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From: "Oberg, Donna" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 9/1/2010 10:19:40 AM Subject: FW: NEWSALERT: Tobacco Use Prevention and Control-September 2010
fyi

From: National Association of Local Boards of Health [mailto:nalboh@nalboh.org] Sent: Wednesday, September 01, 2010 5:15 AM To: Oberg, Donna Subject: NEWSALERT: Tobacco Use Prevention and Control-September 2010
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In This Issue New Resources Available New Resources Available NALBOH News and Events

Tobacco Use Prevention and Control NEWSALERT


September 2010

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NALBOH News and Events

New Resources Available

Click here to view

The Centers for Disease Control and Prevention have released three new Morbidit and Mortality Weekly Reports Tobacco Use Among Middle and High School Students-United States, 2000 2009 Smoking in Top-Grossing Movies-United States, 1991--2009 Any Tobacco Use in 13 States-Behavioral Risk Factor Surveillance System, 2008 The Tobacco Control Legal Consortium has released their latest edition of Legal Update. Study shows secondhand smoke changes an individual's genes. The Campaign for Tobacco-Free Kids has released four updated fact sheets: Secondhand Smoke, Kids and Cars State Cigarette Excise Tax Rates and Rankings State Cigarette Tax Rates and Rank, Date of Last Increase, Annual Pack Sales & Revenue, and Related Data State Excise Tax Rates for Non-Cigarette Tobacco Products Tobacco Headlines Local Smoke-Free News Bismarck, ND City Commission/Board of Health approves smoking ban for pubs, smoke houses, and truck stops.

San Antonio, TX City Council approves stricter smoking ban for bars, restaurants, comedy clubs, pool and bingo halls, zoos, and within 20 feet of outdoor public trans stations. Brentwood, MO Board of Aldermen approves smoking ban for indoor public places. Maryville, MO City Council passes clean indoor air policy for workplaces.

Branson, MO Board of Aldermen approves ban on tobacco products in city-owne buildings, vehicles, and offices. Davis County, UT Board of Health approves policy stating hookah bars are in violation of Utah Clean Indoor Air Act.

San Francisco, CA Board of Supervisors considers ban on tobacco product sales i grocery stores with on-site pharmacies. Other Tobacco Headlines

Legacy is announcing its Call for Nominations for the 2010 Community Activist Award recognizing an individual's outstanding contribution to tobacco prevention an cessation at the community level. Nominations due September 17, 2010.
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E-cigarette distributor, Smoking Everywhere, has agreed to halt sales in Oregon. More Americans favoring restaurant smoking bans according to latest USA Today/Gallup telephone poll. NALBOH News and Events

Attention: Missouri, Utah, Idaho, Nebraska, North Carolina, Kentucky, and Iowa NALBOH's Tobacco Use Prevention and Control program is currently developing state-specific webinars and roundtable discussions that will detail funding recommendations and policies and how you can advocate in your state for tobacco prevention and control. Register to attend the webinar on September 16, 2010 at 3 P.M. EDT

NALBOH's 18th Annual Conference was its largest ever! NALBOH would like to thank its attendees, exhibitors, and sponsors for making the 2010 conference a hug success. View the keynote presentations below and mark your calendar for September 7-9, 2011 to attend the 19th Annual Conference in Coeur d'Alene, Idaho! Kyu Rhee, MD, MPP, FAAP, FACP Richard Hamburg, MPA Judith A. Monroe, MD, FAAP NALBOH has released its newest series of documents entitled, Public Health Snapshots By State. By January, 2011 every state's public health snapshot will be available.

Need More Information? Tricia Valasek, MPH Project Director-Tobacco Use Prevention and Control National Association of Local Boards of Health 1840 East Gypsy Lane Road Bowling Green, OH 43402 Phone: (419) 353-7714 Fax: (419) 352-6278 Email: tricia@nalboh.org
Copyright 2010, National Association of Local Boards of Health
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National Association of Local Boards of Health | 1840 East Gypsy Lane Road | Bowling Green | OH | 43402

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From: To: Date: Subject:

"Coppage, William \(CDC/ONDIEH/NCCDPHP\) \(CTR\)" <wic5@cdc.gov> undisclosed-recipients <undisclosed-recipients:;> 9/1/2010 11:06:17 AM Office on Smoking and Health Media Network September 2010 E-Bulletin Office on Smoking and Health Media Network September 2010 E-Bulletin

Note: The monthly E-bulletins are posted on the OSH State Information Forum. Go to <Media Network Minutes and Materials>, click on the folder <2010 Media Network E-bulletins>, then scroll down. CONFERENCES/TRAININGS/EVENTS Economics of Smoke-free Air Policy Web-cast. The TTAC/TCN web-cast will be held September 15, 2010, 3 p.m. ET Registration closes September 8, 2010. This webinar provides an overview of the benefits to the business community that result from comprehensive smoke-free air laws. Smoking Cessation: the Economic Benefits Preview Webinar. The American Lung Association will soon release state-by-state data on the economic benefits of helping people quit smoking. Click on this link to attend a preview webinar on September 8, 2010, 12:00 pm ET. Audio is through the computer, turn on the speakers before logging on. Conference Presentations Posted Online. Presentations from the national conference, Promising Practices: Achieving Health and Social Equity in Tobacco Control held in New Orleans, LA, April 27-28, 2010 are now available online. EVALUATION: Counter-Marketing or Media Analysis The Influence of Liking for Antismoking PSAs on Adolescents' Smoking-related Behavioral Intentions. Health Communication (July 2010). PSA liking appears to be an important predictor of smoking intentions for never smokers, whereas perceived argument strength strongly predicts quitting intentions for current smokers. Smoking in Top-Grossing Movies United States, 19912009. Morbidity and Mortality Weekly Report (August 20, 2010). An analysis of top-grossing movies from 1991-2009 found that, although depictions of tobacco use have declined in recent years, more than half of movies rated PG-13 still contained tobacco imagery in 2009. Determinants of Participation and Response Effort in Web Panel Surveys. Journal of Interactive Marketing (August 2010). These findings provide useful insights to researchers using web panels, and point out limitations with using strictly demographics-based weighting schemes when selecting web panels. FDA The FDA Center for Tobacco Products (CTP) has posted two positions, applications close September 7, 2010. 1. Supervisory, Health Communication Specialist: Director of the Strategic Partnerships and Alliances team of the Office of Health Communication and Education at the CTP: All sources track posting Merit Promotion Track posting 2. Supervisory, Health Communication Specialist: Director of the Public and Media Relations team of the Office of Health Communication and Education at CTP: All Sources Track posting Merit Promotion Track posting Tobacco Retailer Compliance Training Sessions. The FDA has announced dates of the remaining four live
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training sessions on federal tobacco regulations in September 2010 in Atlanta, GA, Chicago, IL, Dallas, TX, and Los Angeles, CA. There is no cost to attend. Tobacco retailers are encouraged to attend in person or participate by phone or webcast. CTP Stakeholder Discussion Series. The FDA has announced locations and tentative dates for the first round of the Centers Stakeholder Discussion Series. Each session, moderated by an expert facilitator, will focus on topics specific to the primary stakeholder community present. MARKETING/COMMUNICATIONS CAMPAIGNS

Become an EX iPhone Application. Legacy and Apperian Inc. have developed an application for iPhone to help smokers who want to quit on the go with their Become an EX program. OTHER PRODUCTS: Smokeless, Cigars, Hookahs, e-Cigarettes, etc.

Oregon AG Squashes Electronic Cigarettes in State. KATU.com (August 9, 2010). Oregon Attorney General John Kroger announced agreements Monday, August 9, 2010, with Florida-based Smoking Everywhere Inc. and its president, Elico Taieb, prohibiting the sale and distribution of its electronic cigarettes in Oregon. RESOURCES: General Media/Communications

Mobile to Outpace Internet Growth. Media Post: Media Daily News (August 17, 2010). A new report from Nielsen Wire indicates that mobile media will significantly outpace the Internet and other traditional media platforms -- especially in emerging and faster growth economies. Twitter Users Get Up Close and Personal With Brands. Media Post: Research Brief (August 19, 2010). A new study by ExactTarget finds consumers who are active on Twitter are three times more likely to impact a brand's online reputation through syndicated Tweets, blog posts, articles and product reviews than the average consumer. RESOURCES: Tobacco-Related

Legacy Site on Menthol. Legacy has launched a website to provide accurate and independent information about menthol and the potential consequences of a menthol ban. The site includes a link to the Lorillard Tobacco Company site on menthol. Legal Update Newsletter. The latest issue of the Legal Update, the newsletter of the Tobacco Control Legal Consortium, is now available. Three updated factsheets are available from the Campaign for Tobacco Free Kids on point-of-purchase or retailer-based marketing of tobacco products: 1. Tobacco Marketing that Reaches Kids: Point of Purchase Advertising and Promotions 2. Tobacco Company Marketing to Kids 3. The Impact of the New FDA Tobacco Law on State Tobacco Control Efforts License to Kill? Tobacco Retailer Licensing as an Effective Enforcement Tool. This new publication from the Tobacco Control Legal Consortium focuses on laws that require special licenses for businesses selling tobacco products. SECONDHAND SMOKE (SHS)/CLEAN INDOOR AIR (CIA)

Secondhand Smoke in Alfresco Areas. Health Promotion Journal of Australia (August 2010). Smoking increases particulate matter (PM2.5) concentrations in outdoor areas to levels that are potentially hazardous to health. Secondhand Smoke Seepage into Multi-Unit Affordable Housing. New publication from the Tobacco Control Legal Consortium that looks at the legal, procedural and health aspects for adopting smoke-free policies
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in public housing. TARGET POPULATION: African American African American Primary Care Physicians' Perceptions and Practices Regarding Smoking Cessation Therapy. Journal of the National Medical Association (July 2010). An examination of African American primary care physicians' perceptions and practices regarding smoking cessation counseling. TARGET POPULATION: Asian/Pacific Islander American Online Recruitment of Targeted Populations: Lessons Learned From a Cessation Study Among Korean Americans (KA). Social Marketing Quarterly (September 2010). This article describes the realworld experience recruiting 1,261 KA participants, primarily through online methods. Paid online advertising was essential to the recruitment effort. TARGET POPULATION: Disadvantaged/Low SES Two documents from Washington State Tobacco Prevention and Control Program that provide helpful insights into reducing tobacco-related disparities among those living in poverty. The documents are available on the Break Free Alliance's website. For more information, please contact David Harrelson at (360) 236-3685. 1. Innovative Approaches to Reducing the Burden of Tobacco Use Among Low SES Populations and; 2. Health Equity for All: A Leadership Summit to Reduce the Burden of Tobacco Use Among Low SES Populations Listen to Dr. Travis Baggett, Fellow of General Internal Medicine at the Massachusetts General Hospital, give an interview about a paper he co-authored on cigarette smoking in a national sample of Health Care for the Homeless clinic users. Partner Smoking Characteristics: Associations with Smoking and Quitting Among Blue-collar Apprentices. American Journal of Industrial Medicine (August 18, 2010, Epub ahead of print). Results suggest that smoking cessation interventions that include partner support might improve cessation among bluecollar smokers. TARGET POPULATION: Hispanics/Latinos The Latino Digital Divide: The Native Born versus The Foreign Born." Pew Hispanic Center (July 28, 2010). 85% of U.S.-born Hispanics use the Internet and 80% use cell phones. Compare this to foreign-born Hispanics where Internet usage currently stands at 51% and cell phone usage at 72%. TARGET POPULATION: Lesbian/Gay/Bi-Sexual/Transgendered (LGBT) Coming Out about Smoking: Tobacco Use in the LGBTQ Young Adult Community. This new report by the National Youth Advocacy Coalition explores the reasons why sexual minority youth smoke and suggests strategies for prevention. TARGET AUDIENCE: OLDER ADULTS Older Adults and Social Media. Pew Internet and American Life Project (August 27, 2010). While social media use has grown dramatically across all age groups, older users have been especially enthusiastic over the past year about embracing new networking tools. TARGET POPULATION: Tobacco Users
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Any Tobacco Use in 13 States Behavioral Risk Factor Surveillance System (BRFSS), 2008. Morbidity and Mortality Weekly Report (August 6th, 2010). New analyses on 2008 BRFSS data in 13 states estimating the prevalence of any tobacco and polytobacco use. Psychosocial Characteristics of Smokers Interested in Quitting. Journal of Health Psychology (July 14, 2010, Epub ahead of print). Lower depressive symptoms and more positive partner or friend support to quit predicted a greater likelihood of quitting. TARGET POPULATION: Women and Girls

Postpartum Smoking Abstinence. Health Promotion Practice (August 18, 2010, Epub ahead of print). Women's narratives described the process of postpartum smoking abstinence. Concern for their childs health was a primary factor for abstinence. Women and the Web. Media Post: Research Brief (August 5, 2010). According to a comScore study, Women on the Web: How Women are Shaping the Internet, social networking sites reach a higher percentage of women than men globally. TARGET POPULATION: Youth/Young Adults

Tobacco Use Among Middle and High School StudentsUS, 20002009. Morbidity and Mortality Weekly Report (August 27, 2010). From 2000 to 2009, the prevalence of current tobacco use and experimentation declined for middle school and high schools students; however, for most tobacco use measures, no significant declines were noted from 20062009. Student Smoking Identities and Behavior: Evidence of Discrepancies. Western Journal of Nursing Research (June 2010). Results indicate discrepancy between smoking identity and cigarette use among college students. Twenty percent of students who smoked in the past 30 days self-identified as nonsmokers. Defining "Smoker": College Student Attitudes and Related Smoking Characteristics. Nicotine and Tobacco Research (July 30, 2010, Epub ahead of print). College students use a broad range of criteria to define who is a smoker. These criteria impact how motivated students are to quit smoking and their perception of needing to "quit smoking." TOBACCO CESSATION

Medicaid Toolbox. This North American Quitline Consortium (NAQC) resource provides information and examples for understanding the current environment, expanding cessation benefits in the Medicaid program, and gaining reimbursement for quitline services to Medicaid members. NAQC Policy Playbook Updated. The NAQC Policy Playbook focuses on promoting quitline services to smokers following the enactment of new smokefree laws or the implementation of tobacco tax increases. TOBACCO MARKETING/ADVERTISING/PROMOTION

Media Exposure and Tobacco, Illicit Drugs, and Alcohol Use among Children and Adolescents: A Systematic Review. Substance Abuse (July 2010). The evidence was strongest for links between media exposure and tobacco use. A Longitudinal Study of Exposure to Retail Cigarette Advertising and Smoking Initiation. Pediatrics (August 2010). Teens' exposure to cigarette advertising at retail outlets substantially increases the odds they will start smoking. Perceptions of Smoking Prevalence by Youth in Countries With and Without a Tobacco Advertising Ban. Journal of Health Communication: International Perspectives (September 2010). Children's exposure to cigarette advertising leads them to overestimate the prevalence of smoking. How Do Tobacco Retail Displays Affect Cessation Attempts? Findings from a Qualitative Study. Tobacco Control (August 2010). Tobacco products had high visibility, and elicited emotional and physical reactions that created on-going temptation, complicated cessation attempts and stimulated impulse purchases.
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Connecting World Youth with Tobacco Brands: YouTube and the Internet Policy Vacuum on Web 2.0. Tobacco Control (Published Online First 25 August 2010). Pro-tobacco videos have a significant presence on YouTube, consistent with indirect marketing activity by tobacco companies or their proxies. TOBACCO INDUSTRY WATCH

New Types of Smokeless Tobacco Present Growing Risks for Youth. The Nations Health (August 2010). While such products have yet to catch on in a significant way in the US, public health advocates warn not to underestimate the influence of tobacco marketing, especially in regard to young people. Analysis - Tobacco floats new products but relies on pricing. Rueters (August 26, 2010). Focusing on cigarette prices does not prevent tobacco companies from trying to increase sales volume overall, which has led to the appearance of snus in convenience stores and gas stations.

Information and links to non-Federal organizations are provided solely as a service to Media Network Members. Links do not constitute an endorsement of any organization by CDC or the Federal Government, and none should be inferred. CDC is not responsible for the content of the individual organization found at non-Federal links.

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From: To: Date: Subject:

"Zilar, Christopher" <CZilar@spokanecounty.org> "Neal, Scott" 9/7/2010 12:42:11 PM RE: King County Board of Health: Housing resolution and SIPP code revisions

Scott, Are you planning to send FDA a comment regarding dissolvables?


Christopher P. Zilar, Program Manager Breast, Cervical and Colon Health Tobacco Prevention and Control Spokane Regional Health District 1101 W. College Ave., Suite 401 Spokane, WA 99201 (509) 324-1538 mailto:czilar@spokanecounty.org www.srhd.org

Public Health - Always working for a safer and healthier community


CONFIDENTIALITY NOTICE: This email and any attachments are for the sole use of the intended recipient(s) and may contain proprietary, confidential, or privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited and may be a violation of law. If you are not the intended recipient or a person responsible for delivering this message to an intended recipient, please contact the sender by reply email and destroy all copies of the original message.

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Tuesday, September 07, 2010 7:53 AM To: Zilar, Christopher Cc: Scholer, Julie; Panerio, Krista; Davis, Paul A (DOH) Subject: RE: King County Board of Health: Housing resolution and SIPP code revisions Hi Christopher, Thanks for your comments. I agree that the increase in civil penalty is a bit of a wild card, but our Prosecuting Attorney's Office has found at least one case in which something similar was done so they feel somewhat confident that might hold water if ever challenged. Given this is only for Event Venues of 1,000 or more people, it is probably less likely to get challenged too. You also bring up a good point regarding the fees for inspections increasing over time. We did not include that in our draft language, but probably should have put in an every year or every two year term. Although our fees don't really kick in until someone has been found in violation 2 times or more, so hopefully the threat of fines AND fees will keep them in line. :) If this becomes a problem, we will end up having to go back ot the BOH to revise this. I am in an all day retreat today, but want to touch base with you tomorrow if possible. I would like to start talking about how we might be able to to work together on our next BOH action planned for December. As I mentioned before, the focus of that one is around youth access issues...especially other tobacco products that are flavored and e-cigs. It would be great if we could get both our counties to adopt similar language at the same time and if other counties wanted to join forces, all the better! I'll give you a call tomorrow to catch up. Thanks Scott

From: Zilar, Christopher [mailto:CZilar@spokanecounty.org] Sent: Wednesday, September 01, 2010 8:40 PM To: Neal, Scott Cc: Scholer, Julie; Panerio, Krista; Davis, Paul A (DOH) 8_19_2011

Page 2 Subject: RE: King County Board of Health: Housing resolution and SIPP code revisions

Scott, I like what you are trying to do. Clarifying public places and places of employment seems like an advantageous strategy. My opinion is that the increase in civil penalties will not be successful if challenged in court, but I am glad you have it in there. If it withstands a challenge, then we can all jump on board and do the same thing. The graduated reinspection fee protocol that we use has worked well for us and I think its a good idea to add it to your protocol. My only question is this: if your costs to administer enforcement activities continue to rise, will you have to present new resolutions to the board each year to change the fees? Our board annually (usually July) adopts a fee schedule that encompasses the fees from every program in our agency. This way, they can be more efficient with regards to fee changes. The down side is that we can only change our fees once per year during our annual fee schedule assessment. So, if our costs suddenly increase, we have to wait until July to make changes. Scott, I am very thankful for your forward-thinking. I am especially grateful that you coordinated a statewide discussion about these issues. I agree with you that if all our local jurisdictions do the same things at the same time, it will be noticed at the state level, which in turn could have long term benefits statewide. With tremendous respect,
Christopher P. Zilar, Program Manager Breast, Cervical and Colon Health Tobacco Prevention and Control Spokane Regional Health District 1101 W. College Ave., Suite 401 Spokane, WA 99201 (509) 324-1538 mailto:czilar@spokanecounty.org www.srhd.org

Public Health - Always working for a safer and healthier community


CONFIDENTIALITY NOTICE: This email and any attachments are for the sole use of the intended recipient(s) and may contain proprietary, confidential, or privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited and may be a violation of law. If you are not the intended recipient or a person responsible for delivering this message to an intended recipient, please contact the sender by reply email and destroy all copies of the original message.

From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Wednesday, September 01, 2010 1:20 PM To: Hamilton, Joy; Ross-Viles, Sarah; Neal, Scott; Zilar, Christopher; pwesselestes@shd.snohomish.wa.gov; fdibiase@tpchd.org; terry.reid@doh.wa.gov; paul.davis@doh.wa.gov; juliep@chef.org; Hyde, Jonnie; dsmith@alaw.org; Cross, Theresa; apeterson@shd.snohomish.wa.gov Cc: Scholer, Julie; Pearson, Anne; Apa, James Subject: King County Board of Health: Housing resolution and SIPP code revisions

Greetings colleagues, Here are the proposed revisions to the current BOH code regarding smoking in public places and places of employment that include: 1. Establish new definitions for "director" (of the Seattle-King County Department of Public Health), "employee," "employer," and "large event venue"; 2. Establish criteria for determining that a portion of a building other than a private residence is "open to the public";
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3. Increase the civil penalties for violations at "large event venues" from $100 per violation to $100 for every one thousand persons lawfully permitted to assemble at the venue, per violation; and 4. Establish graduated reinspection fees to defray the administrative costs of repeat inspections to verify compliance at public places and places of employment where violations are found.

<<BOH Code 19.03 final revisions.doc>>

This is now public information (available at: http://kingcounty.gov/council/clerk/ordinances_advertised.aspx ) but it would be best if you keep this information internal until the BOH meeting September 16th. Please let us know if you have any questions. We will send on the Housing Resolution finalized language late next week once it has been shared with the BOH members. Thanks, Joy Hamilton, MPH CPPW Tobacco Policy and Advocacy Manager Public Health - Seattle & King County 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382

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From: To: Date: Subject:

"Neal, Scott" "Zilar, Christopher" <CZilar@spokanecounty.org> 9/7/2010 10:52:30 AM RE: King County Board of Health: Housing resolution and SIPP code revisions

Hi Christopher, Thanks for your comments. I agree that the increase in civil penalty is a bit of a wild card, but our Prosecuting Attorney's Office has found at least one case in which something similar was done so they feel somewhat confident that might hold water if ever challenged. Given this is only for Event Venues of 1,000 or more people, it is probably less likely to get challenged too. You also bring up a good point regarding the fees for inspections increasing over time. We did not include that in our draft language, but probably should have put in an every year or every two year term. Although our fees don't really kick in until someone has been found in violation 2 times or more, so hopefully the threat of fines AND fees will keep them in line. :) If this becomes a problem, we will end up having to go back ot the BOH to revise this. I am in an all day retreat today, but want to touch base with you tomorrow if possible. I would like to start talking about how we might be able to to work together on our next BOH action planned for December. As I mentioned before, the focus of that one is around youth access issues...especially other tobacco products that are flavored and e-cigs. It would be great if we could get both our counties to adopt similar language at the same time and if other counties wanted to join forces, all the better! I'll give you a call tomorrow to catch up. Thanks Scott

From: Zilar, Christopher [mailto:CZilar@spokanecounty.org] Sent: Wednesday, September 01, 2010 8:40 PM To: Neal, Scott Cc: Scholer, Julie; Panerio, Krista; Davis, Paul A (DOH) Subject: RE: King County Board of Health: Housing resolution and SIPP code revisions

Scott, I like what you are trying to do. Clarifying public places and places of employment seems like an advantageous strategy. My opinion is that the increase in civil penalties will not be successful if challenged in court, but I am glad you have it in there. If it withstands a challenge, then we can all jump on board and do the same thing. The graduated reinspection fee protocol that we use has worked well for us and I think its a good idea to add it to your protocol. My only question is this: if your costs to administer enforcement activities continue to rise, will you have to present new resolutions to the board each year to change the fees? Our board annually (usually July) adopts a fee schedule that encompasses the fees from every program in our agency. This way, they can be more efficient with regards to fee changes. The down side is that we can only change our fees once per year during our annual fee schedule assessment. So, if our costs suddenly increase, we have to wait until July to make changes. Scott, I am very thankful for your forward-thinking. I am especially grateful that you coordinated a statewide discussion about these issues. I agree with you that if all our local jurisdictions do the same things at the same time, it will be noticed at the state level, which in turn could have long term benefits statewide. With tremendous respect,
8_19_2011

Page 2 Christopher P. Zilar, Program Manager Breast, Cervical and Colon Health Tobacco Prevention and Control Spokane Regional Health District 1101 W. College Ave., Suite 401 Spokane, WA 99201 (509) 324-1538 mailto:czilar@spokanecounty.org www.srhd.org

Public Health - Always working for a safer and healthier community


CONFIDENTIALITY NOTICE: This email and any attachments are for the sole use of the intended recipient(s) and may contain proprietary, confidential, or privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited and may be a violation of law. If you are not the intended recipient or a person responsible for delivering this message to an intended recipient, please contact the sender by reply email and destroy all copies of the original message.

From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Wednesday, September 01, 2010 1:20 PM To: Hamilton, Joy; Ross-Viles, Sarah; Neal, Scott; Zilar, Christopher; pwesselestes@shd.snohomish.wa.gov; fdibiase@tpchd.org; terry.reid@doh.wa.gov; paul.davis@doh.wa.gov; juliep@chef.org; Hyde, Jonnie; dsmith@alaw.org; Cross, Theresa; apeterson@shd.snohomish.wa.gov Cc: Scholer, Julie; Pearson, Anne; Apa, James Subject: King County Board of Health: Housing resolution and SIPP code revisions

Greetings colleagues, Here are the proposed revisions to the current BOH code regarding smoking in public places and places of employment that include: 1. Establish new definitions for "director" (of the Seattle-King County Department of Public Health), "employee," "employer," and "large event venue"; 2. Establish criteria for determining that a portion of a building other than a private residence is "open to the public"; 3. Increase the civil penalties for violations at "large event venues" from $100 per violation to $100 for every one thousand persons lawfully permitted to assemble at the venue, per violation; and 4. Establish graduated reinspection fees to defray the administrative costs of repeat inspections to verify compliance at public places and places of employment where violations are found.

<<BOH Code 19.03 final revisions.doc>>

This is now public information (available at: http://kingcounty.gov/council/clerk/ordinances_advertised.aspx ) but it would be best if you keep this information internal until the BOH meeting September 16th. Please let us know if you have any questions. We will send on the Housing Resolution finalized language late next week once it has been shared with the BOH members. Thanks, Joy Hamilton, MPH CPPW Tobacco Policy and Advocacy Manager Public Health - Seattle & King County 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382
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From: To: Date: Subject:

"Neal, Scott" CZilar@spokanecounty.org 9/7/2010 1:49:41 PM Re: King County Board of Health: Housing resolution and SIPP code revisions

Yes we are planning to do that too. I'm on a brief break now...but we can talk about that when we connect today/tomorrow too. I'm definitely willing to collaborate on that too. Scott

From: Zilar, Christopher <CZilar@spokanecounty.org> To: Neal, Scott Sent: Tue Sep 07 09:42:05 2010 Subject: RE: King County Board of Health: Housing resolution and SIPP code revisions

Scott, Are you planning to send FDA a comment regarding dissolvables?


Christopher P. Zilar, Program Manager Breast, Cervical and Colon Health Tobacco Prevention and Control Spokane Regional Health District 1101 W. College Ave., Suite 401 Spokane, WA 99201 (509) 324-1538 mailto:czilar@spokanecounty.org www.srhd.org

Public Health - Always working for a safer and healthier community


CONFIDENTIALITY NOTICE: This email and any attachments are for the sole use of the intended recipient(s) and may contain proprietary, confidential, or privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited and may be a violation of law. If you are not the intended recipient or a person responsible for delivering this message to an intended recipient, please contact the sender by reply email and destroy all copies of the original message.

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Tuesday, September 07, 2010 7:53 AM To: Zilar, Christopher Cc: Scholer, Julie; Panerio, Krista; Davis, Paul A (DOH) Subject: RE: King County Board of Health: Housing resolution and SIPP code revisions Hi Christopher, Thanks for your comments. I agree that the increase in civil penalty is a bit of a wild card, but our Prosecuting Attorney's Office has found at least one case in which something similar was done so they feel somewhat confident that might hold water if ever challenged. Given this is only for Event Venues of 1,000 or more people, it is probably less likely to get challenged too. You also bring up a good point regarding the fees for inspections increasing over time. We did not include that in our draft language, but probably should have put in an every year or every two year term. Although our fees don't really kick in until someone has been found in violation 2 times or more, so hopefully the threat of fines AND fees will keep them in line. :) If this becomes a problem, we will end up having to go back ot the BOH to revise this. I am in an all day retreat today, but want to touch base with you tomorrow if possible. I would like to start talking about how we might be able to to work together on our next BOH action planned for December. As I mentioned before, the focus of that one is around youth access issues...especially other tobacco products that are flavored and e-cigs. It would be great if we could get both our counties to adopt similar language at the same time and if other counties wanted to join forces, all the better! 8_19_2011

Page 2 I'll give you a call tomorrow to catch up. Thanks Scott

From: Zilar, Christopher [mailto:CZilar@spokanecounty.org] Sent: Wednesday, September 01, 2010 8:40 PM To: Neal, Scott Cc: Scholer, Julie; Panerio, Krista; Davis, Paul A (DOH) Subject: RE: King County Board of Health: Housing resolution and SIPP code revisions

Scott, I like what you are trying to do. Clarifying public places and places of employment seems like an advantageous strategy. My opinion is that the increase in civil penalties will not be successful if challenged in court, but I am glad you have it in there. If it withstands a challenge, then we can all jump on board and do the same thing. The graduated reinspection fee protocol that we use has worked well for us and I think its a good idea to add it to your protocol. My only question is this: if your costs to administer enforcement activities continue to rise, will you have to present new resolutions to the board each year to change the fees? Our board annually (usually July) adopts a fee schedule that encompasses the fees from every program in our agency. This way, they can be more efficient with regards to fee changes. The down side is that we can only change our fees once per year during our annual fee schedule assessment. So, if our costs suddenly increase, we have to wait until July to make changes. Scott, I am very thankful for your forward-thinking. I am especially grateful that you coordinated a statewide discussion about these issues. I agree with you that if all our local jurisdictions do the same things at the same time, it will be noticed at the state level, which in turn could have long term benefits statewide. With tremendous respect,
Christopher P. Zilar, Program Manager Breast, Cervical and Colon Health Tobacco Prevention and Control Spokane Regional Health District 1101 W. College Ave., Suite 401 Spokane, WA 99201 (509) 324-1538 mailto:czilar@spokanecounty.org www.srhd.org

Public Health - Always working for a safer and healthier community


CONFIDENTIALITY NOTICE: This email and any attachments are for the sole use of the intended recipient(s) and may contain proprietary, confidential, or privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited and may be a violation of law. If you are not the intended recipient or a person responsible for delivering this message to an intended recipient, please contact the sender by reply email and destroy all copies of the original message.

From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Wednesday, September 01, 2010 1:20 PM To: Hamilton, Joy; Ross-Viles, Sarah; Neal, Scott; Zilar, Christopher; pwesselestes@shd.snohomish.wa.gov; fdibiase@tpchd.org; terry.reid@doh.wa.gov; paul.davis@doh.wa.gov; juliep@chef.org; Hyde, Jonnie; dsmith@alaw.org; Cross, Theresa; apeterson@shd.snohomish.wa.gov Cc: Scholer, Julie; Pearson, Anne; Apa, James Subject: King County Board of Health: Housing resolution and SIPP code revisions

8_19_2011

Page 3

Greetings colleagues, Here are the proposed revisions to the current BOH code regarding smoking in public places and places of employment that include: 1. Establish new definitions for "director" (of the Seattle-King County Department of Public Health), "employee," "employer," and "large event venue"; 2. Establish criteria for determining that a portion of a building other than a private residence is "open to the public"; 3. Increase the civil penalties for violations at "large event venues" from $100 per violation to $100 for every one thousand persons lawfully permitted to assemble at the venue, per violation; and 4. Establish graduated reinspection fees to defray the administrative costs of repeat inspections to verify compliance at public places and places of employment where violations are found.

<<BOH Code 19.03 final revisions.doc>>

This is now public information (available at: http://kingcounty.gov/council/clerk/ordinances_advertised.aspx ) but it would be best if you keep this information internal until the BOH meeting September 16th. Please let us know if you have any questions. We will send on the Housing Resolution finalized language late next week once it has been shared with the BOH members. Thanks, Joy Hamilton, MPH CPPW Tobacco Policy and Advocacy Manager Public Health - Seattle & King County 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382

8_19_2011

Page 1

From: To: Date: Subject: Attachments:


Gary,

"Darrington, Susan" <SusanDa@SeahawksSoundersFC.com> "Johnson, Gareth" 9/8/2010 6:35:56 PM Qwest Field - Post Game Smoking Report Health Department Post Game Reporting.docx

Per our conversation last week, please find the attached post game smoking report. We have included the figures for the last two games, as well as a brief outline of the various means we are using to communicate our policy. For all subsequent games, you should expect to receive an updated spreadsheet from my assistant Ashleigh within 5-8 days of a Sunday game. Regarding our conversation about e-cigarettes and nicotine alternatives during the Sounders game walkthrough, I was hoping you could clear up and confirm a few outstanding questions we had. Firstly, as e-cigarettes are now legal, we would like to offer this as an alternative. Can you help us to better understand any potential conflicts this might have? We would also be interested in any potential contacts you might have regarding a partnership or retail opportunity within the stadium, for both e-cigarettes as well as Nicorette (I believe that was the brand you had mentioned). Any information or guidance you can offer would be greatly appreciated. Also, we appreciated your ability to have staff attend our internal training session, and wanted to determine if you feel there would be any additional value in having your staff attend future trainings our contractors provide to their staff. If so, we would be happy to facilitate this request. Lastly, Id like to reiterate that you and your staff have a standing invitation to observe any of our future games. If you can give us a best guess as to any other events you might be interested in attending, I can have my assistant coordinate passes and parking. Susan
Susan Darrington VP, Facility Operations and Services Qwest Field | Qwest Field Event Center | WaMu Theater Phone 206-381-7576 Fax 206-381-7557
This e-mail transmission and any attachments that accompany it may contain information that is privileged, confidential or otherwise exempt from disclosure under applicable law and is intended solely for the use of the individual(s) to whom it was intended to be addressed. If you have received this e-mail by mistake, or you are not the intended recipient, any disclosure, dissemination, distribution, copying or other use or retention of this communication or its substance is prohibited. If you have received this communication in error, please immediately reply to the author via e-mail that you received this message by mistake and also permanently delete the original and all copies of this e-mail and any attachments from your computer. Thank you.

8_19_2011

Page 1

From: "Darrington, Susan" <SusanDa@SeahawksSoundersFC.com> To: "Darrington, Susan" <SusanDa@SeahawksSoundersFC.com> "Johnson, Gareth" Date: 9/8/2010 6:43:00 PM Subject: RE: Qwest Field - Post Game Smoking Report Attachments: Help Keep Qwest Field Smoke-Free.msg
My apologies, I forgot to include a copy of the email that was sent to all season ticket holders reminding them that Qwest Field is a non-smoking venue. It is attached for your review. Please let me know if you have any questions or concerns, or if I have forgotten to include anything else in these emails! Thanks, Susan
Susan Darrington VP, Facility Operations and Services Qwest Field | Qwest Field Event Center | WaMu Theater Phone 206-381-7576 Fax 206-381-7557
This e-mail transmission and any attachments that accompany it may contain information that is privileged, confidential or otherwise exempt from disclosure under applicable law and is intended solely for the use of the individual(s) to whom it was intended to be addressed. If you have received this e-mail by mistake, or you are not the intended recipient, any disclosure, dissemination, distribution, copying or other use or retention of this communication or its substance is prohibited. If you have received this communication in error, please immediately reply to the author via e-mail that you received this message by mistake and also permanently delete the original and all copies of this e-mail and any attachments from your computer. Thank you.

From: Darrington, Susan Sent: Wednesday, September 08, 2010 3:35 PM To: 'Johnson, Gareth' Cc: 'Neal, Scott'; 'Kathie.Huus@kingcounty.gov'; Kawasaki-Romero, Ann (PSA / Stadium) [FGI BC]; Fetterhoff, Ashleigh Subject: Qwest Field - Post Game Smoking Report

Gary, Per our conversation last week, please find the attached post game smoking report. We have included the figures for the last two games, as well as a brief outline of the various means we are using to communicate our policy. For all subsequent games, you should expect to receive an updated spreadsheet from my assistant Ashleigh within 5-8 days of a Sunday game. Regarding our conversation about e-cigarettes and nicotine alternatives during the Sounders game walkthrough, I was hoping you could clear up and confirm a few outstanding questions we had. Firstly, as e-cigarettes are now legal, we would like to offer this as an alternative. Can you help us to better understand any potential conflicts this might have? We would also be interested in any potential contacts you might have regarding a partnership or retail opportunity within the stadium, for both e-cigarettes as well as Nicorette (I believe that was the brand you had mentioned). Any information or guidance you can offer would be greatly appreciated. Also, we appreciated your ability to have staff attend our internal training session, and wanted to determine if you feel there would be any additional value in having your staff attend future trainings our contractors provide to their staff. If so, we would be happy to facilitate this request. Lastly, Id like to reiterate that you and your staff have a standing invitation to observe any of our future games. If you can give us a best guess as to any other events you might be interested in attending, I can have my assistant coordinate passes and parking. Susan
8_19_2011

Page 2 Susan Darrington VP, Facility Operations and Services Qwest Field | Qwest Field Event Center | WaMu Theater Phone 206-381-7576 Fax 206-381-7557
This e-mail transmission and any attachments that accompany it may contain information that is privileged, confidential or otherwise exempt from disclosure under applicable law and is intended solely for the use of the individual(s) to whom it was intended to be addressed. If you have received this e-mail by mistake, or you are not the intended recipient, any disclosure, dissemination, distribution, copying or other use or retention of this communication or its substance is prohibited. If you have received this communication in error, please immediately reply to the author via e-mail that you received this message by mistake and also permanently delete the original and all copies of this e-mail and any attachments from your computer. Thank you.

From: "Seattle Seahawks" <GAMEDAY@SEAHAWKSBOXOFFICE.COM> To: "Lawrence, Chris" <ChrisL@SeahawksSoundersFC.com> Date: Subject: Help Keep Qwest Field Smoke-Free

qwest field no smoking Qwest Field is a smoke-free environment. In accordance with Washington State law (RCW 70.160), smoking is prohibited on Qwest Field grounds including open air areas of the concourses, ramps, upper deck and north plaza. We ask that you reiterate the smoking policy and the Fan Code of Conduct with your guests so that all fans may have the great Seahawks experiences so many have come to enjoy. As a season ticket holder, you are responsible for your actions as well as the actions of your guests. Fans that do not follow state law are subject to ejection and loss of season tickets. Thank you for not smoking. smoke free washington

Thank you for being a valued Seattle Seahawks Season Ticket Holder! To unsubscribe or update your email preferences, please click here. Questions or comments? Email customerservice@seahawkssoundersfc.com. Seattle Seahawks, 12 Seahawks Way, Renton, WA 98056

8_19_2011

Page 1

From: "Neal, Scott" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 9/10/2010 2:22:35 PM Subject: RE: FDA and e-cigs Yep was reading about this early this morning. The FDA also has a number of new webpages with info on ecigs http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm173401.htm Scott >_____________________________________________ >From: Hamilton, Joy >Sent: Friday, September 10, 2010 10:37 AM >To: Neal, Scott; Ross-Viles, Sarah >Cc: Pearson, Anne >Subject: FDA and e-cigs > >From today's news: > >http://www.boston.com/news/nation/articles/2010/09/10/fda_sends_e_cigarette_companies_a_warning?mode=PF > > >Joy

8_19_2011

Page 1

From: To: Date: Subject:


Yes finally! :)

"Neal, Scott" "Bibus, David" <David.Bibus@kingcounty.gov> 9/10/2010 7:52:07 PM Re: Qwest Field - Post Game Smoking Report

From: Bibus, David To: Neal, Scott Sent: Fri Sep 10 16:51:28 2010 Subject: RE: Qwest Field - Post Game Smoking Report Thanks Scott, sounds like progress. David

From: Neal, Scott Sent: Friday, September 10, 2010 4:42 PM To: 'Darrington, Susan'; Johnson, Gareth Cc: Huus, Kathie; Kawasaki-Romero, Ann (PSA / Stadium) [FGI BC]; Fetterhoff, Ashleigh; Allis, Donna; Bibus, David Subject: RE: Qwest Field - Post Game Smoking Report Hi Susan, As you may know, Gary is out on vacation for a couple more weeks so I thought I'd respond to your email in the mean time. Thank you for sending the post game report and we look forward to receiving the future reports the week following each game. This really helps us see how your are focusing on enforcement. I also wanted to address a couple of your questions below... Electronic Cigarettes: Your question about electronic cigarettes is a good and timely question. You are correct in that current law and local BOH code do not prohibit the "smoking" of e-cigarettes in public places or places of employment. However these products function essentially the same as regular cigarettes and appear to onlookers (or your enforcement teams) to be regular cigarettes until a very close inspection. Given the challenges you already face with monitoring and ensuring smoking is prohibited throughout the stadium grounds I believe it would make the most sense to include e-cigarettes in your prohibition along with regular cigarettes. Prohibiting e-cigs and regular cigarettes sends a clear and simple message that is easier to provide to your fans and simplifies enforcement around this issue for your enforcement staff. If e-cigs are allowed at Qwest Field, your enforcement teams will be seen approaching e-cig "smokers" and other fans and regular cigarette smokers will see this interaction and likley think that "smoking" still is allowed. It may be easier to have the very few conversations with potential e-cigarette users about how they are included as "smoking" rather than run the risk of major confusion among large amounts of non-smoking fans and regular cigarette smokers. In addition to the challenges around enforcement, you may be interested in the e-cigarette product itself. Long story short, these products are not proven to be less dangerous than regular cigarettes and are not proven to help people quit. The FDA believes these products fall under the Federal Food, Drug, and Cosmetic Act and should have to go through the FDA's approval process before being available on the market and they have been examing and detaining shipments of ecigarettes at the boarder. They have found harmful chemcials and carcinogens in this product during their own testing. The agency has been challenged regarding its jurisdiction over certain e-cigarettes and a case is currently pending in federal district court. Here is a link for more specific information about what e-cigarettes are and what the FDA is doing about them. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm225224.htm

Nicotine Replacement Therapy (patches/nicorette) We do have connections to GSK as we purchase patches for many of our partnering clinics throughout King County. I will give our contact at GSK a call and see if they have ideas about how they might be able to help promote a cessation booth or something that might help support cessation during the games. I will be in touch soon on this front. 8_19_2011

Page 2

Inspections: Regarding inspections during games, we do have one inspector scheduled to show up at this Sunday's game and like in the past he will show his badge at the VIP entrances and explain what he is there to do. That has always worked to get him inside the gates for our inspections. He will do a thorough walk through and we will report back to you what was observed. Thanks again for sending the post game report and for your continued dillegence on this issue. We have seen marked improvement so far and look forward to really seeing the norms change!

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

From: Darrington, Susan [mailto:SusanDa@SeahawksSoundersFC.com] Sent: Wednesday, September 08, 2010 3:35 PM To: Johnson, Gareth Cc: Neal, Scott; Huus, Kathie; Kawasaki-Romero, Ann (PSA / Stadium) [FGI BC]; Fetterhoff, Ashleigh Subject: Qwest Field - Post Game Smoking Report

Gary, Per our conversation last week, please find the attached post game smoking report. We have included the figures for the last two games, as well as a brief outline of the various means we are using to communicate our policy. For all subsequent games, you should expect to receive an updated spreadsheet from my assistant Ashleigh within 5-8 days of a Sunday game. Regarding our conversation about e-cigarettes and nicotine alternatives during the Sounders game walkthrough, I was hoping you could clear up and confirm a few outstanding questions we had. Firstly, as e-cigarettes are now legal, we would like to offer this as an alternative. Can you help us to better understand any potential conflicts this might have? We would also be interested in any potential contacts you might have regarding a partnership or retail opportunity within the stadium, for both e-cigarettes as well as Nicorette (I believe that was the brand you had mentioned). Any information or guidance you can offer would be greatly appreciated. Also, we appreciated your ability to have staff attend our internal training session, and wanted to determine if you feel there would be any additional value in having your staff attend future trainings our contractors provide to their staff. If so, we would be happy to facilitate this request. Lastly, Id like to reiterate that you and your staff have a standing invitation to observe any of our future games. If you can give us a best guess as to any other events you might be interested in attending, I can have my assistant coordinate passes and parking. Susan
8_19_2011

Page 3 Susan Darrington VP, Facility Operations and Services Qwest Field | Qwest Field Event Center | WaMu Theater Phone 206-381-7576 Fax 206-381-7557
This e-mail transmission and any attachments that accompany it may contain information that is privileged, confidential or otherwise exempt from disclosure under applicable law and is intended solely for the use of the individual(s) to whom it was intended to be addressed. If you have received this e-mail by mistake, or you are not the intended recipient, any disclosure, dissemination, distribution, copying or other use or retention of this communication or its substance is prohibited. If you have received this communication in error, please immediately reply to the author via e-mail that you received this message by mistake and also permanently delete the original and all copies of this e-mail and any attachments from your computer. Thank you.

8_19_2011

Page 1

From: To: Date: Subject:


Thanks Scott, sounds like progress. David

"Bibus, David" "Neal, Scott" <Scott.Neal@kingcounty.gov> 9/10/2010 7:51:28 PM RE: Qwest Field - Post Game Smoking Report

From: Neal, Scott Sent: Friday, September 10, 2010 4:42 PM To: 'Darrington, Susan'; Johnson, Gareth Cc: Huus, Kathie; Kawasaki-Romero, Ann (PSA / Stadium) [FGI BC]; Fetterhoff, Ashleigh; Allis, Donna; Bibus, David Subject: RE: Qwest Field - Post Game Smoking Report Hi Susan, As you may know, Gary is out on vacation for a couple more weeks so I thought I'd respond to your email in the mean time. Thank you for sending the post game report and we look forward to receiving the future reports the week following each game. This really helps us see how your are focusing on enforcement. I also wanted to address a couple of your questions below... Electronic Cigarettes: Your question about electronic cigarettes is a good and timely question. You are correct in that current law and local BOH code do not prohibit the "smoking" of e-cigarettes in public places or places of employment. However these products function essentially the same as regular cigarettes and appear to onlookers (or your enforcement teams) to be regular cigarettes until a very close inspection. Given the challenges you already face with monitoring and ensuring smoking is prohibited throughout the stadium grounds I believe it would make the most sense to include e-cigarettes in your prohibition along with regular cigarettes. Prohibiting e-cigs and regular cigarettes sends a clear and simple message that is easier to provide to your fans and simplifies enforcement around this issue for your enforcement staff. If e-cigs are allowed at Qwest Field, your enforcement teams will be seen approaching e-cig "smokers" and other fans and regular cigarette smokers will see this interaction and likley think that "smoking" still is allowed. It may be easier to have the very few conversations with potential e-cigarette users about how they are included as "smoking" rather than run the risk of major confusion among large amounts of non-smoking fans and regular cigarette smokers. In addition to the challenges around enforcement, you may be interested in the e-cigarette product itself. Long story short, these products are not proven to be less dangerous than regular cigarettes and are not proven to help people quit. The FDA believes these products fall under the Federal Food, Drug, and Cosmetic Act and should have to go through the FDA's approval process before being available on the market and they have been examing and detaining shipments of ecigarettes at the boarder. They have found harmful chemcials and carcinogens in this product during their own testing. The agency has been challenged regarding its jurisdiction over certain e-cigarettes and a case is currently pending in federal district court. Here is a link for more specific information about what e-cigarettes are and what the FDA is doing about them. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm225224.htm

Nicotine Replacement Therapy (patches/nicorette) We do have connections to GSK as we purchase patches for many of our partnering clinics throughout King County. I will give our contact at GSK a call and see if they have ideas about how they might be able to help promote a cessation booth or something that might help support cessation during the games. I will be in touch soon on this front.

Inspections: Regarding inspections during games, we do have one inspector scheduled to show up at this Sunday's game and like in the past he will show his badge at the VIP entrances and explain what he is there to do. That has always worked to get him inside the gates for our inspections. He will do a thorough walk through and we will report back to you what was observed. 8_19_2011

Page 2 Thanks again for sending the post game report and for your continued dillegence on this issue. We have seen marked improvement so far and look forward to really seeing the norms change!

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

From: Darrington, Susan [mailto:SusanDa@SeahawksSoundersFC.com] Sent: Wednesday, September 08, 2010 3:35 PM To: Johnson, Gareth Cc: Neal, Scott; Huus, Kathie; Kawasaki-Romero, Ann (PSA / Stadium) [FGI BC]; Fetterhoff, Ashleigh Subject: Qwest Field - Post Game Smoking Report

Gary, Per our conversation last week, please find the attached post game smoking report. We have included the figures for the last two games, as well as a brief outline of the various means we are using to communicate our policy. For all subsequent games, you should expect to receive an updated spreadsheet from my assistant Ashleigh within 5-8 days of a Sunday game. Regarding our conversation about e-cigarettes and nicotine alternatives during the Sounders game walkthrough, I was hoping you could clear up and confirm a few outstanding questions we had. Firstly, as e-cigarettes are now legal, we would like to offer this as an alternative. Can you help us to better understand any potential conflicts this might have? We would also be interested in any potential contacts you might have regarding a partnership or retail opportunity within the stadium, for both e-cigarettes as well as Nicorette (I believe that was the brand you had mentioned). Any information or guidance you can offer would be greatly appreciated. Also, we appreciated your ability to have staff attend our internal training session, and wanted to determine if you feel there would be any additional value in having your staff attend future trainings our contractors provide to their staff. If so, we would be happy to facilitate this request. Lastly, Id like to reiterate that you and your staff have a standing invitation to observe any of our future games. If you can give us a best guess as to any other events you might be interested in attending, I can have my assistant coordinate passes and parking. Susan
Susan Darrington VP, Facility Operations and Services Qwest Field | Qwest Field Event Center | WaMu Theater Phone 206-381-7576 Fax 206-381-7557
This e-mail transmission and any attachments that accompany it may contain information that is privileged, confidential or otherwise exempt from disclosure under applicable law and is intended solely for the use of the individual(s) to whom it was intended to be addressed. If you have received this e-mail by mistake, or you are

8_19_2011

Page 3
not the intended recipient, any disclosure, dissemination, distribution, copying or other use or retention of this communication or its substance is prohibited. If you have received this communication in error, please immediately reply to the author via e-mail that you received this message by mistake and also permanently delete the original and all copies of this e-mail and any attachments from your computer. Thank you.

8_19_2011

Page 1

From: "Neal, Scott" To: "Darrington, Susan" <SusanDa@SeahawksSoundersFC.com> "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> Date: 9/10/2010 7:41:49 PM Subject: RE: Qwest Field - Post Game Smoking Report
Hi Susan, As you may know, Gary is out on vacation for a couple more weeks so I thought I'd respond to your email in the mean time. Thank you for sending the post game report and we look forward to receiving the future reports the week following each game. This really helps us see how your are focusing on enforcement. I also wanted to address a couple of your questions below... Electronic Cigarettes: Your question about electronic cigarettes is a good and timely question. You are correct in that current law and local BOH code do not prohibit the "smoking" of e-cigarettes in public places or places of employment. However these products function essentially the same as regular cigarettes and appear to onlookers (or your enforcement teams) to be regular cigarettes until a very close inspection. Given the challenges you already face with monitoring and ensuring smoking is prohibited throughout the stadium grounds I believe it would make the most sense to include e-cigarettes in your prohibition along with regular cigarettes. Prohibiting e-cigs and regular cigarettes sends a clear and simple message that is easier to provide to your fans and simplifies enforcement around this issue for your enforcement staff. If e-cigs are allowed at Qwest Field, your enforcement teams will be seen approaching e-cig "smokers" and other fans and regular cigarette smokers will see this interaction and likley think that "smoking" still is allowed. It may be easier to have the very few conversations with potential e-cigarette users about how they are included as "smoking" rather than run the risk of major confusion among large amounts of non-smoking fans and regular cigarette smokers. In addition to the challenges around enforcement, you may be interested in the e-cigarette product itself. Long story short, these products are not proven to be less dangerous than regular cigarettes and are not proven to help people quit. The FDA believes these products fall under the Federal Food, Drug, and Cosmetic Act and should have to go through the FDA's approval process before being available on the market and they have been examing and detaining shipments of ecigarettes at the boarder. They have found harmful chemcials and carcinogens in this product during their own testing. The agency has been challenged regarding its jurisdiction over certain e-cigarettes and a case is currently pending in federal district court. Here is a link for more specific information about what e-cigarettes are and what the FDA is doing about them. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm225224.htm

Nicotine Replacement Therapy (patches/nicorette) We do have connections to GSK as we purchase patches for many of our partnering clinics throughout King County. I will give our contact at GSK a call and see if they have ideas about how they might be able to help promote a cessation booth or something that might help support cessation during the games. I will be in touch soon on this front.

Inspections: Regarding inspections during games, we do have one inspector scheduled to show up at this Sunday's game and like in the past he will show his badge at the VIP entrances and explain what he is there to do. That has always worked to get him inside the gates for our inspections. He will do a thorough walk through and we will report back to you what was observed. Thanks again for sending the post game report and for your continued dillegence on this issue. We have seen marked improvement so far and look forward to really seeing the norms change!

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 8_19_2011

Page 2 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

From: Darrington, Susan [mailto:SusanDa@SeahawksSoundersFC.com] Sent: Wednesday, September 08, 2010 3:35 PM To: Johnson, Gareth Cc: Neal, Scott; Huus, Kathie; Kawasaki-Romero, Ann (PSA / Stadium) [FGI BC]; Fetterhoff, Ashleigh Subject: Qwest Field - Post Game Smoking Report

Gary, Per our conversation last week, please find the attached post game smoking report. We have included the figures for the last two games, as well as a brief outline of the various means we are using to communicate our policy. For all subsequent games, you should expect to receive an updated spreadsheet from my assistant Ashleigh within 5-8 days of a Sunday game. Regarding our conversation about e-cigarettes and nicotine alternatives during the Sounders game walkthrough, I was hoping you could clear up and confirm a few outstanding questions we had. Firstly, as e-cigarettes are now legal, we would like to offer this as an alternative. Can you help us to better understand any potential conflicts this might have? We would also be interested in any potential contacts you might have regarding a partnership or retail opportunity within the stadium, for both e-cigarettes as well as Nicorette (I believe that was the brand you had mentioned). Any information or guidance you can offer would be greatly appreciated. Also, we appreciated your ability to have staff attend our internal training session, and wanted to determine if you feel there would be any additional value in having your staff attend future trainings our contractors provide to their staff. If so, we would be happy to facilitate this request. Lastly, Id like to reiterate that you and your staff have a standing invitation to observe any of our future games. If you can give us a best guess as to any other events you might be interested in attending, I can have my assistant coordinate passes and parking. Susan
Susan Darrington VP, Facility Operations and Services Qwest Field | Qwest Field Event Center | WaMu Theater Phone 206-381-7576 Fax 206-381-7557
This e-mail transmission and any attachments that accompany it may contain information that is privileged, confidential or otherwise exempt from disclosure under applicable law and is intended solely for the use of the individual(s) to whom it was intended to be addressed. If you have received this e-mail by mistake, or you are not the intended recipient, any disclosure, dissemination, distribution, copying or other use or retention of this communication or its substance is prohibited. If you have received this communication in error, please immediately reply to the author via e-mail that you received this message by mistake and also permanently delete the original and all copies of this e-mail and any attachments from your computer. Thank you.

8_19_2011

Page 1

From: To: Date: Subject:

"Coppage, William \(CDC/ONDIEH/NCCDPHP\) \(CTR\)" <wic5@cdc.gov> undisclosed-recipients <undisclosed-recipients:;> 9/13/2010 1:23:11 PM State Tobacco Activities Tracking and Evaluation (STATE) System Interactive Maps

cid:image002.png@01CB4469.C350D320

State Tobacco Activities Tracking and Evaluation (STATE) System Dear Tobacco Control Programs and Partners: The State Tobacco Activities Tracking and Evaluation (STATE) System is an electronic data warehouse containing up-to-date and historical state-level data on tobacco use prevention and control. The STATE System is available on the Internet at the following address: http://www.cdc.gov/tobacco/STATESystem. The System has been updated to include new interactive tobacco prevention and control maps. The following five new interactive maps are now available online: 1. A United States map featuring adult current cigarette use prevalence estimates from the Behavioral Risk Factor Surveillance System (BRFSS) displaying data from 1995-2009 for all available US states and the District of Columbia. 2. A United States map featuring youth current cigarette use prevalence estimates from the Youth Risk Behavior Surveillance System (YRBSS) displaying data for odd years from 1995-2009 for all available US states and the District of Columbia. 3. A United States map featuring excise tax rates on packs of cigarettes from the Office on Smoking and Health STATE System Legislative Database displaying data from 1995-2010 for all 50 states and the District of Columbia. 4. A United States map featuring state laws on preemption of smokefree indoor air, youth access, and advertising from the Office on Smoking and Health STATE System Legislative Database displaying data from 1995-2010 for all 50 states and the District of Columbia. 5. A United States map featuring state laws on smokefree indoor air for private worksites, restaurants, and bars from the Office on Smoking and Health STATE System Legislative Database displaying data from 19952010 for all 50 states and the District of Columbia. Please visit the STATE System at the following link: http://www.cdc.gov/tobacco/STATESystem Thank you, CDC/Office on Smoking and Health

8_19_2011

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From: To: Date: Subject:


Hi Pam,

"Neal, Scott" "Pam Wessel-Estes" <pwesselestes@shd.snohomish.wa.gov> 9/15/2010 3:50:20 PM RE: Regional/Lg county policy considerations

Thanks for getting back with me on this. I am running to another BOH Tobacco Policy Committee meeting at 1pm so I'll try to be as detailed as I can. Also of note is that we are trying to keep these details under the radar right now because we don't want any publicity on what we are doing specifically until the time comes to reveal the plan. Essentially we are being purposefully vague around phase 2 so that the media doesn't run with another "nanny state" type of story that could damage our chances of success both locally and also statewide. Phase 2 will be focused on all three of the following issues: 1. Point of sale signage: Policy requiring all tobacco retailers to post a sign that shows a graphic health warning (picture) about tobacco use and also include the Quitline number. Details still need to be worked out about size and placement requirements. 2. Electronic Cigarettes: Policy prohibiting the sale of e-cigs. We would craft language that specifically prohibits the sale of these products, but could leave the door open to some similar "FDA approved" type of product if one ever becomes available and approved by FDA. 3. Flavored Other Tobacco Products: Policy prohibiting (or restricting) the sale of these types of products. This one is much more difficult to craft language around since determining what is "flavored" and what isn't can be difficult. We recognize this policy area may also be potentially preempted by state law or at least in an area that is more gray than black or white on that issue. First thoughts on this may be to focus on the sale from Distributor to Retailer since we do not believe we are preempted (or at least likely aren't) at that level of the supply chain. Again, these will all be more flushed out in the coming weeks/months, but ALL are being moved forward and developed by our BOH Tobacco Policy Committee for a vote in the December 2010 BOH meeting. I'm happy to discuss more details over the phone as to how this might work toward overall statewide legislative strategy too. Thanks again for your support and willingness to see if this is something your county might want to join in on. The more counties moving these policies forward, the better. Unfortunately we are obviously facing a very tight timeline too, which I recognize may be a barrier. Thanks Scott

From: Pam Wessel-Estes [mailto:pwesselestes@shd.snohomish.wa.gov] Sent: Wednesday, September 15, 2010 10:27 AM To: Neal, Scott Subject: Regional/Lg county policy considerations

Hi Scott I have Dr. Goldbaums attention on this and have a meeting scheduled next week to brief him. He wants to know specifically what policies are being considered for phase II and the outcome of the meeting this week. Thanks for sending along updates and the draft documents as they are developed. I will give you a call by Weds if I need additional info prior to meeting with him. Best, ~P
Pam Wessel-Estes, MA
Program Manager Tobacco Prevention & Control | Chronic Disease Prevention

8_19_2011

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Snohomish Health District | 3020 Rucker Ave. Ste 206 | Everett, WA 98201 P: 425.339.8703 | F: 425.339.8726 | www.snohd.org

Public Health... Always working for a safer and healthier Snohomish County
The starting point for a better world is the belief that it is possible.
-Norman Cousins

8_19_2011

Page 1

From: To: Date: Subject:

"Pam Wessel-Estes" <pwesselestes@shd.snohomish.wa.gov> "Neal, Scott" 9/15/2010 5:09:25 PM RE: Regional/Lg county policy considerations

Thanks, Scott. That is very helpful. ~P


Pam Wessel-Estes, MA
Program Manager Tobacco Prevention & Control | Chronic Disease Prevention Snohomish Health District | 3020 Rucker Ave. Ste 206 | Everett, WA 98201 P: 425.339.8703 | F: 425.339.8726 | www.snohd.org

Public Health... Always working for a safer and healthier Snohomish County
The starting point for a better world is the belief that it is possible.
-Norman Cousins

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Wednesday, September 15, 2010 12:50 PM To: Pam Wessel-Estes Cc: Hamilton, Joy; Ross-Viles, Sarah Subject: RE: Regional/Lg county policy considerations Hi Pam, Thanks for getting back with me on this. I am running to another BOH Tobacco Policy Committee meeting at 1pm so I'll try to be as detailed as I can. Also of note is that we are trying to keep these details under the radar right now because we don't want any publicity on what we are doing specifically until the time comes to reveal the plan. Essentially we are being purposefully vague around phase 2 so that the media doesn't run with another "nanny state" type of story that could damage our chances of success both locally and also statewide. Phase 2 will be focused on all three of the following issues: 1. Point of sale signage: Policy requiring all tobacco retailers to post a sign that shows a graphic health warning (picture) about tobacco use and also include the Quitline number. Details still need to be worked out about size and placement requirements. 2. Electronic Cigarettes: Policy prohibiting the sale of e-cigs. We would craft language that specifically prohibits the sale of these products, but could leave the door open to some similar "FDA approved" type of product if one ever becomes available and approved by FDA. 3. Flavored Other Tobacco Products: Policy prohibiting (or restricting) the sale of these types of products. This one is much more difficult to craft language around since determining what is "flavored" and what isn't can be difficult. We recognize this policy area may also be potentially preempted by state law or at least in an area that is more gray than black or white on that issue. First thoughts on this may be to focus on the sale from Distributor to Retailer since we do not believe we are preempted (or at least likely aren't) at that level of the supply chain. Again, these will all be more flushed out in the coming weeks/months, but ALL are being moved forward and developed by our BOH Tobacco Policy Committee for a vote in the December 2010 BOH meeting. I'm happy to discuss more details over the phone as to how this might work toward overall statewide legislative strategy too. Thanks again for your support and willingness to see if this is something your county might want to join in on. The more counties moving these policies forward, the better. Unfortunately we are obviously facing a very tight timeline too, which I recognize may be a barrier. Thanks Scott 8_19_2011

Page 2

From: Pam Wessel-Estes [mailto:pwesselestes@shd.snohomish.wa.gov] Sent: Wednesday, September 15, 2010 10:27 AM To: Neal, Scott Subject: Regional/Lg county policy considerations

Hi Scott I have Dr. Goldbaums attention on this and have a meeting scheduled next week to brief him. He wants to know specifically what policies are being considered for phase II and the outcome of the meeting this week. Thanks for sending along updates and the draft documents as they are developed. I will give you a call by Weds if I need additional info prior to meeting with him. Best, ~P
Pam Wessel-Estes, MA
Program Manager Tobacco Prevention & Control | Chronic Disease Prevention Snohomish Health District | 3020 Rucker Ave. Ste 206 | Everett, WA 98201 P: 425.339.8703 | F: 425.339.8726 | www.snohd.org

Public Health... Always working for a safer and healthier Snohomish County
The starting point for a better world is the belief that it is possible.
-Norman Cousins

8_19_2011

Page 1

From: To: Date: Subject:


everybody wants to know!

"Zemann, Paul" "Neal, Scott" <Scott.Neal@kingcounty.gov> 9/20/2010 1:21:23 PM RE: AOL E-Cigarette Article

From: Neal, Scott Sent: Monday, September 20, 2010 10:12 AM To: Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Pajimula, Fel; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Song, Ashley; Zemann, Paul Cc: Allis, Donna; Krieger, James; Pearson, Anne Subject: FW: AOL E-Cigarette Article Interesting E-Cigs article

From: Limtiaco, Frances (DOH) [mailto:Frances.Limtiaco@DOH.WA.GOV] Sent: Monday, September 20, 2010 10:07 AM To: Allison Cox; Amy Ward-Benton Franklin; Annie Peterson; Ronneberg, Brett; Bruce Rytkonen; cpritchard@co.okanogan.wa.us; darcee.anderson@cdhd.wa.gov; Dawn Jacobs; de la Pena, Norilyn; Deb Drandoff; Edie Borgman; Pajimula, Fel; Frank DiBiase; George Hermosillo; Hanna Zarellijackson; Joanie Christian; Bennett, John; jtillman@shd.snohomish.wa.gov; Julie Scholer; Karen Palmer; Kate Brueske; Keri Moore; Krista Panerio; ljones@co.okanogan.wa.us; Sherard, Mark; Mary Small; mswami@tpchd.org; Leon-Guerrero, Michael; pwesselestes@shd.snohomish.wa.gov; Pat Calcote; Zemann, Paul; Samantha Yeun; Ross-Viles, Sarah; Neal, Scott; Sheryl Taylor; Susan Wellhausen; tgiles@tpchd.org; together@nwi.net; togethermd@nwi.net; Zilar, Christopher; Alice Buckles; Angela Rios; Dianne Mellon; Ladonna Boyd; Pam Phillips; Roxanne Michel; Terry Evans; Zekkethal VargasThomas Subject: AOL E-Cigarette Article

FYI. http://www.aolnews.com/health/article/your-kids-buy-e-cigs-do-you-know-whats-in-them/19633977? icid=main%7Cmain%7Cdl1%7Csec1_lnk3%7C171258 First in AOL series on e-cigarettes.

