Madison County - Christine Green E-Mails Part 1 (E-Cigarette FOIA Request Results)

From: Owens, Kelly S (LHD - Madison Co) Sent: Thursday, April 28, 2011 9:12 AM To: Crewe, Nancy
M (LHD-Madison Co); Green, Christie L (LHD-Madison Co); Hawkins, Ruth R (LHDMadison Co); Steer, Emily (LHD-Mercer Co); Riker, Carol A; ejhahn00@email.uky.edu Subject: Public Health Focus > Regulation of E-Cigarettes and Other Tobacco Products http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm252360.htm FYIThis is the information that I found from FDA. From: Brookshire, Crystal [ Sent: Thursday, April 14, 2011 12:53 PM To: Green, Christie L (LHD-Madison Co) Subject: RE: E-Cig Ban Importance: High
I understand that the board did not have to take comments on the final reading, but since they got to give a presentation, we should have been able to give a rebuttal. Their actions were unconstitutional. Mr. Johnstone gave the rest of the board misinformation and we should have been able to correct that. Also, he never showed the board the more recent studies that we submitted. Honestly this if falling on deaf ears apparently and you should know that I and the rest of us out here that use this ARE NOT resisting, and I will continue to use my vapor stick!!
Crystal Brookshire <mailto:
disserv@eku.edu <mailto: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|/Users/Gregory%20Conley/Desktop/FOIA/Results/MadisonCounty/FOIA/email%20-%20Christie%20Green.txt[7/29/2011 10:49:11 AM]
From: Green, Christie L (LHD-Madison Co) [mailto:ChristieL.Green@ky.gov] Sent: Wednesday, April 13, 2011 6:23 PM To: Brookshire, Crystal Subject: RE: E-Cig Ban
Ms. Brookshire, I forwarded your original message on to the public health director on April 7th, as indicated in my response to you on that date.
I am sending this message at the directors request.
In making the decision to include e-cigarettes in the Clean Indoor Air Regulation, the Board of Health was following science-based recommendations from respected medical and public health organizations. Neither the American Lung Association nor the American Cancer Society recommends ENDS as a harm reduction strategy for smoking cessation. Further, public health professionals, such as the World Health Organization, caution against assuming that ENDS products are safe to users or to those around them.
The right of local boards of health to enact regulations in the interest of public health is a right that board members do not take lightly or employ often. The process of enacting or amending local public health regulations is governed by Kentucky Revised Statute. The Madison County Board of Health adhered to that process while amending the Clean Indoor Air Regulation. A first reading of the proposed amendments was conducted at the board meeting on December 1, 2010. The board opened the floor to comments that evening during the meeting.
A 30 day public comment period on the amendments was advertised beginning December 10, 2010 and ending January 11, 2011. Paid advertisements were placed in local papers, news items ran in local radio stations and in the Herald Leader, and information was posted prominently on the health department website. Comments could be submitted via the health departments internet site or via mail to the administrative offices at Boggs Lane. All comments were forwarded as written to board members for their review prior to their scheduled meeting on January 18th. At that meeting, anyone present who wished to address the board with comments about the amendment could sign in and speak. The board had discussion and agreed to hold the second and final reading at their April meeting.
The Board of Health followed all required procedures for public notice and comment regarding the changes to the regulation. It was not required to entertain comments at the final reading of proposed regulations or amendments. The April board meeting was not intended as a forum for public comment, and it was not advertised by the health department in that way. An advertisement by Vapor-Stix.Net in the Richmond Register entitled The Truth about ECigs stated that the board meeting would be the last chance to oppose the amendment. This statement may have misled supporters of e-cigarettes into expecting an opportunity to provide comment.
The vote to approve the amendments to the Clean Indoor Air Regulation is final, and the amended regulation will take
effect on June 6, 2011.
If you do feel that your civil rights have been violated, you can contact the KY Human Rights Commission to file a complaint. Their web address is http://kchr.ky.gov/ .
Respectfully Christie L. Green Development and Communications Public Information Officer Madison County Health Dept. 214 Boggs Lane Richmond, KY 40476-1208 859-623-7312 cell 859-661-0853 www.madisoncountyhealthdept.org <http://www.madison-co-ky-health.org>
From: Brookshire, Crystal [mailto: Sent: Wednesday, April 13, 2011 9:38 AM To: mchd@madisoncountyhealthdept.org Subject: E-Cig Ban Importance: High
Can you also explain to me why I have not heard a reply back since I have sent this email to you several times in a week? This explains so much to me and the situation as whole on how you handle things!
To Whom it Concerns:
I just want to say thank you for taking the time out of your busy schedules to take into consideration this issue. I will say however that I was very disappointed that our CIVAL RIGHTS were not addressed, issued, or heard! I have went to higher authorities over this issue! And believe me I WILL NOT let this die!!
I am also disappointed in the lack of evidence provided in the so called presentation by a Cardiologist who apparently knows nothing about this product! His presentation must have been put together two days before the meeting by a 6
year old! I work with Students at a College that can give better evidence and presentations than he could!! I am also displeased with the situation as a whole! I am also very, very displeased that the presentation at the end put King James in it!! Nowhere in my bible or King James era does it say anything about smoking and Electronic Cigarette for Duhh they werent invented back then, and its no different than drinking a cup of coffee, energy drink, soda, or drinking alcohol! May God have mercy on your souls for this in-judgment of this product!! For it has helped 500,000 people to quit smoking regain their lives and health back that havent been able to other wise through your Smoking Sensation classes! I know because Ive talked to these people as well! The whole MADE in CHINA is bull crap, yes they do come from China but the Juice is made in the good old USA, so this goes to show that you dont know what youre talking about, bet you didnt know that either! Hhhmm!! Your Board member Michael Oliver hit it on the nose and you still wouldnt listen, he has more sense the rest of you!
I will also let you know that I have been an avid user of the E-cig for 8 months! I have quit smoking real cigarettes since then and tried everything and wouldnt have quit otherwise! My 12 year old daughter thinks this whole thing with banning is stupid and totally supports me using this product! She hasnt been sick since Ive been using it! And if you would have given us a chance you would have seen that Larry in the wheelchair had COPD and going to the hospital for treatments on oxygen 24/7 since smoking the E-Cig over a year ago he is off his oxygen and getting his health back, along with my father who has emphysema, but oh wait you dont know that till now.hhhmm!!
I am also displeased because I had sent an email over 4 months ago to this agency and never received a reply back! This board was sent several documents that proved our claims that there is no harm to bystanders or second hand smoke but this was never shared either!! I know your system is corrupt as with other so called board, government, and agencies because apparently the person that has yelled the loudest (Cigarette companies) and others where the ones that helped get this Stupid ban passed! How much money were you paid to pass the ban? There are two sides to every story and ours wasnt heard!!
I will let you know that this BAN will be very hard to police since it is a vapor and that I can still go to the bathroom, sit at my desk, my house, and my car and other public buildings because the Vapor disappears, bet you didnt know that did you!
So I hope your decision on this was based on facts in which you didnt have and the fact that if you really care about humans as you say and want them to quit you would have done so!!
Your mission statement on your website should be changed in which none of these were considered at the meeting or in a whole!
God Bless!
disserv@eku.edu CONFIDENTIALITY NOTICE: The materials contained in this electronic transmission are private and confidential and are the property of the sender. The information contained in the material is privileged and is intended only for the use of the individual(s) or entity(ies) named above. If you are not the intended recipient, be advised that any unauthorized disclosure, copying, distribution or the taking of any action in reliance on the contents of this electronically transmitted information is strictly prohibited. If you have received this electronic transmission in error, please immediately notify the sender and delete the information.
