown! Kansas Supreme court upholds local Smoking law San Francisco Strengthens Smoking regulations Smoke-free research updates Summary of the Article, A Baseline Evaluation of Casino Air Quality After Enactment of Nevadas Clean Indoor Air Act Summary of the Article, Assessment of Exposure to Secondhand Smoke at Outdoor Bars and Family Restaurants in Athens, Georgia, Using Salivary Cotinine

Please scroll down for more information on each topic!

Follow up on the Annual KcSP Spring conference in lexington on march 25, 2010!
Last Thursday (March 25), KCSP held its annual Spring Conference at the Doubletree in Lexington. There was a great turnout of advocates from across the Commonwealth, and we were also joined by elected officials and advocates from Radcliff, Bardstown, and Glasgow, who received recognition for enacting (and advocating for) comprehensive smoke-free workplace ordinances. A special thanks to everyone who participated in one of our panel discussions, or presented during a breakout session. We hope that you made some new contacts with advocates in other communities, and feel energized to continue your local smoke-free efforts. Policy change isnt easy, but there is a network of advocates across Kentucky pulling for you, and we are always glad to help in any way we can. Attached is a final agenda from the conference. If you could not attend and would like information on the sessions, please contact KCSP.

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Smoke-free Policy updates


1. congratulations to Smoke-free Glasgow! Glasgow is the newest community in Kentucky to pass a comprehensive smoke-free workplace ordinance, enacting the law on Monday, March 22, 2010. The vote on second reading of the ordinance by the Glasgow City Council was 6-5, and the policy will go into effect in June 2010. The ordinance is the second in Kentucky to prohibit the use of electronic cigarettes in workplaces and enclosed public places. Glasgow becomes the 27th Kentucky community to enact a smokefree ordinance, and the 17 th to enact a comprehensive one. 2. congratulations to Smoke-free Bardstown! On Tuesday, March 9, 2010, the Bardstown City Council enacted a comprehensive smoke-free workplace ordinance. The vote was 4-3 on second reading and the ordinance will go into effect in June 2010. Bardstown became the 26th Kentucky community to enact a smoke-free ordinance, and the first in the Commonwealth to prohibit the use of electronic cigarettes in workplaces and enclosed public places. 3. Kansas Supreme court upholds local Smoking law On Friday, March 5, 2010, the Kansas Supreme Court upheld the City of Newton's indoor smoke-free law stating that smoking tobacco is not a fundamental right. The smoke-free ordinance, passed in 2007, was challenged by the Whitesell-Finnel Post No. 971 Veterans of Foreign Wards and Wayne G. Austin American Legion Post No. 2 who argued it violated their rights to due process (the 14th Amendment) and privacy (the 4th Amendment). While some parts of their facilities may be private, the fact that paid employees work at the establishments and the buildings are occasionally open to the public, enabled these locations to be covered by the ordinance. For more information, click on the link below. Read about it here 4. San Francisco Strengthens Smoking regulations On Tuesday, March 16, 2010, policymakers in San Francisco, California expanded the citys smoking law to further protect citizens from the dangers of secondhand smoke. While previous city laws prohibited smoking in a number of places (e.g. city buildings, businesses, schools, hospitals, and public transportation), the stronger law includes outdoor dining areas, enclosed common areas of multi-unit housing, farmers markets, homeless shelters, and charity bingo games. Smoking is now also prohibited in service waiting lines (e.g. ATM, movie theater, sporting events), and within 15 feet of business doorways. For more details regarding the ordinance, click on the link below. Read about it here To discuss ways to strengthen the smoke-free ordinance in your community, contact us at KCSP!

Smoke-free research updates


1. York, L. and K. Lee. (2010). A Baseline Evaluation of Casino Air Quality After Enactment of Nevadas Clean Indoor Air

Act. Public Health Nursing, 27:158-163.


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Nevadas 2006 Clean Indoor Air Act protected workers and patrons by prohibiting smoking in many indoor locations. While casino restaurants were covered by the policy, gaming areas were exempt. A study of 16 Nevada casinos by York and Lee examined indoor air pollution in restaurant and casino areas using a SidePak aerosol monitor to measure fine particulate matter smaller than 2.5 micrograms per cubic meter (PM2.5 ). Fine particulate matter is an accurate measure of secondhand smoke. The study showed that the PM2.5 levels were substantially higher in the gaming areas (smoking allowed) compared to those in the restaurants (smoking prohibited). In fact, the PM2.5 levels in all gaming areas were above the EPA standard for outdoor air. This article provides further evidence that smoke-free laws protect workers and patrons from secondhand smoke exposure by providing cleaner air.
(see the attached article)

2. Hall, J., J. Bernert, et al. (2009). Assessment of Exposure to Secondhand Smoke at Outdoor Bars and Family Restaurants in Athens, Georgia, Using Salivary Cotinine. Journal of Occupational and Environmental Hygiene, 6:698704. A study by Hall et al. examined salivary cotinine levels, a biomarker of secondhand smoke exposure, in young adults in Athens, Georgia. Nonsmoking research participants in the experimental group spent six hour sessions outside bars and restaurants that allowed smoking outdoors, while participants in the control group were outside bars and restaurants that did not allow outdoor smoking. Participants who spent time in outdoor areas that allowed smoking had higher salivary cotinine levels than participants in non-smoking outdoor areas. Given that there is no safe level of exposure to secondhand smoke, smoking laws that simply focus on indoor air quality do not protect workers and patrons in all public settings. Smoke-free laws should cover outdoor areas as well.
(see the attached article)

Feedback
If you have any comments or suggestions regarding the KCSP Community Partners Newsletter, or would like to suggest future content for the newsletter, please let us know! We would love to hear your feedback kcsp00@lsv.uky.edu

Voluntary Participation
The KCSP Community Partners distribution list is intended to provide pertinent information to local tobacco control community advocates in Kentucky. If you have received this newsletter in error or wish to be removed from the list, please reply to this email with REMOVE in the subject headline.

mike Bossick, Ph.D.


Manager, Kentucky Center for Smoke-Free Policy & Radon Awareness Project Clean Indoor Air Partnership University of Kentucky College of Nursing 751 Rose Street, College of Nursing 509 Lexington, Kentucky 40536-0232 859-323-4587 859-323-1057 (FAX) michael.bossick@uky.edu

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From: Sent: To: Cc: Subject: Hi Elizabeth,

Riker, Carol A Sunday, May 08, 2011 4:17 PM Teeters, Elizabeth B Hahn, Ellen J; Robertson, Heather E material for advisory council meeting

Here are the e-cigarette docs and a new one-pager on reduction in heart attacks with S-F. I also pulled two new fact sheets from the spring conference. Ellen can see if this is what she had in mind. BTW, the Voices document left an I out of serious, if whoever has the word version can fix it, that would be great! 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

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From: Sent: To: Cc: Subject: Hi Kelly,

Riker, Carol A Monday, November 15, 2010 3:40 PM 'Owens, Kelly S (LHD - Madison Co)' Hahn, Ellen J; Johnson, John D materials for 12-1 BOH meeting

Were almost finished finalizing the info on e-cigarettes for your meeting with the BOH. I havent heard back from TCLC re the wording on the amendments, although I know its on their list. I was wondering, given Thanksgiving intervenes, what day will you need these materials. 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

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

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From: Sent: Subject:

Bossick, Michael J Monday, May 31, 2010 10:43 AM May KCSP Community Partner Newsletter

KentucKy center For SmoKe-Free Policy

community Partner newsletter


Smoke-free Communities: Good for People, Good for Business
Welcome to the Kentucky Center for Smoke-Free Policy (KCSP) Community Partners Newsletter! This Newsletter contains: Smoke-free Policy updates counties in northern Kentucky Hopeful for Smoke-free legislation this Summer cDc calls for more comprehensive tobacco control Policies in Kentucky Australia Proposes legislation to change cigarette Packaging Smoke-free research updates Summary of Exemptions for the hookah bars in clean indoor air legislation: A public health concern Summary of Secondhand smoke as a potential case of chronic rhinosinusitus Summary of Secondhand smoke exposure (PM2.5) in outdoor dining areas and its correlates review of Clean indoor air ordinance coverage in the Appalachian region of the United States opposition Watch introducing the Democracy institute, a new tobacco industry Front Group at Work

Please scroll down for more information on each topic!

Smoke-free Policy updates


1. counties in northern Kentucky Hopeful for Smoke-free legislation this Summer. Kenton County Judge Executive Ralph Drees stated that he expects at least two of the three largest Northern

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Kentucky counties to pass smoke-free ordinances this summer. Kenton and Campbell counties are likely to have the votes for a smoke-free ordinance. Judge Drees hopes to see smoke-free legislation in his county before his term ends this year. Initially, the fiscal courts of Boone, Kenton, and Campbell counties stated they would only pass a law if all three counties were on board. Their perspectives have changed with increased education and evidence of community support. Legislation is expected to be proposed this summer. Read the Kenton Community Recorder Article Here 2. cDc calls for more comprehensive tobacco control Policies in Kentucky A report from the Centers for Disease Control and Prevention (CDC) released on April 22 is calling for an increase in smoke-free legislation to covers workplaces, restaurants, and bars. The report entitled, Tobacco Control State Highlights 2010, rates Kentuckys performance on measures of smoking rates, tobacco excise taxes, smoke-free policies, and tobacco prevention and cessation efforts. Currently, Kentucky ranks 40 th in cigarette excise tax, and 41 st in the amount of funds allocated for tobacco control, which is significantly below the amount recommended by the CDC. Kentucky needs additional comprehensive tobacco control policies to protect the health of its citizens.
Read the CDC Report Here

3. Australia Proposes legislation to change cigarette Packaging New legislation in Australia is proposed to ban attractive cigarette packaging. Rather than using bright colorful labels, ornate designs, or pictures on their packaging, brand names will be in a small plain font on the bottom of the cartons underneath a graphic picture used as a health warning. Such pictures will warn consumers of the dangers of smoking and harms of exposing others to secondhand smoke. In addition to the change in brand labeling, Australian government officials also announced that they would implement a 25 percent increase in cigarette taxes. These measures are likely to reduce tobacco consumption and youth initiation of tobacco use.
Read the Huffington Post Article Here

Smoke-free research updates


1. Noonan, D. (2010). Exemptions for the hookah bars in clean indoor air legislation: A public health concern. Public Health Nursing, 27: 49-53. Noonan (2010) provides an overview of the literature on an alternative form of tobacco use called hookah, or water-pipe smoking. Reviews of the health concerns related to secondhand smoke from hookah as well as policy implications are included in this article. Despite the emerging research that suggests secondhand smoke from hookah is harmful to its users, hookah bars are often exempt from clean indoor air laws. One of the reasons these bars create problems for community policy makers is because hookah lounges are defined as tobacco retailers, which are commonly exempt from clean indoor air laws. This review focuses on how policymakers and health professionals can ensure that communities are well informed about the health and policy effects when hookah bars are exempt from clean indoor air ordinances. One way to ensure that these
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businesses are covered under such laws is through clarifying the definition of smoking and ensuring that the definition includes waterpipe smoking. Additional suggestions are made to educators who can provide information to ensure that this tobacco use trend does not become a risk to public health. (See the attached article) 2. Tammemagi, C. M., R. M. Davis, M. S. Benniger, A. L. Holm, & R. Krajenta. (2010). Secondhand smoke as a potential case of chronic rhinosinusitus. Archives of Otolaryngology Head and Neck Surgery, 136: 327-334. The presence of secondhand smoke (SHS) is known to cause many health problems. Little is known about how SHS relates to the development of chronic rhinosinusitis (CRS). CRS is a group of diseases characterized by inflammation of the tissue in the nose and sinuses lasting 12 weeks or longer. Researchers hypothesized that SHS exposure at home, work, and in public and private venues cause CRS. A sample of patients records were obtained from a large hospital database and divided into two groups. Records of patients who had CRS for approximately 5 years (case patients) were compared to records of patients who had been free of CRS for 5 years (control patients). They found that case patients were more likely to be exposed to SHS and were more likely to develop CRS than controls. The authors estimate that 40 percent of CRS cases are attributed to SHS exposure. Policy and legislative actions are needed to protect citizens and workers from the risk of developing respiratory problems such as CRS. (See the attached article) 3. Cameron, M., E. Brennan, & S. Durkin et al. (2009). Secondhand smoke exposure (PM2.5) in outdoor dining areas and its correlates. Tobacco Control, 19: 19-23. It is common for outdoor patio areas to be exempt from smoke-free ordinances. The aim of this research study is to determine the potential risks of secondhand smoke to non-smokers in outdoor dining areas. Researchers assessed the effects of environmental conditions (i.e., overhead cover or roof) on air quality when cigarettes were smoked on outdoor patios of sidewalk cafes. Results from this study suggested that there was substantial variation in peak levels of exposure to secondhand smoke (17.6 g/m 3 27.3 g/m 3) across venues when compared to baseline readings (8.4 g/m 3). Results from this study suggest that high concentrations of harmful particulate matter from secondhand smoke can be found in outdoor dining areas. Such levels are similar to those found in indoor dining areas, especially when patios are covered overhead. Workers and patrons in outdoor bars and dining areas may be put at risk in outdoor areas where smoking goes unregulated. (Read the article here)
4. Ferketich, A. K., A. liber, m. Pennell, D. nealy, J. Hammer, & m. Berman. (2010). clean indoor air ordinance coverage in the Appalachian region of the united States. Research and Practice. Publication ahead of printing: may 13, 2010.

The study examined how factors such as socioeconomic status, educational attainment, income, and unemployment rates at the county level are associated with adoption of local level clean indoor air ordinances/regulations in six Appalachian states. A copy of each ordinance was obtained and rated by
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researchers to determine the strength of the law/regulation to determine how it relates to community socioeconomic factors. In the six states analyzed, 332 communities were identified as having clean indoor legislation. Approximately 20 percent of them had enacted a comprehensive clean indoor air ordinances/regulation that covered workplaces, restaurants, or bars. Researchers found that socioeconomically advantaged communities were more likely to have a strong smoke-free workplace law. Communities with higher educational attainment and low unemployment rates at the county level were more likely to have strong comprehensive workplace ordinances/regulations. Authors of the study encouraged states to pass strong comprehensive ordinances in the Appalachian region vs. weak local legislation to ensure that communities have greater protection from the harms of secondhand smoke. (See the attached article) Dr. Ellen Hahn reviewed the article by Ferketich et al. (2010) (see attached). The authors make a monumental leap in their conclusion that efforts to pass strong statewide smoke-free laws should take priority over local laws in Appalachian states. Their study does not analyze the effectiveness of statewide laws; rather, it only reviews the existence and strength of municipal smoke-free ordinances in six selected Appalachian states. The authors do not consider the risks associated with enacting smoke-free legislation before there is capacity at the local level for adequate implementation and enforcement. Only three of the 13 Appalachian states have enacted comprehensive smoke-free workplace legislation, and they are all located in northern, non-tobacco growing states. Georgia, which has a weak state law without explicit preemption had very few municipal laws, indicating that local officials in Georgia may have lacked the political will to enact stronger local laws, resulting in implicit preemption. The fact that Appalachia is plagued by low socioeconomic status and high unemployment puts these states at risk for enacting weak, preemptive statewide smoke-free legislation, which the study findings support. Caution should be used when reading this research study as many key factors to implementing strong local smoke-free ordinances/regulations are void from the article and the conclusions far exceed the study results. (See the attached article review)

opposition Watch
1. Basham, P., & J. Roberts (2009). Are public smoking bans necessary? [Report]. Washington, DC: Democracy Institute. The Democracy Institute (DI) is a tobacco front group opposing smoke-free policies. Using this lengthy review of research studies for support, the DI made false accusations about a decades worth of peer-reviewed empirical research on secondhand smoke. This article clearly disputed the 2006 U.S. Surgeon Generals report by attacking the definition of a dose-response effect of environmental tobacco smoke (ETS). The DI claims that health is not affected when the level of ETS is below a certain threshold. This claim is clearly contradictory to well controlled peer reviewed studies that suggest even intermittent secondhand smoke exposure can affect nonsmokers health. At the core of the review are other common arguments made by the opposition. For example, the DI attacks the science of ventilation systems, stating that they are effective for clearing the air. The science is clear that ventilation does not remove harmful particles in the air. It is important to know the common arguments of tobacco front groups who work in opposition to smoke-free initiatives. Well-designed, peer-reviewed scientific evidence can be used to effectively refute their claims.
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(Read the report here)

Feedback
If you have any comments or suggestions regarding the KCSP Community Partners Newsletter, or would like to suggest future content for the newsletter, please let us know! We would love to hear your feedback kcsp00@lsv.uky.edu

Voluntary Participation
The KCSP Community Partners distribution list is intended to provide pertinent information to local tobacco control community advocates in Kentucky. If you have received this newsletter in error or wish to be removed from the list, please reply to this email with REMOVE in the subject headline.

mike Bossick, Ph.D.


Manager, Kentucky Center for Smoke-Free Policy & Radon Awareness Project Clean Indoor Air Partnership University of Kentucky College of Nursing 751 Rose Street, College of Nursing 509 Lexington, Kentucky 40536-0232 859-323-4587 859-323-1057 (FAX) michael.bossick@uky.edu www.kcsp.uky.edu

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

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From: Sent: To: Cc: Subject: Hi Everyone,

Riker, Carol A Tuesday, February 22, 2011 1:18 PM Richardson, Patrick M; Bowlds, James A; Feld, Hartley C; La'Yvonne Sensabaugh; Morrison, Jessica R 'Johnson, Mark A (LHD-Lexington-Fayette Co)' meeting 1 pm Thursday at Empowerment Center

I talked briefly with Mark this morning and he does have us on his calendar to meet again this Thursday, 2/24 at 1pm at the Gainesway Community Empowerment Center re the focus group(s) and KI interviews. Please take a look at the focus group questions he sent before then, and bring any info about possible sites for the focus group that may be available on nights other than Wed. Thanks for the good work on the KI interviews so far and the relationships you are building with the HWH kids/parents! If you all could get the windshield survey all on one document electronically by then, that would be great, too. Please keep sending KI Interviews to all of us electronically. Hopefully its OK for us to use the GCEC to meet at 1, LaYvonne, and hope you can be there. Thanks, Carol PS Looking forward to meeting you, Jessica! 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

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From: Sent: To: Cc: Subject: Hi Cynthia and Dr. Jett,

Riker, Carol A Thursday, November 04, 2010 12:11 PM 'Brown, Cynthia G (LHD-Bullitt Co)'; Swannie Jett (swannie.jett@ky.gov) Hahn, Ellen J; Mundy, Monica E; Johnson, John D Model Ordinance

Im looking forward to attending your last forum tonight! From what Cynthia told me youve had some excellent supporters at the last couple of forums! I wanted to send ANRs model ordinance to you so that the BOH would have a good model to start with. It has all the latest language that includes Hookahs and e-cigarettes. The board would just have to fill in blanks like who would enforce the regulation and modify slightly to put in the proper terms for a regulation rather than an ordinance. Im also attaching some information about our legal resources that will be helpful to you. We would like to get any draft regulation to the Tobacco Control Legal Consortium as soon as possible after it is drafted to get their feedback based on their experience helping communities across the country. Our local legal consultant, Judy Owens, may also be helpful and we would be glad to engage her consultation. Let me know if you have any questions about either resource. Im curious to know whether you feel the election outcomes in Bullitt will affect your campaign, but maybe well have a minute to talk about that before or after the forum. Hope your recent trips went well! Thanks, Carol Riker 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

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From: Sent: To: Cc: Subject: Attachments:

tobacco_prevention <tobacco_prevention@listserv.ky.gov> Monday, February 14, 2011 1:08 PM tobacco_prevention tobacco_prevention@listserv.ky.gov Monday Memo Winter2011_TCN_Newsletter.pdf

FREE or LOW COST materials Print materials from the National Cancer Institute. Visit this web site https://cissecure.nci.nih.gov/ncipubs/searchres.aspx?sid=21MOElrJ2uYLRHKGNQNJzQ%3d%3d . If you order is 20 or less, many of these items are free. If you order more than 20, you will only be charged shipping and handling. You can order up to 1000 of this booklet. http://www.racintoday.com/archives/24397 interesting article. http://www.msnbc.msn.com/id/41477502/ns/health-addictions/?GT1=43001
E Cigarettes Spark Debate in Kentucky http://www.publicbroadcasting.net/weku/news.newsmain/article/0/1/1761704/Central.and.Eastern.Kentucky/ECigarettes.Spark.Debate.in.Kentucky

Smoking Cues, Argument Strength, and Perceived Effectiveness of Antismoking PSAs. Nicotine and Tobacco Research (First published online: January 24, 2011). Smoking cues in antismoking PSAs undermine a significant part of what makes PSAs effectivetheir arguments against smoking. In designing antismoking messages, the inclusion of smoking cues should be weighed carefully. Spontaneous Action Representation in Smokers when Watching Movie Characters Smoke. The Journal of Neuroscience (Jan 19, 2011). Smokers spontaneously represent the action of smoking when viewing others smoke, the consequence of which may make it more difficult to abstain from smoking. Voices of Smokefree Communities. A series of 8 short video vignettes from The Kentucky Center for Smoke-free Policy featuring advocates and elected officials sharing their experiences with enacting and implementing local smoke-free ordinances and regulations. Tobacco Policy Tips and Tools. A series of short reference guides from Tobacco Control Legal Consortium covering tobacco policy issues in the headlines. o Regulating Tobacco on Campuses o Regulating Hookah and Waterpipe Smoking o Regulating Smoking Outdoors Tobacco Control Network winter newsletter is attached above. Dear Colleague: To reach smokers, CDCs Office on Smoking and Health (OSH) is tapping into the heartfelt holiday of Valentines Day

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and Februarys status as American Heart Month to drive home the importance of smoking cessation to cardiovascular health. OSH has assembled a small suite of products aimed at encouraging smokers to quit in February. These Valentines Day materials also reinforce key messages from the 2010 Surgeon Generals report, informing smokers that smoking causes immediate damage and leads to heart attack and stroke. Please use the following products to reach smokers in your community or constituency. Also, please share this e-mail with your tobacco-control partners so that they, too, may use the products in their efforts.

Products Available

Feature Article
This Valentines Day, Love Your Heart [NOTE: This feature article will be released on February 14; the link provided will not be
active until then.]

This article encourages smokers to quit and provides friends and family members of smokers with information and resources to encourage the smokers in their lives to quit for good.

This Valentines Day

e-Card

This animated Valentines Day e-card encourages smokers to love your heart by quitting smoking.

Love Your Heart

Button

States and partners can upload this button to their Web sites to help promote the February cessation message and to link users to related content on CDCs Smoking & Tobacco Use Web site.

Spreading the Word


OSH has developed several Web-based and social media materials to get the word out about these new products. Following are suggestions on how you can further support this communication effort.

Twitter
Follow CDCTobaccoFree on Twitter www.twitter.com/CDCTobaccoFree and retweet key messages related to these new products.

Facebook
Become fans of CDCs Facebook page at www.facebook.com/cdc.

Widget
Tell others about OSHs posting on CDCs Everyday Health Widget at http://www.cdc.gov/Widgets/#everydayhealth.

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GovLoop
Follow OSH on GovLoop at www.govloop.com/group/cdctobaccofree. A post on GovLoop announces the new products and encourages readers to visit the online feature article. GovLoop is a social networking site for the government community. It currently serves about 30,000 members, including local, state, and federal government employees and contractors. Academics and students interested in government are also welcome to join.

RSS Feed
Subscribe to CDCs Smoking and Tobacco Use Main Feed at www.cdc.gov/tobacco/rss/index.htm to receive updates of new and recently changed content from CDCs Smoking & Tobacco Use Web site on your browser or desktop.

Web Site
Continue to access CDCs Smoking & Tobacco Use Web site www.cdc.gov/tobacco for helpful resources and the latest information.

Sincerely, CDCs Office on Smoking and Health

AVIS BUDGET GROUP HONORED FOR PIONEERING LANDMARK SMOKE-FREE RENTAL CAR POLICY PARSIPPANY, N.J., February 9, 2011 Avis Budget Group, Inc. today received the National Smoke-Free Business Award from Americans for Nonsmokers Rights, a U.S.-based nonsmokers rights group, in recognition of Avis Budget Groups decision to become the first rental car company to offer a 100 percent smoke-free fleet by banning smoking in Avis Rent A Car and Budget Rent A Car vehicles in the United States and Canada. A smoke-free vehicle was the top special request of our customers, said Larry De Shon, executive vice president of operations at Avis Budget Group. Prohibiting smoking in our vehicles ensures that Avis and Budget customers receive a fresh-smelling and clean vehicle whenever they rent with us. The recognition from Americans for Nonsmokers Rights is an honor we proudly accept. We are also pleased to see that others in our industry have subsequently chosen to follow our lead. In late 2009, Avis Budget Group responded to customer feedback and instituted a smoke-free policy in its vehicles for customers and employees alike. The Company also instituted a smoke-free policy for all employees and contractors who drive its vehicles, and has made all of its offices and rental location facilities 100 percent smoke-free as well, effective April 1, 2011. Thanks to this move by Avis Budget Group, nonsmokers are breathing easier while traveling and other car rental companies are now beginning to follow suit with similar policies, said Cynthia Hallett, executive director at Americans for Nonsmokers Rights. We are grateful to Avis Budget Group for their leadership on this important issue. # # #

Big Tobacco Stalls Statements in Federal Lawsuit


February 9, 2011 News Summary

The federal judge hearing the case, Gladys Kessler, ruled in 2006 that the tobacco industry had hidden the dangers of tobacco use for decades. Judge Kessler's ruling included an order for "corrective" statements regarding the dangers of tobacco use. The government has asked to publicly file proposed "corrective" statements about the health hazards of tobacco use on behalf of the companies. The three tobacco companies represented in the suit -- Altria Group, Inc., which owns Philip Morris USA, Lorillard Tobacco Co., and R.J. Reynolds Tobacco Co -- have asked the court to allow them to see and edit the statements before they are filed, "so that both sides can minimize if not eliminate any disagreements in advance of a March 3 deadline," according to the AP. Public health advocates argued in a court brief that the tobacco companies should not be allowed to revise the statements. The advocates said that, given the companies' past "misconduct, there is no basis -- or precedent -- for negotiating these statements entirely behind closed doors."

the dangers of tobacco, but the companies in the suit want to edit them before they are filed, the Associated

As part of an ongoing lawsuit, the U.S. Department of Justice wants tobacco companies to issue public statements written by the department about

Press (AP) reported Feb. 4.

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Jan Beauchamp
Quitline Coordinator Tobacco Prevention and Cessation Program Department for Public Health 275 E. Main Street, Mail Stop HS1EE Frankfort, KY 40621 (502) 564-9358, ext. 3817 Adobe Systems

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.

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From: Sent: To: Cc: Subject: Attachments:

tobacco_prevention <tobacco_prevention@listserv.ky.gov> Monday, December 27, 2010 11:21 AM tobacco_prevention tobacco_prevention@listserv.ky.gov Monday Memo NATC EX New Years Resolutions Press Release - 12 1 10 - FINAL.PDF; CHFS News - Annual Study Shows Few Vendors Sell Tobacco to Minors .pdf

THE QUITLINE CARDS ARE IN!!!!! We were able to order additional quitline plastic cards. Let me know via email how many you need. Send your requests to Jan.Beauchamp@ky.gov. The cards are credit card size plastic with encouragement to quit tobacco and call the quitline. newcard2.gif

BecomeAnEX.org has undergone a refresh (as of December 15). The site now has a brighter and cleaner look and feel, and the navigation has been improved. The home page has been reorganized to target new visitors by better introducing what the EX Plan is and what it offers. The My Profile page is more personalized and serves as the home page for logged-in registered users. Some additions include a top navigation dropdown and a left navigation that displays the pages for each section. Also, state resources are still accessible from the home page. BecomeAnEX.org web site has become a very much used cessation tool for Kentuckians wanting to quit. We have as many people log on to the web site as call the quitline. The numbers indicate that women prefer to call while men prefer to click. Dont forget to visit to let me (Jan) know when you need additional outreach materials for both the quitline and the website. Ive attached a New Years Resolution press release from Legacy. Feel free to forward this on to your local newspaper. You may want to add information about local resources to this also.
Visit this website http://www.cdc.gov/tobacco/data statistics/sgr/2010/clinician sheet/index.htm to order packets of What to Tell Your Patients About Smoking. This is a two-page color flyer for physicians. It highlights information from the latest Surgeon Generals Report. You can order a packet of 25 FREE. They are expected to ship in February. These are great to distribute to your local physicians. Let me know if you would also need additional Quitline RX pads to distribute to them at the same time.

In case you havent see it, here is RJ Reynolds New Years Ad.

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Diabetes and Tobacco use we have partnered with the Diabetes program to create a toolkit for Diabetes educators. A specific fax referral form with the program logo and DAART. Connect with your LHD Diabetes educator, swap information and support each other in providing tobacco cessation.

Smoking Widespread Among Youth with Diabetes, Raising Heart Disease Risk Cigarette smoking is widespread among children and young adults with diabetes yet few health care providers are counseling children and young adults with diabetes to not smoke or stop smoking, according to a new report from the SEARCH Study Group, published online in the Journal of Pediatrics. Children and young adults with diabetes are already at high risk for heart disease before they take up smoking, but few studies have examined the association between cigarette smoking and heart disease risk factors in youth with diabetes. Researchers found that 10 percent of youth with type 1 diabetes and 16 percent of youth with type 2 diabetes were currently using some form of tobacco products: cigarettes, cigars or smokeless tobacco. Less than half of the youth reported that they had been counseled by their health care provider to not smoke or stop smoking. Read more...

Dear Friends: Please mark your calendar and plan to join us for the following Smoke-Free Kentucky events: Media Campaign to Launch the Smoke-Free Kentucky Campaign Thursday, January 6, 1 1: 30 p.m. Capitol Rotunda, Frankfort Webinar on Local Smoke-Free Policy Success, Effective Messaging and Plans for the Statewide Campaign (Make-up session for those who could not attend the December 13 Smoke Free Summit/Statewide Coalition meeting due to weather) Friday, January 14, 10 a.m. 1 p.m. Call-in information to follow Power Prism Grassroots and Media Advocacy Training Wednesday, January 26, 9- 4 p.m. Frankfort exact location to be announced Please let me know if you will attend any of these important meetings/events and we will send details. Thanks!

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Amy Barkley Director, Tobacco States and Mid-Atlantic Campaign for Tobacco Free Kids P.O. Box 6831 Louisville, KY 40206 202-296-5469 (main office number) 202-481-9382 (direct) 502-777-8148 (mobile) 877-261-1753 (fax) abarkley@tobaccofreekids.org www.tobaccofreekids.org

Update on E-Cigarettes A federal appeals court recently issued a decision allowing e-cigarettes to continue to be legally sold in the United States under federal law. (Ecigarettes are battery-powered devices that provide inhaled doses of nicotine and, when used, emit vapor rather than smoke.) In 2009 the U.S. Food and Drug Administration (FDA) moved to establish authority over e-cigarettes as drugs or drug delivery devices by blocking the import of new e-cigarette shipments into the U.S. However, this month the court ruled in Sottera v. FDA that the FDA does not have the authority to continue to block the shipments. The courts decision does not necessarily apply to all e-cigarettes on the market. If an e-cigarette company markets its products as a smoking cessation aid, the FDA may still have the authority to regulate it as a drug or drug delivery device. The ruling also does not diminish the power of state or local governments to pass laws restricting e-cigarettes sale or use. The FDA may choose to appeal the ruling to the U.S. Supreme Court. Our website explains in greater detail the implications of the court decision, the issues involved, what the FDA may do next, and how local governments may restrict e-cigarettes. If you have any questions about the ruling after reading the information on our FAQ page, you may submit them to www.phlpnet.org/tobaccoquestions.

Upcoming Launch for What Works? A Guide to Quit Smoking Methods While 70 percent of U.S. smokers report that they want to quit, only a fraction uses evidence-based treatments in their quit attempts. One of the key reasons for this trend is the lack of knowledge and understanding of what cessation methods are most effective. Current cessation recommendations can be hard to understand, and in many cases evidence-based treatments are presented negatively by those marketing unregulated, non-evidence-based treatments (such as hypnotherapy, acupuncture, and laser therapy). NTCC, through funding from the Robert Wood Johnson Foundation, has developed a Consumer Reports style card, What Works? A Guide to Quit Smoking Methods, to help smokers choose appropriate methods for quitting. The content of the card is based on Treating Tobacco Use and Dependence: 2008 UpdateClinical Practice Guideline, and was developed in collaboration with Dr. Michael Fiore and others on the Guideline panel. To supplement the printed Guide, a companion website was also developed to provide smokers with more detailed information. Visitors to the website can review explanations of each of the cessation approaches. In anticipation of the quitting season in January 2011 as many smokers resolve to quit, as part of their new years resolutions, NTCC will promote the What Works? materials through digital sources. Some of the digital marketing plans for What Works? include: Mobile What Works? Site NTCC will create a mobile version of the What Works? website so that smokers can access the website on their mobile devices. Mobile Marketing Text advertisements will be placed in mobile applications and mobile sites to reach smokers. Search Engine Marketing Ads, with calls to action, will appear alongside relevant online searches as well as related web and mobile content.

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Social Media Social media outreach will be conducted via Facebook advertisements, blogger outreach, share buttons on the What Works? website, and a description of What Works? on Wikipedia. Finally, another critical component of this initiative will involve measurement of the scope and effectiveness of the promotion. This will entail monitoring and tracking of audience reach and behavior, for example those who access or download What Works? as an outcome of the marketing efforts. Data will provide lessons learned from this initiative to inform both the development and successful promotion of future cessation resources. The What Works? Website can be found here. Please consider adding this website link to your cessation-focused websites. To order hard copies of the What Works? guide, please click here.

Adolescent Smoking: Effect of School and Community Characteristics. American Journal of Preventive Medicine (December 2010). Based on the current findings, the ideal school setting that supports low student smoking levels is located in a neighborhood where the cost of cigarettes is high, provides tobacco prevention education, and has a policy prohibiting smoking. State-specific Prevalence of Cigarette Smoking and Smokeless Tobacco Use Among Adults--US, 2009. Morbidity and Mortality Weekly Report (November 5, 2010). Smoking among U.S. states and territories ranged from 6.4% to 25.6%; smokeless tobacco use ranged from 0.8% to 9.1%; and the percent of smokers who also use smokeless tobacco ranged from 0.9% to 13.7%. When Smokers Move Out and Non-smokers Move in: Residential Thirdhand Smoke (THS) Pollution and Exposure. Tobacco Control (October 30, 2010, Epub ahead of print). THS accumulates in smokers' homes and persists when smokers move out even after homes remain vacant and are cleaned and prepared for new residents.
FOR IMMEDIATE RELEASE: December 20, 2010 CONTACT: Marie Cocco, 202-296-5469 R.J. Reynolds Pulls Dissolvable Smokeless Products from Test Markets; Company Must Stop Pushing Tobacco Products that Entice Kids Statement of Matthew L. Myers President, Campaign for Tobacco-Free Kids WASHINGTON DC, (December 20, 2010) It is good news for the communities involved that R.J. Reynolds has decided to stop its initial test-marketing of new, dissolvable smokeless tobacco products called Camel Sticks, Strips and Orbs that look, taste and are packaged like candy and are likely to entice children. According to media reports and a letter RJR sent to customers, the company is pulling the products from the test markets of Columbus, Ohio, Indianapolis and Portland, Oregon, where the products have provoked outrage among public officials and the public. Unfortunately the company told the media that these products have been pulled only for potential redesign and may be test-marketed elsewhere in the future. We call on R.J. Reynolds to permanently pull these products and to stop its insidious marketing of tobacco products in ways that appeal to kids and seek to discourage smokers from quitting and keep them hooked on nicotine. The Camel dissolvable products appeal to children in that they are easily concealed and colorfully packaged, shaped and flavored to resemble mints or gum. These products also have been marketed as an alternative to cigarettes in the growing number of places where smoking is not allowed, which discourages smokers from quitting and truly protecting their health. One ad for these products states, Enjoy Anywhere. Anytime. Anyplace.

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U.S. Sens. Sherrod Brown (D-OH) and Jeff Merkley (D-OR) took swift and laudable action by including a mandate that the Food and Drug Administration review the impact of these products on public health under its new authority to regulate tobacco products. Earlier this year, the FDA wrote to RJR seeking information on consumer perceptions and use of the dissolvable products. In its letter, the FDA stated it is concerned that children and adolescents may find dissolvable tobacco products particularly appealing, given the brightly colored packaging, candy-like appearance and easily concealable size of many of these products. We are also concerned about the extent to which the high nicotine content and rapid dissolution of dissolvable tobacco products may facilitate initiation of tobacco use, nicotine dependence and addiction in adolescents, and may serve as a mechanism for inadvertent toxicity in children. The tobacco industry has intensified its marketing of smokeless products as cigarette smoking declines, smoke-free laws cover more Americans and smoking becomes less socially acceptable. According to the latest data from the Federal Trade Commission, smokeless tobacco marketing totaled $354.1 million in 2006, an increase of 53 percent since 2004. While most cigarette brands have stopped advertising in magazines with large youth readerships such as Sports Illustrated and Rolling Stone, many smokeless tobacco brands continue to advertise in these publications, most notably R.J. Reynolds Camel snus. As with cigarettes, the bulk of smokeless tobacco marketing is spent on price discounts that make these products more affordable to youth customers. Most troubling, the most recent data on youth tobacco use, included in the Monitoring the Future Survey released just last week, shows a significant increase in smokeless tobacco use among high school students. Among 12th graders, 8.5 percent used smokeless tobacco in 2010, a 39 percent increase since 2006. Even more alarming, 15.7 percent of 12th grade boys currently use smokeless tobacco. The increase in smokeless tobacco use also comes as some smokeless manufacturers have sought to portray their products as a less hazardous alternative to cigarettes. Rather than reducing the number of smokers, the Monitoring the Future survey indicates that the main consequence of current smokeless tobacco products and marketing is to increase the number of youth who use smokeless tobacco. That is bad news for health because smokeless tobacco is far from harmless. Smokeless tobacco use causes oral cancer, cardiovascular disease, gum disease and tooth decay. It has also been linked to cancers of the esophagus, pharynx, larynx, stomach and pancreas. Tobacco use remains the leading preventable cause of death in the United States, causing more than 400,000 deaths per year and costing $96 billion in health care costs. The tobacco companies flagrant efforts to lure young people to use these deadly and addictive products must finally end. Related information: Monitoring the Future survey results: www.monitoringthefuture.org FDA letter on dissolvable tobacco products: http://www.fda.gov/TobaccoProducts/GuidanceComplianceRegulatoryInformation/ucm199712.htm

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

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Apartment-Dwelling Children in Nonsmoking Units Still Exposed


New data support movement towards smoke-free multi-unit housing Children living in apartments are exposed to secondhand smoke even when no one smokes inside their own unit. This study, released online today by the journal Pediatrics, strongly suggests that housing type contributes to childrens exposure to tobacco smoke, despite the best intentions of parents. This new study from the University of Rochester Medical Center, MassGeneral Hospital for Children and the American Academy of Pediatrics Julius B. Richmond Center for Excellence is the first to show significant evidence of increased tobacco smoke exposure in the blood of children who live in multi-unit housing. It will appear in the January 2011 issue of Pediatrics. The U.S. surgeon general has said that there is no safe level of exposure to tobacco smoke. Children exposed to secondhand tobacco smoke are at greater risk for a variety of illnesses, such as respiratory infections, asthma and sudden infant death syndrome. In this study, researchers measured blood levels of cotinine, a chemical commonly used to test for tobacco exposure. Overall, using the most sensitive cutoff for tobacco smoke exposure, more than 84 percent of children in multi-unit housing had been exposed to tobacco smoke, compared to almost 80 percent of children living in attached houses and 70 percent of children in detached houses. At every cutoff level of cotinine, children living in apartments had higher rates of exposure. Parents try so hard to protect their children from dangers, such as tobacco smoke. Its surprising to see these results and realize that too many parents have no control over whether their children are exposed to secondhand smoke in their own homes, said Karen Wilson, MD, MPH, an assistant professor of Pediatrics at the University of Rochester Medical Centers Golisano Childrens Hospital and lead author of the paper. Controlling for other factors such as poverty and age, children living in apartments had an increase in cotinine of 45 percent over those living in detached houses. While some of the tobacco exposure may have come from family members who only smoke outside, but carry in tobacco residue on their clothes, study authors suggest this is unlikely to explain all of the difference since there are many more exposed children than adult smokers. Instead they conclude tobacco smoke may have seeped through walls or shared ventilation systems. Earlier studies have shown that tobacco smoke contaminates non-smoking units of multi-unit dwellings. The study, which was funded by the Julius B. Richmond Center of Excellence of the American Academy of Pediatrics, through a grant from the Flight Attendant Medical Research Institute, analyzed data from more than 5,000 children ages 6 to 18 in a national database (National Health and Nutrition Examination Survey 2001-2006) to see if there was any relationship between their smoke exposure and their housing type. Cotinine levels were highest for children who were under 12, black and living below the federal poverty level. Previous studies have shown that children with cotinine levels indicating even very low amounts of tobacco smoke exposure have delayed cognitive abilities and decreased antioxidant levels. This study is an important piece of evidence supporting universal smoke-free multi-unit housing, said Jonathan Winickoff, MD, MPH, of the MassGeneral Hospital for Children and the senior author of the study. More and more landlords, in all 50 states, know that they can set the smoke-free policy for their buildings, and with 80 percent of the population not smoking, market demands strongly favor smoke-free status. When landlords set a completely smoke-free policy they will enjoy lower fire risk and insurance costs, lower clean up costs between tenants, and they will be fostering a healthier home for everyone in the building. In general, people who smoke are very respectful of not exposing children and non-smokers to tobacco smoke in indoor environments. This research will help promote the notion that it is never acceptable to smoke indoors, even in your own unit, because the smoke get into the bodies of children in other units, said Winickoff, who is also an associate professor of Pediatrics at Harvard Medical School. The authors also stress the importance of making sure that tobacco cessation resources are provided for smokers whose buildings become smoke-free. Hopefully this research and the movement towards smoke-free housing will open up programs and opportunities for more folks to quit smoking. Promoting the use of the free quitlines in every state is a great way to facilitate these efforts, Wilson said. ### Massachusetts General Hospital, established in 1811, is the original and largest teaching hospital of Harvard Medical School. The MGH conducts the largest hospital-based research program in the United States, with an annual research budget of more than $600 million. The hospital is

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home to major research centers in AIDS, cardiovascular research, cancer, computational and integrative biology, cutaneous biology, human genetics, medical imaging, neurodegenerative disorders, photomedicine, regenerative medicine, systems biology, transplantation biology. For more information, contact: Marty Ray MassGeneral Hospital for Children (617) 726-0274 aray6@partners.org Heather Hare University of Rochester Medical Center (585) 273-2840 heather_hare@urmc.rochester.edu

Surgeon General: Any Exposure to Tobacco Smoke Can Damage DNA Immediately, Lead to Illness
December 16, 2010 Research Summary Tobacco smoke causes immediate damage at the lowest levels of use and cigarettes are designed to be addictive, according to the 30th

tobacco-related report of the U.S. Surgeon General, the Washington Post reported Dec. 9. The 704-page report, the first on tobacco from current Surgeon General, Vice Admiral Regina M. Benjamin, M.D., stated that hundreds of more than 7,000 compounds in tobacco smoke are toxic, at least 70 of the compounds cause cancer, and no level of exposure to tobacco smoke is safe. The lining of the lungs becomes inflamed upon first exposure to cigarette smoke, and the smoke can cause diseases such as chronic obstructive pulmonary disease (COPD). Heart disease is another common effect of cigarette smoke, including exposure to secondhand smoke, and diabetics who smoke may have more difficulty in controlling blood sugar. "The chemicals in tobacco smoke reach your lungs quickly every time you inhale causing damage immediately," said Benjamin. "Inhaling even the smallest amount of tobacco smoke can also damage your DNA, which can lead to cancer." Furthermore, cigarettes were designed to be addictive. Today, more than ever, according to the report, cigarettes deliver nicotine to the user more quickly and effectively than was the case years ago. Matthew L. Myers, president of the Campaign for Tobacco-Free Kids, said in a statement that the report "sends an unmistakable message to elected officials at all levels that reducing smoking is one of the most effective actions we can take to improve the nation's health and prevent some of the most deadly and costly diseases in our society." "This report makes it clear -- quitting at any time gives your body a chance to heal the damage caused by smoking," the Surgeon General said. "It's never too late to quit, but the sooner you do it, the better." The full report, How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease, was published on the Office of the Surgeon General website. Dead Smoker and Son Awarded 71 Million Judgment, Lorillard Supplied Free Newports at Age Nine December 17, 2010 News Summary

The Boston Globe reported Dec. 15 that the estate of Marie Evans was awarded $50 million in compensatory damages in the Suffolk County Superior Court case against the tobacco company Lorillard, with Evans only son receiving $21 million. Substantially more could be awarded in a punitive-damages phase of the trial, although the company plans to appeal the initial judgment and denies that it ever gave out free cigarettes to children, attributing Evans statements to faulty memory. Evans, who died of lung cancer in 2002 at age 54, gave videotaped depositions that described Lorillard representatives driving a box truck through a Boston housing development where she lived as a child, handing out Newports to the communitys children. She said she started smoking the cigarettes at age 12 and eventually became addicted, not being able to quit despite many attempts. The Massachusetts jury placed 70 percent of the blame for Evans death on the tobacco company and 30 percent on Evans. Legal analysts consider the verdict unusual, saying that lawsuits against tobacco companies fail two-thirds of the time because jurors often will not sympathize

In what is said to be the first time a jury has found a tobacco company liable because it distributed free samples of its product, a Massachusetts jury has awarded $71 million to the estate and family of a woman who had said she received free Newport cigarettes at age 9.