Frances Limtiaco, MPH Community Contracts Manager Washington State Department of Health Tobacco Prevention and Control Program Physical Address: 111 Israel Road SE P.O. Box 47848 Olympia, WA 98504-7848 Phone: (360) 236-3771; Cell: (360) 790-8727 Fax: (360) 236-3646
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frances.limtiaco@doh.wa.gov website: www.doh.wa.gov/tobacco Public Health -- always working for a safer and healthier Washington

8_19_2011

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From: "Neal, Scott" To: "Bennett, John" <John.Bennett@kingcounty.gov> "Brawley, Karen" <Karen.Brawley@kingcounty.gov> "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Holt, Lauren" <Lauren.Holt@kingcounty.gov> "Leon-Guerrero, Michael" <Michael.Leon-Guerrero@kingcounty.gov> "Moreno, Emma" <Emma.Moreno@kingcounty.gov> "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> "Ronneberg, Brett" <Brett.Ronneberg@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Ryan, Molly" <Molly.Ryan@kingcounty.gov> "Sherard, Mark" <Mark.Sherard@kingcounty.gov> "Song, Ashley" <Ashley.Song@kingcounty.gov> "Zemann, Paul" <Paul.Zemann@kingcounty.gov> Date: 9/20/2010 1:11:59 PM Subject: FW: AOL E-Cigarette Article
Interesting E-Cigs article

From: Limtiaco, Frances (DOH) [mailto:Frances.Limtiaco@DOH.WA.GOV] Sent: Monday, September 20, 2010 10:07 AM To: Allison Cox; Amy Ward-Benton Franklin; Annie Peterson; Ronneberg, Brett; Bruce Rytkonen; cpritchard@co.okanogan.wa.us; darcee.anderson@cdhd.wa.gov; Dawn Jacobs; de la Pena, Norilyn; Deb Drandoff; Edie Borgman; Pajimula, Fel; Frank DiBiase; George Hermosillo; Hanna Zarellijackson; Joanie Christian; Bennett, John; jtillman@shd.snohomish.wa.gov; Julie Scholer; Karen Palmer; Kate Brueske; Keri Moore; Krista Panerio; ljones@co.okanogan.wa.us; Sherard, Mark; Mary Small; mswami@tpchd.org; Leon-Guerrero, Michael; pwesselestes@shd.snohomish.wa.gov; Pat Calcote; Zemann, Paul; Samantha Yeun; Ross-Viles, Sarah; Neal, Scott; Sheryl Taylor; Susan Wellhausen; tgiles@tpchd.org; together@nwi.net; togethermd@nwi.net; Zilar, Christopher; Alice Buckles; Angela Rios; Dianne Mellon; Ladonna Boyd; Pam Phillips; Roxanne Michel; Terry Evans; Zekkethal VargasThomas Subject: AOL E-Cigarette Article

FYI. http://www.aolnews.com/health/article/your-kids-buy-e-cigs-do-you-know-whats-in-them/19633977? icid=main%7Cmain%7Cdl1%7Csec1_lnk3%7C171258 First in AOL series on e-cigarettes.

Frances Limtiaco, MPH Community Contracts Manager Washington State Department of Health Tobacco Prevention and Control Program Physical Address: 111 Israel Road SE
8_19_2011

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P.O. Box 47848 Olympia, WA 98504-7848 Phone: (360) 236-3771; Cell: (360) 790-8727 Fax: (360) 236-3646 frances.limtiaco@doh.wa.gov website: www.doh.wa.gov/tobacco Public Health -- always working for a safer and healthier Washington

8_19_2011

Page 1

From: "Limtiaco, Frances \(DOH\)" <Frances.Limtiaco@DOH.WA.GOV> To: "Allison Cox" <ACox@tpchd.org> "Amy Ward-Benton Franklin" <amy@tobacco-free.net> "Annie Peterson" <apeterson@shd.snohomish.wa.gov> "Ronneberg, Brett" "Bruce Rytkonen" <brytkonen@tpchd.org> cpritchard@co.okanogan.wa.us darcee.anderson@cdhd.wa.gov "Dawn Jacobs" <djacobs@tpchd.org> "de la Pena, Norilyn" "Deb Drandoff" <deb.drandoff@esd112.org> "Edie Borgman" <edieb@co.adams.wa.us> "Pajimula, Fel" "Frank DiBiase" <fdibiase@tpchd.org> "George Hermosillo" <ghermosillo@tpchd.org> "Hanna Zarellijackson" <hzarellijackson@tpchd.org> "Joanie Christian" <jchristian@netchd.org> "Bennett, John" jtillman@shd.snohomish.wa.gov "Julie Scholer" <jscholer@spokanecounty.org> "Karen Palmer" <karenpa@co.adams.wa.us> "Kate Brueske" <kateb@co.adams.wa.us> "Keri Moore" <kmoore@shd.snohomish.wa.gov> "Krista Panerio" <kpanerio@spokanecounty.org> ljones@co.okanogan.wa.us "Sherard, Mark" "Mary Small" <mary.small@cdhd.wa.gov> mswami@tpchd.org "Leon-Guerrero, Michael" pwesselestes@shd.snohomish.wa.gov "Pat Calcote" <pcalcote@shd.snohomish.wa.gov> "Zemann, Paul" "Samantha Yeun" <syeun@tpchd.org> "Ross-Viles, Sarah" "Neal, Scott" "Sheryl Taylor" <Sheryl.taylor@esd112.org> "Susan Wellhausen" <swellhausen@netchd.org> tgiles@tpchd.org together@nwi.net togethermd@nwi.net "Zilar, Christopher" <CZilar@spokanecounty.org> "Alice Buckles" <abuckles@camashealth.com> "Angela Rios" <angela.rios@colvilletribes.com> "Dianne Mellon" <dianne.mellon@colvilletribes.com> "Ladonna Boyd" <lboyd@camashealth.com> "Pam Phillips" <pamela.phillips@colvilletribes.com> "Roxanne Michel" <roxanne.michel@colvilletribes.com> "Terry Evans" <evanstl@spokanetribe.com> "Zekkethal Vargas-Thomas" <zekkethal.vargas@colvilletribes.com>
8_19_2011

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Date: 9/20/2010 1:07:37 PM Subject: AOL E-Cigarette Article FYI. http://www.aolnews.com/health/article/your-kids-buy-e-cigs-do-you-know-whats-in-them/19633977? icid=main%7Cmain%7Cdl1%7Csec1_lnk3%7C171258 First in AOL series on e-cigarettes.

Frances Limtiaco, MPH Community Contracts Manager Washington State Department of Health Tobacco Prevention and Control Program Physical Address: 111 Israel Road SE P.O. Box 47848 Olympia, WA 98504-7848 Phone: (360) 236-3771; Cell: (360) 790-8727 Fax: (360) 236-3646 frances.limtiaco@doh.wa.gov website: www.doh.wa.gov/tobacco Public Health -- always working for a safer and healthier Washington

8_19_2011

Page 1

From: "Neal, Scott" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 9/20/2010 10:51:18 AM Subject: Re: E-Cigs Banned on US Flights
If true very good!

From: Ross-Viles, Sarah To: Neal, Scott; Hamilton, Joy Sent: Mon Sep 20 07:45:26 2010 Subject: FW: E-Cigs Banned on US Flights This article doesn't seem to be the best-cited thing in the world (all the US airlines - together? at once?). But a good move if it's true.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

From: Prof.John Banzhaf [mailto:banzhaf@globalink.org] Sent: Monday, September 20, 2010 4:37 AM To: general@globalink.org Subject: E-Cigs Banned on US Flights

General Messages by Prof. John Banzhaf


Go to other forums | Rate this article | Reply to author | Reply to all

I'm very happy to be able to post the following information.

E-Cigarettes Banned on Domestic Flights Passengers Protected From Toxins, Carcinogens 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-ad-claims-you-... 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
8_19_2011

Page 2

appears t hat 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 con taining the nicotine and other toxic chemicals, many of which come from China, are subject to none of the manufacturing controls required for FDA-approved 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-ecigarettes 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." 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 pig s to see how serious the adverse health effects are. 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) Americas First Antismoking Organization 2013 H Street, NW Washington, DC 20006, USA (202) 659-4310 // (703) 527-8418 Internet: http://ash.org/
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Twitter: http://twitter.com/AshOrg
Contact GLK | Netiquette | Report abuse | Unsubscribe
Prof. John Banzhaf has declared no competing interest. If you are new to GLOBALink, please make yourself familiar with GLOBALink Netiquette before posting. Please keep in mind that there is no place for engaging in hate speech on GLOBALink forums. GLOBALink membership is subject to suspension and expulsion if rules are violated.

8_19_2011

Page 1

From: "Ross-Viles, Sarah" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 9/20/2010 10:45:26 AM Subject: FW: E-Cigs Banned on US Flights
This article doesn't seem to be the best-cited thing in the world (all the US airlines - together? at once?). But a good move if it's true.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

From: Prof.John Banzhaf [mailto:banzhaf@globalink.org] Sent: Monday, September 20, 2010 4:37 AM To: general@globalink.org Subject: E-Cigs Banned on US Flights

General Messages by Prof. John Banzhaf


Go to other forums | Rate this article | Reply to author | Reply to all

I'm very happy to be able to post the following information.

E-Cigarettes Banned on Domestic Flights Passengers Protected From Toxins, Carcinogens 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-ad-claims-you-... 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 t hat 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
8_19_2011

Page 2

* 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 con taining the nicotine and other toxic chemicals, many of which come from China, are subject to none of the manufacturing controls required for FDA-approved 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-ecigarettes 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." 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 pig s to see how serious the adverse health effects are. 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) Americas 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
Contact GLK | Netiquette | Report abuse | Unsubscribe
Prof. John Banzhaf has declared no competing interest. If you are new to GLOBALink, please make yourself familiar with GLOBALink Netiquette before posting. Please keep in mind that there is no place for engaging in hate speech on GLOBALink forums. GLOBALink membership is subject to suspension and expulsion if rules are violated.

8_19_2011

Page 1

From: "Neal, Scott" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 9/21/2010 5:39:48 PM Subject: RE: E-cigarettes allowed on most US flights
interesting

From: Ross-Viles, Sarah Sent: Tuesday, September 21, 2010 2:31 PM To: Neal, Scott; Hamilton, Joy Subject: FW: E-cigarettes allowed on most US flights The rest of the story. Where is the truth???!!!

From: Ms.Spike Babaian [mailto:babaian@globalink.org] Sent: Tuesday, September 21, 2010 12:16 AM To: general@globalink.org Subject: E-cigarettes allowed on most US flights

General Messages by Ms. Spike Babaian


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I will reply to the ASH press release here since it was posted here. Quote from PR below: "all U.S. domestic airlines ban the use of these untested products which the Food and Drug Administration [FDA] has declared are illegal" Fact: This statement has no basis in fact. Firstly, the FDA is not a judge, jury or officer of the law and cannot therefore declare a product illegal. A federal judge declared "This case appears to be yet another example of FDA's aggressive efforts to regulate recreational tobacco products as drugs or devices under the FDCA". No one with any authority to do so has declared the product illegal. The FDA has suggested it would like the product regulated as a drug delivery device and a Federal judge stated it does not seem to qualify as such and should be regulated as a smokeless tobacco product. I have personally had contact with customer service at 2 dozen or more airlines in the past 18 months and I have found that a handful have a policy that allows the crew to make the final determination on allowing use and most of the rest have no specific policy on e-cigarettes. I contacted the author of the AOL News article when it was posted and let him know that this and many of his other "facts" were incorrect. He apologized, but made no move to correct the misinformation. I would like to ask how one can call nicotine a deadly and addictive drug and then suggest that smokers use the nicotine patch and gum when those products contain nicotine - "a deadly and addictive drug"? Quote from PR below: "propylene glycol (a respiratory irritant used in antifreeze and known to cause
8_19_2011

Page 2

respiratory tract infections)" Fact: Did you know that propylene glycol is used in medication for lung transplant patients because it prevents respiratory infections? (http://www.liebertonline.com/doi/abs/10.1089/jam.2007.0626) Quote from PR below: "ASH had previously reported ads for e-cigs which administer Cialis and "potent" marijuana". Fact: Paper and coca cola cans can deliver marijuana as well, shall we ban them also? List from PR below: "carcinogens", "toxins", "toxic chemicals","mutagenic" or "genotoxic" substances have supposedly been found in e-cigarettes. Fact: To be considered carcinogenic, a product must contain a level of nitrosamines which could ACTUALY cause cancer. Quoted from PR below: "Many countries have also banned or severely restricted the sale of the product outright, as have several states." Fact: Not one single state has banned sale of e-cigarettes to adults in the USA.

----- Original message ----To: General Messages Date: Mon, 20 Sep 2010 00:00:00 +0200 Subject: Re: E-Cigs Banned on US Flights I'm very happy to be able to post the following information.

E-Cigarettes Banned on Domestic Flights Passengers Protected From Toxins, Carcinogens 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-ad-claims-you-... 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 "carcinoge nic" 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,
8_19_2011

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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 FDA-approved nicotinedelivery 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 "pote nt" 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." 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 a s guinea pigs to see how serious the adverse health effects are. 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) Americas 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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Ms. Spike Babaian has declared no competing interest.

8_19_2011

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8_19_2011

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From: "Ross-Viles, Sarah" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 9/21/2010 5:31:14 PM Subject: FW: E-cigarettes allowed on most US flights
The rest of the story. Where is the truth???!!!

From: Ms.Spike Babaian [mailto:babaian@globalink.org] Sent: Tuesday, September 21, 2010 12:16 AM To: general@globalink.org Subject: E-cigarettes allowed on most US flights

General Messages by Ms. Spike Babaian


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I will reply to the ASH press release here since it was posted here. Quote from PR below: "all U.S. domestic airlines ban the use of these untested products which the Food and Drug Administration [FDA] has declared are illegal" Fact: This statement has no basis in fact. Firstly, the FDA is not a judge, jury or officer of the law and cannot therefore declare a product illegal. A federal judge declared "This case appears to be yet another example of FDA's aggressive efforts to regulate recreational tobacco products as drugs or devices under the FDCA". No one with any authority to do so has declared the product illegal. The FDA has suggested it would like the product regulated as a drug delivery device and a Federal judge stated it does not seem to qualify as such and should be regulated as a smokeless tobacco product. I have personally had contact with customer service at 2 dozen or more airlines in the past 18 months and I have found that a handful have a policy that allows the crew to make the final determination on allowing use and most of the rest have no specific policy on e-cigarettes. I contacted the author of the AOL News article when it was posted and let him know that this and many of his other "facts" were incorrect. He apologized, but made no move to correct the misinformation. I would like to ask how one can call nicotine a deadly and addictive drug and then suggest that smokers use the nicotine patch and gum when those products contain nicotine - "a deadly and addictive drug"? Quote from PR below: "propylene glycol (a respiratory irritant used in antifreeze and known to cause respiratory tract infections)" Fact: Did you know that propylene glycol is used in medication for lung transplant patients because it prevents respiratory infections? (http://www.liebertonline.com/doi/abs/10.1089/jam.2007.0626) Quote from PR below: "ASH had previously reported ads for e-cigs which administer Cialis and "potent" marijuana".
8_19_2011

Page 2

Fact: Paper and coca cola cans can deliver marijuana as well, shall we ban them also? List from PR below: "carcinogens", "toxins", "toxic chemicals","mutagenic" or "genotoxic" substances have supposedly been found in e-cigarettes. Fact: To be considered carcinogenic, a product must contain a level of nitrosamines which could ACTUALY cause cancer. Quoted from PR below: "Many countries have also banned or severely restricted the sale of the product outright, as have several states." Fact: Not one single state has banned sale of e-cigarettes to adults in the USA.

----- Original message ----To: General Messages Date: Mon, 20 Sep 2010 00:00:00 +0200 Subject: Re: E-Cigs Banned on US Flights I'm very happy to be able to post the following information.

E-Cigarettes Banned on Domestic Flights Passengers Protected From Toxins, Carcinogens 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-ad-claims-you-... 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 "carcinoge nic" 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 FDA-approved nicotine8_19_2011

Page 3

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 "pote nt" 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." 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 a s guinea pigs to see how serious the adverse health effects are. 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) Americas 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
Contact GLK | Netiquette | Report abuse | Unsubscribe
Ms. Spike Babaian has declared no competing interest. If you are new to GLOBALink, please make yourself familiar with GLOBALink Netiquette before posting. Please keep in mind that there is no place for engaging in hate speech on GLOBALink forums. GLOBALink membership is subject to suspension and expulsion if rules are violated.

8_19_2011

Page 1

From: To: Date: Subject:

"Neal, Scott" "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> 9/22/2010 6:39:50 PM FW: Qwest Field - Post Game Smoking Report

FYI...Gary isn't quite sending the same message that I had mentioned before. I don't necessarily want to get into strategizing what GSK might want to do in this situation...because I feel that is entirely up to GSK and Qwest. We should just be handing off GSK to Qwest for them to strategize. But Gary sorta hinted at free patches being sampled. So just keep that in mind when you speak with GSK that they might hear something like that from Qwest. Scott

From: Johnson, Gareth Sent: Wednesday, September 22, 2010 2:41 PM To: 'Darrington, Susan' Cc: Neal, Scott; Huus, Kathie; Kawasaki-Romero, Ann (PSA / Stadium) [FGI BC]; Fetterhoff, Ashleigh Subject: RE: Qwest Field - Post Game Smoking Report Susan, I got back to the office on Monday and I finally had time to get an update from my Tobacco team this afternoon. I wanted to let you know that everyone who spent time at the stadium during both preseason and the first regular season game have told me the same thing. It's clear your security staff are doing a really good job of keeping people from smoking anywhere in the stadium and that even when people manage to light up, they are approached practically immediately and required to stop. This even includes the alcohol enforcement people who have generally not been involved in this in past years. I also heard that your training this year seems to have made your security staff feel empowered to really be out there on this issue. The results have been impressive and I'm writing to congratulate you on your success. One of my employees overheard a group of people standing together and talking, not very happily, about the change in smoking enforcement this year. One of them talk his friends some to the effect that it seemed like Qwest was really serious about prohibiting smoking and he didn't plan to take a chance on getting ejected from the stadium like another friend of theirs just had. So it really sounds like the message is out there, your new practices are being noticed by both my team and your fans, and I think we're well on the way to having the problem in hand. I also wanted to let you know one of our people commented on the fact that while he had seen people lighting up, he didn't feel he had witnessed a "violation" because Qwest security had intervened so quickly in every instance. I was happy to learn that my message to you and Ann had been clearly communicated to our people -- we aren't looking for perfection, only a good faith effort. It's great to be able to confirm that this is just what we're seeing. Scott Neal also told me today that he is working on getting someone from the nicotine patch people to contact you about whether they can provide samples at Qwest to offer some support for fans who are having a difficult time with not being able to smoke. I hope you will hear more on this soon. If you don't, please let me know. So, this was all great news to come back to work to, and thanks again for all you've done. gary

From: Darrington, Susan [mailto:SusanDa@SeahawksSoundersFC.com] Sent: Wednesday, September 08, 2010 3:42 PM To: Darrington, Susan; Johnson, Gareth Cc: Neal, Scott; Huus, Kathie; Kawasaki-Romero, Ann (PSA / Stadium) [FGI BC]; Fetterhoff, Ashleigh Subject: RE: Qwest Field - Post Game Smoking Report

My apologies, I forgot to include a copy of the email that was sent to all season ticket holders reminding them that Qwest Field is a non-smoking venue. It is attached for your review. Please let me know if you have any questions or concerns, or if I have forgotten to include anything else in these emails!
8_19_2011

Page 2

Thanks, Susan
Susan Darrington VP, Facility Operations and Services Qwest Field | Qwest Field Event Center | WaMu Theater Phone 206-381-7576 Fax 206-381-7557
This e-mail transmission and any attachments that accompany it may contain information that is privileged, confidential or otherwise exempt from disclosure under applicable law and is intended solely for the use of the individual(s) to whom it was intended to be addressed. If you have received this e-mail by mistake, or you are not the intended recipient, any disclosure, dissemination, distribution, copying or other use or retention of this communication or its substance is prohibited. If you have received this communication in error, please immediately reply to the author via e-mail that you received this message by mistake and also permanently delete the original and all copies of this e-mail and any attachments from your computer. Thank you.

From: Darrington, Susan Sent: Wednesday, September 08, 2010 3:35 PM To: 'Johnson, Gareth' Cc: 'Neal, Scott'; 'Kathie.Huus@kingcounty.gov'; Kawasaki-Romero, Ann (PSA / Stadium) [FGI BC]; Fetterhoff, Ashleigh Subject: Qwest Field - Post Game Smoking Report

Gary, Per our conversation last week, please find the attached post game smoking report. We have included the figures for the last two games, as well as a brief outline of the various means we are using to communicate our policy. For all subsequent games, you should expect to receive an updated spreadsheet from my assistant Ashleigh within 5-8 days of a Sunday game. Regarding our conversation about e-cigarettes and nicotine alternatives during the Sounders game walkthrough, I was hoping you could clear up and confirm a few outstanding questions we had. Firstly, as e-cigarettes are now legal, we would like to offer this as an alternative. Can you help us to better understand any potential conflicts this might have? We would also be interested in any potential contacts you might have regarding a partnership or retail opportunity within the stadium, for both e-cigarettes as well as Nicorette (I believe that was the brand you had mentioned). Any information or guidance you can offer would be greatly appreciated. Also, we appreciated your ability to have staff attend our internal training session, and wanted to determine if you feel there would be any additional value in having your staff attend future trainings our contractors provide to their staff. If so, we would be happy to facilitate this request. Lastly, Id like to reiterate that you and your staff have a standing invitation to observe any of our future games. If you can give us a best guess as to any other events you might be interested in attending, I can have my assistant coordinate passes and parking. Susan
Susan Darrington VP, Facility Operations and Services Qwest Field | Qwest Field Event Center | WaMu Theater Phone 206-381-7576 Fax 206-381-7557
This e-mail transmission and any attachments that accompany it may contain information that is privileged, confidential or otherwise exempt from disclosure under applicable law and is intended solely for the use of the individual(s) to whom it was intended to be addressed. If you have received this e-mail by mistake, or you are not the intended recipient, any disclosure, dissemination, distribution, copying or other use or retention of this communication or its substance is prohibited. If you have received this communication in error, please immediately reply to the author via e-mail that you received this message by mistake and also permanently delete the original and all copies of this e-mail and any attachments from your computer. Thank you.

8_19_2011

Page 1

From: To: Date: Subject:


k. will do.

"de la Pena, Norilyn" "Neal, Scott" 9/22/2010 7:05:33 PM RE: Qwest Field - Post Game Smoking Report

From: Neal, Scott Sent: Wed 9/22/2010 3:39 PM To: de la Pena, Norilyn Subject: FW: Qwest Field - Post Game Smoking Report FYI...Gary isn't quite sending the same message that I had mentioned before. I don't necessarily want to get into strategizing what GSK might want to do in this situation...because I feel that is entirely up to GSK and Qwest. We should just be handing off GSK to Qwest for them to strategize. But Gary sorta hinted at free patches being sampled. So just keep that in mind when you speak with GSK that they might hear something like that from Qwest. Scott

From: Johnson, Gareth Sent: Wednesday, September 22, 2010 2:41 PM To: 'Darrington, Susan' Cc: Neal, Scott; Huus, Kathie; Kawasaki-Romero, Ann (PSA / Stadium) [FGI BC]; Fetterhoff, Ashleigh Subject: RE: Qwest Field - Post Game Smoking Report Susan, I got back to the office on Monday and I finally had time to get an update from my Tobacco team this afternoon. I wanted to let you know that everyone who spent time at the stadium during both preseason and the first regular season game have told me the same thing. It's clear your security staff are doing a really good job of keeping people from smoking anywhere in the stadium and that even when people manage to light up, they are approached practically immediately and required to stop. This even includes the alcohol enforcement people who have generally not been involved in this in past years. I also heard that your training this year seems to have made your security staff feel empowered to really be out there on this issue. The results have been impressive and I'm writing to congratulate you on your success. One of my employees overheard a group of people standing together and talking, not very happily, about the change in smoking enforcement this year. One of them talk his friends some to the effect that it seemed like Qwest was really serious about prohibiting smoking and he didn't plan to take a chance on getting ejected from the stadium like another friend of theirs just had. So it really sounds like the message is out there, your new practices are being noticed by both my team and your fans, and I think we're well on the way to having the problem in hand. I also wanted to let you know one of our people commented on the fact that while he had seen people lighting up, he didn't feel he had witnessed a "violation" because Qwest security had intervened so quickly in every instance. I was happy to learn that my message to you and Ann had been clearly communicated to our people -- we aren't looking for perfection, only a good faith effort. It's great to be able to confirm that this is just what we're seeing. Scott Neal also told me today that he is working on getting someone from the nicotine patch people to contact you about whether they can provide samples at Qwest to offer some support for fans who are having a difficult time with not being able to smoke. I hope you will hear more on this soon. If you don't, please let me know. So, this was all great news to come back to work to, and thanks again for all you've done. gary

From: Darrington, Susan [mailto:SusanDa@SeahawksSoundersFC.com] Sent: Wednesday, September 08, 2010 3:42 PM To: Darrington, Susan; Johnson, Gareth 8_19_2011

Page 2 Cc: Neal, Scott; Huus, Kathie; Kawasaki-Romero, Ann (PSA / Stadium) [FGI BC]; Fetterhoff, Ashleigh Subject: RE: Qwest Field - Post Game Smoking Report

My apologies, I forgot to include a copy of the email that was sent to all season ticket holders reminding them that Qwest Field is a non-smoking venue. It is attached for your review. Please let me know if you have any questions or concerns, or if I have forgotten to include anything else in these emails! Thanks, Susan
Susan Darrington VP, Facility Operations and Services Qwest Field | Qwest Field Event Center | WaMu Theater Phone 206-381-7576 Fax 206-381-7557
This e-mail transmission and any attachments that accompany it may contain information that is privileged, confidential or otherwise exempt from disclosure under applicable law and is intended solely for the use of the individual(s) to whom it was intended to be addressed. If you have received this e-mail by mistake, or you are not the intended recipient, any disclosure, dissemination, distribution, copying or other use or retention of this communication or its substance is prohibited. If you have received this communication in error, please immediately reply to the author via e-mail that you received this message by mistake and also permanently delete the original and all copies of this e-mail and any attachments from your computer. Thank you.

From: Darrington, Susan Sent: Wednesday, September 08, 2010 3:35 PM To: 'Johnson, Gareth' Cc: 'Neal, Scott'; 'Kathie.Huus@kingcounty.gov'; Kawasaki-Romero, Ann (PSA / Stadium) [FGI BC]; Fetterhoff, Ashleigh Subject: Qwest Field - Post Game Smoking Report

Gary, Per our conversation last week, please find the attached post game smoking report. We have included the figures for the last two games, as well as a brief outline of the various means we are using to communicate our policy. For all subsequent games, you should expect to receive an updated spreadsheet from my assistant Ashleigh within 5-8 days of a Sunday game. Regarding our conversation about e-cigarettes and nicotine alternatives during the Sounders game walkthrough, I was hoping you could clear up and confirm a few outstanding questions we had. Firstly, as e-cigarettes are now legal, we would like to offer this as an alternative. Can you help us to better understand any potential conflicts this might have? We would also be interested in any potential contacts you might have regarding a partnership or retail opportunity within the stadium, for both e-cigarettes as well as Nicorette (I believe that was the brand you had mentioned). Any information or guidance you can offer would be greatly appreciated. Also, we appreciated your ability to have staff attend our internal training session, and wanted to determine if you feel there would be any additional value in having your staff attend future trainings our contractors provide to their staff. If so, we would be happy to facilitate this request. Lastly, Id like to reiterate that you and your staff have a standing invitation to observe any of our future games. If you can give us a best guess as to any other events you might be interested in attending, I can have my assistant coordinate passes and parking. Susan
Susan Darrington VP, Facility Operations and Services Qwest Field | Qwest Field Event Center | WaMu Theater Phone 206-381-7576 Fax 206-381-7557 8_19_2011

Page 3
This e-mail transmission and any attachments that accompany it may contain information that is privileged, confidential or otherwise exempt from disclosure under applicable law and is intended solely for the use of the individual(s) to whom it was intended to be addressed. If you have received this e-mail by mistake, or you are not the intended recipient, any disclosure, dissemination, distribution, copying or other use or retention of this communication or its substance is prohibited. If you have received this communication in error, please immediately reply to the author via e-mail that you received this message by mistake and also permanently delete the original and all copies of this e-mail and any attachments from your computer. Thank you.

8_19_2011

Page 1

From: To: Date: Subject:

"Johnson, Gareth" "Darrington, Susan" <SusanDa@SeahawksSoundersFC.com> 9/22/2010 5:41:19 PM RE: Qwest Field - Post Game Smoking Report

Susan, I got back to the office on Monday and I finally had time to get an update from my Tobacco team this afternoon. I wanted to let you know that everyone who spent time at the stadium during both preseason and the first regular season game have told me the same thing. It's clear your security staff are doing a really good job of keeping people from smoking anywhere in the stadium and that even when people manage to light up, they are approached practically immediately and required to stop. This even includes the alcohol enforcement people who have generally not been involved in this in past years. I also heard that your training this year seems to have made your security staff feel empowered to really be out there on this issue. The results have been impressive and I'm writing to congratulate you on your success. One of my employees overheard a group of people standing together and talking, not very happily, about the change in smoking enforcement this year. One of them talk his friends some to the effect that it seemed like Qwest was really serious about prohibiting smoking and he didn't plan to take a chance on getting ejected from the stadium like another friend of theirs just had. So it really sounds like the message is out there, your new practices are being noticed by both my team and your fans, and I think we're well on the way to having the problem in hand. I also wanted to let you know one of our people commented on the fact that while he had seen people lighting up, he didn't feel he had witnessed a "violation" because Qwest security had intervened so quickly in every instance. I was happy to learn that my message to you and Ann had been clearly communicated to our people -- we aren't looking for perfection, only a good faith effort. It's great to be able to confirm that this is just what we're seeing. Scott Neal also told me today that he is working on getting someone from the nicotine patch people to contact you about whether they can provide samples at Qwest to offer some support for fans who are having a difficult time with not being able to smoke. I hope you will hear more on this soon. If you don't, please let me know. So, this was all great news to come back to work to, and thanks again for all you've done. gary

From: Darrington, Susan [mailto:SusanDa@SeahawksSoundersFC.com] Sent: Wednesday, September 08, 2010 3:42 PM To: Darrington, Susan; Johnson, Gareth Cc: Neal, Scott; Huus, Kathie; Kawasaki-Romero, Ann (PSA / Stadium) [FGI BC]; Fetterhoff, Ashleigh Subject: RE: Qwest Field - Post Game Smoking Report

My apologies, I forgot to include a copy of the email that was sent to all season ticket holders reminding them that Qwest Field is a non-smoking venue. It is attached for your review. Please let me know if you have any questions or concerns, or if I have forgotten to include anything else in these emails! Thanks, Susan
Susan Darrington VP, Facility Operations and Services Qwest Field | Qwest Field Event Center | WaMu Theater Phone 206-381-7576 Fax 206-381-7557
This e-mail transmission and any attachments that accompany it may contain information that is privileged, confidential or otherwise exempt from disclosure under applicable law and is intended solely for the use of the individual(s) to whom it was intended to be addressed. If you have received this e-mail by mistake, or you are not the intended recipient, any disclosure, dissemination, distribution, copying or other use or retention of this communication or its substance is prohibited. If you have received this communication in error, please immediately reply to the author via e-mail that you received this message by mistake and also permanently delete the original and all copies of this e-mail and any attachments from your computer. Thank you.

8_19_2011

Page 2 From: Darrington, Susan Sent: Wednesday, September 08, 2010 3:35 PM To: 'Johnson, Gareth' Cc: 'Neal, Scott'; 'Kathie.Huus@kingcounty.gov'; Kawasaki-Romero, Ann (PSA / Stadium) [FGI BC]; Fetterhoff, Ashleigh Subject: Qwest Field - Post Game Smoking Report

Gary, Per our conversation last week, please find the attached post game smoking report. We have included the figures for the last two games, as well as a brief outline of the various means we are using to communicate our policy. For all subsequent games, you should expect to receive an updated spreadsheet from my assistant Ashleigh within 5-8 days of a Sunday game. Regarding our conversation about e-cigarettes and nicotine alternatives during the Sounders game walkthrough, I was hoping you could clear up and confirm a few outstanding questions we had. Firstly, as e-cigarettes are now legal, we would like to offer this as an alternative. Can you help us to better understand any potential conflicts this might have? We would also be interested in any potential contacts you might have regarding a partnership or retail opportunity within the stadium, for both e-cigarettes as well as Nicorette (I believe that was the brand you had mentioned). Any information or guidance you can offer would be greatly appreciated. Also, we appreciated your ability to have staff attend our internal training session, and wanted to determine if you feel there would be any additional value in having your staff attend future trainings our contractors provide to their staff. If so, we would be happy to facilitate this request. Lastly, Id like to reiterate that you and your staff have a standing invitation to observe any of our future games. If you can give us a best guess as to any other events you might be interested in attending, I can have my assistant coordinate passes and parking. Susan
Susan Darrington VP, Facility Operations and Services Qwest Field | Qwest Field Event Center | WaMu Theater Phone 206-381-7576 Fax 206-381-7557
This e-mail transmission and any attachments that accompany it may contain information that is privileged, confidential or otherwise exempt from disclosure under applicable law and is intended solely for the use of the individual(s) to whom it was intended to be addressed. If you have received this e-mail by mistake, or you are not the intended recipient, any disclosure, dissemination, distribution, copying or other use or retention of this communication or its substance is prohibited. If you have received this communication in error, please immediately reply to the author via e-mail that you received this message by mistake and also permanently delete the original and all copies of this e-mail and any attachments from your computer. Thank you.

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From: "Hamilton, Joy" To: "Sadow-Hasenberg, Nicole" <Nicole.Sadow-Hasenberg@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 9/23/2010 8:50:04 PM Subject: CPPW tobacco prevention priorities 9 23.doc Attachments: CPPW tobacco prevention priorities 9 23.doc

Team, Here's the latest draft of the Tobacco Policy priorities. In light of a few calls today, our strategies around preemption and flavored products may be changing. Nicole, I know that you want this to go in the packet for the coalition and the deadline is noon tomorrow. I think that it is really close in terms of content but I want to be really careful about how we talk about these politically sensitive issues. Scott can you give this a look and give Nicole the green light? I think that the section on youth access still needs some work. Unfortunately, Sarah, Anne and I will be out of the office tomorrow. Also -- and maybe more key -- after today's new direction, we don't call out e-cigarettes in here anywhere yet. Do we want to add them now?

Scott-- for you reference, this document has evolved a fair amount. Here is where the youth access piece was earlier today: The tobacco industry knows that young people are more likely to start using tobacco and the majority of people who use tobacco become addicted when they are young. Big tobacco uses strategies like flavored products to get youth to start smoking. Flavored tobacco products have the appeal of candy and mask tobaccos harshness. Like cigarettes, they contain nicotine which is the addictive component of tobacco.. To prevent youth from starting to use tobacco products we plan to: * Restrict the sale of flavored tobacco products that lure youth into becoming addicted * Decrease access to tobacco products near places where youth like schools and parks * Increase knowledge of dangers of tobacco by requiring health messages at point of sale

Thanks, Joy

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From: "Sadow-Hasenberg, Nicole" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 9/24/2010 12:45:35 PM Subject: RE: CPPW tobacco prevention priorities 9 23.doc I think we can beef up the goals again. -----Original Message----From: Ross-Viles, Sarah Sent: Friday, September 24, 2010 9:44 AM To: Hamilton, Joy; Sadow-Hasenberg, Nicole; Pearson, Anne; Neal, Scott Subject: RE: CPPW tobacco prevention priorities 9 23.doc I actually made a few more tweaks to this. Mostly shifting away from saying "smoker." Scott - can you add the once pice of data from teh sheet in your cube and also make sure this aligns with phone call from yesterday? Thanks, Sarah

-----Original Message----From: Hamilton, Joy Sent: Thu 9/23/2010 5:50 PM To: Sadow-Hasenberg, Nicole; Ross-Viles, Sarah; Pearson, Anne; Neal, Scott Subject: CPPW tobacco prevention priorities 9 23.doc

<> Team, Here's the latest draft of the Tobacco Policy priorities. In light of a few calls today, our strategies around preemption and flavored products may be changing. Nicole, I know that you want this to go in the packet for the coalition and the deadline is noon tomorrow. I think that it is really close in terms of content but I want to be really careful about how we talk about these politically sensitive issues. Scott can you give this a look and give Nicole the green light? I think that the section on youth access still needs some work. Unfortunately, Sarah, Anne and I will be out of the office tomorrow. Also -- and maybe more key -- after today's new direction, we don't call out e-cigarettes in here anywhere yet. Do we want to add them now?

Scott-- for you reference, this document has evolved a fair amount. Here is where the youth access piece was earlier today: The tobacco industry knows that young people are more likely to start using tobacco and the majority of people who use tobacco become addicted when they are young. Big tobacco uses strategies like flavored products to get youth to start smoking. Flavored tobacco products have the appeal of candy and mask tobacco's harshness. Like cigarettes, they contain nicotine which is the addictive component of tobacco..
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To prevent youth from starting to use tobacco products we plan to: * Restrict the sale of flavored tobacco products that lure youth into becoming addicted * Decrease access to tobacco products near places where youth like schools and parks * Increase knowledge of dangers of tobacco by requiring health messages at point of sale

Thanks, Joy

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From: "Ross-Viles, Sarah" To: "Hamilton, Joy" "Sadow-Hasenberg, Nicole" "Pearson, Anne" "Neal, Scott" Date: 9/24/2010 12:45:12 PM Subject: RE: CPPW tobacco prevention priorities 9 23.doc Attachments: CPPW tob prior.srv.9.24.doc I actually made a few more tweaks to this. Mostly shifting away from saying "smoker." Scott - can you add the once pice of data from teh sheet in your cube and also make sure this aligns with phone call from yesterday? Thanks, Sarah

-----Original Message----From: Hamilton, Joy Sent: Thu 9/23/2010 5:50 PM To: Sadow-Hasenberg, Nicole; Ross-Viles, Sarah; Pearson, Anne; Neal, Scott Subject: CPPW tobacco prevention priorities 9 23.doc

<> Team, Here's the latest draft of the Tobacco Policy priorities. In light of a few calls today, our strategies around preemption and flavored products may be changing. Nicole, I know that you want this to go in the packet for the coalition and the deadline is noon tomorrow. I think that it is really close in terms of content but I want to be really careful about how we talk about these politically sensitive issues. Scott can you give this a look and give Nicole the green light? I think that the section on youth access still needs some work. Unfortunately, Sarah, Anne and I will be out of the office tomorrow. Also -- and maybe more key -- after today's new direction, we don't call out e-cigarettes in here anywhere yet. Do we want to add them now?

Scott-- for you reference, this document has evolved a fair amount. Here is where the youth access piece was earlier today: The tobacco industry knows that young people are more likely to start using tobacco and the majority of people who use tobacco become addicted when they are young. Big tobacco uses strategies like flavored products to get youth to start smoking. Flavored tobacco products have the appeal of candy and mask tobacco's harshness. Like cigarettes, they contain nicotine which is the addictive component of tobacco.. To prevent youth from starting to use tobacco products we plan to: * Restrict the sale of flavored tobacco products that lure youth into becoming addicted * Decrease access to tobacco products near places where youth like schools and parks * Increase knowledge of dangers of tobacco by requiring health messages at point of sale

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Thanks, Joy

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From: To: Date: Subject:


Congrats!

"Neal, Scott" "Zilar, Christopher" <CZilar@spokanecounty.org> 9/24/2010 7:19:46 PM FW: Spokane BoH E-Cigarettes Resolution Passed!

We should talk soon too regarding December. There have been some developments on the state agenda that may affect how we handle local BOH policy in December. Let me know when might be a good time to chat as soon as possible. Thanks Scott

From: Limtiaco, Frances (DOH) [mailto:Frances.Limtiaco@DOH.WA.GOV] Sent: Friday, September 24, 2010 3:34 PM To: Allison Cox; Amy Ward-Benton Franklin; Annie Peterson; Ronneberg, Brett; Bruce Rytkonen; cpritchard@co.okanogan.wa.us; darcee.anderson@cdhd.wa.gov; Dawn Jacobs; de la Pena, Norilyn; Deb Drandoff; Edie Borgman; Pajimula, Fel; Frank DiBiase; George Hermosillo; Hanna Zarellijackson; Joanie Christian; Bennett, John; jtillman@shd.snohomish.wa.gov; Julie Scholer; Karen Palmer; Kate Brueske; Keri Moore; Krista Panerio; ljones@co.okanogan.wa.us; Sherard, Mark; Mary Small; mswami@tpchd.org; Leon-Guerrero, Michael; pwesselestes@shd.snohomish.wa.gov; Pat Calcote; Zemann, Paul; Samantha Yeun; Ross-Viles, Sarah; Neal, Scott; Sheryl Taylor; Susan Wellhausen; tgiles@tpchd.org; together@nwi.net; togethermd@nwi.net; Zilar, Christopher; Astrid Newell; Carol.Hawk@unitedgeneral.org; Carrie McLachlan; HWiersma@whatcomcounty.us; Jessica Minder; Johnston, Allison; Kissee, James (DOH); Saunders, Rachel B (DOH); Zipperer, Chris (DOH); Amber Talburt (E-mail); Alice Buckles; Angela Rios; Bridget Desautel; Dianne Mellon; Ladonna Boyd; Terry Evans; Zekkethal Vargas-Thomas; dianetigerlily@hotmail.com Cc: Haymond, Michele (DOH); Huyck, Carla (DOH) Subject: Spokane BoH E-Cigarettes Resolution Passed! We learned from the Spokane Regional Health District Tobacco Prevention and Control Program that the Board of Health passed a resolution to support and encourage restricting the sale and distribution of electronic ciagrettes to minors as well as the use of electronic cigarettes by minors. The resolution was passed during yesterdays Board of Health meeting. If you would like details about the resolution and process, please contact Christopher Zilar, Julie Scholer, or Krista Panerio with the Spokane TPCP.

Czilar@spokanecounty.org Jscholer@spokanecounty.org Kpanerio@spokanecounty.org This is great news! Congratulations to the Spokane TPC program staff and colleagues!

Frances Limtiaco, MPH Healthy Communities Consultant Tobacco Prevention and Control Contract Manager Washington State Department of Health Chronic Disease Prevention Unit Physical Address: 111 Israel Road SE P.O. Box 47848 Olympia, WA 98504-7848 Phone: (360) 236-3771; Cell: (360) 790-8727 Fax: (360) 236-3646 frances.limtiaco@doh.wa.gov website: www.doh.wa.gov/tobacco
Public Health -- always working for a safer and healthier Washington

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From: To: Date: Subject:

"Neal, Scott" "Wood, Maria" <Maria.Wood@kingcounty.gov> 9/24/2010 7:23:55 PM FW: Spokane BoH E-Cigarettes Resolution Passed!

FYI...Spokane BOH just passed a resolution on e-cigs. I'm still trying to get in touch with Christopher on the latest developments that we've been working through here regarding local BOH work in December. Scott

From: Limtiaco, Frances (DOH) [mailto:Frances.Limtiaco@DOH.WA.GOV] Sent: Friday, September 24, 2010 3:34 PM To: Allison Cox; Amy Ward-Benton Franklin; Annie Peterson; Ronneberg, Brett; Bruce Rytkonen; cpritchard@co.okanogan.wa.us; darcee.anderson@cdhd.wa.gov; Dawn Jacobs; de la Pena, Norilyn; Deb Drandoff; Edie Borgman; Pajimula, Fel; Frank DiBiase; George Hermosillo; Hanna Zarellijackson; Joanie Christian; Bennett, John; jtillman@shd.snohomish.wa.gov; Julie Scholer; Karen Palmer; Kate Brueske; Keri Moore; Krista Panerio; ljones@co.okanogan.wa.us; Sherard, Mark; Mary Small; mswami@tpchd.org; Leon-Guerrero, Michael; pwesselestes@shd.snohomish.wa.gov; Pat Calcote; Zemann, Paul; Samantha Yeun; Ross-Viles, Sarah; Neal, Scott; Sheryl Taylor; Susan Wellhausen; tgiles@tpchd.org; together@nwi.net; togethermd@nwi.net; Zilar, Christopher; Astrid Newell; Carol.Hawk@unitedgeneral.org; Carrie McLachlan; HWiersma@whatcomcounty.us; Jessica Minder; Johnston, Allison; Kissee, James (DOH); Saunders, Rachel B (DOH); Zipperer, Chris (DOH); Amber Talburt (E-mail); Alice Buckles; Angela Rios; Bridget Desautel; Dianne Mellon; Ladonna Boyd; Terry Evans; Zekkethal Vargas-Thomas; dianetigerlily@hotmail.com Cc: Haymond, Michele (DOH); Huyck, Carla (DOH) Subject: Spokane BoH E-Cigarettes Resolution Passed! We learned from the Spokane Regional Health District Tobacco Prevention and Control Program that the Board of Health passed a resolution to support and encourage restricting the sale and distribution of electronic ciagrettes to minors as well as the use of electronic cigarettes by minors. The resolution was passed during yesterdays Board of Health meeting. If you would like details about the resolution and process, please contact Christopher Zilar, Julie Scholer, or Krista Panerio with the Spokane TPCP.

Czilar@spokanecounty.org Jscholer@spokanecounty.org Kpanerio@spokanecounty.org This is great news! Congratulations to the Spokane TPC program staff and colleagues!

Frances Limtiaco, MPH Healthy Communities Consultant Tobacco Prevention and Control Contract Manager Washington State Department of Health Chronic Disease Prevention Unit Physical Address: 111 Israel Road SE P.O. Box 47848 Olympia, WA 98504-7848 Phone: (360) 236-3771; Cell: (360) 790-8727 Fax: (360) 236-3646 frances.limtiaco@doh.wa.gov website: www.doh.wa.gov/tobacco
Public Health -- always working for a safer and healthier Washington

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From: "Limtiaco, Frances \(DOH\)" <Frances.Limtiaco@DOH.WA.GOV> To: "Allison Cox" <ACox@tpchd.org> "Amy Ward-Benton Franklin" <amy@tobacco-free.net> "Annie Peterson" <apeterson@shd.snohomish.wa.gov> "Ronneberg, Brett" "Bruce Rytkonen" <brytkonen@tpchd.org> cpritchard@co.okanogan.wa.us darcee.anderson@cdhd.wa.gov "Dawn Jacobs" <djacobs@tpchd.org> "de la Pena, Norilyn" "Deb Drandoff" <deb.drandoff@esd112.org> "Edie Borgman" <edieb@co.adams.wa.us> "Pajimula, Fel" "Frank DiBiase" <fdibiase@tpchd.org> "George Hermosillo" <ghermosillo@tpchd.org> "Hanna Zarellijackson" <hzarellijackson@tpchd.org> "Joanie Christian" <jchristian@netchd.org> "Bennett, John" jtillman@shd.snohomish.wa.gov "Julie Scholer" <jscholer@spokanecounty.org> "Karen Palmer" <karenpa@co.adams.wa.us> "Kate Brueske" <kateb@co.adams.wa.us> "Keri Moore" <kmoore@shd.snohomish.wa.gov> "Krista Panerio" <kpanerio@spokanecounty.org> ljones@co.okanogan.wa.us "Sherard, Mark" "Mary Small" <mary.small@cdhd.wa.gov> mswami@tpchd.org "Leon-Guerrero, Michael" pwesselestes@shd.snohomish.wa.gov "Pat Calcote" <pcalcote@shd.snohomish.wa.gov> "Zemann, Paul" "Samantha Yeun" <syeun@tpchd.org> "Ross-Viles, Sarah" "Neal, Scott" "Sheryl Taylor" <Sheryl.taylor@esd112.org> "Susan Wellhausen" <swellhausen@netchd.org> tgiles@tpchd.org together@nwi.net togethermd@nwi.net "Zilar, Christopher" <CZilar@spokanecounty.org> "Astrid Newell" <ANewell@co.whatcom.wa.us> Carol.Hawk@unitedgeneral.org "Carrie McLachlan" <carriem@co.island.wa.us> HWiersma@whatcomcounty.us "Jessica Minder" <J.Minder@co.island.wa.us> "Johnston, Allison" <Allison.Johnston@unitedgeneral.org> "Kissee, James \(DOH\)" <James.Kissee@DOH.WA.GOV> "Saunders, Rachel B \(DOH\)" <Rachel.Saunders@DOH.WA.GOV>
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"Zipperer, Chris \(DOH\)" <Chris.Zipperer@DOH.WA.GOV> "Amber Talburt \(E-mail\)" <Amber.Talburt@cancer.org> "Alice Buckles" <abuckles@camashealth.com> "Angela Rios" <angela.rios@colvilletribes.com> "Bridget Desautel" <bridget.abrahamson@colvilletribes.com> "Dianne Mellon" <dianne.mellon@colvilletribes.com> "Ladonna Boyd" <lboyd@camashealth.com> "Terry Evans" <evanstl@spokanetribe.com> "Zekkethal Vargas-Thomas" <zekkethal.vargas@colvilletribes.com> dianetigerlily@hotmail.com Date: 9/24/2010 6:37:00 PM Subject: Spokane BoH E-Cigarettes Resolution Passed!
We learned from the Spokane Regional Health District Tobacco Prevention and Control Program that the Board of Health passed a resolution to support and encourage restricting the sale and distribution of electronic ciagrettes to minors as well as the use of electronic cigarettes by minors. The resolution was passed during yesterdays Board of Health meeting. If you would like details about the resolution and process, please contact Christopher Zilar, Julie Scholer, or Krista Panerio with the Spokane TPCP.

Czilar@spokanecounty.org Jscholer@spokanecounty.org Kpanerio@spokanecounty.org This is great news! Congratulations to the Spokane TPC program staff and colleagues!

Frances Limtiaco, MPH Healthy Communities Consultant Tobacco Prevention and Control Contract Manager Washington State Department of Health Chronic Disease Prevention Unit Physical Address: 111 Israel Road SE P.O. Box 47848 Olympia, WA 98504-7848 Phone: (360) 236-3771; Cell: (360) 790-8727 Fax: (360) 236-3646 frances.limtiaco@doh.wa.gov website: www.doh.wa.gov/tobacco
Public Health -- always working for a safer and healthier Washington

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From: "Apa, James" To: "Valenzuela, Matias" <Matias.Valenzuela@kingcounty.gov> "Sadow-Hasenberg, Nicole" <Nicole.Sadow-Hasenberg@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 9/28/2010 1:26:37 PM Subject: RE: Letterman brings back stupid human tricks
FYI -- Wasn't successful in getting this to Sarah and Scott last night via Blackberry (was a bit groggy). Here's what I sent last night, and a link to a story today: http://www.nydailynews.com/gossip/2010/09/28/2010-0928_katherine_heigl_puffs_on_smoke_stick_in_attempt_to_quit_smoking.html -----Original Message----From: Apa, James Sent: Tuesday, September 28, 2010 12:19 AM To: 'sara.ross-viles@kingcounty.gov'; Valenzuela, Matias; Sadow-Hasenberg, Nicole Subject: Letterman brings back stupid human tricks Katherine Heigl and Dave are taking turns smoking an e-cigs on the program now. It's practically an infomercial -- the entire segment is her raving about it as a safe alternative to smoking, and Dave saying he's going to get one. Too bad she didn't have have Shards O' Glass to share with Dave's kid.

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From: To: Date: Subject: Hi all,

"Pajimula, Fel" "ZZGrp, PH Tobacco DOH" <ZZGrp_PHTobaccoDOH@kingcounty.gov> 9/28/2010 1:39:14 PM Letterman takes a drag from an e-cig, Katherine Heigl seems like she's promoting/selling the things...

Hopefully one of these links works for you. It's an episode clip direct from the CBS site for Letterman. Apologies if you've already seen this: David Letterman - Katherine Heigl's Fake Smoke Air Date: 09/27/10 Clip 1:57 Katherine tries to kick the habit with the help of an electronic cigarette.

http://www.cbs.com/late_night/late_show/video/? pid=XoUlvxExPNQiDbnnn_xJF6_oPYs3gEZq&vs=Default&play=true http://www.cbs.com/thunder/canplayer/canplayer.swf? pid=XoUlvxExPNQiDbnnn_xJF6_oPYs3gEZq&partner=cbs&gen=1

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From: "Sadow-Hasenberg, Nicole" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 9/29/2010 4:58:35 PM Subject: RE: CPPW tobacco prevention priorities 9 23.doc Hi all, As I mentioned to Joy I think we need to change the goal section back to the original, make it stronger language and more CPPW focused. -----Original Message----From: Neal, Scott Sent: Wednesday, September 29, 2010 1:58 PM To: Ross-Viles, Sarah; Hamilton, Joy; Sadow-Hasenberg, Nicole; Pearson, Anne Subject: RE: CPPW tobacco prevention priorities 9 23.doc I made a couple of minor edits and included the current number (10th graders-2008 HYS). Scott -----Original Message----From: Ross-Viles, Sarah Sent: Friday, September 24, 2010 9:44 AM To: Hamilton, Joy; Sadow-Hasenberg, Nicole; Pearson, Anne; Neal, Scott Subject: RE: CPPW tobacco prevention priorities 9 23.doc I actually made a few more tweaks to this. Mostly shifting away from saying "smoker." Scott - can you add the once pice of data from teh sheet in your cube and also make sure this aligns with phone call from yesterday? Thanks, Sarah

-----Original Message----From: Hamilton, Joy Sent: Thu 9/23/2010 5:50 PM To: Sadow-Hasenberg, Nicole; Ross-Viles, Sarah; Pearson, Anne; Neal, Scott Subject: CPPW tobacco prevention priorities 9 23.doc

<> Team, Here's the latest draft of the Tobacco Policy priorities. In light of a few calls today, our strategies around preemption and flavored products may be changing. Nicole, I know that you want this to go in the packet for the coalition and the deadline is noon tomorrow. I think that it is really close in terms of content but I want to be really careful about how we talk about these politically sensitive issues. Scott can you give this a look and give Nicole the green light? I
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think that the section on youth access still needs some work. Unfortunately, Sarah, Anne and I will be out of the office tomorrow. Also -- and maybe more key -- after today's new direction, we don't call out e-cigarettes in here anywhere yet. Do we want to add them now?

Scott-- for you reference, this document has evolved a fair amount. Here is where the youth access piece was earlier today: The tobacco industry knows that young people are more likely to start using tobacco and the majority of people who use tobacco become addicted when they are young. Big tobacco uses strategies like flavored products to get youth to start smoking. Flavored tobacco products have the appeal of candy and mask tobacco's harshness. Like cigarettes, they contain nicotine which is the addictive component of tobacco.. To prevent youth from starting to use tobacco products we plan to: * Restrict the sale of flavored tobacco products that lure youth into becoming addicted * Decrease access to tobacco products near places where youth like schools and parks * Increase knowledge of dangers of tobacco by requiring health messages at point of sale

Thanks, Joy

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From: "Neal, Scott" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Sadow-Hasenberg, Nicole" <Nicole.Sadow-Hasenberg@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 9/29/2010 4:57:32 PM Subject: RE: CPPW tobacco prevention priorities 9 23.doc Attachments: CPPW tob prior srv 9 24.sn9.29.doc I made a couple of minor edits and included the current number (10th graders-2008 HYS). Scott -----Original Message----From: Ross-Viles, Sarah Sent: Friday, September 24, 2010 9:44 AM To: Hamilton, Joy; Sadow-Hasenberg, Nicole; Pearson, Anne; Neal, Scott Subject: RE: CPPW tobacco prevention priorities 9 23.doc I actually made a few more tweaks to this. Mostly shifting away from saying "smoker." Scott - can you add the once pice of data from teh sheet in your cube and also make sure this aligns with phone call from yesterday? Thanks, Sarah

-----Original Message----From: Hamilton, Joy Sent: Thu 9/23/2010 5:50 PM To: Sadow-Hasenberg, Nicole; Ross-Viles, Sarah; Pearson, Anne; Neal, Scott Subject: CPPW tobacco prevention priorities 9 23.doc

<> Team, Here's the latest draft of the Tobacco Policy priorities. In light of a few calls today, our strategies around preemption and flavored products may be changing. Nicole, I know that you want this to go in the packet for the coalition and the deadline is noon tomorrow. I think that it is really close in terms of content but I want to be really careful about how we talk about these politically sensitive issues. Scott can you give this a look and give Nicole the green light? I think that the section on youth access still needs some work. Unfortunately, Sarah, Anne and I will be out of the office tomorrow. Also -- and maybe more key -- after today's new direction, we don't call out e-cigarettes in here anywhere yet. Do we want to add them now?

Scott-- for you reference, this document has evolved a fair amount. Here is where the youth access piece was earlier today: The tobacco industry knows that young people are more likely to start using tobacco and the majority of people who
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use tobacco become addicted when they are young. Big tobacco uses strategies like flavored products to get youth to start smoking. Flavored tobacco products have the appeal of candy and mask tobacco's harshness. Like cigarettes, they contain nicotine which is the addictive component of tobacco.. To prevent youth from starting to use tobacco products we plan to: * Restrict the sale of flavored tobacco products that lure youth into becoming addicted * Decrease access to tobacco products near places where youth like schools and parks * Increase knowledge of dangers of tobacco by requiring health messages at point of sale

Thanks, Joy

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From: "Hamilton, Joy" To: "Sadow-Hasenberg, Nicole" <Nicole.Sadow-Hasenberg@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 9/29/2010 5:55:38 PM Subject: RE: CPPW tobacco prevention priorities 9 23.doc Attachments: CPPW tob prior 9.29.doc Here's the final version -- we tried to make it more CPPW focused. Nicole -- once you've made this to match HEAL's document -- we will send out to the participants of Monday's training. Joy -----Original Message----From: Sadow-Hasenberg, Nicole Sent: Wednesday, September 29, 2010 1:59 PM To: Neal, Scott; Ross-Viles, Sarah; Hamilton, Joy; Pearson, Anne Subject: RE: CPPW tobacco prevention priorities 9 23.doc Hi all, As I mentioned to Joy I think we need to change the goal section back to the original, make it stronger language and more CPPW focused. -----Original Message----From: Neal, Scott Sent: Wednesday, September 29, 2010 1:58 PM To: Ross-Viles, Sarah; Hamilton, Joy; Sadow-Hasenberg, Nicole; Pearson, Anne Subject: RE: CPPW tobacco prevention priorities 9 23.doc I made a couple of minor edits and included the current number (10th graders-2008 HYS). Scott -----Original Message----From: Ross-Viles, Sarah Sent: Friday, September 24, 2010 9:44 AM To: Hamilton, Joy; Sadow-Hasenberg, Nicole; Pearson, Anne; Neal, Scott Subject: RE: CPPW tobacco prevention priorities 9 23.doc I actually made a few more tweaks to this. Mostly shifting away from saying "smoker." Scott - can you add the once pice of data from teh sheet in your cube and also make sure this aligns with phone call from yesterday? Thanks, Sarah

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-----Original Message----From: Hamilton, Joy Sent: Thu 9/23/2010 5:50 PM To: Sadow-Hasenberg, Nicole; Ross-Viles, Sarah; Pearson, Anne; Neal, Scott Subject: CPPW tobacco prevention priorities 9 23.doc

<> Team, Here's the latest draft of the Tobacco Policy priorities. In light of a few calls today, our strategies around preemption and flavored products may be changing. Nicole, I know that you want this to go in the packet for the coalition and the deadline is noon tomorrow. I think that it is really close in terms of content but I want to be really careful about how we talk about these politically sensitive issues. Scott can you give this a look and give Nicole the green light? I think that the section on youth access still needs some work. Unfortunately, Sarah, Anne and I will be out of the office tomorrow. Also -- and maybe more key -- after today's new direction, we don't call out e-cigarettes in here anywhere yet. Do we want to add them now?

Scott-- for you reference, this document has evolved a fair amount. Here is where the youth access piece was earlier today: The tobacco industry knows that young people are more likely to start using tobacco and the majority of people who use tobacco become addicted when they are young. Big tobacco uses strategies like flavored products to get youth to start smoking. Flavored tobacco products have the appeal of candy and mask tobacco's harshness. Like cigarettes, they contain nicotine which is the addictive component of tobacco.. To prevent youth from starting to use tobacco products we plan to: * Restrict the sale of flavored tobacco products that lure youth into becoming addicted * Decrease access to tobacco products near places where youth like schools and parks * Increase knowledge of dangers of tobacco by requiring health messages at point of sale

Thanks, Joy

8_19_2011

Page 1

From: To: Date: Subject: Yikes!

"Wood, Maria" "Neal, Scott" <Scott.Neal@kingcounty.gov> 9/29/2010 6:18:32 PM RE: Letterman takes a drag from an e-cig, Katherine Heigl seems like she's promoting/selling the things...

>_____________________________________________ >From: Neal, Scott >Sent: Wednesday, September 29, 2010 1:21 PM >To: Erin.Dziedzic@cancer.org; 'Lucy Culp'; Carrie Nyssen; 'Amber.Talburt@cancer.org' >Cc: Muhm, Jennifer; Wood, Maria; Apa, James >Subject: FW: Letterman takes a drag from an e-cig, Katherine Heigl seems like she's promoting/selling the things... > >You all may have seen this already, but this segment of a recent David Letterman episode is disturbing, especially given the FDA's stance on electronic cigarettes. > >Scott > >______________________________________________ >From: Pajimula, Fel >Sent: Tuesday, September 28, 2010 10:39 AM >To: ZZGrp, PH Tobacco DOH >Subject: Letterman takes a drag from an e-cig, Katherine Heigl seems like she's promoting/selling the things... > >Hi all, > >Hopefully one of these links works for you. It's an episode clip direct from the CBS site for Letterman. Apologies if you've already seen this: > >David Letterman - Katherine Heigl's Fake Smoke > >Air Date: 09/27/10 > >Clip 1:57 > >Katherine tries to kick the habit with the help of an electronic cigarette. > > >http://www.cbs.com/late_night/late_show/video/? pid=XoUlvxExPNQiDbnnn_xJF6_oPYs3gEZq&vs=Default&play=true > >http://www.cbs.com/thunder/canplayer/canplayer.swf? pid=XoUlvxExPNQiDbnnn_xJF6_oPYs3gEZq&partner=cbs&gen=1

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From: "Neal, Scott" To: Erin.Dziedzic@cancer.org "Lucy Culp" <lucy.culp@heart.org> "Carrie Nyssen" <cnyssen@ALAW.ORG> Amber.Talburt@cancer.org Date: 9/29/2010 4:20:44 PM Subject: FW: Letterman takes a drag from an e-cig, Katherine Heigl seems like she's promoting/selling the things... You all may have seen this already, but this segment of a recent David Letterman episode is disturbing, especially given the FDA's stance on electronic cigarettes. Scott >______________________________________________ >From: Pajimula, Fel >Sent: Tuesday, September 28, 2010 10:39 AM >To: ZZGrp, PH Tobacco DOH >Subject: Letterman takes a drag from an e-cig, Katherine Heigl seems like she's promoting/selling the things... > >Hi all, > >Hopefully one of these links works for you. It's an episode clip direct from the CBS site for Letterman. Apologies if you've already seen this: > >David Letterman - Katherine Heigl's Fake Smoke > >Air Date: 09/27/10 > >Clip 1:57 > >Katherine tries to kick the habit with the help of an electronic cigarette. > > >http://www.cbs.com/late_night/late_show/video/? pid=XoUlvxExPNQiDbnnn_xJF6_oPYs3gEZq&vs=Default&play=true > >http://www.cbs.com/thunder/canplayer/canplayer.swf? pid=XoUlvxExPNQiDbnnn_xJF6_oPYs3gEZq&partner=cbs&gen=1

8_19_2011

Page 1

From: To: Date: Subject: John,

"Neal, Scott" "Bennett, John" <John.Bennett@kingcounty.gov> 9/29/2010 4:07:28 PM FW: Reporting smoking law violation

I think given this is a show that probably has an end date...I think this one warrants us making a call directly to them to work through this situation. It always strikes me as hillarious when shows with actors have to use real cigarettes! Really?!...aren't they actors? Couldn't they just not light them? I mean there is plenty of other "fake" things on stage that they use to represent what is really in their environment. Also...at least currently, they could get away with using e-cigs. Scott

-----Original Message----From: publichealth@kingcounty.gov [mailto:publichealth@kingcounty.gov] Sent: Wednesday, September 29, 2010 11:51 AM To: Smoking, Concern Subject: Reporting smoking law violation Submitted from: http://www.kingcounty.gov/healthservices/health/drugs/tobacco/report.aspx Submitted at 11:50:32 AM, on Wednesday, September 29, 2010 The following information was provided: Complainant's Name: Jason Lin Complainant's Email Address: jsnlin@hotmail.com Complainant's Phone Number: 2068591886 Establishment's Name: Intiman Theatre Establishment's Address: Establishment's City: Seattle Establishment's Zip Code: Date and Time of Occurrence: August 14th, evening Employee Notification: Yes, employee was notified of violation Complainant's Details: Intiman Theatre show - RUINED. A lot of smoking during performance. Setting of show is in a bar. Asked about brand - Herbal Ecstasy.
8_19_2011

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Lifelong asthma, self-monitor like crazy, would have reconsidered attending if there was a warning. Feels it was unreasonably smokey. Should have left but felt compelled to stay for girlfriend's sake. Immediatley, sore throat. Nasal passages congetsed. Diminished lung capacity. Bronchitis. Sinusitis. Resulting in lung infection, liquid in lungs. It just hurts to breathe. Went to physician the following Wednesday, 18th. Received treatment but has to now see a specialist to treat remaining bronchitis...it is still hard to breathe, lung pain, chest pain. Time off, doctor's visits = $600. Notified threater of concerns. Told that theatre would post warnings on website in future. Also followed up with other county offices who directed them to PHSKC.

_________________________________________ User IP Address:146.129.86.230 User Software Client:Mozilla/4.0 (compatible; MSIE 8.0; Windows NT 5.1; Trident/4.0; .NET CLR 2.0.50727; .NET CLR 3.0.4506.2152; .NET CLR 3.5.30729; .NET CLR 1.1.4322; InfoPath.1)

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From: "Sadow-Hasenberg, Nicole" To: "Sadow-Hasenberg, Nicole" <Nicole.Sadow-Hasenberg@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 9/30/2010 2:39:02 PM Subject: RE: CPPW tobacco prevention priorities 9 23.doc P.S. - Can you please be more specific in the problem statement about inequities. It's so broad I don't think it's useful. Still keep it to one sentence though. Thanks. -----Original Message----From: Sadow-Hasenberg, Nicole Sent: Thursday, September 30, 2010 11:33 AM To: Neal, Scott; Ross-Viles, Sarah; Hamilton, Joy; Pearson, Anne Subject: RE: CPPW tobacco prevention priorities 9 23.doc Can you look this over one more time and we'll call it done? Can you please get back to me in the next hour? It's my "day off" and I need to leave soon. -----Original Message----From: Neal, Scott Sent: Wednesday, September 29, 2010 1:58 PM To: Ross-Viles, Sarah; Hamilton, Joy; Sadow-Hasenberg, Nicole; Pearson, Anne Subject: RE: CPPW tobacco prevention priorities 9 23.doc I made a couple of minor edits and included the current number (10th graders-2008 HYS). Scott -----Original Message----From: Ross-Viles, Sarah Sent: Friday, September 24, 2010 9:44 AM To: Hamilton, Joy; Sadow-Hasenberg, Nicole; Pearson, Anne; Neal, Scott Subject: RE: CPPW tobacco prevention priorities 9 23.doc I actually made a few more tweaks to this. Mostly shifting away from saying "smoker." Scott - can you add the once pice of data from teh sheet in your cube and also make sure this aligns with phone call from yesterday? Thanks, Sarah

-----Original Message----From: Hamilton, Joy Sent: Thu 9/23/2010 5:50 PM To: Sadow-Hasenberg, Nicole; Ross-Viles, Sarah; Pearson, Anne; Neal, Scott Subject: CPPW tobacco prevention priorities 9 23.doc
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<> Team, Here's the latest draft of the Tobacco Policy priorities. In light of a few calls today, our strategies around preemption and flavored products may be changing. Nicole, I know that you want this to go in the packet for the coalition and the deadline is noon tomorrow. I think that it is really close in terms of content but I want to be really careful about how we talk about these politically sensitive issues. Scott can you give this a look and give Nicole the green light? I think that the section on youth access still needs some work. Unfortunately, Sarah, Anne and I will be out of the office tomorrow. Also -- and maybe more key -- after today's new direction, we don't call out e-cigarettes in here anywhere yet. Do we want to add them now?

