Kentucky Center For Smoke-Free Policy E-Mails Part 6

Spa.
gnuolo, Amy R
From:
Sent:
To:
Subject:
Good morning,
Johnson, John 0
Thursday, February 17, 2011 8:57 AM
Johnson, John 0
Campbell County repeals smoke-free ordinance
It is indeed a sad day for those who have to work, do business, and visit Campbell County. Last night, the comprehensive smoke-free
ordinance was repealed, 3-1, by the Campbell County Fiscal Court. The strong ordioance was enacted by the fonner fiscal court in
December 2010 and had been scheduled to take effect on April 15, 2011. As expected, the new members of the fiscal court vowed to
overturn the ordioance and that is what they did.
Repeal of smoke-free laws is extremely rare. There are only a handful of smoke-free laws that have been overturned in the U.S.
The action taken last night by the Campbell County Fiscal Court is a clear step in the wrong direction for Kentucky. Our people are
dying by the thousands every year from exposure to secondhand smoke. We can no longer afford to stick with the status quo. The
Campbell County Fiscal Court has turned their back on the science and the health and safety ofits most precious citizens. They have
turned their backs on the cries for help from workers who must risk their lives for a paycheck. All io the name of liberty. The new
fiscal court members believe that libelty trumps health in all cases.
Read the article in the Enquirer. Please koow that the opposition was brought in busloads, and that the NKY Tea Party is apparently
'funded' to oppose the smoke-free ordinance.
NKY Smokillg Ball Dies
http://news.cincinnati.com/article/20 11 0216INEWSOI 081302160081/NKY -smoking-ban-
dies?odyssey=tab%7Cmostpopular%7Ctext%7CFRONTPAGE
Ilis essential that we keep moving forward to do the right thiog- to ensure that everyone, every day at work, that Our people can be
assnred safe, smoke-free air. This is not a partisan issue; it is a health issue. Clear and simple.
We applaud the courageous advocates who have worked tirelessly FOR MANY YEARS to carry the health message in a velY difficult
political environment. Northern Kentucky Action needs your support and encouragement to keep fighting the good fight. Come to the
spring conference on March 24 io Lexington to hear the hard-fought battle stories and lessons learned from advocates and elected
officials in NKY. You can sign up for the Spring Conference online at www.kcsp.uky.edu.
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The Smoke free Kentucky campaign is designed to keep local momentum for smoke-free laws while advocating for a comprehensive,
anti-preemptive state smoke-free law. This will not happen overnight. We must do all we can to continue to enact, maintain, and
impie;nent comprehensive smoke-free laws at the local level. Local laws are the backbone of a good state law! If you have not signed
up for Smokefree Kentuc!ry, please do so at: www.smokefreekentucky.org.Itwill take ALL OF US to make a difference!!!
Our loved ones should not have to choose between their health and a paycheck. Should they?
EllenJ. 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
Coliege of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
. www.mc.uky.edultobaccopolicy
www.kcsp.uky.edu

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2
Spagnuolo, Amy R
From:
Sent:
To:
Cc:
tobacco_prevention [tobacco_prevention@listserv.ky.govj
Monday, February 14,20111:08 PM
tobacco_prevention
tobacco_prevention@listserv.ky.gov
Subject: Monday Memo
Attachments: Winter2011_ TeN_Newsletter.pdf
''X.DUor LOW COST materials
Print materials from the National Cancer Institute. Visit this web site
https://cissecure.nci.nih.gov/ncipubs/searchres .aspx?sid =21MOElrJ2u YLRHKGNQNJzQ %3d %3d . If you
order is 20 or less, many of these items are free. If you order more than 20, you will oulybe charged shipping
and handling. You can order up to 1000 of this booklet.
http://www.racintoday.comlarchives/24397 interesting article.
http://www.msnbc.msn.com/id/41477502/ns/health-addictionsI?GTl =43001
E Cigarettes Spark Debate in Kentucky
http://www.publicbroadcasting.net/weku/news.newsmain/article/0/1/1761704/Central.and.Eastern.
Kentucky/E-Cigarettes.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 effective- their arguments against smoking. In designing antismoldng
messages, the inclusion of smoking cues should be weighed carefully.
Spontaneous Action Representation in Smokers wben Watching Movie Characters Smoke. The Journal of
Neuroscience (Jan 19,2011). Smokers spontaneously represent the action of smoking when viewing others
smoke, the consequence pf whicb may make it more difficult to abstain from smoking.
Voices of Smokefl'ee 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 ControI" Legal Consortium
covering tobacco policy issues in the headlines.
o Regulating Tobacco on Campuses
o Regulating Hookab and Watemipe Smoking
o Regulating Smoking Outdoors
Tobacco Control Network winter newsletter is attached above.
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Dear Colleague:
To reach smokers, CDC's Office on Smoking and Health (OSH) is tapping into the heartfelt holiday of
Valentine's Day and February's 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 Valentine's Day materials also reinforce key messages from the 2010
Surgeon General's 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 Valentine's 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.
e-Card
This Valentine's Dav ...
This animated Valentine's Day e-card encourages smokers to "love your heart" by quitting smoking.
Button
Love Your Heart
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 CDC's 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 Twitterwww.twitter.com/CDCTobaccoFreeand retweet key messages related to
these new products.
Facebook
Become fans of CDC's Facebook page at www.facebook.com/cdc.
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Widget
Tell others about aSH's posting on CDC's Everyday Health Widget at
http://www.cdc.gov/Widgets/#everydayhealth.
GovLoop
Follow aSH 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 CDC's Smoking and Tobacco Use Main Feed at www.cdc.gov/tobacco/rss/index.htm to receive
updates of new and recently changed content from CDC's Smoking & Tobacco Use Web site on your browser
or desktop.
Web Site
Continue to access CDC's Smoking & Tobacco Use Web site www.cdc.gov/tobacco for helpful resources and
the latest information.
Sincerely,
CDC's 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 Group's 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
3
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
As part of an ongoing lawsuit, the U.S. Department of Justice wants tobacco companies to issue public statements written by the
department about the dangers of tobacco, but the companies in the suit want to edit them before they are filed, the Associated
Press (AP) reported Feb. 4.
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 ifnot 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,"

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
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.
4
A publication of the Tobacco Control Network (TCN)
The TCN is funded by the Centers for Disease Control and Prevention's
Office on Smoking and Health and Is managed by the Tobacco Technical
Assistance Consortium. For more Information, visit www.ttac.org/TCN or
email tcn@sph.emory.edu.
Dear Tobacco Control Network Members:
The year 2010 was both' rewarding and challenging for state tobacco
control programs. Five states implemented smoke-free laws -
Kansas, Michigan, North Carolina, South Dakota, and
Wisconsin. Two territories, U.S. Virgin Islands and American
Samoa, have enacted laws that will go into effect in 2011. New
York made history by becoming the first state with a Cigarette tax
above $4, and South Carolina approved the state's first tobacco tax
increase in over three decades. New Mexico, Utah, Washington,
Hawaii, and Guam also passed tobacco tax increases.
Alongside these victories came a sobering report that states have cut
funding for tobacco prevention and cessation programs to the lowest
level since 1999, when states began receiving Master Settlement
Agreement funds. After decades of steady progress in tobacco
control, the prevalence of smoking among U.S. adults has leveled off
at 20.6%, and the smoking rates among many populations remain
much higher. Our past successes and ongoing efforts are in jeopardy
due to the uncertainty of future funding. To pave the way for
sustainability and success, we must continue to advocate fur the
most effective tobacco control strategies: smoke-free policies,
tobacco price increases, and funding to sustain comprehensive
tobacco control programs. Reducing tobacco-related disparities also
remains a priority.
Thank you for your persistence and commitment to the vision of a
world free from tobacco-related death and disease. Best wishes for
a successful and fulfilling 2011!
Sincerely,
Mikelle Robinson, TCN Chair
Program Director for Michigan
517-335-8381
robinsonmik@michiqan.qov
II
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!TCNAccbmplishments/ A look Ahead at 2011.. .. 2 ,National Tobacco Control Meeting Notes ... : .. "., ...... 7.
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2
As we enter the New Year, the Tobacco Control Network leadership would like
to reflect upon the past year and give you a sneak peel< a!' some TeN
initiaUves to look forward to in :lOU.

Released the 2010-2011 TCN Policy Platform on Tobacco Prevention and Control. This
document highlights the widely held consensus on policy priorities among state tobacco
control program managers. The policy platform can be used to communicate with
policymakers and partners to provide a national perspective on policy priorities.
TCN Executive Committee members created and began implementing a new strategic plan,
which identifies the TCN's priorities for the next three years. A summary of the strategic
priorities can be found here.
Continued the popular "Strategies for Smoke-Free Air Policy Implementation" teleconference
series. Recordings and materials are archived on the TCN website.
0:> New! Post Election Back-to-Basics on Sustaining State Tobacco Control Program
Funding - 12/13/10 - This webinar Included a timely discussion of what can be
expected from the newly elected state legislatures and governors, a review of the
findings from the annual report, "A Broken Promise to Our Children: The 1998 State
Tobacco Settlement 12 Years Later," and lessons from tobacco control leaders who
work every day on the frontlines to sustain their state programs. Sustainablilty
materials used In Wisconsin to mobilize local communities to advocate on behalf of
their program have also been posted.
0:> New! Economics of Smoke-free Air Policy - 9/15(10 - This webinar provided an
overview of the benefits to the business community that result from comprehensive
smoke-free air laws. In addition, presentations on experiences in Washington State
and Kentucky provide real world examples of how smoke-free air laws improve the
economy statewide and in local communities.
0:> The Devils in the Details: Achieving the New Gold Standard in Smoke-free Policies -
7/6/10
0:> Smoke-free Air Policy as a Social Justice Issue - 3/24/10
0:> Health Benefits of Smoke-free Air Policies: Taking the Institute of Medicine Report to
Heart - 1/7/10
Communicated with the FDA Center for Tobacco Products to position state tobacco control
programs as a key stakeholder group. TCN representatives have attended all FDA
stakeholder meetings and many of the Tobacco Products Scientific Advisory Committee
meetings.
In the coming yeal; tlie TeN will work witli state and territory tobacco control
programs to:
Make the case for sustained tobacco control funding: Tobacco control programs across
the country face historic challenges: large state budget deficits, anti- spending election
backlash, and major cuts in tobacco control program funding. This year the states have cut
funding for tobacco prevention and cessation programs to the lowest level since 1999, when
they first started receiving tobacco settlement payments. The TCN will be working to provide
timely information and tools to its members to support your efforts to showcase your state's
progress and the importance of sustaining your life-saving work.
Advance policy efforts: To expand upon the TCN Policy Platform, the TCN will issue one-
page policy briefs that highlight emerging issues that support the MPOWER model
recommended by the Centers for Disease Control and Prevention. The TCN policy platform will
be reviewed and updated to Incorporate new and emerging best practices in tobacco control
policy.
Provide training opportunities to states: Because of the popularity of the Smoke-Free Air
Policy webinar series, the TCN will continue to hold webinars in 2011. Going forward, the
webinars will address an expanded selection of tobacco control topics. Topics will be
announced soon.
Tobacco Control Network Update Winter 2011
TeN releases 2010-20U PolicV Platform on Tobacco Prevention and Control
This document is a guide to the best practices in tobacco control for TCN members and allies. It
includes a brief statement of the tobacco problem, followed by the three policy priorities that are
considered "winnable battles." The platform provides a summary of the MPOWER strategies,
Including priority and emerging issues as well as links to multiple resources. The TCN will update
the platform annually. The platform is available here on the TCN website.
The existence of a Tobacco Control Network Policy Platform is only valuable if it is put to good
us" In states at both ends of the policy spectrum -- from those who are already engaged in
policy work to those in which policy activity is considered strictly outside their purview. For those
states already engaged in policy, the platform can be shared with partners and stakeholders to
validate positions with government sanctioned endorsements. The TCN suggests that states that
are less involved in policy can seek opportunities to share the document internally as well as
with partners to support those individuals who can actively seek proven solutions to the
problems of tobacco use. We also suggest that state program managers take a moment to
explore the online Pricing Strategies Toolkit that complements the platform's recommendation to
raise the cost of tobacco products.
Any state or territory seeking technical assistance on the application of the TCN Policy Platform
should notify TCN at tcn@soh.emory.edu.
Proposed NIH oUts Tobacco
AprQPos"lisunCjer consideration by the National Institutes Of Health (NIH) to' reorganlzejts
tQbacCQ . research. programs into . a new addictions institute. The reorganization wOuld . move the_
rnajorityof programs tobacco-related research out of the National Cancer Institute. (Nq) into a
" newly formed Instityte that would merge the National Institute. on Alcohol Abuse and Alcoholism -,
(NIAAA) and the NatipnaUnstitute on Drug Abuse (NIDA). - . .. .-
remalhsa significant cancerileath In the u.s. The NClcarrlesout
critical research actIvities to inform pojlcyand programinterv,mtlons to prevent and control_
.andtobacco"relatec! .cancers,Movlng tobacco ...-researchout of the.N9 . could
.j"Qpardiz!' " v.ltalsource Of eVidence that informs many high. priorit\" HHStobaccQ -prevention-
: are ill progress and communicate the wrong' m"ssage aboutthe multifaceted
. ". and control, .

. other national
opppsition
C()pies maya/so be sent to:
SecretarY Kathle,m Sebelius
Department of Health ane! Huml'tn .
. Services _ . . .
Hubert HUmphrey Office Building
200 Independence Ave SW .
Washington, bC 20201
. AssistantSecretaly Howard .Koh .
Department of Health .and HUman
Services . . .. . ...
Hubert Humphrey Office Building
200 independenceAve SW'
Washington, DC20201


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Ashley Ross: In essence, I'm a liaison for CTP as we work with state tobacco control programs.
As a Regulatory Policy Analyst within CTP's Office of Policy, I focus primarily on CTP's coordination :
with state, local and federal government programs, and the non-governmental partners
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AR: My previous work in state and local tobacco control is invaluable to my work here at CTP. Not :
only do I know first-hand the wealth of experience and resources you bring, I know the many :.":
challenges you face in doing this important work at the state level. Understanding the basic ,
framework from which state tobacco control programs work - for example the Best Practices, the
National Tobacco Control Program, Communities Putting Prevention to Work - helps me, and :
therefore my team, match the needs of and opportunities for state tobacco control programs with =:
those ofCTP. Ihope that in sharing my re.levant experiences with TCN members, you will in turn "
feel comfortable reaching out with questions, ideas or concerns. : m
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AR: State Tobacco Control Programs are critical CTP stakeholders. CTP
recognizes that we are building upon a remarkable foundation, much of
which can be attributed to the State Tobacco Control Programs. CTP is
committed to incorporating your unique knowledge, experience,
capabilities, capacity and needs. Some concrete examples of how you
can help us do just that are:
1) Ongoing State Tobacco Control Programs: Provide Feedback to CTP
One example of how CTP is incorporating your feedback is the October 3, 2010
Stakeholder Discussion Series Session with State, Territorial and Local Programs. This
dialogue can and will be continued on an ongoing basis. We're exploring specific ways to
do that, but in the interim, state tobacco control program managers should feel free to
reach out to me with your questions, suggestions, or concerns. I can be reached. at
ashley.ross@fda.hhs.gov or (301) 796-6733.
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The October 2010 meeting's findings have
improvement efforts in developing:
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already driven several CTP quality :
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A standing Policy Team meeting with CDC OSH/DACH and SAMHSA
A State, Local, Tribal, and Territorial Governments website
State/Local Liaisons
Distillations of the Tobacco Control Act (e.g., Tobacco Control Act timeline)
Modifications to the 2011 RFP for State Enforcement Contracts
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2) Participation in the Regulatory Developmellt Process
: State Tobacco Control Programs are urged to share information about - and submit :
: responses to - relevant dockets for draft guidances and regulations. These public dockets : ,1
: are the official mechanism for the FDA and the Center to hear the voices of the state : 11
; tobacco control programs and your communities.
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It is very helpful when we receive comments that are relevant, specific
and include data. State Tobacco Control Programs have a wealth of data
and feedback to contribute to the emerging Tobacco Control Act science-
base. Review your evaluation plans to see what strategies, outcomes and
indicators that you are already monitoring, and then determine if and
how those could be enhanced or reported to support CTP:s mission as
outlined in the Tobacco Control Act. Keep in mind that submissions and
the data therein don't have to be peer-reviewed, though it certainly
helps. In addition to data, examples of comments could include those
about clarity on language, potential for miSinterpretation, and
suggestions for improvements.
3) Compliance and Enforcement
We encourage you to pursue FDA State and Territorial Enforcement Contracts, and
promote your neighboring states to do the same. CTP is hoping that 100% of states,
territories and tribes have an enforcement contract. The latest RFP Is available here, with
proposals being due no later than March 1, 2011.
States can and should report any suspected violations of FDA tobacco control regulations
by emailing ctocompliance@fda.hhs.gov or by calling
4) Health Communication
We urge State Tobacco Control Programs to amplify CTP's information dissemination and
public education activities. For example, you could share notices of public dockets or new
regulations, participate in our web syndication program, incorporate content from the
CTP-disseminated "This Week in CTP" email into your own newsletters, or brief your
leadership and partners on the exciting developments in tobacco product regulation
during your annual conference.
5) Follow us on Twitter@FDATobacco
Stay up to date on gOings-on at CTP. Get details on past and future webinars, Twitter
chats, press releases, and things like newly posted guidance and Information on CTP's
website.
We would love to hear additional ideas from you on how to best communicate. I look forward to
: continuing to learn from and collaborate with you .

Tobacco Control Network Update Winter 201111 !
Help Your Peers Help Your Peers is a forum for states to seek and provide information that
may not be easily acquired from published sources. To submit a question for your peers in other
states, email tcn@sph.emory.edu.
Archives of past questions are posted at www.ttac.org/TCN/peers. If you are thinking
about asking a Help Your Peers question, please check the archives first to see if the Issue
has been previously addressed. .
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TCN Strategy Exchange: Spread the word about what's working in your tobacco control
program. If you have a successful strategy or approach to share with other TCN members, a
helpful tool, or merely a lesson learned or piece of advice that could benefit others, submit your
story or example to tcn@sph.emory.edu. Your story could appear in the next TCN Update!
Tobacco Free Press The TCN's monthly e-newsletter features tobacco prevention and control
headlines, resources, upcoming events, funding opportunities, and job postings. Do you have
news to share from your state? Email tcn@soh.emory,edu with a brief report or a link to a news
story. In an effort to keep the TFP lean and accurate we ask that all state-level program news
submissions are vetted through a reputable source and address one of the topic categories
outlined in the newsletter.
Job Postings If you are recruiting new staff or looking for new job opportunities in tobacco
prevention and control, visit the TCN's Job Posting page: www.ttac.orgfTCN/jobs.
Program Manager Mentoring Program This program is designed to develop
an informal Interpersonal relationship between new and experienced program
managers. Mentors provide support, encouragement, and feedback to their
mentees and serve to enhance their professional development as program
managers, The TCN recently made a mentoring match between the program
managers in Indiana and Ohio. For more information about the program, view
the Mentoring Program Guide.

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The TCN welcomes six new state tobacco control program managers! m
Janis Mayer is the Manager of the New Jersey Office of Tobacco Control
Denise Grant became the new Program Manager of the Washington, DC Tobacco II
Control Program in September.
Mari-Jean Siehl is the Program Chief for the Ohio Tobacco Use Prevention and 0
Cessation Program m
Sally Carter began serving as Interim Program Manager of Oklahoma's Tobacco Use tj
Prevention Service In January 2011 fi
Hilary Smith is now the Well ness and Tobacco Program Manager at the Nevada Health I
Division 1/
Rhonda Williams became the Manager of the Vermont Tobacco Control Program in
January 2011 [1
Contact information for these program managers and all other TCN members can be found in the
TCN member directory. Is there someone at your tobacco control program that isn't already on bl
the TCN member list? Tell them to send their contact information to TCN@sDh.emory.edu to be
added to the TCN listserv and member directory. II
6 m

The TCN was fortunate to have member representation at the October 3 and December 8 FDA
Stakeholder meetings, as well as the triennial meeting of the National Association of Attorneys
General (NAAG) held in October 2010. Highlights from TCN representatives are provided here:

National Association of Attorneys General Triennial Meeting-October 19, 2010
--Reported by Mlkelle Robinson, TCN Chair
The purpose of the National Association of Attorneys General (NAAG) triennial conference is to
evaluate the success of the MSA and coordinate efforts by Attorneys General and the
Participating Manufacturers to continue to reduce youth smoking.
Dr. Deyton (Director, FDA Center for Tobacco Products) presented to the states that signed onto
the MSA, the. directors of Legacy, and representatives from each manufacturer participating in
the MSA. He summarized the FDA's regulatory strategies and current challenges:

FDA Strategies:
Use public health/population health
standards when regulating tobacco
products
Collect user fees from the tobacco
industry
Registration and listing of tobacco
products
Post marketing surveillance
Set performance standards
FDA Current Challenges:
Meeting statutory deadlines
Establishing synergy with tobacco control
organizations
Meeting diverse expectations from stakeholders
Establishing effective channels for communication
Tracking and tracing tobacco products from pOint
of manufacture to retail store
Promulgating regulations on remote and internet
sales
Me"'ingl'or Tobaccol:nllustryReplesenl:;>tivel'
TCN Immediate Past Chair .
If you are interested in representing the TCN at an upcoming national meeting or FDA
event, please email the TCN or contact a TCN Executive Committee member.
!
,
Karla Sneegas, Indiana Tobacco Prevention and Cessation Director, recognized
nationally
At the American Public Health Association's 138'h Annual Meeting & Exposition, held November 6
-10,2010, the Alcohol Tobacco & other Drugs (ATOD) section awarded Karla Sneegas, Executive
Director of the Indiana Tobacco Prevention and Cessation Agency (ITPC), with the prestigious
John D. Slade, MD, .Memorial Advocacy Award. The award acknowledges the work of an
individual who has demonstrated leadership, resourcefulness and passion in organizing and
completing a policy related campaign in the ATOD field. Under Sneegas' leadership, ITPC has
achieved significant results in reducing tobacco use among youth and adults, and she has
worked tirelessly in helping communities become smoke-free. According to Sneegas, "ITPC being
recognized by such credible national and international organizations allows us to share best
practices, research and experiences to help other agencies reduce tobacco use." In addition to
receiving the John D. Slade, MD, Memorial Advocacy Award, Karla Sneegas has also been named
the Vice-Chair of the North American Quitline Consortium (NAQC) and is the Chair-Elect of the
Tobacco Control Network (TCN).
Washington State Tobacco Prevention and Control Program saves thousands of lives
According to a November report, Washington State's Tobacco Prevention and Control Program
can be directly credited for preventing tobacco-related illnesses, saving lives, and lowering
health care costs. The study found that the state's comprehensive tobacco prevention program
has prevented about 13,000 premature deaths and nearly 36,000 hospitalizations, saving the
state about $1.5 billion In health care costs. The study reports that for every dollar the state
spent on tobacco prevention in the last 10 years, five dollars in healthcare costs have been
saved. Tobacco price increases and the state's tough indoor smoking law also played a role in
improving health. Read more here .
a R H ~ . C . R ~ Q a D a ~ ~
.
We would like to hear from YOU about your state 0;' territory's accomplishments, new
programs being planned or implemented, opportunities for collaboration, and other
news you would like to share with VOllr colleagues in other states. To submit a State
News story for the TeN Update, please send a note to tcn@sDh.emorv.edu.
'" Member survey distribution: The annual TCN
member survey will be distributed in February. Take
advantage of this opportunity to respond to the survey
and tell the TCN leadership about issues that matter to
you and guide future efforts to support state tobacco
control efforts.
'" Annual TCN member directory update: To keep the
TCN's contact list up to date, tobacco program
managers from each state and territory will be asked to
review and update their staff listings this spring. Update
your staff's contact information to make sure they are
In the loop!
'" Save the date: TeN event at March CPPW meeting
The TCN will hold a business meeting and networking
reception during the CPPW Meeting in Atlanta this
March. Invitations will be emailed soon.
Spagnuolo, Amy R
From:
Sent:
To:
Subject:
Johnson, John D
Monday, February 14, 2011 11 :06 AM
(kathy.begley@uky.edu); Ashton Wright; Audrey Darville; Elizabeth Teeters; Fallin, Amanda T
(atfaIl2@emaiLuky.edu); Hahn, Ellen J (ejhahnOO@emaiLuky.edu); 'Heather Robinson';
'Hilarie Sidney'; Karen Butler; Kercsmar, Sarah (scave2@emaiLuky.edu); Kostygina, Ganna Y;
Mundy, Monica E (monica.mundy@uky.edu); Nina Marijanovic; 'Rachel Record'; Ricks,
Janelle; Riker, Carol A (riker@emaiLuky.edu);Wagner.Kristian K (kkwagn3@uky.edu)
E-cig piece from WEKU
If you missed it today, here is the link ...
http://www.publicbroadcasting.net/weku/news.newsmain/article/0/0/1761704/Central.and.Eastern.Kentucky/E-
Cigarettes.Spark.Debate.in.Kentucky
John D. Johnson, MA
Community Liaison
Kentucky Center for Smoke-free Policy
University of Kentucky College of Nursing
751 Rose Street, College of Nursing 509
Lexington, Kentucky 40536-0232
859-323-4587
859-323-1057 (FAX)
jdjohnson@uky.edu
www.kcsp.uky.edu
1
Spagnuolo, Amy R
From: Sidney, Hilarie E
Sent:
To:
Friday, February 11, 2011 10: 1 0 AM
Johnson, John 0
Subject: e cigs
http://www.huffingtonpost.com/2011/02/11/electronic-cigarettes-bann821828.html
I'm sure you're already aware of it though!
Hilarie Sidney
Air Quality Data Coordinator
Clean Indoor Air Partnership
Kentucky Center for Smoke-Free Policy
509 CON Building
751 Rose Street
Lexington KY 40536-0232
859-323-9958
hilarie.sidney@uky.edu
www.kcsp.uky.edu
Find kysmokefree on Twitter and Facebook
1
Spagnuolo, Amy R
From:
Sent:
To:
Cc:
Subject:
Attachments:
Hahn, Ellen J
Wednesday, February 09, 2011 4:40 PM
Riker, Carol A; Kercsmar, Sarah; Johnson, John D
Fallin, Amanda T; Wagner, Kristian K
RE: Congratulations on first reading!
Implementation Checklist.doc; Business Kit.zip; Community Education.zip
I was thinking of sending the implementation checklist for sure. I also am attaching a few zip files from our Toolkit. What
Carol attached is just the business kit letter. You could add to the Business Kit materials zip file (and anything else newer
from Prestonsburg, London).
Ellen J. Hahn, PhD, RN
College of Nursing and College of Public Health
751 Rose Street
859-257-2358
859-323-1057 (FAX)
ejhahnOO@emaiJ.ukv.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
.
_ .... 1"'''1 Fmd kysmokefree on and
COLLEGE OF NURSING
Ou f' GOD! it'! <l\j Y(lU '{burl?
From: Riker, Carol A
Sent: Wednesday, February 09, 2011 11:39 AM
To: Kercsmar, Sarah; Johnson, John D; Hahn, Ellen J
Cc: Fallin, Amanda T; Wagner, Kristian K
Subject: RE: Congratulations on first reading!
There are sample pieces to a business kit in the Toolkit. Fact sheets will need updating.
Newer than that might be pieces from Bardstown, Prestonsburg, Campbellsville, and maybe London (anything new since
the toolkit Amanda a.od Kristian)?
Attached is the Bardstown business "kit" (not including the decal!). I did not get the chance to be involved up front and
we had to promote the phone number to call re violations later through the newspaper That's where the checklist will
be handy.
Let me know if you have questions after you look over the toolkit materials, John.
1
Thanks,
Carol
From: Kercsmar, Sarah
Sent: Wednesday, February 09, 201110:25 AM
To: Johnson, John D; Hahn, Ellen J
Cc: Riker, Carol A
Sometimes we send examples of a business kit - but I'm not sure which one we are using as the sample these days.
Ellen, Carol...which one is your favorite?
Sarah
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.kcsp.uky.edu
Find kysmokejree on Twitter and Facebook !
From: Johnson, John D
Sent: Wednesday, February 09, 2011 10:23 AM
To: Hahn, Ellen J
Cc: Kercsmar, Sarah; Riker, Carol A
Hi Ellen,
I haven't sent these materials yet. We have a lot of implementation materials. Other than the checklist, what do you
recommend that I send?
Thanks,
John
From: Hahn, Ellen J
Sent: Thursday, January 20,2011 4:17 PM
To: Douglas, Carol F (LHD-Barren River Dist); Riker, Carol A
Cc: Johnson, John D
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
2
University of Kentucky.
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
Find kysmokefree on Twitter and Facebook !
COLLEGE OF NURSING
OLlf GQul ''r'o1.l
From: Douglas, Carol F (LHD-Barren River Dist) [mailto:CaroIF.Douglas@ky.govl
Sent: Wednesday, January 19, 2011 9:18 AM
To: Hahn, Ellen J; Riker, Carol A
Cc: Johnson,John D
Ellen,
I'm 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 night's meeting. The ordinance
was the same as the last time that it was introduced in 2007. I'll attach a copy. There will be a special session
of the Bowling Green City Commission on Monday, Jan. 24th @ 7 pm for the final vote( 2 votes are necessary
for passage ofthe ordinance). If passed, the ordinance will go into effect in 90 days from final vote.
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 indudlng 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 prohfbited. If you have received this communication In error, please contact the sender by reply e-mail and destroy all copies of the
original message.
3
From: Hahn, Ellen J [mailto:ejhahnOO@email.uky.edu]
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.wbl<o.com/home/headlines/Bowling Green City Commission Votes 3-
2 to Ban Smoldng 114180019.html
Is it confirmed that Joe Denning will be mayor and Robin will replace him as commissioner?
Ellen
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
Find kysmoke/ree on Twitter and Facebook I
COLLEGE OF NURSING
Our !g 'ybu Your,.;
From: Douglas, Carol F (LHD-Barren River Dist) [mailto:CaroIF.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
4
including ANR's model ordinance and Glasgow's ordinance. We even discussed the e cigarettes. At that time,
his plan was to introduce the ordinance in February 2011. Because of the Mayor's 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
1109 State Street
P.O. Box 1157
Ph: 270-781-8039, ext. 144
Fax: 270-796-8946
NOTICE OF CONFIDENTIALITY: This e-mail.inciudinganyattachments.lsintended 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
l
please contact the sender by reply e-mail and destroy all copies of the
original message,
From: Riker, Carol A [mailto:riker@email.uky.edu]
To: Hahn, Ellen J; Douglas, Carol F (LHD-Barren River Dist); LHD Barren River BRDHD All; Absher Mark; Adkins, Joyce N
(LHD-Barren 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 AI; 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; Walton Lori; Watkins Cecilia; Webb Alonzo; Westbrook Elizabeth; Wheat
Marilyn; Wininger, Amy; Wollin Andrew; Woods Monica
Cc: Johnson, John D; Kercsmar, Sarah; Jujulew
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
5
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 EKU's 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 ofthe Lexington Hookah near campus were going to open one in Bowling
Green but haven't heard anything about that recently.)
Air Quality testing in Hookahs revealed VERY high levels offine particulates (see one-pager, attached).
Lexington Hookahs continued to meet criteria for exemption as tobacco retailers even after Lexington's 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 Kentucl<y
751 Rose Street
Phone: 859-323-6615
Fax: 859-323-1057
Cell: 859-619-3776
www.kcsp.uky.edu
Smoke-free Communities:
Good for People, Good for Business
From: Hahn, Ellen J
Sent: Saturday, January 15, 2011 8:48 AM
6
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 (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 AI; 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
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 Mayor's 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 wasn't 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 didn't 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
won't 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 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 lucid!
Ellen
7
751 Rose Street
859-257-2358
859-323-1057 (FAX)
elhahnOO@email.uky.edu
www.kcsp.uky.edu
Find kysmo/(efree on Twitter and Facebook !
COLLEGE OF NURSING
Our Gk"!:ld it; IU Hr.2l_\J You \burs
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 Tanya; 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
Cc: Hahn, Ellen J
Subject: NEWS ALERT!!!!!
Importance: High
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. It's tirne to encourage everyone to come out to the
city commission meeting and speak up in favor of the ordinance. It doesn't 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 forcel I will be contacting those of you specifically on the SF BG Ordinance workgroup to help
me with potential business owner's/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!!!!
8
Carol Douglas, BS
Health Educator III
1109 State Street
P.O. Box 1157
Ph: 270-781-8039, ext. 144
Fax: 270-796-8946
NOTICE OF CONFIDENTIALITY: This e-mail,including any attachments, Is intended only for the use of the Individual or entity to which it is
of this message is not the intended recipient
l
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.
9
Smoke-free Policy Implementation Checklist
o Thank and recognize elected officials for doing the right thing (i.e., thank you ads, letters to the
editor, personal e-mails and letters).
o Review enforcement plan as designated in enacted ordinance (including requirements for 'no
smoking' sign to be posted).
o Talk with Mayor, County Judge Executive, or City Manager about appointing an
Implementation Task Force (i.e., primary and secondary enforcement agencies, city manager,
coalition chair, citylcounty attorney, business owner).
o Designate agency to develop and distribute Business Kits (i.e., health department, ASAP Board,
city or county government).
o Obtain funding for printing and mailing of Business Kit materials to all businesses affected by
the ordinance.
o Get complete list of business addresses in order to mail Business Kits (i.e., Chamber of
Cornmerce or person who grants business licenses in your community).
o Design and print 'No Smoking' decals for all businesses (to include in Business Kits).
o Work closely with citylcounty attorney to develop a FAQ (Frequently Asked Questions) Sheet
for employers (to include in Business Kit). It is critical that everyone is on the 'same page' in
regard to which areas are covered and which are not.
o Work with all involved to develop a system for reporting violations and filing a complaint
(Implementation Task Force a good place for this decision).
o Train all personnel designated to enforce the law (prior to implementation).
o Develop and implement a public education strategy before and after the implementation date
(i.e., radio ads, unpaid newslradio media).
o Prepare business owners for implementation (i.e., via Business Kits, forum for employers,
newspaper stories, etc).
o Anticipate opposition before and immediately after implementation date. Plan strategy for
counteracting opposition and protecting the law.
For more information, contact Kentucky Center for Smoke-free Policy, University of Kentucky College of
Nursing, 859-257-2358, www.kcsp.uky.edu.
8/17/2011
Secondhand smoke is a health hazard to
everyone. Local ordinance now prohibits
smoking in most public places in the City of
Frankfort and this brochure is a general guide
to this ordinance.
For more information on specific content of
the ordinance, contact City Hall at (502) 875-
8582.
SMOKERS WISHING TO
QUIT NEED SUPPORT!
It takes planning, preparation and practice to
stop smoking. For information on classes,
self-help materials, and appropriate smoking
cessation websites, please contact the
Franklin County Health Department .
at (502) 564-5559.
~ . ~
)r
Franklin CouuI.y
HeaIlhDepal1malt
Smoke Free Frankfort
On July 24, 2006 the Frankfort City
Commissioners passed an ordinance
making all public places including
restaurants, shops and other
businesses SMOKE FREE.
PUBLIC PLACES
According to local ordinance 17-2006, smoking
is prohibited 24 hours a day in all enclosed
places' in the City of Frankfort including but not
limited to:
~ Retail stores
~ Bowling centers
~ Billiard halls
~ Restaurants
~ Bars
~ Laundromats
~ Public restrooms
~ Offices and Banks
... Theaters and auditoriums
~ Hotel and motel rooms
~ Gas stations and garages
~ Sports arenas and convention halls
~ Elevators, lobbies, hallways, stairs
and other common areas of multiple
unit residential and commercial
facilities.
WORKPLACES/RESTAURANTS,
BARS & CLUBS
Smoking cigarettes, cigars or other tobacco
products is prohibited 24 hours a day in all
enclosed buildings open to the public. Restau-
rants and bars are places of employment and
must be smoke free 24 hours a day.
~ Owners must remove ashtrays and post
"No Smoking" signs conspicuously at all public
entrances or in a position clearly visible on
entry.
II> Any permanent structure that functioned as an
ashtray shall be disabled or altered to prevent
its use as an ashtray.
~ No smoking signs must use either the
international no smoking symbol at least 3
inches high or say "No Smoking" in letters at
least 1 inch high.
SMOKING OPTIONAL AREAS
~ Dwellings'
~ Retail tobacco stores'
~ Tobacco Warehouses'
~ Rooms or halls used for private social activities
not open to the public
~ Areas in government buildings as required by
state law (KRS 61.165)
II> Rooms used for the treatment of psycholog ical
conditions or in a physically separate and
independently ventilated room in a hospital,
hospice or nursing home as a smoking room
only and open to all residents.
~ Smoking is prohibited within a reasonable
distance from the outside entrance to any
building so as to ensure that tobacco smoke
does not enter the building through entrances,
windows, ventilation systems, or other means.
PENALTIES
It is a violation of local law for any person to smoke in
any area where smoking is prohibited. It is also a
violation for an employee, owner, manager or person
in charge to permit smoking in prohibited areas or to
fail to post "No Smoking" signs. Violation of the local
ordinance by a business may result in the following
fines:
First Violation:
Second Violation:
Third & Subsequent Violations:
$50
$100
$250
People who refuse to stop smoking must be asked to
leave and may be charged $50 for each offense or
with trespassing if they do not leave the premises.
In addition to the above fines, violations of this
ordinance by a person who owns, manages,
operates, leases or otherwise controls a building or
place of employment within a building may result in
suspension or revocation of any permit or license
issued to the person for the premises on which the
violation occurred.
Smoke Free
By LFUCG Ordinance 171-2003.
FACT SHEET on Ordinance No. 11-2006 Prohibiting
Smoking in Public Buildings
In order to serve the public health, safety and general welfare, the Frankfort City Commissioners prohibits
smoking in all buildings open to the public. For specific information related to buildings covered and exemptions,
please contact City Hall at (502) 875-8582.
No Smoking Signs
Any building open to the public shall post signs stating No Smoking or the international No Smoking symbol conspicuously
either on all public entrances or in a position clearly visible on entry.
All ashtrays and other smoking paraphernalia shall be removed from any area Where smoking is prohibited.
Reasonable distance
Smoking is prohibited within a reasonable distance from the outside entrance to any building so as to ensure that tobacco
smoke does not enter the building through entrances, windows, ventilation systems or other means.
Employer's Responsibility with Ordinance No. 17-2006
An owner or manager of a building establishment shall:
~ Ensure compliance with the provisions of the ordinance or be subject to penalty.
~ Ask smokers to refrain from smoking in any "No Smoking" area and use any other legal means to carry out the intent
of the smoke free law.
~ The owner or manager of a building or establishment shall ensure compliance by employees with the no smoking
ordinance. .
~ By law, the employer shall not retaliate against an employee, applicant for employment or customer who complies
with this ordinance.
Employee Responsibility with Ordinance No. 172006
~ Employees must comply with the smokefree ordinance.
.. Employees must request a person smoking in a no-smoking area to extinguish smoking materials or step outside to
smoke. If the person refuses to comply, the employee is to notify the owner or manager on duty.
Smokers Needing Quit Information
Smokers wishing to quit need support. It takes planning, preparation and practice to stop smoking. For information on classes,
self-help materials and appropriate smoking cessation websites, please contact the Franklin County Health Department at
(502) 564-5559. Smoking cessation information may also be obtained from Kentucky's quit line by calling i-800-QUIT NOW.
Penalties
It is a violation of local law for any person to smoke in any area where smoking is prohibited. It is also a violation
for an employee, owner, manager or person in charge to permit smoking in prohibited areas or to fail to post "No
Smoking" signs. Violation of the local ordinance by a business may result in the following fines:
First Violation: $50
Second Violation: $100
Third & Subsequent Violations: $250
People who refuse to stop smoking must be asked to leave and may be charged $50 for each offense or with
trespassing if they do not leave the premises.
In addition to the above fines, violations of this ordinance by a person who owns, manages, operates, leases or
otherwise controls a building or place of employment within a building may result in suspension or revocation of
any permit or license issued to the person for the premises on which the violation occurred.
Ordinance 17-2006 Prohibiting Smoking in Public Buildings
Frequently Asked Questions (FAQ)
Q What is the smoke free Indoor Air Law?
A The smoke free law protects non-smokers from exposure to tobacco smoke in most indoor public places
including, but not limited to, food service establishments, bars, taverns, bingo parlors, and bowling centers.
Q When does the law go into effect?
A The City of Frankfort's smoke free law, Ordinance No. 17-2006, goes into effect Monday, August 7, 2006.
Q What constitutes an enclosed public place and what type of businesses will be affected?
A Any indoor enclosed area that is open to the general public, or in which the general public is permitted. This
includes, but is not limited to, retail stores, food service establishments (restaurants, convenient stores/gas
stations) bars, bowling centers, hotel or motel rooms, bingo and billiard halls, laundromats, elevators, lobbies
or common hallways of public spaces.
Q Where is smoking allowed?
A The following places are specifically exempted from the Smoke-free law:
~ Dwellings'
~ Retail tobacco stores'
~ Tobacco Warehouses'
~ Public places not enclosed
~ Rooms or halls used for private social activities not open to the public
~ Not for profit private organizations'
~ Areas in government buildings as required by state law (KRS 61.165)
~ Rooms used for the treatment of psychological conditions or in a physically separate and independently
ventilated room in a hospital, hospice or nursing home as a smoking room only and open to all
residents.
~ Smoking is prohibited within a reasonable distance from the outside entrance to any building so as to
ensure that tobacco smoke does not enter the building through entrances, windows,
ventilation systems, or other means.
Q How far away from the building entrance does a smoker have to be to smoke?
A The law makes no distance requirements but does prohibited smoking within a reasonable distance from the
outside entrance to any building so as to ensure that tobacco smoke does not enter the building through
entrances, windows, ventilation systems or other means.
Q Where can I get "no smoking" signs?
A The Franklin County Health Department will provide a Business Implementation Kit containing two (2) "No
Smoking" signs to businesses open to the public within the City of Frankfort. Additional signs may be
obtained from the Franklin County Health Department by calling (502) 564-5559.
Q If I am a patron and someone is smoking in a non-smoking place, what should I do?
A Tell the manager/owner. If smoking continues, call City Hall at (502) 875-8582.
Q If I am a Business owner and someone is smoking in a non-smoking place, what should I do?
A Ask the person to extinguish the cigarette/cigar immediately or step outside to smoke. If the person refuses,
ask them to leave the premises. If smoking continues, call City Hall at (502) 875-8582. You may need to file
a trespassing charge.
Q If I am an employee and someone is smoking in a non-smoking place, what should I do?
A Ask the person to extinguish the cigarette/cigar immediately or step outside to smoke. If the person
refuses to comply, tell the manager/owner on duty.
Q What if the person smoking in my establishment refuses to stop?
A A person refusing to extinguish a cigarette/cigar shall be asked to leave the premises. Failure to leave when
asked constitutes a reason for the police to be involved. A trespassing charge may be instituted against the
person refusing to leave the premises.
Q Which private clubs are exempt?
A Private clubs/organizations are defined as establishments maintaining a selective membership, are operated
by its members, does not provide food or lodging for pay to anyone who is not a member or a member's
guest and is not for profit.
Q What are the penalties for breaking the law?
A Fines can be levied against both an individual and a business. People who refuse to stop smoking must
be asked to leave and may be charged $50 for each offense or with trespassing if they do not leave the
premises. Violation of the local ordinance by a business may result in the following fines:
~ $50 for the first offense;
~ $100 for the second offense;
~ $250 for the third and each subsequent offense;
Q Can we still use our break rooms for smoking as long as it is just for those employees who smoke?
A No. The ordinance does not allow for smoking in any public buildings. If your business is open to the public
there is to be no smoking in the building by employees or patrons.
Q Whom do I contact for information about quitting smoking?
A Smokers wishing to quit need support. It takes planning, preparation and practice to stop smoking. For
information on classes, self-help materials and appropriate smoking cessation web sites, please contactthe
Franklin County Health Department at (502) 564-5559. Smoking cessation information may also be
obtained from Kentucky's quit line by calling 1-800-QUIT NOW.
Q Is there a penalty for possession of an ashtray or not posting signs?
A Yes. The law requires that all ashtrays and other smoking paraphernalia shall be removed from any area
where smoking is prohibited. Penalties may be incurred if the owner, operator, manager or other person
having control of the establishment permits these items. In addition, the law requires disabling or altering
permanent structures that function or are used as an ashtray. Business owners are required to post "No
smoking" signs (no less than 1 inch high) or symbols (no less than 3 inches) using the words "No Smoking"
or the international "No Smoking" symbol. Signs should be posted either on all public entrances or in a
position clearly visible on the entry into the building or establishment.
As defined in Ordinance No. 17-2006.
Business Kit Instructions
The Franklin County Health Department and the Frankfort City Commissioners Of-
fice have compiled a kit to assist retail owners in the implementation of Ordinance
No. 17-2006, which prohibits smoking in most enclosed spaces. This kit includes
"No Smoking" decals; an informational brochure on the ordinance; a fact sheet for
employees; a list of frequently asked questions; and a full copy of the ordinance.
INSTRUCTIONS FOR PLACEMENT OF NO SMOKING DECALS
Owners must remove ashtrays and all other smoking paraphernalia, and post "No
Smoking" signs conspicuously at all public entrances or in a pOSition clearly visible on
entry. "No Smoking" signs must use either the international no smoking symbol at
least three (3) inches high or say "No Smoking" in letters at least one (1) inch high.
The enclosed "No Smoking" decals are for use at the primary public entrances.
Additional decals may be obtained by calling the Franklin County Health Department
at (502) 564-5559.
INSTRUCTIONS FOR PLACEMENT OF FACT SHEET
Owners are requested to display the Fact Sheet at a location in the business where
employees may easily refer to the information.
BROCHURE AND FREQUENTLY ASKED QUESTIONS
The brochure and frequently asked questions are included for additional information
on the ordinance.
FOR MORE INFORMATION:
Additional copies of the business kit are available at www.fchd.org or by calling
(502) 564-5559.
Specific questions related to the provisions of the ordinance, should be directed to
City Hall at (502) 875-8582.
Lexington-Fayette Urban County Government
Ann Isaac.
Dear
On July 1. 2003. thE! L",.inglofl-FayeUe Urh8n County Cou"cil "daplcd an ordinance
prohibiting smoking in mDst public places irlClud,ng restaurarllS and b8r.. This
ordinance also includes but is not limited to such pia",," os stores. bowling
canters. billiard and bing" halls. sports arano. and c()nventiorl h"II . <lno ptJblic
Sp8Ce" In hotel5 and motels and is eff",;Uve on Monday. September 29. 2003.
Many La.mgton business owners heve question, "bout how to prepare fm
smoke-free law. In "rdm to assist you with implernerHation. the Loxington-Fayette
County HnaJlh Department ha" developed a Bus,""" Implementation KIt. The
enclosed brochure is Intended to help you Implement the polICY <lnd should be
CIrculated <>mong all of your employees. The fa"t shoQt provides a quick rejrmmce to
the smoke-fre .. law requirement, including guidelines on removing all and
where to place signage. and compliance and enforcement issu".. In e(ldlliol1. 8
Fr<lquently Asked Qll8stions (FAQ) document has been prepared to further explain th"
dotalls of the law.
II is our hope thai you will find lhe inrormalir;m io this kit helpful. If yell have any
question. concernin9 the ordlmmce. 'IOU may UlntUGt tho texinglon-Fayetle County
Health Dapartment <>t 23H1791. or v,ww.lexingtunh""lthdep<lrtme"t Ng or
www.bluograss-s",okerree.conl
Thank you for your cooperatIOn in making L"xington smoke-free.
Sincereiv.
....
Teresa Ann 1.88G
Mayor
l.cxi Ilg1 (In' (iw.l.! rnrm.::111 C"cn(a
[',ii,r \1-1111 SIred L;:o,;jl:F[[[rI, -10:;117 (!(N [ [e'll . ", \. 111..j.
rnayN@llucg.r:om
"THIS rs A
SMOKE-FREE
FACILITY
TtlANKYOI.l
FoR Not SMOKING
1. Asl, the pe .. son to extinguish the ciga .. ette 0 ..
ciga .. ilDlDediately 0 .. to step outside to slDoke.
2. If the pe .. son .. efuses, ask thelD to leave the
p .. elDises.
3. As a last .. eso..t, call the Police Depa..tlDent
(859.258.3600) as you would with any
diso .. de .. ly conduct incident. You lDay need to
file a bespassing cha .. ge.
If you a .. e an elDployee and SO IDe one is slDoking:
1. Ask the pe .. son to extinguish the ciga .. ette 0 ..
ciga .. ilDlDediately 0 .. step outside to slDoke. If
the pe .. son .. efuses to cOlDply, tell the
lDanage .. /owne .. on duty-
What a .. e the penalties for bll'eakiing the law?
**Fines can be levied against both an individual
and a business
-$100 fo .. fi .. st offense
-$250 fo .. second offense
.$500 fo .. the thia'd and each subsequent offense
. -Pe .. sons who slDol,e 0 .. fail to extinguish thei ..
slDoking lDate .. ial whe .. e slDoldng is p .. ohibited
lDay be .. equbed to leave the p .. elDises and shall
be subject to p .. osecution fo .. t .. espassing if they
do not leave when asked.
CITY OF GLASGOW
ORDINANCE NO. _2_6_88 ___ _
AN ORDINANCE PROHIBITING SMOKING
IN ENCLOSED PUBLIC PLACES
BE IT HEREBY ORDAINED BY THE CITY OF GLASGOW, KENTUCKY as follows:
SECTION 1 - PURPOSE:
In order to serve the public health, safety and genera! welfare, it is the declared
purpose of this Ordinance to prohibit smoking in all enclosed public places.
SECTION 2 -- DEFINITIONS:
(1) "DWELLING" means any place used as a primary residence; Including,
but not limited to, private rooms in nursing homes (except private residences when
used as a chlldcare, adult day care, or health care facility, which shall not be considered
a "dwelling" for purposes of this Ordinance).
(2) "ENCLOSED AREA" means all space between a floor and ceiling that is
enclosed on all sides by pennanent or temporary walls or Windows (exclusive of
doorways), which extend from floor to the ceiling.
(3) "PUBLIC PLACE" means an enclosed area to which the public is invited
or in which the public is permitted, including, but not limited to, banks, bars, educational
facilities, gaming facilities, health care facilities, hotels and motels, laundromats, public
transportation vehicles and facilities, reception areas, restaurants, retail food production
and marketing establishments, retail service establishments, retail stores, shopping
malls, sports arenas, theaters, and waiting rooms. A private residence is not a "public
place" unless it is used as a child care, adult day care, or health care facility, .
(4) "PRIVATE ORGANIZATION" means an establishment which maintains
selective members, is operated by the membership, does not provide food or lodging
for pay to anyone who is not a member or a member's guest and has been granted an
exemption from the payment of fedaral income tax as a non-profit organization under
26 USC Section 501.
(5) "SMOKE OR SMOKING" means inhaling, exhaling, burning, or carrying
any lighted or heated cIgar, cigarette, or pipe, or any other lighted or heated tobacco or
plant product intended for Inhalation, in any manner or in any form. "Smokmg" also
includes the use of an "a-cigarette" which creates a vapor, in any manner or In any
Page 1 or:;
fonn, or the use of any oral smoking device for the purpose of circumventing the
prohibition of smoking in this ordinance. For greater clarity, an "e-cigarette" means any
electronic device composed of a mouthpiece, heating element, battery, and electronic
circuits that provides a vapor of liquid nicotine and/or other substances mixed with
propylene glycol to the user as he or she simUlates smoking. The tenn shall include
such devices whether they are manufactured as e-cigarettes, e-clgars, or e-pipes, or
under any other product name.
SECTION 3 - SMOKING PROHIBITED
Smoking shall be prohibited in all enclosed public places as those tenns are
defined in Section 2 above, including all enclosed city and county owned facilities and
all enclosed places of employment within the city of Glasgow.
SECTION 4 - WHERE SMOKING NOT PROHIBITED
(1) The prohibitlon set forth in Section 3 above shall not apply to any of the
following:
(a) In any dwelling.
(b) A private organization except when the establishment is open to
the public.
(2) Nothing In this chapter shall authorize smoking in any place where it is
otherwise prohibited by statute, ordinance, regulation, or by order of the Fire Marshall.
SECTION 5 - POSTING OF SIGNS
(1) An owner, lessee, principal manager, or person In control of an enclosed
public place shall post signs. with lelters of not less than one inch high or symbols no
less than three inches high, usIng the words "No Smoking" or the international "No
Smoking" symbol conSistIng of a pictorial representation of a burning clgaretie enclosed
in a red circle with a red bar across it conspicuously either on all public entrances or in
a position clearly visible on entry into the enclosed public place.
(2) The owner, operator, manager, or designee or employee of every
enclosed public place shall inform persons violating this ordinance of the applicable
provisions thereof and require compliance.
(3) All ashtrays except for ashtrays displayed for sale and not for use on the
premises and except for receptacles located outside the enclosed public place used
only for disposal of smoking material, and other smoking paraphernalia shall be
removed from any area where smoking Is prohibited and shall not be permitted by the
rage 2 1l1'5
owner, operator, manager or other person. having control of the enclosed public place.
Any permanent structure that functioned or was used as an ashtray shall be disabled or
altered to prevent its use as an ashtray.
(4) The requirements of this section do not apply to any areas where smoking
is not prohibited.
SECTION 6 - DUTIES OF PERSONS IN CONTROL OF ENCLOSED PUBLIC
PLACES
(1) An owner, lessee, principal manager, or person in control of an enclosed
public place shall:
(a) Ask smokers to refrain from smoking in any no-smoking area;
(b) Use any other legal means which may be appropriate to further the
intent of this chapter.
(2) An owner, principal manager, proprietor, on any other person In control of
an enclosed public place shall ensure compliance by subordinates, employees, and
agents with this chapter.
SECTION 7 - DECLARATION AS NONSMOKING
Notwithstanding any other provision of this Ordinance, an owner, operator,
manager, or other person in control of an establishment, facility, or outdoor area may
declare that entire establishment, facility, or outdoor area as a nonsmoking place.
Smoking shall be prohibited in any place in which a sign conforming to the requirements
of Section 5 is posted.
SECTION 8 - ENFORCEMENT
Enforcement of this Ordinance shall be by citation issued by any police officer of
the city of Glasgow. Notice of the provisions of the Ordinance shall be provided by
publication.
SECTION 9 - VIOLATIONS AND PENALTIES
(1) An owner, manager, proprietor, lessee or other person in control of the
premises who violates any provision herein, including a person who smokes in an area
where smoking is prohibited, shall be subject to the following penalties:
. (a) A fine of $25 for the first offense;
Pnge30l'S
(b) A fine of $100 for the second offense;
(c) A fine of $250 for the third and each subsequent offense;
(d) Persons who smoke in an area where smoking is prohibited and
Who refuse to extinguish their smoking material when asked, may
be required to leave the premises, and shall be subject to
prosecution for trespass if they do not leave when asked.
(e) If the person who violates any provisions of this Ordinance is the
owner, manager, proprietor, lessee or other person in control of the
premises, the fines described in sub-paragraphs (a), (b) and (c)
above shall be doubled.
(2) Each calendar day during which the violation occurs shall constitute a
separate and distinct offense.
SECTION 10 - PROHIBITION OF SMOKING IN OUTDOOR AREAS
Smoking is prohibited within 15 feet from the main outside entrance for the public
to any enclosed public place as to ensure that tobacco smoke does not enter the
enclosed public place through entrances, windows, ventilation systems, or other means.
SECTION 11 - NONRETAlIATlON; NONWAIVER OF RIGHTS
(1) No person or employer shall discharge, refuse to hire, or in any manner
retaliate against an employee, applicant for employment, or customer because that
employee, applicant, or customer exercises any rights afforded by this ordinance.
(2) An employee who works in a setting where an employer allows smoking
does not waive or otherwise surrender any legal rights the employee may have against
the employer or any other party.
SECTION 12 - EFFECTIVE DATE
This Ordinance shall become effective ninety (90) days after publication.
DAREii Ptcrn:MAYOR
Page 411f5
ATTEST:
-_. ----_.- . _. __ ._ ....... __ ... . ..... _---_ .. __ .
~ , , ~ i v f t ? ~
/:#; 2688
OL ER. CITY CLERK/ADMINISTRATOR
3-8 10
Second Reading: 3-22-10
PageS 01'5
Smoke-free Implementation Toolkit
Editorial Board Memo [Template - Cessation Resources]
MEMORANDUM
TO: [STATE/LOCAL] Health Reporters
FR: [INSERT YOUR ORGANIZATION'S NAME]
DT: [DATE]
RE: Resources to help smokers quit as [STATE] implemeuts smoke-free law
On [DATE], [STATEILOCALITYj's comprehensive smoke-free law [TAKESITOOK] full effect,
requiring all workplaces, including restaurants and bars, to be smoke-free. [STATE] joins 22 states that
have passed smoke-free laws that include restaurants and bars.
Much of the discussion about [STATE]'s new law has focused on the significant health benefits it
provides for non-smokers in protecting them from the proven dangers of secondhand smoke. Secondhand
smoke contains more than 4,000 chemicals, including 69 known carcinogens. It is a scientifically proven
cause of serious health problems, including lung cancer, heart disease and chronic lung ailments such as
bronchitis and asthma.
This law can also benefit many of [STATE]'s [XX] smokers if they use the new restrictions on smoking
at work and in public places as motivation to quit smoldng and seek out services to help them. According
to the Surgeon General's 2000 Report on Reducing Tobacco Use, smoke-free workplace laws "have been
shown to decrease daily tobacco consumption and to increase smoking cessation. "i
But quitting smoking is not easy. A whopping 97 percent of those who try to quit "cold turkey" usually
relapse. ii But it can be done, and the benefits to smokers who quit and to their friends and loved ones are
enormous. That's why it's critical for your readers to be well informed about the counseling, medication
and other services available to help smokers quit. Accessing accurate information and the right resources
can often mean the difference between success and failure.
As [STATE] adjusts to the smoke-free law, we encourage you not only to report on the law itself, but also
help ensure that those smokers who now want to quit are armed with the information they need to achieve
success.
For your consideration, we've included some matelials that you may find helpful as you decide how to
inform your readers about how they might quit and what resources are available locally: (1) potential
"quit smoldng" story ideas; (2) a smoking cessation overview and (3) a list of national and local smoldng
cessation resources. If you have questions, or are interested in speaking with a local stop smoking expert,
please call [NAME AND NUMBER].
# # #
i u.s. Department of Health and Human Services (HHS) , Reducing Tobacco Use: A Report of the Surgeon General,
2000, http://www.cdc.gov/tobacco/sgr tobacco use.hlm.
il Hughes JR, Gulliver SB, Fenwick JW, Valliere W A, Cruser K, Pepper S, Shea P, Solomon LJ, Flynn BS.
Smoking cessation among self-quitters. Health Psychol. 1992;11(5):331-4.
What's the
best reason
to thank your
Lexington
Council
Member?
For doing exactly
theright thing.,
Standing firm. Defying the spedallntere>fs. tothe people.
On JUlY1, 2003 the lexington Fayette Urban County Council
a ,make-free ordinance backed by many organizations
and citizen advocates.
Over time, It will save thousands of live,. PfOtecUng each one
of us from the deadly toxins In secondhand smoke.
No matter where we work. '
Will it take a few people a little while to change their habits? Sure,
But other cities have found that compliance and pubHc
support grow steadilystronger the longer comprehensive smoke-
free measures are In effect--evell among addicted smokers.
lexington will, too.
Thanh to Council members who listened to all of the people
ofLexfngton-fayetle County. Took a long-range vIew. And did
exactly the right thing.
Smoke-Free Lexington.
Good for People,
Good for Business.
For more information on the Smoke-Free Ordinance
in lexington, call (859) 2.88-2.457 or visit
www.bluegrass-smokefree.com
We thankyolJ for your support.