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with smokers. The case focused on Lorillards targeting of an urban community with a menthol brand that is popular among African-Americans. The Food and Drug Administration (FDA) is looking into whether menthol cigarettes should be included in the current ban on flavored cigarettes.

Study: State-Funded Quit Meds Reduce Tobacco Use and Heart Attacks, Save Money
December 20, 2010 Research Summary

Covering smoking-cessation products for low-income smokers improved quit rates and reduced heart attacks by nearly half, ultimately saving

taxpayer dollars, according to the first study measuring the effectiveness of a Massachusetts initiative, Reuters reported Dec. 7. The study, led by Dr. Thomas Land, director of surveillance and evaluation at the Massachusetts Tobacco Cessation and Prevention Program, examined claims data for Medicaid beneficiaries going back to 2006, the year the antismoking-medication benefit went into effect. During the first 2-1/2 years of the benefit, 40 percent of smokers receiving Medicaid purchased smoking-cessation aids (such as nicotine patches and gum). Over the same period, the number of recipients who smoked dropped by 10 percent. In addition, hospitalizations for heart attacks among Medicaid recipients fell by 46 percent, and hospitalizations for atherosclerosis fell by 49 percent. The precipitous decline in hospitalizations related to heart disease among smokers who used the benefit "is stunning," according to Nancy

Brown, CEO of the American Heart Association (AHA). "The Massachusetts study provides ample evidence that comprehensive smoking cessation benefits must be a core component of anti-tobacco initiatives," according to the AHA press release. The study was published online Dec. 7 in the journal

PLoS Medicine .

December 21, 2010 News Summary

'Healthy People 2020' Calls for State Medicaid Coverage of Smoking Cessation Tools

This year's Healthy People 2020 goals, the government's map for improving everything from chronic disease prevalence rates to public health crisis events, included a new focus on policies that states and localities can institute to create healthier environments. The federal government has been defining 10-year health goals for the past 30 years. Smoking was one of several health-related areas where progress stalled or declined according to the most recent 10-year data, which will be available in final form next spring. While this led to setting more reasonable progress goals in Healthy People 2020 in areas such as combating obesity, the blueprint's goal for smoking reduction still represented an ambitious undertaking. The government suggested that if more state Medicaid programs pay for proven smoking cessation treatments, the country could make significant progress toward reaching a 12 percent smoking prevalence by 2020. The latest document took a communitywide approach to health issues, stating that improving social and environmental conditions would go a long way in efforts at disease prevention. Only 19 percent of the Healthy People 2010 goals were fully met as of last year, although progress was reported in another 52 percent of goals.

more workplace smoking bans and more insurance coverage of smoking cessation treatments, the Associated

The latest 10-year plan for improving the nation's health suggests that the U.S. smoking rate can decline from 21 percent to 12 percent through

Press reported Dec. 2.

County Proposes Ban on Public Use of E-Cigarettes


December 22, 2010 News Summary

King County, Washington, is proposing a ban on use of e-cigarettes in public places, in part because their use makes it difficult to enforce

Although e-cigarettes are sometimes advertised as an aid to quitting smoking, many health advocates believe that the devices are aimed at youth. They worry that use of the products will lead teens to take up smoking regular cigarettes. "These are something that can potentially get kids hooked on nicotine," Nicola said. "E-cigarettes have a high appeal to youth. They come in candy flavors." Some manufacturers claim that their products don't contain nicotine, but according to the Post-Intelligencer, the Food and Drug Administration

existing anti-smoking regulations, the Seattle Post-Intelligencer reported Dec. 14. The state's existing ban on public cigarette smoking was designed to limit second-hand smoke, which the electronic nicotine delivery devices don't emit, although they do release a mist. Because the devices look like real cigarettes, officials are concerned that if other smokers see them being used, they will believe they can smoke regular cigarettes too -- leading to more second-hand smoke. "The idea is that even though they're not exactly identical to cigarettes, people see folks using e-cigarettes, and they think somebody else is smoking," said Bud Nicola, a professor at the University of Washington School of Public Health and a member of the county's Board of Health. "It makes it very difficult for inspectors." The Board of Health will soon vote on the proposal. If enacted, the regulations would likely be the strictest in the country. Besides banning use of e-cigarettes in public places, the proposal would prohibit free giveaways and heavy discounts on sales, and make it illegal to sell e-cigarettes to youth under 18.

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(FDA) "says there is no way of knowing that for sure."

A recent survey of the products by the FDA found that nicotine levels varied markedly, and that e-cigarettes also had other toxins in them. Some e-cigarette users objected to the new proposal. Jeff Mauzey, a resident of King County and a long-time smoker, said, "I switched to e-cigs not for health reasons, but because I wanted to smoke with less harm and less impact to those around me." December 21, 2010 News Summary The latest 10-year plan for improving the nation's health suggests that the U.S. smoking rate can decline from 21 percent to 12 percent through This year's Healthy People 2020 goals, the government's map for improving everything from chronic disease prevalence rates to public health crisis events, included a new focus on policies that states and localities can institute to create healthier environments. The federal government has been defining 10-year health goals for the past 30 years. Smoking was one of several health-related areas where progress stalled or declined according to the most recent 10-year data, which will be available in final form next spring. While this led to setting more reasonable progress goals in Healthy People 2020 in areas such as combating obesity, the blueprint's goal for smoking reduction still represented an ambitious undertaking. The government suggested that if more state Medicaid programs pay for proven smoking cessation treatments, the country could make significant progress toward reaching a 12 percent smoking prevalence by 2020. The latest document took a communitywide approach to health issues, stating that improving social and environmental conditions would go a long way in efforts at disease prevention. Only 19 percent of the Healthy People 2010 goals were fully met as of last year, although progress was reported in another 52 percent of goals.

'Healthy People 2020' Calls for State Medicaid Coverage of Smoking Cessation Tools

more workplace smoking bans and more insurance coverage of smoking cessation treatments, the Associated

Press reported Dec. 2.

Jan Beauchamp
Quitline Coordinator Tobacco Prevention and Cessation Program Department for Public Health 275 E. Main Street, Mail Stop HS1EE Frankfort, KY 40621 (502) 564-9358, ext. 3817 Adobe Systems

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.

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From: Sent: To: Cc: Subject: Attachments:

tobacco_prevention <tobacco_prevention@listserv.ky.gov> Monday, December 20, 2010 10:36 AM tobacco_prevention tobacco_prevention@listserv.ky.gov Monday Memo TFAH2010Shortchanging05.pdf

http://www.reuters.com/article/idUSTRE6B66ZZ20101207 Interesting article about paying smokers to quit. http://abcnews.go.com/Health/Wellness/apartment-kids-exposed-tobacco-smoke/story? id=12366053&tqkw=&tqshow=GMA Kids in apartments are exposed to more tobacco smoke. http://www.msnbc.msn.com/id/40704560/ns/health-addictions/from/toolbar

Study Estimates More than 600,000 Deaths Worldwide Caused by Secondhand Smoke http://www.cancer.gov/ncicancerbulletin/121410/page3
New Surgeon General's Report Outlines How Tobacco Smoke Causes Disease

http://www.cancer.gov/ncicancerbulletin/121410/page2
December 14, 2010 News Summary

Philadelphia Tries to Curb Underage Smoking

Philadelphia has higher-than-average rates of underage smoking and has launched a program to combat it, USA Today reported Dec. 2. According to a 2009 survey by the Centers for Disease Control and Prevention (CDC), 7.4 percent of underage teens in Philadelphia light up every day. That rate is among the highest rates for large U.S. cities; 5.7 percent of Boston teens smoke regularly, while 4.9 percent of teens in New York City and 3.6 percent in Los Angeles do so. The health department found that retailers in Philadelphia sold cigarettes to undercover high-school students every one in four or five attempts. To deal with the problem, the city has sent health department workers to talk directly with retailers who sell tobacco to minors. Lisa Ulmer, a professor of public health at Drexel University, helped design the program. It is similar to one she created in Louisiana, which is credited with driving retailer sales of tobacco to minors from 72 percent in 1997 to below 10 percent three years later. "It's not just the knowledge that you should not sell to kids," Ulmer said. "Many clerks know that information, but when they're presented with someone who might cajole them or intimidate them, they don't have the skills not to sell." In Philadelphia, health department staffers visited 405 retailers during the opening months of the program, but 45 percent of them were caught selling tobacco to teens again afterwards. A study by the health department showed that over half of the citys repeat violations were committed by Chinese takeout restaurants. "Some of them, they don't know what the legal age is to sell cigarettes to," said Jason Li, a Chinese-speaking health department staff member, who visits some of the restaurants, showing owners how to check IDs, and how to say no. "Some of them, they know it, but it brings them business and they're going to do it anyway." Cigarettes are cheap in Philadelphia -- about $6 a pack -- because there's no local tax on them. Danny McGoldrick of the Campaign for Tobacco-Free Kids said that price is a key factor in teen access to cigarettes. He advocated raising taxes on cigarettes because such taxes are "really good at keeping kids from moving from that experimental phase to regular smoking, because that's where it really starts to cost." However, he said, "It's tough to get the compliance so high that it's really hard for kids to get cigarettes." The City Council voted to increase the fine for a violation from $100 to anywhere from $250 to $1,000 for repeat offenses, consistent with federal recommendations, Philly.com reported Dec. 2.

Combining Smoking-Cessation and PTSD Treatment Improves Veterans' Quit Rates


December 14, 2010

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Research Summary A new study found veterans with post-traumatic stress disorder (PTSD) who smoke have an easier time quitting when smoking cessation and

PTSD treatment are combined, HealthDay News reported Dec. 7. Researchers from the US Veterans Affairs (VA) health-care system led by Miles McFall, Ph.D., recruited 943 smokers from 10 VA medical centers and randomly assigned them to either PTSD treatment with referral to a smoking-cessation program or to another program combining both treatments. At four-year follow-up, patients who received the combined treatment were twice as likely to have quit smoking for at least a year than participants referred separately for smoking treatment (9 percent versus 4.5 percent, respectively). "Individuals with serious mental illness are dying 25 years prematurely, and the major causes of death are tobacco-related cancer, heart disease, and lung disease," said Judith Prochaska, Ph.D., associate professor of psychiatry at the University of California/San Francisco, in an editorial accompanying the study. The results represented "a major step forward on the path to abating the previously overlooked epidemic of tobacco dependence that has plagued persons with mental illness," she concluded. The study was published in the Dec. 8 issue of the Journal

of the American Medical Association.

Two-Cent Chewing Tobacco Causing Oral Cancer Epidemic Among Indian Kids
December 9, 2010 News Summary A cheap chewing tobacco product in India, popular among children and young people, has made India the world's leader in oral cancer - and

the product's spread may pose a worldwide health risk, Bloomberg News reported Nov. 29. Indian entrepreneurs transformed paan, a 400-year-old tobacco product rolled in betel leaves, into "gutka," a blend of tobacco, areca nut, and spicy fragrances sold for two cents on street corners across the country. Sales are expected to increase from $4.6 billion in 2004 to twice that amount in 2014. Paan and gutka are both addictive because of tobacco and areca nut, which the World Health Organization (WHO) says is the fourth-most popular psychoactive ingredient in the world, after alcohol, caffeine, and tobacco. Other ingredients in gutka include additional known carcinogens such as chromium, nickel, arsenic, and tobacco-related nitrosamines, the WHO reported in 2008. The same year, nearly 70,000 cases of mouth cancer were reported in India; in comparison, 23,000 cases of mouth cancers were reported in the United States. Gutka is frequently sold near schools. "I have seen many children who started chewing gutka when they were 8 or 10 years old and got cancer in their teens," said Pankaj Chaturvedi, a surgeon at Tata Memorial Hospital, the largest cancer treatment center in Asia. Gutka powder smells spicy and has a gravel-like consistency. As a result, it abrades the lining of the mouth, which speeds up the effects of nicotine and cancerous chemicals, said Dhirendra Sinha in New Dehli, who works for the WHO as a technical officer for tobacco control. Areca nut causes muscles in the mouth to thicken and become less flexible, leading to oral submucous fibrosis, a pre-cancerous condition that India's Ministry for Health and Family Affairs and the WHO reported in 2004 had become an "epidemic mainly among the youth." According to Bloomberg News, "[p]atients who previously could grab a sizable chunk of an apple in a single bite are able to open their mouth to just about the size of a grape." Experts are concerned that gutka and its effects may become more than a regional health threat. Researchers at the University of British Columbia in Vancouver wrote in a commentary published last year that, "The practice of areca nut chewing and the presence of oral precancerous lesions are spreading from South Asia to the Western countries, with the potential of becoming a major public health issue." As smoking bans have spread, tobacco companies like Philip Morris International Inc., Altria Group Inc., and British American Tobacco Plc have turned to smokeless tobacco products and report rising sales worldwide.

PEER REVIEWED RESEARCH


The Influence of School Policies on Smoking Prevalence Among Students in Grades 5-9, Canada, 2004-2005
A129: Chris Y. Lovato, Allison W. Pullman, Peter Halpin, Cornelia Zeisser, Candace I. J. Nykiforuk, Frankie Best, Alan Diener, Steve Manske

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About a quarter of smokers (24.2?calling the California state quitline met criteria for major depression, researchers found. Click here for the full story: http://www.medpagetoday.com/PrimaryCare/Smoking/23773 E-Cigarettes Should Be Banned Until Made Safe: Study: MedlinePlus http://www.nlm.nih.gov/medlineplus/news/fullstory 106379.html Chewing tobacco maker to pay $5 million in first wrongful death case Settlement to family of 42-year-old father may pave way for more lawsuits
By JOHN CHRISTOFFERSEN The Associated Press

updated 12/7/2010

smokeless tobacco company has agreed to pay $5 million to the family of a man who died of mouth cancer in what the family's attorney and an expert called the first wrongful death settlement from chewing tobacco. Attorney Antonio Ponvert III told The Associated Press on Tuesday that U.S. Smokeless Tobacco Co. agreed to pay $5 million to the family of Bobby Hill of Canton, N.C. "This company manufactures and sells a dangerous and defective product that it knows causes addiction, disease and death in consumers who use it as intended," Ponvert said. The company, which makes Copenhagen and Skoal brands and was headquartered in Greenwich, Conn. before it was acquired by Altria last year, confirmed the settlement in a regulatory filing, but declined further comment. Mark Gottlieb, director of the Tobacco Products Liability Project at Northeastern School of Law in Boston, said he believes it's the first case of its kind and predicted more lawsuits involving smokeless tobacco. "I think this is sort of a wakeup call to the plaintiff's bar that there are a lot of victims of smokeless tobacco use out there and it's possible these cases can be successful," Gottlieb said. Past lawsuits against smokeless tobacco makers were not successful and lawyers focused more on cigarette makers due to stronger evidence to back up their claims even though smokeless tobacco is harmful as well, Gottlieb said. "The cigarette is sort of the dirty needle of nicotine delivery," Gottlieb said. Tobacco companies have traditionally vigorously fought such lawsuits, Gottlieb said. "So this is an unusual instance and runs counter to what had been the sort of the playbook for tobacco litigation," Gottlieb said. "I think that's one of the things that makes this wrongful death settlement intriguing. Perhaps there is a new strategy afoot in terms of dealing with some of these types of cases." But Gottlieb quickly added that Altria may have wanted to resolve legal issues remaining from its acquisition and calculated it was cheaper to settle than risk a larger award at trial. Hill's wife, Kelly, filed the lawsuit in 2005 after her husband died of cancer of the tongue, Ponvert said. Hill was 42 and had been chewing the company's spit tobacco products since he was 13, he said. Hill's wife declined to comment through her attorney. The settlement came as the tobacco industry tries to weaken proposed tougher warning labels on tobacco products and is marketing spit tobacco as a less harmless alternative to cigarettes, Ponvert said. Copyright 2010 The Associated Press.

NEW HAVEN, Conn. A

Jan Beauchamp
Quitline Coordinator Tobacco Prevention and Cessation Program Department for Public Health

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From: Sent: To: Cc: Subject: Attachments:

tobacco_prevention <tobacco_prevention@listserv.ky.gov> Monday, December 06, 2010 1:48 PM tobacco_prevention tobacco_prevention@listserv.ky.gov Monday Memo Low_SES_Booklet[1].pdf; Menthol flavoring report.pdf; CooperClaytonFa.ation12-10.doc; Directions to University Club.doc

Cooper/Clayton Facilitator Training see attachments! Cooper/Clayton Calendars if you have not already done so, - PLEASE SEND IT UPCOMING CLASS SCHEDULES AS SOON AS POSSIBLE!!! December Conference Call Decembers Conference call will be tomorrow, December 7 at 9:30 EST, 8:30 CST. It is a thirty minute call with Drs. Cooper and Clayton with updated information regarding the Cooper/Clayton Method to Stop Smoking. Call in number is 1-866-889-3903, the participant code is 515701#. There is no presentation for this conference call. Here is the url link to the survey for Decembers conference call. http://www.surveymonkey.com/s/Y8JSZNG Anxiety Keeps Some Smokers from Quitting
Nervous people smoke more than other people. More breaking news: they also find it harder to quit. Those may not be the kinds of insights that get the attention of the Nobel committee, but a new study in the journal Addiction shows how even so straightforward an idea may yield lifesaving benefits. The chemistry of nicotine packs a powerful addictive wallop; if it didn't, tobacco wouldn't be such a hard substance to quit. Still, plenty of people do quit; what's always puzzled epidemiologists is why a hardcore group can't. In the U.S., which leads the world in driving smoking rates down, 20% of the population still lights up. That may be less than half of what it was back in the ashtray-in-every-room Mad Men era, but it also means that more than 50 million Americans continue to smoke, even if they have to huddle outside office buildings or in parking lots to do it. Psychologist Megan Piper of the University of Wisconsin-Madison Center for Tobacco Research and Intervention (UW-CTRI) wanted to determine what keeps these dead-enders hooked. Piper and her colleagues studied a sample group of people who had enrolled in a free UW-CTRI smoking cessation program. Of the 1,504 subjects, about one-third met the criteria for an anxiety diagnosis currently or in the past nearly twice the incidence of anxiety in the population as a whole. Panic attacks were the most common form of anxiety, affecting 455 of the participants, followed by social anxiety (199 people) and generalized anxiety disorder (99). Some of the subjects had more than one condition. Piper believes that underlying anxiety conditions may explain why nicotine lozenges and patches, which can be extremely effective in helping many smokers quit, seem to have far less effect on others. If it's anxiety that drove those people to smoke in the first place, nicotine supplements will satisfy only one part of their addiction the chemical part. They'll do nothing for the emotional component. So temperamentally dependent are anxious smokers that many, according to Piper, start to suffer withdrawal symptoms even before they actually quit as if the dread of facing the world without a smoke is enough to trigger the cold-turkey experience. Bupropion (an antidepressant marketed as Zyban) also does not seem to do much to
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help anxious smokers quit, though it is not entirely clear why. None of this means that anxious smokers who want to stop are without recourse. Piper believes that all doctors treating smokers should assess them for anxiety too. If a condition is diagnosed, proper therapy can be doubly beneficial helping patients ease their angst and kick the butts. For more information, see web link: TIME October 26, 2010

Electronic Cigarettes are Increasing in Popularity but May Carry Risks


Electronic cigarettes are becoming increasingly popular among people who want to quit smoking, but an opinion piece released in the journal Annals of Internal Medicine highlights the potential hazards of e-cigarettes, suggesting they may not be as benign as they may seem. In the paper, the authors wrote that the devices pose several health concerns: "First, e-cigarettes may pose a risk as starter products for nonusers of tobacco. Although candy-flavored tobacco products and e-cigarettes were recently banned by the FDA in efforts to hinder marketing toward children, the posturing of e-cigarettes as 'green' and 'healthy' could deceptively lure adolescents. E-cigarettes also may represent a way for adolescents and adults to skirt smoke-free indoor air laws." Read more...

Survival Benefit of Smoking Cessation High After MI


Smoking cessation after myocardial infarction (MI) resulting in left ventricular (LV) dysfunction lowers all-cause mortality risk more than many pharmacologic interventions, according to a study in the American Journal of Cardiology. Amil M. Shah, M.D., of Brigham and Women's Hospital in Boston, and colleagues conducted a randomized trial of 2,231 subjects with LV dysfunction three to 16 days after MI. Smoking status was assessed at trial entry and at regular intervals over a median 42-month follow-up. The purpose of the study was to assess the benefit of smoking cessation versus continued smoking in this population at high risk for death and recurrent MI. The researchers found that, in subjects who smoked at baseline and survived to six months without interval cardiac events, smoking cessation at six-month follow-up was associated with a significantly lower all-cause mortality risk (hazard ratio [HR], 0.57). Read more...

Specialized Interventions Help Latinos Quit Smoking


Latinos who live the United States are more likely to quit smoking when they take part in an intervention program, finds a systematic review of studies conducted by Monica Webb Hooper, Ph.D., and colleagues at the University of Miami. According to U.S. Census data, Latinos are the largest, fastest growing minority population in the country. Webb said that Latinos tend to smoke at rates lower than whites and African-Americans; however, the longer Latinos remain in this country, the greater the likelihood of picking up the habit. Rates of smoking among many Latino immigrant communities here are higher than in their home countries. "We found evidence that the odds of quitting were significantly greater for those who received the intervention than for those in the control groups," Webb said. Read more...

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Study: Risks: Smokers Found More Prone to Dementia


Middle-aged smokers are far more likely than nonsmokers to develop dementia later in life, and heavy smokers those who go through more than two packs a day - are at more than double the risk, a new study reports. Researchers analyzed the data of 23,123 health plan members who participated in a voluntary exam and health behavior survey from 1978 to 1985, when they were 50 to 60 years old. After adjusting for other factors, the researchers concluded that pack-a-day smokers were 37 percent more likely than nonsmokers to develop dementia, and the risks went up sharply with increased smoking; 44 percent for one to two packs a day; and twice the risk for more than two packs. Read more...

U.S. Cigarette Warning Labels Designed to Grab Smokers' Attention


Twenty-five years have passed since the last update to cigarette warning labels. In an attempt to re-establish a decline in U.S. smoking rates, the Food and Drug Administration (FDA) earlier this month unveiled larger and more visible graphic warning labels designed to raise greater awareness about the risks of smoking. Some of the 36 images include a depiction of an emaciated lung cancer patient, a breastfeeding mother blowing smoke in the baby's face, a corpse in a morgue, and a smoker injecting a cigarette in the arm like a hypodermic needle. The FDA will take public comment about the new labels through January 9, 2011, and will choose the final nine by June. Beginning October 22, 2011, manufacturers will then be required to use the graphic warning labels on all cigarettes sold in the U.S. Reactions to the proposed new cigarette warning labels are mixed. While some argue that the use of fear will not work and may even backfire, others applaud the use of stronger images. A number of other countries, including Canada, Malaysia, Australia, and Brazil, already have graphic warning labels on cigarettes. In fact, some studies suggest that the use of stronger, more upsetting images may lead to greater quitting success. Read more...

WHO: Secondhand Smoke Kills 600,000 a Year


December 1, 2010 Research Summary

In the first such global study of its kind, the World Health Organization (WHO) has determined that one out of a hundred deaths each year worldwide is caused by secondhand smoke exposure, amounting to about 600,000 deaths a year, Reuters reported Nov. 26. Overall, 47% of deaths from second-hand smoke occurred in women, 28% in children, and 26% in men. Researchers led by Dr. Annette Prss-stn of the WHO's Public Health and the Environment Department based their findings on comparative risk assessments from 192 countries, during 2004 -- when data were sufficient to assess exposure to secondhand smoke. Children were most likely to be exposed to secondhand smoke, usually at home. Approximately 165,000 children died per year as a result. Hardest hit were children in poor and middle-income countries, particularly those in Africa and Asia, where infectious disease and tobacco exposure combined to have the deadliest impact on child mortality. Conversely, deaths from passive smoking among adults were spread evenly across countries, regardless of living standards. Prss-stn hoped the findings would serve as a catalyst for countries to enforce the WHO's Framework Convention on Tobacco Control, a global initiative aimed at reducing the burden of tobacco-related disease by increasing taxes on tobacco products, banning tobacco advertising, eliminating smoking in public places, and making packs less commercially attractive.

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"Policy-makers should bear in mind that enforcing complete smoke-free laws will probably substantially reduce the number of deaths attributable to exposure to second-hand smoke within the first year of its implementation, with accompanying reduction in costs of illness in social and health systems," she said. The study was published online in the Lancet Nov. 26.

Second-Hand Smoke Damages Hearing


November 30, 2010 Research Summary

Exposure to tobacco smoke leads to hearing loss, even in nonsmokers, according to a Nov. 16 BBC News report. In a recent study by University of Miami and Florida International University investigators, 3,307 nonsmokers (both former smokers and those who never smoked) underwent hearing tests and blood screens for cotinine, a metabolite produced by the body in response to nicotine. Results revealed that participants exposed to environmental tobacco smoke had significantly poorer hearing-test results. In fact, passive smoking reduced the ability to hear across all frequencies by roughly one-third. Dr. David Fabry, former chief of audiology at the University of Miami Miller School of Medicine and lead author of the study, said the degree of exposure necessary to affect hearing remains unclear. "We really do not know exactly how much smoke you need to be exposed to in order to be at increased risk. But we do know that the threshold for damage is very low." One thing is certain, according to Dr. Ralph Holme, head of biomedical research at London's Royal National Institute for Deaf People. "Hearing loss can often be very frustrating and lead to social isolation. "Before you next light up a cigarette, consider how it could impact not only on your own long-term hearing but your friends' and relatives', too." The study was published online Nov. 15 in the journal Tobacco Control.

Black Smokers May Face Higher Death Risk Than Whites: CDC
Missouri study shows significant racial gap in mortality from heart disease, cancer By Robert Preidt Wednesday, November 24, 2010 WEDNESDAY, Nov. 24 (HealthDay News) -- A study conducted in Missouri suggests that smoking may be even more lethal for blacks than it is for whites. In fact, researchers say the smoking-related death rate for blacks is nearly one-fifth higher than it is for whites in that state. The study was conducted by researchers at the Office on Smoking and Health at the U.S. Centers for Disease Control and Prevention. They analyzed data from 2003-2007 found that the average annual smoking-attributable death rate was 358 per 100,000 for blacks in Missouri and 286 per 100,000 for whites, a difference of 18 percent. That racial difference was larger among men (28 percent) than among women (11 percent). Blacks had a 26 percent higher smoking-related death rate for cancer and a 53 percent higher smoking-related death for circulatory diseases, but a 32 percent lower smoking-related death rate for respiratory diseases. Overall, smoking caused about a third of all cancer deaths, 15.3 percent of all circulatory disease deaths, and 46.5 percent of all respiratory disease deaths in Missouri between 2003 and 2007, according to the study. The findings appear in this week's issue of Morbidity and Mortality Weekly Report.

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Based on the data, the CDC says that "states should continue to implement population-wide tobacco control interventions [e.g., quitlines, smoke-free policies, and increased excise taxes on tobacco products] that reach all racial groups." SOURCE: U.S. Centers for Disease Control and Prevention, news release, and Mortality and Morbidity Weekly Report Nov. 24, 2010

Jan Beauchamp
Quitline Coordinator Tobacco Prevention and Cessation Program Department for Public Health 275 E. Main Street, Mail Stop HS1EE Frankfort, KY 40621 (502) 564-9358, ext. 3817 Adobe Systems

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.

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From: Sent: To: Cc: Subject: Attachments:

tobacco_prevention <tobacco_prevention@listserv.ky.gov> Monday, November 22, 2010 3:37 PM tobacco_prevention tobacco_prevention@listserv.ky.gov Monday Memo CooperClayton Calendar 2010.doc; TCN_Platform_APPROVED_10_1_10_with_endnotes_(3).docx; TCN_Platform_onepager_10 29- 10_MS.DOCX

Please review the attached Cooper/Clayton class schedule. Let me know as soon as possible of the classes you are scheduling after the first of the year. Catalyst survey: We are looking at the possibility of Catalyst training. Please take the very short survey (2 questions) so we can better gauge the type of training that is needed. Please go here: http://www.surveymonkey.com/s/L6FN2LG Im taking an informal poll: How many of you would be interested in a quitline billboard design? Several years ago we worked with a billboard designer and were able to purchase a large number of billboard at a much reduced price. If we can sell 25 signs the cost would be approximately $100, this is about half price. (This is the cost of the sign only, not the rental of the billboard.) The signs should be good for 6 8 weeks. Drop me a note if you have an interest in a billboard THIS IS NOT A COMMITMENT TO PURCHASE! Email me at Jan.Beauchamp@ky.gov. Im tentatively looking at February. Ive attached the updated Tobacco Control Network platform (full document) and an abbreviated one-pager.

FDA is seeking public comment on the proposed rule from Friday, November 12, 2010 through Tuesday, January 11, 2011. The submitted comments will be officially considered in the final warnings which will be issued by June 22, 2011. View the proposed labels (PDF): http://www.fda.gov/downloads/TobaccoProducts/Labeling/CigaretteProductWarningLabels/UCM232425.pdf Learn more about the proposed cigarette warnings

MyLastDip November Newsletter: http://oregonresearchinstitute.createsend4.com/T/ViewEmail/r/59B23FA2863665C7/B3CEB720BDCF4E29C9C291422E3DE149 To order free materials visit: http://info.mylastdip.com/view_print_mat.jsp Calif. Limits Company's Marketing of e-Cigarettes
November 9, 2010 News Summary

Reuters reported Oct. 30 that under the terms of the consent decree, Smoking Everywhere will not be allowed to promote their e-cigarettes as smoking cessation products unless the Food and Drug Administration (FDA) authorizes such use. The FDA has said it intends to regulate the battery-powered devices, which do not contain tar, but can expose users to other carcinogenic chemicals. The consent agreement in California also prohibits the e-cigarette company from claiming that its product is safer than conventional cigarettes (absent research evidence supporting the claims). Smoking Everywhere also will not be able to state in advertising that e-cigarettes contain no secondhand smoke, tobacco or carcinogens. E-cigarettes have been touted by manufacturers as a safer nicotine delivery vehicle than conventional smoking. The devices are equipped with a vaporized liquid nicotine solution that is inhaled. Some of the cartridges inside the battery-powered devices come in sweet flavors similar to ice cream varieties. The agreement comes as a result of a lawsuit filed by the state of California against Smoking Everywhere in the state Superior Court. California Attorney General and now Gov.-elect Jerry Brown announced the settlement on Oct. 30. ***
We wanted to let you know about the recent publication of a special journal issue of Addiction focusing on menthols. This special issue, funded by the National Cancer Institute (NCI), includes 11 new studies focusing on the prevalence of menthol flavored cigarette use, cessation success rates among menthol cigarette users and factors that might influence smoking and quitting menthols. The full report is available at: tp://onlinelibrary.wiley.com/doi/10.1111/add.2010.105.issue-s1/issuetoc. To read the Legacy press release regarding the issue, please visit: http://www.legacyforhealth.org/3843.aspx.

California officials and a distributor of electronic cigarettes have reached a consent agreement under which sales of the increasingly popular devices will be subject to several restrictions, including a ban on flavored cartridges that many say are meant to attract young people, and an outright ban on under 18 sales.

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Robert Wood Johnson Foundation: New Report: States continue drastic cuts to tobacco prevention programs http://www.rwjf.org/publichealth/product.jsp?id=71454&cid=XEM_205604 LA Times Heavy smoking during pregnancy can set your baby up for a life of crime http://www.latimes.com/health/boostershots/la-heb-maternal-smoking-crime-20101115,0,5885628.story

Nicotine Increases SIDS Risk


November 17, 2010 Research Summary A multi-study review found nicotine might be behind the increased risk of sudden infant death syndrome (SIDS) in babies whose mothers smoke, UPI reported Nov. 11. Investigators at Cincinnati Children's Hospital Medical Center led by Hemant Sawnani, MD, sifted through volumes of research examining the relationship between maternal smoking, infant sleep apnea, and SIDS. Several of the studies found nicotine negatively affected development of the part of the brain respons ble for respiratory control. In fact, the risk of SIDS increased two-fold for infants whose mothers smoked moderately while pregnant and five-fold for infants whose mothers smoked heavily. Interestingly, paternal smoking around pregnant mothers also increased the risk of sleep apnea in infants -- an association that did not persist after the babies were born. "This finding suggests the effect of maternal smoking on infant apnea is more likely to be from prenatal than postnatal exposure," said the authors. "In utero cigarette smoke exposure has been identified as one of the major risk factors for SIDS in many epidemiological studies," they continued. "The importance of education of women of child-bearing age should be considered paramount in reducing the most modifiable risk factor for SIDS." The study was published in the Nov. 1 issue of

Pediatric Allergy, Immunology and Pulmonology.

OPINION | November 21, 2010

Editorial: Take a Closer Look

The tobacco industry is still spending billions to promote its products. Every weapon should be used to reduce the carnage.

Jan Beauchamp
Quitline Coordinator Tobacco Prevention and Cessation Program Department for Public Health 275 E. Main Street, Mail Stop HS1EE Frankfort, KY 40621 (502) 564-9358, ext. 3817 Adobe Systems

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.

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From: Sent: To: Cc: Subject: Attachments:

tobacco_prevention <tobacco_prevention@listserv.ky.gov> Monday, February 21, 2011 11:29 AM tobacco_prevention tobacco_prevention@listserv.ky.gov Monday Memo CESAR FAX 20-06 (Cigarette Use Among 8th, 10th, and 12th Graders).pdf; FlyerLexington2011.pdf; Spring2011.pdf

March Conference Call The March conference call will feature an overview of Freedom From Smoking a group cessation initiative with an online component from the American Lung Association. The call will be at 9:30 EST, 8:30 CST on Tuesday, March 1, 2011. The call in number is 1-866-889-3903, participant code is 515701#. Prior to the call a presentation will be available on our web site. (It is not there now.) Make Yours A Fresh Start Family We still have MYFSF magazines for Moms and pregnant women. Let me know if we need to restock your clinic. ### School Policy Survey REQUIRED! PLEASE READ There seems to be some confusion about the 2011 School Policy Survey. Everyone must survey their schools regardless of any smokefree ordinance passed in the county. A training session was recently held on TRAIN to provide instruction in conducting the survey and reporting the findings. That training session has now been archived on TRAIN. This is the archived webcast of the original videoconference. To access this webcast, go to the TRAIN home page and find the box entitled Search by Course ID and enter the number in the title, 1026215.
Link for CV form https://apps.chfs.ky.gov/cvform/

This is the required training to conduct the 2011 School Policy Survey, which consists of an interview with the principal (or designee) of each school housing 6th grades and above. Everyone needs to train and conduct the surveys, even if their district has a 100% tobacco-free policy. There are many other parts to the survey besides the tobacco use policy (enforcement, compliance, tobacco prevention curricula, youth advocacy, etc., plus some nutrition and physical activity questions). In fact we encourage everyone to ask the tobacco policy questions as each principal may have a different perception of policy (and of course some policies are not even written.) Please be sure to mark yourself complete when you finish the training so that Kathy Begley can send you a password to get on our website for your school lists, forms, and to enter data online. There is a new mechanism to enter data, called REDCAP. It takes care of the skip patterns in the questionnaire and should be pretty efficient! UK CON also added more on follow-up with schools this year (how to advocate for school policy and how to help schools develop and implement policy). They hope this will be helpful since so many districts are working on 100% T-F policies this year. ###

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We received this message from Pat Glass. If you have any information that may assist her, please respond directly to her. Her email address is below her name. I am gathering information and would like input from any school district that has an alternative school program and also has a "Nicolette gum" procedure or protocol that is used to help the students that are in the alternative program get thru the day without smoking. Any help would be greatly appreciated! Thanks. Pat Glass, R.N. District School Nurse/Health Services Coord. Jessamine County Schools patricia.glass@jessamine.kyschools.us ### http://travel.usatoday.com/hotels/story/2011/02/More-hotels-go-completely-smokefree/43823744/1#uslPageReturn #### More Employers Saying Smokers Need Not Apply
February 16, 2011 News Summary An increasing number of hospitals and medical businesses are making tobacco use a reason to reject job applicants or fire existing employees,

The New York Times reported Feb. 10.

Under the new "tobacco-free" hiring policies, applicants can be turned away for smoking, or if they are caught smoking after hire. Policies differ by company, but some require applicants to take urine tests for nicotine. Health care businesses say they have adopted the new policies because they want to promote health, cut health care costs, and support healthy choices. Opponents say the policies set a troubling precedent for penalizing employees for engaging in legal behavior. Dr. Michael Siegel, a professor at the Boston University School of Public Health, said that if the policies become mainstream, there could be serious consequences. "Unemployment is also bad for health," he said. It's not certain how many businesses have adopted tobacco-free policies, but the number of examples are growing, and courts in several states have said the policies are legal. Federal data show that about 20 percent of Americans smoke, and that employees who smoke cost $3,391 more each year in health care costs and lost productivity than non-smoking employees do. "We felt it was unfair for employees who maintained healthy lifestyles to have to subsidize those who do not," said Steven C. Bjelich, CEO of St. Francis Medical Center in Cape Girardeau, Mo., which has stopped hiring smokers. "Essentially that's what happens." Lewis Maltby, the president of the National Workrights Institute, argued that refusing to hire smokers opened the door for other bans. "The number of things that we all do privately that have negative impact on our health is endless," Maltby said. "If it's not smoking, it's beer. If it's not beer, it's cheeseburgers. And what about your sex life?" Anti-smoking organizations are split on the issue. Several prominent advocacy organizations -- the American Lung Association, the American Cancer Society and the World Health Organization -- do not hire smokers because of their mission. The American Legacy Foundation, however, has argued that punishing smokers is likely to discriminate against low-income and comparatively unskilled workers. "Smokers are not the enemy," said the organization's chief counsel, Ellen Vargyas. "We want to be very supportive of smokers, and the best thing we can do is help them quit, not condition employment on whether they quit." Mandy Carroll, a nursing student at the University of Kansas, opposed the new policies as discriminatory. She smokes a pack a day, even though she understands the potential health consequences. "Obviously we know the effects of smoking, we see it every day in the hospital," she said. "It's a stupid choice, but it's a personal choice."

Studies: E-Cigarettes Popular, May Be Effective at Helping Smokers Quit


February 15, 2011

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Research Summary A new research study from Boston University suggests that electronic cigarettes (e-cigarettes) may be more effective at helping smokers quit

than nicotine patches or gum, TIME magazine reported Feb. 10. The researchers, led by Michael Siegel, M.D., sent surveys to 5,000 first-time buyers of e-cigarettes over two weeks in 2009. The response rate

was low (4.5 percent), or 222, according to a summary published by the Boston University School of Public Health. Respondents were primarily older males who had tried to quit smoking many times in the past. Nearly 67 percent of the respondents reported that they had cut down on cigarettes six months after beginning use of e-cigarettes, and 34.3 percent said they were not using e-cigarettes or other cessation aids that contained nicotine. Other research has shown that around 12 to 18 percent of people who used nicotine patches and nicotine gum report abstinence at six months -- nearly half the rate of those who used ecigarettes in this survey. "This study suggests that electronic cigarettes are helping thousands of ex-smokers remain off cigarettes," Siegel said. The authors of the study acknowledged that the study's conclusions were limited by the low response rate, pointing out that smokers who had quit or cut down on smoking might be more likely to respond. However, they said it was the best evidence to date on the effectiveness of ecigarettes, and that the devices "hold promise as a smoking-cessation method and that they are worthy of further study using more rigorous research designs." TIME said that at least one earlier study had concluded that e-cigarettes were ineffective at helping smokers quit. Several states are considering prohibiting their use. "Banning this product would invariably result in many ex-smokers returning to cigarette smoking," Siegel said. "Removing electronic cigarettes from the market would substantially harm the public's health." Meanwhile, a second study of e-cigarettes from the Johns Hopkins Bloomberg School of Public Health reviewed internet searches for smoking alternatives between January 2008 and September 2010 and found that e-cigarettes had become far more popular than other options, at least in the United States and the U.K. "Neither of these two studies provides scientific evidence that e-cigarettes are effective in helping people to quit," said professor John Pierce of the Moores Cancer Center at the University of California, San Diego. "It's not clear to me that e-cigarettes aren't harmful in some way. It's not clear to the FDA, either." Both studies appeared online Feb. 8, 2011 in the American Journal of Preventive Medicine. The Boston University study, led by Michael B.

