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From: Bill Godshall <smokefree@compuserve.

com> Sent: esday, December 07, 2010 1:42 PM To: Bill Godshall Subject: Appeals Court says FDA cannot ban e-cigarettes as drug devices The DC Court of Appeals has ruled against the FDA's attempt to ban e-cigarettes (by claiming they are unapproved drug devices). Decision is attached. This is a huge victory for public health and civil justice. Its time for FDA officials to come to their senses by reclassifying and/or promulgating reasonable regulations for ecigarettes as tobacco produces under the FSPTCA. FDA Loses Appeal, Can't Regulate E-Cigarettes as Drug
http://www.businessweek.com/news/2010-12-07/fda-loses-appeal-can-t-regulate-e-cigarettes-as-drug.html

Appeals Court: FDA Authority Over E-Cigarettes Is Limited


http://www.nasdaq.com/aspx/stock-market-news-story.aspx?storyid=201012071203dowjonesdjonline000296&title=appeals-court-fda-authorityover-e-cigarettes-is-limited

Bill Godshall Executive Director Smokefree Pennsylvania 1926 Monongahela Avenue Pittsburgh, PA 15218 412-351-5880 FAX 412-351-5881 smokefree@compuserve.com

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From: Sent: To: Cc: Subject:

Bossick, Michael J Wednesday, August 04, 2010 2:03 PM Brown, Cynthia G (LHD-Bullitt Co) Taylor, Brittany P (LHD - Bullitt Co); Riker, Carol A; Hahn, Ellen J; Robertson, Heather E; Sidney, Hilarie E AQ Press Conference

Hi Cynthia, I hope you enjoyed your time off. Ive played some phone tag with Brittany Taylor because Ive been in and out of the office as well. How about we (Carol Riker and I) give you a call tomorrow (Thursday) at either 10am or 1:15? Do either of those times work for you? Ive attached a few powerpoint slides that highlight the main graphs and findings in the AQ report, as well as a script that can be used at a press conference. Perhaps you can use the script to help make a presentation for Mr. Jett? Just let me know if either of those times work for you and well give you a call to sort this all out. Thanks,

Mike Bossick, Ph.D.


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

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

From: Brown, Cynthia G (LHD-Bullitt Co) [mailto:CynthiaG.Brown@ky.gov] Sent: Tuesday, August 03, 2010 4:10 PM To: Bossick, Michael J Subject: RE: July KCSP Community Partner Newsletter

Mike, Im just getting through my e-mails from my time off. Is there any way I could talk to someone before Friday this week about releasing the data to our Board of Health. My Director wants me to brief him on the results and I think he wants me to develop a presentation for him to give to the Board on August 17th . I will be in the office on Thursday most of the day.

Cynthia G. Brown

Health Education Coordinator Public Information Officer

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Bullitt County Health Department 183 Lees Valley Road P.O. Box 278 Shepherdsville, KY 40165 ph: 502-955-5355 fx: 502-543-2449 www.bullittcountyhealthdept.com
"Bullitt County Partners in Prevention are caring involved citizens working to create a safe and healthy environment through comprehensive prevention services and reducing substance abuse among Bullitt County youth and families." www.bcPartnersInPrevention.com Notice of Confidentiality This e-mail including any attachments, is intended only for the use of the individual or the entity to which it is addressed and may contain confidential information that is legally privilege and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are notified that any review, use, disclosure, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies of the original message.

From: Bossick, Michael J [mailto:Michael.Bossick@uky.edu] Sent: Thursday, July 22, 2010 4:15 PM To: Brown, Cynthia G (LHD-Bullitt Co) Subject: RE: July KCSP Community Partner Newsletter

Thanks Cynthia, I appreciate it. Ive been talking to our staff here about trying to line up some prep work for the press conference. Is there a good time I can call tomorrow to see if we can set a few calls up to discuss this? Take care, Mike

From: Brown, Cynthia G (LHD-Bullitt Co) [mailto:CynthiaG.Brown@ky.gov] Sent: Thursday, July 22, 2010 10:10 AM To: Bossick, Michael J Subject: RE: July KCSP Community Partner Newsletter

Mike, Good Luck and God Blessings in you future.

Cynthia G. Brown

Health Education Coordinator Public Information Officer Bullitt County Health Department 183 Lees Valley Road P.O. Box 278 Shepherdsville, KY 40165 ph: 502-955-5355 fx: 502-543-2449 www.bullittcountyhealthdept.com
"Bullitt County Partners in Prevention are caring involved citizens working to create a safe and healthy environment through comprehensive prevention services and reducing substance abuse among Bullitt County youth and families." www.bcPartnersInPrevention.com Notice of Confidentiality: This e-mail including any attachments, is intended only for the use of the individual or the entity to which it is addressed and may contain confidential information that is legally privilege and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are notified that any review, use, disclosure, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies of the original message.

From: Bossick, Michael J [mailto:Michael.Bossick@uky.edu]

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Sent: Tuesday, July 20, 2010 10:31 AM Subject: July KCSP Community Partner Newsletter

KenTuCKy CenTer For SMoKe-Free PoliCy

Community Partner newsletter


Smoke-free Communities: Good for People, Good for Business
Welcome to the Kentucky Center for Smoke-Free Policy (KCSP) Community Partners Newsletter! This Newsletter contains: General Announcement KCSP Staff Transitions KySmokefree is now on Facebook! Smoke-free Policy updates Mayor Bloomberg Considers a Smoke-free Policy on nyC Beaches and Parks. Smoke-free research updates Summary of the Article, Hair nicotine levels in nonsmoking pregnant women whose spouses smoke outside of the home. Summary of the Article, Quantifying the effects of promoting smokeless tobacco as a harm reduction strategy in the USA. Summary of the Article, Economic effects of clean indoor air policies on bar and restaurant employment in Minneapolis and St Paul, Minnesota.

Please scroll down for more information on each topic!

General Announcements
1. KCSP Staff Transitions
Effective Thursday, August 6th , Dr. Mike Bossick will leave the position as Manager of the Kentucky Center for Smokefree Policy. Dr. Ellen Hahn remains the Director of the Center, and technical and information will continue to be provided by our team of staff and faculty associates. Continue to contact us at kcsp00@lsv.uky.edu or call 859-323-

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4587. You also can contact Dr. Hahn directly at 859-257-2358 or ejhahn00@email.uky.edu. Dr. Bossick has enjoyed his time working with many passionate advocates over the last year and he is proud of your efforts to make Kentucky a healthier place. He wishes you well in your smoke-free efforts and looks forward to seeing more local communities make the smart decision to enact comprehensive smoke-free laws!

2. KySmokefree is now on Facebook!


Click on the link above to check out our brand new Facebook page that launched in June! Get the most recent updates on smoke-free policy, opposition tactics, research updates, and community news by simply clicking Like on the page and you will become a fan. This will allow you to see the information we post and keep you informed. We would appreciate your input and feedback on our site!

Smoke-free Policy updates


1.

Mayor Bloomberg Considers a Smoke-free Policy on nyC Beaches and Parks.


The mayor of New York City is considering prohibiting smoking on its beaches and parks. He stated in a recent news release that the public does not want smoking in these recreational areas that consist of 14 miles of beach and over 1,700 parks and playground areas. His rationale for this policy is to ensure those who frequent these recreational areas will have clean air to breathe. In addition, the policy will preserve the environment by reducing cigarette butt and pack litter on beaches and park grounds. This extension of New York Citys smoke-free law would further protect New Yorkers from exposure to outdoor tobacco smoke (OTS) while preserving the environment. Read the New York Times Article Here

Smoke-free research updates


1. Yoo, S. H., Y. J. Paek, S. S. Kim., et al. (2010). Hair nicotine levels in nonsmoking pregnant women whose spouses smoke outside of the home. Tobacco Control. epub ahead of print May 27, 2010.
Secondhand smoke not only has harmful effects on non-smoking adults and children, but also on fetal development during pregnancy. To determine whether pregnant women experience reduced exposure to SHS when their spouses smoke outside the home, Yoo et al. designed a study comparing three groups comprised of nonsmoking spouses, spouses who only smoked outside the home, and spouses who smoked inside the home. Pregnant women provided hair samples on the day of their last antenatal appointment as a biomarker, or a substance used to indicate a biological state, for nicotine exposure. There was a significant difference in hair nicotine levels between pregnant women who had nonsmoking spouses and those with smoking spouses both inside and outside of the home. Hair nicotine levels were not significantly different between women with spouses smoking in the home and outside of the home. This study determined that nonsmoking pregnant women are still at risk for SHS smoke exposure even when their spouse smokes outside the home. Public education is needed on establishing smoke-free home policies including issues related to smoking outside the home and thirdhand smoke exposure. (See the attached article)

2. Mejia, A. B., P. M. Ling, & S. A. Glantz. (2010). Quantifying the effects of promoting smokeless tobacco as a

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harm reduction strategy in the uSA. Tobacco Control. epub ahead of print June 27, 2010.
Mejia et al. sought to determine whether the promotion of smokeless tobacco in the form of snus, a moist tobacco product which is a variant of snuff, is a viable harm reduction strategy for tobacco initiation in the US. Smokeless tobacco is thought by some to be less harmful than cigarettes despite the fact using such products have been linked to oral cancer, heart, disease, and pancreatic cancer. Mejia et al. used a simulation model to estimate the health effects of different patterns of smokeless tobacco use. The authors concluded that smokeless tobacco promotion would not be associated with any substantial health benefits at the population level. The probability that smokers would reduce their tobacco use was not significantly less and could not be considered an effective public health intervention. In fact, advocating for smokeless tobacco use as an alternative to cigarette smoking may send confusing messages and undermine communities or campuses with tobacco-free policies designed to protect public health.

(See the attached article) 3. Klein, E. G., J. L. Forster, D. J. Erickson, L. A. Lytle, & B. Schillo. (2010). economic effects of clean indoor air policies on bar and restaurant employment in Minneapolis and St Paul, Minnesota. Journal of Public Health Management and Practice. 16: 285-293.
Researchers report economic improvements in employment in bars and restaurants after smoke-free legislation was enacted in two Minnesota cities. The employment rates of bars and restaurants in St. Paul and Minneapolis were analyzed over a five-year period during which smoke-free laws were implemented in each city. Once the comprehensive laws were in effect, employment was 3% higher in restaurants in both cities, and 5% higher in bars 2.5 years following the local clean indoor air law in Minneapolis. No significant change in employment was seen in bars in St. Paul during the same time period. This study indicates that local smoke-free laws may have a positive effect on the employment in local restaurants and bars after comprehensive clean indoor airs laws are implemented. (See the attached article)

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

Mike Bossick, Ph.D.


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

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

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From: Sent: To: Cc: Subject:

Riker, Carol A Monday, April 04, 2011 2:26 PM 'Owens, Kelly S (LHD - Madison Co)' Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E article

Many of these authors are cited by CASAA

Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities Faculty Associate, Kentucky Center for Smoke-free Policy 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Cell: 859-619-3776 Office Phone: 859-323-6615 Fax: 859-323-1057 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu

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and

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From: Sent: To: Cc: Subject:

Riker, Carol A Tuesday, December 14, 2010 8:58 AM Swannie Jett (swannie.jett@ky.gov); 'Brown, Cynthia G (LHD-Bullitt Co)'; 'BrittanyP.Taylor@ky.gov' Hahn, Ellen J; Mundy, Monica E; Johnson, John D BG Institute article and info re BOH regulations

Hi Swannie, Cynthia, and Brittany, Hope you all are surviving this arctic blast! Amanda Fallin on our team found this article on the Bluegrass Institutes website and we wanted to make sure you all had seen it. It sounds like Jim Waters came to your forum in Hiilview. (Someone was at the last forum spouting the same things about working smoke-free to support the health departments payrolltheyre really reaching!) Also wanted to send you some new information on BOH regulations. With Scott Lockards blessing we have developed Suggested Updates for BOH regulations in KY; its based on the Clark Co regulation. As you know, Madison County BOH has had first reading on some amendments to their regulation to eliminate the tobacco retailer exemptions and include ecigarettes in the definition of smoking. Madison is updating because they had several requests for waiver of their regulation for Hookahs, so Im attaching info on Hookahs. At first reading in Madison several people spoke against including e-cigarettes, saying they were using them to quit smoking. After first reading the BOH received numerous written comments to the same effect, with copies to the local newspaper. Several came from health entities, primarily those in the harm reduction camp. I hope you will find the ecigarette one-pager helpful to refute comments that they are safe and can help people quit. Research to date shows that nicotine levels in e-cigs vary widely regardless of labeling. At the very least users will send nicotine and other components back into the indoor air through exhalation, where the whole thirdhand smoke dangers begin. Let us know how we can be helpful as you go forward. Thanks, Carol Riker Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Phone: 859-323-6615 Fax: 859-323-1057 Cell: 859-619-3776 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu

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

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

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

Simon says: Our rights are slip slidin away


By Jim Waters Like school kids atop a snow-covered hill during a driving storm oblivious to conditions around them so health nannies stand, gleefully ready to push us and our freedoms down a slippery slope leading to a ride that might not offer so much fun. I dont question the motives behind a smoking-ban proposal now under consideration by the Bullitt County Health Department and its Board of Health. They and many including me have grave concerns about the health of Kentuckians. Kentucky ranks as one of the unhealthiest states in the union. If the University of Kentucky football team did as well in polls as Kentucky does in poor health rankings, Big Blue fans would forget about basketball. But I run into problems with how bureaucrats act on such a crisis. C.S. Lewis once said, Of all tyrannies, a tyranny exercised for the good of its victim may be the most oppressive. Appointed (not elected) health-department bureaucrats see nothing wrong with pushing that sled down the hill, no matter where it may end up. Those riding the sled have a different view. At a minimum, they would like to have some notion of where its going to end up. If a public health department can bypass elected officials and engineer policies that trump other important liberties such as constitutionally endorsed private-property rights while using claims that were responsible for the publics health, that sled wont stop in a good place. Im sure that when New York City banned smoking in 2003, many folks who like dining in smoke-free surroundings welcomed that decision. But I also suspect that many of them never dreamed the city would in only three years ban those same restaurants from using trans fats in their food. What?! No margarine on my dinner roll? Now the health nannies and their unsalted nuts in the New York General Assembly have filed a bill that would fine restaurants $1,000 if chefs use salt in recipes. That sled ride turned into the equivalent of skiing down Mount Everest.

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Yes, the health police want to send us careening down a slippery slope toward more nanny-ism, less liberty and even less personal responsibility. They will never be satisfied until they can stand in homes throwing out cigarettes and forcing inhabitants to eat unseasoned Brussel sprouts. Coming next: The Sugar Free Candy Halloween Ordinance. Its hard to stop a sled careening down a snow-covered slope. At a forum I attended in Hillview, near Shepherdsville, some who support the proposed smoking ban repeatedly stated that they want to go to restaurants in which they breathe smoke-free air. Me, too. But thats a very shortsighted view one that health-department bureaucrats count on to attack property rights in the future. Keep in mind: Local health boards could apply their public nuisance arguments to private residences, too. If a person has rats running out of their house, the health department can move in because thats a public nuisance, said Harlen Compton, a local businessman and spokesman for Bullitt County Choice. Whats to keep them from using that same argument to ban smoking in a private residence as well? Or if the department gets its way on smoking bans, what will it have to attack next to justify keeping so many bureaucrats on taxpayer-backed payrolls? I bet those folks who want to use government force to ensure a more enjoyable dining experience might not smile as widely when denied margarine on their baked potatoes, salt on their Happy Meal fries or Halloween candy that tastes like wax. If the health bureaucrats can get by with claiming that smoking bans address a public nuisance, whos to say that more, much more, wont follow and soon? Jim Waters is vice president of policy and communications for the Bluegrass Institute, Kentuckys free-market think tank. Reach him at jwaters@freedomkentucky.com. Read previously published columns at www.bipps.org. Amanda Fallin, MSN, RN Community Advisor Clean Indoor Air Partnership University of Kentucky College of Nursing 509 CON Building Lexington, KY 40536-1057 859.323.3550 atfall2@uky.edu

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

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From: Sent: To: Subject:

Announcements regarding tobacco control. <STANGLANTZ-L@LISTSRV.UCSF.EDU> on behalf of Glantz, Stanton A <glantz@MEDICINE.UCSF.EDU> Tuesday, January 04, 2011 7:45 PM STANGLANTZ-L@LISTSRV.UCSF.EDU Bill Godshall has lost his remaining credibility with me

In his latest email supporting pro-industry positions on harm reduction, Bill Godshall said: Electronic Cigarettes FDA Deputy Commissioner Josh Sharfstein to resign after misrepresenting health risks of e-cigarettes and wasting taxpayers money trying to ban the far less hazardous smokefree alternatives for smokers
http://online.wsj.com/article/SB10001424052748704723104576061692596851936.html

If one takes the trouble to read the WSJ article, it does not say a word about e-cigs. Rather it talks about what a great job Josh has done at the FDA. Sharfstein was offered and accepted a top public health job in the State of Maryland. Josh has been and will continue to be an important leader in tobacco control and public health. Im sorry to see him leaving the FDA, but am confident that he will continue to make important contributions in his new position.

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From: Sent: To: Cc: Subject:

Riker, Carol A Thursday, December 30, 2010 2:49 PM 'Gilson, Katherine B (LHD - Three Rivers Dist)'; Napier, Allison L (LHD - Three Rivers Dist); 'georgiaf.heise@ky.gov' Hahn, Ellen J; Wagner, Kristian K; Mundy, Monica E BOH regulation info & policymaker assessment info.

Hi Katie, Allison, and Georgia, Im sending along some info on BOH regulations in KY in case it will be helpful as you move forward. First, with Scott Lockards blessing, we have created some suggested updates based on Clark Countys regulation, with the goal of closing some potential loopholes. As I think we discussed, Madison County BOH is in the process of amending their regulation to prevent Hookahs from taking advantage of their tobacco retailer exemption. They also are revising their definition of smoking so that it will prohibit use of e-cigarettes. Ill attach our one-pagers on Hookahs and e-cigarettes. Madison received public comment against prohibiting e-cigarettes, including some from health folks in the harm reduction camp (comments also sent to their newspaper). Public comment often touts e-cigarettes as a cessation aid, but FDA testing revealed that nicotine levels varied widely, irrespective of labeling, so its unlikely they will truly help people quit. E-cigarettes also are marketed as a way around smoke-free policy and would certainly cause confusion in enforcement. Youll hear claims that e-cigarettes emit no smoke, but at the very least the use must exhale nicotine which then creates carcinogens. (See Sleiman article on thirdhand smoke, attached). I think I also promised that I would send a Policymaker Assessment tool. This is an informal, conversational tool, which can still help you get information about policymakers levels of understanding of the dangers of SHS and benefits of S-F policy, as well as their current stands on smoke-free policy. This kind of dialogue can help you all target information that will help each policymaker clear up specific misconceptions. Im excited about working with you all on smoke-free policy in the new year! Have a very Happy New Year! Carol Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Phone: 859-323-6615 Fax: 859-323-1057 Cell: 859-619-3776 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu

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From: Sent: To: Cc: Subject:

Riker, Carol A Thursday, December 30, 2010 2:49 PM 'Gilson, Katherine B (LHD - Three Rivers Dist)'; Napier, Allison L (LHD - Three Rivers Dist); 'georgiaf.heise@ky.gov' Hahn, Ellen J; Wagner, Kristian K; Mundy, Monica E BOH regulation info & policymaker assessment info.

Hi Katie, Allison, and Georgia, Im sending along some info on BOH regulations in KY in case it will be helpful as you move forward. First, with Scott Lockards blessing, we have created some suggested updates based on Clark Countys regulation, with the goal of closing some potential loopholes. As I think we discussed, Madison County BOH is in the process of amending their regulation to prevent Hookahs from taking advantage of their tobacco retailer exemption. They also are revising their definition of smoking so that it will prohibit use of e-cigarettes. Ill attach our one-pagers on Hookahs and e-cigarettes. Madison received public comment against prohibiting e-cigarettes, including some from health folks in the harm reduction camp (comments also sent to their newspaper). Public comment often touts e-cigarettes as a cessation aid, but FDA testing revealed that nicotine levels varied widely, irrespective of labeling, so its unlikely they will truly help people quit. E-cigarettes also are marketed as a way around smoke-free policy and would certainly cause confusion in enforcement. Youll hear claims that e-cigarettes emit no smoke, but at the very least the use must exhale nicotine which then creates carcinogens. (See Sleiman article on thirdhand smoke, attached). I think I also promised that I would send a Policymaker Assessment tool. This is an informal, conversational tool, which can still help you get information about policymakers levels of understanding of the dangers of SHS and benefits of S-F policy, as well as their current stands on smoke-free policy. This kind of dialogue can help you all target information that will help each policymaker clear up specific misconceptions. Im excited about working with you all on smoke-free policy in the new year! Have a very Happy New Year! Carol Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Phone: 859-323-6615 Fax: 859-323-1057 Cell: 859-619-3776 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu

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From: Sent: To: Cc: Subject:

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

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

Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Phone: 859-323-6615 Fax: 859-323-1057 Cell: 859-619-3776 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu

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

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From: Owens, Kelly S (LHD - Madison Co) <KellyS.Owens@ky.gov> Sent: Tuesday, February 01, 2011 1:28 PM To: Hawkins, Ruth R (LHD-Madison Co); Hahn, Ellen J; Riker, Carol A; Robertson, Heather E Subject: CASAA | 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 Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043 Web Address: www.madison-co-ky-health.org Need Help Quitting? http://www.becomeanex.org/

P Please consider the environment before printing this e-mail

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From: Owens, Kelly S (LHD - Madison Co) <KellyS.Owens@ky.gov> Sent: Monday, April 11, 2011 2:27 PM To: Crewe, Nancy M (LHD-Madison Co); Hawkins, Ruth R (LHD-Madison Co); Green, Christie L (LHD-Madison Co); Centers, Irene (CHFS HPB-Health Promotions); Beauchamp, Jan (CHFS HPB-Health Promotions); Hahn, Ellen J; Riker, Carol A Subject: CASAA.org Importance: High

http://www.casaa.org/news/article.asp?articleID=145&l=a&p= Take a look at the following "news" link on CASAA's web site. Kelly S. Owens, MPH, CHES Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043 Web Address: http://www.madisoncountyhealthdept.org/ Need Help Quitting? http://www.becomeanex.org/

P Please consider the environment before printing this e-mail

file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/CASAA.org.txt[8/19/2011 2:27:37 AM]

From: smokefreecasinos-talk@googlegroups.com on behalf of karen.blumenfeld@verizon.net Sent: Monday, May 10, 2010 8:33 PM To: smokefreecasinostalk@googlegroups.com Cc: smokefreecasinostalk@googlegroups.com Subject: Cigotine's online testimonials - use for smoking cessation Re: Cigotine... Cigotine's testimonial page is strewn with references to using the product to quit smoking https://cigotine.com/shop/testimonial.php , even though it is not an FDA approved smoking cessation device. FYI, from the FDA website http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm173222.htm : Health care professionals and consumers may report serious adverse events (side effects) or product quality problems with the use of e-cigarettes to the FDA's MedWatch Adverse Event Reporting program either online, by regular mail, fax or phone. Online: http://www.fda.gov/Safety/MedWatch/default.htm Regular Mail: use postage-paid FDA form 3500 available at: http://www.fda.gov/Safety/MedWatch/HowToReport/DownloadForms/default.htm and mail to MedWatch, 5600 Fishers Lane, Rockville, MD 20852-9787 Fax: (800) FDA-0178 Phone: (800) FDA-1088 Best regards, Karen Blumenfeld May 10, 2010 09:52:30 AM, smokefreecasinos-talk@googlegroups.com wrote:

Cigotine.

karen.blumenfeld@verizon.net wrote:
which brand(s) is foxwoods selling? tx, karen blumenfeld May 7, 2010 08:19:14 PM, smokefreecasinos-talk@googlegroups.com wrote: =========================================== thanks,Bronson. We're going to test the E-cigs that Foxwoods is selling... Jim

Bronson Frick wrote: Casino smoking ban rejected by House committee NewOrleans (LA) Times Picayune, 2010-05-06 Jan Moller, The Times-Picayune http://www.nola.com/politics/index.ssf/2010/05/effort_to_broaden_indoor_smoki.html The effort to broaden Louisiana's indoor smoking ban appears tobedead for the session after a House committee this morning shelvedlegislation to require non-smoking areas on riverboat casinos. The action by the House Health and Welfare Committee on House Bill 1323sends a clear signal that committee members are in no mood to followtheir counterparts in the Senate, where the health
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committee votedunanimously last week to ban smoking in bars and casinos. The House bill by Rep. Rick Nowlin, R-Natchitoches, was far lesscomprehensive than the Senate measure, but still drew strong oppositionfrom casinos and a lobbyist for the tavern industry, who said he fearedit would be amended on the House floor to ban smoking in bars. also in the news.....

Electronic cigarettes for sale at Foxwoods Battery-powered devices have raised safety questions The Day (New London, CT), 2010-05-07 Brian Hallenbeck http://www.theday.com/article/20100507/BIZ02/305079921/1018 Retail stores at Foxwoods Resort Casino and MGM Grand at Foxwoodsmaybe among the first in the state to sell electronic cigarettes, devicesthat have been making inroads with the public despite questions aboutwhether they're safe. Cigotine, the Providence-based company that began offering its productsat Foxwoods last month, also plans to start selling them next week fromakiosk inside Crystal Mall, the company's chief executive officer saidThursday. A spokesman for mall management confirmed the kiosk will openMay 15. . . . Connecticut Attorney General Richard Blumenthal, who vowed last year tofight retail sales of ecigarettes, said Thursday their safety remainsquestionable. "We've warned consumers to be very wary of theseproducts," he said. "We're continuing our investigation todetermine what steps can and should be taken to protect thepublic." Blumenthal, who said his office has received no complaints aboute-cigarettes, has also advocated for an eventual outright ban onsmokingat the state's tribally owned casinos, which currently limit smoking tocertain gaming areas under agreements worked out with Gov. M. JodiRell. ************************************************ Bronson Frick Associate Director Americans for Nonsmokers' Rights 2530 San Pablo Ave., Ste. J Berkeley, CA 94702 510.841.3032 office 510.932.1109 mobile bronson.frick@no-smoke.org www.no-smoke.org

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

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From: Sent: To: Cc: Subject:

Hahn, Ellen J Wednesday, January 19, 2011 7:48 AM 'Douglas, Carol F (LHD-Barren River Dist)'; Riker, Carol A Johnson, John D; Hahn, Ellen J Congratulations on first reading!

Carol, Congratulations! I know you must be pleased. From the news report, it looked like it went well. How did it go? Do you have a copy of the ordinance that you might share with us? From news reports and what you have said, it sounds comprehensive with a tobacco retailer exemption and one for nursing homes, but I would love to see the language. We will look on the city website and also contact the clerk to see if we can get a copy (John, can you please do that?). http://www.wbko.com/home/headlines/Bowling_Green_City_Commission_Votes_3-2_to_Ban_Smoking_114180019.html Is it confirmed that Joe Denning will be mayor and Robin will replace him as commissioner? Ellen Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease University of Kentucky College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on Twitter and Facebook ! 50_CoN_celebrate_date_oop-email

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

Carol, Our smokefree BG ordinance workgroup met with BG City Commissioner Slim Nash in December 2010 to

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

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

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

Hello Bowling Green Smoke-free Advocates, From the news reports it seems that a proposed Bowling Green smoke-free ordinance may include exemptions for nursing homes (rationale being that they are a residence) and for tobacco retailers. As distressing as it is to think of nursing home patients & workers exposed for a few residents who still smoke, a tobacco retailer exemption has the potential to increase smoking initiation among youth and & keep young people addicted via the possibility of Hookahs near campus and in the community.

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Madison County is certainly experiencing that near EKUs campus with entrepreneurs hosting outdoor hookah smoking on campus and several businessmen requesting a waiver of their regulation to open Hookah establishments. Madison County BOH currently is in the process of amending their regulation to eliminate the tobacco retailer exemption. I doubt that WKU wants such a scenario in Bowling Green. (In fact I had heard via the grapevine that the owners of the Lexington Hookah near campus were going to open one in Bowling Green but havent heard anything about that recently.) Air Quality testing in Hookahs revealed VERY high levels of fine particulates (see one-pager, attached). Lexington Hookahs continued to meet criteria for exemption as tobacco retailers even after Lexingtons law was strengthened and the required percentage of sales from tobacco was increased. Wanted you all to know what is happening in other places with the tobacco retailer exemption. Thanks and good luck! Carol Riker

Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Phone: 859-323-6615 Fax: 859-323-1057 Cell: 859-619-3776 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu

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From: Hahn, Ellen J Sent: Saturday, January 15, 2011 8:48 AM

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

Good morning, Bowling Green Smoke-free Advocates, I know how committed you are to seeing Bowling Green go smoke-free and how difficult it was in 2007 when the first attempt failed. And I am sure Slim and the Mayor want to do the right thing by taking an ordinance to first reading now given the Mayors departure. Even if they have the votes to pass it this time, though, the risk is that the ordinance could be repealed or weakened by the new Commission. Does anyone know who is likely to replace the mayor or fill the vacancy for commissioner? It looks like Joe Denning will be the new mayor and he wasnt favorable last time. Where does he stand this time? Also, did an attorney draft the ordinance and is he/she favorable? I have asked the state smoke-free core team if anyone is available to assist by reaching out to the elected officials. If any of you can get a copy of the ordinance, we may be able to get it reviewed by our legal team. I do have a copy of what was considered last time, and the legal review. Keep in mind that once the ordinance goes past first reading, it cannot be substantially changed in any way. Also, please keep in mind that there are specific procedures outlined by KRS about special meetings (Slim was quoted as saying the second reading will be done at a special called meeting). We are experiencing a very difficult situation in Northern KY right now that might be helpful to you. First, Kenton County enacted a weak smoke-free ordinance by special meeting. It was delayed because they didnt follow the KRS procedures for special meetings (attached). Also, in the final hour, they amended the ordinance to exempt drinking establishments (and enclosed areas in places that allow alcohol) which will make the law very confusing and difficult to enforce (and it wont protect those most vulnerable). Second, Campbell County enacted a comprehensive ordinance (3-1) right before the holiday, and they are going to first reading to repeal it on Jan. 19. Jan. 1 they had a new group of commissioners who are not favorable. Third, we have seen our strongest, most organized opposition to date in NKY. The Northern Kentucky Tea Party, along with NKY Choice, the KY Libertarian Party, and others have turned out the opposition in large numbers. A few lessons learned from NKY: plan for special meetings (the opposition will try to derail in every way and they are good at it); be sure the new commissioners are in your favor and that there is a plan in place to kill a bad ordinance; and turn out advocates who stick to the health message (and keep tabs on the opposition). Unfortunately, with the holiday weekend upon us, I am unsure exactly what assistance we can provide but I am on email and available by cell phone (859-421-6948) and willing to help in any way. Good luck!! Ellen

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Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease University of Kentucky College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on Twitter and Facebook ! 50_CoN_celebrate_date_oop-email

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

I need your help! I just found out that the Bowling Green City Commission will introduce a Smokefree Indoor Air Ordinance this coming Tuesday, January 18 th , 2011. The meeting begins at 7 pm and the ordinance is the last item out of 13 listed on the agenda. Its time to encourage everyone to come out to the city commission meeting and speak up in favor of the ordinance. It doesnt matter if you are a BG voter. If you work, visit or play in Bowling Green, they need to hear from you. You can be sure that the opposition will be there in full force! I will be contacting those of you specifically on the SF BG Ordinance workgroup to help me with potential business owners/workers to speak at the meeting. The full agenda is listed on the BG City Commission website @ bgky.org/citycommission. If you or someone you know is interested in speaking, please have them get in touch with me.. Hang on.. This is going to be a bumpy ride!!!!

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

file:///C|/...top/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/Congratulations%20on%20first%20reading! html[8/19/2011 2:27:38 AM]

From: Sent: To: Subject:


Dr. Hahn,

Howington, Pat <phowington@louisvil.gannett.com> Friday, August 06, 2010 11:30 AM Hahn, Ellen J Courier-Journal reporter / e-cigarettes

Im working on an article on electronic cigarettes, or e-cigarettes, and Id like to interview you about that subject. I understand from you voicemail message that youll be away from your office until Monday, Aug. 16. Id like to talk to you before then if possible; if it is, please let me know. (Alternatively, is there someone else at UK who shares your opinion of e-cigarettes and can speak knowledgeably about them for my article? If so, please tell me.) Thanks, Patrick Howington The Courier-Journal (502) 582-4229

file:///C|/...FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/Courier-Journal%20reporter%20%20e-cigarettes html[8/19/2011 2:27:39 AM]

From: smokefreecasinos-talk@googlegroups.com on behalf of Smoke-Free Gaming <smokefreegaming@yahoo.com> Sent: Monday, May 10, 2010 2:45 AM To: Smoke-Free Casinos Talk Subject: CT: Foxwoods Selling Electronic Cigarettes

Foxwoods Selling Eletronic Cigarettes


Visitors can have a smoke-free puff By WILLIAM SOKOLIC For The Norwich Bulletin Posted May 08, 2010 @ 12:07 AM Mashantucket, Conn.

Children who want to act grown-up often pretend to smoke candy cigarettes. Nowadays, adults can pretend as well with electronic cigarettes like Cigotine. Foxwoods Resort Casino and its sister property, MGM Grand at Foxwoods, now sell Cigotine kits and cartridges at four retail outlets. The e-cigarette will be permitted in areas now designated as nonsmoking. Its a clean, non-polluting product offering the same experience of a cigarette without releasing second-hand smoke, said Roy Colebut-Ingram, director of advertising for Foxwoods. This marks Cigotines first casino partnership, said Steve Bayonne, CEO of Cigotine LLC. Unlike Atlantic City, where state law limits smoking, casinos in Connecticut are not bound by state or tribal law, but are considered a service for customers, Colebut-Ingram said. Cigotine looks, feels and tastes like a tobacco cigarette, but without the tar, chemicals and negative societal effects associated with smoking, Bayonne said. It comes in varying strengths of nicotine, from zero to 16 mg.
file:///C|/...University%20of%20KY/disc%201/Conley%20request%201/CT%20%20Foxwoods%20Selling%20Electronic%20Cigarettes html[8/19/2011 2:27:41 AM]

Users inhale like a traditional cigarette, then release simulated smoke as an odorless water mist that evaporates, leaving no residue behind. The cartridge is not burned and does not give off ash, smoke or residual odor. Not everyone is convinced of e-cigarettes and their advantages over real ones. Use of these products creates major enforcement challenges to monitor what is or is not a cigarette, said Patrice Bedrosian, state director of communications for the Connecticut office of the American Cancer Society. Use of e-cigarettes in public places turns back years of progress in both creating healthier workplaces and promoting environments that help reduce smoking prevalence. The U.S. Food and Drug Administration examined two different electronic cigarette samples and found they contain carcinogens and toxic chemicals, including an ingredient used in antifreeze that is toxic to humans. The FDA is concerned about the safety of these products and how they are marketed to the public, said Margaret A. Hamburg, M.D., commissioner of food and drugs. Blumenthal: Be wary Connecticut Attorney General Richard Blumenthal said consumers and retailers including tribal casinos should be wary of electronic cigarettes. They remain unapproved by the FDA. Their safety remains questionable at best following the FDA analysis, he said. Any carcinogen in a cartridge should be avoided, even banned, when the full extent of the ingredients and dangers are unknown. The deluxe kit sells for $129.95 at Foxwoods. Cartridges are also for sale at MGM Grands Effects and in Foxwoods at Pequot Trader, Essentials and Outpost.
http://www.norwichbulletin.com/news/x1381034276/Foxwoods-selling-electronic-cigarettes CIGOTINE:
file:///C|/...University%20of%20KY/disc%201/Conley%20request%201/CT%20%20Foxwoods%20Selling%20Electronic%20Cigarettes html[8/19/2011 2:27:41 AM]

https://cigotine.com/home.php SMOKE-FREE GAMING Stephanie Steinberg 730 W. Hampden Ave., #301 Englewood, CO 80110 303-781-5588 Business 303-781-5597 Fax 303-819-3131 CELL http://www.smokefreegaming.org "Breathing is not a choice."
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From: May, Carol Jo <secureMailer.d-1142852UxbHxbUf@bounceback.catholichealth.net> on behalf of May, Carol Jo <CarolMay@catholichealth.net> Sent: Tuesday, April 26, 2011 9:38 AM To: Audreyetta Lawson; Chandler, Renee; Francis, Brenda; Francis, Neva; Jean Rosenberg; Martin, Mary; Martin, Olive; Michelle Hall; Mike Vance; mike.vance@buckhorn.org; rpublisher@aol.com; snider123@windstream.net; Thursa Sloan; Carolyn Lambert; Carter, Edward Lee.; Charlie Joseph; Hahn, Ellen J; Jane.bond928@gmail.com; Jennifer.Martin@floyd.kyschools.us; Kimberly Hall; Lola.Ratliff@floyd.kyschools.us; Melissa Perry; Pat Hites; RWilloughby@mtcomp.org; sellis@hrmc.org; Stephanie Damron; Scott, Theresa M; tfugate@mtcomp.org; Hamilton, Katherina; libby.carter@ky.gov; SIMPSON, REBECCA S; tiffanie.buckner@cancer.org Subject: E cigarette

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FROM: May, Carol Jo SUBJECT: E cigarette

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file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/E%20cigarette.html[8/19/2011 2:27:45 AM]

From: Action on Smoking and Health (ASH) <press@ash.org> Sent: Thursday, April 01, 2010 12:31 PM To: Hahn, Ellen J Subject: E-Cigarette Imports Banned Indefinitely E-Cigarette Imports Banned Indefinitely Court of Appeals Strongly Sides With FDA, Says ASH
The importation of e-cigarettes will be banned indefinitely as the result of a unanimous ruling by the U.S. Court of Appeals. The court agreed to permit their continued import ban while it considered an appeal from a lower court ruling which had prohibited the Food and Drug Administration [FDA] from stopping the imports of this new product, reports public interest law professor John Banzhaf of Action on Smoking and Health (ASH), who participated in the legal proceeding. The court went out of its way in its brief ruling to suggest that the FDA was correct in declaring the product illegal, noting that "appellants [FDA] have satisfied the stringent standards required for a stay pending appeal." These standards require that the party seeking the stay show that it has made a "strong showing that it is likely to prevail on the merits of its appeal" -- in other words, that it is likely correct on the law, and will be the victor when a final decision is announced. The FDA had warned that e-cig use poses "acute health risks," that "the dangers posed by their toxic chemicals . . . cannot seriously be questioned," and that they have caused a wide variety of potentially serious symptoms "including racing pulse, dizziness, slurred speech, mouth ulcers, heartburn, coughing, diarrhea, and sore throat." The FDA had found that samples it tested contained detectable levels of known carcinogens and toxic chemicals to which users could be exposed. The FDA said the toxic chemicals included diethylene glycol, "an ingredient used in antifreeze, [which] is toxic to humans"; "certain tobacco-specific nitrosamines which are human carcinogens"; and that "tobacco-specific impurities suspected of being harmful to humans -- anabasine, myosmine, and B-nicotyrine -- were detected in a majority of the samples tested." The FDA does not currently monitor or license e-cigs, and indeed considers them "illegal." E-cigarette use is banned in no-smoking areas in New Jersey, Virginia, and Suffolk County, NY, and several states -- as well as a few attorneys general -- are pushing to ban their sale to children or otherwise restrict them. E-cigarettes have already been banned in Australia, Brazil, Canada, Israel, Mexico, Panama, and Singapore, and restricted in Denmark, Finland, Malaysia, Netherlands, and New Zealand, and the UK is poised to begin regulating them as drugs. At least two attorneys general have filed law suits to stop the sale of e-cigarettes until they are approved by the FDA, they are being challenged in a class action law suit, and a number of states are also considering restrictions on the sale or use of the novel and unregulated products. PROFESSOR JOHN F. BANZHAF III Professor of Public Interest Law at GWU, FAMRI Dr. William Cahan Distinguished Professor, FELLOW, World Technology Network, and Executive Director and Chief Counsel Action on Smoking and Health (ASH) America's First Antismoking Organization

file:///C|/...IA/Results/University%20of%20KY/disc%201/Conley%20request%201/E-Cigarette%20Imports%20Banned%20Indefinitely.html[8/19/2011 2:27:47 AM]

2013 H Street, NW Washington, DC 20006, USA (202) 659-4310 // (703) 527-8418 http://ash.org/
I8l SofeUnsubscribe This email was sent to ejhahn00@pop.uky.edu by press@ash.org. Instant removal with SafeUnsubscribe | Privacy Policy. Action on Smoking and Health | 2013 H St NW | Washington | DC | 20006

file:///C|/...IA/Results/University%20of%20KY/disc%201/Conley%20request%201/E-Cigarette%20Imports%20Banned%20Indefinitely.html[8/19/2011 2:27:47 AM]

From: Sent: To:

Cc: Subject: Attachments:

Riker, Carol A Tuesday, May 03, 2011 7:50 AM 'rodney mattingly'; Sheila Abell; nancy barker; luke barlowe; kay clark; rita davis; phyllis gentry; suzanne gude; tom harned; Betsy Janes; cleo philon; Judy Richardson; michelle webb; pat whelan; Ben Wiederholt Hahn, Ellen J; Wagner, Kristian K; Mundy, Monica E E-cigarette information e-cig Op Ed Hahn FINAL 4-11.pdf; One_pager ecig_onepager REVISED FINAL 122310.pdf

Dear Nelson County Advocates, Our team is re-invigorating our efforts to bring you periodic informational messages on topics of interest. One topic thats had a lot of play lately is E-cigarettes! In addition to the message below, Ill attach an Op-Ed piece submitted to the Lexington Herald-Leader and our E-cigarette one-pager. Hope the flooding hasnt affected any of you; stay safe, Carol Electronic cigarettes, or e-cigarettes, have recently been aggressively marketed in many Kentucky communities. Sold on the internet, in mall kiosks, in gas stations, and tobacco retail stores, these devices mimic the experience of smoking. The number of products and brands have increased rapidly, becoming a huge business with $100 million in profits. The manufacturers and their trade groups (Big E-Cig) have not proven that the chemicals contained in ecigarettes are safe; yet they say that no one has ever been harmed by using e-cigs. Very limited testing has occurred around the world, some of it funded by the manufacturers themselves. The industry makes empty claims of safety by saying that some of the chemicals in e-cigarettes are used in food or cosmetics. That doesnt mean they are safe to inhale, especially in a workplace situation where many people may be using them at once. Big E-Cig also says that carcinogens occur at similar levels to those in nicotine replacement products, but bystanders dont inhale nicotine patches. WHO (2009) raises concerns about e-cigs that go far beyond any related to nicotine replacement products. Safety for long or short-term use has not been established and there is no evidence that e-cigarettes are effective for cessation. Limited testing has revealed that nicotine levels vary widely which would make their use as a cessation aide unpredictable at best. Meanwhile, Big E-Cig cites online surveys and anecdotal evidence as proof that e-cigs can help people quit. Another safety concern is potential skin exposure to nicotine from the fluid contained in the e-cigarette cartridges. Cartridges have been found to leak and refilling them without getting the liquid on ones skin is difficult. Imagine the possible skin exposure or even ingested nicotine if children play with the device or the cartridges. There are also concerns about how e-cigs will be used and marketed. Potential for dual use with continuing cigarette use is high and will only serve to prolong addiction. Dual use will also slow the change in community norms toward non-smoking. Non-smokers, especially youth, may be attracted to the product as it contains flavorings, and they may become addicted to nicotine, creating new lifetime customers for all products containing nicotine. Meanwhile, e-cig marketing has gone viral; one can become a distributor in a matter of a few minutes on the internet, complete with pamphlets, posters and business cards. The Big E-Cig consumer advocacy front groups spread incomplete and biased information through press releases sent around the country and picked up by newspapers as local stories (in fact, they are ads for the product). Finally, Big E-Cig claims that e-cigarettes can be used legally in smoke-free environments. However, FDA has decided to regulate them as tobacco products and they should be covered by smoke-free policies. In the limited testing that has occurred, nicotine is contained in e-cigarette vapor. That alone is reason enough not to exempt e-cigarettes from smoke-free policies. WHO (2009) agrees, stating that e-cigs should not be allowed until there is adequate evidence that non-smokers will not be exposed to toxic emissions.
file:///C|/...onley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/E-cigarette%20information%202 html[8/19/2011 2:27:47 AM]

E-cigarettes are currently included in the following smoke-free ordinances/regulations in Kentucky: Glasgow, Bardstown, Bullitt County (BOH regulation), and Madison County (BOH regulation). UKs tobacco-free campus policy also covers e-cigarettes.
Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities Faculty Associate, Kentucky Center for Smoke-free Policy 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Cell: 859-619-3776 Office Phone: 859-323-6615 Fax: 859-323-1057 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu

Find kysmokefree on CON 50 yrs logo

and

file:///C|/...onley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/E-cigarette%20information%202 html[8/19/2011 2:27:47 AM]

From: Sent: To:

Cc: Subject: Attachments:

Riker, Carol A Tuesday, May 03, 2011 7:50 AM 'rodney mattingly'; Sheila Abell; nancy barker; luke barlowe; kay clark; rita davis; phyllis gentry; suzanne gude; tom harned; Betsy Janes; cleo philon; Judy Richardson; michelle webb; pat whelan; Ben Wiederholt Hahn, Ellen J; Wagner, Kristian K; Mundy, Monica E E-cigarette information e-cig Op Ed Hahn FINAL 4-11.pdf; One_pager ecig_onepager REVISED FINAL 122310.pdf

Dear Nelson County Advocates, Our team is re-invigorating our efforts to bring you periodic informational messages on topics of interest. One topic thats had a lot of play lately is E-cigarettes! In addition to the message below, Ill attach an Op-Ed piece submitted to the Lexington Herald-Leader and our E-cigarette one-pager. Hope the flooding hasnt affected any of you; stay safe, Carol Electronic cigarettes, or e-cigarettes, have recently been aggressively marketed in many Kentucky communities. Sold on the internet, in mall kiosks, in gas stations, and tobacco retail stores, these devices mimic the experience of smoking. The number of products and brands have increased rapidly, becoming a huge business with $100 million in profits. The manufacturers and their trade groups (Big E-Cig) have not proven that the chemicals contained in ecigarettes are safe; yet they say that no one has ever been harmed by using e-cigs. Very limited testing has occurred around the world, some of it funded by the manufacturers themselves. The industry makes empty claims of safety by saying that some of the chemicals in e-cigarettes are used in food or cosmetics. That doesnt mean they are safe to inhale, especially in a workplace situation where many people may be using them at once. Big E-Cig also says that carcinogens occur at similar levels to those in nicotine replacement products, but bystanders dont inhale nicotine patches. WHO (2009) raises concerns about e-cigs that go far beyond any related to nicotine replacement products. Safety for long or short-term use has not been established and there is no evidence that e-cigarettes are effective for cessation. Limited testing has revealed that nicotine levels vary widely which would make their use as a cessation aide unpredictable at best. Meanwhile, Big E-Cig cites online surveys and anecdotal evidence as proof that e-cigs can help people quit. Another safety concern is potential skin exposure to nicotine from the fluid contained in the e-cigarette cartridges. Cartridges have been found to leak and refilling them without getting the liquid on ones skin is difficult. Imagine the possible skin exposure or even ingested nicotine if children play with the device or the cartridges. There are also concerns about how e-cigs will be used and marketed. Potential for dual use with continuing cigarette use is high and will only serve to prolong addiction. Dual use will also slow the change in community norms toward non-smoking. Non-smokers, especially youth, may be attracted to the product as it contains flavorings, and they may become addicted to nicotine, creating new lifetime customers for all products containing nicotine. Meanwhile, e-cig marketing has gone viral; one can become a distributor in a matter of a few minutes on the internet, complete with pamphlets, posters and business cards. The Big E-Cig consumer advocacy front groups spread incomplete and biased information through press releases sent around the country and picked up by newspapers as local stories (in fact, they are ads for the product). Finally, Big E-Cig claims that e-cigarettes can be used legally in smoke-free environments. However, FDA has decided to regulate them as tobacco products and they should be covered by smoke-free policies. In the limited testing that has occurred, nicotine is contained in e-cigarette vapor. That alone is reason enough not to exempt e-cigarettes from smoke-free policies. WHO (2009) agrees, stating that e-cigs should not be allowed until there is adequate evidence that non-smokers will not be exposed to toxic emissions.
file:///C|/...onley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/E-cigarette%20information%203 html[8/19/2011 2:27:48 AM]

E-cigarettes are currently included in the following smoke-free ordinances/regulations in Kentucky: Glasgow, Bardstown, Bullitt County (BOH regulation), and Madison County (BOH regulation). UKs tobacco-free campus policy also covers e-cigarettes.
Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities Faculty Associate, Kentucky Center for Smoke-free Policy 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Cell: 859-619-3776 Office Phone: 859-323-6615 Fax: 859-323-1057 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu

Find kysmokefree on CON 50 yrs logo

and

file:///C|/...onley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/E-cigarette%20information%203 html[8/19/2011 2:27:48 AM]

From: Sent: To: Cc: Subject:

Riker, Carol A Tuesday, May 03, 2011 7:38 AM Gilson, Katherine B (LHD - Three Rivers Dist); Napier, Allison L (LHD - Three Rivers Dist); georgiaf.heise@ky.gov Hahn, Ellen J; Wagner, Kristian K; Mundy, Monica E E-cigarette Information

Hi Katie, Allison, and Georgia, Our team is re-invigorating our efforts to bring you all periodic informational messages on topics of interest. One topic thats had a lot of play lately is E-cigarettes! In addition to the message below, Ill attach an Op-Ed piece submitted to the Lexington Herald-Leader and our E-cigarette one-pager. Feel free to circulate to any MAPP members who may be interested. Stay safe in all this rain, Carol Electronic cigarettes, or e-cigarettes, have recently been aggressively marketed in many Kentucky communities. Sold on the internet, in mall kiosks, in gas stations, and tobacco retail stores, these devices mimic the experience of smoking. The number of products and brands have increased rapidly, becoming a huge business with $100 million in profits. The manufacturers and their trade groups (Big E-Cig) have not proven that the chemicals contained in e-cigarettes are safe; yet they say that no one has ever been harmed by using e-cigs. Very limited testing has occurred around the world, some of it funded by the manufacturers themselves. The industry makes empty claims of safety by saying that some of the chemicals in e-cigarettes are used in food or cosmetics. That doesnt mean they are safe to inhale, especially in a workplace situation where many people may be using them at once. Big E-Cig also says that carcinogens occur at similar levels to those in nicotine replacement products, but bystanders dont inhale nicotine patches. WHO (2009) raises concerns about e-cigs that go far beyond any related to nicotine replacement products. Safety for long or short-term use has not been established and there is no evidence that e-cigarettes are effective for cessation. Limited testing has revealed that nicotine levels vary widely which would make their use as a cessation aide unpredictable at best. Meanwhile, Big E-Cig cites online surveys and anecdotal evidence as proof that e-cigs can help people quit. Another safety concern is potential skin exposure to nicotine from the fluid contained in the e-cigarette cartridges. Cartridges have been found to leak and refilling them without getting the liquid on ones skin is difficult. Imagine the possible skin exposure or even ingested nicotine if children play with the device or the cartridges. There are also concerns about how e-cigs will be used and marketed. Potential for dual use with continuing cigarette use is high and will only serve to prolong addiction. Dual use will also slow the change in community norms toward non-smoking. Non-smokers, especially youth, may be attracted to the product as it contains flavorings, and they may become addicted to nicotine, creating new lifetime customers for all products containing nicotine. Meanwhile, e-cig marketing has gone viral; one can become a distributor in a matter of a few minutes on the internet, complete with pamphlets, posters and business cards. The Big E-Cig consumer advocacy front groups spread incomplete and biased information through press releases sent around the country and picked up by newspapers as local stories (in fact, they are ads for the product). Finally, Big E-Cig claims that e-cigarettes can be used legally in smoke-free environments. However, FDA has decided to regulate them as tobacco products and they should be covered by smoke-free policies. In the limited testing that has occurred, nicotine is contained in e-cigarette vapor. That alone is reason enough not to exempt e-cigarettes from smoke-free policies. WHO (2009) agrees, stating that e-cigs should not be allowed until there is adequate evidence that non-smokers will not be exposed to toxic emissions.

file:///C|/...onley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/E-cigarette%20Information%204.html[8/19/2011 2:27:49 AM]

E-cigarettes are currently included in the following smoke-free ordinances/regulations in Kentucky: Glasgow, Bardstown, Bullitt County (BOH regulation), and Madison County (BOH regulation). UKs tobacco-free campus policy also covers ecigarettes.

Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities Faculty Associate, Kentucky Center for Smoke-free Policy 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Cell: 859-619-3776 Office Phone: 859-323-6615 Fax: 859-323-1057 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu

Find kysmokefree on CON 50 yrs logo

and

file:///C|/...onley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/E-cigarette%20Information%204.html[8/19/2011 2:27:49 AM]

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

Riker, Carol A Tuesday, May 03, 2011 7:38 AM 'Gilson, Katherine B (LHD - Three Rivers Dist)'; 'Napier, Allison L (LHD - Three Rivers Dist)'; georgiaf.heise@ky.gov Hahn, Ellen J; Wagner, Kristian K; Mundy, Monica E E-cigarette Information e-cig Op Ed Hahn FINAL 4-11.pdf; One_pager ecig_onepager REVISED FINAL 122310.pdf

Hi Katie, Allison, and Georgia, Our team is re-invigorating our efforts to bring you all periodic informational messages on topics of interest. One topic thats had a lot of play lately is E-cigarettes! In addition to the message below, Ill attach an Op-Ed piece submitted to the Lexington Herald-Leader and our E-cigarette one-pager. Feel free to circulate to any MAPP members who may be interested. Stay safe in all this rain, Carol Electronic cigarettes, or e-cigarettes, have recently been aggressively marketed in many Kentucky communities. Sold on the internet, in mall kiosks, in gas stations, and tobacco retail stores, these devices mimic the experience of smoking. The number of products and brands have increased rapidly, becoming a huge business with $100 million in profits. The manufacturers and their trade groups (Big E-Cig) have not proven that the chemicals contained in e-cigarettes are safe; yet they say that no one has ever been harmed by using e-cigs. Very limited testing has occurred around the world, some of it funded by the manufacturers themselves. The industry makes empty claims of safety by saying that some of the chemicals in e-cigarettes are used in food or cosmetics. That doesnt mean they are safe to inhale, especially in a workplace situation where many people may be using them at once. Big E-Cig also says that carcinogens occur at similar levels to those in nicotine replacement products, but bystanders dont inhale nicotine patches. WHO (2009) raises concerns about e-cigs that go far beyond any related to nicotine replacement products. Safety for long or short-term use has not been established and there is no evidence that e-cigarettes are effective for cessation. Limited testing has revealed that nicotine levels vary widely which would make their use as a cessation aide unpredictable at best. Meanwhile, Big E-Cig cites online surveys and anecdotal evidence as proof that e-cigs can help people quit. Another safety concern is potential skin exposure to nicotine from the fluid contained in the e-cigarette cartridges. Cartridges have been found to leak and refilling them without getting the liquid on ones skin is difficult. Imagine the possible skin exposure or even ingested nicotine if children play with the device or the cartridges. There are also concerns about how e-cigs will be used and marketed. Potential for dual use with continuing cigarette use is high and will only serve to prolong addiction. Dual use will also slow the change in community norms toward non-smoking. Non-smokers, especially youth, may be attracted to the product as it contains flavorings, and they may become addicted to nicotine, creating new lifetime customers for all products containing nicotine. Meanwhile, e-cig marketing has gone viral; one can become a distributor in a matter of a few minutes on the internet, complete with pamphlets, posters and business cards. The Big E-Cig consumer advocacy front groups spread incomplete and biased information through press releases sent around the country and picked up by newspapers as local stories (in fact, they are ads for the product). Finally, Big E-Cig claims that e-cigarettes can be used legally in smoke-free environments. However, FDA has decided to regulate them as tobacco products and they should be covered by smoke-free policies. In the limited testing that has occurred, nicotine is contained in e-cigarette vapor. That alone is reason enough not to exempt e-cigarettes from smoke-free policies. WHO (2009) agrees, stating that e-cigs should not be allowed until there is adequate evidence that non-smokers will not be exposed to toxic emissions.
file:///C|/...onley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/E-cigarette%20Information%205.html[8/19/2011 2:27:50 AM]

E-cigarettes are currently included in the following smoke-free ordinances/regulations in Kentucky: Glasgow, Bardstown, Bullitt County (BOH regulation), and Madison County (BOH regulation). UKs tobacco-free campus policy also covers ecigarettes.

Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities Faculty Associate, Kentucky Center for Smoke-free Policy 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Cell: 859-619-3776 Office Phone: 859-323-6615 Fax: 859-323-1057 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu

Find kysmokefree on CON 50 yrs logo

and

file:///C|/...onley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/E-cigarette%20Information%205.html[8/19/2011 2:27:50 AM]

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

Riker, Carol A Tuesday, May 03, 2011 7:38 AM 'Gilson, Katherine B (LHD - Three Rivers Dist)'; 'Napier, Allison L (LHD - Three Rivers Dist)'; georgiaf.heise@ky.gov Hahn, Ellen J; Wagner, Kristian K; Mundy, Monica E E-cigarette Information e-cig Op Ed Hahn FINAL 4-11.pdf; One_pager ecig_onepager REVISED FINAL 122310.pdf

Hi Katie, Allison, and Georgia, Our team is re-invigorating our efforts to bring you all periodic informational messages on topics of interest. One topic thats had a lot of play lately is E-cigarettes! In addition to the message below, Ill attach an Op-Ed piece submitted to the Lexington Herald-Leader and our E-cigarette one-pager. Feel free to circulate to any MAPP members who may be interested. Stay safe in all this rain, Carol Electronic cigarettes, or e-cigarettes, have recently been aggressively marketed in many Kentucky communities. Sold on the internet, in mall kiosks, in gas stations, and tobacco retail stores, these devices mimic the experience of smoking. The number of products and brands have increased rapidly, becoming a huge business with $100 million in profits. The manufacturers and their trade groups (Big E-Cig) have not proven that the chemicals contained in e-cigarettes are safe; yet they say that no one has ever been harmed by using e-cigs. Very limited testing has occurred around the world, some of it funded by the manufacturers themselves. The industry makes empty claims of safety by saying that some of the chemicals in e-cigarettes are used in food or cosmetics. That doesnt mean they are safe to inhale, especially in a workplace situation where many people may be using them at once. Big E-Cig also says that carcinogens occur at similar levels to those in nicotine replacement products, but bystanders dont inhale nicotine patches. WHO (2009) raises concerns about e-cigs that go far beyond any related to nicotine replacement products. Safety for long or short-term use has not been established and there is no evidence that e-cigarettes are effective for cessation. Limited testing has revealed that nicotine levels vary widely which would make their use as a cessation aide unpredictable at best. Meanwhile, Big E-Cig cites online surveys and anecdotal evidence as proof that e-cigs can help people quit. Another safety concern is potential skin exposure to nicotine from the fluid contained in the e-cigarette cartridges. Cartridges have been found to leak and refilling them without getting the liquid on ones skin is difficult. Imagine the possible skin exposure or even ingested nicotine if children play with the device or the cartridges. There are also concerns about how e-cigs will be used and marketed. Potential for dual use with continuing cigarette use is high and will only serve to prolong addiction. Dual use will also slow the change in community norms toward non-smoking. Non-smokers, especially youth, may be attracted to the product as it contains flavorings, and they may become addicted to nicotine, creating new lifetime customers for all products containing nicotine. Meanwhile, e-cig marketing has gone viral; one can become a distributor in a matter of a few minutes on the internet, complete with pamphlets, posters and business cards. The Big E-Cig consumer advocacy front groups spread incomplete and biased information through press releases sent around the country and picked up by newspapers as local stories (in fact, they are ads for the product). Finally, Big E-Cig claims that e-cigarettes can be used legally in smoke-free environments. However, FDA has decided to regulate them as tobacco products and they should be covered by smoke-free policies. In the limited testing that has occurred, nicotine is contained in e-cigarette vapor. That alone is reason enough not to exempt e-cigarettes from smoke-free policies. WHO (2009) agrees, stating that e-cigs should not be allowed until there is adequate evidence that non-smokers will not be exposed to toxic emissions.
file:///C|/...onley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/E-cigarette%20Information%206.html[8/19/2011 2:27:50 AM]

E-cigarettes are currently included in the following smoke-free ordinances/regulations in Kentucky: Glasgow, Bardstown, Bullitt County (BOH regulation), and Madison County (BOH regulation). UKs tobacco-free campus policy also covers ecigarettes.

Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities Faculty Associate, Kentucky Center for Smoke-free Policy 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Cell: 859-619-3776 Office Phone: 859-323-6615 Fax: 859-323-1057 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu

Find kysmokefree on CON 50 yrs logo

and

file:///C|/...onley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/E-cigarette%20Information%206.html[8/19/2011 2:27:50 AM]

From: Sent: To:

Cc: Subject:

Riker, Carol A Tuesday, May 03, 2011 7:50 AM rodney mattingly; Sheila Abell; nancy barker; luke barlowe; kay clark; rita davis; phyllis gentry; suzanne gude; tom harned; Betsy Janes; cleo philon; Judy Richardson; michelle webb; pat whelan; Ben Wiederholt Hahn, Ellen J; Wagner, Kristian K; Mundy, Monica E E-cigarette information

Dear Nelson County Advocates, Our team is re-invigorating our efforts to bring you periodic informational messages on topics of interest. One topic thats had a lot of play lately is E-cigarettes! In addition to the message below, Ill attach an Op-Ed piece submitted to the Lexington Herald-Leader and our E-cigarette one-pager. Hope the flooding hasnt affected any of you; stay safe, Carol Electronic cigarettes, or e-cigarettes, have recently been aggressively marketed in many Kentucky communities. Sold on the internet, in mall kiosks, in gas stations, and tobacco retail stores, these devices mimic the experience of smoking. The number of products and brands have increased rapidly, becoming a huge business with $100 million in profits. The manufacturers and their trade groups (Big E-Cig) have not proven that the chemicals contained in ecigarettes are safe; yet they say that no one has ever been harmed by using e-cigs. Very limited testing has occurred around the world, some of it funded by the manufacturers themselves. The industry makes empty claims of safety by saying that some of the chemicals in e-cigarettes are used in food or cosmetics. That doesnt mean they are safe to inhale, especially in a workplace situation where many people may be using them at once. Big E-Cig also says that carcinogens occur at similar levels to those in nicotine replacement products, but bystanders dont inhale nicotine patches. WHO (2009) raises concerns about e-cigs that go far beyond any related to nicotine replacement products. Safety for long or short-term use has not been established and there is no evidence that e-cigarettes are effective for cessation. Limited testing has revealed that nicotine levels vary widely which would make their use as a cessation aide unpredictable at best. Meanwhile, Big E-Cig cites online surveys and anecdotal evidence as proof that e-cigs can help people quit. Another safety concern is potential skin exposure to nicotine from the fluid contained in the e-cigarette cartridges. Cartridges have been found to leak and refilling them without getting the liquid on ones skin is difficult. Imagine the possible skin exposure or even ingested nicotine if children play with the device or the cartridges. There are also concerns about how e-cigs will be used and marketed. Potential for dual use with continuing cigarette use is high and will only serve to prolong addiction. Dual use will also slow the change in community norms toward non-smoking. Non-smokers, especially youth, may be attracted to the product as it contains flavorings, and they may become addicted to nicotine, creating new lifetime customers for all products containing nicotine. Meanwhile, e-cig marketing has gone viral; one can become a distributor in a matter of a few minutes on the internet, complete with pamphlets, posters and business cards. The Big E-Cig consumer advocacy front groups spread incomplete and biased information through press releases sent around the country and picked up by newspapers as local stories (in fact, they are ads for the product). Finally, Big E-Cig claims that e-cigarettes can be used legally in smoke-free environments. However, FDA has decided to regulate them as tobacco products and they should be covered by smoke-free policies. In the limited testing that has occurred, nicotine is contained in e-cigarette vapor. That alone is reason enough not to exempt e-cigarettes from smoke-free policies. WHO (2009) agrees, stating that e-cigs should not be allowed until there is adequate evidence that non-smokers will not be exposed to toxic emissions.

file:///C|/...%20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/E-cigarette%20information html[8/19/2011 2:27:51 AM]

E-cigarettes are currently included in the following smoke-free ordinances/regulations in Kentucky: Glasgow, Bardstown, Bullitt County (BOH regulation), and Madison County (BOH regulation). UKs tobacco-free campus policy also covers e-cigarettes.
Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities Faculty Associate, Kentucky Center for Smoke-free Policy 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Cell: 859-619-3776 Office Phone: 859-323-6615 Fax: 859-323-1057 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu

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and

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From: Public Interest Law Professor John Banzhaf <press@ash.org> Sent: Tuesday, October 19, 2010 9:36 AM To: Hahn, Ellen J Subject: E-Cigarette "Just as Bad," Proclaims Health Ministry E-Cigarettes "Just as Bad," Proclaims Health Ministry Product Regulated as a "Poison" in Malaysia
E-cigarettes [e-cigs] are "just as bad" as conventional tobacco cigarettes, says the Health Ministry of Malaysia, noting that "there is concern this nicotine delivery to the human lung might result in stronger toxicological, physiological and addictive effects, and this must be addressed in scientific studies." Further, they are dangerous to the public health because they "might be used to perpetuate smoking by sustaining nicotine dependence in environments where smoking is prohibited." This, indeed, is the same result as a recent study which suggested that the widespread use of e-cigs could cause a 25% increased death rate, even if they were somewhat safer for the individual user, because people who would otherwise be forced to quit could continue to smoke, and many nonsmokers - especially teens - would be attracted to the new product and become addicted to nicotine. http://www.prlog.org/10852320cigarettes-or-snus-may-cost-not-save-lives-study.html The Malaysian government has declared that nicotine is a Group C Poison within the Poisons Act 1952 (Act 366), where it can only be sold or supplied by an authorized licensed individual under the provisions of Section 22. Since none of the e-cigs have been registered, "the public are strongly advised not to purchase any e-cigarette, which is very costly. The product on sale now is not legal and more importantly, there is a major lack of certainty with regards to its safety and effectiveness." E-cigs have reportedly been banned in Australia, Brazil, Canada, Israel, Denmark, Finland, Italy, Mexico, New Zealand, Norway, Panama, and Taiwan, restricted in Singapore, are pending restriction in the UK as a drug, and the subject of law suits by attorneys general in several states, says public interest law professor John Banzhaf, Executive Director of Action on Smoking and Health (ASH). In the U.S., the Food and Drug Administration [FDA], which found that e-cigs pose "acute health risks," and that the "danger posed by the unrestricted distribution of [these] unregulated products containing toxic chemicals cannot seriously be questioned," has warned major companies that their product is "illegal." More recently the Air Force joined New Jersey and Suffolk County, NY, in banning the use of e-cigs wherever smoking is prohibited. The Surgeon General of the Air Force has determined that "no studies have been done to demonstrate the safety or effectiveness of these products as tobacco cessation aids, and they are not approved by the FDA as a drug delivery device. . . .. Due to the nature, appearance and safety concerns of electronic cigarettes, they are considered to be in the same category of tobacco products." PROFESSOR JOHN F. BANZHAF III Professor of Public Interest Law at GWU, FAMRI Dr. William Cahan Distinguished Professor, FELLOW, World Technology Network, and Executive Director and Chief Counsel Action on Smoking and Health (ASH) America's First Antismoking Organization 2013 H Street, NW
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Washington, DC 20006, USA (202) 659-4310 // (703) 527-8418 Internet: http://ash.org/ Twitter: http://twitter.com/AshOrg
I8l SofeUnsubscribe This email was sent to ejhahn00@pop.uky.edu by press@ash.org. Instant removal with SafeUnsubscribe | Privacy Policy. Law Professor John Banzhaf | 2013 H St NW | Washington | DC | 20006

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

Riker, Carol A Thursday, January 06, 2011 6:34 PM Owens, Kelly S (LHD - Madison Co); Hawkins, Ruth R (LHD-Madison Co) Hahn, Ellen J; Johnson, John D; Mundy, Monica E E-cigarette references for BOH member

I think I neglected to copy Ruth earlier on the Thirdhand Smoke & FDA info I sent. Can you forward that to Ruth, Kelly, or do you need for me resend? Ill send the other references on the e-cig one-pager with this email. (You can access the ASH website for that one.) Let us know how things go and if we can help. Carol

Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Phone: 859-323-6615 Fax: 859-323-1057 Cell: 859-619-3776 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu

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

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From: Sent: To: Subject: Hello Ellen,

Grana, Rachel <Rachel.Grana@ucsf.edu> Thursday, April 07, 2011 2:13 PM Hahn, Ellen J e-cigarette research

I just got the message you left on my voicemail. I hope I can help you before the meeting, which sounded like it may occur tonight. I am very interested to hear about your work and would really like to talk with you. Recently, I have been focused on the marketing and Web-presence of e-cigarettes, but I actually started my project on the origins of the emerging e-cigarette industry, including the trade group you mentioned, CASAA. Please feel free to contact me by email, phone (415-476-1570) at any time. Thank you, Rachel Rachel Grana, PhD, MPH Postdoctoral Research Fellow University of California, San Francisco Center for Tobacco Control Research & Education 530 Parnassus Avenue, Ste. 366 San Francisco, CA 94143-1390 415.476.1570 (office) 415.514.9345 (fax) rachel.grana@ucsf.edu

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From: Darville, Audrey K Sent: Wednesday, May 04, 2011 7:59 PM To: Hahn, Ellen J; Riker, Carol A; Owens, Kelly S (LHD - Madison Co) Subject: e-cigarettes Kelly, The e-cig manufacturers have skillfully strategized to place these products in a regulatory loophole. The FDA only recently decided not to pursue an appeal of the decision to have them regulated as tobacco products rather than drug delivery devices. But exactly what regulation as tobacco products entails is still being sorted out as there are so many concerns regarding e-cigs that go beyond promotion as a cessation product: flavorings that make them appealing to youth, use in the delivery of other drugs and identifying the safety of what is actually in the cartridges, and child-proofing concerns with packaging of cartridges that can break and cause toxic exposure to concentrated levels of nicotine, to name a few. That said, there is also a voice within the cessation community that e-cigs may have some value as a cessation product if properly tested and regulated. Sorry, there's no easy answers at the moment related to regulation of these devices. However the concerns seem to carry enough validity that many tobacco-free institutions are banning their use based on the reasonable assumption that these products will need to have a proven safety record before the industry claims are accepted. Audrey Audrey Darville, APRN, CTTS, PhD candidate Certified Tobacco Treatment Specialist UKHealthCare University of Kentucky 450 F College of Nursing Lexington, KY 40536-0284 859-323-4222 audrey.darville@uky.edu -----Original Message----From: Hahn, Ellen J Sent: Wednesday, May 04, 2011 5:40 PM To: Riker, Carol A; Owens, Kelly S (LHD - Madison Co) Cc: Darville, Audrey K Subject: RE: Animoto - Vaapor-Stix radio debut Kelly--The FDA plans to regulate ecigs as a tobacco product but they have not yet done so. FDA is still trying to get its act together in regulating traditional tobacco products, so I expect it will take awhile. The advertising regulations were in place for traditional tobacco products, and I don't know how quickly they will move to regulate ecigs, or if the restrictions in place for traditional cigs will automatically apply to ecigs. You could get on the FDA site and pose these questions. Audrey may have other information. Hang in there, Ellen Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease University of Kentucky College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232
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859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on and

-----Original Message----From: Riker, Carol A Sent: Wednesday, May 04, 2011 11:09 AM To: Owens, Kelly S (LHD - Madison Co) Cc: Hahn, Ellen J; Darville, Audrey K Subject: RE: Animoto - Vaapor-Stix radio debut Good question... I'll have to look into that. Carol -----Original Message----From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov] Sent: Wednesday, May 04, 2011 11:06 AM To: Centers, Irene (CHFS HPB-Health Promotions); Beauchamp, Jan (CHFS HPB-Health Promotions); Riker, Carol A; Hahn, Ellen J Subject: Animoto - Vaapor-Stix radio debut Importance: High http://animoto.com/play/q0EBgn6zRqIkFCAhIwCtVQ Vapor Stix (our local e-cig vendor) has a radio ad that is getting lots of air time. (VERY EXPENSIVE...) My question is, w/ these devices now being under FDA regulation as a tobacco product, do the same rules regarding advertising apply? Kelly S. Owens, MPH, CHES Tobacco Prevention and Cessation Specialist/Health Educator III/CPS Technician Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043 Web Address: http://www.madisoncountyhealthdept.org/ Need Help Quitting? http://www.becomeanex.org/

P Please consider the environment before printing this e-mail

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From: Sent: To: Cc: Subject: Attachments: Follow Up Flag: Flag Status:
Dear Ms. Owens:

Elaine Keller <ekeller@casaa.org> Monday, March 21, 2011 5:51 PM kellys.owens@ky.gov Hahn, Ellen J; kellys.owens@ky.gov; board@casaa.org; mchd@madisoncountyhealthdept.org E-Cigarettes and Smoke-free Policies E-cigarettes_and_Smoke-free_Policies.pdf Follow up Flagged

The Consumer Advocates for Smoke-free Alternatives Association (CASAA) is pleased to be able to provide you with information regarding research on electronic cigarettes. CASAA is a non-profit organization that works to ensure the availability of reduced harm alternatives to smoking and to provide smokers and non-smokers alike with truthful information about such alternatives. The document E-cigarettes and Smoke-free Policies posted on the Madison County Health Department web site (http://www.madisoncountyhealthdept.org/Documents/Community/One-pager%20ecigarettes%20and%20Secondhand%20Smoke%20EH%20112110.pdf) contains many inaccuracies. Only one of the sources (Trtchounian et al, 2010) describes the findings of research conducted on electronic cigarettes. The remaining sources include a press release, opinion pieces, and research conducted on smoke. This document appears to be based on a document of the same name produced by the Tobacco Policy Research Program at the University of Kentucky, so I am copying Ellen Hahn on this message as well. Bullet points in the document regarding the FDAs testing of 18 cartridges are based on an FDA press conference, rather than the on the laboratory report issued by the scientist who conducted the testing.

http://www.fda.gov/downloads/Drugs/ScienceResearch/UCM173250.pdf

Inaccurate statements were lifted verbatim from the press release, e.g. they contain carcinogens and toxic chemicals such as diethylene glycol, an ingredient used in antifreeze. The truth of the matter is that the 8 nanograms of tobacco-specific nitrosamines (TSNAs) found in the liquid of a high dose cartridge are no more likely to cause cancer than the 8 nanograms of the very same TSNAs in a 21-mg Nicoderm patch. No TSNAs were detected in the vapor. There was only one potentially toxic chemical found, again in the liquid but not the vapor. However, the quantity of diethylene glycol (DEG) that the FDA measured was 0.01 ml -- thousands of times below the toxic level of 1 ml per kg. Screening for tobacco-specific impurities in the vapor was negative except for a non-toxic quantity of -Nicotyrine. When you compare the lab report to statements in the press release, it becomes obvious that the FDA found nothing in the ecigarettes tested that would endanger health. However, the Agency used inflammatory wording in its press conference to make it appear as though the using an e-cigarette is more dangerous than continuing to smoke. That is egregious behavior on the part of officials of an Agency charged with protection of public health. Henningfield and Zaatari might suspect that e-cigarettes emit carcinogens, but the scientists who actually studied the vapor have found no carcinogens--or any other harmful substance--in vapor. One such scientist is Dr. Murray Laugesen of Health New Zealand who has been studying e-cigarettes for over four years. He states, Lacking any active ingredient or any gaseous

products of combustion, the PG mist or smoke is not harmful to bystanders. More than one researcher has found that ecigarette vapor contains only one-tenth the amount of nicotine as a puff of tobacco smoke, and most of the nicotine is absorbed by the user, rather than exhaled. Sliemans research was conducted on smoke residue. Including bullet points that imply Sliemans study results are applicable to e-cigarette vapor is a gross misrepresentation of the science. In 1990, there were 43.8 million smokers. Twenty years later that number stands at over 46 million smokers. The smoking prevalence statistics and the smoking cessation rates tell us quite clearly that a more effective approach is needed. In Harm

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Reduction in Nicotine Addiction: Helping Smokers Who Cant Quit, a 2007 report by the Tobacco Advisory Group for the Royal College of Physicians, the authors discuss the relative harm of different nicotine products. They state that many lives could be saved and much morbidity prevented if we recommended that smokers substitute less hazardous alternatives for smoking. All of the smoking cessation programs in existence today are based on the concept of imposing nicotine abstinence--an approach that does not work for the overwhelming majority of smokers. When used as directed, to wean down and off nicotine, the FDA-approved products have a 7% success rate at 6 months, dropping to 5% at one year, and only 2% after 20 months. (Moore D, Aveyard P, Connock, M, Wang D, Fry-Smith A, Barton P: Effectiveness and safety of nicotine replacement therapy assisted reduction to stop smoking: systematic review and meta-analysis. BMJ 338:b1024 2009.) The success rates reported in surveys of e-cigarette users indicate that the harm reduction approach is much more effective than the nicotine abstinence approach. In studies limited to a single product, success rates of 31% have been reported (Siegel, et al. Electronic Cigarettes as a Smoking-Cessation Tool: Results from an Online Survey. American Journal of Preventive Medicine. http://www.ajpm-online.net/webfiles/images/journals/amepre/AMEPRE3013.pdf).

Im sure you will agree that a 6-month point prevalence rate of smoking abstinence of 31% is superior to a 7% rate of smoking abstinence.
Now what happens if you dont limit users to a single product, allow them to find the combination of hardware and liquid that works best for them, and provide advice and assistance by an online community of experienced users? Success rates soar. A survey of 270 e-cigarette consumers (303 before excluding possible duplicates) found that 100% smoked before starting to use the e-cigarette, 92% had tried to stop smoking63% trying 4 or more times to do so, and 87% had tried pharmaceutical nicotine products. Only 1% reported that pharmaceutical products helped them to stop smoking permanently. How well did the e-cigarette work? Only 3% were using the product in addition to smoking, 15% were using them as a partial replacement for smoking, and an astonishing 82% were using them as a complete replacement for smoking.

Which would save more lives? If a range of 2% to 7% of smokers can quit nicotine altogether, or if a range of 31% to 82% of smoker are able to abstain from smoking but use a less hazardous alternative source of nicotine?
In the case of Smoking Everywhere and Sottera (dba NJOY) versus the U.S. Food and Drug Administration, the Honorable Richard J. Leon, of the U.S. District Court for the District of Columbia stated that the FDA failed to provide any evidence that the products have harmed anyone. Since that opinion was issued, millions more of the products have been sold; and to date there have been zero reports of any serious adverse event. Side effects reported are no different from those reported with use of FDA-approved nicotine products. Both the lower court and the U.S. District Court of Appeals for the District of Columbia have issued opinions that, as long as vendors make no claims that electronic cigarettes can cure or treat a disease, the FDA cannot regulate the products as a drug or drug-delivery device combination under the Food Drug and Cosmetics Act. If electronic cigarettes are marketed without health claims, the FDA can use the authority granted under the Family Smoking Prevention and Tobacco Control Act to regulate ecigarettes as tobacco products.

There is no evidence that vapor presents any sort of danger to bystanders. In fact the same surveys that report exceptional rates of smoking abstinence with e-cigarette use also report that more than 90% of users are experiencing health improvements. Given that fact, how could the vapor they exhale possibly endanger the health of bystanders? When continuing smokers see electronic cigarette users staying in a nice, climate-controlled environment while they are exiled outside to the elements, this observation can serve as a powerful incentive. They may think, Why not give e-cigarettes

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a try? Many e-cigarette users at first had no intention of quitting smoking. But once they began using an e-cigarette, they no longer had any urge to smoke.
CASAA has revised E-cigarettes and Smoke-free Policies to provide a more accurate picture of the scientific facts about ecigarettes. A copy is attached. I have sent a printed copy of this document to members of the Madison County Board of Health. Feel free to contact me with any questions you might have. Very truly yours, Elaine Keller CASAA Vice President http://www.casaa.org (703) 244-8692

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From: Public Interest Law Professor John Banzhaf <press@ash.org> Sent: Monday, September 20, 2010 7:41 AM To: Hahn, Ellen J Subject: E-Cigarettes Banned on Domestic Flights

E-Cigarettes Banned on Domestic Flights


Passengers Protected From Toxins, Carcinogens, Mutagens
Despite frequent claims by e-cigarette [e-cig] sellers that their product can be used to self administer nicotine on airplanes where smoking is prohibited, all U.S. domestic airlines ban the use of these untested products which the Food and Drug Administration [FDA] has declared are illegal, reports public interest law professor John Banzhaf, Executive Director of Action on Smoking and Health (ASH), who led the campaign to ban their use in flight. http://www.aolnews.com/health/article/despite-adclaims-you-cant-smoke-e-cigarettes-on-a-plane-and-they-wont-cure-ed/19633988 E-cigs give off a vapor which is a mixture of nicotine (a deadly and addictive drug which can contribute to fatal heart attacks), propylene glycol (a respiratory irritant used in antifreeze and known to cause respiratory tract infections), and other substances the FDA has labeled "carcinogenic" and "toxic." It appears that these same substances are then also exhaled where those around the user -- including the elderly, those with special sensitivities, as well as infants and toddlers -- are also forced to inhale them. Previously the FDA had warned that: e-cigs pose "acute health risks" which "cannot seriously be questioned" because they contain "toxic chemicals." It also said that: * e-cigarette users suffer from a wide variety of potentially serious symptoms "including racing pulse, dizziness, slurred speech, mouth ulcers, heartburn, coughing, diarrhea, and sore throat" * "nicotine [one of the two major chemicals used in the product] in high doses can be dangerous and even fatal" * the toxic chemical diethylene glycol was found in the e-cigarettes which were tested * various mutagenic, carcinogenic, and genotoxic chemicals were also present in the products * the cartridges containing the nicotine and other toxic chemicals, many of which come from China, are subject to "none of the manufacturing controls required for FDAapproved nicotine-delivery products" [like nicotine gum, patches, inhalers, sprays, etc.]. Subsequent to the FDA's warning, independent scientists have warned about additional potential dangers to users of e-cigs: www.newsrx.com/press-releases/11551.html The Air Force, and the Marine base at Quantico, have joined other jurisdictions in banning the use of e-cigarettes [e-cigs] at least in the workplace, citing the potential health dangers to users from toxic chemicals as set forth in a memo by the Air Force Surgeon General. He also noted a concern originally expressed by ASH that these "illegal" devices can also be used to surreptitiously administer drugs other than nicotine. ASH had previously reported ads for e-cigs which administer Cialis and "potent" marijuana. www.cigarettesreviews.com/fda-may-ban-marijuana-e-cigarettes As the Surgeon General's memo warned: "Commanders also need to be aware that the cartridges used in these devices are replaceable and could be used to discreetly deliver substances other than nicotine."

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New Jersey and Suffolk County, NY, have banned the use of e-cigs wherever smoking is prohibiting, and New York as well as several other states are considering similar bans. Many countries have also banned or severely restricted the sale of the product outright, as have several states. Banzhaf, who first forced airlines to provide no-smoking sections, and ultimately to ban smoking entirely, said that the health advantages these bans brought should not be subverted by an untested product which forced persons in the vicinity of the user to inhale nicotine, propylene glycol, and a host of other toxic, mutagenic, and genotoxic substances, and thereby serve as guinea pigs. PROFESSOR JOHN F. BANZHAF III Professor of Public Interest Law at GWU, FAMRI Dr. William Cahan Distinguished Professor, FELLOW, World Technology Network, and Executive Director and Chief Counsel Action on Smoking and Health (ASH) America's First Antismoking Organization 2013 H Street, NW Washington, DC 20006, USA (202) 659-4310 // (703) 527-8418 Internet: http://ash.org/ Twitter: http://twitter.com/AshOrg
This email was sent to ejhahn00@pop.uky.edu by press@ash.org. Instant removal with SafeUnsubscribe | Privacy Policy. Law Professor John Banzhaf | 2013 H St NW | Washington | DC | 20006

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From: Public Interest Law Professor John Banzhaf <press@ash.org> Sent: Thursday, October 14, 2010 9:21 AM To: Hahn, Ellen J Subject: E-Cigarettes Hit With New Patent Infringement Threat E-Cigarettes Hit With Patent Infringement Threat Effect Could Further Disrupt Industry Already Under Fire
The trade association for the electronic cigarette [e-cig] industry reportedly has been advised by a law firm claiming to have a patent covering all e-cig products that it intends to prevent the sale of such products which are not licensed, notes Action on Smoking and Health (ASH), America's first antismoking organization. Although the initial communication referred specifically to enforcement of the patent claims only against e-cig vendors and importers throughout the European Union and Norway, its actions could ultimately spread to other countries, including the U.S. Meanwhile, in the U.S., the Food and Drug Administration [FDA] has just sent a letter to several leading e-cig companies, warning them that their products are drug-delivery devices which cannot be sold without FDA approval. Several attorneys general have brought law suits - some already successful - to prevent the sale of e-cigs without FDA approval, and legislation aimed at the same result is pending in New York and other states. E-cigs have already been banned in Australia, Brazil, Canada, Israel, Mexico, New Zealand, and Singapore, restricted in Finland and Malaysia, are pending restriction in the UK as a drug, and the subject of law suits - including a class action - in several states. In part as a result of urging by ASH, New Jersey and Suffolk County, NY, have prohibited their use in no-smoking sections, and their use is prohibited on U.S. airlines. The FDA has warned that: e-cigs pose "acute health risks" which "cannot seriously be questioned" because they contain "toxic chemicals." It also said that: * e-cigarette users suffer from a wide variety of potentially serious symptoms "including racing pulse, dizziness, slurred speech, mouth ulcers, heartburn, coughing, diarrhea, and sore throat" * "nicotine [one of the two major chemicals used in the product] in high doses can be dangerous and even fatal" * the toxic chemical diethylene glycol was found in the e-cigarettes which were tested * various mutagenic, carcinogenic, and genotoxic chemicals were also present in the products * the cartridges containing the nicotine and other toxic chemicals, many of which come from China, are subject to "none of the manufacturing controls required for FDAapproved nicotine-delivery products" [like nicotine gum, patches, inhalers, sprays, etc.]. The Air Force, and the Marine base at Quantico, have joined other jurisdictions in banning the use of e-cigarettes [e-cigs] at least in the workplace, citing the potential health dangers to users from toxic chemicals as set forth in a memo by the Air Force Surgeon General. The Surgeon General also noted a concern originally expressed by ASH that these devices can also be used to surreptitiously administer drugs other than nicotine. ASH had previously reported ads for e-cigs which administer Cialis and also "potent" marijuana.

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As the Surgeon General's memo warned: "Commanders also need to be aware that the cartridges used in these devices are replaceable and could be used to discreetly deliver substances other than nicotine." ASH, which serves as the legal action arm of the antismoking community, has warned e-cig sellers, and those companies which aid and abet them, of their potential liability for selling a product which the FDA has determined is "illegal." PROFESSOR JOHN F. BANZHAF III Professor of Public Interest Law at GWU, FAMRI Dr. William Cahan Distinguished Professor, FELLOW, World Technology Network, and Executive Director and Chief Counsel Action on Smoking and Health (ASH) America's First Antismoking Organization 2013 H Street, NW Washington, DC 20006, USA (202) 659-4310 // (703) 527-8418 Internet: http://ash.org/ Twitter: http://twitter.com/AshOrg
This email was sent to ejhahn00@pop.uky.edu by press@ash.org. Instant removal with SafeUnsubscribe | Privacy Policy. Law Professor John Banzhaf | 2013 H St NW | Washington | DC | 20006

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E-cigarettes in Madison

From: Kocher, Charles (Greg) - Lexington <gkocher1@herald-leader.com> Sent: Wednesday, April 06, 2011 11:09 AM To: Riker, Carol A Cc: Kocher, Charles (Greg) - Lexington Subject: E-cigarettes in Madison

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

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From: Owens, Kelly S (LHD - Madison Co) <KellyS.Owens@ky.gov> Sent: Monday, April 11, 2011 9:22 AM To: Hawkins, Ruth R (LHD-Madison Co); Crewe, Nancy M (LHD-Madison Co); Green, Christie L (LHD-Madison Co); Centers, Irene (CHFS HPB-Health Promotions); Beauchamp, Jan (CHFS HPB-Health Promotions); Riker, Carol A; michael.ballard@eku.edu; Hahn, Ellen J; Tonya.Chang@heart.org; janrexsmith@bellsouth.net; mtsuters1@live.com Subject: E-cigarettes included in county smoking ban Local News The Richmond Register Importance: High

http://richmondregister.com/localnews/x1281105974/E-cigarettes-included-in-county-smoking-ban Please read the attached story from the Richmond Register (Last week's Madison Co BOH meeting). Kelly S. Owens, MPH, CHES Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043 Web Address: http://www.madisoncountyhealthdept.org/ Need Help Quitting? http://www.becomeanex.org/

P Please consider the environment before printing this e-mail

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

E-Cigarettes: New Potential Dangers and a New Ban Study Uncovers New Dangers, Singapore Acts
An important study has found new and previously unsuspected potential health problems for users of e-cigarettes [e-cigs]. This increases the risk since, based even upon earlier research, the Food and Drug Administration [FDA] had already concluded that e-cigs pose "acute health risks," that the "danger posed by the unrestricted distribution of [these] unregulated products containing toxic chemicals cannot seriously be questioned," and that they have caused a wide variety of potentially serious problems "including racing pulse, dizziness, slurred speech, mouth ulcers, heartburn, coughing, diarrhea, and sore throat." Also, Singapore has joined a growing list of jurisdictions which have banned the product, says public interest law professor John Banzhaf, Executive Director of Action on Smoking and Health (ASH). E-cigs have already been banned in Australia, Brazil, Canada, Israel, Mexico, and New Zealand, restricted in Finland and Malaysia, are pending restriction in the UK as a drug, and the subject of law suits by attorneys general in several states. In part as a result of urging by ASH, New Jersey and Suffolk County, NY, have prohibited their use in no-smoking sections, and New York is also moving to ban them. The new study from the University of California found that users have to suck much harder on e-cigs than on conventional tobacco ones. This creates "possible adverse effects on human health" because users are likely to suck much harder and inhale more nicotine -- the same problem of "compensatory smoking" which made so-called "light" cigarettes dangerous. "It is too early to know exactly what effect stronger inhaling and diminishing amounts of aerosol will have on human health, but these factors are likely to lead to compensatory smoking, as has been seen previously with 'light' tobacco cigarettes," say the researchers. The researchers also concluded that the claims made for this product -- which the FDA has declared is "illegal," and which therefore does not regulate such claims for accuracy -- are false or at least misleading. "Our work shows that aerosol density decreases as e-cigarettes are used, requiring stronger puffs over time to sustain density," the researchers found. "Manufacturers often claim that e-cigarettes cartridges are equivalent to a certain number of conventional cigarettes. However, this information seems misleading." The researchers identified at least two new major potential health concerns regarding e-cigs. "An important implication [of the finding] is that users must exert greater inhalation pressure and, therefore, it may predictably cause the aerosol to reach deeper tissue in the user's lungs. As in the case of conventional harm reduction cigarettes with lower nicotine content, users of e-cigarettes may also need to smoke greater numbers of puffs to receive sufficient amounts of nicotine to satisfy their craving." Banzhaf was the first to direct attention to the potential health risks to people in the vicinity of e-cig users, since both the product and the users emit into the air a mixture of nicotine (a deadly and addictive drug which can contribute to fatal heart attacks), propylene glycol (a respiratory irritant used in antifreeze and known to cause
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respiratory tract infections), and other substances the FDA has labeled "carcinogenic" and "toxic." His scheduled appearance on a major national news program pressured the FDA into releasing a previously-secret report about the dangers of e-cigs. Recently, reported Banzhaf, some e-cig sellers have begun to sell e-cigs dispensing Ciallis and even potent forms of marijuana. "Manufacturers should not be able to foist off on the public, and use both customers and those around them as human guinea pigs, for new products which dispense nicotine or other dangerous drugs which haven't been tested -- much less approved -- by any agency," argues ASH. ASH does not oppose the sale and use of e-cigs entirely, but only their use without any testing and approval by the FDA, with no warnings, quality controls, restrictions on their sale to children, etc. Indeed, ASH assumes that, if e-cigs meet the criteria established for such products by the FDA, they will become available to smokers wishing to quit in much the same way as nicotine gums, patches, sprays, inhalers, and other nicotine replacement products are currently available, having been tested and approved by the FDA. PROFESSOR JOHN F. BANZHAF III Professor of Public Interest Law at GWU, FAMRI Dr. William Cahan Distinguished Professor, FELLOW, World Technology Network, and Executive Director and Chief Counsel Action on Smoking and Health (ASH) America's First Antismoking Organization 2013 H Street, NW Washington, DC 20006, USA (202) 659-4310 // (703) 527-8418 http://ash.org/
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From: Action on Smoking and Health <jbanzhaf@ash.org> Sent: Wednesday, August 11, 2010 9:58 AM To: Hahn, Ellen J Subject: E-Cigarettes or Snus May Cost, Not Save, Lives - Study

E-Cigarettes or Snus May Cost, Not Save, Lives - Study

Dual Use, Prolonging Addiction, Attracting Kids Can Up Death Rate


Even if - as some doubt - replacing tobacco cigarettes with e-cigarettes [e-cigs] or snus smokeless tobacco significantly reduces the individual user's risk of death, a public health strategy based upon promoting such nicotine-administration products may save few if any lives, and may even raise the death rate in the total population, at least according to a recent study which is one of the first to examine many of the underlying public health ramifications of promoting such products, says public interest law professor John Banzhaf, Executive Director of Action on Smoking and Health (ASH). The study shows that, even if switching to an alternative source of nicotine reduces the individual user's risk of death, more people overall may die and public health may suffer because of two types of population effects. First, some smokers who would otherwise be persuaded to quit - give up all nicotine use - by smoking bans and/or high taxes will instead switch to the substitute, thereby remaining at a much higher risk than if they had ended their use of nicotine entirely. "If lots of smokers who would otherwise quit instead switch to e-cigs, public health will suffer, since the risks of using e-cigs can be considerable," notes Banzhaf. For example, one major study showed an association between the use of chewing tobacco (which administers nicotine) and acute myocardial infarction that was 75% of the risk of smoking cigarettes. The Food and Drug Administration [FDA] has just warned that e-cigarettes pose "acute health risks," and that the "danger posed by the unrestricted distribution of [these] unregulated products containing toxic chemicals cannot seriously be questioned." Even more serious, other smokers who might otherwise be pressured to quit by bans on smoking in the workplace may be able to remain smokers by using nicotine administration products while at work - a use for which they are prominently advertised. In such situations they not only fail to get the health benefit of quitting entirely, but also wind up as "dual users" with the combined risks of both smoking tobacco and of the nicotine substitute product. Thus their overall health risk might simply be additive (the sum of the risks of both products) or, as some have suggested, synergistic (higher than the sum of the risks of both products). Second, some children and others who might otherwise avoid all tobacco or nicotine use will instead: (1) take up the substitute with all of its known and unknowable health risks; or (2) become addicted to nicotine in the substitute and ultimately graduate from e-cigs or snus to simply smoking; or, worse, (3) continue using e-cigs or snus but yield to the nicotine addiction and eventually also take up smoking in addition, thereby becoming dual users with dual risks. In all such cases the overall national health risk and death rate will be much higher because of the ready availability of e-cigs, snus, or other similar nicotine-administration products. Any of these scenarios increases the death rate over what it would have been if the nicotine product were simply not available. Banzhaf, who is a noted mathematician and the inventor of the Banzhaf Index, reminds
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everyone that different outcomes can be predicted by making various different estimates as to the relative risks of tobacco cigarettes and e-cigs, the percentage of people who would quit if e-cigs were not available, the percentage who would switch if e-cigs are widely promoted, etc. But that's why a recent study is so important, he maintains. The study actually tries to make the best estimates of the variables which must be considered; estimates based upon currently available evidence. After a careful analysis, the study concludes that overall cumulative public health risk would increase by about 25% if nicotine-administration products were widely promoted. The study focused on oral tobacco such as snus, but seems equally applicable also to other forms of harmreduction nicotine-administration products such as e-cigs. In summary, promoting nicotine-administration alternatives such as snus or e-cigs may be unwise from an overall public health point of view, even if the products are a less hazardous alternative than smoking conventional cigarettes. ASH has not taken a position on this scientific and medical issue, noting that the FDA is studying this difficult and important question with the support of many learned scientists and other experts. ASH also has not opposed the sale and use of e-cigs by adults. What ASH has opposed is the sale of new nicotine products without any FDA testing to assure safety, efficacy, and ingredient purity, limits on sales to children, protections against unfounded claims made by promoters, and their use in public places where others are forced to inhale ecig vapors which contain nicotine (a deadly and addictive drug which can contribute to heart attacks and cancer) and propylene glycol (a respiratory irritant used in antifreeze and known to cause respiratory tract infections). For more information about this new study, see: http://tobaccocontrol.bmj.com/content/19/4/297.abstract PROFESSOR JOHN F. BANZHAF III Professor of Public Interest Law at GWU, FAMRI Dr. William Cahan Distinguished Professor, FELLOW, World Technology Network, and Executive Director and Chief Counsel Action on Smoking and Health (ASH) America's First Antismoking Organization 2013 H Street, NW Washington, DC 20006, USA (202) 659-4310 // (703) 527-8418 Internet: http://ash.org/ Twitter: http://twitter.com/AshOrg
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From: Action on Smoking and Health (ASH) <press@ash.org> Sent: Tuesday, August 03, 2010 9:21 AM To: Hahn, Ellen J Subject: E-Cigarettes to Be Banned in UK - Leaked Letter