From: Owens, Kelly S (LHD - Madison Co) Sent: Thursday, April 14, 2011 11:14 AM To: Green, Christie L (LHD-Madison Co); Hawkins, Ruth R (LHD-Madison Co) Cc: Crewe, Nancy M (LHD-Madison Co); Turner, Barbara S (LHD-Madison Co) Subject: RE: BOH Smoking Regulation Yes, this is a positive response. I am sure there will be more to come. Rod is the Tobacco Coordinator in Lincoln Trail. Bardstown and Glascow are two citis in this area that recently adopoted Indoor Air Regulations. Both included e-cigarettes. The state is all a buzz about the ammendments that have strengthend MCHR700.00 Kelly S. Owens, MPH, CHES Tobacco Prevention and Cessation Specialist Madison County Health Department ________________________________ From: Green, Christie L (LHD-Madison Co) Sent: Thu 4/14/2011 9:30 AM To: Owens, Kelly S (LHD - Madison Co); Hawkins, Ruth R (LHD-Madison Co) Cc: Crewe, Nancy M (LHD-Madison Co); Turner, Barbara S (LHD-Madison Co) Subject: FW: BOH Smoking Regulation
A message from our website contact us link.
From: Mattingly, Rodney R (LHD-Lincoln Trail Dist) [mailto:RodneyR.Mattingly@ky.gov] Sent: Thursday, April 14, 2011 9:14 AM To: mchd@madisoncountyhealthdept.org Subject: BOH Smoking Regulation
To Whom This May Concern Thank You!
As a former resident of Madison County, (who still occasionally visits and has friends there) graduate of EKU and former professional musician, I can say that this is truly a wonderful thing you have done for the citizens, workers, youth and visitors to Madison County. In the 70s & 80s Richmond was known for many things, public health was not one of those.
After all the information that has become available the last few years and the ease at which a person can find this info, it is still amazing to me that people are resistant to clean air regulation. Thank you for your leadership on this important health issue.
I leave you with this quote from an unknown author, Real leaders are ordinary people with extraordinary determination. Stay the course, and full speed ahead!
Regards, Rod Mattingly
Rod Mattingly Tobacco Program Coordinator/Lincoln Trail Health District Community Health Education Specialist Washington County Health Clinic 302 East Main Street, Springfield, Ky. 40069 ph: 859-336-3989 fax:859-336-9162 rodneyr.mattingly@ky.gov
Want to Quit? 1-800-QUIT NOW - or - http://www.becomeanex.org/
________________________________
From: Bill Walker [bwalker@nphic.org] Sent: Thursday, April 14, 2011 10:37 AM To: Region 4; Region 6 Cc: Laura Espino; Bill Walker Subject: Follow to Wednesday's anti-tobacco campaign call Thank you for participating in Wednesdays call about the new CDC anti-tobacco campaign in Region 6. Below, you will find the promised follow-up from Joel London, our presenter. Bill Walker
From: London, Joel (CDC/ONDIEH/NCCDPHP) Sent: Wednesday, April 13, 2011 5:53 PM To: Bill Walker (bwalker@nphic.org) Cc: Laura Espino (lespino@nphic.orgThis); Smith, Joseph (CDC/ONDIEH/NCCDPHP) Subject: RE: Media Campaign Heads-Up
Bill,
Thanks again for the opportunity to reach out to NPHIC members on todays call. As promised, below please find some background bullets on the campaign evaluation and two additional resources. As always, please let us know if you have any other questions.
CDC Counter Tobacco Media Campaign Evaluation: A pre-campaign survey was fielded on March 24 to assess baseline tobacco-related knowledge, attitudes, and beliefs, as well as awareness of tobacco advertisements. A post-campaign survey will be fielded on June 20 to examine changes in tobacco-related knowledge, attitudes, and beliefs, as well as awareness of tobacco advertisements. A post-buy analysis will be delivered to provide details on impressions, reach, and frequency of media buy. Measures that will be reported: o Leveraged media buys o Aided/unaided campaign awareness in funded states o Extended reach of social media
Additional Resources NCI Monograph 19: The Role of the Media in Promoting and Reducing Tobacco Use. <http://www.cancercontrol.cancer.gov/tcrb/monographs/19/index.html> Monograph 19 provides a critical, scientific review and synthesis of the current evidence regarding the power of the media, both to encourage and to discourage tobacco use. It is the most current and comprehensive summary of the scientific literature on media communication in tobacco promotion and tobacco control. Research included in the review comes from the disciplines of marketing, psychology, communication, statistics, epidemiology, and public health. All are vital to understanding how exposure to the media influences tobacco use. What Impact Have Tobacco Control Policies, Cigarette Price and Tobacco Control Program Funding Had on Australian Adolescents' Smoking? Findings Over a 15-Year Period <http://www.ncbi.nlm.nih.gov/pubmed/21401766> . Addiction (Mar 14, 2011, Epub ahead of print). Adult-directed, population-based tobacco control policies such as clean indoor air laws and increased prices of cigarettes, implemented as part of a well-funded comprehensive tobacco control program are associated with lower adolescent smoking.
Joel London, MPH, CHES Health Communications Specialist CDC, Office on Smoking and Health 4770 Buford Highway, N.E. Mailstop K-50 Atlanta, GA 30341 Press Line: 770-488-5493 Cell: 404-934-7768 jlondon@cdc.gov <blocked::mailto:jlondon@cdc.gov> www.cdc.gov/tobacco <blocked::http://www.cdc.gov/tobacco> Follow us on Twitter @ www.twitter.com/CDCTobaccoFree <http://www.twitter.com/CDCTobaccoFree> Subscribe to RSS feeds on tobacco news @ http://www.cdc.gov/tobacco/rss/index.htm <http://www.cdc.gov/tobacco/rss/index.htm> Check out CDCs Facebook page: www.facebook.com/CDCtobaccofree
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From: Brookshire, Crystal [ Sent: Thursday, April 14, 2011 7:42 AM To: Green, Christie L (LHD-Madison Co) Subject: RE: E-Cig Ban Thank you so much for all your time and consideration in this matter and getting back to me. I know I sent some harsh and mean words in my emails that I regret but I was infuriated!
Thanks,
disserv@eku.edu <mailto:disserv@eku.edu> CONFIDENTIALITY NOTICE: The materials contained in this electronic transmission are private and confidential and are the property of the sender. The information contained in the material is privileged and is intended only for the use of the individual(s) or entity(ies) named above. If you are not the intended recipient, be advised that any unauthorized disclosure, copying, distribution or the taking of any action in reliance on the contents of this electronically transmitted information is strictly prohibited. If you have received this electronic transmission in error, please immediately notify the sender and delete the information.
From: Green, Christie L (LHD-Madison Co) [mailto:ChristieL.Green@ky.gov] Sent: Wednesday, April 13, 2011 6:23 PM To: Brookshire, Crystal Subject: RE: E-Cig Ban
Ms. Brookshire, I forwarded your original message on to the public health director on April 7th, as indicated in my response to you on that date.
I am sending this message at the directors request.
In making the decision to include e-cigarettes in the Clean Indoor Air Regulation, the Board of Health was following science-based recommendations from respected medical and public health organizations. Neither the American Lung Association nor the American Cancer Society recommends ENDS as a harm reduction strategy for smoking cessation. Further, public health professionals, such as the World Health Organization, caution against assuming that ENDS
products are safe to users or to those around them.
The right of local boards of health to enact regulations in the interest of public health is a right that board members do not take lightly or employ often. The process of enacting or amending local public health regulations is governed by Kentucky Revised Statute. The Madison County Board of Health adhered to that process while amending the Clean Indoor Air Regulation. A first reading of the proposed amendments was conducted at the board meeting on December 1, 2010. The board opened the floor to comments that evening during the meeting.
A 30 day public comment period on the amendments was advertised beginning December 10, 2010 and ending January 11, 2011. Paid advertisements were placed in local papers, news items ran in local radio stations and in the Herald Leader, and information was posted prominently on the health department website. Comments could be submitted via the health departments internet site or via mail to the administrative offices at Boggs Lane. All comments were forwarded as written to board members for their review prior to their scheduled meeting on January 18th. At that meeting, anyone present who wished to address the board with comments about the amendment could sign in and speak. The board had discussion and agreed to hold the second and final reading at their April meeting.