Cigarettes As a Smoking-Cessation Tool: Results from an Online Survey" (PDF). The study on the popularity of e-cigarettes conducted by John W. Ayers and his team, was titled, " Tracking the Rise in Popularity of Electronic Nicotine Delivery Systems ('Electronic Cigarettes') Using Search Query Surveillance" (PDF).

Siegel, was titled, " Electronic

This article summarizes an external report or press release on research published in a scientific journal. When available, links to the sources are provided above.

Senators: Ban smokeless tobacco use in MLB From: MSNBC Date: 02/15/11 2:30pm EST NBC's Ken Strickland Reports: Two Democratic senators are asking baseball commissioner Bud Selig to ban all tobacco use in the sport, specifically citing smokeless products. Sens. Dick Durbin of Illinois and Frank Lautenberg of New Jersey are suggesting that Selig push for a ban as part of the negotiations in the players' collective bargaining agreement later this year. Major League Baseball banned tobacco use in its minor leagues in 1993, but still allows it in the big leagues. The senators say Major League Baseball "is undoubtedly complicit" in the increase its use with school-aged boys. In a letter to Selig, Durbin and Lautenberg wrote, "We now know conclusively that smokeless tobacco endangers the health of baseball players who use it, but it also affects millions of young people who watch
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baseball." "The use of smokeless tobacco by baseball players undermines the positive image of the sport and sends a dangerous message to young fans, who may be influenced by the players they look up to as role models," they wrote The senators say they were motivated to write the letter because of an recent newspaper article written by Washington Nationals pitcher Steven Strasburg. The pitcher said his initial use chewing tobacco stemmed from a desire to emulate pro baseball players. Referencing a National Youth Risk Behavior Survey, the senators say the use of smokeless tobacco products has increased 36% among high school boys since 2003, raising its use among all boys to 15%. "While tobacco companies spend millions on ads tailored to attract young people to use tobacco products, MLB is undoubtedly complicit in attracting many young people to try smokeless tobacco after seeing their baseball heroes chew tobacco," they wrote.

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From: Owens, Kelly S (LHD - Madison Co) <KellyS.Owens@ky.gov> Sent: Thursday, January 20, 2011 1:51 PM To: Hawkins, Ruth R (LHD-Madison Co); Crewe, Nancy M (LHD-Madison Co); Riker, Carol A; Hahn, Ellen J; Robertson, Heather E Subject: More from the world of VAPORSTIX http://www.vapersclub.com/ I found this rather interesting... I thought you would as well... also on this particular site you will find a E-Cigarette factsheet (with NO citations). http://www.ivaqs.com/ This is information regarding a "study" that will be performed to determine "secondhand" risk w/ vapor... It is important to note that this site was a link from our Local Vendor...they did refer to some of the "studies" that were listed on this site. If you have time, it is certainly worth a look. 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/

P Please consider the environment before printing this e-mail

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From: Public Interest Law Professor John Banzhaf <press@ash.org> Sent: Tuesday, November 23, 2010 8:35 PM To: Hahn, Ellen J Subject: More Hospitals Refusing to Hire Smokers
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More Hospitals Refusing to Hire Smokers

Inconsistent With Mission and Image, $12,000/yr Cost


During the past week the Anna Jaques Hospital in the Merrimack Valley of Massachusetts followed the lead of the Massachusetts Hospital Association in refusing to hire smokers, a move also copied by Saint Francis Medical Center in Cape Girardeau, Missouri. These three hospitals, and dozens of others which have adopted the same policy years ago, say the primary purpose is because smoking is inconsistent if not totally incompatible with their health mission and image, but they are probably also saving more than $10,000 a year for every smoker not hired, the other reason so many companies are insisting on a smokefree workforce (like a drugfree workforce), says public interest law professor John Banzhaf. "No one would question the right of an animal rights or anti-gun organization not to hire people who hunt, or the right of a women's rights organization to decline to hire men who attend strip shows nor women who perform in them," says Banzhaf, "so it's somewhat surprising when a few question the right of hospitals and other health organizations not to hire people who engage in an activity which undercuts the organization's image and mission of promoting good health." Under our free enterprise system, decisions as to whom to hire are wisely left to business owners rather than the government, provided the decisions are not based upon immutable characteristics like race or gender, explains Prof. Banzhaf. Deciding to smoke - or to hunt, shoot guns, or visit strip shows - are behaviors, which is completely different. Also, notes Banzhaf, the government has ruled that smoking is simply a behavior entitled to no legal protection, whereas obesity has been classified as a "health status" or "disease" sometimes protected under the Americans With Disabilities Act [ADA], thereby distinguishing the two health-related factors. http://ash.org/higher4smokers.html Some states do have laws designed to require employers to hire smokers, but they are full of loopholes, rarely if ever enforced, and both Action on Smoking and Health (ASH), America's first antismoking organization, and the American Medical Association, the nation's premier medical organization, have explained how easy it is to get around these laws and achieve a smokefree workforce regardless of where the business is located. http://ash.org/smokersrightslaws For example, notes Banzhaf, one company in a state with such a law simply prohibits anyone from setting foot on its property if they have any discernible odor of tobacco smoke on their person. Thus, although a smoker could theoretically be employed there, he would probably have to shower, completely change clothing, shampoo his hair, and brush his teeth after every cigarette, suggests Banzhaf. Other companies simply prohibit smoking anywhere on their property - including in private cars on parking lots - thereby likewise making it virtually impossible for daily

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smokers to remain employed. Many non-health-related companies such as Alaska Airlines, the Union Pacific Railroad Company, the Kalamazoo Community College in Michigan, and Weyco, a Michiganbased benefits administration company, have long had written policies against hiring smokers. Other businesses apparently find it easier to have unwritten policies against hiring smokers, or simply give great preference to hiring nonsmokers. http://yourbenefitsmanager.com/wp-content/uploads/2010/06/TheCostofSmoking.pdf ASH has done a study which shows that a smoking employee can cost his employer more than $10,000 a year in additional health care costs, increased disability payments, time lost from work, decreased productivity, and other expenses - costs which might otherwise have to be paid by the great majority of employees who do not smoke in the form of fewer medical benefits and/or higher health insurance premiums. http://ash.org/$12000 Companies are increasingly taking a variety of measures to slash the huge and totally unnecessary costs smoking imposes on their businesses, says Banzhaf, noting that almost half of all large companies already penalize employees' unhealthy behaviors, and many more are moving to do so. http://www.disabledworld.com/medical/pharmaceutical/addiction/penalizing-smoking.php#ixzz14MNCJc5f It also appears that there is growing public support for penalizing smokers, especially as nonsmokers begin to realize that smoking costs the American economy almost $200 billion a year, and that most of that cost is borne by nonsmokers in the form of higher taxes (e.g., for unnecessary expenses under Medicare and Medicaid) and bloated health insurance premiums. http://www.prlog.org/10726833-support-grows-for-penalizingemployees-who-smoke-can-save-over-10000yr-per-worker.html Fortunately, the new health care reform legislation permits charging smokers 50% more than nonsmokers for health insurance, a provision ASH helped to insure was part of this legislation. "There is no right to smoke, and smokers certainly have no right to force the great majority of Americans who are nonsmokers to bear the huge and totally unnecessary costs of their habit," concludes Banzhaf, Executive Director of ASH, which upholds the right of companies and governmental bodies to take steps to prevent this manifest unfairness.

PROFESSOR JOHN F. BANZHAF III Professor of Public Interest Law at GWU, FAMRI Dr. William Cahan Distinguished Professor, FELLOW, World Technology Network, and Executive Director and Chief Counsel Action on Smoking and Health (ASH) America's First Antismoking Organization 2013 H Street, NW Washington, DC 20006, USA (202) 659-4310 // (703) 527-8418 Internet: http://ash.org/ Twitter: http://twitter.com/AshOrg
This email was sent to ejhahn00@pop.uky.edu by press@ash.org. Instant removal with SafeUnsubscribe | Privacy Policy. Law Professor John Banzhaf | 2013 H St NW | Washington | DC | 20006

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From: Sent: Subject:

Bossick, Michael J Monday, June 07, 2010 10:03 AM New Cigarette Labeling

http://www.lex18.com/news/cigarette-packs-get-colorful-for-light-label-ban Above is a link to an interesting write-up on the new way cigarettes will be labeled. The word light will be removed and replaced with different colors (gold, silver, blue, orange). However they are labeled, the products are still as dangerous. You can share your comments with the Food and Drug Administration a few ways:

Center for Tobacco Products Food and Drug Administration 1-877-CTP-1373 For General Inquiries: AskCTP@fda.hhs.gov Center for Tobacco Products Food and Drug Administration 9200 Corporate Boulevard Rockville, MD 20850-3229 http://www.fda.gov/TobaccoProducts/default.htm

or
Public Dockets for Comment
Over the next several months, the Center for Tobacco Products (CTP) will open a series of dockets through the Federal Register to solicit information from all stakeholders on a number of specific issues related to implementation of the Family Smoking Prevention and Tobacco Control Act (Tobacco Control Act).

OPEN DOCKETS: NAME: Tobacco Product Advertising and Promotion to Youth and Racial and Ethnic Minority Populations; Request for Comments 1 ACTION: Notice; request for data and information Docket No. FDA2010N0207 CLOSE DATE: July 26, 2010 SUMMARY: The Food and Drug Administration (FDA) is soliciting information, research, and ideas to assist FDA in fulfilling its responsibilities regarding tobacco product advertising and promotion that is designed to appeal to specific racial and ethnic minority populations in the United States. For the same reasons, we are also interested in receiving information about

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the advertising and promotion of menthol and other cigarettes to youth in general, and to youth in minority communities. After reviewing the submitted information, research, and ideas, FDA will be better able to fulfill its responsibilities under The Family Smoking Prevention and Tobacco Control Act (Tobacco Control Act). SUBMISSIONS: Submit electronic comments to http://www.regulations.gov2 . Submit written comments to the Division of Dockets Management (HFA-305), Food and Drug Administration, 5630 Fishers Lane, rm. 1061, Rockville, MD 20852. CONTACT: Kathleen K. Quinn, 240-276-1717, kathleen.quinn@fda.hhs.gov

Mike Bossick, Ph.D.


Manager, Kentucky Center for Smoke-Free Policy & Radon Awareness Project Clean Indoor Air Partnership University of Kentucky College of Nursing 751 Rose Street, College of Nursing 509 Lexington, Kentucky 40536-0232 859-323-4587 859-323-1057 (FAX) michael.bossick@uky.edu www.kcsp.uky.edu

Follow us on Twitter! www.twitter.com/kysmokefree


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

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From: Action on Smoking and Health (ASH) <jbanzhaf@ash.org> Sent: Wednesday, April 28, 2010 10:55 AM To: Hahn, Ellen J Subject: New From ASH: E-Cigarette and a Smoke Free Workforce New From ASH: E-Cigarette and a Smoke Free Workforce
Dear Antismoking Colleagues: I'm writing to share with you some recent excerpts from our bi-monthly newsletter, the ASH Smoking and Health Review, which might be of particular interest. These pages include: * arguments which have been used successfully to help ban the use of e-cigarettes in places where smoking is prohibited * arguments supporting an employment policy of hiring only nonsmokers (establishing a smoke-free work force) * why so-called smokers' rights laws need not deter employers from hiring only nonsmokers (plus links to such laws) * how cities and towns can have smoke-free workforces When you click on any of the links below, you will be asked for a "User Name" and "Password." Simply type the word "ash" (in lower case) into BOTH boxes to proceed. Please feel free to forward this email, or otherwise share this information, with colleagues. Also, please feel free to make use of any of the information or arguments in these pages, with or without attribution. ASH Addresses China's Doctors on Smoking, Nov-Dec 2009, pages 2 and 6 http://ash.org/newsletter/200912p2.pdf http://ash.org/newsletter/200912p6.pdf Why Ban Public Use of E-Cigarettes, Nov-Dec 2009, Pages 3 and 4 and 5 http://ash.org/newsletter/200912p3.pdf http://ash.org/newsletter/200912p4.pdf http://ash.org/newsletter/200912p5.pdf E-Cigarettes: New Dangers and a Bad Ruling, Jan-Feb 2010, page 2 http://ash.org/newsletter/201002p2.pdf Hire Only Nonsmokers; Save $12,000/yr/person, Jan-Feb 2010, page 4 http://ash.org/newsletter/201002p4.pdf And Don't Let Smokers' Rights Laws Stop You, Jan-Feb 2010, page 5 http://ash.org/newsletter/201002p5.pdf Cities/Towns Can Have Smokefree Workforces Too, Jan-Feb 2010, page 6 http://ash.org/newsletter/201002p6.pdf PROFESSOR JOHN F. BANZHAF III Professor of Public Interest Law at GWU, FAMRI Dr. William Cahan Distinguished Professor,

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FELLOW, World Technology Network, and Executive Director and Chief Counsel Action on Smoking and Health (ASH) America's First Antismoking Organization 2013 H Street, NW Washington, DC 20006, USA (202) 659-4310 // (703) 527-8418 http://ash.org/
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From: Public Interest Law Professor John Banzhaf <jbanzhaf@ash.org> Sent: Saturday, October 16, 2010 2:10 PM To: Hahn, Ellen J Subject: New Ideas for Action by Antismoking Activists

New Ideas for Action for Antismoking Activists


From the Seventh World Conference on Nonsmokers' Rights
Dear Antismoking Colleagues: I'm writing to let you know that a number of interesting and thought-provoking ideas for using legal and law-related actions to fight smoking and to protect nonsmokers - all from the Seventh World Conference on Nonsmokers' Rights - have been posted online where they can be viewed by individual advocates or organizations seeking new approaches to these important problems. While these are uncorrected documents produced by law students, and therefore should be taken with some grains of salt and of caution, please remember that many of the major victories in the war on smoking and for nonsmokers' rights resulted from legal actions which many initially thought had little merit or were even frivolous. So please consider them for what they are: initial proposals by law students who are able to bring new eyes and a novel perspective to tobacco control, but who may not have your experience and expertise. While the individual titles appear below, all of the documents may be accessed from http://nosmokingcontest.org/papers/papers10/ By the way, these presentations by law students represent only a portion of the presentations at the Seventh World Conference on Smokers' Rights. Presenters also include attorneys and antismoking activists from the U.S. and from other countries around the world. Banning the Delivery and Sale of All Tobacco, Including the Electronic-Cigarette, Smoking Everywhere Inc., v. FDA E-Cigarettes or Ew-Cigarettes, Stop the Sale of E-Cigarettes to Minors Denying Pregnant Women Who Smoke Healthcare Smoke Within 50 feet of an Entranceway and Receive a $50 Citation Break It Up: Eliminating Smoke Breaks in the Workplace Public Transportation: Waiting Without Inhaling Suing Under the Americans With Disabilities Act When Smoking Makes Public Parks Inaccessible Smoking in Public Places Butt Out: The Need for Legislation on Tobacco Product Waste Stop Letting our Nation Go Up in Smoke by Holding Smokers Accountable The Save Me From Myself Campaign: Sell Cigarettes as R.Y.O. (Roll Your Own) Only &

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Ban Government Assistance for Avoidable Smoking Related Illnesses Revamping Enforcement Procedures to Ensure Compliance with Anti-Smoking Laws Litigation to Defeat Big Tobacco, The Plaintiff's Use of Expert Witnesses Regulating Smoking in Residential Communities - CC&Rs, Insurance Premium Effects and a Governmental or Other Agency Rating System Banning Smoking in Public Transit Waiting Areas Through FTA Grants Restricting Smoking On and Around Apartment Complexes Closing the Loop, Crafting a 'Recovery Act' to Instigate a Government-led Civil Suit PROFESSOR JOHN F. BANZHAF III Professor of Public Interest Law at GWU, FAMRI Dr. William Cahan Distinguished Professor, FELLOW, World Technology Network, and Executive Director National Center for Nonsmokers' Rights 2000 H Street, NW, Stockton 402 Washington, DC 20006, USA john@banzhaf.net

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From: Action on Smoking and Health (ASH) <press@ash.org> Sent: Thursday, April 29, 2010 7:26 AM To: Hahn, Ellen J Subject: New York Moves Towards Total E-Cigarette Ban
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New York Moves Towards Total E-Cigarette Ban Unanimous 125-0 Vote Follows Email From ASH
The New York State Assembly has voted overwhelmingly 125-0 to ban e-cigarettes [ecigs]; a product which has already been banned in Australia, Brazil, Canada, Israel, Mexico, and New Zealand, restricted in Finland, Malaysia, and Singapore, pending restriction in the UK as a drug, and the subject of law suits by attorneys general in several states, says public interest law professor John Banzhaf, Executive Director of Action on Smoking and Health (ASH). The decision followed an email sent by Action on Smoking and Health (ASH) to New York's legislators seeking to correct misinformation they apparently received from marketers and others. ASH previously helped persuade New Jersey and Suffolk County, NY, to ban the use of e-cigarettes in no-smoking sections. ASH's email noted that the FDA, the only agency both authorized and qualified to evaluate whether e-cigs are both safe and effective, has reported that e-cig use poses "acute health risks," that "the dangers posed by their toxic chemicals . . . cannot seriously be questioned," and that e-cigs have caused a wide variety of potentially serious problems "including racing pulse, dizziness, slurred speech, mouth ulcers, heartburn, coughing, diarrhea, and sore throat." It ruled they are "illegal" Virtually all of the major national and well-respected medical and antismoking organizations have also voiced strong concerns about the risks posed by e-cigarettes, and urged restrictions on their sales. These include the American Cancer Society, American Heart Association, American Lung Association, Campaign for Tobacco-Free Kids, Americans for Nonsmokers' Rights, and the Association for the Treatment of Tobacco Use and Dependence. ASH also pointed out that the FDA, in its own words, "is concerned that electronic cigarettes, cigars, or pipes may introduce young people to nicotine use which may lead to an increase in the use of conventional tobacco products with well-known, adverse, health consequences. Additionally, it is unclear what health effects these products could have on users or if misuse or product failure could lead to nicotine poisoning or other serious adverse health consequences." The FDA also warned that "conference participants stressed the importance of parents being aware of the health and marketing concerns associated with e-cigarettes. It was stated that parents may want to tell their children and teenagers that these products are not safe to use. . . . Of particular concern to parents is that e-cigarettes are sold without any legal age restrictions, and are available in different flavors (such as chocolate, strawberry and mint) which may appeal to young people. . . . In addition, the devices do not contain any health warnings comparable to FDA-approved nicotine replacement products or conventional cigarettes." Although some users claim that the products helped them to quit smoking, ASH countered by citing the FDA's own findings: "at this time, we are not aware of any data establishing electronic cigarettes, cigars, or pipes as generally recognized among scientific experts as safe and effective. . . . There may be a perception among some users that electronic cigarettes, cigars, or pipes are safer alternatives to conventional
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tobacco products. There may also be a perception that these products are a safe and effective means to quit smoking conventional forms of tobacco. However, FDA is not aware of any scientific data to support those perceptions." Michael Eriksen, ScD, the former director of CDC's Office of Smoking and Health and an FDA adviser warned: "I have seen no evidence that people switch from tobacco cigarettes to e-cigarettes or other smokeless tobacco products. If you look at how smokeless products are marketed, they are sold as something to use at times you can't smoke. The implication is you will increase nicotine exposure, not reduce smoking," ASH also raised concerns not yet addressed by the FDA: the extent to which the vapor exhaled by e-cig users -- including propylene glycol (a respiratory irritant used in antifreeze and known to cause respiratory tract infections), nicotine (a deadly and addictive drug which can help trigger heart attacks), and other substances the FDA labels as "carcinogens" and "toxins" -- could threaten the health of nearby nonsmokers. ASH cited a typical reaction from a sensitive bystander: "My first exposure to ecigarettes was last year in a hospital. Smokers were made to go outside but 3 esmokers plus 2 staff were using the e-cigarettes inside . . . I have lupus and the vapor irritated my nose, eyes, throat, and chest, plus the nicotine was making me feel nauseous so there must have been significant quantities in the side-vapor." ASH, America's first antismoking organization, and the one which started the nonsmokers' rights movement by first getting smoking restricted and ultimately banned on airplanes and in many public places, believes that nonsmokers should not be subjected to the vapors emitted by e-cig users unless and until they have conclusively been shown to be completely safe, even to children, the elderly, those at increased risk, and those with special medical problems. Public interest law professor John Banzhaf of ASH, argues that there is no possible justification for subjecting the great majority of Americans who are nonsmokers to the totally unnecessary risks posed by a mixture of toxins and carcinogens. Even if ecigarettes did help some smokers quit -- which the FDA denies -- "it's your monkey, keep him off my back." PROFESSOR JOHN F. BANZHAF III Professor of Public Interest Law at GWU, FAMRI Dr. William Cahan Distinguished Professor, FELLOW, World Technology Network, and Executive Director and Chief Counsel Action on Smoking and Health (ASH) America's First Antismoking Organization 2013 H Street, NW Washington, DC 20006, USA (202) 659-4310 // (703) 527-8418 http://ash.org/
This email was sent to ejhahn00@pop.uky.edu by press@ash.org. Instant removal with SafeUnsubscribe | Privacy Policy. Action on Smoking and Health | 2013 H St NW | Washington | DC | 20006

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From: Owens, Kelly S (LHD - Madison Co) <KellyS.Owens@ky.gov> Sent: Thursday, April 14, 2011 12:19 PM To: Brown, Cynthia G (LHD-Bullitt Co); Crewe, Nancy M (LHD-Madison Co); Hawkins, Ruth R (LHD-Madison Co); Green, Christie L (LHD-Madison Co); Hahn, Ellen J; Riker, Carol A Subject: News from CASAA Importance: High
http://casaa.org/news/article.asp?articleID=145&l=a&p This link was posted on VaporStix Facebook.... YOU want to see this! Also, there was a mention of Clark County's Reg. and that there are no plans to include e-cigs... and a mention of an editorial in REGISTER. Haven't seen the Editoral, it isn't posted on Register's site. I'm sure there will be more to come! Kelly S. Owens, MPH, CHES Tobacco Prevention and Cessation Specialist/Health Educator Madison Co HD

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From: NightingalesNurses@yahoogroups.com on behalf of Elisabeth Tove Gundersen <elisabethtoveg@gmail.com> Sent: Wednesday, April 06, 2011 2:44 PM To: NightingalesNurses@yahoogroups.com; nightingalesnurses@gmail.com Subject: [NightingalesNurses] Ecigarettes Follow Up Flag: Follow up Flag Status: Flagged Hello Nightingales, Here is a good source regarding ecigarettes: I will send the picture in the body of another e-mail. Elisabeth Vansickel, A. R., Cobb, C. O., Weaver, M. F., & Eissenberg, T. E. (2010). A clinical laboratory model for evaluating the acute effects of electronic "cigarettes": Nicotine delivery profile and cardiovascular and subjective effects. Cancer Epidemiology, Biomarkers & Prevention : A Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology, 19(8), 1945-1953. doi:10.1158/1055-9965.EPI-10-0288

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From: NightingalesNurses@yahoogroups.com on behalf of Julia <jcsbuss@yahoo.com> Sent: Friday, December 10, 2010 12:14 PM To: NightingalesNurses@yahoogroups.com Subject: [NightingalesNurses] FWD ANR news summaries regarding Surgeon General's report Follow Up Flag: Follow up Flag Status: Flagged
2010 Surgeon General's Report: Clinician Sheet What to Tell Your Patients About Smoking (PDF-11 MB)

Source: Centers for Disease Control , 2010-12-09 http://www.cdc.gov/tobacco/data statistics/sgr/2010/clinician sheet/index htm This one-page fact sheet summarizes the findings from How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease: A Report of the Surgeon General. This fact sheet features smoking-attributable chronic disease information as well as "how to quit" information from the Clinical Practice Guidelines (published by the U.S. Agency for Healthcare Research and Quality). The fact sheet provides simple talking points and key information to help medical providers talk to their patients about quitting tobacco use.

2010 Surgeon General's Report: Consumer Summary How Tobacco Smoke Causes Disease: What It Means to You

Source: Centers for Disease Control , 2010-12-09 http://www.cdc.gov/tobacco/data_statistics/sgr/2010/consumer_booklet/index.htm This easy-to-read, 20-page booklet summarizes the 700+ page Surgeon General's report released in December of 2010. The booklet provides practical information about the dangers of tobacco use and what people can do to quit tobacco use and protect themselves and their families from exposure to tobacco smoke. How Tobacco Smoke Causes Disease: What It Means to You (PDF11 MB)

EXPOSURE TO TOBACCO SMOKE CAUSES IMMEDIATE DAMAGE, SAYS NEW SURGEON GENERAL'S REPORT Report focuses on how tobacco smoke causes disease

Source: US Dept. of Health and Human Services, 2010-12-09 http://www hhs.gov/news/press/2010pres/12/20101209a html Exposure to tobacco smoke even occasional smoking or secondhand smoke causes immediate damage to your body that can lead to serious illness or death, according to a report released today by U.S. Surgeon General Regina M. Benjamin. The comprehensive scientific report - Benjamin's first Surgeon General's report and the 30th tobacco-related Surgeon General's report issued since 1964 - describes specific pathways by which tobacco smoke damages the human body and leads to disease and death. The report, How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease, finds that cellular damage and tissue inflammation from tobacco smoke are immediate, and that repeated exposure weakens the body's ability to heal the damage. "The chemicals in tobacco smoke reach your lungs quickly every time you inhale causing damage immediately," Benjamin said in releasing the report. "Inhaling even the smallest amount of tobacco smoke can also damage your DNA, which can lead to cancer." "Over the last two years we have stepped up efforts to reduce tobacco use, including implementing legislation to regulate tobacco products, investing in local tobacco control efforts and expanding access to insurance coverage for tobacco cessation" said Secretary of Health and Human Services Kathleen Sebelius. "This will remain a key priority of this Administration." The report also explains why it is so difficult to quit smoking. According to the research, cigarettes are designed for addiction. The design and contents of current tobacco products make them more attractive and addictive than ever before. Today's cigarettes deliver nicotine more quickly and efficiently than cigarettes of many years ago. . .. . "This report makes it clear quitting at any time gives your body a chance to heal the damage caused by smoking," the Surgeon General said. "It's never too late to quit, but the sooner you do it, the better." . . . To help communicate the report findings as widely as possible, the Surgeon General unveiled an easy-to-read guide with practical information about how tobacco smoke causes disease, A Report of the Surgeon General: How Tobacco Smoke Causes Disease: What It Means to You.

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Executive Summary (PDF) How Tobacco Smoke Causes Disease The Biology and Behavioral Basis for Smoking-Attributable Disease

Source: US Surgeon General Site , 2010-12-09 http://www.surgeongeneral.gov/library/tobaccosmoke/report/executivesummary.pdf One-third of people who have ever tried smoking become daily smokers. This report investigates how and why smokers become addicted and documents how nicotine compares with heroin and cocaine in its hold on users and its effects on the brain. The way tobacco is grown, mixed, and processed today has made cigarettes more addictive than ever before. Because of this, the majority of smokers who try to quit on their own typically require many attempts. It is imperative that we use this information to prevent initiation, make tobacco products less addictive, and provide access to treatments and services to help smokers quit successfully. This new report also substantiates the evidence that there is no safe level of exposure to cigarette smoke. When individuals inhale cigarette smoke, either directly or secondhand, they are inhaling more than 7,000 chemicals: hundreds of these are hazardous, and at least 69 are known to cause cancer. The chemicals are rapidly absorbed by cells in the body and produce disease-causing cellular changes. This report explains those changes and identifies the mechanisms by which the major classes of the chemicals in cigarette smoke contribute to specific disease processes. In addition, the report discusses how chemicals in cigarette smoke impair the immune system and cause the kind of cellular damage that leads to cancer and other diseases. Insight is provided as to why smokers are far more likely to suffer from chronic disease than are nonsmokers. By learning how tobacco smoke causes disease, we learn more about how chemicals harm cells, how genes may make us susceptible, and how tobacco users become addicted to nicotine. The answers to these questions will help us to more effectively prevent tobacco addiction and treat tobacco-caused disease. Understanding the complexity of genetic, biochemical, and other influences discussed in this report offers the promise of reducing the disease burden from tobacco use through earlier detection and better treatment; however, even with all of the science presented here, it currently remains true that the only proven strategies to reduce the risks of tobacco-caused disease are preventing initiation, facilitating cessation, and eliminating exposure to secondhand smoke. My priority as Surgeon General is the health of the American people. . . . In 1964, Surgeon General Luther Terry called for "appropriate remedial actions" to address the adverse effects of smoking. With this report, the devastating effects of smoking have been characterized in great detail and the need for appropriate remedial action is even more apparent. The harmful effects of tobacco smoke do not end with the users of tobacco. There is no safe level of exposure to tobacco smoke. Every inhalation of tobacco smoke exposes our children, our families, and our loved ones to dangerous chemicals that can damage their bodies and result in life-threatening diseases such as cancer and heart disease. And, although not a focus of this report, we know that smokeless tobacco causes cancer and has other adverse health effects. The science is now clear that "appropriate remedial actions" include protecting everyone in the country from having to breathe secondhand smoke; making all tobacco products progressively less affordable; expanding access to proven cessation treatments and services; taking actions at the federal, state, and local levels to counteract the influence of tobacco advertising, promotions, and sponsorship; and ensuring that all adults and children clearly understand that the result of tobacco use is addiction, suffering, reduced quality of life, and all too often, early death. Forty-five years after Surgeon General Terry called on this nation to act, I say, if not now, when? The health of our nation depends on it.

Webcast of the Thursday, December 9 media event A Report of the Surgeon General: How Tobacco Smoke Causes Disease

Source: US Surgeon General Site , 2010-12-09 http://www.visualwebcaster.com/National_Press_Club/74844/event.html Thursday, December 9, 2010 9:30 a m. Eastern [Please click on the 'Video' button to launch the live Webcast]

A Report of the Surgeon General: How Tobacco Smoke Causes Disease (PDF) Chapter 1 Introduction, Evaluation of Evidence on Mechanisms of Disease Production, and Summary

Source: US Surgeon General Site , 2010-12-09 http://www.surgeongeneral.gov/library/tobaccosmoke/report/chapter1.pdf This report considers the biologic and behavioral mechanisms that may underlie the pathogenicity of tobacco smoke. Many Surgeon General's reports have considered research findings on mechanisms in assessing the biologic plausibility of associations observed in epidemiologic studies. Mechanisms of disease are important because they may provide plausibility, which is one of the guideline criteria for assessing evidence on causation. The 1964 report, for example, gave extensive consideration to the presence of carcinogens in tobacco smoke and the findings of animal models (USDHEW 1964). This new report, however, specifically reviews the evidence on the potential mechanisms by which smoking causes diseases and considers whether a mechanism is likely to be operative in the production of human disease by tobacco smoke. This evidence is important to understand how smoking causes disease, to identify those who may be particularly susceptible, and to assess the potential risks of tobacco products. In addition, this evidence is relevant to achieving the tobacco-related goals and objectives in the Healthy People initiativethe nation's disease prevention and health promotion agendaand to developing the interventions for our nation's tobacco cessation targets for the year 2020 (USDHHS 2009). In the planning of this report, the diseases and other adverse outcomes causally linked to smoking served to define the scope of issues considered in each of the

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chapters. Because sufficient biologic plausibility had been established in prior reports for all causal conclusions, the evidence on biologic and behavioral mechanisms reviewed in this report complements and supports the causal conclusions established earlier. The report is not focused on whether the evidence supports the plausibility of a causal association of smoking with a particular disease. In fact, most of the diseases and other adverse outcomes considered in this report have long been causally linked to smoking. This report focuses on the health consequences caused by exposure to tobacco smoke and does not review the evidence on the mechanisms of how smokeless tobacco causes disease. . . . The characterization of mechanisms by which smoking causes disease could lead to applications of this knowledge to public health by (1) assessing tobacco products for their potential to cause injury through a particular mechanism, (2) developing biomarkers of injury to identify smokers at early stages of disease development, (3) identifying persons at risk on a genetic basis through the operation of a particular mechanism, (4) providing a basis for preventive therapies that block or reverse the underlying process of injury, and (5) identifying the contribution of smoking to causation of diseases with multiple etiologic factors. Consequently, research continues on the mechanisms by which smoking causes disease, even though the evidence has long been sufficient to infer that active smoking and exposure to secondhand smoke cause numerous diseases (USDHHS 2004, 2006). . . . This report is written at a time when new research methods have facilitated exploration of the mechanisms by which smoking causes disease at a depth not previously possible. With the powerful methods of molecular and cellular research, disease pathogenesis can now be studied at the molecular level, and animal models can be developed to explore specific pathways of injury. Consequently, the range of evidence considered in this report is broad, coming from clinical studies, animal models, and in vitro systems. The coverage extends from research at the molecular level to population-level biomarker studies.

A Report of the Surgeon General: How Tobacco Smoke Causes Disease The Biology and Behavioral Basis for Smoking-Attributable Disease

Source: US Surgeon General Site , 2010-12-09 http://www.surgeongeneral.gov/library/tobaccosmoke/report/index html Chapters * Chapter 1: Introduction, Evaluation of Evidence on Mechanisms of Disease Production, and Summary (1.5MB) * Chapter 2: The Changing Cigarette (130KB) * Chapter 3: Chemistry and Toxicology of Cigarette Smoke and Biomarkers of Exposure and Harm (756KB) * Chapter 4: Nicotine Addiction: Past and Present (1.3MB) * Chapter 5: Cancer (2.1MB) * Chapter 6: Cardiovascular Diseases (947KB) * Chapter 7: Pulmonary Diseases (9.1MB) * Chapter 8: Reproductive and Developmental Effects (880KB) * Chapter 9: A Vision for the Future (509KB)

UPDATE 1-Tobacco smoke causes immediate damage- US report * Administration must continue cease-smoking efforts * Taxes, bans both need support

Source: Reuters, 2010-12-09 http://www. reuters.com/article/idUSN0923441520101209 Author: Maggie Fox Cigarette smoke causes immediate damage to a person's lungs and their DNA even in small amounts, including from second-hand smoke, U.S. federal officials said on Thursday in a new report. Taxes, bans and treatment must all be pursued to bring smoking rates down, U.S. Surgeon-General Dr. Regina Benjamin said. "The chemicals in tobacco smoke reach your lungs quickly every time you inhale causing damage immediately," she said in a statement. "Inhaling even the smallest amount of tobacco smoke can also damage your DNA, which can lead to cancer," she said. The report said tobacco companies deliberately designed cigarettes and other tobacco products to be addictive and that they released new products that are portrayed as safer but that are in fact just as dangerous and addictive.

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Just one cigarette can harm DNA, Surgeon General says

Source: USA Today, 2010-12-09 http://www.usatoday.com/yourlife/health/2010-12-09-1Asmoking09_st_N htm?csp=34news Author: Liz Szabo, USA TODAY Even brief exposure to tobacco smoke causes immediate harm to the body, damaging cells and inflaming tissue in ways that can lead to serious illness and death, according to the U.S. Surgeon General's new report on tobacco, the first such report in four years. While the report, out today, focuses on the medical effects of smoke on the body, it also sheds light on why cigarettes are so addictive: They are designed to deliver nicotine more quickly and more efficiently than cigarettes did decades ago. . . . Recent changes in the design and ingredients in cigarettes have made them more likely to hook first-time users and keep older smokers coming back, Benjamin says. Changes include: Ammonia added to tobacco, which converts nicotine into a form that gets to the brain faster. . . . "This is the first report that demonstrates that the industry has consciously redesigned tobacco products in ways that make them even more attractive to young people," says Matthew Myers of the Campaign for Tobacco-Free Kids. David Sutton, a spokesman for Altria, parent company of Philip Morris USA, declined to comment until he had time to study the report.

A Report of the Surgeon General: How Tobacco Smoke Causes Disease - The Biology and Behavioral Basis for Smoking-Attributable Disease Fact Sheet

Source: US Surgeon General Site , 2010-12-09 http://www.surgeongeneral.gov/library/tobaccosmoke/factsheet html This is the 30th tobacco-related Surgeon General's report issued since 1964. It describes in detail the specific pathways by which tobacco smoke damages the human body. The scientific evidence supports the following conclusions: There is no safe level of exposure to tobacco smoke. Any exposure to tobacco smoke even an occasional cigarette or exposure to secondhand smoke is harmful. * You don't have to be a heavy smoker or a long-time smoker to get a smoking-related disease or have a heart attack or asthma attack that is triggered by tobacco smoke. * Low levels of smoke exposure, including exposures to secondhand tobacco smoke, lead to a rapid and sharp increase in dysfunction and inflammation of the lining of the blood vessels, which are implicated in heart attacks and stroke.

Tobacco Smoke is a Clear and Present Danger Causing Immediate Harm at Any Level of Exposure

Source: PR Newswire, 2010-12-09 http://www.prnewswire.com/news-releases/tobacco-smoke-is-a-clear-and-present-danger-causing-immediate-harm-at-any-level-of-exposure-111617124 html Author: SOURCE Legacy As further stated by General Benjamin, "Smoking remains a threat, and it is unacceptable and intolerable." Legacy applauds the nation's top health officials for aggressively working to reduce tobacco's impact. The depth of the science revealed in today's report, coupled with the comprehensive and collaborative role that the federal government is taking in the tobacco debate, will be another catalyst for bold action at every level to address the nation's smoking epidemic. According to Secretary of Health and Human Services Kathleen Sebelius, "We are stalled at a 20 percent adult smoking rate, and that is not a good place to be." As a public health community, we hope to move beyond that rate and achieve the goal set by the Director of the Centers for Disease Control and Prevention, Dr. Tom Frieden, when he stated just a few months ago, that tobacco is a "winnable battle." Legacy looks forward to working with our partners to help Americans live longer, healthier lives.

Smokers Rave as the Electronic Cigarette Wins Another Battle Against the FDA A major step has been taken to ensure that the electronic cigarette remains on the market in its current capacity without the possible threat of a ban by the FDA.

Source: PR Newswire, 2010-12-09 http://www.prnewswire.com/news-releases/smokers-rave-as-the-electronic-cigarette-wins-another-battle-against-the-fda-111586659 html

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Author: SOURCE World of E Cigarettes In a straightforward decision, a Federal Appeals Court has upheld a preliminary injunction against the FDA to stop the seizure of the electronic cigarette as it enters the country to suppliers that retail them to the smoking public. The electronic cigarette, or e cigarette as it is called by its users, has found a home among smokers who have been looking for a smarter alternative in the tobacco market. The following is now so strong that e cigarette cafe's are popping up in major cities around the U.S. This group of "vapers" are a loyal group that have lobbied lawmakers, written letters, made phone calls and have actively defended the product online in a collective effort to save the invention that many call a life changer.

SOTTERA , INC. v. FOOD & DRUG ADMINISTRATION


Leagle.com http://www.leagle.com/xmlResult.aspx?xmldoc=In%20FCO%2020101207124 xml&docbase=CSLWAR3-2007-CURR Gregory G. Garre argued the cause for appellee Sottera, Inc. With him on the brief were Richard P. Bress, John R. Manthei, and Jessica E. Phillips. ...

It's Smoke Time For Smokefree Innotec Stock Markets Review http://www.stockmarketsreview.com/news/67819/ (RTTNews) - Smokefree Innotec Inc. (SFIO.PK), an international distributor of e-cigarettes, is all set to commence marketing and sales of its nicotine ...

Secondhand Smoke May Put Kids at Risk for Diseases Study reports link to trio of bacterial illnesses

Source: HealthDay [HealthScout], 2010-12-08 http://consumer healthday.com/Article.asp?AID=646937 Exposure to secondhand smoke greatly increases a child's chances of developing several invasive bacterial diseases, according to a new review of published studies. The risk was found to be especially strong for children 6 years old and younger. Exposure to secondhand smoke doubles the risk for invasive meningococcal disease, the analysis found, and may also increase the chances of developing invasive pneumococcal disease and Haemophilus influenzae type B. The findings, which came from an analysis of 42 studies, most conducted in high-income countries with good vaccination policies, are published online in PLoS Medicine. The results suggest that decreasing children's exposure to secondhand smoke could reduce the number of illnesses and deaths caused by these diseases, especially in poor countries with low rates of vaccination against invasive bacterial diseases, according to study author Chien-Chang Lee of the Harvard School of Public Health and fellow researchers..

Association of Secondhand Smoke Exposure with Pediatric Invasive Bacterial Disease and Bacterial Carriage: A Systematic Review and Meta-analysis [FREE FULL TEXT]

Source: Public Library of Science , 2010-12-07 http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1000374 Author: Chien-Chang Lee1,2, Nicole A. Middaugh1, Stephen R. C. Howie3, Majid Ezzati4,5,6,7* What Do These Findings Mean? These findings indicate that SHS exposure is significantly associated with invasive meningococcal disease among children. However, the evidence that SHS exposure is associated with invasive pneumococcal and Hib disease is only suggestive. These findings also indicate that exposure to SHS is associated with an

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increased carriage of N. meningitidis and S. pneumoniae. The accuracy and generalizability of these findings is limited by the small number of studies identified, by the lack of studies from developing countries where SHS exposure is increasing and the burden of IBD is high, and by large variations between the studies in how SHS exposure was measured and IBD diagnosed. Nevertheless, they suggest that, by reducing children's exposure to SHS (by, for example, persuading parents not to smoke at home), the illness and death caused by IBDs among children could be greatly reduced. Such a reduction would be particularly welcome in developing countries where vaccination against IBDs is low. . . . There are plausible mechanisms for the effects of SHS on bacterial diseases. Both in vivo and in vitro experimental studies have found that SHS exposure may induce structural changes in the respiratory tract including peribronchiolar inflammation and fibrosis, increased mucosal permeability, and impairment of the mucociliary clearance [67],[68]. It may also decrease immune defenses, e.g., a decreased level and depressed responses of circulating immunoglobulins, decreased CD4+ lymphocyte counts and increased CD8+ lymphocyte counts, depressed phagocyte activity, and decreased release of proinflammatory cytokines [68][72]. All these mechanisms might increase the risk of bacterial invasion and subsequent infection. The significant findings here regarding the association of SHS exposure with bacterial carriage also support a plausible etiological role for SHS in invasive bacterial disease, because asymptomatic carriage is an intermediate step towards invasive disease [12],[13],[15],[16]. Asymptomatic carriage itself has a public health implication because it is important in population transmission of infectious bacteria[12],[15].

Secondhand Smoke Linked To Hyperactivity And Bad Behavior Risk In Children

Source: Medical News TODAY, 2010-12-09 http://www medicalnewstoday.com/articles/210948.php Breathing in secondhand tobacco smoke may have mental health consequences for a child, as well as physical ones, British researchers reveal in the journal Archives of Pediatrics and Adolescent Medicine. The authors say they found an association between secondhand smoke and more psychological distress among children. There has been growing evidence over the last few years that parents and guardians should make every effort to make sure children are not exposed to environmental tobacco smoke. Secondhand smoke (smoking), also known as passive smoking or environmental tobacco smoke is inhaled involuntarily or passively by an individual who is not smoking. The authors explain that children who are regularly inhaling environmental tobacco smoke have a higher risk of developing hyperactivity, "conduct disorder" (bad behavior), and some other mental health problems. Mark Hamer, PhD, from University College London and team gathered data on the physical and mental health of 901 children aged 4 to 8 years from a community-based population sample from the 2003 Scottish Health Survey.