Scott-- for you reference, this document has evolved a fair amount. Here is where the youth access piece was earlier today: The tobacco industry knows that young people are more likely to start using tobacco and the majority of people who use tobacco become addicted when they are young. Big tobacco uses strategies like flavored products to get youth to start smoking. Flavored tobacco products have the appeal of candy and mask tobacco's harshness. Like cigarettes, they contain nicotine which is the addictive component of tobacco.. To prevent youth from starting to use tobacco products we plan to: * Restrict the sale of flavored tobacco products that lure youth into becoming addicted * Decrease access to tobacco products near places where youth like schools and parks * Increase knowledge of dangers of tobacco by requiring health messages at point of sale

Thanks, Joy

8_19_2011

Page 1

From: "Sadow-Hasenberg, Nicole" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 9/30/2010 2:33:05 PM Subject: RE: CPPW tobacco prevention priorities 9 23.doc Attachments: CPPW tobacco prevention priorities 10.4.10.doc Can you look this over one more time and we'll call it done? Can you please get back to me in the next hour? It's my "day off" and I need to leave soon. -----Original Message----From: Neal, Scott Sent: Wednesday, September 29, 2010 1:58 PM To: Ross-Viles, Sarah; Hamilton, Joy; Sadow-Hasenberg, Nicole; Pearson, Anne Subject: RE: CPPW tobacco prevention priorities 9 23.doc I made a couple of minor edits and included the current number (10th graders-2008 HYS). Scott -----Original Message----From: Ross-Viles, Sarah Sent: Friday, September 24, 2010 9:44 AM To: Hamilton, Joy; Sadow-Hasenberg, Nicole; Pearson, Anne; Neal, Scott Subject: RE: CPPW tobacco prevention priorities 9 23.doc I actually made a few more tweaks to this. Mostly shifting away from saying "smoker." Scott - can you add the once pice of data from teh sheet in your cube and also make sure this aligns with phone call from yesterday? Thanks, Sarah

-----Original Message----From: Hamilton, Joy Sent: Thu 9/23/2010 5:50 PM To: Sadow-Hasenberg, Nicole; Ross-Viles, Sarah; Pearson, Anne; Neal, Scott Subject: CPPW tobacco prevention priorities 9 23.doc

<> Team, Here's the latest draft of the Tobacco Policy priorities. In light of a few calls today, our strategies around preemption and flavored products may be changing. Nicole, I know that you want this to go in the packet for the coalition and the deadline is noon tomorrow. I think that it is really close in terms of content but I want to be really careful about how we talk about these politically sensitive issues. Scott can you give this a look and give Nicole the green light? I
8_19_2011

Page 2

think that the section on youth access still needs some work. Unfortunately, Sarah, Anne and I will be out of the office tomorrow. Also -- and maybe more key -- after today's new direction, we don't call out e-cigarettes in here anywhere yet. Do we want to add them now?

Scott-- for you reference, this document has evolved a fair amount. Here is where the youth access piece was earlier today: The tobacco industry knows that young people are more likely to start using tobacco and the majority of people who use tobacco become addicted when they are young. Big tobacco uses strategies like flavored products to get youth to start smoking. Flavored tobacco products have the appeal of candy and mask tobacco's harshness. Like cigarettes, they contain nicotine which is the addictive component of tobacco.. To prevent youth from starting to use tobacco products we plan to: * Restrict the sale of flavored tobacco products that lure youth into becoming addicted * Decrease access to tobacco products near places where youth like schools and parks * Increase knowledge of dangers of tobacco by requiring health messages at point of sale

Thanks, Joy

8_19_2011

Page 1

From: To: Date: Subject:

"Neal, Scott" "Holt, Anna K" <anna.k.holt@pfizer.com> 9/30/2010 1:55:30 PM FW: Letterman takes a drag from an e-cig, Katherine Heigl seems like she's promoting/selling the things...

FYIquite disturbing >______________________________________________ >From: Pajimula, Fel >Sent: Tuesday, September 28, 2010 10:39 AM >To: ZZGrp, PH Tobacco DOH >Subject: Letterman takes a drag from an e-cig, Katherine Heigl seems like she's promoting/selling the things... > >Hi all, > >Hopefully one of these links works for you. It's an episode clip direct from the CBS site for Letterman. Apologies if you've already seen this: > >David Letterman - Katherine Heigl's Fake Smoke > >Air Date: 09/27/10 > >Clip 1:57 > >Katherine tries to kick the habit with the help of an electronic cigarette. > > >http://www.cbs.com/late_night/late_show/video/? pid=XoUlvxExPNQiDbnnn_xJF6_oPYs3gEZq&vs=Default&play=true > >http://www.cbs.com/thunder/canplayer/canplayer.swf? pid=XoUlvxExPNQiDbnnn_xJF6_oPYs3gEZq&partner=cbs&gen=1

8_19_2011

Page 1

From: To: Date: Subject:

"Zilar, Christopher" <CZilar@spokanecounty.org> "Neal, Scott" 9/30/2010 6:13:51 PM RE: Spokane BoH E-Cigarettes Resolution Passed!

The only meeting I have that day is at 1:30. I can talk until then.
Christopher P. Zilar, Program Manager Breast, Cervical and Colon Health Tobacco Prevention and Control Spokane Regional Health District 1101 W. College Ave., Suite 401 Spokane, WA 99201 (509) 324-1538 mailto:czilar@spokanecounty.org www.srhd.org

Public Health - Always working for a safer and healthier community


CONFIDENTIALITY NOTICE: This email and any attachments are for the sole use of the intended recipient(s) and may contain proprietary, confidential, or privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited and may be a violation of law. If you are not the intended recipient or a person responsible for delivering this message to an intended recipient, please contact the sender by reply email and destroy all copies of the original message.

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Thursday, September 30, 2010 2:31 PM To: Zilar, Christopher Subject: RE: Spokane BoH E-Cigarettes Resolution Passed! Ok how about I give you a call next Thursday, Oct. 7th at 1pm? Scott

From: Zilar, Christopher [mailto:CZilar@spokanecounty.org] Sent: Thursday, September 30, 2010 1:01 PM To: Neal, Scott Subject: RE: Spokane BoH E-Cigarettes Resolution Passed!

Scott, I have lots of free time next week or the week of October 25.
Christopher P. Zilar, Program Manager Breast, Cervical and Colon Health Tobacco Prevention and Control Spokane Regional Health District 1101 W. College Ave., Suite 401 Spokane, WA 99201 (509) 324-1538 mailto:czilar@spokanecounty.org www.srhd.org

Public Health - Always working for a safer and healthier community


CONFIDENTIALITY NOTICE: This email and any attachments are for the sole use of the intended recipient(s) and may contain proprietary, confidential, or privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited and may be a violation of law. If you are not the intended recipient or a person responsible for delivering this message to an intended recipient, please contact the sender by reply email and destroy all copies of the original message.

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Friday, September 24, 2010 4:20 PM To: Zilar, Christopher Subject: FW: Spokane BoH E-Cigarettes Resolution Passed! 8_19_2011

Page 2 Congrats! We should talk soon too regarding December. There have been some developments on the state agenda that may affect how we handle local BOH policy in December. Let me know when might be a good time to chat as soon as possible. Thanks Scott

From: Limtiaco, Frances (DOH) [mailto:Frances.Limtiaco@DOH.WA.GOV] Sent: Friday, September 24, 2010 3:34 PM To: Allison Cox; Amy Ward-Benton Franklin; Annie Peterson; Ronneberg, Brett; Bruce Rytkonen; cpritchard@co.okanogan.wa.us; darcee.anderson@cdhd.wa.gov; Dawn Jacobs; de la Pena, Norilyn; Deb Drandoff; Edie Borgman; Pajimula, Fel; Frank DiBiase; George Hermosillo; Hanna Zarellijackson; Joanie Christian; Bennett, John; jtillman@shd.snohomish.wa.gov; Julie Scholer; Karen Palmer; Kate Brueske; Keri Moore; Krista Panerio; ljones@co.okanogan.wa.us; Sherard, Mark; Mary Small; mswami@tpchd.org; Leon-Guerrero, Michael; pwesselestes@shd.snohomish.wa.gov; Pat Calcote; Zemann, Paul; Samantha Yeun; Ross-Viles, Sarah; Neal, Scott; Sheryl Taylor; Susan Wellhausen; tgiles@tpchd.org; together@nwi.net; togethermd@nwi.net; Zilar, Christopher; Astrid Newell; Carol.Hawk@unitedgeneral.org; Carrie McLachlan; HWiersma@whatcomcounty.us; Jessica Minder; Johnston, Allison; Kissee, James (DOH); Saunders, Rachel B (DOH); Zipperer, Chris (DOH); Amber Talburt (E-mail); Alice Buckles; Angela Rios; Bridget Desautel; Dianne Mellon; Ladonna Boyd; Terry Evans; Zekkethal Vargas-Thomas; dianetigerlily@hotmail.com Cc: Haymond, Michele (DOH); Huyck, Carla (DOH) Subject: Spokane BoH E-Cigarettes Resolution Passed! We learned from the Spokane Regional Health District Tobacco Prevention and Control Program that the Board of Health passed a resolution to support and encourage restricting the sale and distribution of electronic ciagrettes to minors as well as the use of electronic cigarettes by minors. The resolution was passed during yesterdays Board of Health meeting. If you would like details about the resolution and process, please contact Christopher Zilar, Julie Scholer, or Krista Panerio with the Spokane TPCP.

Czilar@spokanecounty.org Jscholer@spokanecounty.org Kpanerio@spokanecounty.org This is great news! Congratulations to the Spokane TPC program staff and colleagues!

Frances Limtiaco, MPH Healthy Communities Consultant Tobacco Prevention and Control Contract Manager Washington State Department of Health Chronic Disease Prevention Unit Physical Address: 111 Israel Road SE P.O. Box 47848 Olympia, WA 98504-7848 Phone: (360) 236-3771; Cell: (360) 790-8727 Fax: (360) 236-3646 frances.limtiaco@doh.wa.gov website: www.doh.wa.gov/tobacco
Public Health -- always working for a safer and healthier Washington

8_19_2011

Page 1

From: To: Date: Subject:

"Neal, Scott" "Zilar, Christopher" <CZilar@spokanecounty.org> 9/30/2010 5:31:00 PM RE: Spokane BoH E-Cigarettes Resolution Passed!

Ok how about I give you a call next Thursday, Oct. 7th at 1pm? Scott

From: Zilar, Christopher [mailto:CZilar@spokanecounty.org] Sent: Thursday, September 30, 2010 1:01 PM To: Neal, Scott Subject: RE: Spokane BoH E-Cigarettes Resolution Passed!

Scott, I have lots of free time next week or the week of October 25.
Christopher P. Zilar, Program Manager Breast, Cervical and Colon Health Tobacco Prevention and Control Spokane Regional Health District 1101 W. College Ave., Suite 401 Spokane, WA 99201 (509) 324-1538 mailto:czilar@spokanecounty.org www.srhd.org

Public Health - Always working for a safer and healthier community


CONFIDENTIALITY NOTICE: This email and any attachments are for the sole use of the intended recipient(s) and may contain proprietary, confidential, or privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited and may be a violation of law. If you are not the intended recipient or a person responsible for delivering this message to an intended recipient, please contact the sender by reply email and destroy all copies of the original message.

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Friday, September 24, 2010 4:20 PM To: Zilar, Christopher Subject: FW: Spokane BoH E-Cigarettes Resolution Passed! Congrats! We should talk soon too regarding December. There have been some developments on the state agenda that may affect how we handle local BOH policy in December. Let me know when might be a good time to chat as soon as possible. Thanks Scott

From: Limtiaco, Frances (DOH) [mailto:Frances.Limtiaco@DOH.WA.GOV] Sent: Friday, September 24, 2010 3:34 PM To: Allison Cox; Amy Ward-Benton Franklin; Annie Peterson; Ronneberg, Brett; Bruce Rytkonen; cpritchard@co.okanogan.wa.us; darcee.anderson@cdhd.wa.gov; Dawn Jacobs; de la Pena, Norilyn; Deb Drandoff; Edie Borgman; Pajimula, Fel; Frank DiBiase; George Hermosillo; Hanna Zarellijackson; Joanie Christian; Bennett, John; jtillman@shd.snohomish.wa.gov; Julie Scholer; Karen Palmer; Kate Brueske; Keri Moore; Krista Panerio; ljones@co.okanogan.wa.us; Sherard, Mark; Mary Small; mswami@tpchd.org; Leon-Guerrero, Michael; pwesselestes@shd.snohomish.wa.gov; Pat Calcote; Zemann, Paul; Samantha Yeun; Ross-Viles, Sarah; Neal, Scott; Sheryl Taylor; Susan Wellhausen; tgiles@tpchd.org; together@nwi.net; togethermd@nwi.net; Zilar, Christopher; Astrid Newell; Carol.Hawk@unitedgeneral.org; Carrie McLachlan; HWiersma@whatcomcounty.us; Jessica Minder; Johnston, Allison; Kissee, James (DOH); Saunders, Rachel B (DOH); Zipperer, Chris (DOH); Amber Talburt (E-mail); Alice Buckles; Angela Rios; Bridget Desautel; Dianne Mellon; Ladonna Boyd; Terry Evans; Zekkethal Vargas-Thomas; 8_19_2011

Page 2 dianetigerlily@hotmail.com Cc: Haymond, Michele (DOH); Huyck, Carla (DOH) Subject: Spokane BoH E-Cigarettes Resolution Passed! We learned from the Spokane Regional Health District Tobacco Prevention and Control Program that the Board of Health passed a resolution to support and encourage restricting the sale and distribution of electronic ciagrettes to minors as well as the use of electronic cigarettes by minors. The resolution was passed during yesterdays Board of Health meeting. If you would like details about the resolution and process, please contact Christopher Zilar, Julie Scholer, or Krista Panerio with the Spokane TPCP.

Czilar@spokanecounty.org Jscholer@spokanecounty.org Kpanerio@spokanecounty.org This is great news! Congratulations to the Spokane TPC program staff and colleagues!

Frances Limtiaco, MPH Healthy Communities Consultant Tobacco Prevention and Control Contract Manager Washington State Department of Health Chronic Disease Prevention Unit Physical Address: 111 Israel Road SE P.O. Box 47848 Olympia, WA 98504-7848 Phone: (360) 236-3771; Cell: (360) 790-8727 Fax: (360) 236-3646 frances.limtiaco@doh.wa.gov website: www.doh.wa.gov/tobacco
Public Health -- always working for a safer and healthier Washington

8_19_2011

Page 1

From: To: Date: Subject:

"Zilar, Christopher" <CZilar@spokanecounty.org> "Neal, Scott" 9/30/2010 4:00:59 PM RE: Spokane BoH E-Cigarettes Resolution Passed!

Scott, I have lots of free time next week or the week of October 25.
Christopher P. Zilar, Program Manager Breast, Cervical and Colon Health Tobacco Prevention and Control Spokane Regional Health District 1101 W. College Ave., Suite 401 Spokane, WA 99201 (509) 324-1538 mailto:czilar@spokanecounty.org www.srhd.org

Public Health - Always working for a safer and healthier community


CONFIDENTIALITY NOTICE: This email and any attachments are for the sole use of the intended recipient(s) and may contain proprietary, confidential, or privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited and may be a violation of law. If you are not the intended recipient or a person responsible for delivering this message to an intended recipient, please contact the sender by reply email and destroy all copies of the original message.

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Friday, September 24, 2010 4:20 PM To: Zilar, Christopher Subject: FW: Spokane BoH E-Cigarettes Resolution Passed! Congrats! We should talk soon too regarding December. There have been some developments on the state agenda that may affect how we handle local BOH policy in December. Let me know when might be a good time to chat as soon as possible. Thanks Scott

From: Limtiaco, Frances (DOH) [mailto:Frances.Limtiaco@DOH.WA.GOV] Sent: Friday, September 24, 2010 3:34 PM To: Allison Cox; Amy Ward-Benton Franklin; Annie Peterson; Ronneberg, Brett; Bruce Rytkonen; cpritchard@co.okanogan.wa.us; darcee.anderson@cdhd.wa.gov; Dawn Jacobs; de la Pena, Norilyn; Deb Drandoff; Edie Borgman; Pajimula, Fel; Frank DiBiase; George Hermosillo; Hanna Zarellijackson; Joanie Christian; Bennett, John; jtillman@shd.snohomish.wa.gov; Julie Scholer; Karen Palmer; Kate Brueske; Keri Moore; Krista Panerio; ljones@co.okanogan.wa.us; Sherard, Mark; Mary Small; mswami@tpchd.org; Leon-Guerrero, Michael; pwesselestes@shd.snohomish.wa.gov; Pat Calcote; Zemann, Paul; Samantha Yeun; Ross-Viles, Sarah; Neal, Scott; Sheryl Taylor; Susan Wellhausen; tgiles@tpchd.org; together@nwi.net; togethermd@nwi.net; Zilar, Christopher; Astrid Newell; Carol.Hawk@unitedgeneral.org; Carrie McLachlan; HWiersma@whatcomcounty.us; Jessica Minder; Johnston, Allison; Kissee, James (DOH); Saunders, Rachel B (DOH); Zipperer, Chris (DOH); Amber Talburt (E-mail); Alice Buckles; Angela Rios; Bridget Desautel; Dianne Mellon; Ladonna Boyd; Terry Evans; Zekkethal Vargas-Thomas; dianetigerlily@hotmail.com Cc: Haymond, Michele (DOH); Huyck, Carla (DOH) Subject: Spokane BoH E-Cigarettes Resolution Passed! We learned from the Spokane Regional Health District Tobacco Prevention and Control Program that the Board of Health passed a resolution to support and encourage restricting the sale and distribution of electronic ciagrettes to minors as well as the use of electronic cigarettes by minors. The resolution was passed during yesterdays Board of Health meeting. If you would like details about the resolution and process, please contact Christopher Zilar, Julie Scholer, or Krista Panerio with the Spokane TPCP.

Czilar@spokanecounty.org Jscholer@spokanecounty.org
8_19_2011

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Kpanerio@spokanecounty.org This is great news! Congratulations to the Spokane TPC program staff and colleagues!

Frances Limtiaco, MPH Healthy Communities Consultant Tobacco Prevention and Control Contract Manager Washington State Department of Health Chronic Disease Prevention Unit Physical Address: 111 Israel Road SE P.O. Box 47848 Olympia, WA 98504-7848 Phone: (360) 236-3771; Cell: (360) 790-8727 Fax: (360) 236-3646 frances.limtiaco@doh.wa.gov website: www.doh.wa.gov/tobacco
Public Health -- always working for a safer and healthier Washington

8_19_2011

Page 1

From: To: Date: Subject:

"Neal, Scott" "Zilar, Christopher" <CZilar@spokanecounty.org> 10/1/2010 3:04:59 PM RE: Spokane BoH E-Cigarettes Resolution Passed!

ok I don't think our conversation will take too long. thanks Scott

From: Zilar, Christopher [mailto:CZilar@spokanecounty.org] Sent: Thursday, September 30, 2010 3:14 PM To: Neal, Scott Subject: RE: Spokane BoH E-Cigarettes Resolution Passed!

The only meeting I have that day is at 1:30. I can talk until then.
Christopher P. Zilar, Program Manager Breast, Cervical and Colon Health Tobacco Prevention and Control Spokane Regional Health District 1101 W. College Ave., Suite 401 Spokane, WA 99201 (509) 324-1538 mailto:czilar@spokanecounty.org www.srhd.org

Public Health - Always working for a safer and healthier community


CONFIDENTIALITY NOTICE: This email and any attachments are for the sole use of the intended recipient(s) and may contain proprietary, confidential, or privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited and may be a violation of law. If you are not the intended recipient or a person responsible for delivering this message to an intended recipient, please contact the sender by reply email and destroy all copies of the original message.

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Thursday, September 30, 2010 2:31 PM To: Zilar, Christopher Subject: RE: Spokane BoH E-Cigarettes Resolution Passed! Ok how about I give you a call next Thursday, Oct. 7th at 1pm? Scott

From: Zilar, Christopher [mailto:CZilar@spokanecounty.org] Sent: Thursday, September 30, 2010 1:01 PM To: Neal, Scott Subject: RE: Spokane BoH E-Cigarettes Resolution Passed!

Scott, I have lots of free time next week or the week of October 25.
Christopher P. Zilar, Program Manager Breast, Cervical and Colon Health Tobacco Prevention and Control Spokane Regional Health District 1101 W. College Ave., Suite 401 Spokane, WA 99201 (509) 324-1538 8_19_2011

Page 2 mailto:czilar@spokanecounty.org www.srhd.org

Public Health - Always working for a safer and healthier community


CONFIDENTIALITY NOTICE: This email and any attachments are for the sole use of the intended recipient(s) and may contain proprietary, confidential, or privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited and may be a violation of law. If you are not the intended recipient or a person responsible for delivering this message to an intended recipient, please contact the sender by reply email and destroy all copies of the original message.

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Friday, September 24, 2010 4:20 PM To: Zilar, Christopher Subject: FW: Spokane BoH E-Cigarettes Resolution Passed! Congrats! We should talk soon too regarding December. There have been some developments on the state agenda that may affect how we handle local BOH policy in December. Let me know when might be a good time to chat as soon as possible. Thanks Scott

From: Limtiaco, Frances (DOH) [mailto:Frances.Limtiaco@DOH.WA.GOV] Sent: Friday, September 24, 2010 3:34 PM To: Allison Cox; Amy Ward-Benton Franklin; Annie Peterson; Ronneberg, Brett; Bruce Rytkonen; cpritchard@co.okanogan.wa.us; darcee.anderson@cdhd.wa.gov; Dawn Jacobs; de la Pena, Norilyn; Deb Drandoff; Edie Borgman; Pajimula, Fel; Frank DiBiase; George Hermosillo; Hanna Zarellijackson; Joanie Christian; Bennett, John; jtillman@shd.snohomish.wa.gov; Julie Scholer; Karen Palmer; Kate Brueske; Keri Moore; Krista Panerio; ljones@co.okanogan.wa.us; Sherard, Mark; Mary Small; mswami@tpchd.org; Leon-Guerrero, Michael; pwesselestes@shd.snohomish.wa.gov; Pat Calcote; Zemann, Paul; Samantha Yeun; Ross-Viles, Sarah; Neal, Scott; Sheryl Taylor; Susan Wellhausen; tgiles@tpchd.org; together@nwi.net; togethermd@nwi.net; Zilar, Christopher; Astrid Newell; Carol.Hawk@unitedgeneral.org; Carrie McLachlan; HWiersma@whatcomcounty.us; Jessica Minder; Johnston, Allison; Kissee, James (DOH); Saunders, Rachel B (DOH); Zipperer, Chris (DOH); Amber Talburt (E-mail); Alice Buckles; Angela Rios; Bridget Desautel; Dianne Mellon; Ladonna Boyd; Terry Evans; Zekkethal Vargas-Thomas; dianetigerlily@hotmail.com Cc: Haymond, Michele (DOH); Huyck, Carla (DOH) Subject: Spokane BoH E-Cigarettes Resolution Passed! We learned from the Spokane Regional Health District Tobacco Prevention and Control Program that the Board of Health passed a resolution to support and encourage restricting the sale and distribution of electronic ciagrettes to minors as well as the use of electronic cigarettes by minors. The resolution was passed during yesterdays Board of Health meeting. If you would like details about the resolution and process, please contact Christopher Zilar, Julie Scholer, or Krista Panerio with the Spokane TPCP.

Czilar@spokanecounty.org Jscholer@spokanecounty.org Kpanerio@spokanecounty.org This is great news! Congratulations to the Spokane TPC program staff and colleagues!

Frances Limtiaco, MPH Healthy Communities Consultant Tobacco Prevention and Control Contract Manager Washington State Department of Health Chronic Disease Prevention Unit Physical Address: 111 Israel Road SE P.O. Box 47848 Olympia, WA 98504-7848 Phone: (360) 236-3771; Cell: (360) 790-8727 Fax: (360) 236-3646
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frances.limtiaco@doh.wa.gov website: www.doh.wa.gov/tobacco


Public Health -- always working for a safer and healthier Washington

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From: "Wood, Maria" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 10/5/2010 1:11:47 PM Subject: FW: NEWSALERT: Tobacco Use Prevention and Control-October 2010
Assume you are on this distribution list, but just in case you are not, King County is listed below.

From: National Association of Local Boards of Health [mailto:nalboh@nalboh.org] Sent: Tuesday, October 05, 2010 8:21 AM To: Wood, Maria Subject: NEWSALERT: Tobacco Use Prevention and Control-October 2010
Having trouble viewing this email? Click here

In This Issue New Resources Available Tobacco Headlines Using EvidenceBased Methods NALBOH News and Events

Tobacco Use Prevention and Control NEWSALERT


October 2010 New Resources Available The Tobacco Technical Assistance Consortium (TTAC) releases newly designed website. New study shows that smoking bans are effective at reducing severe asthma attacks among children. A new study from Penn State estimates that for every $1 a state invests in tobacco cessation, it will see a $1.26 return on the investment. The American Lung Association releases new website detailing tobacco cessation benefits across the nation. CDC releases two Vital Signs reports: Current Cigarette Smoking Among Adults Aged \u8805 ? 18 Years: United States, 2009 Nonsmokers' Exposure to Secondhand Smoke: United States, 1999--2008

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Tobacco Headlines Local/State Smoke-Free News Indiana Association of Local Boards of Health (InALBOH) hosted an informational meeting for all boards in the state to hear about state and national tobacco control issues. Walpole, MA Board of Health to vote on banning tobacco sales in pharmacies on October 12. King County, WA Board of Health approves resolution encouraging smoke-free multi-unit housing. Utah County, UT Board of Health adopts policy prohibiting hookah bars within county. Gardner, MA Board of Health presented with a draft health regulation that would ban local hookah bars. Bullitt County, KY Board of Health holds public forums on a smoking ban. New York City attempts to ban outdoor smoking. Marion, OH plans to ban tobacco use among city employees while they are on the clock. National Tobacco News GlaxoSmithKlein asks the Food and Drug Administration (FDA) to ban "dissolvable" tobacco products. CDC Director, Dr. Thomas Frieden, announces smoking as one of the nation's six "winnable" public health battles. The FDA sends out warning letters to five manufacturers of ecigarettes declaring them in violation of the law. Using Evidence-Based Methods: Monthly Tip Did you know? The Guide to Community Preventive Services currently finds provider education as an ineffective method to increase tobacco cessation? Learn more about the studies supporting this claim.

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NALBOH News and Events NALBOH offers a free 20-minute archived webinar presented by the National Conference of State Legislatures (NCSL) entitled, Working with Your Legislators on Tobacco Control Issues. "Like" NALBOH on Facebook! New specials being exclusively offered online this month. NALBOH introduces a new monthly online poll hosted on our website's home page. Please click to answer our short (1-2 minute) survey. Results will be posted on the NALBOH website. NALBOH has released its newest series of documents entitled, Public Health Snapshots By State. By January, 2011 every state's public health snapshot will be available. Plans are already being made for NALBOH's 2011 Annual Conference in Coeur d'Alene, ID, September 7-9. Learn more about this fantastic location.

Need More Information? Tricia Valasek, MPH Project Director-Tobacco Use Prevention and Control National Association of Local Boards of Health 1840 East Gypsy Lane Road Bowling Green, OH 43402 Phone: (419) 353-7714 Fax: (419) 352-6278 Email: tricia@nalboh.org
Copyright 2010, National Association of Local Boards of Health
Forward email Email Marketing by This email was sent to maria.wood@kingcounty.gov by nalboh@nalboh.org. Instant removal with SafeUnsubscribe | Privacy Policy.

National Association of Local Boards of Health | 1840 East Gypsy Lane Road | Bowling Green | OH | 43402

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From: "Neal, Scott" To: "Bennett, John" <John.Bennett@kingcounty.gov> "Brawley, Karen" <Karen.Brawley@kingcounty.gov> "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Holt, Lauren" <Lauren.Holt@kingcounty.gov> "Leon-Guerrero, Michael" <Michael.Leon-Guerrero@kingcounty.gov> "Moreno, Emma" <Emma.Moreno@kingcounty.gov> "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> "Ronneberg, Brett" <Brett.Ronneberg@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Ryan, Molly" <Molly.Ryan@kingcounty.gov> "Sherard, Mark" <Mark.Sherard@kingcounty.gov> "Song, Ashley" <Ashley.Song@kingcounty.gov> "Zemann, Paul" <Paul.Zemann@kingcounty.gov> Date: 10/5/2010 1:24:09 PM Subject: FW: NEWSALERT: Tobacco Use Prevention and Control-October 2010
FYI

From: Wood, Maria Sent: Tuesday, October 05, 2010 10:12 AM To: Neal, Scott; Hamilton, Joy; Ross-Viles, Sarah Cc: Muhm, Jennifer Subject: FW: NEWSALERT: Tobacco Use Prevention and Control-October 2010 Assume you are on this distribution list, but just in case you are not, King County is listed below.

From: National Association of Local Boards of Health [mailto:nalboh@nalboh.org] Sent: Tuesday, October 05, 2010 8:21 AM To: Wood, Maria Subject: NEWSALERT: Tobacco Use Prevention and Control-October 2010
Having trouble viewing this email? Click here

8_19_2011

Page 2

In This Issue New Resources Available Tobacco Headlines Using EvidenceBased Methods NALBOH News and Events

Tobacco Use Prevention and Control NEWSALERT


October 2010 New Resources Available The Tobacco Technical Assistance Consortium (TTAC) releases newly designed website. New study shows that smoking bans are effective at reducing severe asthma attacks among children. A new study from Penn State estimates that for every $1 a state invests in tobacco cessation, it will see a $1.26 return on the investment. The American Lung Association releases new website detailing tobacco cessation benefits across the nation. CDC releases two Vital Signs reports: Current Cigarette Smoking Among Adults Aged \u8805 ? 18 Years: United States, 2009 Nonsmokers' Exposure to Secondhand Smoke: United States, 1999--2008 Tobacco Headlines Local/State Smoke-Free News Indiana Association of Local Boards of Health (InALBOH) hosted an informational meeting for all boards in the state to hear about state and national tobacco control issues. Walpole, MA Board of Health to vote on banning tobacco sales in pharmacies on October 12. King County, WA Board of Health approves resolution encouraging smoke-free multi-unit housing. Utah County, UT Board of Health adopts policy prohibiting hookah bars within county. Gardner, MA Board of Health presented with a draft health regulation that would ban local hookah bars. Bullitt County, KY Board of Health holds public forums on a smoking ban. New York City attempts to ban outdoor smoking. Marion, OH plans to ban tobacco use among city employees
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while they are on the clock. National Tobacco News GlaxoSmithKlein asks the Food and Drug Administration (FDA) to ban "dissolvable" tobacco products. CDC Director, Dr. Thomas Frieden, announces smoking as one of the nation's six "winnable" public health battles. The FDA sends out warning letters to five manufacturers of ecigarettes declaring them in violation of the law. Using Evidence-Based Methods: Monthly Tip Did you know? The Guide to Community Preventive Services currently finds provider education as an ineffective method to increase tobacco cessation? Learn more about the studies supporting this claim. NALBOH News and Events NALBOH offers a free 20-minute archived webinar presented by the National Conference of State Legislatures (NCSL) entitled, Working with Your Legislators on Tobacco Control Issues. "Like" NALBOH on Facebook! New specials being exclusively offered online this month. NALBOH introduces a new monthly online poll hosted on our website's home page. Please click to answer our short (1-2 minute) survey. Results will be posted on the NALBOH website. NALBOH has released its newest series of documents entitled, Public Health Snapshots By State. By January, 2011 every state's public health snapshot will be available. Plans are already being made for NALBOH's 2011 Annual Conference in Coeur d'Alene, ID, September 7-9. Learn more about this fantastic location.

Need More Information?

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Tricia Valasek, MPH Project Director-Tobacco Use Prevention and Control National Association of Local Boards of Health 1840 East Gypsy Lane Road Bowling Green, OH 43402 Phone: (419) 353-7714 Fax: (419) 352-6278 Email: tricia@nalboh.org
Copyright 2010, National Association of Local Boards of Health
Forward email Email Marketing by This email was sent to maria.wood@kingcounty.gov by nalboh@nalboh.org. Instant removal with SafeUnsubscribe | Privacy Policy.

National Association of Local Boards of Health | 1840 East Gypsy Lane Road | Bowling Green | OH | 43402

8_19_2011

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From: To: Date: Subject:

"Mitchell, Devonne M. \(CDC/ONDIEH/NCCDPHP\)" <gwi0@cdc.gov> undisclosed-recipients <undisclosed-recipients:;> 10/5/2010 8:52:04 AM OSH Media Network October 2010 e-Bulletin

You may circulate or post this e-Bulletin in part or in full; please remove the OSH Media Network heading before doing so. Office on Smoking and Health Media Network October 2010 e-Bulletin

Note: The monthly E-bulletins are posted on the OSH State Information Forum. Go to <Media Network Minutes and Materials>, click on the folder <2010 Media Network E-bulletins>, then scroll down. CONFERENCES/TRAININGS/Events Webinar Series on Health Literacy. The Webinars sponsored by the HHS/The Office of Disease Prevention and Health Promotion will be held from 2:00 3:00 pm Eastern Time. 1. Health Literacy 101. October 6, 2010 -- Provides a health literacy primer and looks at whether your communications are making a difference with the people you hope to reach. 2. Making Health Information Actionable and Engaging. October 10, 2010 -- Focuses on user-centered approaches to health literacy. 3. Why Culture Makes a Difference. November 3, 2010 -- Examines special issues in communicating with older adults and minority populations. Reducing Tobacco Use 2011. Sponsored by Prevention Connections and the Virginia Foundation for Healthy Youth, April 4-6, 2011, Newport News, VA. EVALUATION: Counter-Marketing or Media Analysis Exploring Differences in Smokers' Perceptions of the Effectiveness of Cessation Media Messages. Tobacco Control (September 18, 2010, Epub ahead of print). Ads using the 'why to quit' strategy with graphic images or personal testimonials were perceived as more effective than the other ad categories. Smokers who had less desire to quit or had not tried quitting in the past 12months responded less favorably to all types of cessation ads tested. The Case for Recycling and Adapting Anti-tobacco Mass Media Campaigns. Tobacco Control (September 18, 2010, Epub ahead of print). This paper uses two examples to illustrate the process of adapting existing effective material to maximize the expenditure of precious resources on the placement of material. A Varying Coefficient Model to Measure the Effectiveness of Mass Media Anti-smoking Campaigns in Generating Calls to a Quitline. Journal of Epidemiology (September 4, 2010, Epub ahead of print). This study uses a recently developed semi-varying coefficient model to elucidate the relationship between anti-smoking advertising placement, intensity, and time trends in total call volume. Perceptions of Smoking Prevalence by Youth in Countries With and Without a Tobacco Advertising Ban. Journal of Health Communications (September 2010). Exposure to cigarette advertising leads to an overestimation about the prevalence of smoking, and in turn, increased intentions to smoke. Media Literacy Education for Elementary School Substance Use Prevention. Pediatrics (August 23, 2010, Epub ahead of print). This evaluation provides evidence that Media Detective can be effective for substance use prevention in elementary school-aged children. RESOURCES: Tobacco-Related Making the Case for a Comprehensive Tobacco-Free Schools Policy. Presentation video and slides
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from a webinar by the Indiana Tobacco Prevention and Cessation Foundation, the Indiana School Boards Association and the National School Boards Association. Public Health Snapshots by State. National Association of Local Boards of Health (NALBOH) is developing these snapshots; by January, 2011, every state's public health snapshot will be available. RESOURCES: General Media/Communications Key Performance Indicators in Social Media. Speaking of Social Media Blog Posting (September 2, 2010). GolinHarris outlined performance indicators to measure social media performance, such as Volume of Discussion, Influencer Mentions, and Stickiness. Adults, Cell Phones and Texting. Pew Internet and American Life Project (September 2, 2010). Texting by adults increased from 65% to 72% from September 2009 to May 2010; teens send and receive, on average, five times more texts per day than adult texters. The Rise of Apps Culture. Pew Internet and American Life Project (September 14, 2010). App users skew younger, more male and more affluent than the general population. It also tends to be a slightly more Hispanic cohort, compared with other adult cell users. Americans Spending More Time Following the News. Pew Research Center for People and the Press (September 12, 2010). Instead of replacing traditional news platforms, Americans are increasingly integrating new technologies into their news consumption habits. MIT Study Suggests Social Networks Influence Behavior. Media Post: Online Media Daily (September 9, 2010). Research conducted at the Massachusetts Institute of Technology (MIT) finds that social networks can change health-related behavior. Do TV Spots Work in Web Video? Adweek (September 21, 2010). Research from Dynamic Logic finds that TV spots perform just as well as video ads created specifically for the medium when it comes to several brand attributes. Popular Twitter 'Influencers' Have Little Influence: Study. eConsultancy Blog (September 27, 2010). Scientists at Northwestern University report that the most influential users on Twitter are individuals who have lower profiles but are experts in their own fields. Blogger Outreach No-Nos to Avoid at All Costs. Communications Conversations Blog Posting (September 22, 2010). Tips to build better, more effective blogger relationships. OTHER PRODUCTS: Smokeless, Cigars, Hookahs, e-Cigarettes, etc. E-Cig Q & A. FDA (September 9, 2010). What are e-cigarettes and why is the FDA concerned about them? FDA Consumer Health Information provides answers. FDA Acts against 5 Electronic Cigarette Distributors. FDA (September 9, 2010). The FDA issued warning letters to 5 electronic cigarette distributors for violations of the Federal Food, Drug, and Cosmetic Act including unsubstantiated claims and poor manufacturing practices. U.S. Adults Support Restrictions on E-cigarettes Based on Potential Risks. The Medical News (September 14, 2010). The University of Michigan C.S. Mott Children's Hospital National Poll on Children's Health shows public concern about e-cigarettes is quite high. Smokeless Tobacco Products Not a Safe Option, Wont Help Smokers Quit. American Heart Association Policy Statement (September 13, 2010). Smokeless tobacco products should not be used as an alternative to cigarettes or for smoking cessation due to the risk of addiction and return to smoking, according to an American Heart Association statement. Maternal Use of Swedish Snuff (Snus) and Risk of Stillbirth. Epidemiology (August 27, 2010, Epub ahead of print). Use of Swedish snuff during pregnancy was associated with a higher risk of stillbirth. Assessment of Genotoxicity of Waterpipe and Cigarette Smoking. Environmental and Molecular Mutagenesis (August 25, 2010, Epub ahead of print). Waterpipe smoking is more genotoxic than cigarette smoking. Effects of Waterpipe Tobacco Smoking on Lung Function: A Systematic Review and Meta-analysis. Chest (July 29, 2010, Epub ahead of print). Waterpipe tobacco smoking negatively affects lung function and may be as harmful as cigarette smoking.
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Emerging Tobacco Products: Hookah Use among New Jersey Youth. Preventive Medicine (September 1, 2010, Epub ahead of print). The prevalence of hookah use, higher likelihood of concurrent tobacco use among hookah users, and misperceptions of safety and popularity of hookah among NJ adolescents are cause for concern and action. SECONDHAND SMOKE (SHS)/CLEAN INDOOR AIR (CIA) Nonsmokers' Exposure to Secondhand Smoke --- US, 19992008. Morbidity and Mortality Weekly Report (September 10, 2010). Secondhand smoke exposure has declined in the United States, but 88 million nonsmokers aged 3 years are still exposed; progress in reducing exposure has slowed; and disparities in exposure persist. Threshold of Biologic Responses to Low Levels of Tobacco Smoke. American Journal of Respiratory and Critical Care Medicine (Published ahead of print on August 6, 2010). Tobacco smoke exposure at the very lowest levels of detection increases gene expression in lung epithelium, suggesting that there is no threshold at which exposure presents no risk. Meta-analysis of the Effect of Comprehensive Smoke-free Legislation on Acute Coronary Events. Heart (August 23, 2010, Epub ahead of print). Evidence shows a reduction in acute coronary events following the implementation of comprehensive smoke-free legislation, with the effect increasing over time from implementation. Smoke-free Legislation and Hospitalizations for Childhood Asthma. New England Journal of Medicine (September 16, 2010). Pre-legislation implementation, admissions for asthma were increasing at a mean rate of 5.2% per year. After implementation, rate of admissions reduced by 18.2% per year. The Effect of the Smoke-free Workplace Policy in the Exposure to Secondhand Smoke in Restaurants, Pubs, and Discos. Puerto Rico Health Sciences Journal (September 2010). A smoke-free workplace policy considerably reduced workers and customers SHS exposure in the restaurants, pubs, and discos of the metropolitan area of San Juan, Puerto Rico. Evaluation of Partial Smoking Ban Legislation in Public Places. Tobacco Control (August 25, 2010, Epub ahead of print). The partial smoking ban legislation enacted in Chile in 2007 provides no protection to employees working in those venues. Secondhand Smoke Transfer and Reductions by Air Sealing and Ventilation in Multiunit Buildings. Indoor Air (July 20, 2010, Epub ahead of print). Eliminating air leakage between smokers' and nonsmokers' units is not a practical means of solving SHS transmission in an existing building. A Comparison of Comprehensive and Indoor-only Workplace Smoking Bans. Nicotine and Tobacco Research (September 2, 2010, Epub ahead of print). Are comprehensive bans, which prohibit smoking in indoor and outdoor areas, associated with lower rates of employee tobacco use than indoor-only bans? The Association between Home Smoking Restrictions and Youth Smoking Behavior: A Review. Tobacco Control (September 18, 2010, Epub ahead of print). Of the 19 studies, 16 (including the only 2 longitudinal studies) showed at least marginal evidence of an association of home smoking restrictions with reduced adolescent smoking behaviors. Effects of Adopting a Smoke-free Policy in State Psychiatric Hospitals. Psychiatric Services (September 2010). After adoption of a smoke-free policy, fewer hospitals reported seclusion or restraint related to smoking, coercion, and smoking-related health conditions, and there was no increase in reported elopements or fires. Influence of a Tobacco-free Hospital Campus (TFHC) Policy on Smoking Status of Hospital Employees. American Journal of Health Promotion (September-October 2010). A TFHC policy may lead to increased employee smoking quit attempts and successful cessation. TARGET POPULATION: African American Smoking Behavior among Low-income Black Adults: Patterns and Correlates of Smoking Trajectories. Nicotine and Tobacco Research (September 1, 2010, Epub ahead of print). Blacks' smoking patterns are associated with several risk factors.
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TARGET POPULATION: Arab American Health Assessment of the Arab American Community in Southwest Brooklyn. Journal of Community Health (August 26, 2010, Epub ahead of print). 42% of men and 8% of women reported current smoking. TARGET POPULATION: Disadvantaged/Low SES Quit Attempts and Intention to Quit Cigarette Smoking Among Medicaid Recipients in the USA. Public Health (September 10, 2010, Epub ahead of print). Covering smoking cessation aids and eliminating copayments with Medicaid can encourage more quitting attempts and facilitate intentions to quit. TARGET POPULATION: Health Care Providers Impact of Content-Specific Email Reminders on Provider Participation. Studies in Health Technology and Informatics (2010). Email contact, such as the day of the week an email is sent and notice of new content posting, is critical to engagement. Further research is needed to understand which messages and how frequently, will maximize participation. TARGET POPULATION: Hispanics/Latinos Light Smoking in a Predominantly Hispanic College Student Sample: A 7 day Diary Assessment. Addictive Behaviors (August 11, 2010, Epub ahead of print). Thurs., Fri., and Sat., as well as later hours of each day associated with an increased likelihood of smoking. The Power of Theme and Language in Multi-Cultural Communities: Which Tobacco Prevention Messages Are Most Persuasive to Mexican-American Youth? Journal of Advertising Research (September 2010). Negative health theme may be most effective in a community-wide campaign because it evokes the least amount of counter-arguing among smokers while, at the same time, eliciting positive evaluations from nonsmokers. TARGET POPULATION: Multiple Racial and/or Ethnic Groups Race and Sex Associations to Weight Concerns among Urban African American and Caucasian Smokers. Addictive Behaviors (August 6, 2010, Epub ahead of print). Results indicate that both African American and Caucasian women preparing to quit smoking exhibited concerns about weight. Perceived Racial/Ethnic Discrimination, Smoking and Alcohol Consumption in the Multi-ethnic Study of Atherosclerosis. Preventive Medicine (September - October 2010). The use of smoking and alcohol may be patterned by experience of discrimination. TARGET POPULATION: Tobacco Users Current Cigarette Smoking Among Adults Aged 18 Years --- US, 2009. Morbidity and Mortality Weekly Report (September 10, 2010). Previous declines in smoking prevalence in the US have stalled during the past 5 years; cigarette smoking rates continues to be high among the poor and undereducated. TARGET POPULATION: Youth/Young Adults Contextual and Subjective Antecedents of Smoking in a College Student Sample. Nicotine and Tobacco Research (August 25, 2010, Epub ahead of print). Results suggest that smoking among college students is largely opportunistic. Marketing to Gen Y. Media Post: Engage Gen Y (September 24, 2010). Event marketing is an effective way to Reach Gen Y, focusing on the passion points of this generation. TOBACCO AND HEALTH "Quitting Smoking Rejuvenates the Skin". SKINmed (January 2010). At the end of the program an average reduction of about 13 years in the biological age of the patients' skin was found; at the beginning of the
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study patients skin had an average biological age of 9 years older than their chronologic age.

TOBACCO CESSATION 'It's Not Worth Stopping Now': Why Do Smokers with Chronic Obstructive Pulmonary Disease Continue to Smoke? A Qualitative Study. Journal of Clinical Nursing (August 24, 2010, Epub ahead of print). 6 themes that typified patients' decision-making were identified. Relationship between Smoking Reduction and Cessation among Light Smokers. Nicotine and Tobacco Research (September 9, 2010, Epub ahead of print). Encouraging smoking reduction prior to attempting cessation may enhance outcomes for light smokers. TOBACCO MARKETING/ADVERTISING/PROMOTION Connecting World Youth with Tobacco Brands: YouTube and the Internet Policy Vacuum on Web 2.0. Tobacco Control (August 25, 2010, Epub ahead of print). Pro-tobacco videos have a significant presence on YouTube, consistent with indirect marketing activity by tobacco companies or their proxies. Smoking in Top-grossing Movies--US, 19912009. Morbidity and Mortality Weekly Report (August 20, 2010). The number of tobacco incidents depicted in the movies 2005 and then progressively declined. Top-grossing movies released in 2009 contained 49% of the number of onscreen smoking incidents as observed in 2005. Using Geographic Information Systems to Compare the Density of Stores Selling Tobacco and Alcohol. Tobacco Control (September 3, 2010, Epub ahead of print). The likelihood of having a tobacco outlet located near a school was greater than having an alcohol outlet as the percentage of minority students in schools increases. Association of Availability of Tobacco Products with Socio-economic and Racial/Ethnic Characteristics of Neighborhoods. Public Health (August 17, 2010, Epub ahead of print). Policies that reduce the number of tobacco outlets might reduce disparities in tobacco use. TOBACCO INDUSTRY WATCH Excise Taxes on Tobacco and the Problem of Smuggling - Concerning the Credibility of the Tobacco Industry's "Discarded-cigarette-packages-study". Gesundheitswesen (September 16, 2010, Epub ahead of print). This study makes use of systematic misspecifications and impreciseness, showing an exaggerated high amount of illegally imported cigarettes. Cigarette-making Machines in Retail Establishments. Some retailers have installed cigarette-making machines on their premises, claiming it is a convenience offered to help customers roll their own after buying loose tobacco. But the federal Alcohol and Tobacco Tax and Trade Bureau has ruled that any such retailers are manufacturers and need to get a federal manufacturing permit to operate such a cigarette-making machine on their premises.
Information and links to non-Federal organizations are provided solely as a service to Media Network Members. Links do not constitute an endorsement of any organization by CDC or the Federal Government, and none should be inferred. CDC is not responsible for the content of the individual organization found at non-Federal links.

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From: "Neal, Scott" To: "Bennett, John" <John.Bennett@kingcounty.gov> "Brawley, Karen" <Karen.Brawley@kingcounty.gov> "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Holt, Lauren" <Lauren.Holt@kingcounty.gov> "Leon-Guerrero, Michael" <Michael.Leon-Guerrero@kingcounty.gov> "Moreno, Emma" <Emma.Moreno@kingcounty.gov> "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> "Ronneberg, Brett" <Brett.Ronneberg@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Ryan, Molly" <Molly.Ryan@kingcounty.gov> "Sherard, Mark" <Mark.Sherard@kingcounty.gov> "Song, Ashley" <Ashley.Song@kingcounty.gov> "Zemann, Paul" <Paul.Zemann@kingcounty.gov> Date: 10/5/2010 11:05:59 AM Subject: FW: OSH Media Network October 2010 e-Bulletin
FYI...sorry if you already receive this

From: Mitchell, Devonne M. (CDC/ONDIEH/NCCDPHP) [mailto:gwi0@cdc.gov] Sent: Tuesday, October 05, 2010 5:52 AM To: undisclosed-recipients Subject: OSH Media Network October 2010 e-Bulletin

You may circulate or post this e-Bulletin in part or in full; please remove the OSH Media Network heading before doing so. Office on Smoking and Health Media Network October 2010 e-Bulletin

Note: The monthly E-bulletins are posted on the OSH State Information Forum. Go to <Media Network Minutes and Materials>, click on the folder <2010 Media Network E-bulletins>, then scroll down. CONFERENCES/TRAININGS/Events Webinar Series on Health Literacy. The Webinars sponsored by the HHS/The Office of Disease Prevention and Health Promotion will be held from 2:00 3:00 pm Eastern Time. 1. Health Literacy 101. October 6, 2010 -- Provides a health literacy primer and looks at whether your communications are making a difference with the people you hope to reach. 2. Making Health Information Actionable and Engaging. October 10, 2010 -- Focuses on user-centered approaches to health literacy. 3. Why Culture Makes a Difference. November 3, 2010 -- Examines special issues in communicating with older adults and minority populations. Reducing Tobacco Use 2011. Sponsored by Prevention Connections and the Virginia Foundation for Healthy Youth, April 4-6, 2011, Newport News, VA.
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EVALUATION: Counter-Marketing or Media Analysis Exploring Differences in Smokers' Perceptions of the Effectiveness of Cessation Media Messages. Tobacco Control (September 18, 2010, Epub ahead of print). Ads using the 'why to quit' strategy with graphic images or personal testimonials were perceived as more effective than the other ad categories. Smokers who had less desire to quit or had not tried quitting in the past 12\u8197 months responded less favorably to all types of cessation ads tested. The Case for Recycling and Adapting Anti-tobacco Mass Media Campaigns. Tobacco Control (September 18, 2010, Epub ahead of print). This paper uses two examples to illustrate the process of adapting existing effective material to maximize the expenditure of precious resources on the placement of material. A Varying Coefficient Model to Measure the Effectiveness of Mass Media Anti-smoking Campaigns in Generating Calls to a Quitline. Journal of Epidemiology (September 4, 2010, Epub ahead of print). This study uses a recently developed semi-varying coefficient model to elucidate the relationship between anti-smoking advertising placement, intensity, and time trends in total call volume. Perceptions of Smoking Prevalence by Youth in Countries With and Without a Tobacco Advertising Ban. Journal of Health Communications (September 2010). Exposure to cigarette advertising leads to an overestimation about the prevalence of smoking, and in turn, increased intentions to smoke. Media Literacy Education for Elementary School Substance Use Prevention. Pediatrics (August 23, 2010, Epub ahead of print). This evaluation provides evidence that Media Detective can be effective for substance use prevention in elementary school-aged children. RESOURCES: Tobacco-Related Making the Case for a Comprehensive Tobacco-Free Schools Policy. Presentation video and slides from a webinar by the Indiana Tobacco Prevention and Cessation Foundation, the Indiana School Boards Association and the National School Boards Association. Public Health Snapshots by State. National Association of Local Boards of Health (NALBOH) is developing these snapshots; by January, 2011, every state's public health snapshot will be available. RESOURCES: General Media/Communications Key Performance Indicators in Social Media. Speaking of Social Media Blog Posting (September 2, 2010). GolinHarris outlined performance indicators to measure social media performance, such as Volume of Discussion, Influencer Mentions, and Stickiness. Adults, Cell Phones and Texting. Pew Internet and American Life Project (September 2, 2010). Texting by adults increased from 65% to 72% from September 2009 to May 2010; teens send and receive, on average, five times more texts per day than adult texters. The Rise of Apps Culture. Pew Internet and American Life Project (September 14, 2010). App users skew younger, more male and more affluent than the general population. It also tends to be a slightly more Hispanic cohort, compared with other adult cell users. Americans Spending More Time Following the News. Pew Research Center for People and the Press (September 12, 2010). Instead of replacing traditional news platforms, Americans are increasingly integrating new technologies into their news consumption habits. MIT Study Suggests Social Networks Influence Behavior. Media Post: Online Media Daily (September 9, 2010). Research conducted at the Massachusetts Institute of Technology (MIT) finds that social networks can change health-related behavior. Do TV Spots Work in Web Video? Adweek (September 21, 2010). Research from Dynamic Logic finds that TV spots perform just as well as video ads created specifically for the medium when it comes to several brand attributes. Popular Twitter 'Influencers' Have Little Influence: Study. eConsultancy Blog (September 27, 2010). Scientists at Northwestern University report that the most influential users on Twitter are individuals who have lower profiles but are experts in their own fields. Blogger Outreach No-Nos to Avoid at All Costs. Communications Conversations Blog Posting
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(September 22, 2010). Tips to build better, more effective blogger relationships. OTHER PRODUCTS: Smokeless, Cigars, Hookahs, e-Cigarettes, etc. E-Cig Q & A. FDA (September 9, 2010). What are e-cigarettes and why is the FDA concerned about them? FDA Consumer Health Information provides answers. FDA Acts against 5 Electronic Cigarette Distributors. FDA (September 9, 2010). The FDA issued warning letters to 5 electronic cigarette distributors for violations of the Federal Food, Drug, and Cosmetic Act including unsubstantiated claims and poor manufacturing practices. U.S. Adults Support Restrictions on E-cigarettes Based on Potential Risks. The Medical News (September 14, 2010). The University of Michigan C.S. Mott Children's Hospital National Poll on Children's Health shows public concern about e-cigarettes is quite high. Smokeless Tobacco Products Not a Safe Option, Wont Help Smokers Quit. American Heart Association Policy Statement (September 13, 2010). Smokeless tobacco products should not be used as an alternative to cigarettes or for smoking cessation due to the risk of addiction and return to smoking, according to an American Heart Association statement. Maternal Use of Swedish Snuff (Snus) and Risk of Stillbirth. Epidemiology (August 27, 2010, Epub ahead of print). Use of Swedish snuff during pregnancy was associated with a higher risk of stillbirth. Assessment of Genotoxicity of Waterpipe and Cigarette Smoking. Environmental and Molecular Mutagenesis (August 25, 2010, Epub ahead of print). Waterpipe smoking is more genotoxic than cigarette smoking. Effects of Waterpipe Tobacco Smoking on Lung Function: A Systematic Review and Meta-analysis. Chest (July 29, 2010, Epub ahead of print). Waterpipe tobacco smoking negatively affects lung function and may be as harmful as cigarette smoking. Emerging Tobacco Products: Hookah Use among New Jersey Youth. Preventive Medicine (September 1, 2010, Epub ahead of print). The prevalence of hookah use, higher likelihood of concurrent tobacco use among hookah users, and misperceptions of safety and popularity of hookah among NJ adolescents are cause for concern and action. SECONDHAND SMOKE (SHS)/CLEAN INDOOR AIR (CIA) Nonsmokers' Exposure to Secondhand Smoke --- US, 19992008. Morbidity and Mortality Weekly Report (September 10, 2010). Secondhand smoke exposure has declined in the United States, but 88 million nonsmokers aged 3 years are still exposed; progress in reducing exposure has slowed; and disparities in exposure persist. Threshold of Biologic Responses to Low Levels of Tobacco Smoke. American Journal of Respiratory and Critical Care Medicine (Published ahead of print on August 6, 2010). Tobacco smoke exposure at the very lowest levels of detection increases gene expression in lung epithelium, suggesting that there is no threshold at which exposure presents no risk. Meta-analysis of the Effect of Comprehensive Smoke-free Legislation on Acute Coronary Events. Heart (August 23, 2010, Epub ahead of print). Evidence shows a reduction in acute coronary events following the implementation of comprehensive smoke-free legislation, with the effect increasing over time from implementation. Smoke-free Legislation and Hospitalizations for Childhood Asthma. New England Journal of Medicine (September 16, 2010). Pre-legislation implementation, admissions for asthma were increasing at a mean rate of 5.2% per year. After implementation, rate of admissions reduced by 18.2% per year. The Effect of the Smoke-free Workplace Policy in the Exposure to Secondhand Smoke in Restaurants, Pubs, and Discos. Puerto Rico Health Sciences Journal (September 2010). A smoke-free workplace policy considerably reduced workers and customers SHS exposure in the restaurants, pubs, and discos of the metropolitan area of San Juan, Puerto Rico. Evaluation of Partial Smoking Ban Legislation in Public Places. Tobacco Control (August 25, 2010, Epub ahead of print). The partial smoking ban legislation enacted in Chile in 2007 provides no protection to employees working in those venues.
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Secondhand Smoke Transfer and Reductions by Air Sealing and Ventilation in Multiunit Buildings. Indoor Air (July 20, 2010, Epub ahead of print). Eliminating air leakage between smokers' and nonsmokers' units is not a practical means of solving SHS transmission in an existing building. A Comparison of Comprehensive and Indoor-only Workplace Smoking Bans. Nicotine and Tobacco Research (September 2, 2010, Epub ahead of print). Are comprehensive bans, which prohibit smoking in indoor and outdoor areas, associated with lower rates of employee tobacco use than indoor-only bans? The Association between Home Smoking Restrictions and Youth Smoking Behavior: A Review. Tobacco Control (September 18, 2010, Epub ahead of print). Of the 19 studies, 16 (including the only 2 longitudinal studies) showed at least marginal evidence of an association of home smoking restrictions with reduced adolescent smoking behaviors. Effects of Adopting a Smoke-free Policy in State Psychiatric Hospitals. Psychiatric Services (September 2010). After adoption of a smoke-free policy, fewer hospitals reported seclusion or restraint related to smoking, coercion, and smoking-related health conditions, and there was no increase in reported elopements or fires. Influence of a Tobacco-free Hospital Campus (TFHC) Policy on Smoking Status of Hospital Employees. American Journal of Health Promotion (September-October 2010). A TFHC policy may lead to increased employee smoking quit attempts and successful cessation. TARGET POPULATION: African American Smoking Behavior among Low-income Black Adults: Patterns and Correlates of Smoking Trajectories. Nicotine and Tobacco Research (September 1, 2010, Epub ahead of print). Blacks' smoking patterns are associated with several risk factors. TARGET POPULATION: Arab American Health Assessment of the Arab American Community in Southwest Brooklyn. Journal of Community Health (August 26, 2010, Epub ahead of print). 42% of men and 8% of women reported current smoking. TARGET POPULATION: Disadvantaged/Low SES Quit Attempts and Intention to Quit Cigarette Smoking Among Medicaid Recipients in the USA. Public Health (September 10, 2010, Epub ahead of print). Covering smoking cessation aids and eliminating copayments with Medicaid can encourage more quitting attempts and facilitate intentions to quit. TARGET POPULATION: Health Care Providers Impact of Content-Specific Email Reminders on Provider Participation. Studies in Health Technology and Informatics (2010). Email contact, such as the day of the week an email is sent and notice of new content posting, is critical to engagement. Further research is needed to understand which messages and how frequently, will maximize participation. TARGET POPULATION: Hispanics/Latinos Light Smoking in a Predominantly Hispanic College Student Sample: A 7 day Diary Assessment. Addictive Behaviors (August 11, 2010, Epub ahead of print). Thurs., Fri., and Sat., as well as later hours of each day associated with an increased likelihood of smoking. The Power of Theme and Language in Multi-Cultural Communities: Which Tobacco Prevention Messages Are Most Persuasive to Mexican-American Youth? Journal of Advertising Research (September 2010). Negative health theme may be most effective in a community-wide campaign because it evokes the least amount of counter-arguing among smokers while, at the same time, eliciting positive evaluations from nonsmokers. TARGET POPULATION: Multiple Racial and/or Ethnic Groups Race and Sex Associations to Weight Concerns among Urban African American and Caucasian
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Smokers. Addictive Behaviors (August 6, 2010, Epub ahead of print). Results indicate that both African American and Caucasian women preparing to quit smoking exhibited concerns about weight. Perceived Racial/Ethnic Discrimination, Smoking and Alcohol Consumption in the Multi-ethnic Study of Atherosclerosis. Preventive Medicine (September - October 2010). The use of smoking and alcohol may be patterned by experience of discrimination. TARGET POPULATION: Tobacco Users Current Cigarette Smoking Among Adults Aged 18 Years --- US, 2009. Morbidity and Mortality Weekly Report (September 10, 2010). Previous declines in smoking prevalence in the US have stalled during the past 5 years; cigarette smoking rates continues to be high among the poor and undereducated. TARGET POPULATION: Youth/Young Adults Contextual and Subjective Antecedents of Smoking in a College Student Sample. Nicotine and Tobacco Research (August 25, 2010, Epub ahead of print). Results suggest that smoking among college students is largely opportunistic. Marketing to Gen Y. Media Post: Engage Gen Y (September 24, 2010). Event marketing is an effective way to Reach Gen Y, focusing on the passion points of this generation. TOBACCO AND HEALTH "Quitting Smoking Rejuvenates the Skin". SKINmed (January 2010). At the end of the program an average reduction of about 13 years in the biological age of the patients' skin was found; at the beginning of the study patients skin had an average biological age of 9 years older than their chronologic age. TOBACCO CESSATION 'It's Not Worth Stopping Now': Why Do Smokers with Chronic Obstructive Pulmonary Disease Continue to Smoke? A Qualitative Study. Journal of Clinical Nursing (August 24, 2010, Epub ahead of print). 6 themes that typified patients' decision-making were identified. Relationship between Smoking Reduction and Cessation among Light Smokers. Nicotine and Tobacco Research (September 9, 2010, Epub ahead of print). Encouraging smoking reduction prior to attempting cessation may enhance outcomes for light smokers. TOBACCO MARKETING/ADVERTISING/PROMOTION Connecting World Youth with Tobacco Brands: YouTube and the Internet Policy Vacuum on Web 2.0. Tobacco Control (August 25, 2010, Epub ahead of print). Pro-tobacco videos have a significant presence on YouTube, consistent with indirect marketing activity by tobacco companies or their proxies. Smoking in Top-grossing Movies--US, 19912009. Morbidity and Mortality Weekly Report (August 20, 2010). The number of tobacco incidents depicted in the movies 2005 and then progressively declined. Topgrossing movies released in 2009 contained 49% of the number of onscreen smoking incidents as observed in 2005. Using Geographic Information Systems to Compare the Density of Stores Selling Tobacco and Alcohol. Tobacco Control (September 3, 2010, Epub ahead of print). The likelihood of having a tobacco outlet located near a school was greater than having an alcohol outlet as the percentage of minority students in schools increases. Association of Availability of Tobacco Products with Socio-economic and Racial/Ethnic Characteristics of Neighborhoods. Public Health (August 17, 2010, Epub ahead of print). Policies that reduce the number of tobacco outlets might reduce disparities in tobacco use. TOBACCO INDUSTRY WATCH Excise Taxes on Tobacco and the Problem of Smuggling - Concerning the Credibility of the Tobacco
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Industry's "Discarded-cigarette-packages-study". Gesundheitswesen (September 16, 2010, Epub ahead of print). This study makes use of systematic misspecifications and impreciseness, showing an exaggerated high amount of illegally imported cigarettes. Cigarette-making Machines in Retail Establishments. Some retailers have installed cigarette-making machines on their premises, claiming it is a convenience offered to help customers roll their own after buying loose tobacco. But the federal Alcohol and Tobacco Tax and Trade Bureau has ruled that any such retailers are manufacturers and need to get a federal manufacturing permit to operate such a cigarette-making machine on their premises.
Information and links to non-Federal organizations are provided solely as a service to Media Network Members. Links do not constitute an endorsement of any organization by CDC or the Federal Government, and none should be inferred. CDC is not responsible for the content of the individual organization found at non-Federal links.

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From: "Hamilton, Joy" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> Date: 10/6/2010 6:13:32 PM Subject: FW: E-cigarettes Attachments: DRAFT How States Can Handle E-Cigarettes 3-30-10.doc States with E-Cig Restrictions.doc Team, Anne got some great resources from TFK about e-cigs. Check it out. Joy

From: Pearson, Anne Sent: Wednesday, October 06, 2010 2:53 PM To: Hamilton, Joy Subject: FW: E-cigarettes yay. this is so helpful.