The Board of Health followed all required procedures for public notice and comment regarding the changes to the regulation. It was not required to entertain comments at the final reading of proposed regulations or amendments. The April board meeting was not intended as a forum for public comment, and it was not advertised by the health department in that way. An advertisement by Vapor-Stix.Net in the Richmond Register entitled The Truth about ECigs stated that the board meeting would be the last chance to oppose the amendment. This statement may have misled supporters of e-cigarettes into expecting an opportunity to provide comment.
The vote to approve the amendments to the Clean Indoor Air Regulation is final, and the amended regulation will take effect on June 6, 2011.
If you do feel that your civil rights have been violated, you can contact the KY Human Rights Commission to file a complaint. Their web address is http://kchr.ky.gov/ .
Respectfully Christie L. Green Development and Communications Public Information Officer Madison County Health Dept. 214 Boggs Lane Richmond, KY 40476-1208 859-623-7312 cell 859-661-0853 www.madisoncountyhealthdept.org <http://www.madison-co-ky-health.org>
From: Brookshire, Crystal [mailto: Sent: Wednesday, April 13, 2011 9:38 AM To: mchd@madisoncountyhealthdept.org Subject: E-Cig Ban Importance: High
Can you also explain to me why I have not heard a reply back since I have sent this email to you several times in a week? This explains so much to me and the situation as whole on how you handle things!
To Whom it Concerns:
I just want to say thank you for taking the time out of your busy schedules to take into consideration this issue. I will say however that I was very disappointed that our CIVAL RIGHTS were not addressed, issued, or heard! I have went to higher authorities over this issue! And believe me I WILL NOT let this die!!
I am also disappointed in the lack of evidence provided in the so called presentation by a Cardiologist who apparently knows nothing about this product! His presentation must have been put together two days before the meeting by a 6 year old! I work with Students at a College that can give better evidence and presentations than he could!! I am also displeased with the situation as a whole! I am also very, very displeased that the presentation at the end put King James in it!! Nowhere in my bible or King James era does it say anything about smoking and Electronic Cigarette for Duhh they werent invented back then, and its no different than drinking a cup of coffee, energy drink, soda, or drinking alcohol! May God have mercy on your souls for this in-judgment of this product!! For it has helped 500,000 people to quit smoking regain their lives and health back that havent been able to other wise through your Smoking Sensation classes! I know because Ive talked to these people as well! The whole MADE in CHINA is bull crap, yes they do come from China but the Juice is made in the good old USA, so this goes to show that you dont know what youre talking about, bet you didnt know that either! Hhhmm!! Your Board member Michael Oliver hit it on the nose and you still wouldnt listen, he has more sense the rest of you!
I will also let you know that I have been an avid user of the E-cig for 8 months! I have quit smoking real cigarettes since then and tried everything and wouldnt have quit otherwise! My 12 year old daughter thinks this whole thing with banning is stupid and totally supports me using this product! She hasnt been sick since Ive been using it! And if you would have given us a chance you would have seen that Larry in the wheelchair had COPD and going to the hospital for treatments on oxygen 24/7 since smoking the E-Cig over a year ago he is off his oxygen and getting his health back, along with my father who has emphysema, but oh wait you dont know that till now.hhhmm!!
I am also displeased because I had sent an email over 4 months ago to this agency and never received a reply back! This board was sent several documents that proved our claims that there is no harm to bystanders or second hand smoke but this was never shared either!! I know your system is corrupt as with other so called board, government, and agencies because apparently the person that has yelled the loudest (Cigarette companies) and others where the ones that helped get this Stupid ban passed! How much money were you paid to pass the ban? There are two sides to every story and ours wasnt heard!!
I will let you know that this BAN will be very hard to police since it is a vapor and that I can still go to the bathroom, sit at my desk, my house, and my car and other public buildings because the Vapor disappears, bet you didnt know that did you!
So I hope your decision on this was based on facts in which you didnt have and the fact that if you really care about humans as you say and want them to quit you would have done so!!
Your mission statement on your website should be changed in which none of these were considered at the meeting or in a whole!
God Bless!
disserv@eku.edu CONFIDENTIALITY NOTICE: The materials contained in this electronic transmission are private and confidential and are the property of the sender. The information contained in the material is privileged and is intended only for the use of the individual(s) or entity(ies) named above. If you are not the intended recipient, be advised that any
unauthorized disclosure, copying, distribution or the taking of any action in reliance on the contents of this electronically transmitted information is strictly prohibited. If you have received this electronic transmission in error, please immediately notify the sender and delete the information.
From: Hensley, Martin (LHD-Madison Co ) Sent: Wednesday, April 13, 2011 12:23 PM To: Green, Christie L (LHD-Madison Co) Subject: RE: e-cig message Thanks. Ive simply created a rule that moves all messages from her to a holding folder. It has gotten sort of silly. Thanks, Marty "Breathe in. Breathe out. Move on." -Jimmy Buffett
From: Green, Christie L (LHD-Madison Co) Sent: Wednesday, April 13, 2011 10:44 AM To: Hensley, Martin (LHD-Madison Co ) Subject: e-cig message
Marty, Ive gotten with Nancy to craft a reply to this message. It will be this afternoon before I can complete it, but I will send it to you bcc when I do. cg
From: Owens, Kelly S (LHD - Madison Co) Sent: Tuesday, April 12, 2011 1:38 PM To: Crewe, Nancy M (LHD-Madison Co); Hawkins, Ruth R (LHD-Madison Co); Green, Christie L (LHDMadison Co); Kellerman, Kimberly J (LHD-Madison Co); John Johnstone Subject: Madison County BOH Regulation Attachments: image006.jpg; image002.jpg; image003.png; image004.png Importance: High
Please see messages below The state is watching us!!
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/
ky_quitline_logo_2010
P Please consider the environment before printing this e-mail
From: Cain, John H [mailto:jhcain0@email.uky.edu] Sent: Tuesday, April 12, 2011 12:38 PM To: Johnson, John D Cc: Owens, Kelly S (LHD - Madison Co) Subject: RE: Madison County BOH Regulation
As someone who recently relocated to Madison County from a KY county without a smoking ordinance as well as a healthcare provider working in Madison and the surrounding area, I am thrilled to receive this news. Please send my gratitude to members of the Madison County Board of Health.
John H. Cain, MPAS, PA-C State Co-Chair, Kentucky Action for Healthy Kids 118 Holly Hill Drive Berea, KY 40403 606-216-6302 (Mobile) 606-398-7225 (Fax)
jhcain0@uky.edu <mailto:jhcain0@uky.edu>
Farm to School. A win for kids, schools, farmers, and communities. www.farmtoschool.org <http://www.farmtoschool.org/> .
________________________________ From: Johnson, John D Sent: Tuesday, April 12, 2011 12:24 PM To: Johnson, John D Subject: Madison County BOH Regulation KCSP Partners,
I want to clarify my email from last week regarding Madison Countys Board of Health regulation. The new regulation adds e-cigarettes and hookah to the definition of smoking so that these forms of smoking are prohibited. Also, the exemption for retail tobacco stores was eliminated, so those retail stores are no longer exempt from the regulation.
If you would like to express your appreciation and support to the Madison County Board of Health, but do not have contact information for its members, Kelly Owens (KellyS.Owens@ky.gov) has agreed to pass your comments along to the board. Please send your comments to Kelly as you are able.
Thanks,
John
John D. Johnson, MA Community Liaison Kentucky Center for Smoke-free Policy University of Kentucky College of Nursing 751 Rose Street, College of Nursing 509 Lexington, Kentucky 40536-0232 859-323-4587
859-323-1057 (FAX) jdjohnson@uky.edu www.kcsp.uky.edu <https://exchange.uky.edu/owa/UrlBlockedError.aspx>
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From: Owens, Kelly S (LHD - Madison Co) Sent: Monday, April 11, 2011 1:12 PM To: Green, Christie L (LHD-Madison Co) Subject: RE: Clean Indoor Air Regulation Keep the fact sheet. -I could certainly provide criticism for their "revised version." 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/