Secondhand smoke tied to childrens' poor mental health

Source: Reuters, 2010-12-09 http://www. reuters.com/article/idUSTRE6B80N320101209 The evidence is piling up that parents who smoke really should quit -- or at least not smoke at home, a study said. Children who breathe secondhand smoke are more likely to struggle with mental health problems, especially hyperactivity and "bad" behavior, according to the study, published in the Archives of Pediatrics and Adolescent Medicine. While the findings add urgency to the push for parents to quit smoking or at least smoke outside the home, it remains unclear whether tobacco fumes actually take a toll on childrens' brains or if something else is at play, said researchers led by Mark Hamer of University College London. "We know that exposure to secondhand smoke is associated with a lot of physical health problems in children, although the mental health side has not been explored," Hamer told Reuters Health in an e-mail.

Students light-up to protest proposed all-campus smoking ban (CA) SDSU Collegian http://www.sdsucollegian.com/students-light-up-to-protest-proposed-all-campus-smoking-ban-1.1827374 To voice their opinions regarding the Students' Association's decision to put a campus-wide smoking ban to a student vote, 10 to 15 smoked their pipes and ...

Prefiled Bills Would Ban Smoking in SC Indoor Public Places

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News Channel 7 - Robert Kittle http://www2.wspa.com/news/statehouse-watch/2010/dec/09/prefiled-bills-would-ban-smoking-sc-indoor-public--ar-1188342/ Among the bills prefiled in the South Carolina House are several that would ban smoking in most public indoor places in the state, ...

Summerville Lawmakers Pass Smoking Ban First Reading (SC) WTMA http://www.wtma.com/rssItem.asp?feedid=134&itemid=29607430 (SUMMERVILLE, SC) -- Legislators in Summerville on Wednesday night passed the first reading of an ordinance that will prohibit smoking in the work place. ...

Kenton Co. looks to move forward on smoking ban proposal (KY) kypost.com - Bill Price http://www kypost.com/dpps/news/region_northern_kentucky/covington/kenton-county-looks-to-move-forward-on-smoking-ban-proposal_5627885 9 to banning smoking in public buildings. The scheduled first reading of a smoking ban ordinance at the Kenton County Fiscal Court will actually be the ...

Fort Mitchell objects to proposed indoor smoking ban (KY) Cincinnati.com (blog) 1 http://cincinnati.com/blogs/nkypolitics/2010/12/08/fort-mitchell-objects-to-proposed-indoor-smoking-ban/ Fort Mitchell has joined the growing ranks of cities who formally oppose a proposed indoor smoking ban in Campbell and Kenton counties. ..

Nitro to discuss creating own health department (WV) Daily Mail - Charleston - Billy Wolfe http://www.dailymail.com/News/Kanawha/201012081085 The effort was aimed at getting around Kanawha County's indoor smoking ban, which was expanded in July 2008 to include gambling parlors and bars. ...

Beating the Kanawha County Smoking Ban WSAZ-TV - Brooks Jarosz http://www.wsaz.com/news/headlines/Beating_the_Kanawha_County_Smoking_Ban_111560779 html After that didn't happen, this is the latest way the city hopes to beat the county's smoking ban. In Kanawha County, lighting up is banned, but Nitro city ...

Student Senate rejects an initiative for tobacco-free campus (WI)

Source: The Spectator , 2010-12-09 http://media.www.spectatornews.com/media/storage/paper218/news/2010/12/09/UniversityBriefs/Student.Senate.Rejects.An.Initiative.For.TobaccoFree.Campus-

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3966359.shtml The UW-Eau Claire Student Senate rejected an initiative for tobacco-free campus Monday, while the University Senate voted in favor during its meeting Tuesday. The body of the University Senate wants to establish a tobacco free campus, where it would prohibit the use of tobacco and all its products on all state-owned UWEC campus properties.

UW-Eau Claire chancellor to decide future of smoking ban (WI) UW Badger Herald - Patrick Porwoll http://badgerherald.com/news/2010/12/08/uw-eau_claire_chance.php However, the student government declared their opposition to the total ban Monday night, instead supporting the campus's current policy. The current smoking ....

Smoking Ban Fine In July, But Now It's Cold (WI)


Today's TMJ4 - George Mallet http://www.todaystmj4.com/news/local/111569314 htmlWisconsin's smoking ban was a lot easier to accept in warm July than it is now in bone chilling December. "It's freezing out here," said Cory Rowell as he ...

A plea to the OWU community on the smoking ban (OH) Transcript - Mary Slebodnik http://media.www.owutranscript.com/media/storage/paper1413/news/2010/12/09/Opinion/A.Plea.To.The.Owu.Community.On.The.Smoking.Ban-3966154.shtml Smoking was more complicated than I'd given it credit for. When I was diagnosed with depression my freshman year, I lit up in spite of the threat of cancer. ...

Smoking restriction expands to 25 feet (MO)


Truman Index http://www.trumanindex.com/smoking-restriction-expands-to-25-feet-1.1826164 This resolution was revised from a proposal made at the August Board meeting for a full smoking banon campus. It was supported by Student Senate, ...

LETTER: Time for Indiana to go smoke-free Evansville Courier & Press http://www.courierpress.com/news/2010/dec/09/no-headline---097/ Most Indiana residents are non-smokers, but don't have a smoke-free worksite policy to protect them. This can have deadly consequences. ...

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Scott says smoke-free campus is inevitable (KS) PSU Collegio (subscription) - Whitney Saporito http://media.www.psucollegio.com/media/storage/paper437/news/2010/12/09/FrontPage/Scott.Says.SmokeFree.Campus.Is.Inevitable-3966429.shtml President Steve Scott says the question is not if Pittsburg State University will become a smoke-freecampus, but how long it will take to get there. ...

SGA responds to smoking ban confusion (KS) PSU Collegio (subscription) http://media.www.psucollegio.com/media/storage/paper437/news/2010/12/09/Opinion/Sga-Responds.To.Smoking.Ban.Confusion-3966443.shtml If you haven't already heard, the Student Government Association has established an exploratory committee to look into the idea of a smoke-free campus. ...

Smoking ban on hold for a year (Australia) Parramatta Sun - Jenna Daroczy http://www.parramattasun.com.au/news/local/news/general/smoking-ban-on-hold-for-a-year/2021235.aspx After three members of the public and nearly all the councillors spoke on the issue, councillors voted eight votes to five to keep the smoking ban on hold ...

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From: NightingalesNurses@yahoogroups.com on behalf of Julia <jcsbuss@yahoo.com> Sent: Sunday, March 07, 2010 10:40 AM To: NightingalesNurses@yahoogroups.com Subject: [NightingalesNurses] Nasty electronic cigarette ad Don't know why I got this ad in my email, yikes! https://www.trysmokerelieffree.com/site/index.php?subid=CD105948 Reply to sender | Reply to group | Reply via web post | Start a New Topic Messages in this topic (1)
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Hahn, Ellen J Sunday, January 31, 2010 8:35 AM Amy Barkley; Betsy Janes; Tonya Chang; James.Sharp@CANCER.ORG; Centers, Irene (CHFS HPBHealth Promotions); anthonys.lockard@ky.gov NYT article on PM

Good morning, This long article is definitely worth the time to read. It gives a nice history of Philip Morris/Altria and their current tactics with the FDA regulation. Ellen From The New York Times: Where Theres No Smoke, Altria Hopes Theres Fire The company once called Philip Morris is hoping the F.D.A. will go easier on Marlboro Snus, a spit-free smokeless pouch, than on Marlboro cigarettes. http://s.nyt.com/u/tUr

Get The New York Times on your iPhone for free by visiting http://itunes.com/apps/nytimes

Ellen J. Hahn, DNS, RN Professor, University of Kentucky College of Nursing Director, Tobacco Policy Research Program and Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in Self-Management 751 Rose Street, College of Nursing 519 Lexington, Kentucky 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Follow us on Twitter! www.twitter.com/kysmokefree Smoke-free Communities: Good for People, Good for Business

UK See Blue

file:///C|/...0Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/NYT%20article%20on%20PM html[8/19/2011 2:30:27 AM]

From: Sent: To: Cc: Subject:

NZ Herald <webmaster@nzherald.co.nz> Saturday, January 23, 2010 6:55 PM jgoldstein@sfmslaw.com andyk@ggbreathe.org; sengordon@njleg.org; Hahn, Ellen J; gary.hagy@vdh.virginia.gov nzherald.co.nz - Electronic fags draw huff and puff

Yolanda Villa thought you would be interested in the following item from nzherald.co.nz: Electronic fags draw huff and puff Electronic cigarettes have ignited international debate over their health effects, after New Zealand researchers ruled the battery-powered inventions were safe. The cigarettes, known as e-cigarettes ... More The following personal message was also included: Some parts of the article of note: However, Kiwi researcher Dr Murray Laugesen said concerns about safety were unfounded. "Basically, in all the testing that we did we did not find anything that would make them unsafe relative to other tobacco products," said Laugesen." "Anybody can see they are much safer than tobacco and other regular cigarette products." Anti-smoking group Quit said it was hesitant to take a position on the safety of e-cigarettes as more research was needed. "The strength of e-cigarettes is that they provide nicotine without the thousands of damaging chemicals found in cigarettes and tobacco, which is certainly a good thing," said a spokesman. Sign up for regular email news updates from nzherald.co.nz - click here. Visit nzherald.co.nz throughout the day for the latest breaking news.
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From: Sent: To: Subject:


Mike,

Hahn, Ellen J Thursday, December 16, 2010 2:57 PM Shoemaker, Michael E (LHD - Martin Co); Fallin, Amanda T Ordinance

Thanks for sending the ordinance, and congratulations that secondhand smoke and the health of those who visit government buildings is being discussed in your county government!!!! Good work!

If possible, I would suggest a slight wording change to the ordinance as written (see highlighting for suggested additions): Smoking means inhaling, exhaling, burning, holding, or carrying any lighted or heated pipe, cigar, cigarette, or other lighted or heated tobacco product in any manner or form. "Smoking" also includes the use of an e-cigarette which creates a vapor, in any manner or in any form, or the use of any oral smoking device for the purpose of circumventing the prohibition of smoking in this Article. We are finding that the e-cigarette manufacturers are creating a loophole in smoke-free policy by trying to get around these policies. If you make the changes in the definition above, the fiscal court will clarify that the ordinance applies to all tobacco products including electronic cigarettes. I know Amanda sent you our materials on e-cigarettes. Good luck and keep us posted. 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 and Facebook ! 50_CoN_celebrate_date_oop-email

From: Shoemaker, Michael E (LHD - Martin Co) [mailto:MichaelE.Shoemaker@ky.gov] Sent: Thursday, December 16, 2010 2:47 PM To: Fallin, Amanda T; Hahn, Ellen J Subject: FW:

file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/Ordinance.html[8/19/2011 2:30:28 AM]

Dr Hahn and Amanda, Please find attached a copy of the ordinance banning smoking in the County Courthouse and Annex being presented at tonights Fiscal Court meeting. There seems to be widespread support from the County Judge Executive, Magistrates and even the County Attorney, who was thought to be in opposition. Christi Brown told me that they used the Boyle Co sample that Amanda had forwarded us as their template. The timeline for the ordinance is: First Reading will be tonight 12/16. It will be published in our local newspaper on 12/22 and 12/29. The second reading would happen in January (I do not have the date for that meeting). We are excited about the progress being made in our county. I will give you an update tomorrow. Mike Michael Shoemaker
Director of Administrative Services Martin County Health Department

http://www.martincountyhealth.org
Address: 136 Rockcastle Road P.O. Box 346 Inez, KY 41224 Phone: (606) 298-7752 Fax: (606) 298-0413 Notice of Confidentiality: This email, including any attachment, 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 email and destroy all copies of the original message.

From: Christi Brown [mailto:brown_christi@yahoo.com] Sent: Thursday, December 16, 2010 2:23 PM To: Shoemaker, Michael E (LHD - Martin Co) Subject:

See attached.
Christi Brown Martin County Judge Executives Office Director, Martin County Economic Development Authority P. O. Box 1735 Inez, KY 41224 Phone: 606-298-2086 Fax: 606-298-2119 Cell: 606-626-5381 Confidentiality Notice: This message, including any attachment, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message.

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From: Riker, Carol A Sent: Tuesday, February 16, 2010 12:43 PM To: haswhel2002@bardstown.com; kclark@bardstown.com; Sister Rita (rdavis@scnazarethky.org); 'Judy Richardson-Jett'; Rodney Mattingly; cleophilon@att.net Cc: Hahn, Ellen J; Warren, Monica E; Wagner, Kristian K Subject: Owens' help & email to John Attachments: tobcont R01 Nelson Bardstown TCLC 2-10[1].pdf Importance: High
Hi again, Judy Owens is trying to get her research for Tom Donan done today. It revolves around his question about why some communities in KY have partial ordinances after Louisville's was overturned in court (probably not articulating this well). She is not researching about recusal. I have sent the following email to John. Tried to pull out some key points as we're supposed to do as Community Advisors since the document is so long. If you feel I left out anything important please let me know and I'll email him again. (I imagine that Donan will go through it thoroughly after you send it to him and the Mayor, who hopefully will send it to all the council). Good call today; you all are working VERY hard. I'm glad to hear that the Police Chief didn't see any problem with enforcement and actually likes to have officers going into the bars. Also glad E-town is contacting the Mayor indicating that enforcement hasn't been a problem (thanks, Rod). It's good that you all (and John) are monitoring WBRT talk show on Fridays. A scheduled program with coalition rep & Rod might be an idea to consider after you see the lay of the land tonight. Can't wait to hear how it goes as council talk among themselves over the next 2 meetings. Many thanks, Carol From: Riker, Carol A Sent: Tuesday, February 16, 2010 12:14 PM To: laph@bardstowncable.net Cc: Hahn, Ellen J; Wagner, Kristian K; Warren, Monica E Subject: TCLC Review of draft ordinance Hi John, Ellen is out sick today and asked me to send you the attached review from the Tobacco Control Legal Consortium (TCLC). They reviewed the ordinance draft that you sent to Dr. Hahn for that purpose. For your information I pulled the description of TCLC from their website: "The Tobacco Control Legal Consortium is a national network supporting tobacco control policy change by giving advocates better access to legal expertise. The Consortiums priorities are to help make legal technical assistance an integral part of comprehensive tobacco control programs, provide a limited degree of direct legal support and raise awareness of the role of legal services in effective policy change. Within its resources, the Consortium works to assist communities with urgent legal needs and to increase the legal resources available to the tobacco control movement." (http://tclconline.org/Tclc.asp) The TCLC review is very thorough and I'll pull out a few points for your information: Provides a better definition of e-cigarettes (p.2) Gives a more concise, clear definition of employee and well as ways to simplify the definition of employer while protecting

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those who work for private clubs or volunteer for organizations (p. 2) Gives several possible ways to deal with outdoor "enclosed" areas so that circumvention of the law may be prevented while still allowing for some flexibility in outdoor areas that are not substantially enclosed. Offers clearer language for definition of place of employment (p.3) Raises questions and offers potential language re home offices with one or more employee and private clubs (p.3) Provides a clearer definition of Sports Arena (p.4) Offers ways to deal with duplication in the lists of public places contained in the definition and in the prohibition. (p.3) Recommends deleting some subjective language ("and customarily used by") in paragraph A of Prohibition of Smoking (p. 4) Under "Posting of Signs" recommends instead "posting of Signs and Removal of Ashtrays" and additional language that includes removal of ashtrays intended for use on the premises (p.5). Under Enforcement, offers a Section C that includes asking the violator to leave the premises, so that businesses won't avoid the law by just informing violators about the law without taking any other steps (p.6) Under "Violations and Penalties" suggested some clarification. Despite this extensive review and many helpful suggestions, the council can be pleased that there were many parts of the draft ordinance for which TCLC suggested no changes! The council is to be commended for beginning this process with a draft taken largely from the Model Ordinance. Thank you for your continued interest in the health of workers in Bardstown. Carol Riker, RN, MSN UK College of Nursing Smoke-free Rural Communities Advisor

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From: Amy Barkley <ABarkley@TobaccoFreeKids.org> Sent: Tuesday, October 05, 2010 9:31 AM To: Hahn, Ellen J; jredmond@kycancerc.org Cc: 'James.Sharp@CANCER.ORG'; Wagner, Kristian K; 'Mark.Sizemore@ky.gov'; 'betsyj@kylung.org'; 'Irene.Centers@ky.gov'; 'tonya.chang@heart.org'; Kercsmar, Sarah; 'BrandiN.Gilley@ky.gov'; 'DyshelD.Thompson@ky.gov'; 'Anthonys.lockard@ky.gov'; Cathy.Callaway@cancer.org; Kitty Jerome (kjerome@mac.com) Subject: Partnership 1-Pager and next meeting - Tuesday, Oct 12
Hi, all: Ellen is right that we need a unified message. While there will be different materials developed for different audiences, we need to articulate our message to anyone and everyone about the combined local and state policy approaches without undermining either of them. We need to be careful about talking about timing or anything "strategic" in a public document. While rushing into a state law is the wrong message, we also don't want it to sound like a statewide law is impossible. Legislators will not want to expend any political capital on something they think isn't going to happen. The "willing to wait" verbiage is for supportive legislators and partners. We do need to conduct a co-sponsorship drive along with our resolution drive and other coalition buliding efforts this session, so we need to find some kind of middle ground. The public message should be more focused on a 100% comprehensive law that covers everyone - no matter which level of government enacts it. The only thing we need to stress about the state law that's different than what we say about local laws is the importance of anti-preemptive language. It's a nuanced message and I know we are all struggling with it, but I will try to take another stab at this. We can finalize it at our meeting on October 12. As a reminder - we'll meet from 11:30 - 3 p.m. and we have a location now. We are meeting at KPHA, 140 Consumer Lane, Frankfort, KY 40601. I'll send another draft of this document and an agenda ASAP. Thanks to all for your commitment to this effort! Amy

From: Hahn, Ellen J [mailto:ejhahn00@email.uky.edu] Sent: Tuesday, October 05, 2010 6:25 AM To: jredmond@kycancerc.org Cc: 'James.Sharp@CANCER.ORG'; Amy Barkley; Wagner, Kristian K; 'Mark.Sizemore@ky.gov'; 'betsyj@kylung.org'; 'Irene.Centers@ky.gov'; 'tonya.chang@heart.org'; Kercsmar, Sarah; 'BrandiN.Gilley@ky.gov'; 'DyshelD.Thompson@ky.gov'; 'Anthonys.lockard@ky.gov' Subject: RE: Partnership 1-Pager

Thanks, Jennifer. This is the only feedback I have received except that there are general concerns. I suggest that another organization draft a document that is more suitable and we are happy to react/edit. I do feel strongly that we need a one pager that is appropriate for use with all audiences. One document that does the state and local messaging in one if possible. If we have one document targeted at state lawmakers and another targeted at local communities, we run the risk of creating confusion. Dont we want one unified message? In looking at the change that Jennifer made, it looks like we are in a rush for a state law. The waiting is not an option could be construed as we want all Kentuckians protected and we cant wait. We need a clear message that we want laws, local and state, that cover all workers no matter where they work or live. And we are willing to wait for a state law that does that while the local momentum continues.

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I will bring my laptop to the meeting next week and am happy to make edits to this document if that is the pleasure of the group. But if someone else wants to take a stab at starting from scratch, have at it. 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 and Facebook ! 50_CoN_celebrate_date_oop-email

From: Jennifer Redmond [mailto:jredmond@kycancerc.org] Sent: Friday, October 01, 2010 5:58 PM To: Hahn, Ellen J Cc: 'James.Sharp@CANCER.ORG'; 'ABarkley@TobaccoFreeKids.org'; Wagner, Kristian K; 'Mark.Sizemore@ky.gov'; 'betsyj@kylung.org'; 'Irene.Centers@ky.gov'; 'tonya.chang@heart.org'; Kercsmar, Sarah; 'BrandiN.Gilley@ky.gov'; 'DyshelD.Thompson@ky.gov'; 'Anthonys.lockard@ky.gov' Subject: Re: Partnership 1-Pager

In light of the mix of audiences, as I look through it, I think that the starting statement should be something like "All Kentuckians should be protected from secondhand smoke-waiting is not an option. And then we can put the bold statement in the text underneath...see attached with track changes. Also, I do think that we don't want to suggest that we aren't trying to introduce a state law soon...we just think it will take time for the support....not sure how to word it, but think we need to be up front about the fact that we do hope one is introduced.... Other thoughts? Jennifer
Both Ellen J. Hahn, PhD Professor, UK CON 859-257-2358

On 9/30/2010 11:23 PM, Hahn, Ellen J wrote:

From: james.sharp@cancer.org <james.sharp@cancer.org> To: Hahn, Ellen J; Amy Barkley <ABarkley@TobaccoFreeKids.org>; Wagner, Kristian K Cc: Sizemore, Mark (CHFS HPB-Health Promotions) <Mark.Sizemore@ky.gov>; Betsy Berns Janes <betsyj@kylung.org>; Centers, Irene (CHFS HPB-HealthPromotions) <Irene.Centers@ky.gov>; jredmond@kycancerc.org <jredmond@kycancerc.org>; Tonya Chang
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<tonya.chang@heart.org>; Kercsmar, Sarah; Gilley,Brandi N (LHD- Laurel Co) <BrandiN.Gilley@ky.gov>; Thompson, Dyshel D(LHDMonroe Co) <DyshelD.Thompson@ky.gov>; Lockard, Anthony S (LHD -Clark Co) <AnthonyS.Lockard@ky.gov> Sent: Thu Sep 30 13:01:21 2010 Subject: Re: Partnership 1-Pager Ellen, When you say policymakers and advocates, are you referring to local, state, or both? Please clarify--thanks!! James

From: "Hahn, Ellen J" [ejhahn00@email.uky.edu] Sent: 09/30/2010 12:45 PM AST To: Amy Barkley <ABarkley@TobaccoFreeKids.org>; "Wagner, Kristian K" <kkwagn3@uky.edu> Cc: "Sizemore, Mark (CHFS HPB-Health Promotions)" <Mark.Sizemore@ky.gov>; "betsyj@kylung.org" <betsyj@kylung.org>; "Centers, Irene (CHFS HPB-HealthPromotions)" <Irene.Centers@ky.gov>; James Sharp; "jredmond@kycancerc.org" <jredmond@kycancerc.org>; "Tonya.Chang@heart.org" <Tonya.Chang@heart.org>; "Kercsmar, Sarah" <scave2@email.uky.edu>; "Gilley,Brandi N (LHD- Laurel Co)" <BrandiN.Gilley@ky.gov>; "Thompson, Dyshel D(LHD-Monroe Co)" <DyshelD.Thompson@ky.gov>; "Lockard, Anthony S (LHD -Clark Co)" <AnthonyS.Lockard@ky.gov> Subject: RE: Partnership 1-Pager

Amy et al., Kristian is preparing to leave on vacation. My thought is that this document would be used with key organizations, advocates, and policymakers. It should be our rationale for our position. Thanks, 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 and Facebook ! 50_CoN_celebrate_date_oop-email

From: Amy Barkley [mailto:ABarkley@TobaccoFreeKids.org]

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Sent: Thursday, September 30, 2010 12:34 PM To: Wagner, Kristian K Cc: Sizemore, Mark (CHFS HPB-Health Promotions); betsyj@kylung.org; Centers, Irene (CHFS HPB-HealthPromotions); Hahn, Ellen J; James.sharp@CANCER.org; jredmond@kycancerc.org; Tonya.Chang@heart.org; Kercsmar, Sarah; Gilley,Brandi N (LHD- Laurel Co); Thompson, Dyshel D(LHD-Monroe Co); Lockard, Anthony S (LHD -Clark Co) Subject: Re: Partnership 1-Pager

Thanks, Kristian. For the benefit of the whole group, can you explain again the audience for this and how/when it will be distributed? It's important that we all understand that before giving input. I encourage everyone to take a close look at this and share your thoughts on this critical messaging document. Sent from my iPhone On Sep 30, 2010, at 8:51 AM, "Wagner, Kristian K" <kkwagn3@uky.edu> wrote: Good Morning Everyone, Please see the revised, draft 1-Pager on the Partnership. Please contact Ellen if you have questions or comments. It would be great to reply to all with any changes or suggestions. Have a wonderful day! Thank You, Kristian Kristian Wagner, MS, RD, LD Technical Assistance Coordinator Clean Indoor Air Partnership University of Kentucky College of Nursing 509 CON Building Lexington, KY 40536-1057 859.323.4572 Kristian.Wagner@uky.edu www.kcsp.uky.edu
Follow us on Twitter! www.twitter.com/kysmokefree

<image001.gif> Smoke-free Communities: Good for People, Good for Business

<One Pager Partnership for Local and State Smoke-free Laws draft 9 3010.doc>

-Jennifer Redmond, DrPH Program Director Kentucky Cancer Consortium 2365 Harrodsburg Rd. Suite B100 Lexington, KY 40504 (859) 219-0772 x252 jredmond@kycancerc.org (Please note my e-mail address...any old version of my e-mail will no longer work) www.kycancerc.org

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From: Sent: To: Subject:

Hahn, Ellen J Saturday, April 09, 2011 11:10 AM O'malley, Gail A Please get me the pdfs and email links to these studies

Nicotine Raises Blood Sugar Levels in Lab


Finding may explain higher risk of diabetes complications in smokers, study says
By Serena Gordon HealthDay Reporter

SUNDAY, March 27 (HealthDay News) -- Smoking is damaging to everyone's health, but the nicotine in cigarettes may be even more deadly for people who have diabetes. In lab experiments, researchers discovered that nicotine raised blood sugar levels, and the more nicotine that was present, the higher the blood sugar levels were. Higher blood sugar levels are linked to an increased risk of complications from diabetes, such as eye and kidney disease. "Smoking is really harmful for diabetics. It's even more harmful to them than to a non-diabetic," said study author Xiao-Chuan Liu, an associate professor in the department of chemistry at California State Polytechnic University in Pomona. "This study should encourage diabetics to quit smoking completely, and to realize that it's the nicotine that's raising [blood sugar levels]." For that reason, it's also important to limit the use of nicotine replacement products, such as nicotine patches, Liu said. "If you're using them for a short period of time to quit smoking, that's OK. But, if you still have this addiction to nicotine and are using this product long-term, it will do harm. Don't use electronic cigarettes or nicotine gum for a long time. You need to stop nicotine intake," he advised. Liu is scheduled to present his findings Sunday at an American Chemical Society meeting in Anaheim, Calif. It was already well-established that smoking increased the risk of problems in people with diabetes, Liu said. What hasn't been clear, he said, is if there is a specfic component of cigarettes that increases the risk. To test whether or not nicotine, an addictive substance found in cigarette smoke, contributed to higher blood sugar levels, Liu and his colleagues added equal amounts of glucose (sugar) to samples of human red blood cells. They also added varying levels of nicotine to each sample of red blood cells for either one day or two days. They then tested the hemoglobin A1C (HbA1C) levels of the samples. HbA1C is a measure of what percentage of red blood cells have glucose molecules attached to them. In diabetes management, the HbA1C -- sometimes referred to just as A1C -- test gives doctors an idea of average blood sugar levels for the past three months or so. Most people with diabetes strive for a level of 7 percent or less, based on American Diabetes Association guidelines. The researchers found that nicotine raised HbA1C. The smallest dose increased HbA1C levels by 8.8 percent. The highest dose -- after two days of nicotine treatment -- increased blood sugar levels by 34.5 percent. "Nicotine is a toxic substance, and our results show that nicotine caused an increase in HbA1C," said Liu. "This is important for the public to know, and for smokers to know. It's not just the cigarette smoke. If you think you can just use a nicotine replacement product indefinitely, there's still a risk, and your chances of getting complications will be a lot higher," he cautioned. Dr. Joel Zonszein, director of the Clinical Diabetes Center at Montefiore Medical Center in New York City, said that the researchers showed that nicotine can significantly raise A1C levels in the lab, but it's important to also know if it does so in the body. But whether or not nicotine is the specific reason that blood sugar levels are higher in smokers, he said, "Everybody -- whether they have diabetes or not -- should stop smoking. Patients with diabetes already have a much higher risk of cardiovascular disease, and smoking adds to that." He said that using nicotine replacement products for a month or two is fine. "If nicotine replacement is used for a short period of time with smoking cessation as the goal, there's no risk. But it's not OK if someone plans to replace smoking with nicotine replacement products indefinitely," said Zonszein.

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Experts note that research presented at meetings is considered preliminary until it is published in a peer-reviewed journal.

Study Shows Popularity of Hookah Bars Among College Students


By Celia Vimont | April 7, 2011 | Leave a comment | Filed in Drugs, Tobacco & Young Adults

A new study shows smoking tobacco from a hookah is a popular pastime for college students. Science Daily reports that the study authors found that hookah users often mistakenly think that smoking from a hookah is less harmful than smoking a cigarette. The researchers sent a web-based survey to a random sample of North Carolina college students to ask them about their smoking and drug habits. They reported in the journal Drug and Alcohol Dependence that they found that 40.3 percent of students reported ever having smoked tobacco from a hookah, compared with 46.6 percent who reported ever having smoked a cigarette. Among respondents, 17.4 said they were current hookah smokers and 25 percent were current cigarette smokers. Freshmen and males were most likely to use hookahs, also known as water pipes. The researchers say that hookah users may inhale more deeply over a longer period than cigarette users because of the hookahs more pleasing aroma and taste. This means that hookah smokers can end up inhaling more tobacco smoke than cigarette smokers do.

Kids Secondhand Smoke Exposure Could Lead to Mental Health Issues

By Celia Vimont | April 7, 2011 | Leave a comment | Filed in Mental Health, Parenting, Research, Tobacco & Youth

Children and teens who breathe in secondhand smoke are more likely to develop symptoms of mental health problems including major depressive disorder and attention deficit-hyperactivity disorder, a new study finds. Health problems stemming from secondhand smoke have been well documented. These include asthma, sudden infant death syndrome (SIDS) and ear infections. But until now, the link between secondhand smoke and mental health has not been well studied. The Los Angeles Times reports this is believed to be the first study that examines how secondhand smoke exposure (as measured by a blood test for a nicotine metabolite) is associated with mental health in a nationally representative sample of children and adolescents in the United States. The new study appears in the Archives of Pediatrics and Adolescent Medicine.

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

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From: Owens, Kelly S (LHD - Madison Co) <KellyS.Owens@ky.gov> Sent: Thursday, April 28, 2011 9:12 AM To: Crewe, Nancy M (LHD-Madison Co); Green, Christie L (LHD-Madison Co); Hawkins, Ruth R (LHD-Madison Co); Steer, Emily (LHD-Mercer Co); Riker, Carol A; Hahn, Ellen J Subject: Public Health Focus > Regulation of E-Cigarettes and Other Tobacco Products http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm252360.htm FYIThis is the information that I found from FDA.

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From: Sent: To: Subject: Hi Debbie,

Riker, Carol A Thursday, December 16, 2010 1:05 PM 'Fleming, Deborah H (LHD-Franklin Co)' Questions on School Policy & Grant

Since we both seem to be at our computers today, I thought I would make sure I understand the situation with the Franklin co schools and the grant proposal Vanessa submitted to FHKY. Did you understand Deborah Wigginton to say that Franklin Co has already passed tobacco-free campus policy? If thats the case, what will happen to the grant proposal? If funded could the funds be used to support an effective policy implementation? (Also, have you seen the actual policy?) I have some things I promised to send Deborah (about e-cigarettes and thirdhand smoke) and I wanted to understand the situation before I emailed her. Is Vanessa still returning on the 10 th ? Hope things are going well for her! Give me a call if you want to talk for a minute; Im working at home so call on my cell (859-619-3776). 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

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file:///C|/.../Results/University%20of%20KY/disc%201/Conley%20request%201/Questions%20on%20School%20Policy%20%20Grant html[8/19/2011 2:30:33 AM]

From: Sent: To: Cc: Subject: Follow Up Flag: Flag Status:


Dear Carol:

Schaibley, David <David.Schaibley@wmitchell.edu> Monday, November 15, 2010 5:07 PM Riker, Carol A Mahoney, Maggie; Armstrong, Kate; Cork, Kerry; Blanke, Doug R/A KY: Madison County KY BOH regulation proposed amendments Follow up Flagged

Attached please find a letter providing our thoughts on Madison Countys proposed amendments to its smoke-free law and the questions posed below. Also attached are PDFs of two articles referenced in the letter which relate various concerns about ecigarettes that may prove useful to Madison County. We hope our input is helpful and look forward to working with you on this and other tobacco-control issues in the future. Sincerely, Dave

David J. Schaibley |Public Health Law Center Staff Attorney, Tobacco Control Legal Consortium 651-695-7611 | Fax: 651-290-7515 david.schaibley@wmitchell.edu 875 Summit Avenue, St. Paul, Minnesota 55105 www.TCLConline.org The Tobacco Control Legal Consortium provides information and technical assistance on issues related to tobacco and public health. The Consortium does not provide legal representation or advice. This e-mail should not be considered legal advice or a substitute for obtaining legal advice from an attorney who can represent you. If you have specific legal questions, we recommend that you consult with an attorney familiar with the laws of your jurisdiction.

From: Riker, Carol A [mailto:riker@email.uky.edu] Sent: Monday, October 18, 2010 9:40 AM To: Mahoney, Maggie; Armstrong, Kate; Schaibley, David Cc: Hahn, Ellen J; Robertson, Heather E; Mundy, Monica E; Johnson, John D Subject: Madison County KY BOH regulation proposed amendments

Hi Maggie, Kate, and David, Madison Countys smoke-free BOH regulation has been in effect since June 2007. Recently they have had 3 or 4 requests for waivers to establish Hookah businesses. On one college campus in Madison County hookah is smoked outside on campus. Apparently entrepreneurs simply set up under a tree and offer this service. The health department also has received several calls asking whether e-cigarettes are covered under the smoke-free regulation. Amendments to the smoke-free regulation were proposed at the last BOH meeting (attached). Kelly Owens, Tobacco Coordinator, has asked that we send the proposed amendments to you for your review. Ill also attach the original regulation. Specific questions posed by the BOH include:

file:///C|/...Conley%20request%201/RA%20KY%20Madison%20County%20KY%20BOH%20regulation%20proposed%20amendments.html[8/19/2011 2:30:34 AM]

1. Could there be any legal repercussions if they remove the Tobacco Retailer exemption? 2. Do e-cigarettes fit within the ordinance? (Are there hazards to the non-smoker?) We have done a literature review and continue to search other sources, but so far have not found any air quality testing where e-cigarettes are used indoors. Since FDA tests revealed some info about the contents of the e-cigarette cartridge and a vapor is formed, one would imagine that some of these contents get into the air via the device or user exhalations, but we havent found any data on emissions yet. Of course, Kelly Owens would like to clean up both the tobacco retailer exemption and the ecig loophole while amendments to the regulation is being considered. I know you all are swamped and we do have a little time with this as the health department needs info by late November. Many thanks, Carol Riker 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

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file:///C|/...Conley%20request%201/RA%20KY%20Madison%20County%20KY%20BOH%20regulation%20proposed%20amendments.html[8/19/2011 2:30:34 AM]

From: smokefreecasinos-talk@googlegroups.com on behalf of Smoke-Free Gaming <smokefreegaming@yahoo.com> Sent: Saturday, May 08, 2010 7:18 PM To: smokefreecasinostalk@googlegroups.com Subject: RE: The vapor in E-Cigarettes

RE: Electronic Cigarettes I met a former sales person for e-cigarettes in Las Vegas and he told me that anti-freeze and two other chemicals (he couldn't remember the names) are in the vapor in the e-cigarettes but that he was told by the company to tell the public it was just water vapor. According to Wikipedia:
Ethylene glycol (IUPAC name: ethane-1,2-diol) is an organic compound widely used as an automotive antifreeze and a precursor to polymers. In its pure form, it is an odorless, colorless, syrupy, sweet-tasting liquid. Ethylene glycol is toxic, and ingestion can result in death.

Stephanie
SMOKE-FREE GAMING Stephanie Steinberg 730 W. Hampden Ave., #301 Englewood, CO 80110 303-781-5588 Business 303-781-5597 Fax 303-819-3131 CELL http://www.smokefreegaming.org "Breathing is not a choice." --- On Fri, 5/7/10, repace <repace@comcast.net> wrote: From: repace <repace@comcast.net> Subject: Re: Louisiana update To: smokefreecasinos-talk@googlegroups.com Date: Friday, May 7, 2010, 6:19 PM

file:///C|/...OIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20%20The%20vapor%20in%20E-Cigarettes html[8/19/2011 2:30:35 AM]

thanks, Bronson. We're going to test the E-cigs that Foxwoods is selling... Jim
Bronson Frick wrote:

Casino smoking ban rejected by House committee New Orleans (LA) Times Picayune, 2010-05-06 Jan Moller, The Times-Picayune http://www.nola.com/politics/index.ssf/2010/05/effort_to_broaden_indoor_smoki.html The effort to broaden Louisiana's indoor smoking ban appears to be dead for the session after a House committee this morning shelved legislation to require non-smoking areas on riverboat casinos. The action by the House Health and Welfare Committee on House Bill 1323 sends a clear signal that committee members are in no mood to follow their counterparts in the Senate, where the health committee voted unanimously last week to ban smoking in bars and casinos. The House bill by Rep. Rick Nowlin, R-Natchitoches, was far less comprehensive than the Senate measure, but still drew strong opposition from casinos and a lobbyist for the tavern industry, who said he feared it would be amended on the House floor to ban smoking in bars. also in the news.....

Electronic cigarettes for sale at Foxwoods Battery-powered devices have raised safety questions The Day (New London, CT), 2010-05-07 Brian Hallenbeck http://www.theday.com/article/20100507/BIZ02/305079921/1018 Retail stores at Foxwoods Resort Casino and MGM Grand at Foxwoods may be among the first in the state to sell electronic cigarettes, devices that have been making inroads with the public despite questions about whether they're safe. Cigotine, the Providence-based company that began offering its products at Foxwoods last month, also plans to start selling them next week from a kiosk inside Crystal Mall, the company's chief executive officer said Thursday. A spokesman for mall management confirmed the kiosk will open May 15. . . . Connecticut Attorney General Richard Blumenthal, who vowed last year to fight retail sales of e-cigarettes, said Thursday their safety remains questionable. "We've warned consumers to be very wary of these products," he said. "We're continuing our investigation to determine what steps can and should be taken to protect the public." Blumenthal, who said his office has received no complaints about e-cigarettes, has also advocated for an eventual outright ban on smoking at the state's tribally owned casinos, which currently limit smoking to certain gaming areas under agreements worked out with Gov. M. Jodi Rell. ************************************************ Bronson Frick Associate Director
file:///C|/...OIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20%20The%20vapor%20in%20E-Cigarettes html[8/19/2011 2:30:35 AM]

Americans for Nonsmokers' Rights 2530 San Pablo Ave., Ste. J Berkeley, CA 94702 510.841.3032 office 510.932.1109 mobile bronson.frick@no-smoke.org www.no-smoke.org

Are you a member of ANR? If not, please join us today. Our work depends on members like you! -You received this message because you are subscribed to the Google Groups "smokefreecasinos-talk" group. To post to this group, send email to smokefreecasinos-talk@googlegroups.com. To unsubscribe from this group, send email to smokefreecasinos-talk+unsubscribe@googlegroups.com. For more options, visit this group at http://groups.google.com/group/smokefreecasinos-talk?hl=en. -You received this message because you are subscribed to the Google Groups "smokefreecasinos-talk" group. To post to this group, send email to smokefreecasinos-talk@googlegroups.com. To unsubscribe from this group, send email to smokefreecasinos-talk+unsubscribe@googlegroups.com. For more options, visit this group at http://groups.google.com/group/smokefreecasinos-talk?hl=en.
-You received this message because you are subscribed to the Google Groups "smokefreecasinos-talk" group. To post to this group, send email to smokefreecasinos-talk@googlegroups.com. To unsubscribe from this group, send email to smokefreecasinos-talk+unsubscribe@googlegroups.com. For more options, visit this group at http://groups.google.com/group/smokefreecasinos-talk?hl=en.

file:///C|/...OIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20%20The%20vapor%20in%20E-Cigarettes html[8/19/2011 2:30:35 AM]

From: smokefreecasinos-talk@googlegroups.com on behalf of Cowan, Stanley R. <cowans@health.missouri.edu> Sent: Sunday, May 09, 2010 10:39 PM To: smokefreecasinos-talk@googlegroups.com Subject: RE: The vapor in E-Cigarettes It is not ethylene glycol, but propylene glycol that is used in the e-cigarettes. From my days as a sanitarian and inspecting dairy and food plants, propylene glycol was a food grade anti-freeze used in heat exchangers for quickly heating or cooling liquid food products. The FDA has listed propylene glycol as "generally recognized as safe." Take a look at the label on imitation vanilla flavoring in your cupboard and you will see that propylene glycol is a primary ingredient. Propylene glycol is safe to ingest. But, it is not known if it is safe to heat into a vapor and inhale. Heating a substance can drastically change its characteristics. This is what FDA is worried about and thus cannot currently determine if the vapor from an e-cigarette is safe. ________________________________ From: smokefreecasinos-talk@googlegroups.com [smokefreecasinos-talk@googlegroups.com] On Behalf Of Smoke-Free Gaming [smokefreegaming@yahoo.com] Sent: Saturday, May 08, 2010 6:17 PM To: smokefreecasinos-talk@googlegroups.com Subject: RE: The vapor in E-Cigarettes RE: Electronic Cigarettes I met a former sales person for e-cigarettes in Las Vegas and he told me that anti-freeze and two other chemicals (he couldn't remember the names) are in the vapor in the e-cigarettes but that he was told by the company to tell the public it was just water vapor. According to Wikipedia: Ethylene glycol (IUPAC name<https://owa.missouri.edu/OWA/UrlBlockedError.aspx>: ethane-1,2-diol) is an organic compound<https://owa.missouri.edu/OWA/UrlBlockedError.aspx> widely used as an automotive<https://owa.missouri.edu/OWA/UrlBlockedError.aspx> antifreeze<https://owa.missouri.edu/OWA/UrlBlockedError.aspx> and a precursor to polymers. In its pure form, it is an odorless, colorless, syrupy, sweet-tasting liquid. Ethylene glycol is toxic, and ingestion can result in death. Stephanie SMOKE-FREE GAMING Stephanie Steinberg 730 W. Hampden Ave., #301 Englewood, CO 80110 303-781-5588 Business 303-781-5597 Fax 303-819-3131 CELL http://www.smokefreegaming.org<http://www.smokefreegaming.org/>

file:///C|/.../FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20%20The%20vapor%20in%20E-Cigarettes.txt[8/19/2011 2:30:36 AM]

"Breathing is not a choice." --- On Fri, 5/7/10, repace <repace@comcast.net> wrote: From: repace <repace@comcast.net> Subject: Re: Louisiana update To: smokefreecasinos-talk@googlegroups.com Date: Friday, May 7, 2010, 6:19 PM thanks, Bronson. We're going to test the E-cigs that Foxwoods is selling... Jim Bronson Frick wrote: Casino smoking ban rejected by House committee New Orleans (LA) Times Picayune, 2010-05-06 Jan Moller, The Times-Picayune http://www.nola.com/politics/index.ssf/2010/05/effort_to_broaden_indoor_smoki.html The effort to broaden Louisiana's indoor smoking ban appears to be dead for the session after a House committee this morning shelved legislation to require non-smoking areas on riverboat casinos. The action by the House Health and Welfare Committee on House Bill 1323 sends a clear signal that committee members are in no mood to follow their counterparts in the Senate, where the health committee voted unanimously last week to ban smoking in bars and casinos. The House bill by Rep. Rick Nowlin, R-Natchitoches, was far less comprehensive than the Senate measure, but still drew strong opposition from casinos and a lobbyist for the tavern industry, who said he feared it would be amended on the House floor to ban smoking in bars. also in the news..... Electronic cigarettes for sale at Foxwoods Battery-powered devices have raised safety questions The Day (New London, CT), 2010-05-07 Brian Hallenbeck http://www.theday.com/article/20100507/BIZ02/305079921/1018 Retail stores at Foxwoods Resort Casino and MGM Grand at Foxwoods may be among the first in the state to sell electronic cigarettes, devices that have been making inroads with the public despite questions about whether they're safe. Cigotine, the Providence-based company that began offering its products at Foxwoods last month, also plans to start selling them next week from a kiosk inside Crystal Mall, the company's chief executive officer said Thursday. A spokesman for mall management confirmed the kiosk will open May 15. . . . Connecticut Attorney General Richard Blumenthal, who vowed last year to fight retail sales of ecigarettes, said Thursday their safety remains questionable. "We've warned consumers to be very wary of these products," he said. "We're continuing our investigation to determine what steps can and should be taken to protect the public." Blumenthal, who said his office has received no complaints about e-cigarettes, has also advocated for an eventual outright ban on smoking at the state's tribally owned casinos, which currently limit
file:///C|/.../FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20%20The%20vapor%20in%20E-Cigarettes.txt[8/19/2011 2:30:36 AM]

smoking to certain gaming areas under agreements worked out with Gov. M. Jodi Rell. ************************************************ Bronson Frick Associate Director Americans for Nonsmokers' Rights 2530 San Pablo Ave., Ste. J Berkeley, CA 94702 510.841.3032 office 510.932.1109 mobile bronson.frick@no-smoke.org<http://us.mc1125.mail.yahoo.com/mc/compose?to=bronson.frick@nosmoke.org> www.no-smoke.org <http://www.no-smoke.org/>[http://sphotos.ak.fbcdn.net/photos-aksf2p/v231/62/11/10381469571/n10381469571_770783_5105.jpg] <http://www.facebook.com/pages/Americans-for-Nonsmokers-Rights/33988555820> Are you a member of ANR? If not, please join us today<https://secure3.convio.net/anr/site/Donation2?df_id=1356&1356.donation=form1>. Our work depends on members like you! -You received this message because you are subscribed to the Google Groups "smokefreecasinostalk" group. To post to this group, send email to smokefreecasinostalk@googlegroups.com<http://us.mc1125.mail.yahoo.com/mc/compose?to=smokefreecasinostalk@googlegroups.com>. To unsubscribe from this group, send email to smokefreecasinostalk+unsubscribe@googlegroups.com<http://us.mc1125.mail.yahoo.com/mc/compose?to=smokefree casinos-talk+unsubscribe@googlegroups.com>. For more options, visit this group at http://groups.google.com/group/smokefreecasinos-talk?hl=en. -You received this message because you are subscribed to the Google Groups "smokefreecasinostalk" group. To post to this group, send email to smokefreecasinos-talk@googlegroups.com. To unsubscribe from this group, send email to smokefreecasinostalk+unsubscribe@googlegroups.com. For more options, visit this group at http://groups.google.com/group/smokefreecasinos-talk?hl=en.