From: Eric Lindblom [mailto:elindblom@TobaccoFreeKids.org] Sent: Wednesday, October 06, 2010 2:50 PM To: Pearson, Anne Subject: RE: E-cigarettes Our position is to ban any and all non-FDA-approved nicotine delivery products that are not tobacco products. See attached draft guidance sheet. It also has some possible text to use to include some nicotine-delivery device use under smoke-free laws. [As always, comments welcome.] As for which jurisdictions have done what re e-cigarettes, attached is the best list we have (might not be comprehensive). Eric

From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Wednesday, October 06, 2010 5:43 PM To: Eric Lindblom Subject: E-cigarettes Hi Eric, I hope you're well. Our tobacco program is thinking about putting together an -ecigarette proposal for our December board of health meeting (minimum age restrictions, prohibiting use in public places, etc.) and is wondering whether TFK might have a comprehensive list of those localities that have adopted similar measures. Any chance you have something along those lines? Thanks! Anne Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 8_19_2011

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From: "Neal, Scott" To: "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> Date: 10/6/2010 6:43:11 PM Subject: RE: E-cigs Not surprising >_____________________________________________ >From: Pajimula, Fel >Sent: Wednesday, October 06, 2010 3:30 PM >To: Hamilton, Joy; Pearson, Anne; Neal, Scott; Hatzenbuehler, Eric; Bennett, John >Cc: Ross-Viles, Sarah >Subject: RE: E-cigs > >uh-oh ... cartooning for e-liquid sales: http://www.totallywicked-eliquid.com/ > >I'm digging around on forums and youtube to learn more about this "underground" world of vaping. I'll consolidate info and update everyone once my brain can organize what I find. > > > >_____________________________________________ >From: Hamilton, Joy >Sent: Wednesday, October 06, 2010 3:28 PM >To: Pearson, Anne; Neal, Scott; Hatzenbuehler, Eric; Bennett, John; Pajimula, Fel >Cc: Ross-Viles, Sarah >Subject: E-cigs > >Team, > >I've created a sub-folder in the BOH folder to compile all documents related to e-cigarettes. To start us off, I included all the articles I used this spring when I led a journal club about the topic. They are worth a quick skim -- in particular the one in the Harm Reduction Journal -- and please note the author's competing interest of being funded by US Smokeless Tobacco. > > > >Onward! >Joy

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From: "Hamilton, Joy" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> Date: 10/6/2010 6:27:51 PM Subject: E-cigs Team, I've created a sub-folder in the BOH folder to compile all documents related to e-cigarettes. To start us off, I included all the articles I used this spring when I led a journal club about the topic. They are worth a quick skim -- in particular the one in the Harm Reduction Journal -- and please note the author's competing interest of being funded by US Smokeless Tobacco.

Onward! Joy

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From: "Pajimula, Fel" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> Date: 10/6/2010 6:30:18 PM Subject: RE: E-cigs uh-oh ... cartooning for e-liquid sales: http://www.totallywicked-eliquid.com/ I'm digging around on forums and youtube to learn more about this "underground" world of vaping. I'll consolidate info and update everyone once my brain can organize what I find.

> _____________________________________________ > From: Hamilton, Joy > Sent: Wednesday, October 06, 2010 3:28 PM > To: Pearson, Anne; Neal, Scott; Hatzenbuehler, Eric; Bennett, John; Pajimula, Fel > Cc: Ross-Viles, Sarah > Subject: E-cigs > > Team, > > I've created a sub-folder in the BOH folder to compile all documents related to e-cigarettes. To start us off, I included all the articles I used this spring when I led a journal club about the topic. They are worth a quick skim -- in particular the one in the Harm Reduction Journal -- and please note the author's competing interest of being funded by US Smokeless Tobacco. > > > > Onward! > Joy

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From: "Apa, James" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Muhm, Jennifer" <Jennifer.Muhm@kingcounty.gov> "Davis, Paul A \(DOH\)" <Paul.Davis@DOH.WA.GOV> Date: 10/7/2010 12:03:01 AM Subject: Health district urges e-cigarette restrictions
FYI Spokane moves forward with their e-cig resolution, aimed at local officials. Heres their media release: http://www.srhd.org/news.asp?id=179 -James

October 6, 2010 in City http://www.spokesman.com/stories/2010/oct/06/health-district-urges-e-cigarette-restrictions/

Health district urges e-cigarette restrictions


The sale of electronic cigarettes to minors should be banned, according to a resolution from the Spokane Regional Health District. The devices are designed as cigarette look-alikes, though they deliver nicotine in the form of a vapor rather than burning tobacco. Electronic cigarettes are marketed as a smoking cessation tool. But health officials are wary of the claims and the safety of the liquid chemicals that are inhaled as vapor. The health districts resolution calls for county officials to outlaw the sale of the devices and component parts to minors. The resolution also seeks to limit the marketing of electronic cigarettes to minors. Its the first of its kind in the country, according to the health district.

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From: To: Date: Subject: Thanks for this report Scott.

"Johnson, Gareth" "Neal, Scott" <Scott.Neal@kingcounty.gov> 10/8/2010 12:50:29 PM RE: FDA State & Local Officials Discussion Mtg

I have a question that relates to the bullet point I highlighted in red below. This seems to suggest that states and local units of government could pass statutes or ordinances that would precisely mirror the federal statutory language that FDA is enforcing. If we can't do that, I'm unclear as to how we would take action with respect to violations of the federal restrictions or requirements. That could have helpful implications for our interest in banning the sale of Ecigarettes. >_____________________________________________ >From: Neal, Scott >Sent: Friday, October 08, 2010 9:00 AM >To: Johnson, Gareth >Cc: Allis, Donna; Krieger, James; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Pajimula, Fel; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Song, Ashley; Zemann, Paul >Subject: FDA State & Local Officials Discussion Mtg > >As you know I took part in the FDA's recent discussion series stakeholder meeting for state and local health officials last weekend in Atlanta. This meeting was the first in their stakeholder discussion series and they have scheduled other's to follow with other stakeholder groups such as Tobacco Manufacturers/Growers, Minority Populations, Public Health Advocates, American Indians/Alaska Natives, Distributors, Importers, Retailers, and Wholesalers, and Youth between now and Sept. 2011. > >The meeting was more or less an opportunity for FDA to take questions and receive input from state and local agencies around the implementation of the FDA law. Below is a brief summary: > >General Comments/Input >* FDA highly encouraged state and local agencies to continue to send in comments during open comment periods for various FDA considerations. They indicated that the industry has been providing regular input and it is important to get the state and local public health perspective as well. >* Following the individual stakeholder meetings, there may be a next step in which certain meetings may be organized which include various stakeholder groups together. >* There was a lot of comments suggesting that FDA identify state representatives that could be a state's main point of contact for states and locals. It sounded like FDA heard that request, but they may not be planning to organize that type of structure. >* It was explained that FDA authority over tobacco is unlike other FDA authority over other product in that the FDA does not indicate that tobacco products are safe for consumers, but the goal of the FDA is to ensure that the harm to public health is reduced. > >FDA Rule Making >* FDA has been focused on meeting the legislative mandates that had deadlines the first couple of years and has not had the time to put a lot of energy into other related rule making authority. They suggested that state and locals continue to send input on issues that important to them and that may help them prioritize additional areas of concern that need more immediate attention. >* In general rule making takes at least a year and includes significant public comment periods, reworking any proposed rules and republishing it for comment again. If the rule is particularly controversial, it could take years to
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finalize.> > >FDA Inspections >* FDA is currently contracting with 15 states to conduct inspections of FDA provisions (youth access, flavored cigarettes, "light"/"Mild", etc.)and Washington is one of the 15 states as the LCB received a contract of $372k to conduct 1340 inspections statewide. They intend to contract with every state in the next fiscal year. It is not clear how much money is ultimately available for each state. >* FDA inspection contracts are for the inspections only and do not include enforcement as that is being handled at the federal level once they receive the inspection reports. In speaking with our LCB, it sounds like it may take up to 90 days between inspection and actual communication regarding any enforcement (warnings/fines) from the FDA. >* FDA was very clear that they are paying for inspections of the federal law and that it was up to the states to determine if they wanted to include violations of FDA inspections to be included in any local or statewide enforcement processes. >* Currently the protocol for inspections has not yet been made public and the hope is that it will align closely with what states are already doing with their youth access inspections so to cause as little confusion to the retailers as possible. We have already met with the LCB and will be working to coordinate their FDA activities with that of our own inspections to ensure a strategic and coordinated effort.> > >Tobacco Products Scientific Advisory Committee (Menthol Issue) >* This group continues to meet and there is a specific subcommittee focusing on reporting on the impact of the use of menthol in cigarettes on the public health, including such use among children, African-Americans, Hispanics, and other racial and ethnic minorities. Their report is due to the FDA in March 2011 and at that time the FDA may consider any rule making on this issue at that time. > > >Let me know if you have any other questions. > >Thanks >Scott > >

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From: To: Date: Subject: Good question...

"Neal, Scott" "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> 10/8/2010 1:20:16 PM RE: FDA State & Local Officials Discussion Mtg

Yes states could pass similar laws (many states already have done that, plan to do it, or already had state or local laws that are more strict than the FDA). It gets a bit tricky though with some of the provisions because the FDA is currently engaged in some legal challenges on the advertising pieces. Currently what is the most critical is the youth access enforcement piece as we already have a strict youth access law that fines both clerks and retailers when sales to minors occur. So the FDA says that states could follow up FDA inspections resulting in a sale to a minor with state fines for the same inspection that they would receive a warning or fines from the FDA on the federal level. Of utmost concern here is that the violations during any FDA inspections at least get included in the state's history so that if the we or the LCB conduct our own inspections and find additional violations, that would bring about higher penalties including potentially suspending their license. What I don't want to see is a completely separate track for FDA inspections and state inspections on the same retailer as that makes no sense to me and also gets really confusing for the retailers. Unfortunately we learned that the LCB at least currently has decided to keep these FDA checks on a completely separate track. I shared my concerns with them at our meeting yesterday and will continue to request they reconsider. With regards to E-Cigarettes, we are not preempted from enacting local regulations on e-cigs by state law because these products are not tobacco products. Scott

> _____________________________________________ > From: Johnson, Gareth > Sent: Friday, October 08, 2010 9:50 AM > To: Neal, Scott > Cc: Allis, Donna; Krieger, James; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Pajimula, Fel; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Song, Ashley; Zemann, Paul; Huus, Kathie; Leifer, Ben > Subject: RE: FDA State & Local Officials Discussion Mtg > > Thanks for this report Scott. > > I have a question that relates to the bullet point I highlighted in red below. This seems to suggest that states and local units of government could pass statutes or ordinances that would precisely mirror the federal statutory language that FDA is enforcing. If we can't do that, I'm unclear as to how we would take action with respect to violations of the federal restrictions or requirements. That could have helpful implications for our interest in banning the sale of Ecigarettes. > > _____________________________________________ > From: Neal, Scott > Sent: Friday, October 08, 2010 9:00 AM > To: Johnson, Gareth > Cc: Allis, Donna; Krieger, James; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Pajimula, Fel; Ronneberg, Brett;
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Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Song, Ashley; Zemann, Paul > Subject: FDA State & Local Officials Discussion Mtg > > As you know I took part in the FDA's recent discussion series stakeholder meeting for state and local health officials last weekend in Atlanta. This meeting was the first in their stakeholder discussion series and they have scheduled other's to follow with other stakeholder groups such as Tobacco Manufacturers/Growers, Minority Populations, Public Health Advocates, American Indians/Alaska Natives, Distributors, Importers, Retailers, and Wholesalers, and Youth between now and Sept. 2011. > > The meeting was more or less an opportunity for FDA to take questions and receive input from state and local agencies around the implementation of the FDA law. Below is a brief summary: > > General Comments/Input> > * FDA highly encouraged state and local agencies to continue to send in comments during open comment periods for various FDA considerations. They indicated that the industry has been providing regular input and it is important to get the state and local public health perspective as well. > * Following the individual stakeholder meetings, there may be a next step in which certain meetings may be organized which include various stakeholder groups together. > * There was a lot of comments suggesting that FDA identify state representatives that could be a state's main point of contact for states and locals. It sounded like FDA heard that request, but they may not be planning to organize that type of structure. > * It was explained that FDA authority over tobacco is unlike other FDA authority over other product in that the FDA does not indicate that tobacco products are safe for consumers, but the goal of the FDA is to ensure that the harm to public health is reduced. > > FDA Rule Making > * FDA has been focused on meeting the legislative mandates that had deadlines the first couple of years and has not had the time to put a lot of energy into other related rule making authority. They suggested that state and locals continue to send input on issues that important to them and that may help them prioritize additional areas of concern that need more immediate attention. > * In general rule making takes at least a year and includes significant public comment periods, reworking any proposed rules and republishing it for comment again. If the rule is particularly controversial, it could take years to finalize. > > FDA Inspections > * FDA is currently contracting with 15 states to conduct inspections of FDA provisions (youth access, flavored cigarettes, "light"/"Mild", etc.)> ...> and Washington is one of the 15 states as the LCB received a contract of $372k to conduct 1340 inspections statewide. They intend to contract with every state in the next fiscal year. It is not clear how much money is ultimately available for each state. > * FDA inspection contracts are for the inspections only and do not include enforcement as that is being handled at the federal level once they receive the inspection reports. In speaking with our LCB, it sounds like it may take up to 90 days between inspection and actual communication regarding any enforcement (warnings/fines) from the FDA. > * FDA was very clear that they are paying for inspections of the federal law and that it was up to the states to determine if they wanted to include violations of FDA inspections to be included in any local or statewide enforcement processes. > * Currently the protocol for inspections has not yet been made public and the hope is that it will align closely with what states are already doing with their youth access inspections so to cause as little confusion to the retailers as possible. We have already met with the LCB and will be working to coordinate their FDA activities with that of our own inspections to ensure a strategic and coordinated effort. > > Tobacco Products Scientific Advisory Committee (Menthol Issue) > * This group continues to meet and there is a specific subcommittee focusing on reporting on the impact of the use
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of menthol in cigarettes on the public health, including such use among children, African-Americans, Hispanics, and other racial and ethnic minorities. Their report is due to the FDA in March 2011 and at that time the FDA may consider any rule making on this issue at that time. > > > Let me know if you have any other questions. > > Thanks > Scott > >

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From: To: Date: Subject:

"Hatzenbuehler, Eric" "Neal, Scott" <Scott.Neal@kingcounty.gov> 10/8/2010 8:07:22 PM FW: DRAFT: retailers and favored products handout

Scott - what changes (format, content, etc.) need to be made? Just to clarify, we are focusing on E-cigs for Dec. and these materials will be used for efforts later in May 2011, yes? Thanks, Eric >______________________________________________ >From: Pajimula, Fel >Sent: Tuesday, October 05, 2010 8:48 AM >To: Pajimula, Fel; Neal, Scott; Hatzenbuehler, Eric >Subject: RE: DRAFT: retailers and favored products handout > >oops, sorry... that other one was rather large for emailing. >here's a smaller version, not very suitable for printing. > > > >_____________________________________________ >From: Pajimula, Fel >Sent: Tuesday, October 05, 2010 8:46 AM >To: Neal, Scott; Hatzenbuehler, Eric >Subject: DRAFT: retailers and favored products handout > >attached. > << File: 14452seatac.jpg >> > > > >Fel Pajimula >Tobacco Prevention Program >Public Health Seattle & King County >fel.pajimula@kingcounty.gov > >Main: 206-296-7613 >Desk: 206-263-8203 >

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8_19_2011

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From: "Pearson, Anne" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> Date: 10/11/2010 5:12:13 PM Subject: FW: E-cigarettes Attachments: DRAFT How States Can Handle E-Cigarettes 3-30-10.doc States with E-Cig Restrictions.doc
Hi everyone, Here are the e-cig materials I received from TFK. Hope they are useful. Anne

From: Eric Lindblom [mailto:elindblom@TobaccoFreeKids.org] Sent: Wednesday, October 06, 2010 2:50 PM To: Pearson, Anne Subject: RE: E-cigarettes Our position is to ban any and all non-FDA-approved nicotine delivery products that are not tobacco products. See attached draft guidance sheet. It also has some possible text to use to include some nicotine-delivery device use under smoke-free laws. [As always, comments welcome.] As for which jurisdictions have done what re e-cigarettes, attached is the best list we have (might not be comprehensive). Eric

From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Wednesday, October 06, 2010 5:43 PM To: Eric Lindblom Subject: E-cigarettes Hi Eric, I hope you're well. Our tobacco program is thinking about putting together an -ecigarette proposal for our December board of health meeting (minimum age restrictions, prohibiting use in public places, etc.) and is wondering whether TFK might have a comprehensive list of those localities that have adopted similar measures. Any chance you have something along those lines? Thanks! Anne Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov

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From: "Krieger, James" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> Date: 10/11/2010 9:24:16 PM Subject: Re: FDA State & Local Officials Discussion Mtg
Great summary....thanks for all the effort to prepare it. Your concerns about uncoordinated fed/LCB and local inspections seem importnat and I hope they get addressed...if not, what is needed to try to make this happen?

From: Neal, Scott To: Johnson, Gareth Cc: Allis, Donna; Krieger, James; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Pajimula, Fel; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Song, Ashley; Zemann, Paul; Huus, Kathie; Leifer, Ben Sent: Fri Oct 08 10:20:16 2010 Subject: RE: FDA State & Local Officials Discussion Mtg

Good question Yes states could pass similar laws (many states already have done that, plan to do it, or already had state or local laws that are more strict than the FDA). It gets a bit tricky though with some of the provisions because the FDA is currently engaged in some legal challenges on the advertising pieces. Currently what is the most critical is the youth access enforcement piece as we already have a strict youth access law that fines both clerks and retailers when sales to minors occur. So the FDA says that states could follow up FDA inspections resulting in a sale to a minor with state fines for the same inspection that they would receive a warning or fines from the FDA on the federal level. Of utmost concern here is that the violations during any FDA inspections at least get included in the state's history so that if the we or the LCB conduct our own inspections and find additional violations, that would bring about higher penalties including potentially suspending their license. What I don't want to see is a completely separate track for FDA inspections and state inspections on the same retailer as that makes no sense to me and also gets really confusing for the retailers. Unfortunately we learned that the LCB at least currently has decided to keep these FDA checks on a completely separate track. I shared my concerns with them at our meeting yesterday and will continue to request they reconsider. With regards to E-Cigarettes, we are not preempted from enacting local regulations on e-cigs by state law because these products are not tobacco products. Scott

_____________________________________________ From: Sent: To: Johnson, Gareth Friday, October 08, 2010 9:50 AM Neal, Scott

Cc: Allis, Donna; Krieger, James; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Pajimula, Fel; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Song, Ashley; Zemann, Paul; Huus, Kathie; Leifer, Ben Subject: RE: FDA State & Local Officials Discussion Mtg

Thanks for this report Scott. I have a question that relates to the bullet point I highlighted in red below. This seems to suggest that states and local units of government could pass statutes or ordinances that would precisely mirror the federal statutory language that FDA is enforcing. If we can't do that, I'm unclear as to how we would take action with respect to violations of the federal restrictions or requirements. That could have helpful implications for our interest in banning the sale of E-cigarettes. 8_19_2011

Page 2
_____________________________________________ From: Neal, Scott Sent: Friday, October 08, 2010 9:00 AM To: Johnson, Gareth

Cc: Allis, Donna; Krieger, James; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Pajimula, Fel; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Song, Ashley; Zemann, Paul Subject: FDA State & Local Officials Discussion Mtg

As you know I took part in the FDA's recent discussion series stakeholder meeting for state and local health officials last weekend in Atlanta. This meeting was the first in their stakeholder discussion series and they have scheduled other's to follow with other stakeholder groups such as Tobacco Manufacturers/Growers, Minority Populations, Public Health Advocates, American Indians/Alaska Natives, Distributors, Importers, Retailers, and Wholesalers, and Youth between now and Sept. 2011. The meeting was more or less an opportunity for FDA to take questions and receive input from state and local agencies around the implementation of the FDA law. Below is a brief summary: General Comments/Input FDA highly encouraged state and local agencies to continue to send in comments during open comment periods for various FDA considerations. They indicated that the industry has been providing regular input and it is important to get the state and local public health perspective as well. Following the individual stakeholder meetings, there may be a next step in which certain meetings may be organized which include various stakeholder groups together. There was a lot of comments suggesting that FDA identify state representatives that could be a state's main point of contact for states and locals. It sounded like FDA heard that request, but they may not be planning to organize that type of structure. It was explained that FDA authority over tobacco is unlike other FDA authority over other product in that the FDA does not indicate that tobacco products are safe for consumers, but the goal of the FDA is to ensure that the harm to public health is reduced. FDA Rule Making FDA has been focused on meeting the legislative mandates that had deadlines the first couple of years and has not had the time to put a lot of energy into other related rule making authority. They suggested that state and locals continue to send input on issues that important to them and that may help them prioritize additional areas of concern that need more immediate attention. In general rule making takes at least a year and includes significant public comment periods, reworking any proposed rules and republishing it for comment again. If the rule is particularly controversial, it could take years to finalize. FDA Inspections FDA is currently contracting with 15 states to conduct inspections of FDA provisions (youth access, flavored cigarettes, "light"/"Mild", etc.)and Washington is one of the 15 states as the LCB received a contract of $372k to conduct 1340 inspections statewide. They intend to contract with every state in the next fiscal year. It is not clear how much money is ultimately available for each state. FDA inspection contracts are for the inspections only and do not include enforcement as that is being handled at the federal level once they receive the inspection reports. In speaking with our LCB, it sounds like it may take up to 90 days between inspection and actual communication regarding any enforcement (warnings/fines) from the FDA. FDA was very clear that they are paying for inspections of the federal law and that it was up to the states to determine if they wanted to include violations of FDA inspections to be included in any local or statewide enforcement processes. Currently the protocol for inspections has not yet been made public and the hope is that it will align closely with what states are already doing with their youth access inspections so to cause as little confusion to the retailers as possible. We have already met with the LCB and will be working to coordinate their FDA activities with that of our own inspections to ensure a strategic and coordinated effort. Tobacco Products Scientific Advisory Committee (Menthol Issue) This group continues to meet and there is a specific subcommittee focusing on reporting on the impact of the use of menthol in cigarettes on the public health, including such use among children, African-Americans, Hispanics, and other racial and ethnic minorities. Their report is due to the FDA in March 2011 and at that time the FDA may consider any rule making on this issue at that time. 8_19_2011

Page 3

Let me know if you have any other questions. Thanks Scott

8_19_2011

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From: To: Date: Subject:

"Neal, Scott" "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> 10/11/2010 6:33:04 PM RE: DRAFT: retailers and favored products handout

Yes focusing on e-cigs in decmeber. As a note, Fel was in our BOH planning meeting this afternoon and we needed him to go to two mall kiosks and take photos of where e-cigs are sold. I know he is busy, but this is very important and he said he could squeeze this in before next Tuesday. So you might want to check in with him today/this week to figure out his plan on getting that done. Ultimately it is part of our building a case/rationale for action on e-cigs and we meet again with the BOH tobacco policy committee next week. Scott >_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Friday, October 08, 2010 5:07 PM >To: Neal, Scott >Subject: FW: DRAFT: retailers and favored products handout > >Scott - what changes (format, content, etc.) need to be made? > >Just to clarify, we are focusing on E-cigs for Dec. and these materials will be used for efforts later in May 2011, yes? > >Thanks, >Eric > >______________________________________________ >From: Pajimula, Fel >Sent: Tuesday, October 05, 2010 8:48 AM >To: Pajimula, Fel; Neal, Scott; Hatzenbuehler, Eric >Subject: RE: DRAFT: retailers and favored products handout > >oops, sorry... that other one was rather large for emailing. >here's a smaller version, not very suitable for printing. > > << File: 14452seatac-lowerres.jpg >> > >_____________________________________________ >From: Pajimula, Fel >Sent: Tuesday, October 05, 2010 8:46 AM >To: Neal, Scott; Hatzenbuehler, Eric >Subject: DRAFT: retailers and favored products handout > >attached. > << File: 14452seatac.jpg >> > > >
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>Fel Pajimula >Tobacco Prevention Program >Public Health Seattle & King County >fel.pajimula@kingcounty.gov > >Main: 206-296-7613 >Desk: 206-263-8203 >

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From: To: Date: Subject: Oh and as for format/content

"Neal, Scott" "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> 10/11/2010 6:37:07 PM RE: DRAFT: retailers and favored products handout

I kinda think this needs some significant work. It really needs to be presentable and it is too busy as is. I think it should contain standardized info like Name of store Address of store Location description: (like where in the neighborhoodis it close to schools, parks, playgrounds, other places kids frequent, etc.) Types of flavored tobacco products for sale (picture of them, much like he has in this draft) After looking at this, I think the picture of the outside of the store is probably less important and it may just create more clutter to this design. Scott

>_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Friday, October 08, 2010 5:07 PM >To: Neal, Scott >Subject: FW: DRAFT: retailers and favored products handout > >Scott - what changes (format, content, etc.) need to be made? > >Just to clarify, we are focusing on E-cigs for Dec. and these materials will be used for efforts later in May 2011, yes? > >Thanks, >Eric > >______________________________________________ >From: Pajimula, Fel >Sent: Tuesday, October 05, 2010 8:48 AM >To: Pajimula, Fel; Neal, Scott; Hatzenbuehler, Eric >Subject: RE: DRAFT: retailers and favored products handout > >oops, sorry... that other one was rather large for emailing. >here's a smaller version, not very suitable for printing. > > << File: 14452seatac-lowerres.jpg >> > >_____________________________________________ >From: Pajimula, Fel >Sent: Tuesday, October 05, 2010 8:46 AM
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>To: Neal, Scott; Hatzenbuehler, Eric >Subject: DRAFT: retailers and favored products handout > >attached. > << File: 14452seatac.jpg >> > > > >Fel Pajimula >Tobacco Prevention Program >Public Health Seattle & King County >fel.pajimula@kingcounty.gov > >Main: 206-296-7613 >Desk: 206-263-8203 >

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From: To: Date: Subject: Hi Tricia,

"Neal, Scott" "Porter, Tricia" <Tricia.Porter@kingcounty.gov> 10/12/2010 5:24:59 PM RE: E-cigarettes

Great question and one that we are beginning to get a lot. The short answer is that it isn't known at this time if these products are ultimately less harmful that regular cigarettes. Although they don't actually burn like a regular cigarette, we do know is that the FDA has tested some of these products and found harmful ingredients and inconsistencies between the same products. Ultimately these products have been determined by the FDA to be drugs and thus must go through the official approval process, which to date, none of the numerous E-cigarette companies have done so. To my knowledge all of these e-cigarettes are manufactured in China and the FDA has been taking enforcement action on prohibiting the importation of these products. Obvoiusly they still end up available for sale in some cases or are sold via the internet. You can find out more detailed information at the FDA's website on this issue. Most recently the FDA sent warning letters to 5 additiona manufacturers of these product as they continue to claim their health benefits, which are unsubstantiated. http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm172906.htm Article about E-Cigarettes in our program newsletter: http://www.tobaccoprevention.org/newsletters/2009summer/2009summer.html Hope this helps answer your question. Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov >_____________________________________________ >From: Porter, Tricia >Sent: Friday, October 08, 2010 4:55 PM >To: Prevention, Tobacco >Subject: E-cigarettes > >Hello, > >I am wondering if you have any information on the new electric cigarettes. I am mainly wondering if they are better than a regular cigarette or just as bad. Thank you for your time > >Tricia Porter >MSS Clerk >Federal Way Public Health >(206) 296-8410
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>

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From: "Neal, Scott" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> Date: 10/12/2010 3:06:17 PM Subject: RE: E-cigarettes
This is good stuff. I really like the idea of including prohibiting free sampling of these e-cigs...seems like we should seriously consider adding this to our package. I'm still checking on FDA...they are working ot get me to the right person. Scott

From: Pearson, Anne Sent: Monday, October 11, 2010 2:12 PM To: Ross-Viles, Sarah; Neal, Scott; Bennett, John; Pajimula, Fel Subject: FW: E-cigarettes Hi everyone, Here are the e-cig materials I received from TFK. Hope they are useful. Anne

From: Eric Lindblom [mailto:elindblom@TobaccoFreeKids.org] Sent: Wednesday, October 06, 2010 2:50 PM To: Pearson, Anne Subject: RE: E-cigarettes Our position is to ban any and all non-FDA-approved nicotine delivery products that are not tobacco products. See attached draft guidance sheet. It also has some possible text to use to include some nicotine-delivery device use under smoke-free laws. [As always, comments welcome.] As for which jurisdictions have done what re e-cigarettes, attached is the best list we have (might not be comprehensive). Eric

From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Wednesday, October 06, 2010 5:43 PM To: Eric Lindblom Subject: E-cigarettes Hi Eric, I hope you're well. Our tobacco program is thinking about putting together an -ecigarette proposal for our December board of health meeting (minimum age restrictions, prohibiting use in public places, etc.) and is wondering whether TFK might have a comprehensive list of those localities that have adopted similar measures. Any chance you have something along those lines? Thanks! Anne Anne Pearson, JD, MA Public Health - Seattle & King County 8_19_2011

Page 2 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov

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From: "Neal, Scott" To: "Krieger, James" <James.Krieger@kingcounty.gov> "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> Date: 10/12/2010 12:28:43 PM Subject: RE: FDA State & Local Officials Discussion Mtg
We have already met with the LCB on this very issue and have agreed to continue our communication about this. It sounds as though at least our LCB will work to collaborate with us, I just wish the FDA would require that of their state contractors across the nation. Good news is we have a good relationship here so we should be ok. Scott

From: Krieger, James Sent: Monday, October 11, 2010 6:24 PM To: Neal, Scott; Johnson, Gareth Subject: Re: FDA State & Local Officials Discussion Mtg Great summary....thanks for all the effort to prepare it. Your concerns about uncoordinated fed/LCB and local inspections seem importnat and I hope they get addressed...if not, what is needed to try to make this happen?

From: Neal, Scott To: Johnson, Gareth Cc: Allis, Donna; Krieger, James; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Pajimula, Fel; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Song, Ashley; Zemann, Paul; Huus, Kathie; Leifer, Ben Sent: Fri Oct 08 10:20:16 2010 Subject: RE: FDA State & Local Officials Discussion Mtg

Good question Yes states could pass similar laws (many states already have done that, plan to do it, or already had state or local laws that are more strict than the FDA). It gets a bit tricky though with some of the provisions because the FDA is currently engaged in some legal challenges on the advertising pieces. Currently what is the most critical is the youth access enforcement piece as we already have a strict youth access law that fines both clerks and retailers when sales to minors occur. So the FDA says that states could follow up FDA inspections resulting in a sale to a minor with state fines for the same inspection that they would receive a warning or fines from the FDA on the federal level. Of utmost concern here is that the violations during any FDA inspections at least get included in the state's history so that if the we or the LCB conduct our own inspections and find additional violations, that would bring about higher penalties including potentially suspending their license. What I don't want to see is a completely separate track for FDA inspections and state inspections on the same retailer as that makes no sense to me and also gets really confusing for the retailers. Unfortunately we learned that the LCB at least currently has decided to keep these FDA checks on a completely separate track. I shared my concerns with them at our meeting yesterday and will continue to request they reconsider. With regards to E-Cigarettes, we are not preempted from enacting local regulations on e-cigs by state law because these products are not tobacco products. Scott

_____________________________________________ From: Johnson, Gareth Sent: Friday, October 08, 2010 9:50 AM

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Page 2
To: Neal, Scott

Cc: Allis, Donna; Krieger, James; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Pajimula, Fel; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Song, Ashley; Zemann, Paul; Huus, Kathie; Leifer, Ben Subject: RE: FDA State & Local Officials Discussion Mtg

Thanks for this report Scott. I have a question that relates to the bullet point I highlighted in red below. This seems to suggest that states and local units of government could pass statutes or ordinances that would precisely mirror the federal statutory language that FDA is enforcing. If we can't do that, I'm unclear as to how we would take action with respect to violations of the federal restrictions or requirements. That could have helpful implications for our interest in banning the sale of E-cigarettes.
_____________________________________________ From: Neal, Scott Sent: Friday, October 08, 2010 9:00 AM To: Johnson, Gareth

Cc: Allis, Donna; Krieger, James; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Pajimula, Fel; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Song, Ashley; Zemann, Paul Subject: FDA State & Local Officials Discussion Mtg

As you know I took part in the FDA's recent discussion series stakeholder meeting for state and local health officials last weekend in Atlanta. This meeting was the first in their stakeholder discussion series and they have scheduled other's to follow with other stakeholder groups such as Tobacco Manufacturers/Growers, Minority Populations, Public Health Advocates, American Indians/Alaska Natives, Distributors, Importers, Retailers, and Wholesalers, and Youth between now and Sept. 2011. The meeting was more or less an opportunity for FDA to take questions and receive input from state and local agencies around the implementation of the FDA law. Below is a brief summary: General Comments/Input FDA highly encouraged state and local agencies to continue to send in comments during open comment periods for various FDA considerations. They indicated that the industry has been providing regular input and it is important to get the state and local public health perspective as well. Following the individual stakeholder meetings, there may be a next step in which certain meetings may be organized which include various stakeholder groups together. There was a lot of comments suggesting that FDA identify state representatives that could be a state's main point of contact for states and locals. It sounded like FDA heard that request, but they may not be planning to organize that type of structure. It was explained that FDA authority over tobacco is unlike other FDA authority over other product in that the FDA does not indicate that tobacco products are safe for consumers, but the goal of the FDA is to ensure that the harm to public health is reduced. FDA Rule Making FDA has been focused on meeting the legislative mandates that had deadlines the first couple of years and has not had the time to put a lot of energy into other related rule making authority. They suggested that state and locals continue to send input on issues that important to them and that may help them prioritize additional areas of concern that need more immediate attention. In general rule making takes at least a year and includes significant public comment periods, reworking any proposed rules and republishing it for comment again. If the rule is particularly controversial, it could take years to finalize. FDA Inspections FDA is currently contracting with 15 states to conduct inspections of FDA provisions (youth access, flavored cigarettes, "light"/"Mild", etc.)and Washington is one of the 15 states as the LCB received a contract of $372k to conduct 1340 inspections statewide. They intend to contract with every state in the next fiscal year. It is not clear how much money is ultimately available for each state. FDA inspection contracts are for the inspections only and do not include enforcement as that is being handled at the federal level once they receive the inspection reports. In speaking with our LCB, it sounds like it may take up to 90 days between inspection and actual communication regarding any enforcement (warnings/fines) from the FDA. 8_19_2011

Page 3 FDA was very clear that they are paying for inspections of the federal law and that it was up to the states to determine if they wanted to include violations of FDA inspections to be included in any local or statewide enforcement processes. Currently the protocol for inspections has not yet been made public and the hope is that it will align closely with what states are already doing with their youth access inspections so to cause as little confusion to the retailers as possible. We have already met with the LCB and will be working to coordinate their FDA activities with that of our own inspections to ensure a strategic and coordinated effort. Tobacco Products Scientific Advisory Committee (Menthol Issue) This group continues to meet and there is a specific subcommittee focusing on reporting on the impact of the use of menthol in cigarettes on the public health, including such use among children, African-Americans, Hispanics, and other racial and ethnic minorities. Their report is due to the FDA in March 2011 and at that time the FDA may consider any rule making on this issue at that time.

Let me know if you have any other questions. Thanks Scott

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From: To: Date: Subject: Hi Chrissy,

"Neal, Scott" "Juliano, Christina" <Christina.Juliano@fda.hhs.gov> 10/12/2010 1:44:44 PM Question...

I have a few questions regarding the FDA's E-cigarette case and ongoing enforcment. Who would be the best person at FDA for me to speak to about the details around E-Cigs? Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: To: Date: Subject:


ok thanks! Scott

"Neal, Scott" "Juliano, Christina" <Christina.Juliano@fda.hhs.gov> 10/12/2010 2:16:54 PM RE: Question...

From: Juliano, Christina [mailto:Christina.Juliano@fda.hhs.gov] Sent: Tuesday, October 12, 2010 11:15 AM To: Neal, Scott Subject: RE: Question... Let me figure that out and get back to you.

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Tuesday, October 12, 2010 1:45 PM To: Juliano, Christina Subject: Question...

Hi Chrissy, I have a few questions regarding the FDA's E-cigarette case and ongoing enforcment. Who would be the best person at FDA for me to speak to about the details around E-Cigs? Thanks

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: To: Date: Subject:

"Juliano, Christina" <Christina.Juliano@fda.hhs.gov> "Neal, Scott" 10/12/2010 2:15:05 PM RE: Question...

Let me figure that out and get back to you.

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Tuesday, October 12, 2010 1:45 PM To: Juliano, Christina Subject: Question...

Hi Chrissy, I have a few questions regarding the FDA's E-cigarette case and ongoing enforcment. Who would be the best person at FDA for me to speak to about the details around E-Cigs? Thanks

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: "Ryan, Molly" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 10/12/2010 3:25:14 PM Subject: Smoke-free policy & e-cigs, e-hookahs, e-everything else Hi all, Do we have model smoke-free policy that includes e-cigs, e-hookahs, etc. to share with our partners? I've done a little bit of research on colleges/universities and the policies are all over the place - some include e-cigs in their definition of "tobacco products" while others call it out explicitly in their policy ("Smoking, including e-cigarettes, is prohibited."). These options, however, don't consider the possibility that the FDA may regulate these products in the future (who knows, we may actually be promoting e-cigs as NRT some day), which means that without amending the policy, e-cigs (even as NRT) would still be banned. I've received some guidance on this from the CA Youth Advocacy Network who is working on smoke-free colleges, and here is the language they suggested: The use of nicotine products not regulated by the U.S. Food and Drug Administration for cessation use is prohibited on campus. FDA approved nicotine replacement therapy products (e.g., gum, the patch) can be used on campus. My concern with this option (although better than the others) is that I can't help but wonder what happens if the FDA decides to regulate e-cigs as "tobacco products" and not "cessation support devices?" If regulated as tobacco products, would e-cigs be covered under the policy language posed above? Or, if we truly don't know what the FDA plans to do, is it best to keep policy language broad --e.g., "The use of nicotine products not regulated by the FDA is prohibited on campus." I don't know if other sectors (hospitals, parks, housing) are asking for assistance on this, but I imagine they willespecially if we are moving forward with the BOH on this. I think it would be really helpful to have model policy language and guidance for our partners. I, unfortunately, have not been able to find any model policies to my liking (considering the issues I raise above) -- I may be looking too far into thisbut I just wanted to see what other people thought about this. Thoughts? Any little bit helps (I've given myself a headache pondering this)! -Molly

>Molly Ryan, MPH >Tobacco Prevention Program >Public Health - Seattle & King County >Ph: (206) 263-8241 Fax: (206) 296-0177 >

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From: "Pearson, Anne" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> Date: 10/13/2010 2:36:37 PM Subject: E-cigarette proposal.doc Attachments: E-cigarette proposal.doc H everyone, Attached is a quick draft of a document we could circulate internally and provide to the board of health tobacco subcommittee members. As you'll see, there are some places we still need to fill in -- especially the section on e-cigs in King County. We also need to finalize our thinking about harm reduction. I continue to explore the viability of banning only in-person sales and not internet sales to see if that is a potential compromise. In the meantime, feel free to add, comment, edit away. Anne

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From: To: Date: Subject: Hello,

"Porter, Tricia" "Neal, Scott" <Scott.Neal@kingcounty.gov> 10/13/2010 1:43:13 PM RE: E-cigarettes

Thank you so much for the information. I am trying to quit smoking, but am finding it very difficult. My doctor has called in a prescription for Nicotine patches, so I am hoping that will work. Take care! Tricia Porter ASII Federal Way Public Health MSS/WIC (253) 838-5379

>_____________________________________________ >From: Neal, Scott >Sent: Tuesday, October 12, 2010 2:25 PM >To: Porter, Tricia >Subject: RE: E-cigarettes > >Hi Tricia, > >Great question and one that we are beginning to get a lot. The short answer is that it isn't known at this time if these products are ultimately less harmful that regular cigarettes. Although they don't actually burn like a regular cigarette, we do know is that the FDA has tested some of these products and found harmful ingredients and inconsistencies between the same products. Ultimately these products have been determined by the FDA to be drugs and thus must go through the official approval process, which to date, none of the numerous E-cigarette companies have done so. To my knowledge all of these e-cigarettes are manufactured in China and the FDA has been taking enforcement action on prohibiting the importation of these products. Obvoiusly they still end up available for sale in some cases or are sold via the internet. > >You can find out more detailed information at the FDA's website on this issue. Most recently the FDA sent warning letters to 5 additiona manufacturers of these product as they continue to claim their health benefits, which are unsubstantiated. http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm172906.htm > >Article about E-Cigarettes in our program newsletter: >http://www.tobaccoprevention.org/newsletters/2009summer/2009summer.html > >Hope this helps answer your question. > >Thanks > >Scott Neal >Tobacco Prevention Program Manager >Public Health - Seattle & King County >401 Fifth Avenue, Suite 900 >Seattle, WA 98104 >Phone: 206-263-8197
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>Fax: 206-296-0177 >Email: scott.neal@kingcounty.gov > >_____________________________________________ >From: Porter, Tricia >Sent: Friday, October 08, 2010 4:55 PM >To: Prevention, Tobacco >Subject: E-cigarettes > >Hello, > >I am wondering if you have any information on the new electric cigarettes. I am mainly wondering if they are better than a regular cigarette or just as bad. Thank you for your time > >Tricia Porter >MSS Clerk >Federal Way Public Health >(206) 296-8410 >

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From: To: Date: Subject: Hi Tricia,

"Neal, Scott" "Porter, Tricia" <Tricia.Porter@kingcounty.gov> 10/13/2010 3:20:07 PM RE: E-cigarettes

Well first of all, congrats on deciding to quit smoking! That's the first stepand for talking with your docotr about it tooalso a great idea! Please also consider calling the Washington State Quitline as well. They have trained quit counselors that will help you through a plan to be successful. The number is 1-800-Quit-Now or visit their website for more information: http://www.quitline.com/ Nicotine replacement (patches) are very helpful for many people, but much more succesful when coupled with counseling, so I highly recommend you call them as well. Good luckYou can do it! Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

>_____________________________________________ >From: Porter, Tricia >Sent: Wednesday, October 13, 2010 10:43 AM >To: Neal, Scott >Subject: RE: E-cigarettes > >Hello, > >Thank you so much for the information. I am trying to quit smoking, but am finding it very difficult. My doctor has called in a prescription for Nicotine patches, so I am hoping that will work. Take care! > >Tricia Porter >ASII >Federal Way Public Health >MSS/WIC >(253) 838-5379 > > >_____________________________________________ >From: Neal, Scott >Sent: Tuesday, October 12, 2010 2:25 PM >To: Porter, Tricia
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>Subject: RE: E-cigarettes > >Hi Tricia, > >Great question and one that we are beginning to get a lot. The short answer is that it isn't known at this time if these products are ultimately less harmful that regular cigarettes. Although they don't actually burn like a regular cigarette, we do know is that the FDA has tested some of these products and found harmful ingredients and inconsistencies between the same products. Ultimately these products have been determined by the FDA to be drugs and thus must go through the official approval process, which to date, none of the numerous E-cigarette companies have done so. To my knowledge all of these e-cigarettes are manufactured in China and the FDA has been taking enforcement action on prohibiting the importation of these products. Obvoiusly they still end up available for sale in some cases or are sold via the internet. > >You can find out more detailed information at the FDA's website on this issue. Most recently the FDA sent warning letters to 5 additiona manufacturers of these product as they continue to claim their health benefits, which are unsubstantiated. http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm172906.htm > >Article about E-Cigarettes in our program newsletter: >http://www.tobaccoprevention.org/newsletters/2009summer/2009summer.html > >Hope this helps answer your question. > >Thanks > >Scott Neal >Tobacco Prevention Program Manager >Public Health - Seattle & King County >401 Fifth Avenue, Suite 900 >Seattle, WA 98104 >Phone: 206-263-8197 >Fax: 206-296-0177 >Email: scott.neal@kingcounty.gov> > >_____________________________________________ >From: Porter, Tricia >Sent: Friday, October 08, 2010 4:55 PM >To: Prevention, Tobacco >Subject: E-cigarettes > >Hello, > >I am wondering if you have any information on the new electric cigarettes. I am mainly wondering if they are better than a regular cigarette or just as bad. Thank you for your time > >Tricia Porter >MSS Clerk >Federal Way Public Health >(206) 296-8410 >

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From: To: Date: Subject:

"Juliano, Christina" <Christina.Juliano@fda.hhs.gov> "Neal, Scott" 10/13/2010 7:03:06 PM Re: Question...

I know it is CDER here at FDA, but I'm waiting on a name. Let me ask again.

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Wednesday, October 13, 2010 07:01 PM To: Juliano, Christina Subject: RE: Question... HI Chrissy....any lead on who I should be in touch with? :) thanks Scott

From: Juliano, Christina [mailto:Christina.Juliano@fda.hhs.gov] Sent: Tuesday, October 12, 2010 11:15 AM To: Neal, Scott Subject: RE: Question... Let me figure that out and get back to you.

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Tuesday, October 12, 2010 1:45 PM To: Juliano, Christina Subject: Question...

Hi Chrissy, I have a few questions regarding the FDA's E-cigarette case and ongoing enforcment. Who would be the best person at FDA for me to speak to about the details around E-Cigs? Thanks

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: To: Date: Subject:

"Neal, Scott" "Juliano, Christina" <Christina.Juliano@fda.hhs.gov> 10/13/2010 7:01:03 PM RE: Question...

HI Chrissy....any lead on who I should be in touch with? :) thanks Scott

From: Juliano, Christina [mailto:Christina.Juliano@fda.hhs.gov] Sent: Tuesday, October 12, 2010 11:15 AM To: Neal, Scott Subject: RE: Question... Let me figure that out and get back to you.

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Tuesday, October 12, 2010 1:45 PM To: Juliano, Christina Subject: Question...

Hi Chrissy, I have a few questions regarding the FDA's E-cigarette case and ongoing enforcment. Who would be the best person at FDA for me to speak to about the details around E-Cigs? Thanks

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: To: Date: Subject:

"Juliano, Christina" <Christina.Juliano@fda.hhs.gov> "Neal, Scott" 10/13/2010 8:43:37 PM RE: Question...

Hi Scott Here you go - sorry for the delay. We were in an all day meeting today so a little behind. The contacts are Tina Walther (Tina.Walther@fda.hhs.gov) and Kristene Corbet (Kristine.Corbett@fda.hhs.gov) at CDRH. They're expecting your email. Chrissie Chrissie Juliano, MPP Office of Health Communication and Education Center for Tobacco Products/FDA Phone: 301.796.9229 CTP Call Center: 1.877.CTP.1373 www.fda.gov/tobaccoproducts ________________________________________ From: Neal, Scott [Scott.Neal@kingcounty.gov] Sent: Wednesday, October 13, 2010 7:01 PM To: Juliano, Christina Subject: RE: Question... HI Chrissy....any lead on who I should be in touch with? :) thanks Scott ________________________________ From: Juliano, Christina [mailto:Christina.Juliano@fda.hhs.gov] Sent: Tuesday, October 12, 2010 11:15 AM To: Neal, Scott Subject: RE: Question... Let me figure that out and get back to you. ________________________________ From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Tuesday, October 12, 2010 1:45 PM To: Juliano, Christina Subject: Question...

Hi Chrissy, I have a few questions regarding the FDA's E-cigarette case and ongoing enforcment. Who would be the best person at FDA for me to speak to about the details around E-Cigs? Thanks
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Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: "Ross-Viles, Sarah" To: "Muhm, Jennifer" <Jennifer.Muhm@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Apa, James" <James.Apa@kingcounty.gov> "Huus, Kathie" <Kathie.Huus@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Valenzuela, Matias" <Matias.Valenzuela@kingcounty.gov> "Karasz, Hilary" <Hilary.Karasz@kingcounty.gov> Date: 10/14/2010 3:16:37 PM Subject: RE: CM Patterson Tobacco op-ed I second Scott in thinking the "Certain products" language is not a hazard. Two technical points Tobacco is still the number one leading cause of death in KC according to our APDE team. Don't know if there were considerations for HEAL in calling it "One of" The Op-ed references a Surgeon General's report from "earlier this year." The Surgeon General's report on Involuntary Exposure to Secondhand Smoke was issued in 2006. The closest I can find to something that would be to a new report would be a Call to Action on Healthy Homes in 2009, but that paper is mainly about one's personal home and does not have the sentence referred to (it is in the 2006 report). Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Muhm, Jennifer Sent: Thursday, October 14, 2010 11:43 AM To: Neal, Scott; Apa, James; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Ross-Viles, Sarah Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed

Thanks, Scott. You have worked with the partners in this capacity longer than I have, so I will defer to your judgment on the language. I went back and read the email chain and it is local papers only, so it should be fine. Jenn -----Original Message----From: Neal, Scott Sent: Thu 10/14/2010 11:38 AM To: Muhm, Jennifer; Apa, James; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Ross-Viles, Sarah
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Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed I think it was planned for the local neighborhood papers...but am not 100% sure. My take on this part of the op-ed was that I thought it was vague enough to say "certain products" ..there isn't even anything in there about flavored products. I'm not sure we should specifically say E-cigarettes since we haven't even met with the Tobacco Policy Committtee yet and I didn't feel like this jeopardized anything that might happen at the state. Just my two cents. :) Scott -----Original Message----From: Muhm, Jennifer Sent: Thursday, October 14, 2010 11:32 AM To: Apa, James; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Neal, Scott; Ross-Viles, Sarah Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed

I also had a chance to review and have several questions: 1. Where are they planning to run this? 2. Is it possible to frame the "certain tobacco products" in terms of e-cigarettes specifically, so as not to provide such a strong tip to industry regarding other tobacco products? 3. Is Patterson's office aware of the larger strategy, beyond BOH? 4. Just a comment--most op-eds are about 600 words or 650 max...this is 760 words, so it seems a bit long...again, gets me back to my first question, because if it's in a local paper in her district, it's not as big a deal. Jenn -----Original Message----From: Apa, James Sent: Thu 10/14/2010 11:14 AM To: Muhm, Jennifer; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Neal, Scott; Ross-Viles, Sarah Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed Thanks, Maria and all. Scott and Sara should be aware of this as well, so I'm forwarding to them as an FYI. For the URL at the end of the piece, they can use the shortcut: www.kingcounty.gov/health/tobacco -James -----Original Message----From: Muhm, Jennifer
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Sent: Thursday, October 14, 2010 11:00 AM To: Huus, Kathie; Wood, Maria; Apa, James; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed Yes, exactly. Remote email access has been down for the last hour and a half, but just back up. Maria, I will take a look at this and get back to you by noon. Jenn

-----Original Message----From: Huus, Kathie Sent: Thu 10/14/2010 10:49 AM To: Wood, Maria; Apa, James; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy; Muhm, Jennifer Subject: RE: CM Patterson Tobacco op-ed Given the number things in the pipeline and on our priority list for op eds, we need to make sure our colleagues understand that this is being done by the CM not by us via the CM, so no one thinks we are not consulting about the emphasis and timing of this. k ________________________________ From: Wood, Maria Sent: Thursday, October 14, 2010 8:31 AM To: Apa, James; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy; Huus, Kathie; Muhm, Jennifer Subject: FW: CM Patterson Tobacco op-ed

FYI - CM Patterson has been planning to run this op ed for a couple of months, and now it is finalized and ready to go. Her staffer graciously allowed PH to review the content for accuracy and consistency with PH's tobacco policy approach. Let me know if you have any comments or concerns. Thanks, Maria

________________________________ From: Kolczynski, Angela Sent: Wednesday, October 13, 2010 4:39 PM To: Wood, Maria Cc: Soo Hoo, Wendy; Neal, Scott Subject: RE: CM Patterson Tobacco op-ed

Ok, thank you both for your comments! And to Scott for researching the smoking rates between counties. If Julia
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has any other significant changes I will re-route one more time.

By the way, we expect this to run sometime the week of the 18th, or to 25th in the Renton, Kent, Tukwila reporters and Highline Times.

Angela

________________________________ From: Kolczynski, Angela Sent: Tuesday, October 12, 2010 4:32 PM To: Wood, Maria; Neal, Scott Cc: Soo Hoo, Wendy Subject: CM Patterson Tobacco op-ed Hi there Finally have a draft of that tobacco op-ed that Councilmember Patterson will be submitting to the community newspapers in her district for the month of October. Would love your feedback, and appreciate you taking the time to look this over before we send out. Want to be especially careful in the last couple paragraphs where we are talking about sale/availability regulations.

Our deadline to have this to editors is this Friday, October 15, so if you can get me any comments/edits before then that would be great.

Thank you very much! Angela ________________________________ [K1]

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From: "Muhm, Jennifer" To: "Neal, Scott" "Apa, James" "Huus, Kathie" "Wood, Maria" "Valenzuela, Matias" "Karasz, Hilary" "Ross-Viles, Sarah" Date: 10/14/2010 2:44:34 PM Subject: RE: CM Patterson Tobacco op-ed

Thanks, Scott. You have worked with the partners in this capacity longer than I have, so I will defer to your judgment on the language. I went back and read the email chain and it is local papers only, so it should be fine. Jenn -----Original Message----From: Neal, Scott Sent: Thu 10/14/2010 11:38 AM To: Muhm, Jennifer; Apa, James; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Ross-Viles, Sarah Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed I think it was planned for the local neighborhood papers...but am not 100% sure. My take on this part of the op-ed was that I thought it was vague enough to say "certain products" ..there isn't even anything in there about flavored products. I'm not sure we should specifically say E-cigarettes since we haven't even met with the Tobacco Policy Committtee yet and I didn't feel like this jeopardized anything that might happen at the state. Just my two cents. :) Scott -----Original Message----From: Muhm, Jennifer Sent: Thursday, October 14, 2010 11:32 AM To: Apa, James; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Neal, Scott; Ross-Viles, Sarah Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed

I also had a chance to review and have several questions: 1. Where are they planning to run this? 2. Is it possible to frame the "certain tobacco products" in terms of e-cigarettes specifically, so as not to provide such a strong tip to industry regarding other tobacco products?
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3. Is Patterson's office aware of the larger strategy, beyond BOH? 4. Just a comment--most op-eds are about 600 words or 650 max...this is 760 words, so it seems a bit long...again, gets me back to my first question, because if it's in a local paper in her district, it's not as big a deal. Jenn -----Original Message----From: Apa, James Sent: Thu 10/14/2010 11:14 AM To: Muhm, Jennifer; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Neal, Scott; Ross-Viles, Sarah Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed Thanks, Maria and all. Scott and Sara should be aware of this as well, so I'm forwarding to them as an FYI. For the URL at the end of the piece, they can use the shortcut: www.kingcounty.gov/health/tobacco -James -----Original Message----From: Muhm, Jennifer Sent: Thursday, October 14, 2010 11:00 AM To: Huus, Kathie; Wood, Maria; Apa, James; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed Yes, exactly. Remote email access has been down for the last hour and a half, but just back up. Maria, I will take a look at this and get back to you by noon. Jenn

-----Original Message----From: Huus, Kathie Sent: Thu 10/14/2010 10:49 AM To: Wood, Maria; Apa, James; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy; Muhm, Jennifer Subject: RE: CM Patterson Tobacco op-ed Given the number things in the pipeline and on our priority list for op eds, we need to make sure our colleagues understand that this is being done by the CM not by us via the CM, so no one thinks we are not consulting about the emphasis and timing of this. k ________________________________ From: Wood, Maria Sent: Thursday, October 14, 2010 8:31 AM To: Apa, James; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy; Huus, Kathie; Muhm, Jennifer Subject: FW: CM Patterson Tobacco op-ed
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FYI - CM Patterson has been planning to run this op ed for a couple of months, and now it is finalized and ready to go. Her staffer graciously allowed PH to review the content for accuracy and consistency with PH's tobacco policy approach. Let me know if you have any comments or concerns. Thanks, Maria

________________________________ From: Kolczynski, Angela Sent: Wednesday, October 13, 2010 4:39 PM To: Wood, Maria Cc: Soo Hoo, Wendy; Neal, Scott Subject: RE: CM Patterson Tobacco op-ed

Ok, thank you both for your comments! And to Scott for researching the smoking rates between counties. If Julia has any other significant changes I will re-route one more time.

By the way, we expect this to run sometime the week of the 18th, or to 25th in the Renton, Kent, Tukwila reporters and Highline Times.

Angela

________________________________ From: Kolczynski, Angela Sent: Tuesday, October 12, 2010 4:32 PM To: Wood, Maria; Neal, Scott Cc: Soo Hoo, Wendy Subject: CM Patterson Tobacco op-ed Hi there Finally have a draft of that tobacco op-ed that Councilmember Patterson will be submitting to the community newspapers in her district for the month of October. Would love your feedback, and appreciate you taking the time to look this over before we send out. Want to be especially careful in the last couple paragraphs where we are talking about sale/availability regulations.

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Our deadline to have this to editors is this Friday, October 15, so if you can get me any comments/edits before then that would be great.

Thank you very much! Angela ________________________________ [K1]

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From: "Neal, Scott" To: "Muhm, Jennifer" <Jennifer.Muhm@kingcounty.gov> "Apa, James" <James.Apa@kingcounty.gov> "Huus, Kathie" <Kathie.Huus@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Valenzuela, Matias" <Matias.Valenzuela@kingcounty.gov> "Karasz, Hilary" <Hilary.Karasz@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 10/14/2010 2:38:55 PM Subject: RE: CM Patterson Tobacco op-ed I think it was planned for the local neighborhood papers...but am not 100% sure. My take on this part of the op-ed was that I thought it was vague enough to say "certain products" ..there isn't even anything in there about flavored products. I'm not sure we should specifically say E-cigarettes since we haven't even met with the Tobacco Policy Committtee yet and I didn't feel like this jeopardized anything that might happen at the state. Just my two cents. :) Scott -----Original Message----From: Muhm, Jennifer Sent: Thursday, October 14, 2010 11:32 AM To: Apa, James; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Neal, Scott; Ross-Viles, Sarah Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed

I also had a chance to review and have several questions: 1. Where are they planning to run this? 2. Is it possible to frame the "certain tobacco products" in terms of e-cigarettes specifically, so as not to provide such a strong tip to industry regarding other tobacco products? 3. Is Patterson's office aware of the larger strategy, beyond BOH? 4. Just a comment--most op-eds are about 600 words or 650 max...this is 760 words, so it seems a bit long...again, gets me back to my first question, because if it's in a local paper in her district, it's not as big a deal. Jenn -----Original Message----From: Apa, James Sent: Thu 10/14/2010 11:14 AM To: Muhm, Jennifer; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Neal, Scott; Ross-Viles, Sarah Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed
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Thanks, Maria and all. Scott and Sara should be aware of this as well, so I'm forwarding to them as an FYI. For the URL at the end of the piece, they can use the shortcut: www.kingcounty.gov/health/tobacco -James -----Original Message----From: Muhm, Jennifer Sent: Thursday, October 14, 2010 11:00 AM To: Huus, Kathie; Wood, Maria; Apa, James; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed Yes, exactly. Remote email access has been down for the last hour and a half, but just back up. Maria, I will take a look at this and get back to you by noon. Jenn

-----Original Message----From: Huus, Kathie Sent: Thu 10/14/2010 10:49 AM To: Wood, Maria; Apa, James; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy; Muhm, Jennifer Subject: RE: CM Patterson Tobacco op-ed Given the number things in the pipeline and on our priority list for op eds, we need to make sure our colleagues understand that this is being done by the CM not by us via the CM, so no one thinks we are not consulting about the emphasis and timing of this. k ________________________________ From: Wood, Maria Sent: Thursday, October 14, 2010 8:31 AM To: Apa, James; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy; Huus, Kathie; Muhm, Jennifer Subject: FW: CM Patterson Tobacco op-ed

FYI - CM Patterson has been planning to run this op ed for a couple of months, and now it is finalized and ready to go. Her staffer graciously allowed PH to review the content for accuracy and consistency with PH's tobacco policy approach. Let me know if you have any comments or concerns. Thanks, Maria

________________________________
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From: Kolczynski, Angela Sent: Wednesday, October 13, 2010 4:39 PM To: Wood, Maria Cc: Soo Hoo, Wendy; Neal, Scott Subject: RE: CM Patterson Tobacco op-ed

Ok, thank you both for your comments! And to Scott for researching the smoking rates between counties. If Julia has any other significant changes I will re-route one more time.

By the way, we expect this to run sometime the week of the 18th, or to 25th in the Renton, Kent, Tukwila reporters and Highline Times.

Angela

________________________________ From: Kolczynski, Angela Sent: Tuesday, October 12, 2010 4:32 PM To: Wood, Maria; Neal, Scott Cc: Soo Hoo, Wendy Subject: CM Patterson Tobacco op-ed Hi there Finally have a draft of that tobacco op-ed that Councilmember Patterson will be submitting to the community newspapers in her district for the month of October. Would love your feedback, and appreciate you taking the time to look this over before we send out. Want to be especially careful in the last couple paragraphs where we are talking about sale/availability regulations.

Our deadline to have this to editors is this Friday, October 15, so if you can get me any comments/edits before then that would be great.

Thank you very much! Angela ________________________________ [K1]


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From: "Muhm, Jennifer" To: "Apa, James" "Huus, Kathie" "Wood, Maria" "Valenzuela, Matias" "Karasz, Hilary" "Neal, Scott" "Ross-Viles, Sarah" Date: 10/14/2010 2:34:51 PM Subject: RE: CM Patterson Tobacco op-ed

I also had a chance to review and have several questions: 1. Where are they planning to run this? 2. Is it possible to frame the "certain tobacco products" in terms of e-cigarettes specifically, so as not to provide such a strong tip to industry regarding other tobacco products? 3. Is Patterson's office aware of the larger strategy, beyond BOH? 4. Just a comment--most op-eds are about 600 words or 650 max...this is 760 words, so it seems a bit long...again, gets me back to my first question, because if it's in a local paper in her district, it's not as big a deal. Jenn -----Original Message----From: Apa, James Sent: Thu 10/14/2010 11:14 AM To: Muhm, Jennifer; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Neal, Scott; Ross-Viles, Sarah Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed Thanks, Maria and all. Scott and Sara should be aware of this as well, so I'm forwarding to them as an FYI. For the URL at the end of the piece, they can use the shortcut: www.kingcounty.gov/health/tobacco -James -----Original Message----From: Muhm, Jennifer Sent: Thursday, October 14, 2010 11:00 AM To: Huus, Kathie; Wood, Maria; Apa, James; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed Yes, exactly. Remote email access has been down for the last hour and a half, but just back up. Maria, I will take a look at this and get back to you by noon. Jenn
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-----Original Message----From: Huus, Kathie Sent: Thu 10/14/2010 10:49 AM To: Wood, Maria; Apa, James; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy; Muhm, Jennifer Subject: RE: CM Patterson Tobacco op-ed Given the number things in the pipeline and on our priority list for op eds, we need to make sure our colleagues understand that this is being done by the CM not by us via the CM, so no one thinks we are not consulting about the emphasis and timing of this. k ________________________________ From: Wood, Maria Sent: Thursday, October 14, 2010 8:31 AM To: Apa, James; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy; Huus, Kathie; Muhm, Jennifer Subject: FW: CM Patterson Tobacco op-ed

FYI - CM Patterson has been planning to run this op ed for a couple of months, and now it is finalized and ready to go. Her staffer graciously allowed PH to review the content for accuracy and consistency with PH's tobacco policy approach. Let me know if you have any comments or concerns. Thanks, Maria

________________________________ From: Kolczynski, Angela Sent: Wednesday, October 13, 2010 4:39 PM To: Wood, Maria Cc: Soo Hoo, Wendy; Neal, Scott Subject: RE: CM Patterson Tobacco op-ed

Ok, thank you both for your comments! And to Scott for researching the smoking rates between counties. If Julia has any other significant changes I will re-route one more time.

By the way, we expect this to run sometime the week of the 18th, or to 25th in the Renton, Kent, Tukwila reporters and Highline Times.

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Angela

________________________________ From: Kolczynski, Angela Sent: Tuesday, October 12, 2010 4:32 PM To: Wood, Maria; Neal, Scott Cc: Soo Hoo, Wendy Subject: CM Patterson Tobacco op-ed Hi there Finally have a draft of that tobacco op-ed that Councilmember Patterson will be submitting to the community newspapers in her district for the month of October. Would love your feedback, and appreciate you taking the time to look this over before we send out. Want to be especially careful in the last couple paragraphs where we are talking about sale/availability regulations.

Our deadline to have this to editors is this Friday, October 15, so if you can get me any comments/edits before then that would be great.

Thank you very much! Angela ________________________________ [K1]

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From: To: Date: Subject:


Thanks for the update! Scott

"Neal, Scott" "Pam Wessel-Estes" <pwesselestes@shd.snohomish.wa.gov> 10/14/2010 6:08:41 PM RE: E Cigs policy discussion

From: Pam Wessel-Estes [mailto:pwesselestes@shd.snohomish.wa.gov] Sent: Thursday, October 14, 2010 3:07 PM To: Neal, Scott Cc: Davis, Paul A (DOH) Subject: E Cigs policy discussion

FYI Dr. Goldbaum will be taking an opinion regarding the county level regulation of sales of ecigarettes to minors (the opinion is yes) from our legal counsel before the Program and Policy Committee of our Board of Health tomorrow Friday - at 7A.M. I will let you know if they decide to bump it forward to the full Board next week. ~P
Pam Wessel-Estes, MA
Program Manager Tobacco Prevention & Control | Chronic Disease Prevention Snohomish Health District | 3020 Rucker Ave. Ste 206 | Everett, WA 98201 P: 425.339.8703 | F: 425.339.8726 | www.snohd.org

Public Health... Always working for a safer and healthier Snohomish County
The starting point for a better world is the belief that it is possible.
-Norman Cousins

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From: "Davis, Paul A \(DOH\)" <Paul.Davis@DOH.WA.GOV> To: pwesselestes@shd.snohomish.wa.gov "Neal, Scott" Date: 10/14/2010 8:35:54 PM Subject: Re: E Cigs policy discussion
Cool Thanks for keeping us informed

From: Pam Wessel-Estes <pwesselestes@shd.snohomish.wa.gov> To: Neal, Scott <Scott.Neal@kingcounty.gov> Cc: Davis, Paul A (DOH) Sent: Thu Oct 14 15:07:12 2010 Subject: E Cigs policy discussion

FYI Dr. Goldbaum will be taking an opinion regarding the county level regulation of sales of ecigarettes to minors (the opinion is yes) from our legal counsel before the Program and Policy Committee of our Board of Health tomorrow Friday - at 7A.M. I will let you know if they decide to bump it forward to the full Board next week. ~P
Pam Wessel-Estes, MA
Program Manager Tobacco Prevention & Control | Chronic Disease Prevention Snohomish Health District | 3020 Rucker Ave. Ste 206 | Everett, WA 98201 P: 425.339.8703 | F: 425.339.8726 | www.snohd.org

Public Health... Always working for a safer and healthier Snohomish County
The starting point for a better world is the belief that it is possible.
-Norman Cousins

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From: To: Date: Subject:

"Pam Wessel-Estes" <pwesselestes@shd.snohomish.wa.gov> "Neal, Scott" 10/14/2010 6:07:38 PM E Cigs policy discussion

FYI Dr. Goldbaum will be taking an opinion regarding the county level regulation of sales of ecigarettes to minors (the opinion is yes) from our legal counsel before the Program and Policy Committee of our Board of Health tomorrow Friday - at 7A.M. I will let you know if they decide to bump it forward to the full Board next week. ~P
Pam Wessel-Estes, MA
Program Manager Tobacco Prevention & Control | Chronic Disease Prevention Snohomish Health District | 3020 Rucker Ave. Ste 206 | Everett, WA 98201 P: 425.339.8703 | F: 425.339.8726 | www.snohd.org

Public Health... Always working for a safer and healthier Snohomish County
The starting point for a better world is the belief that it is possible.
-Norman Cousins

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From: "Pearson, Anne" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> Date: 10/14/2010 4:36:05 PM Subject: RE: E-cigarette proposal.doc Thanks, Sarah! Love the feedback! I'm happy to incorporate the changes you suggest. Does anyone else want to weigh in before I do that? In terms of process and timing, Jim suggested that the program send this directly to Dr. Fleming for his approval, ccing Gary and Jim. Do you want to aim to send it up by Monday? If so, can we fill in the part about E-cigs in King County by tomorrow?