-----Original Message----From: Green, Christie L (LHD-Madison Co) Sent: Monday, April 11, 2011 12:00 PM To: Owens, Kelly S (LHD - Madison Co); Hensley, Martin (LHD-Madison Co ) Subject: RE: Clean Indoor Air Regulation Kelly, What do you want to do with the "e-cigs fact sheet?" It continues to be a target of criticism from the e-cig advocates. Would you prefer to keep it on the page or to remove it? cg -----Original Message----From: Owens, Kelly S (LHD - Madison Co) Sent: Monday, April 11, 2011 11:26 AM To: Green, Christie L (LHD-Madison Co); Hensley, Martin (LHD-Madison Co ) Cc: Crewe, Nancy M (LHD-Madison Co); Hawkins, Ruth R (LHD-Madison Co) Subject: Clean Indoor Air Regulation
Importance: High http://www.madisoncountyhealthdept.org/CIAR.html This page needs to be updated with the most recent information. It will be important to note on the summary of the final reading that the regulation broadens the definition of smoking to include hookahs and electronic cigarettes and that it eliminates the exemption for retail tobacco stores. Eliminate the old business kit information at the bottom of the page: Regulation FAQ page Fact Sheet Where Smoking is prohibited We will replace this information with: Amended Reg (ATTACHED) NEW FAQ PAGE (BEING DEVELOPED) FACT SHEET (BEING UPDATED) The NO SMOKING SIGN WILL REMAIN THE SAME I will be sending more information as I complete. Thank you all!! Kelly S. Owens, MPH, CHES Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043 Web Address: http://www.madisoncountyhealthdept.org/ Need Help Quitting? http://www.becomeanex.org/
From: Hensley, Martin (LHD-Madison Co ) [Martin.Hensley@ky.gov] Sent: Friday, April 08, 2011 10:14 AM To: Michael Thornberry Subject: RE: Fact sheet on E-CIGARETTES Thank you for contacting the health department. I have forwarded your message to our Public Health Director. She is continuing to forward messages related to the indoor air regulation amendments to the Board of Health members. Thanks,
Martin Hensley Madison County Health Department Technical Support 214 Boggs Lane Richmond, KY 40475 Phone: (859) 626-4507 P Please consider the environment before printing this e-mail Notice of Confidentiality: This e-mail, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain confidential information that is legally privileged and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are notified that any review, use, disclosure, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies of the original message.
From: Michael Thornberry [mailto: Sent: Friday, April 08, 2011 9:38 AM To: mchd@madisoncountyhealthdept.org Subject: Fact sheet on E-CIGARETTES
Good morning,
I recently read over your document advertised as a Fact sheet on E-CIGARETTES and found that it includes inaccuracies and fallacies.
I urge your to take a look at some of the studies and lab reports that you can find at The Consume Advocates for Smoke-Free Alternatives Association <http://www.casaa.org/resources/lab.asp> . If you are not aware of them, CASAA is an organization that works to provide information to people and organizations about the alternatives to smoking in order to reduce instances of deadly cigarette use. In their own words:
CASAA is a non-profit organization that works to ensure the availability of reduced harm alternatives to smoking and to provide smokers and non-smokers alike with truthful information about such alternatives.
I found them to be an invaluable resource when I decided to quit smoking after 20 years.
Thank you for your time,
Michael Thornberry From: Owens, Kelly S (LHD - Madison Co) Sent: Tuesday, March 22, 2011 8:57 AM To: Green, Christie L (LHD-Madison Co) Cc: Hawkins, Ruth R (LHD-Madison Co) Subject: RE: Clean Indoor Air Regulation Attachments: image004.jpg; image001.jpg Thanks, Christie. It is a very good idea to acknowledge the message.
I am keeping track of these studies. If we receive anymore links via the website, please fwd them on to me.
Thanks,
Kelly S. Owens, MPH, CHES Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043 Web Address: http://www.madisoncountyhealthdept.org/ Need Help Quitting? http://www.becomeanex.org/
From: Green, Christie L (LHD-Madison Co) Sent: Tuesday, March 22, 2011 8:46 AM
To: Owens, Kelly S (LHD - Madison Co) Subject: RE: Clean Indoor Air Regulation
I agree, Kelly. I will respond as you suggest below. cg
From: Owens, Kelly S (LHD - Madison Co) Sent: Tuesday, March 22, 2011 8:45 AM To: Green, Christie L (LHD-Madison Co); Hawkins, Ruth R (LHD-Madison Co) Subject: RE: Clean Indoor Air Regulation
I dont know that we really need to respond. I suppose that it would be polite to inform Mr. Hacker that his information will be passed on to the BOH.
The co-owner of Vapor Stix has provided us with another study authored by an e-cigarette company.
Kelly S. Owens, MPH, CHES Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043 Web Address: http://www.madisoncountyhealthdept.org/
Need Help Quitting? http://www.becomeanex.org/
From: Green, Christie L (LHD-Madison Co) Sent: Tuesday, March 22, 2011 8:14 AM To: Hawkins, Ruth R (LHD-Madison Co); Owens, Kelly S (LHD - Madison Co) Subject: FW: Clean Indoor Air Regulation
Comments from the website. I have not responded to the sender. cg
From: Jerry Hacker [mailto: Sent: Monday, March 21, 2011 7:21 PM To: mchd@madisoncountyhealthdept.org Subject: Clean Indoor Air Regulation
I oppose the inclusion of electronic cigarettes into the Clean Indoor Air Regulation. E-cigs release absolutely NO toxins ... period. By doing this you are taking away one of the benefits of this fine product. If this passes you are encouraging people to stay with tobacco cigarettes because one of the reasons most switch is because they can use them were tobacco is not allowed. People will be more reluctant to to switch to a cleaner alternative if you take away one of it's greatest benefits. http://www.e-cig.org/2010/01/13/scientific-testing-verifies-electronic-cigarette-vapor-does-not-contain-carcinogenictsnas/ Thank you, Jerry Hacker From: Owens, Kelly S (LHD - Madison Co) Sent: Tuesday, March 22, 2011 8:45 AM To: Green, Christie L (LHD-Madison Co); Hawkins, Ruth R (LHD-Madison Co) Subject: RE: Clean Indoor Air Regulation Attachments: image003.jpg I dont know that we really need to respond. I suppose that it would be polite to inform Mr. Hacker that his information will be passed on to the BOH.
The co-owner of Vapor Stix has provided us with another study authored by an e-cigarette company.
Kelly S. Owens, MPH, CHES Tobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department 1001 Ace Drive Berea, KY 40403 (859) 228-2043 Web Address: http://www.madisoncountyhealthdept.org/ Need Help Quitting? http://www.becomeanex.org/
From: Green, Christie L (LHD-Madison Co) Sent: Tuesday, March 22, 2011 8:14 AM To: Hawkins, Ruth R (LHD-Madison Co); Owens, Kelly S (LHD - Madison Co) Subject: FW: Clean Indoor Air Regulation
Comments from the website. I have not responded to the sender. cg
From: Jerry Hacker [mailto: Sent: Monday, March 21, 2011 7:21 PM
To: mchd@madisoncountyhealthdept.org Subject: Clean Indoor Air Regulation
I oppose the inclusion of electronic cigarettes into the Clean Indoor Air Regulation. E-cigs release absolutely NO toxins ... period. By doing this you are taking away one of the benefits of this fine product. If this passes you are encouraging people to stay with tobacco cigarettes because one of the reasons most switch is because they can use them were tobacco is not allowed. People will be more reluctant to to switch to a cleaner alternative if you take away one of it's greatest benefits. http://www.e-cig.org/2010/01/13/scientific-testing-verifies-electronic-cigarette-vapor-does-not-contain-carcinogenictsnas/ Thank you, Jerry Hacker From: Jerry Hacker [ ] Sent: Monday, March 21, 2011 7:21 PM To: mchd@madisoncountyhealthdept.org Subject: Clean Indoor Air Regulation I oppose the inclusion of electronic cigarettes into the Clean Indoor Air Regulation. E-cigs release absolutely NO toxins ... period. By doing this you are taking away one of the benefits of this fine product. If this passes you are encouraging people to stay with tobacco cigarettes because one of the reasons most switch is because they can use them were tobacco is not allowed. People will be more reluctant to to switch to a cleaner alternative if you take away one of it's greatest benefits. http://www.e-cig.org/2010/01/13/scientific-testing-verifies-electronic-cigarette-vapor-does-not-contain-carcinogenictsnas/ Thank you, Jerry Hacker From: Farris, Leslie D (LHD-Madison Co) Sent: Monday, March 21, 2011 5:59 PM To: Green, Christie L (LHD-Madison Co) Subject: RE: E-Cigarettes and Smoke-free Policies Sounds just fine to me. Have a good evening
From: Green, Christie L (LHD-Madison Co) Sent: Monday, March 21, 2011 5:54 PM To: Hensley, Martin (LHD-Madison Co ); Farris, Leslie D (LHD-Madison Co)
Subject: FW: E-Cigarettes and Smoke-free Policies Importance: High
I think we shouldnt respond to this as web contacts. Kelly and Ruth can sort it out. I will mention it at branch chiefs in the morning to make sure that Nancy is aware of it. Thanks, cg