-You received this message because you are subscribed to the Google Groups "smokefreecasinostalk" group. To post to this group, send email to smokefreecasinos-talk@googlegroups.com. To unsubscribe from this group, send email to smokefreecasinostalk+unsubscribe@googlegroups.com. For more options, visit this group at http://groups.google.com/group/smokefreecasinos-talk?hl=en. -You received this message because you are subscribed to the Google Groups "smokefreecasinostalk" group.
file:///C|/.../FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20%20The%20vapor%20in%20E-Cigarettes.txt[8/19/2011 2:30:36 AM]

From: Sent: To: Cc: Subject:

Riker, Carol A Wednesday, January 05, 2011 8:43 AM Hahn, Ellen J; Lockard, Anthony S (LHD - Clark Co) Johnson, John D; Kercsmar, Sarah RE:

If you get to sending articles, I have often sent Sleiman on thirdhand smoke (referenced in our e-cig one-pager) to bolster the argument against e-cig (since at the very least nicotine is probably exhaled). I havent yet looked at the other thirdhand smoke articles Gail sent though. The thirdhand smoke article made the case for vehicles with the Franklin Co Schools person. Carol
From: Hahn, Ellen J Sent: Wednesday, January 05, 2011 5:19 AM To: Lockard, Anthony S (LHD - Clark Co) Cc: Johnson, John D; Riker, Carol A; Kercsmar, Sarah Subject: RE:

Yep. I have original articles, but start with our two one-pagers and see if this is enough. Who is interested in this? 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 and Facebook ! 50_CoN_celebrate_date_oop-email

From: Lockard, Anthony S (LHD - Clark Co) [mailto:AnthonyS.Lockard@ky.gov] Sent: Tuesday, January 04, 2011 5:49 PM To: Hahn, Ellen J Subject:

Ellen, I have had a director ask me about evidence of the secondhand dangers of e-cigarettes and hookahs. Do you have information I can send to him on this? Thanks.

file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20.html[8/19/2011 2:30:40 AM]

A. Scott Lockard MSW, CSW Public Health Director Clark County Health Department and Home Health Agency 400 Professional Avenue Winchester, KY 40391 Phone: 859-744-4482 Fax: 859-744-0338 Cell: 859-595-1510

file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20.html[8/19/2011 2:30:40 AM]

From: Lockard, Anthony S (LHD - Clark Co) <AnthonyS.Lockard@ky.gov> Sent: Wednesday, January 05, 2011 8:30 AM To: Hahn, Ellen J Subject: RE:
Sure. Did you have the talking points you want to make sure I cover when I speak tomorrow?

From: Hahn, Ellen J [mailto:ejhahn00@email.uky.edu] Sent: Wed 1/5/2011 8:12 AM To: Lockard, Anthony S (LHD - Clark Co) Subject: RE:

Can we chat about this tomorrow? 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 and Facebook ! 50_CoN_celebrate_date_oop-email

From: Lockard, Anthony S (LHD - Clark Co) [mailto:AnthonyS.Lockard@ky.gov] Sent: Wednesday, January 05, 2011 7:55 AM To: Hahn, Ellen J Subject: RE: Charlie Ross from the Purchase had questions about this.

From: Hahn, Ellen J [mailto:ejhahn00@email.uky.edu] Sent: Wed 1/5/2011 5:19 AM To: Lockard, Anthony S (LHD - Clark Co) Cc: Johnson, John D; Riker, Carol A; Kercsmar, Sarah Subject: RE:

Yep. I have original articles, but start with our two one-pagers and see if this is enough. Who is interested in this?
file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%202.html[8/19/2011 2:30:40 AM]

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 and Facebook ! 50_CoN_celebrate_date_oop-email

From: Lockard, Anthony S (LHD - Clark Co) [mailto:AnthonyS.Lockard@ky.gov] Sent: Tuesday, January 04, 2011 5:49 PM To: Hahn, Ellen J Subject:

Ellen, I have had a director ask me about evidence of the secondhand dangers of e-cigarettes and hookahs. Do you have information I can send to him on this? Thanks. A. Scott Lockard MSW, CSW Public Health Director Clark County Health Department and Home Health Agency 400 Professional Avenue Winchester, KY 40391 Phone: 859-744-4482 Fax: 859-744-0338 Cell: 859-595-1510

file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%202.html[8/19/2011 2:30:40 AM]

From: Sent: To: Subject:

Hahn, Ellen J Wednesday, January 05, 2011 8:12 AM 'Lockard, Anthony S (LHD - Clark Co)' RE:

Can we chat about this tomorrow? 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 and Facebook ! 50_CoN_celebrate_date_oop-email

From: Lockard, Anthony S (LHD - Clark Co) [mailto:AnthonyS.Lockard@ky.gov] Sent: Wednesday, January 05, 2011 7:55 AM To: Hahn, Ellen J Subject: RE: Charlie Ross from the Purchase had questions about this.

From: Hahn, Ellen J [mailto:ejhahn00@email.uky.edu] Sent: Wed 1/5/2011 5:19 AM To: Lockard, Anthony S (LHD - Clark Co) Cc: Johnson, John D; Riker, Carol A; Kercsmar, Sarah Subject: RE:

Yep. I have original articles, but start with our two one-pagers and see if this is enough. Who is interested in this? 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

file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%203%20.html[8/19/2011 2:30:41 AM]

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 and Facebook ! 50_CoN_celebrate_date_oop-email

From: Lockard, Anthony S (LHD - Clark Co) [mailto:AnthonyS.Lockard@ky.gov] Sent: Tuesday, January 04, 2011 5:49 PM To: Hahn, Ellen J Subject:

Ellen, I have had a director ask me about evidence of the secondhand dangers of e-cigarettes and hookahs. Do you have information I can send to him on this? Thanks. A. Scott Lockard MSW, CSW Public Health Director Clark County Health Department and Home Health Agency 400 Professional Avenue Winchester, KY 40391 Phone: 859-744-4482 Fax: 859-744-0338 Cell: 859-595-1510

file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%203%20.html[8/19/2011 2:30:41 AM]

From: Lockard, Anthony S (LHD - Clark Co) <AnthonyS.Lockard@ky.gov> Sent: Wednesday, January 05, 2011 7:55 AM To: Hahn, Ellen J Subject: RE:
Charlie Ross from the Purchase had questions about this.

From: Hahn, Ellen J [mailto:ejhahn00@email.uky.edu] Sent: Wed 1/5/2011 5:19 AM To: Lockard, Anthony S (LHD - Clark Co) Cc: Johnson, John D; Riker, Carol A; Kercsmar, Sarah Subject: RE:

Yep. I have original articles, but start with our two one-pagers and see if this is enough. Who is interested in this? 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 and Facebook ! 50_CoN_celebrate_date_oop-email

From: Lockard, Anthony S (LHD - Clark Co) [mailto:AnthonyS.Lockard@ky.gov] Sent: Tuesday, January 04, 2011 5:49 PM To: Hahn, Ellen J Subject:

Ellen, I have had a director ask me about evidence of the secondhand dangers of e-cigarettes and hookahs. Do you have information I can send to him on this? Thanks. A. Scott Lockard MSW, CSW Public Health Director

file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%204.html[8/19/2011 2:30:42 AM]

Clark County Health Department and Home Health Agency 400 Professional Avenue Winchester, KY 40391 Phone: 859-744-4482 Fax: 859-744-0338 Cell: 859-595-1510

file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%204 html[8/19/2011 2:30:42 AM]

From: Sent: To: Cc: Subject:

Hahn, Ellen J Wednesday, January 05, 2011 5:19 AM Lockard, Anthony S (LHD - Clark Co) Johnson, John D; Riker, Carol A; Kercsmar, Sarah RE:

Yep. I have original articles, but start with our two one-pagers and see if this is enough. Who is interested in this? 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 and Facebook ! 50_CoN_celebrate_date_oop-email

From: Lockard, Anthony S (LHD - Clark Co) [mailto:AnthonyS.Lockard@ky.gov] Sent: Tuesday, January 04, 2011 5:49 PM To: Hahn, Ellen J Subject:

Ellen, I have had a director ask me about evidence of the secondhand dangers of e-cigarettes and hookahs. Do you have information I can send to him on this? Thanks. A. Scott Lockard MSW, CSW Public Health Director Clark County Health Department and Home Health Agency 400 Professional Avenue Winchester, KY 40391 Phone: 859-744-4482 Fax: 859-744-0338 Cell: 859-595-1510

file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%205.html[8/19/2011 2:30:43 AM]

From: Hahn, Ellen J Sent: Monday, February 14, 2011 6:14 PM To: Johnson, John D; Riker, Carol A; Owens, Kelly S (LHD - Madison Co); Hawkins, Ruth R (LHD-Madison Co); Crewe, Nancy M (LHD-Madison Co) Cc: Kercsmar, Sarah; Mundy, Monica E Subject: RE: air times Great job, Kelly!!!! 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: Johnson, John D Sent: Monday, February 14, 2011 11:05 AM To: Riker, Carol A; Owens, Kelly S (LHD - Madison Co); Hawkins, Ruth R (LHD-Madison Co); Crewe, Nancy M (LHD-Madison Co) Cc: Hahn, Ellen J; Kercsmar, Sarah; Mundy, Monica E Subject: RE: air times Here's a link to the audio and transcript if you missed it... http://www.publicbroadcasting.net/weku/news.newsmain/article/0/0/1761704/Central.and.Eastern.Ke ntucky/E-Cigarettes.Spark.Debate.in.Kentucky -----Original Message----From: Riker, Carol A Sent: Sunday, February 13, 2011 6:14 PM To: Owens, Kelly S (LHD - Madison Co); Hawkins, Ruth R (LHD-Madison Co); Crewe, Nancy M (LHDMadison Co) Cc: Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E Subject: FW: air times Importance: High Hi Kelly and Ruth, Ron Smith from WEKU let Ellen know that the segment on e-cigarettes is ready and will be aired MONDAY, possible at 6:40, 7:40 or 8:40.

file:///C|/.../Gregory%20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20air%20times.txt[8/19/2011 2:30:43 AM]

Thought you'd like to know.. I'll see if I can leave a text on your phone, too. Thanks, Carol -----Original Message----From: Hahn, Ellen J Sent: Friday, February 11, 2011 9:05 PM To: Riker, Carol A Subject: FW: air times

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: Smith, Ron [mailto:Ron.Smith@EKU.EDU] Sent: Friday, February 11, 2011 1:06 PM To: Prewitt, Richard; Hahn, Ellen J; susan.westrom@lrc.ky.gov Subject: air times Corrected possible air times... 6:40, 7:40 or 8:40...not at 6:50, 7:50 or 8:50. Thanks, Ron

file:///C|/.../Gregory%20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20air%20times.txt[8/19/2011 2:30:43 AM]

From: Sent: To: Subject:

Hahn, Ellen J Thursday, May 05, 2011 5:42 AM Grana, Rachel RE: Animoto - Vaapor-Stix radio debut

Rachel, This is essentially what I have been saying as well (you say it much better and with more detail thank you!). I totally agree with you that they are making therapeutic claims. If we can show the FDA that they are (you might share your PPT with the FDA), my understanding is that they can still decide to regulate it as a nicotine delivery device. From a policy perspective, the fact that FDA has decided to regulate ecigs as a tobacco product is something we are using to argue that our smoke-free laws need to cover them. Many already have. I guess that is why we are getting the brunt of the opposition right now. I just submitted an opinion editorial to our paper about Big E-Cig, and will send you the link when/if they publish it. I am happy to share it with you if you are interested in reading it. One of my colleagues replied to Kelly with this: 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 Would love to see your presentation slides from the smokeless conference if you are willing to share. Good luck! 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
file:///C|/.. niversity%20of%20KY/disc%201/Conley%20request%201/RE%20Animoto%20-%20Vaapor-Stix%20radio%20debut%202 html[8/19/2011 2:30:44 AM]

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: Grana, Rachel [mailto:Rachel.Grana@ucsf.edu] Sent: Wednesday, May 04, 2011 8:57 PM To: Hahn, Ellen J Subject: RE: Animoto - Vaapor-Stix radio debut Hi Ellen, Thanks for sending this. I actually am preparing to give a talk about my research on the electronic cigarette Web-based marketing for the Smokeless Summit in Austin Texas. In doing so, I am framing my concerns and take home points about the marketing of these products around that new ruling from the US Court of Appeals and the FDA's decision not to appeal to the Supreme Court. So, good timing to ask me what I think and I would love to hear what you think too! So, my thoughts are these...I think it would have been better for public health if they were regulated as nicotine delivery devices. Never mind the fact that they do not contain tobacco - I do not agree with the ruling primarily because the rationale provided was based on the premise that the ecigarette companies are not making therapeutic claims. Although I did not see the evidence provided at trial, even my brief presentation about a content analysis of the Websites shows that they contain overt health and cessation messages even if they do not use the word quit or cessation. They state clearly that these are healthier than traditional cigarettes because they do not contain, tar, ash, carcinogens, toxic chemicals, etc. They are using doctors (images and actual doctors in videos) to promote and assure viewers of the safety and utility of the products to switch from tobacco cigarettes, in text and spoken word. Also, if they are being regulated as a tobacco product there will probably be no burden of proof of safety since tobacco products were defined in the legislation as inherently unsafe. Therefore, this leaves no manufacturing or safety of use standards for these products. In fact, under the Family Smoking and Prevention Act, smokeless tobacco, cigars and cigarillos do not have the same restrictions as to flavors and taxation that cigarettes do. For instance although cigarettes cannot come in candy flavors, smokeless tobacco can come in fruit flavors, and cigarillos still come in tons of flavors, including fruit, alcohol flavors, vanilla chocolate. It appears that people are just gearing up the battles about smokeless tobacco regulation after a 2-year (maybe even really just 1-year) focus on cigarettes. I fear that the whole tobacco product regulation is moving so slowly that placing ecigarettes in the same category will all but guarantee they remain on the market in a regulatory vacuum for a few years at best. Therefore they will have way too much time to continue promoting and selling flavored ecigarettes on-line and in the malls where people can try them (probably high school students, because that is who is in the mall). I hope I am wrong and the FDA puts an end to the unsubstantiated health and safety advertising (especially with medical doctors!) and tackles the flavor issue and mall kiosks distribution. Rachel

file:///C|/.. niversity%20of%20KY/disc%201/Conley%20request%201/RE%20Animoto%20-%20Vaapor-Stix%20radio%20debut%202 html[8/19/2011 2:30:44 AM]

-----Original Message----From: Hahn, Ellen J [mailto:ejhahn00@email.uky.edu] Sent: Wednesday, May 04, 2011 2:41 PM To: Grana, Rachel Subject: FW: Animoto - Vaapor-Stix radio debut Importance: High See below. This is an interesting turn of events with FDA taking them on as a tob product. Your thoughts? 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: 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/

file:///C|/...niversity%20of%20KY/disc%201/Conley%20request%201/RE%20Animoto%20-%20Vaapor-Stix%20radio%20debut%202.html[8/19/2011 2:30:44 AM]

From: Hahn, Ellen J Sent: Thursday, May 05, 2011 8:11 AM To: Riker, Carol A; Darville, Audrey K; Owens, Kelly S (LHD - Madison Co) Cc: Robertson, Heather E Subject: RE: Animoto - Vaapor-Stix radio debut We need to share this info with the Advisory group next week. Kelly, can you give an update on the e-cig issue at the meeting? 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: Thursday, May 05, 2011 8:08 AM To: Hahn, Ellen J; Darville, Audrey K; Owens, Kelly S (LHD - Madison Co) Subject: RE: Animoto - Vaapor-Stix radio debut That about says it all!!! Scary to think of several more years of regulatory vacuum. The companies will really have time to get cranked up by then and even more money to throw at opposition tactics. Carol -----Original Message----From: Hahn, Ellen J Sent: Thursday, May 05, 2011 7:59 AM To: Riker, Carol A; Darville, Audrey K; Owens, Kelly S (LHD - Madison Co) Subject: FW: Animoto - Vaapor-Stix radio debut More detail from Rachel (works as a postdoc in Stan Glantz's shop). A bit more detail below about the implications of FDA reg as a tob product. 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
file:///C|/.../University%20of%20KY/disc%201/Conley%20request%201/RE%20Animoto%20-%20Vaapor-Stix%20radio%20debut%202.txt[8/19/2011 2:30:45 AM]

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: Grana, Rachel [mailto:Rachel.Grana@ucsf.edu] Sent: Wednesday, May 04, 2011 8:57 PM To: Hahn, Ellen J Subject: RE: Animoto - Vaapor-Stix radio debut Hi Ellen, Thanks for sending this. I actually am preparing to give a talk about my research on the electronic cigarette Web-based marketing for the Smokeless Summit in Austin Texas. In doing so, I am framing my concerns and take home points about the marketing of these products around that new ruling from the US Court of Appeals and the FDA's decision not to appeal to the Supreme Court. So, good timing to ask me what I think and I would love to hear what you think too! So, my thoughts are these...I think it would have been better for public health if they were regulated as nicotine delivery devices. Never mind the fact that they do not contain tobacco - I do not agree with the ruling primarily because the rationale provided was based on the premise that the ecigarette companies are not making therapeutic claims. Although I did not see the evidence provided at trial, even my brief presentation about a content analysis of the Websites shows that they contain overt health and cessation messages even if they do not use the word quit or cessation. They state clearly that these are healthier than traditional cigarettes because they do not contain, tar, ash, carcinogens, toxic chemicals, etc. They are using doctors (images and actual doctors in videos) to promote and assure viewers of the safety and utility of the products to switch from tobacco cigarettes, in text and spoken word. Also, if they are being regulated as a tobacco product there will probably be no burden of proof of safety since tobacco products were defined in the legislation as inherently unsafe. Therefore, this leaves no manufacturing or safety of use standards for these products. In fact, under the Family Smoking and Prevention Act, smokeless tobacco, cigars and cigarillos do not have the same restrictions as to flavors and taxation that cigarettes do. For instance although cigarettes cannot come in candy flavors, smokeless tobacco can come in fruit flavors, and cigarillos still come in tons of flavors, including fruit, alcohol flavors, vanilla chocolate. It appears that people are just gearing up the battles about smokeless tobacco regulation after a 2year (maybe even really just 1-year) focus on cigarettes. I fear that the whole tobacco product regulation is moving so slowly that placing ecigarettes in the same category will all but guarantee they remain on the market in a regulatory vacuum for a few years at best. Therefore they will have way too much time to continue promoting and selling flavored ecigarettes on-line and in the malls where people can try them (probably high school students, because that is who is in the mall). I hope I am wrong and the FDA puts an end to the unsubstantiated health and safety advertising (especially with medical doctors!) and tackles the flavor issue and mall kiosks distribution. Rachel -----Original Message----From: Hahn, Ellen J [mailto:ejhahn00@email.uky.edu]
file:///C|/.../University%20of%20KY/disc%201/Conley%20request%201/RE%20Animoto%20-%20Vaapor-Stix%20radio%20debut%202.txt[8/19/2011 2:30:45 AM]

Sent: Wednesday, May 04, 2011 2:41 PM To: Grana, Rachel Subject: FW: Animoto - Vaapor-Stix radio debut Importance: High See below. This is an interesting turn of events with FDA taking them on as a tob product. Your thoughts? 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: 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

file:///C|/.../University%20of%20KY/disc%201/Conley%20request%201/RE%20Animoto%20-%20Vaapor-Stix%20radio%20debut%202.txt[8/19/2011 2:30:45 AM]

From: Grana, Rachel <Rachel.Grana@ucsf.edu> Sent: Wednesday, May 04, 2011 8:57 PM To: Hahn, Ellen J Subject: RE: Animoto - Vaapor-Stix radio debut Hi Ellen, Thanks for sending this. I actually am preparing to give a talk about my research on the electronic cigarette Web-based marketing for the Smokeless Summit in Austin Texas. In doing so, I am framing my concerns and take home points about the marketing of these products around that new ruling from the US Court of Appeals and the FDA's decision not to appeal to the Supreme Court. So, good timing to ask me what I think and I would love to hear what you think too! So, my thoughts are these...I think it would have been better for public health if they were regulated as nicotine delivery devices. Never mind the fact that they do not contain tobacco - I do not agree with the ruling primarily because the rationale provided was based on the premise that the ecigarette companies are not making therapeutic claims. Although I did not see the evidence provided at trial, even my brief presentation about a content analysis of the Websites shows that they contain overt health and cessation messages even if they do not use the word quit or cessation. They state clearly that these are healthier than traditional cigarettes because they do not contain, tar, ash, carcinogens, toxic chemicals, etc. They are using doctors (images and actual doctors in videos) to promote and assure viewers of the safety and utility of the products to switch from tobacco cigarettes, in text and spoken word. Also, if they are being regulated as a tobacco product there will probably be no burden of proof of safety since tobacco products were defined in the legislation as inherently unsafe. Therefore, this leaves no manufacturing or safety of use standards for these products. In fact, under the Family Smoking and Prevention Act, smokeless tobacco, cigars and cigarillos do not have the same restrictions as to flavors and taxation that cigarettes do. For instance although cigarettes cannot come in candy flavors, smokeless tobacco can come in fruit flavors, and cigarillos still come in tons of flavors, including fruit, alcohol flavors, vanilla chocolate. It appears that people are just gearing up the battles about smokeless tobacco regulation after a 2year (maybe even really just 1-year) focus on cigarettes. I fear that the whole tobacco product regulation is moving so slowly that placing ecigarettes in the same category will all but guarantee they remain on the market in a regulatory vacuum for a few years at best. Therefore they will have way too much time to continue promoting and selling flavored ecigarettes on-line and in the malls where people can try them (probably high school students, because that is who is in the mall). I hope I am wrong and the FDA puts an end to the unsubstantiated health and safety advertising (especially with medical doctors!) and tackles the flavor issue and mall kiosks distribution. Rachel -----Original Message----From: Hahn, Ellen J [mailto:ejhahn00@email.uky.edu] Sent: Wednesday, May 04, 2011 2:41 PM To: Grana, Rachel Subject: FW: Animoto - Vaapor-Stix radio debut Importance: High See below. This is an interesting turn of events with FDA taking them on as a tob product. Your thoughts? 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
file:///C|/.../University%20of%20KY/disc%201/Conley%20request%201/RE%20Animoto%20-%20Vaapor-Stix%20radio%20debut%203.txt[8/19/2011 2:30:45 AM]

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: 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

file:///C|/.../University%20of%20KY/disc%201/Conley%20request%201/RE%20Animoto%20-%20Vaapor-Stix%20radio%20debut%203.txt[8/19/2011 2:30:45 AM]

From: Sent: To: Subject:

Grana, Rachel <Rachel.Grana@ucsf.edu> Thursday, May 05, 2011 12:41 PM Hahn, Ellen J RE: Animoto - Vaapor-Stix radio debut

Thank you for sharing your thoughts and the other persons response. I am happy to share my slides once they are finalized. Ill email them along. Good luck to you youre the one bearing the brunt of the blowback on this! Well see what happens once I am in public speaking out about these issues! Rachel

From: Hahn, Ellen J [mailto:ejhahn00@email.uky.edu] Sent: Thursday, May 05, 2011 2:42 AM To: Grana, Rachel Subject: RE: Animoto - Vaapor-Stix radio debut

Rachel, This is essentially what I have been saying as well (you say it much better and with more detail thank you!). I totally agree with you that they are making therapeutic claims. If we can show the FDA that they are (you might share your PPT with the FDA), my understanding is that they can still decide to regulate it as a nicotine delivery device. From a policy perspective, the fact that FDA has decided to regulate ecigs as a tobacco product is something we are using to argue that our smoke-free laws need to cover them. Many already have. I guess that is why we are getting the brunt of the opposition right now. I just submitted an opinion editorial to our paper about Big E-Cig, and will send you the link when/if they publish it. I am happy to share it with you if you are interested in reading it. One of my colleagues replied to Kelly with this: 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

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Would love to see your presentation slides from the smokeless conference if you are willing to share. Good luck! 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: Grana, Rachel [mailto:Rachel.Grana@ucsf.edu] Sent: Wednesday, May 04, 2011 8:57 PM To: Hahn, Ellen J Subject: RE: Animoto - Vaapor-Stix radio debut Hi Ellen, Thanks for sending this. I actually am preparing to give a talk about my research on the electronic cigarette Web-based marketing for the Smokeless Summit in Austin Texas. In doing so, I am framing my concerns and take home points about the marketing of these products around that new ruling from the US Court of Appeals and the FDA's decision not to appeal to the Supreme Court. So, good timing to ask me what I think and I would love to hear what you think too! So, my thoughts are these...I think it would have been better for public health if they were regulated as nicotine delivery devices. Never mind the fact that they do not contain tobacco - I do not agree with the ruling primarily because the rationale provided was based on the premise that the ecigarette companies are not making therapeutic claims. Although I did not see the evidence provided at trial, even my brief presentation about a content analysis of the Websites shows that they contain overt health and cessation messages even if they do not use the word quit or cessation. They state clearly that these are healthier than traditional cigarettes because they do not contain, tar, ash, carcinogens, toxic chemicals, etc. They are using doctors (images and actual doctors in videos) to promote and assure viewers of the safety and utility of the products to switch from tobacco cigarettes, in text and spoken word. Also, if they are being regulated as a tobacco product there will probably be no burden of proof of safety since tobacco products were defined in the legislation as inherently unsafe. Therefore, this leaves no manufacturing or safety of use standards for these products. In fact, under the Family Smoking and Prevention Act, smokeless tobacco, cigars and cigarillos do not have the same restrictions as to flavors and taxation that cigarettes do. For instance although cigarettes cannot come in candy flavors, smokeless tobacco can come in fruit flavors, and cigarillos still come in tons of flavors, including fruit, alcohol flavors, vanilla chocolate. It appears that people are just gearing up the battles about smokeless tobacco regulation after a 2-year (maybe even really just 1-year) focus on
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cigarettes. I fear that the whole tobacco product regulation is moving so slowly that placing ecigarettes in the same category will all but guarantee they remain on the market in a regulatory vacuum for a few years at best. Therefore they will have way too much time to continue promoting and selling flavored ecigarettes on-line and in the malls where people can try them (probably high school students, because that is who is in the mall). I hope I am wrong and the FDA puts an end to the unsubstantiated health and safety advertising (especially with medical doctors!) and tackles the flavor issue and mall kiosks distribution. Rachel

-----Original Message----From: Hahn, Ellen J [mailto:ejhahn00@email.uky.edu] Sent: Wednesday, May 04, 2011 2:41 PM To: Grana, Rachel Subject: FW: Animoto - Vaapor-Stix radio debut Importance: High See below. This is an interesting turn of events with FDA taking them on as a tob product. Your thoughts? 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: 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?
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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/

Please consider the environment before printing this e-mail

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From: Hahn, Ellen J Sent: Friday, May 06, 2011 6:10 AM To: 'Owens, Kelly S (LHD - Madison Co)' Subject: RE: Animoto - Vaapor-Stix radio debut From what I understand from our national partners, Kentucky (starting with your excellent work in Madison Co.) is bearing the brunt of Big ECig opposition. Way to go!!!!!!!!! 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: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov] Sent: Thursday, May 05, 2011 9:49 AM To: Hahn, Ellen J Subject: RE: Animoto - Vaapor-Stix radio debut I would be HAPPY to share. You know me, I LOVE to vent! These folks are using every trick in the book!! 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

-----Original Message----From: Hahn, Ellen J [mailto:ejhahn00@email.uky.edu]


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Sent: Thursday, May 05, 2011 8:11 AM To: Riker, Carol A; Darville, Audrey K; Owens, Kelly S (LHD - Madison Co) Cc: Robertson, Heather E Subject: RE: Animoto - Vaapor-Stix radio debut We need to share this info with the Advisory group next week. Kelly, can you give an update on the e-cig issue at the meeting? 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: Thursday, May 05, 2011 8:08 AM To: Hahn, Ellen J; Darville, Audrey K; Owens, Kelly S (LHD - Madison Co) Subject: RE: Animoto - Vaapor-Stix radio debut That about says it all!!! Scary to think of several more years of regulatory vacuum. The companies will really have time to get cranked up by then and even more money to throw at opposition tactics. Carol -----Original Message----From: Hahn, Ellen J Sent: Thursday, May 05, 2011 7:59 AM To: Riker, Carol A; Darville, Audrey K; Owens, Kelly S (LHD - Madison Co) Subject: FW: Animoto - Vaapor-Stix radio debut More detail from Rachel (works as a postdoc in Stan Glantz's shop). A bit more detail below about the implications of FDA reg as a tob product. 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)
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ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on and

-----Original Message----From: Grana, Rachel [mailto:Rachel.Grana@ucsf.edu] Sent: Wednesday, May 04, 2011 8:57 PM To: Hahn, Ellen J Subject: RE: Animoto - Vaapor-Stix radio debut Hi Ellen, Thanks for sending this. I actually am preparing to give a talk about my research on the electronic cigarette Web-based marketing for the Smokeless Summit in Austin Texas. In doing so, I am framing my concerns and take home points about the marketing of these products around that new ruling from the US Court of Appeals and the FDA's decision not to appeal to the Supreme Court. So, good timing to ask me what I think and I would love to hear what you think too! So, my thoughts are these...I think it would have been better for public health if they were regulated as nicotine delivery devices. Never mind the fact that they do not contain tobacco - I do not agree with the ruling primarily because the rationale provided was based on the premise that the ecigarette companies are not making therapeutic claims. Although I did not see the evidence provided at trial, even my brief presentation about a content analysis of the Websites shows that they contain overt health and cessation messages even if they do not use the word quit or cessation. They state clearly that these are healthier than traditional cigarettes because they do not contain, tar, ash, carcinogens, toxic chemicals, etc. They are using doctors (images and actual doctors in videos) to promote and assure viewers of the safety and utility of the products to switch from tobacco cigarettes, in text and spoken word. Also, if they are being regulated as a tobacco product there will probably be no burden of proof of safety since tobacco products were defined in the legislation as inherently unsafe. Therefore, this leaves no manufacturing or safety of use standards for these products. In fact, under the Family Smoking and Prevention Act, smokeless tobacco, cigars and cigarillos do not have the same restrictions as to flavors and taxation that cigarettes do. For instance although cigarettes cannot come in candy flavors, smokeless tobacco can come in fruit flavors, and cigarillos still come in tons of flavors, including fruit, alcohol flavors, vanilla chocolate. It appears that people are just gearing up the battles about smokeless tobacco regulation after a 2year (maybe even really just 1-year) focus on cigarettes. I fear that the whole tobacco product regulation is moving so slowly that placing ecigarettes in the same category will all but guarantee they remain on the market in a regulatory vacuum for a few years at best. Therefore they will have way too much time to continue promoting and selling flavored ecigarettes on-line and in the malls where people can try them (probably high school students, because that is who is in the mall). I hope I am wrong and the FDA puts an end to the unsubstantiated health and safety advertising (especially with medical doctors!) and tackles the flavor issue and mall kiosks distribution. Rachel -----Original Message----From: Hahn, Ellen J [mailto:ejhahn00@email.uky.edu] Sent: Wednesday, May 04, 2011 2:41 PM To: Grana, Rachel
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Subject: FW: Animoto - Vaapor-Stix radio debut Importance: High See below. This is an interesting turn of events with FDA taking them on as a tob product. Your thoughts? 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: 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

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From: Sent: To: Subject:

Betsy Janes <betsyj@kylung.org> Thursday, April 07, 2011 2:45 PM Wagner, Kristian K; Hahn, Ellen J; Kercsmar, Sarah; 'Tonya Chang (E-mail)'; 'Amy Barkley'; Mark.Sizemore@ky.gov RE: April 12th in Stanford

I am preparing the slide show for the AHEC meeting. Can anyone add to this in terms of who has a strong coalition in case people in the audience want to get involved? Thanks. Boyle-Danville 100% Smoke-free Workplaces and Enclosed Public Places (exempts: tobacco retails stores, private clubs, some hotel rooms) Casey Estill Garrard Jackson Knox-Strong Local Smoke-free Coalition Laurel-London 100% Smoke-free Workplaces and Enclosed Public Places (exempts: tobacco retails stores, private clubs, some hotel rooms) Lincoln Madison 100% Smoke-free Workplaces and Enclosed Public Places Board of Health Regulation, just eliminated exemptions for retail tobacco stores and now covers e-cigarettes McCreary Mercer Pulaski Rockcastle Wayne Whitley

From: Wagner, Kristian K [mailto:kkwagn3@uky.edu] Sent: Thursday, April 07, 2011 10:01 AM To: Betsy Janes Subject: RE: April 12th in Stanford

Hi Betsy, It really is the ideal task for Mark and one of the big objectives for his job. I know he is off today (Irene may be in) and they are furloughed tomorrow. I hesitate a bit to the talk, only because for my KCSP job it is in a control area of sorts so hoping Mark is available. Do you know any more details about the presentation, length, audience, etc? Would there be any benefit to Jennifer or me contacting Irene? Thanks Betsy, Kristian
From: Betsy Janes [mailto:betsyj@kylung.org] Sent: Thursday, April 07, 2011 9:20 AM To: Wagner, Kristian K Subject: RE: April 12th in Stanford Yes. Thanks. Still no word

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From: Wagner, Kristian K [mailto:kkwagn3@uky.edu] Sent: Thursday, April 07, 2011 8:34 AM To: Betsy Janes Subject: RE: April 12th in Stanford

Hi Betsy, Was this the presentation Ellen suggested Mark do? Can he not go? Just wondering Thanks, Kristian
From: Betsy Janes [mailto:betsyj@kylung.org] Sent: Wednesday, April 06, 2011 2:42 PM To: Tonya.chang@heart.org; Jamesmsizemore@windstream.net; Brandi.gilley@gmail.com; Hahn, Ellen J; hoperoadwellness@hotmail.com; icenters@roadrunner.com; Eric.evans@cancer.org; Betsy Janes; jredmond@kycancerc.org; James.sharp@cancer.org; Kercsmar, Sarah; abarkley@tobaccofreekids.org; Wagner, Kristian K; anthonys.lockard@att.blackberry.net; Cathy.callaway@cancer.org; bronson.frick@no-smoke.org; Mark.Sizemore@ky.gov; Centers, Irene (CHFS HPB-Health Promotions) Subject: April 12th in Stanford Hi All, We forgot to discuss this on the call on Friday. Is anyone able to cover a smoke-free educational presentation to the AHEC in

Stanford KY at 6:30 p.m. on Tuesday April 12 th ? Preferably someone with a travel budget for this sort of thing If so, Ill put you in touch with Dwain Harris. Thanks.

Betsy Berns Janes

Advocacy Director American Lung Association in Kentucky P.O. Box 9067 4100 Churchman Ave. Louisville, KY 40215-1154 Office: (502) 363-2652 Cell: (502) 797-0638 betsyj@kylung.org www.midlandlung.org

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From: Sent: To: Subject:


Hi Betsy,

Wagner, Kristian K Thursday, April 07, 2011 2:54 PM Betsy Janes; Hahn, Ellen J; Kercsmar, Sarah; 'Tonya Chang (E-mail)'; 'Amy Barkley'; Mark.Sizemore@ky.gov RE: April 12th in Stanford

Knox has a Healthy Communities coalition that includes smoke-free. Additionally, Laurel, Whitley and Knox Counties have a tri-county, Breathe Easy coalition addressing smoke-free in the tri-county area. Thanks, Kristian
From: Betsy Janes [mailto:betsyj@kylung.org] Sent: Thursday, April 07, 2011 2:45 PM To: Wagner, Kristian K; Hahn, Ellen J; Kercsmar, Sarah; 'Tonya Chang (E-mail)'; 'Amy Barkley'; Mark.Sizemore@ky.gov Subject: RE: April 12th in Stanford I am preparing the slide show for the AHEC meeting. Can anyone add to this in terms of who has a strong coalition in case people in the audience want to get involved? Thanks. Boyle-Danville 100% Smoke-free Workplaces and Enclosed Public Places (exempts: tobacco retails stores, private clubs, some hotel rooms) Casey Estill Garrard Jackson Knox-Strong Local Smoke-free Coalition Laurel-London 100% Smoke-free Workplaces and Enclosed Public Places (exempts: tobacco retails stores, private clubs, some hotel rooms) Lincoln Madison 100% Smoke-free Workplaces and Enclosed Public Places Board of Health Regulation, just eliminated exemptions for retail tobacco stores and now covers e-cigarettes McCreary Mercer Pulaski Rockcastle Wayne Whitley

From: Wagner, Kristian K [mailto:kkwagn3@uky.edu] Sent: Thursday, April 07, 2011 10:01 AM To: Betsy Janes Subject: RE: April 12th in Stanford

Hi Betsy, It really is the ideal task for Mark and one of the big objectives for his job. I know he is off today (Irene may be in) and they are furloughed tomorrow. I hesitate a bit to the talk, only because for my KCSP job it is in a control area of sorts so hoping
file:///C|/...esktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20April%2012th%20in%20Stanford html[8/19/2011 2:30:49 AM]

Mark is available. Do you know any more details about the presentation, length, audience, etc? Would there be any benefit to Jennifer or me contacting Irene? Thanks Betsy, Kristian
From: Betsy Janes [mailto:betsyj@kylung.org] Sent: Thursday, April 07, 2011 9:20 AM To: Wagner, Kristian K Subject: RE: April 12th in Stanford Yes. Thanks. Still no word From: Wagner, Kristian K [mailto:kkwagn3@uky.edu] Sent: Thursday, April 07, 2011 8:34 AM To: Betsy Janes Subject: RE: April 12th in Stanford

Hi Betsy, Was this the presentation Ellen suggested Mark do? Can he not go? Just wondering Thanks, Kristian
From: Betsy Janes [mailto:betsyj@kylung.org] Sent: Wednesday, April 06, 2011 2:42 PM To: Tonya.chang@heart.org; Jamesmsizemore@windstream.net; Brandi.gilley@gmail.com; Hahn, Ellen J; hoperoadwellness@hotmail.com; icenters@roadrunner.com; Eric.evans@cancer.org; Betsy Janes; jredmond@kycancerc.org; James.sharp@cancer.org; Kercsmar, Sarah; abarkley@tobaccofreekids.org; Wagner, Kristian K; anthonys.lockard@att.blackberry.net; Cathy.callaway@cancer.org; bronson.frick@no-smoke.org; Mark.Sizemore@ky.gov; Centers, Irene (CHFS HPB-Health Promotions) Subject: April 12th in Stanford Hi All, We forgot to discuss this on the call on Friday. Is anyone able to cover a smoke-free educational presentation to the AHEC in

Stanford KY at 6:30 p.m. on Tuesday April 12 th ? Preferably someone with a travel budget for this sort of thing If so, Ill put you in touch with Dwain Harris. Thanks.