E-Cigarettes to Be Banned in UK - Leaked Letter Ruling Could Bolster US's FDA, Says ASH
Britain's Medicine and Healthcare Regulatory Agency [MHRA] has reportedly decided to ban e-cigarettes [e-cigs] with only 21 days of notice, at least according to a leaked letter dated July 29, 2010, from an officer of the Trading Standards Service, notes Professor John Banzhaf of Action on Smoking and Health (ASH). After that period, "these products will be outright banned in the UK, unless the traders apply for certification as a medical device from the MHRA." Also according to the leaked letter, "this process could be costly and expensive so it is expected that many traders will cease trading." In the U.S., the Food and Drug Administration [FDA] has already classified e-cigs as medical devices. Since no one has applied to the FDA to license their sale as nicotine replacement devices, the FDA has ruled that the products are "illegal." Although that ruling is being challenged in court, e-cigs are currently illegal products, and apparently will remain so unless and until the U.S. Court of Appeals rules to the contrary. Britain is apparently worried about some of the same concerns which trouble the FDA in the U.S. Based upon the limited information which is available to it since sellers have not submitted the kind of medical evidence which would be required for FDA approval, the FDA has warned that e-cigs pose "acute health risks," that the "danger posed by the unrestricted distribution of [these] unregulated products containing toxic chemicals cannot seriously be questioned," and that they have caused a wide variety of potentially serious problems "including racing pulse, dizziness, slurred speech, mouth ulcers, heartburn, coughing, diarrhea, and sore throat." This is not surprising, says Banzhaf, because the users inhale a mixture of nicotine (a deadly and addictive drug which can contribute to fatal heart attacks), propylene glycol (a respiratory irritant used in antifreeze and known to cause respiratory tract infections), and other substances the FDA has labeled "carcinogenic" and "toxic." It appears that these same substances are then also exhaled where those around the user -- including the elderly, those with special sensitivities, as well as infants and toddlers -- are also forced to inhale them It is therefore not surprising that e-cigs have already been banned in Australia, Brazil, Canada, Israel, Mexico, and New Zealand, restricted in Finland and Malaysia, and the subject of law suits by attorneys general in several states. In part as a result of urging by ASH, New Jersey and Suffolk County, NY, have prohibited their use in no-smoking sections, and New York is also moving to ban them. Recently, reported Banzhaf, some e-cig sellers have begun to sell e-cigs dispensing Ciallis and even potent forms of marijuana. "Manufacturers should not be able to foist off on the public, and use both customers and those around them as human guinea pigs, for new products which dispense nicotine or other dangerous drugs which haven't been tested -- much less approved -- by any agency," argues ASH. ASH does not oppose the sale and use of e-cigs entirely, but only their use without any

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testing and approval by the FDA, with no warnings, quality controls, restrictions on their sale to children, etc. Indeed, ASH assumes that, if e-cigs meet the criteria established for such products by the FDA, they will become available to smokers wishing to quit in much the same way as nicotine gums, patches, sprays, inhalers, and other nicotine replacement products are currently available, having been tested and approved by the FDA. PROFESSOR JOHN F. BANZHAF III Professor of Public Interest Law at GWU, FAMRI Dr. William Cahan Distinguished Professor, FELLOW, World Technology Network, and Executive Director and Chief Counsel Action on Smoking and Health (ASH) America's First Antismoking Organization 2013 H Street, NW Washington, DC 20006, USA (202) 659-4310 // (703) 527-8418 http://ash.org/
This email was sent to ejhahn00@pop.uky.edu by press@ash.org. Instant removal with SafeUnsubscribe | Privacy Policy. Law Professor John Banzhaf | 2013 H St NW | Washington | DC | 20006

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From: Hahn, Ellen J Sent: Thursday, May 05, 2011 7:59 AM To: Riker, Carol A; Darville, Audrey K; Owens, Kelly S (LHD - Madison Co) Subject: e-cigarettes More detail from Rachel (works as a postdoc in Stan Glantz's shop). A bit more detail below about the implications of FDA reg as a tob product. Ellen Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease University of Kentucky College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on and

-----Original Message----From: Grana, Rachel [mailto:Rachel.Grana@ucsf.edu] Sent: Wednesday, May 04, 2011 8:57 PM To: Hahn, Ellen J Subject: RE: Animoto - Vaapor-Stix radio debut Hi Ellen, Thanks for sending this. I actually am preparing to give a talk about my research on the electronic cigarette Web-based marketing for the Smokeless Summit in Austin Texas. In doing so, I am framing my concerns and take home points about the marketing of these products around that new ruling from the US Court of Appeals and the FDA's decision not to appeal to the Supreme Court. So, good timing to ask me what I think and I would love to hear what you think too! So, my thoughts are these...I think it would have been better for public health if they were regulated as nicotine delivery devices. Never mind the fact that they do not contain tobacco - I do not agree with the ruling primarily because the rationale provided was based on the premise that the ecigarette companies are not making therapeutic claims. Although I did not see the evidence provided at trial, even my brief presentation about a content analysis of the Websites shows that they contain overt health and cessation messages even if they do not use the word quit or cessation. They state clearly that these are healthier than traditional cigarettes because they do not contain, tar, ash, carcinogens, toxic chemicals, etc. They are using doctors (images and actual doctors in videos) to promote and assure viewers of the safety and utility of the products to switch from tobacco cigarettes, in text and spoken word. Also, if they are being regulated as a tobacco product there will probably be no burden of proof of safety since tobacco products were defined in the legislation as inherently unsafe. Therefore, this leaves no manufacturing or safety of use standards for these products. In fact, under the Family Smoking and Prevention Act, smokeless tobacco, cigars and cigarillos do not have the same restrictions as to flavors and taxation that cigarettes do. For
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instance although cigarettes cannot come in candy flavors, smokeless tobacco can come in fruit flavors, and cigarillos still come in tons of flavors, including fruit, alcohol flavors, vanilla chocolate. It appears that people are just gearing up the battles about smokeless tobacco regulation after a 2year (maybe even really just 1-year) focus on cigarettes. I fear that the whole tobacco product regulation is moving so slowly that placing ecigarettes in the same category will all but guarantee they remain on the market in a regulatory vacuum for a few years at best. Therefore they will have way too much time to continue promoting and selling flavored ecigarettes on-line and in the malls where people can try them (probably high school students, because that is who is in the mall). I hope I am wrong and the FDA puts an end to the unsubstantiated health and safety advertising (especially with medical doctors!) and tackles the flavor issue and mall kiosks distribution. Rachel -----Original Message----From: Hahn, Ellen J [mailto:ejhahn00@email.uky.edu] Sent: Wednesday, May 04, 2011 2:41 PM To: Grana, Rachel Subject: FW: Animoto - Vaapor-Stix radio debut Importance: High See below. This is an interesting turn of events with FDA taking them on as a tob product. Your thoughts? Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease University of Kentucky College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on and

-----Original Message----From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov] Sent: Wednesday, May 04, 2011 11:06 AM To: Centers, Irene (CHFS HPB-Health Promotions); Beauchamp, Jan (CHFS HPB-Health Promotions); Riker, Carol A; Hahn, Ellen J Subject: Animoto - Vaapor-Stix radio debut Importance: High http://animoto.com/play/q0EBgn6zRqIkFCAhIwCtVQ Vapor Stix (our local e-cig vendor) has a radio ad that is getting lots of air time. (VERY EXPENSIVE...) My question is, w/ these devices now being under FDA regulation as a tobacco product, do the same rules regarding advertising apply?
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Kelly S. Owens, MPH, CHES Tobacco Prevention and Cessation Specialist/Health Educator III/CPS Technician Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043 Web Address: http://www.madisoncountyhealthdept.org/ Need Help Quitting? http://www.becomeanex.org/

P Please consider the environment before printing this e-mail

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ECIGS Madison County

From: Owens, Kelly S (LHD - Madison Co) <KellyS.Owens@ky.gov> Sent: Friday, April 01, 2011 10:30 AM To: Riker, Carol A; Hahn, Ellen J; Robertson, Heather E Subject: ECIGS Madison County Importance: High Our BOH meeting is this Wednesday. I wanted you to be on the lookout for a fax of a page ad that is in this weeks ADVERTISER. (this is paid advertisement publication that is sent to ALL Madison County addresses). These ads do not come cheap and unfortunately, due to the styles of some of these ads they can be quite deceptive.

According to vapor stixs facebook page: http://www.facebook.com/VaporStix CASAA plans to attend. Have we found anything on this organization yet? Any findings/thoughts you have will be greatly appreciated. Dr. Johnstone plans to present his findings/thoughts on the issue. As of right now, the BOH appears to be leaning toward maintaining the inclusions of e-cigs based on that fact that they have not been proven to be safe. There are at least 2 members that are divided on the issue and 1 for certain that will be against it (he voted against the regulation to begin with). Just wanted to keep you informed on the situation and will continue to do so as new developments take place. Thank you for all you do!

Kelly S. Owens, MPH, CHES


Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043
Web Address: http://www.madisoncountyhealthdept.org/

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

file:///C|/...Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/ECIGS%20Madison%20County html[8/19/2011 2:28:03 AM]

From: Sent: To: Subject:

Twitter <follow-rwunua00=rznvy.hxl.rqh-79dc1@postmaster.twitter.com> Thursday, December 30, 2010 4:57 PM Hahn, Ellen J Electronic Cigarette is now following you on Twitter!

Electronic Cigarette (@tryecigarettes) is now following your tweets (@kysmokefree) on Twitter.


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From: Bill Godshall <smokefree@compuserve.com> Sent: Wednesday, November 03, 2010 12:13 PM To: Bill Godshall Subject: Electronic Cigarettes' Nicotine Vapor Stokes U.S. Regulators Electronic Cigarettes' Nicotine Vapor Stokes U.S. Regulators By Molly Peterson Bloomberg November 2, 2010

http://www.bloomberg.com/news/2010-11-02/electronic-cigarettes-nicotine-vapor-pits-anti-smokers-against-regulators.html

Electronic cigarettes are pitting regulators against anti-smoking forces on whether to allow sales now to speed efforts to help smokers quit or ban them until they are proven safe and effective. Proponents of the battery-powered devices that produce a nicotine vapor instead of tobacco smoke urge the Food and Drug Administration to consider them a tool for smokers seeking a tobacco-free alternative. The American Lung Association wants sales suspended unless proven in clinical drug trials. The tobacco-control community is kind of split on e- cigarettes, Kenneth Warner, dean of the University of Michigan School of Public Health, said in an interview. Some people are convinced that anything that has any kind of nicotine or tobacco in it must be subject to the FDAs review and approval. Others think its almost certainly less harmful than cigarettes. The FDA is appealing a U.S. District Court ruling that the agency lacks authority to regulate the devices as drugs because they are recreational, not therapeutic. Potential users spend $1.2 billion on smoking-cessation products and $80 billion on cigarettes a year, according to the U.S. Centers for Disease Control and Prevention. The FDA said ecigarettes may work with smokers the way methadone clinics wean heroin addicts by giving them a less harmful form of an addictive substance. Most e-cigarettes deliver a flavored, nicotine-filled vapor -- and are sold with starter kits containing atomizers, batteries and cartridges. They are available online starting at about $40. The agency said it has blocked imports of more than 800 e-cigarette shipments since 2008, most from China. Promoter Heigl While nicotine seems to be the primary ingredient in the cartridges, it is simply unknown how many other chemicals are present and in what amounts, Siobhan DeLancey, an agency spokeswoman, said by e-mail. A 2009 FDA analysis found some nicotine levels exceeded amounts specified in labels, she said. E-cigarette demand is getting a boost from celebrity users like actress Katherine Heigl as well as Internet availability. Heigl puffed on one during an appearance in September on CBSs Late Show, telling host David Letterman the cigarette wasnt harmful. SmokeStik International Inc., the producer of Heigls e- cigarette, posted a statement after the appearance saying the company doesnt make health or safety claims, adding to similar disclaimers already on its website and packages. The FDA can regulate as drugs cigarette alternatives that carry therapeutic claims, according to the court ruling. FDA Warnings

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The U.S. e-cigarette market consists of several dozen closely held companies including Toronto-based SmokeStik, which hasnt received FDA warnings and doesnt market products as smoking-cessation devices. FDA officials warned five companies in September they were making improper health claims. Las Vegas-based E-Cig Technology Inc. violated agency rules by saying on its website that e- cigarettes can help you reduce or quit smoking habits, the agency said in a letter in September. Warning letters were sent to Gamucci America, a unit of Smokey Bayou Inc. in Jacksonville, Florida; Ruyan America Inc. in Minneapolis; Johnson Creek Enterprises LLC in Johnson Creek, Wisconsin; and E-CigaretteDirect LLC in Parker, Colorado. Ruyan America hasnt sold products containing nicotine in the U.S. since May 2009, the companys president, Bill Bartkowski, said Sept. 9 in an interview. E-Cig Technology, Johnson Creek and E-CigaretteDirect didnt respond to e-mails sent through websites, while Smokey Bayou didnt reply to a voicemail left at a listed phone number. Competing With Patches E-cigarettes need the same FDA drug review as nicotine gum, patches and other approved cessation aids, said Howard Marsh, chief medical officer of GlaxoSmithKline Plcs consumer health- care division. Glaxos Nicorette was the top-selling brand-name drug for nicotine replacement in the year through June, with $144.6 million in sales, or 12 percent of the smoking-cessation market, based on data from IMS Health Inc., a research firm in Norwalk, Connecticut. Youve got to be fair to consumers, Marsh said in an interview. They need the reassurance that these products have undergone the same degree of rigor in terms of demonstrating safety and efficacy. Smokers seeking to quit need alternatives to FDA-approved nicotine replacement therapies such as gum and patches, which have a 95 percent failure rate, Bill Godshall, founder and executive director of Smokefree Pennsylvania, said Oct. 27 at an FDA workshop. Almost 500,000 smokers have switched to e-cigarettes in the three years they have been available in the U.S., he said. Approval Costs Godshall agrees with a ruling in January by U.S. District Court Judge Richard Leon that the FDA should regulate the devices under a 2009 tobacco law which doesnt require safety and efficacy trials for cigarettes. The FDA won a delay of Leons decision in February while awaiting a ruling from the U.S. Court of Appeals in Washington. E-cigarettes may save 5.3 million people who would otherwise die from smoking-related illnesses in the next 20 years, said Joel Nitzkin, former chairman of the Green Cove Springs, Florida-based American Association of Public Health Physicians tobacco control task force. Unless e-cigarette companies can prove the gadgets are safe, people should not use them because we dont know what they are, said Paul Billings, vice president of national policy and advocacy at the American Lung Association in Washington. For Elaine Keller, an e-cigarette user and vice president of the nonprofit Consumer Advocates for Smoke-Free Alternatives Association, the potential for risk is worth the benefit. Maybe its not 100 percent safe, but it certainly is safer, she said.

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From: Sent: To: Cc: Subject:

Horn, Rebecca (GRDHD) <Rebecca.Horn@ky.gov> Tuesday, December 14, 2010 10:22 AM Hahn, Ellen J; Mundy, Monica E Centers, Irene (CHFS HPB-Health Promotions); Christian, Ryan; Horton, Clayton (GRDHD) Electronic Cigarrettes

I know you have given me UKs stance on electronic cigarettes in the past, but I need any official statements by the FDA, medical authorities etc on electronic cigarettes. I am going to meet with the county attorney in Daviess after the first of the year. We have had several instances of complaints on electronic cigarettes in Owensboro. Our ordinance does not state that they are prohibited. Based on our information, he may make an amendment to the ordinance to include electronic cigarettes. We need to make a definitive decision on a county level and send it to the businesses, because they are unclear on how to handle this issue. Thanks for your help.

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

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

Click here to check us out on

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

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From: Sent: To: Cc: Subject:

Riker, Carol A Thursday, April 07, 2011 4:39 PM Shirley Melissa Walton; rodneyrm2001@yahoo.com; Judy Richardson; Jayme Haslam; rita davis; cleo philon; benwiederholt@flaget.com Hahn, Ellen J; Johnson, John D; Mundy, Monica E; Wagner, Kristian K; Kercsmar, Sarah; Kiyoung Lee Electronic Nicotine Delivery Systems (ENDS)

Hi Dr. Walton-Shirley and Nelson County Advocates, Since the Herald-Leader mentioned today the communities that have e-cigarettes in their laws/regulations, some have received calls from the media. Im sure youve seen our one-pager on e-cigarettes (recently attacked by CASAA, a group that purports to be a consumer advocacy group for smoking alternatives). Madison County BOH passed amendments to their S-F regulation last night, so I wanted to share some information they used to support their action. WHO and other organizations and researchers have called for testing of e-cigarettes and their vapor, as well as regulations for manufacturers to ensure the contents and safety . Heres a quote from WHO:

"If the marketers of the electronic cigarette want to help smokers quit, then they need to conduct clinical studies and toxicity analyses and operate within the proper regulatory framework," said Douglas Bettcher, Director a.i. of WHO's Tobacco Free Initiative. "Until they do that, WHO cannot consider the electronic cigarette to be an appropriate nicotine replacement therapy, and it certainly cannot accept false suggestions that it has approved and endorsed the product. " Source: http://www.who.int/mediacentre/news/releases/2008/pr34/en/index.html Researchers have found nicotine in the vapor of e-cigarettes. Kiyoung Lee, Certified Industrial Hygienist and Associate Professor, School of Public Health, Seoul National University, points out that just as smoke-free laws were designed to protect from nicotine exposure from secondhand smoke we need to be protected from nicotine in ecigarette vapor as well. Here are some of Kiyoungs comments:
Nicotine is very toxic. Nicotine is sold as pesticide. So there is Material Safety Data Sheet for nicotine: http://www.sciencelab.com/msds.php?msdsId=9926222 As you can see in section 3, nicotine is very toxic to human Although there is no combustion in the ENDS, the ENDS vapor still includes at least nicotine (very toxic to human). ENDS may produce less chemicals than cigarettes per puff, but exposure can be significant if there are many e-cig users and each user use e-cig longer. Kiyoung reminds us that there is no safe level of exposure according to the Surgeon General. I hope this is helpful if the media contacts you. Thanks, Carol

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Cc: Subject:

Deborah Katz <Katz@communitycatalyst.org> Friday, July 30, 2010 9:53 AM Hahn, Ellen J; 'Marian McClure Taylor'; 'Amy Stroud'; Lacey McNary; Sheila Schuster; 'ACTIONOFFICE@BELLSOUTH.NET'; Richard Seckel; 'kvhexec@kentuckyvoicesforhealth.org'; 'maryyork'; 'Andrea Plummer' 'Joan Buchar'; Jacquie Anderson; 'Diane Pickles' Fall Training and Networking Day

Dear Kentucky Advocates, I hope your summers are going well and you are getting a little rest [???], though I know that can be pretty elusive in our busy world. Personally, I hate to take my eye off New Englands too-short summer, but we are thinking ahead to fall and developing plans for a training and networking day. Our suggestion for the training component of the day is sustainability. I can vouch for the fact that you all are undertaking ambitious efforts with tiny staffs and sometimes insecure or restrictive resources. Yet, how does an organization with small staff free up time to develop and implement fundraising efforts? We are pleased to be joined by Diane Pickles, Vice President of M + R Strategic Services [see bio at the bottom of this email] who will discuss an approach that integrates advocacy work and fundraising so that each strengthens the other. And she will conduct a hands-on session using planning tools to help you apply this approach to your own organizations realities. Will you please indicate your availability for this program by going to this link: http://www.doodle.com/2usy6gfc7dkddury Please take into account the availability of development staff [if any] or Board members/volunteers who are involved in fundraising activities. Once we have a date set, we will send out a brief survey so we address your development needs and priorities. Have a good, summery, weekend! Thanks, Debbie

Diane Pickles, M+R Strategic Services Diane Pickles, Vice President, has nearly 20 years of experience in public health, with a decade in tobacco control and tobacco policy advocacy. As Vice President of the New England office, Diane manages several client contracts and specializes in training, coaching, strategic planning, and coalition and group facilitation. Diane has extensive experience in grassroots recruitment and mobilization, communications/PR, lobbying, strategic planning, project management, and training. During her tenure as Executive Director of Tobacco Free Mass, a statewide tobacco policy advocacy coalition, she coordinated a successful campaign to pass the states comprehensive smoke-free workplace law, the sixth such law in the nation. Additional policy successes during her tenure include increased funding for tobacco control programs and Medicaid cessation coverage. Diane also has fundraising and development experience, having created and implemented a first-ever development campaign for Tobacco Free Mass to ensure the coalitions long-term sustainability and helping organizations develop effective strategies that link fundraising and advocacy goals . Diane has volunteered her time on various projects at Childrens Hospital Boston, helping to train pediatric residents and other health practitioners in communication, partnership and advocacy skills to better meet the needs of patients and their families.
Deborah Katz

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Lead Field Coordinator State Consumer Advocacy Program Community Catalyst 617-275-2811 www.communitycatalyst.org

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From: Public Interest Law Professor John Banzhaf <press@ash.org> Sent: Thursday, September 09, 2010 4:56 PM To: Hahn, Ellen J Subject: FDA Finally Moves to Regulate E-Cigarettes

FDA Finally Moves to Regulate E-Cigarettes


Hits 5 Sellers, Including One Which Promotes Erections
The Food and Drug Administration [FDA] has finally taken strong aggressive action to regulate e-cigarettes [e-cigs] -- including one seller whose product includes medicine for erectile dysfunction -- by sending warnings letters to five companies which market e-cigs, charging that the products are violating federal law by making unsubstantiated claims and engaging in poor and dangerous products, notes Action on Smoking and Health (ASH), whose legal petition helped lead to FDA action, and FDA's declaration that the products were illegal and posed "acute health risks" to users. The companies -- Las Vegas-based E-Cig Technology Inc., E-CigaretteDirect LLC of Colorado; Ruyan America Inc. in Minneapolis; Florida-based Gamucci America; and Wisconsin-based Johnson Creek Enterprises LLC -- have been given 15 days to advise the agency how they plan to bring themselves into compliance with the law. The scheduled appearance of ASH's Executive Director, John Banzhaf, on a major TV news program to blast the FDA for inaction on e-cigs was the catalyst which first caused the agency to release a previously secret report about the dangers of ecigs. http://www.pr-inside.com/fda-to-regulate-e-cigarettes-as-toxins-r1403601.htm At that time the FDA reported that the e-cigarettes it tested contained detectable levels of known carcinogens and toxic chemicals to which users could potentially be exposed. The FDA said the toxic chemicals included diethylene glycol, "an ingredient used in antifreeze, [which] is toxic to humans "certain tobacco-specific nitrosamines which are human carcinogens and that "tobacco-specific impurities suspected of being harmful to humans - anabasine, myosmine, and B-nicotyrine - were detected in a majority of the samples tested. More recently, as ASH first reported, the FDA told the U.S. Court of Appeals that the products pose "acute health risks," and that the "danger posed by the unrestricted distribution of [these] unregulated products containing toxic chemicals cannot seriously be questioned." It said that e-cig users experience serious symptoms "including racing pulse, dizziness, slurred speech, mouth ulcers, heartburn, coughing, diarrhea, and sore throat. This is not at all surprising, notes Prof. Banzhaf, since, as the FDA has concluded, nicotine is "a highly addictive pharmacological agent" -- one which triggers an immediate increase in pulse rate and blood pressure,a constriction of blood vessels, and other serious problems which contribute to the heart attacks caused by smoking tobacco cigarettes, or even to bystanders breathing the secondhand smoke with nicotine. E-cigs have been banned outright or very strictly regulated in a number of countries, and several U.S. jurisdictions have restricted their use. The Air Force, and the Marine base at Quantico, have joined other jurisdictions in banning the use of e-cigarettes [e-cigs] at least in the workplace, citing the potential health dangers to users from toxic chemicals, notes ASH, which is leading the fight to expose the risks of this new product which the FDA has ruled is illegal. This comes at the same time as manufactures have developed a stealth e-cig designed

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to be used by members of the military. To permit the product to be used on military missions, this stealth e-cig is black (rather than the customary white for e-cigs), and does not light up when puffed. www.gunsupplystore.com/products/SPORTSMAN'S-No-7STEALTH-ELECTR .. Recently, the Surgeon General of the Air Force issued a formal memorandum warning all personnel about the dangers of e-cigarettes [e-cigs], and noting that, as "tobacco products," their use is banned wherever the smoking of conventional tobacco cigarettes is prohibited, notes ASH, which collaborated with the Department of Defense on developing policy related to e-cig use. ash.org/AFEcigMemo The Air Force memo warned that: "Advertisements claim electronic cigarettes are a healthier way to smoke but one sample tested by the Food and Drug Administration (FDA) contained diethylene glycol-a toxic chemical used in antifreeze. Other samples tested by the FDA contained cancer-causing agents yet there are no health warnings on these products similar to those seen on conventional cigarette packages." The memo went on to warn that: "no studies have been done to demonstrate the safety or effectiveness of these products as tobacco cessation aids and they are not approved by the FDA as a drug delivery device." It also noted a concern originally expressed by ASH, notes Banzhaf, that these "illegal" devices can also be used to surreptitiously administer drugs other than nicotine. ASH had previously reported ads for e-cigs which administer Cialis and "potent" marijuana. www.cigarettesreviews.com/fda-may-ban-marijuana-e-cigarettes As the Surgeon General's memo warned: "Commanders also need to be aware that the cartridges used in these devices are replaceable and could be used to discreetly deliver substances other than nicotine." PROFESSOR JOHN F. BANZHAF III Professor of Public Interest Law at GWU, FAMRI Dr. William Cahan Distinguished Professor, FELLOW, World Technology Network, and Executive Director and Chief Counsel Action on Smoking and Health (ASH) America's First Antismoking Organization 2013 H Street, NW Washington, DC 20006, USA (202) 659-4310 // (703) 527-8418 Internet: http://ash.org/ Twitter: http://twitter.com/AshOrg
This email was sent to ejhahn00@pop.uky.edu by press@ash.org. Instant removal with SafeUnsubscribe | Privacy Policy. Law Professor John Banzhaf | 2013 H St NW | Washington | DC | 20006

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From: Action on Smoking and Health (ASH) <press@ash.org> Sent: Monday, June 28, 2010 7:41 AM To: Hahn, Ellen J Subject: FDA May Ban Marijuana E-Cigarettes FDA May Ban Marijuana E-Cigarettes, Says ASH
Devices Used On Planes and Elsewhere to Get High Give "Vapor Rush" The Food and Drug Administration [FDA] is considering whether to ban the sale of ecigarettes advertised to administer "potent" marijuana to users "at the office, or even on the plane," and with ads suggesting use of the product to get high in public without being detected: "now I can get high . . . anywhere without a lighter, smell, shake, smoke and unwanted attention." This latest escalation follows earlier product advertisements for e-cigarettes used to administer Cialis. http://ecig.com/shopping/shopexd.asp?id=607 "Yes, now smokers can get an erection, and lose some of their inhibitions, all from a simple product which they advise can be used in the workplace, shopping malls, and even on airplanes, all without any testing or inspection, much less approval, from the only agency authorized to approve any device for the administration of any drug -even relatively benign ones like aspirin, over-the-counter sleeping pills, etc." -- says Action on Smoking and Health (ASH), the organization which promoted the FDA to crack down on nicotine e-cigarettes, and to warn the public about dangers of cancer from using them. Ads for the new product seemingly invite users not only to violate laws against smoking generally in public places, but also laws against the use of marijuana itself, suggesting that you can now smoke weed in public without attracting attention: "the latest buzz in the pot world: Vapor Rush . . . Vapor Rush is a new way to smoke bud that allows you to smoke anywhere without a lighter, smell, shake, smoke and unwanted attention." Users are invited to get high from "three different varieties [of marijuana]: haze, bliss and rush . . .taken from potent sativa and indica strains of cannabis." http://www.vaporrush.com/ Even websites which are generally supportive of e-cigarettes administering nicotine admit "the unveiling of [this] product [is] sure to take the debate over e-cigarettes to a new level. . . .With its emphasis on delivering doses of psychoactive THC, Vapor Rush is clearly designed to get users high, even though the manufacturer instructs customers to 'visit your local dispensary' to get e-cigarette cartridges." http://www.jointogether.org/blog/posts/2010/e-joints-company-marketing.html Another warns: "I can't joke about this part. Now, on top of these dangers, there may be additional ones as users are able to 'smoke' marijuana in their workplaces, and in other public places including airplanes surreptitiously (without any smell or smoke as the sellers brag), and where bystanders - including young children, the elderly, those with a variety of medical problems, and those who do not wish to get even a little bit high - can be exposed. This is a real problem. And this is how the FDA might win its argument that e-cigs are drug delivery devices." http://www.e-smoker-forever.com/ The FDA has ruled the e-cigarettes designed to administer nicotine are drug-delivery devices, and are "illegal" because they haven't been approved by the agency for distribution. Although it is now clear that the FDA has jurisdiction over these devices, there is a question whether the new federal statute giving the FDA jurisdiction over ordinary tobacco cigarettes limits the FDA's power to regulate nicotine e-cigarettes. "But e-cigarettes which administer marijuana, Cialis, Viagra, etc. are obviously not
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affected by a new federal statute dealing with tobacco cigarettes and nicotine administration products, so the FDA's ability to immediately ban this new product, and to initiate appropriate enforcement proceedings, is obvious unfettered," says Banzhaf, suggesting that continued failure to take any effective action will only further undermine the agency's reputation and credibility. "If manufacturers -- or even users, since some fill the e-cigarette cartridges themselves -- are already adding not only nicotine but also Cialis and marijuana, will the FDA stand up or wait until they literally begin marketing them to administer heroin, crack, and even more potent drugs," asks public interest law professor John Banzhaf, Executive Director of ASH. ASH notes that if these new marijuana e-cigarettes are used to help users get high in the workplace and on airplanes as advertised, those around them will likewise be subjected to some of the marijuana which they claim is very "potent." This potentially includes infants and toddlers on airplanes, fellow workers in the workplace, the elderly, and those with a variety of medical conditions and special sensitivities which make them even more susceptible, warns ASH. "Manufacturers should not be able to foist off on the public, and use both customers and those around them as human guinea pigs, for products containing dangerous and even intoxicating drugs which haven't been tested -- much less approved -- by any agency," argues ASH. PROFESSOR JOHN F. BANZHAF III Professor of Public Interest Law at GWU, FAMRI Dr. William Cahan Distinguished Professor, FELLOW, World Technology Network, and Executive Director and Chief Counsel Action on Smoking and Health (ASH) America's First Antismoking Organization 2013 H Street, NW Washington, DC 20006, USA (202) 659-4310 // (703) 527-8418 http://ash.org/
This email was sent to ejhahn00@pop.uky.edu by press@ash.org. Instant removal with SafeUnsubscribe | Privacy Policy. Law Professor John Banzhaf | 2013 H St NW | Washington | DC | 20006

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From: Sent: Subject:

Bossick, Michael J Monday, February 22, 2010 12:42 PM February KCSP Community Partner Newsletter

KentucKy center For SmoKe-Free Policy

community Partner newsletter

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


Welcome to the Kentucky Center for Smoke-Free Policy (KCSP) Community Partners Newsletter! This Newsletter contains: registration information for KcSPs Annual Spring conference on march 25 Smoke-free Policy updates the importance of Strong Smoke-free laws: exemptions in Virginia new york clubs in Danger of losing licenses over Smoking Violations regulatory Battle over e-cigarettes Smoke-free research updates Individual, Social-Normative, and Policy Predictors of Smoking Cessation: A Multilevel Longitudinal Analysis (Biener et al., March 2010, American Journal of Public Health) Is the Smokers Exposure to Environmental Tobacco Smoke Negligible? (Piccardo et al., January 2010, Environmental Health) minutes from the January 6 KcSP Hot topic community Partner conference call Please scroll down for more information on each topic!

register now! Annual KcSP Spring conference: march 25 th, 2010


KCSPs annual spring conference is on Thursday, March 25 th , 2010 at the Doubletree hotel (2601 Richmond Road) in Lexington. Check-in will begin at 8:00 am, and the conference will conclude by 4:15 pm. the registration form, a tentative agenda, and directions to the conference location are attached to this e-mail. Conference registration and distributed materials are free-of-charge. A full lunch will be provided along with lighter accommodations in the morning and afternoon. However, there is no reimbursement for transportation or hotel accommodations. No hotel rooms have been blocked for this conference, but you can call the Doubletree at (859) 268-0060 for reservations. Ask for the UK or state employee discount. Please return your completed registration form no later than March 8, 2010 to Norah Slone at nachap2@uky.edu. For

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questions or special requests, please contact Norah Slone at the e-mail listed above or Mike Bossick at michael.bossick@uky.edu.

Smoke-free Policy updates


1. the importance of Strong Smoke-free laws: exemptions in Virginia As state legislatures meet over the next few months considering bill proposals, it is important to keep in mind the problems that can result from pushing for a statewide law too soon. An exemption in the newly implemented (effective December 1, 2009) statewide Virginia law permits bars that have enclosed rooms with separate ventilation systems to allow smoking in those areas. However, the research clearly shows that ventilation systems are ineffective in protecting workers and patrons from the dangers of secondhand smoke (Click here for a Fact Sheet, Enclosed Smoking Rooms Do Not Work ). It is better to persistently and deliberately build support for a strong statewide law than risk ending up with something that does not adequately protect everyone. Read the article from the Washington Post (here). 2. new york clubs in Danger of losing licenses over Smoking Violations High profile A-list clubs in Manhattan are in danger of getting shut down by the Health Department. An undercover investigation at clubs showed evidence of a continued blatant disregard for the law, established in 2003. The New York Daily News reported on testimony and photographs that one club in particular, The M2 Ultra Lounge, displayed bouncers chatting with cigar smokers, cigarettes for sale in bathrooms and waitresses serving drinks to people with lit cigarettes in hand (Read the article here); the club will likely be shut down. It will be interesting to see if the publicity from these cases improves compliance. 3. regulatory Battle over e-cigarettes While the Food and Drug Administration (FDA) was taking steps to regulate e-cigarettes, a Federal Court ruled last month that disallows the FDA from regulating e-cigarettes as drugs or medical devices. The decision from U.S. District Judge Richard Leon came after two e-cigarette companies disputed the FDAs authority to regulate their products. Ecigarettes are devices which contain replaceable cartridges that usually include nicotine and propylene glycol, a chemical found in anti-freeze. They are largely imported from China or South America and have not been shown to be a safe alternative to traditional cigarettes. In fact, there is no credible evidence showing that they help people quit smoking, something a number of e-cigarette companies claim. E-cigarettes are used as a loophole by the tobacco companies to circumvent smoke-free laws, and this ruling jeopardizes public safety. It is recommended that smoke-free ordinances include language that does not permit the use of e-cigarettes in public places and workplaces. Contact KCSP staff for further information on e-cigarettes and how to cover them in an ordinance or regulation. Read the press release on this story from the Campaign for Tobacco-free Kids (here).

Smoke-free research updates


1. Individual, Social-Normative, and Policy Predictors of Smoking Cessation: A Multilevel Longitudinal Analysis Using data collected from the UMass Tobacco Study, Biener et al. (2010) examined the impact of smoking policies and social norms on smoking behavior. Smoking policies analyzed in the study were both formal (community policies or workplace policies) and informal (whether individuals allow smoking in their homes). The study found that homes where residents did not allow smoking were associated with smoking abstinence, suggesting that even informal policies in the home can be effective. At the workplace, smoke-free policies were associated with quit attempts. Another factor in

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reducing smoking was the existence of strong antismoking town norms; social norms are the attitudes and behaviors generally displayed in a community. In this study, the stigma attached to smoking was effective in helping smokers quit. As such, both social norms and smoke-free policies help modify smoking behaviors.
Click here to read the article

2. Is the Smokers Exposure to Environmental Tobacco Smoke Negligible? Picardo, Stella, and Valerio (2010) suggest there are not many studies looking at the impact of passive smoke exposure (e.g. secondhand smoke) on active smokers. In this study, researchers focused on newsagents in Genoa, Italy who work alone 12 hours a day in small enclosed newsstands with only a window to serve customers; the only smoke they are exposed to is their own. Smokers in the sample consumed an average of fourteen cigarettes per day, and their daily benzo(a)pyrene dose, a dangerous chemical found in cigarette smoke, was estimated to compare their level of exposure from smoking cigarettes to the level of exposure from the secondhand smoke produced by their own cigarettes. Researchers found that increases in the level of exposure to benzo(a)pyrene from secondhand smoke were directly related to the number of cigarettes smoked by participants. As such, secondhand smoke exposure needs to be considered along with active smoking when studying the health consequences of smoke exposure.
Click here to read the article

minutes from the January 6, 2010 community Partner call


The KCSP HOT TOPIC community partner conference call Kentucky is Going Smoke-free One Community at a Time took place on January 6, 2010. This call explored the importance of building support for smoke-free laws at the local level, with the eventual goal of achieving a comprehensive statewide law.

Please see the attached minutes for a comprehensive overview of the call!!

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

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

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mike Bossick, Ph.D.


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

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


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

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From: Sent: To: Cc: Subject:

Hahn, Ellen J Wednesday, August 18, 2010 6:23 PM 'ABarkley@TobaccoFreeKids.org' Kercsmar, Sarah Follow up to conversation re NKY

Amy, As follow up to our conversation in Frankfort yesterday, here are the main points that Sarah emphasized when she talked with Jerry Stricker (and he was going to talk with Ralph Drees) in regard to the PHLC review of the first copy of the ordinance that we received: 1. Replace building and establishment with enclosed area (as per p. 3 of the review) 2. Fix the private clubs language (as per p. 5 of the reviewmid page)..related to anytime members of the public are invited or present or if the club has employees, smoking is prohibited AND the language regarding smoke infiltrating into areas where smoking is prohibited. 3. Add penalties for the business as well as timing of citations (top p. 7 of review) and p. 6, Section 8. The other suggestions we would make relate to revising the definition of place of employment and definition of smoking to include heated and e cigarettes. Let me know if you have questions. Ellen Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease University of Kentucky College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on Twitter and Facebook ! 50_CoN_celebrate_date_oop-email

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

Riker, Carol A Saturday, January 15, 2011 6:28 PM 'Owens, Kelly S (LHD - Madison Co)'; 'Hawkins, Ruth R (LHD-Madison Co)' Hahn, Ellen J; Johnson, John D; Mundy, Monica E; Kercsmar, Sarah formaldehyde in e-cig

Ellen has just learned from scientists that formaldehyde has been found in a number of e-cigarettes. Formaldehyde is listed as a known human carcinogen by IARC and a probable human carcinogen by US EPA. Apparently if formaldehyde is in the fluid in the cylinder, then it will be in the vapor. Just wanted you to be aware as you go into the BOH meeting. It seems we continue to learn more about e-cigs but its unlikely that they are just emitting water vapor! Let us know how it goes! Carol Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Phone: 859-323-6615 Fax: 859-323-1057 Cell: 859-619-3776 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu

Find kysmokefree on Twitter and Facebook


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

CON 50 yrs logo

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From: Riker, Carol A Sent: Sunday, February 13, 2011 6:14 PM To: 'Owens, Kelly S (LHD - Madison Co)'; 'Hawkins, Ruth R (LHD-Madison Co)'; 'Crewe, Nancy M (LHD-Madison Co)' Cc: Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E Subject: FW: air times Importance: High

Hi Kelly and Ruth, Ron Smith from WEKU let Ellen know that the segment on e-cigarettes is ready and will be aired MONDAY, possible at 6:40, 7:40 or 8:40. Thought you'd like to know.. I'll see if I can leave a text on your phone, too. Thanks, Carol -----Original Message----From: Hahn, Ellen J Sent: Friday, February 11, 2011 9:05 PM To: Riker, Carol A Subject: FW: air times

Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease University of Kentucky College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on and

-----Original Message----From: Smith, Ron [mailto:Ron.Smith@EKU.EDU] Sent: Friday, February 11, 2011 1:06 PM To: Prewitt, Richard; Hahn, Ellen J; susan.westrom@lrc.ky.gov Subject: air times

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Corrected possible air times... 6:40, 7:40 or 8:40...not at 6:50, 7:50 or 8:50. Thanks, Ron

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From: Hahn, Ellen J Sent: Thursday, May 05, 2011 7:59 AM To: Riker, Carol A; Darville, Audrey K; Owens, Kelly S (LHD - Madison Co) Subject: FW: Animoto - Vaapor-Stix radio debut More detail from Rachel (works as a postdoc in Stan Glantz's shop). A bit more detail below about the implications of FDA reg as a tob product. Ellen Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease University of Kentucky College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on and

-----Original Message----From: Grana, Rachel [mailto:Rachel.Grana@ucsf.edu] Sent: Wednesday, May 04, 2011 8:57 PM To: Hahn, Ellen J Subject: RE: Animoto - Vaapor-Stix radio debut Hi Ellen, Thanks for sending this. I actually am preparing to give a talk about my research on the electronic cigarette Web-based marketing for the Smokeless Summit in Austin Texas. In doing so, I am framing my concerns and take home points about the marketing of these products around that new ruling from the US Court of Appeals and the FDA's decision not to appeal to the Supreme Court. So, good timing to ask me what I think and I would love to hear what you think too! So, my thoughts are these...I think it would have been better for public health if they were regulated as nicotine delivery devices. Never mind the fact that they do not contain tobacco - I do not agree with the ruling primarily because the rationale provided was based on the premise that the ecigarette companies are not making therapeutic claims. Although I did not see the evidence provided at trial, even my brief presentation about a content analysis of the Websites shows that they contain overt health and cessation messages even if they do not use the word quit or cessation. They state clearly that these are healthier than traditional cigarettes because they do not contain, tar, ash, carcinogens, toxic chemicals, etc. They are using doctors (images and actual doctors in videos) to promote and assure viewers of the safety and utility of the products to switch from tobacco cigarettes, in text and spoken word. Also, if they are being regulated as a tobacco product there will probably be no burden of proof of safety since tobacco products were defined in the legislation as inherently unsafe. Therefore, this leaves no manufacturing or safety of use standards for these products. In fact, under the Family Smoking and Prevention Act, smokeless tobacco, cigars and cigarillos do not have the same restrictions as to flavors and taxation that cigarettes do. For
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instance although cigarettes cannot come in candy flavors, smokeless tobacco can come in fruit flavors, and cigarillos still come in tons of flavors, including fruit, alcohol flavors, vanilla chocolate. It appears that people are just gearing up the battles about smokeless tobacco regulation after a 2year (maybe even really just 1-year) focus on cigarettes. I fear that the whole tobacco product regulation is moving so slowly that placing ecigarettes in the same category will all but guarantee they remain on the market in a regulatory vacuum for a few years at best. Therefore they will have way too much time to continue promoting and selling flavored ecigarettes on-line and in the malls where people can try them (probably high school students, because that is who is in the mall). I hope I am wrong and the FDA puts an end to the unsubstantiated health and safety advertising (especially with medical doctors!) and tackles the flavor issue and mall kiosks distribution. Rachel -----Original Message----From: Hahn, Ellen J [mailto:ejhahn00@email.uky.edu] Sent: Wednesday, May 04, 2011 2:41 PM To: Grana, Rachel Subject: FW: Animoto - Vaapor-Stix radio debut Importance: High See below. This is an interesting turn of events with FDA taking them on as a tob product. Your thoughts? Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease University of Kentucky College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on and

-----Original Message----From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov] Sent: Wednesday, May 04, 2011 11:06 AM To: Centers, Irene (CHFS HPB-Health Promotions); Beauchamp, Jan (CHFS HPB-Health Promotions); Riker, Carol A; Hahn, Ellen J Subject: Animoto - Vaapor-Stix radio debut Importance: High http://animoto.com/play/q0EBgn6zRqIkFCAhIwCtVQ Vapor Stix (our local e-cig vendor) has a radio ad that is getting lots of air time. (VERY EXPENSIVE...) My question is, w/ these devices now being under FDA regulation as a tobacco product, do the same rules regarding advertising apply?
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Kelly S. Owens, MPH, CHES Tobacco Prevention and Cessation Specialist/Health Educator III/CPS Technician Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043 Web Address: http://www.madisoncountyhealthdept.org/ Need Help Quitting? http://www.becomeanex.org/

P Please consider the environment before printing this e-mail

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From: Sent: To: Cc: Subject: Here you go, Kelly. Carol

Riker, Carol A Tuesday, January 11, 2011 2:11 PM 'Owens, Kelly S (LHD - Madison Co)'; 'Hawkins, Ruth R (LHD-Madison Co)' Hahn, Ellen J; Johnson, John D; Mundy, Monica E FW: article

From: O'malley, Gail A Sent: Tuesday, January 11, 2011 11:49 AM To: Riker, Carol A Subject: RE: article

From: Riker, Carol A Sent: Tuesday, January 11, 2011 10:14 AM To: O'malley, Gail A Subject: article

Madison Co Health Dept would like to have the full text of an article in the latest issue of Tobacco Control called Electronic Nicotine Delivery Devices Is there a need for regulation. Could you try to get a pdf of it please. They are gathering info for their Bd of Health who is considering amending their regulation to include e-cigs. Thanks Carol

Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Phone: 859-323-6615 Fax: 859-323-1057 Cell: 859-619-3776 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu

Find kysmokefree on Twitter and Facebook


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

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CON 50 yrs logo

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From: Sent: To:

Subject:

Lynsey Sugarman <lsugarman@insightbb.com> Friday, December 03, 2010 10:58 AM Albert Carillo ; Allison Evans ; Angela Brumley-Shelton; Armstrong, Ken; Darville, Audrey K; Bryan S Wood ; Byron Smoot ; Carol Mayabb; Riker, Carol A; Flaherty, Christopher W; Chris Townsend ; Deanna Bradley ; Debra Wilson ; Loeffler, Diane N; Dianne Woods ; Donna Gilmer ; Ed Tedder ; Emily Goldey ; Gabe Prewitt ; Gerald Dodge ; Greg Howard ; Howard Rupard ; Jae Underwood; James Hopson ; Jason Parks ; Mahmoud, Jihan S; Jill Wilson ; Van Hise, James R; Jo Geddes ; Fields-Elswick, Katelin M; John Kim; John Poundstone ; Cassidy, Karma; Karma Potter-Wilson ; Keith Tiemeyer; Kerry Lowary ; Kimberly Donta ; Lawrence Weathers ; Liz Bancroft ; M. E. Kobes; Gordon, Mark W; Mayor Jim Newberry ; Megan Skaggs ; Bossick, Michael J; Michele Young; Michelle Marra; Mike Bosse ; Monica Chenault; Nancy Rawlings ; Sammon, Patrick J; Carnahan, Rachel N; Hay, Rachel C; Rick Shaw ; Robert Durham; Robert Hart ; Robert Shields ; Robin Peavler ; Roger Leasor ; Ronda Webber; Sally Stevens; Schnelle, Chris; Serena Culbertson; Sharon Tankersley ; Sherelle Roberts ; Stacy Kargbo; Stephanie Hong; Tara McGuire; Terri Powell; Vodica, Kate; Wendi Keene ; William Goldey ; Beckett, Drew; Daniel McSpadden; Danielle Sanders-Jackson ; 'David Amole'; Diana Cromer ; Donna Bernier; John Lynch ; Larry Johnson ; Marianne Blodgett ; Marion Gibson ; Melinda Rowe; Michael Winkler; Michelle Beverly; Ruben Perez; Sandra Watts ; Shannon Waters ; Smith, Andrew M; Staten, Ruth R FW: Berea Smoking Ban & e-cigarettes

News on proposed e-cigarette ban in Berea. Thanks, Howard! Lynsey


Lynsey Sugarman, Administrator Mayor's Alliance on Substance Abuse Fayette County ASAP 859-361-1402 From: Parkpatrolrup@aol.com [mailto:Parkpatrolrup@aol.com] Sent: Friday, December 03, 2010 8:36 AM To: lsugarman@insightbb.com Subject: Berea Smoking Ban & e-cigarettes

Lynsey, Interesting twist on e-cigarettes in Berea, KY Howard

file:///C|/...ts/University%20of%20KY/disc%201/Conley%20request%201/FW%20Berea%20Smoking%20Ban%20%20%20e-cigarettes.html[8/19/2011 2:28:19 AM]

December 3, 2010

Board gives first approval to smoking ban changes


By Lorie Love Hailey Register Editor The Richmond Register Fri Dec 03, 2010, 12:00 AM EST BEREA The Madison County Board of Health approved first reading Wednesday of an amended Clean Indoor Air Regulation policy which will prohibit use of e-cigarettes in public places. The amendment also provides stricter definitions about where smoking is allowed and an amended definition of smoking. Previously, the order defined smoking as inhaling, exhaling, burning or carrying any lighted cigar, cigarette, pipe, or other combustible tobacco product. If the amended regulation passes on second reading, smoking will be defined as 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. Smoking also includes the use of an e-cigarette, which creates a vapor, in any manner or in any form, or the use of any oral smoking device for the purpose of circumventing the prohibition of smoking in this article. A definition of e-cigarettes was added to the regulation, calling an e-cigarette any electronic oral device, such as one composed of a heating element, battery and/or electronic circuit, which provides a vapor of nicotine or any other substances, and, the use or inhalation of which simulates smoking. The term shall include any such device, whether manufactured, distributed, marketed, or sold as an e-cigarette, e-cigar, e-pipe, or under any other produce name of descriptor. Several Madison County residents spoke against the amendment, telling health board members that e-cigarettes had helped them break their smoking habit. Larry Conner said he had smoked for years and even developed chronic obstructive pulmonary disease (COPD). After trying e-cigarettes, he has been completely off cigarettes for two months, and has stopped wheezing and coughing. There is no smell, no odor. I dont agree with them (e-cigarettes) being lumped in with cigarettes, he said. It is not the same thing. Conner said with e-cigarettes, a water vapor is exhaled. There is no second-hand anything, he said. Jerry Hacker of Richmond agreed, saying e-cigarettes had helped him become tobacco-free. There is no second-hand smoke, he said. There is no combustion, and no smoke, therefore, no second-hand smoke. Hacker said including e-cigarettes in the regulation would hinder people from using the product to stop smoking tobacco. I could be smoking one right now and youd never know it if you werent looking at me, he said.