Christie L. Green Development and Communications Public Information Officer Madison County Health Dept. 214 Boggs Lane Richmond, KY 40476-1208 859-623-7312 cell 859-661-0853 www.madisoncountyhealthdept.org <http://www.madison-co-ky-health.org> "...what it really takes to change the world isn't so much wealth or power as creativity, determination and passion." Nicholas Kristof Please consider the environment before printing this e-mail.
NOTICE OF CONFIDENTIALITY: This e-mail, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain confidential information that is legally privileged and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are notified that any review, use, disclosure, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies of the original message.
From: Elaine Keller [mailto:ekeller@casaa.org] Sent: Monday, March 21, 2011 5:51 PM To: Owens, Kelly S (LHD - Madison Co) Cc: ejhahn00@uky.edu; Owens, Kelly S (LHD - Madison Co); board@casaa.org; mchd@madisoncountyhealthdept.org Subject: E-Cigarettes and Smoke-free Policies
Dear Ms. Owens:
The Consumer Advocates for Smoke-free Alternatives Association (CASAA) is pleased to be able to provide you with information regarding research on electronic cigarettes. CASAA is a non-profit organization that works to ensure the availability of reduced harm alternatives to smoking and to provide smokers and non-smokers alike with truthful
information about such alternatives.
The document E-cigarettes and Smoke-free Policies posted on the Madison County Health Department web site (http://www.madisoncountyhealthdept.org/Documents/Community/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 tobaccospecific nitrosamines (TSNAs) found in the liquid of a high dose cartridge are no more likely to cause cancer than the 8 nanograms of the very same TSNAs in a 21-mg Nicoderm patch. No TSNAs were detected in the vapor. There was only one potentially toxic chemical found, again in the liquid but not the vapor. However, the quantity of diethylene glycol (DEG) that the FDA measured was 0.01 ml -- thousands of times below the toxic level of 1 ml per kg. Screening for tobacco-specific impurities in the vapor was negative except for a non-toxic quantity of ?-Nicotyrine.
When you compare the lab report to statements in the press release, it becomes obvious that the FDA found nothing in the e-cigarettes tested that would endanger health. However, the Agency used inflammatory wording in its press conference to make it appear as though the using an e-cigarette is more dangerous than continuing to smoke. That is egregious behavior on the part of officials of an Agency charged with protection of public health.
Henningfield and Zaatari might suspect that e-cigarettes emit carcinogens, but the scientists who actually studied the vapor have found no carcinogens--or any other harmful substance--in vapor. One such scientist is Dr. Murray Laugesen of Health New Zealand who has been studying e-cigarettes for over four years. He states, Lacking any active ingredient or any gaseous products of combustion, the PG mist or smoke is not harmful to bystanders. More than one researcher has found that e-cigarette vapor contains only one-tenth the amount of nicotine as a puff of tobacco smoke, and most of the nicotine is absorbed by the user, rather than exhaled.
Sliemans research was conducted on smoke residue. Including bullet points that imply Sliemans study results are applicable to e-cigarette vapor is a gross misrepresentation of the science.
In 1990, there were 43.8 million smokers. Twenty years later that number stands at over 46 million smokers. The smoking prevalence statistics and the smoking cessation rates tell us quite clearly that a more effective approach is needed. In Harm Reduction in Nicotine Addiction: Helping Smokers Who Cant Quit, a 2007 report by the Tobacco
Advisory Group for the Royal College of Physicians, the authors discuss the relative harm of different nicotine products. They state that many lives could be saved and much morbidity prevented if we recommended that smokers substitute less hazardous alternatives for smoking.
All of the smoking cessation programs in existence today are based on the concept of imposing nicotine abstinence--an approach that does not work for the overwhelming majority of smokers. When used as directed, to wean down and off nicotine, the FDA-approved products have a 7% success rate at 6 months, dropping to 5% at one year, and only 2% after 20 months. (Moore D, Aveyard P, Connock, M, Wang D, Fry-Smith A, Barton P: Effectiveness and safety of nicotine replacement therapy assisted reduction to stop smoking: systematic review and 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 e-cigarettes as tobacco products.
There is no evidence that vapor presents any sort of danger to bystanders. In fact the same surveys that report exceptional rates of smoking abstinence with e-cigarette use also report that more than 90% of users are experiencing health improvements. Given that fact, how could the vapor they exhale possibly endanger the health of bystanders?
When continuing smokers see electronic cigarette users staying in a nice, climate-controlled environment while they are exiled outside to the elements, this observation can serve as a powerful incentive. They may think, Why not give e-cigarettes a try? Many e-cigarette users at first had no intention of quitting smoking. But once they began using an e-cigarette, they no longer had any urge to smoke.
CASAA has revised E-cigarettes and Smoke-free Policies to provide a more accurate picture of the scientific facts about e-cigarettes. A copy is attached. I have sent a printed copy of this document to members of the Madison County Board of Health. Feel free to contact me with any questions you might have.
Very truly yours,
Elaine Keller CASAA Vice President http://www.casaa.org <http://www.casaa.org/>
(703) 244-8692 From: Hensley, Martin (LHD-Madison Co ) Sent: Monday, March 07, 2011 9:08 AM To: Green, Christie L (LHD-Madison Co); Farris, Leslie D (LHD-Madison Co) Subject: RE: Ban on E-Cigarettes It came from the general comment link. Leslie, did you get it? Thanks, Marty "Breathe in. Breathe out. Move on." -Jimmy Buffett
From: Green, Christie L (LHD-Madison Co) Sent: Monday, March 07, 2011 9:06 AM
To: Hensley, Martin (LHD-Madison Co ) Cc: Farris, Leslie D (LHD-Madison Co) Subject: RE: Ban on E-Cigarettes
I didnt have a copy of this one in my inbox this morning. Hmm I will forward to Nancy. Theres no need to reply to Mr. Meatball. Thanks, cg
Christie L. Green Development and Communications Public Information Officer Madison County Health Dept. 214 Boggs Lane Richmond, KY 40476-1208 859-623-7312 cell 859-661-0853 www.madisoncountyhealthdept.org <http://www.madison-co-ky-health.org> "...what it really takes to change the world isn't so much wealth or power as creativity, determination and passion." Nicholas Kristof Please consider the environment before printing this e-mail.
From: Hensley, Martin (LHD-Madison Co ) Sent: Monday, March 07, 2011 8:47 AM To: Green, Christie L (LHD-Madison Co) Subject: FW: Ban on E-Cigarettes
I got it yesterday morning. Thanks, Marty "Breathe in. Breathe out. Move on." -Jimmy Buffett
From: Spicy Meatball [mailto:s Sent: Sunday, March 06, 2011 4:55 AM To: mchd@madisoncountyhealthdept.org Subject: Ban on E-Cigarettes
Ill make this short. Jack Taylor, are you THAT bored in your job? Is your work load that light for you to waste your time and the time of others? You want to ban something that releases water vapor and tries to help people stop smoking? Do you realize how utterly STUPID that is? How did you get your job without having common sense? Youre not doing any good for the community. Youre embarrassing your Dept. and yourself. Its in the news and everyone thinks youre acting like a fool. Get to work on things that matter. If you cant find things that matter then youre wasting the taxpayers money and you should resign.
Paul From: Farris, Leslie D (LHD-Madison Co) Sent: Monday, March 07, 2011 9:06 AM To: Green, Christie L (LHD-Madison Co) Subject: RE: Ban on E-Cigarettes Ok,
From: Green, Christie L (LHD-Madison Co) Sent: Monday, March 07, 2011 9:06 AM To: Hensley, Martin (LHD-Madison Co ) Cc: Farris, Leslie D (LHD-Madison Co) Subject: RE: Ban on E-Cigarettes
I didnt have a copy of this one in my inbox this morning. Hmm I will forward to Nancy. Theres no need to reply to Mr. Meatball. Thanks, cg
Christie L. Green Development and Communications Public Information Officer Madison County Health Dept. 214 Boggs Lane
Richmond, KY 40476-1208 859-623-7312 cell 859-661-0853 www.madisoncountyhealthdept.org <http://www.madison-co-ky-health.org> "...what it really takes to change the world isn't so much wealth or power as creativity, determination and passion." Nicholas Kristof Please consider the environment before printing this e-mail.
From: Hensley, Martin (LHD-Madison Co ) Sent: Monday, March 07, 2011 8:47 AM To: Green, Christie L (LHD-Madison Co) Subject: FW: Ban on E-Cigarettes
I got it yesterday morning. Thanks, Marty "Breathe in. Breathe out. Move on." -Jimmy Buffett
From: Spicy Meatball [mailto: Sent: Sunday, March 06, 2011 4:55 AM To: mchd@madisoncountyhealthdept.org Subject: Ban on E-Cigarettes
Paul From: Hensley, Martin (LHD-Madison Co )