>_____________________________________________ >From: Ross-Viles, Sarah >Sent: Thursday, October 14, 2010 1:26 PM >To: Pearson, Anne; Neal, Scott; Bennett, John; Pajimula, Fel >Subject: RE: E-cigarette proposal.doc > >Hi Anne, > >Love this one-pager process, and this one in particular. I will kick off the comments and edits. > >Sarah > > << File: E-cigarette proposal.srv.doc >> > >Sarah Ross-Viles >CPPW Tobacco Project Manager >Public Health - Seattle & King County >Suite 900 401 5th Avenue >Seattle, WA 98102 >(206) 263-8211 > > >_____________________________________________ >From: Pearson, Anne >Sent: Wednesday, October 13, 2010 11:37 AM >To: Ross-Viles, Sarah; Neal, Scott; Bennett, John; Pajimula, Fel >Subject: E-cigarette proposal.doc > >H everyone, >Attached is a quick draft of a document we could circulate internally and provide to the board of health tobacco subcommittee members.
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>As you'll see, there are some places we still need to fill in -- especially the section on e-cigs in King County. We also need to finalize our thinking about harm reduction. I continue to explore the viability of banning only in-person sales and not internet sales to see if that is a potential compromise. > >In the meantime, feel free to add, comment, edit away. > >Anne > > > > > > > > << File: E-cigarette proposal.doc >>

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From: "Ross-Viles, Sarah" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> Date: 10/14/2010 4:25:35 PM Subject: RE: E-cigarette proposal.doc Attachments: E-cigarette proposal.srv.doc Hi Anne, Love this one-pager process, and this one in particular. I will kick off the comments and edits. Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

>_____________________________________________ >From: Pearson, Anne >Sent: Wednesday, October 13, 2010 11:37 AM >To: Ross-Viles, Sarah; Neal, Scott; Bennett, John; Pajimula, Fel >Subject: E-cigarette proposal.doc > >H everyone, >Attached is a quick draft of a document we could circulate internally and provide to the board of health tobacco subcommittee members. >As you'll see, there are some places we still need to fill in -- especially the section on e-cigs in King County. We also need to finalize our thinking about harm reduction. I continue to explore the viability of banning only in-person sales and not internet sales to see if that is a potential compromise. > >In the meantime, feel free to add, comment, edit away. > >Anne > > > > > > > > << File: E-cigarette proposal.doc >>

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From: To: Date: Subject: Attachments:

"Neal, Scott" "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> 10/14/2010 6:00:03 PM FW: E-cigarette proposal.doc E-cigarette proposal.srv.doc

>______________________________________________ >From: Ross-Viles, Sarah >Sent: Thursday, October 14, 2010 1:26 PM >To: Pearson, Anne; Neal, Scott; Bennett, John; Pajimula, Fel >Subject: RE: E-cigarette proposal.doc > >Hi Anne, > >Love this one-pager process, and this one in particular. I will kick off the comments and edits. > >Sarah > > > >Sarah Ross-Viles >CPPW Tobacco Project Manager >Public Health - Seattle & King County >Suite 900 401 5th Avenue >Seattle, WA 98102 >(206) 263-8211 > > >_____________________________________________ >From: Pearson, Anne >Sent: Wednesday, October 13, 2010 11:37 AM >To: Ross-Viles, Sarah; Neal, Scott; Bennett, John; Pajimula, Fel >Subject: E-cigarette proposal.doc > >H everyone, >Attached is a quick draft of a document we could circulate internally and provide to the board of health tobacco subcommittee members. >As you'll see, there are some places we still need to fill in -- especially the section on e-cigs in King County. We also need to finalize our thinking about harm reduction. I continue to explore the viability of banning only in-person sales and not internet sales to see if that is a potential compromise. > >In the meantime, feel free to add, comment, edit away. > >Anne > > > > >
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> > > << File: E-cigarette proposal.doc >>

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From: To: Date: Subject:

"Neal, Scott" "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> 10/14/2010 6:00:10 PM FW: E-cigarette proposal.doc

>______________________________________________ >From: Pearson, Anne >Sent: Thursday, October 14, 2010 1:36 PM >To: Ross-Viles, Sarah; Neal, Scott; Bennett, John; Pajimula, Fel >Subject: RE: E-cigarette proposal.doc > >Thanks, Sarah! Love the feedback! >I'm happy to incorporate the changes you suggest. >Does anyone else want to weigh in before I do that? > >In terms of process and timing, Jim suggested that the program send this directly to Dr. Fleming for his approval, ccing Gary and Jim. >Do you want to aim to send it up by Monday? >If so, can we fill in the part about E-cigs in King County by tomorrow? > > > > >_____________________________________________ >From: Ross-Viles, Sarah >Sent: Thursday, October 14, 2010 1:26 PM >To: Pearson, Anne; Neal, Scott; Bennett, John; Pajimula, Fel >Subject: RE: E-cigarette proposal.doc > >Hi Anne, > >Love this one-pager process, and this one in particular. I will kick off the comments and edits. > >Sarah > > << File: E-cigarette proposal.srv.doc >> > >Sarah Ross-Viles >CPPW Tobacco Project Manager >Public Health - Seattle & King County >Suite 900 401 5th Avenue >Seattle, WA 98102 >(206) 263-8211 > > >_____________________________________________ >From: Pearson, Anne >Sent: Wednesday, October 13, 2010 11:37 AM >To: Ross-Viles, Sarah; Neal, Scott; Bennett, John; Pajimula, Fel
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>Subject: E-cigarette proposal.doc > >H everyone, >Attached is a quick draft of a document we could circulate internally and provide to the board of health tobacco subcommittee members. >As you'll see, there are some places we still need to fill in -- especially the section on e-cigs in King County. We also need to finalize our thinking about harm reduction. I continue to explore the viability of banning only in-person sales and not internet sales to see if that is a potential compromise. > >In the meantime, feel free to add, comment, edit away. > >Anne > > > > > > > > << File: E-cigarette proposal.doc >>

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From: "Pajimula, Fel" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> Date: 10/14/2010 8:56:02 PM Subject: RE: E-cigarette proposal.doc Attachments: E-cigarette proposal srv sn.doc ecigarette list.xls I've added a little to what Scott had placed into the King County section. While I was out-and-about this week, I noticed e-cigs mainly at tobacco shops and did not see them much at all in convenience stores. When I did see them, they were mainly "knock off brands," the only ones that I saw that have a more solid brand identity is Fifty-One (linked below). The others that I saw were very generic, often times simply labeled "E CIGARETTE." I don't know how we'd like to incorporate this into the document but that's what I found this week while out on compliance checks.

I have attached an XLS file with some online links and prices, as well as a collection of sites for e-liquids (on the 2nd tab), and other links for e-cig resources.

Here are some photos of the "Quit Smoking Today" kiosk at Westfield Southcenter mall in Tukwila. A similar kiosk is also at Northgate mall in north Seattle. Notice the map which identifies where the kiosk is located. It is just outside of Champs Sports, a popular shoe and athlectic gear store, The GAP, next to a custom sticker kiosk (what kid doesn't like stickers?) and near an intersection (somewhat central to the mall) for fairly high exposure.

ALSO: curious as to how Fifty-One places this warning as the splash page of their company website, before accessing the main site. (my emphasis) SMOKE51 ELECTRONIC CIGARETTE WARNING (cut&paste) THIS ELECTRONIC CIGARETTE IN NO WAY CLAIMS TO ASSIST USER IN QUITTING OR LESSENING FREQUENCY OF SMOKING TRADITIONAL TOBACCO CIGARETTES. KEEP THE PRODUCT AND ITS COMPONENT PARTS OUT OF THE REACH OF CHILDREN. REFRAIN FROM USING THIS PRODUCT IF YOU ARE UNDER THE LEGAL SMOKING AGE IN YOUR STATE. BY ENTERING THIS WEBSITE, YOU ACKNOWLEDGE THAT YOU HAVE CAREFULLY READ AND UNDERSTAND THE ABOVE WARNING. http://www.smoke51.com/index-warning.html

FP > _____________________________________________ > From: Neal, Scott


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> Sent: Thursday, October 14, 2010 3:20 PM > To: Pearson, Anne; Ross-Viles, Sarah; Bennett, John; Pajimula, Fel > Cc: Hatzenbuehler, Eric > Subject: RE: E-cigarette proposal.doc > > Anne, > > I took Sarah's edited document and added some of my edits/comments. > > I added a little about the "in king county" section, but Fel is still gathering this info and may have more to add on Monday. > << File: E-cigarette proposal srv.sn.doc >> > Thanks > Scott > > _____________________________________________ > From: Pearson, Anne > Sent: Thursday, October 14, 2010 1:36 PM > To: Ross-Viles, Sarah; Neal, Scott; Bennett, John; Pajimula, Fel > Subject: RE: E-cigarette proposal.doc > > Thanks, Sarah! Love the feedback! > I'm happy to incorporate the changes you suggest. > Does anyone else want to weigh in before I do that? > > In terms of process and timing, Jim suggested that the program send this directly to Dr. Fleming for his approval, ccing Gary and Jim. > Do you want to aim to send it up by Monday? > If so, can we fill in the part about E-cigs in King County by tomorrow? > > > > > _____________________________________________ > From: Ross-Viles, Sarah > Sent: Thursday, October 14, 2010 1:26 PM > To: Pearson, Anne; Neal, Scott; Bennett, John; Pajimula, Fel > Subject: RE: E-cigarette proposal.doc > > Hi Anne, > > Love this one-pager process, and this one in particular. I will kick off the comments and edits. > > Sarah > > << File: E-cigarette proposal.srv.doc >> > > Sarah Ross-Viles > CPPW Tobacco Project Manager > Public Health - Seattle & King County > Suite 900 401 5th Avenue > Seattle, WA 98102
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> (206) 263-8211 > > > _____________________________________________ > From: Pearson, Anne > Sent: Wednesday, October 13, 2010 11:37 AM > To: Ross-Viles, Sarah; Neal, Scott; Bennett, John; Pajimula, Fel > Subject: E-cigarette proposal.doc > > H everyone, > Attached is a quick draft of a document we could circulate internally and provide to the board of health tobacco subcommittee members.> > As you'll see, there are some places we still need to fill in -- especially the section on e-cigs in King County. We also need to finalize our thinking about harm reduction. I continue to explore the viability of banning only in-person sales and not internet sales to see if that is a potential compromise. > > In the meantime, feel free to add, comment, edit away. > > Anne > > > > > > > > << File: E-cigarette proposal.doc >>

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From: "Neal, Scott" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> Date: 10/14/2010 6:20:01 PM Subject: RE: E-cigarette proposal.doc Attachments: E-cigarette proposal srv.sn.doc Anne, I took Sarah's edited document and added some of my edits/comments. I added a little about the "in king county" section, but Fel is still gathering this info and may have more to add on Monday. Thanks Scott > _____________________________________________ > From: Pearson, Anne > Sent: Thursday, October 14, 2010 1:36 PM > To: Ross-Viles, Sarah; Neal, Scott; Bennett, John; Pajimula, Fel > Subject: RE: E-cigarette proposal.doc > > Thanks, Sarah! Love the feedback! > I'm happy to incorporate the changes you suggest. > Does anyone else want to weigh in before I do that? > > In terms of process and timing, Jim suggested that the program send this directly to Dr. Fleming for his approval, ccing Gary and Jim. > Do you want to aim to send it up by Monday? > If so, can we fill in the part about E-cigs in King County by tomorrow? > > > > > _____________________________________________ > From: Ross-Viles, Sarah > Sent: Thursday, October 14, 2010 1:26 PM > To: Pearson, Anne; Neal, Scott; Bennett, John; Pajimula, Fel > Subject: RE: E-cigarette proposal.doc > > Hi Anne, > > Love this one-pager process, and this one in particular. I will kick off the comments and edits. > > Sarah > > << File: E-cigarette proposal.srv.doc >> >
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> Sarah Ross-Viles > CPPW Tobacco Project Manager > Public Health - Seattle & King County > Suite 900 401 5th Avenue > Seattle, WA 98102 > (206) 263-8211 > > > _____________________________________________ > From: Pearson, Anne > Sent: Wednesday, October 13, 2010 11:37 AM > To: Ross-Viles, Sarah; Neal, Scott; Bennett, John; Pajimula, Fel > Subject: E-cigarette proposal.doc > > H everyone, > Attached is a quick draft of a document we could circulate internally and provide to the board of health tobacco subcommittee members. > As you'll see, there are some places we still need to fill in -- especially the section on e-cigs in King County. We also need to finalize our thinking about harm reduction. I continue to explore the viability of banning only in-person sales and not internet sales to see if that is a potential compromise. > > In the meantime, feel free to add, comment, edit away. > > Anne > > > > > > > > << File: E-cigarette proposal.doc >>

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From: "Neal, Scott" To: tina.walther@fda.hhs.gov kristine.corbett@fda.hhs.gov Date: 10/14/2010 12:27:48 PM Subject: E-Cigarettes Questions... Hi Tina and Kristine, Chrissy gave me your email addresses for me to follow up with some of our E-cigarette questions. Would there be a good time to talk via the phone to go over some of my questions regarding e-cigarettes and your pending legal case on this matter? Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

-----Original Message----From: Juliano, Christina [mailto:Christina.Juliano@fda.hhs.gov] Sent: Wednesday, October 13, 2010 5:42 PM To: Neal, Scott Subject: RE: Question... Hi Scott Here you go - sorry for the delay. We were in an all day meeting today so a little behind. The contacts are Tina Walther (Tina.Walther@fda.hhs.gov) and Kristene Corbet (Kristine.Corbett@fda.hhs.gov) at CDRH. They're expecting your email. Chrissie Chrissie Juliano, MPP Office of Health Communication and Education Center for Tobacco Products/FDA Phone: 301.796.9229 CTP Call Center: 1.877.CTP.1373 www.fda.gov/tobaccoproducts ________________________________________ From: Neal, Scott [Scott.Neal@kingcounty.gov] Sent: Wednesday, October 13, 2010 7:01 PM To: Juliano, Christina Subject: RE: Question... HI Chrissy....any lead on who I should be in touch with? :)
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thanks Scott ________________________________ From: Juliano, Christina [mailto:Christina.Juliano@fda.hhs.gov] Sent: Tuesday, October 12, 2010 11:15 AM To: Neal, Scott Subject: RE: Question... Let me figure that out and get back to you. ________________________________ From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Tuesday, October 12, 2010 1:45 PM To: Juliano, Christina Subject: Question...

Hi Chrissy, I have a few questions regarding the FDA's E-cigarette case and ongoing enforcment. Who would be the best person at FDA for me to speak to about the details around E-Cigs? Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: To: Date: Subject: Hi Tina,

"Neal, Scott" "Walther, Tina" <Tina.Walther@fda.hhs.gov> 10/14/2010 1:15:00 PM RE: E-Cigarettes Questions...

Thanks...I'll try to put down some of the questions we had come up with, but probably more or less a discussion is what I'd like to have if possible. Our Board of Health is considering adopting a local ordinance restricting or prohibiting the sale of e-cigarettes/cigars, etc and I wanted to check in with the FDA on a few items. 1. If I understand correctly, the FDA has determined that these products meet the definitions of both a drug and device under the Act and the definition of a combination product in 21 C.F.R. Part 3, with a drug primary mode of action. So I understand that the FDA is acting to enforce e-cigarettes under this and that the FDA does not consider these products as tobacco products. Is this correct? 2. Can you shed any light on the current pending case's timeline and future action on this issue? I'd like to better understand the process you use to enforce this unapproved product. 3. There have been a number of local regulations enacted around the country over the past couple of years(mostly restricting the sale of these products to adults). I'd like to discuss the FDA's perspective on this type of action at a local level.

Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

-----Original Message----From: Walther, Tina [mailto:Tina.Walther@fda.hhs.gov] Sent: Thursday, October 14, 2010 9:34 AM To: Neal, Scott Cc: Corbett, Kristine Subject: RE: E-Cigarettes Questions... Scott, If you could please email us your questions, we can then schedule a time to discuss your questions with you. This allows us to make sure the appropriate people on our end are either included in the call or have a chance to send us any additional information regarding your questions.
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Also, we are with CDER not CDRH. Thanks Tina Tina Walther Lieutenant, USPHS Consumer Safety Officer Over-the-Counter Drugs Team FDA/CDER/Office of Compliance Phone: 301-796-5086

-----Original Message----From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Thursday, October 14, 2010 12:28 PM To: Walther, Tina; Corbett, Kristine Subject: E-Cigarettes Questions... Hi Tina and Kristine, Chrissy gave me your email addresses for me to follow up with some of our E-cigarette questions. Would there be a good time to talk via the phone to go over some of my questions regarding e-cigarettes and your pending legal case on this matter? Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

-----Original Message----From: Juliano, Christina [mailto:Christina.Juliano@fda.hhs.gov] Sent: Wednesday, October 13, 2010 5:42 PM To: Neal, Scott Subject: RE: Question... Hi Scott Here you go - sorry for the delay. We were in an all day meeting today so a little behind. The contacts are Tina Walther (Tina.Walther@fda.hhs.gov) and Kristene Corbet (Kristine.Corbett@fda.hhs.gov) at CDRH. They're expecting your email. Chrissie
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Chrissie Juliano, MPP Office of Health Communication and Education Center for Tobacco Products/FDA Phone: 301.796.9229 CTP Call Center: 1.877.CTP.1373 www.fda.gov/tobaccoproducts ________________________________________ From: Neal, Scott [Scott.Neal@kingcounty.gov] Sent: Wednesday, October 13, 2010 7:01 PM To: Juliano, Christina Subject: RE: Question... HI Chrissy....any lead on who I should be in touch with? :) thanks Scott ________________________________ From: Juliano, Christina [mailto:Christina.Juliano@fda.hhs.gov] Sent: Tuesday, October 12, 2010 11:15 AM To: Neal, Scott Subject: RE: Question... Let me figure that out and get back to you. ________________________________ From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Tuesday, October 12, 2010 1:45 PM To: Juliano, Christina Subject: Question...

Hi Chrissy, I have a few questions regarding the FDA's E-cigarette case and ongoing enforcment. Who would be the best person at FDA for me to speak to about the details around E-Cigs? Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: To: Date: Subject: Scott,

"Walther, Tina" <Tina.Walther@fda.hhs.gov> "Neal, Scott" 10/14/2010 12:34:41 PM RE: E-Cigarettes Questions...

If you could please email us your questions, we can then schedule a time to discuss your questions with you. This allows us to make sure the appropriate people on our end are either included in the call or have a chance to send us any additional information regarding your questions. Also, we are with CDER not CDRH. Thanks Tina Tina Walther Lieutenant, USPHS Consumer Safety Officer Over-the-Counter Drugs Team FDA/CDER/Office of Compliance Phone: 301-796-5086

-----Original Message----From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Thursday, October 14, 2010 12:28 PM To: Walther, Tina; Corbett, Kristine Subject: E-Cigarettes Questions... Hi Tina and Kristine, Chrissy gave me your email addresses for me to follow up with some of our E-cigarette questions. Would there be a good time to talk via the phone to go over some of my questions regarding e-cigarettes and your pending legal case on this matter? Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

-----Original Message----8_19_2011

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From: Juliano, Christina [mailto:Christina.Juliano@fda.hhs.gov] Sent: Wednesday, October 13, 2010 5:42 PM To: Neal, Scott Subject: RE: Question... Hi Scott Here you go - sorry for the delay. We were in an all day meeting today so a little behind. The contacts are Tina Walther (Tina.Walther@fda.hhs.gov) and Kristene Corbet (Kristine.Corbett@fda.hhs.gov) at CDRH. They're expecting your email. Chrissie Chrissie Juliano, MPP Office of Health Communication and Education Center for Tobacco Products/FDA Phone: 301.796.9229 CTP Call Center: 1.877.CTP.1373 www.fda.gov/tobaccoproducts ________________________________________ From: Neal, Scott [Scott.Neal@kingcounty.gov] Sent: Wednesday, October 13, 2010 7:01 PM To: Juliano, Christina Subject: RE: Question... HI Chrissy....any lead on who I should be in touch with? :) thanks Scott ________________________________ From: Juliano, Christina [mailto:Christina.Juliano@fda.hhs.gov] Sent: Tuesday, October 12, 2010 11:15 AM To: Neal, Scott Subject: RE: Question... Let me figure that out and get back to you. ________________________________ From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Tuesday, October 12, 2010 1:45 PM To: Juliano, Christina Subject: Question...

Hi Chrissy, I have a few questions regarding the FDA's E-cigarette case and ongoing enforcment. Who would be the best person at FDA for me to speak to about the details around E-Cigs?
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Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: To: Date: Subject: Thanks!!

"Neal, Scott" "Juliano, Christina" <Christina.Juliano@fda.hhs.gov> 10/14/2010 12:25:17 PM RE: Question...

-----Original Message----From: Juliano, Christina [mailto:Christina.Juliano@fda.hhs.gov] Sent: Wednesday, October 13, 2010 5:42 PM To: Neal, Scott Subject: RE: Question... Hi Scott Here you go - sorry for the delay. We were in an all day meeting today so a little behind. The contacts are Tina Walther (Tina.Walther@fda.hhs.gov) and Kristene Corbet (Kristine.Corbett@fda.hhs.gov) at CDRH. They're expecting your email. Chrissie Chrissie Juliano, MPP Office of Health Communication and Education Center for Tobacco Products/FDA Phone: 301.796.9229 CTP Call Center: 1.877.CTP.1373 www.fda.gov/tobaccoproducts ________________________________________ From: Neal, Scott [Scott.Neal@kingcounty.gov] Sent: Wednesday, October 13, 2010 7:01 PM To: Juliano, Christina Subject: RE: Question... HI Chrissy....any lead on who I should be in touch with? :) thanks Scott ________________________________ From: Juliano, Christina [mailto:Christina.Juliano@fda.hhs.gov] Sent: Tuesday, October 12, 2010 11:15 AM To: Neal, Scott Subject: RE: Question... Let me figure that out and get back to you. ________________________________ From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Tuesday, October 12, 2010 1:45 PM To: Juliano, Christina Subject: Question...
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Hi Chrissy, I have a few questions regarding the FDA's E-cigarette case and ongoing enforcment. Who would be the best person at FDA for me to speak to about the details around E-Cigs? Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: "Neal, Scott" To: "Bennett, John" <John.Bennett@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> Date: 10/14/2010 1:25:32 PM Subject: FW: Smoking in theaters FYII have put this question back into Gary's hands to let us know how to proceed. I think he may want to confirm with Jane and possibly confirm this with David Fleming as well before we message back to the theater that we intend to include herbal cigarettes in our enforcment protocols. I'll keep you updated. Scott >______________________________________________ >From: Pearson, Anne >Sent: Thursday, October 14, 2010 9:54 AM >To: Johnson, Gareth; Neal, Scott >Subject: Smoking in theaters > >Scott and Gary, > >Scott asked me to look into the question of whether it would be a violation of the state smoke-free air law for a theater to permit the smoking of tobacco or herbal products in a theatrical production. I believe that it would, and that the theater owners could not successfully argue that enforcement of the state law under such circumstances would abridge their right to free expression. > >As you know, the Washington state smoking in public places law broadly prohibits smoking, which is defined as the carrying or smoking of any kind of lighted pipe, cigar, cigarette, or any other lighted smoking equipment. Washingtons law is one of only 3 or 4 state laws that restrict the smoking of any lit product, regardless of whether it contains tobacco. > >Last year, the Colorado State Supreme Court concluded that its smoke-free air law, which also prohibits the smoking of any lit product, did not violate theaters right to freedom of expression as guaranteed under either the federal or Colorado state constitution. In short, it concluded that the law was a permissible content-neutral restriction on the time, place and manner of conduct, and that it was justified by a legitimate government interest in protecting people from exposure to secondhand smoke. > >Although the Colorado decision is not binding in Washington, it may serve as a good predictor of how a court might rule here. > >One thing to note is that theater owners will have a stronger claim if they have no adequate alternative channel for expression (i.e. they have absolutely no way to depict a character smoking.) Under our current law, I believe it would not be unlawful for an actor to smoke an e-cigarette as it is not a lighted product. Should we consider restricting the use of e-cigarettes in public, we might want to discuss the possibility of an exemption for theatrical productions. > >Let me know if you have any questions, >Anne >
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From: To: Date: Subject: Gary,

"Neal, Scott" "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> 10/14/2010 1:01:20 PM FW: Smoking in theaters

Given Anne's review of our code and state law. We still need to respond to the issue at play with the Intiman Theater, which currently allows the smoking of herbal cigarettes. What is the next step? Did you want to check with Jane first and/or confirm with DF that our program's stance is that the use of herbal cigarettes (or use of any lighted smoking product) is also included in our enforcement of BOH code 19.03? Let me know what you would like me to do at this point. Thanks Scott

>______________________________________________ >From: Pearson, Anne >Sent: Thursday, October 14, 2010 9:54 AM >To: Johnson, Gareth; Neal, Scott >Subject: Smoking in theaters > >Scott and Gary, > >Scott asked me to look into the question of whether it would be a violation of the state smoke-free air law for a theater to permit the smoking of tobacco or herbal products in a theatrical production. I believe that it would, and that the theater owners could not successfully argue that enforcement of the state law under such circumstances would abridge their right to free expression. > >As you know, the Washington state smoking in public places law broadly prohibits smoking, which is defined as the carrying or smoking of any kind of lighted pipe, cigar, cigarette, or any other lighted smoking equipment. Washingtons law is one of only 3 or 4 state laws that restrict the smoking of any lit product, regardless of whether it contains tobacco. > >Last year, the Colorado State Supreme Court concluded that its smoke-free air law, which also prohibits the smoking of any lit product, did not violate theaters right to freedom of expression as guaranteed under either the federal or Colorado state constitution. In short, it concluded that the law was a permissible content-neutral restriction on the time, place and manner of conduct, and that it was justified by a legitimate government interest in protecting people from exposure to secondhand smoke. > >Although the Colorado decision is not binding in Washington, it may serve as a good predictor of how a court might rule here. > >One thing to note is that theater owners will have a stronger claim if they have no adequate alternative channel for expression (i.e. they have absolutely no way to depict a character smoking.) Under our current law, I believe it would not be unlawful for an actor to smoke an e-cigarette as it is not a lighted product. Should we consider restricting the use of e-cigarettes in public, we might want to discuss the possibility of an exemption for theatrical productions.
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> >Let me know if you have any questions, >Anne >

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From: To: Date: Subject:

"Neal, Scott" "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> 10/14/2010 3:06:44 PM FW: Smoking in theaters

FYIjust for fun I thought you'd like to see this. :) I'm working with Gary so he can connect with Jane on this and we'll probably have to get this "approved" by DF and possibly the exec. too >______________________________________________ >From: Pearson, Anne >Sent: Thursday, October 14, 2010 9:54 AM >To: Johnson, Gareth; Neal, Scott >Subject: Smoking in theaters > >Scott and Gary, > >Scott asked me to look into the question of whether it would be a violation of the state smoke-free air law for a theater to permit the smoking of tobacco or herbal products in a theatrical production. I believe that it would, and that the theater owners could not successfully argue that enforcement of the state law under such circumstances would abridge their right to free expression. > >As you know, the Washington state smoking in public places law broadly prohibits smoking, which is defined as the carrying or smoking of any kind of lighted pipe, cigar, cigarette, or any other lighted smoking equipment. Washingtons law is one of only 3 or 4 state laws that restrict the smoking of any lit product, regardless of whether it contains tobacco. > >Last year, the Colorado State Supreme Court concluded that its smoke-free air law, which also prohibits the smoking of any lit product, did not violate theaters right to freedom of expression as guaranteed under either the federal or Colorado state constitution. In short, it concluded that the law was a permissible content-neutral restriction on the time, place and manner of conduct, and that it was justified by a legitimate government interest in protecting people from exposure to secondhand smoke. > >Although the Colorado decision is not binding in Washington, it may serve as a good predictor of how a court might rule here. > >One thing to note is that theater owners will have a stronger claim if they have no adequate alternative channel for expression (i.e. they have absolutely no way to depict a character smoking.) Under our current law, I believe it would not be unlawful for an actor to smoke an e-cigarette as it is not a lighted product. Should we consider restricting the use of e-cigarettes in public, we might want to discuss the possibility of an exemption for theatrical productions. > >Let me know if you have any questions, >Anne >

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From: To: Date: Subject: Nice. Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

"Ross-Viles, Sarah" "Neal, Scott" <Scott.Neal@kingcounty.gov> 10/14/2010 3:18:52 PM RE: Smoking in theaters

>_____________________________________________ >From: Neal, Scott >Sent: Thursday, October 14, 2010 12:07 PM >To: Ross-Viles, Sarah >Subject: FW: Smoking in theaters > >FYIjust for fun I thought you'd like to see this. :) > >I'm working with Gary so he can connect with Jane on this and we'll probably have to get this "approved" by DF and possibly the exec. too > >______________________________________________ >From: Pearson, Anne >Sent: Thursday, October 14, 2010 9:54 AM >To: Johnson, Gareth; Neal, Scott >Subject: Smoking in theaters > >Scott and Gary, > >Scott asked me to look into the question of whether it would be a violation of the state smoke-free air law for a theater to permit the smoking of tobacco or herbal products in a theatrical production. I believe that it would, and that the theater owners could not successfully argue that enforcement of the state law under such circumstances would abridge their right to free expression. > >As you know, the Washington state smoking in public places law broadly prohibits smoking, which is defined as the carrying or smoking of any kind of lighted pipe, cigar, cigarette, or any other lighted smoking equipment. Washingtons law is one of only 3 or 4 state laws that restrict the smoking of any lit product, regardless of whether it contains tobacco. > >Last year, the Colorado State Supreme Court concluded that its smoke-free air law, which also prohibits the smoking of any lit product, did not violate theaters right to freedom of expression as guaranteed under either the federal or Colorado state constitution. In short, it concluded that the law was a permissible content-neutral restriction on the time, place and manner of conduct, and that it was justified by a legitimate government interest in protecting people from exposure to secondhand smoke. > >Although the Colorado decision is not binding in Washington, it may serve as a good predictor of how a court might
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rule here. > >One thing to note is that theater owners will have a stronger claim if they have no adequate alternative channel for expression (i.e. they have absolutely no way to depict a character smoking.) Under our current law, I believe it would not be unlawful for an actor to smoke an e-cigarette as it is not a lighted product. Should we consider restricting the use of e-cigarettes in public, we might want to discuss the possibility of an exemption for theatrical productions. > >Let me know if you have any questions, >Anne >

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From: "Neal, Scott" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> Date: 10/14/2010 12:57:54 PM Subject: RE: Smoking in theaters Thanks Anne for the quick review! Scott >_____________________________________________ >From: Pearson, Anne >Sent: Thursday, October 14, 2010 9:54 AM >To: Johnson, Gareth; Neal, Scott >Subject: Smoking in theaters > >Scott and Gary, > >Scott asked me to look into the question of whether it would be a violation of the state smoke-free air law for a theater to permit the smoking of tobacco or herbal products in a theatrical production. I believe that it would, and that the theater owners could not successfully argue that enforcement of the state law under such circumstances would abridge their right to free expression. > >As you know, the Washington state smoking in public places law broadly prohibits smoking, which is defined as the carrying or smoking of any kind of lighted pipe, cigar, cigarette, or any other lighted smoking equipment. Washingtons law is one of only 3 or 4 state laws that restrict the smoking of any lit product, regardless of whether it contains tobacco. > >Last year, the Colorado State Supreme Court concluded that its smoke-free air law, which also prohibits the smoking of any lit product, did not violate theaters right to freedom of expression as guaranteed under either the federal or Colorado state constitution. In short, it concluded that the law was a permissible content-neutral restriction on the time, place and manner of conduct, and that it was justified by a legitimate government interest in protecting people from exposure to secondhand smoke. > >Although the Colorado decision is not binding in Washington, it may serve as a good predictor of how a court might rule here. > >One thing to note is that theater owners will have a stronger claim if they have no adequate alternative channel for expression (i.e. they have absolutely no way to depict a character smoking.) Under our current law, I believe it would not be unlawful for an actor to smoke an e-cigarette as it is not a lighted product. Should we consider restricting the use of e-cigarettes in public, we might want to discuss the possibility of an exemption for theatrical productions. > >Let me know if you have any questions, >Anne >

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From: To: Date: Subject:

"Johnson, Gareth" "Neal, Scott" <Scott.Neal@kingcounty.gov> 10/14/2010 7:45:09 PM RE: Smoking in theaters

I'm going to need to talk with DF about this. >_____________________________________________ >From: Neal, Scott >Sent: Thursday, October 14, 2010 10:01 AM >To: Johnson, Gareth >Subject: FW: Smoking in theaters > >Gary, > >Given Anne's review of our code and state law. We still need to respond to the issue at play with the Intiman Theater, which currently allows the smoking of herbal cigarettes. What is the next step? Did you want to check with Jane first and/or confirm with DF that our program's stance is that the use of herbal cigarettes (or use of any lighted smoking product) is also included in our enforcement of BOH code 19.03? > >Let me know what you would like me to do at this point. > >Thanks >Scott > > > >______________________________________________ >From: Pearson, Anne >Sent: Thursday, October 14, 2010 9:54 AM >To: Johnson, Gareth; Neal, Scott >Subject: Smoking in theaters > >Scott and Gary, > >Scott asked me to look into the question of whether it would be a violation of the state smoke-free air law for a theater to permit the smoking of tobacco or herbal products in a theatrical production. I believe that it would, and that the theater owners could not successfully argue that enforcement of the state law under such circumstances would abridge their right to free expression. > >As you know, the Washington state smoking in public places law broadly prohibits smoking, which is defined as the carrying or smoking of any kind of lighted pipe, cigar, cigarette, or any other lighted smoking equipment. Washingtons law is one of only 3 or 4 state laws that restrict the smoking of any lit product, regardless of whether it contains tobacco. > >Last year, the Colorado State Supreme Court concluded that its smoke-free air law, which also prohibits the smoking of any lit product, did not violate theaters right to freedom of expression as guaranteed under either the federal or Colorado state constitution. In short, it concluded that the law was a permissible content-neutral restriction on the time, place and manner of conduct, and that it was justified by a legitimate government interest in protecting people from exposure to secondhand smoke. >
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>Although the Colorado decision is not binding in Washington, it may serve as a good predictor of how a court might rule here. > >One thing to note is that theater owners will have a stronger claim if they have no adequate alternative channel for expression (i.e. they have absolutely no way to depict a character smoking.) Under our current law, I believe it would not be unlawful for an actor to smoke an e-cigarette as it is not a lighted product. Should we consider restricting the use of e-cigarettes in public, we might want to discuss the possibility of an exemption for theatrical productions. > >Let me know if you have any questions, >Anne >

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From: "Pearson, Anne" To: "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 10/14/2010 12:54:11 PM Subject: Smoking in theaters Scott and Gary, Scott asked me to look into the question of whether it would be a violation of the state smoke-free air law for a theater to permit the smoking of tobacco or herbal products in a theatrical production. I believe that it would, and that the theater owners could not successfully argue that enforcement of the state law under such circumstances would abridge their right to free expression. As you know, the Washington state smoking in public places law broadly prohibits smoking, which is defined as the carrying or smoking of any kind of lighted pipe, cigar, cigarette, or any other lighted smoking equipment. Washingtons law is one of only 3 or 4 state laws that restrict the smoking of any lit product, regardless of whether it contains tobacco. Last year, the Colorado State Supreme Court concluded that its smoke-free air law, which also prohibits the smoking of any lit product, did not violate theaters right to freedom of expression as guaranteed under either the federal or Colorado state constitution. In short, it concluded that the law was a permissible content-neutral restriction on the time, place and manner of conduct, and that it was justified by a legitimate government interest in protecting people from exposure to secondhand smoke. Although the Colorado decision is not binding in Washington, it may serve as a good predictor of how a court might rule here. One thing to note is that theater owners will have a stronger claim if they have no adequate alternative channel for expression (i.e. they have absolutely no way to depict a character smoking.) Under our current law, I believe it would not be unlawful for an actor to smoke an e-cigarette as it is not a lighted product. Should we consider restricting the use of e-cigarettes in public, we might want to discuss the possibility of an exemption for theatrical productions. Let me know if you have any questions, Anne

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From: "Wood, Maria" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 10/15/2010 3:40:56 PM Subject: RE: CM Patterson Tobacco op-ed I can forward along and cc you in case Angela has follow up questions. Does that work for you? -----Original Message----From: Ross-Viles, Sarah Sent: Friday, October 15, 2010 10:47 AM To: Wood, Maria; Neal, Scott Subject: RE: CM Patterson Tobacco op-ed Certainly being accurate about the Surgeon General's report seems a worthwhile and factual correction. "One of" may have been an editorial choice. What's the best way to loop back to Angela?

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Wood, Maria Sent: Friday, October 15, 2010 10:05 AM To: Ross-Viles, Sarah; Neal, Scott Subject: RE: CM Patterson Tobacco op-ed Does this warrant circling back to Angela with additional feedback? I dont think it is too late -----Original Message----From: Ross-Viles, Sarah Sent: Thursday, October 14, 2010 12:17 PM To: Muhm, Jennifer; Neal, Scott; Apa, James; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed I second Scott in thinking the "Certain products" language is not a hazard. Two technical points Tobacco is still the number one leading cause of death in KC according to our APDE team. Don't know if there were considerations for HEAL in calling it "One of" The Op-ed references a Surgeon General's report from "earlier this year." The Surgeon General's report on Involuntary Exposure to Secondhand Smoke was issued in 2006. The closest I can find to something that would be to a new report would be a Call to Action on Healthy Homes in 2009, but that paper is mainly about one's personal home and does not have the sentence referred to (it is in the 2006 report).
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Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Muhm, Jennifer Sent: Thursday, October 14, 2010 11:43 AM To: Neal, Scott; Apa, James; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Ross-Viles, Sarah Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed

Thanks, Scott. You have worked with the partners in this capacity longer than I have, so I will defer to your judgment on the language. I went back and read the email chain and it is local papers only, so it should be fine. Jenn -----Original Message----From: Neal, Scott Sent: Thu 10/14/2010 11:38 AM To: Muhm, Jennifer; Apa, James; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Ross-Viles, Sarah Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed I think it was planned for the local neighborhood papers...but am not 100% sure. My take on this part of the op-ed was that I thought it was vague enough to say "certain products" ..there isn't even anything in there about flavored products. I'm not sure we should specifically say E-cigarettes since we haven't even met with the Tobacco Policy Committtee yet and I didn't feel like this jeopardized anything that might happen at the state. Just my two cents. :) Scott -----Original Message----From: Muhm, Jennifer Sent: Thursday, October 14, 2010 11:32 AM To: Apa, James; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Neal, Scott; Ross-Viles, Sarah Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed

I also had a chance to review and have several questions:


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1. Where are they planning to run this? 2. Is it possible to frame the "certain tobacco products" in terms of e-cigarettes specifically, so as not to provide such a strong tip to industry regarding other tobacco products? 3. Is Patterson's office aware of the larger strategy, beyond BOH? 4. Just a comment--most op-eds are about 600 words or 650 max...this is 760 words, so it seems a bit long...again, gets me back to my first question, because if it's in a local paper in her district, it's not as big a deal. Jenn -----Original Message----From: Apa, James Sent: Thu 10/14/2010 11:14 AM To: Muhm, Jennifer; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Neal, Scott; Ross-Viles, Sarah Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed Thanks, Maria and all. Scott and Sara should be aware of this as well, so I'm forwarding to them as an FYI. For the URL at the end of the piece, they can use the shortcut: www.kingcounty.gov/health/tobacco -James -----Original Message----From: Muhm, Jennifer Sent: Thursday, October 14, 2010 11:00 AM To: Huus, Kathie; Wood, Maria; Apa, James; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed Yes, exactly. Remote email access has been down for the last hour and a half, but just back up. Maria, I will take a look at this and get back to you by noon. Jenn

-----Original Message----From: Huus, Kathie Sent: Thu 10/14/2010 10:49 AM To: Wood, Maria; Apa, James; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy; Muhm, Jennifer Subject: RE: CM Patterson Tobacco op-ed Given the number things in the pipeline and on our priority list for op eds, we need to make sure our colleagues understand that this is being done by the CM not by us via the CM, so no one thinks we are not consulting about the emphasis and timing of this. k ________________________________
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From: Wood, Maria Sent: Thursday, October 14, 2010 8:31 AM To: Apa, James; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy; Huus, Kathie; Muhm, Jennifer Subject: FW: CM Patterson Tobacco op-ed

FYI - CM Patterson has been planning to run this op ed for a couple of months, and now it is finalized and ready to go. Her staffer graciously allowed PH to review the content for accuracy and consistency with PH's tobacco policy approach. Let me know if you have any comments or concerns. Thanks, Maria

________________________________ From: Kolczynski, Angela Sent: Wednesday, October 13, 2010 4:39 PM To: Wood, Maria Cc: Soo Hoo, Wendy; Neal, Scott Subject: RE: CM Patterson Tobacco op-ed

Ok, thank you both for your comments! And to Scott for researching the smoking rates between counties. If Julia has any other significant changes I will re-route one more time.

By the way, we expect this to run sometime the week of the 18th, or to 25th in the Renton, Kent, Tukwila reporters and Highline Times.

Angela

________________________________ From: Kolczynski, Angela Sent: Tuesday, October 12, 2010 4:32 PM To: Wood, Maria; Neal, Scott Cc: Soo Hoo, Wendy Subject: CM Patterson Tobacco op-ed Hi there 8_19_2011

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Finally have a draft of that tobacco op-ed that Councilmember Patterson will be submitting to the community newspapers in her district for the month of October. Would love your feedback, and appreciate you taking the time to look this over before we send out. Want to be especially careful in the last couple paragraphs where we are talking about sale/availability regulations.

Our deadline to have this to editors is this Friday, October 15, so if you can get me any comments/edits before then that would be great.

Thank you very much! Angela ________________________________ [K1]

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From: "Ross-Viles, Sarah" To: "Wood, Maria" <Maria.Wood@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 10/15/2010 1:47:12 PM Subject: RE: CM Patterson Tobacco op-ed Certainly being accurate about the Surgeon General's report seems a worthwhile and factual correction. "One of" may have been an editorial choice. What's the best way to loop back to Angela?

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Wood, Maria Sent: Friday, October 15, 2010 10:05 AM To: Ross-Viles, Sarah; Neal, Scott Subject: RE: CM Patterson Tobacco op-ed Does this warrant circling back to Angela with additional feedback? I dont think it is too late -----Original Message----From: Ross-Viles, Sarah Sent: Thursday, October 14, 2010 12:17 PM To: Muhm, Jennifer; Neal, Scott; Apa, James; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed I second Scott in thinking the "Certain products" language is not a hazard. Two technical points Tobacco is still the number one leading cause of death in KC according to our APDE team. Don't know if there were considerations for HEAL in calling it "One of" The Op-ed references a Surgeon General's report from "earlier this year." The Surgeon General's report on Involuntary Exposure to Secondhand Smoke was issued in 2006. The closest I can find to something that would be to a new report would be a Call to Action on Healthy Homes in 2009, but that paper is mainly about one's personal home and does not have the sentence referred to (it is in the 2006 report). Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue
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Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Muhm, Jennifer Sent: Thursday, October 14, 2010 11:43 AM To: Neal, Scott; Apa, James; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Ross-Viles, Sarah Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed

Thanks, Scott. You have worked with the partners in this capacity longer than I have, so I will defer to your judgment on the language. I went back and read the email chain and it is local papers only, so it should be fine. Jenn -----Original Message----From: Neal, Scott Sent: Thu 10/14/2010 11:38 AM To: Muhm, Jennifer; Apa, James; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Ross-Viles, Sarah Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed I think it was planned for the local neighborhood papers...but am not 100% sure. My take on this part of the op-ed was that I thought it was vague enough to say "certain products" ..there isn't even anything in there about flavored products. I'm not sure we should specifically say E-cigarettes since we haven't even met with the Tobacco Policy Committtee yet and I didn't feel like this jeopardized anything that might happen at the state. Just my two cents. :) Scott -----Original Message----From: Muhm, Jennifer Sent: Thursday, October 14, 2010 11:32 AM To: Apa, James; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Neal, Scott; Ross-Viles, Sarah Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed

I also had a chance to review and have several questions: 1. Where are they planning to run this? 2. Is it possible to frame the "certain tobacco products" in terms of e-cigarettes specifically, so as not to provide such a strong tip to industry regarding other tobacco products? 3. Is Patterson's office aware of the larger strategy, beyond BOH?
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4. Just a comment--most op-eds are about 600 words or 650 max...this is 760 words, so it seems a bit long...again, gets me back to my first question, because if it's in a local paper in her district, it's not as big a deal. Jenn -----Original Message----From: Apa, James Sent: Thu 10/14/2010 11:14 AM To: Muhm, Jennifer; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Neal, Scott; Ross-Viles, Sarah Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed Thanks, Maria and all. Scott and Sara should be aware of this as well, so I'm forwarding to them as an FYI. For the URL at the end of the piece, they can use the shortcut: www.kingcounty.gov/health/tobacco -James -----Original Message----From: Muhm, Jennifer Sent: Thursday, October 14, 2010 11:00 AM To: Huus, Kathie; Wood, Maria; Apa, James; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed Yes, exactly. Remote email access has been down for the last hour and a half, but just back up. Maria, I will take a look at this and get back to you by noon. Jenn

-----Original Message----From: Huus, Kathie Sent: Thu 10/14/2010 10:49 AM To: Wood, Maria; Apa, James; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy; Muhm, Jennifer Subject: RE: CM Patterson Tobacco op-ed Given the number things in the pipeline and on our priority list for op eds, we need to make sure our colleagues understand that this is being done by the CM not by us via the CM, so no one thinks we are not consulting about the emphasis and timing of this. k ________________________________ From: Wood, Maria Sent: Thursday, October 14, 2010 8:31 AM To: Apa, James; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy; Huus, Kathie; Muhm, Jennifer Subject: FW: CM Patterson Tobacco op-ed

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FYI - CM Patterson has been planning to run this op ed for a couple of months, and now it is finalized and ready to go. Her staffer graciously allowed PH to review the content for accuracy and consistency with PH's tobacco policy approach. Let me know if you have any comments or concerns. Thanks, Maria

________________________________ From: Kolczynski, Angela Sent: Wednesday, October 13, 2010 4:39 PM To: Wood, Maria Cc: Soo Hoo, Wendy; Neal, Scott Subject: RE: CM Patterson Tobacco op-ed

Ok, thank you both for your comments! And to Scott for researching the smoking rates between counties. If Julia has any other significant changes I will re-route one more time.

By the way, we expect this to run sometime the week of the 18th, or to 25th in the Renton, Kent, Tukwila reporters and Highline Times.

Angela

________________________________ From: Kolczynski, Angela Sent: Tuesday, October 12, 2010 4:32 PM To: Wood, Maria; Neal, Scott Cc: Soo Hoo, Wendy Subject: CM Patterson Tobacco op-ed Hi there Finally have a draft of that tobacco op-ed that Councilmember Patterson will be submitting to the community newspapers in her district for the month of October. Would love your feedback, and appreciate you taking the time to look this over before we send out. Want to be especially careful in the last couple paragraphs where we are talking about sale/availability regulations.

Our deadline to have this to editors is this Friday, October 15, so if you can get me any comments/edits before then
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that would be great.

Thank you very much! Angela ________________________________ [K1]

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From: "Wood, Maria" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 10/15/2010 1:04:56 PM Subject: RE: CM Patterson Tobacco op-ed Does this warrant circling back to Angela with additional feedback? I dont think it is too late -----Original Message----From: Ross-Viles, Sarah Sent: Thursday, October 14, 2010 12:17 PM To: Muhm, Jennifer; Neal, Scott; Apa, James; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed I second Scott in thinking the "Certain products" language is not a hazard. Two technical points Tobacco is still the number one leading cause of death in KC according to our APDE team. Don't know if there were considerations for HEAL in calling it "One of" The Op-ed references a Surgeon General's report from "earlier this year." The Surgeon General's report on Involuntary Exposure to Secondhand Smoke was issued in 2006. The closest I can find to something that would be to a new report would be a Call to Action on Healthy Homes in 2009, but that paper is mainly about one's personal home and does not have the sentence referred to (it is in the 2006 report). Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Muhm, Jennifer Sent: Thursday, October 14, 2010 11:43 AM To: Neal, Scott; Apa, James; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Ross-Viles, Sarah Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed

Thanks, Scott. You have worked with the partners in this capacity longer than I have, so I will defer to your judgment on the language. I went back and read the email chain and it is local papers only, so it should be fine. Jenn -----Original Message----8_19_2011

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From: Neal, Scott Sent: Thu 10/14/2010 11:38 AM To: Muhm, Jennifer; Apa, James; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Ross-Viles, Sarah Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed I think it was planned for the local neighborhood papers...but am not 100% sure. My take on this part of the op-ed was that I thought it was vague enough to say "certain products" ..there isn't even anything in there about flavored products. I'm not sure we should specifically say E-cigarettes since we haven't even met with the Tobacco Policy Committtee yet and I didn't feel like this jeopardized anything that might happen at the state. Just my two cents. :) Scott -----Original Message----From: Muhm, Jennifer Sent: Thursday, October 14, 2010 11:32 AM To: Apa, James; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Neal, Scott; Ross-Viles, Sarah Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed

I also had a chance to review and have several questions: 1. Where are they planning to run this? 2. Is it possible to frame the "certain tobacco products" in terms of e-cigarettes specifically, so as not to provide such a strong tip to industry regarding other tobacco products? 3. Is Patterson's office aware of the larger strategy, beyond BOH? 4. Just a comment--most op-eds are about 600 words or 650 max...this is 760 words, so it seems a bit long...again, gets me back to my first question, because if it's in a local paper in her district, it's not as big a deal. Jenn -----Original Message----From: Apa, James Sent: Thu 10/14/2010 11:14 AM To: Muhm, Jennifer; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Neal, Scott; Ross-Viles, Sarah Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed Thanks, Maria and all. Scott and Sara should be aware of this as well, so I'm forwarding to them as an FYI. For the URL at the end of the piece, they can use the shortcut: www.kingcounty.gov/health/tobacco
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-James -----Original Message----From: Muhm, Jennifer Sent: Thursday, October 14, 2010 11:00 AM To: Huus, Kathie; Wood, Maria; Apa, James; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed Yes, exactly. Remote email access has been down for the last hour and a half, but just back up. Maria, I will take a look at this and get back to you by noon. Jenn

-----Original Message----From: Huus, Kathie Sent: Thu 10/14/2010 10:49 AM To: Wood, Maria; Apa, James; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy; Muhm, Jennifer Subject: RE: CM Patterson Tobacco op-ed Given the number things in the pipeline and on our priority list for op eds, we need to make sure our colleagues understand that this is being done by the CM not by us via the CM, so no one thinks we are not consulting about the emphasis and timing of this. k ________________________________ From: Wood, Maria Sent: Thursday, October 14, 2010 8:31 AM To: Apa, James; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy; Huus, Kathie; Muhm, Jennifer Subject: FW: CM Patterson Tobacco op-ed

FYI - CM Patterson has been planning to run this op ed for a couple of months, and now it is finalized and ready to go. Her staffer graciously allowed PH to review the content for accuracy and consistency with PH's tobacco policy approach. Let me know if you have any comments or concerns. Thanks, Maria

________________________________ From: Kolczynski, Angela Sent: Wednesday, October 13, 2010 4:39 PM To: Wood, Maria Cc: Soo Hoo, Wendy; Neal, Scott Subject: RE: CM Patterson Tobacco op-ed
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Ok, thank you both for your comments! And to Scott for researching the smoking rates between counties. If Julia has any other significant changes I will re-route one more time.

By the way, we expect this to run sometime the week of the 18th, or to 25th in the Renton, Kent, Tukwila reporters and Highline Times.

Angela

________________________________ From: Kolczynski, Angela Sent: Tuesday, October 12, 2010 4:32 PM To: Wood, Maria; Neal, Scott Cc: Soo Hoo, Wendy Subject: CM Patterson Tobacco op-ed Hi there Finally have a draft of that tobacco op-ed that Councilmember Patterson will be submitting to the community newspapers in her district for the month of October. Would love your feedback, and appreciate you taking the time to look this over before we send out. Want to be especially careful in the last couple paragraphs where we are talking about sale/availability regulations.

Our deadline to have this to editors is this Friday, October 15, so if you can get me any comments/edits before then that would be great.

Thank you very much! Angela ________________________________ [K1]

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From: "Ross-Viles, Sarah" To: "Wood, Maria" <Maria.Wood@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 10/15/2010 4:35:37 PM Subject: Re: CM Patterson Tobacco op-ed Sounds good! Feel free to trim up my language as I was thinking internal not external when I wrote those points. Thanks! ----- Original Message ----From: Wood, Maria To: Ross-Viles, Sarah; Neal, Scott Sent: Fri Oct 15 12:40:55 2010 Subject: RE: CM Patterson Tobacco op-ed I can forward along and cc you in case Angela has follow up questions. Does that work for you? -----Original Message----From: Ross-Viles, Sarah Sent: Friday, October 15, 2010 10:47 AM To: Wood, Maria; Neal, Scott Subject: RE: CM Patterson Tobacco op-ed Certainly being accurate about the Surgeon General's report seems a worthwhile and factual correction. "One of" may have been an editorial choice. What's the best way to loop back to Angela?

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Wood, Maria Sent: Friday, October 15, 2010 10:05 AM To: Ross-Viles, Sarah; Neal, Scott Subject: RE: CM Patterson Tobacco op-ed Does this warrant circling back to Angela with additional feedback? I dont think it is too late -----Original Message----From: Ross-Viles, Sarah Sent: Thursday, October 14, 2010 12:17 PM To: Muhm, Jennifer; Neal, Scott; Apa, James; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed I second Scott in thinking the "Certain products" language is not a hazard.
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Two technical points Tobacco is still the number one leading cause of death in KC according to our APDE team. Don't know if there were considerations for HEAL in calling it "One of" The Op-ed references a Surgeon General's report from "earlier this year." The Surgeon General's report on Involuntary Exposure to Secondhand Smoke was issued in 2006. The closest I can find to something that would be to a new report would be a Call to Action on Healthy Homes in 2009, but that paper is mainly about one's personal home and does not have the sentence referred to (it is in the 2006 report). Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Muhm, Jennifer Sent: Thursday, October 14, 2010 11:43 AM To: Neal, Scott; Apa, James; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Ross-Viles, Sarah Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed

Thanks, Scott. You have worked with the partners in this capacity longer than I have, so I will defer to your judgment on the language. I went back and read the email chain and it is local papers only, so it should be fine. Jenn -----Original Message----From: Neal, Scott Sent: Thu 10/14/2010 11:38 AM To: Muhm, Jennifer; Apa, James; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Ross-Viles, Sarah Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed I think it was planned for the local neighborhood papers...but am not 100% sure. My take on this part of the op-ed was that I thought it was vague enough to say "certain products" ..there isn't even anything in there about flavored products. I'm not sure we should specifically say E-cigarettes since we haven't even met with the Tobacco Policy Committtee yet and I didn't feel like this jeopardized anything that might happen at the state. Just my two cents. :) Scott
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-----Original Message----From: Muhm, Jennifer Sent: Thursday, October 14, 2010 11:32 AM To: Apa, James; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Neal, Scott; Ross-Viles, Sarah Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed

I also had a chance to review and have several questions: 1. Where are they planning to run this? 2. Is it possible to frame the "certain tobacco products" in terms of e-cigarettes specifically, so as not to provide such a strong tip to industry regarding other tobacco products? 3. Is Patterson's office aware of the larger strategy, beyond BOH? 4. Just a comment--most op-eds are about 600 words or 650 max...this is 760 words, so it seems a bit long...again, gets me back to my first question, because if it's in a local paper in her district, it's not as big a deal. Jenn -----Original Message----From: Apa, James Sent: Thu 10/14/2010 11:14 AM To: Muhm, Jennifer; Huus, Kathie; Wood, Maria; Valenzuela, Matias; Karasz, Hilary; Neal, Scott; Ross-Viles, Sarah Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed Thanks, Maria and all. Scott and Sara should be aware of this as well, so I'm forwarding to them as an FYI. For the URL at the end of the piece, they can use the shortcut: www.kingcounty.gov/health/tobacco -James -----Original Message----From: Muhm, Jennifer Sent: Thursday, October 14, 2010 11:00 AM To: Huus, Kathie; Wood, Maria; Apa, James; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy Subject: RE: CM Patterson Tobacco op-ed Yes, exactly. Remote email access has been down for the last hour and a half, but just back up. Maria, I will take a look at this and get back to you by noon. Jenn

-----Original Message----From: Huus, Kathie Sent: Thu 10/14/2010 10:49 AM


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To: Wood, Maria; Apa, James; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy; Muhm, Jennifer Subject: RE: CM Patterson Tobacco op-ed Given the number things in the pipeline and on our priority list for op eds, we need to make sure our colleagues understand that this is being done by the CM not by us via the CM, so no one thinks we are not consulting about the emphasis and timing of this. k ________________________________ From: Wood, Maria Sent: Thursday, October 14, 2010 8:31 AM To: Apa, James; Valenzuela, Matias; Karasz, Hilary Cc: Russillo, Chrissy; Huus, Kathie; Muhm, Jennifer Subject: FW: CM Patterson Tobacco op-ed

FYI - CM Patterson has been planning to run this op ed for a couple of months, and now it is finalized and ready to go. Her staffer graciously allowed PH to review the content for accuracy and consistency with PH's tobacco policy approach. Let me know if you have any comments or concerns. Thanks, Maria

________________________________ From: Kolczynski, Angela Sent: Wednesday, October 13, 2010 4:39 PM To: Wood, Maria Cc: Soo Hoo, Wendy; Neal, Scott Subject: RE: CM Patterson Tobacco op-ed

Ok, thank you both for your comments! And to Scott for researching the smoking rates between counties. If Julia has any other significant changes I will re-route one more time.

By the way, we expect this to run sometime the week of the 18th, or to 25th in the Renton, Kent, Tukwila reporters and Highline Times.

Angela

________________________________
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From: Kolczynski, Angela Sent: Tuesday, October 12, 2010 4:32 PM To: Wood, Maria; Neal, Scott Cc: Soo Hoo, Wendy Subject: CM Patterson Tobacco op-ed Hi there Finally have a draft of that tobacco op-ed that Councilmember Patterson will be submitting to the community newspapers in her district for the month of October. Would love your feedback, and appreciate you taking the time to look this over before we send out. Want to be especially careful in the last couple paragraphs where we are talking about sale/availability regulations.

Our deadline to have this to editors is this Friday, October 15, so if you can get me any comments/edits before then that would be great.

Thank you very much! Angela ________________________________ [K1]

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From: "Neal, Scott" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> Date: 10/15/2010 5:54:21 PM Subject: RE: E-cigarette proposal.doc Thanks Anne and the rest for the quick turnaround on this document. I'll take it from here and forward it through the channels. Scott >_____________________________________________ >From: Pearson, Anne >Sent: Friday, October 15, 2010 2:04 PM >To: Pajimula, Fel; Neal, Scott; Ross-Viles, Sarah; Bennett, John >Cc: Hatzenbuehler, Eric >Subject: RE: E-cigarette proposal.doc > >E-liquids?!?! What will they think of next. > >Attached is a draft which I hope incorporates everyone's suggestions. My apologies if I got anything wrong. > >Scott and Sarah, I'm turning this over to you to make any additional changes you like, and to move through the approval process. At a minimum, it might make sense sharing with Maria before sending it on up since she always has great input. > >_______________ << File: E-cigarette proposal(draft 2).doc >> ______________________________ >From: Pajimula, Fel >Sent: Thursday, October 14, 2010 5:56 PM >To: Neal, Scott; Pearson, Anne; Ross-Viles, Sarah; Bennett, John >Cc: Hatzenbuehler, Eric >Subject: RE: E-cigarette proposal.doc > >I've added a little to what Scott had placed into the King County section. While I was out-and-about this week, I noticed e-cigs mainly at tobacco shops and did not see them much at all in convenience stores. When I did see them, they were mainly "knock off brands," the only ones that I saw that have a more solid brand identity is Fifty-One (linked below). The others that I saw were very generic, often times simply labeled "E CIGARETTE." I don't know how we'd like to incorporate this into the document but that's what I found this week while out on compliance checks. > > << File: E-cigarette proposal srv sn.doc >> >I have attached an XLS file with some online links and prices, as well as a collection of sites for e-liquids (on the 2nd tab), and other links for e-cig resources. > > << File: ecigarette list.xls >> > >Here are some photos of the "Quit Smoking Today" kiosk at Westfield Southcenter mall in Tukwila. A similar kiosk is also at Northgate mall in north Seattle. Notice the map which identifies where the kiosk is located. It is just outside of Champs Sports, a popular shoe and athlectic gear store, The GAP, next to a custom sticker kiosk (what kid
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doesn't like stickers?) and near an intersection (somewhat central to the mall) for fairly high exposure. > > << File: CROP smokingeverywhere 004.jpg >> << File: CROP smokingeverywhere 005.jpg >> << File: CROP smokingeverywhere 001.jpg >> << File: CROP smokingeverywhere 002.jpg >> << File: CROP smokingeverywhere 003.jpg >> << File: SoutcenterMall smokingeverywhere.jpg >> > >ALSO: >curious as to how Fifty-One places this warning as the splash page of their company website, before accessing the main site. > >(my emphasis) >SMOKE51 ELECTRONIC CIGARETTE WARNING >(cut&paste) THIS ELECTRONIC CIGARETTE IN NO WAY CLAIMS TO ASSIST USER IN QUITTING OR LESSENING FREQUENCY OF SMOKING TRADITIONAL TOBACCO CIGARETTES. KEEP THE PRODUCT AND ITS COMPONENT PARTS OUT OF THE REACH OF CHILDREN. REFRAIN FROM USING THIS PRODUCT IF YOU ARE UNDER THE LEGAL SMOKING AGE IN YOUR STATE. > >BY ENTERING THIS WEBSITE, YOU ACKNOWLEDGE THAT YOU HAVE CAREFULLY READ AND UNDERSTAND THE ABOVE WARNING. > >http://www.smoke51.com/index-warning.html > > >FP > >_____________________________________________ >From: Neal, Scott >Sent: Thursday, October 14, 2010 3:20 PM >To: Pearson, Anne; Ross-Viles, Sarah; Bennett, John; Pajimula, Fel >Cc: Hatzenbuehler, Eric >Subject: RE: E-cigarette proposal.doc > >Anne, > >I took Sarah's edited document and added some of my edits/comments. > >I added a little about the "in king county" section, but Fel is still gathering this info and may have more to add on Monday.> > << File: E-cigarette proposal srv.sn.doc >> >Thanks >Scott > >_____________________________________________ >From: Pearson, Anne >Sent: Thursday, October 14, 2010 1:36 PM >To: Ross-Viles, Sarah; Neal, Scott; Bennett, John; Pajimula, Fel >Subject: RE: E-cigarette proposal.doc > >Thanks, Sarah! Love the feedback! >I'm happy to incorporate the changes you suggest.> >Does anyone else want to weigh in before I do that? >
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>In terms of process and timing, Jim suggested that the program send this directly to Dr. Fleming for his approval, ccing Gary and Jim. >Do you want to aim to send it up by Monday? >If so, can we fill in the part about E-cigs in King County by tomorrow? > > > > >_____________________________________________ >From: Ross-Viles, Sarah >Sent: Thursday, October 14, 2010 1:26 PM >To: Pearson, Anne; Neal, Scott; Bennett, John; Pajimula, Fel >Subject: RE: E-cigarette proposal.doc > >Hi Anne, > >Love this one-pager process, and this one in particular. I will kick off the comments and edits. > >Sarah > > << File: E-cigarette proposal.srv.doc >> > >Sarah Ross-Viles >CPPW Tobacco Project Manager >Public Health - Seattle & King County >Suite 900 401 5th Avenue >Seattle, WA 98102 >(206) 263-8211 > > >_____________________________________________ >From: Pearson, Anne >Sent: Wednesday, October 13, 2010 11:37 AM >To: Ross-Viles, Sarah; Neal, Scott; Bennett, John; Pajimula, Fel >Subject: E-cigarette proposal.doc > >H everyone, >Attached is a quick draft of a document we could circulate internally and provide to the board of health tobacco subcommittee members. >As you'll see, there are some places we still need to fill in -- especially the section on e-cigs in King County. We also need to finalize our thinking about harm reduction. I continue to explore the viability of banning only in-person sales and not internet sales to see if that is a potential compromise. > >In the meantime, feel free to add, comment, edit away. > >Anne > > > > > >
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> > << File: E-cigarette proposal.doc >>

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From: "Pearson, Anne" To: "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> Date: 10/15/2010 5:04:10 PM Subject: RE: E-cigarette proposal.doc Attachments: E-cigarette proposal(draft 2).doc E-liquids?!?! What will they think of next. Attached is a draft which I hope incorporates everyone's suggestions. My apologies if I got anything wrong. Scott and Sarah, I'm turning this over to you to make any additional changes you like, and to move through the approval process. At a minimum, it might make sense sharing with Maria before sending it on up since she always has great input. > _______________ ______________________________ > From: Pajimula, Fel > Sent: Thursday, October 14, 2010 5:56 PM > To: Neal, Scott; Pearson, Anne; Ross-Viles, Sarah; Bennett, John > Cc: Hatzenbuehler, Eric > Subject: RE: E-cigarette proposal.doc > > I've added a little to what Scott had placed into the King County section. While I was out-and-about this week, I noticed e-cigs mainly at tobacco shops and did not see them much at all in convenience stores. When I did see them, they were mainly "knock off brands," the only ones that I saw that have a more solid brand identity is Fifty-One (linked below). The others that I saw were very generic, often times simply labeled "E CIGARETTE." I don't know how we'd like to incorporate this into the document but that's what I found this week while out on compliance checks. > > << File: E-cigarette proposal srv sn.doc >> > I have attached an XLS file with some online links and prices, as well as a collection of sites for e-liquids (on the 2nd tab), and other links for e-cig resources. > > << File: ecigarette list.xls >> > > Here are some photos of the "Quit Smoking Today" kiosk at Westfield Southcenter mall in Tukwila. A similar kiosk is also at Northgate mall in north Seattle. Notice the map which identifies where the kiosk is located. It is just outside of Champs Sports, a popular shoe and athlectic gear store, The GAP, next to a custom sticker kiosk (what kid doesn't like stickers?) and near an intersection (somewhat central to the mall) for fairly high exposure. > > << File: CROP smokingeverywhere 004.jpg >> << File: CROP smokingeverywhere 005.jpg >> << File: CROP smokingeverywhere 001.jpg >> << File: CROP smokingeverywhere 002.jpg >> << File: CROP smokingeverywhere 003.jpg >> << File: SoutcenterMall smokingeverywhere.jpg >> > > ALSO: > curious as to how Fifty-One places this warning as the splash page of their company website, before accessing the main site. > > (my emphasis)
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> SMOKE51 ELECTRONIC CIGARETTE WARNING > (cut&paste) THIS ELECTRONIC CIGARETTE IN NO WAY CLAIMS TO ASSIST USER IN QUITTING OR LESSENING FREQUENCY OF SMOKING TRADITIONAL TOBACCO CIGARETTES. KEEP THE PRODUCT AND ITS COMPONENT PARTS OUT OF THE REACH OF CHILDREN. REFRAIN FROM USING THIS PRODUCT IF YOU ARE UNDER THE LEGAL SMOKING AGE IN YOUR STATE. > > BY ENTERING THIS WEBSITE, YOU ACKNOWLEDGE THAT YOU HAVE CAREFULLY READ AND UNDERSTAND THE ABOVE WARNING. > > http://www.smoke51.com/index-warning.html > > > FP > > _____________________________________________ > From: Neal, Scott > Sent: Thursday, October 14, 2010 3:20 PM > To: Pearson, Anne; Ross-Viles, Sarah; Bennett, John; Pajimula, Fel > Cc: Hatzenbuehler, Eric > Subject: RE: E-cigarette proposal.doc > > Anne, > > I took Sarah's edited document and added some of my edits/comments. > > I added a little about the "in king county" section, but Fel is still gathering this info and may have more to add on Monday. > << File: E-cigarette proposal srv.sn.doc >> > Thanks > Scott > > _____________________________________________ > From: Pearson, Anne > Sent: Thursday, October 14, 2010 1:36 PM > To: Ross-Viles, Sarah; Neal, Scott; Bennett, John; Pajimula, Fel > Subject: RE: E-cigarette proposal.doc > > Thanks, Sarah! Love the feedback! > I'm happy to incorporate the changes you suggest. > Does anyone else want to weigh in before I do that? > > In terms of process and timing, Jim suggested that the program send this directly to Dr. Fleming for his approval, ccing Gary and Jim.> > Do you want to aim to send it up by Monday? > If so, can we fill in the part about E-cigs in King County by tomorrow? > > > > > _____________________________________________ > From: Ross-Viles, Sarah > Sent: Thursday, October 14, 2010 1:26 PM
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> To: Pearson, Anne; Neal, Scott; Bennett, John; Pajimula, Fel > Subject: RE: E-cigarette proposal.doc > > Hi Anne, > > Love this one-pager process, and this one in particular. I will kick off the comments and edits. > > Sarah > > << File: E-cigarette proposal.srv.doc >> > > Sarah Ross-Viles > CPPW Tobacco Project Manager > Public Health - Seattle & King County > Suite 900 401 5th Avenue > Seattle, WA 98102 > (206) 263-8211 > > > _____________________________________________ > From: Pearson, Anne > Sent: Wednesday, October 13, 2010 11:37 AM > To: Ross-Viles, Sarah; Neal, Scott; Bennett, John; Pajimula, Fel > Subject: E-cigarette proposal.doc > > H everyone, > Attached is a quick draft of a document we could circulate internally and provide to the board of health tobacco subcommittee members. > As you'll see, there are some places we still need to fill in -- especially the section on e-cigs in King County. We also need to finalize our thinking about harm reduction. I continue to explore the viability of banning only in-person sales and not internet sales to see if that is a potential compromise. > > In the meantime, feel free to add, comment, edit away. > > Anne > > > > > > > > << File: E-cigarette proposal.doc >>

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From: "Neal, Scott" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 10/15/2010 4:17:54 PM Subject: FW: E-Cigarettes Questions... FYI...I'mnot sure what a tcon is...oh...maybe a teleconference. I've actually never heard anyone call it that before. :) Scott -----Original Message----From: Neal, Scott Sent: Friday, October 15, 2010 1:16 PM To: 'Walther, Tina' Subject: RE: E-Cigarettes Questions... Hi Tina, That would be great...if you could please invite the following staff: Anne Pearson (anne.pearson@kingcounty.gov) Sarah Ross-Vile (sarah.ross-viles@kingcounty.gov) Thanks Scott -----Original Message----From: Walther, Tina [mailto:Tina.Walther@fda.hhs.gov] Sent: Friday, October 15, 2010 11:22 AM To: Neal, Scott Subject: RE: E-Cigarettes Questions... Hello Scott, Thank you for sending the below questions. I will be setting up a tcon to discuss the below questions with you. Is there any one else from you office that I should include in the tcon? Thanks Tina Tina Walther Lieutenant, USPHS Consumer Safety Officer Over-the-Counter Drugs Team FDA/CDER/Office of Compliance Phone: 301-796-5086

-----Original Message----From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Thursday, October 14, 2010 1:15 PM
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To: Walther, Tina Cc: Corbett, Kristine Subject: RE: E-Cigarettes Questions... Hi Tina, Thanks...I'll try to put down some of the questions we had come up with, but probably more or less a discussion is what I'd like to have if possible. Our Board of Health is considering adopting a local ordinance restricting or prohibiting the sale of e-cigarettes/cigars, etc and I wanted to check in with the FDA on a few items. 1. If I understand correctly, the FDA has determined that these products meet the definitions of both a drug and device under the Act and the definition of a combination product in 21 C.F.R. Part 3, with a drug primary mode of action. So I understand that the FDA is acting to enforce e-cigarettes under this and that the FDA does not consider these products as tobacco products. Is this correct? 2. Can you shed any light on the current pending case's timeline and future action on this issue? I'd like to better understand the process you use to enforce this unapproved product. 3. There have been a number of local regulations enacted around the country over the past couple of years(mostly restricting the sale of these products to adults). I'd like to discuss the FDA's perspective on this type of action at a local level.

Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

-----Original Message----From: Walther, Tina [mailto:Tina.Walther@fda.hhs.gov] Sent: Thursday, October 14, 2010 9:34 AM To: Neal, Scott Cc: Corbett, Kristine Subject: RE: E-Cigarettes Questions... Scott, If you could please email us your questions, we can then schedule a time to discuss your questions with you. This allows us to make sure the appropriate people on our end are either included in the call or have a chance to send us any additional information regarding your questions. Also, we are with CDER not CDRH.
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Thanks Tina Tina Walther Lieutenant, USPHS Consumer Safety Officer Over-the-Counter Drugs Team FDA/CDER/Office of Compliance Phone: 301-796-5086

-----Original Message----From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Thursday, October 14, 2010 12:28 PM To: Walther, Tina; Corbett, Kristine Subject: E-Cigarettes Questions... Hi Tina and Kristine, Chrissy gave me your email addresses for me to follow up with some of our E-cigarette questions. Would there be a good time to talk via the phone to go over some of my questions regarding e-cigarettes and your pending legal case on this matter? Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

-----Original Message----From: Juliano, Christina [mailto:Christina.Juliano@fda.hhs.gov] Sent: Wednesday, October 13, 2010 5:42 PM To: Neal, Scott Subject: RE: Question... Hi Scott Here you go - sorry for the delay. We were in an all day meeting today so a little behind. The contacts are Tina Walther (Tina.Walther@fda.hhs.gov) and Kristene Corbet (Kristine.Corbett@fda.hhs.gov) at CDRH. They're expecting your email. Chrissie Chrissie Juliano, MPP
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Office of Health Communication and Education Center for Tobacco Products/FDA Phone: 301.796.9229 CTP Call Center: 1.877.CTP.1373 www.fda.gov/tobaccoproducts ________________________________________ From: Neal, Scott [Scott.Neal@kingcounty.gov] Sent: Wednesday, October 13, 2010 7:01 PM To: Juliano, Christina Subject: RE: Question... HI Chrissy....any lead on who I should be in touch with? :) thanks Scott ________________________________ From: Juliano, Christina [mailto:Christina.Juliano@fda.hhs.gov] Sent: Tuesday, October 12, 2010 11:15 AM To: Neal, Scott Subject: RE: Question... Let me figure that out and get back to you. ________________________________ From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Tuesday, October 12, 2010 1:45 PM To: Juliano, Christina Subject: Question...

Hi Chrissy, I have a few questions regarding the FDA's E-cigarette case and ongoing enforcment. Who would be the best person at FDA for me to speak to about the details around E-Cigs? Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: To: Date: Subject: Hello Scott,

"Walther, Tina" <Tina.Walther@fda.hhs.gov> "Neal, Scott" 10/15/2010 2:21:58 PM RE: E-Cigarettes Questions...

Thank you for sending the below questions. I will be setting up a tcon to discuss the below questions with you. Is there any one else from you office that I should include in the tcon? Thanks Tina Tina Walther Lieutenant, USPHS Consumer Safety Officer Over-the-Counter Drugs Team FDA/CDER/Office of Compliance Phone: 301-796-5086

-----Original Message----From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Thursday, October 14, 2010 1:15 PM To: Walther, Tina Cc: Corbett, Kristine Subject: RE: E-Cigarettes Questions... Hi Tina, Thanks...I'll try to put down some of the questions we had come up with, but probably more or less a discussion is what I'd like to have if possible. Our Board of Health is considering adopting a local ordinance restricting or prohibiting the sale of e-cigarettes/cigars, etc and I wanted to check in with the FDA on a few items. 1. If I understand correctly, the FDA has determined that these products meet the definitions of both a drug and device under the Act and the definition of a combination product in 21 C.F.R. Part 3, with a drug primary mode of action. So I understand that the FDA is acting to enforce e-cigarettes under this and that the FDA does not consider these products as tobacco products. Is this correct? 2. Can you shed any light on the current pending case's timeline and future action on this issue? I'd like to better understand the process you use to enforce this unapproved product. 3. There have been a number of local regulations enacted around the
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country over the past couple of years(mostly restricting the sale of these products to adults). I'd like to discuss the FDA's perspective on this type of action at a local level.

Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

-----Original Message----From: Walther, Tina [mailto:Tina.Walther@fda.hhs.gov] Sent: Thursday, October 14, 2010 9:34 AM To: Neal, Scott Cc: Corbett, Kristine Subject: RE: E-Cigarettes Questions... Scott, If you could please email us your questions, we can then schedule a time to discuss your questions with you. This allows us to make sure the appropriate people on our end are either included in the call or have a chance to send us any additional information regarding your questions. Also, we are with CDER not CDRH. Thanks Tina Tina Walther Lieutenant, USPHS Consumer Safety Officer Over-the-Counter Drugs Team FDA/CDER/Office of Compliance Phone: 301-796-5086

-----Original Message----From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Thursday, October 14, 2010 12:28 PM To: Walther, Tina; Corbett, Kristine Subject: E-Cigarettes Questions...
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Hi Tina and Kristine, Chrissy gave me your email addresses for me to follow up with some of our E-cigarette questions. Would there be a good time to talk via the phone to go over some of my questions regarding e-cigarettes and your pending legal case on this matter? Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

-----Original Message----From: Juliano, Christina [mailto:Christina.Juliano@fda.hhs.gov] Sent: Wednesday, October 13, 2010 5:42 PM To: Neal, Scott Subject: RE: Question... Hi Scott Here you go - sorry for the delay. We were in an all day meeting today so a little behind. The contacts are Tina Walther (Tina.Walther@fda.hhs.gov) and Kristene Corbet (Kristine.Corbett@fda.hhs.gov) at CDRH. They're expecting your email. Chrissie Chrissie Juliano, MPP Office of Health Communication and Education Center for Tobacco Products/FDA Phone: 301.796.9229 CTP Call Center: 1.877.CTP.1373 www.fda.gov/tobaccoproducts ________________________________________ From: Neal, Scott [Scott.Neal@kingcounty.gov] Sent: Wednesday, October 13, 2010 7:01 PM To: Juliano, Christina Subject: RE: Question... HI Chrissy....any lead on who I should be in touch with? :) thanks Scott ________________________________
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From: Juliano, Christina [mailto:Christina.Juliano@fda.hhs.gov] Sent: Tuesday, October 12, 2010 11:15 AM To: Neal, Scott Subject: RE: Question... Let me figure that out and get back to you. ________________________________ From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Tuesday, October 12, 2010 1:45 PM To: Juliano, Christina Subject: Question...

Hi Chrissy, I have a few questions regarding the FDA's E-cigarette case and ongoing enforcment. Who would be the best person at FDA for me to speak to about the details around E-Cigs? Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: To: Date: Subject: Hi Tina,

"Neal, Scott" "Walther, Tina" <Tina.Walther@fda.hhs.gov> 10/15/2010 4:16:25 PM RE: E-Cigarettes Questions...

That would be great...if you could please invite the following staff: Anne Pearson (anne.pearson@kingcounty.gov) Sarah Ross-Vile (sarah.ross-viles@kingcounty.gov) Thanks Scott -----Original Message----From: Walther, Tina [mailto:Tina.Walther@fda.hhs.gov] Sent: Friday, October 15, 2010 11:22 AM To: Neal, Scott Subject: RE: E-Cigarettes Questions... Hello Scott, Thank you for sending the below questions. I will be setting up a tcon to discuss the below questions with you. Is there any one else from you office that I should include in the tcon? Thanks Tina Tina Walther Lieutenant, USPHS Consumer Safety Officer Over-the-Counter Drugs Team FDA/CDER/Office of Compliance Phone: 301-796-5086

-----Original Message----From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Thursday, October 14, 2010 1:15 PM To: Walther, Tina Cc: Corbett, Kristine Subject: RE: E-Cigarettes Questions... Hi Tina, Thanks...I'll try to put down some of the questions we had come up with, but probably more or less a discussion is what I'd like to have if possible. Our Board of Health is considering adopting a local ordinance restricting or prohibiting the sale of e-cigarettes/cigars,
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etc and I wanted to check in with the FDA on a few items. 1. If I understand correctly, the FDA has determined that these products meet the definitions of both a drug and device under the Act and the definition of a combination product in 21 C.F.R. Part 3, with a drug primary mode of action. So I understand that the FDA is acting to enforce e-cigarettes under this and that the FDA does not consider these products as tobacco products. Is this correct? 2. Can you shed any light on the current pending case's timeline and future action on this issue? I'd like to better understand the process you use to enforce this unapproved product. 3. There have been a number of local regulations enacted around the country over the past couple of years(mostly restricting the sale of these products to adults). I'd like to discuss the FDA's perspective on this type of action at a local level.

Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

-----Original Message----From: Walther, Tina [mailto:Tina.Walther@fda.hhs.gov] Sent: Thursday, October 14, 2010 9:34 AM To: Neal, Scott Cc: Corbett, Kristine Subject: RE: E-Cigarettes Questions... Scott, If you could please email us your questions, we can then schedule a time to discuss your questions with you. This allows us to make sure the appropriate people on our end are either included in the call or have a chance to send us any additional information regarding your questions. Also, we are with CDER not CDRH. Thanks Tina Tina Walther Lieutenant, USPHS Consumer Safety Officer Over-the-Counter Drugs Team FDA/CDER/Office of Compliance
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Phone: 301-796-5086

-----Original Message----From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Thursday, October 14, 2010 12:28 PM To: Walther, Tina; Corbett, Kristine Subject: E-Cigarettes Questions... Hi Tina and Kristine, Chrissy gave me your email addresses for me to follow up with some of our E-cigarette questions. Would there be a good time to talk via the phone to go over some of my questions regarding e-cigarettes and your pending legal case on this matter? Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

-----Original Message----From: Juliano, Christina [mailto:Christina.Juliano@fda.hhs.gov] Sent: Wednesday, October 13, 2010 5:42 PM To: Neal, Scott Subject: RE: Question... Hi Scott Here you go - sorry for the delay. We were in an all day meeting today so a little behind. The contacts are Tina Walther (Tina.Walther@fda.hhs.gov) and Kristene Corbet (Kristine.Corbett@fda.hhs.gov) at CDRH. They're expecting your email. Chrissie Chrissie Juliano, MPP Office of Health Communication and Education Center for Tobacco Products/FDA Phone: 301.796.9229 CTP Call Center: 1.877.CTP.1373 www.fda.gov/tobaccoproducts ________________________________________ From: Neal, Scott [Scott.Neal@kingcounty.gov] Sent: Wednesday, October 13, 2010 7:01 PM To: Juliano, Christina Subject: RE: Question...
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HI Chrissy....any lead on who I should be in touch with? :) thanks Scott ________________________________ From: Juliano, Christina [mailto:Christina.Juliano@fda.hhs.gov] Sent: Tuesday, October 12, 2010 11:15 AM To: Neal, Scott Subject: RE: Question... Let me figure that out and get back to you. ________________________________ From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Tuesday, October 12, 2010 1:45 PM To: Juliano, Christina Subject: Question...

Hi Chrissy, I have a few questions regarding the FDA's E-cigarette case and ongoing enforcment. Who would be the best person at FDA for me to speak to about the details around E-Cigs? Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: To: Date: Subject: Attachments: Gary,

"Neal, Scott" "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> 10/15/2010 5:58:00 PM Proposed Restrictions on E-Cigs for December BOH E-cigarette proposal(draft 2).doc

Our program has put together this initial document to provide some basis for the proposed action on E-cigarettes. We'd like to get this reviewed by you and David Fleming prior to providing this to the BOH Tobacco Policy Committee next Thursday (Oct. 21). However since CM Clark cannot attend the Oct 21st meeting, Maria has scheduled a 30 minute briefing for her and I to meet with CM Clark on this very topic and the overall strategy moving forward. Please review this document and provide your feedback so we can finalize this for next week. Thanks Scott

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From: To: Date: Subject: Attachments:

"Johnson, Gareth" "Fleming, David" <David.Fleming@kingcounty.gov> 10/15/2010 6:04:14 PM FW: Proposed Restrictions on E-Cigs for December BOH E-cigarette proposal(draft 3).doc

David, a proposal for your review and comment. The inserted revisions are mine. > ______________________________________________ > From: Neal, Scott > Sent: Friday, October 15, 2010 2:58 PM > To: Johnson, Gareth > Cc: Wood, Maria; Allis, Donna; Krieger, James > Subject: Proposed Restrictions on E-Cigs for December BOH > Importance: High > > Gary, > > Our program has put together this initial document to provide some basis for the proposed action on E-cigarettes. We'd like to get this reviewed by you and David Fleming prior to providing this to the BOH Tobacco Policy Committee next Thursday (Oct. 21). However since CM Clark cannot attend the Oct 21st meeting, Maria has scheduled a 30 minute briefing for her and I to meet with CM Clark on this very topic and the overall strategy moving forward. > > Please review this document and provide your feedback so we can finalize this for next week. > > Thanks > Scott

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From: To: Date: Subject:

"Neal, Scott" "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> 10/15/2010 12:35:02 PM RE: Smoking in theaters

Ok sounds goodI just want to be responsive to the issue, so sooner the better. :) Thanks Scott >_____________________________________________ >From: Johnson, Gareth >Sent: Thursday, October 14, 2010 4:45 PM >To: Neal, Scott >Subject: RE: Smoking in theaters > >I'm going to need to talk with DF about this. > >_____________________________________________ >From: Neal, Scott >Sent: Thursday, October 14, 2010 10:01 AM >To: Johnson, Gareth >Subject: FW: Smoking in theaters > >Gary, > >Given Anne's review of our code and state law. We still need to respond to the issue at play with the Intiman Theater, which currently allows the smoking of herbal cigarettes. What is the next step? Did you want to check with Jane first and/or confirm with DF that our program's stance is that the use of herbal cigarettes (or use of any lighted smoking product) is also included in our enforcement of BOH code 19.03? > >Let me know what you would like me to do at this point. > >Thanks >Scott > > > >______________________________________________ >From: Pearson, Anne >Sent: Thursday, October 14, 2010 9:54 AM >To: Johnson, Gareth; Neal, Scott >Subject: Smoking in theaters > >Scott and Gary, > >Scott asked me to look into the question of whether it would be a violation of the state smoke-free air law for a theater to permit the smoking of tobacco or herbal products in a theatrical production. I believe that it would, and that the theater owners could not successfully argue that enforcement of the state law under such circumstances would abridge their right to free expression. >
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>As you know, the Washington state smoking in public places law broadly prohibits smoking, which is defined as the carrying or smoking of any kind of lighted pipe, cigar, cigarette, or any other lighted smoking equipment. Washingtons law is one of only 3 or 4 state laws that restrict the smoking of any lit product, regardless of whether it contains tobacco. > >Last year, the Colorado State Supreme Court concluded that its smoke-free air law, which also prohibits the smoking of any lit product, did not violate theaters right to freedom of expression as guaranteed under either the federal or Colorado state constitution. In short, it concluded that the law was a permissible content-neutral restriction on the time, place and manner of conduct, and that it was justified by a legitimate government interest in protecting people from exposure to secondhand smoke. > >Although the Colorado decision is not binding in Washington, it may serve as a good predictor of how a court might rule here. > >One thing to note is that theater owners will have a stronger claim if they have no adequate alternative channel for expression (i.e. they have absolutely no way to depict a character smoking.) Under our current law, I believe it would not be unlawful for an actor to smoke an e-cigarette as it is not a lighted product. Should we consider restricting the use of e-cigarettes in public, we might want to discuss the possibility of an exemption for theatrical productions. > >Let me know if you have any questions, >Anne >

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From: "Ryan, Molly" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 10/15/2010 1:04:00 PM Subject: FW: Thanks for meeting with us
The "non-existent" statistics about smoking rates at Seattle U are below.

Molly Ryan, MPH Tobacco Prevention Program Public Health - Seattle & King County Ph: (206) 263-8241 Fax: (206) 296-0177

From: O'Connor, Maura [mailto:oconnorm@seattleu.edu] Sent: Tuesday, September 07, 2010 10:33 AM To: Greto, Lindsey Cc: Ryan, Molly Subject: RE: Thanks for meeting with us

Hi Lindsey & Molly,

I told Molly I would look into the SU contact for the Campus Health Action on Tobacco Study (CHAT) through Fred Hutchinso Jennifer Hymer Intervention Specialist (206) 667-7480 jhymer@fhcrc.org Beti Thompson, PhD Principal Investigator, CHAT study (206) 667-4673
bthompso@fhcrc.org

I dont have the SU pre and post study data for this survey in electronic format but I do have a hard copy which you are welcome to the questions they asked. Many are about thoughts about going to a smoke free campus. Also the data (collect in 2006) reports 1 this data in electronic format but again you can review my hard copy. I believe Jennifer has moved onto another project and has a d was summarized and present in 2006.

As far as the smoking data from the National College Health Assessment (NCHA) survey for 2007, please see SU results below in ncha.org/reports_ACHA-NCHAII.html ). As Deb said our 2009 data was not considered significant due to poor response but we are

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Page 2 E. Alcohol, Tobacco, and Other Drug Use Thirty day prevalence - reported substance Cigarette (Question #9) National male 07 62.4 17.0 10.4 5.1 5.1 SU male 07 64.1 19.8 7.6 6.3 2.1 National female 07 64.9 17.9 8.8 4.0 4.4

Never used Used, but not in the last 30 days Used 1-9 days Used 10-29 days Used all 30 days Marijuana (Question #9)

SU fema 63. 22. 8.8 2.6 2.3

Never used Used, but not in the last 30 days Used 1-9 days Used 10-29 days Used all 30 days

National male 07 61.0 19.1 11.3 5.8 2.8

SU male 07 63.8 17.9 14.9 2.6 0.9

National female 07 65.5 20.1 10.3 3.1 1.0

SU fema 62. 24. 11. 1.7 0.6

Once I get the draft from you I will run it by my boss who will present to Father Steve. Thanks, Maura ________________________________ Maura O'Connor, ARNP Director of Student Health Center Seattle University Phone: (206) 296-6300 Fax: (206) 296-6089 web: www2.seattleu.edu/student/health
From: Greto, Lindsey [mailto:Lindsey.Greto@kingcounty.gov] Sent: Friday, September 03, 2010 1:24 PM To: O'Connor, Maura; Hinchey, Deborah Cc: Neal, Scott; Ryan, Molly; Ross-Viles, Sarah; Hamilton, Joy Subject: Thanks for meeting with us

Hi Maura and Deb, Thank you both for taking the time to meet with us today. I have attached the resource sheet that I provided at the meeting, along letter and will send it next week for your edits.

If you have any questions or need anything please don't hesitate to contact us. As we discussed in the meeting, Molly is leading o policies and programs on campus. Any of us would be more than happy to lend a hand or pass on resources, though, so feel free Thank you again. Have a nice long weekend and a fun ramp-up to the students' arrival. Cheers, Lindsey

<<SU Hookah map.doc>> <<Hookah Resources for SU.doc>> <<Hookah University Students.pdf>> <<American Lung Report on --Lindsey Greto, MPA Tobacco Prevention Program Public Health - Seattle & King County 8_19_2011

Page 3 Ph: (206) 263-9410 Fax: (206) 296-0177

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From: To: Date: Subject:

"Ross-Viles, Sarah" "Neal, Scott" <Scott.Neal@kingcounty.gov> 10/18/2010 7:18:29 PM E-cig article about youth traveling to buy them

http://www.aolnews.com/health/article/your-kids-buy-e-cigs-do-you-know-whats-in-them/19633977 Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

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From: To: Date: Subject:

"Pearson, Anne" "Neal, Scott" <Scott.Neal@kingcounty.gov> 10/18/2010 12:39:08 PM RE: E-Cigarettes Questions...

I'm scheduled to be at a new employee orientation meeting on Wednesday (I'm finally an employee!) so I'll join the call if I can duck away for 30 minutes.

-----Original Message----From: Neal, Scott Sent: Friday, October 15, 2010 1:18 PM To: Pearson, Anne; Ross-Viles, Sarah Subject: FW: E-Cigarettes Questions... FYI...I'mnot sure what a tcon is...oh...maybe a teleconference. I've actually never heard anyone call it that before. :) Scott -----Original Message----From: Neal, Scott Sent: Friday, October 15, 2010 1:16 PM To: 'Walther, Tina' Subject: RE: E-Cigarettes Questions... Hi Tina, That would be great...if you could please invite the following staff: Anne Pearson (anne.pearson@kingcounty.gov) Sarah Ross-Vile (sarah.ross-viles@kingcounty.gov) Thanks Scott -----Original Message----From: Walther, Tina [mailto:Tina.Walther@fda.hhs.gov] Sent: Friday, October 15, 2010 11:22 AM To: Neal, Scott Subject: RE: E-Cigarettes Questions... Hello Scott, Thank you for sending the below questions. I will be setting up a tcon to discuss the below questions with you. Is there any one else from you office that I should include in the tcon? Thanks Tina
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Tina Walther Lieutenant, USPHS Consumer Safety Officer Over-the-Counter Drugs Team FDA/CDER/Office of Compliance Phone: 301-796-5086

-----Original Message----From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Thursday, October 14, 2010 1:15 PM To: Walther, Tina Cc: Corbett, Kristine Subject: RE: E-Cigarettes Questions... Hi Tina, Thanks...I'll try to put down some of the questions we had come up with, but probably more or less a discussion is what I'd like to have if possible. Our Board of Health is considering adopting a local ordinance restricting or prohibiting the sale of e-cigarettes/cigars, etc and I wanted to check in with the FDA on a few items. 1. If I understand correctly, the FDA has determined that these products meet the definitions of both a drug and device under the Act and the definition of a combination product in 21 C.F.R. Part 3, with a drug primary mode of action. So I understand that the FDA is acting to enforce e-cigarettes under this and that the FDA does not consider these products as tobacco products. Is this correct? 2. Can you shed any light on the current pending case's timeline and future action on this issue? I'd like to better understand the process you use to enforce this unapproved product. 3. There have been a number of local regulations enacted around the country over the past couple of years(mostly restricting the sale of these products to adults). I'd like to discuss the FDA's perspective on this type of action at a local level.

Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

-----Original Message----From: Walther, Tina [mailto:Tina.Walther@fda.hhs.gov] Sent: Thursday, October 14, 2010 9:34 AM
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To: Neal, Scott Cc: Corbett, Kristine Subject: RE: E-Cigarettes Questions... Scott, If you could please email us your questions, we can then schedule a time to discuss your questions with you. This allows us to make sure the appropriate people on our end are either included in the call or have a chance to send us any additional information regarding your questions. Also, we are with CDER not CDRH. Thanks Tina Tina Walther Lieutenant, USPHS Consumer Safety Officer Over-the-Counter Drugs Team FDA/CDER/Office of Compliance Phone: 301-796-5086

-----Original Message----From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Thursday, October 14, 2010 12:28 PM To: Walther, Tina; Corbett, Kristine Subject: E-Cigarettes Questions... Hi Tina and Kristine, Chrissy gave me your email addresses for me to follow up with some of our E-cigarette questions. Would there be a good time to talk via the phone to go over some of my questions regarding e-cigarettes and your pending legal case on this matter? Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

-----Original Message----From: Juliano, Christina [mailto:Christina.Juliano@fda.hhs.gov] Sent: Wednesday, October 13, 2010 5:42 PM To: Neal, Scott
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Subject: RE: Question... Hi Scott Here you go - sorry for the delay. We were in an all day meeting today so a little behind. The contacts are Tina Walther (Tina.Walther@fda.hhs.gov) and Kristene Corbet (Kristine.Corbett@fda.hhs.gov) at CDRH. They're expecting your email. Chrissie Chrissie Juliano, MPP Office of Health Communication and Education Center for Tobacco Products/FDA Phone: 301.796.9229 CTP Call Center: 1.877.CTP.1373 www.fda.gov/tobaccoproducts ________________________________________ From: Neal, Scott [Scott.Neal@kingcounty.gov] Sent: Wednesday, October 13, 2010 7:01 PM To: Juliano, Christina Subject: RE: Question... HI Chrissy....any lead on who I should be in touch with? :) thanks Scott ________________________________ From: Juliano, Christina [mailto:Christina.Juliano@fda.hhs.gov] Sent: Tuesday, October 12, 2010 11:15 AM To: Neal, Scott Subject: RE: Question... Let me figure that out and get back to you. ________________________________ From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Tuesday, October 12, 2010 1:45 PM To: Juliano, Christina Subject: Question...

Hi Chrissy, I have a few questions regarding the FDA's E-cigarette case and ongoing enforcment. Who would be the best person at FDA for me to speak to about the details around E-Cigs? Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900
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Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: To: Date: Subject:

"Neal, Scott" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 10/18/2010 3:15:55 PM RE: E-Cigarettes Questions...

Ok sounds good...and welcome officially. :) -----Original Message----From: Pearson, Anne Sent: Monday, October 18, 2010 9:39 AM To: Neal, Scott Subject: RE: E-Cigarettes Questions... I'm scheduled to be at a new employee orientation meeting on Wednesday (I'm finally an employee!) so I'll join the call if I can duck away for 30 minutes.

-----Original Message----From: Neal, Scott Sent: Friday, October 15, 2010 1:18 PM To: Pearson, Anne; Ross-Viles, Sarah Subject: FW: E-Cigarettes Questions... FYI...I'mnot sure what a tcon is...oh...maybe a teleconference. I've actually never heard anyone call it that before. :) Scott -----Original Message----From: Neal, Scott Sent: Friday, October 15, 2010 1:16 PM To: 'Walther, Tina' Subject: RE: E-Cigarettes Questions... Hi Tina, That would be great...if you could please invite the following staff: Anne Pearson (anne.pearson@kingcounty.gov) Sarah Ross-Vile (sarah.ross-viles@kingcounty.gov) Thanks Scott -----Original Message----From: Walther, Tina [mailto:Tina.Walther@fda.hhs.gov] Sent: Friday, October 15, 2010 11:22 AM To: Neal, Scott Subject: RE: E-Cigarettes Questions... Hello Scott,
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Thank you for sending the below questions. I will be setting up a tcon to discuss the below questions with you. Is there any one else from you office that I should include in the tcon? Thanks Tina Tina Walther Lieutenant, USPHS Consumer Safety Officer Over-the-Counter Drugs Team FDA/CDER/Office of Compliance Phone: 301-796-5086

-----Original Message----From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Thursday, October 14, 2010 1:15 PM To: Walther, Tina Cc: Corbett, Kristine Subject: RE: E-Cigarettes Questions... Hi Tina, Thanks...I'll try to put down some of the questions we had come up with, but probably more or less a discussion is what I'd like to have if possible. Our Board of Health is considering adopting a local ordinance restricting or prohibiting the sale of e-cigarettes/cigars, etc and I wanted to check in with the FDA on a few items. 1. If I understand correctly, the FDA has determined that these products meet the definitions of both a drug and device under the Act and the definition of a combination product in 21 C.F.R. Part 3, with a drug primary mode of action. So I understand that the FDA is acting to enforce e-cigarettes under this and that the FDA does not consider these products as tobacco products. Is this correct? 2. Can you shed any light on the current pending case's timeline and future action on this issue? I'd like to better understand the process you use to enforce this unapproved product. 3. There have been a number of local regulations enacted around the country over the past couple of years(mostly restricting the sale of these products to adults). I'd like to discuss the FDA's perspective on this type of action at a local level.

Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197
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Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

-----Original Message----From: Walther, Tina [mailto:Tina.Walther@fda.hhs.gov] Sent: Thursday, October 14, 2010 9:34 AM To: Neal, Scott Cc: Corbett, Kristine Subject: RE: E-Cigarettes Questions... Scott, If you could please email us your questions, we can then schedule a time to discuss your questions with you. This allows us to make sure the appropriate people on our end are either included in the call or have a chance to send us any additional information regarding your questions. Also, we are with CDER not CDRH. Thanks Tina Tina Walther Lieutenant, USPHS Consumer Safety Officer Over-the-Counter Drugs Team FDA/CDER/Office of Compliance Phone: 301-796-5086

-----Original Message----From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Thursday, October 14, 2010 12:28 PM To: Walther, Tina; Corbett, Kristine Subject: E-Cigarettes Questions... Hi Tina and Kristine, Chrissy gave me your email addresses for me to follow up with some of our E-cigarette questions. Would there be a good time to talk via the phone to go over some of my questions regarding e-cigarettes and your pending legal case on this matter? Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197
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Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

-----Original Message----From: Juliano, Christina [mailto:Christina.Juliano@fda.hhs.gov] Sent: Wednesday, October 13, 2010 5:42 PM To: Neal, Scott Subject: RE: Question... Hi Scott Here you go - sorry for the delay. We were in an all day meeting today so a little behind. The contacts are Tina Walther (Tina.Walther@fda.hhs.gov) and Kristene Corbet (Kristine.Corbett@fda.hhs.gov) at CDRH. They're expecting your email. Chrissie Chrissie Juliano, MPP Office of Health Communication and Education Center for Tobacco Products/FDA Phone: 301.796.9229 CTP Call Center: 1.877.CTP.1373 www.fda.gov/tobaccoproducts ________________________________________ From: Neal, Scott [Scott.Neal@kingcounty.gov] Sent: Wednesday, October 13, 2010 7:01 PM To: Juliano, Christina Subject: RE: Question... HI Chrissy....any lead on who I should be in touch with? :) thanks Scott ________________________________ From: Juliano, Christina [mailto:Christina.Juliano@fda.hhs.gov] Sent: Tuesday, October 12, 2010 11:15 AM To: Neal, Scott Subject: RE: Question... Let me figure that out and get back to you. ________________________________ From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Tuesday, October 12, 2010 1:45 PM To: Juliano, Christina Subject: Question...

Hi Chrissy,
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I have a few questions regarding the FDA's E-cigarette case and ongoing enforcment. Who would be the best person at FDA for me to speak to about the details around E-Cigs? Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: To: Date: Subject:

"Ross-Viles, Sarah" "Neal, Scott" <Scott.Neal@kingcounty.gov> 10/18/2010 7:26:57 PM Katherine Heigel

http://www.e-cig.org/2010/09/28/katherine-heigl-using-her-e-cigarette-on-david-letterman/ Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

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From: To: Date: Subject:

"Wood, Maria" "Neal, Scott" <Scott.Neal@kingcounty.gov> 10/18/2010 7:16:47 PM RE: Proposed Restrictions on E-Cigs for December BOH

Any feedback or discussion about sending this along to DF? >_____________________________________________ >From: Neal, Scott >Sent: Friday, October 15, 2010 2:58 PM >To: Johnson, Gareth >Cc: Wood, Maria; Allis, Donna; Krieger, James >Subject: Proposed Restrictions on E-Cigs for December BOH >Importance: High > >Gary, > >Our program has put together this initial document to provide some basis for the proposed action on E-cigarettes. We'd like to get this reviewed by you and David Fleming prior to providing this to the BOH Tobacco Policy Committee next Thursday (Oct. 21). However since CM Clark cannot attend the Oct 21st meeting, Maria has scheduled a 30 minute briefing for her and I to meet with CM Clark on this very topic and the overall strategy moving forward. > << File: E-cigarette proposal(draft 2).doc >> >Please review this document and provide your feedback so we can finalize this for next week. > >Thanks >Scott

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From: To: Date: Subject:

"Johnson, Gareth" "Neal, Scott" <Scott.Neal@kingcounty.gov> 10/18/2010 7:05:56 PM RE: Proposed Restrictions on E-Cigs for December BOH

Jim tells me he talked with you today and has asked you for data that shows a health risk with E-cigs. I'm glad he did that because I am pretty certain DF would want the same. Let me know when you have it. >_____________________________________________ >From: Neal, Scott >Sent: Monday, October 18, 2010 12:25 PM >To: Johnson, Gareth >Subject: FW: Proposed Restrictions on E-Cigs for December BOH >Importance: High > >Gary, > >Have you heard anything from David about this? > >Thanks >Scott > >______________________________________________ >From: Johnson, Gareth >Sent: Friday, October 15, 2010 3:04 PM >To: Fleming, David >Cc: Neal, Scott >Subject: FW: Proposed Restrictions on E-Cigs for December BOH >Importance: High > >David, a proposal for your review and comment. The inserted revisions are mine. > >______________________________________________ >From: Neal, Scott >Sent: Friday, October 15, 2010 2:58 PM >To: Johnson, Gareth >Cc: Wood, Maria; Allis, Donna; Krieger, James >Subject: Proposed Restrictions on E-Cigs for December BOH >Importance: High > >Gary, > >Our program has put together this initial document to provide some basis for the proposed action on E-cigarettes. We'd like to get this reviewed by you and David Fleming prior to providing this to the BOH Tobacco Policy Committee next Thursday (Oct. 21). However since CM Clark cannot attend the Oct 21st meeting, Maria has scheduled a 30 minute briefing for her and I to meet with CM Clark on this very topic and the overall strategy moving forward. > << File: E-cigarette proposal(draft 3).doc >> >Please review this document and provide your feedback so we can finalize this for next week. > >Thanks
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>Scott

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From: To: Date: Subject:

"Neal, Scott" "Wood, Maria" <Maria.Wood@kingcounty.gov> 10/18/2010 7:32:36 PM RE: Proposed Restrictions on E-Cigs for December BOH

No, so I checked with Gary and am dealing with that nowughI'll call you. >_____________________________________________ >From: Wood, Maria >Sent: Monday, October 18, 2010 4:17 PM >To: Neal, Scott >Subject: RE: Proposed Restrictions on E-Cigs for December BOH > >Any feedback or discussion about sending this along to DF? > >_____________________________________________ >From: Neal, Scott >Sent: Friday, October 15, 2010 2:58 PM >To: Johnson, Gareth >Cc: Wood, Maria; Allis, Donna; Krieger, James >Subject: Proposed Restrictions on E-Cigs for December BOH >Importance: High > >Gary, > >Our program has put together this initial document to provide some basis for the proposed action on E-cigarettes. We'd like to get this reviewed by you and David Fleming prior to providing this to the BOH Tobacco Policy Committee next Thursday (Oct. 21). However since CM Clark cannot attend the Oct 21st meeting, Maria has scheduled a 30 minute briefing for her and I to meet with CM Clark on this very topic and the overall strategy moving forward. > << File: E-cigarette proposal(draft 2).doc >> >Please review this document and provide your feedback so we can finalize this for next week. > >Thanks >Scott

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From: To: Date: Subject: Attachments: Gary and Jim,

"Neal, Scott" "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> 10/18/2010 7:32:05 PM RE: Proposed Restrictions on E-Cigs for December BOH E-cigarette proposal draft.doc

Here's some info we have at our fingers...we would definitely dig up more info between now and december, but the FDA is clear that these products must be put through their approval process to confirm they are safe and their initial tests show quite a variation in ingredients from what is labeled. Ultimately we have three major concerns and after our meeting today...we have edited the draft proposal document that was sent last week. This is the current proposal with 3 options (1a, 1b, or 1c) and including in our smoking in public places regulation.

1. What is in the product: http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm173146.htm http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm172906.htm 2. False advertising and marketing claiming it as a cessation aid Recent David Letterman clip of Katherine Heigel promoting e-cigs (this was likely a paid advertisment) http://www.e-cig.org/2010/09/28/katherine-heigl-using-her-e-cigarette-on-david-letterman/ Picture of a mall kiosk "Quit Smoking Today"

3. Marketing to youth (many of these are flavored with candylike flavoring) http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm173175.htm http://www.aolnews.com/health/article/your-kids-buy-e-cigs-do-you-know-whats-in-them/19633977 (picture of a new sign at a local N. Seattle 7-Eleven)

> _____________________________________________ > From: Johnson, Gareth > Sent: Monday, October 18, 2010 4:06 PM > To: Neal, Scott > Subject: RE: Proposed Restrictions on E-Cigs for December BOH > > Jim tells me he talked with you today and has asked you for data that shows a health risk with E-cigs. I'm glad he did that because I am pretty certain DF would want the same. Let me know when you have it. > > _____________________________________________ > From: Neal, Scott > Sent: Monday, October 18, 2010 12:25 PM > To: Johnson, Gareth > Subject: FW: Proposed Restrictions on E-Cigs for December BOH > Importance: High > > Gary,
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> > Have you heard anything from David about this? > > Thanks > Scott > > ______________________________________________ > From: Johnson, Gareth > Sent: Friday, October 15, 2010 3:04 PM > To: Fleming, David > Cc: Neal, Scott > Subject: FW: Proposed Restrictions on E-Cigs for December BOH > Importance: High > > David, a proposal for your review and comment. The inserted revisions are mine. > > ______________________________________________ > From: Neal, Scott > Sent: Friday, October 15, 2010 2:58 PM > To: Johnson, Gareth > Cc: Wood, Maria; Allis, Donna; Krieger, James > Subject: Proposed Restrictions on E-Cigs for December BOH > Importance: High > > Gary, > > Our program has put together this initial document to provide some basis for the proposed action on E-cigarettes. We'd like to get this reviewed by you and David Fleming prior to providing this to the BOH Tobacco Policy Committee next Thursday (Oct. 21). However since CM Clark cannot attend the Oct 21st meeting, Maria has scheduled a 30 minute briefing for her and I to meet with CM Clark on this very topic and the overall strategy moving forward. > << File: E-cigarette proposal(draft 3).doc >> > Please review this document and provide your feedback so we can finalize this for next week. > > Thanks > Scott

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From: To: Date: Subject: Attachments: Gary,

"Neal, Scott" "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> 10/18/2010 3:25:10 PM FW: Proposed Restrictions on E-Cigs for December BOH E-cigarette proposal(draft 3).doc

Have you heard anything from David about this? Thanks Scott >______________________________________________ >From: Johnson, Gareth >Sent: Friday, October 15, 2010 3:04 PM >To: Fleming, David >Cc: Neal, Scott >Subject: FW: Proposed Restrictions on E-Cigs for December BOH >Importance: High > >David, a proposal for your review and comment. The inserted revisions are mine. > >______________________________________________ >From: Neal, Scott >Sent: Friday, October 15, 2010 2:58 PM >To: Johnson, Gareth >Cc: Wood, Maria; Allis, Donna; Krieger, James >Subject: Proposed Restrictions on E-Cigs for December BOH >Importance: High > >Gary, > >Our program has put together this initial document to provide some basis for the proposed action on E-cigarettes. We'd like to get this reviewed by you and David Fleming prior to providing this to the BOH Tobacco Policy Committee next Thursday (Oct. 21). However since CM Clark cannot attend the Oct 21st meeting, Maria has scheduled a 30 minute briefing for her and I to meet with CM Clark on this very topic and the overall strategy moving forward. > >Please review this document and provide your feedback so we can finalize this for next week. > >Thanks >Scott

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From: To: Date: Subject: Attachments: Maria

"Neal, Scott" "Wood, Maria" <Maria.Wood@kingcounty.gov> 10/18/2010 7:33:52 PM FW: Proposed Restrictions on E-Cigs for December BOH E-cigarette proposal draft.doc

Here's what I just sent to both Jim and Gary. Scott >______________________________________________ >From: Neal, Scott >Sent: Monday, October 18, 2010 4:32 PM >To: Johnson, Gareth >Cc: Krieger, James; Ross-Viles, Sarah; Pearson, Anne >Subject: RE: Proposed Restrictions on E-Cigs for December BOH > >Gary and Jim, > >Here's some info we have at our fingerswe would definitely dig up more info between now and december, but the FDA is clear that these products must be put through their approval process to confirm they are safe and their initial tests show quite a variation in ingredients from what is labeled. Ultimately we have three major concerns and after our meeting todaywe have edited the draft proposal document that was sent last week. This is the current proposal with 3 options (1a, 1b, or 1c) and including in our smoking in public places regulation. > > > >1. What is in the product: >http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm173146.htm >http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm172906.htm > >2. False advertising and marketing claiming it as a cessation aid >Recent David Letterman clip of Katherine Heigel promoting e-cigs (this was likely a paid advertisment) >http://www.e-cig.org/2010/09/28/katherine-heigl-using-her-e-cigarette-on-david-letterman/ > >Picture of a mall kiosk "Quit Smoking Today" > > >3. Marketing to youth (many of these are flavored with candylike flavoring) >http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm173175.htm >http://www.aolnews.com/health/article/your-kids-buy-e-cigs-do-you-know-whats-in-them/19633977 > > (picture of a new sign at a local N. Seattle 7-Eleven) > > >_____________________________________________ >From: Johnson, Gareth >Sent: Monday, October 18, 2010 4:06 PM >To: Neal, Scott
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>Subject: RE: Proposed Restrictions on E-Cigs for December BOH > >Jim tells me he talked with you today and has asked you for data that shows a health risk with E-cigs. I'm glad he did that because I am pretty certain DF would want the same. Let me know when you have it. > >_____________________________________________ >From: Neal, Scott >Sent: Monday, October 18, 2010 12:25 PM >To: Johnson, Gareth >Subject: FW: Proposed Restrictions on E-Cigs for December BOH >Importance: High > >Gary, > >Have you heard anything from David about this? > >Thanks >Scott > >______________________________________________ >From: Johnson, Gareth >Sent: Friday, October 15, 2010 3:04 PM >To: Fleming, David >Cc: Neal, Scott >Subject: FW: Proposed Restrictions on E-Cigs for December BOH >Importance: High > >David, a proposal for your review and comment. The inserted revisions are mine. > >______________________________________________ >From: Neal, Scott >Sent: Friday, October 15, 2010 2:58 PM >To: Johnson, Gareth >Cc: Wood, Maria; Allis, Donna; Krieger, James >Subject: Proposed Restrictions on E-Cigs for December BOH >Importance: High > >Gary, > >Our program has put together this initial document to provide some basis for the proposed action on E-cigarettes. We'd like to get this reviewed by you and David Fleming prior to providing this to the BOH Tobacco Policy Committee next Thursday (Oct. 21). However since CM Clark cannot attend the Oct 21st meeting, Maria has scheduled a 30 minute briefing for her and I to meet with CM Clark on this very topic and the overall strategy moving forward. > << File: E-cigarette proposal(draft 3).doc >> >Please review this document and provide your feedback so we can finalize this for next week. > >Thanks >Scott

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From: "Neal, Scott" To: "Ryan, Molly" <Molly.Ryan@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 10/18/2010 8:05:02 PM Subject: RE: Thanks for meeting with us
interesting...although lower than the "national avg" it is still higher than our county avg for adults.

From: Ryan, Molly Sent: Friday, October 15, 2010 10:04 AM To: Neal, Scott; Ross-Viles, Sarah Subject: FW: Thanks for meeting with us The "non-existent" statistics about smoking rates at Seattle U are below.

Molly Ryan, MPH Tobacco Prevention Program Public Health - Seattle & King County Ph: (206) 263-8241 Fax: (206) 296-0177

From: O'Connor, Maura [mailto:oconnorm@seattleu.edu] Sent: Tuesday, September 07, 2010 10:33 AM To: Greto, Lindsey Cc: Ryan, Molly Subject: RE: Thanks for meeting with us

Hi Lindsey & Molly,

I told Molly I would look into the SU contact for the Campus Health Action on Tobacco Study (CHAT) through Fred Hutchinso Jennifer Hymer Intervention Specialist (206) 667-7480 jhymer@fhcrc.org Beti Thompson, PhD Principal Investigator, CHAT study (206) 667-4673
bthompso@fhcrc.org

I dont have the SU pre and post study data for this survey in electronic format but I do have a hard copy which you are welcome to the questions they asked. Many are about thoughts about going to a smoke free campus. Also the data (collect in 2006) reports 1 this data in electronic format but again you can review my hard copy. I believe Jennifer has moved onto another project and has a d was summarized and present in 2006.

As far as the smoking data from the National College Health Assessment (NCHA) survey for 2007, please see SU results below in ncha.org/reports_ACHA-NCHAII.html ). As Deb said our 2009 data was not considered significant due to poor response but we are

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Page 2 E. Alcohol, Tobacco, and Other Drug Use Thirty day prevalence - reported substance Cigarette (Question #9) National male 07 62.4 17.0 10.4 5.1 5.1 SU male 07 64.1 19.8 7.6 6.3 2.1 National female 07 64.9 17.9 8.8 4.0 4.4

Never used Used, but not in the last 30 days Used 1-9 days Used 10-29 days Used all 30 days Marijuana (Question #9)

SU fema 63. 22. 8.8 2.6 2.3

Never used Used, but not in the last 30 days Used 1-9 days Used 10-29 days Used all 30 days

National male 07 61.0 19.1 11.3 5.8 2.8

SU male 07 63.8 17.9 14.9 2.6 0.9

National female 07 65.5 20.1 10.3 3.1 1.0

SU fema 62. 24. 11. 1.7 0.6

Once I get the draft from you I will run it by my boss who will present to Father Steve. Thanks, Maura ________________________________ Maura O'Connor, ARNP Director of Student Health Center Seattle University Phone: (206) 296-6300 Fax: (206) 296-6089 web: www2.seattleu.edu/student/health
From: Greto, Lindsey [mailto:Lindsey.Greto@kingcounty.gov] Sent: Friday, September 03, 2010 1:24 PM To: O'Connor, Maura; Hinchey, Deborah Cc: Neal, Scott; Ryan, Molly; Ross-Viles, Sarah; Hamilton, Joy Subject: Thanks for meeting with us

Hi Maura and Deb, Thank you both for taking the time to meet with us today. I have attached the resource sheet that I provided at the meeting, along letter and will send it next week for your edits.

If you have any questions or need anything please don't hesitate to contact us. As we discussed in the meeting, Molly is leading o policies and programs on campus. Any of us would be more than happy to lend a hand or pass on resources, though, so feel free Thank you again. Have a nice long weekend and a fun ramp-up to the students' arrival. Cheers, Lindsey

<<SU Hookah map.doc>> <<Hookah Resources for SU.doc>> <<Hookah University Students.pdf>> <<American Lung Report on --Lindsey Greto, MPA Tobacco Prevention Program Public Health - Seattle & King County 8_19_2011

Page 3 Ph: (206) 263-9410 Fax: (206) 296-0177

8_19_2011

Page 1

From: To: Date: Subject: Attachments:

"Neal, Scott" "Bennett, John" <John.Bennett@kingcounty.gov> 10/19/2010 6:14:00 PM FW: E-cigarettes DRAFT How States Can Handle E-Cigarettes 3-30-10.doc States with E-Cig Restrictions.doc

From: Pearson, Anne Sent: Monday, October 11, 2010 2:12 PM To: Ross-Viles, Sarah; Neal, Scott; Bennett, John; Pajimula, Fel Subject: FW: E-cigarettes Hi everyone, Here are the e-cig materials I received from TFK. Hope they are useful. Anne

From: Eric Lindblom [mailto:elindblom@TobaccoFreeKids.org] Sent: Wednesday, October 06, 2010 2:50 PM To: Pearson, Anne Subject: RE: E-cigarettes Our position is to ban any and all non-FDA-approved nicotine delivery products that are not tobacco products. See attached draft guidance sheet. It also has some possible text to use to include some nicotine-delivery device use under smoke-free laws. [As always, comments welcome.] As for which jurisdictions have done what re e-cigarettes, attached is the best list we have (might not be comprehensive). Eric

From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Wednesday, October 06, 2010 5:43 PM To: Eric Lindblom Subject: E-cigarettes Hi Eric, I hope you're well. Our tobacco program is thinking about putting together an -ecigarette proposal for our December board of health meeting (minimum age restrictions, prohibiting use in public places, etc.) and is wondering whether TFK might have a comprehensive list of those localities that have adopted similar measures. Any chance you have something along those lines? Thanks! Anne Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov

8_19_2011

Page 1

From: To: Date: Subject: This is interesting

"Neal, Scott" "Bennett, John" <John.Bennett@kingcounty.gov> 10/19/2010 6:04:41 PM New Jersey bans smoking of all "smoking devices"

AN ACT concerning electronic 1 smoking devices and amending P.L.2005, c.383, P.L.2000, c.87, and P.L.1999, c.90. BE IT ENACTED by the Senate and General Assembly of the State of New Jersey: 1. Section 2 of P.L.2005, c.383 (C.26:3D-56) is amended to read as follows: The Legislature finds and declares that: [tobacco] a. Tobacco is the leading cause of preventable disease and death in the State and the nation[, and tobacco]; b. Tobacco smoke constitutes a substantial health hazard to the nonsmoking majority of the public; [the] c. Electronic smoking devices have not been approved as to safety and efficacy by the federal Food and Drug Administration, and their use may pose a health risk to persons exposed to their smoke or vapor because of a known irritant contained therein and other substances that may, upon evaluation by that agency, be identified as potentially toxic to those inhaling the smoke or vapor; d. The separation of smoking and nonsmoking areas in indoor public places and workplaces does not eliminate the hazard to nonsmokers if these areas share a common ventilation system; and [, therefore] e. Therefore, subject to certain specified exceptions, it is clearly in the public interest to prohibit the smoking of tobacco products and the use of electronic smoking devices in all enclosed indoor places of public access and workplaces. (cf: P.L.2005, c.383, s.2) Further in the law Electronic smoking device means an electronic device that can be used to deliver nicotine or other substances to the person inhaling from the device, including, but not limited to, an electronic cigarette, cigar, cigarillo, or pipe. Further . "Smoking" means the burning of, inhaling from, exhaling the smoke from, or the possession of a lighted cigar, cigarette, pipe or any other matter or substance which contains tobacco or any other matter that can be smoked, or the inhaling or exhaling of smoke or vapor from an electronic smoking device.

8_19_2011

Page 1

From: To: Date: Subject:

"Bennett, John" "Neal, Scott" <Scott.Neal@kingcounty.gov> 10/19/2010 6:07:06 PM RE: New Jersey bans smoking of all "smoking devices"

This could prohibit nebulizers, atomizers, and vaporizers that are also commonly used to deliver medicine to people with respiratory problems. >_____________________________________________ >From: Neal, Scott >Sent: Tuesday, October 19, 2010 3:05 PM >To: Bennett, John >Subject: New Jersey bans smoking of all "smoking devices" > >This is interesting > > >AN ACT concerning electronic 1 smoking devices and amending P.L.2005, c.383, P.L.2000, c.87, and P.L.1999, c.90. > >BE IT ENACTED by the Senate and General Assembly of the State of New Jersey: >1. Section 2 of P.L.2005, c.383 (C.26:3D-56) is amended to read as follows: The Legislature finds and declares that: [tobacco] a. Tobacco is the leading cause of preventable disease and death in the State and the nation[, and tobacco]; b. Tobacco smoke constitutes a substantial health hazard to the nonsmoking majority of the public; [the] c. Electronic smoking devices have not been approved as to safety and efficacy by the federal Food and Drug Administration, and their use may pose a health risk to persons exposed to their smoke or vapor because of a known irritant contained therein and other substances that may, upon evaluation by that agency, be identified as potentially toxic to those inhaling the smoke or vapor; d. The separation of smoking and nonsmoking areas in indoor public places and workplaces does not eliminate the hazard to nonsmokers if these areas share a common ventilation system; and [, therefore] e. Therefore, subject to certain specified exceptions, it is clearly in the public interest to prohibit the smoking of tobacco products and the use of electronic smoking devices in all enclosed indoor places of public access and workplaces. >(cf: P.L.2005, c.383, s.2) > >Further in the law >Electronic smoking device means an electronic device that can be used to deliver nicotine or other substances to the person inhaling from the device, including, but not limited to, an electronic cigarette, cigar, cigarillo, or pipe. > >Further . >"Smoking" means the burning of, inhaling from, exhaling the smoke from, or the possession of a lighted cigar, cigarette, pipe or any other matter or substance which contains tobacco or any other matter that can be smoked, or the inhaling or exhaling of smoke or vapor from an electronic smoking device. > >

8_19_2011

Page 1

From: To: Date: Subject: Attachments: Gary,

"Neal, Scott" "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> 10/19/2010 7:15:54 PM FW: Revised E-Cig Proposal... E-cigarette proposal draft.10.19.10.doc

This is an ever-changing document as we learn more about e-cigs, their marketing, and what others have done. Here is the latest versionwith a few tracked changes. We have a conf. call with the FDA tomorrow to discuss ecigs, what they are doing, how they view these products, and what health information they can provide us from any tests they have done. I'm also curious as to what their position is on local jurisdictions passign regulations on these products. In addition, we have a meeting with our state partners tomorrow morning to discuss their leg strategy and I want to do a check in to make sure that if we did indeed propose a full prohibition of sales of e-cigs that it couldn't be used against the state's strategy in January. So lots of bouncing balls and we should know more details tomorrow afternoonbut I wanted you all to at least know the thought process here and where we are in the process. Scott >______________________________________________ >From: Neal, Scott >Sent: Tuesday, October 19, 2010 3:29 PM >To: Pearson, Anne; Bennett, John; Ross-Viles, Sarah >Subject: Revised E-Cig Proposal... > >Maria Wood and I just met with Councilmember Clark today to brief her on what we will be disucssin at the Thursday Tobacco Policy Committee meeting (since she can't make it). She seemed to understand our strategy change. > >In sharing with her our draft ideas for e-cigarette restrictions, she seemed to feel that restricting the sale to adults was a "no-brainer," but was very interested in finding out more from the FDA about e-cigs. She did mention that the idea of restricting these products for sale only in adult only venues might be difficult defend, and she was a bit hesitant to the idea of a full prohibition of the sale of these products. However, it seemed like with a good rationale, she could be swayed on that one. > >So as I went through what other local jurisdictions have done, I made a couple of tracked changes to our propsal document. Essentially I was throwing in the idea of prohibiting the offering or providing these products for free and also considering whether we license retailers for selling e-cigs if we don't fully prohibit them from being sold. > > > >Scott

8_19_2011

Page 1

From: "Neal, Scott" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 10/19/2010 6:28:35 PM Subject: Revised E-Cig Proposal... Maria Wood and I just met with Councilmember Clark today to brief her on what we will be disucssin at the Thursday Tobacco Policy Committee meeting (since she can't make it). She seemed to understand our strategy change. In sharing with her our draft ideas for e-cigarette restrictions, she seemed to feel that restricting the sale to adults was a "no-brainer," but was very interested in finding out more from the FDA (that's our T-Con tomorrowit's just fun to say T-Con) about e-cigs. She did mention that the idea of restricting these products for sale only in adult only venues might be difficult defend, and she was a bit hesitant to the idea of a full prohibition of the sale of these products. However, it seemed like with a good rationale, she could be swayed on that one. So as I went through what other local jurisdictions have done, I made a couple of tracked changes to our propsal document. Essentially I was throwing in the idea of prohibiting the offering or providing these products for free and also considering whether we license retailers for selling e-cigs if we don't fully prohibit them from being sold.

Scott

8_19_2011

Page 1

From: "Neal, Scott" To: "Krieger, James" <James.Krieger@kingcounty.gov> "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> Date: 10/20/2010 5:52:41 PM Subject: RE: E-Cigarette Update...needs discussion/decision
yes, we have the ability to regulate this product.

From: Krieger, James Sent: Wednesday, October 20, 2010 2:02 PM To: Neal, Scott; Johnson, Gareth Cc: Wood, Maria; Hamilton, Joy; Bennett, John; Ross-Viles, Sarah; Pearson, Anne; Muhm, Jennifer; Allis, Donna Subject: Re: E-Cigarette Update...needs discussion/decision If e-cigs are not considered a tobacco product by fda...do we have any ability to regulate? I see it as both figure out what our dept position and then share with boh all the issues including alternative options...which include no action. Jim

From: Neal, Scott To: Johnson, Gareth Cc: Wood, Maria; Hamilton, Joy; Bennett, John; Ross-Viles, Sarah; Pearson, Anne; Muhm, Jennifer; Krieger, James; Allis, Donna Sent: Wed Oct 20 13:55:07 2010 Subject: E-Cigarette Update...needs discussion/decision

Gary, We gathered additional info from a couple of meetings today on the topic of e-cigarettes. We need to discuss next steps given we meet tomorrow afternoon with the BOH tobacco policy committee. We need to consider the following: 1. Should we identify a clear position our dept. wants to take on this issue and propose this to the BOH Tobacco Policy Committee OR should we provide this level of detail to the committee and have an open discussion and see where that takes us regarding the level of policy brought before the BOH? 2. What is our dept's position on waiting until 2011 to move this policy forward given the latest concern from our state partners?...some of this may be tempered or eliminated depending on what final policy might be adopted. Conference call with ACS regarding statewide agenda and how local e-cig policy may interact: ACS is now feeling somewhat concerned that even passing policy on e-cigarettes may have some negative effect on the state agenda in January as opponents to a youth access bill could use our recent action to provide an example to how local policies will be far reaching and inconsistent across the state. They suggested that it might be best to wait on this agenda until after the legislative session. FDA call regarding e-cigs: FDA is handling each e-cig product case by case and examining each to determine what they are. They have evaluated approximately 700 different products and deemed ALL of them as a drug and device required to be regulated by the FDA (not as a tobacco product). They continue to issue warning letters to companies and the ecigarette association regarding these findings. It does not sound like they would ever consider these products as tobacco products under their current system. Their evaluation of these products includes reviewing all marketing and company produced materials, perceptions of product, how products are used, and any claims the manufacturer makes about the product. So even if an e-cigarette was marketed simply as an alternative to smoking regular cigarettes, the FDA would still likely consider this a drug and device, given it contains nicotine. 8_19_2011

Page 2 The case against the FDA's enforcement of these products is currently in the appellate court and they had no update on any expected timeline for a decision. They did however state that one of the two companies that brought the initial case has dropped out. Smoking Everywhere has dropped out, yet still has mall kiosks selling their products here locally. Regarding local regulations, the FDA noted that others have begun by considering a full prohibition of the sale of these products, but have scaled back their regulations to simple age restrictions due in part to the e-cigarette and vapor coaltions speaking out on behalf of the product and its use for people to quit smoking regular cigarettes. Thanks Scott

8_19_2011

Page 1

From: "Pearson, Anne" To: "Krieger, James" <James.Krieger@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> Date: 10/20/2010 5:14:04 PM Subject: RE: E-Cigarette Update...needs discussion/decision
The FDA's conclusion that e-cigs are not tobacco products is actually useful to us insofar as it bolsters the assertion that the proposed rule is not preempted by state law since we are not trying to regulate the sale or marketing of tobacco. The Board of Health would still have authority to regulate e-products pursuant to its authority to enact rules as are necessary to promote the public health given the risks that unregulated nicotine delivery devices can pose.