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Board member Dr. John Johnstone said the board has hard data that says you cant smell it, but its there. There are toxins you cant see or smell, but they are still present, added board chair Dr. Stuart Tobin. There is no data that can prove that theyre safe. Hacker said there was no data to prove e-cigarettes were not safe. The amendment also redefined private club, and deleted the exemption for where smoking is not regulated. The exemption had read that smoking was not regulated in retail tobacco stores provided that smoke from these places does not infiltrate into areas where smoking is prohibited under the provisions of this regulation. In making the amendments for a private club, board members said they were trying to eliminate smoke shops, private clubs that are created for temporary purposes to allow smoking and to prevent hookah bars from opening in Madison County. The new definition states that a private club means an organization, whether incorporated or not, which is the owner, lessee or occupant of a building or portion thereof used exclusively for club purposes at all times, which is operated solely for a recreational, fraternal, social, patriotic, political, benevolent, or athletic purpose, but not for pecuniary gain, and which only sells alcoholic beverages incidental to its operation. The affairs and management of the organization are conducted by a board of directors, executive committee, or similar body chosen by the members at an annual meeting. The meeting organization has established bylaws and/or a constitution to govern its activities. The organization has been granted an exemption from the payment of federal income tax as a club under 26 U.S.C. Section 501. The board first proposed the amendment in an October meeting. Public Health Director Nancy Crewe then sent the proposed changes to County Attorney Marc Robbins for review. Crewe said Robbins had no opposition to the language of the amendment. The board likely will have second reading of the regulation at its April board meeting. Lorie Love Hailey can be reached at editor@ richmondregister.com or 624-6690.

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From: PATTERSON, TY A. <patterst@otc.edu> Sent: Monday, April 11, 2011 8:08 AM To: Jenniferlynn.Sullivan@Cancer.org; Kenneth Dahlgren; Hahn, Ellen J; everettk@missouri.edu; YOUNG-PETERSON Stephanie A; Stevens, Amanda; kim@cyan.org; carrie.reynolds@cancer.org; Stephen.Hall@heart.org Cc: jimblaine@aol.com; Lisa Erwin Subject: FW: Consumer Advocates for Smoke-free Alternatives Association Colleagues In the email strand below one of NCTP's clients (Bemidji State University) has encountered a complaint regarding their tobacco-free campus policy's prohibition of e-cigarettes. Please let me know if you have any information about Mr. Conley and/or his organization. Thanks Ty Ty Patterson Co-Director National Center for Tobacco Policy Springfield Missouri 65802 417 773 4262 www.tobnaccofreenow.org "Healthier organizations through respect." ________________________________________ From: PATTERSON, TY A. Sent: Monday, April 11, 2011 6:57 AM To: Lisa Erwin Cc: Theresa Lochhaas Subject: RE: Consumer Advocates for Smoke-free Alternatives Association Hi Lisa Never heard of Mr. Conley or his organization. I'll share this with some colleagues who might know more. I think you handled the situation well. If a smoke-free campus policy did not prohibit ecigarettes, how on earth would the policy be enforced? From even close range it is impossible to tell an e-cigarette from the real thing. Since the e-cigarette has not been recognized as a viable form of nicotine replacement therapy, we believe prohibiting its use on campus is the only prudent course of action. I'll let you know if I find out more information. Please do the same with me. Best Regards Ty PS: Tell Dr. Hansen hello.

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________________________________________ From: Lisa Erwin [LErwin@bemidjistate.edu] Sent: Friday, April 08, 2011 9:11 AM To: PATTERSON, TY A. Subject: Consumer Advocates for Smoke-free Alternatives Association Hi Ty - I got a call last night from someone named Greg Conley, who is from the organization Consumer Advocates for Smoke-free Alternatives Association. It was the second call of the day I received regarding e-cigarettes. The first was from a dad, and we had a good conversation about our decision to include e-cigarettes. He didn't agree, but it was a positive interactoin. Mr. Conley took issue with our process, indicating that e-cigarettes were never in the original draft that was shared with the campus. That's actually true - the final draft of the policy that went to Dr. Hanson for his approval had several edits that our task force made as a result of our many interactions while you were here and from the feedback we received through our website. I provided him with the reasons for our inclusion, and then added some information on our website so it would be clearer (under Resources, about half way through - it's a link to comments from the Food and Drug Administration). http://www.bemidjistate.edu/about/tobacco_free/documents/ Anyway - I'm still feeling good about our process and so is Dr. Hanson. I'm writing to find out if you know more about this organization and maybe what to expect? He wasn't at all happy and was rather combative as the conversation progressed, and indicated in the end that "we" (Consumer Advocates for Smoke-free Alternatives Association ?) will try to get this stopped by contacting Dr. Hanson. Lisa

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From: Sent: To: Subject:


HERE IS ANOTHER

Owens, Kelly S (LHD - Madison Co) <KellyS.Owens@ky.gov> Monday, December 06, 2010 2:04 PM Hahn, Ellen J; Riker, Carol A; Johnson, John D FW: E cigarette / Clean Air Help

Kelly S. Owens, MPH, CHES


Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043
Web Address: www.madison-co-ky-health.org

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

P Please consider the environment before printing this e-mail

From: Crewe, Nancy M (LHD-Madison Co) Sent: Monday, December 06, 2010 12:32 PM To: Hawkins, Ruth R (LHD-Madison Co); Owens, Kelly S (LHD - Madison Co) Cc: Green, Christie L (LHD-Madison Co) Subject: FW: E cigarette / Clean Air Help

FYI, ladies. See previous correspondence. Nancy

Nancy M. Crewe Public Health Director Madison County Health Department 214-216 Boggs Lane P.O. Box 1208 Richmond, KY 40476-1208 859-626-4241/cell 859-200-4657 email NancyM.Crewe@ky.gov http://www.madison-co-ky-health.org/
file:///C|/...ts/University%20of%20KY/disc%201/Conley%20request%201/FW%20E%20cigarette%20%20Clean%20Air%20Help%202 html[8/19/2011 2:28:20 AM]

Please consider the environment before printing this email.


NOTICE OF CONFIDENTIALITY This e-mail, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain confidential information that is legally privileged and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are notified that any review, use, disclosure, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies of the original message.

From: Information @ Penbrandt.com [mailto:info@penbrandt.com] Sent: Friday, December 03, 2010 8:10 PM To: editor@richmondregister.com; Crewe, Nancy M (LHD-Madison Co) Subject: Fw: E cigarette / Clean Air Help

Mr. Pennington: The bit of information left out of the FDA report on E-cigarettes is that the concentration of carcinogens in the E-cigarette fluid is approximately the same concentration of these same carcinogens in Nicorette and the other Nicotine Replacement Therapy (NRT) products already approved by FDA.. To my knowledge no one has even tried to see if these traces show up in the E-cigarette vapor since it seems unreasonable that they would. For more detailed information about the FDA test results -- see the petition to the FDA about the July 22, 2009 press conference on the Tobacco Issues page of the www.aaphp.org web site, and the referenced test results in the attached materials. There is no reason to suspect that E-cigarette vapor might be harmful to others. At the time I drafted the February 2010 petitions to the FDA regarding E-cigarettes, I did so in my capacity as Co-Chair of the Tobacco Control Task Force of the American Association of Public Health Physicians. I have since rotated out of that role. Joel L. Nitzkin, MD, 4939 Chestnut Street New Orleans, LA 70115-2941 Phone: 504 899 7893 or 800 598 2561 Cell phone 504 606 7043 Fax: 504 899 7557 Skypename jlnitzkin jln-md@mindspring.com

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From: Sent: To: Subject:

Owens, Kelly S (LHD - Madison Co) <KellyS.Owens@ky.gov> Monday, December 06, 2010 2:03 PM Hahn, Ellen J; Riker, Carol A; Johnson, John D FW: E cigarette / Clean Air Help

Another message sent to our director over the weekend. I think we have certainly gotten some attention!!

Kelly S. Owens, MPH, CHES


Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043
Web Address: www.madison-co-ky-health.org

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

P Please consider the environment before printing this e-mail

From: Crewe, Nancy M (LHD-Madison Co) Sent: Monday, December 06, 2010 12:33 PM To: Hawkins, Ruth R (LHD-Madison Co); Owens, Kelly S (LHD - Madison Co) Cc: Green, Christie L (LHD-Madison Co) Subject: FW: E cigarette / Clean Air Help

FYI, ladies. See previous correspondence. Nancy

Nancy M. Crewe Public Health Director Madison County Health Department 214-216 Boggs Lane P.O. Box 1208 Richmond, KY 40476-1208 859-626-4241/cell 859-200-4657 email NancyM.Crewe@ky.gov http://www.madison-co-ky-health.org/
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Please consider the environment before printing this email.


NOTICE OF CONFIDENTIALITY This e-mail, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain confidential information that is legally privileged and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are notified that any review, use, disclosure, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies of the original message.

From: Information @ Penbrandt.com [mailto:info@penbrandt.com] Sent: Friday, December 03, 2010 8:09 PM To: editor@richmondregister.com; Crewe, Nancy M (LHD-Madison Co) Subject: Fw: E cigarette / Clean Air Help

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

----- Original Message ----From: Thomas Kiklas inLife Media To: Information @ Penbrandt.com Sent: Friday, December 03, 2010 3:35 PM Subject: Re: E cigarette / Clean Air Help Mr. Pennington, Thank for your email and concern. We at inLife have committed a great deal of time and resources to bring to the public and legislative bodies the science and experiences of our e-cig clients. There are now over 500,000 e-cig users in the U.S. and over 20+ scientific studies on the constituents of the a-cig. In not one study (inclusive of the FDA's 4/22/09 study) have there ever any single ingredient or combination of ingredients that are at any levels harmful to humans. You reference in your email that "the FDA report that carcinogens exist in the fluid from the E-cigs". This report by the FDA has been greatly criticized by many Tobacco Harm Researchers and scientists as being alarmist and devoid of any scientific merit and I direct to this rebuttal from our industry website that should help you dispel false claims of harmful or toxic levels of ingredients in the e-cig: http://truthaboutecigs.com/scares_2.php Please review the website www.truthaboutecigs.com for more science on the e-cig as once a legislative body has strictly the scientific facts on this truly amazing technology (http://truthaboutecigs.com/studies.php ) can they then make an informed decision of whether it is wise to ban a product that only has 5 main ingredients (propylene glycol, glycerol, nicotine, water and flavoring and all ingredients have been in the U.S. food supply for generations and none banned by the FDA) and send their constituents back to the one product that we know kills over 500,000 annually and contains over 6,000 chemicals in which 66 are known toxins. If you would like further information or wish to speak to me you can contact me directly. Thank you greatly for taking your time to contact inLife and do your due diligence about the e-cig and best of luck. Thomas R. Kiklas Director of Media inLife 949-250-9600 x108

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From: Sent: To: Subject:

Owens, Kelly S (LHD - Madison Co) <KellyS.Owens@ky.gov> Monday, December 06, 2010 2:02 PM Hahn, Ellen J; Riker, Carol A; Johnson, John D FW: E cigarette / Clean Air Help

Kelly S. Owens, MPH, CHES


Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043
Web Address: www.madison-co-ky-health.org

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

P Please consider the environment before printing this e-mail

From: Crewe, Nancy M (LHD-Madison Co) Sent: Monday, December 06, 2010 12:33 PM To: Hawkins, Ruth R (LHD-Madison Co); Owens, Kelly S (LHD - Madison Co) Cc: Green, Christie L (LHD-Madison Co) Subject: FW: E cigarette / Clean Air Help

FYI, ladies. See previous correspondence. A couple more to come. Nancy

Nancy M. Crewe Public Health Director Madison County Health Department 214-216 Boggs Lane P.O. Box 1208 Richmond, KY 40476-1208 859-626-4241/cell 859-200-4657 email NancyM.Crewe@ky.gov http://www.madison-co-ky-health.org/
file:///C|/...ts/University%20of%20KY/disc%201/Conley%20request%201/FW%20E%20cigarette%20%20Clean%20Air%20Help%204 html[8/19/2011 2:28:23 AM]

Please consider the environment before printing this email.


NOTICE OF CONFIDENTIALITY This e-mail, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain confidential information that is legally privileged and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are notified that any review, use, disclosure, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies of the original message.

From: Information @ Penbrandt.com [mailto:info@penbrandt.com] Sent: Friday, December 03, 2010 8:07 PM To: editor@richmondregister.com; Crewe, Nancy M (LHD-Madison Co) Subject: Fw: E cigarette / Clean Air Help

Hi Monty, While youre right that trace levels of carcinogens were found in the electronic cigarette fluid, there is no evidence that any significant amount of carcinogens or other known toxic substances are present in the exhaled vapor from electronic cigarette use. I cant provide you with any documentation because this is a negative finding the lack of evidence. If any evidence is presented at the hearing purporting to show that vapor emitted by electronic cigarette users contains dangerous chemicals or carcinogens, I would like to hear about it so that I can assess the validity of that information. All I can say is that I am not aware of any such information at the present time. Mike

Michael Siegel, MD, MPH Professor Department of Community Health Sciences Boston University School of Public Health 801 Massachusetts Avenue, 3rd Floor Boston, MA 02118

From: Information @ Penbrandt.com Sent: Friday, December 03, 2010 3:07 PM To: Siegel, Michael Subject: E cigarette / Clean Air Help Michael Siegel, MD, MPH Depart of Community Health Services Boston University School of Public Health 617-638-5167 Hello Dr. Siegel, We are a group of citizens of Madison County, Kentucky. Our county Board of Health passed a smoking ban a little over two years ago to prohibit smoking indoors at public places. They have now had a 1st reading of a ordinance to include E-cigarettes in this ban. They are basing there decision on the FDA report that carcinogens exist in the fluid from the E-cigs. However, they only have power to enact this ordinance if these "chemicals or carcinogens" exist in the 2nd hand vapor emitted from these devices. We are looking for information to whether these devices have been proven to have these things in the 2nd hand vapor that would warranty including them in the "clean air" ban.

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Can you please advise? Many of us have quit smoking regular cigarettes with these E cigarettes, and know of several HUNDRED households in this county that are now smoke-free because of them. Our concern is that if they include this in the ban, then many of those who have left regular cigarettes for the E cigarettes will return to smoking regular cigarettes. Sincerely, Monty R. Pennington of behalf of Concerned Citizens of Madison County, Kentucky

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From: Sent: To: Subject:

Owens, Kelly S (LHD - Madison Co) <KellyS.Owens@ky.gov> Monday, December 06, 2010 2:05 PM Hahn, Ellen J; Riker, Carol A; Johnson, John D FW: E cigarette / Clean Air Help

Well, I stated this morning that things had been quiet after last weeks BOH. J

Kelly S. Owens, MPH, CHES


Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043
Web Address: www.madison-co-ky-health.org

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

P Please consider the environment before printing this e-mail

From: Crewe, Nancy M (LHD-Madison Co) Sent: Monday, December 06, 2010 12:32 PM To: Owens, Kelly S (LHD - Madison Co); Hawkins, Ruth R (LHD-Madison Co) Cc: Green, Christie L (LHD-Madison Co) Subject: FW: E cigarette / Clean Air Help

FYI, ladies. See previous correspondence.

Nancy

file:///C|/.../Results/University%20of%20KY/disc%201/Conley%20request%201/FW%20E%20cigarette%20%20Clean%20Air%20Help html[8/19/2011 2:28:24 AM]

Nancy M. Crewe Public Health Director Madison County Health Department 214-216 Boggs Lane P.O. Box 1208 Richmond, KY 40476-1208 859-626-4241/cell 859-200-4657 email NancyM.Crewe@ky.gov http://www.madison-co-ky-health.org/
Please consider the environment before printing this email.
NOTICE OF CONFIDENTIALITY This e-mail, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain confidential information that is legally privileged and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are notified that any review, use, disclosure, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies of the original message.

From: Information @ Penbrandt.com [mailto:info@penbrandt.com] Sent: Friday, December 03, 2010 8:11 PM To: editor@richmondregister.com; Crewe, Nancy M (LHD-Madison Co) Subject: Fw: E cigarette / Clean Air Help

From: Brad Rodu To: Information @ Penbrandt.com Sent: Friday, December 03, 2010 3:50 PM Subject: Re: E cigarette / Clean Air Help Monty, Thanks for your message. I strongly support the availability of electronic cigarettes as vastly safer alternatives for smokers, and I believe that use of the devices in public places has virtually no impact on non-vapers. However, there is no scientific evidence that informs your question: Do "chemicals or carcinogens" exist in the 2nd hand vapor emitted from these devices? We cannot underestimate the technology that makes it possible to measure vanishingly small and insignificant quantities of putative contaminants, but I do not know of any published studies that address this issue. I understand that many former smokers in Madison County are dependent on e-cigarettes to stay smoke-free. But I am a bit skeptical about your statement that a public indoor ban on e-cigarettes would force vapers to start smoking again. I don't believe that vapers, most of whom know that e-cigarettes are vastly safer, would return to conventional cigarettes if an indoor ban was implemented (with either product they would be forced outside). One option is for vapers to use other smoke-free nicotine/tobacco products if they need to spend a lot of time in places where e-cigarettes were banned. This is a difficult issue. Please don't hesitate to contact me if you need any other information. Best regards,

Brad Rodu Professor of Medicine Endowed Chair, Tobacco Harm Reduction Research University of Louisville Room 208

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Clinical Translational Res. Bldg. 505 South Hancock Street Louisville, KY 40202 Phone: 502-852-7793 Fax: 502-852-7979 Email: brad.rodu@louisville.edu www.smokersonly.org http://rodutobaccotruth.blogspot.com

file:///C|/.../Results/University%20of%20KY/disc%201/Conley%20request%201/FW%20E%20cigarette%20%20Clean%20Air%20Help html[8/19/2011 2:28:24 AM]

From: Sent: To: Subject: Importance:

Owens, Kelly S (LHD - Madison Co) <KellyS.Owens@ky.gov> Friday, April 08, 2011 8:40 AM Riker, Carol A; Hahn, Ellen J; Robertson, Heather E; michael.ballard@eku.edu FW: E-Cig Ban High

FYIThis email was received after the BOH decision to include e-cigarettes in MCHR700.00 Dr. Ballard do you know this person? She really doesnt seem to have much of a grasp on the subject. Nor did she seem to hear any of Dr. Johnstones presentation.

Kelly S. Owens, MPH, CHES


Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043
Web Address: http://www.madisoncountyhealthdept.org/

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

P Please consider the environment before printing this e-mail

From: Crewe, Nancy M (LHD-Madison Co) Sent: Thursday, April 07, 2011 4:32 PM To: Hawkins, Ruth R (LHD-Madison Co); Owens, Kelly S (LHD - Madison Co) Subject: FW: E-Cig Ban Importance: High

See email below forwarded to me by Christie. Nancy

Nancy M. Crewe Public Health Director Madison County Health Department

file:///C|/...20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/FW%20E-Cig%20Ban%202 html[8/19/2011 2:28:26 AM]

214-216 Boggs Lane P.O. Box 1208 Richmond, KY 40476-1208 859-626-4241/cell 859-200-4657 email NancyM.Crewe@ky.gov http://www.madisoncountyhealthdept.org/
Please consider the environment before printing this email.
NOTICE OF CONFIDENTIALITY This e-mail, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain confidential information that is legally privileged and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are notified that any review, use, disclosure, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies of the original message.

From: Green, Christie L (LHD-Madison Co) Sent: Thursday, April 07, 2011 10:45 AM To: Crewe, Nancy M (LHD-Madison Co) Subject: FW: E-Cig Ban Importance: High

Christie L. Green Development and Communications Public Information Officer Madison County Health Dept. 214 Boggs Lane Richmond, KY 40476-1208 859-623-7312 cell 859-661-0853 "...what it really takes to change the world isn't so much wealth or power as creativity, determination and passion." Nicholas Kristof Please consider the environment before printing this e-mail.
NOTICE OF CONFIDENTIALITY: This e-mail, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain confidential information that is legally privileged and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are notified that any review, use, disclosure, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies of the original message.

www.madisoncountyhealthdept.org

From: Brookshire, Crystal [mailto: Sent: Thursday, April 07, 2011 10:29 AM To: mchd@madisoncountyhealthdept.org Subject: E-Cig Ban Importance: High To Whom it Concerns: I just want to say thank you for taking the time out of your busy schedules to take into consideration this issue. I will say however that I was very disappointed that our CIVAL RIGHTS were not addressed, issued, or heard! I have went to higher authorities over this issue! And believe me I WILL NOT let this die!! I am also disappointed in the lack of evidence provided in the so called presentation by a Cardiologist who apparently knows nothing about this product! His presentation must have been put together two days before the meeting by a 6 year old! I work with Students at a College that can give better evidence and presentations than he could!! I am also displeased with the situation as a whole! I am also very, very displeased that the presentation at the end put King James in it!! Nowhere in my bible or King James era does it say anything about smoking and Electronic Cigarette for Duhh they werent invented back then, and its no different than drinking a cup of coffee, energy drink, soda, or drinking alcohol! May God have mercy on your souls for this injudgment of this product!! For it has helped 500,000 people to quit smoking regain their lives and health back that havent been

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able to other wise through your Smoking Sensation classes! I know because Ive talked to these people as well! The whole MADE in CHINA is bull crap, yes they do come from China but the Juice is made in the good old USA, so this goes to show that you dont know what youre talking about, bet you didnt know that either! Hhhmm!! Your Board member Michael Oliver hit it on the nose and you still wouldnt listen, he has more sense the rest of you! I will also let you know that I have been an avid user of the E-cig for 8 months! I have quit smoking real cigarettes since then and tried everything and wouldnt have quit otherwise! My 12 year old daughter thinks this whole thing with banning is stupid and totally supports me using this product! She hasnt been sick since Ive been using it! And if you would have given us a chance you would have seen that Larry in the wheelchair had COPD and going to the hospital for treatments on oxygen 24/7 since smoking the E-Cig over a year ago he is off his oxygen and getting his health back, along with my father who has emphysema, but oh wait you dont know that till now.hhhmm!! I am also displeased because I had sent an email over 4 months ago to this agency and never received a reply back! This board was sent several documents that proved our claims that there is no harm to bystanders or second hand smoke but this was never shared either!! I know your system is corrupt as with other so called board, government, and agencies because apparently the person that has yelled the loudest (Cigarette companies) and others where the ones that helped get this Stupid ban passed! How much money were you paid to pass the ban? There are two sides to every story and ours wasnt heard!! I will let you know that this BAN will be very hard to police since it is a vapor and that I can still go to the bathroom, sit at my desk, my house, and my car and other public buildings because the Vapor disappears, bet you didnt know that did you! So I hope your decision on this was based on facts in which you didnt have and the fact that if you really care about humans as you say and want them to quit you would have done so!! Your mission statement on your website should be changed in which none of these were considered at the meeting or in a whole! God Bless!

disserv@eku.edu

CONFIDENTIALITY NOTICE: The materials contained in this electronic transmission are private and confidential and are the property of the sender. The information contained in the material is privileged and is intended only for the use of the individual(s) or entity(ies) named above. If you are not the intended recipient, be advised that any unauthorized disclosure, copying, distribution or the taking of any action in reliance on the contents of this electronically transmitted information is strictly prohibited. If you have received this electronic transmission in error, please immediately notify the sender and delete the information.

file:///C|/...20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/FW%20E-Cig%20Ban%202 html[8/19/2011 2:28:26 AM]

From: Sent: To: Subject:


Dear all, Happy New Year

karma Cassidy <kbcass@insightbb.com> Wednesday, December 29, 2010 11:57 AM ejhahn@email.uky.edu; Darville, Audrey K; Robertson, Heather E; Riker, Carol A; 'Lisa Maggio'; 'Brumley-Shelton, Angela (LHD - Lexington-Fayette Co.)' FW: E-Cigarettes

Im curious to hear what you think about the idea of phase out of cigarettes proposed by Singapore researchers published in tobacco control. Instead of complete bans which are politically difficult, they propose an immediate total ban for persons born after a defined date, no starting when people reach adulthood, theoretically without as much stake holder burden as bans in public places entail and so in 50 years there wont be any smokers,. Seems to make a lot of sense. Im forwarding email from ATTUD list serve in which Karl Fagerstrom responded to dialogue about e-cigarettes. Heres the link to article in case you havent seen it: http://tobaccocontrol.bmj.com/content/19/5/355.full . Karma From: attud [mailto:ATTUD@LISTS.UMDNJ.EDU] On Behalf Of Karl-Olov Fagerstrm Sent: Tuesday, December 28, 2010 10:27 AM To: ATTUD@LISTS.UMDNJ.EDU Subject: E-Cigarettes

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

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

Good Morning: I am to speak to our local newspaper today about the E-Cigarette. Are there any suggestions of what the main focus should be on my part in discussing this topic? Thank you. Have a safe 2011. Sam Connon; BS, C-TTS, AE-C Michigan Cardiovascular Institute 1015 South Washington Avenue Saginaw, Michigan 48601

file:///C|/...y%20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/FW%20E-Cigarettes%204 html[8/19/2011 2:28:27 AM]

sconnon@mcvi.com 989-754-3000 --------------------------------------------------------------------------------------------------You are receiving this message because you are part of The Association for the Treatment of Tobacco Use and Dependence (ATTUD) Listserv. To send a message to the list, send the email to ATTUD@LISTS.UMDNJ.EDU. To leave the list, send a "SIGNOFF ATTUD" command to LISTSERV@LISTS.UMDNJ.EDU. This listserv is not moderated. Unless specifically stated, messages posted on this listserv represent only the views of the individuals posting the messages, and ATTUD does not endorse the accuracy of any "statements." -------------------------------------------------------------------------------------------------You are receiving this message because you are part of The Association for the Treatment of Tobacco Use and Dependence (ATTUD) Listserv. To send a message to the list, send the email to ATTUD@LISTS.UMDNJ.EDU. To leave the list, send a "SIGNOFF ATTUD" command to LISTSERV@LISTS.UMDNJ.EDU. This listserv is not moderated. Unless specifically stated, messages posted on this listserv represent only the views of the individuals posting the messages, and ATTUD does not endorse the accuracy of any "statements."

file:///C|/...y%20Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/FW%20E-Cigarettes%204 html[8/19/2011 2:28:27 AM]

From: Owens, Kelly S (LHD - Madison Co) <KellyS.Owens@ky.gov> Sent: Tuesday, January 11, 2011 11:20 AM To: Riker, Carol A; Hahn, Ellen J; Robertson, Heather E Subject: FW: e-cigarettes statement See link below. This statement was cited by a local supporter of e cigarettes. Kelly S. Owens, MPH, CHES Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043 Web Address: www.madison-co-ky-health.org Need Help Quitting? http://www.becomeanex.org/

P Please consider the environment before printing this e-mail

-----Original Message----From: Hawkins, Ruth R (LHD-Madison Co) Sent: Tuesday, January 11, 2011 9:56 AM To: Owens, Kelly S (LHD - Madison Co) Subject: e-cigarettes statement http://www.aaphp.org/special/joelstobac/2010/20100402AAPHPEcigLegisStatemnt.pdf American Association of Public Health Physicians statement - April 2010 Referenced in one of the comments received from the public via our website. 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

file:///C|/...Conley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/FW%20e-cigarettes%20statement.txt[8/19/2011 2:28:28 AM]

From: Sent: To: Subject:

Owens, Kelly S (LHD - Madison Co) <KellyS.Owens@ky.gov> Monday, December 06, 2010 2:08 PM Riker, Carol A; Hahn, Ellen J; Johnson, John D FW: Electronic cigarettes feedback

This is the last fwd that I have received thus far. I will note that I have seen the below web address (vapor-stix) on a sign at a store near the Richmond Register office. (Incidentally, just down the street from our Richmond office) J

Kelly S. Owens, MPH, CHES


Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043
Web Address: www.madison-co-ky-health.org

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

P Please consider the environment before printing this e-mail

From: Crewe, Nancy M (LHD-Madison Co) Sent: Monday, December 06, 2010 12:31 PM To: Owens, Kelly S (LHD - Madison Co); Hawkins, Ruth R (LHD-Madison Co) Cc: Green, Christie L (LHD-Madison Co) Subject: FW: Electronic cigarettes feedback

Ladies, good afternoon. As you can see below, we are already getting public feedback from citizens on the e-cigarette issue. I will be forwarding you a series of emails on this matter. that came to me over the weekend. Thanks, Nancy

Nancy M. Crewe Public Health Director Madison County Health Department 214-216 Boggs Lane P.O. Box 1208 Richmond, KY 40476-1208 859-626-4241/cell 859-200-4657

file:///C|/...op/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/FW%20Electronic%20cigarettes%20feedback html[8/19/2011 2:28:29 AM]

email NancyM.Crewe@ky.gov http://www.madison-co-ky-health.org/


Please consider the environment before printing this email.
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From: Jerry Hacker [mailto:jerry@vapor-stix.net] Sent: Friday, December 03, 2010 8:53 PM To: Crewe, Nancy M (LHD-Madison Co) Subject: Electronic cigarettes

I ask you to please watch these videos with an open and non biased mind. http://www.youtube.com/watch?v=nCNqwIZ5_k0 http://www.youtube.com/watch?v=EsGPoJz95Wc Thank you, Jerry Hacker

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From: Sent: To: Subject:

Owens, Kelly S (LHD - Madison Co) <KellyS.Owens@ky.gov> Monday, April 11, 2011 8:40 AM Riker, Carol A; Hahn, Ellen J FW: Fact sheet on E-CIGARETTES

FYI- These people keep beating the same drum. Nothing new. Cant say I know who this person is though

Kelly S. Owens, MPH, CHES


Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043
Web Address: http://www.madisoncountyhealthdept.org/

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

P Please consider the environment before printing this e-mail

From: Crewe, Nancy M (LHD-Madison Co) Sent: Friday, April 08, 2011 10:33 AM To: Hawkins, Ruth R (LHD-Madison Co); Owens, Kelly S (LHD - Madison Co) Subject: FW: Fact sheet on E-CIGARETTES

More public feedback Nancy

Nancy M. Crewe Public Health Director Madison County Health Department 214-216 Boggs Lane P.O. Box 1208 Richmond, KY 40476-1208 859-626-4241/cell 859-200-4657 email NancyM.Crewe@ky.gov http://www.madisoncountyhealthdept.org/
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file:///C|/...esults/University%20of%20KY/disc%201/Conley%20request%201/FW%20Fact%20sheet%20on%20E-CIGARETTES%203 html[8/19/2011 2:28:30 AM]

disclosure, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies of the original message.

From: Hensley, Martin (LHD-Madison Co ) Sent: Friday, April 08, 2011 10:12 AM To: Crewe, Nancy M (LHD-Madison Co) Subject: FW: Fact sheet on E-CIGARETTES From: Michael Thornberry [mailto:waywardmage@hotmail.com] Sent: Friday, April 08, 2011 9:38 AM To: mchd@madisoncountyhealthdept.org Subject: Fact sheet on E-CIGARETTES

Good morning, I recently read over your document advertised as a Fact sheet on E-CIGARETTES and found that it includes inaccuracies and fallacies. I urge your to take a look at some of the studies and lab reports that you can find at The Consume Advocates for Smoke-Free Alternatives Association. If you are not aware of them, CASAA is an organization that works to provide information to people and organizations about the alternatives to smoking in order to reduce instances of deadly cigarette use. In their own words:
CASAA is a non-profit organization that works to ensure the availability of reduced harm alternatives to smoking and to provide smokers and non-smokers alike with truthful information about such alternatives.

I found them to be an invaluable resource when I decided to quit smoking after 20 years. Thank you for your time, Michael Thornberry

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From: Sent: To:

Subject:

Betsy Janes <betsyj@kylung.org> Thursday, September 09, 2010 3:18 PM 'Amy Barkley'; Hahn, Ellen J; james.sharp@cancer.org; 'Tonya Chang'; 'Centers, Irene (CHFS HPBHealth Promotions)'; 'Sizemore, Mark (CHFS HPB-Health Promotions)'; Kercsmar, Sarah; Wagner, Kristian K FW: FDA Action Against E-Cigarettes

From: Erika Sward [mailto:ESward@lungusa.org] Sent: Thursday, September 09, 2010 3:10 PM Cc: Mary Havell Subject: FDA Action Against E-Cigarettes

Earlier this afternoon, the Food and Drug Administration (FDA) issued a statement and held a press conference announcing that is is taking action against five e-cigarette distributors. Specifically, the warning letters sent by FDA involve violations of major provisions of the Food, Drug and Cosmetic Act, including good manufacturing practices, making unsubstantiated drug claims and using e-cigarettes as delivery mechanisms for pharmaceuticals. FDA also sent a letter to the president of the Electronic Cigarette Association Matt Salmon, notifying him of these actions and of FDAs intention to regulate these products in a manner consistent with its mission of protecting the public health. The American Lung Association has issued a statement on FDAs action. If you receive any media calls on this, we ask you to send them to Mary Havell at 202-715-3459 or mhavell@lungusa.org. Im also attaching a policy guidance document issued earlier this year by the Lung Association and our partners on this issue. Finally, below are two early stories from AP & DowJones about FDAs actions. Please let Mary or me know if you have any questions or need any further information. Thanks, Erika Erika Sward Director, National Advocacy American Lung Association esward@lungusa.org 1301 Pennsylvania Avenue NW, Suite 800 Washington, DC 20004 Phone: 202-785-3355
FDA warns 5 electronic cigarette companies about making health claims By MICHAEL FELBERBAUM AP Tobacco Writer 9 September 2010
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(c) 2010. The Associated Press. All Rights Reserved. RICHMOND, Va. (AP) - The Food and Drug Administration is lighting a fire under the electronic cigarette industry to work with the agency to legally market the devices and is cautioning other companies that their sales and manufacturing practices violate federal law. The FDA said Thursday it sent warning letters to five companies that make e-cigarettes or components for the plastic and metal devices that heat a liquid nicotine solution in a disposable cartridge, creating vapor that the "smoker" inhales. In the letters, the FDA said the companies are violating the Federal Food, Drug and Cosmetic Act, including unsubstantiated claims and poor manufacturing practices. One of the companies, Las Vegas-based E-Cig Technology Inc., the agency said, is even selling liquid forms of erectile dysfunction and weight loss drugs that can be used in an e-cigarette. The FDA is asking the companies to let the agency know within 15 business days how it plans to correct the violations. The other companies receiving warning letters are: E-CigaretteDirect LLC of Colorado; Ruyan America Inc. in Minneapolis; Floridabased Gamucci America; and Wisconsin-based Johnson Creek Enterprises LLC. But in a letter to the Electronic Cigarette Association, the FDA said the actions against the companies were not meant to be seen as a larger effort to ban e-cigs. The agency encouraged the industry group to work with the FDA to ensure the safety and effectiveness of the devices to help people quit smoking traditional cigarettes through usually expensive clinical trials. "We are interested in finding out whether e-cigarettes can be proven safe and effective," FDA compliance lawyer Michael Levy said in a conference call. Levy added that there are several FDA-approved smoking cessation aids available on the market and the agency is working with several some manufacturers for approval as a drug -delivery device, but did not provide further details. Ruyan America hasn't offered a product with nicotine for more than a year, but does sell cartridges that contain an herbal ingredient called lobelia to provide relief for withdrawal symptoms, said William Bartkowski, the company's president. It plans to address the FDA's letter. "We appreciate the regulatory ambiguity, and we're just not going to be in the market until such time as that that's cleared up, and that may be a while," Bartkowski said. Representatives with the Electronic Cigarette Association and the other companies issued warning letters did not immediately provide comment. The battery-powered electronic cigarettes have become the center of a fight over how risky they are compared with traditional smokes, whether they're legal and, if they are, how they should be regulated. The FDA and public health groups have sounded the alarm, saying they contain dangerous chemicals and are being marketed to children, and the federal agency has halted shipments of e-cigarettes at ports nationwide. Some sellers of e-cigarettes sued the FDA last year after the agency instructed customs officials to refuse entry of shipments into the U.S. A federal judge ruled that the FDA can't stop those shipments, saying the agency had overstepped its authority. The FDA appealed, and won a stay of that ruling, pending oral arguments that are set to begin later this month. The FDA would not comment on how Thursday's actions relate to the pending lawsuit. While the FDA claims it has the authority to regulate e-cigarettes as drug -delivery devices, some sellers contend the products should be regulated as a tobacco product, which would follow the same restrictions as traditional cigarettes and tobacco products. First marketed worldwide in 2002 as an alternative to regular cigarettes, e-cigarettes didn't become easily available in the U.S. until late 2006. Now, the industry has grown from the thousands in 2006 to several million worldwide, with estimated 20,000 to 30,000 new esmokers every week, according to Jason Healy, the president of e-cig maker Blu Cigs, which was not among the companies sent warning letters.

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UPDATE: FDA Warns Five E-Cigarette Makers, Says Products Need FDA Approval 9 September 2010 Dow Jones News Service (c) 2010 Dow Jones & Company, Inc.

By Jennifer Corbett Dooren Of DOW JONES NEWSWIRES WASHINGTON (Dow Jones)--The U.S. Food and Drug Administration warned five electronic cigarette makers Thursday that they were violating federal law. The agency said the products, which use a device to turn nicotine liquid into a vapor mist, are drugs that require premarket approval similar to other nicotine replacement products. The FDA recently started regulating traditional cigarettes under a separate tobacco law. The FDA said the e-cigarette companies are marketing their products as tools to help people quit using cigarettes. The agency suggested the companies would need to conduct clinical studies showing the products are an effective treatment for nicotine addiction. The companies receiving warning letters are E-CigaretteDirect LLC of Parker, Colo.; Minneapolis's Ruyan America Inc.; Gamucci America, also known as Smokey Bayou Inc., of Jacksonville, Fla.; E-Cig Technology Inc. of Las Vegas and Johnson Creek Enterprises LLC of Johnson, Wis. The Electronic Cigarette Association, which represents e-cigarette companies, didn't immediately return a call for comment. The five companies represent a small portion of the estimated 300 firms that make or distribute electronic cigarettes. The FDA said it also cited Johnson Creek Enterprises, which markets Smoke Juice, a liquid solution used to refill depleted cartridges in e-cigarettes, for deficiencies in its manufacturing processes and cited E-Cig Technology for using tadalafil, an erectile dysfunction drug, and rimonabant, a weight loss drug that's not approved for use in the U.S., in some of its products. The companies have 15 days to respond to the FDA. Michael Levy, director of labeling compliance for FDA's drug division, said the agency would wait to see what the company responses were before deciding what to do next. The agency could act to remove the products from the market but it would likely involve a court fight. FDA is already involved in a separate lawsuit with other e-cigarette companies that involves the agency's jurisdiction over the products. In 2008 the FDA started detaining some shipments from China on the grounds that they were unapproved drug devices. Levy said the FDA cannot discuss that lawsuit.

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From: Sent: To: Subject:


Hi Ellen,

Whitney Neal <wneal@kyyouth.org> Wednesday, May 04, 2011 1:56 PM Hahn, Ellen J FW: Google Alert - Smoke-free Kentucky

I just got an alert about your new smoke-free article! Would you be interested in posting this to the sortingthroughthesmoke.com resource page? If so, can you share a pdf with us? Best regards, Whitney Neal Communications Associate Kentucky Youth Advocates 11001 Bluegrass Pkwy, Suite 100 Jeffersontown, KY 40299 (502) 895-8167 x 121

"the independent voice for Kentucky's children"

From: Google Alerts [mailto:googlealerts-noreply@google.com] Sent: Tuesday, May 03, 2011 5:15 PM To: wneal@kyyouth.org Subject: Google Alert - Smoke-free Kentucky Web 2 new results for Smoke-free Kentucky

Do Smoke-Free Laws in Rural, Distressed Counties Encourage Cessation?

Do Smoke-Free Laws in Rural, Distressed Counties Encourage Cessation? Ellen J. Hahn, PhD, RN. University of Kentucky College of Nursing, Tobacco Policy ... ppn.sagepub.com/content/11/4/302.abstract

Louisville e cigarettes

Louisville's and Lexington's smoke-free ordinances do not include e-cigarettes. FOX41.com Louisville News Kentucky Indiana News Weather SportsKentucky city ... start-finish.8s.nl/Cpost24166.htm

This once a day Google Alert is brought to you by Google. Remove this alert. Create another alert. Manage your alerts.

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From: Sent: To: Cc: Subject:

Mundy, Monica E Friday, May 06, 2011 9:15 AM rebecca.horn@grdhd.org; 'Shannon Ross' Hahn, Ellen J; Riker, Carol A; Wagner, Kristian K FW: Information on E-cigarettes

Good Morning Becky and Shannon,

As you may have seen in the news lately, e-cigarettes have become a major topic around Kentucky. We just wanted to provide all our communities with information regarding e-cigarettes. In addition to the message below, Ill attach an Op-Ed piece submitted to the Lexington Herald-Leader and our E-cigarette one-pager. Please fill free to forward to any other coalition members who may find this information useful. Please let me know if you have any questions!

Thanks,

Monica Electronic cigarettes, or e-cigarettes, have recently been aggressively marketed in many Kentucky communities. Sold on the internet, in mall kiosks, in gas stations, and tobacco retail stores, these devices mimic the experience of smoking. The number of products and brands have increased rapidly, becoming a huge business with $100 million in profits. The manufacturers and their trade groups (Big E-Cig) have not proven that the chemicals contained in e-cigarettes are safe; yet they say that no one has ever been harmed by using e-cigs. Very limited testing has occurred around the world, some of it funded by the manufacturers themselves. The industry makes empty claims of safety by saying that some of the chemicals in e-cigarettes are used in food or cosmetics. That doesnt mean they are safe to inhale, especially in a workplace situation where many people may be using them at once. Big E-Cig also says that carcinogens occur at similar levels to those in nicotine replacement products, but bystanders dont inhale nicotine patches. WHO (2009) raises concerns about e-cigs that go far beyond any related to nicotine replacement products. Safety for long or short-term use has not been established and there is no evidence that e-cigarettes are effective for cessation. Limited testing has revealed that nicotine levels vary widely which would make their use as a cessation aide unpredictable at best. Meanwhile, Big E-Cig cites online surveys and anecdotal evidence as proof that e-cigs can help people quit. Another safety concern is potential skin exposure to nicotine from the fluid contained in the e-cigarette cartridges. Cartridges have been found to leak and refilling them without getting the liquid on ones skin is difficult. Imagine the possible skin exposure or even ingested nicotine if children play with the device or the cartridges. There are also concerns about how e-cigs will be used and marketed. Potential for dual use with continuing cigarette use is high and will only serve to prolong addiction. Dual use will also slow the change in community norms toward non-smoking. Non-smokers, especially youth, may be attracted to the product as it contains flavorings, and they may become addicted to nicotine, creating new lifetime customers for all products containing nicotine. Meanwhile, e-cig marketing has gone viral; one can become a distributor in a matter of a few minutes on the internet, complete with pamphlets, posters and business cards. The Big E-Cig consumer advocacy front groups spread incomplete and biased information through press releases sent

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around the country and picked up by newspapers as local stories (in fact, they are ads for the product). Finally, Big E-Cig claims that e-cigarettes can be used legally in smoke-free environments. However, FDA has decided to regulate them as tobacco products and they should be covered by smoke-free policies. In the limited testing that has occurred, nicotine is contained in e-cigarette vapor. That alone is reason enough not to exempt e-cigarettes from smoke-free policies. WHO (2009) agrees, stating that e-cigs should not be allowed until there is adequate evidence that non-smokers will not be exposed to toxic emissions. E-cigarettes are currently included in the following smoke-free ordinances/regulations in Kentucky: Glasgow, Bardstown, Bullitt County (BOH regulation), and Madison County (BOH regulation). UKs tobacco-free campus policy also covers ecigarettes.

Monica E. Mundy, MPH Staff Associate Rural Smoke-free Communities Project Kentucky Center for Smoke-free Policy University of Kentucky College of Nursing 509 CON Building Lexington, KY 40536-1057 Work 859-323-2353 Fax 859-323-1057 monica.mundy@uky.edu www.kcsp.uky.edu

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From: Sent: To: Cc: Subject:

Mundy, Monica E Friday, May 06, 2011 9:15 AM rebecca.horn@grdhd.org; 'Shannon Ross' Hahn, Ellen J; Riker, Carol A; Wagner, Kristian K FW: Information on E-cigarettes

Good Morning Becky and Shannon,

As you may have seen in the news lately, e-cigarettes have become a major topic around Kentucky. We just wanted to provide all our communities with information regarding e-cigarettes. In addition to the message below, Ill attach an Op-Ed piece submitted to the Lexington Herald-Leader and our E-cigarette one-pager. Please fill free to forward to any other coalition members who may find this information useful. Please let me know if you have any questions!

Thanks,

Monica Electronic cigarettes, or e-cigarettes, have recently been aggressively marketed in many Kentucky communities. Sold on the internet, in mall kiosks, in gas stations, and tobacco retail stores, these devices mimic the experience of smoking. The number of products and brands have increased rapidly, becoming a huge business with $100 million in profits. The manufacturers and their trade groups (Big E-Cig) have not proven that the chemicals contained in e-cigarettes are safe; yet they say that no one has ever been harmed by using e-cigs. Very limited testing has occurred around the world, some of it funded by the manufacturers themselves. The industry makes empty claims of safety by saying that some of the chemicals in e-cigarettes are used in food or cosmetics. That doesnt mean they are safe to inhale, especially in a workplace situation where many people may be using them at once. Big E-Cig also says that carcinogens occur at similar levels to those in nicotine replacement products, but bystanders dont inhale nicotine patches. WHO (2009) raises concerns about e-cigs that go far beyond any related to nicotine replacement products. Safety for long or short-term use has not been established and there is no evidence that e-cigarettes are effective for cessation. Limited testing has revealed that nicotine levels vary widely which would make their use as a cessation aide unpredictable at best. Meanwhile, Big E-Cig cites online surveys and anecdotal evidence as proof that e-cigs can help people quit. Another safety concern is potential skin exposure to nicotine from the fluid contained in the e-cigarette cartridges. Cartridges have been found to leak and refilling them without getting the liquid on ones skin is difficult. Imagine the possible skin exposure or even ingested nicotine if children play with the device or the cartridges. There are also concerns about how e-cigs will be used and marketed. Potential for dual use with continuing cigarette use is high and will only serve to prolong addiction. Dual use will also slow the change in community norms toward non-smoking. Non-smokers, especially youth, may be attracted to the product as it contains flavorings, and they may become addicted to nicotine, creating new lifetime customers for all products containing nicotine. Meanwhile, e-cig marketing has gone viral; one can become a distributor in a matter of a few minutes on the internet, complete with pamphlets, posters and business cards. The Big E-Cig consumer advocacy front groups spread incomplete and biased information through press releases sent

file:///C|/...OIA/Results/University%20of%20KY/disc%201/Conley%20request%201/FW%20Information%20on%20E-cigarettes%205.html[8/19/2011 2:28:34 AM]

around the country and picked up by newspapers as local stories (in fact, they are ads for the product). Finally, Big E-Cig claims that e-cigarettes can be used legally in smoke-free environments. However, FDA has decided to regulate them as tobacco products and they should be covered by smoke-free policies. In the limited testing that has occurred, nicotine is contained in e-cigarette vapor. That alone is reason enough not to exempt e-cigarettes from smoke-free policies. WHO (2009) agrees, stating that e-cigs should not be allowed until there is adequate evidence that non-smokers will not be exposed to toxic emissions. E-cigarettes are currently included in the following smoke-free ordinances/regulations in Kentucky: Glasgow, Bardstown, Bullitt County (BOH regulation), and Madison County (BOH regulation). UKs tobacco-free campus policy also covers ecigarettes.

Monica E. Mundy, MPH Staff Associate Rural Smoke-free Communities Project Kentucky Center for Smoke-free Policy University of Kentucky College of Nursing 509 CON Building Lexington, KY 40536-1057 Work 859-323-2353 Fax 859-323-1057 monica.mundy@uky.edu www.kcsp.uky.edu

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

Riker, Carol A Monday, April 04, 2011 4:35 PM Owens, Kelly S (LHD - Madison Co) Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E; Kiyoung Lee FW: Laugesen's tests on e-cig mist

Here is Kiyoungs email about the level of formaldehyde his Korean colleague found in the vapor; quite a bit over the EPA level.. Looking for more info for your response to the paper. Carol
From: Kiyoung Lee [mailto:cleanair@snu.ac.kr] Sent: Saturday, April 02, 2011 4:39 PM To: Riker, Carol A; Hahn, Ellen J; Johnson, John D Subject: Re: Laugesen's tests on e-cig mist

Hi Carol
I look at this quickly. So I put some of my comments in the file. I may have to study more. There are many information.

Interestingly, 2008 report showed formaldehyde concentration of 0.25 ppm in vapor. My Korean colleague detected formaldehyde in cartridge. "Formaldehyde, a colorless, pungent-smelling gas, can cause watery eyes, burning sensations in the eyes and throat, nausea, and difficulty in breathing in some humans exposed at elevated levels (above 0.1 parts per million)." US EPA http://www.epa.gov/iaq/formalde.html Kiyoung --- Original Message --From : "Riker, Carol A"<riker@email.uky.edu> To : "Kiyoung Lee"<cleanair@snu.ac.kr> Date : 2011/04/03 4:37:37 Subject : Laugesen's tests on e-cig mist Hi Kiyoung, As youve probably heard, were working on refuting the one-pager that CASAA took from us and revised. I was wondering if you have any comments on Laugesens work to evaluate the safety of the e-cig mist? Its hard for me to know if this is valid work or not. Laugesen was funded by the e-cig company, Ruyan, so of course Im
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suspicious. See attachments and info from website, below. Ive also attached the one-pager as revised by CASAA, with a couple of preliminary comments by John Johnson, KCSP Community Liaison. Thanks! Carol Riker PS I did not get to come to your presentation because I needed to be timekeeper for another at the same time.