}lealth " ION: '" ;
UfIli! --, 'Ilf:l!:vr
T r61'li.f18l-l I
<f_ r"...,,_',...... ... _ "'.!'.J.l""/:'!. 1
,
Spagnuolo. Amy R
Sent:
To:
Cc:
Wednesday, February 09, 2011 11 :39 AM
Keresmar, Sarah; Johnson, John D; Hahn, Ellen J
Fallin, Amanda T; Wagner, Kristian K
Attachments: tobeont R01 Nelson Business kit letter.doe
There are sample pieces to a business kit in the Toolkit. Fact sheets will need updating.
Newer than that might be pieces from Bardstown, Prestonsburg, Campbellsville, and maybe london (anythIng newsitice
thetoolkitAmanda and Kristian)?
Attached is the Bardstown business "kit" (not including the decal!). I did not get the chance to be involved up front and
we had to promote the phone number to ca II re violations later through the newspaper That's where the checklist will
be handy.
let me know if you have questions after you look over the toolkit materials, John.
Thanks,
Carol
sent: Wednesday, February 09, 201110:25 AM
To: Johnson, John D; Hahn, Ellen J
Cc: Riker, Carol A
Sometimes we send examples of a business kit - but I'm not sure which one we are using as the sample these days.
Ellen, Carol ... which one is your favorite?
Sarah
Faculty lecturer, Division of Instructional Communication
College of Communications and Information Studies, little Library 310 M
Co-Director, Kentucky Center for Smol\e-Free Policy
College of Nursing" 751 Rose Street, 450B, lexington, KY 40536-0232
859-323-0603
859-323-1057 (FAX)
www.kcsp.uky.edu
Sent: Wednesday, February 09, 201110:23 AM
To: Hahn, Ellen J
1
Cc: Kercsmar, Sarah; Riker, Carol A
Hi Ellen,
Thanks,
John
From: Hahn, Ellen J
Sent: Thursday, January 20,20114:17 PM
Cc: Johnson, John D
Ellen
751 Rose Street
859-257-2358
859-323-1057 (FAX) .
www.kcsp.uky.edu
Find kysmokefree on Twitter and Facebook I
COLLEGE 'Of NURSING
{)ur You YOUfB
Cc:Johnson,John D
Elien,
2
was the same as the last time that it wasintroduced in 2007. I'll attach a copy. There will be a special session
of the Bowling Green City Commission on Monday, Jan. 24th @ 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
1109 State Street
P.O. Box 1157
Ph: 270-781-8039, ext. 144
Fax: 270-796-8946
NOTICE OF CONFIDENTIALITY: This e-mail,including any attachments, is Intended only for the use of the individual or entity to which it is
of this message is not the intended recipient
l
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.
Carol,
http://www.wbko.com/home/headlines/Bowling Green City Commission Votes 3-
2 to Ban Smoking 114180019.html
Ellen
751 Rose Street
Lexington, I<Y 40536-0232
3
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLlE.GE. OF NURSING
Ollr GiG;)1 ii; 10 ;j(Jlp 'fou FIQall:C\l 'Iburs
To: Riker, carol A
Cc: Hahn, Ellen J
Carol,
his plan was to introduce the ordinance in February 2011. Because of the Mayor's Situation, those plans
@1:30pm ........
Carol Douglas, BS
Health Educator III
1109 State Street
P.O. Box 1157
Ph: 270-781-8039, ext. 144
Fax: 270-796-8946
NOTICE OF CONFIDENTIALITY: This e-mail, including any attachments{ is Intended only for the use of the Individual or entity to which it is
of this message is not the intended reCipient, you are notified t!la.t any review f use, disclosure, distribution or copying of this communication
is strictly prohibited. If you have received this commun1cation in error, please contact the sender by reply e-mail and destroy all copies of the
original message.
4
BGHS - youth Service Center; Petrovic Danijela; Pollard Venica; Prunty, Melody F (LHD-Edmonson County Health Dept);
Helio Bowling Green Smoke-free Advocates,
distressing as it is to think of nursing horne patients & workers exposed for a few residents who still smoke, a
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
Air Quality testing in Hookahs revealed VERY high levels of fine particulates (see one-pager, attached).
Wanted you ali to know what is happening in other places with the tobacco retailer exemption.
Thanks and good lucid
Carol Riker
Associate Professor
Community Advisor, Rural Smol<e-free Communities
751 Rose Street
lexington, KY 40536-0232
Phone: 859-323-6615
5
Fax: 859-323-1057
Cell: 859-619-3776
www.kcsp.uky.edu
COLLEGE OF NURSING
OUf (loS]! ! ~ tG n01p Ybu !Roa!;Zc 'fburs;
From: Hahn, Ellen J
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;
Betsy; Jennings Katy; laManna Frank; Lawrence, Brenda; Lovely Teresa; Miller AI; Monroe Lori; Nagy Chris; Napier
Melanie; Owens Paula; Palmer Alan; Parnell Heather; Perdue, OliVia - BGHS - Youth Service Center; Petrovic Danijela;
be the new mayor and he wasn't favorable last time. Where does he stand this time? Also, did an attorney draft the
6
Tea Party, along with NKY Choice, the KY Libertarian Party, and others have turned out the opposition in large numbers.
Good luckl!
Ellen
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
! COLLEGE OF NURSING
Barren River District); Chang Tonya; Cherry Jeanine; Clark Paula; Compton Judy; Copas Jackie; Cunningham Terri;
7
Wininger, Amy; Wollin Andrew; Woods Monica,
Cc: Hahn, Ellen J
Importance: High
I need your helpl I just found out that the Bowling Green City Commission will introduce a Smokefree
th
ordinance is the last item out of 13 listed on the agenda. It's time to encourage everyone to come out to the
there in full force! I will be contacting those of you specifically on the SF BG Ordinance workgroup to help
Comrnission website @ bgky.org/citycommission.
This is going to be a bumpy ridel!!!
Carol Douglas, BS
Health Educator III
1109 State Street
P.O. Box 1157
Ph: 270-781-8039, ext. 144
Fax: 270-796-8946
Website: www.ba.rrenriverhealth.org
NOTICE OF CONFIDENTIALITY: This e-mail,indudinganyattachments, is intended only for the use of the individual or entity to which it is
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.
8
Dear Business Owner/Employer-
On June 17, 2010, the City of Bardstown Ordinance #B201 0-04 goes into effect. The new ordinance
. requires that all enclosed places of employment within the city limits of Bardstown be smoke-free.
This letter gives basic information to assist you in complying with the new regulations.
The ordinance, in requiring that all enclosed areas be smoke-free, includes all common work areas,
conference and meeting rooms, private offices, hallways, employee lounges, staircases and
restrooms. The ordinance allows smoking outside as long as smoke does not enter the building
through windows or doors.
As a business owner/employer, your responsibilities include the following:
Place "No Smoking" decals conspicuously at all public entrances or in a position clearly visible
on entry. (Two signs are provided in this packet.)
Remove all ashtrays and other smoking paraphemalia from areas where smoking is prohibited.
Take positive steps to inform your employees and customers that smoking is not allowed in
indoor areas.
The City of Bardstown adopted Ordinance #B2010-04 to protect employees and the public from the
harmful effects of second-hand smoke. Your responsibility to carry out this ordinance is for the same
reason.
If someone is smoking in your establishment:
1. Ask the person to extinguish the cigarette/cigar immediately or to step outside to smoke.
2. If the person refuses, ask them to leave the premises.
3. As a last resort, call the Police Department (348-6811 or 911) as you would with any disorderly
conduct.
If you are an employee and someone is smoking:
1. Ask the person to stop smoking or to step outside to smoke.
2. If the person refuses, request the owner/manager handle the situation.
In general, the City Code Enforcement Officer at 348-5947, Ext. 2205 is the person to contact for any
further questions or information. The Police are to be called only if and when a person refuses to
comply with the ordinance.
If needed, extra signs/decals are available free of charge in the lobby of City Hall. Also, available at
the same location are copies of the ordinance and decals for company vehicles.
Thank you for both your cooperation and for helping Bardstown become a healthier community for all
who work, live or visit here. Your support in making this a smooth transition is appreciated.
Nelson County Smoke-Free Workplace Coalition
Spagnuolo, Amy R
Sent:
To:
Wednesday, February 09, 2011 10:23 AM
Hahn, Ellen J
Cc:
Subject:
Kercsmar, Sarah; Riker, Carol A
RE: Congratulations on first reading!
Hi Ellen,
Thanks,
John
From: Hahn, Ellen J
Sent: Thursday, January 20, 20114:17 PM
Cc: Johnson, John D
Ellen
751 Rose Street
. 859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
Find kysmokejree on Twitter and Facebook I
COLLEGE OF NURSING
Ol.if rh:;ip "'(01,1
To: Hahn, Ellen Ji Riker, Carol A
1
Cc:Jonnson.John D
Ellen,
ofthe Bowling Green City Commission on Monday, Jan. 24th @ 7 pm forthe final vote( 2 votes are necessary
for passage ofthe ordinance}. If passed, the ordinance will go into effect in 90 days from final vote.
Carol Douglas, BS
Health Educator III
1109 State Street
P.O. Box 1157
Ph: 270-781-8039, ext. 144
Fax: 270-796-8946
NOTICE OF CONFIDENTIALITY: This e-mail,induding any attachments, is intended only for the USe of the individual or entity to which it is
of this message is not the intended recipient, you are notified that any review, use, disclosure, distributlon or copying of this communication
original message.
To: Douglas, Carol F (LHD-Barren River Dist)i Riker, Carol A
Cc: Johnson, John Di Hahn, Ellen J
Carol,
http://www.wbko.com!home!headlines!Bowling Green City Commission Votes 3-
Ellen
2
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE OF NURSING
Our GC{111G to If-k1ip You F ~ o a U Z H lburs
From: Douglas, Carol F (LHD-Barren River Dist) [mailto:CaroIF.Douglas@ky.govl
Sent: Saturday, January 15, 2011 5 :49 PM
To: Riker, Carol A
Cc: Hahn, Ellen J
Carol,
@ 1:30pm ........
Carol Douglas, BS
Health Educator III
1109 State Street
P.O. Box 1157
Ph: 270-781-8039, ext. 144
Fax: 270-796-8946
NOTICE OF CONFIDENTIALITY: This e-mail,includinganyattachments, is Intended only for the lise of the individual or entity to which it is
of this message is not the intended recipient, you are notified that any review 1 use, disclosure, distribution or copying of this communication
original message.
3
To: Hahn, Ellen J; Douglas, Carol F (LHD-Barren River Dist); LHD Barren River BRDHD.AII; Absher Mark; Adkins, Joyce N
Greene, Janet; Gregory Eric; Halbig Hillary; Hartz Sharon; Houchens Marla; Houchin, Lisa J (LHp-Barren River Dist);
BGHS - youth Service Center; Petrovic Danijela; Pollard Venica; Prunty, Melody F (LHD-Edmonson County Health Dept);
Maryellen; Taylor Brad; Thweatt, Kathy J (CHFS-LHD Barren River Dlst Health Dept); Tinsley Tammy; Troyer Mike; Tuck
smoking on campus and several businessmen requesting a waiver oftheir regulation to open Hookah
Wanted you all to know what is happening in other places with the tobacco retailer exernption.
Thanks and good luck!
Carol Riker
Associate Professor
4
751 Rose Street
Phone: 859-323-6615
Fax: 859-323-1057
Cell: 859-619-3776
www.kcsp.uky.edu
Find kysmokejree on Twitter and Facebook
COLLEGE. OF NURSING
OU r Goal i to Hlllp Ybu Hoal!m 'filum:
From: Hahn, Ellen J
. Judy; Copas Jackie; Cunningham Terri; Daniels Karen; Drexler Angie; Duncan Martha "Sue"; Emerson Jeanann; Flora
Linda; Ryan Lorie; Shindhelrn Karen; Shirley Melissa Walton; Simmons, Jeri; Smith Beth; Spears Bonnie; Stein Margaret;
5
Afew lessons learned from NKY: plan for special meetings (the opposition will try to derail in every way and they are
gaad 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
Good luck!!
Ellen
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE Of NURSING
From: Douglas, Carol F (LHD-Barren River Dist) [mailto:CaroIF.Douglas@ky.govj
To: LHD Barren River BRDHD All; Absher Mark; Adkins Joyce; Advani; Shailesh; Alloway Michelle; Applebee's; Baldwin
6
Wininger, Amy; Wollin Andrew; Woods Monica .
Cc: Hahn, Ellen J
Importance: High
th
Carol Douglas, BS
Health Educator 111
1109 State Street
P.O. Box 1157
Ph: 270-781-8039, ext. 144
Fax: 270-796-8946
NOTICE OF CONFIDENTIALITY: This e-mail, including any attachments, is intended only for the use of the individual or entity to which it is
of this message is not the intended reCipient, you are notified that any review I use, disclosure, distribution or copying of this communication
orlglnal message.
7
Spagnuolo, Amy R
Sent:
To:
Monday, February 07, 2011 4:51 PM
Marijanovic, Nina
Subject: RE: Feb Newsletter OUtline
Your NY Times article made a nice FB post - well done!
John
From: Marijanovic, Nina
To: Hahn, Ellen J
Cc: Johnson, John D
Subject: Feb Newsletter Outline
Afternoon- Rough outline for the Feb, Newsletter.
Thanks!
I. Updates:
a. Campbell Co. upcoming vote.
b. ?17
II. In the news:
a. NY bill to ban e-cigs until FDA action
I. http://online.wsj.com/articie/APdle46ddc29014f36b309c6bce4651f15.html
b. Judge Rules No smoking in Nebraska cigar bars or hotels
III. Voices of Smoke Free Communities
a. Second round of prom os.
IV. Literature Review
a. Electronic cigarettes as a harm reduction strategy for tobacco control: A step forward or a
repeat of past mistakes?
i. Zachary Cahn and Michael Siegel
b. Exploring differences in smokers' perceptions of the effectiveness of cessation media messages.
I. Kevin C Davis, James M Nonnemaker, Matthew C Farrelly, et at.
v. Opposition Watch
a. E-cig (we could explore the 'facts' ofthis industry and perhaps use the 'American Blue Tip' commercial
and insert the link for members to watch)
VI. Misc.
a. 'Save the date' for Spring Conference
Nina Marijanovic, Research Assistant
College of Nursing
519 CON Building
859.323.4599
nina.marijanovic@uky.edu
1
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent: Saturday, February 05, 2011 2:56 PM
To:
Cc:
Marijanovic, Nina; Johnson, John D; Sidney, Hilarie E
Kercsmar, Sarah
Subject: FW: CASAA I The Consumer Advocates for Smoke-Free Alternatives Association
Follow Up Flag:
Flag Status:
Follow up
Completed
See below. Sending this both for the Opposition Watch section of the newsletter AND for spring conference
(list of opposition)
Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy
University of Kentucky College of Nursing and College of Public Health
751 Rose Street
859-257-2358
859-323-1057 (FAX)
ejhalmOO@email.uky.edu
www.kcsp.uky.edu
Find kysmokefree on and
-----Original Message-----
From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov]
Sent: Tuesday, February 01, 20111:28 PM
To: Hawkins, Ruth R (LHD-Madison Co); HaIm, EllenJ; Riker, Carol A; Robertson, Heather E
Subject:CASAA I The Consumer Advocates for Smoke-Free Alternatives Association
http://www .casaa.org/
Hear of this organization. "Rumor has it" -via Vapor Stix Facebook page, they plan to attend our April BOH
meeting.
Kelly S. Owens, MPH, CHES
Tobacco Prevention and Cessation SpecialistlHealth 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/
1
P Please consider the environment before printing this e-mail
2
Spagnuolo, Amy R
From:
Sent:
To:
Cc:
Subject:
Hahn, Ellen J
Thursday, February 03, 2011 8:24 PM
Johnson, John D; Marijanovic, Nina
Kercsmar, Sarah
FW: e-cigarettes and Grammy's
Let's highlight this in the newsletter. Advocacy at work!!!!
751 Rose Street
.859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
I
w,;
.' .
COLLEGE OF NURSING
OlAf if;? HGif) Yuu
From: Announcements regarding tobacco control. [mailto:STANGLANTZ-L@LISTSRV.UCSF.EDUl On Behalf Of Phillip
Gardiner
Sent: Thursday, February 03, 2011 7:23 PM
. To: STANGLANTZ-L@LISTSRV.UCSF.EDU
Subject: Re: e-cigarettes and Grammy's
You go Stan!!!
Phillip Gardiner, Dr. P. H.
Social and Behavioral Sciences
Neurosciences and Nicotine Dependence
Research Administrator
Tobacco Related Disease Research Program
University of California Office of the President
300 Lakeside Drive, 6th Floor
Oakland, CA 94612-3550
Ph. (510) 987-9853
Fx. (510) 835-4740
phillip.gardiner@ucop.edu
1
url. www.trdro.org
From: Announcements regarding tobacco control. [mailto:STANGLANTZ-L@LISTSRV.UCSF.EDUl On Behalf Of Glantz,
Stanton A
Sent: Thursday, February 03, 2011 4: 13 PM
To: STANGLANTZ-L@LISTSRV.UCSF.EDU
Subject: e-cigarettes and Grammy's
On Jan 7 we sent a letter signed by Smoke Free Movies and most of the national partners (AMA, AAP, TFK, ALA, AHA,
ANR) to the Recording Academy of America raiSing the issue of including e-cigarettes in the gift bags at the Grammy
Awards.
I just got the following letter from Neil Portnow, President and CEO of the Recording Academy:
Dear Dr. Glantz,
Thank you for your letter of January 7, 2011. We believe that you will be pleased to know that the celebrity gift bags for
the 53,d Annual GRAMMY Awards this year will not include any electronic or e-cigarette merchandise.
We commend you and sincerely appreciate the work that you and your colleagues do to promote the good health of our
citizens.
Kind regards,
Neil Portnow
2
Spagnuolo. Amy R
Sent:
To:
Wednesday, February 02, 2011 8:51 AM
Marijanovic, Nina
Subject: RE: Feb Newsletter Outline
Great, thanks!
Sent: Tuesday, February 01, 2011 2:24 PM
To: Johnson, John D
18
th
works fine.
Sent: Tuesday, February 01, 2011 9:08 AM
To: Hahn, Ellen J; Marijanovic, Nina
Cc: Kercsmar, Sarah
Sure, we can make it February 18. Nina, feel free to tell us if this will not work for you.
From: Hahn, Ellen J
Sent: Monday, January 31, 2011 3:45 PM
To: Johnson, John D; Marijanovic, Nina
Cc: Kercsmar, Sarah
How about the Friday before since Nina works late in the week? That way, we will have time to review.
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.mc.uky.edu!tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on Twitter and Facebook I
1
COLLEGE OF NURSING
OUr 'i() HtJip YQL! RQQ;!;z;o
From-: Johnson, John D
Sent: Monday, January 31,201110:26 AM
To: Hahn, Ellen J; Marijanovic, Nina
Cc: Kercsmar, Sarah
Looks great to me - thanl<s for being ahead on the February newsletter, Nina!
As usual there may be last minute details we'll have to be sensitive to as Sarah has pointed out.
Perhaps we could set a goal to have it ready by around February 21 and send it by then or shortly thereafter?
Thanks,
John
From: Hahn, Ellen J
To: Marijanovic, Nina
Cc: Johnson, John D; Kercsmar, Sarah
Nina,
I also am cc: Sarah Kercsmar. Sarah and John, Nina and I talked about her sending us an 'outline' for the newsletter by
the end of every month. The one below is for February. Thoughts? See my thoughts below. Good job, Nina.
Ellen
751 Rose Street'
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE OF NURSING
Our Goa! is '!iiJ You noa!2B \burt
2
To: Hahn, Ellen J
Cc: Johnson,John D
Afternoon- Rough outline for the Feb. Newsletter.
Thanks!
I. Updates:
b. Bullitt County Board of Health regulation (scheduled for first reading Feb. 16-see Carol Riker for
language)
c. Smokefree Kentucky (we need to indude a link to www.smokefreekentucky.orgto encourage
readers to sign up for information and action alerts-there may be other updates as well)
II. . In the news:
I. http://online,wsj,com/articie/APdle46ddc29014f36b309c6bce4651f15.html
a. Second round of promos.
1. Zachary Cahn and Michael Siegel
(would rather focus on smoke-free papers---maybe the latest economic study from Wisconsin?)
1. Kevin C Davis, James M Nonnemaker, Matthew C Farrelly, et al.
v. Opposition Watch
a. E-cig (we could explore the 'facts' of this industry and perhaps use the 'American Blue Tip' commercial
VI. Misc.
College of Nursing
519 CON Building
859.323.4599
nina.marijanovic@uky.edu
3
Spagnuolo, Amy R
From:
Sent:
tobacco_prevention [tobacco_prevention@listserv.ky.gov]
Monday, January 31, 2011 10:34 AM
To: tobacco_prevention
Cc:
Subject:
to bacco _preven tion@listserv.ky.gov
Monday Memo
Attachments: Agenda 2011 Spring Conference draft 012711 COLOR CHANGE FOR SAVE THE
DATE.PDF; Registration Form 2011.pdf
Be our friend! Kentucky's Tobacco Quitline has a facebook page, Tobacco Cessation.
Please be advised: everyone needs to participate in the School tobacco Policy Training, even if
their school system(s) have recently passed a 100% Tobacco Free Campus policy. There are many
other pieces of data collected besides policy (enforcement, compliance, tobacco prevention
curriculum, cessation interventions, etc.). Additionally we need to know how each school perceives
and implements a district policy (that can vary widely as we've all witnessed).
Freedom from Smoking Facilitator Training - will be held April 28 and 29 in Lexington. For
information regarding registration, contact Jennifer Hollifield at jenniferh@kylung.org 502-363-2652
February Conference Call will be tomorrow - February 1, 9:30 EST, 8:30 CST. Since February is
Diabetes Awareness Month, we will have a presentation by Reita Jones with the state's Diabetes
Program. Visit our website at http://chfs.ky.gov/dph/info/dpgi/hp/cotools. htm to view/download the
powerpoint presentation. Call in phone number is: 1-866-889-3903, the participant code is 712568#.
You may want to share this information with your local diabetes health educator.
Smokefree Spring Conference
I've attached the registration form and the spring conference agenda for the March 24, 2011 Smoke-
free Spring Conference. It will be held at the Marriott in Lexington KY from 8am-4:15pm.
We are ready to send a call for registrations. I've attached the agenda and registration form for you to
include in your Monday memo.
Please feel free to call me at anytime with questions or if you need anything else from me.
Heatlier :MPJl
Clean Indoor Air Partnership, Manager and
Program Administrator
Kentucky Radon Awareness Program
Northern Kentucky Clean Indoor Air Collaborative
College of Nursing
520 CON Building
751 Rose Street
859-323-1730
Fax: 859-323-1057
HRobertson@uky.edu
www.kcsp.uky.edu
1
When smokers move out and non-smokers move in: residential thirdhand smoke pollution
and exposure
http://tobaccocontrol.bmj.com/contentl20/1/e1.full
Phone chat plus web program helps smokers quit
Research presented in the Archives of Internal Medicine shows that combined internet and telephone treatment
for smoking cessation may be more effective than web-based programs alone. Researchers randomized 2005
users of the QuitNet.com website to either receive six months of access to a basic website with general quit
advice, a premium website that allows users to set quit dates and track motivations, or the premium website plus
phone counseling. After a year and a half, 15 % of those receiving both phone and premium website services
reported not smoking since the start of the study, compared to 8 % of premium website users and 6 % of basic
website users. Future work will be needed to determine the optimal duration, intensity, and components of such
interventions. Read more here, or click here to read the study abstract.
Studies decipher how anti-smoking drugs work
New articles published in the Archives of General Psychiatry have provided more insight into how the smoking
cessation drugs varenicline and bupropion work to reduce cravings among smokers. The first study used brain
scans of 22 smokers to study brain activity during rest, and while being exposed to smoking cues, before and
after a three-week regimen ofvarenicline or placebo. The results showed that smokers taking varenicline were
less likely to report smoking cue-related cravings after the three-week trial compared to those taking placebo;
varenicline appeared to activate parts of the brain that prevented smoking cue response. The second study also
used brain scans to assess changes in brain activity in response to smoking-related cues; in this study, thirty
smokers were randomized to receive eight weeks ofbupropion or placebo. As was seen in the varenicline study,
those taking bupropion reported fewer craving symptoms and showed less activity in areas of the brain that are
associated with craving. The ability of these drugs to reduce brain activity related to cravings likely increases
their effectiveness in helping people quit smoking. Click here for more information, or read the abstracts of the
studies regarding varenicline and bupropion.
DOD urges troops to quit tobacco in 2011
In December, the U.S. Department of Defense issued a statement that encourages military personnel to make
New Year's resolutions to quit using tobacco, citing the negative health effects associated with tobacco use.
Officials recommend that military personnel make a strategic plan and utilize tools and services available to
help them quit smoking. The Depaltment of Defense's health care system, Tticare, provides several resources to
members of the military through its tobacco cessation campaign, "Quit Tobacco - Make Everyone Proud."
Through the campaign website, military personnel can access interactive quit tools, self-assessments, quit plan
development advice, tips on handling cravings and withdrawal symptoms, links to quit coaches and quitlines,
information on medications, and other resources. Click hereto read more, or click here to visit the Quit Tobacco
- Make Evelyone Proud website.
CDC launches new cessation campaign, "2011: Your year to quit smoking"
The Centers for Disease Control and Prevention (CDC) is encouraging smokers to make 2011 the year that they
quit smoking for good, providing infonnationand advice on their website on how to keep a New Year's
resolution to quit smoking. The webpage describes the addictive nature of nicotine, lists some of the health
benefits of quitting smoking, and suggests tools and methods to successfully abstain from tobacco. The page
also directs users to resources that will allow them to gather more information and help them to quit, such as
their personal physicians, national quitlines, and websites. Read more here, or access other features such as e-
Cards, buttons, and media campaign resources from the CDC website.
2
Kentucky legislators to open debate on statewide smoking ban (KY)
Legislators in Kentucky are considering a bill that would prohibit smoking in indoor public places statewide to
protect nonsmokers from the effects of secondhand smoke. The bill is expected to pass in the eight-member
health committee, but then it must also pass two additional readings and a full House vote. With about 25 % of
Kentucky residents being smokers, the state has the third-highest adult smoking rate in the country. Read more
here. Related: Poll: Kentuckians favor smoking ban The results of a recent poll released by
several public health organizations show that a majority of Kentucky residents SUppOlt the smoke-free law
proposed in the state House. The telephone survey of 500 people indicated that 59 % of those polled supported
banning smoking in public places, with support across the political spectrum. Lawmakers backing the bill hope
that the public support will encourage more legislators to favor the smokefree law. Click here to read more.
FDA files new appeal on e-cigarettes
After being denied an appeal over its case seeking regulatory power over electronic cigarettes in December, the
Food and Drug Administration (FDA) has petitioned the entire U.S. Court of Appeals in the District of
Columbia to review it. The FDA is arguing that e-cigarettes are drug or medical devices and therefore must
have preapproval from the agency before being put on the market. Previously, a panel of judges decided that e-
cigarettes are tobacco products, and must be regulated as such unless the manufacturers make claims that e-
cigarettes help smokers quit or treat an illness. The FDA has asked the court to reestablish a stay of a
preliminary injunction that would prevent e-cigarettes from being imported, pending the request for a rehearing.
Click here to read more.
TCLC introduces Tobacco Policy Tips and Tools
People working on tobacco control issues often need helpful information immediately. With that in mind, the
Tobacco Control Legal Consortium has launched a series of short reference guides called Tobacco Policy Tips
and Tools. These guides address current tobacco policy issues. The first three publications cover Regulating
Tobacco on Campuses, Regulating Hookah and Watervipe Smoking, and Regulating Smoking Outdoors. After
reviewing each guide, readers may consult with Consortium staff attorneys or local counsel as their policy
efforts move forward. To request other topics for the Consortium to cover in Tips and Tools, email
publichealthlawcenter@wmitchell.edu.
Kids, cars and cigarettes: Policy options for smoke-free vehicles
The Tobacco Control Legal Consortium's parent organization, the Public Health Law Center, has just released a
white paper describing policy options for regulating smoking in cars carrying children. The paper was prepared
with the financial support of the American Lung Association of Minnesota. Click here to access the new policy
options brief, or click here for a short overview.
Smoking may worsen pain for cancer patients
Research presented in the journal Pain indicates that cancer patients who smoke experience more severe pain
compared to those who do not smoke. To assess the association between smoking and pain among cancer
patients, researchers analyzed self-reported data from 224 cancer patients on pain severity, pain-related distress,
pain-related interference with daily routines, demographic information, and smoking status. The data showed
that those who continued to smoke after being diagnosed with cancer experienced more severe pain, and were
more likely to report having pain that interfered with their everyday life, compared to never smokers.
Additionally, pain severity among former smokers decreased with the number of years they had quit smoking,
signifying that quitting smoking can reduce levels of pain over time. The findings emphasize the importance of
promoting cessation among cancer patients to improve quality of life. Click here to read more or read the
abstract of the study.
Smolting tied to miscarriage risk
A new Japanese study shows that smoking is linked to an increased risk of miscarriage in the first trimester.
Researchers reviewed the medical records of 430 women experiencing early spontaneous abortion and 860
3
women who had a full tenn delivery in order to detennine risk factors associated with miscarriage. After
controlling for several known dsk factors for miscarriage, the results showed that women who smoked heavily
(20 or more cigarettes per day) were 2.39 times more likely to experience a spontaneous abortion than
nonsmokers. The study also found that past history of spontaneous abortions and being employed were
associated with increased dsk of miscarriage. The researchers suggest that interventions targeting women who
smoke could help reduce the rate of miscarriage in Japan. Click here to read more, or read the abstract of the
study, published in Human Reproduction.
Smoking linked to earlier male deaths
A study published in Tobacco Control indicates that up to 60 % of the difference in mortality between men and
women in Europe is due to tobacco-related illness. Researchers used World Health Organization data on all-
cause mortality, smoking-related mortality, and alcohol-related mortality from thirty European countdes to
calculate the proportion of the gender gap in mortality attdbutable to smoking and alcohol. They estimated that
smoking-related deaths accounted for the largest proportion of the gender difference at 40-60 %, with alcohol
accounting for about 20-30%. The results reflect gender differences in smoking prevalence. It may take many
years for smoking patterns to change before the gender gap in mortality is narrowed. Click here to read more, or
click here to view the study abstract.
Smokers who are also using smokeless tobacco products in the US: a national assessment of
characteristics, behaviors and beliefs of 'dual users'
Data from the nationally representative ConsumerStyles survey were used to detennine the prevalence of
cigarette smoking, use of smokeless tobacco, and dual tobacco use, as well as participants' quitting intentIons,
beliefs about the hanns of tobacco, beliefs about how to quit smoking effectively, and use of smokeless tobacco
for smoking cessation. The results showed that 17.8 % of respondents smoked cigarettes only, 1.6 % used
. smokeless tobacco only, and 1.1 % were dual users. Dual users were more likely to be 18-24 years old, male,
Hispanic, and have a lower income; the majodty ofthem (67.7 %) reported using smokeless tobacco in places
where they could not smoke and 42.3 % reported never intending to quit using tobacco. While only representing
a small segment of the population that used tobacco, the findings show that there is a need for tobacco cessation.
efforts targeting dual users. Click here to read abstract of the article, which was published in Tobacco Control.
Pregnant women often deny smoking
A new study in the American Journal o/Epidemiology suggests that nearly a quarter of pregnant women who
smoke do not disclose their true smoking status on questionnaires. Researchers used data from the 1999-2006
National Health and Nutdtion Examination Survey (NHANES) to assess self-reported smoking status and
serum cotinine levels among 994 pregnant and 3,203 nonpregnant women aged 20 to 44. They found that of the
13.0% of pregnant women with cotinine levels indicating active smoking, 22.9% had denied being smokers,
compared to the 9.2 % nonpregnant smokers that denied being smokers. Pregnant smokers who denied smoking
tended to be young (aged 20 to 24); nonpregnant smokers who denied smoking were more likely to be Mexican-
Amedcan and non-Hispanic black. These results indicate that research and surveillance systems that rely upon
self-reported smoking status may get inaccurate infonnation about smoking prevalence, palticularly among
pregnant women. Click here to read more, or read the study abstract.
Kick Butts Day 2011
March 23, 2011
Kick Butts Day is back in 201l! Organized by the Campaign for Tobacco-Free Kids, Kick Butts Day is a day of
activism designed to empower youth across the country and around the world to take action against Big
Tobacco. Visit the Kick Butts Day website to download the 2011 activity guide, access promotional materials
and gear, get ideas for an activity, and register an activity.
4
World No Tobacco Day
May 31, 2011
World No Tobacco Day is a yearly celebration led by the World Health Organization to infonn the public on
the dangers of using tobacco, the business practices of tobacco companies, what WHO is doing to fight the
tobacco epidemic, and what people around the world can do to claim their right to health and healthy living and
to protect future generations. The theme of this year's event is "The WHO Framework Convention on
Tobacco Control." The commemoration of World No Tobacco Day will highlight the treaty's overall
importance, stress Parties' obligations under the treaty, and promote the essential role of the Conference of the
Parties and WHO in supporting countries' efforts to meet those obligations. Click here for more infonnation.
Leading Online & Mobile Health Company Partners with UC San Francisco to Deliver
Innovative Program to Help Smokers Quit
TheCarrot.com, a leading provider of online and mobile consumer health engagement programs,
announced the immediate availability of its new Quit Smoking Program. Drawing on the expertise of
the University of California at San Francisco's Smoking Cessation Leadership Center, the action-based
program com bines proven behavior modification methodology with TheCarrot.com's award-winning
online and mobile health platform.
Click here for the complete press release.
Cost of Smoking Calculator
The American Cancer Society has a customizable online tool to calculate the cost of smoking per
day, week, month, year and the grand total for an individual's life to date. Link for cost of smoking
calculator:
http://www.cancer.org/Healthyitoolsandcalculators/calculators/app/smoking-cost-calculalor.aspx
N.Y. Considers E-Cigarette Ban
January 26, 2011
News Summary
Lawmakers in New York have proposed a statewide ban on electronic cigarettes, the Associated Press reported Jan. 25.
The bill was introduced by a former smoker, Assemblywoman Linda Rosenthal (D-Manhattan), after she saw e-cigarettes on sale at
malls and encountered ads for them online.
"So I did some research," she said. "I found what is in the e-cigarettes is a mystery."
Before more of the devices are sold to adults, Rosenthal wants the FDA to rule on whether they actually help smokers quit. The New
York Assembly approved her bill last year, but it has yet to pass the Senate. If New York passes the bill, it would become the first state
in the nation to ban e-cigarettes.
"E-cigarettes are for some people a 1001 for enabling them to continue their nicotine addictions when they are someplace where they
can't smOke," said Richard Gottfried, who chairs the Assembly Health Committee. "I don't think that's good for public health."
5
Proponents of e-cigarettes say they are healthier than cigarettes and should be legal. Elaine Keller, of the Consumer Advocates for
Smoke-Free Alternatives Association, said that the "wheezing and productive morning cough" she acquired after 45 years of smoking
vanished after she switched to e-cigarettes in March 2009.
Keller dismissed concerns about the safety of the devices. "I can't point to anything to say it's 100 percent safe," she said. "The thing is,
it only needs to be safer. The only standard is that it's safer than smoking."
Russ Sciandra, director of the Center for a Tobacco Free New York, disagreed. "Maybe it stops some from smoking, but maybe it helps.
some kid start."
Health Officials, according to the Associated Press, are concerned that e-cigarettes are addictive and could "hook kids early and legally
on smoking."
FDA Loses Second Court Battle over ECigarettes
January 26, 2011
News Summary
The Food and Drug Administration (FDA) has lost another round in its battle to regulate electronic cigarettes as drug-delivery devices
rather than as tobacco products, The Wall Street Journal reported Jan. 24.
E-cigarettes are battery-powered devices that heat cartridges of liquid containing nicotine to create a mist that users inhale. The FDA
classifies them as drug-delivery devices like nicotine patches and gums - products that it must approve before they can be marketed.
In December, a three-judge appeals panel in the District of Columbia (D.C.) disagreed with the FDA's position. The panel ruled that the
FDA could only regulate e-cigarettes as drug delivery devices if purveyors made claims that their products would help people quit
smoking or had other benefits.
The FDA appealed the decision, but the U.S. Court of Appeals for the D.C. Circuit sided with the e-cigarette industry. The agency is
now conSidering whether to take the case to the U.S. Supreme Court.
E-cigarette distributors and manufacturers argue that their products are alternatives to cigarettes and should not be subject to pre-
approval, as smoking cessation products now are. If e-cigarettes were regulated as tobacco, it would be easier to put new devices on
the market.
"We are very pleased with the court's decision not to rehear the case," said Gregory Garre, a lawyer for an e-cigarette distributor. "The
fact that the full court unanimously declined the government's rehearing request underscores the force of the panel's original decision."
FDA Warns Miss. Retailers for Selling Tobacco to Youth
January 24, 2011
News Summary
The Food and Drug Administration (FDA) issued its first warning leUers to retailers for selling tobacco to minors, Reuters reported
Jan. 7.
The FDA was granted authority over the sales and marketing of tobacco products under the 2009 Family Smoking Prevention and
Tobacco Control Act. The FDA launched a state enforcement program in 2010, according to an agency press release Jan. 7. The
program pays state inspectors to ensure that retailers are complying with the law.
Though the FDA currently contracts with only 15 states to perform retailer inspections, it will expand the program to all 50 states and
U.S. territories in the next fiscal year.
6
Mississippi was the first state to participate in the enforcement program. State inspectors visited 493 retailers, and the FDA issued
warning letters to 25 of them on Dec. 29, 2010. The state attorney general, Jirn Hood, said, "Our inspectors are out in the
every day, doing their part to prevent youth access to cigarettes and smokeless tobacco products."
Among other things, inspectors check whether retailers:
sell to minors;
ask for 10;
stock flavored cigarettes or individual cigarettes (both of which are outlawed); or
have self-service machines or displays that underage youth can use.
"Retailers playa role in protecting our kids from becoming the next generation of Americans to die prematurely from tobacco-related
said Lawrence R. Deyton, who directs the FDA's Center for Tobacco Products. "We are providing retail establishments with
the information needed to comply with the law. However, if inspectors identify violations, the FDA will take swift actions [sic] to protect
young people."
Violaiions can be reported to the FDAllt 1-877-287-1373 or on the FDA's tobacco products web page.
Lung Association Blasts state Anti-Tobacco Efforts
January 25, 2011
News Summary
A nationwide survey of state anti-tobacco efforts conducted by the American Lung Association (ALA) gave failing grades to 40 states
and the District of Columbia, Bloomberg reported Jan. 20.
The survey has been conducted by the ALA every year for nine years. This year, the survey report (PDF) focused on four areas:
"cigarette taxes, smoking bans, tobacco-prevention spending and cessation coverage." No state earned an "A" in all four categories,
although Arkansas, Montana, Maine, Oklahoma and Vermont got passing grades. Alabama, Kentucky, Mississippi, Missouri, North
Carolina, South Carolina, Virginia and West Virginia flunked all four categories.
All told, 40 states and the District of Columbia were given "F's" because they funded tobacco prevention at less than 50 percent of the
levels recommended by the Centers for Disease Control and Prevention (CDC). According to Bloomberg, an "F" was also given to 37
states for their "smoking-cessation coverage for Medicaid recipients and state employees."
Find out if your state made the grade.
"Most of our states are failing miserably when it comes to combating tobacco-caused disease," said Charles Connor, who is CEO of the
American Lung Association. "Despite collecting millions of dollars -- and in some cases, billions -- in tobacco settlement dollars and
excise taxes, most states are investing only pennies on those same dollars to help smokers quit and keep kids from starting."
CDC estimates that 46 million Americans smoke, or about 20 percent of the population, and it kills about 443,000 people every year.
The American Lung Association report said that tobacco-related illnesses and lost productivity cost the United States about $193 billion
each year.
Unlike the states, the federal government earned passing grades in all four categories, and earned a "B" for the Food and Drug
Administration's work on regulating tobacco marketing under the 2009 law.
The full report, "State of Tobacco Control 2010" (PDF), is available online.