From: Krieger, James Sent: Wednesday, October 20, 2010 2:02 PM To: Neal, Scott; Johnson, Gareth Cc: Wood, Maria; Hamilton, Joy; Bennett, John; Ross-Viles, Sarah; Pearson, Anne; Muhm, Jennifer; Allis, Donna Subject: Re: E-Cigarette Update...needs discussion/decision If e-cigs are not considered a tobacco product by fda...do we have any ability to regulate? I see it as both figure out what our dept position and then share with boh all the issues including alternative options...which include no action. Jim

From: Neal, Scott To: Johnson, Gareth Cc: Wood, Maria; Hamilton, Joy; Bennett, John; Ross-Viles, Sarah; Pearson, Anne; Muhm, Jennifer; Krieger, James; Allis, Donna Sent: Wed Oct 20 13:55:07 2010 Subject: E-Cigarette Update...needs discussion/decision

Gary, We gathered additional info from a couple of meetings today on the topic of e-cigarettes. We need to discuss next steps given we meet tomorrow afternoon with the BOH tobacco policy committee. We need to consider the following: 1. Should we identify a clear position our dept. wants to take on this issue and propose this to the BOH Tobacco Policy Committee OR should we provide this level of detail to the committee and have an open discussion and see where that takes us regarding the level of policy brought before the BOH? 2. What is our dept's position on waiting until 2011 to move this policy forward given the latest concern from our state partners?...some of this may be tempered or eliminated depending on what final policy might be adopted. Conference call with ACS regarding statewide agenda and how local e-cig policy may interact: ACS is now feeling somewhat concerned that even passing policy on e-cigarettes may have some negative effect on the state agenda in January as opponents to a youth access bill could use our recent action to provide an example to how local policies will be far reaching and inconsistent across the state. They suggested that it might be best to wait on this agenda until after the legislative session. FDA call regarding e-cigs: 8_19_2011

Page 2 FDA is handling each e-cig product case by case and examining each to determine what they are. They have evaluated approximately 700 different products and deemed ALL of them as a drug and device required to be regulated by the FDA (not as a tobacco product). They continue to issue warning letters to companies and the ecigarette association regarding these findings. It does not sound like they would ever consider these products as tobacco products under their current system. Their evaluation of these products includes reviewing all marketing and company produced materials, perceptions of product, how products are used, and any claims the manufacturer makes about the product. So even if an e-cigarette was marketed simply as an alternative to smoking regular cigarettes, the FDA would still likely consider this a drug and device, given it contains nicotine. The case against the FDA's enforcement of these products is currently in the appellate court and they had no update on any expected timeline for a decision. They did however state that one of the two companies that brought the initial case has dropped out. Smoking Everywhere has dropped out, yet still has mall kiosks selling their products here locally. Regarding local regulations, the FDA noted that others have begun by considering a full prohibition of the sale of these products, but have scaled back their regulations to simple age restrictions due in part to the e-cigarette and vapor coaltions speaking out on behalf of the product and its use for people to quit smoking regular cigarettes. Thanks Scott

8_19_2011

Page 1

From: "Krieger, James" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> Date: 10/20/2010 5:02:06 PM Subject: Re: E-Cigarette Update...needs discussion/decision
If e-cigs are not considered a tobacco product by fda...do we have any ability to regulate? I see it as both figure out what our dept position and then share with boh all the issues including alternative options...which include no action. Jim

From: Neal, Scott To: Johnson, Gareth Cc: Wood, Maria; Hamilton, Joy; Bennett, John; Ross-Viles, Sarah; Pearson, Anne; Muhm, Jennifer; Krieger, James; Allis, Donna Sent: Wed Oct 20 13:55:07 2010 Subject: E-Cigarette Update...needs discussion/decision

Gary, We gathered additional info from a couple of meetings today on the topic of e-cigarettes. We need to discuss next steps given we meet tomorrow afternoon with the BOH tobacco policy committee. We need to consider the following: 1. Should we identify a clear position our dept. wants to take on this issue and propose this to the BOH Tobacco Policy Committee OR should we provide this level of detail to the committee and have an open discussion and see where that takes us regarding the level of policy brought before the BOH? 2. What is our dept's position on waiting until 2011 to move this policy forward given the latest concern from our state partners?...some of this may be tempered or eliminated depending on what final policy might be adopted. Conference call with ACS regarding statewide agenda and how local e-cig policy may interact: ACS is now feeling somewhat concerned that even passing policy on e-cigarettes may have some negative effect on the state agenda in January as opponents to a youth access bill could use our recent action to provide an example to how local policies will be far reaching and inconsistent across the state. They suggested that it might be best to wait on this agenda until after the legislative session. FDA call regarding e-cigs: FDA is handling each e-cig product case by case and examining each to determine what they are. They have evaluated approximately 700 different products and deemed ALL of them as a drug and device required to be regulated by the FDA (not as a tobacco product). They continue to issue warning letters to companies and the ecigarette association regarding these findings. It does not sound like they would ever consider these products as tobacco products under their current system. Their evaluation of these products includes reviewing all marketing and company produced materials, perceptions of product, how products are used, and any claims the manufacturer makes about the product. So even if an e-cigarette was marketed simply as an alternative to smoking regular cigarettes, the FDA would still likely consider this a drug and device, given it contains nicotine. The case against the FDA's enforcement of these products is currently in the appellate court and they had no update on any expected timeline for a decision. They did however state that one of the two companies that brought the initial case has dropped out. Smoking Everywhere has dropped out, yet still has mall kiosks selling their products here locally. Regarding local regulations, the FDA noted that others have begun by considering a full prohibition of the sale of these products, but have scaled back their regulations to simple age restrictions due in part to the e-cigarette and vapor coaltions speaking out on behalf of the product and its use for people to quit smoking regular cigarettes. Thanks Scott 8_19_2011

Page 2

8_19_2011

Page 1

From: "Krieger, James" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> Date: 10/20/2010 9:42:50 PM Subject: Re: E-Cigarette Update...needs discussion/decision
That's really interesting...so tact could be boh regulating them, at least until fda does so?

From: Pearson, Anne To: Krieger, James; Neal, Scott; Johnson, Gareth Cc: Wood, Maria; Hamilton, Joy; Bennett, John; Ross-Viles, Sarah; Muhm, Jennifer; Allis, Donna Sent: Wed Oct 20 14:14:03 2010 Subject: RE: E-Cigarette Update...needs discussion/decision The FDA's conclusion that e-cigs are not tobacco products is actually useful to us insofar as it bolsters the assertion that the proposed rule is not preempted by state law since we are not trying to regulate the sale or marketing of tobacco. The Board of Health would still have authority to regulate e-products pursuant to its authority to enact rules as are necessary to promote the public health given the risks that unregulated nicotine delivery devices can pose.

From: Krieger, James Sent: Wednesday, October 20, 2010 2:02 PM To: Neal, Scott; Johnson, Gareth Cc: Wood, Maria; Hamilton, Joy; Bennett, John; Ross-Viles, Sarah; Pearson, Anne; Muhm, Jennifer; Allis, Donna Subject: Re: E-Cigarette Update...needs discussion/decision If e-cigs are not considered a tobacco product by fda...do we have any ability to regulate? I see it as both figure out what our dept position and then share with boh all the issues including alternative options...which include no action. Jim

From: Neal, Scott To: Johnson, Gareth Cc: Wood, Maria; Hamilton, Joy; Bennett, John; Ross-Viles, Sarah; Pearson, Anne; Muhm, Jennifer; Krieger, James; Allis, Donna Sent: Wed Oct 20 13:55:07 2010 Subject: E-Cigarette Update...needs discussion/decision

Gary, We gathered additional info from a couple of meetings today on the topic of e-cigarettes. We need to discuss next steps given we meet tomorrow afternoon with the BOH tobacco policy committee. We need to consider the following: 1. Should we identify a clear position our dept. wants to take on this issue and propose this to the BOH Tobacco Policy Committee OR should we provide this level of detail to the committee and have an open discussion and see where that takes us regarding the level of policy brought before the BOH? 8_19_2011

Page 2 2. What is our dept's position on waiting until 2011 to move this policy forward given the latest concern from our state partners?...some of this may be tempered or eliminated depending on what final policy might be adopted. Conference call with ACS regarding statewide agenda and how local e-cig policy may interact: ACS is now feeling somewhat concerned that even passing policy on e-cigarettes may have some negative effect on the state agenda in January as opponents to a youth access bill could use our recent action to provide an example to how local policies will be far reaching and inconsistent across the state. They suggested that it might be best to wait on this agenda until after the legislative session. FDA call regarding e-cigs: FDA is handling each e-cig product case by case and examining each to determine what they are. They have evaluated approximately 700 different products and deemed ALL of them as a drug and device required to be regulated by the FDA (not as a tobacco product). They continue to issue warning letters to companies and the ecigarette association regarding these findings. It does not sound like they would ever consider these products as tobacco products under their current system. Their evaluation of these products includes reviewing all marketing and company produced materials, perceptions of product, how products are used, and any claims the manufacturer makes about the product. So even if an e-cigarette was marketed simply as an alternative to smoking regular cigarettes, the FDA would still likely consider this a drug and device, given it contains nicotine. The case against the FDA's enforcement of these products is currently in the appellate court and they had no update on any expected timeline for a decision. They did however state that one of the two companies that brought the initial case has dropped out. Smoking Everywhere has dropped out, yet still has mall kiosks selling their products here locally. Regarding local regulations, the FDA noted that others have begun by considering a full prohibition of the sale of these products, but have scaled back their regulations to simple age restrictions due in part to the e-cigarette and vapor coaltions speaking out on behalf of the product and its use for people to quit smoking regular cigarettes. Thanks Scott

8_19_2011

Page 1

From: To: Date: Subject: Gary,

"Neal, Scott" "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> 10/20/2010 4:55:07 PM E-Cigarette Update...needs discussion/decision

We gathered additional info from a couple of meetings today on the topic of e-cigarettes. We need to discuss next steps given we meet tomorrow afternoon with the BOH tobacco policy committee. We need to consider the following: 1. Should we identify a clear position our dept. wants to take on this issue and propose this to the BOH Tobacco Policy Committee OR should we provide this level of detail to the committee and have an open discussion and see where that takes us regarding the level of policy brought before the BOH? 2. What is our dept's position on waiting until 2011 to move this policy forward given the latest concern from our state partners?...some of this may be tempered or eliminated depending on what final policy might be adopted. Conference call with ACS regarding statewide agenda and how local e-cig policy may interact: * ACS is now feeling somewhat concerned that even passing policy on e-cigarettes may have some negative effect on the state agenda in January as opponents to a youth access bill could use our recent action to provide an example to how local policies will be far reaching and inconsistent across the state. They suggested that it might be best to wait on this agenda until after the legislative session. FDA call regarding e-cigs: * FDA is handling each e-cig product case by case and examining each to determine what they are. They have evaluated approximately 700 different products and deemed ALL of them as a drug and device required to be regulated by the FDA (not as a tobacco product). They continue to issue warning letters to companies and the ecigarette association regarding these findings. It does not sound like they would ever consider these products as tobacco products under their current system. Their evaluation of these products includes reviewing all marketing and company produced materials, perceptions of product, how products are used, and any claims the manufacturer makes about the product. So even if an e-cigarette was marketed simply as an alternative to smoking regular cigarettes, the FDA would still likely consider this a drug and device, given it contains nicotine. * The case against the FDA's enforcement of these products is currently in the appellate court and they had no update on any expected timeline for a decision. They did however state that one of the two companies that brought the initial case has dropped out. Smoking Everywhere has dropped out, yet still has mall kiosks selling their products here locally. * Regarding local regulations, the FDA noted that others have begun by considering a full prohibition of the sale of these products, but have scaled back their regulations to simple age restrictions due in part to the e-cigarette and vapor coaltions speaking out on behalf of the product and its use for people to quit smoking regular cigarettes. Thanks Scott

8_19_2011

Page 1

From: "Johnson, Gareth" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Krieger, James" <James.Krieger@kingcounty.gov> Date: 10/20/2010 6:01:58 PM Subject: RE: E-Cigarette Update...needs discussion/decision
I agree that we have the legal authority to regulate this sort of product if we can draw a health-related reason to do so, and I don't think that would be too difficult to do. I'm more concerned about the strategic concerns being raised by ACS. I think we need to decide if this is so important to do now that we are prepared to risk failing to achieve the repeal of preemption in the coming session. I think this is the crux of the issue right now. Thoughts on that?

From: Neal, Scott Sent: Wednesday, October 20, 2010 2:53 PM To: Krieger, James; Johnson, Gareth Cc: Wood, Maria; Hamilton, Joy; Bennett, John; Ross-Viles, Sarah; Pearson, Anne; Muhm, Jennifer; Allis, Donna Subject: RE: E-Cigarette Update...needs discussion/decision yes, we have the ability to regulate this product.

From: Krieger, James Sent: Wednesday, October 20, 2010 2:02 PM To: Neal, Scott; Johnson, Gareth Cc: Wood, Maria; Hamilton, Joy; Bennett, John; Ross-Viles, Sarah; Pearson, Anne; Muhm, Jennifer; Allis, Donna Subject: Re: E-Cigarette Update...needs discussion/decision If e-cigs are not considered a tobacco product by fda...do we have any ability to regulate? I see it as both figure out what our dept position and then share with boh all the issues including alternative options...which include no action. Jim

From: Neal, Scott To: Johnson, Gareth Cc: Wood, Maria; Hamilton, Joy; Bennett, John; Ross-Viles, Sarah; Pearson, Anne; Muhm, Jennifer; Krieger, James; Allis, Donna Sent: Wed Oct 20 13:55:07 2010 Subject: E-Cigarette Update...needs discussion/decision

Gary, We gathered additional info from a couple of meetings today on the topic of e-cigarettes. We need to discuss next steps given we meet tomorrow afternoon with the BOH tobacco policy committee. We need to consider the following: 1. Should we identify a clear position our dept. wants to take on this issue and propose this to the BOH Tobacco Policy Committee OR should we provide this level of detail to the committee and have an open discussion and see where that takes us regarding the level of policy brought before the BOH? 2. What is our dept's position on waiting until 2011 to move this policy forward given the latest concern from our state partners?...some of this may be tempered or eliminated depending on what final policy might be adopted. Conference call with ACS regarding statewide agenda and how local e-cig policy may interact: ACS is now feeling somewhat concerned that even passing policy on e-cigarettes may have some negative effect on the state agenda in January as opponents to a youth access bill could use our recent action to provide an 8_19_2011

Page 2 example to how local policies will be far reaching and inconsistent across the state. They suggested that it might be best to wait on this agenda until after the legislative session. FDA call regarding e-cigs: FDA is handling each e-cig product case by case and examining each to determine what they are. They have evaluated approximately 700 different products and deemed ALL of them as a drug and device required to be regulated by the FDA (not as a tobacco product). They continue to issue warning letters to companies and the ecigarette association regarding these findings. It does not sound like they would ever consider these products as tobacco products under their current system. Their evaluation of these products includes reviewing all marketing and company produced materials, perceptions of product, how products are used, and any claims the manufacturer makes about the product. So even if an e-cigarette was marketed simply as an alternative to smoking regular cigarettes, the FDA would still likely consider this a drug and device, given it contains nicotine. The case against the FDA's enforcement of these products is currently in the appellate court and they had no update on any expected timeline for a decision. They did however state that one of the two companies that brought the initial case has dropped out. Smoking Everywhere has dropped out, yet still has mall kiosks selling their products here locally. Regarding local regulations, the FDA noted that others have begun by considering a full prohibition of the sale of these products, but have scaled back their regulations to simple age restrictions due in part to the e-cigarette and vapor coaltions speaking out on behalf of the product and its use for people to quit smoking regular cigarettes. Thanks Scott

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From: "Neal, Scott" To: "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> "Krieger, James" <James.Krieger@kingcounty.gov> Date: 10/20/2010 6:38:28 PM Subject: RE: E-Cigarette Update...needs discussion/decision My thoughts: Althought the industry could point to anything we do locally to use as ammunition in an argument to defend preemption, ultimately they are going to use that regardless of whether or not we do anything locally. My feeling is that as long as we don't push for a full prohibition of the sale of these e-cigs, this probably is a non-issue. Some factors to consider here are: * The typical tobacco industry is not (currently anyway) behind these e-cig products...so it could be likely they are even on our side with respect to regulations around these products. * We can draft this regulation very specific to these products being nicotine delivery devices unapproved by the FDA, therefore there is no inidcation that these products are even safe to use (leaning on the FDA's own warning letters and other information they've gathered from their evaluation of these products) * We would need to make sure that our media messages are consistent aroudn these products being nicotine delivery devices (not tobacco products). * By adopting reasonable regulations that essentially equate regulations on thse products to similar regulations on cigarettes (age restrictions, no free samples, inclusion to smokefree public places law, possibly limiting sale to adult only venues) that it is difficult for the "vapor industry" to cry foul (especially since virtually all of these products self label for adult use only) and I believe wouldn't likely cause alarm by those defending preemption. I'm interested in other idea/views though. Scott

________________________________ From: Johnson, Gareth Sent: Wednesday, October 20, 2010 3:02 PM To: Neal, Scott; Krieger, James Cc: Wood, Maria; Hamilton, Joy; Bennett, John; Ross-Viles, Sarah; Pearson, Anne; Muhm, Jennifer; Allis, Donna Subject: RE: E-Cigarette Update...needs discussion/decision

I agree that we have the legal authority to regulate this sort of product if we can draw a health-related reason to do so, and I don't think that would be too difficult to do. I'm more concerned about the strategic concerns being raised by ACS. I think we need to decide if this is so important to do now that we are prepared to risk failing to achieve the repeal of preemption in the coming session. I think this is the crux of the issue right now. Thoughts on that? ________________________________ From: Neal, Scott Sent: Wednesday, October 20, 2010 2:53 PM To: Krieger, James; Johnson, Gareth Cc: Wood, Maria; Hamilton, Joy; Bennett, John; Ross-Viles, Sarah; Pearson, Anne; Muhm, Jennifer; Allis, Donna
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Subject: RE: E-Cigarette Update...needs discussion/decision

yes, we have the ability to regulate this product. ________________________________ From: Krieger, James Sent: Wednesday, October 20, 2010 2:02 PM To: Neal, Scott; Johnson, Gareth Cc: Wood, Maria; Hamilton, Joy; Bennett, John; Ross-Viles, Sarah; Pearson, Anne; Muhm, Jennifer; Allis, Donna Subject: Re: E-Cigarette Update...needs discussion/decision

If e-cigs are not considered a tobacco product by fda...do we have any ability to regulate? I see it as both figure out what our dept position and then share with boh all the issues including alternative options...which include no action. Jim ________________________________ From: Neal, Scott To: Johnson, Gareth Cc: Wood, Maria; Hamilton, Joy; Bennett, John; Ross-Viles, Sarah; Pearson, Anne; Muhm, Jennifer; Krieger, James; Allis, Donna Sent: Wed Oct 20 13:55:07 2010 Subject: E-Cigarette Update...needs discussion/decision

Gary, We gathered additional info from a couple of meetings today on the topic of e-cigarettes. We need to discuss next steps given we meet tomorrow afternoon with the BOH tobacco policy committee. We need to consider the following: 1. Should we identify a clear position our dept. wants to take on this issue and propose this to the BOH Tobacco Policy Committee OR should we provide this level of detail to the committee and have an open discussion and see where that takes us regarding the level of policy brought before the BOH? 2. What is our dept's position on waiting until 2011 to move this policy forward given the latest concern from our state partners?...some of this may be tempered or eliminated depending on what final policy might be adopted. Conference call with ACS regarding statewide agenda and how local e-cig policy may interact: * ACS is now feeling somewhat concerned that even passing policy on e-cigarettes may have some negative effect on the state agenda in January as opponents to a youth access bill could use our recent action to provide an example to how local policies will be far reaching and inconsistent across the state. They suggested that it might be best to wait on this agenda until after the legislative session.
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FDA call regarding e-cigs: * FDA is handling each e-cig product case by case and examining each to determine what they are. They have evaluated approximately 700 different products and deemed ALL of them as a drug and device required to be regulated by the FDA (not as a tobacco product). They continue to issue warning letters to companies and the ecigarette association regarding these findings. It does not sound like they would ever consider these products as tobacco products under their current system. Their evaluation of these products includes reviewing all marketing and company produced materials, perceptions of product, how products are used, and any claims the manufacturer makes about the product. So even if an e-cigarette was marketed simply as an alternative to smoking regular cigarettes, the FDA would still likely consider this a drug and device, given it contains nicotine. * The case against the FDA's enforcement of these products is currently in the appellate court and they had no update on any expected timeline for a decision. They did however state that one of the two companies that brought the initial case has dropped out. Smoking Everywhere has dropped out, yet still has mall kiosks selling their products here locally. * Regarding local regulations, the FDA noted that others have begun by considering a full prohibition of the sale of these products, but have scaled back their regulations to simple age restrictions due in part to the e-cigarette and vapor coaltions speaking out on behalf of the product and its use for people to quit smoking regular cigarettes.

Thanks Scott

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From: "Greto, Lindsey" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 10/20/2010 4:04:43 PM Subject: E-cigs - school policies Just an FYI at this point: I brought up the e-cigarette issue at my meeting with Puget Sound Educational Service District yesterday. They're already on this issue at the policy level - and are currently working to revise school tobacco policies to include e-cigarettes. This is a huge task - to revise actual policies, they have to go to the state superintendent of instruction and also to each school board. Will keep you posted. Wendi Gilreath is the point person on this, if you want to talk with her. I let her know that we're doing some work in this arena as well. --Lindsey Greto, MPA >Tobacco Prevention Program >Public Health - Seattle & King County >Ph: (206) 263-9410 Fax: (206) 296-0177 >

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From: "Ross-Viles, Sarah" To: "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 10/20/2010 6:39:03 PM Subject: RE: E-cigs - school policies Is there a win to having to do this level of engagement? E.g., could PSESD also be talking about other emerging nicotine/tobacco products (orbs) to get people's tobacco fire lit? Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

>_____________________________________________ >From: Greto, Lindsey >Sent: Wednesday, October 20, 2010 1:05 PM >To: Neal, Scott; Ross-Viles, Sarah >Cc: Hamilton, Joy; Pearson, Anne >Subject: E-cigs - school policies > >Just an FYI at this point: I brought up the e-cigarette issue at my meeting with Puget Sound Educational Service District yesterday. They're already on this issue at the policy level - and are currently working to revise school tobacco policies to include e-cigarettes. This is a huge task - to revise actual policies, they have to go to the state superintendent of instruction and also to each school board. Will keep you posted. > >Wendi Gilreath is the point person on this, if you want to talk with her. I let her know that we're doing some work in this arena as well. > >-->Lindsey Greto, MPA >Tobacco Prevention Program >Public Health - Seattle & King County >Ph: (206) 263-9410 Fax: (206) 296-0177 >

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From: "Neal, Scott" To: "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 10/20/2010 4:09:56 PM Subject: RE: E-cigs - school policies Great thanks >_____________________________________________ >From: Greto, Lindsey >Sent: Wednesday, October 20, 2010 1:05 PM >To: Neal, Scott; Ross-Viles, Sarah >Cc: Hamilton, Joy; Pearson, Anne >Subject: E-cigs - school policies > >Just an FYI at this point: I brought up the e-cigarette issue at my meeting with Puget Sound Educational Service District yesterday. They're already on this issue at the policy level - and are currently working to revise school tobacco policies to include e-cigarettes. This is a huge task - to revise actual policies, they have to go to the state superintendent of instruction and also to each school board. Will keep you posted. > >Wendi Gilreath is the point person on this, if you want to talk with her. I let her know that we're doing some work in this arena as well. > >-->Lindsey Greto, MPA >Tobacco Prevention Program >Public Health - Seattle & King County >Ph: (206) 263-9410 Fax: (206) 296-0177 >

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From: "Greto, Lindsey" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 10/20/2010 7:04:51 PM Subject: RE: E-cigs - school policies Probably not a win - they're doing this independently of CPPW. It will impact the Alternative to Suspension, but it's doubtful that the policies will be in place before our grant is completed. It's on the radar, but not something that can be done quickly. And I can bring up other nicotine products, but I think it's covered in the current statewide policy. --Lindsey Greto, MPA >Tobacco Prevention Program >Public Health - Seattle & King County >Ph: (206) 263-9410 Fax: (206) 296-0177 > > >_____________________________________________ >From: Ross-Viles, Sarah >Sent: Wednesday, October 20, 2010 3:39 PM >To: Greto, Lindsey; Neal, Scott >Cc: Hamilton, Joy; Pearson, Anne >Subject: RE: E-cigs - school policies > >Is there a win to having to do this level of engagement? E.g., could PSESD also be talking about other emerging nicotine/tobacco products (orbs) to get people's tobacco fire lit? > >Sarah Ross-Viles >CPPW Tobacco Project Manager >Public Health - Seattle & King County >Suite 900 401 5th Avenue >Seattle, WA 98102 >(206) 263-8211 > > >_____________________________________________ >From: Greto, Lindsey >Sent: Wednesday, October 20, 2010 1:05 PM >To: Neal, Scott; Ross-Viles, Sarah >Cc: Hamilton, Joy; Pearson, Anne >Subject: E-cigs - school policies > >Just an FYI at this point: I brought up the e-cigarette issue at my meeting with Puget Sound Educational Service District yesterday. They're already on this issue at the policy level - and are currently working to revise school tobacco policies to include e-cigarettes. This is a huge task - to revise actual policies, they have to go to the state superintendent of instruction and also to each school board. Will keep you posted. > >Wendi Gilreath is the point person on this, if you want to talk with her. I let her know that we're doing some work in this arena as well.
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> >-->Lindsey Greto, MPA >Tobacco Prevention Program >Public Health - Seattle & King County >Ph: (206) 263-9410 Fax: (206) 296-0177 >

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From: To: Date: Subject: Thanks for the quick review john! Scott

"Neal, Scott" "Bennett, John" <John.Bennett@kingcounty.gov> 10/20/2010 7:25:09 PM RE: FDA Warning Letter Review Draft

>_____________________________________________ >From: Bennett, John >Sent: Wednesday, October 20, 2010 4:24 PM >To: Neal, Scott >Cc: Ross-Viles, Sarah; Hatzenbuehler, Eric >Subject: FDA Warning Letter Review Draft > >Hey Scott, > >I reviewed the letter to the ECA and the 5 major e-cigarette manufacturers. Luckily, the letter to the ECA provides general information as to why the products are in violation of the ACT. The 5 letters to the manufacturers only differ slightly in the evidence portion of the letter and the nature of the claims made. Generally they all claim that their product reduces nicotine cravings or withdrawal symptoms, and some claim to help people quit using nicotine all together by slowly reducing the amount of nicotine in the vapor inhaled. All such claims are the basis for why the product is classified as a drug and device. Details and the justification is in the document I drafted and attached in this email. > > > << File: FDA Warning.doc >>

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From: To: Date: Subject: Attachments: Hey Scott,

"Bennett, John" "Neal, Scott" <Scott.Neal@kingcounty.gov> 10/20/2010 7:23:54 PM FDA Warning Letter Review Draft FDA Warning.doc

I reviewed the letter to the ECA and the 5 major e-cigarette manufacturers. Luckily, the letter to the ECA provides general information as to why the products are in violation of the ACT. The 5 letters to the manufacturers only differ slightly in the evidence portion of the letter and the nature of the claims made. Generally they all claim that their product reduces nicotine cravings or withdrawal symptoms, and some claim to help people quit using nicotine all together by slowly reducing the amount of nicotine in the vapor inhaled. All such claims are the basis for why the product is classified as a drug and device. Details and the justification is in the document I drafted and attached in this email.

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From: To: Date: Subject: Attachments:

"Neal, Scott" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 10/20/2010 7:25:48 PM FW: FDA Warning Letter Review Draft FDA Warning.doc

FYII asked John to review these letters and here is his summary of his review. Scott >______________________________________________ >From: Bennett, John >Sent: Wednesday, October 20, 2010 4:24 PM >To: Neal, Scott >Cc: Ross-Viles, Sarah; Hatzenbuehler, Eric >Subject: FDA Warning Letter Review Draft > >Hey Scott, > >I reviewed the letter to the ECA and the 5 major e-cigarette manufacturers. Luckily, the letter to the ECA provides general information as to why the products are in violation of the ACT. The 5 letters to the manufacturers only differ slightly in the evidence portion of the letter and the nature of the claims made. Generally they all claim that their product reduces nicotine cravings or withdrawal symptoms, and some claim to help people quit using nicotine all together by slowly reducing the amount of nicotine in the vapor inhaled. All such claims are the basis for why the product is classified as a drug and device. Details and the justification is in the document I drafted and attached in this email. > > >

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From: To: Date: Subject: Hi Anne,

"Neal, Scott" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 10/22/2010 3:47:00 PM Follow up to BOH Tobacco Policy Committee Mtg

So as a next steps, is is possible for you to check in with some of the other jurisdictions regarding their experiences enacting e-cig regulations? I am going to check back in with the FDA on a couple of additional questions around what it means to be deemed "drug and device." In other words are these products truly "illegal?" What kind of authority and resources does FDA have to address this once they have determined these products must go through the FDA approval processwhat happens to the products currently on the shelves? Do they have authority and resources to deal with that or do they just deal with the importation, etc? I'm not sure what is on your plate outside of Tobacco so let me know if you don't feel that you can make some time to get some info from the other jurisdictions. Thanks Scott

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From: "Muhm, Jennifer" To: "Albetta, Gloria" <Gloria.Albetta@kingcounty.gov> "Apa, James" <James.Apa@kingcounty.gov> "Burgess, Moffett" <Moffett.Burgess@kingcounty.gov> "Carson, Kathy" <Kathy.Carson@kingcounty.gov> "Chaffee, Frank" <Frank.Chaffee@kingcounty.gov> "Ciske, Sandra" <Sandra.Ciske@kingcounty.gov> "Cordero, Julia" <Julia.Cordero@kingcounty.gov> "Cummins, Elaine" <Elaine.Cummins@kingcounty.gov> "Fleming, David" <David.Fleming@kingcounty.gov> "Gomez, Tony" <Tony.Gomez@kingcounty.gov> "Huus, Kathie" <Kathie.Huus@kingcounty.gov> "Johnson, Kirste" <Kirste.Johnson@kingcounty.gov> "Karasz, Hilary" <Hilary.Karasz@kingcounty.gov> "Kellogg, Ryan" <Ryan.Kellogg@kingcounty.gov> "Maurer, Carol" <Carol.Maurer@kingcounty.gov> "Muhm, Jennifer" <Jennifer.Muhm@kingcounty.gov> "Oberg, Donna" <Donna.Oberg@kingcounty.gov> "Podell, Lisa" <Lisa.Podell@kingcounty.gov> "Quinn, Rachel" <Rachel.Quinn@kingcounty.gov> "Russillo, Chrissy" <Chrissy.Russillo@kingcounty.gov> "Sadow-Hasenberg, Nicole" <Nicole.Sadow-Hasenberg@kingcounty.gov> "Sanchez, Kristie" <Kristie.Sanchez@kingcounty.gov> "Neal, Scott" "Teeter, Dorothy" <Dorothy.Teeter@kingcounty.gov> "Valenzuela, Matias" <Matias.Valenzuela@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Worsham, Dennis" <Dennis.Worsham@kingcounty.gov> Date: 10/22/2010 2:03:12 PM Subject: FROM THURS: October 21: Legislative Related News Clips

The Daily E-Clips


An electronic roundup of legislative news from Washington and the nation by the House and Senate Democratic Caucus Media Departments
(Time-sensitive material. Links may expire after the day of publication)

Thursday, October 21, 2010

PRINT
Aberdeen Daily World Property values on the rise

Bellingham Herald WWU prez: Universities could accomplish much with more state money
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Columbian Editorial: In our view: Half-Empty Glasses (economy)

Everett Herald Lt. Gov. Owen to lead trade mission to Taiwan Editorial: All-volunteer reality check Editorial: Curb all road distractions

Island Guardian Is A 2.5% + 2% Ferry Fare Hike Fair?

Kitsap Sun Ferry Fare Increase of 2.5 Percent Proposed for Jan. 1 More beef for E. Washington, N. Idaho food banks State offers concessions on Seattle tunnel project Overall value of Wash. farm products down Lt. Gov. Owen to lead trade mission to Taiwan (Rockefeller, Hatfield)

Longview Daily News Editorial: Two constitutional amendments deserve voters' support

News Tribune Economy will get better say experts at Tacoma event

Olympian Business split over income tax on rich Officials to take trade mission to Taiwan (Rockefeller, Hatfield) Most Northwest cities fall on national index

Puget Sound Business Journal WA's economic outlook: sluggish growth State fines Darigold $10K for fish kill

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Seattle Times Increase in ferry fares proposed State's lower teen-pregnancy rate doesn't tell whole story theWashBoard.org matches students with scholarships Would extending tax on bottled water save energy, create jobs? (Dunshee, Tom) Overall value of Wash. farm products down Op-ed: Across-the-board cuts put greater burdens on the elderly and vulnerable

Spokesman Review Blog: Ballot measures rake in big bucks

BROADCAST
KING 5 TV (NBC) New cigarette tax driving more smokers to black market

KIRO FM Initiative 1082 debate

KPLU FM Proposition 1: Will raising the sales tax save King County? Boeing rebounding from 2009 losses

KUOW FM Washington Doctors On Drug Company Payrolls

Q13 TV (Fox) Ballot 101: Initiatives 1100 & 1105

WEB
Northwest Progressive Institute Advocate NPI releases video explaining the cost and consequences of Tim Eyman and BP's I-1053

Publicola State Sen. Tom: The State Should Get Out of the Marriage Business.
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Schmudget Update: Liquor Privatization Measures Would Impair Public Priorities

Seattle PI State proposes 2.5 percent increase in ferry fares WSDOT releases tools for paying tolls

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From: To: Date: Subject: Hi Mayor Dave,

"Wood, Maria" "David R. Hutchinson" <mayord@ci.lake-forest-park.wa.us> 10/22/2010 12:46:11 PM Tobacco Sub-Committee - Sorry we missed you

Sorry we missed you for the meeting yesterday. We had a good discussion about the options for rule making on electronic cigarettes at the December BOH meeting. It is a bit complicated and has quite a few nuances, so Bud will get in touch with you to get you caught up on the details. We do have another Tobacco committee scheduled for November 17 at 1:30 here at CNK 1312 - please keep that on your calendar. Depending how things go, we may be able to do a conference call instead of a face to face meeting. Let me know if you have any questions. Thanks, Maria P.S. You should receive the packet for the BOH Special Meeting next week by the end of the day today.

E. Maria Wood, MA Board of Health Administrator Public Health - Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166

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From: To: Date: Subject: Hi Scott,

"Pearson, Anne" "Neal, Scott" <Scott.Neal@kingcounty.gov> 10/25/2010 12:55:48 PM RE: Follow up to BOH Tobacco Policy Committee Mtg

I'm afraid I'm a little swamped right now, and am really trying to set aside some time to work on the code language for e-cigarettes. Do you think Joy might have time to call the other jurisdictions now that she's back? Anne

>_____________________________________________ >From: Neal, Scott >Sent: Friday, October 22, 2010 12:47 PM >To: Pearson, Anne >Subject: Follow up to BOH Tobacco Policy Committee Mtg > >Hi Anne, > >So as a next steps, is is possible for you to check in with some of the other jurisdictions regarding their experiences enacting e-cig regulations? > >I am going to check back in with the FDA on a couple of additional questions around what it means to be deemed "drug and device." In other words are these products truly "illegal?" What kind of authority and resources does FDA have to address this once they have determined these products must go through the FDA approval processwhat happens to the products currently on the shelves? Do they have authority and resources to deal with that or do they just deal with the importation, etc? > >I'm not sure what is on your plate outside of Tobacco so let me know if you don't feel that you can make some time to get some info from the other jurisdictions. > >Thanks >Scott > >

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From: To: Date: Subject:


Sure thing...I'll connect with Joy Thanks Scott

"Neal, Scott" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 10/25/2010 1:16:24 PM Re: Follow up to BOH Tobacco Policy Committee Mtg

From: Pearson, Anne To: Neal, Scott Sent: Mon Oct 25 09:55:47 2010 Subject: RE: Follow up to BOH Tobacco Policy Committee Mtg

Hi Scott, I'm afraid I'm a little swamped right now, and am really trying to set aside some time to work on the code language for ecigarettes. Do you think Joy might have time to call the other jurisdictions now that she's back?

Anne

_____________________________________________ From: Neal, Scott Sent: Friday, October 22, 2010 12:47 PM To: Pearson, Anne Follow up to BOH Tobacco Policy Committee Mtg

Subject:

Hi Anne, So as a next steps, is is possible for you to check in with some of the other jurisdictions regarding their experiences enacting e-cig regulations? I am going to check back in with the FDA on a couple of additional questions around what it means to be deemed "drug and device." In other words are these products truly "illegal?" What kind of authority and resources does FDA have to address this once they have determined these products must go through the FDA approval processwhat happens to the products currently on the shelves? Do they have authority and resources to deal with that or do they just deal with the importation, etc? I'm not sure what is on your plate outside of Tobacco so let me know if you don't feel that you can make some time to get some info from the other jurisdictions. Thanks Scott

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From: To: Date: Subject:

"Neal, Scott" "Wood, Maria" <Maria.Wood@kingcounty.gov> 10/26/2010 4:29:56 PM RE: Tobacco Policy Meeting - E-Cigarettes

Has this meeting been set yet? DF asked today after reading the meeting minutes if we were still on board with a vote in December. I responded yes and that a meeting was supposed to be set up soon with him to discuss this in more detail. Scott >_____________________________________________ >From: Wood, Maria >Sent: Thursday, October 21, 2010 11:13 AM >To: Day, Esther >Cc: Neal, Scott >Subject: Tobacco Policy Meeting - E-Cigarettes > >Please schedule a meeting with David, if possible during the week of Nov 1, to include: > >Scott Neal >Gary Johnson >Joy Hamilton >Anne Pearson >Sarah Ross-Viles >Maria Wood > >Optional: Jim Krieger > >Thanks, >Maria > >E. Maria Wood, MA >Board of Health Administrator >Public Health Seattle & King County >401 Fifth Avenue, Suite 1300 >Seattle, WA 98104 >t: 206-263-8791 f: 206-296-0166 > >

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From: To: Date: Subject: I'll check in with Esther -

"Wood, Maria" "Neal, Scott" <Scott.Neal@kingcounty.gov> 10/26/2010 4:33:20 PM RE: Tobacco Policy Meeting - E-Cigarettes

>_____________________________________________ >From: Neal, Scott >Sent: Tuesday, October 26, 2010 1:30 PM >To: Wood, Maria >Subject: RE: Tobacco Policy Meeting - E-Cigarettes >Importance: High > >Has this meeting been set yet? DF asked today after reading the meeting minutes if we were still on board with a vote in December. I responded yes and that a meeting was supposed to be set up soon with him to discuss this in more detail. > >Scott > >_____________________________________________ >From: Wood, Maria >Sent: Thursday, October 21, 2010 11:13 AM >To: Day, Esther >Cc: Neal, Scott >Subject: Tobacco Policy Meeting - E-Cigarettes > >Please schedule a meeting with David, if possible during the week of Nov 1, to include: > >Scott Neal >Gary Johnson >Joy Hamilton >Anne Pearson >Sarah Ross-Viles >Maria Wood > >Optional: Jim Krieger > >Thanks, >Maria > >E. Maria Wood, MA >Board of Health Administrator >Public Health Seattle & King County >401 Fifth Avenue, Suite 1300 >Seattle, WA 98104 >t: 206-263-8791 f: 206-296-0166 > >

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From: "Hamilton, Joy" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 10/27/2010 12:41:54 PM Subject: FW: Electronic cigarettes Attachments: DiFranza Scientific American 2008 (2).pdf HB 1541.doc Talking Points E-Cigarettes Jan 2010.docx MedWatch - Electronic Cigarettes 07-22-09.doc PaigeNiler testimony5.rtf I spoke to Marie this morning about the recently passed legislation in NH. They stayed very focused on the youth aspect and had support from even the cigar association and it passed unanimously. Their main argument was that if NRT can't be bought by minors, why should they be able to buy ecigs? Joy

From: Marie Mulroy [mailto:mmulroy@breathenh.org] Sent: Wednesday, October 27, 2010 9:39 AM To: Hamilton, Joy Subject: Electronic cigarettes

Here is some background information on our bill. If you go on to our website www.breathenh.org towards the end of the homepage is a picture of the youth who sponsored the bill with the Governor click on the learn more about it here and it will take you to our YouTube information. Whatever help you need, let me know.
Marie Mulroy Manager Tobacco Program Breathe New Hampshire 9 Cedarw ood Drive, Unit 12 Bedford, NH 03110 tel: 603.669.2411 fax: 603.645.6220 email: mmulroy@breathenh.org

This email, originating from Breathe New Hampshire, including any files or attachments transmitted with it, contains confidential information and is intended for use only by the specific individual or entity to which it is addressed, and accordingly is protected by law. Any disclosure, copying or distribution of this e-mail or the taking of any action based on its contents, other than for its intended purpose, is strictly prohibited. If you are not the intended recipient, please contact sender immediately by reply email and destroy all copies. E-mail transmission cannot be guaranteed to be error-free or secure from viruses, and Breathe New Hampshire disclaims all liability for any resulting damage, errors, or omissions

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From: To: Date: Subject:

"Neal, Scott" "Walther, Tina" <Tina.Walther@fda.hhs.gov> 10/27/2010 11:34:05 AM Follow up e-cig questions

Hi Tina, As we proceed to address e-cigs here locally, we has another couple of follow up questions for you. Now that the FDA has determined that the e-cig products that have been tested must go through official FDA approval process as a "drug and device"...what happens now? As we all know, these products continue to be offered for sale in a growing number of retail locations. 1. What does it really mean to be identified as a product that must go through FDA approval? Does that mean the product is illegall in the U.S. without this approval? 2. Does the FDA have enforcement authority to address the importation of these products? If so, are there ongoing efforts to address the importation? If so, does the FDA consider this action to be successful at elminating/reducing the importation of these unapproved products? 3. What about on the retail end...does the FDA have enforcement authority there and if so what is being done to address the ongoing sale of these identified products?

Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

8_19_2011

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From: To: Date: Subject:

"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 10/28/2010 6:57:09 PM E-cig proposal one pager

Here it isand there are dated drafts in this folder too if you want to see the evolution

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From: "Neal, Scott" To: "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 10/28/2010 5:27:38 PM Subject: RE: Follow up e-cig questions
ok I'll ask

From: Johnson, Gareth Sent: Thursday, October 28, 2010 2:26 PM To: Neal, Scott; Hamilton, Joy; Pearson, Anne Cc: Bennett, John; Ross-Viles, Sarah; Hatzenbuehler, Eric Subject: RE: Follow up e-cig questions Perhaps you should ask a follow-up question as to whether FDA is able and inclined to provide agent authority to local agencies to engage in retail enforcement activities on FDA's behalf.

From: Neal, Scott Sent: Thursday, October 28, 2010 1:50 PM To: Hamilton, Joy; Pearson, Anne Cc: Bennett, John; Ross-Viles, Sarah; Hatzenbuehler, Eric; Johnson, Gareth Subject: FW: Follow up e-cig questions FYI...I'm not sure these answers help much, but I think this plays a part in our need for local control regarding these products (at some level anyway). Let me know if you have any follow up questions as I may respond asking for more detail on some of this. Scott

From: Walther, Tina [mailto:Tina.Walther@fda.hhs.gov] Sent: Thursday, October 28, 2010 1:07 PM To: Neal, Scott Cc: Levy, Michael; Bormel, Frances Gail Subject: RE: Follow up e-cig questions Scott, Please see our answers (in blue text) to your below questions. Sincerely, Tina Tina Walther Lieutenant, USPHS Consumer Safety Officer Over-the-Counter Drugs Team FDA/CDER/Office of Compliance Phone: 301-796-5086

-----Original Message----8_19_2011

Page 2 From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Wednesday, October 27, 2010 11:34 AM To: Walther, Tina Subject: Follow up e-cig questions Importance: High

Hi Tina, As we proceed to address e-cigs here locally, we has another couple of follow up questions for you. Now that the FDA has determined that the e-cig products that have been tested must go through official FDA approval process as a "drug and device"...what happens now? As we all know, these products continue to be offered for sale in a growing number of retail locations. 1. What does it really mean to be identified as a product that must go through FDA approval? Does that mean the product is illegall in the U.S. without this approval? In reference to the five warning letters, those products identified in the letters would require a New Drug Application (NDA) to be legally marketed in the U.S. Please refer to our letter to the ECA for a description of the approval process (http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/UCM225263.pdf)

2. Does the FDA have enforcement authority to address the importation of these products? If so, are there ongoing efforts to address the importation? If so, does the FDA consider this action to be successful at elminating/reducing the importation of these unapproved products? FDA continues to review and refuse importations of electronic cigarette products on a case-by-case basis when the agency finds that they are unapproved drug/device combinations. Since the first FDA documented shipment of electronic cigarettes imported to the US, FDA has prevented over 800 shipments from entering the country.

3. What about on the retail end...does the FDA have enforcement authority there and if so what is being done to address the ongoing sale of these identified products? Since the majority of these products are imported into the country, we are focusing our efforts on reviewing these entries on a case-by-case basis.

Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

8_19_2011

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From: "Johnson, Gareth" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 10/28/2010 5:27:06 PM Subject: RE: Follow up e-cig questions
Perhaps you should ask a follow-up question as to whether FDA is able and inclined to provide agent authority to local agencies to engage in retail enforcement activities on FDA's behalf.

From: Neal, Scott Sent: Thursday, October 28, 2010 1:50 PM To: Hamilton, Joy; Pearson, Anne Cc: Bennett, John; Ross-Viles, Sarah; Hatzenbuehler, Eric; Johnson, Gareth Subject: FW: Follow up e-cig questions FYI...I'm not sure these answers help much, but I think this plays a part in our need for local control regarding these products (at some level anyway). Let me know if you have any follow up questions as I may respond asking for more detail on some of this. Scott

From: Walther, Tina [mailto:Tina.Walther@fda.hhs.gov] Sent: Thursday, October 28, 2010 1:07 PM To: Neal, Scott Cc: Levy, Michael; Bormel, Frances Gail Subject: RE: Follow up e-cig questions Scott, Please see our answers (in blue text) to your below questions. Sincerely, Tina Tina Walther Lieutenant, USPHS Consumer Safety Officer Over-the-Counter Drugs Team FDA/CDER/Office of Compliance Phone: 301-796-5086

-----Original Message----From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Wednesday, October 27, 2010 11:34 AM To: Walther, Tina Subject: Follow up e-cig questions Importance: High

Hi Tina, As we proceed to address e-cigs here locally, we has another couple of 8_19_2011

Page 2 follow up questions for you. Now that the FDA has determined that the e-cig products that have been tested must go through official FDA approval process as a "drug and device"...what happens now? As we all know, these products continue to be offered for sale in a growing number of retail locations. 1. What does it really mean to be identified as a product that must go through FDA approval? Does that mean the product is illegall in the U.S. without this approval? In reference to the five warning letters, those products identified in the letters would require a New Drug Application (NDA) to be legally marketed in the U.S. Please refer to our letter to the ECA for a description of the approval process (http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/UCM225263.pdf)

2. Does the FDA have enforcement authority to address the importation of these products? If so, are there ongoing efforts to address the importation? If so, does the FDA consider this action to be successful at elminating/reducing the importation of these unapproved products? FDA continues to review and refuse importations of electronic cigarette products on a case-by-case basis when the agency finds that they are unapproved drug/device combinations. Since the first FDA documented shipment of electronic cigarettes imported to the US, FDA has prevented over 800 shipments from entering the country.

3. What about on the retail end...does the FDA have enforcement authority there and if so what is being done to address the ongoing sale of these identified products? Since the majority of these products are imported into the country, we are focusing our efforts on reviewing these entries on a case-by-case basis.

Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

8_19_2011

Page 1

From: "Neal, Scott" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 10/28/2010 4:50:21 PM Subject: FW: Follow up e-cig questions
FYI...I'm not sure these answers help much, but I think this plays a part in our need for local control regarding these products (at some level anyway). Let me know if you have any follow up questions as I may respond asking for more detail on some of this. Scott

From: Walther, Tina [mailto:Tina.Walther@fda.hhs.gov] Sent: Thursday, October 28, 2010 1:07 PM To: Neal, Scott Cc: Levy, Michael; Bormel, Frances Gail Subject: RE: Follow up e-cig questions Scott, Please see our answers (in blue text) to your below questions. Sincerely, Tina Tina Walther Lieutenant, USPHS Consumer Safety Officer Over-the-Counter Drugs Team FDA/CDER/Office of Compliance Phone: 301-796-5086

-----Original Message----From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Wednesday, October 27, 2010 11:34 AM To: Walther, Tina Subject: Follow up e-cig questions Importance: High

Hi Tina, As we proceed to address e-cigs here locally, we has another couple of follow up questions for you. Now that the FDA has determined that the e-cig products that have been tested must go through official FDA approval process as a "drug and device"...what happens now? As we all know, these products continue to be offered for sale in a growing number of retail locations. 1. What does it really mean to be identified as a product that must go through FDA approval? Does that mean the product is illegall in the U.S. without this approval? In reference to the five warning letters, those products identified in the letters would require a New Drug Application (NDA) 8_19_2011

Page 2 to be legally marketed in the U.S. Please refer to our letter to the ECA for a description of the approval process (http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/UCM225263.pdf)

2. Does the FDA have enforcement authority to address the importation of these products? If so, are there ongoing efforts to address the importation? If so, does the FDA consider this action to be successful at elminating/reducing the importation of these unapproved products? FDA continues to review and refuse importations of electronic cigarette products on a case-by-case basis when the agency finds that they are unapproved drug/device combinations. Since the first FDA documented shipment of electronic cigarettes imported to the US, FDA has prevented over 800 shipments from entering the country.

3. What about on the retail end...does the FDA have enforcement authority there and if so what is being done to address the ongoing sale of these identified products? Since the majority of these products are imported into the country, we are focusing our efforts on reviewing these entries on a case-by-case basis.

Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

8_19_2011

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From: To: Date: Subject:


Scott,

"Walther, Tina" <Tina.Walther@fda.hhs.gov> "Neal, Scott" 10/28/2010 4:07:41 PM RE: Follow up e-cig questions

Please see our answers (in blue text) to your below questions. Sincerely, Tina Tina Walther Lieutenant, USPHS Consumer Safety Officer Over-the-Counter Drugs Team FDA/CDER/Office of Compliance Phone: 301-796-5086

-----Original Message----From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Wednesday, October 27, 2010 11:34 AM To: Walther, Tina Subject: Follow up e-cig questions Importance: High

Hi Tina, As we proceed to address e-cigs here locally, we has another couple of follow up questions for you. Now that the FDA has determined that the e-cig products that have been tested must go through official FDA approval process as a "drug and device"...what happens now? As we all know, these products continue to be offered for sale in a growing number of retail locations. 1. What does it really mean to be identified as a product that must go through FDA approval? Does that mean the product is illegall in the U.S. without this approval? In reference to the five warning letters, those products identified in the letters would require a New Drug Application (NDA) to be legally marketed in the U.S. Please refer to our letter to the ECA for a description of the approval process (http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/UCM225263.pdf)

2. Does the FDA have enforcement authority to address the importation of these products? If so, are there ongoing efforts to address the importation? If so, does the FDA consider this action to be successful at elminating/reducing the importation of these unapproved products? FDA continues to review and refuse importations of electronic cigarette products on a case-by-case basis when the agency finds that they are unapproved drug/device combinations. Since the first FDA documented shipment of electronic cigarettes imported to the US, FDA has prevented over 800 shipments from entering the country.

3. What about on the retail end...does the FDA have enforcement authority there and if so what is being done to address the ongoing sale 8_19_2011

Page 2 of these identified products? Since the majority of these products are imported into the country, we are focusing our efforts on reviewing these entries on a case-by-case basis.

Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

8_19_2011

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From: "Neal, Scott" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 10/28/2010 6:50:53 PM Subject: FW: Intiman Plan
Joy and Anne... I think you should be aware of this situation and chain of emails. I have talked with Gary about this action plan and we plan to set up this meeting with the Intiman theater soon. However I have also asked John and Eric to do some checking on other theater policies around Seattle to gauge how many have similar "herbal only" policies for use during performances. This is a topic that will likely come up during our meeting on Tuesday with DF regarding the BOH action on e-cigs and I want all of us to be on the same page. Given a number of reasons, I'm really not interested in carving out any exemption for e-cig use during performances as we begin drafting BOH code language restricting where these can be used. Let me know if you have any specific thoughts on this issue as well. Scott

From: Johnson, Gareth Sent: Thursday, October 28, 2010 7:51 AM To: Neal, Scott Subject: FW: Intiman Plan Scott, I think it will be helpful for you to read the string below, bottom to top, for context. I think David's instruction for now is pretty clear. If not, let's talk.

From: Fleming, David Sent: Wednesday, October 27, 2010 7:19 PM To: Johnson, Gareth Subject: Re: Intiman Plan I would like you to have an informational only meeting with them as a first step. NOT an enforcement meeting or even a "you are in violation and we are here to educate you". Share the complaint with them and assess their reaction and the extent to which they see this as a problem. Let me know if you have questions and if not what the outcome is.

From: Johnson, Gareth To: Fleming, David Sent: Wed Oct 27 16:08:56 2010 Subject: RE: Intiman Plan None so far. Knowing that the former executive had ruled out enforcement related to theatrical smoking, I told Scott we should not initiate contact until such time as we knew if we had approval to move on this. If we are going to talk with Intiman Theater, we will need to talk with the host of other theaters in King County. I didn't think such a large scale effort should commence prior to learning if we were cleared to tell them that our review of this issue in light of a recent complaint had led us to the conclusion that such smoking is prohibited by state law and the BOH code. At the point we share that we will also offer consultation about how to make the transition and what legal alternatives are available to portray smoking in a performance. The complaint that initiated this review is included in one of the attachments to the original message I sent you on this topic. The complaining citizen first made his complaint known to Intiman Theater who told him that a Seattle City Code provision exempted theatrical performances from the smoking ban. That was accurate prior to the implementation of the current state smoking restrictions late in 2005, but the new state law trumped the old city code. So they are aware of the complaint from the citizen but not, so far as we know, of that fact that the citizen brought the complaint to us or that we are contemplating our next move. 8_19_2011

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From: Fleming, David Sent: Wednesday, October 27, 2010 1:31 PM To: Johnson, Gareth Subject: Re: Intiman Plan Please review for me the nature of the educational interactions we've had with them. Are they familiar with the recent event Scott describes?

From: Johnson, Gareth To: Fleming, David Sent: Wed Oct 27 09:16:16 2010 Subject: RE: Intiman Plan I have talked with Scott about the plan of action and in general I agree with it. I certainly agree that there is nothing in our state law that would exempt smoking on stage. I was somewhat surprised by the legal analysis that Anne prepared, but given we aren't the only state with such all inclusive language, I do believe she got this right. Where I might differ from Scott, at least at first glance, is how simple he makes it sound to move from education and consultation to enforcement. As I told him, we worked for four years with Qwest before getting to the point of enforcement so we can certainly expect to spend months working with the theater owners/managers to help them come to terms with this change. I think it's the right thing to do, but we don't need to move precipitously to achieve the full change. I'm more concerned with Dow's reaction to this. I think he's not going to be comfortable with it, although it doesn't strike me as so much of a change in policy as Qwest was. Before we get to that point, we need to talk this through with Jane McKenzie and quite likely Kevin Wright. Jane has raised the first amendment issue and I want to have a meeting with her with Scott and Anne participating to bring her up to speed. I didn't see any point in calling that meeting until we got your feedback as to whether you are comfortable with our proceeding.

From: Fleming, David Sent: Tuesday, October 26, 2010 6:19 PM To: Johnson, Gareth Subject: Re: Intiman Plan Do you think this approach is the best approach?

From: Johnson, Gareth To: Fleming, David; Huus, Kathie; Leifer, Ben; Teeter, Dorothy Cc: Neal, Scott; Pearson, Anne; Allis, Donna; Krieger, James Sent: Tue Oct 26 16:41:40 2010 Subject: FW: Intiman Plan

David, as you will see from the message below, we believe smoking of any sort in prohibited by WA state law in any public place/place of employment and this this extends to theatrical performances. As I noted in an earlier message on the topic of smoking in theaters, there is some history on this and I think you should consider briefing the county executive before we move forward on steps to contact the Intiman or any other theater. Let me know if you would like to meet to discuss this further.
______________________________________________ From: Neal, Scott Sent: Tuesday, October 26, 2010 1:14 PM To: Cc: Johnson, Gareth Bennett, John; Hatzenbuehler, Eric

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Subject: FW: Intiman Plan

Hi Gary, We put this information together to cover the issue about smoking in theaters. Take a look and let me know if you have any questions. This should cover the rationale for our proposed plan of action regarding smoking of non-tobacco in theaters. Thanks Scott

Smoking in Theaters
Background: The Intiman Theater currently uses tobacco-free herbal cigarettes during some performances to portray smoking on stage. They use herbal cigarettes in part to ensure that they are not in violation of the state and local smoking bans. At a recent performance, a member of the public attended a performance at the theater and was unaware that smoking would be permitted on stage. After a brief period of exposure, the individual suffered respiratory distress and was forced to leave the theater. This person has indicated that they had to go to their doctor for medical attention. Interpretation of Law: KCBOH Chapter 19.03 prohibits smoking in all public places and places of employment within King County. Although Chapter 19.03 is located in Title 19 of the Health code (Tobacco Products), the prohibition on smoking applies beyond the smoking of tobacco products to the carrying or smoking of any kind of lighted pipe, cigar, cigarette, or any other lighted smoking equipment. (Emphasis added.) The program concludes that KCBOH 19.03 prohibits the smoking of herbal cigarettes in public places insofar as they can be classified as either a subclass of cigarettes or lighted smoking equipment. Because the smoking of herbal cigarettes emits particles which could be harmful if ingested, this interpretation meets the expressed intent of the code to protect and preserve the peace, health, safety, and public welfare. The program has also reviewed whether the enforcement of Chapter 19.03 in theatrical productions would violate the right to free expression guaranteed under the U.S. or state constitutions. The Colorado State Supreme Court recently examined this question in Curious Theater Co. v. CO Dept. of Public Health, 220 Pd.3d 544 (2009). There, the court concluded that Colorados smoke-free air law, which also prohibits the smoking of any lit product, was a permissible content-neutral restriction on the time, place and manner of conduct, and was justified by a legitimate government interest in protecting people from exposure to secondhand smoke. The program believes that Chapter 19.03, as enforced against a theatrical production, would withstand a First Amendment challenge. Like the Colorado smoke-free air law, Chapter 19.03 is a content-neutral restriction on conduct that is motivated by a desire to protect and preserve the public health. Further, theater owners may continue to depict characters that smoke through the use of fake or prop cigarettes.

A full account of all constitutional arguments raised against smoke-free air laws can be found in: Legal Authority to Regulate Smoking and Common Threats and Challenges: 2009.
<<Legal Authority to Regulate Smoking.pdf>>

Plan of Action The program proposes to contact the theater and educate them regarding the applicability of the law to smoking herbal cigarettes on stage. The program will offer to discuss acceptable ways that smoking can be portrayed on stage without violation KCBOH Code 19.03 and will be available to review any potential alternatives the theater
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suggests. The program will work with the theater to identify the shows where smoking will be portrayed and request access to the theater during such performances as necessary to ensure compliance with the smoking ban. In the event that the theater continues to permit the use of smoking materials such as herbal cigarettes, the program will enforce KCBOH Code 19.03 in accordance with standard protocol.

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From: To: Date: Subject:

"Bennett, John" "Neal, Scott" <Scott.Neal@kingcounty.gov> 10/28/2010 8:26:19 PM Theater Calls

Found 5 Theaters and left calls with their production managers. Have already heard back from two of them: Paramount- waiting Moore- waiting 5th Ave- They have a no-tobacco policy. They use herbal products when portraying smoking on stage. The also take steps such as increasing airflow and directed air away from audience to reduce exposure but they still get a few complaints any time they portray smoking on stage. ACT- Uses e-cigs fro incidental smoking portrayals. For plays that have a large amount of smoking and it is integral to the performance, they use regular cigarettes- but they do there best to rely on this as little as possible. They are very concerned about the possibility of any law being changes that would not allow for the portrayal of smoking by using real cigarettes. Seattle Rep- waiting

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From: To: Date: Subject:

"Neal, Scott" "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> 10/28/2010 5:44:44 PM FW: Timeline for December BOH work

FYIjust thought you might like to see the crunch we are under. We will make this happen, but the number of days are tight. >______________________________________________ >From: Hamilton, Joy >Sent: Thursday, October 28, 2010 2:31 PM >To: Neal, Scott; Pearson, Anne >Cc: Ross-Viles, Sarah; Bennett, John; Wood, Maria >Subject: Timeline for December BOH work > >Hey all, > >Here's the timeline for the next month as we prepare for the December BOH meeting: > >Nov 2 -- meeting with David Fleming (to get his buy in and direction about e-cigs policies) >Nov 3 or later -- Scott to check in with Jennifer Muhm and Chrissy Russillo to keep them in the loop >Nov 15 -- draft to PAO for review >Nov 17 -- BOH Tobacco Policy meeting (and their review of draft) >Nov 23 -- final draft to Bruce Ritzen (code language review) >Dec 3 -- staff report to Maria >Dec 14 -- PPT to Maria >Dec 16 -- BOH meeting > >Let me know if you have questions or dates that need to be added. > >Maria -- can you check with Bruce Ritzen that this schedule works since its right around the Thanksgiving holiday? > >Thanks, >Joy

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From: To: Date: Subject:

"Johnson, Gareth" "Neal, Scott" <Scott.Neal@kingcounty.gov> 10/28/2010 6:25:40 PM RE: Timeline for December BOH work

We haven't talked about this much lately, but remember that the way you are conducting yourself as the manager is an important part of the reason the policy makers are willing to support the program now. That, at least, is undoubtedly a good thing. >_____________________________________________ >From: Neal, Scott >Sent: Thursday, October 28, 2010 3:23 PM >To: Johnson, Gareth >Subject: RE: Timeline for December BOH work > >I guess bettterjust more complicated :) > >_____________________________________________ >From: Johnson, Gareth >Sent: Thursday, October 28, 2010 3:23 PM >To: Neal, Scott >Subject: RE: Timeline for December BOH work > >So noted. Is this better or worse than when the Tobacco Program was struggling to get noticed by policy makers? > >_____________________________________________ >From: Neal, Scott >Sent: Thursday, October 28, 2010 2:45 PM >To: Johnson, Gareth >Subject: FW: Timeline for December BOH work > >FYIjust thought you might like to see the crunch we are under. We will make this happen, but the number of days are tight. > >______________________________________________ >From: Hamilton, Joy >Sent: Thursday, October 28, 2010 2:31 PM >To: Neal, Scott; Pearson, Anne >Cc: Ross-Viles, Sarah; Bennett, John; Wood, Maria >Subject: Timeline for December BOH work > >Hey all, > >Here's the timeline for the next month as we prepare for the December BOH meeting: > >Nov 2 -- meeting with David Fleming (to get his buy in and direction about e-cigs policies) >Nov 3 or later -- Scott to check in with Jennifer Muhm and Chrissy Russillo to keep them in the loop >Nov 15 -- draft to PAO for review >Nov 17 -- BOH Tobacco Policy meeting (and their review of draft) >Nov 23 -- final draft to Bruce Ritzen (code language review) >Dec 3 -- staff report to Maria
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>Dec 14 -- PPT to Maria >Dec 16 -- BOH meeting > >Let me know if you have questions or dates that need to be added. > >Maria -- can you check with Bruce Ritzen that this schedule works since its right around the Thanksgiving holiday? > >Thanks, >Joy

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From: To: Date: Subject:

"Neal, Scott" "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> 10/28/2010 6:23:22 PM RE: Timeline for December BOH work

I guess bettterjust more complicated :) >_____________________________________________ >From: Johnson, Gareth >Sent: Thursday, October 28, 2010 3:23 PM >To: Neal, Scott >Subject: RE: Timeline for December BOH work > >So noted. Is this better or worse than when the Tobacco Program was struggling to get noticed by policy makers? > >_____________________________________________ >From: Neal, Scott >Sent: Thursday, October 28, 2010 2:45 PM >To: Johnson, Gareth >Subject: FW: Timeline for December BOH work > >FYIjust thought you might like to see the crunch we are under. We will make this happen, but the number of days are tight. > >______________________________________________ >From: Hamilton, Joy >Sent: Thursday, October 28, 2010 2:31 PM >To: Neal, Scott; Pearson, Anne >Cc: Ross-Viles, Sarah; Bennett, John; Wood, Maria >Subject: Timeline for December BOH work > >Hey all, > >Here's the timeline for the next month as we prepare for the December BOH meeting: > >Nov 2 -- meeting with David Fleming (to get his buy in and direction about e-cigs policies) >Nov 3 or later -- Scott to check in with Jennifer Muhm and Chrissy Russillo to keep them in the loop >Nov 15 -- draft to PAO for review >Nov 17 -- BOH Tobacco Policy meeting (and their review of draft) >Nov 23 -- final draft to Bruce Ritzen (code language review) >Dec 3 -- staff report to Maria >Dec 14 -- PPT to Maria >Dec 16 -- BOH meeting > >Let me know if you have questions or dates that need to be added. > >Maria -- can you check with Bruce Ritzen that this schedule works since its right around the Thanksgiving holiday? > >Thanks, >Joy
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From: To: Date: Subject:

"Johnson, Gareth" "Neal, Scott" <Scott.Neal@kingcounty.gov> 10/28/2010 6:22:50 PM RE: Timeline for December BOH work

So noted. Is this better or worse than when the Tobacco Program was struggling to get noticed by policy makers? >_____________________________________________ >From: Neal, Scott >Sent: Thursday, October 28, 2010 2:45 PM >To: Johnson, Gareth >Subject: FW: Timeline for December BOH work > >FYIjust thought you might like to see the crunch we are under. We will make this happen, but the number of days are tight. > >______________________________________________ >From: Hamilton, Joy >Sent: Thursday, October 28, 2010 2:31 PM >To: Neal, Scott; Pearson, Anne >Cc: Ross-Viles, Sarah; Bennett, John; Wood, Maria >Subject: Timeline for December BOH work > >Hey all, > >Here's the timeline for the next month as we prepare for the December BOH meeting: > >Nov 2 -- meeting with David Fleming (to get his buy in and direction about e-cigs policies) >Nov 3 or later -- Scott to check in with Jennifer Muhm and Chrissy Russillo to keep them in the loop >Nov 15 -- draft to PAO for review >Nov 17 -- BOH Tobacco Policy meeting (and their review of draft) >Nov 23 -- final draft to Bruce Ritzen (code language review) >Dec 3 -- staff report to Maria >Dec 14 -- PPT to Maria >Dec 16 -- BOH meeting > >Let me know if you have questions or dates that need to be added. > >Maria -- can you check with Bruce Ritzen that this schedule works since its right around the Thanksgiving holiday? > >Thanks, >Joy

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From: To: Date: Subject: Awesom thanks

"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 10/28/2010 5:44:55 PM RE: Timeline for December BOH work

>_____________________________________________ >From: Hamilton, Joy >Sent: Thursday, October 28, 2010 2:31 PM >To: Neal, Scott; Pearson, Anne >Cc: Ross-Viles, Sarah; Bennett, John; Wood, Maria >Subject: Timeline for December BOH work > >Hey all, > >Here's the timeline for the next month as we prepare for the December BOH meeting: > >Nov 2 -- meeting with David Fleming (to get his buy in and direction about e-cigs policies) >Nov 3 or later -- Scott to check in with Jennifer Muhm and Chrissy Russillo to keep them in the loop >Nov 15 -- draft to PAO for review >Nov 17 -- BOH Tobacco Policy meeting (and their review of draft) >Nov 23 -- final draft to Bruce Ritzen (code language review) >Dec 3 -- staff report to Maria >Dec 14 -- PPT to Maria >Dec 16 -- BOH meeting > >Let me know if you have questions or dates that need to be added. > >Maria -- can you check with Bruce Ritzen that this schedule works since its right around the Thanksgiving holiday? > >Thanks, >Joy

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From: To: Date: Subject:

"Wood, Maria" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 10/28/2010 5:34:12 PM RE: Timeline for December BOH work

Thanks for the timeline. I will check in with Bruce and the clerk's office about their participation. Maria

>_____________________________________________ >From: Hamilton, Joy >Sent: Thursday, October 28, 2010 2:31 PM >To: Neal, Scott; Pearson, Anne >Cc: Ross-Viles, Sarah; Bennett, John; Wood, Maria >Subject: Timeline for December BOH work > >Hey all, > >Here's the timeline for the next month as we prepare for the December BOH meeting: > >Nov 2 -- meeting with David Fleming (to get his buy in and direction about e-cigs policies) >Nov 3 or later -- Scott to check in with Jennifer Muhm and Chrissy Russillo to keep them in the loop >Nov 15 -- draft to PAO for review >Nov 17 -- BOH Tobacco Policy meeting (and their review of draft) >Nov 23 -- final draft to Bruce Ritzen (code language review) >Dec 3 -- staff report to Maria >Dec 14 -- PPT to Maria >Dec 16 -- BOH meeting > >Let me know if you have questions or dates that need to be added. > >Maria -- can you check with Bruce Ritzen that this schedule works since its right around the Thanksgiving holiday? > >Thanks, >Joy

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From: To: Date: Subject: Point well taken

"Neal, Scott" "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> 10/28/2010 6:29:00 PM RE: Timeline for December BOH work

>_____________________________________________ >From: Johnson, Gareth >Sent: Thursday, October 28, 2010 3:26 PM >To: Neal, Scott >Subject: RE: Timeline for December BOH work > >We haven't talked about this much lately, but remember that the way you are conducting yourself as the manager is an important part of the reason the policy makers are willing to support the program now. That, at least, is undoubtedly a good thing. > >_____________________________________________ >From: Neal, Scott >Sent: Thursday, October 28, 2010 3:23 PM >To: Johnson, Gareth >Subject: RE: Timeline for December BOH work > >I guess bettterjust more complicated :) > >_____________________________________________ >From: Johnson, Gareth >Sent: Thursday, October 28, 2010 3:23 PM >To: Neal, Scott >Subject: RE: Timeline for December BOH work > >So noted. Is this better or worse than when the Tobacco Program was struggling to get noticed by policy makers? > >_____________________________________________ >From: Neal, Scott >Sent: Thursday, October 28, 2010 2:45 PM >To: Johnson, Gareth >Subject: FW: Timeline for December BOH work > >FYIjust thought you might like to see the crunch we are under. We will make this happen, but the number of days are tight. > >______________________________________________ >From: Hamilton, Joy >Sent: Thursday, October 28, 2010 2:31 PM >To: Neal, Scott; Pearson, Anne >Cc: Ross-Viles, Sarah; Bennett, John; Wood, Maria >Subject: Timeline for December BOH work > >Hey all, >
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>Here's the timeline for the next month as we prepare for the December BOH meeting: > >Nov 2 -- meeting with David Fleming (to get his buy in and direction about e-cigs policies) >Nov 3 or later -- Scott to check in with Jennifer Muhm and Chrissy Russillo to keep them in the loop >Nov 15 -- draft to PAO for review >Nov 17 -- BOH Tobacco Policy meeting (and their review of draft) >Nov 23 -- final draft to Bruce Ritzen (code language review) >Dec 3 -- staff report to Maria >Dec 14 -- PPT to Maria >Dec 16 -- BOH meeting > >Let me know if you have questions or dates that need to be added. > >Maria -- can you check with Bruce Ritzen that this schedule works since its right around the Thanksgiving holiday? > >Thanks, >Joy

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From: "Hamilton, Joy" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 10/28/2010 5:30:39 PM Subject: Timeline for December BOH work Hey all, Here's the timeline for the next month as we prepare for the December BOH meeting: Nov 2 -- meeting with David Fleming (to get his buy in and direction about e-cigs policies) Nov 3 or later -- Scott to check in with Jennifer Muhm and Chrissy Russillo to keep them in the loop Nov 15 -- draft to PAO for review Nov 17 -- BOH Tobacco Policy meeting (and their review of draft) Nov 23 -- final draft to Bruce Ritzen (code language review) Dec 3 -- staff report to Maria Dec 14 -- PPT to Maria Dec 16 -- BOH meeting Let me know if you have questions or dates that need to be added. Maria -- can you check with Bruce Ritzen that this schedule works since its right around the Thanksgiving holiday? Thanks, Joy

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From: To: Date: Subject:


FYI...