Safety results, efficacy results, April 2009:

See www.healthnz.co.nz/Dublin.htm

1) E-cigarette Safety: Ruyan e-cigarette benchtop tests. Poster 5-11. See. www.healthnz.co.nz/DublinEcigBenchtopHandout.pdf The poster itself is found in the following two powerpoint files: http://www.healthnz.co.nz/DublinEcigPoster1.ppt and http://www.healthnz.co.nz/DublinEcigPoster2.ppt The mist of the e-cigarette has been rigorously tested. Of over 50 priority-listed cigarette smoke toxicants tested, none was detectable in the mist of the Ruyan e-cigarette, except for a trace of mercury close to the limit of detection. Some toxicants remain to be tested before the results are submitted for publication shortly in a peer-reviewed journal. On the basis of findings to date, inhaling mist from the e-cigarette is rated several orders of magnitude (100 to 1000 times) less dangerous than smoking tobacco cigarettes. The nicotine dose per puff is comparable to that of a medicinal nicotine inhaler. E-cigarette nicotine is apparently not absorbed from the lung, but from the upper airways. Comment: Given that continued smoking of cigarettes carries a cumulative 1 in 2 death risk, the findings, argue for 1) less stringent regulation for very low-risk non-medicinal nicotine cigarette substitute products 2) the sale of this brand as a non-medicinal cigarette substitute, as its emissions have been tested.

Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities Faculty Associate, Kentucky Center for Smoke-free Policy 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Cell: 859-619-3776 Office Phone: 859-323-6615 Fax: 859-323-1057 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu

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Find kysmokefree on CON 50 yrs logo

and

Kiyoung Lee Associate Professor School of Public Health Seoul National University Tel: 02-880-2735

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From: Sent: To: Subject:


Jan,

Riker, Carol A Tuesday, January 18, 2011 9:09 AM 'Beauchamp, Jan (CHFS HPB-Health Promotions)' FW: Monday Memo

Any chance you can announce the School Policy Training 2/10 10-11:30 on TRAIN after the call? If not, maybe it can go out in next weeks Monday Memo? Thanks for considering. Carol
From: tobacco_prevention [mailto:tobacco_prevention@listserv.ky.gov] Sent: Tuesday, January 18, 2011 8:57 AM To: tobacco_prevention Cc: tobacco_prevention@listserv.ky.gov Subject: Monday Memo

TODAYS CONFERENCE CALL Our monthly conference call is today at 9:30 EST, 8:30 CST. The subject is Chantix, our presenter is Carolyn Chou from Pfizer. The call in information is 866-889-3903, the participant code is 515701#. Go to our web site to download or view the presentation materials http://chfs.ky.gov/dph/info/dpqi/hp/cotools.htm . While we are on the conference call, please remember to MUTE YOUR PHONE. After the call, please take a moment to respond to this very short survey. We need these survey results to justify the conference call expenses. http://www.surveymonkey.com/s/NG5YW7Y http://www.kentucky.com/2011/01/12/1595852/push-for-smoke-free-ky-at-local.html
January 13, 2011 News Summary A small Virginia company, Star Scientific, Inc., is seeking approval from the Food and Drug Administration (FDA) to market one of its smokeless

tobacco products as less harmful than other tobacco products, the Associated Press reported Jan. 4. Star Scientific said its new Stonewall Moist-BDL dissolvable tobacco lozenge has 90 to 99 percent fewer carcinogens than similar products and should qualify for a new "modified-risk" label being developed by the FDA. Two similar applications to the agency from Star are still under consideration . According to the federal Centers for Disease Control and Prevention, smokeless tobacco is not safer than cigarettes because it has 28 cancercausing ingredients. The United Kingdom's Royal College of Physicians has taken a different position. In a 2007 report, the College said that some smokeless tobacco products were less harmful than cigarettes. Smokeless tobacco products, such as electronic cigarettes and dissolvable lozenges, have divided public health advocates. Some argue that smokeless tobacco presents a lower risk to the public, while others argue that all tobacco use is harmful . About 3 percent of adults in the United States use smokeless tobacco.

Possible FDA Ban on Menthol Cigarettes Haunts Brand Leader


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January 14, 2011 News Summary Lorillard, Inc., the third-largest tobacco maker in the U.S., is fighting to stop the Food and Drug Administration (FDA) from banning menthol in

cigarettes, The Wall Street Journal reported Jan. 5. Menthol cigarettes make up about 30 percent of industry sales. Lorillard -- not the only tobacco company against a menthol ban -- makes Newport, the leading brand. Newport menthols have driven an increase in the company's market share, from 9 percent in 2001 to 13 percent in the third quarter of 2010, even as overall domestic cigarette sales declined. Since Newport menthols make up the vast majority of Lorillard cigarette sales, the company may fear a "doomsday scenario if menthol gets banned and they can't keep a majority of their customers," according to Philip Gorham, an analyst with Morningstar, Inc. The FDA was given the authority by Congress to regulate tobacco in legislation passed in 2009. Although the law specifically outlawed flavorings such as candy, spice and fruit, which might be especially appealing to youth, it left it to the FDA to assess whether menthol flavoring should remain legal. An FDA advisory committee, the Tobacco Products Scientific Advisory Committee, will make its recommendations on menthol in March. The agency may recommend responses less stringent than a ban, such as restrictions on advertising. The FDA is not bound by the committee's recommendations and has no deadline to act. Some health advocates said that menthol, which is drawn from mint plants and creates a cooling sensation in the mouth and throat, is attractive to youth because it covers up the harsh taste of cigarettes. They also say that it is appealing to African-Americans, "who have long been a target of menthol marketing campaigns," according to The Wall Street Journal. Federal survey data from 2009 showed that 45 percent of smokers between 12 and 17 use menthols, and about 80% of African-American smokers prefer menthols to other brands. A 2010 report from the Centers for Disease Control and Prevention found that African-Americans suffered disproportionately from smokingrelated disease, compared to other racial and ethnic groups. Further, while only 20.6 percent of all Americans smoke, 21.3 percent of black adults do. Lorillard and other opponents of an FDA ban on menthol argue that jobs are at risk, and that a black market for menthol cigarettes would remain if menthol cigarettes were outlawed. To head off a ban, the company has moved aggressively to dominate public discourse on the topic. According to The Wall Street Journal, it has bought Internet domain names potentially critical of menthols, such as MentholKillsMinorities.com, MentholAddictsYouth.com, FDAMustBanMenthol.com, KillerMenthol, BanMenthol and MentholKills. The company set up pro-menthol Twitter and Facebook pages as well as UnderstandingMenthol.com, where, The Wall Street Journal reported, it "frequently links to articles that include quotes or are written by groups that oppose a menthol ban and present reasoning similar to its own." Lorillard also hired a PR firm to gain media exposure for prominent African-Americans opposing a ban. For example, one of the firm's consultants placed the spokesman for the Congress of Racial Equality, Niger Innis, on radio programs to discuss menthol. He objected to a possible ban because "you are taking away a legal preference and choice for African-Americans," and because a black market could create "another vehicle of criminality in the African-American community." The same consultant submitted a pro-menthol editorial under the byline of Harry C. Alford, the CEO of the National Black Chamber of Commerce. Lorillard contributes $35,000 in yearly dues to the organization. Alford said the editorial "was not in any way influenced" by that relationship. "African-Americans like their Newport cigarettes, and there is no reason why they should not be allowed to have them," he said. Health advocates in the black community dismissed such public relations efforts. For example, Dr. Louis Sullivan, U.S. health secretary under the first President Bush, was "very disappointed and very distressed" because African-American groups were being "used by tobacco companies." Lorillard would not comment on whether it had contributed financially to organizations that supported its point of view. "Over time, the company has been a member of organizations such as trade groups, chambers of commerce and other organizations," a spokesman for the company said. "Given what is at stake, it's only natural that we support them in their firmly held beliefs."

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

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Adobe Systems

This e-mail, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain confidential information that is legally privileged and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are notified that any review, use, disclosure, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies of the original message.

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From: Sent: To:

Cc: Subject:

Hahn, Ellen J Saturday, January 15, 2011 3:17 PM Amy Barkley; Betsy Janes; Brandi Gilley; Bronson Frick; Cathy Callaway; Dyshel Thompson; Hahn, Ellen J; Eric Evans; Irene Centers; James Sharp; Jennifer Redmond; Wagner, Kristian K; Mark Sizemore; Kercsmar, Sarah; Scott Lockard; Tonya Chang Riker, Carol A 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 dont really have an inside game if they dont 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 Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease University of Kentucky College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on Twitter and Facebook ! 50_CoN_celebrate_date_oop-email

From: Eric Gregory [mailto:egregory@insightbb.com] Sent: Saturday, January 15, 2011 3:01 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, Amie; Youth Service Center Coordinator; Chaney, Brenda; Chaney, Dennis R (LHD-Barren River District); Chang Tonya; Cherry Jeanine; Clark Paula; Compton Judy; Copas Jackie; Cunningham Terri; Daniels Karen; Drexler Angie; Duncan Martha "Sue"; Emerson Jeanann; Flora Kim; Ford Joy White; Forrest Marilee; Forte Bernice; Fugate, Jennifer S (LHDAllen Co); Gardner Marilyn; Gibson Nancy; Greaney Libby; Greene, Janet; Halbig Hillary; Hartz Sharon; Houchens Marla; Houchin, Lisa J (LHD-Barren River Dist); Houchins, Denise (LHD-Warren County Health Dept.); Isenhower, Jataun; Iyiegbuniwe Emmanuel; Janes Betsy; Jennings Katy; LaManna Frank; Lawrence, Brenda; Lovely Teresa; Miller Al; Monroe Lori; Nagy Chris; Napier Melanie; Owens Paula; Palmer Alan; Parnell Heather; Perdue, Olivia - BGHS - Youth Service Center; Petrovic Danijela; Pollard Venica; Prunty Melody; Richardson Jama; Richey Brent; Rowland, Crissy G (CHFS-LHD Barren River Dist); Rush Linda; Ryan Lorie; Shindhelm Karen; Shirley Melissa Walton; Simmons, Jeri; Smith Beth; Spears Bonnie; Stein Margaret; Steward Kathryn; Sweetman Maryellen;

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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/Local_Election_2010__106486338.html I'm not sure where she stands on the issue. She should receive this email, maybe she'll 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" <ejhahn00@email.uky.edu> Date: Saturday, January 15, 2011 7:48 Subject: RE: NEWS ALERT!!!!! To: "Douglas, Carol F (LHD-Barren River Dist)" <CarolF.Douglas@ky.gov>, LHD Barren River BRDHD All <LHDBRD.HDAll@ky.gov>, Absher Mark <mark.absher@bgky.org>, Adkins Joyce <joycen.adkins@ky.gov>, "Advani, Shailesh" <shailesh.advani735@wku.edu>, Alloway Michelle <michelle.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" <robertbedard@hotmail.com>, Bell Jessica <jessica.bell@simpson.kyschools.us>, Berger Jim <jim.berger813@gmail.com>, Billingsley Margaret <mbillingsley@tjsamson.org>, Bohannon Carla <carlabohannon@insightbb.com>, Bonaguro John <john.bonaguro@wku.edu>, "Booth, Nancy" <nancy.booth@warren.kyschools.us>, Broady Susan <regionalchilddev@bellsouth.net>, Brown Susan <ksbrown@insightbb.com>, Bryant Beth <bryantpowell@aol.com>, "Carrigan, Misti - BGHS - Youth Services Center Coordinator" <misti.carrigan@bgreen.kyschools.us>, "Cash, Allison" <allison.cash@ccc1884.org>, "Chaney, Amie; Youth Service Center Coordinator" <amie.chaney@simpson.kyschools.us>, "Chaney, Brenda" <brenda.chaney@barren.kyschools.us>, "Chaney, Dennis R (LHD-Barren River District)" <DennisR.Chaney@ky.gov>, Chang Tonya <tonya.chang@heart.org>, Cherry Jeanine <jeanine.cherry@wku.edu>, Clark Paula <paula.clark@hart.kyschools.us>, Compton Judy <jcompton@tjsamson.org>, Copas Jackie <jackies.copas@ky.gov>, Cunningham Terri <terri.cunningham@wku.edu>, Daniels Karen <kdaniels@lifeskills.com>, Drexler Angie <angie.drexler@wku.edu>, "Duncan Martha \"Sue\"" <mduncan240@insightbb.com>, Emerson Jeanann <jeanann.emerson@barren.kyschools.us>, Flora Kim <kimd.flora@ky.gov>, Ford Joy White <jford@lifeskills.com>, Forrest Marilee <marilee.forrest@cancer.org>, Forte Bernice <bernice.forte@hcahealthcare.com>, "Fugate, Jennifer S (LHD-Allen Co)" <JenniferS.Fugate@ky.gov>, Gardner Marilyn <marilyn.gardner@wku.edu>, Gibson Nancy <nanway2003@yahoo.com>, Greaney Libby <libby.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 <mhouchens@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" <jataun.isenhower@wku.edu>, Iyiegbuniwe Emmanuel <emmanuel.iyiegbuniwe@wku.edu>, Janes Betsy <betsyj@kylung.org>, Jennings Katy <nutritioncenter4@bellsouth.net>, LaManna Frank <frank.lamanna@bgky.org>,

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"Lawrence, Brenda" <brenda.lawrence@warren.kyschools.us>, Lovely Teresa <tlovely@kychamber.com>, Miller Al <al.miller@insightbb.com>, Monroe Lori <lori1028@insightbb.com>, Nagy Chris <chris.nagy@wku.edu>, Napier Melanie <melanies.napier@ky.gov>, Owens Paula <paula.owens@wku.edu>, Palmer Alan <alan.palmer@hcahealthcare.com>, Parnell Heather <heather.parnell@ky.gov>, "Perdue, Olivia - BGHS - Youth Service Center" <olivia.perdue@bgreen.kyschools.us>, Petrovic Danijela <DPetrovic@HeathCoLLC.com>, Pollard Venica <venica.mlhbgky@att.net>, Prunty Melody <melodyf.prunty@ky.gov>, Richardson Jama <jama.richardson@logan.kyschools.us>, Richey Brent <brichey@vanmeterins.com>, "Rowland, Crissy G (CHFSLHD Barren River Dist)" <Crissyg.Rowland@ky.gov>, Rush Linda <lfrush@mcbg.org>, Ryan Lorie <lorie.ryan@warren.kyschools.us>, Shindhelm Karen <karen.shindhelm@wku.edu>, Shirley Melissa Walton <tshirley@glasgow-ky.com>, "Simmons, Jeri" <jerilynnsmail@aol.com>, Smith Beth <bogey567@aol.com>, Spears Bonnie <bonnie.spears@hcahealthcare.com>, Stein Margaret <margaret.f.stein@pfizer.com>, Steward Kathryn <kathryn.steward@wku.edu>, Sweetman Maryellen <msweetman@isbgky.com>, Taylor Brad <btaylor@bghotrods.com>, Thweatt Kathy <kathyj.thweatt@ky.gov>, Tinsley Tammy <tammy.tinsley@cancer.org>, Troyer Mike <mtroyer@bandousa.com>, Tuck Missy <mtuck@skyrehab.com>, Voakes Rick <drvoakes@bellsouth.net>, Walston Rachel <rachel.walston@gmail.com>, Walton Ed <edc21@bellsouth.net>, Walton Lori <loriw@scrtc.com>, Watkins Cecilia <cecilia.watkins@wku.edu>, Webb Alonzo <webb30black@yahoo.com>, Westbrook Elizabeth <e.westbrook@louisville.edu>, Wheat Marilyn <mlwheat@chc.net>, "Wininger, Amy" <amy.wininger@wku.edu>, Wollin Andrew <Andrew@casaofsck.org>, Woods Monica <monica.woods@bgky.org> Cc: "Johnson, John D" <jdjohnson@uky.edu>, "Kercsmar, Sarah" <scave2@email.uky.edu>, "Riker, Carol A" <riker@email.uky.edu>, Jujulew <jujulew@aol.com>, "Hahn, Ellen J" <ejhahn00@email.uky.edu> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Good morning, Bowling Green Smoke-free Advocates, I know how committed you are to seeing Bowling Green go smokefree 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

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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 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 SelfManagement of Cardiopulmonary Disease University of Kentucky College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on Twitter<http://www.twitter.com/kysmokefree> and Facebook<http://www.facebook.com/#!/pages/kysmokefree/121589417877279?ref=ts> ! [cid:image001.jpg@01CBB490.E853FDE0][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; Advani, Shailesh; Alloway Michelle; Applebee's; Baldwin Robin; Barnhouse Lara; Bedard Robert; Bedard, Robert; Bell Jessica;

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

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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 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.

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

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From: Sent: To: Subject:


FYI

Shoemaker, Michael E (LHD - Martin Co) <MichaelE.Shoemaker@ky.gov> Thursday, December 16, 2010 3:06 PM Hahn, Ellen J; Fallin, Amanda T FW: Ordinance

From: Christi Brown [mailto:brown_christi@yahoo.com] Sent: Thursday, December 16, 2010 3:05 PM To: Shoemaker, Michael E (LHD - Martin Co) Subject: Re: Ordinance

Kelly said the final reading of the Ordinance will be during a special meeting on December 29, 2010.

From: "Shoemaker, Michael E (LHD - Martin Co)" <MichaelE.Shoemaker@ky.gov> To: Christi Brown <brown_christi@yahoo.com> Sent: Thu, December 16, 2010 2:59:57 PM Subject: FW: Ordinance

From: Hahn, Ellen J [mailto:ejhahn00@email.uky.edu] Sent: Thursday, December 16, 2010 2:57 PM To: Shoemaker, Michael E (LHD - Martin Co); Fallin, Amanda T Subject: Ordinance

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

If possible, I would suggest a slight wording change to the ordinance as written (see highlighting for suggested additions): Smoking means inhaling, exhaling, burning, holding, or carrying any lighted or heated pipe, cigar, cigarette, or other lighted or heated tobacco product in any manner or form. "Smoking" also includes the use of an e-cigarette which creates a vapor, in any manner or in any form, or the use of any oral smoking device for the purpose of circumventing the prohibition of smoking in this Article. We are finding that the e-cigarette manufacturers are creating a loophole in smoke-free policy by trying to get around these policies. If you make the changes in the definition above, the fiscal court will clarify that the ordinance applies to all tobacco products including electronic cigarettes. I know Amanda sent you our materials on e-cigarettes. Good luck and keep us posted. Ellen
Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease University of Kentucky
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College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on Twitter and Facebook ! 50_CoN_celebrate_date_oop-email

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

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

http://www.martincountyhealth.org
Address: 136 Rockcastle Road P.O. Box 346 Inez, KY 41224 Phone: (606) 298-7752 Fax: (606) 298-0413 Notice of Confidentiality: This email, including any attachment, is intended only for the use of the individual or entity to which it is addressed and may contain confidential information that is legally privileged and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are notified that any review, use, disclosure, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply email and destroy all copies of the original message.

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

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

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

Riker, Carol A Wednesday, April 20, 2011 9:51 AM 'Brewer, Vanessa C (LHD - Franklin Co)' Hahn, Ellen J; Wagner, Kristian K; Mundy, Monica E FW: Potential Public Opinion Poll for TRDHD

John found the Falmouth city buildings ordinance. Its very short and sweet in terms of the whereas/rationale! I would suggest changing to the ANR Model Ordinance definition of smoking so that e-cigarettes and hookah are covered if you use it. Also, they made a compromise about city buildings leased to non-city people that could come out of the ordinance. Thanks, Carol
From: Johnson, John D Sent: Wednesday, April 20, 2011 9:15 AM To: Riker, Carol A Subject: FW: Potential Public Opinion Poll for TRDHD

Here you go!

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From: Sent: To: Subject:


See below.

Hahn, Ellen J Saturday, January 15, 2011 3:06 PM james.sharp@cancer.org FW: RE: NEWS ALERT!!!!!

Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease University of Kentucky College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on Twitter and Facebook ! 50_CoN_celebrate_date_oop-email

From: Eric Gregory [mailto:egregory@insightbb.com] Sent: Saturday, January 15, 2011 3:01 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, Amie; Youth Service Center Coordinator; Chaney, Brenda; Chaney, Dennis R (LHD-Barren River District); Chang Tonya; Cherry Jeanine; Clark Paula; Compton Judy; Copas Jackie; Cunningham Terri; Daniels Karen; Drexler Angie; Duncan Martha "Sue"; Emerson Jeanann; Flora Kim; Ford Joy White; Forrest Marilee; Forte Bernice; Fugate, Jennifer S (LHDAllen Co); Gardner Marilyn; Gibson Nancy; Greaney Libby; Greene, Janet; Halbig Hillary; Hartz Sharon; Houchens Marla; Houchin, Lisa J (LHD-Barren River Dist); Houchins, Denise (LHD-Warren County Health Dept.); Isenhower, Jataun; Iyiegbuniwe Emmanuel; Janes Betsy; Jennings Katy; LaManna Frank; Lawrence, Brenda; Lovely Teresa; Miller Al; Monroe Lori; Nagy Chris; Napier Melanie; Owens Paula; Palmer Alan; Parnell Heather; Perdue, Olivia - BGHS - Youth Service Center; Petrovic Danijela; Pollard Venica; Prunty Melody; Richardson Jama; Richey Brent; Rowland, Crissy G (CHFS-LHD Barren River Dist); Rush Linda; Ryan Lorie; Shindhelm Karen; Shirley Melissa Walton; Simmons, Jeri; Smith Beth; Spears Bonnie; Stein Margaret; Steward Kathryn; Sweetman Maryellen; Taylor Brad; Thweatt Kathy; Tinsley Tammy; Troyer Mike; Tuck Missy; Voakes Rick; Walston Rachel; Walton Ed; Walton Lori; Watkins Cecilia; Webb Alonzo; Westbrook Elizabeth; Wheat Marilyn; Wininger, Amy; Wollin Andrew; Woods Monica; 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/Local_Election_2010__106486338.html
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I'm not sure where she stands on the issue. She should receive this email, maybe she'll 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" <ejhahn00@email.uky.edu> Date: Saturday, January 15, 2011 7:48 Subject: RE: NEWS ALERT!!!!! To: "Douglas, Carol F (LHD-Barren River Dist)" <CarolF.Douglas@ky.gov>, LHD Barren River BRDHD All <LHDBRD.HDAll@ky.gov>, Absher Mark <mark.absher@bgky.org>, Adkins Joyce <joycen.adkins@ky.gov>, "Advani, Shailesh" <shailesh.advani735@wku.edu>, Alloway Michelle <michelle.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" <robertbedard@hotmail.com>, Bell Jessica <jessica.bell@simpson.kyschools.us>, Berger Jim <jim.berger813@gmail.com>, Billingsley Margaret <mbillingsley@tjsamson.org>, Bohannon Carla <carlabohannon@insightbb.com>, Bonaguro John <john.bonaguro@wku.edu>, "Booth, Nancy" <nancy.booth@warren.kyschools.us>, Broady Susan <regionalchilddev@bellsouth.net>, Brown Susan <ksbrown@insightbb.com>, Bryant Beth <bryantpowell@aol.com>, "Carrigan, Misti - BGHS - Youth Services Center Coordinator" <misti.carrigan@bgreen.kyschools.us>, "Cash, Allison" <allison.cash@ccc1884.org>, "Chaney, Amie; Youth Service Center Coordinator" <amie.chaney@simpson.kyschools.us>, "Chaney, Brenda" <brenda.chaney@barren.kyschools.us>, "Chaney, Dennis R (LHD-Barren River District)" <DennisR.Chaney@ky.gov>, Chang Tonya <tonya.chang@heart.org>, Cherry Jeanine <jeanine.cherry@wku.edu>, Clark Paula <paula.clark@hart.kyschools.us>, Compton Judy <jcompton@tjsamson.org>, Copas Jackie <jackies.copas@ky.gov>, Cunningham Terri <terri.cunningham@wku.edu>, Daniels Karen <kdaniels@lifeskills.com>, Drexler Angie <angie.drexler@wku.edu>, "Duncan Martha \"Sue\"" <mduncan240@insightbb.com>, Emerson Jeanann <jeanann.emerson@barren.kyschools.us>, Flora Kim <kimd.flora@ky.gov>, Ford Joy White <jford@lifeskills.com>, Forrest Marilee <marilee.forrest@cancer.org>, Forte Bernice <bernice.forte@hcahealthcare.com>, "Fugate, Jennifer S (LHD-Allen Co)" <JenniferS.Fugate@ky.gov>, Gardner Marilyn <marilyn.gardner@wku.edu>, Gibson Nancy <nanway2003@yahoo.com>, Greaney Libby <libby.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 <mhouchens@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" <jataun.isenhower@wku.edu>, Iyiegbuniwe Emmanuel <emmanuel.iyiegbuniwe@wku.edu>, Janes Betsy <betsyj@kylung.org>, Jennings Katy <nutritioncenter4@bellsouth.net>, LaManna Frank <frank.lamanna@bgky.org>, "Lawrence, Brenda" <brenda.lawrence@warren.kyschools.us>, Lovely Teresa <tlovely@kychamber.com>, Miller Al <al.miller@insightbb.com>, Monroe Lori <lori1028@insightbb.com>, Nagy Chris <chris.nagy@wku.edu>, Napier Melanie <melanies.napier@ky.gov>, Owens Paula <paula.owens@wku.edu>, Palmer Alan <alan.palmer@hcahealthcare.com>, Parnell Heather <heather.parnell@ky.gov>, "Perdue, Olivia - BGHS - Youth Service Center" <olivia.perdue@bgreen.kyschools.us>, Petrovic Danijela <DPetrovic@HeathCoLLC.com>, Pollard Venica <venica.mlhbgky@att.net>, Prunty Melody <melodyf.prunty@ky.gov>, Richardson Jama <jama.richardson@logan.kyschools.us>, Richey Brent <brichey@vanmeterins.com>, "Rowland, Crissy G (CHFSLHD Barren River Dist)" <Crissyg.Rowland@ky.gov>, Rush Linda <lfrush@mcbg.org>, Ryan Lorie <lorie.ryan@warren.kyschools.us>, Shindhelm Karen <karen.shindhelm@wku.edu>, Shirley Melissa Walton <tshirley@glasgow-ky.com>, "Simmons, Jeri" <jerilynnsmail@aol.com>, Smith Beth <bogey567@aol.com>, Spears
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Bonnie <bonnie.spears@hcahealthcare.com>, Stein Margaret <margaret.f.stein@pfizer.com>, Steward Kathryn <kathryn.steward@wku.edu>, Sweetman Maryellen <msweetman@isbgky.com>, Taylor Brad <btaylor@bghotrods.com>, Thweatt Kathy <kathyj.thweatt@ky.gov>, Tinsley Tammy <tammy.tinsley@cancer.org>, Troyer Mike <mtroyer@bandousa.com>, Tuck Missy <mtuck@skyrehab.com>, Voakes Rick <drvoakes@bellsouth.net>, Walston Rachel <rachel.walston@gmail.com>, Walton Ed <edc21@bellsouth.net>, Walton Lori <loriw@scrtc.com>, Watkins Cecilia <cecilia.watkins@wku.edu>, Webb Alonzo <webb30black@yahoo.com>, Westbrook Elizabeth <e.westbrook@louisville.edu>, Wheat Marilyn <mlwheat@chc.net>, "Wininger, Amy" <amy.wininger@wku.edu>, Wollin Andrew <Andrew@casaofsck.org>, Woods Monica <monica.woods@bgky.org> Cc: "Johnson, John D" <jdjohnson@uky.edu>, "Kercsmar, Sarah" <scave2@email.uky.edu>, "Riker, Carol A" <riker@email.uky.edu>, Jujulew <jujulew@aol.com>, "Hahn, Ellen J" <ejhahn00@email.uky.edu> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Good morning, Bowling Green Smoke-free Advocates, I know how committed you are to seeing Bowling Green go smokefree 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

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date in NKY. The Northern Kentucky Tea Party, along with NKY Choice, the KY Libertarian Party, and others have turned out the opposition in large numbers. A few lessons learned from NKY: plan for special meetings (the opposition will try to derail in every way and they are good at it); be sure the new commissioners are in your favor and that there is a plan in place to kill a bad ordinance; and turn out advocates who stick to the health message (and keep tabs on the opposition). Unfortunately, with the holiday weekend upon us, I am unsure exactly what assistance we can provide but I am on email and available by cell phone (859-421-6948) and willing to help in any way. Good luck!! Ellen Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in SelfManagement of Cardiopulmonary Disease University of Kentucky College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on Twitter<http://www.twitter.com/kysmokefree> and Facebook<http://www.facebook.com/#!/pages/kysmokefree/121589417877279?ref=ts> ! [cid:image001.jpg@01CBB490.E853FDE0][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; Advani, Shailesh; Alloway Michelle; Applebee's; Baldwin Robin; Barnhouse Lara; Bedard Robert; Bedard, Robert; Bell Jessica; Berger Jim; Billingsley Margaret; Bohannon Carla; Bonaguro John; Booth, Nancy; Broady Susan; Brown Susan; Bryant Beth; Carrigan, Misti - BGHS - Youth Services Center Coordinator; Cash, Allison; Chaney, Amie; Youth Service Center Coordinator; Chaney, Brenda; Chaney, Dennis R (LHD-Barren River District); Chang Tonya; Cherry Jeanine; Clark Paula; Compton Judy; Copas Jackie ; Cunningham Terri; Daniels Karen; Douglas, Carol F (LHD-Barren River Dist); Drexler Angie; Duncan Martha "Sue"; Emerson Jeanann; Flora Kim; Ford Joy White; Forrest Marilee; Forte Bernice; Fugate, Jennifer S (LHD-Allen Co); Gardner Marilyn;

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Gibson Nancy; Greaney Libby; Greene, Janet; Gregory Eric; Halbig Hillary; Hartz Sharon; Houchens Marla; Houchin, Lisa J (LHDBarren River Dist); Houchins, Denise (LHD-Warren County Health Dept.); Isenhower, Jataun; Iyiegbuniwe Emmanuel; Janes Betsy; Jennings Katy; LaManna Frank; Lawrence, Brenda; Lovely Teresa; Miller Al; Monroe Lori; Nagy Chris; Napier Melanie; Owens Paula; Palmer Alan; Parnell Heather; Perdue, Olivia - BGHS - Youth Service Center; Petrovic Danijela; Pollard Venica; Prunty Melody; Richardson Jama; Richey Brent; Rowland, Crissy G (CHFSLHD Barren River Dist); Rush Linda; Ryan Lorie; Shindhelm Karen; Shirley Melissa Walton; Simmons, Jeri; Smith Beth; Spears Bonnie; Stein Margaret; Steward Kathryn; Sweetman Maryellen; Taylor Brad; Thweatt Kathy; Tinsley Tammy; Troyer Mike; Tuck Missy; Voakes Rick; Walston Rachel; Walton Ed; Walton Lori; Watkins Cecilia ; Webb Alonzo; Westbrook Elizabeth; Wheat Marilyn; Wininger, Amy; Wollin Andrew; Woods Monica Cc: Hahn, Ellen J Subject: NEWS ALERT!!!!! Importance: High 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 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 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

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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.

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

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From: Sent: To: Subject:


FYI..

Hahn, Ellen J Saturday, January 15, 2011 4:22 PM james.sharp@cancer.org FW: RE: RE: NEWS ALERT!!!!!

Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease University of Kentucky College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on Twitter and Facebook ! 50_CoN_celebrate_date_oop-email

From: 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 ----- Original Message ----From: "Hahn, Ellen J" <ejhahn00@email.uky.edu> Date: Saturday, January 15, 2011 14:11 Subject: RE: RE: NEWS ALERT!!!!! To: Eric Gregory <egregory@insightbb.com> > > > > > Thanks, Eric. I shared this with James Sharp at ACS. Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy

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Assistant Director, Center for Biobehavioral Research in SelfManagement of Cardiopulmonary Disease University of Kentucky College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on Twitter<http://www.twitter.com/kysmokefree> and Facebook<http://www.facebook.com/#!/pages/kysmokefree/121589417877279?ref=ts> ! [cid:image001.jpg@01CBB4C6.76C07600][cid:image002.gif@01CBB4C6.76C07600] From: Eric Gregory [mailto:egregory@insightbb.com] Sent: Saturday, January 15, 2011 3:01 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, 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; Halbig Hillary; Hartz Sharon; Houchens Marla; Houchin, Lisa J (LHD-Barren River Dist); Houchins, Denise (LHD-Warren County Health Dept.); Isenhower, Jataun; Iyiegbuniwe Emmanuel; Janes Betsy; Jennings Katy; LaManna Frank; Lawrence, Brenda; Lovely Teresa; Miller Al; Monroe Lori; Nagy Chris; Napier Melanie; Owens Paula; Palmer Alan; Parnell Heather; Perdue, Olivia - BGHS - Youth Service Center; Petrovic Danijela; Pollard Venica; Prunty Melody; Richardson Jama; Richey Brent; Rowland, Crissy G (CHFS-LHD Barren River Dist); Rush Linda; Ryan Lorie; Shindhelm Karen; Shirley Melissa Walton; Simmons, Jeri; Smith Beth; Spears Bonnie; Stein Margaret; Steward Kathryn; Sweetman Maryellen; Taylor Brad; Thweatt Kathy; Tinsley Tammy; Troyer Mike; Tuck Missy; Voakes Rick; Walston Rachel; Walton Ed; Walton Lori; Watkins Cecilia; Webb Alonzo; Westbrook Elizabeth; Wheat Marilyn; Wininger, Amy; Wollin Andrew; Woods Monica; Johnson, John D; Kercsmar, Sarah; Riker, Carol A; Jujulew; Hahn, Ellen J Subject: Re: RE: NEWS ALERT!!!!! Ellen,

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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/Local_Election_2010__106486338.html I'm not sure where she stands on the issue. She should receive this email, maybe she'll 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" <ejhahn00@email.uky.edu> Date: Saturday, January 15, 2011 7:48 Subject: RE: NEWS ALERT!!!!! To: "Douglas, Carol F (LHD-Barren River Dist)" <CarolF.Douglas@ky.gov>, LHD Barren River BRDHD All <LHDBRD.HDAll@ky.gov>, Absher Mark <mark.absher@bgky.org>, Adkins Joyce <joycen.adkins@ky.gov>, "Advani, Shailesh" <shailesh.advani735@wku.edu>, Alloway Michelle <michelle.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" <robertbedard@hotmail.com>, Bell Jessica <jessica.bell@simpson.kyschools.us>, Berger Jim <jim.berger813@gmail.com>, Billingsley Margaret <mbillingsley@tjsamson.org>, Bohannon Carla <carlabohannon@insightbb.com>, Bonaguro John <john.bonaguro@wku.edu>, "Booth, Nancy" <nancy.booth@warren.kyschools.us>, Broady Susan <regionalchilddev@bellsouth.net>, Brown Susan <ksbrown@insightbb.com>, Bryant Beth <bryantpowell@aol.com>, "Carrigan, Misti - BGHS - Youth Services Center Coordinator" <misti.carrigan@bgreen.kyschools.us>, "Cash, Allison" <allison.cash@ccc1884.org>, "Chaney, Amie; Youth Service Center Coordinator" <amie.chaney@simpson.kyschools.us>, "Chaney, Brenda" <brenda.chaney@barren.kyschools.us>,

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"Chaney, Dennis R (LHD-Barren River District)" <DennisR.Chaney@ky.gov>, Chang Tonya <tonya.chang@heart.org>, Cherry Jeanine <jeanine.cherry@wku.edu>, Clark Paula <paula.clark@hart.kyschools.us>, Compton Judy <jcompton@tjsamson.org>, Copas Jackie <jackies.copas@ky.gov>, Cunningham Terri <terri.cunningham@wku.edu>, Daniels Karen <kdaniels@lifeskills.com>, Drexler Angie <angie.drexler@wku.edu>, "Duncan Martha \"Sue\"" <mduncan240@insightbb.com>, Emerson Jeanann <jeanann.emerson@barren.kyschools.us>, Flora Kim <kimd.flora@ky.gov>, Ford Joy White <jford@lifeskills.com>, Forrest Marilee <marilee.forrest@cancer.org>, Forte Bernice <bernice.forte@hcahealthcare.com>, "Fugate, Jennifer S (LHD-Allen Co)" <JenniferS.Fugate@ky.gov>, Gardner Marilyn <marilyn.gardner@wku.edu>, Gibson Nancy <nanway2003@yahoo.com>, Greaney Libby <libby.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 <mhouchens@tjsamson.org>, "Houchin, Lisa J (LHD-Barren River Dist)" <LisaJ.Houchin@ky.gov>, "Houchins, Denise (LHDWarren County Health Dept.)" <DeniseL.Boyd@ky.gov>, "Isenhower, Jataun" <jataun.isenhower@wku.edu>, Iyiegbuniwe Emmanuel <emmanuel.iyiegbuniwe@wku.edu>, Janes Betsy <betsyj@kylung.org>, Jennings Katy <nutritioncenter4@bellsouth.net>, LaManna Frank <frank.lamanna@bgky.org>, "Lawrence, Brenda" <brenda.lawrence@warren.kyschools.us>, Lovely Teresa <tlovely@kychamber.com>, Miller Al <al.miller@insightbb.com>, Monroe Lori <lori1028@insightbb.com>, Nagy Chris <chris.nagy@wku.edu>, Napier Melanie <melanies.napier@ky.gov>, Owens Paula <paula.owens@wku.edu>, Palmer Alan <alan.palmer@hcahealthcare.com>, Parnell Heather <heather.parnell@ky.gov>, "Perdue, Olivia - BGHS - Youth Service Center" <olivia.perdue@bgreen.kyschools.us>, Petrovic Danijela <DPetrovic@HeathCoLLC.com>, Pollard Venica <venica.mlhbgky@att.net>, Prunty Melody <melodyf.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 <lfrush@mcbg.org>, Ryan Lorie <lorie.ryan@warren.kyschools.us>, Shindhelm Karen <karen.shindhelm@wku.edu>, Shirley Melissa Walton <tshirley@glasgow-ky.com>, "Simmons, Jeri" <jerilynnsmail@aol.com>, Smith Beth <bogey567@aol.com>, Spears Bonnie <bonnie.spears@hcahealthcare.com>, Stein Margaret <margaret.f.stein@pfizer.com>, Steward Kathryn

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<kathryn.steward@wku.edu>, Sweetman Maryellen <msweetman@isbgky.com>, Taylor Brad <btaylor@bghotrods.com>, Thweatt Kathy <kathyj.thweatt@ky.gov>, Tinsley Tammy <tammy.tinsley@cancer.org>, Troyer Mike <mtroyer@bandousa.com>, Tuck Missy <mtuck@skyrehab.com>, Voakes Rick <drvoakes@bellsouth.net>, Walston Rachel <rachel.walston@gmail.com>, Walton Ed <edc21@bellsouth.net>, Walton Lori <loriw@scrtc.com>, Watkins Cecilia <cecilia.watkins@wku.edu>, Webb Alonzo <webb30black@yahoo.com>, Westbrook Elizabeth <e.westbrook@louisville.edu>, Wheat Marilyn <mlwheat@chc.net>, "Wininger, Amy" <amy.wininger@wku.edu>, Wollin Andrew <Andrew@casaofsck.org>, Woods Monica <monica.woods@bgky.org>Cc: "Johnson, John D" <jdjohnson@uky.edu>, "Kercsmar, Sarah" <scave2@email.uky.edu>, "Riker, Carol A" <riker@email.uky.edu>, Jujulew <jujulew@aol.com>, "Hahn, Ellen J" <ejhahn00@email.uky.edu> > > 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

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> 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 luck!! > Ellen > > Ellen J. Hahn, PhD, RN > Professor and Director, Tobacco Policy Research Program > Director, Kentucky Center for Smoke-free Policy > Assistant Director, Center for Biobehavioral Research in Self> Management of Cardiopulmonary Disease > University of Kentucky > College of Nursing and College of Public Health > 751 Rose Street > Lexington, KY 40536-0232 > 859-257-2358 > 859-323-1057 (FAX) > ejhahn00@email.uky.edu > www.mc.uky.edu/tobaccopolicy > www.kcsp.uky.edu > > Find kysmokefree on > Twitter<http://www.twitter.com/kysmokefree> and > Facebook<http://www.facebook.com/#!/pages/kysmokefree/121589417877279?ref=ts> ! > > [cid:image001.jpg@01CBB490.E853FDE0][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; > Advani, Shailesh; Alloway Michelle; Applebee's; Baldwin Robin; > Barnhouse Lara; Bedard Robert; Bedard, Robert; Bell Jessica; > Berger Jim; Billingsley Margaret; Bohannon Carla; Bonaguro John;

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

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> 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 > 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. > > > 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

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

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From: Sent: To: Subject:

Hahn, Ellen J Saturday, January 15, 2011 5:22 PM 'Douglas, Carol F (LHD-Barren River Dist)' FW: RE: RE: NEWS ALERT!!!!!

Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease University of Kentucky College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on Twitter and Facebook ! 50_CoN_celebrate_date_oop-email

From: 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 ----- Original Message ----From: "Hahn, Ellen J" <ejhahn00@email.uky.edu> Date: Saturday, January 15, 2011 14:11 Subject: RE: RE: NEWS ALERT!!!!! To: Eric Gregory <egregory@insightbb.com> > > > > > Thanks, Eric. I shared this with James Sharp at ACS. Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy

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Assistant Director, Center for Biobehavioral Research in SelfManagement of Cardiopulmonary Disease University of Kentucky College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on Twitter<http://www.twitter.com/kysmokefree> and Facebook<http://www.facebook.com/#!/pages/kysmokefree/121589417877279?ref=ts> ! [cid:image001.jpg@01CBB4C6.76C07600][cid:image002.gif@01CBB4C6.76C07600] From: Eric Gregory [mailto:egregory@insightbb.com] Sent: Saturday, January 15, 2011 3:01 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, 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; Halbig Hillary; Hartz Sharon; Houchens Marla; Houchin, Lisa J (LHD-Barren River Dist); Houchins, Denise (LHD-Warren County Health Dept.); Isenhower, Jataun; Iyiegbuniwe Emmanuel; Janes Betsy; Jennings Katy; LaManna Frank; Lawrence, Brenda; Lovely Teresa; Miller Al; Monroe Lori; Nagy Chris; Napier Melanie; Owens Paula; Palmer Alan; Parnell Heather; Perdue, Olivia - BGHS - Youth Service Center; Petrovic Danijela; Pollard Venica; Prunty Melody; Richardson Jama; Richey Brent; Rowland, Crissy G (CHFS-LHD Barren River Dist); Rush Linda; Ryan Lorie; Shindhelm Karen; Shirley Melissa Walton; Simmons, Jeri; Smith Beth; Spears Bonnie; Stein Margaret; Steward Kathryn; Sweetman Maryellen; Taylor Brad; Thweatt Kathy; Tinsley Tammy; Troyer Mike; Tuck Missy; Voakes Rick; Walston Rachel; Walton Ed; Walton Lori; Watkins Cecilia; Webb Alonzo; Westbrook Elizabeth; Wheat Marilyn; Wininger, Amy; Wollin Andrew; Woods Monica; Johnson, John D; Kercsmar, Sarah; Riker, Carol A; Jujulew; Hahn, Ellen J Subject: Re: RE: NEWS ALERT!!!!! Ellen,

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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/Local_Election_2010__106486338.html I'm not sure where she stands on the issue. She should receive this email, maybe she'll 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" <ejhahn00@email.uky.edu> Date: Saturday, January 15, 2011 7:48 Subject: RE: NEWS ALERT!!!!! To: "Douglas, Carol F (LHD-Barren River Dist)" <CarolF.Douglas@ky.gov>, LHD Barren River BRDHD All <LHDBRD.HDAll@ky.gov>, Absher Mark <mark.absher@bgky.org>, Adkins Joyce <joycen.adkins@ky.gov>, "Advani, Shailesh" <shailesh.advani735@wku.edu>, Alloway Michelle <michelle.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" <robertbedard@hotmail.com>, Bell Jessica <jessica.bell@simpson.kyschools.us>, Berger Jim <jim.berger813@gmail.com>, Billingsley Margaret <mbillingsley@tjsamson.org>, Bohannon Carla <carlabohannon@insightbb.com>, Bonaguro John <john.bonaguro@wku.edu>, "Booth, Nancy" <nancy.booth@warren.kyschools.us>, Broady Susan <regionalchilddev@bellsouth.net>, Brown Susan <ksbrown@insightbb.com>, Bryant Beth <bryantpowell@aol.com>, "Carrigan, Misti - BGHS - Youth Services Center Coordinator" <misti.carrigan@bgreen.kyschools.us>, "Cash, Allison" <allison.cash@ccc1884.org>, "Chaney, Amie; Youth Service Center Coordinator" <amie.chaney@simpson.kyschools.us>, "Chaney, Brenda" <brenda.chaney@barren.kyschools.us>,

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"Chaney, Dennis R (LHD-Barren River District)" <DennisR.Chaney@ky.gov>, Chang Tonya <tonya.chang@heart.org>, Cherry Jeanine <jeanine.cherry@wku.edu>, Clark Paula <paula.clark@hart.kyschools.us>, Compton Judy <jcompton@tjsamson.org>, Copas Jackie <jackies.copas@ky.gov>, Cunningham Terri <terri.cunningham@wku.edu>, Daniels Karen <kdaniels@lifeskills.com>, Drexler Angie <angie.drexler@wku.edu>, "Duncan Martha \"Sue\"" <mduncan240@insightbb.com>, Emerson Jeanann <jeanann.emerson@barren.kyschools.us>, Flora Kim <kimd.flora@ky.gov>, Ford Joy White <jford@lifeskills.com>, Forrest Marilee <marilee.forrest@cancer.org>, Forte Bernice <bernice.forte@hcahealthcare.com>, "Fugate, Jennifer S (LHD-Allen Co)" <JenniferS.Fugate@ky.gov>, Gardner Marilyn <marilyn.gardner@wku.edu>, Gibson Nancy <nanway2003@yahoo.com>, Greaney Libby <libby.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 <mhouchens@tjsamson.org>, "Houchin, Lisa J (LHD-Barren River Dist)" <LisaJ.Houchin@ky.gov>, "Houchins, Denise (LHDWarren County Health Dept.)" <DeniseL.Boyd@ky.gov>, "Isenhower, Jataun" <jataun.isenhower@wku.edu>, Iyiegbuniwe Emmanuel <emmanuel.iyiegbuniwe@wku.edu>, Janes Betsy <betsyj@kylung.org>, Jennings Katy <nutritioncenter4@bellsouth.net>, LaManna Frank <frank.lamanna@bgky.org>, "Lawrence, Brenda" <brenda.lawrence@warren.kyschools.us>, Lovely Teresa <tlovely@kychamber.com>, Miller Al <al.miller@insightbb.com>, Monroe Lori <lori1028@insightbb.com>, Nagy Chris <chris.nagy@wku.edu>, Napier Melanie <melanies.napier@ky.gov>, Owens Paula <paula.owens@wku.edu>, Palmer Alan <alan.palmer@hcahealthcare.com>, Parnell Heather <heather.parnell@ky.gov>, "Perdue, Olivia - BGHS - Youth Service Center" <olivia.perdue@bgreen.kyschools.us>, Petrovic Danijela <DPetrovic@HeathCoLLC.com>, Pollard Venica <venica.mlhbgky@att.net>, Prunty Melody <melodyf.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 <lfrush@mcbg.org>, Ryan Lorie <lorie.ryan@warren.kyschools.us>, Shindhelm Karen <karen.shindhelm@wku.edu>, Shirley Melissa Walton <tshirley@glasgow-ky.com>, "Simmons, Jeri" <jerilynnsmail@aol.com>, Smith Beth <bogey567@aol.com>, Spears Bonnie <bonnie.spears@hcahealthcare.com>, Stein Margaret <margaret.f.stein@pfizer.com>, Steward Kathryn

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<kathryn.steward@wku.edu>, Sweetman Maryellen <msweetman@isbgky.com>, Taylor Brad <btaylor@bghotrods.com>, Thweatt Kathy <kathyj.thweatt@ky.gov>, Tinsley Tammy <tammy.tinsley@cancer.org>, Troyer Mike <mtroyer@bandousa.com>, Tuck Missy <mtuck@skyrehab.com>, Voakes Rick <drvoakes@bellsouth.net>, Walston Rachel <rachel.walston@gmail.com>, Walton Ed <edc21@bellsouth.net>, Walton Lori <loriw@scrtc.com>, Watkins Cecilia <cecilia.watkins@wku.edu>, Webb Alonzo <webb30black@yahoo.com>, Westbrook Elizabeth <e.westbrook@louisville.edu>, Wheat Marilyn <mlwheat@chc.net>, "Wininger, Amy" <amy.wininger@wku.edu>, Wollin Andrew <Andrew@casaofsck.org>, Woods Monica <monica.woods@bgky.org>Cc: "Johnson, John D" <jdjohnson@uky.edu>, "Kercsmar, Sarah" <scave2@email.uky.edu>, "Riker, Carol A" <riker@email.uky.edu>, Jujulew <jujulew@aol.com>, "Hahn, Ellen J" <ejhahn00@email.uky.edu> > > 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

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> 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 luck!! > Ellen > > Ellen J. Hahn, PhD, RN > Professor and Director, Tobacco Policy Research Program > Director, Kentucky Center for Smoke-free Policy > Assistant Director, Center for Biobehavioral Research in Self> Management of Cardiopulmonary Disease > University of Kentucky > College of Nursing and College of Public Health > 751 Rose Street > Lexington, KY 40536-0232 > 859-257-2358 > 859-323-1057 (FAX) > ejhahn00@email.uky.edu > www.mc.uky.edu/tobaccopolicy > www.kcsp.uky.edu > > Find kysmokefree on > Twitter<http://www.twitter.com/kysmokefree> and > Facebook<http://www.facebook.com/#!/pages/kysmokefree/121589417877279?ref=ts> ! > > [cid:image001.jpg@01CBB490.E853FDE0][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; > Advani, Shailesh; Alloway Michelle; Applebee's; Baldwin Robin; > Barnhouse Lara; Bedard Robert; Bedard, Robert; Bell Jessica; > Berger Jim; Billingsley Margaret; Bohannon Carla; Bonaguro John;

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> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > >

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

file:///C|/.../FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/FW%20RE%20RE%20NEWS%20ALERT!!!!! html[8/19/2011 2:28:51 AM]

> > > > > > > > > > > > > > > > > > > > > > > > > > > >

> 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 > 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. > > > 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

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

file:///C|/.../FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/FW%20RE%20RE%20NEWS%20ALERT!!!!! html[8/19/2011 2:28:51 AM]

From: Sent: To: Cc: Subject:

Hahn, Ellen J Thursday, July 29, 2010 5:40 AM Sizemore, Mark (CHFS HPB-Health Promotions) Wagner, Kristian K; Robertson, Heather E FW: [Smokefree-Talk] Preemption Watch Bill Tracking Summary: 7/23/10

Mark, If you are not already, you might want to subscribe to Smoke-free Talks Preemption Watch . Ellen Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease University of Kentucky College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on Twitter and Facebook ! 50_CoN_celebrate_date_oop-email

From: smokefree-talk@googlegroups.com [mailto:smokefree-talk@googlegroups.com] On Behalf Of Liz Williams Sent: Friday, July 23, 2010 8:17 PM To: McCall, Deborah Subject: [Smokefree-Talk] Preemption Watch Bill Tracking Summary: 7/23/10

Preemption Watch Weekly Bill Tracking Summary of U.S. State Bills www.protectlocalcontrol.org July 23, 2010 ANR tracks pending legislation relating to states' smokefree air policies as part of the continued fight to prevent preemptive legislation before it can be passed and to overturn preemption in states where it is already in place. Since even a strong bill can become preemptive at any point in the legislative process, it is very important to track even the best bills throughout the entire legislative session and keep a watchful eye out for all attempts to remove local control.