Quitline Coordinator
7
Tobacco Prevention and Cessation Program
Department for Public Health
275 E. Main Street, Mail Stop HS1EE
Frankfort, KY 40621
(502) 564-9358, ext. 3817
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 confldentfallnformation 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.
8
8:30 am to 8:45 am
8:45 am to 9:45 am
9:45 am to 10:15 am
to 10:30 am
10:30 am to 12:00 pm
Session One: 10:30-
11:10
Session Two: 11: 15-
12:00
UP: Registration and Continental Breakfast
TIP OFF: Welcome
Heather Robertson, Clean Indoor Air Partnership
Ellen Hahn, Kentucky Center for Smoke-free Policy (KCSP)
Dr. lee Todd, President University of Kentucky (invited)
Mayor Jim Gray, Lexington-Fayette Urban County Government (invited)
VOICES OF SMOKE-FREE VIGNUTE
: Bring Your "AU Game: Northern Kentucky Case Study Panel Moderator: Michelle Eversole, Senior Health
: Educator, Northern Kentucky Health Department; Panel Members: Jenny Beene-Skuban, NKA Spokesperson; Mark Hayden, Fonner
Campbell County Commissioner; Guy Karrick, Public Relations Manager, st. Elizabeth's Healthcare; Betsy Janes, ALA; Jerry Stricker
(invited), City of Covington Commissioner
Be on Guard: Knowing Your Opposition
Heather Robertson, Clean Indoor Air Partnership
:"T ... :nIIT. Break
i Breakouts (Select two sessions) A will repeat
: A: Engaging Your Fans: Top Ten Ways to Generate Interest Using Sodal Networking (Kathy Begley, Amanda Fallin, KCSP)
: 81: Developing a Deep Bench: Secondhand Smoke and Air Pollution CKiyoung lee (invited) and Hilarie Sidney; KCSP)
: 82: Color Commentary: Public Speaking Basics (Monica Mundy, KCSP)
Pep Rally: Building & Maintaining Coalit1ons (Moderator: Carol Riker, KCSPj Panel Members: Dottle Kraemer, Project Director,
Calloway County ASAP; Shannon Ross, Ohio County Smoke-free Coalition; Cyndi Steele, Bourbon County Health Dept.)
HALF-TIME; LUNCH and COMMUNITY AWARDS
Guest Speaker; Carl Fox, Northern Kentucky Business Owner
: Breakouts (Select two sessions) A will repeat
: A: Slam Dunk: High Impact Branding (Anna Kostygina and JaNelle Ricks, KCSP)
: 81: Fundamentals of the Game: How Tobacco Smoke Causes Disease - A DiSCUSSion of the 2010 Surgeon General's Report (Ellen
1:00 pm to 2:15 pm : Hahn, KCSP)
Session One: 1-1 :35 : 62: Strategic Plays: Smoke-free Ordinances vs. BOH Regulations (Alan George (Invited), Woodford Co. Attorney)
Session Two: 1:40-2:15 : Cl; Strength Training: Engaging the Faith Community (Marian Taylor, Kentucky Council of Churches)
: C2: Assists: Smoke-free Policy from a Public Health Director's View Panel (Moderator: Kristian Wagner, KCSP and Kentucky Cancer
: Consortiumi Panel Members: Dennis Chaney, Barren River District; Georgia Heise (invited), Three Rivers; Scott Lockard, Clark
: County; Lynn Sadler, Northern Kentucky District; Bertie Salyer, Magoffin County)
; TT'MF OUT ON THE FLOOR; Physical Activity and Break
End Game; State and Local Smoke-free Campaigns
Moderator:El1en Hahn, KCSP; Panel Members: Amy Barkley, CfFK; Jeremy Bell (invited), Murray City Council; Kelly Owens, Madison
County Health Department; Gloria Sams, Kentucky Cancer Program; Dr. Melissa Walton-Shirley, Cardiologist, Glasgowi Rep. Susan
Westrom (D), LeXington-Fayette County
FINAL Wrap-up
.. Going for the Goal: Comprehensive Smoke-free Policy"
Thursday, March 24, 2011
8:00 a.m. - 4:30 p.m.
Griffin Gate Marriott Resort, Lexington, Kentucky
859-231-5100
Driving Directions: http://www.marriott.comlhote/s/mapsltrave/I/exky-griffin-
gate-marriott-resort-and-spal
Registration Form
Please complete this form no later than March 10
1
\ 2010 and email or fax
to:
Nina Marijanovic at nina.marijanovic@uky.edu
Fax: 859.323.1057
Name: ____________________________________________ _
Address: ______________________________________ ___
CountylDistrict: _____________ '-____ _
Telephone: ____________________________________ ___
Fax:
------------------------------------------
Email address: _____________________ _
Do you have dietary restrictions? YeslNo
If yes, please explain: _____________ _
For additional information, please contact Nina Marijanovic at
859.323.4599 or nina.marijanov;c@ukv.edu.
Spagnuolo. Amy R
Sent:
To:
Cc:
Hahn, Ellen J; Marijanovic, Nina
Kercsmar, Sarah
Looks great to me - thanks for being ahead on the February newsletter, Ninal
As usual there may be last minute details we'll have to be sensitive to as Sarah has pointed out.
Perhaps we could set a goal to have it ready by around February 21 and send it by then or shortly thereafter?
Thanks,
John
From: Hahn, Ellen J
To: Marfjanovic, Nina
Cc: Johnson, John D; Kercsmar, Sarah
Nina
l
I also am cc: Sarah Kercsmar. Sarah and John, Nina and I talked about her sending us an 'outline' for the newsletter by
Ellen
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE OF NURSING
OUf is "?o You noaVzo "tbuw
Sent: Friday, January 28, 2011 2: 14 PM
1
To: Hahn, Ellen J
Cc:Johnson,John D
Thanksl
I. Updates:
language)
c. Smokefree Kentucky (we need to include a link to www.smokefreekentucky.orgto encourage
II. In the news:
;, http://online.wsj.com/articie/APdle46ddc29014f36b309c6bce4651f15.html
a. Second round of prom os.
I. Zachary Cahn and Michael Siegel
b. Exploring differences in smokers' perceptions ofthe effectiveness of cessation media messages.
(would rather focus on smoke-free papers---maybe the latest economic study from Wisconsin?)
i. Kevin C Davis, James M Nonnemaker, Matthew C Farrelly, et at.
v. Opposition Watch
VI. Misc.
a. 'Sav,e the date' for Spring Conference
College of Nursing
519 CON Building
859.323.4599
nina.marijanovic@uky.eQ!d
Find kysmokeJree on
and Ii
2
Spagnuolo, Amy R
Sent:
To:
Cc:
Hahn, Ellen J; Marijanovic, Nina
Johnson, John D
The only thing I'd add is that we may know something in I<enton Co. this month too. It's possible that a repeal effort will
begin there as well. I'll keep you posted.
College of Nursing, 751 Rose Street, 4506, Lexington, I<Y 40536-0232
859-323-0603
859-323-1057 (FAX)
www.kcsp.uky.edu
From: Hahn, Ellen J
To: Marijanovic, Nina
Cc: Johnson, John D; I<ercsmar, Sarah
Nina, I
I also am cc: Sarah I<ercsmar. Sarah and John, Nina and I talked about her sending us an 'outline' for the newsletter by
Ellen
University of I<entucky
751 Rose Street
LeXington, I<Y 40536-0232
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
1
COLLEGE OF NURSING
Sent: Friday, January 28,20112;14 PM
To: Hahn, Ellen J
Cc:Johnson,John D
Afternoon- Rough outline for the Feb.
Thanks!
I. Updates:
language)
c. Smokefree Kentucky (we need to include a link to www.smokefreekentucky.orgto encourage
II. In the news:
;. http:Uonline.wsj.com!article(APdle46ddc29014f36b309c6bce46SlflS.html
I. Zachary Cahn and Michael Siegel
(would rather focus on smoke-free papers---maybe the latest economic study from Wisconsin 7)
I. Kevin C Davis, James M Nonnemaker, Matthew C Farrelly, et at
v. Opposition Watch
VI. Misc.
College of Nursing
519 CON Building
859.323.4599
nina.marijanovic@ukv.edu

"""'.1,,,,,,1;;1 Find kysmokefree on and
2
Spagnuolo, Amy R
Sent:
To:
Friday, January 28,2011 2:14 PM
Hahn, Ellen J
Cc: Johnson, John D
Thanks!
I. . Updates:
b.???
II. In the news:
L http://online.wsj.com/articie/APdle46ddc29014f36b309c6bce4651f15.html
i. Zachary Cahn and Michael Siege!
i. Kevin C Davis, James M Nonnemaker, Matthew C Farrelly, et al.
V. Opposition Watch
VI. Misc.
College of Nursing
519 CON Building
859.323.4599
ni na .rna d.i.2!:!9'yic@.!!l<v.ed\!
Find kysmokefree on
and I]
1
"
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent:
To:
Wednesday, January 26, 2011 8:01 PM
Riker, Carol A
Cc: Johnson, John D
Subject: FW: ENDS
Attachments: ENDS_OpED_2010.pdf
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
From: Darville, Audrey K
Sent: Tuesday, January 25, 201110:31 AM
To: Hahn, Ellen J
Subject: RE: ENDS
I think it's a little telling that the author's have made no disclosure statements for starters on such a controversial
topic.
I've attached an AJPH editorial in case you hadn t seen it that clearly seems to dispute the author's claim that
"the benefits of the product are readily observable, already established".
The "studies" are primarily industry generated, and the few studies that exist in the peer reviewed literature are
far from conclusive at this time.
Audrey
-----Oliginal Message-----
From: Hahn, Ellen J
To: Darville, Audrey K
Subject: FW:
What do you think? Michael Siegel has been seen as a tumcoat in tobacco control for some time.
Ellen J. Halm, PhD, RN
1
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.ulCy.edu
Sent: Monday, January 24, 201110:28 AM
To: Hawkins, Ruth R (LHD-Madison Co); Crewe, Nancy M (LHD-Madison Co); Riker, Carol A; Hahn, Ellen J
Subject:
http://www .hsph .harvard .edu/centers-institutes/population-developmentlfiles/alticle. jphp .pdf
This is another article being cited by the "e-cigarette movement." (link from their FacebooklTwitter pages)
Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department
1001 Ace Drive
Berea, KY 40403
(859) 228-2043
P Please consider the enviromnent before printing this e-mail
2
Spagnuolo, Amy R
From:
Sent:
To:
Subject:
From Kelly Owens
Riker, Carol A
Tuesday, January 25, 2011 9:53 PM
Hahn, Ellen J; Johnson, John D; Darville, Audrey K; Mundy, Monica E; Fallin, Amanda T;
Wagner, Kristian K; Kercsmar, Sarah
Harm Reduction article on e-cig Cahn and Siegel
Subject:
http://www .hsph.harvard.edu/centers-institutes/population-developmentlfiles/article.jphp.pdf
This is another article being cited by the "e-cigarette movement." (linle from their Facebook/Twitter pages)
Tobacco Prevention and Cessation SpecialistiHealth Educator II Madison County Health Department
1001 Ace Drive
Berea, KY 40403
(859) 228-2043
Need Help Qnitting? http://www.becomeanex.org/
1
Spagnuolo, Amy R
From:
Sent:
To:
Cc:
Subject:
Hi,
Hahn, Ellen J
Riker, Carol A; Amy Barkley; Johnson, John D
Kercsmar, Sarah
RE:WEKU
Sorry to be out of the loop on this conversation. If it is Ron Smith you talked with, I talked with him last week at length
and sent him multiple documents. I think I told him that Bardstown and Glasgow (and Madison proposed-and HB
193-also would cover ecigs) were the only ordinances/regs that covered e-cigs. I also mentioned that UK's tobacco free
policy covered e cigs as well.
He is doing a feature on WEKU. Glad he reached out to you.
Ellen
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.mc.uky.edu!tobaccopolicy
www.kcsp.uky.edu
COlLEGE OF NURSING
Sent: Tuesday, January 25, 2011 2:40 PM
To: Amy Barkley; Johnson, John D
Cc: Hahn, Ellen J; Kercsmar, Sarah
Subject: RE: WEKU
Here's a new article and report since our one-pager. We also have personal communication from Kiyoung Lee in Korea
that their tests have found formaldehyde in the cylinders.
I would imagine that he has talked to Kelly, but glad you mentioned it to him.
Thanks, Amy,
Carol
1
From: Amy Barkley [mailto:ABarkley@TobaccoFreeKids.orgj
To: Riker, Carol A; Johnson, John D
Subject: RE: WEKU
Just fyi -left him a message and sent him our policy statement on e-cigs. Also send him the following article about NY's
effort to ban e-cigs. Copied Kelly Owens on my email and encouraged him to talk to her as well.
Thanks.
Amy
NY lawmakers advance bill to ban 'e-cigarettes' until FDA rules; NY could be first to
bar them
25 January 2011
Associated Press Newswires
(c) 2011. The Associated Press. All Rights Reserved.
ALBANY, N.Y. (AP) - A key New York Assembly committee has advanced a bill that could make
the state the first to ban electronic cigarettes.
The devices advertised heavily on the Internet promise all the pleasures of smoking without the
deadly health threat.
Health Committee Chairman Richard Gottfried (GOT'-freed) says the legislation passed Tuesday
is a public health measure. It would ban e-cigarettes in New York until the federal government
decides how to regulate their use.
Currently, children can buy the plastic devices, which contain nicotine and aren't covered by
indoor smoking bans.
Health officials say e-cigarettes are just another addictive habit, one that can hook kids early.
But advocates say it helps people cut down or quit smoking tobacco.
THIS IS A BREAKING NEWS UPDATE. Check back soon for further information. AP's earlier story
is below.
ALBANY, N.Y. (AP) -- New York lawmakers are considering what could become the first state ban
on electronic cigarettes, devices touted on the Internet in ads promising all the pleasures of
smoking without the deadly health threat.
Health officials say e-cigarettes are just another addictive habit, one that can hook kids early
and legally on smoking. But advocates who have used the devices to quit or cut down smoking
tobacco call the battery-operated smokes a miracie.
"I got interested in this because I sawall these ads for e-cigarettes, so I did some research,"
said Assemblywoman Linda Rosenthal, a Manhattan Democrat. "I found what is in the e-
cigarettes is a mystery."
She wants to ban e-cigarettes in New York until they are more thoroughly investigated and
regulated. The bill could be voted out of the Assembly Health Committee as early as Tuesday,
said Rosenthal, a 20-year smoker who quit more than a dozen years ago.
2
Her bill was approved in the Assembly last year but stalled in the Senate, which was then
controlled by Democrats. Senate Health Committee Chairman Kemp Hannon, a Republican, said
the bill likely will be considered by his committee and a hearing may be held, but it's too early to
predict what will happen with the proposal.
E-cigarettes have prompted debate nationwide since they became widely available in the United
States in 2006. But as either a tobacco Cigarette substitute or a much more extensively tested
and restricted drug-delivery device, the future of e-cigarettes will likely be decided by the Food
and Drug Administration. The FDA lost a court case last year after trying to treat e-cigarettes as
drug-delivery devices, rather than tobacco products, because e-cigarettes heat nicotine
extracted from tobacco.
Powerful lobbies are involved. If treated as a tobacco product, e-cigarettes would avoid the
research and trials required of competitors in the pharmaceutical industry, including anti-
smoking patches and inhalers. As a medical device, e-cigarettes could draw opposition from that
powerful lobby as a fresh and less expensive competitor.
Advocates of e-cigarettes are now watching New York "very closely. They kind of snuck up on
us," said Elaine Keller of Springfield, Va., vice president of the Consumer Advocates for Smoke-
Free Alternatives Association.
"I would still be smoking if not for this product," she said.
Keller said she has been tobacco free since March 2009 after 45 years of smoking. She said her
group amounts to a grass-roots effort of those who feel the government has blocked this
"miracle" product.
"There is no industry support on this thing at all," she said of the organization. "We want to keep
it this way so no one can say we are a shill for the tobacco, drug or e-cigarette industry."
She also tries to recast the safety question.
"I can't point to anything to say it's 100 percent safe," Keller said. "The thing is, it only needs to
be safer. The only standard is that it's safer than smoking."
Cc: Hahn, Ellen J i Kercsmar, Sarah
Subject: RE: WEKU
Hi Amy,
Kelly Owens in Madison County looked at this and found that Bardstown and Glasgow ordinances include e-cigarettes.
(Madison is amending their ordinance to include e-cigarettes and remove the tobacco retailer exemption. They've had
several requests for waivers of their S-F regulation for Hool<ah business that want to start up. They have second reading
on April 6
th
.)
3
I double-checked that Bardstown and Glasgow include e-cig but doubt that the older ordinances/regulations would
include t h e m ~ Campbell County's ordinance does not cover e-cigarettes. That's the best I can tell you without checking
every single ordinance. Kelly may have done a lot of checking on our website, but she is out all day today.
Hope this helps!
Carol
From: Amy Barkley [mailto:ABarkley@TobaccoFreeKids.org]
Sent: Tuesday, January 25, 20111:43 PM
To: Johnson, John D; Riker, Carol A
Subject: RE: WEKU
Importance: High
Carol- do you know or can someone look up? Need to call this guy back.
Thanksl
From: Johnson, John D [mailto:jdjohnson@uky.edu]
To: Amy Barkley
Subject: RE: WEKU
Sarah, Ellen?
From: Amy Barkley [mailto:ABarkley@TobaccoFreeKids.org]
Subject: RE: WEKU
Importance: High
Actually - the question he has is one I would defer to you. How many local ordinances include e-cigs? Which
cities/counties? Is it in the B-G ordinance or any other on the table? I haven't seen it. Also, would love to know what
happened in B-G last night!
Thanks!
From: Amy Barkley
To: 'Johnson, John D'
Subject: RE: WEKU
That's fine, John. Thanks for letting me know!
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)
4
202-481-9382 (direct)
502-777-8148 (mobile)
877-261-1753 (fax)
abarklev@iobaccofreekids.om
www.tobaccofreekids.org
From: Johnson, John D [mailto:jdjohnson@uky.edu]
To: Amy Barkley
Subject: WEKU
Hi Amy,
I just gave your number and email to someone fromWEKU who called here looking for you. Please let me know if I've
given the incorrect information or if you'd like me to handle media differently next time.
Thanks,
John
John D. Johnson, MA
Community Liaison
859-323-4587
859-323-1057 (FAX)
jdjohnson@uky.edu
www.kcsp.uky.edu
5
Date: May 4,2009
DEPARTMENT OF HEALTH & HUMAN SERVICES
Food and Drug Administration
Center for Drug Evaluation and Research
Division of Phannaceutical Analysis
Sl. Louis, MO 63101
Tel. (314) 539-3869
To: Michael Levy, Supervisor Regulatory Counsel, CDER, Office of Compliance, Division
of New Drugs and Labeling Compliance
From: B.J. Westenberger, Deputy Director, CDER/OPS/OTR, Division of Pharmaceutical
Analysis
Subject: Evaluation of e-cigarettes
Background: The Center for Drug Evaluation and Research through the Office of Compliance
(OC) has requested that the Division of Pharmaceutical Analysis (DPA) evaluate two brands of
electronic cigarettes (e-cigarettes) for nicotine content and other impurities. An e-cigarette is
advertised as an alternative to smoked tobacco products. It is a battery-powered device that
provides inhaled doses of nicotine by delivering a vaporized propylene glycol/nicotine mixtnre
as shown in Figure 1. The Center is concerned that in addition to nicotine delivery, the vapor
may also provide other potentially harmful volatile components. DPA was asked to quantitate
the amount of nicotine present in each brand and to evaluate each brand for the presence of
tobacco specific nitrosamines (TSNA), certain tobacco specific impurities, ethylene glycol (EG)
and diethylene glycol (DEG).
Test Products: Njoy e-cigarette (Reference 1) with various cartridges
Smoking Everywhere Electronic Cigarette (Reference 2) with various cartridges
Nicotrol Inhaler, lOmg cartridge was used as a control for some test methods
Conclusions: Nicotine is present in both products. The Smoking Everywhere Electronic
Cigarette cartridges listed as containing no nicotine in some cases had very low amounts of
nicotine present. Tobacco specific nitrosamines and tobacco specific impurities were detected in
both products at very low levels. DEG was identified in one cartridge, Smoking EVelywhere 555
High. See Table 1 for results of analyses of entire cartridges after extraction.
A sparging apparatns (see figure in Attachment A) and headspace GC (HS-GC) analysis were
utilized to simulate actnal use of these products. With the sparging apparatns, nicotine was
detected in cartridges claiming to contain nicotine and quantitated by LC-UV; cotinine was also
found in some products by this procedure. Repeat testing of 3 different cartridges with the same
label (menthol high) gave varying results from 26.8 to 43.2 mcg nicotinellOO mL puff. HS-GC
detected nicotine in both products and P-Nicotyrine was detected in all Njoy cartridges (see
Table 2).
DPATR-FY-09-23
Page 1 of8 5/412009
Experimental: See Attachment A for further experimental details.
Nicotine content was analyzed by HPLC-UV and GC-MS. Quantification was done by
HPLC-UVusing two different extractions: a methanol extraction, and a 10% acetonitrile!
1 % phosphoric acid in water extraction.
Tobacco specific impurities and diethylene glycol were analyzed by GC-MS.
Diethylene glycol presence was confirmed with proton NMR.
Detection of nicotine and tobacco specific impurities during use of these products was
estimated by simulating use temperatures and analyzing volatiles using head space GC-
MS (HSGC-MS) and utilizing a sparging apparatus (see figure in attachment).
Results and Discussion:
Whole Cartridge: Nicotine content by HPLC-UV
Results, similar for both methanol extraction and 10 % acetonitrile!l % phosphoric acid in water
extractions,are shown in Table 1.
Whole Cartridge: Tobacco Specific Nitrosoamines by LC-MSIMS
The four major TSNAs include: N-nitrosonicotine (NNN) , N-nitrosoanabasine (NAB), N-
nitrosoanatabine (NAT) and 4-(methylnitrosamino )-1-(3-pyridyl)-1-butanone (NNK) were
analyzed for using LC-MS/MS and the results are shown in Table 1.
Whole Cartridge: Tobacco Specific Impurities by GC-MS and GC-MSIMS
Nicotine was detected in both products in all cartridges including samples identified as
containing no nicotine. Samples were screened for possible tobacco specific impurities: cotinine,
nicotine-N-oxide, nornicotine, anatabine, anabasine, pseudooxynicotine, myosmine, p-
nicotyrine, and 1-methyl-3-nicotinoylpyrrolidine (MNP). Nicotine-N-oxide, nornicotine,
anatabine, pseudooxynicotine and MNP were not observed in any of the samples. Results from
cotinine, anabasine, myosmine, and are shown in Table 1.
Whole Cartridge: Diethylene Glycol by GC-MS
Diethylene Glycol was detected in one sample (Smoking Everywhere 555 High cartridge) at
approximately 1 %.
Simulated Use: Nicotine and tobacco Specific Impurities by Head Space GC-MS (HSGC-MS)
and sparging apparatus
HSGC is likely to be less sensitive than the GC-MS technique that takes advantage of injecting
all of the soluble components and then volatilizing them at 280C; however, the head space
analyzer can be set to a specific temperature to mimic what may be volatilized during use of the
products.
The temperature of the heating element in each e-cigarette was determined by inserting a
thermocouple and then activating the e-cigarette by drawing air through it. These temperatures
ranged from 40 to 65C. HSGC-MS analysis was conducted at 60C to simulate the temperature
that would be encountered during activation of an e-cigarette. Nicotine was detected in both
products for all cartridges containing low, medium and high levels of nicotine but was not
DPATR-FY-09-23
Page 2 of8 5/412009
observed in cartridges identified as containing no nicotine. Screening for the possible tobacco
specific impurities cotinine, nicotine-N-oxide, nomicotine, anabasine and myosmine was
negative. fl-Nicotyrine was detected in all Njoy cartridges but was not detected in the Smoking
Everywhere cartridges. The sparging apparatus was used to quantify the amouut of nicotine
released during use of these electronic cigarettes (Table 2). Levels found were consistent with
the labeling (low, medium and high); however, the cartridge labeled "no" still delivered some
nicotine. The cartridges labeled "high" delivered more nicotine than the approved Nicotrol
product. Repeat testing of 3 different cartridges with the same label (menthol high) gave valying
results from 26.8 to 43.2 mcg nicotine/IOO mL puff.
References:
(1) htto:/Iwww.njoythefreedom.coml
(2) http://www.smokingeverywhere.com/
(3) C.N. Man, L.R. Gam, S. Ismail, R. Lajis, R. Awang, J. Chromatogr. B 844 (2006) 322-327.
(4) S. S. Yang et al., J. Chromatogr. A, 942 (2002) 33-39.
(5) USP 311NF 26, Official 12/1/08-4/30/09 NF Monographs: Diethylene Glycol Monoethyl
Ether: Assay; pg 1126
,,'"
Structure afan nelectronic
__ _ _ 1
Ci 9 1;1 ret.t;(t'-l
TtHl cIgarette bOUII Is an Integraled f;\rllolllre consIsting of $\alnless
steel shell, Iitl1lum Ion battery assembly, smart chip and program
controlled circuits, atomIzation chamber ROci cartridge and so on. Iii ttle
front of it, them exists an operating mode
Figure 1: E-cigarette component diagram. Nicotine and/or other flavorants are housed in the
white cartridge shown at the left.
DPATR-FY-09-23 Page 3 of8 5/412009
T hI 1 R 1 1 a e esu ts on ana f h 1 artr'd seso w oec llges
mg nicotine/cartridge
Identification of
Tobacco specific by HPLC-UV
Sample
nitrosamines (TSNA)A methanol
possible tobacco specific impurities and DEG
10%ACN and I%PA in water
extractiou
by GC-MSIMS
B
extraction
Smoking Everywbere
NAB NAT NNK NNN DEG Cotiniue Anabasine Myosmine
e-cigarettes fiber absorbent I plug & wrapper fiber absorbent
555 High 4.90 1.80 5.98 D D D D
Cherry HIGH 4.88 0.86 5.50 ND D ND D
lTobacco Original MED ND ND D D 4.44 1.03 5.15 ND D D D
lMenthol HIGH 4.02 0.71 4.23 ND D D D
trobacco Original LOW ND ND D D 2.93 0.51 2.65 ND D D D
lMenthol MED 2.26 0.31 2.71 ND D D D
IAppleLOW ND ND ND ND 1.63 0.61 1.78 ND D D D
lMenthol LOW 1.42 0.30 1.57 ND D ND D
[Vanilla LOW ND ND ND ND 1.18 0.34 0.96 ND D D D
trobacco Original NO ND ND ND ND 0.04 0.00 0.Q3 ND ND ND ND
[Vanilla NO 0.04 0.Qj 0.05 ND ND ND ND
Ch,,-rryNO 0.01 0.00 0.Q7 ND ND ND ND
Chocolate NO ND ND ND ND 0.01 0.00 0.Q3 ND ND ND ND
iAppleNO ND ND ND ND 0.00 0.00 0.00 ND ND ND ND
IN".ioy e-cigarettes
lMenthol high D D D D 6.66 1.97 6.76 ND D D D
lItegular medium D D D D 4.09 1.58 4.31 ND D D D
lMenthol medium D D D D 3.98 1.46 4.77 ND D D D
lItegular low 3.35 1.56 5.16 ND D D D
Control Sample - Nicotrol
10 mg cartridge (NMT (NMT
/Mfgr. specification 0.5%) 0.5%)
D= detected, , ND- not detected NAB - N-mtrosoanabasme (LOQ - 21 ppb); NAT - N-mtrosoanatabme (LOQ - 21 ppb); NNK - 4-(methylnitrosammo )-1-(3-
yridyl)-l-butanone (LOQ = 75 ppb); NNN =N-nitrosonomicotine (LOQ = 24 ppb)
analyte was detected but at a level less than the limit-of-quantitation. Open boxes indicate the sample was not available for testing.
DEG = diethylene glycol
B Limit of detection Cotinine 20 ppb. Anabasine 10 ppb; myosmine 69 ppb; 170 ppb - present but atless than the level of the Nicotrol specification
DPATR-FY-09-23 Page4of8 5/4/2009

D
D
D
D
D
D
D
D
D
ND
ND
ND
ND
ND
D
D
D
D
(NMT0.5%)
T bl 2 R ul a e es ts on snnu ate I d f I use 0 e ectromc cIgarettes
Sparging Apparatus followed by Head Space GC-MS @ 60 deg C*
LC-UVanalysis
Sample
mcg nicotine!100mL mcg cotinine/100 ml
nicotine
puff puff (LaD -0.03)
Smoking Everywhere
.. cm;arettes
555 High 31.5 0.4
CherriHIGH ND D
rrobacco Original MED 15.7 trace ND D
/Menthol HIGH
obacco Original LOW
MentholMED ND D
Apple LOW ND D
Menthol LOW 9.9 ND ND D
Vanilla LOW ND D
Tobacco Original NO ND ND
Vanilla NO ND ND
Cherry NO ND ND
Chocolate NO ND ND
Apple NO 0.35 ND ND ND
Nj oy .. cigarettes
Menthol high 43.2, 34.9, 26.8 trace D D
g,egular medium D D
Menthol medium 10.6 ND "D
D
g,egular low
Control (specs)
Nicotrol 10mg cartridge 15.2
DEG - diethylene glycol
D= detected, NO= not detected
* Presence of tobacco specific impurities cotinine, nicotine-N-oxide, nomicotine, anabasine and myosmine was negative at 60 deg C.
Open boxes indicate the sample was not tested.
DPATR-FY-09-23 Page 5 ofS 5/4/2009
Attachment A
Experimental Details:
Whole Cartridges.: Detection and Quantitation of Nicotine by HPLC-UV
Smokeless tobacco cartridges were extracted and analyzed using two different procedures:
Methanol extraction and USP analytical procedure: cartridge components were weighed,
extracted with methanol aud reweighed. Au aliquot of the methanol extract was diluted with
mobile phase and analyzed by HPLC-UV following USP 31 P 2801 Nicotine Transdermal
System Assay procedure .