Betsy Berns Janes

Advocacy Director American Lung Association in Kentucky P.O. Box 9067 4100 Churchman Ave. Louisville, KY 40215-1154 Office: (502) 363-2652 Cell: (502) 797-0638 betsyj@kylung.org www.midlandlung.org

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From: Jett, Swannie (LHD - Bullitt Co) <Swannie.Jett@ky.gov> Sent: Thursday, December 16, 2010 10:26 PM To: Riker, Carol A; Brown, Cynthia G (LHD-Bullitt Co); Taylor, Brittany P (LHD - Bullitt Co) Cc: Hahn, Ellen J; Mundy, Monica E; Johnson, John D Subject: RE: BG Institute article and info re BOH regulations Follow Up Flag: Follow up Flag Status: Flagged
Both our County Attorney (in-coming) and BOH attorney are reviewing. Then I plan to send it forward to TCLC for review. First reading is planned for February and May for BOH vote. I will let you know when I receive it back from them. Thanks in advance

From: Riker, Carol A [mailto:riker@email.uky.edu] Sent: Tue 12/14/2010 3:44 PM To: Jett, Swannie (LHD - Bullitt Co); Brown, Cynthia G (LHD-Bullitt Co); Taylor, Brittany P (LHD - Bullitt Co) Cc: Hahn, Ellen J; Mundy, Monica E; Johnson, John D Subject: RE: BG Institute article and info re BOH regulations

Swannie, Thats terrific! I knew you wanted a comprehensive regulation! We will be happy to send your draft regulation to the Tobacco Control Legal Consortium for review. Due to their experience with ordinances and regulations across the country, they are often able to suggest helpful changes in wording that may prevent trouble down the road. Let me know, as the sooner we can send it the better since the holidays are approaching. What is your projected timeline, Swannie, and how can we be helpful? 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
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From: Jett, Swannie (LHD - Bullitt Co) [mailto:Swannie.Jett@ky.gov] Sent: Tuesday, December 14, 2010 1:26 PM To: Riker, Carol A; Brown, Cynthia G (LHD-Bullitt Co); Taylor, Brittany P (LHD - Bullitt Co) Cc: Hahn, Ellen J; Mundy, Monica E; Johnson, John D Subject: RE: BG Institute article and info re BOH regulations Thank you. I noticed Clark Co and Madison's exemptions and steered away from them. I banned e-cigarettes as well. The regulation is now in our attorney's hands for review before I pass it forward.

From: Riker, Carol A [mailto:riker@email.uky.edu] Sent: Tue 12/14/2010 8:57 AM To: Jett, Swannie (LHD - Bullitt Co); Brown, Cynthia G (LHD-Bullitt Co); Taylor, Brittany P (LHD - Bullitt Co) Cc: Hahn, Ellen J; Mundy, Monica E; Johnson, John D Subject: BG Institute article and info re BOH regulations

Hi Swannie, Cynthia, and Brittany, Hope you all are surviving this arctic blast! Amanda Fallin on our team found this article on the Bluegrass Institutes website and we wanted to make sure you all had seen it. It sounds like Jim Waters came to your forum in Hiilview. (Someone was at the last forum spouting the same things about working smoke-free to support the health departments payrolltheyre really reaching!) Also wanted to send you some new information on BOH regulations. With Scott Lockards blessing we have developed Suggested Updates for BOH regulations in KY; its based on the Clark Co regulation. As you know, Madison County BOH has had first reading on some amendments to their regulation to eliminate the tobacco retailer exemptions and include ecigarettes in the definition of smoking. Madison is updating because they had several requests for waiver of their regulation for Hookahs, so Im attaching info on Hookahs. At first reading in Madison several people spoke against including e-cigarettes, saying they were using them to quit smoking. After first reading the BOH received numerous written comments to the same effect, with copies to the local newspaper. Several came from health entities, primarily those in the harm reduction camp. I hope you will find the e-cigarette one-pager helpful to refute comments that they are safe and can help people quit. Research to date shows that nicotine levels in e-cigs vary widely regardless of labeling. At the very least users will send nicotine and other components back into the indoor air through exhalation, where the whole thirdhand smoke dangers begin.

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Let us know how we can be helpful as you go forward. Thanks, Carol Riker 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

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From: Fallin, Amanda T Sent: Monday, December 13, 2010 1:49 PM To: Hahn, Ellen J; Riker, Carol A Subject: Bullitt County-Jim Waters

Did we see this? It was on the Bluegrass Institutes Website, up on November 5th.

Simon says: Our rights are slip slidin away


By Jim Waters
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Like school kids atop a snow-covered hill during a driving storm oblivious to conditions around them so health nannies stand, gleefully ready to push us and our freedoms down a slippery slope leading to a ride that might not offer so much fun. I dont question the motives behind a smoking-ban proposal now under consideration by the Bullitt County Health Department and its Board of Health. They and many including me have grave concerns about the health of Kentuckians. Kentucky ranks as one of the unhealthiest states in the union. If the University of Kentucky football team did as well in polls as Kentucky does in poor health rankings, Big Blue fans would forget about basketball. But I run into problems with how bureaucrats act on such a crisis. C.S. Lewis once said, Of all tyrannies, a tyranny exercised for the good of its victim may be the most oppressive. Appointed (not elected) health-department bureaucrats see nothing wrong with pushing that sled down the hill, no matter where it may end up. Those riding the sled have a different view. At a minimum, they would like to have some notion of where its going to end up. If a public health department can bypass elected officials and engineer policies that trump other important liberties such as constitutionally endorsed private-property rights while using claims that were responsible for the publics health, that sled wont stop in a good place. Im sure that when New York City banned smoking in 2003, many folks who like dining in smoke-free surroundings welcomed that decision. But I also suspect that many of them never dreamed the city would in only three years ban those same restaurants from using trans fats in their food. What?! No margarine on my dinner roll? Now the health nannies and their unsalted nuts in the New York General Assembly have filed a bill that would fine restaurants $1,000 if chefs use salt in recipes. That sled ride turned into the equivalent of skiing down Mount Everest. Yes, the health police want to send us careening down a slippery slope toward more nanny-ism, less liberty and even less personal responsibility. They will never be satisfied until they can stand in homes throwing out cigarettes and forcing inhabitants to eat unseasoned Brussel sprouts. Coming next: The Sugar Free Candy Halloween Ordinance. Its hard to stop a sled careening down a snow-covered slope. At a forum I attended in Hillview, near Shepherdsville, some who support the proposed smoking ban repeatedly stated that they want to go to restaurants in which they breathe smoke-free air. Me, too. But thats a very shortsighted view one that health-department bureaucrats count on to attack property rights in the future. Keep in mind: Local health boards could apply their public nuisance arguments to private residences, too. If a person has rats running out of their house, the health department can move in because thats a public nuisance, said Harlen Compton, a local businessman and spokesman for Bullitt County Choice. Whats to keep them from using that same argument to ban smoking in a private residence as well? Or if the department gets its way on smoking bans, what will it have to attack next to justify keeping so many bureaucrats on taxpayer-backed payrolls? I bet those folks who want to use government force to ensure a more enjoyable dining experience might not smile as widely when denied margarine on their baked potatoes, salt on their Happy Meal fries or Halloween candy that tastes like wax. If the health bureaucrats can get by with claiming that smoking bans address a public nuisance, whos to say that more, much more, wont follow and soon? Jim Waters is vice president of policy and communications for the Bluegrass Institute, Kentuckys freemarket think tank. Reach him at jwaters@freedomkentucky.com. Read previously published columns at www.bipps.org. Amanda Fallin, MSN, RN Community Advisor Clean Indoor Air Partnership University of Kentucky College of Nursing 509 CON Building Lexington, KY 40536-1057
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859.323.3550 atfall2@uky.edu

www.kcsp.uky.edu
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Smoke-free Communities: Good for People, Good for Business

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From: Sent: To: Cc: Subject: Swannie,

Riker, Carol A Tuesday, December 14, 2010 3:44 PM 'Jett, Swannie (LHD - Bullitt Co)'; Brown, Cynthia G (LHD-Bullitt Co); Taylor, Brittany P (LHD - Bullitt Co) Hahn, Ellen J; Mundy, Monica E; Johnson, John D RE: BG Institute article and info re BOH regulations

Thats terrific! I knew you wanted a comprehensive regulation! We will be happy to send your draft regulation to the Tobacco Control Legal Consortium for review. Due to their experience with ordinances and regulations across the country, they are often able to suggest helpful changes in wording that may prevent trouble down the road. Let me know, as the sooner we can send it the better since the holidays are approaching. What is your projected timeline, Swannie, and how can we be helpful? 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

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file:///C|/.../disc%201/Conley%20request%201/RE%20BG%20Institute%20article%20and%20info%20re%20BOH%20regulations%203 html[8/19/2011 2:30:51 AM]

From: Jett, Swannie (LHD - Bullitt Co) [mailto:Swannie.Jett@ky.gov] Sent: Tuesday, December 14, 2010 1:26 PM To: Riker, Carol A; Brown, Cynthia G (LHD-Bullitt Co); Taylor, Brittany P (LHD - Bullitt Co) Cc: Hahn, Ellen J; Mundy, Monica E; Johnson, John D Subject: RE: BG Institute article and info re BOH regulations Thank you. I noticed Clark Co and Madison's exemptions and steered away from them. I banned e-cigarettes as well. The regulation is now in our attorney's hands for review before I pass it forward.

From: Riker, Carol A [mailto:riker@email.uky.edu] Sent: Tue 12/14/2010 8:57 AM To: Jett, Swannie (LHD - Bullitt Co); Brown, Cynthia G (LHD-Bullitt Co); Taylor, Brittany P (LHD - Bullitt Co) Cc: Hahn, Ellen J; Mundy, Monica E; Johnson, John D Subject: BG Institute article and info re BOH regulations

Hi Swannie, Cynthia, and Brittany, Hope you all are surviving this arctic blast! Amanda Fallin on our team found this article on the Bluegrass Institutes website and we wanted to make sure you all had seen it. It sounds like Jim Waters came to your forum in Hiilview. (Someone was at the last forum spouting the same things about working smoke-free to support the health departments payrolltheyre really reaching!) Also wanted to send you some new information on BOH regulations. With Scott Lockards blessing we have developed Suggested Updates for BOH regulations in KY; its based on the Clark Co regulation. As you know, Madison County BOH has had first reading on some amendments to their regulation to eliminate the tobacco retailer exemptions and include ecigarettes in the definition of smoking. Madison is updating because they had several requests for waiver of their regulation for Hookahs, so Im attaching info on Hookahs. At first reading in Madison several people spoke against including e-cigarettes, saying they were using them to quit smoking. After first reading the BOH received numerous written comments to the same effect, with copies to the local newspaper. Several came from health entities, primarily those in the harm reduction camp. I hope you will find the ecigarette one-pager helpful to refute comments that they are safe and can help people quit. Research to date shows that nicotine levels in e-cigs vary widely regardless of labeling. At the very least users will send nicotine and other components back into the indoor air through exhalation, where the whole thirdhand smoke dangers begin. Let us know how we can be helpful as you go forward. Thanks, Carol Riker 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

file:///C|/.../disc%201/Conley%20request%201/RE%20BG%20Institute%20article%20and%20info%20re%20BOH%20regulations%203 html[8/19/2011 2:30:51 AM]

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

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From: Fallin, Amanda T Sent: Monday, December 13, 2010 1:49 PM To: Hahn, Ellen J; Riker, Carol A Subject: Bullitt County-Jim Waters

Did we see this? It was on the Bluegrass Institutes Website, up on November 5th.

By Jim Waters Like school kids atop a snow-covered hill during a driving storm oblivious to conditions around them so health nannies stand, gleefully ready to push us and our freedoms down a slippery slope leading to a ride that might not offer so much fun. I dont question the motives behind a smoking-ban proposal now under consideration by the Bullitt County Health Department and its Board of Health. They and many including me have grave concerns about the health of Kentuckians. Kentucky ranks as one of the unhealthiest states in the union. If the University of Kentucky football team did as well in polls as Kentucky does in poor health rankings, Big Blue fans would forget about basketball. But I run into problems with how bureaucrats act on such a crisis. C.S. Lewis once said, Of all tyrannies, a tyranny exercised for the good of its victim may be the most oppressive. Appointed (not elected) health-department bureaucrats see nothing wrong with pushing that sled down the hill, no matter where it may end up. Those riding the sled have a different view. At a minimum, they would like to have some notion of where its going to end up. If a public health department can bypass elected officials and engineer policies that trump other important liberties such as constitutionally endorsed private-property rights while using claims that were responsible for the publics health, that sled wont stop in a good place.

Simon says: Our rights are slip slidin away

file:///C|/.../disc%201/Conley%20request%201/RE%20BG%20Institute%20article%20and%20info%20re%20BOH%20regulations%203 html[8/19/2011 2:30:51 AM]

Im sure that when New York City banned smoking in 2003, many folks who like dining in smoke-free surroundings welcomed that decision. But I also suspect that many of them never dreamed the city would in only three years ban those same restaurants from using trans fats in their food. What?! No margarine on my dinner roll? Now the health nannies and their unsalted nuts in the New York General Assembly have filed a bill that would fine restaurants $1,000 if chefs use salt in recipes. That sled ride turned into the equivalent of skiing down Mount Everest. Yes, the health police want to send us careening down a slippery slope toward more nanny-ism, less liberty and even less personal responsibility. They will never be satisfied until they can stand in homes throwing out cigarettes and forcing inhabitants to eat unseasoned Brussel sprouts. Coming next: The Sugar Free Candy Halloween Ordinance. Its hard to stop a sled careening down a snow-covered slope. At a forum I attended in Hillview, near Shepherdsville, some who support the proposed smoking ban repeatedly stated that they want to go to restaurants in which they breathe smoke-free air. Me, too. But thats a very shortsighted view one that health-department bureaucrats count on to attack property rights in the future. Keep in mind: Local health boards could apply their public nuisance arguments to private residences, too. If a person has rats running out of their house, the health department can move in because thats a public nuisance, said Harlen Compton, a local businessman and spokesman for Bullitt County Choice. Whats to keep them from using that same argument to ban smoking in a private residence as well? Or if the department gets its way on smoking bans, what will it have to attack next to justify keeping so many bureaucrats on taxpayer-backed payrolls? I bet those folks who want to use government force to ensure a more enjoyable dining experience might not smile as widely when denied margarine on their baked potatoes, salt on their Happy Meal fries or Halloween candy that tastes like wax. If the health bureaucrats can get by with claiming that smoking bans address a public nuisance, whos to say that more, much more, wont follow and soon? Jim Waters is vice president of policy and communications for the Bluegrass Institute, Kentuckys free-market think tank. Reach him at jwaters@freedomkentucky.com. Read previously published columns at www.bipps.org. Amanda Fallin, MSN, RN Community Advisor Clean Indoor Air Partnership University of Kentucky College of Nursing 509 CON Building Lexington, KY 40536-1057 859.323.3550 atfall2@uky.edu

www.kcsp.uky.edu

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From: Jett, Swannie (LHD - Bullitt Co) <Swannie.Jett@ky.gov> Sent: Tuesday, December 14, 2010 1:26 PM To: Riker, Carol A; Brown, Cynthia G (LHD-Bullitt Co); Taylor, Brittany P (LHD - Bullitt Co) Cc: Hahn, Ellen J; Mundy, Monica E; Johnson, John D Subject: RE: BG Institute article and info re BOH regulations
Thank you. I noticed Clark Co and Madison's exemptions and steered away from them. I banned e-cigarettes as well. The regulation is now in our attorney's hands for review before I pass it forward.

From: Riker, Carol A [mailto:riker@email.uky.edu] Sent: Tue 12/14/2010 8:57 AM To: Jett, Swannie (LHD - Bullitt Co); Brown, Cynthia G (LHD-Bullitt Co); Taylor, Brittany P (LHD - Bullitt Co) Cc: Hahn, Ellen J; Mundy, Monica E; Johnson, John D Subject: BG Institute article and info re BOH regulations

Hi Swannie, Cynthia, and Brittany, Hope you all are surviving this arctic blast! Amanda Fallin on our team found this article on the Bluegrass Institutes website and we wanted to make sure you all had seen it. It sounds like Jim Waters came to your forum in Hiilview. (Someone was at the last forum spouting the same things about working smoke-free to support the health departments payrolltheyre really reaching!) Also wanted to send you some new information on BOH regulations. With Scott Lockards blessing we have developed Suggested Updates for BOH regulations in KY; its based on the Clark Co regulation. As you know, Madison County BOH has had first reading on some amendments to their regulation to eliminate the tobacco retailer exemptions and include ecigarettes in the definition of smoking. Madison is updating because they had several requests for waiver of their regulation for Hookahs, so Im attaching info on Hookahs. At first reading in Madison several people spoke against including e-cigarettes, saying they were using them to quit smoking. After first reading the BOH received numerous written comments to the same effect, with copies to the local newspaper. Several came from health entities, primarily those in the harm reduction camp. I hope you will find the e-cigarette one-pager helpful to refute comments that they are safe and can help people quit. Research to date shows that nicotine levels in e-cigs vary widely regardless of labeling. At the very least users will send nicotine and other components back into the indoor air through exhalation, where the whole thirdhand smoke dangers begin. Let us know how we can be helpful as you go forward. Thanks, Carol Riker Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor
file:///C|/.../disc%201/Conley%20request%201/RE%20BG%20Institute%20article%20and%20info%20re%20BOH%20regulations%204 html[8/19/2011 2:30:52 AM]

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

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From: Fallin, Amanda T Sent: Monday, December 13, 2010 1:49 PM To: Hahn, Ellen J; Riker, Carol A Subject: Bullitt County-Jim Waters

Did we see this? It was on the Bluegrass Institutes Website, up on November 5th.

By Jim Waters Like school kids atop a snow-covered hill during a driving storm oblivious to conditions around them so health nannies stand, gleefully ready to push us and our freedoms down a slippery slope leading to a ride that might not offer so much fun. I dont question the motives behind a smoking-ban proposal now under consideration by the Bullitt County Health Department and its Board of Health. They and many including me have grave concerns about the health of Kentuckians. Kentucky ranks as one of the unhealthiest states in the union. If the University of Kentucky football team did as well in polls as Kentucky does in poor health rankings, Big Blue fans would forget about basketball. But I run into problems with how bureaucrats act on such a crisis. C.S. Lewis once said, Of all tyrannies, a tyranny exercised for the good of its victim may be the most

Simon says: Our rights are slip slidin away

file:///C|/.../disc%201/Conley%20request%201/RE%20BG%20Institute%20article%20and%20info%20re%20BOH%20regulations%204 html[8/19/2011 2:30:52 AM]

oppressive. Appointed (not elected) health-department bureaucrats see nothing wrong with pushing that sled down the hill, no matter where it may end up. Those riding the sled have a different view. At a minimum, they would like to have some notion of where its going to end up. If a public health department can bypass elected officials and engineer policies that trump other important liberties such as constitutionally endorsed private-property rights while using claims that were responsible for the publics health, that sled wont stop in a good place. Im sure that when New York City banned smoking in 2003, many folks who like dining in smoke-free surroundings welcomed that decision. But I also suspect that many of them never dreamed the city would in only three years ban those same restaurants from using trans fats in their food. What?! No margarine on my dinner roll? Now the health nannies and their unsalted nuts in the New York General Assembly have filed a bill that would fine restaurants $1,000 if chefs use salt in recipes. That sled ride turned into the equivalent of skiing down Mount Everest. Yes, the health police want to send us careening down a slippery slope toward more nanny-ism, less liberty and even less personal responsibility. They will never be satisfied until they can stand in homes throwing out cigarettes and forcing inhabitants to eat unseasoned Brussel sprouts. Coming next: The Sugar Free Candy Halloween Ordinance. Its hard to stop a sled careening down a snow-covered slope. At a forum I attended in Hillview, near Shepherdsville, some who support the proposed smoking ban repeatedly stated that they want to go to restaurants in which they breathe smoke-free air. Me, too. But thats a very shortsighted view one that health-department bureaucrats count on to attack property rights in the future. Keep in mind: Local health boards could apply their public nuisance arguments to private residences, too. If a person has rats running out of their house, the health department can move in because thats a public nuisance, said Harlen Compton, a local businessman and spokesman for Bullitt County Choice. Whats to keep them from using that same argument to ban smoking in a private residence as well? Or if the department gets its way on smoking bans, what will it have to attack next to justify keeping so many bureaucrats on taxpayer-backed payrolls? I bet those folks who want to use government force to ensure a more enjoyable dining experience might not smile as widely when denied margarine on their baked potatoes, salt on their Happy Meal fries or Halloween candy that tastes like wax. If the health bureaucrats can get by with claiming that smoking bans address a public nuisance, whos to say that more, much more, wont follow and soon? Jim Waters is vice president of policy and communications for the Bluegrass Institute, Kentuckys freemarket think tank. Reach him at jwaters@freedomkentucky.com. Read previously published columns at www.bipps.org. Amanda Fallin, MSN, RN Community Advisor Clean Indoor Air Partnership University of Kentucky College of Nursing 509 CON Building Lexington, KY 40536-1057 859.323.3550 atfall2@uky.edu

www.kcsp.uky.edu

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

file:///C|/.../disc%201/Conley%20request%201/RE%20BG%20Institute%20article%20and%20info%20re%20BOH%20regulations%204 html[8/19/2011 2:30:52 AM]

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From: Sent: To: Cc: Subject: Hi Swannie,

Riker, Carol A Wednesday, December 29, 2010 3:50 PM 'Jett, Swannie (LHD - Bullitt Co)'; Brown, Cynthia G (LHD-Bullitt Co); Taylor, Brittany P (LHD - Bullitt Co) Hahn, Ellen J; Mundy, Monica E; Johnson, John D RE: BG Institute article and info re BOH regulations

This is exciting news! It would be good to plan for 2-3 weeks for TCLC to review the proposed regulations before your February meeting. Also, since their reviews are very thorough and extensive, we often prepare a summary of the most important points to give policymakers along with the actual TCLC review. Hope this is helpful. Im attaching the one-pager on e-cigarettes again as weve put it in final form (actually one page now!) J Have a happy new year and let us know how 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

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From: Jett, Swannie (LHD - Bullitt Co) [mailto:Swannie.Jett@ky.gov]


file:///C|/...0KY/disc%201/Conley%20request%201/RE%20BG%20Institute%20article%20and%20info%20re%20BOH%20regulations.html[8/19/2011 2:30:53 AM]

Sent: Thursday, December 16, 2010 10:26 PM To: Riker, Carol A; Brown, Cynthia G (LHD-Bullitt Co); Taylor, Brittany P (LHD - Bullitt Co) Cc: Hahn, Ellen J; Mundy, Monica E; Johnson, John D Subject: RE: BG Institute article and info re BOH regulations Both our County Attorney (in-coming) and BOH attorney are reviewing. Then I plan to send it forward to TCLC for review. First reading is planned for February and May for BOH vote. I will let you know when I receive it back from them. Thanks in advance

From: Riker, Carol A [mailto:riker@email.uky.edu] Sent: Tue 12/14/2010 3:44 PM To: Jett, Swannie (LHD - Bullitt Co); Brown, Cynthia G (LHD-Bullitt Co); Taylor, Brittany P (LHD - Bullitt Co) Cc: Hahn, Ellen J; Mundy, Monica E; Johnson, John D Subject: RE: BG Institute article and info re BOH regulations

Swannie, Thats terrific! I knew you wanted a comprehensive regulation! We will be happy to send your draft regulation to the Tobacco Control Legal Consortium for review. Due to their experience with ordinances and regulations across the country, they are often able to suggest helpful changes in wording that may prevent trouble down the road. Let me know, as the sooner we can send it the better since the holidays are approaching. What is your projected timeline, Swannie, and how can we be helpful? 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

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file:///C|/...0KY/disc%201/Conley%20request%201/RE%20BG%20Institute%20article%20and%20info%20re%20BOH%20regulations.html[8/19/2011 2:30:53 AM]

From: Jett, Swannie (LHD - Bullitt Co) [mailto:Swannie.Jett@ky.gov] Sent: Tuesday, December 14, 2010 1:26 PM To: Riker, Carol A; Brown, Cynthia G (LHD-Bullitt Co); Taylor, Brittany P (LHD - Bullitt Co) Cc: Hahn, Ellen J; Mundy, Monica E; Johnson, John D Subject: RE: BG Institute article and info re BOH regulations Thank you. I noticed Clark Co and Madison's exemptions and steered away from them. I banned e-cigarettes as well. The regulation is now in our attorney's hands for review before I pass it forward.

From: Riker, Carol A [mailto:riker@email.uky.edu] Sent: Tue 12/14/2010 8:57 AM To: Jett, Swannie (LHD - Bullitt Co); Brown, Cynthia G (LHD-Bullitt Co); Taylor, Brittany P (LHD - Bullitt Co) Cc: Hahn, Ellen J; Mundy, Monica E; Johnson, John D Subject: BG Institute article and info re BOH regulations

Hi Swannie, Cynthia, and Brittany, Hope you all are surviving this arctic blast! Amanda Fallin on our team found this article on the Bluegrass Institutes website and we wanted to make sure you all had seen it. It sounds like Jim Waters came to your forum in Hiilview. (Someone was at the last forum spouting the same things about working smoke-free to support the health departments payrolltheyre really reaching!) Also wanted to send you some new information on BOH regulations. With Scott Lockards blessing we have developed Suggested Updates for BOH regulations in KY; its based on the Clark Co regulation. As you know, Madison County BOH has had first reading on some amendments to their regulation to eliminate the tobacco retailer exemptions and include ecigarettes in the definition of smoking. Madison is updating because they had several requests for waiver of their regulation for Hookahs, so Im attaching info on Hookahs. At first reading in Madison several people spoke against including e-cigarettes, saying they were using them to quit smoking. After first reading the BOH received numerous written comments to the same effect, with copies to the local newspaper. Several came from health entities, primarily those in the harm reduction camp. I hope you will find the ecigarette one-pager helpful to refute comments that they are safe and can help people quit. Research to date shows that nicotine levels in e-cigs vary widely regardless of labeling. At the very least users will send nicotine and other components back into the indoor air through exhalation, where the whole thirdhand smoke dangers begin. Let us know how we can be helpful as you go forward. Thanks, Carol Riker Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities

file:///C|/...0KY/disc%201/Conley%20request%201/RE%20BG%20Institute%20article%20and%20info%20re%20BOH%20regulations.html[8/19/2011 2:30:53 AM]

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

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From: Fallin, Amanda T Sent: Monday, December 13, 2010 1:49 PM To: Hahn, Ellen J; Riker, Carol A Subject: Bullitt County-Jim Waters

Did we see this? It was on the Bluegrass Institutes Website, up on November 5th.

By Jim Waters Like school kids atop a snow-covered hill during a driving storm oblivious to conditions around them so health nannies stand, gleefully ready to push us and our freedoms down a slippery slope leading to a ride that might not offer so much fun. I dont question the motives behind a smoking-ban proposal now under consideration by the Bullitt County Health Department and its Board of Health. They and many including me have grave concerns about the health of Kentuckians. Kentucky ranks as one of the unhealthiest states in the union. If the University of Kentucky football team did as well in polls as Kentucky does in poor health rankings, Big Blue fans would forget about basketball. But I run into problems with how bureaucrats act on such a crisis. C.S. Lewis once said, Of all tyrannies, a tyranny exercised for the good of its victim may be the most oppressive. Appointed (not elected) health-department bureaucrats see nothing wrong with pushing that sled down the hill, no
file:///C|/...0KY/disc%201/Conley%20request%201/RE%20BG%20Institute%20article%20and%20info%20re%20BOH%20regulations.html[8/19/2011 2:30:53 AM]

Simon says: Our rights are slip slidin away

matter where it may end up. Those riding the sled have a different view. At a minimum, they would like to have some notion of where its going to end up. If a public health department can bypass elected officials and engineer policies that trump other important liberties such as constitutionally endorsed private-property rights while using claims that were responsible for the publics health, that sled wont stop in a good place. Im sure that when New York City banned smoking in 2003, many folks who like dining in smoke-free surroundings welcomed that decision. But I also suspect that many of them never dreamed the city would in only three years ban those same restaurants from using trans fats in their food. What?! No margarine on my dinner roll? Now the health nannies and their unsalted nuts in the New York General Assembly have filed a bill that would fine restaurants $1,000 if chefs use salt in recipes. That sled ride turned into the equivalent of skiing down Mount Everest. Yes, the health police want to send us careening down a slippery slope toward more nanny-ism, less liberty and even less personal responsibility. They will never be satisfied until they can stand in homes throwing out cigarettes and forcing inhabitants to eat unseasoned Brussel sprouts. Coming next: The Sugar Free Candy Halloween Ordinance. Its hard to stop a sled careening down a snow-covered slope. At a forum I attended in Hillview, near Shepherdsville, some who support the proposed smoking ban repeatedly stated that they want to go to restaurants in which they breathe smoke-free air. Me, too. But thats a very shortsighted view one that health-department bureaucrats count on to attack property rights in the future. Keep in mind: Local health boards could apply their public nuisance arguments to private residences, too. If a person has rats running out of their house, the health department can move in because thats a public nuisance, said Harlen Compton, a local businessman and spokesman for Bullitt County Choice. Whats to keep them from using that same argument to ban smoking in a private residence as well? Or if the department gets its way on smoking bans, what will it have to attack next to justify keeping so many bureaucrats on taxpayer-backed payrolls? I bet those folks who want to use government force to ensure a more enjoyable dining experience might not smile as widely when denied margarine on their baked potatoes, salt on their Happy Meal fries or Halloween candy that tastes like wax. If the health bureaucrats can get by with claiming that smoking bans address a public nuisance, whos to say that more, much more, wont follow and soon? Jim Waters is vice president of policy and communications for the Bluegrass Institute, Kentuckys free-market think tank. Reach him at jwaters@freedomkentucky.com. Read previously published columns at www.bipps.org. Amanda Fallin, MSN, RN Community Advisor Clean Indoor Air Partnership University of Kentucky College of Nursing 509 CON Building Lexington, KY 40536-1057 859.323.3550 atfall2@uky.edu

www.kcsp.uky.edu

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file:///C|/...0KY/disc%201/Conley%20request%201/RE%20BG%20Institute%20article%20and%20info%20re%20BOH%20regulations.html[8/19/2011 2:30:53 AM]

From: Hahn, Ellen J Sent: Wednesday, June 30, 2010 8:27 AM To: 'David Stevens' Subject: RE: Break from smoking limitations Thanks, David. Yes, e-cigarettes (electronic cigarettes) are the latest product that the industry is trying to use to keep smokers addicted while they cannot smoke. It is pure nicotine. It looks like a cigarette (metal tube painted to look like a cigarette) with a cartridge of nicotine, containing tobacco nitrosamines and diethylene glycol (anti-freeze). The FDA, WHO, and the CDC all put out statement that e-cigarettes are not a safe alternative to smoking and they are not approved as a way to quit either. The companies make false claims about the product. The bottom line is that the companies have figured out a way to get around the FDA on two fronts: e-cigarettes are not an approved nicotine delivery device (like the nicotine inhaler or nicotine patch, for example), nor do they fit the definition of tobacco product, as per the new FDA law. So there are no current regulations that apply. Some states are passing laws prohibiting the sale of e-cigarettes (New Jersey), but not in KY. The FDA has embargoed all shipments of e-cigarettes to the U.S. but they are still being sold in mall kiosks and online (as per your email below). The companies have also waged an intimidation campaign against those of us who have spoken out in opposition to the product. UK's tobacco-free policy covers e-cigarettes, so I am on their hit list. I am happy to share with you the hate email if you are interested. The fact is that Lexington's smoke-free law does NOT cover e-cigarettes so people can smoke ecigarettes inside our workplaces, restaurants, bars. This is such a new phenomenon that the older laws haven't covered them. The newest ordinances in Bardstown and Glasgow DO cover ecigarettes, as per our recommendation and that of ANR. Let me know if you want more information. Would love to catch up sometime. Sorry to miss you and Sally last night. The program started just as I saw you, and I couldn't find you after the program. Tim was certainly thought-provoking and I agree that he didn't suggest solutions. My take away was that we still have our work cut out for us, and a lot of my thoughts were confirmed in regard to the emergence of the Tea Party movement. Let me know when we might have coffee or lunch to catch up! 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 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 Follow us on Twitter! www.twitter.com/kysmokefree

file:///C|/...OIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20Break%20from%20smoking%20limitations.txt[8/19/2011 2:30:54 AM]

-----Original Message----From: David Stevens [mailto:dstevens4@prodigy.net] Sent: Tuesday, June 29, 2010 10:13 PM To: Hahn, Ellen J Subject: FW: Break from smoking limitations This is one of two emails I received. If I can find the other one , I will send it to you. I thought that Tim Wise was pretty dynamic speaker but I am not sure if he mentioned any solutions and he only painted one side to the picture. David B Stevens 620 Lakeshore Drive Lexington, KY 40502-3117 Land 859 269 8300 Fax 859 268 7773 Cell 859 221 4054 -----Original Message----From: Justine Prills [mailto:info@auditedfeare.com] Sent: Sunday, June 27, 2010 9:41 AM To: dstevens4@prodigy.net Subject: RE: Break from smoking limitations Smoke Anywhere http://klijhm.auditedfeare.com/63_1_90501_CE1C9113046836.htm Now you can with Direct E-Cig's American made nicotine solutions. Smoke Anywhere, your home, office, restaurants, bars and anywhere else. No Tar - No Ash No Tobacco or Smoke No Carbon Monoxide No Flame or Fire No Lingering Smell No Yellow Teeth No Bad Breath Try It on US - No risk whatsoever http://klijhm.auditedfeare.com/63_2_90501_CE1C9113046836.htm Unsubscribe: http://klijhm.auditedfeare.com/63_3_90501_CE1C9113046836.htm or send mail to Unsubscribe 2338 Immokalee Rd. #419 Naples, FL. 34108 Click this link to unsubscribe:
file:///C|/...OIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20Break%20from%20smoking%20limitations.txt[8/19/2011 2:30:54 AM]

http://klijhm.auditedfeare.com/90501_CE1C9113046836.htm

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From: Sent: To: Cc: Subject:

Kercsmar, Sarah Wednesday, January 19, 2011 11:48 AM Johnson, John D; Riker, Carol A; Hahn, Ellen J Owens, Kelly S (LHD - Madison Co) RE: campbell co ordinance

John is correct. E-cigarettes are ok in NKY --- the elected officials didnt want to go there. Sarah E. Kercsmar, PhD Faculty Lecturer, Division of Instructional Communication College of Communications and Information Studies, Little Library 310 M Co-Director, Kentucky Center for Smoke-Free Policy College of Nursing, 751 Rose Street, 450B, Lexington, KY 40536-0232 859-323-0603 859-323-1057 (FAX) scave2@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on Twitter and Facebook !

From: Johnson, John D Sent: Wednesday, January 19, 2011 11:29 AM To: Riker, Carol A; Kercsmar, Sarah; Hahn, Ellen J Cc: Owens, Kelly S (LHD - Madison Co) Subject: RE: campbell co ordinance

I think so note language from the definition of smoking in the ordinance below:

From: Riker, Carol A Sent: Wednesday, January 19, 2011 11:26 AM To: Johnson, John D; Kercsmar, Sarah; Hahn, Ellen J Cc: Owens, Kelly S (LHD - Madison Co) Subject: campbell co ordinance

Does anyone know if Campbell Countys law covers e-cigarettes? Kelly Owens in Madison co in case anyone asks at her BOH meeting tonight. She doesnt plan to mention NKY, but just In case someone aks! Thanks, Carol

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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 and Facebook


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

CON 50 yrs logo

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From: Sent: To: Cc: Subject:

Johnson, John D Wednesday, January 19, 2011 11:29 AM Riker, Carol A; Kercsmar, Sarah; Hahn, Ellen J Owens, Kelly S (LHD - Madison Co) RE: campbell co ordinance

I think so note language from the definition of smoking in the ordinance below:

From: Riker, Carol A Sent: Wednesday, January 19, 2011 11:26 AM To: Johnson, John D; Kercsmar, Sarah; Hahn, Ellen J Cc: Owens, Kelly S (LHD - Madison Co) Subject: campbell co ordinance

Does anyone know if Campbell Countys law covers e-cigarettes? Kelly Owens in Madison co in case anyone asks at her BOH meeting tonight. She doesnt plan to mention NKY, but just In case someone aks! 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 and Facebook


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

file:///C|/.. ktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20campbell%20co%20ordinance%203 html[8/19/2011 2:30:55 AM]

From: Sent: To: Subject: Importance:

Owens, Kelly S (LHD - Madison Co) <KellyS.Owens@ky.gov> Wednesday, January 19, 2011 2:02 PM Riker, Carol A RE: campbell co ordinance High

Thanks for sending this question out for us. Also, in researching some more for tonight, I took a look at our local retailers website. I highly suggest you look at/follow their Facebook Page: http://www.vapor-stix.net/ And on twitter: http://twitter.com/VaporStix

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/

P Please consider the environment before printing this e-mail

From: Riker, Carol A [mailto:riker@email.uky.edu] Sent: Wednesday, January 19, 2011 11:26 AM To: Johnson, John D; Kercsmar, Sarah; Hahn, Ellen J Cc: Owens, Kelly S (LHD - Madison Co) Subject: campbell co ordinance

Does anyone know if Campbell Countys law covers e-cigarettes? Kelly Owens in Madison co in case anyone asks at her BOH meeting tonight. She doesnt plan to mention NKY, but just In case someone aks! Thanks, Carol

file:///C|/...y/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20campbell%20co%20ordinance html[8/19/2011 2:30:56 AM]

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 and Facebook


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

CON 50 yrs logo

file:///C|/...y/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20campbell%20co%20ordinance html[8/19/2011 2:30:56 AM]

From: Liz Williams <liz.williams@no-smoke.org> Sent: Monday, April 04, 2011 7:16 PM To: Riker, Carol A Cc: Bronson Frick; Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E; Sidney, Hilarie E Subject: Re: CASAA Hi all, I've been doing some research on CASAA, and while I haven't dug up any financial ties to any e-cigarette companies (or tobacco companies), it does appear that they are "toeing the party line" in terms of citing industry research on ecigs, refuting any research that has found harmful components in e-cigs, attacking public health groups for not promoting e-cigs, and actively advocating against any legislation to regulate or restrict e-cigs. So while I have only found them to be a consumer group at this point, it would not surprise me if they may turn up to be an industry group. They say on their website that they are a non-profit organization, although I didn't see them listed on the IRS look-up page for non-profits. I think the best bet for now is to stick with the arguments in favor of restricting them in indoor places where smoking is restricted, due to lack of evidence demonstrating that the vapor is safe, and that they cause compliance concerns. I will keep you posted if I turn anything up. Liz At 03:16 PM 4/4/2011, Riker, Carol A wrote: Hi Liz, Thanks for talking with me about the arguments in favor of restricting indoor smoking of ENDS. Please let me know what you or Bronson may have heard about the CASAA group who may send a representative to the Madison County Board of Health meeting this Wed evening! Here is there website. http://www.casaa.org/ Thanks and nice to talk with you again. 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

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Find kysmokefree on CON 50 yrs logo

and

Liz Williams Project Manager Americans for Nonsmokers' Rights American Nonsmokers' Rights Foundation 2530 San Pablo Ave, Suite J Berkeley, CA 94702 Phone: 510-841-3032 x314 Fax: 510-841-3071 liz.williams@no-smoke.org www.no-smoke.org ********************** Are you a member of ANR? Our work depends on the support of our members. Please click here to view our membership options. We would love to have you join us! Show your support for smokefree air by putting a static-cling decal in your window at work, home, or the car. To purchase, visit: http://www.no-smoke.org/aboutus.php?id=440.

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From: Owens, Kelly S (LHD - Madison Co) <KellyS.Owens@ky.gov> Sent: Monday, April 11, 2011 3:48 PM To: Riker, Carol A Subject: RE: CASAA.org Judging from Louisville-Metro site, Dave Langdon appears to be the media contact person. Sounds like he was just speaking off the cuff. I can't imagine their tobacco program providing him with that sort of response! E-cigs weren't even on the radar when their regulation came out, nor when ours did originally. If this had been the case, we wouldnt have had to amend it! Stay tuned, I'm sure there will be more. As one of our "friends" stated last week, "I WILL NOT LET THIS DIE!!" :)

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/

P Please consider the environment before printing this e-mail

-----Original Message----From: Riker, Carol A [mailto:riker@email.uky.edu] Sent: Monday, April 11, 2011 3:30 PM To: Owens, Kelly S (LHD - Madison Co) Cc: Hahn, Ellen J; Kercsmar, Sarah; Johnson, John D; Mundy, Monica E Subject: RE: CASAA.org Hi Kelly, Thanks for continuing to keep us in the loop. We need to get others in the state prepared to speak on e-cig. Louisville's comment about no SHS sounds like it's straight from the e-cig marketing. Were e-cigarettes even out when Louisville passed its current law? Thanks, Carol -----Original Message----From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov] Sent: Monday, April 11, 2011 2:27 PM
file:///C|/...ory%20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20CASAA.org%202.txt[8/19/2011 2:30:58 AM]

To: Crewe, Nancy M (LHD-Madison Co); Hawkins, Ruth R (LHD-Madison Co); Green, Christie L (LHDMadison Co); Centers, Irene (CHFS HPB-Health Promotions); Beauchamp, Jan (CHFS HPB-Health Promotions); Hahn, Ellen J; Riker, Carol A Subject: CASAA.org Importance: High http://www.casaa.org/news/article.asp?articleID=145&l=a&p= Take a look at the following "news" link on CASAA's web site. 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/

P Please consider the environment before printing this e-mail

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From: Riker, Carol A Sent: Monday, April 11, 2011 3:30 PM To: Owens, Kelly S (LHD - Madison Co) Cc: Hahn, Ellen J; Kercsmar, Sarah; Johnson, John D; Mundy, Monica E Subject: RE: CASAA.org Hi Kelly, Thanks for continuing to keep us in the loop. We need to get others in the state prepared to speak on e-cig. Louisville's comment about no SHS sounds like it's straight from the e-cig marketing. Were e-cigarettes even out when Louisville passed its current law? Thanks, Carol -----Original Message----From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov] Sent: Monday, April 11, 2011 2:27 PM To: Crewe, Nancy M (LHD-Madison Co); Hawkins, Ruth R (LHD-Madison Co); Green, Christie L (LHDMadison Co); Centers, Irene (CHFS HPB-Health Promotions); Beauchamp, Jan (CHFS HPB-Health Promotions); Hahn, Ellen J; Riker, Carol A Subject: CASAA.org Importance: High http://www.casaa.org/news/article.asp?articleID=145&l=a&p= Take a look at the following "news" link on CASAA's web site. 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/

P Please consider the environment before printing this e-mail

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From: Riker, Carol A Sent: Monday, April 11, 2011 3:51 PM To: 'Owens, Kelly S (LHD - Madison Co)' Subject: RE: CASAA.org I'm sure you're right! -----Original Message----From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov] Sent: Monday, April 11, 2011 3:48 PM To: Riker, Carol A Subject: RE: CASAA.org Judging from Louisville-Metro site, Dave Langdon appears to be the media contact person. Sounds like he was just speaking off the cuff. I can't imagine their tobacco program providing him with that sort of response! E-cigs weren't even on the radar when their regulation came out, nor when ours did originally. If this had been the case, we wouldnt have had to amend it! Stay tuned, I'm sure there will be more. As one of our "friends" stated last week, "I WILL NOT LET THIS DIE!!" :)

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/

P Please consider the environment before printing this e-mail

-----Original Message----From: Riker, Carol A [mailto:riker@email.uky.edu] Sent: Monday, April 11, 2011 3:30 PM To: Owens, Kelly S (LHD - Madison Co) Cc: Hahn, Ellen J; Kercsmar, Sarah; Johnson, John D; Mundy, Monica E Subject: RE: CASAA.org Hi Kelly, Thanks for continuing to keep us in the loop. We need to get others in the state prepared to speak on e-cig. Louisville's comment about no SHS sounds like it's straight from the e-cig marketing. Were
file:///C|/.../Gregory%20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20CASAA.org.txt[8/19/2011 2:30:59 AM]

e-cigarettes even out when Louisville passed its current law? Thanks, Carol -----Original Message----From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov] Sent: Monday, April 11, 2011 2:27 PM To: Crewe, Nancy M (LHD-Madison Co); Hawkins, Ruth R (LHD-Madison Co); Green, Christie L (LHDMadison Co); Centers, Irene (CHFS HPB-Health Promotions); Beauchamp, Jan (CHFS HPB-Health Promotions); Hahn, Ellen J; Riker, Carol A Subject: CASAA.org Importance: High http://www.casaa.org/news/article.asp?articleID=145&l=a&p= Take a look at the following "news" link on CASAA's web site. 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/

P Please consider the environment before printing this e-mail

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From: Sent: To: Cc: Subject:

Hahn, Ellen J Thursday, January 20, 2011 4:17 PM 'Douglas, Carol F (LHD-Barren River Dist)'; Riker, Carol A Johnson, John D RE: Congratulations on first reading!