Sent: Monday, March 07, 2011 8:47 AM To: Green, Christie L (LHD-Madison Co) Subject: FW: Ban on E-Cigarettes I got it yesterday morning. Thanks, Marty "Breathe in. Breathe out. Move on." -Jimmy Buffett
From: Spicy Meatball [mailto:spicy.meatball@live.com] Sent: Sunday, March 06, 2011 4:55 AM To: mchd@madisoncountyhealthdept.org Subject: Ban on E-Cigarettes
Paul From: Owens, Kelly S (LHD - Madison Co) Sent: Monday, February 14, 2011 8:47 AM To: Hawkins, Ruth R (LHD-Madison Co); Jordison, Lloyd (LHD-Madison Co); Magsaysay, Deborah (LHDMadison Co); Green, Christie L (LHD-Madison Co); Crewe, Nancy M (LHD-Madison Co); ejhahn00@email.uky.edu; Riker, Carol A; Robertson, Heather E [herobe2@email.uky.edu]; Centers, Irene (CHFS HPB-Health Promotions) Subject: WEKU: E-Cigarettes Spark Debate in Kentucky (2011-02-14) http://www.publicbroadcasting.net/weku/news.newsmain/article/0/1/1761704/Central.and.Eastern.Kentucky/ECigarettes.Spark.Debate.in.Kentucky From: Crewe, Nancy M (LHD-Madison Co) Sent: Monday, December 06, 2010 12:33 PM To: Hawkins, Ruth R (LHD-Madison Co); Owens, Kelly S (LHD - Madison Co) Cc: Green, Christie L (LHD-Madison Co) Subject: FW: E cigarette / Clean Air Help FYI, ladies. See previous correspondence. A couple more to come.
Nancy
Nancy M. Crewe Public Health Director Madison County Health Department 214-216 Boggs Lane P.O. Box 1208 Richmond, KY 40476-1208 859-626-4241/cell 859-200-4657 email NancyM.Crewe@ky.gov http://www.madison-co-ky-health.org/ Please consider the environment before printing this email. NOTICE OF CONFIDENTIALITY: This e-mail, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain confidential information that is legally privileged and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are notified that any review, use, disclosure, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies of the original message.
From: Information @ Penbrandt.com [mailto:info@penbrandt.com] Sent: Friday, December 03, 2010 8:07 PM To: editor@richmondregister.com; Crewe, Nancy M (LHD-Madison Co) Subject: Fw: E cigarette / Clean Air Help
Hi Monty, While youre right that trace levels of carcinogens were found in the electronic cigarette fluid, there is no evidence that any significant amount of carcinogens or other known toxic substances are present in the exhaled vapor from electronic cigarette use. I cant provide you with any documentation because this is a negative finding the lack of evidence. If any evidence is presented at the hearing purporting to show that vapor emitted by electronic cigarette users contains dangerous chemicals or carcinogens, I would like to hear about it so that I can assess the validity of that information. All I can say is that I am not aware of any such information at the present time. Mike
Michael Siegel, MD, MPH Professor