Identification and Determination of Nicotine Related
Substances in Nicotine Inhaler 10 mg" method NM -046-6 dated 1999-07-16
Whole Cartridges: AnalYSis of Tobacco Specific Nitrosamines by HPLC-MSIMS
Analysis was done using a variation of the method published by Wu, et a1. using HPLC-MSlMS
1

As shown in Table 1, not all sample lots were available for analysis by LC-MSlMS as they were
consumed in other testing. Smokeless tobacco cartridges were extracted using 100 mM ammonium
acetate and analyzed for tobacco specific nitrosoamines (TSNAs). The four major TSNAs include:
N-nitrosonicotine (NNN), N-nitrosoanabasine (NAB), N-nitrosoanatabine (NAT) and 4-
(methylnitrosamino )-1-(3-pyridyl)-1-butanone (NNK). While the published method is quite
sensitive for the TSNAs (i.e. LOQ's of approximately 40 pg/mL or 40 parts per trillion), it should be
noted that the extraction method used in that paper was for either fmely ground tobacco or smoke
captured on glass fiber filter pads. The matrix present in smokeless E-cigarette or NJoy cartridges is
a spiked propylene glycol matrix supported on a fibrous material contained in a plastic housing (i.e.
the inhaler component) as shown in Figure I. The assumption was made that recovery of TSNAs
from the E-cigarette cartridge assembly was as good as that published by Wu, et a1., and quantitative.
For the extraction, the cartridge was removed from the inhaler unit/atomization chamber. The
fibrous material was removed from the cartridge using a pair of tweezers and both the fibrous
material and the white plastic housing were placed in an Ehrlenmeyer flask. The flask was weighed
and the weight of the fibrous material and white plastic housing were recorded. 10 mL of 100 mM
ammonium acetate and 100 ilL of internal standard solution were added to the flask and the contents
mixed on a flat-bed shalcer for 30 minutes at ambient temperature. An aliquot of the solution was
analyzed by HPLC-MSlMS.
TSNAs in the extract were quantified using deuterated internal standards. Two molecular reaction
mechanisms (i.e. MRM's) were recorded for each TSNA: one for qualification and both for
quantification. MRM's for each TSNA are shown in table below. The sum of the intensities of
both molecular transitions was used to quantify each TSNA. TSNA content is reported as weight of
TSNA per weight of nicotinelflavorant cartridge (ng/g).
DPATR-FY-09-23 Page 6 of8 5/412009
MRM transitions for TSNAs
TSNA PrimaryMRM Qualifier MRM
NAB 192.1 to 162.1 192.1 to 133.1
NAT 190.1 to 160.2 190.1 to 106.1
NNK 208.1 to 122.1 208.1 to 106.0
NNN 178.1 to 148.1 178.1 to 120.1
1 Wu, J., Joza, P., Sharifi, M., Rickett, W. Lauterbach, J. Quantitative Method for the Analysis of
Tobacco-Specific Nitrosamines in Cigarette Tobacco and Mainstream Cigarette Smoke by Use of
Isotope Dilution Liquid Chromatography Tandem Mass Spectrometry. Anal. Chem., 80, 2008,
1341-1345.
Whole Cartridges: Tobacco Specific Impurity Analysis by GC-MS and GC-MSIMS
An aliquot of each methanol extract prepared in the Detection and Quantitation of Nicotine by
HPLC-UV analysis was transferred to a vial for GC-MS analysis. Samples were initially screened
on an Agilent 6890 with a 5975 MSD operated in full scan mode using the method published by
Man et al (Reference 3). Samples containing peaks of interest were then analyzed on a Varian 320
Triple Quad GC-MS in either single reaction monitoring mode (SRM) or multiple reaction
monitoring mode (MRM) due to their increased sensitivity and selectivity. An Extracted Ion
Chromatogram (EIC) looking for each impurity was obtained by individually extracting a main
fragment ion for that impurity from the full scan chromatogram. Peak spectra were then compared
to spectra from the NIST 05 Mass Spectral Library. All samples containing impurity peaks with
spectral library matches to cotinine, anabasine, myosmine, and J3-nicotyrine were than analyzed on a
Varian 320 Triple Quad GC-MS in either single reaction monitoring mode (SRM) or multiple
reaction monitoring mode (MRM). Identifications were based on retention time and mass spectra
comparison to extemal standards.
Whole Cartridges: Diethylene Glycol
HPLC-UV analysis was transferred to a vial for GC-MS analysis. Samples were screened on an
Agilent 6890 with a 5975 MSD operated initially in full scan mode and later in SIM mode using the
chromatographic parameters from a USP monograph procedure (Reference 5). Quantitation was
performed using an extemal standard. The presence of diethylene glycol was confirmed in this
sample by proton nuclear magnetic resonance spectroscopy by dissolving lOmg of the cartridge
liquid in 500mg of D20 and taking a spectrum on a 500 MHz NMR.
Simulated Use: Nicotine and Impurity Analysis by HSGC-MS
The cmtridge contains a fiber plug withiu a cup. Both cup and fiber plug were placed in the same
headspace vial for analysis. Compounds were identified by NIST library with greater than 90%
match. Instrument parameters are detailed below.
CombiPal Headspace autosampler parameters:
Incubation: 60C for 15 minutes, syringe: 2000mcL gas aliquot at 145C,
Agitation: 250RPM, syringe fill and injection speed: 100mcLls
DPATR-FY-09-23
Page 7 of8 5/412009
Agilent 6890 Gas Chromatograph parameters (Reference 4):
Column: HP-5MS (5 % diphenyl, 95 %dimethyl), 15m, 0.25mm ID, 0.25 micron thickness
Temperature program: 40C hold 3 min, 6C/min to 300C hold 3 min, runtime: 50 minutes
Splitless injection, injector port at 280C, carrier gas: helium at O.5mLlmin
Agilent 5975B inert XL EI/CI MSD parameters:
Solvent delay: 1.2 min. voltage: 1705.9, low mass: 25.0, high mass: 350.0
MS quad at 150C, MS source at 230 C, scan mode
Simulated Use: Sparging Apparatus: Determination of nicotine/} OOmL puff.' trapping of nicotine
and related compounds released from activation of e-cigarette
Trapping device consisted of a 150 ml gas washing bottle with sparger (see photo below). A
magnetic stirring bar was added to the gas washing bottle along with 50 ml of extraction solution.
Extraction solution was prepared by mixing 100 ml of acetonitrile, 11.5 g of phosphoric acid, and
800 ml of water. A draeger 100 cc hand pump was connected to the outlet of the gas washing bottle.
The e-cigarette device with the selected cartridge type was connected to the inlet to the gas washing
bottle via tygon tubing. The e-cigarette was butted directly up to the glass to avoid absorption. The
magnet stirrer was turned on. At one minute intervals 100 cc of air were drawn through the e-
cigarette into the gas washing bottle. The e-cigarette was observed to assure the LED lit indicating
that the flow rate was sufficient to activate the heater in the e-cigarette. After an appropriate number
of 100 cc puffs were trapped in the gas washing solution, the sample was allowed to mix for 10
minutes and the glass tubing in the gas washing bottle was rinsed with the trapping solution back
into the gas washing bottle. The solution was mixed again and then sampled for analysis.
DPATR-FY-09-23 Page 8 of8 5/412009
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent:
To:
Cc:
Tuesday, January 25,2011 6:16 AM
Johnson, John D; Marijanovic, Nina
Kercsmar, Sarah
Subject: FW:
See this article that the e cigs folks are citing. Can you please review for the Feb. newsletter?
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.mc.ukv.edu/tobaccopolicy
www.kcsp.uky.edu
From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.govl
Subject:
http://www .hsph.harvard.edu/centers-institutes/population-development/files/article.jphp.pdf
This is another article being cited by the "e-cigarette movement." (linle from their FacebookiTwitter pages)
1001 Ace Drive
Berea, KY 40403
(859) 228-2043
1
Spagnuolo, Amy R
Sent: Thursday, January 20, 2011 5:25 PM
To:
Cc:
Johnson, John D; Kercsmar, Sarah; Mundy, Monica E
Hahn, Ellen J
Subject: FW: Madison amendment public comment
FYI
-----Origina1 Message-----
To: Hahn, Ellen J
Subject: Madison amendment public comment
No action; apparently this was for public comment??? They will vote on it in April (1st Wed I think).
The amendment comment was limited to 20 min total, with 2 miniperson. Three commented against including
e-cigarettes, two owners of ecig store and 1 user. Kelly gave comment for the health dept and felt like it went
well. Discussed lack of data showing ecig vapor is safe (except for "studies" from the ecig companies). They
have one "rights" person on the BOH and one or two who worry that it can \ be proved that ecigs are dangerous
to others, but she thinks it will go fine.
Kelly would be interested in anything that Kiyoung andlor Repace might put out there about the formaldehyde,
so keep us up on anything that can be reported publicly before APlil.
From reading the website for the ecig store, Kelly said they advertise being able to 1eam how to use the ecig
before they leave the store, so maybe that's another thing that's got the store owners in an uproar. A couple of
the opponents were waiting to talk with Kelly when she left but it didn \ sound like it got hostile.
Wen see what kind of press comes in. How did your interview go?
Thanks,
carol
-----Origina1 Message-----
From: Hahn, Ellen J
Sent: Thursday, January 20, 2011 2:41 PM
To: Owens, Kelly S (LHD - Madison Co); Hawkins, Ruth R (LHD-Madison Co); Crewe, Nancy M (LHD-
Madison Co); Riker, Carol A; Robertson, Heather E
Subject: RE: More from the world of V APORSTIX
Hi,
I was interviewed for 20 minutes today by Ron Smith at WEKU. They are planning a feature on e-cigarettes.
Was there any action on the BOH amendment last night?
Ellen
1
751 Rose Street
859-257-2358
859-323-1057 (FAX)
ejhahnOO@emaiI.uky.edu
www.kcsp.uky.edu
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 V APORSTIX
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.ivags.com!
This is information regarding a "study" that will be performed to determine "secondhand" risk wi vapor ...
It is important to note that this site was a liuk 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.
Tobacco Prevention and Cessation SpeciaiistlHeaIth Educator II Madison County Health Department
1001 Ace Drive
Berea, KY 40403
(859) 228-2043
Web Address: www.madison-co-ky-heaIth.org
2
Spagnuolo. Amy R
From: Hahn, Ellen J
Sent:
To:
Thursday, January 20, 2011 4:15 PM
Mahoney, Maggie; Schaibley, David
Cc:
Subject:
Riker, Carol A; Kercsmar, Sarah; Johnson, John D; Jujulew
Bowling Green Smoke-free Ordinance
Attachments: BG Smoke Free Law.doc
Hi,
So this passed first reading in Bowling Green, KY (I think I had given you a heads up on this one). We could not get a copy
before first reading. In a quick review, the language is old (they used the last version that failed) which is unfortunate.
The exception language is odd. Since they can't make any substantive changes before first and second reading (and they
are in a hurry since the current Mayor is leaving and they need her vote), I hate to ask you to review it. But if on quick
read, you see any major red flags that would make this NOT a comprehensive law, please let me know.
Thanks so much,
Ellen
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE OF NURSING
Cc: Johnson, John D
Ellen,
ofthe Bowling Green City Commission on Monday, Jan. 24th @ 7 pm for the final vote( 2 votes are necessary
for passage ofthe ordinance). If passed, the ordinance will go into effect in 90 days from final vote.
1
Carol Douglas, BS
Health Educator III
1109 State Street
P.O. Box 1157
Ph: 270-781-8039, ext. 144
Fax: 270-796-8946
NOTICE OF CONFIDENTIALITY: This e-mail, including any attachments
l
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
1
use, disclosure/ distribution or copying of this communication
original message.
From: Hahn, Ellen J [mailto:ejhahnOO@email.uky.eduj
Carol,
http://www.wbko.com/home/headlines!Bowling Green City Commission Votes 3-
Ellen
University of Kentucky .
751 Rose Street
859-257-2358
859-323-1057 (FAX)
2
www.kcsp.uky.edu
COLLEGE OF NURSING
Our Gual is 10 ,-je!p You qBalizG '!',Jurs
To: Riker, Carol A
Cc: Hahn, Ellen J
Carol,
Our smokefree BGordinance workgroup met with BG City Commissioner Slim Nash in December 2010 to
@1:30pm ........
Carol Douglas, BS
Health Educator III
1109 State Street
P.O. Box 1157
Ph: 270-781-8039, ext. 144
Fax: 270-796-8946
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.
3
BGHS - Youth Service Center; Petrovic Danijela; Pollard Venica; Prunty, Melody F (LHD-Edmonson County Health Dept);
Marilyni Wininger, Amy; Wollin Andrewi Woods Monica
Cc: Johnson, John D; Kercsmar, Sarahi Jujulew
establishrnents. Madison County BOH currently is in the process of amending their regulation to eliminate the
Wanted you all to know what is happening in other places with the tobacco retailer exemption.
Thanks and good lucid
Carol Riker
Associate Professor
Community Advisor, Rural Smokefree Communities
751 Rose Street
Phone: 859-323-6615
Fax: 859-323-1057
Cell: 859-619-3776
4
www.kcsp.uky.edu
COLLEGE: OF NURSING
OU r GoaJ IS 'In HGip Yo-u i.lloullzn ''f{)ur.:;;
From: Hahn, Ellen J
Misti - BGHS - Youth Services Center Coordinator; Cash, Allison; Chaney, Amie; Youth SerVice Center Coordinator;
RiverDist); Houchins, Denise (LHD-Warren County Health Dept.); Isenhower, Jataun; Iyiegbuniwe Emmanuel; Janes
Cc: Johnson, John D; Kercsmar, Sarah; Riker, carol A; Jujulew; Hahn, Ellen J
given the Mayor's departure. Even ifthey have the votes to pass it this time, though, the risk is that the ordinance could
5
Good lucid!
Ellen
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE OF NURSING
Our GUt.l! is JC:.} Ybu \{)unf.
From: Douglas, Carol F (LHD-Barren River Dist) [mailto:CaroIF.Douglas@ky.govj
6
Cc: Hahn, Ellen J
Importance: High
th
Carol Douglas, BS
Health Educator III
1109 State Street
P.O. Box 1157
Ph: 270-781-8039, ext. 144
Fax: 270-796-8946
NOTICE OF CONFIDENTIALITY: This e-mail, including any attachments/ is lntended only for the use of the individual or entity to which it Is
addressed and may contain confidential infonnation 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, usc, disclosure/ distribution or copying of this communication
original message.
Spagnuolo, Amy R
Sent:
To:
Wednesday, January 19, 2011 8:15 AM
Hahn, Ellen J
Subject: RE: Bowling Green passes first reading 3-2
Sure can -this is great news!
John
From: Hahn, Ellen J
Sent: Wednes<;lay, January 19, 2011 7:50 AM
To: Johnson, John D
Cc: Kercsmar, Sarah
Subject: FW: Bowling Green passes first reading 3-2
John--Can you send something out to the email list about this? We can report on the vote and the scheduled second
reading and implementation dates along with the link. Can you get the ordinance by calling the city or checking the
website? Thanks! We really can't confirm that ft is comprehensive until we see the language so don't say anything about
that.
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE Of NURSING
OUf G09! 19.
From: Hahn, Ellen J
To: Hahn, Ellen J; Amy Barkley; Betsy Janes; Brandi Gilley; Bronson Frick; Cathy Callaway; Dyshel Thompson; Eric Evans;
Irene Centers; James Sharp; Jennifer Redmond; Wagner, Kristian K; Mark Sizemore; Kercsmar, Sarah; Scott Lockard;
Tonya Chang
Cc: Riker, Carol A; Johnson, John D
Subject: Bowling Green passes first reading 3-2
Good morning,
1
The second reading is scheduled for next Monday and implementation is 90 days later (after Mayor Walker is gone), so
there certainly is risk of amendment or repeal in the interim. Will let you know what we hear from the coalition.
http:Uwww.wbko.com/home/headlines/Bowling Green City Commission Votes 3-
Director, Kentucky Center for Smoke-free Policy.
751 Rose Street
859-257-2358
.859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE OF NURSING
Our GUtlJ is ~ u Hs-Ip- You R0a1
1
2:o \{)l)fB
From: Hahn, Ellen J
To: Amy Barkley; Betsy Janes; Brandi Gilley; Bronson Frick; Cathy Callaway; Dyshel Thompson; Hahn, Ellen J; Eric Evans;
Tonya Chang
Cc: Riker, Carol A
Subject: FW: NEWS ALERT!!!!!
Wanted you all to see this from Eric Gregory in Bowling Green. Given that our relationship with the group there has
been sporadic, I am really not sure what any of us can do at this point. It seems they don't really have an 'inside game' if
they don't know how the new commissioner feels about smoke-free. Slim is the key, it seems. Carol Douglas has been
our main point of contact and she is with the health department. I may call John Bonaguro at WKU since I have the best
relationship with him.
ellen
751 Rose Street
859-257-2358
859-323-1057 (FAX)
2
www.kcsp.uky.edu
COLLEGE Of NURSING
OUf Gt1W iB-1G H t . ~ p 'rbu- :RotiFzu WJUftz:
From: Eric Gregory [mailto:egregory@insightbb.com]
To: Hahn, Ellen J
Cc: Douglas, Carol F (LHD-Barren River Dist); LHD Barren River BRDHD All; Absher Mark; Adkins Joyce; Advani, Shailesh;
Greaney Libby; Greene, Janet; Halbig Hillary; Hartz Sharon; Houchens Marla; Houchin, Lisa J (LHD-Barren River Dist);
Katy; LaManna Frank; Lawrence, Brenda; Lovely Teresa; Miller AI; 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; Johnson, John D; Kercsmar, Sarah; Riker, Carol A; Jujulew; Hahn, Ellen J
Subject: Re: RE: NEWS ALERT!!!!!
Ellen,
Thanks for the "heads up" on the KRS. If the commission decides to fill the vacant seat with the next
highest vote, it appears to be Robin Baldwin:
http://www.wbko.comlbomelheadlineslLocal Election 2010 106486338.html
I'm not sure where she stands on the issue. She should receive this email, maybe she 11 let us know;).
As far as having anyone outside the county contact the commissioners, I would be very cautious. ACS had their
people review the ordinance last time and was very out of line (not our local ACS, but levels above) in the way
they attempted to get Slim to change the wording. I think there are slight variations to the new ordinance
(possibly to address electronic cigarettes), but Carol should be more up to date on that. I do think we need to
ask Slim first if he wants it reviewed ... he is the champion of this effort.
I have begun contacting people who are supportive of the effort to show on Tuesday and will continue to do so.
Eric
SOK
----- Original Message -----
From: "Hahn, Ellen J" <ejhahnOO@email.uky.edu>
3
Date: Saturday, January 15,2011 7:48
To: "Douglas, Carol F (LHD-Barren River Dist) " <carolF.Douglas@ky.gov>, LHD Barren River BRDHD All
<LHDBRD.HDAll@ky.gov>,AbsherMark <1nark.absher@bgky.org>, Adkins Joyce
<joycen.adkins@ky.gov >, "Advani, Shailesh" <shailesh.advani735@wku.edu>, Alloway Michelle
<1nichelle.alloway@heart.org>, Applebee's <Store08@woodlandgroupinc.com>, Baldwin Robin
<standingstoneministries@gmail.com>, Barnhouse Lara <lara.mlhbgky@att.net>, Bedard Robert
<MD300@bellsouth.net>, "Bedard, Robert" <tobertbedard@hotmail.com>, Bell Jessica
<jessica.bell@simpson.kyschools.us>,Berger Jim <jim.berger813@gmail.com>,BillingsleyMargaret
<1nbillingsley@tjsamson.org>, Bohannon Carla <tarlabohannon@insightbb.com>, Bonagnro John
<john.bonagnro@wku.edu>, "Booth, Nancy" <hancy .booth@warren.kyschools.us >, Broady Susan
<tegionalchiiddev@bellsouth.net>,Brown Susan <ksbrown@insightbb.com>,BryantBeth
<bryantpowell@aol.com>, "Carrigan, Misti - BGHS - Youth Services Center Coordinator"
<1nisti.carrigan@bgreen.kyschools.us>, "Cash, Allison" <lIllison.cash@ccc1884.org>, "Chaney, Amie; Youth
Service Center Coordinator" <lImie.chaney@simpson.kyschools.us>, "Chaney, Brenda"
<brenda.chaney@barren.kyschools.us>, "Chaney, Dennis R (LHD-Barren River District)"
<DennisR.Chaney@ky.gov>, Chang Tanya <tonya.chang@healt.org>, Cheny Jeanine
<jeanine.cherry@wku.edu>, Clark Paula <t>aula.clark@hart.kyschools.us >, Compton Judy
<jcornpton@tjsarnson.org>, Copas Jackie <jackies.copas@ky.gov>, Cunningham Terri
<terri.cunningharn@wku.edu>, Daniels Karen <kdaniels@lifeskills.com>, Drexler Angie
<lIngie.drexler@wku.edu>, "Duncan Martha \"Sue\"" <1ndnncan240@insightbb.com>, Emerson Jeanann
<jeanann.emerson@barren.kyschools.us>, Flora Kim <kimd.flora@ky.gov>, Ford Joy White
<jford@lifeskills.com>,ForrestMarilee <1narilee.fOlTest@cancer.org>,ForteBernice
<bemice.forte@hcahealthcare.com>, "Fugate, Jennifer S (LHD-Allen Co)" <JenniferS.Fugate@ky.gov>,
Gardner Marilyn <1narilyn.gardner@wku.edu>, Gibson Nancy <hanway2003@yahoo.com>, Greaney Libby
4ibby .greaney@wku.edu>, "Greene, Janet" <jg916@insightbb.com>, Gregory Eric
<egregory@insightbb.com>, Halbig Hillary <hillaryhalbig@kykob.org>, Hartz Sharon
<Sharon.hartz@wku.edu>, Houchens Marla <tnhouchens@tjsarnson.org>, "Houchin, Lisa J (LHD-Barren
River Dist)" <LisaJ .Houchin@ky.gov>, "Houchins, Denise (LHD-Warren County Health Dept.)"
<DeniseL.Boyd@ky.gov>, "Isenhower, Jataun" <jataun.isenhower@wku.edu>, Iyiegbuniwe Emmanuel
<emmanuel.iyiegbuniwe@wku.edu>, Janes Betsy <betsyj@kylnng.org>, Jennings Katy
<hutritioncenter4@bellsouth.net>, LaManna Frank <frank.lamanna@bgky.org>, "Lawrence, Brenda"
<brenda.lawrence@warren.kyschools.us>,Lovely Teresa <tlovely@kycharnber.com>,MillerAl
<lIl.miller@insightbb.com>, Mom-oe Lori 40ri1028@insightbb.com>, Nagy Chris <thris.nagy@wku.edu>,
Napier Melanie <1nelanies.napier@ky.gov>,OwensPaula <t>aula.owens@wku.edu>,Palmer Alan
<rllan.palmer@hcahealthcare.com>, Parnell Heather <heather.pamell@ky.gov>, "Perdue, Olivia - BGHS -
Youth Service Center" <tJlivia.perdue@bgreen.kyschools.us>, Petrovic Danijela
<DPetrovic@HeathCoLLC.com>,Pollard Venica <venica.mlhbgky@att.net>'PmntyMelody
<1nelodyf.pmnty@ky.gov>,Richardson Jama <jama.richardson@logan.kyschools.us>, Richey Brent
<brichey@vamneterins.com>, "Rowland, Crissy G (CHFS-LHD Barren River Dist) "
<Crissyg.Rowland@ky.gov>, Rush Linda 4frush@mcbg.org>, Ryan Lorie 4orie.ryan@warren.kyschools.us >,
Shindhelm Karen <karen.shindhelm@wku.edu>, Shirley Melissa Walton <tshirley@glasgow-ky.com>,
"Simmons, Jeri" <jerilynnsmail@aol.com>,SmithBeth <bogey567@aol.com>,Spears Bonnie
<bonnie.spears@hcahealthcare.com>, Stein Margaret <1nargaretJ.stein@pfizer.com>, Steward Kathryn
<kathryn.steward@wku.edu>, Sweetman Maryellen <1nsweetman@isbgky.com>, Taylor Brad
<btaylor@bghotrods.com>,ThweattKathy <kathyj.thweatt@ky.gov>,Tinsley Tammy
<tammy.tinsley@cancer.org>, Troyer Mike <1ntroyer@bandousa.com>, Tuck Missy <1ntuck@skyrehab.com>,
Voakes Rick .qtrvoakes@bellsouth.net>, Walston Rachel <tachel.walston@gmail.com>, Walton Ed
<edc21@bellsouth.net>, Walton Lori 4oriw@scrtc.com>, Watkins Cecilia <tecilia.watkins@wku.edu>, Webb
Alonzo 4vebb30black@yahoo.com>, Westbrook Elizabeth <e.westbrook@louisville.edu>, Wheat Marilyn
<tn1wheat@chc.net>, "Wininger, Amy" <rlmy.wininger@wku.edu>, Wollin Andrew
4
<l\ndrew@casaofsck.org>, Woods Monica <fuonica.woods@bgky.org>
Cc: "Johnson, John D" .gdjohnson@uky.edu>, "Kercsmar, Sarah" <l;cave2@emai1.uky.edu>, "Riker, Carol A"
<tiker@email.uky.edu>.Jujulew.gujulew@aol.com >, "Hahn, Ellen J" <ejhahnOO@email.uky.edu>
>
>Good morning, Bowling Green Smoke-free Advocates,
>
>1 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
>Mayor's depalture: Even ifthey 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 wasn ~ favorable last time. Where does he stand
>this time? Also, did an attorney draft the ordinance and is
>he/she favorable?
>
>
>1 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
>rneetings (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 didn ~ follow the KRS procedures for
>special meetings (attached). Also, in the final hour, they
>amended the ordinance to exempt drinking establishments (and
>enc1osed areas in places that allow alcohol) which will make the
>law very confusing and difficult to enforce (and it w o n ~
>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 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
5
>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
>anyway.
>
>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)
>ejhahnOO@emaiLuky.edu
>www.mc.uky .edu/tobaccopolicy
>www.kcsp.uky.edu
>
>Find kysmokefree on
>Twitter <http://www.twitter.com/kysmokefree >and
>Facebook <http://wwwJacebook.com/#!/pages/kysmokefree/121589417877279?ref=4s >!
>
>[ cid:imageOO 1 Jpg@01CBB490.E853FDEO][cid:image005.gif@OlCBB48B .7F3B7D 10]
>
>From: Douglas, Carol F (LHD-Barren River Dist)
>[mailto:CaroIF.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, Arnie; Youth Service Center Coordinator; Chaney, Brenda;
>Chaney, Dennis R (LHD-Barren River District); Chang Tonya;
>Cherry Jeanine; Clark Pallia; 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
>Bemice; Fugate, Jennifer S (LHD-Allen Co); Gardner Marilyn;
>Gibson Nancy; Greaney Libby; Greene, Janet; Gregory Eric; Halbig
>Hillary; Hartz Sharon; Houchens Mal1a; Houchin, lisa J (LHD-
6
>Barren River Dist); Houchins, Denise (LHD-Warren County Health
>Dept.); Isenhower, Jataun; Iyiegbuniwe Enunanuel; Janes Betsy;
>Jennings Katy; LaManna Frank; Lawrence, Brenda; Lovely Teresa;
>Miller AI; Momoe 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; Sinunons, Jeri; Smith Beth; Spears
>Bonnie; Stein Margaret; Steward Kathryn; Sweetman Malyellen;
>Taylor Brad; Thweatt Kathy; Tinsley Tanuny; 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
>
>1 need your help! Ijust found out that the Bowling Green
>City Conunission will introduce a Smokefree Indoor Air Ordinance
>this coming Tuesday, January 18th, 2011. The meeting begins at 7
>pm and the ordinance is the last item out of 13 listed on the
>agenda. It's time to encourage everyone to come out to the city
>conunission meeting and speak up in favor of the ordinance. It
>doesn\ matter if you are a BGvoter. 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
>owner's/workers to speak at the meeting. The full agenda is
>listed on the BG City Conunission website @ bgky.org/cityconunission.
>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
> 11 09 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 for the use of the individual or
>entity to which it is addressed and may contain confidential
>inforrnation that is legally plivileged and exempt from
>disclosure under applicable law. If the reader of this
7
>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 ofthe original message.
>
>
>
Eric Gregory, MA, CPS
Certified Prevention Specialist
Executive Director
The Save Our Kids Coalition
1818 Campbell Lane
Bowling Green, KY 42104
(270) 282-4251
www.SaveOurKids.org
8
Spagnuolo, Amy R
Sent:
To:
Wednesday, January 19, 2011 7:52 AM
Hahn, Ellen J
Subject: RE: Bowling Green passes first reading 3-2
Were you there for the fun?
CO-Director, Kentucky Center for Smoke-Free Policy
859-323-0603
859-323-1057 (FAX)
scave2@email.ukV.edu
www.kcsp.uky.edu
Find kyslhokefree on Twitter and Facebook !
From: Hahn, Ellen J
To; Johnson, John D
Cc: Kercsmar, Sarah
Subject: FW: Bowling Green passes first reading 3-2
John--Can you send something out to the email list about this? We can report on the vote and the scheduled second
reading and implementation dates along with the link. Can you get the ordinance by calling the city or checking the
website? Thanks! We really can't confirm that it is comprehensive until we see the language so don't say anything about
that.
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
1
COLLEGE OF NURSING
Otlf Gotll k1 g,C; rl1';:!p Ybtl
From: Hahn, Ellen J
To: Hahn, Ellen J; Amy Barkley; Betsy Janes; Brandi Gilley; Bronson Frick; Cathy Callaway; Dyshel Thompson; Eric Evans;
Tonya Chang
Cc: Riker, Carol A; Johnson, John D
Subject: Bowling Green passes first reading 3-2
Good morning,
The second reading is scheduled for next Monday and implementation is 90 days later (after Mayor Walker is gone), so
there certainly is risk of amendment or repeal in the interim. Will let you know what we hear from the coalition.
http://www.wbko.com/home/headlines/Bowling Green Citv Commission Votes 3-
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.mc.uky.eduitobaccopolicy
www.kcsp.uky.edu
COLLEGE OF NURSING
Our Ck:,-tt! is io rdfJlp You nc'd
i
7.o Y,JVP3
From: Hahn, Ellen J
To: Amy Barkley; Betsy Janes; Brandi Gilley; Bronson Frick; Cathy Callaway; Dyshel Thompson; Hahn, Ellen J; Eric Evans;
Tonya Chang
Cc: Riker, Carol A
Subject: FW: NEWS ALERT!!!!!
Wanted you all to see this from Eric Gregory in Bowling Green. Given that our relationship with the group there has
been sporadic, I am really not sure what any of us can do at this point. It seems they don't really have an 'inside game' if
they don't know how the new commissioner feels about smoke-free. Slim is the key, it seems. Carol Douglas has been
2
our' main point of contact and she is with the health department. I may call John Bonaguro at WKU since I have the best
relationship with him.
ellen
751 Rose Street
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.ukv.edu
www.kcsp.uky.edu
Find kysmoke/ree on Twitter and Facebook !
COLLEGE ,OF NURSING
Our Goal !S1tl HHto You R e E ) ! ; ~ ) ';bum
From: Eric Gregory [mailto:egregory@insightbb.comj
To: Hahn, Ellen J
Cc: Douglas, Carol F (LHD-Barren River Dist); LHD Barren River BRDHD All; Absher Mark; Adkins Joyce; Advani, Shailesh;
Misti - BGHS - Youth Services Center Coordinator; Cash,Allison; Chaney, Amie; Youth Service Center Coordinator;
Greaney Libby; Greene, Janet; Halbig Hillary; Hartz Sharon; Houchens Marla; Houchin, Lisa J (LHD-Barren River Dist);
Katy; LaManna Frank; Lawrence, Brenda; Lovely Teresa; Miller AI; 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; Johnson, John D; Kercsmar, Sarah; Riker, Carol A; Jujulew; Hahn, Ellen J
Subject: Re: RE: NEWS ALERT!!!!!
Ellen,
Thanks for the "heads up" on the KRS. If the commission decides to fill the vacant seat with the next
highest vote, it appears to be Robin Baldwin:
http://www.wbko.comlhome/headlineslLocal Election 2010 106486338.html
I'm not sure where she stands on the issue. She should receive this email, maybe she lIlet us know ;).
3
As far as having anyone outside the county contact the commissioners, I would be very cautious. ACS had their
people review the ordinance last time and was very out of line (not our local ACS, but levels above) in the way
they attempted to get Slim to change the wording. I think there are slight variations to the new ordinance
(possibly to address electronic cigarettes), but Carol should be more up to date on that. I do think we need to
ask Slim first ifhe wants it reviewed ... he is the champion ofthis effort.
I have begun contacting people who are supportive of the effort to show on Tuesday and will continue to do so.
Eric
SOK
From: "Hahn, Ellen J" .edu >
To: "Douglas, Carol F (LHD-Barren River Dist)" <CaroIF.Douglas@ky.gov>, LHD Barren River BRDHD All
<LHDBRD .HDAll@ky.gov >, Absher Mark <fi1ark.absher@bgky.org>, Adkins Joyce
.goycen.adkins@ky.gov>, "Advani, Shailesh" >, Alloway Michelle
<fi1ichelle.a110way@heart.org>, Applebee's Baldwin Robin
gmai1.com >, Barnhouse Lara <lara.mlhbgky@att.net>, Bedard Robert
<J.\iID300@bellsouth.net>' "Bedard, Robert" <tobertbedard@hotmai1.com>,BellJessica
.gessica.bell@simpson.kyschools.us>, Berger Jim .gim.berger813@gmai1.com>, Billingsley Margaret
<fi1billingsley@tjsamson.org>, Bohannon Carla <tarlabohannon@insightbb.com>, Bonaguro John
.gohn.bonaguro@wku.edu>, "Booth, Nancy" <nancy.booth@warren.kyschools.us>,Broady Susan
<tegionalchilddev@bellsouth.net>, Brown Susan <ksbrown@insightbb.com>, Bryant Beth
<bryantpowell@ao1.com>, "Carrigan, Misti - BGHS - Youth Services Center Coordinator"
<fi1istLcarrigan@bgreen.kyschools.us >, "Cash, Allison" <1lllison.cash@ccc1884.org>, "Chaney, Arnie; Youth
Service Center Coordinator" <1lmie.chaney@simpson.kyschools.us>, "Chaney, Brenda"
<brenda.chaney@barren.kyschools.us >, "Chaney, Dennis R (LHD-Barren River District)"
<DennisRChaney@ky.gov >, Chang Tonya <tonya.chang@heart.org>, Cherry Jeanine
.geanine.cherry@wku.edu>, Clark Paula <paula.c1ark@hart.kyschools.us >, Compton Judy
.gcompton@tjsamson.org>, Copas Jackie .gackies.copas@ky.gov>, Cunningham Terri
<terri.cunningham@wku.edu>,Daniels Karen <kdaniels@lifeskills.com>,Drexler Angie
<1lngie.drexler@wku.edu>, "Duncan Martha \"Sue\"" <fi1duncan240@insightbb.com>, Emerson Jeanann
.geanann.emerson@barren.kyschools.us>, Flora Kim <kimd.flora@ky.gov>, Ford Joy White
.gford@lifeskills.com>, Forrest Marilee <fi1arileeJorrest@cancer.org>, Forte Bernice
<bernice.forte@hcahealthcare.com>, "Fugate, Jennifer S (LHD-Allen Co)" <J enniferS .Fugate@ky.gov>,
Gardner Marilyn <fi1arilyn.gardner@wku.edu>, Gibson Nancy <nanway2003@yahoo.com>, Greaney Libby
<libby.greaney@wku.edu>, "Greene, Janet" .gg916@insightbb.com>,GregoryEric
Halbig Hillary <b.illaryhalbig@kykob.org>,HartzSharon
>, Houchens Marla <illhouchens@tjsamson.org>, "Houchin, Lisa J (LHD-Barren
River Dist)" <LisaJ .Houchin@ky.gov >, "Houchins, Denise (LHD-Warren County Health Dept.) "
<DeniseL.Boyd@ky.gov>, "Isenhower, Jataun" .gataun.isenhower@wku.edu>, IyiegbuniweEmmanuel
Janes Betsy <betsyj@kylung.org>,Jennings Katy
<nutritioncenter4@bellsouth.net>, LaManna Frank <frank.1amanna@bgky.org>, "Lawrence, Brenda"
<brenda.1awrence@warren.kyschools.us>, Lovely Teresa <tlovely@kychamber.com>,Miller Al
<1l1.miller@insightbb.com>,Monroe Lori <lori1028@insightbb.com>,Nagy Chris <thris.nagy@wku.edu>,
Napier Melanie <fi1elanies .napier@ky.gov>, Owens Paula <paula.owens@wku.edu>, Palmer Alan
<1l1an.palmer@hcahealthcare.com>, Pamell Heather <lJ.eather.pamell@ky.gov >, "Perdue, Olivia - BGHS -
Youth Service Center" <t>livia.perdue@bgreen.kyschools.us>, Petrovic Danijela
4
<DPetrovic@HeathCoLLC.com>, Pollard Venica <!'enica.m1hbgky@att.net>,PruntyMelody
<filelodyf.prunty@ky.gov>, Richardson Jama <jama.richardson@logan.kyschools.us >, Richey Brent
<brichey@vanmeterins.com>, "Rowland, Crissy G (CHFS-LHD Barren River Dist) "
<Crissyg.Rowland@ky.gov>, Rush Linda 4frush@mcbg.org>, Ryan Lorie 40rie.ryan@walren.kyschools.us>,
Shindhelm Karen <karen.shindhelm@wkn.edu>, Shirley Melissa Walton <tshirley@glasgow-ky.com>,
"Sinnnons, Jeri" <jerilynnsmail@aol.com>, Smith Beth <bogey567@aol.com>, Spears Bonnie
<bonnie.spears@hcahealthcare.com>,Stein Margaret <filargaretJ.stein@pfizer.com>,StewardKathlyn
<kathryn.steward@wkn.edu>, Sweetman Maryellen <IDsweetman@isbgky.com>, Taylor Brad
<btaylor@bghotrods.com>, Thweatt Kathy <kathyj .thweatt@ky.gov >, Tinsley Tammy
<tannny .tinsley@cancer.org>, Troyer Mike <filtroyer@bandousa.com>, Tuck Missy <filtuck@skyrehab.com>'
Voakes Rick <t!rvoakes@bellsouth.net>, Walston Rachel <tachel.walston@gmail.com>, Walton Ed
<edc21@bellsouth.net>,WaltonLori 40riw@scrtc.com>,WatkinsCecilia <tecilia.watkins@wkn.edu>,Webb
Alonzo <Webb30black@yahoo.com>, Westbrook Elizabeth <e.westbrook@louisville.edu>, Wheat Marilyn
<fillwheat@chc.net>, "Wininger, Amy" <tmy .wininger@wkn.edu>, Wollin Andrew
<Andrew@casaofsck.org >, Woods Monica <filonica.woods@bgky.org>
Cc: "Johnson, John D" <jdjohnson@uky.edu>, "Kercsmar, Sarah" >, "Riker, Carol A"
<tiker@email.uky.edu>.Jujulew<jujulew@aol.com >, "Hahn, Ellen J" <ejhahnOO@email.uky.edu>
>
>Good morning, Bowling Green Smoke-free Advocates,
>
>1 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 1 am sure Slim and the Mayor want to do the right
>thing by taking an ordinance to first reading now given the
>Mayor's departure. Even ifthey 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 connnissioner? 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?
>
>
>1 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. 1 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 Couuty
>enacted a weak smoke-free ordinance by special meeting. It was
>delayed because they didn t follow the KRS procedures fof'
5
>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 won ~
>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 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 tty 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 tum 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
>anyway.
>
>Good luck! !
>Ellen
>
>CoUege of Nursing and College of Public Health
>751 Rose Street
>859-257-2358
>859-323-1057 (FAX)
>ejhahnOO@email.uky.edu
>www.kcsp.uky.edu
>
>Twitter <http://www.twitter.com/kysmokefree >and
>Facebook <http://www.facebook.com/#!/pages/kysmokefree/121589417877279?ref=iS >!
>
>[cid:image001.jpg@01CBB490.E853FDEO][cid:image005.gif@01CBB48B.7F3B7D10]
>
>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;
6
>Advani, Shailesh; Alloway Michelle; Applebee's; Baldwin Robin;
>Barnhouse Lara; Bedard Robelt; Bedard, Robert; Bell Jessica;
>Berger Jim; Billingsley Margaret; Bohannon Carla; Bonaguro John;
>Booth, Nancy; Broady Susan; Brown Susan; Blyant Beth; Carrigan,
>Misti - BGHS - Youth Services Center Coordinator; Cash, Allison;
>Chaney, Arnie; 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
>Bemice; 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; LaMauna Frank; Lawrence, Brenda; Lovely Teresa;
>Miller AI; 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 Lode; Shindhelm Karen;
>Shirley Melissa Walton; Simmons, Jed; 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 Loli;
>Watkins Cecilia; Webb Alonzo; Westbrook Elizabeth; Wheat
>Madlyn; Wininger, Amy; Wollin Andrew; Woods Monica
>Cc: Halm, Ellen J
>Subject: NEWS ALERT!!!!!
>Importance: High
>
>1 need your help! Ijust found out that the Bowling Green
>City Commission will introduce a Smokefree Indoor Air Ordinance
>this coming Tuesday, January 18th, 2011. The meeting begins at 7
>pm and the ordinance is the last item out of 13 listed on the
>agenda. It's time to encourage everyone to come out to the city
>commission meeting and speak up in favor of the ordinance. It
>doesn ~ 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
>owner's/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 dde!!!!
>
>Carol Douglas, BS
>Health Educator III
7
>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 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
>disc1osure 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 ofthe original message.
>
>
>
Eric Gregory, MA, CPS
Executive Director
1818 Campbell Lane
(270) 282-4251
www.SaveOurKids.org
8
Spagnuolo, Amy R
From:
Sent:
To:
Subject:
Johnson, John D
Marijanovic, Nina
FW: KCSP Community Partner Newsletter
I just realized today that you are not on the community partner list -I've added you to the list. Here is December's
newsletter, that you so nicely put together.
Please let me know if you have any questions. I knowyou have a lot going on now, so let me know if you're
overwhelmed.
John
Sent: Friday, December 17, 2010 12:44 PM
To: Johnson, John D
Subject: KCSP Community Partner Newsletter
KENTUCKY CENTER FOR SMOKE-FREE POLICY
Community Partner Newsletter
December 2010
Sffloke.-fre.e Communities: Good/or People, Good/oF' /Jusiness
Find us on Face.boQk; Kysmoke/ree.
Welcome to the Kentucky Center for Smoke-Free Policy (KCSP) Community Partners' Newsletter!
HAPPY HOLIDAYS FROM THE KCSP TEAM!
WE CElEBRATE YOUR COMMITMENT TO SMOKE-FREE AIR
AND WISH YOU A HAPPY NEW YEAR!
This Newsletter contains:
1. Smoke-free Policy Updates
Campbell County goes smoke-free!
1
st
Smoke-free Kentucky Coalition Meeting held in louisville, 12/13/10
2. Smoke-free Research Updates
Summary of the article, Surgeon General's Executive Summary: How Tobacco Smoke Causes Disease
1
3. Opposition Watch
Mike Deters: Self-appointed Watchdog
4. Save these Dates
State Smoke-free Kick Off-January 6,2011