Thanks, Carol. I will have John send along our implementation materials in case you might find them useful. Let me know if there are other things you need from us. 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 and Facebook ! 50_CoN_celebrate_date_oop-email

From: Douglas, Carol F (LHD-Barren River Dist) [mailto:CarolF.Douglas@ky.gov] Sent: Wednesday, January 19, 2011 9:18 AM To: Hahn, Ellen J; Riker, Carol A Cc: Johnson, John D Subject: RE: Congratulations on first reading!

Ellen, Im not privy to any news about the next City Commissioner. I do know that Robin Baldwin (who lost the BG City Commissioner) election by a narrow margin was in the audience at last nights meeting. The ordinance was the same as the last time that it was introduced in 2007. Ill attach a copy. There will be a special session of the Bowling Green City Commission on Monday, Jan. 24 th @ 7 pm for the final vote( 2 votes are necessary for passage of the ordinance). If passed, the ordinance will go into effect in 90 days from final vote.

Carol Douglas, BS Health Educator III

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Barren River District Health Department 1109 State Street P.O. Box 1157 Bowling Green, Ky. 42102 Ph: 270-781-8039, ext. 144 Fax: 270-796-8946 E-mail: carolf.douglas@ky.gov Website: www.barrenriverhealth.org
NOTICE OF CONFIDENTIALITY: This e-mail, including any attachments, is intended only addressed and may contain confidential information that is legally privileged and exempt message is not the intended recipient, you are notified that any review, use, disclosure, prohibited. If you have received this communication in error, please contact the sender message. for the use of the individual or entity to which it is from disclosure under applicable law. If the reader of this distribution or copying of this communication is strictly by reply e-mail and destroy all copies of the original

From: Hahn, Ellen J [mailto:ejhahn00@email.uky.edu] Sent: Wednesday, January 19, 2011 6:48 AM To: Douglas, Carol F (LHD-Barren River Dist); Riker, Carol A Cc: Johnson, John D; Hahn, Ellen J Subject: Congratulations on first reading!

Carol, Congratulations! I know you must be pleased. From the news report, it looked like it went well. How did it go? Do you have a copy of the ordinance that you might share with us? From news reports and what you have said, it sounds comprehensive with a tobacco retailer exemption and one for nursing homes, but I would love to see the language. We will look on the city website and also contact the clerk to see if we can get a copy (John, can you please do that?). http://www.wbko.com/home/headlines/Bowling Green City Commission Votes 3-2 to Ban Smoking 114180019.html Is it confirmed that Joe Denning will be mayor and Robin will replace him as commissioner? 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 and Facebook !

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From: Douglas, Carol F (LHD-Barren River Dist) [mailto:CarolF.Douglas@ky.gov] Sent: Saturday, January 15, 2011 5:49 PM To: Riker, Carol A Cc: Hahn, Ellen J Subject: RE: NEWS ALERT!!!!!

Carol, Our smokefree BG ordinance workgroup met with BG City Commissioner Slim Nash in December 2010 to discuss the introduction of an ordinance and what should be included. We gave him a packet of materials including ANRs model ordinance and Glasgows ordinance. We even discussed the e cigarettes. At that time, his plan was to introduce the ordinance in February 2011. Because of the Mayors situation, those plans changed. We were not privy to his new plans and I only found out when someone else called me yesterday @ 1:30pm..

Carol Douglas, BS Health Educator III Barren River District Health Department 1109 State Street P.O. Box 1157 Bowling Green, Ky. 42102 Ph: 270-781-8039, ext. 144 Fax: 270-796-8946 E-mail: carolf.douglas@ky.gov Website: www.barrenriverhealth.org
NOTICE OF CONFIDENTIALITY: This e-mail, including any attachments, is intended only addressed and may contain confidential information that is legally privileged and exempt message is not the intended recipient, you are notified that any review, use, disclosure, prohibited. If you have received this communication in error, please contact the sender message. for the use of the individual or entity to which it is from disclosure under applicable law. If the reader of this distribution or copying of this communication is strictly by reply e-mail and destroy all copies of the original

From: Riker, Carol A [mailto:riker@email.uky.edu] Sent: Saturday, January 15, 2011 4:34 PM To: Hahn, Ellen J; Douglas, Carol F (LHD-Barren River Dist); LHD Barren River BRDHD All; Absher Mark; Adkins, Joyce N (LHDBarren River Dist); Advani, Shailesh; Alloway Michelle; Applebee's; Baldwin Robin; Barnhouse Lara; Bedard Robert; Bedard, Robert; Bell, Jessica; Berger Jim; Billingsley Margaret; Bohannon Carla; Bonaguro John; Booth, Nancy; Broady Susan; Brown Susan; Bryant Beth; Carrigan, Misti - BGHS - Youth Services Center Coordinator; Cash, Allison; Chaney, Amie; Youth Service Center Coordinator; Chaney, Brenda; Chaney, Dennis R (LHD-Barren River District); Chang Tonya; Cherry Jeanine; Clark, Paula; Compton Judy; Copas, Jackie S (LHD-Barren River Dist); Cunningham Terri; Daniels Karen; Drexler Angie; Duncan Martha "Sue"; Emerson, Jean ann; Flora, Kim D (LHD-Warren County Health Dept.); Ford Joy White; Forrest Marilee; Forte Bernice; Fugate, Jennifer S (LHD-Allen Co); Gardner Marilyn; Gibson Nancy; Greaney Libby; Greene, Janet; Gregory Eric; Halbig Hillary; Hartz Sharon; Houchens Marla; Houchin, Lisa J (LHD-Barren River Dist); Houchins, Denise (LHD-Warren County Health Dept.); Isenhower, Jataun; Iyiegbuniwe Emmanuel; Janes Betsy; Jennings Katy; LaManna Frank; Lawrence, Brenda; Lovely Teresa; Miller Al; Monroe Lori; Nagy Chris; Napier, Melanie S (LHD-Barren River Dist); Owens Paula; Palmer Alan; Parnell, Heather (CHFS-Warren County Health Dept); Perdue, Olivia - BGHS Youth Service Center; Petrovic Danijela; Pollard Venica; Prunty, Melody F (LHD-Edmonson County Health Dept); Richardson, Jama; Richey Brent; Rowland, Crissy G (CHFS-LHD Barren River Dist); Rush Linda; Ryan, Lorie; Shindhelm Karen; Shirley Melissa Walton; Simmons, Jeri; Smith Beth; Spears Bonnie; Stein Margaret; Steward Kathryn; Sweetman Maryellen; Taylor Brad; Thweatt, Kathy J (CHFS-LHD Barren River Dist Health Dept); Tinsley Tammy; Troyer Mike; Tuck Missy; Voakes Rick; Walston Rachel; Walton Ed;

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Walton Lori; Watkins Cecilia ; Webb Alonzo; Westbrook Elizabeth; Wheat Marilyn; Wininger, Amy; Wollin Andrew; Woods Monica Cc: Johnson, John D; Kercsmar, Sarah; Jujulew Subject: RE: NEWS ALERT!!!!!

Hello Bowling Green Smoke-free Advocates, From the news reports it seems that a proposed Bowling Green smoke-free ordinance may include exemptions for nursing homes (rationale being that they are a residence) and for tobacco retailers. As distressing as it is to think of nursing home patients & workers exposed for a few residents who still smoke, a tobacco retailer exemption has the potential to increase smoking initiation among youth and & keep young people addicted via the possibility of Hookahs near campus and in the community. Madison County is certainly experiencing that near EKUs campus with entrepreneurs hosting outdoor hookah smoking on campus and several businessmen requesting a waiver of their regulation to open Hookah establishments. Madison County BOH currently is in the process of amending their regulation to eliminate the tobacco retailer exemption. I doubt that WKU wants such a scenario in Bowling Green. (In fact I had heard via the grapevine that the owners of the Lexington Hookah near campus were going to open one in Bowling Green but havent heard anything about that recently.) Air Quality testing in Hookahs revealed VERY high levels of fine particulates (see one-pager, attached). Lexington Hookahs continued to meet criteria for exemption as tobacco retailers even after Lexingtons law was strengthened and the required percentage of sales from tobacco was increased. Wanted you all to know what is happening in other places with the tobacco retailer exemption. Thanks and good luck! Carol Riker

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

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

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CON 50 yrs logo

From: Hahn, Ellen J Sent: Saturday, January 15, 2011 8:48 AM To: Douglas, Carol F (LHD-Barren River Dist); LHD Barren River BRDHD All; Absher Mark; Adkins Joyce; Advani, Shailesh; Alloway Michelle; Applebee's; Baldwin Robin; Barnhouse Lara; Bedard Robert; Bedard, Robert; Bell Jessica; Berger Jim; Billingsley Margaret; Bohannon Carla; Bonaguro John; Booth, Nancy; Broady Susan; Brown Susan; Bryant Beth; Carrigan, Misti - BGHS - Youth Services Center Coordinator; Cash, Allison; Chaney, Amie; Youth Service Center Coordinator; Chaney, Brenda; Chaney, Dennis R (LHD-Barren River District); Chang Tonya; Cherry Jeanine; Clark Paula; Compton Judy; Copas Jackie ; Cunningham Terri; Daniels Karen; Drexler Angie; Duncan Martha "Sue"; Emerson Jeanann; Flora Kim; Ford Joy White; Forrest Marilee; Forte Bernice; Fugate, Jennifer S (LHDAllen Co); Gardner Marilyn; Gibson Nancy; Greaney Libby; Greene, Janet; Gregory Eric; Halbig Hillary; Hartz Sharon; Houchens Marla; Houchin, Lisa J (LHD-Barren River Dist); Houchins, Denise (LHD-Warren County Health Dept.); Isenhower, Jataun; Iyiegbuniwe Emmanuel; Janes Betsy; Jennings Katy; LaManna Frank; Lawrence, Brenda; Lovely Teresa; Miller Al; Monroe Lori; Nagy Chris; Napier Melanie; Owens Paula; Palmer Alan; Parnell Heather; Perdue, Olivia - BGHS - Youth Service Center; Petrovic Danijela; Pollard Venica; Prunty Melody; Richardson Jama; Richey Brent; Rowland, Crissy G (CHFS-LHD Barren River Dist); Rush Linda; Ryan Lorie; Shindhelm Karen; Shirley Melissa Walton; Simmons, Jeri; Smith Beth; Spears Bonnie; Stein Margaret; Steward Kathryn; Sweetman Maryellen; Taylor Brad; Thweatt Kathy; Tinsley Tammy; Troyer Mike; Tuck Missy; Voakes Rick; Walston Rachel; Walton Ed; Walton Lori; Watkins Cecilia ; Webb Alonzo; Westbrook Elizabeth; Wheat Marilyn; Wininger, Amy; Wollin Andrew; Woods Monica Cc: Johnson, John D; Kercsmar, Sarah; Riker, Carol A; Jujulew; Hahn, Ellen J Subject: RE: NEWS ALERT!!!!!

Good morning, Bowling Green Smoke-free Advocates, I know how committed you are to seeing Bowling Green go smoke-free and how difficult it was in 2007 when the first attempt failed. And I am sure Slim and the Mayor want to do the right thing by taking an ordinance to first reading now given the Mayors departure. Even if they have the votes to pass it this time, though, the risk is that the ordinance could be repealed or weakened by the new Commission. Does anyone know who is likely to replace the mayor or fill the vacancy for commissioner? It looks like Joe Denning will be the new mayor and he wasnt favorable last time. Where does he stand this time? Also, did an attorney draft the ordinance and is he/she favorable? I have asked the state smoke-free core team if anyone is available to assist by reaching out to the elected officials. If any of you can get a copy of the ordinance, we may be able to get it reviewed by our legal team. I do have a copy of what was considered last time, and the legal review. Keep in mind that once the ordinance goes past first reading, it cannot be substantially changed in any way. Also, please keep in mind that there are specific procedures outlined by KRS about special meetings (Slim was quoted as saying the second reading will be done at a special called meeting). We are experiencing a very difficult situation in Northern KY right now that might be helpful to you. First, Kenton County enacted a weak smoke-free ordinance by special meeting. It was delayed because they didnt follow the KRS procedures for special meetings (attached). Also, in the final hour, they amended the ordinance to exempt drinking establishments (and enclosed areas in places that allow alcohol) which will make the law very confusing and difficult to enforce (and it wont protect those most vulnerable). Second, Campbell County enacted a comprehensive ordinance (3-1) right before the holiday, and they are going to first reading to repeal it on Jan. 19. Jan. 1 they had a new group of commissioners who are not

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favorable. Third, we have seen our strongest, most organized opposition to date in NKY. The Northern Kentucky Tea Party, along with NKY Choice, the KY Libertarian Party, and others have turned out the opposition in large numbers. A few lessons learned from NKY: plan for special meetings (the opposition will try to derail in every way and they are good at it); be sure the new commissioners are in your favor and that there is a plan in place to kill a bad ordinance; and turn out advocates who stick to the health message (and keep tabs on the opposition). Unfortunately, with the holiday weekend upon us, I am unsure exactly what assistance we can provide but I am on email and available by cell phone (859-421-6948) and willing to help in any way. Good luck!! 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 and Facebook ! 50_CoN_celebrate_date_oop-email

From: Douglas, Carol F (LHD-Barren River Dist) [mailto:CarolF.Douglas@ky.gov] Sent: Friday, January 14, 2011 3:21 PM To: LHD Barren River BRDHD All; Absher Mark; Adkins Joyce; Advani, Shailesh; Alloway Michelle; Applebee's; Baldwin Robin; Barnhouse Lara; Bedard Robert; Bedard, Robert; Bell Jessica; Berger Jim; Billingsley Margaret; Bohannon Carla; Bonaguro John; Booth, Nancy; Broady Susan; Brown Susan; Bryant Beth; Carrigan, Misti - BGHS - Youth Services Center Coordinator; Cash, Allison; Chaney, Amie; Youth Service Center Coordinator; Chaney, Brenda; Chaney, Dennis R (LHD-Barren River District); Chang Tonya; Cherry Jeanine; Clark Paula; Compton Judy; Copas Jackie ; Cunningham Terri; Daniels Karen; Douglas, Carol F (LHD-Barren River Dist); Drexler Angie; Duncan Martha "Sue"; Emerson Jeanann; Flora Kim; Ford Joy White; Forrest Marilee; Forte Bernice; Fugate, Jennifer S (LHD-Allen Co); Gardner Marilyn; Gibson Nancy; Greaney Libby; Greene, Janet; Gregory Eric; Halbig Hillary; Hartz Sharon; Houchens Marla; Houchin, Lisa J (LHD-Barren River Dist); Houchins, Denise (LHD-Warren County Health Dept.); Isenhower, Jataun; Iyiegbuniwe Emmanuel; Janes Betsy; Jennings Katy; LaManna Frank; Lawrence, Brenda; Lovely Teresa; Miller Al; Monroe Lori; Nagy Chris; Napier Melanie; Owens Paula; Palmer Alan; Parnell Heather; Perdue, Olivia - BGHS - Youth Service Center; Petrovic Danijela; Pollard Venica; Prunty Melody; Richardson Jama; Richey Brent; Rowland, Crissy G (CHFS-LHD Barren River Dist); Rush Linda; Ryan Lorie; Shindhelm Karen; Shirley Melissa Walton; Simmons, Jeri; Smith Beth; Spears Bonnie; Stein Margaret; Steward Kathryn; Sweetman Maryellen; Taylor Brad; Thweatt Kathy; Tinsley Tammy; Troyer Mike; Tuck Missy; Voakes Rick; Walston Rachel; Walton Ed; Walton Lori; Watkins Cecilia ; Webb Alonzo; Westbrook Elizabeth; Wheat Marilyn; Wininger, Amy; Wollin Andrew; Woods Monica Cc: Hahn, Ellen J Subject: NEWS ALERT!!!!! Importance: High

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I need your help! I just found out that the Bowling Green City Commission will introduce a Smokefree Indoor Air Ordinance this coming Tuesday, January 18 th , 2011. The meeting begins at 7 pm and the ordinance is the last item out of 13 listed on the agenda. Its time to encourage everyone to come out to the city commission meeting and speak up in favor of the ordinance. It doesnt matter if you are a BG voter. If you work, visit or play in Bowling Green, they need to hear from you. You can be sure that the opposition will be there in full force! I will be contacting those of you specifically on the SF BG Ordinance workgroup to help me with potential business owners/workers to speak at the meeting. The full agenda is listed on the BG City Commission website @ bgky.org/citycommission. If you or someone you know is interested in speaking, please have them get in touch with me.. Hang on.. This is going to be a bumpy ride!!!!
Carol Douglas, BS Health Educator III Barren River District Health Department 1109 State Street P.O. Box 1157 Bowling Green, Ky. 42102 Ph: 270-781-8039, ext. 144 Fax: 270-796-8946 E-mail: carolf.douglas@ky.gov Website: www.barrenriverhealth.org
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From: Sent: To: Cc: Subject: Attachments:

Riker, Carol A Thursday, September 30, 2010 11:35 AM Kelly Owens; Hawkins, Ruth R (LHD-Madison Co) Hahn, Ellen J; Mundy, Monica E; Robertson, Heather E; Johnson, John D; jujulew@aol.com RE: Contact regarding BOH meeting Letter Madison County HD Amendments 093010.pdf; Madison TCLC Hookah Bars - Response to Carol Riker - Feb 2010.pdf; Hookah One Pager.pdf; Final Policy Guidance on E-Cigarettes 4-7-10.pdf; One Pager Description of Services REVISED 061109.pdf

Dear Kelly and Ruth, Attached please find a letter from Dr. Hahn summarizing TCLC, ANR, and other scientific literature on Hookahs and Ecigarettes as well as recommendations for the Board of Health about amendments to protect health of all workers. Also attached are: The TCLC response in regard to Madisons regulation and Hookahs (the BOH saw this in February) A one-pager on Hookahs and smoke-free policy. (This document addresses dangers of Hookah smoking. Ill include more info at the end of this email on SHS in Hookahs and may be able to send a slightly different one-pager this afternoon that addresses SHS). Final Policy Guidance on E-cigarettes from American Heart Association, American Cancer Society, American Lung Association, and the Campaign for Tobacco-free Kids (indicates in their second bullet that e-cigarettes should be included in smoke-free laws) A description of the Kentucky Center for Smoke-free Policys legal resources We would like to offer the assistance of our legal consultant, Judy Owens, to consult with your attorney if that would be helpful. I am copying Judy on this email. To examine what the science says about indoor air pollution from waterpipe smoking in Hookahs, a study by Maziak et al. (2008) found that waterpipe smoking emits dangerous levels of fine particle air pollution (up to 908 g/m 3 for PM2.5 levels) 1 . In a study of a Hookah lounge in central Kentucky, secondhand smoke from waterpipe smoking resulted in high fine particulate concentrations (116 g/ m3 to 199 g/ m3), exceeding the National Ambient Air Quality Standard for Outdoor Air (35 g/ m3) 2 Even the lowest finding is over 3X the outdoor standard and Maziaks highest PM2.5 level was almost 26X the outdoor standard. Obviously there is no need to expose workers to even 3X the outdoor standard. We found a review article that presents incomplete and biased info. Chaouachi (2009) claims that the hookah device generates almost no Side Stream Smoke. When I went to the Maziak article that he cites, it turns out that may only be true if no one is smoking the waterpipe. As Kiyoung Lee points out, there can also be air pollution from the heat source. I wanted you to be aware of this in case someone cites this study claiming there is no danger of SHS exposure in a Hookah. Please look through these documents and let us know if there is anything else that you need. Give me a call if you have questions (859-619-3776). Thanks for your continued interest in protecting all workers from SHS in Madison County! Carol References: 1 Maziak, W., Rastam, S., Ibrahim, I., Ward, K.D. & Eissenberg, T. Waterpipe-associated particulate matter emissions.

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Nicotine & Tobacco Research, 2008;10(3):519-523. 2 Lee, K., Bucholtz, C., Robertson H., Vogel, S. & Hahn, E.J. (Unpublished report, 2008). Indoor air quality in a hookah lounge. Lexington, KY; University of Kentucky College of Nursing Tobacco Policy Research Program.

From: Robertson, Heather E Sent: Wednesday, September 29, 2010 9:53 AM To: Kelly Owens Cc: Riker, Carol A; Hahn, Ellen J; Mundy, Monica E Subject: Contact regarding BOH meeting

Hi Kelly, Im connecting you with Carol to assist as you prepare for your BOH meeting. I have given her all of the information from our conversation including your timeframe of the BOH packets going out this Friday and the meeting being next week. Expect contact from her soon or please feel free to call her at 619-3776 (cell) or 323-6615. Thanks,

Heather Robertson, MPA

Clean Indoor Air Partnership, Manager and Program Administrator Kentucky Center for Smoke-free Policy Kentucky Radon Awareness Program Northern Kentucky Clean Indoor Air Collaborative University of Kentucky College of Nursing 520 CON Building 751 Rose Street Lexington KY 40536-0232 859-323-1730 Fax: 859-323-1057 HRobertson@uky.edu www.kcsp.uky.edu

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see-blue-&-CON

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From: Sent: To:

Cc: Subject:

Hahn, Ellen J Thursday, December 02, 2010 6:23 AM 'anthonys.lockard@att.blackberry.net'; Betsy Janes; Tonya.chang@heart.org; Jamesmsizemore@windstream.net; Brandi.gilley@gmail.com; hoperoadwellness@hotmail.com; icenters@roadrunner.com; Eric.evans@cancer.org; jredmond@kycancerc.org; James.sharp@cancer.org; Kercsmar, Sarah; abarkley@tobaccofreekids.org; Wagner, Kristian K Johnson, John D RE: county government-owned buildings

Scott, This is GREAT news! I was anxious to hear about the outcome at Madison County. Our staff had put together materials for the BOH on e-cigarettes, as well as other legal issues. We were all keeping our fingers crossed. John, Scott has a great suggestion and one you could share with Betsys contact. Thanks, 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 and Facebook ! 50_CoN_celebrate_date_oop-email

From: anthonys.lockard@att.blackberry.net [mailto:anthonys.lockard@att.blackberry.net] Sent: Thursday, December 02, 2010 6:18 AM To: Hahn, Ellen J; Betsy Janes; Tonya.chang@heart.org; Jamesmsizemore@windstream.net; Brandi.gilley@gmail.com; hoperoadwellness@hotmail.com; icenters@roadrunner.com; Eric.evans@cancer.org; jredmond@kycancerc.org; James.sharp@cancer.org; Kercsmar, Sarah; abarkley@tobaccofreekids.org; Wagner, Kristian K Cc: Johnson, John D Subject: Re: county government-owned buildings

Good morning, Sometimes all that has to be done is to bring the situation to the fiscal court's attention. This is what happened in Wolfe Co. One citizen went to a fiscal court meeting and raised the issue. The fiscal court discussed it and voted to
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make the courthouse smoke free. I would encourage the individual to attend a fiscal court meeting and share his concerns with his elected leaders to see what kind of response Judge Conley gives. If Wolfe can do it, it is possible anywhere. I attended the Madison Co first reading last night of their strengthened regulation. There was a group there that touted e-cigarettes as an effectIve means to help smokers quit. Their main argument was that they did not give off any secondhand smoke or vapor that harmed others. The board held firm and the reg passed. Scott Sent via BlackBerry by AT&T From: "Hahn, Ellen J" <ejhahn00@email.uky.edu> Date: Wed, 1 Dec 2010 08:27:36 -0500 To: Betsy Janes<betsyj@kylung.org>; Tonya.chang@heart.org<Tonya.chang@heart.org>; Jamesmsizemore@windstream.net<Jamesmsizemore@windstream.net>; Brandi.gilley@gmail.com<Brandi.gilley@gmail.com>; hoperoadwellness@hotmail.com<hoperoadwellness@hotmail.com>; icenters@roadrunner.com<icenters@roadrunner.com>; Eric.evans@cancer.org<Eric.evans@cancer.org>; jredmond@kycancerc.org<jredmond@kycancerc.org>; James.sharp@cancer.org<James.sharp@cancer.org>; Kercsmar, Sarah<scave2@email.uky.edu>; anthonys.lockard@att.blackberry.net<anthonys.lockard@att.blackberry.net>; abarkley@tobaccofreekids.org<abarkley@tobaccofreekids.org>; Wagner,Kristian K<kkwagn3@uky.edu> Cc: Johnson, John D<jdjohnson@uky.edu> Subject: RE: county government-owned buildings
Good morning, Betsy, if you want to send along his name and contact info, we are happy to conduct a community readiness assessment with him and connect him with the tobacco control program. I am not aware of any smoke-free efforts in Morgan County, but we will explore further. I am cc: John so he can take a look in our files. County buildings are under the jurisdiction of the county government. Unless the fiscal court enacts an ordinance making government buildings smoke-free (or better yet, a smoke-free law including all county government buildings), the only other option is to evoke the ADA. We have had success with ADA letters sent to the county officials. The person initiating the letter must be sure to have a doctor-confirmed diagnosis that confirms that he is breathing disabled. Often, just sending the letter about the ADA violation is enough to spur county governments to make their government buildings smoke-free. We would be happy to help him with this. State buildings are under the jurisdiction of state law (thus, the Frankfort ordinance does not cover state or federal buildings; nor does it cover colleges like KSU that has a board of trustees or regents). Our current state law says state owned buildings must have a policy (it gives them the option of bad policy including smoking rooms). I hope this helps. Again, if you would like, we can follow up with him if you send along his infoJ Have a good one, 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

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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 and Facebook ! 50_CoN_celebrate_date_oop-email

From: Betsy Janes [mailto:betsyj@kylung.org] Sent: Tuesday, November 30, 2010 1:25 PM To: Tonya.chang@heart.org; Jamesmsizemore@windstream.net; Brandi.gilley@gmail.com; Hahn, Ellen J; hoperoadwellness@hotmail.com; icenters@roadrunner.com; Eric.evans@cancer.org; Betsy Janes; jredmond@kycancerc.org; James.sharp@cancer.org; Kercsmar, Sarah; anthonys.lockard@att.blackberry.net; abarkley@tobaccofreekids.org; Wagner, Kristian K Subject: county government-owned buildings

Hi Gang, I got a message from a guy in Morgan County. He said smoking is allowed in their county courthouse. He has severe COPD and has trouble when he has to go in there. Is it correct that each county dictates policy for county-owned buildings and that state and federal buildings are governed by different laws ? If so, is there any advice you can offer for this guy? Are there any other laws that might apply ? Is there any movement in Morgan County toward smoke-free policy? Thanks.

Betsy Berns Janes

Advocacy Director American Lung Association in Kentucky P.O. Box 9067 4100 Churchman Ave. Louisville, KY 40215-1154 Office: (502) 363-2652 Cell: (502) 797-0638 betsyj@kylung.org www.midlandlung.org

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From: Sent: To: Subject:

Hahn, Ellen J Thursday, August 19, 2010 3:55 PM 'Howington, Pat' RE: Courier-Journal reporter / e-cigarettes

Hi, Pat, Great talking with you. My title is below. 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 and Facebook ! 50_CoN_celebrate_date_oop-email

From: Howington, Pat [mailto:phowington@louisvil.gannett.com] Sent: Friday, August 06, 2010 11:30 AM To: Hahn, Ellen J Subject: Courier-Journal reporter / e-cigarettes Dr. Hahn, Im working on an article on electronic cigarettes, or e-cigarettes, and Id like to interview you about that subject. I understand from you voicemail message that youll be away from your office until Monday, Aug. 16. Id like to talk to you before then if possible; if it is, please let me know. (Alternatively, is there someone else at UK who shares your opinion of e-cigarettes and can speak knowledgeably about them for my article? If so, please tell me.) Thanks, Patrick Howington The Courier-Journal (502) 582-4229

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From: Sent: To: Subject:

Grana, Rachel <Rachel.Grana@ucsf.edu> Wednesday, April 13, 2011 5:12 PM Hahn, Ellen J RE: Dr. Whitt of CASSA

Yes, it appears that way in this case. It is very common for the electronic cigarette industry, but I havent seen it for the Tobacco Industry. (Although I havent been looking) Here is an example of some of the e-cigarette ones: http://www.news4reporter.com/ (fake news story in tiny print says advertorial) http://www.prnewswire.com/news-releases/electronic-cigarette-company-raises-industry-standards---again119677274.html (this one happens to be from my hometown, Tucson) http://www.onlineprnews.com/news/124993-1302590714-ecigarettecom-announces-the-green-smoke-car-adapterfor-easy-electronic-cigarette-charging.html http://www.pressport.co.uk/pressrelease/The-Electronic-Cigarette-isthe-healthier-option-to-traditional-cigarettes-11800.aspx The electronic cigarette users have noticed here is one report on a blog about them: http://electroniccigarettespot.com/company/electronic-cigarette-advertorialhealth -rachel
From: Hahn, Ellen J [mailto:ejhahn00@email.uky.edu] Sent: Wednesday, April 13, 2011 2:02 PM To: Grana, Rachel Subject: RE: Dr. Whitt of CASSA

So you are saying that is essentially a paid advertisement put out as a press release and passed off as a story? Is this a typical tactic of Big Tobacco? 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

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and

From: Grana, Rachel [mailto:Rachel.Grana@ucsf.edu]

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Sent: Wednesday, April 13, 2011 4:54 PM To: Hahn, Ellen J Subject: RE: Dr. Whitt of CASSA

Hi Ellen, I looked into this and I noticed the origination on the letter is PR Log. I looked them up and it appears that PR Log is a company that does press releases as a business. This is their site. www.prlog.com. Therefore I think the CASAA representatives wrote this and had it put out as a paid press release. If the local news is covering it as a story that is very interesting. What do you think? Thanks, Rachel

From: Hahn, Ellen J [mailto:ejhahn00@email.uky.edu] Sent: Monday, April 11, 2011 5:13 PM To: Grana, Rachel Subject: FW: Dr. Whitt of CASSA Importance: High

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

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and

From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov] Sent: Monday, April 11, 2011 3:30 PM To: Centers, Irene (CHFS HPB-Health Promotions); Beauchamp, Jan (CHFS HPB-Health Promotions); Brown, Cynthia G (LHD-Bullitt Co); Crewe, Nancy M (LHD-Madison Co); Green, Christie L (LHD-Madison Co); Hahn, Ellen J; Riker, Carol A Subject: FW: Dr. Whitt of CASSA Importance: High

Take a look @ the link below. Dr. Whitt (Medical Director w/ CASAA) has been quoted in several local stories.

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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/

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From: Hawkins, Ruth R (LHD-Madison Co) Sent: Monday, April 11, 2011 3:21 PM To: Owens, Kelly S (LHD - Madison Co) Subject: Dr. Whitt of CASSA

http://www.prlog.org/10505345-former-smokers-create-nonprofit-association.pdf Kelly, Thought you may wish to share this link with Ellen & Carol. Thanks, Ruth
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

file:///C|/...p/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20Dr.%20Whitt%20of%20CASSA%203 html[8/19/2011 2:31:11 AM]

From: Sent: To: Subject:

Grana, Rachel <Rachel.Grana@ucsf.edu> Wednesday, April 13, 2011 4:54 PM Hahn, Ellen J RE: Dr. Whitt of CASSA

Hi Ellen, I looked into this and I noticed the origination on the letter is PR Log. I looked them up and it appears that PR Log is a company that does press releases as a business. This is their site. www.prlog.com. Therefore I think the CASAA representatives wrote this and had it put out as a paid press release. If the local news is covering it as a story that is very interesting. What do you think? Thanks, Rachel

From: Hahn, Ellen J [mailto:ejhahn00@email.uky.edu] Sent: Monday, April 11, 2011 5:13 PM To: Grana, Rachel Subject: FW: Dr. Whitt of CASSA Importance: High

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 50_CoN_celebrate_date_oop-email

and

From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov] Sent: Monday, April 11, 2011 3:30 PM To: Centers, Irene (CHFS HPB-Health Promotions); Beauchamp, Jan (CHFS HPB-Health Promotions); Brown, Cynthia G (LHD-Bullitt Co); Crewe, Nancy M (LHD-Madison Co); Green, Christie L (LHD-Madison Co); Hahn, Ellen J; Riker, Carol A Subject: FW: Dr. Whitt of CASSA Importance: High

file:///C|/...p/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20Dr.%20Whitt%20of%20CASSA%205 html[8/19/2011 2:31:13 AM]

Take a look @ the link below. Dr. Whitt (Medical Director w/ CASAA) has been quoted in several local stories.

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/

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From: Hawkins, Ruth R (LHD-Madison Co) Sent: Monday, April 11, 2011 3:21 PM To: Owens, Kelly S (LHD - Madison Co) Subject: Dr. Whitt of CASSA

http://www.prlog.org/10505345-former-smokers-create-nonprofit-association.pdf Kelly, Thought you may wish to share this link with Ellen & Carol. Thanks, Ruth
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

file:///C|/...p/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20Dr.%20Whitt%20of%20CASSA%205 html[8/19/2011 2:31:13 AM]

From: Sent: To: Subject: Follow Up Flag: Flag Status:

Hahn, Ellen J Tuesday, December 07, 2010 6:52 AM Owens, Kelly S (LHD - Madison Co); Riker, Carol A; Johnson, John D RE: E cigarette / Clean Air Help Follow up Flagged

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 e-cigarettes 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 and Facebook ! 50_CoN_celebrate_date_oop-email

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


file:///C|/...lts/University%20of%20KY/disc%201/Conley%20request%201/RE%20E%20cigarette%20%20Clean%20Air%20Help%202.html[8/19/2011 2:31:14 AM]

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

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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/
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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

file:///C|/...lts/University%20of%20KY/disc%201/Conley%20request%201/RE%20E%20cigarette%20%20Clean%20Air%20Help%202.html[8/19/2011 2:31:14 AM]

Monty R. Pennington Penbrandt Prehistoric Artifacts http://www.penbrandt.com

----- Original Message ----From: Thomas Kiklas inLife Media To: Information @ 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 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 e-cig and best of luck. Thomas R. Kiklas Director of Media inLife 949-250-9600 x108

file:///C|/...lts/University%20of%20KY/disc%201/Conley%20request%201/RE%20E%20cigarette%20%20Clean%20Air%20Help%202.html[8/19/2011 2:31:14 AM]

From: Sent: To: Subject:

Hahn, Ellen J Tuesday, December 07, 2010 6:46 AM Owens, Kelly S (LHD - Madison Co); Riker, Carol A; Johnson, John D 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 and Facebook ! 50_CoN_celebrate_date_oop-email

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 weeks BOH. J

Kelly S. Owens, MPH, CHES


file:///C|/...lts/University%20of%20KY/disc%201/Conley%20request%201/RE%20E%20cigarette%20%20Clean%20Air%20Help%203.html[8/19/2011 2:31:15 AM]

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/

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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/
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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,

file:///C|/...lts/University%20of%20KY/disc%201/Conley%20request%201/RE%20E%20cigarette%20%20Clean%20Air%20Help%203.html[8/19/2011 2:31:15 AM]

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 To: Information @ 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 e-cigarettes 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 www.smokersonly.org http://rodutobaccotruth.blogspot.com

file:///C|/...lts/University%20of%20KY/disc%201/Conley%20request%201/RE%20E%20cigarette%20%20Clean%20Air%20Help%203.html[8/19/2011 2:31:15 AM]

From: Sent: To: Subject:

Hahn, Ellen J Tuesday, December 07, 2010 6:56 AM Owens, Kelly S (LHD - Madison Co); Riker, Carol A; Johnson, John D 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 and Facebook ! 50_CoN_celebrate_date_oop-email

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

file:///C|/.../Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20E%20cigarette%20%20Clean%20Air%20Help.html[8/19/2011 2:31:16 AM]

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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 youre 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 cant 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

file:///C|/.../Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20E%20cigarette%20%20Clean%20Air%20Help html[8/19/2011 2:31:16 AM]

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 E-cigs. 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

file:///C|/.../Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20E%20cigarette%20%20Clean%20Air%20Help html[8/19/2011 2:31:16 AM]

From: Sent: To: Cc: Subject:

Hahn, Ellen J Tuesday, February 01, 2011 5:40 AM Jodi Mitchell Darville, Audrey K; jredmond@kycancerc.org RE: E cigarettes

Great, Jody. Kysmokefree just posted a tweet with this linkJ 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 and Facebook ! 50_CoN_celebrate_date_oop-email

From: Jodi Mitchell [mailto:KVHexec@kyvoicesforhealth.org] Sent: Monday, January 31, 2011 11:08 AM To: Hahn, Ellen J Cc: Darville, Audrey K; jredmond@kycancerc.org Subject: RE: E cigarettes

I shortened this for the weekly update but it has been posted as a news story on the KVH web page. http://kyvoicesforhealth.com/news.php
Jodi Mitchell Executive Director Kentucky Voices for Health Phone: 502-552-1406 Fax: 502-690-3555 Email: KVHexec@kyvoicesforhealth.org www.kyvoicesforhealth.org

KVH Logo.jpg

Building a healthy Kentucky together!

file:///C|/...gory%20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20E%20cigarettes.html[8/19/2011 2:31:18 AM]

From: Hahn, Ellen J [mailto:ejhahn00@email.uky.edu] Sent: Thursday, January 27, 2011 9:48 AM To: Jodi Mitchell Cc: Darville, Audrey K; jredmond@kycancerc.org Subject: RE: E cigarettes

Jodi, Here is the e cigs piece. Audrey wrote it and I edited. I hope it isnt too long. Thanks so much for helping us get the word out. Jennifer, is this something you might also want to share with the KCC group? 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 and Facebook ! 50_CoN_celebrate_date_oop-email

From: Jodi Mitchell [mailto:KVHexec@kyvoicesforhealth.org] Sent: Friday, January 21, 2011 11:43 AM To: Hahn, Ellen J Subject: RE: E cigarettes

HA! In the next two hours for todays update or I can wait until next Friday.
Jodi Mitchell Executive Director Kentucky Voices for Health Phone: 502-552-1406 Fax: 502-690-3555 Email: KVHexec@kyvoicesforhealth.org www.kyvoicesforhealth.org

file:///C|/...gory%20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20E%20cigarettes.html[8/19/2011 2:31:18 AM]

KVH Logo.jpg

Building a healthy Kentucky together!

From: Hahn, Ellen J [mailto:ejhahn00@email.uky.edu] Sent: Friday, January 21, 2011 11:22 AM To: Jodi Mitchell Cc: Riker, Carol A; Darville, Audrey K Subject: RE: E cigarettes

Sure, Jody. When do you need it? 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 and Facebook ! 50_CoN_celebrate_date_oop-email

From: Jodi Mitchell [mailto:KVHexec@kyvoicesforhealth.org] Sent: Friday, January 21, 2011 10:40 AM To: Hahn, Ellen J Subject: RE: E cigarettes

Ellen, I would love to include a little blurb about the rise in e-cigs in the KVH Weekly Update. Is there someone there that could draft a paragraph or two identify the issue and concern and then I can attach your fact sheet to the email for more information? Thanks.

file:///C|/...gory%20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20E%20cigarettes.html[8/19/2011 2:31:18 AM]

Jodi Mitchell Executive Director Kentucky Voices for Health Phone: 502-552-1406 Fax: 502-690-3555 Email: KVHexec@kyvoicesforhealth.org www.kyvoicesforhealth.org

KVH Logo.jpg

Building a healthy Kentucky together!

From: Hahn, Ellen J [mailto:ejhahn00@email.uky.edu] Sent: Friday, January 21, 2011 8:03 AM To: Darville, Audrey K; Jodi Mitchell; 'Amy Barkley'; 'Tonya Chang'; 'Betsy Janes'; James.sharp@cancer.org; steve@bkpublicaffairs.com Subject: E cigarettes

Thanks, Audrey. Brief update on the e cigarette issue. WEKU is planning a feature story in the near future on e-cigarettes given the dramatic increase in marketing since the judges ruling. I am attaching our fact sheet on e-cigarettes that I ask that you send to your groups as information. Also, Madison County HD has a proposed amendment to their clean indoor air regulation to cover e-cigs, and Bardstown and Glasgows ordinances also cover e-cigs. 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 and Facebook ! 50_CoN_celebrate_date_oop-email

From: Darville, Audrey K

file:///C|/...gory%20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20E%20cigarettes.html[8/19/2011 2:31:18 AM]

Sent: Thursday, January 20, 2011 10:39 AM To: Jodi Mitchell; 'Amy Barkley'; 'Tonya Chang'; 'Betsy Janes'; James.sharp@cancer.org; steve@bkpublicaffairs.com Cc: Hahn, Ellen J Subject: RE: Medicaid cessation provider guide

All, Ive certainly seen more e-cigarettes here at UK since the FDA ruling was overturned (our policy does not allow them to be used). From my perspective, it seems that marketing continues to push the idea that these are cessation products when in fact they are not and from my understanding of the decision in the FDA case, they are still not allowed to make any claims regarding cessation. However personal testimonials are everywhere; typical of tobacco industry tactics to muddy the waters Regarding the Medicaid cessation benefit, Lee Barnard contacted me regarding a change in the regulation as its gone from emergency to ordinary status. Medicaid is not to authorize a first refill for a new beneficiary unless 1) the provider form has been received with the recipients signature (Ive attached a copy in case you havent seen it) AND 2) the recipients enrollment in the program has been verified by Medicaid. Needless to say, Im very concerned that treatment will be interrupted by the logistics of this change. Audrey Audrey Darville, APRN, CTTS, PhD candidate Certified Tobacco Treatment Specialist 50_CoN_celebrate_date_oop-email

UKHealthCare University of Kentucky 450 F College of Nursing Lexington, KY 40536-0284 859-323-4222 audrey.darville@uky.edu
From: Jodi Mitchell [mailto:KVHexec@kyvoicesforhealth.org] Sent: Thursday, January 20, 2011 10:15 AM To: 'Amy Barkley'; 'Tonya Chang'; 'Betsy Janes'; James.sharp@cancer.org; steve@bkpublicaffairs.com; Darville, Audrey K Subject: RE: Medicaid cessation provider guide

I was at the Green River Health Dept yesterday and sat in on a meeting of the Green River Heart Disease & Stroke Prevention Regional Partnership and this provider guide was referenced during a Smoke Free Communities update. (Rebecca Horn & Rich Nading from GRDHD) Rich indicated that they would be circulating this widely. I also mentioned the Heart/Stroke Cure Day at the Capitol and gave a brief update on HB 193. There was a concern raised about e-cigarettes and one hospital in the district was allowing them in the context of their smoke free ordinances. They were also referred to as a cessation product and there was some dialogue that followed indicating concerns with that approach. I encouraged those attending to sign up for the Smoke Free Kentucky Coalition to get updates.
Jodi Mitchell
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Executive Director Kentucky Voices for Health Phone: 502-552-1406 Fax: 502-690-3555 Email: KVHexec@kyvoicesforhealth.org www.kyvoicesforhealth.org

KVH Logo.jpg

Building a healthy Kentucky together!