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In 2010, consider setting up a Preemption Strike Force to help combat tobacco industry legislative tricks by allowing for quick and easy communication among proponents of local control. Learn how at http://www.nosmoke.org/pdf/preemptionstrikeforce.pdf. Legislative sessions have ended in: Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Minnesota, Missouri, Mississippi, Nebraska, New Hampshire, New Mexico, North Carolina, Oklahoma, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Virginia, Washington, West Virginia and Wyoming. Also, 2010 sessions are not held in Montana, Nevada, North Dakota, Oregon, and Texas. Below is a listing of state bills that have been introduced in state legislatures. Please visit the www.protectlocalcontrol.org and click on the state of your choice to view the summary, text, and status of pending bills. Please email ANR with any new information regarding pending legislation and preemption attempts in your state and we will analyze and summarize the legislation. The new and pending legislative bills are classified below into seven categories to clearly delineate which bills will protect public health and should be supported from those that should be opposed because they do not effectively protect public health, weaken a strong law, or intend to preempt local control. New bills and changes in bill status since the last update appear in bold. Strong: Bill includes 100% smokefree non-hospitality workplaces and/or restaurants and/or bars; strengthens existing smokefree laws; or repeals preemption. Weak: Bill includes ventilation, smoking rooms, or other key exemptions. Weakens: Bill weakens a current strong 100% smokefree law. Preemptive: Bill contains preemptive language that removes the right to local control. Vehicles: Bill addresses smoking in vehicles with children present. Outdoor: Bill primarily addresses smoking in outdoor locations. Other: Bills contain other provisions and should be watched. The following states have strong bills that include 100% smokefree non-hospitality workplaces and/or restaurants and/or bars; OR repeals preemption: Massachusetts: SB2495 (smokefree casinos amendment)-Amendment upheld Michigan: HB4099 (workplaces and restaurants)-Carried over to 2010; SB79 (workplaces, restaurants and bars)Carried over to 2010; SB114 (workplaces, restaurants, and bars; preemption repeal)-Carried over to 2010; HB4196 (workplaces, restaurants, and bars; preemption repeal)-Carried over to 2010; HB4341 (workplaces, restaurants, and bars; preemption repeal)-Carried over to 2010; HB5077 (preemption repeal)-Carried over to 2010; HB5283 (workplaces, restaurants and bars)-Carried over to 2010; SB1406 (casinos) New Jersey: A1062 (casinos); S423 (casinos) New York: S03388 (tribal gaming)-Referred to Investigations and Government Operations Committee Pennsylvania: HB58 (preemption repeal)-Re-committed to House Appropriations Committee; SB113 (restaurants and bars; preemption repeal)-Carried over to 2010; HB1245 (bars; preemption repeal)-Carried over to 2010; SB898 (partial preemption repeal)-Carried over to 2010 The following states have weak bills that include ventilation, smoking rooms, size exemptions, or other major faults or exemptions: Michigan: HB4752 (trigger with tribal gaming)-Carried over to 2010; SB469 (ballot requirement)-Carried over to 2010; HB5535 (tax credit)-Carried over to 2010; HB5637 (smoking areas)-Carried over to 2010 The following states have bills that create exemptions that weaken a current strong law: D.C.: B18-0084 (exemption) Illinois: HB1145 (smoking licenses)-Carried over to 2010; SB1836 (theatrical exemption)-Carried over to 2010;
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HB6158 (religious exemption)-Rule 19(a) / Re-referred to Rules Committee Michigan: HB5803 (smoking room exemption) New Jersey: A461 (tobacco business exemption); S2001/A2897 (gaming exemption) Ohio : SB120 (cigar bar and family bar exemption)-Carried over to 2010; HB6280 (veterans' organizations exemption) Pennsylvania: HB1146 (fire company exemption)-Carried over to 2010; HB1147 (church exemption)-Carried over to 2010 The following states have preemptive bills: Massachusetts: HB2176 (preemptive exemptions)-Included in HB4755 to allow the Committee on Public Health to study this and other related bills New York: A08982 (retail tobacco shop exemption and preemption)-Referred to Economic Development Committee; S06179 (retail tobacco store exemption and preemption)-Advanced to 3rd Reading The following states have bills that address smoking in vehicles when children are present: Illinois: HB889 (vehicles with minors)-Rule 19(a) / Re-referred to Rules Committee Massachusetts: HB3233 (vehicles with minors)-Carried over to 2010; HB3475 (vehicles with minors)-Carried over to 2010; SB1902 (vehicles with minors)-Carried over to 2010 New Jersey: A1591/S475 (vehicles with minors); A2814 (vehicles with minors) New York: A06288 (vehicles with minors)-Referred to Health Committee; A06714 (vehicles with minors)-Passed Assembly, Sent to Senate and amended as A6714B; S03191 (vehicles with minors)-Substituted by A6714B; S08386 (vehicles with minors) Ohio : SB135 (vehicles with minors)-Carried over to 2010 Pennsylvania: HB359 (vehicles with minors)-Carried over to 2010 The following states have bills primarily addressing smoking in outdoor locations: Massachusetts: HB2162 (reasonable distance)-Included in HB4755 to allow the Committee on Public Health to study this and other related bills Michigan: SB906 (state capitol grounds)-Carried over to 2010 New Jersey: S443 (outdoor public places)-On Hold; S684 (youth; outdoors); A2172/S669 (parks and beaches)-S669 on Hold; A1853 (state parks and beaches); S889 (state-owned beaches)-On Hold New York: A00577 (reasonable distance)-Referred to Health Committee; A01137 (playgrounds)-Passed Assembly and sent to Senate; A01837-(parks and beaches)-Referred to Health Committee; A07362 (reasonable distance)-Held for consideration in Health Committee; S05005 (playgrounds)-Referred to Health Committee; S07098 (transportation platforms)-Amended and Recommitted to Health; A10500 (transportation platforms)-Amended and recommitted to codes The following states have other provisions and should be watched: Illinois: HB3176 (technical amendment)-Carried over to 2010; SB851 (removes nursing home exemption)-Sent to the Governor; SB2314 (technical amendment)-Carried over to 2010; HB5524 (enforcement change)-Referred to Rules Committee; SB3591 (enforcement change)-Rule 2-10 Third Reading Deadline Established as May 7; SB3174 (electronic cigarettes)-Passed Senate, in House Rules Committee Massachusetts: HB1875 (workplace smoking)-Included in HB4746 to allow the Com. on Labor and Workforce Development to study this and other related bills; recommitted to the Committee on Labor and Workforce Development; HB1181 (elderly housing)-Ordered to a third reading in House Committee On Steering, Policy and Scheduling; HB1243 (elderly housing)-Ordered to a third reading in House Committee On Steering, Policy and Scheduling; HB2054 (tobacco free pharmacies)-Carried over to 2010; S813 (tobacco free pharmacies)-Bill reported favorably from the Joint Committee on Public Health Michigan: HB4100 (compliance)-Carried over to 2010; HB4419 (compliance)-Carried over to 2010; HB5284 (workplace liability)-Carried over to 2010 New Jersey: A512 (state vehicles); S446 (housing)
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New York: S1234 (tobacco free pharmacies)-Referred to Health Committee; A05890 (tobacco free pharmacies)Referred to Health Committee; A06542 (public housing)-Held for consideration in Housing Committee; S03242 (playgrounds)-Reported and Committed to Codes; A08700 (housing)-Referred to Judiciary Committee; A10837 (prisons) Legislation Enacted this Year D.C.: B18-0670 (special event exemption) -Signed by Mayor; B18-042-(reasonable distance)-Enacted Kansas: HB2221 (workplaces, restaurants and bars)-Signed by Governor Mississippi: SB2644 (youth recreation)-Signed by Governor Nebraska: LB861 (technical amendment)-Signed by Governor New Hampshire: HB1541 (e-cigarettes at educational facilities)-Signed by Governor New Jersey: A4227/A4228 (e-cigarettes in public places)-Signed by Governor Oklahoma: HB2748 (educational facilities)-Signed by Governor; HB2774 (financial incentives)-Signed by Governor Pennsylvania: SB711 (gaming exemption; preemption)-Signed by the Governor U.S. Virgin Islands: Bill 28-0191 (workplaces, restaurants and bars)-Signed by Governor Utah : HB88 (e-cigarette restrictions)-Signed by Governor Wisconsin: AB720-SA1 (definition change)-Signed by Governor

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

Liz Williams Project Manager Americans for Nonsmokers' Rights American Nonsmokers' Rights Foundation 2530 San Pablo Ave, Suite J Berkeley, CA 94702 Phone: 510-841-3032 x314 Fax: 510-841-3071 liz.williams@no-smoke.org www.no-smoke.org
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********************** Are you a member of ANR? Our work depends on the support of our members. Please click here to view our membership options. We would love to have you join us! Show your support for smokefree air by putting a static-cling decal in your window at work, home, or the car. To purchase, visit: http://www.no-smoke.org/aboutus.php?id=440. </ -You received this message because you are subscribed to the Google Groups "Smokefree-talk" group. To post to this group, send email to smokefree-talk@googlegroups.com. To unsubscribe from this group, send email to smokefree-talk+unsubscribe@googlegroups.com. For more options, visit this group at http://groups.google.com/group/smokefree-talk?hl=en.

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From: Sent: To: Cc: Subject:


Hi Kelly, More on e-cig vapor. Carol

Riker, Carol A Monday, May 10, 2010 10:16 PM Owens, Kelly S (LHD - Madison Co) Bossick, Michael J; Hahn, Ellen J FW: The vapor in E-Cigarettes - 3rdhand smoke issues (consult)

From: smokefreecasinos-talk@googlegroups.com [mailto:smokefreecasinos-talk@googlegroups.com] On Behalf Of karen.blumenfeld@verizon.net Sent: Monday, May 10, 2010 8:39 PM To: smokefreecasinos-talk@googlegroups.com Subject: The vapor in E-Cigarettes - 3rdhand smoke issues (consult)

Dear all, FYI, a recent study on 3rdhand smoke also was concerned about the nicotine in the e-cig vapor, reacting with common indoor air pollutants, to create carcinogenic nitrosamines. The 3rdhand smoke residue that imbeds into surfaces, e.g. furniture, carpet, clothing, skin, etc., when it reacts with nitrous acid, a common indoor air pollutant, forms dangerous carcinogenic tobacco-specific nitrosamines (TSNAs), such as NNN and NNK. Best regards, Karen Blumenfeld May 10, 2010 09:50:01 AM, smokefreecasinos-talk@googlegroups.com wrote: Actually,there's no control over what manufacturers of ECigs decide to put intheir products. FDA reported that one brand actually had ethyleneglycol in it, while apparently others used propylene glycol. And asfar as nicotine goes, remember that it's a poison, and will be exhaledon the breath of smokers, along with whatever "flavoring agents" areput in these devices. Jim Cowan, Stanley R. wrote: It is not ethylene glycol, but propylene glycol that is used in the e-cigarettes.>From my days as a sanitarian and inspecting dairy and food plants, propylene glycol was a food grade anti-freeze used in heat exchangers for quickly heating or cooling liquid food products. The FDA has listed propylene glycol as "generally recognized as safe." Take a look at the label on imitation vanilla flavoring in your cupboard and you will see that propylene glycol is a primary ingredient.Propylene glycol is safe to ingest. But, it is not known if it is safe to heat into a vapor and inhale. Heating a substance can drastically change its characteristics. This is what FDA is worried about and thus cannot currently determine if the vapor from an e-cigarette is safe.________________________________From: smokefreecasinostalk@googlegroups.com [smokefreecasinos-talk@googlegroups.com] On Behalf Of Smoke-Free Gaming [smokefreegaming@yahoo.com]Sent: Saturday, May 08, 2010 6:17 PMTo: smokefreecasinostalk@googlegroups.comSubject: RE: The vapor in E-CigarettesRE: Electronic CigarettesI met a former sales person for e-cigarettes in Las Vegas and he told me that anti-freezeand two other chemicals (he couldn't remember the names) are in the vapor in the e-cigarettes but that he was told by the company to tell the public it was just water vapor.According to Wikipedia:Ethylene glycol (IUPAC name: ethane-1,2-diol) is an organic compound widely used as
file:///C|/...ey%20request%201/FW%20The%20vapor%20in%20E-Cigarettes%20-%203rdhand%20smoke%20issues%20(consult)%202.html[8/19/2011 2:28:56 AM]

an automotive antifreeze and a precursor to polymers. In its pure form, it is an odorless, colorless, syrupy, sweettasting liquid. Ethylene glycol is toxic, and ingestion can result in death.StephanieSMOKE-FREE GAMINGStephanie Steinberg730 W. Hampden Ave., #301Englewood, CO 80110303-781-5588 Business303-781-5597 Fax303-819-3131 CELL http://www.smokefreegaming.org"Breathing is not a choice."--- On Fri, 5/7/10, repace wrote:From: repace Subject: Re: Louisiana updateTo: smokefreecasinos-talk@googlegroups.comDate: Friday, May 7, 2010, 6:19 PMthanks, Bronson. We're going to test the E-cigs that Foxwoods is selling... JimBronson Frick wrote:Casino smoking ban rejected by House committeeNew Orleans (LA) Times Picayune, 2010-05-06Jan Moller, The TimesPicayunehttp://www.nola.com/politics/index.ssf/2010/05/effort_to_broaden_indoor_smoki.htmlThe effort to broaden Louisiana's indoor smoking ban appears to be dead for the session after a House committee this morning shelved legislation to require non-smoking areas on riverboat casinos.The action by the House Health and Welfare Committee on House Bill 1323 sends a clear signal that committee members are in no mood to follow their counterparts in the Senate, where the health committee voted unanimously last week to ban smoking in bars and casinos.The House bill by Rep. Rick Nowlin, R-Natchitoches, was far less comprehensive than the Senate measure, but still drew strong opposition from casinos and a lobbyist for the tavern industry, who said he feared it would be amended on the House floor to ban smoking in bars.also in the news.....Electronic cigarettes for sale at FoxwoodsBattery-powered devices have raised safety questionsThe Day (New London, CT), 2010-05-07Brian Hallenbeckhttp://www.theday.com/article/20100507/BIZ02/305079921/1018Retail stores at Foxwoods Resort Casino and MGM Grand at Foxwoods may be among the first in the state to sell electronic cigarettes, devices that have been making inroads with the public despite questions about whether they're safe.Cigotine, the Providence-based company that began offering its products at Foxwoods last month, also plans to start selling them next week from a kiosk inside Crystal Mall, the company's chief executive officer said Thursday. A spokesman for mall management confirmed the kiosk will open May 15. . . .Connecticut Attorney General Richard Blumenthal, who vowed last year to fight retail sales of e-cigarettes, said Thursday their safety remains questionable. "We've warned consumers to be very wary of these products," he said. "We're continuing our investigation to determine what steps can and should be taken to protect the public."Blumenthal, who said his office has received no complaints about e-cigarettes, has also advocated for an eventual outright ban on smoking at the state's tribally owned casinos, which currently limit smoking to certain gaming areas under agreements worked out with Gov. M. Jodi Rell.************************************************Bronson FrickAssociate DirectorAmericans for Nonsmokers' Rights2530 San Pablo Ave., Ste. JBerkeley, CA 94702510.841.3032 office510.932.1109 mobilebronson.frick@no-smoke.orgwww.no-smoke.org[http://sphotos.ak.fbcdn.net/photos-aksf2p/v231/62/11/10381469571/n10381469571_770783_5105.jpg] Are you a member of ANR? If not, please join us today. Our work depends on members like you!--You received this message because you are subscribed to the Google Groups "smokefreecasinos-talk" group.To post to this group, send email to smokefreecasinostalk@googlegroups.com.To unsubscribe from this group, send email to smokefreecasinostalk+unsubscribe@googlegroups.com.For more options, visit this group at http://groups.google.com/group/smokefreecasinos-talk?hl=en.--You received this message because you are subscribed to the Google Groups "smokefreecasinos-talk" group.To post to this group, send email to smokefreecasinostalk@googlegroups.com.To unsubscribe from this group, send email to smokefreecasinostalk+unsubscribe@googlegroups.com.For more options, visit this group at http://groups.google.com/group/smokefreecasinos-talk?hl=en.--You received this message because you are subscribed to the Google Groups "smokefreecasinos-talk" group.To post to this group, send email to smokefreecasinostalk@googlegroups.com.To unsubscribe from this group, send email to smokefreecasinostalk+unsubscribe@googlegroups.com.For more options, visit this group at http://groups.google.com/group/smokefreecasinos-talk?hl=en. -You received this message because you are subscribed to the Google Groups "smokefreecasinos-talk" group. To post to this group, send email to smokefreecasinos-talk@googlegroups.com. To unsubscribe from this group, send email to smokefreecasinos-talk+unsubscribe@googlegroups.com. For more options, visit this group at http://groups.google.com/group/smokefreecasinos-talk?hl=en. -You received this message because you are subscribed to the Google Groups "smokefreecasinos-talk" group. To post to this group, send email to smokefreecasinos-talk@googlegroups.com.
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To unsubscribe from this group, send email to smokefreecasinos-talk+unsubscribe@googlegroups.com. For more options, visit this group at http://groups.google.com/group/smokefreecasinos-talk?hl=en.

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From: Sent: To: Cc: Subject:


Hi Kelly, More on e-cig vapor. Carol

Riker, Carol A Monday, May 10, 2010 10:16 PM 'Owens, Kelly S (LHD - Madison Co)' Bossick, Michael J; Hahn, Ellen J FW: The vapor in E-Cigarettes - 3rdhand smoke issues (consult)

From: smokefreecasinos-talk@googlegroups.com [mailto:smokefreecasinos-talk@googlegroups.com] On Behalf Of karen.blumenfeld@verizon.net Sent: Monday, May 10, 2010 8:39 PM To: smokefreecasinos-talk@googlegroups.com Subject: The vapor in E-Cigarettes - 3rdhand smoke issues (consult)

Dear all, FYI, a recent study on 3rdhand smoke also was concerned about the nicotine in the e-cig vapor, reacting with common indoor air pollutants, to create carcinogenic nitrosamines. The 3rdhand smoke residue that imbeds into surfaces, e.g. furniture, carpet, clothing, skin, etc., when it reacts with nitrous acid, a common indoor air pollutant, forms dangerous carcinogenic tobacco-specific nitrosamines (TSNAs), such as NNN and NNK. Best regards, Karen Blumenfeld May 10, 2010 09:50:01 AM, smokefreecasinos-talk@googlegroups.com wrote: Actually,there's no control over what manufacturers of ECigs decide to put intheir products. FDA reported that one brand actually had ethyleneglycol in it, while apparently others used propylene glycol. And asfar as nicotine goes, remember that it's a poison, and will be exhaledon the breath of smokers, along with whatever "flavoring agents" areput in these devices. Jim Cowan, Stanley R. wrote: It is not ethylene glycol, but propylene glycol that is used in the e-cigarettes.>From my days as a sanitarian and inspecting dairy and food plants, propylene glycol was a food grade anti-freeze used in heat exchangers for quickly heating or cooling liquid food products. The FDA has listed propylene glycol as "generally recognized as safe." Take a look at the label on imitation vanilla flavoring in your cupboard and you will see that propylene glycol is a primary ingredient.Propylene glycol is safe to ingest. But, it is not known if it is safe to heat into a vapor and inhale. Heating a substance can drastically change its characteristics. This is what FDA is worried about and thus cannot currently determine if the vapor from an e-cigarette is safe.________________________________From: smokefreecasinostalk@googlegroups.com [smokefreecasinos-talk@googlegroups.com] On Behalf Of Smoke-Free Gaming [smokefreegaming@yahoo.com]Sent: Saturday, May 08, 2010 6:17 PMTo: smokefreecasinostalk@googlegroups.comSubject: RE: The vapor in E-CigarettesRE: Electronic CigarettesI met a former sales person for e-cigarettes in Las Vegas and he told me that anti-freezeand two other chemicals (he couldn't remember the names) are in the vapor in the e-cigarettes but that he was told by the company to tell the public it was just water vapor.According to Wikipedia:Ethylene glycol (IUPAC name: ethane-1,2-diol) is an organic compound widely used as
file:///C|/.../Conley%20request%201/FW%20The%20vapor%20in%20E-Cigarettes%20-%203rdhand%20smoke%20issues%20(consult).html[8/19/2011 2:28:57 AM]

an automotive antifreeze and a precursor to polymers. In its pure form, it is an odorless, colorless, syrupy, sweettasting liquid. Ethylene glycol is toxic, and ingestion can result in death.StephanieSMOKE-FREE GAMINGStephanie Steinberg730 W. Hampden Ave., #301Englewood, CO 80110303-781-5588 Business303-781-5597 Fax303-819-3131 CELL http://www.smokefreegaming.org"Breathing is not a choice."--- On Fri, 5/7/10, repace wrote:From: repace Subject: Re: Louisiana updateTo: smokefreecasinos-talk@googlegroups.comDate: Friday, May 7, 2010, 6:19 PMthanks, Bronson. We're going to test the E-cigs that Foxwoods is selling... JimBronson Frick wrote:Casino smoking ban rejected by House committeeNew Orleans (LA) Times Picayune, 2010-05-06Jan Moller, The TimesPicayunehttp://www.nola.com/politics/index.ssf/2010/05/effort_to_broaden_indoor_smoki.htmlThe effort to broaden Louisiana's indoor smoking ban appears to be dead for the session after a House committee this morning shelved legislation to require non-smoking areas on riverboat casinos.The action by the House Health and Welfare Committee on House Bill 1323 sends a clear signal that committee members are in no mood to follow their counterparts in the Senate, where the health committee voted unanimously last week to ban smoking in bars and casinos.The House bill by Rep. Rick Nowlin, R-Natchitoches, was far less comprehensive than the Senate measure, but still drew strong opposition from casinos and a lobbyist for the tavern industry, who said he feared it would be amended on the House floor to ban smoking in bars.also in the news.....Electronic cigarettes for sale at FoxwoodsBattery-powered devices have raised safety questionsThe Day (New London, CT), 2010-05-07Brian Hallenbeckhttp://www.theday.com/article/20100507/BIZ02/305079921/1018Retail stores at Foxwoods Resort Casino and MGM Grand at Foxwoods may be among the first in the state to sell electronic cigarettes, devices that have been making inroads with the public despite questions about whether they're safe.Cigotine, the Providence-based company that began offering its products at Foxwoods last month, also plans to start selling them next week from a kiosk inside Crystal Mall, the company's chief executive officer said Thursday. A spokesman for mall management confirmed the kiosk will open May 15. . . .Connecticut Attorney General Richard Blumenthal, who vowed last year to fight retail sales of e-cigarettes, said Thursday their safety remains questionable. "We've warned consumers to be very wary of these products," he said. "We're continuing our investigation to determine what steps can and should be taken to protect the public."Blumenthal, who said his office has received no complaints about e-cigarettes, has also advocated for an eventual outright ban on smoking at the state's tribally owned casinos, which currently limit smoking to certain gaming areas under agreements worked out with Gov. M. Jodi Rell.************************************************Bronson FrickAssociate DirectorAmericans for Nonsmokers' Rights2530 San Pablo Ave., Ste. JBerkeley, CA 94702510.841.3032 office510.932.1109 mobilebronson.frick@no-smoke.orgwww.no-smoke.org[http://sphotos.ak.fbcdn.net/photos-aksf2p/v231/62/11/10381469571/n10381469571_770783_5105.jpg] Are you a member of ANR? If not, please join us today. Our work depends on members like you!--You received this message because you are subscribed to the Google Groups "smokefreecasinos-talk" group.To post to this group, send email to smokefreecasinostalk@googlegroups.com.To unsubscribe from this group, send email to smokefreecasinostalk+unsubscribe@googlegroups.com.For more options, visit this group at http://groups.google.com/group/smokefreecasinos-talk?hl=en.--You received this message because you are subscribed to the Google Groups "smokefreecasinos-talk" group.To post to this group, send email to smokefreecasinostalk@googlegroups.com.To unsubscribe from this group, send email to smokefreecasinostalk+unsubscribe@googlegroups.com.For more options, visit this group at http://groups.google.com/group/smokefreecasinos-talk?hl=en.--You received this message because you are subscribed to the Google Groups "smokefreecasinos-talk" group.To post to this group, send email to smokefreecasinostalk@googlegroups.com.To unsubscribe from this group, send email to smokefreecasinostalk+unsubscribe@googlegroups.com.For more options, visit this group at http://groups.google.com/group/smokefreecasinos-talk?hl=en. -You received this message because you are subscribed to the Google Groups "smokefreecasinos-talk" group. 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From: Sent: To: Cc: Subject:


Hi Kelly,

Riker, Carol A Monday, May 10, 2010 4:36 PM 'Owens, Kelly S (LHD - Madison Co)' Hahn, Ellen J; Darville, Audrey K; Bossick, Michael J FW: The vapor in E-Cigarettes

I was wondering if youre on this listserv and following this dialogue about the vapor in e-cigs. FYI Carol
From: smokefreecasinos-talk@googlegroups.com [mailto:smokefreecasinos-talk@googlegroups.com] On Behalf Of Stan Cowan Sent: Monday, May 10, 2010 12:23 PM To: smokefreecasinos-talk@googlegroups.com Subject: Re: The vapor in E-Cigarettes

Jim is absolutely right. There is no regulation of what goes into these e-cigarettes. The FDA attempted to exert regulatory authority over them as a new product very overtly designed and marketed as a "nicotine delivery device" but was shot down by a federal court that ruled this to be a "tobacco product" despite there being no actual tobacco in it. I've heard radio ads that come extremely close to promoting these as effective ways to quit smoking. Yet, the nicotine replacement products must meet FDA standards while e-cigarettes are not regulated at all. With most, if not all, of the e-cigarettes being manufactured in China, keep in mind the intentional addition of melamine into food products, the recalls of children's toys and costume jewelry due to high levels of lead or cadmium, etc. The temptation of maximizing profits with little regard to consumer safety could very well carry over in the manufacture of e-cigs. Who really does know if cheaper ethylene glycol may be used in place of propylene glycol? ----- Original Message ----From: "repace" <repace@comcast.net> To: smokefreecasinos-talk@googlegroups.com Sent: Monday, May 10, 2010 8:49:54 AM GMT -06:00 US/Canada Central Subject: Re: The vapor in E-Cigarettes

Actually, there's no control over what manufacturers of ECigs decide to put in their products. FDA reported that one brand actually had ethylene glycol in it, while apparently others used propylene glycol. And as far as nicotine goes, remember that it's a poison, and will be exhaled on the breath of smokers, along with whatever "flavoring agents" are put in these devices. Jim
Cowan, Stanley R. wrote:
It is not ethylene glycol, but propylene glycol that is used in the e-cigarettes. >From my days as a sanitarian and inspecting dairy and food plants, propylene glycol was a food grade anti-freeze used in heat exchangers for quickly heating or cooling liquid food products. The FDA has listed propylene glycol as "generally recognized as safe." Take a look at the label on imitation vanilla flavoring in your cupboard and you will see that propylene glycol is a primary ingredient. Propylene glycol is safe to ingest. But, it is not known if it is safe to heat into a vapor and inhale. Heating a substance can drastically change its characteristics. This is what FDA is worried about and thus cannot currently determine if the vapor from an e-cigarette is safe. ________________________________ From: smokefreecasinos-talk@googlegroups.com [smokefreecasinos-talk@googlegroups.com] On Behalf Of Smoke-Free Gaming [smokefreegaming@yahoo.com] Sent: Saturday, May 08, 2010 6:17 PM
file:///C|/...op/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/FW%20The%20vapor%20in%20E-Cigarettes html[8/19/2011 2:28:58 AM]

To: smokefreecasinos-talk@googlegroups.com Subject: RE: The vapor in E-Cigarettes RE: Electronic Cigarettes I met a former sales person for e-cigarettes in Las Vegas and he told me that antifreeze and two other chemicals (he couldn't remember the names) are in the vapor in the ecigarettes but that he was told by the company to tell the public it was just water vapor. According to Wikipedia: Ethylene glycol (IUPAC name<https://owa.missouri.edu/OWA/UrlBlockedError.aspx>: ethane1,2-diol) is an organic compound<https://owa.missouri.edu/OWA/UrlBlockedError.aspx> widely used as an automotive<https://owa.missouri.edu/OWA/UrlBlockedError.aspx> antifreeze<https://owa.missouri.edu/OWA/UrlBlockedError.aspx> and a precursor to polymers. In its pure form, it is an odorless, colorless, syrupy, sweet-tasting liquid. Ethylene glycol is toxic, and ingestion can result in death. Stephanie SMOKE-FREE GAMING Stephanie Steinberg 730 W. Hampden Ave., #301 Englewood, CO 80110 303-781-5588 Business 303-781-5597 Fax 303-819-3131 CELL http://www.smokefreegaming.org<http://www.smokefreegaming.org/> "Breathing is not a choice." --- On Fri, 5/7/10, repace <repace@comcast.net> wrote: From: repace <repace@comcast.net> Subject: Re: Louisiana update To: smokefreecasinos-talk@googlegroups.com Date: Friday, May 7, 2010, 6:19 PM thanks, Bronson. We're going to test the E-cigs that Foxwoods is selling... Jim

Bronson Frick wrote: Casino smoking ban rejected by House committee New Orleans (LA) Times Picayune, 2010-05-06 Jan Moller, The Times-Picayune http://www.nola.com/politics/index.ssf/2010/05/effort_to_broaden_indoor_smoki.html The effort to broaden Louisiana's indoor smoking ban appears to be dead for the session after a House committee this morning shelved legislation to require non-smoking areas on riverboat casinos. The action by the House Health and Welfare Committee on House Bill 1323 sends a clear signal that committee members are in no mood to follow their counterparts in the Senate, where the health committee voted unanimously last week to ban smoking in bars and casinos. The House bill by Rep. Rick Nowlin, R-Natchitoches, was far less comprehensive than the Senate measure, but still drew strong opposition from casinos and a lobbyist for the tavern industry, who said he feared it would be amended on the House floor to ban smoking in bars. also in the news..... Electronic cigarettes for sale at Foxwoods Battery-powered devices have raised safety questions The Day (New London, CT), 2010-05-07 Brian Hallenbeck http://www.theday.com/article/20100507/BIZ02/305079921/1018 Retail stores at Foxwoods Resort Casino and MGM Grand at Foxwoods may be among the first in the state to sell electronic cigarettes, devices that have been making inroads with the public despite questions about whether they're safe.

file:///C|/...op/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/FW%20The%20vapor%20in%20E-Cigarettes html[8/19/2011 2:28:58 AM]

Cigotine, the Providence-based company that began offering its products at Foxwoods last month, also plans to start selling them next week from a kiosk inside Crystal Mall, the company's chief executive officer said Thursday. A spokesman for mall management confirmed the kiosk will open May 15. . . . Connecticut Attorney General Richard Blumenthal, who vowed last year to fight retail sales of e-cigarettes, said Thursday their safety remains questionable. "We've warned consumers to be very wary of these products," he said. "We're continuing our investigation to determine what steps can and should be taken to protect the public." Blumenthal, who said his office has received no complaints about e-cigarettes, has also advocated for an eventual outright ban on smoking at the state's tribally owned casinos, which currently limit smoking to certain gaming areas under agreements worked out with Gov. M. Jodi Rell. ************************************************ Bronson Frick Associate Director Americans for Nonsmokers' Rights 2530 San Pablo Ave., Ste. J Berkeley, CA 94702 510.841.3032 office 510.932.1109 mobile bronson.frick@no-smoke.org<http://us.mc1125.mail.yahoo.com/mc/compose? to=bronson.frick@no-smoke.org> www.no-smoke.org <http://www.no-smoke.org/>[http://sphotos.ak.fbcdn.net/photos-aksf2p/v231/62/11/10381469571/n10381469571_770783_5105.jpg] <http://www.facebook.com/pages/Americans-for-Nonsmokers-Rights/33988555820> Are you a member of ANR? If not, please join us today<https://secure3.convio.net/anr/site/Donation2?df_id=1356&1356.donation=form1>. Our work depends on members like you! -You received this message because you are subscribed to the Google Groups "smokefreecasinos-talk" group. To post to this group, send email to smokefreecasinostalk@googlegroups.com<http://us.mc1125.mail.yahoo.com/mc/compose?to=smokefreecasinostalk@googlegroups.com>. To unsubscribe from this group, send email to smokefreecasinostalk+unsubscribe@googlegroups.com<http://us.mc1125.mail.yahoo.com/mc/compose? to=smokefreecasinos-talk+unsubscribe@googlegroups.com>. For more options, visit this group at http://groups.google.com/group/smokefreecasinostalk?hl=en. -You received this message because you are subscribed to the Google Groups "smokefreecasinos-talk" group. To post to this group, send email to smokefreecasinos-talk@googlegroups.com. To unsubscribe from this group, send email to smokefreecasinostalk+unsubscribe@googlegroups.com. For more options, visit this group at http://groups.google.com/group/smokefreecasinostalk?hl=en.

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

Riker, Carol A Tuesday, January 11, 2011 10:37 AM Owens, Kelly S (LHD - Madison Co) Hahn, Ellen J; Johnson, John D; Mundy, Monica E FW: Vapor from E Cigarettes

Kiyoung sent us a link to a much more extensive FDA report than weve found in the literature. I havent read it yet, but see that it talks some about formaldehyde. I got your phone message and have asked our informatics person for the article you mentioned. Thanks and keep me posted, please! Carol
From: Hahn, Ellen J Sent: Tuesday, January 11, 2011 6:06 AM To: Riker, Carol A; Johnson, John D Subject: FW: Vapor from E Cigarettes

Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease University of Kentucky College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on Twitter and Facebook ! 50_CoN_celebrate_date_oop-email

From: Kiyoung Lee [mailto:cleanair@snu.ac.kr] Sent: Monday, January 10, 2011 11:56 PM To: Hahn, Ellen J; James Repace; 'Kiyoung Lee' Subject: Re: Vapor from E Cigarettes

file:///C|/...top/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/FW%20Vapor%20from%20E%20Cigarettes.html[8/19/2011 2:29:00 AM]

Here is the report by FDA http://www.fda.gov/downloads/Drugs/ScienceResearch/UCM173250.pdf

One of my Korean colleagues measured formaldehyde from 8 products. 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 of formaldehyde which exceeds two parts formaldehyde per million parts of air (2 ppm) as a 15-minute STEL. At 0.1 ppm of formaldehyde, sensitive people can react to the chemical. Formaldehyde is also a known human carcinogen (IARC) and a probable human carcinogen by US EPA. .

--- Original Message --From : "Hahn, Ellen J"<ejhahn00@email.uky.edu> To : "James Repace"<repace@comcast.net>, "'Kiyoung Lee'"<cleanair@snu.ac.kr> Date : 2011/01/11 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 ecigarettes and several of our local laws do also; however, we are getting a lot of questions about the science. Given that the most recent Judges 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 Ellen J. Hahn, PhD, RN Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease University of Kentucky College of Nursing and College of Public Health 751 Rose Street Lexington, KY 40536-0232 859-257-2358 859-323-1057 (FAX) ejhahn00@email.uky.edu www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu Find kysmokefree on Twitter and Facebook !
file:///C|/...top/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/FW%20Vapor%20from%20E%20Cigarettes.html[8/19/2011 2:29:00 AM]

50_CoN_celebrate_date_oop-email

Kiyoung Lee Associate Professor School of Public Health Seoul National University Tel: 02-880-2735

file:///C|/...top/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/FW%20Vapor%20from%20E%20Cigarettes html[8/19/2011 2:29:00 AM]

From: Sent: To: Cc: Subject:


Kelly,

Riker, Carol A Monday, February 07, 2011 3:54 PM Owens, Kelly S (LHD - Madison Co) Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E FW: WHO ANALYSIS: ELECTRONIC Nictoine Delivery Systems (ENDS)

This e-cigarette craze never ends! Glad Dr. Johnstone found this report meaningful. These paragraphs spoke clearly to me: Some manufacturers have claimed that ENDS can be used legally in environments where smoking is prohibited. TobReg strongly recommends that ENDS not be exempted from clean air laws, which restrict the places in which cigarette smoking is allowed, until adequate evidence is provided to assure regulatory authorities that use of the product will not expose nonusers to toxic emissions (See Article 8 of the WHO Framework Convention on Tobacco Control). WHO strongly encourages its Member States to prohibit manufacturers from marketing electronic cigarettes with claims that WHO endorses them as legitimate tobacco cessation aids. Furthermore, Member States should ensure that the manufacturers of these products comply with all existing regulatory requirements to preclude unsubstantiated claims that may derail public health efforts in tobacco control. 2.10 Other concerns The conditions under which marketing of ENDS should be allowed is also a concern. ENDS may be considered relatively safe and attractive alternatives to tobacco products by people, including adolescents, who would not otherwise have used a potentially addictive nicotine product. The product might therefore ultimately increase tobacco product use. ENDS might be used to perpetuate smoking by what has been termed dual use, that is, sustaining nicotine dependence in environments where smoking is prohibited. One of the positive consequences of smoking restrictions is the de-normalization of tobacco product use and the subsequent increase in cessation rates. ENDS may discourage people from quitting, as users can maintain their nicotine addiction despite smoking restrictions and resume smoking where such restrictions are absent. I cant imagine how Siegel (The Rest of the Story) can read the reports on the chemicals in e-cig and the lack of accuracy in nicotine labeling and say that they are safe, let alone effective for cessation. He doesnt seem to be the same scientist who wrote the classic monograph on SHS. Anecdotal accounts I have heard seem to paint a picture of dual use as noted above. The ads are unbelievable as Ellen mentioned today. Thanks for keeping us in the loop about what you are hearing. Carol
From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov] Sent: Thursday, January 27, 2011 12:47 PM To: Riker, Carol A; Hahn, Ellen J; Hawkins, Ruth R (LHD-Madison Co); Crewe, Nancy M (LHD-Madison Co) Subject: WHO ANALYSIS: ELECTRONIC Nictoine Delivery Systems (ENDS) Dr. Johnstone phoned me yesterday and made said, "I think I have dound what we need!" I have attaached his findings from the WHO. Kelly S. Owens, MPH, CHES Tobacco Prevention & Cessation Specialist Madision County Health Department
file:///C|/.. nley%20request%201/FW%20WHO%20ANALYSIS%20ELECTRONIC%20Nictoine%20Delivery%20Systems%20(ENDS).html[8/19/2011 2:29:01 AM]

file:///C|/.. nley%20request%201/FW%20WHO%20ANALYSIS%20ELECTRONIC%20Nictoine%20Delivery%20Systems%20(ENDS).html[8/19/2011 2:29:01 AM]

From: Sent: To: Subject:

Betsy Janes <betsyj@kylung.org> Thursday, May 27, 2010 2:08 PM Bossick, Michael J; Hahn, Ellen J; Tonya.Chang@heart.org; James.Sharp@CANCER.ORG; 'Amy Barkley'; Kercsmar, Sarah; Mason, Jennifer L; Robertson, Heather E FW: With E-Cigs No Odor - Leaving Your Clothes Smoke-Free

In case you wanted to try some e cigs for yourself. Ha ha. From: Betsy Berns Janes [mailto:betsyberns@yahoo.com] Sent: Thursday, May 27, 2010 1:24 PM To: betsy berns janes Subject: Fw: With E-Cigs No Odor - Leaving Your Clothes Smoke-Free

--- On Thu, 5/27/10, Electronic Cigarette <Rewards&SavingsNews@daily-comic.com> wrote: From: Electronic Cigarette <Rewards&SavingsNews@daily-comic.com> Subject: With E-Cigs No Odor - Leaving Your Clothes Smoke-Free To: betsyberns@yahoo.com Date: Thursday, May 27, 2010, 8:51 AM
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From: Sent: To: Cc: Subject: Hi Sandy,

Wagner, Kristian K Wednesday, April 14, 2010 4:43 PM Glover, Sandra L (LHD- Gateway Dist) Hahn, Ellen J; Fallin, Amanda T Health Department Signage Sample

The Franklin County Health Department shared these samples of what they use in their department. The first attachment is the sign they have on their ground saying the campus is completely tobacco-free The second attachment is what they put up around the building and in the paper before going tobacco-free The third attachment is of a window cling with the city ordinance number (since Morehead is tobacco free this seemed like a useful example as well) I hope all is going well. I hope this helps. Please let me know if there is anything else I can do. Take Care, Kristian Kristian Wagner, MS, RD, LD Technical Assistance Coordinator Clean Indoor Air Partnership University of Kentucky College of Nursing 509 CON Building Lexington, KY 40536-1057 859.323.4572 Kristian.Wagner@uky.edu

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

From: Brewer, Vanessa C (LHD - Franklin Co) [mailto:VanessaC.Brewer@ky.gov] Sent: Wednesday, April 14, 2010 4:28 PM To: Wagner, Kristian K Cc: Riker, Carol A; Warren, Monica E; Hahn, Ellen J Subject: RE: Franklin HD signs?

Kristian, When our health dept. went completely tobacco-free we decided to ban all tobacco products rather than just cigarettes. The
file:///C|/.../FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/Health%20Department%20Signage%20Sample html[8/19/2011 2:29:18 AM]

first attachment is the signage we have on our grounds. The second attachment is what we put up around our building and in the newspaper paper prior to becoming 100% Tobacco-Free to prepare our customers and staff. The third attachment is of window clings that we had ordered prior to going completely tobacco-free that includes the city ordinance number. Please let me know if I can be of further assistance. Thanks,

Vanessa Brewer Health Educator II Franklin County Health Department Community Health Education 851 East West Connector Frankfort, KY 40601 (502) 564-5559, ext. 277 * Fax: (502) 564-5672 VanessaC.Brewer@ky.gov
Laughter is like jogging on the inside. Exercise your 'innards' every day. "A cheerful heart is good medicine, but a crushed spirit dries up the bones." Proverbs 17:22 (NIV)

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From: Riker, Carol A [mailto:riker@email.uky.edu] Sent: Wednesday, April 14, 2010 12:44 PM To: Brewer, Vanessa C (LHD - Franklin Co) Cc: Wagner, Kristian K; Warren, Monica E; Hahn, Ellen J Subject: FW: Franklin HD signs?

Hi Vanessa, Would you be able to help Kristian and Rowan county with this request? Thanks, Carol
From: Wagner, Kristian K Sent: Wednesday, April 14, 2010 12:41 PM To: Riker, Carol A Subject: Franklin HD signs?

Hi Carol, I hope you are well. Do you happen to have or would you mind asking Vanessa if they have an electronic version of the Franklin County HD

file:///C|/.../FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/Health%20Department%20Signage%20Sample html[8/19/2011 2:29:18 AM]

Smoke-free campus signs? If they dont have an electronic version just the wording would help (Rowan is looking for samples). Thanks, Kristian Kristian Wagner, MS, RD, LD Technical Assistance Coordinator Clean Indoor Air Partnership University of Kentucky College of Nursing 509 CON Building Lexington, KY 40536-1057 859.323.4572 Kristian.Wagner@uky.edu

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

file:///C|/.../FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/Health%20Department%20Signage%20Sample html[8/19/2011 2:29:18 AM]

From: Sent: To: Cc: Subject: Dr. Maziak,

Riker, Carol A Thursday, October 14, 2010 8:51 AM 'wmaziak@memphis.edu' Hahn, Ellen J; 'Lee Kiyoung (cleanair@snu.ac.kr)' Indoor air quality research on e-cigs?

We read with interest your 2008 article on particulate matter emissions associated with waterpipe use and are wondering if you have conducted any research around e-cigarette emissions. I work with Dr. Ellen Hahn in the University of Kentucky Tobacco Policy Research Program and the Clean Indoor Air Partnership. We help communities advocate for comprehensive smoke-free ordinances and regulations and for effective implementation of such policies. One of our communities is interested in strengthening their BOH regulation to include e-cigarettes as recommended in the Americans for Non-smokers Rights model ordinance. Board members want to be sure that e-cigarettes actually pose a risk to bystanders as well as smokers before making such an amendment. If you have conducted such research or are aware of such research, we would appreciate any help you can give. Thank you, Carol Riker Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities Faculty Associate, Kentucky Center for Smoke-free Policy Faculty Associate, Clean Indoor Air Partnership 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Phone: 859-323-6615 Fax: 859-323-1057 Cell: 859-619-3776 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu

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file:///C|/...Results/University%20of%20KY/disc%201/Conley%20request%201/Indoor%20air%20quality%20research%20on%20e-cigs.html[8/19/2011 2:29:19 AM]

file:///C|/...Results/University%20of%20KY/disc%201/Conley%20request%201/Indoor%20air%20quality%20research%20on%20e-cigs.html[8/19/2011 2:29:19 AM]

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

Riker, Carol A Thursday, January 06, 2011 9:35 AM 'Owens, Kelly S (LHD - Madison Co)' Hahn, Ellen J; Johnson, John D; Mundy, Monica E info on thirdhand smoke for e-cig discussion

I sent you Sleiman yesterday on Thirdhand Smoke(THS). Im sending Matt today because it has the best description of THS that Ive seen. As we discussed yesterday, this article is on residential exposure, so if you send to the BOH member you should emphasize that the same processes and dangers occur in workplaces covered by your ordinance. I have not seen any science yet where the vapor from e-cigarettes has been tested. One would expect that whatever ingredients are in the cylinder may also be in the vapor and exhaled by the smoker. We know nicotine is in most of the ecigarettes and we have the science on what happens when nicotine deposits in the indoor environment (Matt and Sleiman), so that seems like a concrete danger. As Matt says, THS includes inhalation exposure to compounds re-emitted into the air from indoor surfaces and particle resuspended from deposits(p.1) FDA did limited testing (see lab analysis for most helpful info on that). Heres what FDA said in the Warning:

Because these products have not been submitted to the FDA for evaluation or approval, at this time the agency has no way of knowing, except for the limited testing it has performed, the levels of nicotine or the amounts or kinds of other chemicals that the various brands of these products deliver to the user. Ellen will check with James Repace and Kiyoung Lee to see if there is any testing out there that hasnt been reported in the literature. Im going to Frankfort and will send you other article from the one-pager this afternoon. Hope this helpful. Carol

Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Phone: 859-323-6615 Fax: 859-323-1057

file:///C|/...ersity%20of%20KY/disc%201/Conley%20request%201/info%20on%20thirdhand%20smoke%20for%20e-cig%20discussion.html[8/19/2011 2:29:20 AM]

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

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

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file:///C|/...ersity%20of%20KY/disc%201/Conley%20request%201/info%20on%20thirdhand%20smoke%20for%20e-cig%20discussion.html[8/19/2011 2:29:20 AM]

From: Sent: To: Cc: Subject: Hi Ms. Wigginton,

Riker, Carol A Thursday, December 16, 2010 3:27 PM Wigginton, Deborah 'Fleming, Deborah H (LHD-Franklin Co)'; 'Alexander, Paula (LHD - Franklin Co)'; Brewer, Vanessa C (LHD - Franklin Co); Hahn, Ellen J; Wagner, Kristian K; Mundy, Monica E Info to support Tobacco-free School policy

I was good to meet you at the Franklin County Health Dept. during the MAPP meeting in November. I work as a Community Advisor with Vanessa Brewer as a part of our Rural Smoke-free Communities project. I know that Vanessa was very excited to be working with you on school tobacco policy! I believe you told us that Franklin County had recently passed a tobacco-free policy. This is one of the most important things you can do for the future health of your students and staff, so congratulations on taking this step for health. Communities are always asking us for sample policies, so Im wondering if Franklin Co would be willing to share their policy? I promised you some resources when we talked at the MAPP meeting. Ill attach our one-pager on e-cigarettes. They have an organized following touting them as cessation aids and as a way around smoke-free policies, but they are neither. The nicotine in e-cig varies too widely to be useful for cessation. As for their safety for use indoors, users likely will be exhaling nicotine and other contents (sometimes including a chemical in antifreeze) into the surrounding air. Nicotine sticks to objects in the indoor environment for months, reacting to a component of ambient air to form carcinogens. Ill send you the Sleiman article, which describes this residue dubbed thirdhand smoke. Of course, smoking an e-cigarette would also model smoking for impressionable youth, another reason not to allow use of e-cigarettes on campus. If you need a definition of smoking for Franklins policy that includes e-cigarettes, it can be found in the Americans for Nonsmokers Rights Model Ordinance (attached):

The model ordinance also has a definition of e-cigarettes if needed.