Smoke-free Summit Webinar-January 14, 2011
Smoke-free Spring Conference-March 24, 2011
5. Take Action by January 11, 2011---U.S. Food and Drug (FDA) Proposed Cigarette Product Warning
Labels
Please scroll down for more information on each topic!
Smoke-free Policy Updates
Campbell County Goes Smoke-free!
Congratulations to Northern Kentucky ACTION. Campbell County Fiscal Court enacted a comprehensive smoke-free
workplace ordinance, 3-1 on December 15, 2010, after many years of persistent and effective advocacy by Northern
Kentucky ACTION.
Implementation is scheduled for April 15, 2011. Campbell County joins 27 other Kentucky communities to lead on public
health. Campbell County will be the lSth Kentucky community with a comprehensive smoke-free workplace ordinance or
regulation.
Kenton County Fiscal Court's smoke-free ordinance goes to second reading on December 21, 2010. If enacted, the
Kenton County ordinance will also go into effect on April 15, 2011.
First Smoke-free Kentucky Coalition Meeting held in Louisville, December 13, 2010
Approximately 40 hardy souls braved the weather to attend the first Smoke-Free Kentucky coalition meeting in
Louisville. Most of the expected 125 participants were unable to attend due to snow and ice.
A major theme of the meeting was the importance of moving local smoke-free policies forward while educating the
public and policymakers about the eventual need for statewide legislation so that all Kentuckians are protected from
secondhand smoke. More strong local smoke-free laws are essential for effective passage and implementation of a
100% smoke-free state law.
For those who missed the Summit, plan to attend the webinar on January 14, 2011 (see below for Save the Dates).
Smoke-free Research Updates
U.S. Department of Health and Human Services. How Tobacco Smoke Causes Disease: The Biology and Behavioral
Basis for Smoking-Attributable Disease: A Report of the Surgeon General. Atlanta, GA: U.S. Department of
2
Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease
Prevention and Health Promotion, Office on Smoking and Health, 2010.
The new Surgeon General's report provides the strongest evidence yet of the negative effects of tobacco smoke,
especially related to length of exposure to tobacco smoke and damage to DNA. Even brief exposure to tobacco smoke
causes immediate harm that can lead to illness and premature death. Exposure to tobacco smoke can lead to cancer,
heart attacks/disease and lung disease through damage to the DNA and blood vessels, and inflammation ofthe lining of
the lungs. The report also casts doubt on the effectiveness of product modification and harm reduction strategies for
changing population health outcomes.
Collaborating with the Center for Disease Control as well as the World Health Organization and the Food and Drug
Administration, the report outlines the MPOWER approach which can be adapted to the local, state and national levels
to monitor tobacco consumption, protect people from secondhand smoke, offer quit assistance to smokers, warn
consumers about the dangers of tobacco, enforce restrictions on tobacco and raise taxes and prices on tobacco
products.
The report applauds states and locales that have enacted smoke-free laws and policies and pledges that
the Department of Health and Human Services will continue to support and push for tougher legislation on
tobacco products.
Executive Summary: http://www.surgeongeneral.gov!library!tobaccosmoke!report/executivesummary.pdf
Lay Version: http://www.cdc.gov!tobacco!datastatistics!sgr!2010!consumerbooklet/index.htm
Full Report: http://www.surgeongeneral.gov!library!tobaccosmoke!report!full report.pdf
Opposition Watch
The recent move by Kenton and Campbell counties to enact smoke-free laws has prompted persistent
opposition by individuals who wish to leave this decision up to individual business owners. The opposition
claims that smoke-free laws are an unnecessary intrusion of the government and that businesses will be
harmed by this legislation. Mr. Deters, an attorney, is one of the opposition voices in Kenton County. Mr.
Deters vehemently believes that government has no right to intrude into our lives and that the decision to
allow smoking or not, should be in the hands of individual business owners. The Kentucky Supreme Court has
ruled that government has the right and manifest duty to protect the public health, and that smoke-free laws
are a reasonable use of government powers.
For more information on Mr. Deter's opinions on smoking and other topics, please visit:
http://www.ericdeters.com/index.php?option =com content&view =artic1e&id =l. 9&Itemid ='27 .
Save these Dates
Mark your calendars!
January 6, 2011 is the Statewide Smoke-free Kick Off in the Capitol Rotunda in Frankfort at 1:00PM.
January 14, 2011 is the Smoke-free Summit Webinar at 10:00 AM ET, for those who missed it due to
inclement weather. Details to follow.
3
March 24, 2011 is the annual Smoke-free Spring conference. The conference will be held at the Griffin
Gate Marriott Resort and Spa, located at 1800 Newtown Pike, Lexington, KY 40511. Stay tuned for registration
materials in 2011! Contact KCSP to reserve your seat.
U.S. Food and Drug (FDA) Proposed Cigarette Product Warning Labels
In November, the U.S. Health and Human Services and FDA announced a proposed rule to require new and
prominent health warnings on all cigarette packages, cartons and advertisements. The inclusion of larger and more
noticeable graphic health warnings will clearly and effectively convey the negative health consequences of smoking to
educate all Americans about the health risks of cigarettes.
FDA is seeking public comment on the proposed rule from Friday, November 12, 2010 through Tuesday, Januf/YY
11,2011. The submitted comments will be officially considered in the final warnings which will be issued by June 22,
2011.
You are encouraged to submit an official comment during the comment period:
Go to www.regulations.govand insert docket number FDA-2010-N-0568 into the "search" box and follow the
prompts.
Send a fax, with your comments, to 301-827-6870.
Mail/Hand delivery/Courier (for paper, disk, or CD-ROM submissions) to the Division of Dockets Management
(HFA-305), Food and Drug Administration, 5630 Fishers Lane, Room 1061, Rockville, MD 20852.
All comments should be identified by Docket ID No. FDA-2010-N-0568. Please send only one set of comments.
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 kcspOO@lsv.uky.edu or
contact John Johnson jdjohnson@uky.edu, 859-323-4587.
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.
John D. Johnson, MA
Community Liaison
859-323-4587
859-323-1057 (FAX)
jdjohnson@uky.edu
www.kcsp.uky.edu
4
Spagnuolo. Amy R
From:
Sent:
Jerry Stricker Ostricker1403@gmail.com]
Tuesday, January 18, 2011 8:02 AM
To: Kercsmar, Sarah; 'Michelle Eversole'; 'Guy Karrick'; jenny.beeneskuban@gmail.com; 'Betsy
Janes'; Hahn, Ellen J
Subject: RE: March 24 -- 8:45-9:45?
Yes, list me as tentative.
I read in local Sarasota newspaper, that State College of Florida campus is going smoke free; this includes electronic
cigarettes. A committee of students and employees recommended the ban. According to the article "Nationwide, more
than 450 colleges and universities have banned smoking on campus". I know UK, UofL and Morehead have done so.
I'm not sure about NKU. Another message to Campbell County fiscal court our students and children don't want to be
subjected to second hand smoke.
According to the No Ky Health dept only 38% of Campbell County Restaurants have voluntarily gone smoke free.
Jerry Stricker
859431 5554
- - ~ - - " - ~ ~ - - - - . _. - - ~ " - . ~ ~ - - - - - ~
From: Kercsmar, Sarah [mailto:scave2@email.uky.edu]
To: Jerry Stricker; 'Michelle Eversole'; 'Guy Karrick'; jenny.beeneskuban@gmail.com; 'Betsy Janes'
Subject: RE: March 24 -- 8:45-9:457
Jerry,
Shall we mark you "tentative" and if you're free, you could join the panel?
Sarah
859-323-0603
859-323-1057 (FAX)
www.kcsp.uky . .edu
From: Jerry Stricker (mailto:jerrvs501@hotmail.com]
To: Kercsmar, Sarah; 'Michelle Eversole'; 'Guy Karrick'; jenny.beeneskuban@gmail.com; 'Betsy Janes'
Subject: RE: March 24 -- 8:45-9:457
1
Sounds like a great event to attend and participate. I have a problem committing at this time. That day is the start NCAA
regional BB tournament weekend. I usually follow the Cats and I won'-t know if they play Thursday or Friday or in what
city??? I won't know until March 14 or later.
Jerry Stricker
859431 5554
From: Kercsmar, Sarah [mailto:scave2@email.uky.edul
To: Michelle Eversole; Guy Karrick; jenny.beeneskuban@qmail.com; Betsy Janes; Jerry Stricker
Subject: March 24 -- 8:45-9:457
Hi, all.
The Kentucky Center for Smoke-Free Policy is hosting its annual Spring Conference on March 24th from 8:30-4:15 in
lexington. It's going to be a great day - the tentative agenda will be out soon.
We are planning a NKY case study session from 8:45 - 9:45 -to describe the roller coaster we call smoke-free policy in
NKY. Michelle has agreed to moderate the session (I have class and won't be there ). Would you be willing to serve
on the panel?
Please let me know as soon as possible about your availability and willingness to serve.
Sarah
College of Communications and Information Studies, little library 310 M
College of Nursing, 751 Rose Street, 450B, lexington, KY 40536-0232
859-323-0603
859-323-1057 (FAX)
www.kcsp.uky.edu
2
Spagnuolo. Amy R
Sent:
To:
Monday, January 17, 2011 8:52 PM
Hahn, Ellen J
Subject: RE: RE: RE: NEWS ALERT!!!!!
Wonder who it was from ACS? Shannon?
859-323-0603
859-323-1057 (FAX)
www.kcsp.uky.edu
From: Hahn, Ellen J
To: james.sharp@cancer.org
Subject: FW: RE: RE: NEWS ALERT!!!!!
FYI..
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE OF NURSING
1
From: Eric Gregory [mailto:egregory@insightbb.com]
Sent: Saturday, January 15, 2011 4: 12 PM
To: Hahn, Ellen J
Subject: Re: RE: RE: NEWS ALERT!!!!!
That's fine. It took place on a conference call. The young lady threatened Slim to make the changes they
wanted based on the "size of their constituency." Slim and I both walked out of the meeting. They almost cost
us the first reading single handedly. You can share that too ...
Eric
SOK
From: "Hahn, Ellen J" <ejhahnOO@emai1.uky.edu>
SUbject: RE: RE: NEWS ALERT!!!!!
To: Eric Gregory <egregory@insightbb.com>
>Thanks, Eric. I shared this with James Sharp at ACS.
>
. >College of Nursing and College of Public Health
>751 Rose Street
>859-257-2358
>859-323-1057 (FAX)
>ejhahnOO@emai1.uky.edu
>www.kcsp.uky.edu
>
>Twitter<http://www.twitter.com/kysmokefree >and
>Facebook <http://wwwJacebook.com/#!/pageslkysmokefree/121589417877279?ref=ts >!
>
>[ cid:imageOO l.jpg@0ICBB4C6.76C07600][cid:image002.gif@01 CBB4C6 .76C07600]
>
>From: Eric Gregory [mailto:egregory@insightbb.com]
>Sent: Saturday, January 15,20113:01 PM
>To: Hahn, Ellen J
>Cc: 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, Arnie; Youth
2
~ S e r v i c e 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 (LHD-Allen Co); Gardner Marilyn; Gibson
>Nancy; Greaney Libby; Greene, Janet; 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 AI;
>Momoe Lori; Nagy Chris; Napier Melanie; Owens Paula; Palmer
>Alan; Pamell 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; Johnson,
>John D; Kercsmar, Sarah; Riker, Carol A; Jujulew; Hahn, Ellen J
>Subject: Re: RE: NEWS ALERT!!!!!
>
>Ellen,
> Thanks for the "heads up"
>on the KRS. If the commission decides to fill the vacant
>seat with the next highest vote, it appears to be Robin Baldwin:
>
>http://www.wbko.com/home/headlines/Locat Election _ 2010_106486338 ,html
>
>I'm not sure where she stands on the issue. She should
>receive this email, maybe shell let us know;).
>
>As far as having anyone outside the county contact the
>commissioners, I would be very cautious. ACS had their
>people review the ordinance last time and was very out ofline
>(not our local ACS, but levels above) in the way they attempted
>to get Slim to change the wording. I think there are
>slight variations to the new ordinance (possibly to address
>electronic cigarettes), but Carol should be more up to date on
>that. I do think we need to ask Slim first if he wants it
>reviewed ... he is the champion of this effort.
>
>1 have begun contacting people who are supportive of the effort
>to show on Tuesday and will continue to do so.
>
>Eric
>SOK
>
3
>----- Original Message -----
>From: "Hahn, Ellen J" <ejhahnOO@email.uky.edu>
>Date: Saturday, January 15,2011 7:48
>Subject: RE: NEWS ALERT!! 1!!
>To: "Douglas, Carol F (LHD-Barren River Dist) "
> <CaroIF.Douglas@ky.gov>, LHD Barren River BRDHD All
> <LHDBRD.HDAll@ky.gov>, Absher Mark <fuark.absher@bgky.org>,
>Adkins Joyce .goycen.adkins@ky.gov>, "Advani, Shailesh"
> Alloway Michelle
> <fu.ichelle.alloway@heart.org>, Applebee's
> Baldwin Robin
> >, Barnhouse Lara
> <Iara.mlhbgky@att.net>, Bedard Robert
> <IV1D300@bellsouth.net>' "Bedard, Robert"
> -;tobertbedard@hotmail.com>, Bell Jessica
> .gessica.bell@simpson.kyschools.us>, Berger Jim
> .gim.berger813@gmail.com>, Billingsley Margaret
> <fu.billingsley@tjsamson.org>, Bohannon Carla
> <tarlabohannon@insightbb.com>, Bonaguro John
> .gohn.bonaguro@wku.edu>, "Booth, Nancy"
> <fiancy.booth@warren.kyschools.us>,Broady Susan
> -;tegionalchilddev@bellsouth.net>,BrownSusan
> <ksbrown@insightbb.com>,BryantBeth
> <!lryantpowell@aol.com>, "Carrigan, Misti - BGHS - Youth
>Services Center Coordinator"
> -;tnisti.carrigan@bgreen.kyschools.us>, "Cash, Allison"
> <1tllison.cash@ccc1884.org>, "Chaney, Arnie; Youth Service
>Center Coordinator" <1tmie.chaney@simpson.kyschools.us >,
> "Chaney , Brenda" <!lrenda.chaney@barren.kyschools.us>,
> "Chaney, Dennis R (LHD-Barren River District)"
> <DennisR.Chaney@ky.gov>, Chang Tonya
><tonya.chang@heart.org>,Cherry Jeanine
> .geanine.cherry@wku.edu>, Clark Paula
> <paula.c1ark@hart.kyschools.us>, Compton Judy
> .gcompton@tjsamson.org>, Copas Jackie
> .gackies .copas@ky.gov>, Cunningham Terri
> <terri.cunningham@wku.edu>, Daniels Karen
> <kdaniels@lifeskills.com>,Drexler Angie
> <1tngie.drexler@wku.edu>, "Duncan Martha \"Sue\""
> <fu.duncan240@insightbb.com>, Emerson Jeanann
> .geanarm.emerson@barren.kyschools.us>, Flora Kim
> <kimd.flora@ky.gov >, Ford Joy White
> .gford@lifeskills.com>, Forrest Marilee
> <fu.arilee.forrest@cancer.org>, Forte Bernice
> <!lernice.forte@hcahealthcare.com>, "Fugate, Jennifer S
>(LHD-Allen Co)" <J enniferS .Fugate@ky.gov >, Gardner Marilyn
> <fu.arilyn.gardner@wku.edu>, Gibson Nancy
> <fianway2003@yahoo.com>, Greaney Libby
> <libby .greaney@wku.edu>, "Greene, Janet"
> .gg916@insightbb.com>, Gregory Eric
> <egregory@insightbb.com>, Halbig Hillary
4
> <hillatyhalbig@kykob.org>, Hartz Sharon
> <sharon.hartz@wku.edu>, Houchens Marla
> <IDhouchens@tjsamson.org>, "Houchin, Lisa J (LHD-Barren
>River Dist)" <LisaJ .Houchin@ky.gov >, 'Houchins, Denise (LHD-
>Warren County Health Dept.)" <DeniseL.Boyd@ky.gov >,
> "Isenhower, Jataun" .gataun.isenhower@wku.edu>, Iyiegbuniwe
>Emmanuel <t:mmanuel.iyiegbnniwe@wku.edu>,JanesBetsy
><hetsyj@kylung.org>,Jennings Katy
> <llutritioncenter4@bellsouth.net>, LaManna Frank
> <frank.1amanna@bgky.org>, "Lawrence, Brenda"
> <hrenda.1awrence@warren.kyschools.us>, Lovely Teresa
><tlovely@kychamber.com>,Miller Al
> 4t1.miller@insightbb.com>, Monroe Lod
> <lori1028@insightbb.com>, Nagy Chris <thris.nagy@wku.edu>,
>Napier Melanie <tnelanies.napier@ky.gov>, Owens Paula
><paula.owens@wku.edu>,PalmerAlan
>4tlan.palmer@hcahealthcare.com>,ParnellHeather
> <heather.parnell@ky.gov>, "Perdue, Olivia - BGHS - Youth
>Service Center" <blivia.perdue@bgreen.kyschools.us>, Petrovic
>Danijela <DPetrovic@HeathCoLLC.com>,Pollard Venica
> 4'enica.mlhbgky@att.net>, Prunty Melody
> <tnelodyf.prnnty@ky.gov >, Richardson J ama
> .gama.richardson@logan.kyschools.us >, Richey Brent
><hrichey@vanmeterins.com>, "Rowland, Crissy G (CHFS-LHD
>Barren River Dist)" <crissyg.Rowland@ky.gov>, Rush Linda
> <lfrush@mcbg.org>, Ryan Lorie
> <lorie.lyan@warren.kyschools.us>, Shindhelm Karen
> <l<aren.shindhelm@wku.edu>, Shirley Melissa Walton
> <tshirley@glasgow-ky.com>, "Simmons, Jeri"
> .gerilynnsmail@ao1.com>, Smith Beth <hogey567@aol.com>,
>Spears Bonnie <honnie.spears@hcahealthcare.com>, Stein
>Margaret <tnargaret.f.stein@pfizer.com>,StewardKathryn
> <l<athryn.steward@wku.edu>, Sweetman Maryellen
> <tnsweetman@isbgky.com >, Taylor Brad
> <htaylor@bghotrods.com>, Thweatt Kathy
> <lmthyj .thweatt@ky.gov >, Tinsley Tammy
> <tammy .tinsley@cancer.org>, Troyer Mike
> <tntroyer@bandousa.com>, Tuck Missy <tntuck@skyrehab.com>,
>Voakes Rick <tlrvoakes@bellsouth.net>,WalstonRachel
> <tachel.walston@gmail.com>, Walton Ed
> <t:dc21@bellsouth.net>, Walton Lori <loriw@sCltc.com>,
>Watkins Cecilia <tecilia.watkins@wku.edu>, Webb Alonzo
> <Webb30black@yahoo.com>, Westbrook Elizabeth
> <t:.westbrook@louisville.edu>, Wheat Marilyn
> <tn1wheat@chc.net>, "Wininger, Amy" 4tmy.wininger@wku.edu>,
>Wollin Andrew <1\ndrew@casaofsck.org >, Woods Monica
> <tnonica.woods@bgky.org::Cc: "Johnson, John D"
> .gdjohnson@uky.edu>, "Kercsmar, Sarah"
><Scave2@email.uky.edu>, "Riker, Carol A"
> <tiker@email.uky.edu>.Jujulew.gujulew@aol.com >, "Hahn,
>Ellen J" <t:jhahnOO@email.uky.edu>
5
>

> >Good morning, Bowling Green Smoke-free Advocates,

> >1 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
> >Mayor's departure. Even if they have the votes to pass it this
> >time, though, the risk is that the ordinance could be repealed
> >or weflkened 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 wasn ~ favorable last time. Where does he stand
> >this time? Also, did an attomey draft the ordinance and is
> >he/she favorable?

> >1 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 Northem 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 didn ~ follow the KRS procedures for
> >special meetings (attached). Also, in the final hour, they
> >amended the ordinance to exempt drinking establishments (and
> >enc1osed areas in places that allow alcohol) which will make the
> >law very confusing and difficult to enforce (and it w o n ~
> >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 repealit on Jan. 19. Jan. 1
> >they had a new group of commissioners who are not 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 tum out advocates who stick
> >to the health message (and keep tabs on the opposition).
6
'
> >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
anyway,

> >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)
> >ejhahnOO@email.uky.edu
> >www.mc.uky .edu/tobaccopolicy
> >www.kcsp.uky.edu

> >Find kysmokefree on
> >Twitter <http://www.twitter.com/kysmokefree >and

>Facebook <http://wwwJacebook.com/#!ipages/kysmokefree/121589417877279?ref =ts >!

>[ cid:imageOO 1.jpg@0ICBB490.E853FDEO][cid:image005.gif@01 CBB48B .7F3B7D 10] >
> >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, Arnie; 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
> >Bemice; 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;
7
> >J",nnings Katy; LaManna Frank; Lawrence, Brenda; Lovely Teresa;
> >Miller AI; 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: Halm, Ellen J
> >Importance: High

> >1 need your help! Ijust found out that the Bowling Green
> >City Commission will introduce a Smokefree Indoor Air Ordinance
this coming Tuesday, January 18th, 2011. The meeting begins at 7
> >pm and the ordinance is the last item out of 13 listed on the
> >agenda. It's time to encourage everyone to come out to the city
> >commission meeting and speak up in favor of the ordinance. It
> >doesn't 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
> >owner's/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

> >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
> >inforrnation 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
8
> >communication is sttictly prohibited. If you have received
> >this communication in error, please contact the sender by reply
> >e-mail and destroy all copies of the otiginal message.