Department of Community Health Sciences Boston University School of Public Health 801 Massachusetts Avenue, 3rd Floor Boston, MA 02118
From: Information @ Penbrandt.com Sent: Friday, December 03, 2010 3:07 PM To: Siegel, Michael Subject: E cigarette / Clean Air Help
Michael Siegel, MD, MPH Depart of Community Health Services Boston University School of Public Health 617-638-5167
Hello Dr. Siegel,
We are a group of citizens of Madison County, Kentucky.
Our county Board of Health passed a smoking ban a little over two years ago to prohibit smoking indoors at public places.
They have now had a 1st reading of a ordinance to include E-cigarettes in this ban.
They are basing there decision on the FDA report that carcinogens exist in the fluid from the E-cigs. However, they only have power to enact this ordinance if these "chemicals or carcinogens" exist in the 2nd hand vapor emitted from these devices.
We are looking for information to whether these devices have been proven to have these things in the 2nd hand vapor that would warranty including them in the "clean air" ban.
Can you please advise?
Many of us have quit smoking regular cigarettes with these E cigarettes, and know of several HUNDRED households in this county that are now smoke-free because of them. Our concern is that if they include this in the ban, then many of those who have left regular cigarettes for the E cigarettes will return to smoking regular cigarettes.
Sincerely,
Monty R. Pennington of behalf of Concerned Citizens of Madison County, Kentucky
From: Crewe, Nancy M (LHD-Madison Co) Sent: Monday, December 06, 2010 12:33 PM To: Hawkins, Ruth R (LHD-Madison Co); Owens, Kelly S (LHD - Madison Co) Cc: Green, Christie L (LHD-Madison Co) Subject: FW: E cigarette / Clean Air Help FYI, ladies. See previous correspondence.
Nancy
Nancy M. Crewe Public Health Director Madison County Health Department 214-216 Boggs Lane P.O. Box 1208 Richmond, KY 40476-1208 859-626-4241/cell 859-200-4657 email NancyM.Crewe@ky.gov http://www.madison-co-ky-health.org/ Please consider the environment before printing this email.
NOTICE OF CONFIDENTIALITY: This e-mail, including any attachments, is intended only for the use of the individual or entity to which it is addressed and may contain confidential information that is legally privileged and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are notified that any review, use, disclosure, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies of the original message.
Monty R. Pennington Penbrandt Prehistoric Artifacts http://www.penbrandt.com ----- Original Message ----From: Thomas Kiklas inLife Media <mailto:tkiklas@myinlife.com> To: Information @ Penbrandt.com <mailto:info@penbrandt.com> Sent: Friday, December 03, 2010 3:35 PM Subject: Re: E cigarette / Clean Air Help
Mr. Pennington,
Thank for your email and concern. We at inLife have committed a great deal of time and resources to bring to the public and legislative bodies the science and experiences of our e-cig clients. There are now over 500,000 e-cig users in the U.S. and over 20+ scientific studies on the constituents of the a-cig. In not one study (inclusive of the FDA's 4/22/09 study) have there ever any single ingredient or combination of ingredients that are at any levels harmful to humans. You reference in your email that "the FDA report that carcinogens exist in the fluid from the E-cigs". This report by the FDA has been greatly criticized by many Tobacco Harm Researchers and scientists as being alarmist and devoid of any scientific merit and I direct to this rebuttal from our industry website that should help you dispel false claims of harmful or toxic levels of ingredients in the e-cig: http://truthaboutecigs.com/scares_2.php
Please review the website www.truthaboutecigs.com 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 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
Mr. Pennington:
The bit of information left out of the FDA report on E-cigarettes is that the concentration of carcinogens in the Ecigarette 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 CoChair 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
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
From: Brad Rodu <mailto:brad.rodu@louisville.edu> To: Information @ Penbrandt.com <mailto:info@penbrandt.com> Sent: Friday, December 03, 2010 3:50 PM Subject: Re: E cigarette / Clean Air Help
Monty,
Thanks for your message. I strongly support the availability of electronic cigarettes as vastly safer alternatives for smokers, and I believe that use of the devices in public places has virtually no impact on non-vapers. However, there is no scientific evidence that informs your question: Do "chemicals or carcinogens" exist in the 2nd hand vapor emitted from these devices? We cannot underestimate the technology that makes it possible to measure vanishingly small and insignificant quantities of putative contaminants, but I do not know of any published studies that address this issue.
I understand that many former smokers in Madison County are dependent on e-cigarettes to stay smoke-free. But I am a bit skeptical about your statement that a public indoor ban on 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 ecigarettes were banned.
This is a difficult issue. Please don't hesitate to contact me if you need any other information.
Best regards,
Brad Rodu Professor of Medicine Endowed Chair, Tobacco Harm Reduction Research University of Louisville Room 208 Clinical Translational Res. Bldg. 505 South Hancock Street Louisville, KY 40202 Phone: 502-852-7793 Fax: 502-852-7979 Email: brad.rodu@louisville.edu www.smokersonly.org <http://www.smokersonly.org/> http://rodutobaccotruth.blogspot.com <http://rodutobaccotruth.blogspot.com/>
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 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: 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