From: Amy Barkley [mailto:ABarkley@TobaccoFreeKids.org] Sent: Wednesday, January 19, 2011 9:16 PM To: Tonya Chang; Betsy Janes; James.sharp@cancer.org; Jodi Mitchell; steve@bkpublicaffairs.com; 'Darville, Audrey K' Subject: Medicaid cessation provider guide

FYI. This is the first Ive seen of this. Havent even had a chance to review but assume some of you were involved in this! Feel free to share with others! I will probably send it to the full group.
From: tobacco_prevention [mailto:tobacco_prevention@listserv.ky.gov] Sent: Wednesday, January 19, 2011 9:05 AM To: tobacco_prevention Cc: tobacco_prevention@listserv.ky.gov Subject: Special Edition Monday Memo

I have attached the updated Provider Reference Guide for the Medicaid tobacco cessation benefit. This is currently on its way to the printer. I suspect it will take two to three weeks before it begins arriving at providers offices. You may want to print some out to give your clients.

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From: Sent: To: Subject:


Kelly et al,

Riker, Carol A Friday, April 08, 2011 9:53 AM Owens, Kelly S (LHD - Madison Co); Hahn, Ellen J; Robertson, Heather E; michael.ballard@eku.edu RE: E-Cig Ban

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 ecigarettes 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/

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

P Please consider the environment before printing this e-mail

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

file:///C|/...egory%20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20E-Cig%20Ban html[8/19/2011 2:31:19 AM]

Richmond, KY 40476-1208 859-623-7312 cell 859-661-0853 "...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.

www.madisoncountyhealthdept.org

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 injudgment 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!

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disserv@eku.edu

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From: Sent: To: Cc: Subject:

Mundy, Monica E Thursday, February 17, 2011 12:07 PM rebecca.horn@grdhd.org Hahn, Ellen J; Riker, Carol A; Wagner, Kristian K; Kercsmar, Sarah; Johnson, John D RE: E-Cig Language in Ord

I am glad that a fiscal court member wants to address e-cigs but as you know, strengthening the current ordinance to protect all workers is the best option. Whats the name of the fiscal court member interested in including e-cigs? Was he on the fiscal court when the Daviess countys ordinance first passed? Do you consider him to be a friend? When did he mention repealing the current ordinance? This morning a KCSP update went out regarding Campbell County (I have attached the update below for your reference). Last night, there fiscal court repealed there SF ordinance. I just wonder if that had any influence on the way he is thinking about changing the current ordinance. Are you going to meet with the fiscal court members individually? Does the coalition have any sense of where the fiscal court members stand? Has the Daviess County coalition meet recently? I am sorry for all the questions I know you may not know the answers to all of them yet. I am just trying to get a sense of whats going on and if there is anything we can do to help! I know your email has changed and I will make sure we get your new email on the partner list. I would also encourage you to sign up on www.smokefreekentucky.com with your new email. Thanks, Monica

From: Rebecca Horn [mailto:rebecca.horn@grdhd.org] Sent: Thursday, February 17, 2011 11:41 AM To: Mundy, Monica E Subject: RE: E-Cig Language in Ord Daviess County. He is thinking about repealing and creating a new ordinance to include e-cigs. I will have to meet with the commission to discuss the issue which is good, because I am planning on meeting with them in the next month or 2 to assess where they stand on strengthening the current ordinance anyway. Can you send me Mr, Johnsons (is that his name?). e-mail ? I lost some of my contacts in the e-mail switch.

Rebecca Horn Tobacco Control Coordinator Green River District Health 1501 Breckenridge Street

Owensboro, KY 42303
Phone: 270-852-5486 Fax: 270-926-9862

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Click here to check us out on

http://www.facebook.com/pages/Tobacco-Control-Coalition-for-the-Green-River-District/131726056857439?ref=sgm
*This message and any attachment may contain PRIVILEGED AND CONFIDENTIAL INFORMATION intended for the use of the above addressee. If you are not the intended recipient, you are hereby notified that any dissemination or copying of this message or any attachment is strictly prohibited and should be deleted from your system. If you received this message in error, please notify the sender at the Green River District Health Department: 270-686-7747 or fax at 270-926-9862.

From: Mundy, Monica E [mailto:monica.mundy@uky.edu] Sent: Thursday, February 17, 2011 10:41 AM To: rebecca.horn@grdhd.org Subject: RE: E-Cig Language in Ord

Could you give me a little background. Who is asking for the ordinance? Are they planning on drafting something? Bardstown ordinance is located on our website http://www.mc.uky.edu/tobaccopolicy/Ordinances/ActualOrdinances/Bardstown.pdf . Be sure to include the findings and intent also since it is a part of the ordinance.
From: Rebecca Horn [mailto:rebecca.horn@grdhd.org] Sent: Thursday, February 17, 2011 11:29 AM To: Mundy, Monica E Subject: RE: E-Cig Language in Ord I will need both. He specifically asked for a KY ordinance.

Rebecca Horn Tobacco Control Coordinator Green River District Health 1501 Breckenridge Street

Owensboro, KY 42303
Phone: 270-852-5486 Fax: 270-926-9862

Click here to check us out on

http://www.facebook.com/pages/Tobacco-Control-Coalition-for-the-Green-River-District/131726056857439?ref=sgm
*This message and any attachment may contain PRIVILEGED AND CONFIDENTIAL INFORMATION intended for the use of the above addressee. If you are not the intended recipient, you are hereby notified that any dissemination or copying of this message or any attachment is strictly prohibited and should be deleted from your system. If you received this message in error, please notify the sender at the Green River District Health Department: 270-686-7747 or fax at 270-926-9862.

From: Mundy, Monica E [mailto:monica.mundy@uky.edu] Sent: Thursday, February 17, 2011 10:27 AM To: rebecca.horn@grdhd.org Subject: E-Cig Language in Ord

Hi Becky, The only model ordinance to my knowledge is from ANR and it does contain language for E-cigarettes http://www.nosmoke.org/document.php?id=229 . If you are looking for a local ordinance then Bardstowns ordinance does contain ecigarette language ( it was taken from the model ordinance). If you are going to share this information with elected officials, I would encourage you to share the model ordinance first. Since each local ordinance is different, the model ordinance will
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provide the best language for all parts of the ordinance. Is this what you where looking for? Thanks, Monica
From: Rebecca Horn [mailto:rebecca.horn@grdhd.org] Sent: Thursday, February 17, 2011 11:14 AM To: Mundy, Monica E Subject: Do you have a model ordinance from KY that includes language on e-cigarettes??

Rebecca Horn Tobacco Control Coordinator Green River District Health 1501 Breckenridge Street

Owensboro, KY 42303
Phone: 270-852-5486 Fax: 270-926-9862

Click here to check us out on

http://www.facebook.com/pages/Tobacco-Control-Coalition-for-the-Green-River-District/131726056857439?ref=sgm
*This message and any attachment may contain PRIVILEGED AND CONFIDENTIAL INFORMATION intended for the use of the above addressee. If you are not the intended recipient, you are hereby notified that any dissemination or copying of this message or any attachment is strictly prohibited and should be deleted from your system. If you received this message in error, please notify the sender at the Green River District Health Department: 270-686-7747 or fax at 270-926-9862.

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From: Hahn, Ellen J Sent: Monday, April 04, 2011 6:20 PM To: jbanzhaf@ash.org Cc: Riker, Carol A; Johnson, John D Subject: RE: E-Cigarette Crackdown, How You Can Help Hi, John, I am writing to see what you know about The Consumer Advocates for Smoke-free Alternatives Association (CASAA). They have been very aggressive in opposing e-cigarette regulation in Kentucky. One of our Boards of Health is planning to strengthen their smoke-free workplace regulation to include e-cigarettes. Below please find an email that Elaine Keller, VP of CASAA, sent to the Board of Health. Their tactics remind me of the very familiar tobacco industry's tactics, and I am wondering if this is really a trade group for the e-cig companies. They actually took a fact sheet that we developed and replaced the information with their views. We are interested in any information you might have on this group. Thanks, John! Ellen _____________________________________________ 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 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. The document E-cigarettes and Smoke-free Policies posted on the Madison County Health Department web site (http://www.madisoncountyhealthdept.org/Documents/Community/Onepager%20e-cigarettes%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
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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 meta-analysis. 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.ajpmonline.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 e-cigarette 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?

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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 (703) 244-8692 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

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-----Original Message----From: Law Prof John Banzhaf, GWU & ASH [mailto:jbanzhaf@ash.org] Sent: Tuesday, July 28, 2009 2:23 PM Subject: E-Cigarette Crackdown, How You Can Help Dear Tobacco Control/Antismoking Colleagues: I write to be sure you are aware of an important breakthrough regarding e-cigarettes, and to suggest how you can help ensure further progress. Last week the FDA moved a significant step closer to clearly asserting jurisdiction over e-cigarettes in a major announcement regarding some recent tests. The agency announced, apparently in response to my scheduled appearance on the NBC-TV Nightly News, that it would be taking "additional activities to address its concerns about these products." It now classifies e-cigarettes as a "drug device combinations . . . subject to regulation and enforcement." http://www.healthnews-stat.com/?id=1355&keys=ecigarette-Banzhaf-FDA However, since the products remain on the market and continue to pose potential dangers to their users and to nonsmokers in their presence, I would like to suggest that you join ASH and many other health organizations in contacting the FDA about this problem and urging action. Here are just some potential dangers: 1. Current smokers who would otherwise be persuaded to quit -- by health warnings, restrictions on public and workplace smoking, etc. -- may instead switch to e-cigarettes; a move which may reduce their overall health risks, but is a course of action still far more dangerous than quitting. 2. Current smokers at elevated risk for cardiovascular problems may switch to e-cigarettes, thinking that they are far safer. But actually any decrease in health risk relates to cancer (since ecigarettes reportedly contain far fewer carcinogens), and not to cardiovascular problems (of which nicotine is the main culprit). 3. E-cigarettes may be less likely to reduce nicotine dependence than other nicotine replacement products because the almost-instantaneous absorption of nicotine through the lungs is more likely to provide the nicotine "kick" or "high" addicted smokers crave than other methods where the absorption is much more gradual. 4. Those in the vicinity of e-cigarette users -- including infants breastfeeding and in arms, other young children, the elderly and others at higher risk -- will be forced to inhale a mixture of nicotine (a deadly poison) and propylene glycol; the health consequences of which are not known. That's why Matthew McKenna, MD, director, of the CDC's Office of Smoking and Health, warned that ecigarettes can be used in smoke-free environments and thus weaken the health benefits of antismoking efforts. 5. E-cigarettes -- especially those sold with flavors -- may serve as training wheels for youngsters still too young to smoke, but not too young to become addicted to nicotine, and to becoming accustomed to the gestures and mannerisms of smokers. Being able to imitate teenagers who smoke, while avoiding the smell of real smoking, may be tempting to young children; a temptation apparently not present with nicotine gum, patches, sprays, etc. Indeed, Jonathan Winickoff, MD, Chairman of the American Academy of Pediatrics Tobacco Consortium, warned that the products seem "tailor-made to appeal to kids." He said the devices could addict kids to nicotine and turn them into smokers. 6. Regardless of the safety of any particular e-cigarette, the danger of the FDA's failure to take decisive action is that it can open the door to many other nicotine-delivery products which may be even more dangerous, and as to which smokers will serve as guinea pigs. All other nicotine delivery products are regulated by the FDA, and must contain warnings. Some still require prescriptions. FOR MORE INFO ON THE DANGERS AND THE LEGAL SITUATION, SEE ASH's LEGAL PETITION TO THE FDA: http://ash.org/ecigpetition
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That's why ASH urges you and your organization to write to the following officials to ask them to take action regarding e-cigarettes. * Margaret A. Hamburg, M.D., Commissioner, FDA * Joshua Sharfstein, M.D., Principal Deputy Commissioner of the FDA * Attorney Michael Levy, Director of the FDA's Office of Compliance in the Division of Drug Evaluation and Research If you do write to the FDA, please be so kind as to email me a copy. You may feel free to make use of as much or as little of ASH's materials and arguments as you wish, with or without attribution. Below are some sites which provide additional information and more links which you might find helpful. Thank you! SUMMARY OF FDA ANALYSIS OF E-CIGARETTES http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm173146.htm COMPLETE FDA ANALYSIS OF E-CIGARETTES http://www.fda.gov/downloads/Drugs/ScienceResearch/UCM173250.pdf FDA IGNORES MAJOR DANGERS OF E-CIGARETTES // PR BLITZ PROMPTED BY NBC-TV REPORT THAT EVENING http://www.pr-inside.com/fda-ignores-major-dangers-of-e-cigarettes-r1406736.htm LOS ANGELES TIMES - FDA: ELECTRONIC CIGARETTES ARE A NO-NO http://latimesblogs.latimes.com/booster_shots/2009/07/fda-electronic-cigarettes-are-a-nono.html E-CIGARETTE CRITICS ACCUSED OF "LIBEL" AND "SLANDER" // BUT FDA IS ALREADY ASSERTING JURISDICTION OVER PRODUCT http://www.pr-inside.com/e-cigarette-critics-accused-of-libel-and-r1402964.htm ASH'S LEAD FOLLOWED; BILL BANS E-CIG USE IN NO-SMOKING SECTIONS http://www.legislatorcooper.com/pressrelease_259.html FDA BEGINS REGULATING E-CIGARETTES AS DRUG-DELIVERY DEVICES // ASH'S LEGAL PETITION SPURS/EXPLAINS ACTION http://www.pr-inside.com/fda-begins-regulating-e-cigarettes-as-r1262323.htm ASH SEEKS REGULATION OF E-CIGARETTES - COPY OF PETITION http://ash.org/ecigpetition FOUR NEW DANGERS TO NONSMOKERS - INCLUDING E-CIGARETTES http://ash.org/4dangers.html PROFESSOR JOHN F. BANZHAF III Professor of Public Interest Law and Executive Director Action on Smoking and Health (ASH) 2013 H Street, NW, Washington, DC 20006, USA (202) 659-4310 // (703) 527-8418 // ash.org

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From: Hahn, Ellen J Sent: Monday, April 04, 2011 6:20 PM To: jbanzhaf@ash.org Cc: Riker, Carol A; Johnson, John D Subject: RE: E-Cigarette Crackdown, How You Can Help Hi, John, I am writing to see what you know about The Consumer Advocates for Smoke-free Alternatives Association (CASAA). They have been very aggressive in opposing e-cigarette regulation in Kentucky. One of our Boards of Health is planning to strengthen their smoke-free workplace regulation to include e-cigarettes. Below please find an email that Elaine Keller, VP of CASAA, sent to the Board of Health. Their tactics remind me of the very familiar tobacco industry's tactics, and I am wondering if this is really a trade group for the e-cig companies. They actually took a fact sheet that we developed and replaced the information with their views. We are interested in any information you might have on this group. Thanks, John! Ellen _____________________________________________ 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 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. The document E-cigarettes and Smoke-free Policies posted on the Madison County Health Department web site (http://www.madisoncountyhealthdept.org/Documents/Community/Onepager%20e-cigarettes%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
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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 meta-analysis. 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.ajpmonline.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 e-cigarette 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?

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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 (703) 244-8692 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

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-----Original Message----From: Law Prof John Banzhaf, GWU & ASH [mailto:jbanzhaf@ash.org] Sent: Tuesday, July 28, 2009 2:23 PM Subject: E-Cigarette Crackdown, How You Can Help Dear Tobacco Control/Antismoking Colleagues: I write to be sure you are aware of an important breakthrough regarding e-cigarettes, and to suggest how you can help ensure further progress. Last week the FDA moved a significant step closer to clearly asserting jurisdiction over e-cigarettes in a major announcement regarding some recent tests. The agency announced, apparently in response to my scheduled appearance on the NBC-TV Nightly News, that it would be taking "additional activities to address its concerns about these products." It now classifies e-cigarettes as a "drug device combinations . . . subject to regulation and enforcement." http://www.healthnews-stat.com/?id=1355&keys=ecigarette-Banzhaf-FDA However, since the products remain on the market and continue to pose potential dangers to their users and to nonsmokers in their presence, I would like to suggest that you join ASH and many other health organizations in contacting the FDA about this problem and urging action. Here are just some potential dangers: 1. Current smokers who would otherwise be persuaded to quit -- by health warnings, restrictions on public and workplace smoking, etc. -- may instead switch to e-cigarettes; a move which may reduce their overall health risks, but is a course of action still far more dangerous than quitting. 2. Current smokers at elevated risk for cardiovascular problems may switch to e-cigarettes, thinking that they are far safer. But actually any decrease in health risk relates to cancer (since ecigarettes reportedly contain far fewer carcinogens), and not to cardiovascular problems (of which nicotine is the main culprit). 3. E-cigarettes may be less likely to reduce nicotine dependence than other nicotine replacement products because the almost-instantaneous absorption of nicotine through the lungs is more likely to provide the nicotine "kick" or "high" addicted smokers crave than other methods where the absorption is much more gradual. 4. Those in the vicinity of e-cigarette users -- including infants breastfeeding and in arms, other young children, the elderly and others at higher risk -- will be forced to inhale a mixture of nicotine (a deadly poison) and propylene glycol; the health consequences of which are not known. That's why Matthew McKenna, MD, director, of the CDC's Office of Smoking and Health, warned that ecigarettes can be used in smoke-free environments and thus weaken the health benefits of antismoking efforts. 5. E-cigarettes -- especially those sold with flavors -- may serve as training wheels for youngsters still too young to smoke, but not too young to become addicted to nicotine, and to becoming accustomed to the gestures and mannerisms of smokers. Being able to imitate teenagers who smoke, while avoiding the smell of real smoking, may be tempting to young children; a temptation apparently not present with nicotine gum, patches, sprays, etc. Indeed, Jonathan Winickoff, MD, Chairman of the American Academy of Pediatrics Tobacco Consortium, warned that the products seem "tailor-made to appeal to kids." He said the devices could addict kids to nicotine and turn them into smokers. 6. Regardless of the safety of any particular e-cigarette, the danger of the FDA's failure to take decisive action is that it can open the door to many other nicotine-delivery products which may be even more dangerous, and as to which smokers will serve as guinea pigs. All other nicotine delivery products are regulated by the FDA, and must contain warnings. Some still require prescriptions. FOR MORE INFO ON THE DANGERS AND THE LEGAL SITUATION, SEE ASH's LEGAL PETITION TO THE FDA: http://ash.org/ecigpetition
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That's why ASH urges you and your organization to write to the following officials to ask them to take action regarding e-cigarettes. * Margaret A. Hamburg, M.D., Commissioner, FDA * Joshua Sharfstein, M.D., Principal Deputy Commissioner of the FDA * Attorney Michael Levy, Director of the FDA's Office of Compliance in the Division of Drug Evaluation and Research If you do write to the FDA, please be so kind as to email me a copy. You may feel free to make use of as much or as little of ASH's materials and arguments as you wish, with or without attribution. Below are some sites which provide additional information and more links which you might find helpful. Thank you! SUMMARY OF FDA ANALYSIS OF E-CIGARETTES http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm173146.htm COMPLETE FDA ANALYSIS OF E-CIGARETTES http://www.fda.gov/downloads/Drugs/ScienceResearch/UCM173250.pdf FDA IGNORES MAJOR DANGERS OF E-CIGARETTES // PR BLITZ PROMPTED BY NBC-TV REPORT THAT EVENING http://www.pr-inside.com/fda-ignores-major-dangers-of-e-cigarettes-r1406736.htm LOS ANGELES TIMES - FDA: ELECTRONIC CIGARETTES ARE A NO-NO http://latimesblogs.latimes.com/booster_shots/2009/07/fda-electronic-cigarettes-are-a-nono.html E-CIGARETTE CRITICS ACCUSED OF "LIBEL" AND "SLANDER" // BUT FDA IS ALREADY ASSERTING JURISDICTION OVER PRODUCT http://www.pr-inside.com/e-cigarette-critics-accused-of-libel-and-r1402964.htm ASH'S LEAD FOLLOWED; BILL BANS E-CIG USE IN NO-SMOKING SECTIONS http://www.legislatorcooper.com/pressrelease_259.html FDA BEGINS REGULATING E-CIGARETTES AS DRUG-DELIVERY DEVICES // ASH'S LEGAL PETITION SPURS/EXPLAINS ACTION http://www.pr-inside.com/fda-begins-regulating-e-cigarettes-as-r1262323.htm ASH SEEKS REGULATION OF E-CIGARETTES - COPY OF PETITION http://ash.org/ecigpetition FOUR NEW DANGERS TO NONSMOKERS - INCLUDING E-CIGARETTES http://ash.org/4dangers.html PROFESSOR JOHN F. BANZHAF III Professor of Public Interest Law and Executive Director Action on Smoking and Health (ASH) 2013 H Street, NW, Washington, DC 20006, USA (202) 659-4310 // (703) 527-8418 // ash.org

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From: Sent: To: Cc: Subject:

Owens, Kelly S (LHD - Madison Co) <KellyS.Owens@ky.gov> Monday, April 18, 2011 8:29 AM John Johnstone Hawkins, Ruth R (LHD-Madison Co); Riker, Carol A 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/

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
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Sent from my iPhone On Apr 15, 2011, at 9:14 AM, "Owens, Kelly S (LHD - Madison Co)" <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> 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)

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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.

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From: Sent: To: Subject:

Darville, Audrey K Wednesday, December 29, 2010 12:56 PM karma Cassidy; ejhahn@email.uky.edu; Robertson, Heather E; Riker, Carol A; 'Lisa Maggio'; 'Brumley-Shelton, Angela (LHD - Lexington-Fayette Co.)' RE: E-Cigarettes

I thought this was an interesting concept, but one that is probably easier to propose in a controlled state. With the current shift in political climate here and renewed focus on a free market economy, I just dont see this as do-able in the US. Also, Big Tobacco probably owns too much of our powerful legislators at the moment to even have an idea like this considered. Happy New Year All. Stay safe! Audrey
From: karma Cassidy [mailto:kbcass@insightbb.com] Sent: Wednesday, December 29, 2010 11:57 AM To: ejhahn@email.uky.edu; Darville, Audrey K; Robertson, Heather E; Riker, Carol A; 'Lisa Maggio'; 'Brumley-Shelton, Angela (LHD Lexington-Fayette Co.)' Subject: FW: E-Cigarettes Dear all, Happy New Year Im curious to hear what you think about the idea of phase out of cigarettes proposed by Singapore researchers published in tobacco control. Instead of complete bans which are politically difficult, they propose an immediate total ban for persons born after a defined date, no starting when people reach adulthood, theoretically without as much stake holder burden as bans in public places entail and so in 50 years there wont be any smokers,. Seems to make a lot of sense. Im forwarding email from ATTUD list serve in which Karl Fagerstrom responded to dialogue about e-cigarettes. Heres the link to article in case you havent seen it: http://tobaccocontrol.bmj.com/content/19/5/355.full . Karma From: attud [mailto:ATTUD@LISTS.UMDNJ.EDU] On Behalf Of Karl-Olov Fagerstrm Sent: Tuesday, December 28, 2010 10:27 AM To: ATTUD@LISTS.UMDNJ.EDU Subject: E-Cigarettes

Dear Sam. Quite often I hear that E-cig should be banned. Maybe that could be an idea in some very distant future. What needs to be banned now is the traditional cigarettes which most likely are 10 if not hundred times as dangerous. The way to do this is to phase them out over some 50 years time. There is an excellent article published on this in Tobacco Control http://tobaccocontrol.bmj.com/content/19/5/355.full According to the method suggested and which has public approval in Singapore no one need to stop unless they want. It simply stops the influx of new smokers. Good luck with your interview. Karl Fagerstrom

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Frn: attud [mailto:ATTUD@LISTS.UMDNJ.EDU] Fr Sam Connon Skickat: den 28 december 2010 15:29 Till: ATTUD@LISTS.UMDNJ.EDU mne: E-Cigarettes

Good Morning: I am to speak to our local newspaper today about the E-Cigarette. Are there any suggestions of what the main focus should be on my part in discussing this topic? Thank you. Have a safe 2011. Sam Connon; BS, C-TTS, AE-C Michigan Cardiovascular Institute 1015 South Washington Avenue Saginaw, Michigan 48601 sconnon@mcvi.com 989-754-3000 --------------------------------------------------------------------------------------------------You are receiving this message because you are part of The Association for the Treatment of Tobacco Use and Dependence (ATTUD) Listserv. To send a message to the list, send the email to ATTUD@LISTS.UMDNJ.EDU. To leave the list, send a "SIGNOFF ATTUD" command to LISTSERV@LISTS.UMDNJ.EDU. This listserv is not moderated. Unless specifically stated, messages posted on this listserv represent only the views of the individuals posting the messages, and ATTUD does not endorse the accuracy of any "statements." -------------------------------------------------------------------------------------------------You are receiving this message because you are part of The Association for the Treatment of Tobacco Use and Dependence (ATTUD) Listserv. To send a message to the list, send the email to ATTUD@LISTS.UMDNJ.EDU. To leave the list, send a "SIGNOFF ATTUD" command to LISTSERV@LISTS.UMDNJ.EDU. This listserv is not moderated. Unless specifically stated, messages posted on this listserv represent only the views of the individuals posting the messages, and ATTUD does not endorse the accuracy of any "statements."

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E-cigarettes in Madison

From: Sent: To: Cc: Subject:


Hi Greg,

Riker, Carol A Wednesday, April 06, 2011 11:29 AM Kocher, Charles (Greg) - Lexington Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E RE: E-cigarettes in Madison

The ordinances and regulations that have been passed lately cover e-cigarettes, including Bardstown, Glasgow, and the recently passed Bullitt County Board of Health regulation. http://www.mc.uky.edu/tobaccopolicy/Ordinances/Smoke-freeOrdinances.HTM Hope this is helpful, Carol Riker 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 CON 50 yrs logo

and

From: Kocher, Charles (Greg) - Lexington [mailto:gkocher1@herald-leader.com] Sent: Wednesday, April 06, 2011 11:09 AM

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E-cigarettes in Madison

To: Riker, Carol A Cc: Kocher, Charles (Greg) - Lexington Subject: E-cigarettes in Madison

Greg Kocher at the Herald-Leader here with a question: If the Madison County board of health votes tonight to include "e-cigarettes" in its 2007 indoor air quality regulation, would they be the first community in Kentucky to do so?

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From: Sent: To: Subject:

O'malley, Gail A Monday, August 02, 2010 10:14 AM Hahn, Ellen J RE: E-Cigarettes: New Potential Dangers and a New Ban

This article hasnt been published yet so I cant interlibrary loan it. You can purchase it if you wish from the publisher for $32 or keep this citation and check back in a few months to see if its been published. Its not in the August issue so it will probably be published sometime later this year. UK does not have access to pre-publications for this journal.

Nicotine Tob Res. 2010 Jul 19. [Epub ahead of print]

Conventional and electronic cigarettes (e-cigarettes) have different smoking characteristics.


Trtchounian A, Williams M, Talbot P. Department of Cell Biology & Neuroscience, University of California, Riverside, CA 29521, USA. talbot@ucr.edu.

Abstract
INTRODUCTION: Electronic cigarettes or e-cigarettes are marketed as tobacco-free nicotine delivery devices that have received little laboratory evaluation. In this study, the smoking properties of conventional and e-cigarettes were compared by examining the vacuum required to produce smoke (conventional cigarettes) or aerosol (e-cigarettes) and the density of the smoke/aerosol over time. METHODS: Vacuum was measured using a manometer coupled to a smoking machine. The density of aerosol or smoke was measured spectrophotometrically. E-cigarettes were subjected to smoke-out experiments in which vacuum and aerosol density were measured until each cartridge was exhausted. RESULTS: The vacuum required to smoke conventional cigarettes varied among the eight brands tested. Lights and ultra-light brands required stronger vacuums to smoke than unfiltered and regular filtered brands. Except for one brand, higher vacuums were required to smoke e-cigarettes than conventional brands. Smoke/aerosol density was stable for conventional brands and for e-cigarettes over the first 10 puffs; however, aerosol density of e-cigarettes dropped during subsequent smoking, and higher vacuums were required to produce aerosol as the puff number increased. While conventional cigarettes were uniform in their smoking behavior within brands, vacuum and density varied within brands of ecigarettes. DISCUSSION: Generally, e-cigarettes required stronger vacuums (suction) to smoke than conventional brands, and the effects of this on human health could be adverse. The amount of aerosol produced by e-cigarettes decreased during smoking, which necessitated increasing puff strength to produce aerosol. The decreased efficiency of aerosol production during e-cigarette smoking makes dosing nonuniform over time and calls into question their usefulness as nicotine delivery devices. PMID: 20644205 [PubMed - as supplied by publisher]

From: Hahn, Ellen J Sent: Monday, August 02, 2010 9:25 AM To: O'malley, Gail A Subject: FW: E-Cigarettes: New Potential Dangers and a New Ban

Can you find the UC study they refer to? Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program

file:///C|/...Y/disc%201/Conley%20request%201/RE%20E-Cigarettes%20New%20Potential%20Dangers%20and%20a%20New%20Ban html[8/19/2011 2:31:29 AM]

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 and Facebook ! 50_CoN_celebrate_date_oop-email

From: Action on Smoking and Health (ASH) [mailto:press@ash.org] Sent: Monday, August 02, 2010 7:56 AM To: Hahn, Ellen J Subject: E-Cigarettes: New Potential Dangers and a New Ban

E-Cigarettes: New Potential Dangers and a New Ban Study Uncovers New Dangers, Singapore Acts
An important study has found new and previously unsuspected potential health problems for users of e-cigarettes [e-cigs]. This increases the risk since, based even upon earlier research, the Food and Drug Administration [FDA] had already concluded that e-cigs pose "acute health risks," that the "danger posed by the unrestricted distribution of [these] unregulated products containing toxic chemicals cannot seriously be questioned," and that they have caused a wide variety of potentially serious problems "including racing pulse, dizziness, slurred speech, mouth ulcers, heartburn, coughing, diarrhea, and sore throat." Also, Singapore has joined a growing list of jurisdictions which have banned the product, says public interest law professor John Banzhaf, Executive Director of Action on Smoking and Health (ASH). E-cigs have already been banned in Australia, Brazil, Canada, Israel, Mexico, and New Zealand, restricted in Finland and Malaysia, are pending restriction in the UK as a drug, and the subject of law suits by attorneys general in several states. In part as a result of urging by ASH, New Jersey and Suffolk County, NY, have prohibited their use in no-smoking sections, and New York is also moving to ban them. The new study from the University of California found that users have to suck much harder on e-cigs than on conventional tobacco ones. This creates "possible adverse effects on human health" because users are likely to suck much harder and inhale more nicotine -- the same problem of "compensatory smoking" which made so-called "light" cigarettes dangerous. "It is too early to know exactly what effect stronger inhaling and diminishing amounts of aerosol will have on human health, but these factors are likely to lead to compensatory smoking, as has been seen previously with 'light' tobacco cigarettes," say the researchers.

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The researchers also concluded that the claims made for this product -- which the FDA has declared is "illegal," and which therefore does not regulate such claims for accuracy -- are false or at least misleading. "Our work shows that aerosol density decreases as e-cigarettes are used, requiring stronger puffs over time to sustain density," the researchers found. "Manufacturers often claim that e-cigarettes cartridges are equivalent to a certain number of conventional cigarettes. However, this information seems misleading." The researchers identified at least two new major potential health concerns regarding e-cigs. "An important implication [of the finding] is that users must exert greater inhalation pressure and, therefore, it may predictably cause the aerosol to reach deeper tissue in the user's lungs. As in the case of conventional harm reduction cigarettes with lower nicotine content, users of e-cigarettes may also need to smoke greater numbers of puffs to receive sufficient amounts of nicotine to satisfy their craving." Banzhaf was the first to direct attention to the potential health risks to people in the vicinity of e-cig users, since both the product and the users emit into the air a mixture of nicotine (a deadly and addictive drug which can contribute to fatal heart attacks), propylene glycol (a respiratory irritant used in antifreeze and known to cause respiratory tract infections), and other substances the FDA has labeled "carcinogenic" and "toxic." His scheduled appearance on a major national news program pressured the FDA into releasing a previously-secret report about the dangers of e-cigs. Recently, reported Banzhaf, some e-cig sellers have begun to sell e-cigs dispensing Ciallis and even potent forms of marijuana. "Manufacturers should not be able to foist off on the public, and use both customers and those around them as human guinea pigs, for new products which dispense nicotine or other dangerous drugs which haven't been tested -- much less approved -- by any agency," argues ASH. ASH does not oppose the sale and use of e-cigs entirely, but only their use without any testing and approval by the FDA, with no warnings, quality controls, restrictions on their sale to children, etc. Indeed, ASH assumes that, if e-cigs meet the criteria established for such products by the FDA, they will become available to smokers wishing to quit in much the same way as nicotine gums, patches, sprays, inhalers, and other nicotine replacement products are currently available, having been tested and approved by the FDA. PROFESSOR JOHN F. BANZHAF III Professor of Public Interest Law at GWU, FAMRI Dr. William Cahan Distinguished Professor, FELLOW, World Technology Network, and Executive Director and Chief Counsel Action on Smoking and Health (ASH) America's First Antismoking Organization 2013 H Street, NW Washington, DC 20006, USA (202) 659-4310 // (703) 527-8418 http://ash.org/

This email was sent to ejhahn00@pop.uky.edu by press@ash.org. Instant removal with SafeUnsubscribe | Privacy Policy. Law Professor John Banzhaf | 2013 H St NW | Washington | DC | 20006

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From: Riker, Carol A Sent: Tuesday, January 11, 2011 2:56 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: RE: e-cigarettes statement Interesting that they don't take a stand on "banning e-cigarettes in non-smoking areas." Their information doesn't seem to match what the FDA found (link to report I sent earlier) about the variation in contents of different types of e-cigarettes. Thanks for sharing this. Carol So have you all embarked on reading the 303 pages of technical reference material and other material on the AAPHP website? -----Original Message----From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov] Sent: Tuesday, January 11, 2011 11:20 AM To: Riker, Carol A; Hahn, Ellen J; Robertson, Heather E Subject: FW: e-cigarettes statement See link below. This statement was cited by a local supporter of e cigarettes. 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/

P Please consider the environment before printing this e-mail

-----Original Message----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.

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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

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From: Sent: To: Cc: Subject:

Riker, Carol A Monday, April 18, 2011 1:55 PM Owens, Kelly S (LHD - Madison Co) Hahn, Ellen J 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/

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.
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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> 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> 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.

file:///C|/...Gregory%20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20e-cigarettes.html[8/19/2011 2:31:30 AM]

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.

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From: Sent: To: Cc: Subject:

Hahn, Ellen J Friday, February 19, 2010 4:07 PM Horn, Rebecca (GRDHD); Robertson, Heather E Warren, Monica E; Riker, Carol A; Hahn, Ellen J RE: Electronic cigarette

Becky, We and ANR are recommending that e-cigarettes be included in the definition of smoking in all ordinances and regulations, and that they be prohibited. I will have Monica follow up with the details and further information. The bottom line is that they are NOT a safe alternative to smoking. The secondhand vapor emitted from e-cigarettes contains nicotine and diethylene glycol (anti freeze) and has tobacco nitrosamines as well. This is an emerging trend/loophole that the companies are using to circumvent smoke-free laws and regulations. The newest ANR model ordinance addresses this in their definition of smoking. http://www.no-smoke.org/document.php?id=229 Have a good weekend. Ellen

Ellen J. Hahn, DNS, RN Professor, University of Kentucky College of Nursing Director, Tobacco Policy Research Program and Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in Self-Management 751 Rose Street, College of Nursing 519 Lexington, Kentucky 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Follow us on Twitter! www.twitter.com/kysmokefree Smoke-free Communities: Good for People, Good for Business

UK See Blue

From: Horn, Rebecca (GRDHD) [mailto:Rebecca.Horn@ky.gov] Sent: Friday, February 19, 2010 11:04 AM To: Hahn, Ellen J; Robertson, Heather E Subject: Electronic cigarette Hope you all are having a good Friday. One of our coalition members brought up the issue of electronic cigarettes. Do you all have any info on these?? I have read a few articles. How are communities with ordinances treating them? What is the stance of places like ANR? What is your stance? We are seeing them in non smoking restaurants and will need to address the issue publically at some point. I know some of this was covered trainings, but I am still not sure which way to go as far as the law and how much of an issue we should make of it. Thanks for your help.

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Rebecca Horn Tobacco Control Coordinator Green River District Health Department 1501 Breckenridge Street Owensboro, KY 42303 Phone: 270-852-5486 Fax: 270-926-9862

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From: Sent: To: Cc: Subject: Attachments:


Hey Becky,

Mundy, Monica E Wednesday, December 15, 2010 12:12 PM Horn, Rebecca (GRDHD); Hahn, Ellen J Centers, Irene (CHFS HPB-Health Promotions); Christian, Ryan; Horton, Clayton (GRDHD); Hahn, Ellen J; Riker, Carol A; Wagner, Kristian K RE: Electronic Cigarettes Hookah and Indoor Air Quality REV 093010.pdf

Here is some addition information. In 2009 FDA conducted testing and found carcinogens and toxic ingredients along with nicotine in e-cigarettes. Then this past September the FDA did send warning letters to 5 e-cigarette manufactures regarding FDCA violations regarding the methods they use to manufacture e-cigarettes. Also in the letter the FDA did mention their intent to regulate e-cigarettes in the future. Here is a link to the FDA E-cigarette home page http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm172906.htm . You will want to take along the most up to date version of the model ordinance from ANR (http://www.nosmoke.org/pdf/modelordinance.pdf ) to your meeting with the county attorney since it does include language for including ecigarettes. I have also attached our one paper on Hookah and Indoor Air Quality just in case it comes up. Please let me know if you need any other information. Thanks, Monica

Monica E. Mundy, MPH Community Advisor Clean Indoor Air Partnership University of Kentucky College of Nursing 509 CON Building Lexington, KY 40536-1057 Phone: 859-323-2353 Fax: 859-323-1057 monica.mundy@uky.edu www.kcsp.uky.edu Find kysmokefree on Twitter and Facebook
cid:image002.gif@01CABADE.A48A17E0

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From: Horn, Rebecca (GRDHD) [mailto:Rebecca.Horn@ky.gov] Sent: Tuesday, December 14, 2010 10:22 AM To: Hahn, Ellen J; Mundy, Monica E Cc: Centers, Irene (CHFS HPB-Health Promotions); Christian, Ryan; Horton, Clayton (GRDHD) Subject: Electronic Cigarrettes I know you have given me UKs stance on electronic cigarettes in the past, but I need any official statements by the FDA, medical authorities etc on electronic cigarettes. I am going to meet with the county attorney in Daviess after the first of the year. We have had several instances of complaints on electronic cigarettes in Owensboro. Our ordinance does not state that they are prohibited. Based on our information, he may make an amendment to the ordinance to include electronic cigarettes. We need to make a definitive decision on a county level and send it to the businesses, because they are unclear on how to handle this issue. Thanks for your help.

Rebecca Horn Tobacco Control Coordinator Green River District Health 1501 Breckenridge Street

Owensboro, KY 42303
Phone: 270-852-5486 Fax: 270-926-9862

Click here to check us out on

http://www.facebook.com/pages/Tobacco-Control-Coalition-for-the-Green-River-District/131726056857439?ref=sgm

file:///C|/...y/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20Electronic%20Cigarettes%202 html[8/19/2011 2:31:32 AM]

From: Sent: To: Cc: Subject: Attachments:


Hey Becky,

Mundy, Monica E Wednesday, December 15, 2010 12:12 PM Horn, Rebecca (GRDHD); Hahn, Ellen J Centers, Irene (CHFS HPB-Health Promotions); Christian, Ryan; Horton, Clayton (GRDHD); Hahn, Ellen J; Riker, Carol A; Wagner, Kristian K RE: Electronic Cigarettes Hookah and Indoor Air Quality REV 093010.pdf

Here is some addition information. In 2009 FDA conducted testing and found carcinogens and toxic ingredients along with nicotine in e-cigarettes. Then this past September the FDA did send warning letters to 5 e-cigarette manufactures regarding FDCA violations regarding the methods they use to manufacture e-cigarettes. Also in the letter the FDA did mention their intent to regulate e-cigarettes in the future. Here is a link to the FDA E-cigarette home page http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm172906.htm . You will want to take along the most up to date version of the model ordinance from ANR (http://www.nosmoke.org/pdf/modelordinance.pdf ) to your meeting with the county attorney since it does include language for including ecigarettes. I have also attached our one paper on Hookah and Indoor Air Quality just in case it comes up. Please let me know if you need any other information. Thanks, Monica

Monica E. Mundy, MPH Community Advisor Clean Indoor Air Partnership University of Kentucky College of Nursing 509 CON Building Lexington, KY 40536-1057 Phone: 859-323-2353 Fax: 859-323-1057 monica.mundy@uky.edu www.kcsp.uky.edu Find kysmokefree on Twitter and Facebook
cid:image002.gif@01CABADE.A48A17E0

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From: Horn, Rebecca (GRDHD) [mailto:Rebecca.Horn@ky.gov] Sent: Tuesday, December 14, 2010 10:22 AM To: Hahn, Ellen J; Mundy, Monica E Cc: Centers, Irene (CHFS HPB-Health Promotions); Christian, Ryan; Horton, Clayton (GRDHD) Subject: Electronic Cigarrettes I know you have given me UKs stance on electronic cigarettes in the past, but I need any official statements by the FDA, medical authorities etc on electronic cigarettes. I am going to meet with the county attorney in Daviess after the first of the year. We have had several instances of complaints on electronic cigarettes in Owensboro. Our ordinance does not state that they are prohibited. Based on our information, he may make an amendment to the ordinance to include electronic cigarettes. We need to make a definitive decision on a county level and send it to the businesses, because they are unclear on how to handle this issue. Thanks for your help.

Rebecca Horn Tobacco Control Coordinator Green River District Health 1501 Breckenridge Street

Owensboro, KY 42303
Phone: 270-852-5486 Fax: 270-926-9862

Click here to check us out on

http://www.facebook.com/pages/Tobacco-Control-Coalition-for-the-Green-River-District/131726056857439?ref=sgm

file:///C|/...y/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/RE%20Electronic%20Cigarettes%203 html[8/19/2011 2:31:33 AM]