>
>
>Etic Gregory, MA, CPS
>Certified Prevention Specialist
>Executive Director
>The Save Our Kids Coalition
>
>1818 Campbell Lane
>Bowling Green, KY 42104
>(270) 282-4251
>www.SaveOurKids.org
>
Etic Gregory, MA, CPS
Executive Director
1818 Campbell Lane
(270) 282-4251
www.SaveOurKids.org
Spagnuolo. Amy R
Sent:
To:
Friday, January 14, 2011 10:34 AM
Hahn, Ellen J
Cc: Johnson, John D
Subject: RE: Vapor from E Cigarettes
Importance: High
What, if anything, should I share with Madison County for BOH next Wed night?
The packets are already made, but there are a couple of docs who want to look at anything they can get their hands on.
Thanks,
Carol
From: Hahn, Ellen J
Sent: Friday, January 14, 2011 8:19 AM
To: Riker, Carol A; Johnson, John D
Subject: FW: Vapor from E Cigarettes
Please circulate to our internal team .... important finding.
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLL.EGE ,OF NURSING
Our Coal IS ~ o ~ ' ! d p Y'elu ?(:n!;zH "'(bum
From: James Repace [mailto:repace@comcast.netj
To: Hahn, Ellen J
Cc: Kiyoung Lee
Subject: Re: Vapor from E Cigarettes
Yes, HCHO is formaldehyde; no -- if it's in the fluid, it will vaporize and get in the air. HCHO is a carcinogen
and is very irritating. This is an important result, and should be communicated to US FDA. Kiyoung, I suggest
1
you or the authors send a copy of the Korean paper to FDA with the abstract translated into English. They can
translate the rest. Jim
James Repace, MSc. Biophysicist
Visiting Asst. Professor, Tufts University School of Medicine
Department of Public Health & Community Medicine
FAMRl Dr. William Cahan Distinguished Professor
and
Repace Associates, Inc.
Secondhand Smoke Consultants
101 Felicia Lane
Bowie, MD 20720
phone 1-301-262-9131
fax 1-301-262-3865
email: <tepace@comcast.net>
website: <www.repace.com>
Confidentiality Notice:This e-mail message is for sole use of intended recipient(s) and
may contain confidential and privileged information. Any unauthorized review, use,
disclosure, distribution, or copying is prohibited. If you are not the intended recipient,
please contact the sender by replying to this e-mail and destroy Idelete all copies of
this e-mail message.
On Jan 12,2011, at 6:07 AM, Hahn, Ellen J wrote:
So we don't know if HCHO (is this formaldehyde?) is in the air based on his study, right?
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
2
Find kysmokeJree on Twitter and Facebool< !
<image001.jpg><image002.gif>
From: Kiyoung Lee [mailto:cleanair@snu.ac.kr]
To: James Repace; Kiyoung Lee; Hahn, Ellen J
Subject: Re: Re: Vapor from E Cigarettes
HCHO is in the fluid itself.
--- Original Message ---
From: "James Repace"<repace@comcast.net>
To : "Kiyoung Lee"<cleanair@snu.ac.kr>
Date: 2011/01/12 =?51 ~ 2.:tj12:57:18
Kiyoung, is this HCHO in air or in the fluid itself? Ellen, I wrote to the FDA last year, expressing my
concerns about the glycol vapor emissions, and was going to propose a research study, but Stanford
University (to which I am a consultant) has been blacklisted by FAMRI because the faculty senate
voted (years ago) not to ban tobacco $ from campus. Murray Laugeson in New Zealand has been
doing a study of these emissions, but I don't think he has any published results yet. We are wrapping
up a massive casino study for FAMRI, and getting into multi-family dwelling infiltration studies, funded
by the State of California. Jim
James Repace, MSc. Biophysicist
Visiting Asst. Professor, Tufts University School of Medicine
Department of Public Health & Community Medicine
FAMRI Dr. William Cahan Distinguished Professor
and
Repace Associates, Inc.
Secondhand Smoke Consultants
101 Felicia Lane
Bowie, MD 20720
phone 1-301-262-9131
fax 1-301-262-3865
3
email: <tepace@comcast.net>
website: <www.repace.com>
Confidentiality Notice:This e-mail message is for sole use of intended recipient(s) and
may contain confidential and privileged information. Any unauthorized review, use,
disclosure, distribution, or copying is prohibited. If you are not the intended recipient,
please contact the sender by replying to this e-mail and destroy/delete all copies of
this e-mail message.
On Jan 10, 2011, at 11 :56 PM, Kiyoung Lee wrote:
Here is the report by FDA
http://www.fda.gov /downloadsiDmgs/ScienceResearchIUCMI73250 .pdf
"
One of my Korean colleagues measured formaldehyde from 8 products.
Formaldehyde concentration was 5.2 - 13 ppm. 1 think this is close to the range measured in US (I
am not sure reference)
This level exceeds occupational exposure standard - Permissible exposure limit (PEL) by OSHA,
short term exposure limit (STEL) - The employer shall assure that no employee is exposed to an
airborne concentration of formaldehyde which exceeds two parts formaldehyde per million parts of
air (2 ppm) as a I5-minute STEL.
At 0.1 ppm of formaldehyde, sensitive people can react to the chemical.
Formaldehyde is also a known human carcinogen (lARC) and a probable human carcinogen by US
EPA ..
From: "Hahn, Ellen J" <ejhahnOO@email.uky.edu>
To: "James Repace" <tepace@comcast.net>, "'Kiyoung Lee'" <tleallair@snu.ac.kr>
Date: 2011/01111 : ~ R ~ 2. ~ 11 :48:08
Subject: VaporfromECigarettes
Hi, Jim and Kiyoung,
I hope all is well with you. I am writing to see if either of you know if anyone has tested the vapor from e-cigarettes as
4
to the harms from secondhand vapor. Have you or do you know anyone who has done it? Our proposed state law
prohibits e-cigarettes and several of our local laws do also; however, we are getting a lot of questions about the
science. Given that the most recent Judge's ruling is that e-cigs are tobacco products, we are encouraging that policies
include e-cigs as they would other tobacco products. Thanks for sending me anything that might help.
Ellen
751 Rose Street
859-257-2358
859-323-1057 (FAX)
eihahnOO@email.uky.edu
www.kcsp.uky.edu
<attachment>
KiyoungLee
Associate Professor
School of Public Health
Seoul National University
Tel: 02-880-2735
Kiyoung Lee
Associate Professor
Tel: 02-880-2735
5
Spagnuolo. Amy R
From: Hahn, Ellen J
Sent: Thursday, January 13, 2011 7:04 AM
To: Johnson, John 0; Begley, Kathy; Wright, Ashton P; Darville, Audrey K; Teeters, Elizabeth B;
Fallin, Amanda T; Robertson, Heather E; Sidney, Hilarie E; Butler, Karen M; Kercsmar, Sarah;
Kostygina, Ganna Y; Mundy, Monica E; Marijanovic, Nina; Record, Rachael A; Ricks, Janelle;
Riker, Carol A; Wagner, Kristian K
Subject: RE:
Hi,
I did get clarification from Kiyoung that the formaldehyde in the study of e-cigarettes below was measured in the liquid,
not the air ...
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE OF NURSING
Our GCf.JJ ! ~ 1 1(1 HSlp ~ r Q t i rtQt1!i;::t1 trtlVff2
From: Johnson,John D
To: Begley, Kathy; Wright, Ashton P; Darville, Audrey K; Teeters, Elizabeth B; Fallin, Amanda T; Hahn, Ellen J;
Robertson, Heather E; Sidney, Hilarie E; Butler, Karen M; Kercsmar, Sarah; Kostygina, Ganna Y; Mundy, Monica E;
Marijanovic, Nina; Record, Rachael A; Ricks, Janelle; Riker, Carol A; Wagner, Kristian K
Subject:
Hi Team,
Please find the attachment on kids and car smoke, a link below on formaldehyde from e-cigs, and a story on the
statewide law.
John
http:Uwww.fda.gov/downloads/Drugs/ScienceResearch/UCM173250. pdf
1
Formaldehyde concentration was 5.2 - 13 ppm. I think this is close to the range measured in US (I am not sure reference)
This level exceeds occupational exposure standard - Permissible exposure limit (PEL) by OSHA, short term exposure limit
(STEL) - The employer shall assure that no employee is exposed to an airborne concentration offormaldehyde which
exceeds two parts formaldehyde per million parts of air (2 ppm) as a lS-minute STEL.
Formaldehyde is also a known human carcinogen (lARC) and a probable human carcinogen by US EPA ..
From: Cross, AI
Sent: Monday, January 10, 2011 6: 54 PM
To: editors@kypress.com
Cc: tkaprowy@gmail.comi szepeda@healthy-ky.org
Subject: Smoking story kpa123
Kentucky editors:
As promised, here is our story about how the leading advocate of local smoking bans (who may well have been in your
town) came to support a statewide ban, along with comments from the leading libertarian, free-market opponent of
smoking bans and a close look at the poll showing clear support for a statewide law. Polls can be skewed, and we must
be especially skeptical of those released by advocates, but I took a close look at this one and it seems reliable. I found
the poll results very interesting, and you may want to use that section as a separate story or turn this one on its head
and lede with the poll.
I think the story is good to run anytime this month, since the legislature won't be in session, but the poll was taken Dec.
12-14, so it might seem stale if you hold it past this week.
You'may edit this story as you see fit. If you have questions, e-mail or call either number below. UK e-mail does not
reach my cell phone, so an alternative e-mail is listed.
AI Cross
Director, Institute for Rural Journalism and Community Issues
Asst. extension professor, School of Journalism and Telecommunications
122 Grehan Journalism Building, University of Kentucky
859-257-3744 cell 502-682-2848 alvinmcross@gmail.com
www.RuralJournalism.org
Read The Rural Blog at http://irjci.blogspot.com
Local ordinances have set the stage for statewide smoking-ban legislation, advocates saYi
poll shows a clear majority support it
By Tara Kaprowy and AI Cross.
Kentucky Health News
2
Though odvocates of anti-smoking laws don't believe a statewide smoking ban will pass in the General Assembly this
, year, they see public support for it, and have come to the conclusion that it's time to get the
discussion started.
"This will get the ball rolling at the state level," said Dr. Ellen Hahn, le/t, a nursing professor at
the University of Kentucky and director of the Kentuckv Tobacco Policy Research Program.
"We know the best comprehensive laws won't happen overnight. We really need to start
somewhere. "
On Wednesday, state Rep. Susan Westrom, D-Lexington, filed House Bill 193. which would
prohibit cigarette use in all enclosed public places and enclosed places of employment,
including restaurants and bars. It also bans smoking within a "reasonable" distance outside of
public places and work places.
Hahn, who has been reluctant to support a statewide ban, said Westrom's move is timely. Dozens of organizations now
publicly support "smoke-free" laws, and 29 communities have enacted local smoke-free ordinances. "We're getting
more ready every day because local leadership has shown the way," Hahn said. For a list of the communities and more
details, click here.
As of now, 32 percent of Kentuckians are covered by smoke-free laws, and those numbers are growing, thanks, in part,
to Campbell County's recent ordinance (though a new Fiscal Court is moving to repeal it before it takes effect). "I think
the movement in Northern Kentucky has helped," Hahn said. "That's kind ofthe last urban area anywhere. Bans have
also gone into effect in Bardstown and Glasgow. We've had some key places in the state if you look at the map. We're
starting to fill in some areas.'"
Hahn is the leading advocate for smoke-free ordinances in the state, but has long been reluctant to push for a statewide
ban. "My hesitation was that we would end up with something bad, a law that would tie the hands of local
government," she said. "And we didn't want something that was carved up with loopholes."
But the tide has turned, Hahn said. "I've said all along everyone deserves protection, everywhere. I don't think we'll ever
see local ordinances in every locale in the state. In some ways, it's got to start some time and we're on first base. It's a
process.
1I
Jim Waters of the Bluegrass Institute for Public Policy Solutions, a free-market think tank in Bowling Green, replied to
the developments this way: "Ironically, state politicians who loathe interference from Washington seem want to impose
Frankfort's will on local communities. Some local communities like Bowling Green have had their own hard-fought,
emotional battles over the smoking-ban issue. It would be outrageous for Frankfort now to come swooping in and
possibly override their decisions."
Waters has branded Hahn "the smoking nanny" and debated her in a series of "Sorting Through the Smoke" seminars for
journalists held by Kentucky Youth Advocates and the Institute for Rural Journalism and Community Issues, another
UK-based center that publishes Kentucky Health News. For video of one encounter they had, in Danville, click here.
Hahn said it takes an average of two and a half to five years for Kentucky communities to pass smoke-free ordinances.
As for enacting statewide bans, "It really varies across the country," she said, adding that she's willing to wait. "We don't
want them to do something until they're ready," she said. "It's going to take a while for state legislators to study the
science. They haven't done it before. We haven't asked them to do it."
What's important, Hahn said, is to wait until legislators are ready to pass a comprehensive law, not one subject to
exemptions such as private clubs or nightclubs. Amy Barkley, a director for the Campaign for Tobacco-Free Kids. agreed.
"Here's what's important: We don't want to settle for a half-baked law," Barkley said. "This is not an area that can be
compromised."
3
Exemptions to the law lead to complications, Barkley said. "First, they mean that certain employees are not protected,"
she said. "If the intent of the bill is to protect people, why are some people more important than others?" Second, laws
with exceptions are more difficult to enforce. "With a comprehensive law, everyone knows if you're indoors you can't
smoke," Barkley said. "These things are very self-enforcing the more clear, concise and comprehensive they are."
Thirdly, exemptions can result in legal challenges," Barkley said, citing an example in Louisville when its smoking
ordinance exempted Churchill Downs from being subject to it. "There was a lawsuit over that and the ordinance could
not be put into effect while it was pending," she said.
Ultimately, both Hahn and Barkley are willing to bide their time. They both stressed the importance for local
governments to continue their smoke-free efforts in the meantime. "These local officials shouldn't wait," Hahn said.
Poll shows clear support for statewide ban
A poll released Thursday by supporters of a statewide ban shows that a majority of Kentucky adults favor it, that
opinions on both sides are strong, and that local communities should have the option of passing additional restrictions
on smoking in public places and workplaces.
The telephone survey was taken Dec. 12-14 by Public Opinion Strategies, a well-regarded national firm that gave
Kentucky Health News its questionnaire and the number of adults it called in each county. The poll asked, "Would you
favor or oppose a state law in Kentucky that would prohibit smoking in most public places, including workplaces, public
buildings, offices, restaurants and bars?" Then they were asked if they felt strongly about their opinion or were "just
somewhat" in favor or opposed.
The results: 44 percent said they strongly favored such a law, while 15 percent said they were somewhat in favor of
it, for a total of 59 percent. The opposition totaled 39 percent: 14 percent said they were somewhat opposed to the law,
and the strongly opposed were 25 percent, the same percentage of adult Kentuckians who said they smoke. The strong
opinions on both sides totaled 69 percent, a very high figure. The margin of error for the poll of 500 adults was plus or
minus 4.38 percentage points for each figure, so a clear majority favors a statewide smoking ban.
Among smokers, 31 percent said they favored the law and 68 percent opposed it. Among the three-fourths of
Kentuckians who don't smoke, the figures were virtually a mirror image: 69 percent in favor, 29 percent opposed. (The
figures for smokers come from an interview by Kentucky Health News with Glen Bolger, a partner in the Arlington, Va.-
based polling firm.)
Statistically, the poll found no difference among Democrats, Republicans, independents and tea-party supporters, with
55 to 60 percent identifying with each label saying they support a statewide ban.
While both leading candidates for governor, Democratic Gov. Steve Beshear and Republican state Senate President
David Williams, have said they favor a statewide ban, neither has emphasized it, and there is skepticism among state
legislators that it would be a deciding issue for voters. However, the poll found that 34 percent of voters said they would
be "much more likely" to vote for a candidate for state office who supports the law, and 21 percent said they would be
"somewhat more likely" to do so, for a total of 55 percent. On the other side, a total of 36 percent said they would be
less likely to vote for a supporter of the law (20 percent much more likely and 16 percent somewhat). Only 6 percent
said the candidate's position would make no difference.
The question initially described two alternative, unnamed candidates in terms of positions on the issue and asked, "For
which of these candidates would you vote7" Even 31 percent of smokers said they would be more likely to vote for a
candidate who supports a statewide ban.
Then the survey asked which is more important, the rights of smokers and of restaurant and bar owners, or the rights of
4
employees and customers to breathe clean air in such establishments. (The alternatives were rotated, as were those on
other questions.) A majority said employees' and customers' rights were more important, 53 percent much more so and
15 percent only somewhat. The poll did not differentiate between the rights of smokers and business owners or those of
employees and customers.
Waters said, "Just because a majority of people in some poll say they want more government nanny-ism doesn't make it
the right, or constitutional, action to take. The last time I checked, restaurant and bar owners' constitutionally protected
private property rights are not subject to polling. In fact, the constitution exists for the express purpose of protecting
those rights from some popular movement such as that being pushed by Kentucky's health nannies who want to deny
Kentuckians their individual liberty to make their own decisions regarding smoking, eating and other lifestyle choices."
The main medical reason for smoking bans is research showing that second-hand smoke causes cancer and other
diseases, and Kentuckians seem to accept those findings. Almost half, 48 percent, said exposure to second-hand smoke
is a serious health hazard, while 28 percent said the hazard is moderate, 17 percent said it is minor,S percent said it is
not a health hazard at all and 2 percent declined to say.
Many smokers acknowledged their risky behavior; 24 percent said second-hand smoke is a serious health hazard, while
35 percent said the hazard is moderate and 28 percent said it is minor. Only 10 percent said it is not a health hazard.
The poll found that regardless of what happens at the state level, 76 percent of Kentucky adults think local communities
"should continue to have the option of passing additional restrictions on smoking in public places and workplaces." Fifty
percent strongly agreed with the statement, and 26 percent agreed somewhat. Most of the 22 percent who disagreed
did so strongly, again revealing the depth of feeling about the issue.
Waters said the Bluegrass Institute favors local control. "Even though we vehemently disagreed with the smoking bans
implemented by Louisville, Lexington and other communities," he said, "we would be absolutely opposed to Frankfort
overriding those local communities' decisions."
The poll also illustrated the precipitous decline of tobacco as a political force in Kentucky since repeal of the federal
quota and price-support program in 2004. Only 6 percent of respondents said they grow tobacco or own land on which
it is grown.
Kentucky Health News, http://kyhealthnews.bloqspot.com, is a service of the Institute for Rural Journalism and
Community Issues, based in the School of Journalism and Telecommunicotions at the University of Kentucky. The service
is funded by the Foundation for a Healthy Kentucky, which was created to address the unmet health needs of
Kentuckians. For more on the foundation, see www.healthy-ky.orq. For more on the institute, see
www.Rura/Journalism.orq.
5
SEagnuolo, Amy R
From: Gregg, Jason A
Sent:
To:
Riker, Carol A
Cc:
Subject:
Hahn, Ellen J; Johnson, John D; Mundy, Monica E; Cyndi Steele
RE: government building policies
Hello all,
I just wanted to update you all after the Falmouth City Council meeting tonight. We briefly discussed a city-owned
building smoking ban, and it looks as if I have council on board along with the mayor. We are directing the city attorney
to draw up the ordinance to read in February's meeting and vote to approve in March. Meetings are held on the second
Tuesday of each month. As of now, it will somewhat mirror Grant County's ordinance, but it can always change with
amendments before the final reading and vote.
Based on the current political make-up, there has to be some compromise but in the end, it will be the most restrictive
that I believe I can politically move through without much difficulty. It's much easier to get what I can through then
possibly make more restrictive later through amendments. I really believe I can get a unanimous vote including 2
councilmembers who smoke. After it is approved, then I do have some recommendations on how to politically move
forward. I do believe you may have a window of opportunity with the County elected officials, but I would hold off on the
county until the city approves the ordinance in March.
Inititally, I would not use my name in contacts/meetings. I believe I can be of better use to you behind the scenes with
advice on angles and people. I am a respected lifelong member of the community, but people can become defensive if
they feel you are "on the other side".
I'll keep in touch as things progress.
Sincerely,
Jason A. Gregg, APRN, FNP-C
University of Kentucky DNP candidate- May 2011
Assistant Professor, University of Cincinnati College of Nursing
FNP Program Coordinator for Distance Learning Program
From: Riker, carol A
Sent: Thursday, January 06, 2011 9:14 AM
To: Gregg, Jason A
Cc: Hahn, Ellen J; Johnson, John D; Mundy, Monica E; Cyndi Steele
Subject: government building policies
Jason,
I thought you might find some policies passed in other communities helpfUl for your work in Falmouth. Many are old,
though and may need updating. You can look to the ANR Model Ordinance for updated language (for example, the ANR
definition of smoking now includes language which prohibits e-cigarettes)
Cyndi Steele, tobacco coordinator at Bourbon County Health Dept., is working for such policies in her community, so I'll
copy her to see if she might help you with an updated draft.
The current thinking is that smoking should not occur within 15-20 feet of doors, windows, air intakes, etc. I'll copy some
language from the ANR Model Ordinance:
Within a reasonable distance of [recommended 15-20] feet outside entrances,
1
operable windows, and ventilation systems of enclosed areas where smoking is
prohibited, so as to prevent tobacco smoke from entering those areas.
My last email for now (thank goodness, right?!). Let us know what else is needed.
Associate Professor
751 Rose Street
Phone: 859-323-6615
Fax: 859-323-1057
Cell: 859-619-3776
www.kcsp.uky.edu
COLLEGE OF NURSING
OU r Is itl' H8ip You in()aJiZG "(ourG
2
Spagnuolo, Amy R
From:
Sent:
To:
Subject:
Attachments:
Riker, Carol A
Hahn, Ellen J; Johnson, John D; Wagner, Kristian K; Mundy, Monica E; Fallin, Amanda T;
Robertson, Heather E; Sidney, Hilarie E; Ricks, Janelle; Kercsmar, Sarah; Darville, Audrey K
FW: e-cigarettes statement
tobeont KCSP e-eig need for reg Trtehounian 2011.pdf; tobeont KCSP e-eig FDA eval 5-4-09
UCM173250.pdf
Just a quick note after a call from Kelly Owens in Madison Co. Their BOH meeting is next week and she is still
collecting info on e-cig, especially for Dr. Johnston, cardiologist. They've had about 15 comments on their
website (some may be duplicates) and have received a petition with over 200 signatures (? How many valid)
against including e-cig in the amended regulation. One comment was a threat to bring legal action if he/she
were cited for a violation when using an e-cigarette. (Kelly says they got the same comment when passing their
original regulation.) She feels that things will probably go well even if there is a lot of opposition present,
especially since there are other big agenda items.
This reference from the American Association of Public Health Physicians was cited in one of the comments:
http://www .aaphp.org/specialljoelstobac/2010/20 100402AAPHPEcigLegisStatemnt.pdf
Questions:
-Has the AAPHP been around for a long time Ellen? They seem to be on the harm reduction band wagon,
although didn t take a stand on e-cig in SF policy.
- I've never heard of a "Pharmaceutical nicotine vaporizer" mentioned in the AAPHP statement; have you?
We've turned up a couple new resources since the e-cig one-pager and nl attach. Wanted you all to be informed
for the state effort as well.
Carol
PS It's diethylene glycol used in antifreeze; some e-cig contain that and some contain propylene glycol.
Sent: Tuesday, January 11,201111:20 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.
1001 Ace Drive .
Berea, KY 40403
(859) 228-2043
1
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/speciaI/joelstobac/2010/20 1 00402AAPHPEcigLegisStatemnt.pdf
American Association of Public Health Physicians statement - April 2010
Referenced in one of the comments received from the public via our website.
Ruth R. Hawkins, MSN, RN, CHES
Health Education Director
Madison County Health Department
1001 Ace Dr.
Berea, KY 40403
859-228-2041 (office)
859-986-1027 (Fax)
Website: www.madison-co-ky-health.org
2
Date: May 4,2009
DEPARTMENT OF HEALTH & HUMAN SERVICES
Food and Drug Administration
Center for Drug Evaluation and Research
Division ofPhannaceutical Analysis
St. Louis, MO 63101
Tel. (314) 539-3869
To: Michael Levy, Supervisor Regulatory Counsel, CDER, Office of Compliance, Division
of New Drugs and Labeling Compliance
From: B.J. Westenberger, Deputy Director, CDER/OPSIOTR, Division of Pharmaceutical
Analysis
Subject: Evaluation of e-cigarettes
Background: The Center for Drug Evaluation and Research through the Office of Compliance
(OC) has requested that the Division of Phannaceutical Analysis (DPA) evaluate two brands of
electronic cigarettes (e-cigarettes) for nicotine content and other impurities. An e-cigarette is
advertised as an altemative to smoked tobacco products. It is a battery-powered device that
provides inbaled doses of nicotine by delivering a vaporized propylene glycol/nicotine mixture
as shown in Figure 1. The Center is concerned that in addition to nicotine delivery, the vapor
may also provide other potentially harmful volatile components. DPA was asked to quantitate
the amount of nicotine present in each brand and to evaluate each brand for the presence of
tobacco specific nitrosamines (TSNA), certain tobacco specific impurities, ethylene glycol (EG)
and diethylene glycol (DEG).
Test Products: Njoy e-cigarette (Reference 1) with various cartridges
Smoking Everywhere Electronic Cigarette (Reference 2) with various cartridges
Nicotrol Inhaler, IOmg cartridge was used as a control for some test methods
Conclusions: Nicotine is present in both products. The Smoking Everywhere Electronic
Cigarette cartridges listed as containing no nicotine in some cases had very low amounts of
nicotine present. Tobacco specific nitrosamines and tobacco specific impurities were detected in
both products at very low levels. DEG was identified in one cartridge, Smoking Everywhere 555
High. See Table 1 for results of analyses of entire cartridges after extraction.
A sparging apparatus (see figure in Attachment A) and headspace GC (HS-GC) analysis were
utilized to simulate actual use of these products. With the sparging apparatus, nicotine was
detected in cartridges claiming to contain nicotine and quantitated by LC-UV; cotinine was also
found in some products by this procedure. Repeat testing of 3 different cartridges with the same
label (menthol high) gave varying results from 26.8 to 43.2 mcg nicotine/lOO mL puff. HS-GC
detected nicotine in both products and was detected in all Njoy cartridges (see
Table 2).
DPATR-FY-09-23 Page 1 of8 5/412009
Experimental: See Attachment A for further experimental details.
Nicotine content was analyzed by HPLC-UV and GC-MS. Quantification was done by
HPLC-UVusing two different extractions: a methanol extraction, and a 10% acetonitrile!
1 % phosphoric acid in water extraction.
Tobacco specific impurities and diethylene glycol were analyzed by GC-MS.
Diethylene glycol presence was confirmed with proton NMR.
Detection of nicotine and tobacco specific impurities during use of these products was
estimated by simulating use temperatures and analyzing volatiles using head space GC-
MS (HSGC-MS) and utilizing a sparging apparatus (see figure in attachment).
Results and Discussion:
Whole Cartridge: Nicotine content by HPLC-UV
Results, similar for both methanol extraction and 10 % acetonitrile!l % phosphoric acid in water
extractions, are shown in Table 1.
Whole Cartridge: Tobacco Specific Nitrosoamines by LC-MSIMS
The four major TSNAs include: N-nitrosonicotine (NNN), N-nitrosoanabasine (NAB), N-
nitrosoanatabine (NAT) and 4-(methylnitrosamino )-l-(3-pyridyl)-1-butanone (NNK) were
analyzed for using LC-MS/MS and the results are shown in Table 1.
Whole'Cartridge: Tobacco Specific Impurities by GC-MS and GC-MSIMS
Nicotine was detected in both products in all cartridges including samples identified as
containing no nicotine. Samples were screened for possible tobacco specific impurities: cotinine,
nicotine-N-oxide, nomicotine, anatabine, anabasine, pseudooxynicotine, myosmine, ~
nicotyrine, and l-methyl-3-nicotinoylpyrrolidine (MNP). Nicotine-N-oxide, nornicotine,
anatabine, psendooxynicotine and MNP were not observed in any of the samples. Results from
cotinine, anabasine, myosmine, and J3-nicotyrine are shown in Table 1.
Whole Cartridge: Diethylene Glycol by GC-MS
Diethylene Glycol was detected in one sample (Smoking Everywhere 555 High cartridge) at
approximately 1 %.
Simulated Use: Nicotine and tobacco Specific Impurities by Head Space GC-MS (HSGC-MS)
and sparging apparatus
HSGC is likely to be less sensitive than the GC-MS technique that takes advantage of injecting
all of the soluble components and then volatilizing them at 280C; however, the head space
analyzer can be set to a specific temperature to mimic what may be volatilized during use of the
products.
The temperature of the heating element in each e-cigarette was determined by inserting a
thermocouple and then activating the e-cigarette by drawing air through it. These temperatures
ranged from 40 to 65C. HSGC-MS analysis was conducted at 60C to simulate the temperature
that would be encountered during activation of an e-cigarette. Nicotine was detected in both
products for all cartridges containing low, medium and high levels of nicotine but was not
DPATR-FY-09-23
Page 2 of8 5/412009
observed in cartridges identified as containing no nicotine. Screening for the possible tobacco
specific impurities coticine, nicotine-N-oxide, nornicotine, anabasine and myosmine was
negative. was detected in all Njoy cartridges but was not detected in the Smoking
Everywhere cartridges. The sparging apparatus was used to quantify the amount of nicotine
released during use of these electronic cigarettes (Table 2). Levels found were consistent with
the labeling (low, medium and high); however, the cartridge labeled "no" still delivered some
nicotine. The cartridges labeled "high" delivered more nicotine than the approved Nicotrol
product. Repeat testing of 3 different cartridges with the same label (menthol high) gave varying
results from 26.8 to 43.2 mcg nicotine/IOO mL puff.
References:
(1) http://www.nioythefreedom.com!
(2) http://www.smokingeverywhere.com/
(3) C.N. Man, L.H. Gam, S. Ismail, R. Lajis, R. Awang, J. Chromatogr. B 844 (2006) 322-327.
(4) S. S. Yang et al.,J. Chromatogr. A, 942 (2002) 33-39.
(5) USP 31/NF 26, Official 12/1/08-4/30/09 NF Monographs: Diethylene Glycol Monoethyl
Ether: Assay; pg 1126
'
IP:Ii Strllcture ofllO HElectl'ooic Ci/llll'ette
- - - ,
Cigarett
The clgareUe body Is an Integrated strl1dtl1re conslslll'lg of stainless
steel shell, lithIum ion battery assembly, smart c);,p and program
oontrolled circuits, atomization Chamber ami carlridHe ilnd so on. In the
frvntofit, them exists anoperaling mode Indicator. .
Figure 1: E-cigarette component diagram. Nicotine and/or other flavorants are housed in the
white cartridge shown at the left.
DPATR-FY-09-23 Page 3 of8 5/412009
Table 1. Results on anal ses of whole cartridges
mg nicotinelcartridge
Identification of
Tobacco specific by HPLC-UV
Sample
nitrosamines (TSNAl methanol
possible tobacco specific impurities and DEG
10%ACN and 1% PA in water
extraction
by GC-MS/MS
B
extraction
Smoking Everywhere
NAB NAT NNK NNN DEG Cotinine Anabasine Myosmine
e-cigarettes fiber absorbent I plug & wrapper fiber absorbent
555 High 4.90 1.80 5.98 D D D D
CherryHlGH 4.88 0.86 5.50 ND D ND D
iTobacco Original MED ND ND D D 4.44 1.03 5.15 ND D D D
Menthol HlGH 4.02 0.71 4.23 ND D D D
iTobacco Original LOW ND ND D D 2.93 0.51 2.65 ND D D D
jVIenthol MED 2.26 0.31 2.71 ND D D D
ND ND ND ND 1.63 0.61 1.78 ND D D D
Menthol LOW 1.42 0.30 1.57 ND D ND D
lVanilla LOW ND ND ND ND 1.18 0.34 0.96 ND D D D
iTobacco Original NO ND ND ND ND 0.04 0.00 0.03 ND ND ND ND
lVanillaNO 0.04 0.01 0.05 ND ND ND ND
Cherry NO om 0.00 0.D7 ND ND ND ND
Chocolate NO ND ND ND ND 0.01 0.00 0.03 ND ND ND ND
ND ND ND ND 0.00 0.00 0.00 ND ND ND ND
lNiov e-cij!arettes
jVIenthol high D D D D 6.66 1.97 6.76 ND D D D
Regular medium D D D D 4.09 1.58 4.31 ND D D D
Menthol medium D D D D 3.98 1.46 4.77 ND D D D
!Regular low 3.35 1.56 5.16 ND D D D
Control Sample - Nicotrol
10 mg cartridge (NMI (NMT
iMrgr. specification 0.5%) 0.5%)
D= detected, ,ND not detected NAB N-mtrosoanabasme (LOQ 21 ppb), NAT - N-mtrosoanatabme (LOQ - 21 ppb), NNK - 4-(methylmtrosammo )-1-(3-
(LOQ = 75 ppb); NNN =N-nitrosonomicotine (LOQ = 24 ppb)
analyte was detected but at a level less than the limit-of-quantitation. Open boxes indicate the sample was not available for testing.
DEG = diethylene glycol
B Limit of detection Cotinine 20 ppb. Anabasine 10 ppb; myosmine 69 ppb; 170 ppb - present but atless than the level of the Nicotrol specification
DPATR-FY-09-23 Page 4 ofS 5/4/2009

D
D
D
D
D
D
D
D
D
ND
ND
ND
ND
ND
D
D
D
D
(NMTO.5%)
T bl 2 R 1 a e esu ts on sunu ate use 0 e ectromc cIgarettes I d f I
Sparging Apparatus followed by Head Space GC-MS @ 60 deg C'
LC-UV analysis
Sample
mcg nicotine/lOOmL meg eotinine/100 ml
nicotine
puff puff (LOD -0.03)
Smoking Everywhere
e-ciO"arettes
555 High 31.5 0.4
Cllerry HIGH ND D
trobacco Original MED 15.7 trace ND D
/Menthol HIGH
obacco Original LOW
MentholMED ND D
Apple LOW ND D
Menthol LOW 9.9 ND ND D
Yani1laLOW ND D
a bacco Original NO ND ND
Vanilla NO ND ND
CherrvNO ND ND
Chocolate NO ND ND
Apple NO 0.35 ND ND ND
e-ckarettes
Menthol high 43.2, 34.9, 26.8 trace D D
Regular medium D D
Menthol medium 10.6 ND D D
Regular low
Control (specs)
Nicotrol 10mg cartridge 15.2
DEG - diethylene glycol
IF detected, ND= not detected
* Presence oftobacco specific impurities cotinine, nicotine-N-oxide, nomicotine, anabasine and myosmine was negative at 60 deg C.
Open boxes indicate the sample was not tested.
DPATR-FY-09-23 Page 5 of8 5/412009
Attachment A
Experimental Details:
Whole Cartridges: Detection and Quantitation of Nicotine by HPLC-UV
Smokeless tobacco cartridges were extracted and analyzed using two different procedures:
Methanol extraction and USP analytical procedure: cartridge components were weighed,
extracted with methanol and reweighed. An aliquot of the methanol extract was diluted with
mobile phase and analyzed by HPLC-UV following USP 31 P 2801 Nicotine Transdermal
System Assay procedure .

as
l\HciOtiine,<::-onte:trt DiiiTDDriiJiiij;, Identification and Determination of Nicotine Related
Substances in Nicotine Inhaler 10 mg" method NM-046-6 dated 1999-07-16
Whole Cartridges: Analysis of Tobacco Specific Nitrosamines by HPLC-MSIMS
Analysis was done using a variation of the method published by Wu, et a!. using HPLC-MSIMS
1