Madison County - Christine Green E-Mails Part 1 (E-Cigarette FOIA Request Results)

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Madison County - Christine Green E-Mails Part 1 (E-Cigarette FOIA Request Results)

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From: Owens, Kelly S (LHD - Madison Co) Sent: Thursday, April 28, 2011 9:12 AM To: Crewe, Nancy

Crystal Brookshire <mailto:

file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/MadisonCounty/FOIA/email%20-%20Christie%20Green.txt[7/29/2011 10:49:11 AM]

I am sending this message at the directors request.

effect on June 6, 2011.

file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/MadisonCounty/FOIA/email%20-%20Christie%20Green.txt[7/29/2011 10:49:11 AM]

Crystal Brookshire <mailto:

file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/MadisonCounty/FOIA/email%20-%20Christie%20Green.txt[7/29/2011 10:49:11 AM]

A message from our website contact us link.

To Whom This May Concern Thank You!

Regards, Rod Mattingly

Want to Quit? 1-800-QUIT NOW - or - http://www.becomeanex.org/

file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/MadisonCounty/FOIA/email%20-%20Christie%20Green.txt[7/29/2011 10:49:11 AM]

Crystal Brookshire <mailto:

I am sending this message at the directors request.

products are safe to users or to those around them.

file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/MadisonCounty/FOIA/email%20-%20Christie%20Green.txt[7/29/2011 10:49:11 AM]

file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/MadisonCounty/FOIA/email%20-%20Christie%20Green.txt[7/29/2011 10:49:11 AM]

Crystal Brookshire <mailto:

Please see messages below The state is watching us!!

P Please consider the environment before printing this e-mail

859-323-1057 (FAX) jdjohnson@uky.edu www.kcsp.uky.edu <https://exchange.uky.edu/owa/UrlBlockedError.aspx>

clip_image001 <http://www.kcsp.uky.edu/> Find kysmokefree on Twitter_button2small <http://twitter.com/kysmokefree> and facebook_button2small <http://www.facebook.com/pages/kysmokefree/121589417877279?ref=ts>

P Please consider the environment before printing this e-mail

P Please consider the environment before printing this e-mail

Thank you for your time,

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P Please consider the environment before printing this e-mail

I agree, Kelly. I will respond as you suggest below. cg

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

file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/MadisonCounty/FOIA/email%20-%20Christie%20Green.txt[7/29/2011 10:49:11 AM]

P Please consider the environment before printing this e-mail

Comments from the website. I have not responded to the sender. cg

P Please consider the environment before printing this e-mail

Comments from the website. I have not responded to the sender. cg

file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/MadisonCounty/FOIA/email%20-%20Christie%20Green.txt[7/29/2011 10:49:11 AM]

To: mchd@madisoncountyhealthdept.org Subject: Clean Indoor Air Regulation

Subject: FW: E-Cigarettes and Smoke-free Policies Importance: High

Dear Ms. Owens:

information about such alternatives.

Very truly yours,

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

Paul From: Hensley, Martin (LHD-Madison Co )

Michael Siegel, MD, MPH Professor

Hello Dr. Siegel,

We are a group of citizens of Madison County, Kentucky.

file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/MadisonCounty/FOIA/email%20-%20Christie%20Green.txt[7/29/2011 10:49:11 AM]

Can you please advise?

Monty R. Pennington of behalf of Concerned Citizens of Madison County, Kentucky

file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/MadisonCounty/FOIA/email%20-%20Christie%20Green.txt[7/29/2011 10:49:11 AM]

file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/MadisonCounty/FOIA/email%20-%20Christie%20Green.txt[7/29/2011 10:49:11 AM]

There is no reason to suspect that E-cigarette vapor might be harmful to others.

file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/MadisonCounty/FOIA/email%20-%20Christie%20Green.txt[7/29/2011 10:49:11 AM]

file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/MadisonCounty/FOIA/email%20-%20Christie%20Green.txt[7/29/2011 10:49:11 AM]

http://www.youtube.com/watch?v=EsGPoJz95Wc Thank you, Jerry Hacker

file:///C|/Users/Gregory%20Conley/Desktop/FOIA/Results/MadisonCounty/FOIA/email%20-%20Christie%20Green.txt[7/29/2011 10:49:11 AM]

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