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. Smoking also includes the use of an e-cigarette which creates a vapor, in any manner or in any form, or the use of any oral smoking device for the purpose of circumventing the prohibition of smoking in this Article.

Finally, Im sending along a one-pager on implementation of tobacco-free campuses, which contains some of the info you and I discussed at the MAPP meeting. I know that Vanessa has already shared a wealth of information from the North Carolina experience, so the implementation information may be quite familiar to you. Hope to see you again at the 11/20 MAPP meeting and I know were both looking forward to Vanessas return! Let me know if I can provide any other info. Wishing you a good holiday! Carol Riker Carol Riker, RN, MSN Associate Professor

file:///C|/...versity%20of%20KY/disc%201/Conley%20request%201/Info%20to%20support%20Tobacco-free%20School%20policy%20 html[8/19/2011 2:29:21 AM]

Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Phone: 859-323-6615 Fax: 859-323-1057 Cell: 859-619-3776 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu

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

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file:///C|/...versity%20of%20KY/disc%201/Conley%20request%201/Info%20to%20support%20Tobacco-free%20School%20policy%20 html[8/19/2011 2:29:21 AM]

From: Sent: To:

Cc: Subject: Attachments:

Riker, Carol A Tuesday, May 03, 2011 7:46 AM 'Brewer, Vanessa C (LHD - Franklin Co)'; Yfrankfortc@aol.com; Pat Hinson; bjcowherd@fewpb.net; cwhite@fewpb.net; Hahn, Ellen J; ghughes@hospicebg.org; dmills@fewpb.net; Sutton, Jill Director, FRYSC; Jones, Chrissy [FCPS]; Jones, Chrissy [FCPS]; lwood@fewpb.net; janebartram@msn.com; Zack Hall; bonnie@frankfortymca.org; Grider, Jennye (CHFS HPB-Health Promotions); Nance, Amy C; 'Wigginton, Deborah' Fleming, Deborah H (LHD-Franklin Co); Alexander, Paula (LHD - Franklin Co); Mattingly, Judy A (CHFS LHD - Franklin Co); Hahn, Ellen J; Wagner, Kristian K; Mundy, Monica E Information on E-cigarettes One_pager ecig_onepager REVISED FINAL 122310.pdf; e-cig Op Ed Hahn FINAL 4-11.pdf

Dear Smoke-free Franklin County, Our team is re-invigorating our efforts to bring you periodic informational messages on topics of interest. One topic thats had a lot of play lately is E-cigarettes! In addition to the message below, Ill attach an Op-Ed piece submitted to the Lexington Herald-Leader and our E-cigarette one-pager. Stay safe in all this rain, Carol Electronic cigarettes, or e-cigarettes, have recently been aggressively marketed in many Kentucky communities. Sold on the internet, in mall kiosks, in gas stations, and tobacco retail stores, these devices mimic the experience of smoking. The number of products and brands have increased rapidly, becoming a huge business with $100 million in profits. The manufacturers and their trade groups (Big E-Cig) have not proven that the chemicals contained in e-cigarettes are safe; yet they say that no one has ever been harmed by using e-cigs. Very limited testing has occurred around the world, some of it funded by the manufacturers themselves. The industry makes empty claims of safety by saying that some of the chemicals in e-cigarettes are used in food or cosmetics. That doesnt mean they are safe to inhale, especially in a workplace situation where many people may be using them at once. Big E-Cig also says that carcinogens occur at similar levels to those in nicotine replacement products, but bystanders dont inhale nicotine patches. WHO (2009) raises concerns about e-cigs that go far beyond any related to nicotine replacement products. Safety for long or short-term use has not been established and there is no evidence that e-cigarettes are effective for cessation. Limited testing has revealed that nicotine levels vary widely which would make their use as a cessation aide unpredictable at best. Meanwhile, Big E-Cig cites online surveys and anecdotal evidence as proof that e-cigs can help people quit. Another safety concern is potential skin exposure to nicotine from the fluid contained in the e-cigarette cartridges. Cartridges have been found to leak and refilling them without getting the liquid on ones skin is difficult. Imagine the possible skin exposure or even ingested nicotine if children play with the device or the cartridges. There are also concerns about how e-cigs will be used and marketed. Potential for dual use with continuing cigarette use is high and will only serve to prolong addiction. Dual use will also slow the change in community norms toward non-smoking. Non-smokers, especially youth, may be attracted to the product as it contains flavorings, and they may become addicted to nicotine, creating new lifetime customers for all products containing nicotine. Meanwhile, e-cig marketing has gone viral; one can become a distributor in a matter of a few minutes on the internet, complete with pamphlets, posters and business cards. The Big E-Cig consumer advocacy front groups spread incomplete and biased information through press releases sent around the country and picked up by newspapers as local stories (in fact, they are ads for the product).

file:///C|/...sktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/Information%20on%20E-cigarettes%2010 html[8/19/2011 2:29:23 AM]

Finally, Big E-Cig claims that e-cigarettes can be used legally in smoke-free environments. However, FDA has decided to regulate them as tobacco products and they should be covered by smoke-free policies. In the limited testing that has occurred, nicotine is contained in e-cigarette vapor. That alone is reason enough not to exempt e-cigarettes from smoke-free policies. WHO (2009) agrees, stating that e-cigs should not be allowed until there is adequate evidence that non-smokers will not be exposed to toxic emissions. E-cigarettes are currently included in the following smoke-free ordinances/regulations in Kentucky: Glasgow, Bardstown, Bullitt County (BOH regulation), and Madison County (BOH regulation). UKs tobacco-free campus policy also covers ecigarettes.

Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities Faculty Associate, Kentucky Center for Smoke-free Policy 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Cell: 859-619-3776 Office Phone: 859-323-6615 Fax: 859-323-1057 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu

Find kysmokefree on CON 50 yrs logo

and

file:///C|/...sktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/Information%20on%20E-cigarettes%2010 html[8/19/2011 2:29:23 AM]

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

Mundy, Monica E Friday, May 06, 2011 9:17 AM Larry Martin; Martin, Larry D (LHD - Powell Co); Neal, Kathy (LHD-Powell Co.); Crase, Stacy L (LHD - Powell Co) Hahn, Ellen J; Riker, Carol A; Wagner, Kristian K Information on E-cigarettes One_pager ecig_onepager REVISED FINAL 122310.pdf; e-cig Op Ed Hahn FINAL 4-11.pdf

Good Morning Larry, Kathy and Stacy,

As you may have seen in the news lately, e-cigarettes are a major topic around Kentucky. We just wanted to provide all our communities with information regarding e-cigarettes. In addition to the message below, Ill attach an Op-Ed piece submitted to the Lexington Herald-Leader and our E-cigarette one-pager. Please let me know if you have any questions!

Thanks,

Monica Electronic cigarettes, or e-cigarettes, have recently been aggressively marketed in many Kentucky communities. Sold on the internet, in mall kiosks, in gas stations, and tobacco retail stores, these devices mimic the experience of smoking. The number of products and brands have increased rapidly, becoming a huge business with $100 million in profits. The manufacturers and their trade groups (Big E-Cig) have not proven that the chemicals contained in e-cigarettes are safe; yet they say that no one has ever been harmed by using e-cigs. Very limited testing has occurred around the world, some of it funded by the manufacturers themselves. The industry makes empty claims of safety by saying that some of the chemicals in e-cigarettes are used in food or cosmetics. That doesnt mean they are safe to inhale, especially in a workplace situation where many people may be using them at once. Big E-Cig also says that carcinogens occur at similar levels to those in nicotine replacement products, but bystanders dont inhale nicotine patches. WHO (2009) raises concerns about e-cigs that go far beyond any related to nicotine replacement products. Safety for long or short-term use has not been established and there is no evidence that e-cigarettes are effective for cessation. Limited testing has revealed that nicotine levels vary widely which would make their use as a cessation aide unpredictable at best. Meanwhile, Big E-Cig cites online surveys and anecdotal evidence as proof that e-cigs can help people quit. Another safety concern is potential skin exposure to nicotine from the fluid contained in the e-cigarette cartridges. Cartridges have been found to leak and refilling them without getting the liquid on ones skin is difficult. Imagine the possible skin exposure or even ingested nicotine if children play with the device or the cartridges. There are also concerns about how e-cigs will be used and marketed. Potential for dual use with continuing cigarette use is high and will only serve to prolong addiction. Dual use will also slow the change in community norms toward non-smoking. Non-smokers, especially youth, may be attracted to the product as it contains flavorings, and they may become addicted to nicotine, creating new lifetime customers for all products containing nicotine. Meanwhile, e-cig marketing has gone viral; one

file:///C|/...esktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/Information%20on%20E-cigarettes%202.html[8/19/2011 2:29:23 AM]

can become a distributor in a matter of a few minutes on the internet, complete with pamphlets, posters and business cards. The Big E-Cig consumer advocacy front groups spread incomplete and biased information through press releases sent around the country and picked up by newspapers as local stories (in fact, they are ads for the product). Finally, Big E-Cig claims that e-cigarettes can be used legally in smoke-free environments. However, FDA has decided to regulate them as tobacco products and they should be covered by smoke-free policies. In the limited testing that has occurred, nicotine is contained in e-cigarette vapor. That alone is reason enough not to exempt e-cigarettes from smoke-free policies. WHO (2009) agrees, stating that e-cigs should not be allowed until there is adequate evidence that non-smokers will not be exposed to toxic emissions. E-cigarettes are currently included in the following smoke-free ordinances/regulations in Kentucky: Glasgow, Bardstown, Bullitt County (BOH regulation), and Madison County (BOH regulation). UKs tobacco-free campus policy also covers ecigarettes.

Monica E. Mundy, MPH Staff Associate Rural Smoke-free Communities Project Kentucky Center for Smoke-free Policy University of Kentucky College of Nursing 509 CON Building Lexington, KY 40536-1057 Work 859-323-2353 Fax 859-323-1057 monica.mundy@uky.edu www.kcsp.uky.edu

file:///C|/...esktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/Information%20on%20E-cigarettes%202.html[8/19/2011 2:29:23 AM]

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

Mundy, Monica E Friday, May 06, 2011 9:17 AM Larry Martin; Martin, Larry D (LHD - Powell Co); Neal, Kathy (LHD-Powell Co.); Crase, Stacy L (LHD - Powell Co) Hahn, Ellen J; Riker, Carol A; Wagner, Kristian K Information on E-cigarettes One_pager ecig_onepager REVISED FINAL 122310.pdf; e-cig Op Ed Hahn FINAL 4-11.pdf

Good Morning Larry, Kathy and Stacy,

As you may have seen in the news lately, e-cigarettes are a major topic around Kentucky. We just wanted to provide all our communities with information regarding e-cigarettes. In addition to the message below, Ill attach an Op-Ed piece submitted to the Lexington Herald-Leader and our E-cigarette one-pager. Please let me know if you have any questions!

Thanks,

Monica Electronic cigarettes, or e-cigarettes, have recently been aggressively marketed in many Kentucky communities. Sold on the internet, in mall kiosks, in gas stations, and tobacco retail stores, these devices mimic the experience of smoking. The number of products and brands have increased rapidly, becoming a huge business with $100 million in profits. The manufacturers and their trade groups (Big E-Cig) have not proven that the chemicals contained in e-cigarettes are safe; yet they say that no one has ever been harmed by using e-cigs. Very limited testing has occurred around the world, some of it funded by the manufacturers themselves. The industry makes empty claims of safety by saying that some of the chemicals in e-cigarettes are used in food or cosmetics. That doesnt mean they are safe to inhale, especially in a workplace situation where many people may be using them at once. Big E-Cig also says that carcinogens occur at similar levels to those in nicotine replacement products, but bystanders dont inhale nicotine patches. WHO (2009) raises concerns about e-cigs that go far beyond any related to nicotine replacement products. Safety for long or short-term use has not been established and there is no evidence that e-cigarettes are effective for cessation. Limited testing has revealed that nicotine levels vary widely which would make their use as a cessation aide unpredictable at best. Meanwhile, Big E-Cig cites online surveys and anecdotal evidence as proof that e-cigs can help people quit. Another safety concern is potential skin exposure to nicotine from the fluid contained in the e-cigarette cartridges. Cartridges have been found to leak and refilling them without getting the liquid on ones skin is difficult. Imagine the possible skin exposure or even ingested nicotine if children play with the device or the cartridges. There are also concerns about how e-cigs will be used and marketed. Potential for dual use with continuing cigarette use is high and will only serve to prolong addiction. Dual use will also slow the change in community norms toward non-smoking. Non-smokers, especially youth, may be attracted to the product as it contains flavorings, and they may become addicted to nicotine, creating new lifetime customers for all products containing nicotine. Meanwhile, e-cig marketing has gone viral; one

file:///C|/...esktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/Information%20on%20E-cigarettes%203.html[8/19/2011 2:29:24 AM]

can become a distributor in a matter of a few minutes on the internet, complete with pamphlets, posters and business cards. The Big E-Cig consumer advocacy front groups spread incomplete and biased information through press releases sent around the country and picked up by newspapers as local stories (in fact, they are ads for the product). Finally, Big E-Cig claims that e-cigarettes can be used legally in smoke-free environments. However, FDA has decided to regulate them as tobacco products and they should be covered by smoke-free policies. In the limited testing that has occurred, nicotine is contained in e-cigarette vapor. That alone is reason enough not to exempt e-cigarettes from smoke-free policies. WHO (2009) agrees, stating that e-cigs should not be allowed until there is adequate evidence that non-smokers will not be exposed to toxic emissions. E-cigarettes are currently included in the following smoke-free ordinances/regulations in Kentucky: Glasgow, Bardstown, Bullitt County (BOH regulation), and Madison County (BOH regulation). UKs tobacco-free campus policy also covers ecigarettes.

Monica E. Mundy, MPH Staff Associate Rural Smoke-free Communities Project Kentucky Center for Smoke-free Policy University of Kentucky College of Nursing 509 CON Building Lexington, KY 40536-1057 Work 859-323-2353 Fax 859-323-1057 monica.mundy@uky.edu www.kcsp.uky.edu

file:///C|/...esktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/Information%20on%20E-cigarettes%203.html[8/19/2011 2:29:24 AM]

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

Mundy, Monica E Friday, May 06, 2011 9:14 AM Trent, Roger D (LHD-Boyle Co); JamieL.Bradshaw@ky.gov Hahn, Ellen J; Riker, Carol A; Wagner, Kristian K Information on E-cigarettes One_pager ecig_onepager REVISED FINAL 122310.pdf; e-cig Op Ed Hahn FINAL 4-11.pdf

Good Morning Roger and Jamie! As you may have seen in the news lately, e-cigarettes have become a major topic around Kentucky. We just wanted to provide all our communities with information regarding e-cigarettes. In addition to the message below, Ill attach an Op-Ed piece submitted to the Lexington Herald-Leader and our E-cigarette one-pager. Please let me know if you have any questions!

Thanks,

Monica Electronic cigarettes, or e-cigarettes, have recently been aggressively marketed in many Kentucky communities. Sold on the internet, in mall kiosks, in gas stations, and tobacco retail stores, these devices mimic the experience of smoking. The number of products and brands have increased rapidly, becoming a huge business with $100 million in profits. The manufacturers and their trade groups (Big E-Cig) have not proven that the chemicals contained in e-cigarettes are safe; yet they say that no one has ever been harmed by using e-cigs. Very limited testing has occurred around the world, some of it funded by the manufacturers themselves. The industry makes empty claims of safety by saying that some of the chemicals in e-cigarettes are used in food or cosmetics. That doesnt mean they are safe to inhale, especially in a workplace situation where many people may be using them at once. Big E-Cig also says that carcinogens occur at similar levels to those in nicotine replacement products, but bystanders dont inhale nicotine patches. WHO (2009) raises concerns about e-cigs that go far beyond any related to nicotine replacement products. Safety for long or short-term use has not been established and there is no evidence that e-cigarettes are effective for cessation. Limited testing has revealed that nicotine levels vary widely which would make their use as a cessation aide unpredictable at best. Meanwhile, Big E-Cig cites online surveys and anecdotal evidence as proof that e-cigs can help people quit. Another safety concern is potential skin exposure to nicotine from the fluid contained in the e-cigarette cartridges. Cartridges have been found to leak and refilling them without getting the liquid on ones skin is difficult. Imagine the possible skin exposure or even ingested nicotine if children play with the device or the cartridges. There are also concerns about how e-cigs will be used and marketed. Potential for dual use with continuing cigarette use is high and will only serve to prolong addiction. Dual use will also slow the change in community norms toward non-smoking. Non-smokers, especially youth, may be attracted to the product as it contains flavorings, and they may become addicted to nicotine, creating new lifetime customers for all products containing nicotine. Meanwhile, e-cig marketing has gone viral; one can become a distributor in a matter of a few minutes on the internet, complete with pamphlets, posters and business cards. The Big E-Cig consumer advocacy front groups spread incomplete and biased information through press releases sent around the country and picked up by newspapers as local stories (in fact, they are ads for the product).
file:///C|/...esktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/Information%20on%20E-cigarettes%206.html[8/19/2011 2:29:25 AM]

Finally, Big E-Cig claims that e-cigarettes can be used legally in smoke-free environments. However, FDA has decided to regulate them as tobacco products and they should be covered by smoke-free policies. In the limited testing that has occurred, nicotine is contained in e-cigarette vapor. That alone is reason enough not to exempt e-cigarettes from smoke-free policies. WHO (2009) agrees, stating that e-cigs should not be allowed until there is adequate evidence that non-smokers will not be exposed to toxic emissions. E-cigarettes are currently included in the following smoke-free ordinances/regulations in Kentucky: Glasgow, Bardstown, Bullitt County (BOH regulation), and Madison County (BOH regulation). UKs tobacco-free campus policy also covers ecigarettes.

Monica E. Mundy, MPH Staff Associate Rural Smoke-free Communities Project Kentucky Center for Smoke-free Policy University of Kentucky College of Nursing 509 CON Building Lexington, KY 40536-1057 Work 859-323-2353 Fax 859-323-1057 monica.mundy@uky.edu www.kcsp.uky.edu

file:///C|/...esktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/Information%20on%20E-cigarettes%206.html[8/19/2011 2:29:25 AM]

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

Mundy, Monica E Friday, May 06, 2011 9:14 AM Trent, Roger D (LHD-Boyle Co); JamieL.Bradshaw@ky.gov Hahn, Ellen J; Riker, Carol A; Wagner, Kristian K Information on E-cigarettes One_pager ecig_onepager REVISED FINAL 122310.pdf; e-cig Op Ed Hahn FINAL 4-11.pdf

Good Morning Roger and Jamie! As you may have seen in the news lately, e-cigarettes have become a major topic around Kentucky. We just wanted to provide all our communities with information regarding e-cigarettes. In addition to the message below, Ill attach an Op-Ed piece submitted to the Lexington Herald-Leader and our E-cigarette one-pager. Please let me know if you have any questions!

Thanks,

Monica Electronic cigarettes, or e-cigarettes, have recently been aggressively marketed in many Kentucky communities. Sold on the internet, in mall kiosks, in gas stations, and tobacco retail stores, these devices mimic the experience of smoking. The number of products and brands have increased rapidly, becoming a huge business with $100 million in profits. The manufacturers and their trade groups (Big E-Cig) have not proven that the chemicals contained in e-cigarettes are safe; yet they say that no one has ever been harmed by using e-cigs. Very limited testing has occurred around the world, some of it funded by the manufacturers themselves. The industry makes empty claims of safety by saying that some of the chemicals in e-cigarettes are used in food or cosmetics. That doesnt mean they are safe to inhale, especially in a workplace situation where many people may be using them at once. Big E-Cig also says that carcinogens occur at similar levels to those in nicotine replacement products, but bystanders dont inhale nicotine patches. WHO (2009) raises concerns about e-cigs that go far beyond any related to nicotine replacement products. Safety for long or short-term use has not been established and there is no evidence that e-cigarettes are effective for cessation. Limited testing has revealed that nicotine levels vary widely which would make their use as a cessation aide unpredictable at best. Meanwhile, Big E-Cig cites online surveys and anecdotal evidence as proof that e-cigs can help people quit. Another safety concern is potential skin exposure to nicotine from the fluid contained in the e-cigarette cartridges. Cartridges have been found to leak and refilling them without getting the liquid on ones skin is difficult. Imagine the possible skin exposure or even ingested nicotine if children play with the device or the cartridges. There are also concerns about how e-cigs will be used and marketed. Potential for dual use with continuing cigarette use is high and will only serve to prolong addiction. Dual use will also slow the change in community norms toward non-smoking. Non-smokers, especially youth, may be attracted to the product as it contains flavorings, and they may become addicted to nicotine, creating new lifetime customers for all products containing nicotine. Meanwhile, e-cig marketing has gone viral; one can become a distributor in a matter of a few minutes on the internet, complete with pamphlets, posters and business cards. The Big E-Cig consumer advocacy front groups spread incomplete and biased information through press releases sent around the country and picked up by newspapers as local stories (in fact, they are ads for the product).
file:///C|/...esktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/Information%20on%20E-cigarettes%207.html[8/19/2011 2:29:26 AM]

Finally, Big E-Cig claims that e-cigarettes can be used legally in smoke-free environments. However, FDA has decided to regulate them as tobacco products and they should be covered by smoke-free policies. In the limited testing that has occurred, nicotine is contained in e-cigarette vapor. That alone is reason enough not to exempt e-cigarettes from smoke-free policies. WHO (2009) agrees, stating that e-cigs should not be allowed until there is adequate evidence that non-smokers will not be exposed to toxic emissions. E-cigarettes are currently included in the following smoke-free ordinances/regulations in Kentucky: Glasgow, Bardstown, Bullitt County (BOH regulation), and Madison County (BOH regulation). UKs tobacco-free campus policy also covers ecigarettes.

Monica E. Mundy, MPH Staff Associate Rural Smoke-free Communities Project Kentucky Center for Smoke-free Policy University of Kentucky College of Nursing 509 CON Building Lexington, KY 40536-1057 Work 859-323-2353 Fax 859-323-1057 monica.mundy@uky.edu www.kcsp.uky.edu

file:///C|/...esktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/Information%20on%20E-cigarettes%207.html[8/19/2011 2:29:26 AM]

From: Sent: To:

Cc: Subject:

Riker, Carol A Tuesday, May 03, 2011 7:46 AM Brewer, Vanessa C (LHD - Franklin Co); Yfrankfortc@aol.com; Pat Hinson; bjcowherd@fewpb.net; cwhite@fewpb.net; Hahn, Ellen J; ghughes@hospicebg.org; dmills@fewpb.net; Sutton, Jill Director, FRYSC; Jones, Chrissy [FCPS]; Jones, Chrissy [FCPS]; lwood@fewpb.net; janebartram@msn.com; Zack Hall; bonnie@frankfortymca.org; Grider, Jennye (CHFS HPB-Health Promotions); Nance, Amy C; Wigginton, Deborah Fleming, Deborah H (LHD-Franklin Co); Alexander, Paula (LHD - Franklin Co); Mattingly, Judy A (CHFS LHD - Franklin Co); Hahn, Ellen J; Wagner, Kristian K; Mundy, Monica E Information on E-cigarettes

Dear Smoke-free Franklin County, Our team is re-invigorating our efforts to bring you periodic informational messages on topics of interest. One topic thats had a lot of play lately is E-cigarettes! In addition to the message below, Ill attach an Op-Ed piece submitted to the Lexington Herald-Leader and our E-cigarette one-pager. Stay safe in all this rain, Carol Electronic cigarettes, or e-cigarettes, have recently been aggressively marketed in many Kentucky communities. Sold on the internet, in mall kiosks, in gas stations, and tobacco retail stores, these devices mimic the experience of smoking. The number of products and brands have increased rapidly, becoming a huge business with $100 million in profits. The manufacturers and their trade groups (Big E-Cig) have not proven that the chemicals contained in e-cigarettes are safe; yet they say that no one has ever been harmed by using e-cigs. Very limited testing has occurred around the world, some of it funded by the manufacturers themselves. The industry makes empty claims of safety by saying that some of the chemicals in e-cigarettes are used in food or cosmetics. That doesnt mean they are safe to inhale, especially in a workplace situation where many people may be using them at once. Big E-Cig also says that carcinogens occur at similar levels to those in nicotine replacement products, but bystanders dont inhale nicotine patches. WHO (2009) raises concerns about e-cigs that go far beyond any related to nicotine replacement products. Safety for long or short-term use has not been established and there is no evidence that e-cigarettes are effective for cessation. Limited testing has revealed that nicotine levels vary widely which would make their use as a cessation aide unpredictable at best. Meanwhile, Big E-Cig cites online surveys and anecdotal evidence as proof that e-cigs can help people quit. Another safety concern is potential skin exposure to nicotine from the fluid contained in the e-cigarette cartridges. Cartridges have been found to leak and refilling them without getting the liquid on ones skin is difficult. Imagine the possible skin exposure or even ingested nicotine if children play with the device or the cartridges. There are also concerns about how e-cigs will be used and marketed. Potential for dual use with continuing cigarette use is high and will only serve to prolong addiction. Dual use will also slow the change in community norms toward non-smoking. Non-smokers, especially youth, may be attracted to the product as it contains flavorings, and they may become addicted to nicotine, creating new lifetime customers for all products containing nicotine. Meanwhile, e-cig marketing has gone viral; one can become a distributor in a matter of a few minutes on the internet, complete with pamphlets, posters and business cards. The Big E-Cig consumer advocacy front groups spread incomplete and biased information through press releases sent around the country and picked up by newspapers as local stories (in fact, they are ads for the product). Finally, Big E-Cig claims that e-cigarettes can be used legally in smoke-free environments. However, FDA has decided to
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regulate them as tobacco products and they should be covered by smoke-free policies. In the limited testing that has occurred, nicotine is contained in e-cigarette vapor. That alone is reason enough not to exempt e-cigarettes from smoke-free policies. WHO (2009) agrees, stating that e-cigs should not be allowed until there is adequate evidence that non-smokers will not be exposed to toxic emissions. E-cigarettes are currently included in the following smoke-free ordinances/regulations in Kentucky: Glasgow, Bardstown, Bullitt County (BOH regulation), and Madison County (BOH regulation). UKs tobacco-free campus policy also covers ecigarettes.

Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities Faculty Associate, Kentucky Center for Smoke-free Policy 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Cell: 859-619-3776 Office Phone: 859-323-6615 Fax: 859-323-1057 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu

Find kysmokefree on CON 50 yrs logo

and

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From: Sent: To:

Cc: Subject: Attachments:

Riker, Carol A Tuesday, May 03, 2011 7:46 AM 'Brewer, Vanessa C (LHD - Franklin Co)'; Yfrankfortc@aol.com; Pat Hinson; bjcowherd@fewpb.net; cwhite@fewpb.net; Hahn, Ellen J; ghughes@hospicebg.org; dmills@fewpb.net; Sutton, Jill Director, FRYSC; Jones, Chrissy [FCPS]; Jones, Chrissy [FCPS]; lwood@fewpb.net; janebartram@msn.com; Zack Hall; bonnie@frankfortymca.org; Grider, Jennye (CHFS HPB-Health Promotions); Nance, Amy C; 'Wigginton, Deborah' Fleming, Deborah H (LHD-Franklin Co); Alexander, Paula (LHD - Franklin Co); Mattingly, Judy A (CHFS LHD - Franklin Co); Hahn, Ellen J; Wagner, Kristian K; Mundy, Monica E Information on E-cigarettes One_pager ecig_onepager REVISED FINAL 122310.pdf; e-cig Op Ed Hahn FINAL 4-11.pdf

Dear Smoke-free Franklin County, Our team is re-invigorating our efforts to bring you periodic informational messages on topics of interest. One topic thats had a lot of play lately is E-cigarettes! In addition to the message below, Ill attach an Op-Ed piece submitted to the Lexington Herald-Leader and our E-cigarette one-pager. Stay safe in all this rain, Carol Electronic cigarettes, or e-cigarettes, have recently been aggressively marketed in many Kentucky communities. Sold on the internet, in mall kiosks, in gas stations, and tobacco retail stores, these devices mimic the experience of smoking. The number of products and brands have increased rapidly, becoming a huge business with $100 million in profits. The manufacturers and their trade groups (Big E-Cig) have not proven that the chemicals contained in e-cigarettes are safe; yet they say that no one has ever been harmed by using e-cigs. Very limited testing has occurred around the world, some of it funded by the manufacturers themselves. The industry makes empty claims of safety by saying that some of the chemicals in e-cigarettes are used in food or cosmetics. That doesnt mean they are safe to inhale, especially in a workplace situation where many people may be using them at once. Big E-Cig also says that carcinogens occur at similar levels to those in nicotine replacement products, but bystanders dont inhale nicotine patches. WHO (2009) raises concerns about e-cigs that go far beyond any related to nicotine replacement products. Safety for long or short-term use has not been established and there is no evidence that e-cigarettes are effective for cessation. Limited testing has revealed that nicotine levels vary widely which would make their use as a cessation aide unpredictable at best. Meanwhile, Big E-Cig cites online surveys and anecdotal evidence as proof that e-cigs can help people quit. Another safety concern is potential skin exposure to nicotine from the fluid contained in the e-cigarette cartridges. Cartridges have been found to leak and refilling them without getting the liquid on ones skin is difficult. Imagine the possible skin exposure or even ingested nicotine if children play with the device or the cartridges. There are also concerns about how e-cigs will be used and marketed. Potential for dual use with continuing cigarette use is high and will only serve to prolong addiction. Dual use will also slow the change in community norms toward non-smoking. Non-smokers, especially youth, may be attracted to the product as it contains flavorings, and they may become addicted to nicotine, creating new lifetime customers for all products containing nicotine. Meanwhile, e-cig marketing has gone viral; one can become a distributor in a matter of a few minutes on the internet, complete with pamphlets, posters and business cards. The Big E-Cig consumer advocacy front groups spread incomplete and biased information through press releases sent around the country and picked up by newspapers as local stories (in fact, they are ads for the product).

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Finally, Big E-Cig claims that e-cigarettes can be used legally in smoke-free environments. However, FDA has decided to regulate them as tobacco products and they should be covered by smoke-free policies. In the limited testing that has occurred, nicotine is contained in e-cigarette vapor. That alone is reason enough not to exempt e-cigarettes from smoke-free policies. WHO (2009) agrees, stating that e-cigs should not be allowed until there is adequate evidence that non-smokers will not be exposed to toxic emissions. E-cigarettes are currently included in the following smoke-free ordinances/regulations in Kentucky: Glasgow, Bardstown, Bullitt County (BOH regulation), and Madison County (BOH regulation). UKs tobacco-free campus policy also covers ecigarettes.

Carol Riker, RN, MSN Associate Professor Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities Faculty Associate, Kentucky Center for Smoke-free Policy 555 College of Nursing University of Kentucky 751 Rose Street Lexington, KY 40536-0232 Cell: 859-619-3776 Office Phone: 859-323-6615 Fax: 859-323-1057 www.mc.uky.edu/tobaccopolicy www.kcsp.uky.edu

Find kysmokefree on CON 50 yrs logo

and

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From: Sent: To: Cc: Subject:

Mundy, Monica E Friday, May 06, 2011 9:17 AM Larry Martin; Martin, Larry D (LHD - Powell Co); Neal, Kathy (LHD-Powell Co.); Crase, Stacy L (LHD - Powell Co) Hahn, Ellen J; Riker, Carol A; Wagner, Kristian K Information on E-cigarettes

Good Morning Larry, Kathy and Stacy,

As you may have seen in the news lately, e-cigarettes are a major topic around Kentucky. We just wanted to provide all our communities with information regarding e-cigarettes. In addition to the message below, Ill attach an Op-Ed piece submitted to the Lexington Herald-Leader and our E-cigarette one-pager. Please let me know if you have any questions!

Thanks,

Monica Electronic cigarettes, or e-cigarettes, have recently been aggressively marketed in many Kentucky communities. Sold on the internet, in mall kiosks, in gas stations, and tobacco retail stores, these devices mimic the experience of smoking. The number of products and brands have increased rapidly, becoming a huge business with $100 million in profits. The manufacturers and their trade groups (Big E-Cig) have not proven that the chemicals contained in e-cigarettes are safe; yet they say that no one has ever been harmed by using e-cigs. Very limited testing has occurred around the world, some of it funded by the manufacturers themselves. The industry makes empty claims of safety by saying that some of the chemicals in e-cigarettes are used in food or cosmetics. That doesnt mean they are safe to inhale, especially in a workplace situation where many people may be using them at once. Big E-Cig also says that carcinogens occur at similar levels to those in nicotine replacement products, but bystanders dont inhale nicotine patches. WHO (2009) raises concerns about e-cigs that go far beyond any related to nicotine replacement products. Safety for long or short-term use has not been established and there is no evidence that e-cigarettes are effective for cessation. Limited testing has revealed that nicotine levels vary widely which would make their use as a cessation aide unpredictable at best. Meanwhile, Big E-Cig cites online surveys and anecdotal evidence as proof that e-cigs can help people quit. Another safety concern is potential skin exposure to nicotine from the fluid contained in the e-cigarette cartridges. Cartridges have been found to leak and refilling them without getting the liquid on ones skin is difficult. Imagine the possible skin exposure or even ingested nicotine if children play with the device or the cartridges. There are also concerns about how e-cigs will be used and marketed. Potential for dual use with continuing cigarette use is high and will only serve to prolong addiction. Dual use will also slow the change in community norms toward non-smoking. Non-smokers, especially youth, may be attracted to the product as it contains flavorings, and they may become addicted to nicotine, creating new lifetime customers for all products containing nicotine. Meanwhile, e-cig marketing has gone viral; one can become a distributor in a matter of a few minutes on the internet, complete with pamphlets, posters and business cards.

file:///C|/.. nley/Desktop/FOIA/Results/University%20of%20KY/disc%201/Conley%20request%201/Information%20on%20E-cigarettes html[8/19/2011 2:29:28 AM]

The Big E-Cig consumer advocacy front groups spread incomplete and biased information through press releases sent around the country and picked up by newspapers as local stories (in fact, they are ads for the product). Finally, Big E-Cig claims that e-cigarettes can be used legally in smoke-free environments. However, FDA has decided to regulate them as tobacco products and they should be covered by smoke-free policies. In the limited testing that has occurred, nicotine is contained in e-cigarette vapor. That alone is reason enough not to exempt e-cigarettes from smoke-free policies. WHO (2009) agrees, stating that e-cigs should not be allowed until there is adequate evidence that non-smokers will not be exposed to toxic emissions. E-cigarettes are currently included in the following smoke-free ordinances/regulations in Kentucky: Glasgow, Bardstown, Bullitt County (BOH regulation), and Madison County (BOH regulation). UKs tobacco-free campus policy also covers ecigarettes.

Monica E. Mundy, MPH Staff Associate Rural Smoke-free Communities Project Kentucky Center for Smoke-free Policy University of Kentucky College of Nursing 509 CON Building Lexington, KY 40536-1057 Work 859-323-2353 Fax 859-323-1057 monica.mundy@uky.edu www.kcsp.uky.edu

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From: Sent: To: Cc: Subject:

Mundy, Monica E Tuesday, August 24, 2010 9:26 AM hildaj.king@ky.gov; lesliep.carwile@ky.gov; CynthiaL.Bandy@ky.gov Hahn, Ellen J; Riker, Carol A; Wagner, Kristian K Introduction and Invitation to Leadership Exchange

Good morning Jeannie and Leslie, Cindy gave me your information and I just wanted to introduce myself. My name is Monica Mundy and I am the Community Advisor for the Rural Smoke-free Communities Project. I provide Technical Assistant to Powell County along with 5 other counties in Central and Western Kentucky. I am here to help you with anything concerning smoke-free initiatives. I have attached a one pager describing the Rural Smoke-free Communities Project and what services we offer. Tuesday September 21, 2010 will be our Leadership Exchange Conference. I would like to invite you both to join us. The conference is made up of the Advocates from the 22 Rural Smoke-Free Project Counties. This is a great place to meet other advocates working to educate their communities on the dangers of secondhand smoke. I have included the information below. When: Tuesday, September 21, 2010 Where: Doubletree Suites 2601 Richmond Road Lexington, KY 40509 859.268.0060 Note: The World Equestrian Games begin on September 25, 2010 in Lexington. Large crowds are expected and rooms are filling up quickly. The Doubletree currently has rooms available at the UK rate for $109 plus tax. If you are planning to stay the night we highly recommend booking your room as soon as possible. When you call please mention that as part of the conference you do receive the UK rate. Please let me know if you have any questions or need any type of guidance. You will find all of my contact information in my signature below. Please feel free to call me any time! Thanks and I look forward to meeting you, Monica

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

Below you will find several resources concerning secondhand smoke. You may have already seen some of these resources but I just wanted to share.
Here is the link to our public presentation regarding secondhand smoke. The Presentation is titled Secondhand Smoke, Smoke-free Laws, and Your Community. The presentation is in PowerPoint form so you can tailor the presentation for the organization or group you would be presenting to. http://www.mc.uky.edu/tobaccopolicy/KCSP/publicpresentations.htm Password: smoke-free I have also attached the link to the second edition of Secondhand Smoke and Smoke-Free Policy. The booklet is designed for policymakers and community advocates and it provides the most current research and information on the health effects of secondhand smoke and the effects of smoke-free laws on communities. In July a copy was sent to policy makers in Powell County. http://www.mc.uky.edu/tobaccopolicy/SecondhandSmokeAndSmokefreePolicyREV2009.pdf

Below you will find the CDC Secondhand Smoke consumer guide based on the 2006 Surgeon Generals Report. http://www.surgeongeneral.gov/library/secondhandsmoke/secondhandsmoke.pdf

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From: Sent: Subject:

Bossick, Michael J Tuesday, July 20, 2010 10:31 AM July KCSP Community Partner Newsletter

KentucKy center For SmoKe-Free Policy

community Partner newsletter


Smoke-free Communities: Good for People, Good for Business
Welcome to the Kentucky Center for Smoke-Free Policy (KCSP) Community Partners Newsletter! This Newsletter contains: General Announcement KcSP Staff transitions KySmokefree is now on Facebook! Smoke-free Policy updates mayor Bloomberg considers a Smoke-free Policy on nyc Beaches and Parks. Smoke-free research updates Summary of the Article, Hair nicotine levels in nonsmoking pregnant women whose spouses smoke outside of the home. Summary of the Article, Quantifying the effects of promoting smokeless tobacco as a harm reduction strategy in the USA. Summary of the Article, Economic effects of clean indoor air policies on bar and restaurant employment in Minneapolis and St Paul, Minnesota.

Please scroll down for more information on each topic!

General Announcements
1. KcSP Staff transitions
Effective Thursday, August 6th , Dr. Mike Bossick will leave the position as Manager of the Kentucky Center for Smokefree Policy. Dr. Ellen Hahn remains the Director of the Center, and technical and information will continue to be
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provided by our team of staff and faculty associates. Continue to contact us at kcsp00@lsv.uky.edu or call 859-3234587. You also can contact Dr. Hahn directly at 859-257-2358 or ejhahn00@email.uky.edu. Dr. Bossick has enjoyed his time working with many passionate advocates over the last year and he is proud of your efforts to make Kentucky a healthier place. He wishes you well in your smoke-free efforts and looks forward to seeing more local communities make the smart decision to enact comprehensive smoke-free laws!

2. KySmokefree is now on Facebook!


Click on the link above to check out our brand new Facebook page that launched in June! Get the most recent updates on smoke-free policy, opposition tactics, research updates, and community news by simply clicking Like on the page and you will become a fan. This will allow you to see the information we post and keep you informed. We would appreciate your input and feedback on our site!

Smoke-free Policy updates


1.

mayor Bloomberg considers a Smoke-free Policy on nyc Beaches and Parks.


The mayor of New York City is considering prohibiting smoking on its beaches and parks. He stated in a recent news release that the public does not want smoking in these recreational areas that consist of 14 miles of beach and over 1,700 parks and playground areas. His rationale for this policy is to ensure those who frequent these recreational areas will have clean air to breathe. In addition, the policy will preserve the environment by reducing cigarette butt and pack litter on beaches and park grounds. This extension of New York Citys smoke-free law would further protect New Yorkers from exposure to outdoor tobacco smoke (OTS) while preserving the environment. Read the New York Times Article Here

Smoke-free research updates


1. Yoo, S. H., Y. J. Paek, S. S. Kim., et al. (2010). Hair nicotine levels in nonsmoking pregnant women whose spouses smoke outside of the home. Tobacco Control. epub ahead of print may 27, 2010.
Secondhand smoke not only has harmful effects on non-smoking adults and children, but also on fetal development during pregnancy. To determine whether pregnant women experience reduced exposure to SHS when their spouses smoke outside the home, Yoo et al. designed a study comparing three groups comprised of nonsmoking spouses, spouses who only smoked outside the home, and spouses who smoked inside the home. Pregnant women provided hair samples on the day of their last antenatal appointment as a biomarker, or a substance used to indicate a biological state, for nicotine exposure. There was a significant difference in hair nicotine levels between pregnant women who had nonsmoking spouses and those with smoking spouses both inside and outside of the home. Hair nicotine levels were not significantly different between women with spouses smoking in the home and outside of the home. This study determined that nonsmoking pregnant women are still at risk for SHS smoke exposure even when their spouse smokes outside the home. Public education is needed on establishing smoke-free home policies including issues related to smoking outside the home and thirdhand smoke exposure. (See the attached article)

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2. Mejia, A. B., P. M. Ling, & S. A. Glantz. (2010). Quantifying the effects of promoting smokeless tobacco as a harm reduction strategy in the uSA. Tobacco Control. epub ahead of print June 27, 2010.
Mejia et al. sought to determine whether the promotion of smokeless tobacco in the form of snus, a moist tobacco product which is a variant of snuff, is a viable harm reduction strategy for tobacco initiation in the US. Smokeless tobacco is thought by some to be less harmful than cigarettes despite the fact using such products have been linked to oral cancer, heart, disease, and pancreatic cancer. Mejia et al. used a simulation model to estimate the health effects of different patterns of smokeless tobacco use. The authors concluded that smokeless tobacco promotion would not be associated with any substantial health benefits at the population level. The probability that smokers would reduce their tobacco use was not significantly less and could not be considered an effective public health intervention. In fact, advocating for smokeless tobacco use as an alternative to cigarette smoking may send confusing messages and undermine communities or campuses with tobacco-free policies designed to protect public health.

(See the attached article) 3. Klein, E. G., J. L. Forster, D. J. Erickson, L. A. Lytle, & B. Schillo. (2010). economic effects of clean indoor air policies on bar and restaurant employment in minneapolis and St Paul, minnesota. Journal of Public Health Management and Practice. 16: 285-293.
Researchers report economic improvements in employment in bars and restaurants after smoke-free legislation was enacted in two Minnesota cities. The employment rates of bars and restaurants in St. Paul and Minneapolis were analyzed over a five-year period during which smoke-free laws were implemented in each city. Once the comprehensive laws were in effect, employment was 3% higher in restaurants in both cities, and 5% higher in bars 2.5 years following the local clean indoor air law in Minneapolis. No significant change in employment was seen in bars in St. Paul during the same time period. This study indicates that local smoke-free laws may have a positive effect on the employment in local restaurants and bars after comprehensive clean indoor airs laws are implemented. (See the attached article)

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

mike Bossick, Ph.D.


Manager, Kentucky Center for Smoke-Free Policy & Radon Awareness Project Clean Indoor Air Partnership

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University of Kentucky College of Nursing 751 Rose Street, College of Nursing 509 Lexington, Kentucky 40536-0232 859-323-4587 859-323-1057 (FAX) michael.bossick@uky.edu www.kcsp.uky.edu

Find kysmokefree on Twitter and Facebook


cid:image001.gif@01C91E21.022457A0

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

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From: Sent: To: Subject: Attachments:

Johnson, John D Friday, February 25, 2011 10:41 AM Johnson, John D KCSP Community Partner Newsletter SmokefreeAdvocateoftheYear.doc

KENTUCKY CENTER FOR SMOKE -FREE POLICY

Community Partner Newsletter


February 2011
Smoke-free Communities: Good for People, Good for Business
Find kysmokefree on and

This Newsletter contains: 1. Smoke-free Policy Updates Campbell County Repeals Smoke-free Ordinance Oak Grove Implements Partial Smoke-free Ordinance Bullitt County Board of Health schedules second reading of smoke-free regulation, March 22, 2011 Smoke-free KentuckyJoin the coalition! 2. Voices of Smoke-free Communities 3. Smoke-free Research Updates Summary of the Article, Electronic Cigarettes as a Harm Reduction Strategy for Tobacco Control: A Step Forward or a Repeat of Past Mistakes? 4. Tobacco in the News Nebraska Judge says No to Smoking in Cigar Bars and Hotels 5. Advocacy at Work 57th Annual Grammy Awards did not include E-Cigarettes in Celebrity Gift Bags 6. Opposition Watch Smoke-free Ordinances: Infringement on Your Rights? 7. Save the Date February 25, 2011: Last day to nominate Smoke-free Advocate of the Year! March 24, 2011: Smoke-free Spring Conference 2011
Please scroll down for more information on each topic!

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Smoke-free Policy Updates


Campbell County Repeals Smoke-free Ordinance On February 16, in a 31 vote, the Campbell County Fiscal Court overturned the comprehensive smokefree ordinance that was enacted in December 2010 by the previous Fiscal Court. This was not an unexpected move by Campbell County given the newly elected commissioners vehement campaign promises that they would overturn the smoke-free ordinance. The Northern Kentucky Tea Party and the Campbell County Tea Party helped elect two commissioners who were opposed to smoke-free laws. The repeal decision is a step back for Campbell County and for Kentucky. Given that workers should not have to choose between their health and a paycheck, Campbell County has turned its back on the science behind secondhand smoke, under the guise of liberty vs. health. For further reading, click on the link below: http://news.cincinnati.com/article/20110216/NEWS0108/302160081/NKY-smoking-ban-dies? odyssey=tab%7Cmostpopular%7Ctext%7CFRONTPAGE Oak Grove Implements Partial Smoke-free Ordinance On January 4, 2011, the city of Oak Grove (Christian County) joined the ranks of smoke-free Kentucky communities. The ordinance offers partial protection to workers and citizens by covering only some restaurants. Smoking is prohibited in any restaurant that serves prepared food and beverages on the premises and which derives 50% or more of gross annual income from food sales. Meanwhile, bars, workplaces and other enclosed public places continue to permit smoking. For more information about exemptions and smoke-free laws, go to: http://www.mc.uky.edu/tobaccopolicy/KCSP/OnePagers/One-pagerExemptionsaugust08FINAL.pdf Bullitt County Board of Health Schedules Second Reading of Smoke-free Ordinance, March 22, 2011 On February 17, 2011 Bullitt County Board of Health had a first reading of a proposed comprehensive smoke-free regulation that would prohibit smoking in enclosed public places, places of employment, and certain outdoor areas such as service lines and sports arenas. The second reading of the ordinance is scheduled for March 22, 2011. Smoke-free KentuckyJoin the Coalition! Stay informed about the state smoke-free campaign! Please sign up for the Smoke-free Kentucky Coalition at www.smokefreekentucky.org. HB 193 is scheduled for an education hearing in House Health & Welfare on March 3, 2011, at noon. For more information, visit www.smokefreekentucky.org.