As shown in Table 1, not all sample lots were available for analysis by LCcMSIMS as they were
consumed in other testing. Smokeless tobacco cartridges were extracted using 100 mM an1illonium
acetate and analyzed for tobacco specific nitrosoamines (TSNAs). The four major TSNAs include:
N-nitrosonicotine (NNN), N-nitrosoanabasine (NAB), N-nitrosoanatabine (NAT) and 4-
(methylnitrosamino)-I-(3-pyridyl)-I-butanone (NNK). While the published method is quite
sensitive for the TSNAs (i.e. LOQ's of approxinlately 40 pg/mL or 40 parts per trillion), it should be
noted that the extraction method used in that paper was for either fmely ground tobacco or smoke
captured on glass fiber filter pads. The matrix present in smokeless E-cigarette or NJoy cartridges is
a spikedpropylene glycol matrix supported on a fibrous material contained in a plastic housing (Le.
the inhaler component) as shown in Figure 1. The assumption was made that recovery of TSNAs
from the E-cigarette cartridge assembly was as good as that published by Wu, et a!., and quantitative.
For the extraction, the cartridge was removed from the inhaler unit/atomization chamber. The
fibrous material was removed from the cartridge using a pair of tweezers and both the fibrous
material and the white plastic housing were placed in an Ehrlemneyer flask. The flask was weighed
and the weight of the fibrous material and white plastic housing were recorded. 10 mL of 100 mM
an1illonium acetate and 100 /lL of internal standard solution were added to the flask and the contents
mixed on a flat-bed shaker for 30 minutes at ambient temperature. An aliquot of the solution was
analyzed by HPLC-MSIMS.
TSNAs in the extract were quantified using deuterated internal standards. Two molecular reaction
mechanisms (Le. MRM's) were recorded for each TSNA: one for qualification and both for
quantification. MRM's for each TSNA are shown in table below. The sum of the intensities of
both molecular transitions was used to quantify each TSNA. TSNA content is reported as weight of
TSNA per weight of nicotinelflavorant cartridge (ng/g).
DPATR-FY-09-23 Page 6 of8 5/412009
MRM transitions for TSNAs
TSNA PrimaryMRM Qualifier MRM
NAB 192.1 to 162.1 192.1 to 133.1
NAT 190.1 to 160.2 190.1 to 106.1
NNK 208.1 to 122.1 208.1 to 106.0
NNN 178.1 to 148.1 178.1 to 120.1
1 Wu, J., Joza, P., Sharifi, M., Rickett, W. Lauterbach, J. Quantitative Method for the Analysis of
Tobacco-Specific Nitrosamines in Cigarette Tobacco and Mainstream Cigarette Smoke by Use of
Isotope Dilution Liquid Chromatography Tandem Mass Spectrometry. Anal. Chern., 80,2008,
1341-1345.
Whole Cartridges: Tobacco Specific Impurity Analysis by GC-MS and GC-MSIMS
HPLC-UV analysis was transferred to a vial for GC-MS analysis. Samples were initially screened
on an Agilent 6890 with a 5975 MSD operated in full scan mode using the method published by
Man et al (Reference 3). Samples containing peaks of interest were then analyzed on a Varian 320
Triple Quad GC-MS in either single reaction monitoring mode (SRM) or mnltiple reaction
monitoring mode (MRM) due to their increased sensitivity and selectivity. An Extracted Ion
Chromatogram (EIC) looking for each impnrity was obtained by individnally extracting a main
fragment ion for that impnrity from the full scan chromatogram. Peak spectra were then compared
to spectra from the NIST 05 Mass Spectral Library. All samples containing impurity peaks with
spectral library matches to cotinine, anabasine, myosmine, and were than analyzed on a
Varian 320 Triple Qnad GC-MS in either single reaction monitoring mode (SRM) or multiple
reaction monitoring mode (MRM). Identifications were based on retention time and mass spectra
comparison to external standards.
Whole Cartridges: Diethylene Glycol
An aliquot of each methanol extract prepared in the Detection and Qnantitation of Nicotine by
HPLC-UV analysis was transferred to a vial for GC-MS analysis. Samples were screened on an
Agilent 6890 with a 5975 MSD operated initially in full scan mode and later in SIM mode using the
chromatographic parameters from a USP monograph procedure (Reference 5). Quantitation was
performed using an external standard. The presence of diethylene glycol was confirmed in this
sample by proton nuclear magnetic resonance spectroscopy by dissolving 10mg of the cartridge
liquid in 500mg of D
2
0 and taking a spectrum on a 500 MHz NMR.
Simulated Use: Nicotine and Impurity Analysis by HSGC-MS
The cartridge contains a fiber plug within a cup. Both cup and fiber plug were placed in the same
headspace vial for analysis. Compounds were identified by NIST library with greater than 90%
match. Instrument parameters are detailed below.
CombiPal Headspace autosampler parameters:
Incubation: 60
0
C for 15 minutes, syringe: 2000mcL gas aliquot at 145
0
C,
Agitation: 250RPM, syringe fill and injection speed: 100mcLls
DPATR-FY-09-23 Page 7 of8 5/412009
Agilent 6890 Gas Chromatograph parameters (Reference 4):
Column: HP-5MS (5 % diphenyl, 95 %dimethyl), 15m, 0.25mm ID, 0.25 micron thickness
Temperatnre program: 40Chold 3 min, 6C/min to 300Chold 3 min, mntime: 50 minutes
Splitless injection, injector port at 280C, carrier gas: helium at O.5mLlmin
Agilent 5975B inert XL EIICI MSD parameters:
Solvent delay: 1.2 min. voltage: 1705.9, low mass: 25.0, high mass: 350.0
MS quad at 150 C, MS source at 230 C, scan mode
Simulated Use; Sparging Apparatus; Determination of nicotine!} OOmL puff; trapping of nicotine
and related compounds released from activation of e-cigarette
Trapping device consisted of a 150 m1 gas washing bottle with sparger (see photo below). A
magnetic stirring bar was added to the gas washing bottle along with 50 m1 of extraction solution.
Extraction solution was prepared by mixing 100 m1 of acetonitrile, 11.5 g of phosphoric acid, and
800 m1 of water. A draeger 100 cc hand pump was connected to the outlet of the gas washing bottle.
The e-cigarette device with the selected cartridge type was connected to the inlet to the gas washing
bottle via tygon tnbing. The e-cigarette was butted directly up to the glass to avoid absorption. The
magnet stirrer was tnrned on. At one minute intervals 100 cc of air were drawn through the e-
cigarette into the gas washing bottle. The e-cigarette was observed to assure the LED lit indicating
that the flow rate was sufficient to activate the heater in the e-cigarette. After an appropriate number
of 100 cc puffs were trapped in the gas washing solution, the sample was allowed to mix for 10
minutes 'and the glass tnbing in the gas washing bottle was rinsed with the trapping solution back
into the gas washing bottle. The solution was mixed again and then sampled for analysis.
DPATR-FY-09-23 Page 8 of8 5/412009
Spagnuolo, Amy R
From:
Sent:
To:
Attachments:
Hi Team,
Johnson, John D
Tuesday, January 11 , 2011 2:13 PM
Begley, Kathy; Wright, Ashton P; Darville, Audrey K; Teeters, Elizabeth B; Fallin, Amanda T;
Hahn, Ellen J; Robertson, Heather E; Sidney, Hilarie E; Butler, Karen M; Kercsmar, Sarah;
Kostygina, Ganna Y; Mundy, Monica E; Marijanovic, Nina; Record, Rachael A; Ricks, Janelle;
Riker, Carol A; Wagner, Kristian K
phlc-policybrief-kidscarssmoke-2010_0.pdf
Please find the attachment on kids and car smoke, a link below on formaldehyde from e-cigs, and a story on the
statewide law.
John
http://www.fda.gov/downloads/DrUgs/ScienceResearch/UCM1732S0.pdf
Formaldehyde concentration was S.2 - 13 ppm. I think this is close to the range measured in US (I am not sure reference)
(STEL) - The employer shall assure that no employee is exposed to an airborne concentration of formaldehyde which
exceeds two parts formaldehyde per million parts of air (2 ppm) as a IS-minute STEL.
From: Cross, AI
To: editors@kypress.com
Cc: tkaprowy@gmail.com; szepeda@healthy-ky.org
Subject: 5moking story kpa123
Kentucky editors:
As promised, here is our story about how the leading advocate of local smoking bans (who may well have been in your
town) came to support a statewide ban, along with comments from the leading libertarian, free-market opponent of
smoking bans and a close look at the poll showing clear support for a statewide law. Polls can be skewed, and we must
be especially skeptical of those released by advocates, but I took a close look at this one and it seems reliable. I found
the poll results very interesting, and you may want to use that section as a separate story or turn this one on its head
and lede with the poll.
1
I think the story is good to run anytime this month, since the legislature won't be in session, but the poll was taken Dec.
12-14, so it might seem stale if you hold it past this week.
You may edit this story as you see fitlf you have questions, e-mail or call either number below. UK e-mail does not
reach my cell phone, so an alternative e-mail is listed.
AI Cross
Director, Institute for Rural Journalism and Community Issues
Asst. extension professor, School of Journalism and Telecommunications
122 Grehan Journalism Building, University of Kentucky
859-257-3744 cell 502-682-2848 alvinmcross@gmail.com
www.RuralJournalism.org
Read The Rural Blog at http://irjcLblogspot.com
Local ordinances have set the stage for statewide smoking-ban legislation, advocates say;
poll shows a clear majority support it
IBy Tara Kaprowy and AI Cross
Kentucky Health News
Though advocates of anti-smoking laws don't believe a statewide smoking ban will pass in the General Assembly this
year, they see public support for it, and have come to the conclusion that it's time to get the
discussion started.
"This will get the ball rolling at the state level," said Dr. Ellen Hahn, left, a nursing professor at
the University of Kentucky and director of the Kentucky Tobacco Policy Research Program.
"We know the best comprehensive laws won't happen overnight. We really need to start
somewhere. "
On Wednesday, state Rep. Susan Westrom, D-Lexington, filed House Bill 193, which would
prohibit cigarette use in all enclosed public places and enclosed places of employment,
including restaurants and bars. It also bans smoking within a "reasonable" distance outside of
public places and work places.
Hahn, who has been reluctant to support a statewide ban, said Westrom's move is timely. Dozens of organizations now
publicly support "smoke-free" laws, and 29 communities have enacted local smoke-free ordinances. "We're getting
more ready every day because local leadership has shown the way," Hahn said. For a list of the communities and more
details, click here.
As of now, 32 percent of Kentuckians are covered by smoke-free laws, and those numbers are growing, thanks, in part,
to Campbell County's recent ordinance (though a new Fiscal Court is moving to repeal it before it takes effect). "I think
the movement in Northern Kentucky has helped," Hahn said. "That's kind of the last urban area anywhere. Bans have
also gone into effect in Bardstown and Glasgow. We've had some key places in the state if you look at the map. We're
starting to fill in some areas.'"
Hahn is the leading advocate for smoke-free ordinances in the state, but has long been reluctant to push for a statewide
ban. "My hesitation was that we would end up with something bad, a law that would tie the hands of local
government," she said. "And we didn't want something that was carved up with loopholes."
But the tide has turned, Hahn said. "I've said all along everyone deserves protection, everywhere. I don't think we'll ever
see local ordinances in every locale in the state. In some ways, it's got to start some time and we're on first base. It's a
2
process."
Jim Waters of the Bluegrass Institute for Public Policy Solutions, a free-market think tank in Bowling Green, replied to
the developments this way: "Ironically, state politicians who loathe interference from Washington seem want to impose
Frankfort's will on local communities. Some local communities like Bowling Green have had their own hard-fought,
emotional battles over the smoking-ban issue. It would be outrageous for Frankfort now to come swooping in and
possibly override their decisions."
Waters has branded Hahn "the smoking nanny" and debated her in a series of "Sorting Through the Smoke" seminars for
journalists held by Kentucky Youth Advocates and the Institute for Rural Journalism and Community Issues, another
UK-based center that publishes Kentucky Health News. For video of one encounter they had, in Danville, click here.
Hahn said it takes an average of two and a half to five years for Kentucky communities to pass smoke-free ordinances.
As for enacting statewide bans, "It really varies across the country," she said, adding that she's willing to wait. "We don't
want them to do something until they're ready," she said. "It's going to take a while for state legislators to study the
science. They haven't done it before. We haven't asked them to do it."
What's important, Hahn said, is to wait until legislators are ready to pass a comprehensive law, not one subject to
exemptions such as private clubs or nightclubs. Amy Barkley, a director for the Campaign for Tobacco-Free Kids, agreed.
"Here's what's important: We don't want to settle for a half-baked law," Barkley said. "This is not an area that can be
compromised."
Exemptions to the law lead to complications, Barkley said. "First, they mean that certain employees are not protected,"
she said. "If the intent of the bill is to protect people, why are some people more important than others?" Second, laws
with exceptions are more difficult to enforce. "With a comprehensive law, everyone knows if you're indoors you can't
smoke," Barkley said. "These things are very self-enforcing the more clear, concise and comprehensive they are."
Thirdly, exemptions can result in legal challenges," Barkley said, Citing an example in louisville when its smoking
ordinance exempted Churchill Downs from being subject to it. "There was a lawsuit over that and the ordinance could
not be put into effect while it was pending," she said.
Ultimately, both Hahn and Barkley are willing to bide their time. They both stressed the importance for local
governments to continue their smoke-free efforts in the meantime. "These local officials shouldn't wait," Hahn said.
Poll shows clear support for statewide ban
A poll released Thursday by supporters of a statewide ban shows that a majority of Kentucky adults favor it, that
opinions on both sides are strong, and that local communities should have the option of passing additional restrictions
on smoking in public places and workplaces.
The telephone survey was taken Dec. 12-14 by Public Opinion Strategies, a well-regarded national firm that gave
Kentucky Health News its questionnaire and the number of adults it called in each county. The poll asked, "Would you
favor or oppose a state law in Kentucky that would prohibit smoking in most public places, including workplaces, public
buildings, offices, restaurants and bars?" Then they were asked if they felt strongly about their opinion or were "just
somewhat" in favor or opposed.
The results: 44 percent said they strongly favored such a law, while 15 percent said they were somewhat in favor of
it, for a total of 59 percent. The opposition totaled 39 percent: 14 percent said they were somewhat opposed to the law,
and the strongly opposed were 25 percent, the same percentage of adult Kentuckians who said they smoke. The strong
opinions on both sides totaled 69 percent, a very high figure. The margin of error for the poll of 500 adults was plus or
minus 4.38 percentage points for each figure, so a clear majority favors a statewide smoking ban.
3
Among smokers, 31 percent said they favored the law and 68 percent opposed it. Among the three-fourths of
Kentuckians who don't smoke, the figures were virtually a mirror image: 69 percent in favor, 29 percent opposed. (The
figures for smokers come from an interview by Kentucky Health News with Glen Bolger, a partner in the Arlington, Va.-
based polling firm.)
Statistically, the poll found no difference among Democrats, Republicans, independents and tea-party supporters, with
55 to 60 percent identifying with each label saying they support a statewide ban.
While both leading candidates for governor, Democratic Gov. Steve Beshear and Republican state Senate President
David Williams, have said they favor a statewide ban, neither has emphasized it, and there is skepticism among state
legislators that it would be a deciding issue for voters. However, the poll found that 34 percent of voters said they would
be "much more likely" to vote for a candidate for state office who supports the law, and 21 percent said they would be
"somewhat more likely" to do so, for a total of 55 percent. On the other side, a total of 36 percent said they would be
less likely to vote for a supporter of the law (20 percent much more likely and 16 percent somewhat). Only 6 percent
said the candidate's position would make no difference.
The question initially described two alternative, unnamed candidates in terms of positions on the issue and asked, "For
which of these candidates would you vote?" Even 31 percent of smokers said they would be more likely to vote for a
candidate who supports a statewide ban.
Then the survey asked which is more important, the rights of smokers and of restaurant and bar owners, or the rights of
employees and customers to breathe clean air in such establishments. (The alternatives were rotated, as were those on
other questions.) A majority said employees' and customers' rights were more important, 53 percent much more so and
15 percent only somewhat. The poll did not differentiate between the rights of smokers and business owners or those of
employees and customers.
Waters said, "Just because a majority of people in some poll say they want more government nanny-ism doesn't make it
the right, or constitutional, action to take. The last time I checked, restaurant and bar owners' constitutionally protected
private property rights are not subject to polling. In fact, the constitution exists for the express purpose of protecting
those rights from some popular movement such as that being pushed by Kentucky's health nannies who want to deny
Kentuckians their individual liberty to make their own decisions regarding smoking, eating and other lifestyle choices."
The main medical reason for smoking bans is research showing that second-hand smoke causes cancer and other
diseases, and Kentuckians seem to accept those findings. Almost half, 48 percent, said exposure to second-hand smoke
is a serious health hazard, while 28 percent said the hazard is moderate, 17 percent said it is minor, 5 percent said it is
not a health hazard at all and 2 percent declined to say.
Many smokers acknowledged their risky behavior; 24 percent said second-hand smoke is a serious health hazard, while
35 percent said the hazard is moderate and 28 percent said it is minor. Only 10 percent said it is not a health hazard.
The poll found that regardless of what happens at the state level, 76 percent of Kentucky adults think local communities
"should continue to have the option of passing additional restrictions on smoking in public places and workplaces." Fifty
percent strongly agreed with the statement, and 26 percent agreed somewhat. Most of the 22 percent who disagreed
did so strongly, again revealing the depth of feeling about the issue.
Waters said the Bluegrass Institute favors local control. "Even though we vehemently disagreed with the smoking bans
implemented by louisville, lexington and other communities," he said, "we would be absolutely opposed to Frankfort
overriding those local communities' decisions."
The poll also illustrated the precipitous decline of tobacco as a political force in Kentucky since repeal of the federal
quota and price-support program in 2004. Only 6 percent of respondents said they grow tobacco or own land on which
it is grown.
4
Kentucky Health News, http://kyhealthnews.bloqspot.com. is a service of the Institute for Rural Journalism and
Community Issues, based in the School of Journalism and Telecommunications at the University of Kentucky. The service
is funded by the Foundation for a Healthy Kentucky, which was created to address the unmet health needs of
Kentuckians. For more on the foundation, see www.healthy-ky.orq. For more on the institute, see
www.Rura/Journalism.orq.
5
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent:
T o ~
Subject:
Johnson, John D
FW: Vapor from E Cigarettes
Please send to our internal team. I asked him for,a citation if possible
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.mc.uky.edu{tobaccopolicy
www.kcsp.uky.edu
Find kysmokeJree on Twitter and Facebook I
COLL.EGE OF NURSING
From: Kiyoung Lee [mailto:cJeanair@snu.ac.krl
Sent: Monday, January 10, 201111:56 PM
To: Hahn, Ellen Ji James Repacei 'Kiyoung Lee'
http://www.fda.gov{downloads{Drugs{ScienceResearch{UCM173250.pdf
Formaldehyde concentration was 5.2 -13 ppm. I think this is close to the range measured in US (I am not sure reference)
(STEL) - The employer shall assure that no employee is exposed to an airborne concentration of formaldehyde which
exceeds two parts formaldehyde per million parts of air (2 ppm) as a is-minute STEL.
Formaldehyde is also a known human carcinogen (IARC) and a probable human carcinogen by US EPA. .
1
From: "Hahn, Ellen J"<elhahnOO@email.uky.edu>
To : "James Repace"<repace@comcast.net>, "'Kiyoung Lee"'<cleanair@snu.ac.kr>
Date: 2011/01/11 ~ f R \1,i .2. ~ 11:48:08
Subject: Vapor from E Cigarettes
Hi, Jim and Kiyoung,
I hope all is well with you. I am writing to see if either of you know if anyone has tested the vapor from e-cigarettes as to
the harms from secondhand vapor. Have you or do you know anyone who has done it? Our proposed state law prohibits
e-cigarettes and several of our local laws do also; however, we are getting a lot of questions about the science. Given
that the most recent Judge's ruling is that e-cigs are tobacco products, we are encouraging that policies include e-cigs as
they would other tobacco products. Thanks for sending me anything that might help.
Ellen
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
Kiyoung Lee
Associate Professor
Tel: 02-880-2735
2
Spagnuolo. Amy R
From: Hahn, Ellen J
Sent:
To:
Subject:
Riker, Carol A; Johnson, John D
FW: Vapor from E Cigarettes
, College of Nursing and College of Public Health
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
Find kysmokejree on Twitter and Facebook I
COLLEGE OF NURSING
Our 8G-1! iii in Hutp YO'!.l nOi:AEzB ) b u r ~ ,
From: Kiyoung Lee [mailto:cleanair@snu.ac.krl
Sent: Monday, January 10, 201111:56 PM
To: Hahn, Ellen J; James Repace; 'Kiyoung Lee'
http://www.fda.gov(downloads/Drugs/ScienceResearch/UCM17325D.pdf
Formaldehyde concentration was S.2 -13 ppm. I think this is close to the range measured in US (I am not sure reference)
(STEL) - The employer shall assure that no employee is exposed to an airborne concentration'offormaldehyde which
exceeds two parts formaldehyde per million parts of air (2 ppm) as a 15-minute STH.
1
From: "Hahn, Ellen J"<elhahnOO@email.ukv.edu>
To: "James Repace"<repace@comcast.net>, "'Kiyoung lee"'<cleanair@snu.ac.kr>
Date: 2011/01/11 t R 'l2. ~ 11:48:08
Subject: Vapor from E Cigarettes
. Hi, Jim and Kiyoung,
I hope all is well with you. I am writing to see if either of you know if anyone has tested the vapor from e-cigarettes as to
the harms from secondhand vapor. Have you or do you know anyone who has done it? Our proposed state law prohibits
e-cigarettes and several of our local laws do also; however, we are getting a lot of questions about the science. Given
that the most recentJudge's ruling is that e-cigs are tobacco products, we are encouraging that policies include e-cigs as
they would other tobacco products. Thanks for sending me anything that might help.
Ellen
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
Kiyoung Lee
Associate Professor
Tel: 02-880-2735
2
Spagnuolo, Amy R
From:
Sent:
To:
Subject:
Public Health Law Center [publichealthlawcenter@wmitchell.edu]
Thursday. January 06. 2011 4:21 PM
Kercsmar. Sarah
News from the Tobacco Control Legal Consortium
Quick Links ...
Our Website
More About Us
Contact Us
651,290.7506
, /' I '\ 'c
- t' ;
r ,,_ <_
, " '
Upcoming Events
Jan. 12. 2011: FDA Center for
Tobacco Products webinar,
Substantial Equivalence for
Tobacco Products Regulation
and Requirements. Read
more.
Feb. 9.2011: National
African-American Tobacco
Prevention Network's webinar
on the FDA's Supplemental
Guide on Menthol.
Email
or call (919) 680,4000.
Happy New Yearfrom the Tobacco Control Legal
Consortium, America's award-winning legal network for tobacco
control policy. To kick off 2011, we're pleased to introduce our
new electronic news feature -- the Consortium Bulletin.
This monthly publication provides a quick overview of news
headlines, resources, events, and legal developments that affect
the tobacco control community. The Consortium Bulletin
complements our popular quarterly e-newsletter, the Legal
Update, which contains longer tobacco law features and covers
broader areas than state and local tobacco control issues. Please
let us know what you think of the Bulletin, and tools and
resources you'd like us to include!

113 Prop" ee ""'",m me'ro' pf""
helpful information immediately. With that in mind, the
Consortium has launched a series of short reference gUides
called Tobacco Policy Tips and Tools. These guides cover
tobacco policy issues in the headlines. Our first three
publications. available on our website at
publichealthlawcenter .org, cover:
Regulating Tobacco on Campuses
Regulating Hookah and Waterpipe Smoking
Regulating Smoking Outdoors
After you review each guide, feel free to consult with Consortium
staff attorneys or local counsel as your policy efforts move
forward. Also, please let us know of other topics you'd like us to cover
in Tips and Tools by emailing us at
edu.
1
New Smoke-free Resources
........................ ............... .. ...................................... .
,---------,
The Consortium's parent organization, the Public I!J
Health Law Center, has just released a white paper
describing policy options for regulating smoking in
cars carrying children, The paper was prepared with
the financial support of the American Lung
Association of Minnesota,
Read our policy options brief,
Kids, Cars and Cigarettes: Policy Options for Smoke-free
Vehicles,
Read a summary policy overview of Kids, Cars and Cigarettes,
.. ... ... .... ....................,................................ ......................... .
NYC to Appeal Judge's Decision Striking Down City's Graphic
TobaccoWarning Ads
I!J Tasfweek;afederaLjudgesfruckdowniiNewYork ..
City law requiring convenience stores and other
tobacco retailers to post by cash registers vivid
visual warning signs, such as diseased lungs, brains
and teeth, to discourage consumers from purchasing
cigarettes. Judge Jed S, Rakoff of United States'
District Court in Manhattan wrote that under the ..
Federal Cigarette Labeling and Advertising Act, only the federal
government has the legal authority to regulate the advertising or
promotion of cigarettes, and in his view, the signage at issue related
to the promotion of cigarettes. The health department disagreed with
the judge's interpretation of the federal law, and said the signs
portray factual messages about the dangers of smoking and the
importance of quitting, The city's lawyers say they plan to appeal the
decision,
> Read the opinion in 2334 94
th
St, Grocery Corp, v. New York City .
Board ot Health.
> Read the amicus curiae brief submitted on behalf of New york City
by twenty five nonprofit public health organizations and advocacy
groups, including the Tobacco Control Legal Consortium .
... ....... .. ... ... .. ........... .
Action Lawsuit
Tobacco advocates are applauding the recent decision by the
Minnesota Court of Appeals to reinstate portions of a nearly decade-
long class action "light" cigarette lawsuit against
Ph"'p Mom,. Th;, d,d,;oo moW ,;.,ifiGotly I eJ
enhance the ability of smokers to file lawsuits
alleging a violation of the state's consumer protection
laws. The lawsuit claims the tobacco company misled
consumers by marketing Marlboro Lights as safer than
regular cigarettes and engaged in a pattern of false advertising,
consumer fraud and deceptive trade practices regarding light
cigarettes in violation of Minnesota consumer protection statutes.
Philip Morris has indicated it may appeal the ruling to the Minnesota
Supreme Court.
IL... _________ -'-__ . ______ . ____ . ___ ... _____________ . ______ ._.------
2
> Read the opinion in Curtis et. at. v. Altria Group and Philip Morris.
> Read the Tobacco Control Legal Consortium's amicus curiae brief in
this case.
We look forward to your comments, questions you may have about tobacco control laws and
policies, and thoughts you might have about topics you'd like us to address in upcoming
publications or resource materials. Please email us at
publichealthlawcenter@wmitchell.edu.
This email was sent to scave2@email.uky.edu by pubilchealthlawcenter@wmitcheil.edu.
Uodate ProfilelEmail Address I Instant removal with SafeUnsubscribe'" I Privacy Policy.
Public Health Law Center I 875 Summit Ave. I st. Paul I MN I 55105
3
Email Marketing by
~
Spagnuolo, Amy R
To: Hahn, Ellen J; Wagner, Kristian K; Fallin, Amanda T; Mundy, Monica E; Ricks, Janelle;
Johnson, John D; Sidney, Hilarie E; Record, Rachael A
Subject: FW: Smoke Versus Vapor
Are all of us on the tobacco yrevention listserv now? If not, here's info on e-cig backlash that Kelly sent.
Carol
From: tobacco yrevention [mailto:tobacco prevention@listserv.ky.govJ
Sent: Tuesday, January 04, 2011 9:14 AM
To: tobacco yrevention
Subject: Smoke Versus Vapor
Our BOH has decided to strengthen our Indoor Air Regulation. The regulation will now include hookahs and
E-CIGARETTES and strikes the current exemption for Retail Tobacco Stores. I thought that we would have a
backlash on withdrawing the Tobacco Store Exemption, however, a local business and some of its patrons have
argued against e-cigarettes. Please see the attached news story/video.
http://wtvg.com/news/6378-smoke-versus-vapor
Never a dull moment.
Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Departtnent
1001 Ace Drive
Berea, KY 40403
(859) 228-2043
Please consider the enviromnent before printing this e-mail
1
Spagnuolo, Amy R
From: Hahn, Ellen J .
Sent:
To:
Sunday, December 19, 2010 8:33 AM
Johnson, John D
Subject: FW: FW: KCSP Community Partner Newsletter
Can you please make sure Gloria 5ams is on our partner email list? See below.
751 Rose Street
859-257-2358
859-323-1057 (FAX)
www.kcsp.uky.edu
COLLEGE OF NURSING
OU r GG'iJIIf, 10 HIl)I) You Realize' '\f)um,
From: Gloria Sams [mailto:gsams@kcp.uky.edu]
Sent: Saturday, December 18, 2010 10:18 PM
To: Hahn, Ellen J
Subject: Re: FW: KCSP Community Partner Newsletter
Well, I thought I was on every list there was but I don't think I got this; thanks for sending it again.
On 12/18/20102:15 PM, Hahn, Ellen J wrote:
If you aren't on our email list, we will add you. You should have received this yesterday. See the Save the Date section!
Director;Kentucky Center for Smoke-free Policy
751 Rose Street
Lexington, I<Y 40536-0232
859-257-2358
859-323-1057 (FAX)
www.mc.uky.edu/tobaccopolicv
1
www.kcsp.ukv.edu
COLLEGE OF NURSING
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From: Johnson,John D
Sent: Friday, December 17, 2010 12:47 PM
To: Johnson, John D
Subject: KCSP Community Partner Newsletter
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KENTUCKY CENTER FOR SMOKE-FREE POLICY
Community Partner Newsletter
December 2010
Smoke-free Communities: Good for People, Good for Business
Find us on Facebook: Kvsmokefree
Welcome to the Kentucky Center for Smoke-Free Policy (KCSP) Community Partners' Newsletter!
HAPPY HOLIDAYS FROM THE KCSP TEAM!
This Newsletter contains:
WE CELEBRATE YOUR COMMITMENT TO SMOKE-FREE AIR
AND WISH YOU A HAPPY NEW YEAR!
Campbell County goes smoke-free!
1" Smoke-free Kentucky Coalition Meeting held in Louisville, 12./13/10
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Summary of the article, Surgeon General's Executive Summary: How Tobacco Smoke Causes Disease
Opposition Watch
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Save these Dates
State Smoke-free Kick Off-January 6, 2011
Smoke-free Summit Webinar-January 14, 2011
Smoke-free Spring Conference-March 24, 2011
Take Action by January 11, 2011---U.S. Food and Drug (FOAl Proposed Cigarette Product Warning Labels
Please scroll down for more information on each topic!
Campbell County Goes Smoke-free!
Congratulations to Northern Kentucky ACTION. Campbell County Fiscal Court enacted a comprehensive smoke-free
workplace ordinance, 3-1 on December 15,2010, after many years of persistent and effective advocacy by Northern
Kentucky ACTION.
Implementation is scheduled for April 15, 2011. Campbell County jOins 27 other Kentucky communities to lead on public
health. Campbell County will be the lSth Kentucky community with a comprehensive smoke-free workplace ordinance or
regulation.
Kenton County Fiscal Court's smoke-free ordinance goes to second reading on December 21,2010. If enacted, the
Kenton County ordinance will also go into effect on April 15, 2011.
First Smoke-free Kentucky Coalition Meeting held in Louisville, December 13, 2010
Approximately 40 hardy souls braved the weather to attend the first Smoke-Free Kentucky coalition meeting in
Louisville. Most of the expected 125 participants were unable to attend due to snow and ice.
A major theme of the meeting was the importance of moving local smoke-free policies forward while educating the
public and policymakers about the eventual need for statewide legislation so that all Kentuckians are protected from
secondhand smoke. More strong local smoke-free laws are essential for effective passage and implementation of a
100% smoke-free state law.
For those who missed the Summit, plan to attend the webinar on January 14, 2011 (see below for Save the Dates).
U.S. Department of Health and Human Services. How Tobacco Smoke Causes Disease: The Biology and Behavioral
Basis for Smoking-Attributable Disease: A Report o/the Surgeon General. Atlanta, GA: U.S. Department of
Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease
Prevention and Health Promotion, Office on Smoking and Health, 2010.
The new Surgeon General's report provides the strongest evidence yet of the negative effects oftobacco smoke,
especially related to length of exposure to tobacco smoke and damage to DNA. Even brief exposure to tobacco smoke
causes immediate harm that can lead to illness and premature death. Exposure to tobacco smoke can lead to cancer,
heart attacks/disease and lung disease through damage to the DNA and blood vessels, and inflammation of the lining of
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the lungs. The report also casts doubt on the effectiveness of product modification and harm reduction strategies for
changing population health outcomes.
Collaborating with the Center for Disease Control as well as the World Health Organization and the Food and Drug
Administration, the report outlines the MPOWER approach which can be adapted to the local, state and national levels
to monitor tobacco consumption, protect people from secondhand smoke, offer quit assistance to smokers, warn
consumers about the dangers of tobacco, enforce restrictions on tobacco and raise taxes and prices on tobacco
products.
The report applauds states and locales that have enacted smoke-free laws and policies and pledges that
the Department of Health and Human Services will continue to support and push for tougher legislation on
tobacco products.
Executive Summary: http://www.surgeongeneral.gov!librarv!tobaccosmoke!report!executivesummary.pdf
Lay Version: http://www.cdc.gov/tobacco/datastatistics/sgr/2010/consumerbooklet!index.htm
Full Report: http://www.surgeongeneral.gov!librarv!tobaccosmoke!report!full report.pdf
Opposition Watch
The recent move by Kenton and Campbell counties to enact smoke-free laws has prompted persistent
opposition by individuals who wish to leave this decision up to individual business owners. The opposition
claims that smoke-free laws are an unnecessary intrusion of the government and that businesses will be
harmed by this legislation. Mr. Deters, an attorney, is one of the opposition voices in Kenton County. Mr.
Deters vehemently believes that government has no right to intrude into our lives and that the decision to
allow smoking or not, should be in the hands of individual business owners. The Kentucky Supreme Court has
ruled that government has the'right and manifest duty to protect the public health, and that smoke-free laws
are a reasonable use of government powers.
For more information on Mr. Deter's opinions on smoking and other topics, please visit:
http://www.ericdeters.com/index.php?option "Com content&view =article&id =J. 9&Itemid ='1.7 .
Save these Dates
Mark your calendars I
January 6, 2011 is the Statewide Smoke-free Kick Off in the Capitol Rotunda in Frankfort at 1:00PM.
January 14, 2011 is the Smoke-free Summit Webinar at 10:00 AM ET, for those who missed it due to
inclement weather. Details to follow.
March 24, 2011 is the annual Smoke-free Spring conference. The conference will be held at the Griffin
Gate Marriott Resort and Spa, located at 1800 Newtown Pike, Lexington, KY 40511. Stay tuned for registration
materials in 2011! Contact KCSP to reserve your seat.
U.S. Food and Drug (FDA) Proposed Cigarette Product Warning Labels
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In November, the U.S. Health and Human Services and FDA announced a proposed rule to require new and
prominent health warnings on all cigarette packages, cartons and advertisements. The inclusion of larger and more
noticeable graphic health warnings will clearly and effectively convey the negative health consequences of smoking to
educate all Americans about the health risks of cigarettes.
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.
You are encouraged to submit an official comment during the comment period:
Go to www.regulations.gov and insert docket number FDA-2010-N-0568 into the "search" box and follow the
prompts.
Send a fax, with your comments, to 301-827-6870.
Mail/Hand delivery/Courier (for paper, disk, or CD-ROM submissions) to the Division of Dockets Management
(HFA-305), Food and Drug Administration, 5630 Fishers Lane, Room 1061, Rockville, MD 20852.
All comments should be identified by Docket ID No. FDA-2010-N-0568. Please send only one set of comments.
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 kcspOO@lsv.uky.edu or
contact John Johnson jdjohnson@uky.edu, 859-323-4587.
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.
John D. Johnson, MA
Community Liaison
859-323-4587
859-323-1057 (FAX)
jdjohnson@uky.edu
www.kcsp.ukv.edu
Gloria Sams
Kentucky Cancer Program
501 College st., Suite C
Somerset, KY 42501
Office: (606)679-7204
FAX: (606)679-7689
Cell: (606)875-1442
"A pessimist sees difficulty in every opportunity;
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the optimist sees the opportunity in every difficulty."
Winston Churchill
This message (and any attachment) is intended only for the
original recipient and may contain confidential and/or
privleged material. If you have received this in error,
please contact the sender and delete this message immediately.
Thank you.
--Statement of Confidentiality-- This message (and any attachment) is intended only for the recipient and may
contain confidential and/or privileged material. If you have received this in error, please contact the sender and
delete this message immediately. Thank you.
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