Voices of Smoke-free Communities


Voices of Smoke-free Communities vignettes feature narrative accounts from Kentuckians who enjoy clean air living in smoke-free communities, from advocates and elected officials who have been involved in creating smoke-free communities. Voices highlight the importance of having comprehensive smokefree laws and debunk the common anti-health arguments. You might consider using these vignettes during public forums or educational events in your community. If appropriate, you might ask to show one during a public hearing, fiscal court, or city commission meeting. Would your local cable TV be willing to show it? Your online newspaper might be willing to link to it as well!
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Click on the link below to access all of the vignettes in the series.
http://www.mc.uky.edu/tobaccopolicy/KCSP/VoicesofSF.HTM

Smoke-free Research Updates


Cahn, Z., & Siegel, M. (2010). Electronic Cigarettes as a Harm Reduction Strategy for Tobacco Control: A Step Forward or a Repeat of Past Mistakes? Journal of Public Health Policy (12) 1-16. The authors conclude that e-cigarettes may be a harm reduction product that helps smokers quit (although further testing is needed). The authors claim that the contents of e-cigarettes do not contain the multitude of cancer causing agents found in traditional cigarettes; e-cigarettes do not combust unlike a traditional cigarette; and they may curb nicotine cravings. The reader should use caution in interpreting the findings due to a small sample size. One thing that the authors fail to acknowledge is that e-cigarettes contain carcinogenic chemicals; among them, propylene glycol (and formaldehyde), which is used in theatre production to make smoke. Side effects of e-cigarettes include: sore throats, dizziness, running pulse, mouth ulcers and slurred speech. The replaceable cartridges are often poorly labeled; the contents can often leak out; and the level of nicotine within the cartridges is not standardized. Although the smoker may get their nicotine fix, there is no evidence that what they are inhaling or exhaling is safe for them or for those around them. E-cigarettes are not approved by the FDA as a nicotine delivery device or a tobacco product; nor are they endorsed by the World Health Organization, American Cancer Society, American Heart Association or the American Lung Association. Some call for ecigarettes to be removed from the market until there is adequate testing for safety and efficacy. For further reading, please click on the links below:
http://www.prlog.org/10942504-cigarettes-banned-on-domestic-flights-reports-ash.html http://tobaccocontrol.bmj.com/content/early/2010/10/22/tc.2010.037259.full

Tobacco in the News


Nebraska Judge Says No to Smoking in Cigar Bars and Hotels A Nebraska judge ruled that cigar bars, tobacco shops, and all hotel and motel rooms are covered under the statewide smoke-free law because they are not substantially different enough from other workplaces to be excluded. Proponents of this decision argue that smoke-free air is for everyone regardless of the nature of the business. There is no reason why cigar bar employees and customers, as well as hotel room patrons, should not enjoy smoke-free air. An appeal is likely; however, this is great precedent for other cities and states to challenge exemptions to their smoke-free ordinances. Everyone deserves to breathe smoke-free air. Click on the below to read the full article:
http://journalstar.com/news/local/govt-and-politics/article_8b111928-b80d-5d4d-9446-e7f357166cba.html

Advocacy at Work
Grammys did not include E-Cigarettes in Celebrity Gift Bags Neil Portnow, President of the Recording Academy, announced that the celebrity gift bags for the 57th Annual Grammy Awards would not contain e-cigarettes or related merchandise. Members of the American Smoke-free Movies group, as well as their national affiliates, addressed a letter to Mr. Portnow requesting that the Recording Academy reconsider the inclusion of e-cigarettes in celebrity gift bags. We

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commend the Recording Academy for promoting good health.

Opposition Watch
Smoke-free Ordinances: Infringement on Your Rights?
On the Smokers Club website, the pervasive battle cry is that the rights of smokers are violated by a wellfunded, pharmaceutical company-backed, group of anti-smoking bullies. The website alleges that anti-smoking groups are too focused on trampling personal rights in their zeal to eradicate smoking for the good the people. They are not the only group who has adopted the personal rights argument when it comes to smoke-free ordinances. Take Back Kentucky, a website dedicated to protecting states rights, argues that some laws, for example, smoke-free ordinances, have ignored proper legal procedures. As a result, smoke-free ordinances have been enacted with disregard to peoples wishes and their personal rights. Northern Kentucky Choice propagates a similar argument on the principles of free market and free choice. To smoke or not to smoke is a personal decision, and consumers should be free to choose if they wish to attend an establishment that allows smoking. Smoke-free laws and regulations respect personal rights, while giving everyone a chance to breathe smoke-free air at work and when visiting places open to the public. Smoke-free ordinances are about the right to breathe clean air. There is no constitutional right to smoke. Individuals retain the right to continue to smoke, if they so wish, but only in places where others are not harmed. The arguments mounted against smoke-free laws by the Smokers Club, Take Back Kentucky and Northern Kentucky Choice aim to preserve the status quo, where an individual must choose between their health and a paycheck. Click on the links below to view the opposition arguments. The Smokers Club: http://www.smokersclub.com/ Northern Kentucky Choice: http://www.nkychoice.com/ Take Back Kentucky: http://www.takebackkentucky.com/

Save the Date:


2011 Smoke-free Advocate of the Year Nominations

We invite you to submit nominations for the 2011 Smoke-free Advocate of the Year Award! Please nominate a colleague or coalition member who has made a difference in smoke-free policy in your area or in other communities. We will recognize one dedicated community member who is committed to advocacy to reduce secondhand smoke exposure. The award will be presented at our annual statewide Smoke-free Conference in Lexington on March 24, 2011. Please see attached nomination form for more details. The application deadline is February 25, 2011 by 5PM. You may submit your nomination form to Amanda Fallin. If you have any questions, please contact Amanda Fallin, at atfall2@uky.edu, or 859-323-3550.
Spring Conference: March 24 th, 2011 Going for the Goal: Comprehensive Smoke-free Policy Griffin Gate Marriott Resort, 1800 Newtown Pike, Lexington, KY 40511 Register online at: www.kcsp.uky.edu

For any question about the Spring Conference, please contact Nina Marijanovic via email nina.marijanovic@uky.edu

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

Find kysmokefree on

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From: Sent: To: Subject:

Johnson, John D Friday, December 17, 2010 12:47 PM Johnson, John D KCSP Community Partner Newsletter

KENTUCKY CENTER FOR SMOKE -FREE POLICY

Community Partner Newsletter


December 2010
Smoke-free Communities: Good for People, Good for Business Find us on Facebook: Kysmokefree
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 Generals Executive Summary: How Tobacco Smoke Causes Disease

3. Opposition Watch Mike Deters: Self-appointed Watchdog 4. Save these Dates State Smoke-free Kick OffJanuary 6, 2011 Smoke-free Summit WebinarJanuary 14, 2011 Smoke-free Spring ConferenceMarch 24, 2011
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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 18 th Kentucky community with a comprehensive smoke-free workplace ordinance or regulation. Kenton County Fiscal Courts 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 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 Generals 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 of the 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
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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/data statistics/sgr/2010/consumer booklet/index.htm Full Report: http://www.surgeongeneral.gov/library/tobaccosmoke/report/full report.pdf

Opposition Watch Mike Deters: Self-appointed Watchdog

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. Deters opinions on smoking and other topics, please visit:
http://www.ericdeters.com/index.php?option=com content&view=article&id=19&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. 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

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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 (HFA305), 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 kcsp00@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 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

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From: Sent: To: Subject:

Johnson, John D Friday, May 06, 2011 9:04 AM Johnson, John D KCSP Community Partner Newsletter

KENTUCKY CENTER FOR SMOKE -FREE POLICY

Community Partner Newsletter


April-May 2011 Derby Edition
Smoke-free Communities Good for People, Good for Business
Find kysmokefree on and

This Special Derby Edition of the Newsletter contains: 1. Smoke-free Policy Updates Bullitt County Board of Health Faces Lawsuits Kenton County and Bowling Green Smoke-free Ordinances go into Effect Madison County Board of Health Strengthens Smoke-free Regulation Americans for Nonsmokers Rights (ANR) Releases Quarterly Update Kentuckys Smoke-free Ordinance Listings and Map Updated, May 2011 2. Smoke-free Research Updates Summary of the Article, Secondhand Smoke and Adverse Fetal Outcomes in Nonsmoking Pregnant Women: A Meta-analysis Summary of the Article, Impact of Smoking on In-vehicle Fine Particle Exposure During Driving Summary of the Article, The Economic Impact of State Cigarette Taxes and Smoke-free Air Policies on Convenience Stores 3. Bowling Green City Commission Honored With the 2011 Smoke-free Indoor Air Excellence Award 4. Upcoming Conferences 2011 Tobacco Prevention and Cessation Program, Lexington, KY Breathing Clean Air Summit, Owensboro, KY 5. Kentucky Center for Smoke-free Policy: Spring Conference 2011 Highlights 6. Opposition Watch Consumer Advocates for Smoke-free Alternatives Association (CASAA)
Please scroll down for more information on each topic!

Smoke-free Policy Updates


Bullitt County Board of Health Faces Lawsuits On March 22, 2011, the Bullitt County Board of Health adopted a comprehensive smoke-free regulation (including e-cigarettes) by a vote of 7 to 2 Subsequently, the Bullitt County Attorney on behalf of the Fiscal Court and several cities in Bullitt County filed a lawsuit in Circuit Court against the Bullitt County Board of Health challenging the Boards legal authority to adopt a smoke-free regulation A second lawsuit has been filed in Federal Court by Bullitt County Choice (local opposition group) and a few local businesses This lawsuit also questions the legal authority of the Board of Health to adopt a smoke-free regulation Also challenged in the federal suit is the inclusion of e-cigarettes, consistent with the aggressive opposition by Big E-Cig (e-cigarette industry and their trade groups; see below) in Madison County in recent months Kenton County and Bowling Green Smoke-free Ordinances go into Effect Two new ordinances were implemented in April Kenton Countys weak ordinance was implemented on April 15, 2011 To date, 70 businesses have applied for exemptions and 62 have been granted according to the Kentucky Enquirer. There is also a provision for a split-shift operation in which businesses can be smoke-free for part of the day and allow smoking during other times This provision was not written into the original ordinance, but added by the County Attorney before implementation Multiple exemptions create confusion for patrons, businesses, and enforcement agencies Bowling Greens (Warren County) comprehensive ordinance went into effect April 28, 2011 The Bowling Green ordinance covers all workplaces and public places, and exempts private clubs and tobacco retailers Two lawsuits were filed in Bowling Green in an attempt to derail implementation, one related to property rights and the other on constitutional rights Both of those lawsuits sought temporary injunctions to stop implementation and both were dismissed in court With the Bowling Green and Kenton County ordinance, 31 Kentucky communities currently have some form of smoke-free law (see below) Madison County Board of Health Strengthens Smoke-free Regulation On April 6, 2011, the Madison County Board Health voted 8 to 1 to strengthen their regulation to restrict the use of electronic cigarettes in public places and workplaces The Board of Health also rescinded a previously standing exemption for tobacco retailers The revised regulation implementation date is scheduled for June 5, 2011 Americans for Nonsmokers Rights (ANR) Releases Quarterly Update According to ANR, as of April 1, 2011: 47.9% of the U S population is protected by smoke-free laws or regulations covering all workplaces, restaurants, and bars There are 3,270 municipalities with some kind of local smoke-free ordinance in effect Of the 3,270 municipalities, 930 provide 100% smoke-free protection for non-hospitality workplaces, and/or restaurants and/or bars A total of 454 municipalities have ordinances that cover all non-hospitality workplaces, restaurants and bars Twenty-three states along with the
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District of Columbia, U S Virgin Islands, and Puerto Rico have comprehensive smoke-free laws covering all workplaces, restaurants, and bars Sources: http://www no-smoke org/pdf/SummaryUSPopList pdf http://www no-smoke org/pdf/mediaordlist pdf
http://www no-smoke org/lists html

To see how Kentucky compares please visit ANRs website: Kentuckys Smoke-free Ordinance Listings and Map Updated, May 2011 Currently, over one-third (33 6%) of Kentuckians are covered by comprehensive smoke-free workplaces ordinances or regulations Thirty-one Kentucky communities have enacted smoke-free ordinances or adopted smoke-free Board of Health regulations; 19 of the 31 are comprehensive policies covering all workplaces, restaurants, and bars Thirty of the laws are in effect Bullitt Countys regulation is scheduled to go into effect on September 15, 2011 To see the updated listing, percent covered, and Kentucky map, go to: www kcsp uky edu

Smoke-free Research Updates


Leonardi-Bee, J , Britton, J , & Venn, A (2011) Secondhand Smoke and Adverse Fetal Outcomes in Nonsmoking Pregnant Women: A Meta-analysis. Pediatrics, 127(4) 1-10 DOI: 10 1542/peds 2010-3041 The authors reviewed 19 studies that assessed the health risks of secondhand smoke on nonsmoking, pregnant women Secondhand smoke exposure during pregnancy significantly increases the risk of stillbirth and congenital malformations (e g heart defects, musculoskeletal defects, defects of the face, eyes, ears and neck) Pregnant women exposed to secondhand smoke are approximately 23% more likely to experience stillbirth and 13% more likely to give birth to a child with congenital malformation Secondhand smoke was not significantly associated with an increased risk of spontaneous abortion The critical developmental fetal periods vary so it is important to prevent secondhand exposure in women before and during all stages of pregnancy Find article abstract here: http://pediatrics aappublications org/cgi/content/abstract/127/4/734?maxtoshow=&hits=10&RESULTFORMAT=&fulltext=Leonardi-Bee&searchid=1&FIRSTINDEX=0&sortspec=relevance&resourcetype=HWCIT Sohn, H & Lee, K (2010) Impact of smoking on in-vehicle fine particle exposure during driving Atmospheric Environment 44, 3465-3468 DOI: 10 1016/j atmosenv 2010 06 066 Sohn and Lee measured air contamination in moving vehicles in which the drivers window was open in three different positions: completely open, half open and slightly open while the remaining windows in the car were closed This was repeated for up to 20 experiments in two sport utility vehicles Air contamination was more than 14 times the National Ambient Air Quality Standard for outdoor air, and it remained for approximately 15 minutes after the cigarette was extinguished These results were obtained from just one cigarette smoked inside the car Findings support greater public education on the harms of smoking in cars and advocacy for smoke-free car policies Find article abstract here: http://www sciencedirect com/science? ob=ArticleURL& udi=B6VH3-509FNNF4& user=16764& coverDate=09%2F30%2F2010& rdoc=1& fmt=high& orig=gateway& origin=gateway& sort=d& docanchor=&view=c& acct=C000001898& version=1& urlVersion=0& userid=16764&md5=97fc228541bbccb43c80754b92736cff&searchtype=a Huang, J & Chaloupka, F (2011) The Economic Impact of State Cigarette Taxes and Smoke-free Air Policies on Convenience Stores A Policy Research Partnership for Healthier Youth Behavior. A common tobacco industry and anti-health group claim is that cigarette taxes, as well as smoke-free laws, hurt businesses Huang and Chaloupka examine the economic impact of cigarette taxes and smoke-free policies on U S convenience stores in all 50 states between 1997 and 2009 Smoke-free policies did not negatively impact convenience store revenues and smoke-free policies were not significantly correlated with the total number of convenience stores, despite significant increases in smoke-free policies during this time period Cigarette taxes did not reduce the number of convenience stores per capita In fact, an increase in the rate of cigarette tax by $1 per pack was associated with an additional 11 convenience stores per million people Read complete article by clicking the link below: http://www impacteen org/generalarea PDFs/ITresearch40 Huang pdf

2011 Smoke-free Indoor Air Excellence Award


On April 19, 2011, Bowling Green City Commission was presented with the 2011 Smoke-free Indoor Air Excellence Award by members of Smoke-Free Bowling Green Mayor Joe Denning, former City Commissioner, and the current City Commissioner, Bruce Wilkerson, accepted the plaque on behalf of the City Bowling Greens comprehensive smoke-free workplace ordinance went into effect on April 28, 2011 The Bluegrass Institute, long-time opponent of smoke-free laws, is located in Bowling Green

Upcoming Conferences
2011 Tobacco Prevention and Cessation Program, Thursday, May 12, Lexington, KY Breathing Clean Air Summit, May 12, Owensboro, KY See attachments for more information on both of these events

Spring Conference 2011 Highlights


The Kentucky Center for Smoke-free Policy held its annual Spring Conference at the Griffin Gate Marriott Resort in Lexington, Kentucky on March 24 Over 130 advocates spent the day networking and learning about the latest in smoke-free policy Elected officials and advocates from Campbell County, Bowling Green, and Bullitt County received the Smoke-Free Excellence Award for enacting (and advocating for) comprehensive smoke-free workplace ordinances Advocates from Kenton County and Oak Grove received the Smoke-Free Endeavor award for enacting partial smoke-free ordinances Dr Melissa Walton-Shirley was the first recipient of the David B Stevens, M D Smoke-free Advocate of the Year Award Dr Walton-Shirley was recognized for promoting secondhand smoke education and smoke-free policy in Glasgow Highlights of the conference included: A case study featuring advocates and a former elected official from Northern Kentucky who discussed their success and challenges while advocating for smoke-free laws in Kenton, Campbell, and Boone counties A panel discussion with smoke-free advocates and Rep Susan Westrom (D-Lexington) discussing how the state and local campaigns can work together while continuing to advance local smoke-free campaigns A discussion with several health department directors concerning smoke-free laws and the role of the health department Tips and examples for branding local smoke-free campaigns The top ten tips to generate interest and build demand using social networking Thank you to everyone who participated in the panel discussions or breakout sessions A final agenda from the conference is attached If you could not attend and would like information on the sessions, please contact Monica Mundy, monica mundy@uky edu or John Johnson, jdjohnson@uky edu

Opposition Watch
Consumer Advocates for Smoke-free Alternatives Association (CASAA)
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CASAA is a 501C4 group with close ties to the E-Cigarette Association, the manufacturers trade association CASAAs self-defined mission is to aid tobacco users in locating alternatives to smoking traditional cigarettes, with a main focus on electronic cigarettes (or ecigarettes) CASAA is primarily engaged in the defense of electronic cigarettes on the American market and staunchly defends the companies that produce them and the consumers right to use them in public places Their website banner asks for petitioners to sign a document that would prohibit the Federal Drug and Food Administration from regulating electronic cigarettes as a drug Indeed, the FDA recently decided (after an industry lawsuit) to regulate e-cigarettes as a tobacco product, not a drug The e-cigarette industry is profiting significantly by marketing and selling a product that has not been shown to help people quit, likely prolongs nicotine addiction, and perpetuates empty claims of safety that are not based on scientific testing Recent studies report serious labeling and quality control issues as well as design flaws, none of which are reflected in the industrys television ads, powerful internet pitches and testimonials using facebook and other social media CASAAs tactics seem to be less about promoting responsible tobacco cessation, but more about creating controversy and confusion around what constitutes smoking in the context of smoke-free laws CASAA launched an aggressive, albeit unsuccessful, opposition campaign in Madison County to fight the inclusion of e-cigarettes in their revised regulation (see above) Their tactics sound all too familiar CASAA refutes research on the potential dangers of e-cigs and attacks public health professionals who do not promote the product CASAA is attempting to derail effective public health interventions to reduce tobacco use and exposure to secondhand smoke Until e-cigarettes have been rigorously tested and are shown to be a safe product and effective in cessation, they should be approached with caution Given the recent decision to regulate e-cigarettes as a tobacco product, there is even more reason for smoke-free laws and regulations to cover e-cigarettes To view their website, please click on the link below: http://www casaa org For more information about e-cigarettes, see our fact sheet at: http://www mc uky edu/tobaccopolicy/KCSP/OnePagers/OnePagerECigandSFPolicy pdf

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

Find kysmokefree on

and

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From: Sent: To:

Subject: Attachments:

Johnson, John D Thursday, December 02, 2010 10:10 AM (advocacyaction@bellsouth.net); (LoriL.Nelson@ky.gov); (mary.huff@cancer.org); (ronne.nunley@pathways-ky.org); (scorriveau@communicare.org); Allison Napier ; Amy Weber ; angela.brumley-shelton@ky.gov; april.crosby@tema.toyota.com; Arrowood, Karen; Begley, Kathy; Ben Wiederholt ; Betsy Burns Janes; Bobbi Harned ; Butler, Karen M; Riker, Carol A; Kercsmar, Sarah; Charlotte Sawyers (charlottep.sawyers@ky.gov); Cheryl Armes (cheryll.armes@ky.gov); Christin E. Miller; Donna Bernier ; Dysheld Thompson (dysheld.thompson@ky.gov); Hahn, Ellen J; Ellen Schroeder; Emily Prabell; Eversole, Sandy; Georgia Heise ; Geraldine Hamilton (geraldineb.hamilton@ky.gov); Gloria Sams; Glynda Bowen; James Sharp; Jennifer Redmond; Jessica Cobb (JessicaE.Cobb@ky.gov); Jesssica DeMaurier (JessicaR.DuMaurier@ky.gov); Joan Buchar; John Bonaguro; Judy Richardson Jett ; Karen Gabbert ; Kathy Combs; Katie Bathje; Kaufman, Erin; Kelly Dawes; Kim Flora; KR Green; Kristy.Young@cancer.org; Larry Martin; Lee Carter (Edward.Carter@va.gov); Lisa Greathouse; Luke Barlowe ; Lyle Snider (lyle.snider@ky.gov); marka.hensley@ky.gov; Mason, Jennifer L; Melinda Rowe (melinda.rowe@ky.gov); Michelle Alford (michelle.alford@corbin.kyschools.us); Michelle Eversole; mikek@kylung.org; Milly Diehl (mhdiehl@insightbb.com); Nafus, Kathy; Natalie True (NatalieT.True@ky.gov); Octavia Dales; Pat Whelan ; Paul, Erin E; Paula Alexander (Paula.Alexander@ky.gov); Peggy Kinsella; Penny High; Rachel Briney ; Rachel Cima (rachel.cima@corbin.kyschools.us); Rick DuBose (Rick.DuBose@wku.edu); Rinda Vanderhoof (rindaa.vanderhoof@ky.gov); Rita Miracle (ritas.miracle@ky.gov); Robertson, Heather E; Rod Mattingly (RodneyR.Mattingly@ky.gov); Ruth Davis; Saundra Newton: (ACS) ; Sherrie Hale; Sherry Payne (sherry.payne@cancer.org); Stacy Harris; 'Steer, Emily (LHD-Mercer Co)'; Stephanie Vogel; Susan Brown; Susan Clarkson; Suzanne Gude (s.gude@louisville.edu); Tiffany S. Bowman; Tonda Luckett (tluckett@bardstowncable.net); Vanessa Brewer; Vestal, Brenda L; Wagner, Kristian K; Mundy, Monica E; wellness.tmmk@hfitcenter.com KCSP November Community Partner Newsletter One-pager e-cigarettes and Secondhand Smoke EH 112110.pdf; One pager Green Circle 111610.pdf

KENTUCKY CENTER FOR SMOKE -FREE POLICY

Community Partner Newsletter


November 2010
Smoke-free Communities: Good for People, Good for Business Find us on Face Book: kysmokefree
Welcome to the Kentucky Center for Smoke-Free Policy (KCSP) Community Partners Newsletter! This Newsletter contains:

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1. Smoke-free Policy Updates University of Kentuckys Tobacco-free Campus Anniversary News from the American Public Health Association Annual Meeting, Denver, CO Adult education as a vehicle for health communication Norm spreading or behavioral compensating- Do clean indoor air laws increase voluntary home smoke-free rules? Critical appraisal training to expand health literacy and reduce health disparities Messages that motivate rural communities to support smoke-free policy change Justice is what love looks like: Quote from Cornel West 2. Smoke-free Research Update State-specific Prevalence of Cigarette Smoking and Smokeless Tobacco Use Among Adults 2009 3. Opposition Watch The Growing Popularity of E-cigarettes Northern Kentucky Tea Party Please scroll down for more information on each topic! Smoke-free Policy Updates 1. University of Kentuckys Tobacco-free Anniversary November marked the first anniversary of the University of Kentuckys tobacco-free campus policy. This was celebrated the week of November 15 with activities including distribution of policy reminder cards (with free drink coupon), display tables around campus with cold turkey sandwiches, s-mores (cold turkey is not the way to goask for smore information about how to quit), and hot chocolate, and a campus-wide cigarette butt clean-up. Check out Kysmokefree on Facebook for tobacco-free anniversary pictures http://www.facebook.com/album.php?aid=25739&id=121589417877279 2. News from the American Public Health Association meeting in Denver, Colorado Several members of the KCSP team attended the 2010 American Public Health Association conference in November. Below are selected highlights from some of the sessions we enjoyed the most! Adult education as a vehicle for health communication Ariela M. Freedman, MPH, MAT Rollins School of Public Healthy, Emory University, Atlanta, GA

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According to the Institute on Medicine, nearly half of all Americans 90 million people have difficulty understanding and acting upon health information. So much of what we do in tobacco control is based on print media and we may be missing a large audience who possess low literacy and low health literacy skills. During Ms. Freedmans session at APHA, she suggested reaching out to adult education to reach those who are often disproportionately affected by smoking and/or secondhand smoke. Adult educators are experienced in translating information to meet the literacy skills of their participants. Adult education is also a known and safe location where participants often have existing relationships and participants frequently report learning from each other. Questions to consider: Are you aware of the adult education programs in your county? Have you ever talked with the adult education program about your smoke-free activities? Have you reviewed the materials you use in your tobacco control program to make sure they are readable for low literacy audiences?

For more information on clearly communicating health information, visit: http://www.health.gov/communication/literacy/plainlanguage/PlainLanguage.htm For a how to on writing easy-to-read health information: http://www.nlm.nih.gov/medlineplus/etr.html

Norm spreading or behavioral compensating- Do clean indoor air laws increase voluntary home smoke-free rules? Dr. Kai-Wen Cheng, Center for Tobacco Control Research and Education, University of California, San Francisco This session examined whether smoke-free laws increase the adoption of voluntary home smoke-free rules among smoking households. The study found that smoke-free laws increase the likelihood that family households voluntarily implement smoke-free home rules. For more information on smoke-free homes and multi unit housing, please visit Americans for Non-smokers Rights at http://www.no-smoke.org/goingsmokefree.php?id=101 Critical appraisal training to expand health literacy and reduce health disparities Donna Odierna, DrPH, University of California, San Francisco The goal of this project was to implement and evaluate health literacy workshops for consumer advocates, journalists, and healthcare providers. The ability to evaluate evidence for credibility and quality, and to analyze risks and benefits is important for healthcare decision-making. It is also crucial for effective communication with others, including policy makers. As a result of taking part in the workshops, participants confidence in critical appraisal skills increased by about 30%. Attendees reported that they were more likely to use critical appraisal skills to identify valid sources of information, recognize financial conflicts of interest, effectively communicate health information, and critique tobacco advertising. Additional information on health literacy training may be found at: http://www.hsph.harvard.edu/healthliteracy/practice/training/index.html

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Messages that motivate rural communities to support smoke-free policy change Anna Kostygina, PhD, Postdoctoral Scholar, University of Kentucky Focus groups were conducted with 82 residents of three rural communities to study the perceived effectiveness of print advertisements used in rural communities to promote smoke-free policies in regard to message framing and emotional tone. Based on the results, tips are included below for successful media campaigns in rural communities: Use bright colors, such as red or yellow. Include a clear phone number or website where people can take action. Be concise with the wording. Messages with a serious tone tend to be more effective than lighthearted messages (such as jokes or cartoons). Messages stressing the risks of secondhand smoke exposure were more effective than those focusing on the benefits of smoke-free air. Messages that appear to blame smokers (i.e.: Smokers kill non-smokers) were offensive to some participants. Messages appealing to social norms and religious beliefs received strong support from the participants. Visit Americans for Nonsmokers Rights for examples of smoke-free ads used in other communities: http://www.nosmoke.org/goingsmokefree.php?id=115. Justice is what love looks like, Cornel West, PhD, Professor, Princeton University Quote: allow suffering to speak.have the courage to question things that obstruct justice.unregulated markets dont work to provide justice for all. Questions to consider: Is it fair or just that some people have to breathe smoky air at work? Would workers exposed to secondhand smoke at work in your community be willing to get involved in your smoke-free efforts? Could you use their quotes (anonymous) in a worker quote document? How can you frame smoke-free as a justice issue in your community? See Robert Wood Johnsons summary of the APHA meeting: http://rwjfapha.com/ Smoke-free Research Updates State-Specific Prevalence of Cigarette Smoking and Smokeless Tobacco Use Among Adults --- United States, 2009. Morbidity and Mortality Weekly Report, November 5, 2010 / 59(43); 1400-1406 Cigarette smoking and smokeless tobacco use cause or increase the risk for lung, throat, oral, and other types of cancers. In the article, the CDC analyzed data from the 2009 Behavioral Risk Factor Surveillance System (BRFSS). Smoking prevalence was highest in Kentucky & West Virginia (25.6%). The prevalence of smokeless tobacco use was higher among men than women in all states and territories. These data suggest that smokeless tobacco use is predominantly a public health problem among men, young adults, and persons with lower education, and in certain
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states: Smokeless tobacco use among men was significantly higher than among women in all 50 states Among the 50 states and DC, smokeless tobacco use was most common among persons aged 18--24 years Smokeless tobacco use tended to decrease with increasing education Percent of smokeless tobacco use among adults in Kentucky: 6.7% Percent of cigarette smokers who also use smokeless tobacco in Kentucky: 7.7%

As smoke-free laws become more widespread and the tobacco industry continues to market their products for dual use, the percent of cigarette smokers who also use smokeless is expected to rise. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5943a2.htm?s_cid=mm5943a2_w Opposition Watch The Growing Popularity of E-cigarettes Electronic cigarettes, or e-cigarettes, have continued to become more popular and widely accepted as evidenced by the article in the link below. The e-cigarette industry has launched an organized campaign to convince the public that e-cigarettes help smokers quit. There is no research evidence that this is the case. In fact, there is evidence that e-cigarettes actually help smokers remain addicted to nicotine. The U.S. Food and Drug Administration (FDA) sent letters to five tobacco companies in September indicating that they were marketing their products illegally as unapproved drugs and that the products would need to be regulated by the FDA. http://new-smoke.com/e-cigarette-news/david-letterman-smokes-the-electronic-cigarette/ http://www.fda.gov/ICECI/EnforcementActions/WarningLetters/2010/default.htm?fragment25_NextRow=51 See the attached fact sheet on E-cigarettes and Smoke-free Policies. Several local smoke-free ordinances/regulations in Kentucky prohibit the use of e-cigarettes (Bardstown, Glasgow, Madison County BOH regulation, amended 12/1/10). Northern Kentucky Tea Party The Northern Kentucky Tea Party is doing the bidding of the tobacco industry and other anti-health groups (i.e., Bluegrass Institute, Kentucky Libertarian Party, NKY Choice) to vigorously oppose the proposed smoke-free ordinances in Campbell and Kenton Counties. Check their website: http://www.nkyteaparty.org/ and read Smoking Ban Supporters Hypocritical. The Lexington Herald-Leader called out the Tea Party and urged Campbell and Kenton Fiscal Courts to make the healthy decision in an opinion editorial this week. http://www.kentucky.com/2010/11/30/1545933/go-smoke-free-northern-ky.html Feedback If you have any comments or suggestions regarding the KCSP Community Partners Newsletter, or would like to
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suggest future content for the newsletter, please let us know! We would love to hear your feedback kcsp00@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 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

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From: Sent: To: Subject:

Johnson, John D Thursday, October 28, 2010 12:46 PM Johnson, John D KCSP October Community Partner Newsletter

KenTucKy cenTer For SmoKe-Free Policy community Partner newsletter october 2010

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


Welcome to the Kentucky Center for Smoke-Free Policy (KCSP) Community Partners Newsletter! This Newsletter contains: 1. Smoke-free Policy updates FDA to decide how to classify e-cigarettes. Kentucky receives national award for smoke-free laws. 2. Smoke-free research updates Summary of the Article, Economic effects of Ohios smoke free law on Kentucky and Ohio border counties. Summary of the Article, Smoke-free law associated with higher-than-expected taxable retail sales for bars and taverns in Washington State. Summary of the Article, Smoke-free legislation and hospitalizations for childhood asthma. 3. opposition Watch The Annual commonwealth Freedom and liberty conference.

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Please scroll down for more information on each topic!

Smoke-free Policy updates 1. FDA to decide how to classify e-cigarettes A lawsuit has been brought against the FDA regarding the classification of e-cigarettes. The lawsuit claims that it is not fully understood whether e-cigarettes are tobacco products or a drug-device combination. As a tobacco product they would endure less regulation and oversight than as a drug-device combination product. The oral arguments in the U.S. Court of Appeals were recently presented and an outcome is pending. 2. Kentucky receives national award for smoke-free laws The Commonwealth of Kentucky was honored on Tuesday, September 21, 2010, for enacting smoke-free laws, particularly in a state with a long history of tobacco growing and manufacturing. The communities that passed smoke-free laws in 2009 were Campbellsville, London, Prestonsburg, and Radcliff. Community advocates in these four communities were recognized as well as the following state organizations: American Cancer Society, American Heart Association, American Lung Association, Campaign for Tobacco-Free Kids, Kentucky Cancer Consortium, Kentucky Center for Smoke-free Policy, and Kentucky Department for Public Health's Tobacco Control Program. Thanks to the hard work of community advocates and community partners, Kentucky placed 3 rd in the nation for passing comprehensive smoke-free workplace legislation. Smoke-free research updates 1. Pyles, m.K., Hahn, e.J. (2010). Economic effects of Ohios smoke free law on Kentucky and Ohio border counties. Tob control. doi: 10.1136/tc.2009.035493.

When the state of Ohio went smoke free, some reported that residents were driving to Kentucky border counties so they could smoke in public places. This study examined whether economic activity in Ohio decreased, while economic activity in Kentucky border counties increased. This assertion was not supported -the economy in both sets of border communities remained at the pre- smoke-free law level. Ohio border counties did not lose business and Kentucky border counties did not gain business as a result of Ohios smokefree law. 2. Boles, m., Dilley, J., maher, J.e., Boysun, m.J., and reid, T. (2010). Smoke-free law associated with higher-than-expected taxable retail sales for bars and taverns in Washington State. Prev chronic Dis. 7(4)A79.

Taxable retail sales were examined for bars and taverns in the two years after Washington State passed a statewide smoke-free law. In bars and taverns, there was a $105 million gain in sales revenues in the two years after the smoke-free law went into effect. Washington State put these funds in the general fund, benefiting the residents of the state. By exceeding revenue expectations after the legislation was passed, this study builds on the literature that smoke-free laws do not hurt local communities and may actually produce
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additional revenue. http://www.cdc.gov/pcd/issues/2010/jul/09_0187.htm 3. mackay, D., Haw, S., Ayres, J.G., Fischbacher, c., Pell, J.P. (2010). Smoke-free legislation and hospitalizations for childhood asthma. n engl J med 363;12:1139-1141.

In 2006, Scotland passed smoke-free legislation that prohibited smoking in public places. Prior to the smokefree law, hospital admissions for asthma among children were increasing at 5.2% per year. After the smokefree law was implemented, there was an 18.2% reduction in the rate of hospital admissions for asthma among children. The authors concluded that smoke-free laws can improve asthma outcomes, beyond just those exposed to secondhand smoke in the workplace. opposition Watch 1. The Annual commonwealth Freedom and liberty conference The Annual Commonwealth Freedom and Liberty Conference was held at the Drawbridge Hotel and Convention Center in Fort Mitchell, KY on October 1-2, 2010. The Bluegrass Institute, Take Back Kentucky, and other known anti-health opponents of smoke-free air provided training sessions on topics such as recruiting, equipping, and mobilizing an army of informed citizens, utilizing social networking, and influencing the legislative process. This event was also promoted by the Tea Party, a group responsible for much of the organized opposition to smoke-free ordinances around the state (i.e. Northern Kentucky Choice). Feedback If you have any comments or suggestions regarding the KCSP Community Partners Newsletter, or would like to suggest future content for the newsletter, please let us know! We would love to hear your feedback kcsp00@lsv.uky.edu 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 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)

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From: Sent: To: Subject: Attachments:

Johnson, John D Friday, September 24, 2010 11:16 AM Johnson, John D KCSP September Community Partner Newsletter AF Surgeon General Memo.pdf; Strulovici-Barel AJRCCM 2010.pdf; Evans-Whipp_Environmental Research and Pub Health_2010.pdf; sf policies should extend outdoors.pdf

KenTucKy cenTer For SmoKe-Free Policy

community Partner newsletter


September 2010
Smoke-free Communities: Good for People, Good for Business
Welcome to the Kentucky Center for Smoke-Free Policy (KCSP) Community Partners Newsletter! This Newsletter contains: 1. Smoke-free Policy updates update on northern Kentuckys Smoke-free initiative. updated county level Tobacco use and Policy Fact Sheets are now Available. new FDA rules will greatly restrict tobacco advertising and sales. The Air Force Surgeon General warns about e-cigarettes. Smoke-free policies should extend outdoors. Kysmoke is now on Facebook! introducing John Johnson, community liaison, KcSP. 2. Smoke-free research updates Summary of the Article, Threshold of biologic responses of the small airway epithelium to low levels of tobacco smoke. Summary of the Article, The impact of school tobacco policies on student smoking in Washington State, United States and Victoria, Australia.

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3. opposition Watch Summary of Jim Waters article, Advocates of smoking bans lack sensible solutions. Please scroll down for more information on each topic!

Smoke-free Policy updates


1. northern Kentuckys Smoke-free law closer to reality! On September 15, by a vote of 15 to 6, the Northern Kentucky Health Department's District Board of Health voted to enforce the ordinances, if the counties approve it. http://news.cincinnati.com/apps/pbcs.dll/article?AID=/AB/20100915/NEWS0108/9160343/ 2. updated county level Tobacco use and Policy Fact Sheets are now Available.

Please visit our website (see link below) to locate your community fact sheet to check out the most recent statistics on tobacco use and smoke-free policies at the county level.

http://www.mc.uky.edu/tobaccopolicy/KCSP/UseAndPolicyFactSheets2010.HTM 3. new FDA rules will greatly restrict tobacco advertising and sales.

On June 22, 2010, a new set of regulations went into place that put severe restrictions on tobacco companies as to when and where they are able to advertise their products. These restrictions include banning Big Tobacco from entertainment venues, restricting sales in vending machines to adult-only stores and placing cigarettes behind the counter in other locations, prohibiting non-tobacco giveaways with the purchase of cigarettes and requiring that cigarettes are sold in packages of 20 or greater. If you would like to contact the FDA regarding this issue please go to: http://www.fda.gov/AboutFDA/ContactFDA/default.htm In addition, the FDA has issued warning letters concerning the manufacturing process and claims by e-cigarette companies (see link below and attached notice). The companies claim that electronic cigarettes, or e-cigarettes, are smoking cessation aides. http://www.tri-cityherald.com/2010/09/09/1161912/fda-sends-warning-letters-to-e.html The Air Force Surgeon General warns about e-cigarettes. The Surgeon General of the United States Air Force has issued a warning concerning e-cigarettes. These metal tubes look like a traditional cigarette while delivering nicotine through a refillable cartridge. The Food and Drug Administration has conducted tests that determine that e cigarettes have a similar risk to consumers as traditional cigarettes. As a result, the Surgeon General has sent out a statement that they will be treated in the same category and prohibited from being used in places where cigarettes are currently prohibited. These
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changes will be included in the upcoming addition of the Air Force manual on tobacco use. See the attached memo from the Surgeon General of the Air Force 4. Smoke-free policies should extend outdoors.

In an article published in the Lexington Herald Leader on August 16, 2010, Dr. Ellen Hahn discussed the consequences of breathing outdoor tobacco smoke. Although many smoke-free laws have been enacted in Kentucky (including the adoption of University of Kentuckys tobacco-free campus policy in November 2009), there remains concern over the health effects of breathing tobacco smoke in outdoor environments. Cigarette smoke contains over 250 harmful chemicals that can cause cancer, breathing problems as well as a host of other serious conditions. Based on the latest science on outdoor tobacco smoke, Dr. Hahn recommends staying at least five feet away from one smoker and at least 20 feet away from more than one smoker, depending on the wind conditions. She also urges the reader to make their home and car smoke-free and asks people to smoke 20 feet from doors, windows, or vents to provide protection from OTS. This article is attached. 5. Kysmokefree is now on Facebook!

http://www.facebook.com/home.php?#!/pages/kysmokefree/121589417877279?ref=ts

6.

introducing John Johnson, community liaison. John has begun a new position of Community Liaison for KCSP and will serve as the first point of contact for advocates who have questions about KCSP and our resources. You can reach John at 859-323-4587 or jdjohnson@uky.edu.

Smoke-free research updates


1. Strulovici-Barel y, omberg l, omahony m, Gordon c, Hollmann c, Tilley Ae, et al. Threshold of biologic responses of the small airway epithelium to low levels of tobacco smoke. Am J Respir Crit Care Med. 2010 (in press). In New York City, individuals 18 years and older were recruited to participate in a study looking at the effects of low-level tobacco on sensitive airway tissue. Healthy non-smokers, healthy smokers and healthy individuals who were exposed to low levels of tobacco smoke were asked to give a sample from their small airway tissue and a urine sample which was used to test their nicotine and cotinine levels (markers for tobacco exposure). The investigators then looked at the 372 genes that are responsible for the addiction process and looked to see which ones were most affected by low-level tobacco use. All individuals who had been exposed to tobacco smoke showed changes in their airway tissue. 2. evans-Whipp TJ, Bond l, ukoumunne oc, Toumbourou JW, and catalano rF. The impact of school tobacco policies on student smoking in Washington State, united States and Victoria, Australia. Int J Environ Res Public Health. 2010;7(3):698-710.
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High school-age students were asked about smoke-free laws on their campus. They were asked how different factors, such as a complete prohibition on smoking on their school campus or harsh penalties, played a role in their desire not to smoke. Students who had harsher rules surrounding smoking on school grounds were more likely to think fewer of their peers smoked on campus. Overall, a combination of comprehensive smoke-free campus policies and harsher penalties for smoking may reduce the number of youth who engage in smoking.

opposition Watch
1. From the opposition Archive: A Summary of Jim Waters2005 article, Advocates of smoking bans lack sensible solutions. The Bluegrass Institutes Jim Waters article proposes the concept of charters (vs. smoke-free laws), where employers are asked to place signs in their place of business informing their clients of their smoking policy. This would allow each establishment to create an individualized smoking policy. Mr. Waters argues that this proposed solution supports the private property rights of the employers and owners. Watersproposed solution is a well-known tobacco industry tactic to derail smoke-free campaigns. Merely asking businesses to post signs does not protect all workers. Rather, it gives the illusion that government is taking action. In reality, the charter or signage proposal is no different than the status quo. To learn more about the opposition tactics of the anti-health groups in Kentucky, go to http://www.bipps.org/article.php?article_id=378.

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

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From: Sent: To: Subject:

Johnson, John D Friday, September 24, 2010 11:16 AM Johnson, John D KCSP September Community Partner Newsletter

KenTucKy cenTer For SmoKe-Free Policy

community Partner newsletter


September 2010
Smoke-free Communities: Good for People, Good for Business
Welcome to the Kentucky Center for Smoke-Free Policy (KCSP) Community Partners Newsletter! This Newsletter contains: 1. Smoke-free Policy updates update on northern Kentuckys Smoke-free initiative. updated county level Tobacco use and Policy Fact Sheets are now Available. new FDA rules will greatly restrict tobacco advertising and sales. The Air Force Surgeon General warns about e-cigarettes. Smoke-free policies should extend outdoors. Kysmoke is now on Facebook! introducing John Johnson, community liaison, KcSP. 2. Smoke-free research updates Summary of the Article, Threshold of biologic responses of the small airway epithelium to low levels of tobacco smoke. Summary of the Article, The impact of school tobacco policies on student smoking in Washington State, United States and Victoria, Australia. 3. opposition Watch

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Summary of Jim Waters article, Advocates of smoking bans lack sensible solutions. Please scroll down for more information on each topic!

Smoke-free Policy updates


1. northern Kentuckys Smoke-free law closer to reality! On September 15, by a vote of 15 to 6, the Northern Kentucky Health Department's District Board of Health voted to enforce the ordinances, if the counties approve it. http://news.cincinnati.com/apps/pbcs.dll/article?AID=/AB/20100915/NEWS0108/9160343/ 2. updated county level Tobacco use and Policy Fact Sheets are now Available.

Please visit our website (see link below) to locate your community fact sheet to check out the most recent statistics on tobacco use and smoke-free policies at the county level.

http://www.mc.uky.edu/tobaccopolicy/KCSP/UseAndPolicyFactSheets2010.HTM 3. new FDA rules will greatly restrict tobacco advertising and sales.

On June 22, 2010, a new set of regulations went into place that put severe restrictions on tobacco companies as to when and where they are able to advertise their products. These restrictions include banning Big Tobacco from entertainment venues, restricting sales in vending machines to adult-only stores and placing cigarettes behind the counter in other locations, prohibiting non-tobacco giveaways with the purchase of cigarettes and requiring that cigarettes are sold in packages of 20 or greater. If you would like to contact the FDA regarding this issue please go to: http://www.fda.gov/AboutFDA/ContactFDA/default.htm In addition, the FDA has issued warning letters concerning the manufacturing process and claims by e-cigarette companies (see link below and attached notice). The companies claim that electronic cigarettes, or e-cigarettes, are smoking cessation aides. http://www.tri-cityherald.com/2010/09/09/1161912/fda-sends-warning-letters-to-e.html The Air Force Surgeon General warns about e-cigarettes. The Surgeon General of the United States Air Force has issued a warning concerning e-cigarettes. These metal tubes look like a traditional cigarette while delivering nicotine through a refillable cartridge. The Food and Drug Administration has conducted tests that determine that e cigarettes have a similar risk to consumers as traditional cigarettes. As a result, the Surgeon General has sent out a statement that they will be treated in the same category and prohibited from being used in places where cigarettes are currently prohibited. These changes will be included in the upcoming addition of the Air Force manual on tobacco use.

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See the attached memo from the Surgeon General of the Air Force 4. Smoke-free policies should extend outdoors.

In an article published in the Lexington Herald Leader on August 16, 2010, Dr. Ellen Hahn discussed the consequences of breathing outdoor tobacco smoke. Although many smoke-free laws have been enacted in Kentucky (including the adoption of University of Kentuckys tobacco-free campus policy in November 2009), there remains concern over the health effects of breathing tobacco smoke in outdoor environments. Cigarette smoke contains over 250 harmful chemicals that can cause cancer, breathing problems as well as a host of other serious conditions. Based on the latest science on outdoor tobacco smoke, Dr. Hahn recommends staying at least five feet away from one smoker and at least 20 feet away from more than one smoker, depending on the wind conditions. She also urges the reader to make their home and car smoke-free and asks people to smoke 20 feet from doors, windows, or vents to provide protection from OTS. This article is attached. 5. Kysmokefree is now on Facebook!

http://www.facebook.com/home.php?#!/pages/kysmokefree/121589417877279?ref=ts

6.

introducing John Johnson, community liaison. John has begun a new position of Community Liaison for KCSP and will serve as the first point of contact for advocates who have questions about KCSP and our resources. You can reach John at 859-323-4587 or jdjohnson@uky.edu.

Smoke-free research updates


1. Strulovici-Barel y, omberg l, omahony m, Gordon c, Hollmann c, Tilley Ae, et al. Threshold of biologic responses of the small airway epithelium to low levels of tobacco smoke. Am J Respir Crit Care Med. 2010 (in press). In New York City, individuals 18 years and older were recruited to participate in a study looking at the effects of low-level tobacco on sensitive airway tissue. Healthy non-smokers, healthy smokers and healthy individuals who were exposed to low levels of tobacco smoke were asked to give a sample from their small airway tissue and a urine sample which was used to test their nicotine and cotinine levels (markers for tobacco exposure). The investigators then looked at the 372 genes that are responsible for the addiction process and looked to see which ones were most affected by low-level tobacco use. All individuals who had been exposed to tobacco smoke showed changes in their airway tissue. 2. evans-Whipp TJ, Bond l, ukoumunne oc, Toumbourou JW, and catalano rF. The impact of school tobacco policies on student smoking in Washington State, united States and Victoria, Australia. Int J Environ Res Public Health. 2010;7(3):698-710. High school-age students were asked about smoke-free laws on their campus. They were asked how different
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factors, such as a complete prohibition on smoking on their school campus or harsh penalties, played a role in their desire not to smoke. Students who had harsher rules surrounding smoking on school grounds were more likely to think fewer of their peers smoked on campus. Overall, a combination of comprehensive smoke-free campus policies and harsher penalties for smoking may reduce the number of youth who engage in smoking.

opposition Watch
1. From the opposition Archive: A Summary of Jim Waters2005 article, Advocates of smoking bans lack sensible solutions. The Bluegrass Institutes Jim Waters article proposes the concept of charters (vs. smoke-free laws), where employers are asked to place signs in their place of business informing their clients of their smoking policy. This would allow each establishment to create an individualized smoking policy. Mr. Waters argues that this proposed solution supports the private property rights of the employers and owners. Watersproposed solution is a well-known tobacco industry tactic to derail smoke-free campaigns. Merely asking businesses to post signs does not protect all workers. Rather, it gives the illusion that government is taking action. In reality, the charter or signage proposal is no different than the status quo. To learn more about the opposition tactics of the anti-health groups in Kentucky, go to http://www.bipps.org/article.php?article_id=378.

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

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