"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 10/28/2010 5:17:08 PM FW: Tobacco Committee

Maria, we've already provided links to the FDA website on e-cigs and other background info, but I did just get a few additional questions answered regarding e-cigs. So we'll try to put together a few bullet points of general high level regarding the FDA's stance and authority over this issue and have that ready for the DF meeting next Tuesday. Scott

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Thursday, October 28, 2010 2:11 PM To: Wood, Maria; Neal, Scott Subject: FW: Tobacco Committee I talked briefly to Sally Clark and confirmed that she is firmly behind 1A and interested in hearing FDAs position on ecigarettes. Bud Bud Nicola bnicola@uw.edu

From: Clark, Sally [mailto:Sally.Clark@seattle.gov] Sent: Wednesday, October 27, 2010 5:17 PM To: Bud Nicola Cc: Brown, LaTonya Subject: RE: Tobacco Committee

Hello, Bud My schedule is a bit of a wreck with budget meetings. Are you busy tomorrow afternoon around 2 p.m.? Sally J. Clark Seattle City Council 600 Fourth Ave., 2nd Floor PO Box 34025 Seattle, WA 98104-1860 (206) 684-8802 office, (206) 684-8587 fax, (206) 233-0025 TTY sally.clark@seattle.gov
From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Wednesday, October 27, 2010 3:51 PM To: Clark, Sally Subject: Tobacco Committee Hi Sally, When is a good time to talk about the direction of the Tobacco Committee? It sounds like Jerry did a nice job of briefing you so we can keep the call short. Bud

--Bud Nicola, MD, MHSA, FACPM Faculty, Northwest Center for Public Health Practice CDC Field Assignee University of Washington School of Public Health 8_19_2011

Page 2 Department of Health Services Box 357660 Room H681 Seattle, Washington 98195-7660 (206) 221-6179 bnicola@uw.edu

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From: "Neal, Scott" To: "Wood, Maria" <Maria.Wood@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 10/28/2010 5:24:44 PM Subject: RE: Tobacco Committee
yep

From: Wood, Maria Sent: Thursday, October 28, 2010 2:25 PM To: Neal, Scott; Hamilton, Joy Subject: RE: Tobacco Committee Great. That document would be good to share with the committee too once we have had our meeting with DF.

From: Neal, Scott Sent: Thursday, October 28, 2010 2:17 PM To: Hamilton, Joy Cc: Wood, Maria Subject: FW: Tobacco Committee FYI... Maria, we've already provided links to the FDA website on e-cigs and other background info, but I did just get a few additional questions answered regarding e-cigs. So we'll try to put together a few bullet points of general high level regarding the FDA's stance and authority over this issue and have that ready for the DF meeting next Tuesday. Scott

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Thursday, October 28, 2010 2:11 PM To: Wood, Maria; Neal, Scott Subject: FW: Tobacco Committee I talked briefly to Sally Clark and confirmed that she is firmly behind 1A and interested in hearing FDAs position on ecigarettes. Bud Bud Nicola bnicola@uw.edu

From: Clark, Sally [mailto:Sally.Clark@seattle.gov] Sent: Wednesday, October 27, 2010 5:17 PM To: Bud Nicola Cc: Brown, LaTonya Subject: RE: Tobacco Committee

Hello, Bud My schedule is a bit of a wreck with budget meetings. Are you busy tomorrow afternoon around 2 p.m.? Sally J. Clark Seattle City Council 600 Fourth Ave., 2nd Floor PO Box 34025
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Seattle, WA 98104-1860 (206) 684-8802 office, (206) 684-8587 fax, (206) 233-0025 TTY sally.clark@seattle.gov
From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Wednesday, October 27, 2010 3:51 PM To: Clark, Sally Subject: Tobacco Committee Hi Sally, When is a good time to talk about the direction of the Tobacco Committee? It sounds like Jerry did a nice job of briefing you so we can keep the call short. Bud

--Bud Nicola, MD, MHSA, FACPM Faculty, Northwest Center for Public Health Practice CDC Field Assignee University of Washington School of Public Health Department of Health Services Box 357660 Room H681 Seattle, Washington 98195-7660 (206) 221-6179 bnicola@uw.edu

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From: "Wood, Maria" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 10/28/2010 5:24:31 PM Subject: RE: Tobacco Committee
Great. That document would be good to share with the committee too once we have had our meeting with DF.

From: Neal, Scott Sent: Thursday, October 28, 2010 2:17 PM To: Hamilton, Joy Cc: Wood, Maria Subject: FW: Tobacco Committee FYI... Maria, we've already provided links to the FDA website on e-cigs and other background info, but I did just get a few additional questions answered regarding e-cigs. So we'll try to put together a few bullet points of general high level regarding the FDA's stance and authority over this issue and have that ready for the DF meeting next Tuesday. Scott

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Thursday, October 28, 2010 2:11 PM To: Wood, Maria; Neal, Scott Subject: FW: Tobacco Committee I talked briefly to Sally Clark and confirmed that she is firmly behind 1A and interested in hearing FDAs position on ecigarettes. Bud Bud Nicola bnicola@uw.edu

From: Clark, Sally [mailto:Sally.Clark@seattle.gov] Sent: Wednesday, October 27, 2010 5:17 PM To: Bud Nicola Cc: Brown, LaTonya Subject: RE: Tobacco Committee

Hello, Bud My schedule is a bit of a wreck with budget meetings. Are you busy tomorrow afternoon around 2 p.m.? Sally J. Clark Seattle City Council 600 Fourth Ave., 2nd Floor PO Box 34025 Seattle, WA 98104-1860 (206) 684-8802 office, (206) 684-8587 fax, (206) 233-0025 TTY sally.clark@seattle.gov
From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Wednesday, October 27, 2010 3:51 PM To: Clark, Sally Subject: Tobacco Committee 8_19_2011

Page 2 Hi Sally, When is a good time to talk about the direction of the Tobacco Committee? It sounds like Jerry did a nice job of briefing you so we can keep the call short. Bud

--Bud Nicola, MD, MHSA, FACPM Faculty, Northwest Center for Public Health Practice CDC Field Assignee University of Washington School of Public Health Department of Health Services Box 357660 Room H681 Seattle, Washington 98195-7660 (206) 221-6179 bnicola@uw.edu

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From: "Wood, Maria" To: "Bud Nicola" <bnicola@u.washington.edu> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 10/28/2010 5:25:05 PM Subject: RE: Tobacco Committee
Thanks Bud.

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Thursday, October 28, 2010 2:11 PM To: Wood, Maria; Neal, Scott Subject: FW: Tobacco Committee I talked briefly to Sally Clark and confirmed that she is firmly behind 1A and interested in hearing FDAs position on ecigarettes. Bud Bud Nicola bnicola@uw.edu

From: Clark, Sally [mailto:Sally.Clark@seattle.gov] Sent: Wednesday, October 27, 2010 5:17 PM To: Bud Nicola Cc: Brown, LaTonya Subject: RE: Tobacco Committee

Hello, Bud My schedule is a bit of a wreck with budget meetings. Are you busy tomorrow afternoon around 2 p.m.? Sally J. Clark Seattle City Council 600 Fourth Ave., 2nd Floor PO Box 34025 Seattle, WA 98104-1860 (206) 684-8802 office, (206) 684-8587 fax, (206) 233-0025 TTY sally.clark@seattle.gov
From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Wednesday, October 27, 2010 3:51 PM To: Clark, Sally Subject: Tobacco Committee Hi Sally, When is a good time to talk about the direction of the Tobacco Committee? It sounds like Jerry did a nice job of briefing you so we can keep the call short. Bud

--Bud Nicola, MD, MHSA, FACPM Faculty, Northwest Center for Public Health Practice CDC Field Assignee University of Washington School of Public Health Department of Health Services Box 357660 Room H681 Seattle, Washington 98195-7660 (206) 221-6179 bnicola@uw.edu 8_19_2011

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From: "Bud Nicola" <bnicola@u.washington.edu> To: "Wood, Maria" "Neal, Scott" Date: 10/28/2010 5:11:02 PM Subject: FW: Tobacco Committee
I talked briefly to Sally Clark and confirmed that she is firmly behind 1A and interested in hearing FDAs position on ecigarettes. Bud Bud Nicola bnicola@uw.edu

From: Clark, Sally [mailto:Sally.Clark@seattle.gov] Sent: Wednesday, October 27, 2010 5:17 PM To: Bud Nicola Cc: Brown, LaTonya Subject: RE: Tobacco Committee

Hello, Bud My schedule is a bit of a wreck with budget meetings. Are you busy tomorrow afternoon around 2 p.m.? Sally J. Clark Seattle City Council 600 Fourth Ave., 2nd Floor PO Box 34025 Seattle, WA 98104-1860 (206) 684-8802 office, (206) 684-8587 fax, (206) 233-0025 TTY sally.clark@seattle.gov
From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Wednesday, October 27, 2010 3:51 PM To: Clark, Sally Subject: Tobacco Committee Hi Sally, When is a good time to talk about the direction of the Tobacco Committee? It sounds like Jerry did a nice job of briefing you so we can keep the call short. Bud

--Bud Nicola, MD, MHSA, FACPM Faculty, Northwest Center for Public Health Practice CDC Field Assignee University of Washington School of Public Health Department of Health Services Box 357660 Room H681 Seattle, Washington 98195-7660 (206) 221-6179 bnicola@uw.edu

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From: To: Date: Subject: Scott,

"Hamilton, Joy" "Neal, Scott" <Scott.Neal@kingcounty.gov> 10/29/2010 6:54:54 PM BOH update

Just a quick heads up about the very sobering special meeting of the BOH this afternoon on the budget. DF's presentation was sickening to say the least -- the proposed cuts are just horrendous. Frankie Manning gave an impassioned speech (to the choir she acknowledged) about how we need to champion PH and how it is so crucial to maintain funding and to share the message with the public how important PH work is. Julia Patterson suggested that the board consider focusing on this topic (much like they spent 6 months on menu labeling) in the upcoming year. This conversation will be important to keep in mind in the coming months. CM Patterson also brought up the December meeting and mentioned that they would be talking about e-cigs policy (the media had long since left the room by then). Nothing was mentioned about the PH funding resolution so I'll check in with Maria about this. I'm really glad I went to the meeting today -- and will plan to go to all BOH meetings in the future so that we are aware of the context and players for our important work with them! Joy

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From: To: Date: Subject:

"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 10/29/2010 7:02:01 PM Re: BOH update

Thanks joy...knowing this info is definitely helpful in understanding the politics and environment. Sounds like a good idea to keep going ti these. Scott

From: Hamilton, Joy To: Neal, Scott Sent: Fri Oct 29 15:54:53 2010 Subject: BOH update

Scott, Just a quick heads up about the very sobering special meeting of the BOH this afternoon on the budget. DF's presentation was sickening to say the least -- the proposed cuts are just horrendous. Frankie Manning gave an impassioned speech (to the choir she acknowledged) about how we need to champion PH and how it is so crucial to maintain funding and to share the message with the public how important PH work is. Julia Patterson suggested that the board consider focusing on this topic (much like they spent 6 months on menu labeling) in the upcoming year. This conversation will be important to keep in mind in the coming months. CM Patterson also brought up the December meeting and mentioned that they would be talking about e-cigs policy (the media had long since left the room by then). Nothing was mentioned about the PH funding resolution so I'll check in with Maria about this. I'm really glad I went to the meeting today -- and will plan to go to all BOH meetings in the future so that we are aware of the context and players for our important work with them! Joy

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From: To: Date: Subject:


Hi Tina,

"Neal, Scott" "Walther, Tina" <Tina.Walther@fda.hhs.gov> 10/29/2010 12:01:10 PM RE: Follow up e-cig questions

Thanks for your quick response to the questions below. This drummed up a couple more questions. :) Although the FDA is focused on enforcment at the importation level, clearly these products continue to hit the retail shelves. Is the FDA authorized and would you be inclined to explore local enforcement at the retail level? If so, would it be helpful (ore even possible) for the FDA to provide agent authority to local agencies to engage in retail enforcement activities on FDA's behalf? We are just trying to find a way to deal with the increasing number of these products making their way to our retail outlets. thanks Scott

From: Walther, Tina [mailto:Tina.Walther@fda.hhs.gov] Sent: Thursday, October 28, 2010 1:07 PM To: Neal, Scott Cc: Levy, Michael; Bormel, Frances Gail Subject: RE: Follow up e-cig questions Scott, Please see our answers (in blue text) to your below questions. Sincerely, Tina Tina Walther Lieutenant, USPHS Consumer Safety Officer Over-the-Counter Drugs Team FDA/CDER/Office of Compliance Phone: 301-796-5086

-----Original Message----From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Wednesday, October 27, 2010 11:34 AM To: Walther, Tina Subject: Follow up e-cig questions Importance: High

Hi Tina, As we proceed to address e-cigs here locally, we has another couple of follow up questions for you. Now that the FDA has determined that the e-cig products that have been tested must go through official FDA approval process as a "drug and device"...what happens now? As we all know, these products continue to 8_19_2011

Page 2 be offered for sale in a growing number of retail locations. 1. What does it really mean to be identified as a product that must go through FDA approval? Does that mean the product is illegall in the U.S. without this approval? In reference to the five warning letters, those products identified in the letters would require a New Drug Application (NDA) to be legally marketed in the U.S. Please refer to our letter to the ECA for a description of the approval process (http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/UCM225263.pdf)

2. Does the FDA have enforcement authority to address the importation of these products? If so, are there ongoing efforts to address the importation? If so, does the FDA consider this action to be successful at elminating/reducing the importation of these unapproved products? FDA continues to review and refuse importations of electronic cigarette products on a case-by-case basis when the agency finds that they are unapproved drug/device combinations. Since the first FDA documented shipment of electronic cigarettes imported to the US, FDA has prevented over 800 shipments from entering the country.

3. What about on the retail end...does the FDA have enforcement authority there and if so what is being done to address the ongoing sale of these identified products? Since the majority of these products are imported into the country, we are focusing our efforts on reviewing these entries on a case-by-case basis.

Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: To: Date: Subject:

"Neal, Scott" "Bennett, John" <John.Bennett@kingcounty.gov> 10/29/2010 2:21:00 PM RE: George & Dragon Inspection Summary

Looks good Johnlet's get this into an inspection form and entered into the database so I can send the electronic version of the form to Jane for next steps. Thanks Scott >_____________________________________________ >From: Bennett, John >Sent: Thursday, October 28, 2010 4:55 PM >To: Neal, Scott >Cc: Hatzenbuehler, Eric >Subject: George & Dragon Inspection Summary > >Scott, here is the summary for the George & Dragon inspection. > > >John >++++++++++++++++++++++++++++++++++++++++ > > >I arrived at the George and Dragon at 5:25pm on 10/26/2010. As I approached the building, I observed two individuals smoking on the front deck. As I entered the building, one of the people smoking on the deck extinguished her cigarette and entered the building and proceeded to the area behind the bar. I walked up to her and identified myself and explained that the purpose my visit was to follow up on a complaint that the Department had received about smoking on the deck area. I informed her that I had witnessed her smoking on the deck in violation of the law. I asked for her name and she said she was Mallory Alberts. > >She said that she did not know that smoking was no allowed on the deck area. I told her that she needed to have the other person who was smoking on the deck extinguish his cigarette and remove the cigarette butt container from the area. I gave her my business card and the letter explaining the changes to kcboh code 19.03 and told her that she could have the owner contact me if he had any questions. > > >

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From: "Hamilton, Joy" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 11/1/2010 6:57:23 PM Subject: E-cigarette proposal 11.2.doc Attachments: E-cigarette proposal 11.2.doc

I edited this document for our meeting with DF tomorrow. I added a few details and a rationale section at the end -which is the part that I need more sets of eyes on! Also made some font changes and added a diagram but we should also bring the real e-cig to show. Scott- do you want to add more about the FDA? It would be ideal to get this to DF before the meeting at 11 am if possible.

Joy

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From: "Ross-Viles, Sarah" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> Date: 11/1/2010 7:42:33 PM Subject: RE: E-cigarette proposal 11.2.doc Attachments: E-cigarette proposal 11 2 sn.srv.doc With my comments:

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

>_____________________________________________ >From: Neal, Scott >Sent: Monday, November 01, 2010 4:22 PM >To: Bennett, John; Ross-Viles, Sarah >Cc: Hamilton, Joy >Subject: RE: E-cigarette proposal 11.2.doc > >Please review ASAPfocusing on the background and rationale sectionssince those were the ones that were most recently edited. > >Thanks >Scott > << File: E-cigarette proposal 11 2.sn.doc >> > >_____________________________________________ >From: Hamilton, Joy >Sent: Monday, November 01, 2010 3:57 PM >To: Ross-Viles, Sarah; Neal, Scott >Subject: E-cigarette proposal 11.2.doc > > << File: E-cigarette proposal 11.2.doc >> > >I edited this document for our meeting with DF tomorrow. I added a few details and a rationale section at the end - which is the part that I need more sets of eyes on! Also made some font changes and added a diagram but we should also bring the real e-cig to show. > >Scott- do you want to add more about the FDA? > >It would be ideal to get this to DF before the meeting at 11 am if possible. > > >Joy
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From: "Neal, Scott" To: "Bennett, John" <John.Bennett@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 11/1/2010 7:23:00 PM Subject: RE: E-cigarette proposal 11.2.doc Attachments: E-cigarette proposal 11 2.sn.doc Please review ASAPfocusing on the background and rationale sectionssince those were the ones that were most recently edited. Thanks Scott

>_____________________________________________ >From: Hamilton, Joy >Sent: Monday, November 01, 2010 3:57 PM >To: Ross-Viles, Sarah; Neal, Scott >Subject: E-cigarette proposal 11.2.doc > > << File: E-cigarette proposal 11.2.doc >> > >I edited this document for our meeting with DF tomorrow. I added a few details and a rationale section at the end - which is the part that I need more sets of eyes on! Also made some font changes and added a diagram but we should also bring the real e-cig to show. > >Scott- do you want to add more about the FDA? > >It would be ideal to get this to DF before the meeting at 11 am if possible. > > >Joy

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From: "Bennett, John" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 11/1/2010 7:52:11 PM Subject: RE: E-cigarette proposal 11.2.doc Attachments: E-cigarette proposal 11 2 sn srv jb.doc And mine:

>_____________________________________________ >From: Ross-Viles, Sarah >Sent: Monday, November 01, 2010 4:43 PM >To: Neal, Scott; Bennett, John >Cc: Hamilton, Joy >Subject: RE: E-cigarette proposal 11.2.doc > >With my comments: > > << File: E-cigarette proposal 11 2 sn.srv.doc >> > >Sarah Ross-Viles >CPPW Tobacco Project Manager >Public Health - Seattle & King County >Suite 900 401 5th Avenue >Seattle, WA 98102 >(206) 263-8211 > > >_____________________________________________ >From: Neal, Scott >Sent: Monday, November 01, 2010 4:22 PM >To: Bennett, John; Ross-Viles, Sarah >Cc: Hamilton, Joy >Subject: RE: E-cigarette proposal 11.2.doc > >Please review ASAPfocusing on the background and rationale sectionssince those were the ones that were most recently edited. > >Thanks >Scott > << File: E-cigarette proposal 11 2.sn.doc >> > >_____________________________________________ >From: Hamilton, Joy >Sent: Monday, November 01, 2010 3:57 PM >To: Ross-Viles, Sarah; Neal, Scott >Subject: E-cigarette proposal 11.2.doc > > << File: E-cigarette proposal 11.2.doc >>
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> >I edited this document for our meeting with DF tomorrow. I added a few details and a rationale section at the end - which is the part that I need more sets of eyes on! Also made some font changes and added a diagram but we should also bring the real e-cig to show. > >Scott- do you want to add more about the FDA? > >It would be ideal to get this to DF before the meeting at 11 am if possible. > > >Joy

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From: To: Date: Subject: Attachments:

"Ross-Viles, Sarah" "Neal, Scott" <Scott.Neal@kingcounty.gov> 11/1/2010 6:58:06 PM FW: E-cigarette proposal 11.2.doc E-cigarette proposal 11.2.doc

Hi Scott- Would you consider me optional for this meeting? Are you, Joy and Anne going? I am happy to be optional.

>______________________________________________ >From: Hamilton, Joy >Sent: Monday, November 01, 2010 3:57 PM >To: Ross-Viles, Sarah; Neal, Scott >Subject: E-cigarette proposal 11.2.doc > > > >I edited this document for our meeting with DF tomorrow. I added a few details and a rationale section at the end - which is the part that I need more sets of eyes on! Also made some font changes and added a diagram but we should also bring the real e-cig to show. > >Scott- do you want to add more about the FDA? > >It would be ideal to get this to DF before the meeting at 11 am if possible. > > >Joy

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From: "Holt, Lauren" To: "Brawley, Karen" <Karen.Brawley@kingcounty.gov> "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Leon-Guerrero, Michael" <Michael.Leon-Guerrero@kingcounty.gov> "Moreno, Emma" <Emma.Moreno@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Ronneberg, Brett" <Brett.Ronneberg@kingcounty.gov> "Ryan, Molly" <Molly.Ryan@kingcounty.gov> "Zemann, Paul" <Paul.Zemann@kingcounty.gov> Date: 11/1/2010 7:30:51 PM Subject: January 2011 winter newsletter Hey team, So I wanted to send out a quick recap of our upcoming newsletter and timeline! This newsletter will have more of a general theme, and basically will be one main article that is broken up into different sections. The theme of this newsletter is: Why is Tobacco Prevention Still Important? * Because tobacco prevention programs work (examples, areas where funding has been cut but usage still increasing, etc). Anne, would you be interested in writing up something about this? If not, Joy has volunteered as well it just sounded like something you might have some insight on! * To prevent youth from tobacco use (some general stats (such as x amount of smokers begin before age of 18, etc). Lindseys section * Because tobacco companies are constantly evolving their marketing and products to hook new users (information on the Camel campaign (include image?) as well as new products, + e-cigs as a not-tobacco company but still a new product on the market). Mollys section * Because everyone deserves to be tobacco-free (reviewing tobacco-free policy for housing/providers/etc, list of sites/agencies already there, or planning to). Maybe create a graph showing the number of agencies in each group? Collaboration between Lindsey, Paul, Nori, & Karen. * Separate section: BOH Update (December e-cigs. January Youth) Joys section * Everyone: If you would like to include a picture or image with your article, Mike usually helps out with the artistic side of things :-) Mike, is it fine if people check in with you directly about any images they would like to include? Due date for everyones articles is DECEMBER 6th, except for Joys BOH stuff (due December 27, but if you have it done before the 27th that would be ideal!) Please email me your articles directly when they are complete, or save them to this folder: G:\Administration\Newsletter\Content\Jan 2011.

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If anyone has any questions, let me know! Thanks everyone for your help!

Lauren Holt Tobacco Prevention Public Health - Seattle & King County phone: 206-263-8222

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From: "Hamilton, Joy" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 11/1/2010 11:45:11 AM Subject: News about e-cigs and CA News about e-cigs from over the weekend. Was marketing limits ever an option that was considered? http://www.reuters.com/article/idUSTRE69S5CH20101030

Joy

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From: "Moreno, Emma" To: "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> "Zemann, Paul" <Paul.Zemann@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> "Leon-Guerrero, Michael" <Michael.Leon-Guerrero@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 11/1/2010 6:58:34 PM Subject: Presentation Thursday, Nov 4th Hi All I have a request to do a presentation to a group of students of the Nursing School, they are working with the youth of Refugee Women's Alliance after school programs in creating a campaign and they want to learn more about dissolvable tobacco, e-cigarettes and hookah. They are particularly interested in the hookah and compliance checks. Is there someone available to come with me? When: Thursday, Nov 4th Time: 11:00 to 11:30 am Where; ReWA Please let me asap, to make arrangements Thank you Emma Moreno, MPH CPPW Tobacco Communities Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-9386

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From: To: Date: Subject:

"Hamilton, Joy" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 11/1/2010 11:22:41 AM RE: today's BOH meeting

Anne, Good day to not leave the house -- its really raining out there! I'll call you once the meeting starts. We will be preparing for our meeting with Dr. Fleming tomorrow and talking how we want to include e-cig policy into regulation -- either by adding to existing language or creating a new part of the code. Joy -----Original Message----From: Pearson, Anne Sent: Monday, November 01, 2010 7:29 AM To: Hamilton, Joy Subject: today's BOH meeting Hey Joy, I'm going to be working from home today. I'm happy to participate in the BOH prep meeting if it would be useful. Just let me know what number to dial in. Or, you can pull me in at 206-922-2234. Thanks! ________________________________________ From: Hamilton, Joy Sent: Friday, October 29, 2010 11:25 AM To: Apa, James; Bates, Amy; Beebe, Alanna; DeAnn Cromp; Hamilton, Joy; Huus, Kathie; Johnson, Gareth; Krieger, James; Louch, Jennifer; Mark, Terry; Muhm, Jennifer; Neal, Scott; 'Paul Davis'; Pearson, Anne; RossViles, Sarah; Ryan, Molly; Sadow-Hasenberg, Nicole; Teeter, Dorothy; Valenzuela, Matias; Webb, Dean; Wood, Maria; Quinn, Rachel Subject: Notes from tobacco policy workgroup Greetings, I've attached the notes from the tobacco policy workgroup earlier this week. I've also attached a one-page document that explains Camel's newest promotion -- featuring Seattle on a pack of cigarettes! Please contact me by phone or email if you have any questions or would like to know more about the meeting.

Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382
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joy.hamilton@kingcounty.gov

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From: "Day, Esther" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Fleming, David" <David.Fleming@kingcounty.gov> Date: 11/2/2010 1:31:00 PM Subject: RE: E-Cig Proposal document for 11am meeting Thank you Scott. >_____________________________________________ >From: Neal, Scott >Sent: Tuesday, November 02, 2010 10:29 AM >To: Fleming, David >Cc: Day, Esther; Johnson, Gareth; Allis, Donna; Pearson, Anne; Wood, Maria; Ross-Viles, Sarah; Hamilton, Joy >Subject: E-Cig Proposal document for 11am meeting >Importance: High > >Hi David, > >I know this is late in coming, but we've been developing and editing this document up until just now. Attached is the most up-to-date version of this proposal for discussion at our 11am meeting today. I will bring copies for the group to discuss. > > << File: E-Cigarette Proposal (for DF mtg 11.2).doc >> > >Thanks >Scott

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From: To: Date: Subject:


Hello Scott,

"Walther, Tina" <Tina.Walther@fda.hhs.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> 11/2/2010 12:26:03 PM RE: Follow up e-cig questions

I just sent out the meeting announcement with a call-in number. Tina

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Tuesday, November 02, 2010 12:16 PM To: Walther, Tina Subject: RE: Follow up e-cig questions Hi Tina, I can definitely appreciate the phone conversations. So That time looks ok for me. I have a hearing scheduled for (9am PST/12pm EST) that morning, so we probably will have to make sure we don't go past 45 min, but that should be plenty of time I think. I'd also like to discuss nicotine "e-liquids" that are being marketed for refilling these electronic cigs too. Curious about how FDA might be dealing with this one as well. Let me know if I should call you or if you will be contacting me? Thanks

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

From: Walther, Tina [mailto:Tina.Walther@fda.hhs.gov] Sent: Tuesday, November 02, 2010 8:44 AM To: Neal, Scott Subject: RE: Follow up e-cig questions Scott, We feel that it would be best to talk to you over the phone regarding your below questions. We have some questions regarding your questions thus it might get confusing emailing back and forth at this point. Our first available date and time is Nov 10th from 11-12 (EST). How does this work for you? Tina

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] 8_19_2011

Page 2 Sent: Friday, October 29, 2010 12:01 PM To: Walther, Tina Cc: Levy, Michael; Bormel, Frances Gail Subject: RE: Follow up e-cig questions Hi Tina, Thanks for your quick response to the questions below. This drummed up a couple more questions. :) Although the FDA is focused on enforcment at the importation level, clearly these products continue to hit the retail shelves. Is the FDA authorized and would you be inclined to explore local enforcement at the retail level? If so, would it be helpful (ore even possible) for the FDA to provide agent authority to local agencies to engage in retail enforcement activities on FDA's behalf? We are just trying to find a way to deal with the increasing number of these products making their way to our retail outlets. thanks Scott

From: Walther, Tina [mailto:Tina.Walther@fda.hhs.gov] Sent: Thursday, October 28, 2010 1:07 PM To: Neal, Scott Cc: Levy, Michael; Bormel, Frances Gail Subject: RE: Follow up e-cig questions Scott, Please see our answers (in blue text) to your below questions. Sincerely, Tina Tina Walther Lieutenant, USPHS Consumer Safety Officer Over-the-Counter Drugs Team FDA/CDER/Office of Compliance Phone: 301-796-5086

-----Original Message----From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Wednesday, October 27, 2010 11:34 AM To: Walther, Tina Subject: Follow up e-cig questions Importance: High

Hi Tina, As we proceed to address e-cigs here locally, we has another couple of follow up questions for you. Now that the FDA has determined that the e-cig products that have been tested must go through official FDA approval process as a "drug and device"...what happens now? As we all know, these products continue to be offered for sale in a growing number of retail locations. 8_19_2011

Page 3 1. What does it really mean to be identified as a product that must go through FDA approval? Does that mean the product is illegall in the U.S. without this approval? In reference to the five warning letters, those products identified in the letters would require a New Drug Application (NDA) to be legally marketed in the U.S. Please refer to our letter to the ECA for a description of the approval process (http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/UCM225263.pdf)

2. Does the FDA have enforcement authority to address the importation of these products? If so, are there ongoing efforts to address the importation? If so, does the FDA consider this action to be successful at elminating/reducing the importation of these unapproved products? FDA continues to review and refuse importations of electronic cigarette products on a case-by-case basis when the agency finds that they are unapproved drug/device combinations. Since the first FDA documented shipment of electronic cigarettes imported to the US, FDA has prevented over 800 shipments from entering the country.

3. What about on the retail end...does the FDA have enforcement authority there and if so what is being done to address the ongoing sale of these identified products? Since the majority of these products are imported into the country, we are focusing our efforts on reviewing these entries on a case-by-case basis.

Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: To: Date: Subject:


Hi Tina,

"Neal, Scott" "Walther, Tina" <Tina.Walther@fda.hhs.gov> 11/2/2010 12:17:00 PM RE: Follow up e-cig questions

I can definitely appreciate the phone conversations. So That time looks ok for me. I have a hearing scheduled for (9am PST/12pm EST) that morning, so we probably will have to make sure we don't go past 45 min, but that should be plenty of time I think. I'd also like to discuss nicotine "e-liquids" that are being marketed for refilling these electronic cigs too. Curious about how FDA might be dealing with this one as well. Let me know if I should call you or if you will be contacting me? Thanks

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

From: Walther, Tina [mailto:Tina.Walther@fda.hhs.gov] Sent: Tuesday, November 02, 2010 8:44 AM To: Neal, Scott Subject: RE: Follow up e-cig questions Scott, We feel that it would be best to talk to you over the phone regarding your below questions. We have some questions regarding your questions thus it might get confusing emailing back and forth at this point. Our first available date and time is Nov 10th from 11-12 (EST). How does this work for you? Tina

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Friday, October 29, 2010 12:01 PM To: Walther, Tina Cc: Levy, Michael; Bormel, Frances Gail Subject: RE: Follow up e-cig questions Hi Tina, Thanks for your quick response to the questions below. This drummed up a couple more questions. :) Although the FDA is focused on enforcment at the importation level, clearly these products continue to hit the retail shelves. Is the FDA authorized and would you be inclined to explore local enforcement at the retail level? If so, would it be helpful (ore even possible) for the FDA to provide agent authority to local agencies to engage in retail enforcement activities on FDA's behalf? We are just trying to find a way to deal with the increasing number of these products making 8_19_2011

Page 2 their way to our retail outlets. thanks Scott

From: Walther, Tina [mailto:Tina.Walther@fda.hhs.gov] Sent: Thursday, October 28, 2010 1:07 PM To: Neal, Scott Cc: Levy, Michael; Bormel, Frances Gail Subject: RE: Follow up e-cig questions Scott, Please see our answers (in blue text) to your below questions. Sincerely, Tina Tina Walther Lieutenant, USPHS Consumer Safety Officer Over-the-Counter Drugs Team FDA/CDER/Office of Compliance Phone: 301-796-5086

-----Original Message----From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Wednesday, October 27, 2010 11:34 AM To: Walther, Tina Subject: Follow up e-cig questions Importance: High

Hi Tina, As we proceed to address e-cigs here locally, we has another couple of follow up questions for you. Now that the FDA has determined that the e-cig products that have been tested must go through official FDA approval process as a "drug and device"...what happens now? As we all know, these products continue to be offered for sale in a growing number of retail locations. 1. What does it really mean to be identified as a product that must go through FDA approval? Does that mean the product is illegall in the U.S. without this approval? In reference to the five warning letters, those products identified in the letters would require a New Drug Application (NDA) to be legally marketed in the U.S. Please refer to our letter to the ECA for a description of the approval process (http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/UCM225263.pdf)

2. Does the FDA have enforcement authority to address the importation of these products? If so, are there ongoing efforts to address the importation? If so, does the FDA consider this action to be successful at elminating/reducing the importation of these unapproved products? 8_19_2011

Page 3 FDA continues to review and refuse importations of electronic cigarette products on a case-by-case basis when the agency finds that they are unapproved drug/device combinations. Since the first FDA documented shipment of electronic cigarettes imported to the US, FDA has prevented over 800 shipments from entering the country.

3. What about on the retail end...does the FDA have enforcement authority there and if so what is being done to address the ongoing sale of these identified products? Since the majority of these products are imported into the country, we are focusing our efforts on reviewing these entries on a case-by-case basis.

Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

8_19_2011

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From: To: Date: Subject:


Scott,

"Walther, Tina" <Tina.Walther@fda.hhs.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> 11/2/2010 11:44:37 AM RE: Follow up e-cig questions

We feel that it would be best to talk to you over the phone regarding your below questions. We have some questions regarding your questions thus it might get confusing emailing back and forth at this point. Our first available date and time is Nov 10th from 11-12 (EST). How does this work for you? Tina

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Friday, October 29, 2010 12:01 PM To: Walther, Tina Cc: Levy, Michael; Bormel, Frances Gail Subject: RE: Follow up e-cig questions Hi Tina, Thanks for your quick response to the questions below. This drummed up a couple more questions. :) Although the FDA is focused on enforcment at the importation level, clearly these products continue to hit the retail shelves. Is the FDA authorized and would you be inclined to explore local enforcement at the retail level? If so, would it be helpful (ore even possible) for the FDA to provide agent authority to local agencies to engage in retail enforcement activities on FDA's behalf? We are just trying to find a way to deal with the increasing number of these products making their way to our retail outlets. thanks Scott

From: Walther, Tina [mailto:Tina.Walther@fda.hhs.gov] Sent: Thursday, October 28, 2010 1:07 PM To: Neal, Scott Cc: Levy, Michael; Bormel, Frances Gail Subject: RE: Follow up e-cig questions Scott, Please see our answers (in blue text) to your below questions. Sincerely, Tina Tina Walther Lieutenant, USPHS Consumer Safety Officer Over-the-Counter Drugs Team FDA/CDER/Office of Compliance Phone: 301-796-5086

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Page 2

-----Original Message----From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Wednesday, October 27, 2010 11:34 AM To: Walther, Tina Subject: Follow up e-cig questions Importance: High

Hi Tina, As we proceed to address e-cigs here locally, we has another couple of follow up questions for you. Now that the FDA has determined that the e-cig products that have been tested must go through official FDA approval process as a "drug and device"...what happens now? As we all know, these products continue to be offered for sale in a growing number of retail locations. 1. What does it really mean to be identified as a product that must go through FDA approval? Does that mean the product is illegall in the U.S. without this approval? In reference to the five warning letters, those products identified in the letters would require a New Drug Application (NDA) to be legally marketed in the U.S. Please refer to our letter to the ECA for a description of the approval process (http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/UCM225263.pdf)

2. Does the FDA have enforcement authority to address the importation of these products? If so, are there ongoing efforts to address the importation? If so, does the FDA consider this action to be successful at elminating/reducing the importation of these unapproved products? FDA continues to review and refuse importations of electronic cigarette products on a case-by-case basis when the agency finds that they are unapproved drug/device combinations. Since the first FDA documented shipment of electronic cigarettes imported to the US, FDA has prevented over 800 shipments from entering the country.

3. What about on the retail end...does the FDA have enforcement authority there and if so what is being done to address the ongoing sale of these identified products? Since the majority of these products are imported into the country, we are focusing our efforts on reviewing these entries on a case-by-case basis.

Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

8_19_2011

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From: To: Date: Subject:


got it thanks!

"Neal, Scott" "Walther, Tina" <Tina.Walther@fda.hhs.gov> 11/2/2010 12:29:00 PM RE: Follow up e-cig questions

From: Walther, Tina [mailto:Tina.Walther@fda.hhs.gov] Sent: Tuesday, November 02, 2010 9:26 AM To: Neal, Scott Subject: RE: Follow up e-cig questions Hello Scott, I just sent out the meeting announcement with a call-in number. Tina

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Tuesday, November 02, 2010 12:16 PM To: Walther, Tina Subject: RE: Follow up e-cig questions Hi Tina, I can definitely appreciate the phone conversations. So That time looks ok for me. I have a hearing scheduled for (9am PST/12pm EST) that morning, so we probably will have to make sure we don't go past 45 min, but that should be plenty of time I think. I'd also like to discuss nicotine "e-liquids" that are being marketed for refilling these electronic cigs too. Curious about how FDA might be dealing with this one as well. Let me know if I should call you or if you will be contacting me? Thanks

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

From: Walther, Tina [mailto:Tina.Walther@fda.hhs.gov] Sent: Tuesday, November 02, 2010 8:44 AM To: Neal, Scott Subject: RE: Follow up e-cig questions Scott, We feel that it would be best to talk to you over the phone regarding your below questions. We have some questions regarding your questions thus it might get confusing emailing back and forth at this point. 8_19_2011

Page 2 Our first available date and time is Nov 10th from 11-12 (EST). How does this work for you? Tina

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Friday, October 29, 2010 12:01 PM To: Walther, Tina Cc: Levy, Michael; Bormel, Frances Gail Subject: RE: Follow up e-cig questions Hi Tina, Thanks for your quick response to the questions below. This drummed up a couple more questions. :) Although the FDA is focused on enforcment at the importation level, clearly these products continue to hit the retail shelves. Is the FDA authorized and would you be inclined to explore local enforcement at the retail level? If so, would it be helpful (ore even possible) for the FDA to provide agent authority to local agencies to engage in retail enforcement activities on FDA's behalf? We are just trying to find a way to deal with the increasing number of these products making their way to our retail outlets. thanks Scott

From: Walther, Tina [mailto:Tina.Walther@fda.hhs.gov] Sent: Thursday, October 28, 2010 1:07 PM To: Neal, Scott Cc: Levy, Michael; Bormel, Frances Gail Subject: RE: Follow up e-cig questions Scott, Please see our answers (in blue text) to your below questions. Sincerely, Tina Tina Walther Lieutenant, USPHS Consumer Safety Officer Over-the-Counter Drugs Team FDA/CDER/Office of Compliance Phone: 301-796-5086

-----Original Message----From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Wednesday, October 27, 2010 11:34 AM To: Walther, Tina Subject: Follow up e-cig questions Importance: High

Hi Tina, 8_19_2011

Page 3 As we proceed to address e-cigs here locally, we has another couple of follow up questions for you. Now that the FDA has determined that the e-cig products that have been tested must go through official FDA approval process as a "drug and device"...what happens now? As we all know, these products continue to be offered for sale in a growing number of retail locations. 1. What does it really mean to be identified as a product that must go through FDA approval? Does that mean the product is illegall in the U.S. without this approval? In reference to the five warning letters, those products identified in the letters would require a New Drug Application (NDA) to be legally marketed in the U.S. Please refer to our letter to the ECA for a description of the approval process (http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/UCM225263.pdf)

2. Does the FDA have enforcement authority to address the importation of these products? If so, are there ongoing efforts to address the importation? If so, does the FDA consider this action to be successful at elminating/reducing the importation of these unapproved products? FDA continues to review and refuse importations of electronic cigarette products on a case-by-case basis when the agency finds that they are unapproved drug/device combinations. Since the first FDA documented shipment of electronic cigarettes imported to the US, FDA has prevented over 800 shipments from entering the country.

3. What about on the retail end...does the FDA have enforcement authority there and if so what is being done to address the ongoing sale of these identified products? Since the majority of these products are imported into the country, we are focusing our efforts on reviewing these entries on a case-by-case basis.

Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: To: Date: Subject: Sweet! Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

"Ross-Viles, Sarah" "Neal, Scott" <Scott.Neal@kingcounty.gov> 11/2/2010 7:49:05 PM RE: January 2011 winter newsletter

>_____________________________________________ >From: Neal, Scott >Sent: Tuesday, November 02, 2010 10:50 AM >To: Ross-Viles, Sarah >Subject: FW: January 2011 winter newsletter > >FYIthe next newsletter is scheduled to come out in January right after the BOH meeting. And we are going with the theme "why is tobacco preventin still important?"... > >______________________________________________ >From: Holt, Lauren >Sent: Monday, November 01, 2010 4:31 PM >To: Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Leon-Guerrero, Michael; Moreno, Emma; Neal, Scott; Pearson, Anne; Ronneberg, Brett; Ryan, Molly; Zemann, Paul >Subject: January 2011 winter newsletter > >Hey team, > >So I wanted to send out a quick recap of our upcoming newsletter and timeline! > >This newsletter will have more of a general theme, and basically will be one main article that is broken up into different sections. The theme of this newsletter is: >Why is Tobacco Prevention Still Important? >* Because tobacco prevention programs work (examples, areas where funding has been cut but usage still increasing, etc). >Anne, would you be interested in writing up something about this? If not, Joy has volunteered as well it just sounded like something you might have some insight on! > >* To prevent youth from tobacco use (some general stats (such as x amount of smokers begin before age of 18, etc). >Lindseys section > >* Because tobacco companies are constantly evolving their marketing and products to hook new users (information on the Camel campaign (include image?) as well as new products, + e-cigs as a not-tobacco company but still a new product on the market). >Mollys section
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> >* Because everyone deserves to be tobacco-free (reviewing tobacco-free policy for housing/providers/etc, list of sites/agencies already there, or planning to). Maybe create a graph showing the number of agencies in each group? >Collaboration between Lindsey, Paul, Nori, & Karen. > >* Separate section: BOH Update (December e-cigs. January Youth) >Joys section > >* Everyone: If you would like to include a picture or image with your article, Mike usually helps out with the artistic side of things :-) Mike, is it fine if people check in with you directly about any images they would like to include? > >Due date for everyones articles is DECEMBER 6th, except for Joys BOH stuff (due December 27, but if you have it done before the 27th that would be ideal!) >Please email me your articles directly when they are complete, or save them to this folder: G:\Administration\Newsletter\Content\Jan 2011. > >If anyone has any questions, let me know! Thanks everyone for your help! > > >Lauren Holt >Tobacco Prevention >Public Health - Seattle & King County >phone: 206-263-8222 >

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From: To: Date: Subject:

"Neal, Scott" "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> 11/2/2010 1:51:00 PM FW: January 2011 winter newsletter

FYIthe next newsletter is scheduled to come out in January right after the BOH meeting. And we are going with the theme "why is tobacco preventin still important?"... >______________________________________________ >From: Holt, Lauren >Sent: Monday, November 01, 2010 4:31 PM >To: Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Leon-Guerrero, Michael; Moreno, Emma; Neal, Scott; Pearson, Anne; Ronneberg, Brett; Ryan, Molly; Zemann, Paul >Subject: January 2011 winter newsletter > >Hey team, > >So I wanted to send out a quick recap of our upcoming newsletter and timeline! > >This newsletter will have more of a general theme, and basically will be one main article that is broken up into different sections. The theme of this newsletter is: >Why is Tobacco Prevention Still Important? >* Because tobacco prevention programs work (examples, areas where funding has been cut but usage still increasing, etc). >Anne, would you be interested in writing up something about this? If not, Joy has volunteered as well it just sounded like something you might have some insight on! > >* To prevent youth from tobacco use (some general stats (such as x amount of smokers begin before age of 18, etc). >Lindseys section > >* Because tobacco companies are constantly evolving their marketing and products to hook new users (information on the Camel campaign (include image?) as well as new products, + e-cigs as a not-tobacco company but still a new product on the market). >Mollys section > >* Because everyone deserves to be tobacco-free (reviewing tobacco-free policy for housing/providers/etc, list of sites/agencies already there, or planning to). Maybe create a graph showing the number of agencies in each group? >Collaboration between Lindsey, Paul, Nori, & Karen. > >* Separate section: BOH Update (December e-cigs. January Youth) >Joys section > >* Everyone: If you would like to include a picture or image with your article, Mike usually helps out with the artistic side of things :-) Mike, is it fine if people check in with you directly about any images they would like to include? > >Due date for everyones articles is DECEMBER 6th, except for Joys BOH stuff (due December 27, but if you have it done before the 27th that would be ideal!) >Please email me your articles directly when they are complete, or save them to this folder: G:\Administration\Newsletter\Content\Jan 2011. >
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>If anyone has any questions, let me know! Thanks everyone for your help! > > >Lauren Holt >Tobacco Prevention >Public Health - Seattle & King County >phone: 206-263-8222 >

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From: "Mitchell, Devonne M. \(CDC/ONDIEH/NCCDPHP\)" <gwi0@cdc.gov> To: Date: 11/2/2010 3:27:32 PM Subject: Office on Smoking and Health Media Network November 2010 e-Bulletin You may circulate or post this e-Bulletin in part or in full; however, please remove the OSH Media Network headings before doing so. Office on Smoking and Health Media Network November 2010 e-Bulletin The e-Bulletins are posted on the OSH State Information Forum. Go to <Media Network Minutes and Materials>, click on the folder <2010 Media Network e-Bulletins>, scroll down. CONFERENCES/TRAININGS/Events Do Quitlines Have a Role in Serving the Tobacco Cessation Needs of Persons with Mental Illnesses and Substance Abuse Disorders? Webinar hosted by the Smoking Cessation Leadership Center and the North American Quitline Consortium, Thursday, November 18, 2010, 1 2:30 pm ET. For more information, contact Christine Cheng (877 509-3786). 6th National Summit on Smokeless and Spit Tobacco. The conference will be held May 10-12, 2011 in Austin, TX and the theme is "The New Face of Smokeless Tobacco Addiction. Presentation proposals are being accepted through December 10, 2010. More information at 877 451-8700, Caitlin@Swift-Solutions.org or Barry.Sharp@dshs.state.tx.us. Social Marketing Field School: Focus Group Research Strategies. This intensive overview of focus group procedures in the public and non-profit environment will be held at the University of South Florida, Tampa, FL January 3-7, 2011, with Dr. Richard Krueger. This course counts toward the requirements of the Social Marketing in Public Health Graduate Certificate. More information at: http://www.cme.hsc.usf.edu/ (Select Course Calendar, then January 2011). EVALUATION: Counter-Marketing or Media Analysis Use of Mass Media Campaigns to Change Health Behavior. Lancet (published online October 7, 2010). Mass media campaigns can produce positive changes or prevent negative changes in health-related behaviors across large populations. RESOURCES: Tobacco-Related Working with Your Legislators on Tobacco Control Issues. NALBOH offers a free 20minute archived webinar presented by the National Conference of State Legislatures (free registration required). RESOURCES: General Media/Communications The Health Communicator's Social Media Toolkit. This CDC toolkit provides guidance and
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lessons learned integrating social media into health communication campaigns, activities, and emergency response efforts. This guide provides information on getting started - from developing governance to determining which channels best meet communication objectives to creating a social media strategy. An overview of popular social media tools is included. What Makes a Video Go Viral? Marketing Vox (October 15, 2010). While humor is a big draw, there are other reasons why a video goes viral - which could have a bigger impact for marketers, depending on what they hope to accomplish. Snippets. Marketing Vox (October 5, 2010). Research on what is most likely to be shared online, how much time viewers give online video to hook them, and reactions to twitters. Guerrilla Marketing 2010. Brand Week (Oct. 31, 2010). The guerrilla-meets-digital permutations are endless; the "street" in street-level marketing is no longer just the asphalt variety. Recounts digital guerilla marketing campaigns that have, and havent, hit the mark. OOH Advertising Enhances All Other Messaging. MediaPost: Research Brief (October 26, 2010). A new study by Clear Channel Outdoor with MarketShare Partners that explores the use and effectiveness of Out-of-Home (OOH) advertising, the financial contribution of OOH and discusses how marketers can make more informed decisions regarding their marketing budget allocation. Podcast Power. Lena West Blog on Open Forum (October 13, 2010). Practical tips for producing quality pod-casts. OTHER PRODUCTS: Smokeless, Cigars, Hookahs, e-Cigarettes, etc. Emerging tobacco products: Hookah use among NJ youth. Preventive Medicine (November 2010). The prevalence of hookah use, higher likelihood of concurrent tobacco use among hookah users, and misperceptions of safety and popularity of hookah among NJ adolescents are cause for concern and action. PACKAGE DESIGN & WARNING LABELS Effects of Dissuasive Packaging on Young Adult Smokers. Tobacco Control (October 21, 2010, Epub ahead of print). A New Zealand study finds Plain packs that feature large graphic health warnings are significantly more likely to promote cessation among young adult smokers than fully or partially branded packs. SECONDHAND SMOKE (SHS)/CLEAN INDOOR AIR (CIA) The Impact of Massachusetts' Smoke-free Workplace Laws on Acute Myocardial Infarction (AMI) Deaths. American Journal of Public Health (September 23, 2010, Epub ahead of print). Comprehensive smoke-free workplace laws in Massachusetts were associated with an estimated 270 fewer AMI deaths per year. Economic Effects of Ohio's Smoke-free Law on Kentucky and Ohio Border Counties. Tobacco Control (September 24, 2010, Epub ahead of print). Smoke-free laws are neutral with respect to the hospitality business across jurisdictions with and without laws. Secondhand Smoke Transfer in Multiunit Housing. Nicotine and Tobacco Research October 1, 2010, Epub ahead of print). This study documents SHS incursions from smoke-permitted units into smoke-free units and adjacent hallways within the same building. Secondhand Smoke Transfer and Reductions by Air Sealing and Ventilation in Multiunit Buildings. Indoor Air (July 20, 2010). Eliminating air leakage between smokers' and nonsmokers' units is not a
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practical means of solving SHS transmission in an existing building. TARGET POPULATION: African American Targeting African American Nonsmokers to Motivate Smokers to Quit. Health Education and Behavior (October 2010). African American nonsmokers living with a smoker may be an appropriate target group to motivate smoking behavior change in the smoker. A Population-based Examination of Cigarette Smoking and Mental Illness in Black Americans. Nicotine and Tobacco Research (September 20, 2010, Epub ahead of print). Findings indicate that mental illness is significantly associated with tobacco use in Blacks. Tobacco cessation interventions that address mental illness as a barrier to cessation are needed. TARGET POPULATION: Disadvantaged/Low SES State Medicaid Coverage for Tobacco-Dependence Treatments US, 2009. Morbidity and Mortality Weekly Report (October 21, 2010). A survey of Medicaid programs in the 50 states and the District of Columbia to document their 2009 tobacco-dependence treatment coverage. Break Free Alliance Resources. Visit the Alliance's Facebook and Twitter pages to stay up-to-date with future events, resources and advocacy initiatives. TARGET POPULATION: Hispanics/Latinos Smoking Behavior among Hispanic Adults with Diabetes on the US-Mexico Border. Revista Panamericana de Salud Publica (September 2010). Examines the prevalence of smoking behaviors among adults with diabetes on the US-Mexico border, compares these behaviors in U.S. Hispanics and Mexicans with diabetes, and identifies explanations for group differences. TARGET POPULATION: Lesbian/Gay/Bi-Sexual/Transgendered (LGBT) Adding Sexual Orientation Questions to Statewide Public Health Surveillance: New Mexico's Experience. American Journal of Public Health (October 21, 2010, Epub ahead of print). Perceptions that sexual orientation is too controversial a topic to be included on state surveys may be unfounded. TARGET POPULATION: Light/Intermittent/Social Users "I Smoke but I Am Not a Smoker": Phantom Smokers and the Discrepancy Between Selfidentity and Behavior. Journal of American College Health (September 2010). Phantom smokers' dissociation from smokers should be recognized and targeted as a distinct group for antismoking messages. TARGET POPULATION: Persons with Mental Illness or Developmental Delay Identity, Smoking, and Mental Illness in America. Journal of Social History (2010). This paper explores the relationship between mentally ill consumers, the tobacco industry, and public health in the United States through letters written by mentally ill smokers.

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TARGET POPULATION: Prisoners Tobacco Cessation for Correctional Populations Manual, 2nd Edition. This revised manual educates inmates on the health effects of tobacco use; teaches inmates how to quit using tobacco in the correctional environment; and how to stay quit upon release. To read the manual description and view pricing options, visit the Health Education Councils online store or you can contact the Council at 916-556-3344. Target Population: Women and Girls Aging Images As a Motivational Trigger for Smoking Cessation in Young Women. International Journal of Environmental Research and Public Health (September 2010). Aging images are a promising intervention for reaching young women and increasing their motivation to stop smoking. TARGET POPULATION: Youth/Young Adults Differences in the Smoking Identities of Adolescent Boys and Girls. Addictive Behaviors (October 7, 2010, Epub ahead of print). There may be differences in the ways boys and girls conceptualize, describe, and endorse smoking identities. Policy Statement--Children, Adolescents, Substance Abuse, and the Media. Pediatrics (September 27, 2010, Epub ahead of print). The American Academy of Pediatrics recommends a ban on all tobacco advertising in all media, avoiding exposure of young children to substance-related (tobacco, alcohol, prescription drugs, illegal drugs) content on television and in PG-13- and R-rated movies. Peer, Parent and Media Influences on Adolescent Smoking by Developmental Stage. Addictive Behaviors (September 18, 2010, Epub ahead of print). Exposure to tobacco-related media is associated with increased current and former smoking in both early and middle adolescence. Internet, Mobile Use Triples among Young Demographics. Media Post: Daily News (October 27, 2010). The average amount of time spent by 12- to-24-year-old Americans online has roughly tripled from 59 minutes per day in 2000 to two hours and 52 minutes per day in 2010, according to Edison Research's American Youth Study 2010. Daily Patterns of Conjoint Smoking and Drinking in College Student Smokers. Psychology of Addictive Behaviors (September 2010). Light smokers were more likely than heavier smokers to smoke while drinking and to smoke more cigarettes while drinking. Marketers Get Creative Targeting Hard-to-reach College Students. USA Today (October 4, 2010). The most sophisticated college marketers, from American Eagle to Apple to Red Bull, are increasingly turning to social media focused on students' wants and needs. TOBACCO CESSATION YouTube As a Source of Quitting Smoking Information. Tobacco Control (October 21, 2010, Epub ahead of print). Analyses to determine the extent to which YouTube videos posted specific to smoking cessation were actually about quitting smoking and if so, whether or not they portrayed evidence-based practices. Two Contrary Views - Unassisted vs. Assisted Cessation. Listen to a recording of the October 25, 2010 webinar discussion between Simon Chapman, Ph.D. and Steve Schroeder, M.D., hosted by the Partnership for Prevention's ActionToQuit initiative.
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TOBACCO AND HEALTH Reductions in Cigarette Smoking and Acute Myocardial Infarction (AMI) Mortality in Jefferson County, TX. American Journal of Public Health (October 21, 2010, Epub ahead of print). Wellfunded activities were successful in reducing population rates of cigarette smoking; the reduction in smoking promptly led to lower rates of death from AMI. Health Consequences of Pipe versus Cigarette Smoking. Tobacco Control (October 15, 2010, Epub ahead of print). Between pipe and cigarette smokers, no or only minor differences were found in mortality from any cause and the specified smoking-related diseases. Pipe smoking is not safer than cigarette smoking. Menthol Cigarette Smoking and Health, FL 2007 BRFSS. American Journal of Health Behavior (January 2011). Racial/ethnic minorities, and individuals reporting a greater frequency of mental distress are more likely to smoke menthol vs. non-menthol cigarettes. Recent Trends and Geographic Patterns of the Burden of Disease Attributable to Smoking. Value in Health (October 12, 2010, Epub ahead of print). This analysis quantified the overall burden of smoking for the nation and individual states from 1993 to 2008. TOBACCO MARKETING/ADVERTISING/PROMOTION Covering Their Butts: Responses to the Cigarette Litter Problem. Tobacco Control (October 21, 2010, Epub ahead of print). This paper examines how the tobacco industry has managed the cigarette butt litter issue and how the issue has been covered in the media.

Information and links to non-Federal organizations are provided solely as a service to Media Network Members. Links do not constitute an endorsement of any organization by CDC or the Federal Government, and none should be inferred. CDC is not responsible for the content of the individual organization found at non-Federal links.

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From: "Neal, Scott" To: "Bennett, John" <John.Bennett@kingcounty.gov> "Brawley, Karen" <Karen.Brawley@kingcounty.gov> "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Holt, Lauren" <Lauren.Holt@kingcounty.gov> "Leon-Guerrero, Michael" <Michael.Leon-Guerrero@kingcounty.gov> "Moreno, Emma" <Emma.Moreno@kingcounty.gov> "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> "Ronneberg, Brett" <Brett.Ronneberg@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Ryan, Molly" <Molly.Ryan@kingcounty.gov> "Sherard, Mark" <Mark.Sherard@kingcounty.gov> "Zemann, Paul" <Paul.Zemann@kingcounty.gov> Date: 11/2/2010 3:53:00 PM Subject: FW: Office on Smoking and Health Media Network November 2010 e-Bulletin
FYI....the webinar at the top of this email may be of particular interest to a number of you, plus lots of other good info too!

From: Mitchell, Devonne M. (CDC/ONDIEH/NCCDPHP) [mailto:gwi0@cdc.gov] Sent: Tuesday, November 02, 2010 12:27 PM Subject: Office on Smoking and Health Media Network November 2010 e-Bulletin

You may circulate or post this e-Bulletin in part or in full; however, please remove the OSH Media Network headings before doing so. Office on Smoking and Health Media Network November 2010 e-Bulletin The e-Bulletins are posted on the OSH State Information Forum. Go to <Media Network Minutes and Materials>, click on the folder <2010 Media Network e-Bulletins>, scroll down. CONFERENCES/TRAININGS/Events Do Quitlines Have a Role in Serving the Tobacco Cessation Needs of Persons with Mental Illnesses and Substance Abuse Disorders? Webinar hosted by the Smoking Cessation Leadership Center and the North American Quitline Consortium, Thursday, November 18, 2010, 1 2:30 pm ET. For more information, contact Christine Cheng (877 509-3786). 6th National Summit on Smokeless and Spit Tobacco. The conference will be held May 10-12, 2011 in Austin, TX and the theme is "The New Face of Smokeless Tobacco Addiction. Presentation proposals are being accepted through December 10, 2010. More information at 877 451-8700, Caitlin@Swift-Solutions.org or Barry.Sharp@dshs.state.tx.us. Social Marketing Field School: Focus Group Research Strategies. This intensive overview of
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focus group procedures in the public and non-profit environment will be held at the University of South Florida, Tampa, FL January 3-7, 2011, with Dr. Richard Krueger. This course counts toward the requirements of the Social Marketing in Public Health Graduate Certificate. More information at: http://www.cme.hsc.usf.edu/ (Select Course Calendar, then January 2011). EVALUATION: Counter-Marketing or Media Analysis Use of Mass Media Campaigns to Change Health Behavior. Lancet (published online October 7, 2010). Mass media campaigns can produce positive changes or prevent negative changes in health-related behaviors across large populations. RESOURCES: Tobacco-Related Working with Your Legislators on Tobacco Control Issues. NALBOH offers a free 20minute archived webinar presented by the National Conference of State Legislatures (free registration required). RESOURCES: General Media/Communications The Health Communicator's Social Media Toolkit. This CDC toolkit provides guidance and lessons learned integrating social media into health communication campaigns, activities, and emergency response efforts. This guide provides information on getting started - from developing governance to determining which channels best meet communication objectives to creating a social media strategy. An overview of popular social media tools is included. What Makes a Video Go Viral? Marketing Vox (October 15, 2010). While humor is a big draw, there are other reasons why a video goes viral - which could have a bigger impact for marketers, depending on what they hope to accomplish. Snippets. Marketing Vox (October 5, 2010). Research on what is most likely to be shared online, how much time viewers give online video to hook them, and reactions to twitters. Guerrilla Marketing 2010. Brand Week (Oct. 31, 2010). The guerrilla-meets-digital permutations are endless; the "street" in street-level marketing is no longer just the asphalt variety. Recounts digital guerilla marketing campaigns that have, and havent, hit the mark. OOH Advertising Enhances All Other Messaging. MediaPost: Research Brief (October 26, 2010). A new study by Clear Channel Outdoor with MarketShare Partners that explores the use and effectiveness of Out-of-Home (OOH) advertising, the financial contribution of OOH and discusses how marketers can make more informed decisions regarding their marketing budget allocation. Podcast Power. Lena West Blog on Open Forum (October 13, 2010). Practical tips for producing quality pod-casts. OTHER PRODUCTS: Smokeless, Cigars, Hookahs, e-Cigarettes, etc. Emerging tobacco products: Hookah use among NJ youth. Preventive Medicine (November 2010). The prevalence of hookah use, higher likelihood of concurrent tobacco use among hookah users, and misperceptions of safety and popularity of hookah among NJ adolescents are cause for concern and action. PACKAGE DESIGN & WARNING LABELS
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Effects of Dissuasive Packaging on Young Adult Smokers. Tobacco Control (October 21, 2010, Epub ahead of print). A New Zealand study finds Plain packs that feature large graphic health warnings are significantly more likely to promote cessation among young adult smokers than fully or partially branded packs. SECONDHAND SMOKE (SHS)/CLEAN INDOOR AIR (CIA) The Impact of Massachusetts' Smoke-free Workplace Laws on Acute Myocardial Infarction (AMI) Deaths. American Journal of Public Health (September 23, 2010, Epub ahead of print). Comprehensive smoke-free workplace laws in Massachusetts were associated with an estimated 270 fewer AMI deaths per year. Economic Effects of Ohio's Smoke-free Law on Kentucky and Ohio Border Counties. Tobacco Control (September 24, 2010, Epub ahead of print). Smoke-free laws are neutral with respect to the hospitality business across jurisdictions with and without laws. Secondhand Smoke Transfer in Multiunit Housing. Nicotine and Tobacco Research October 1, 2010, Epub ahead of print). This study documents SHS incursions from smoke-permitted units into smoke-free units and adjacent hallways within the same building. Secondhand Smoke Transfer and Reductions by Air Sealing and Ventilation in Multiunit Buildings. Indoor Air (July 20, 2010). Eliminating air leakage between smokers' and nonsmokers' units is not a practical means of solving SHS transmission in an existing building. TARGET POPULATION: African American Targeting African American Nonsmokers to Motivate Smokers to Quit. Health Education and Behavior (October 2010). African American nonsmokers living with a smoker may be an appropriate target group to motivate smoking behavior change in the smoker. A Population-based Examination of Cigarette Smoking and Mental Illness in Black Americans. Nicotine and Tobacco Research (September 20, 2010, Epub ahead of print). Findings indicate that mental illness is significantly associated with tobacco use in Blacks. Tobacco cessation interventions that address mental illness as a barrier to cessation are needed. TARGET POPULATION: Disadvantaged/Low SES State Medicaid Coverage for Tobacco-Dependence Treatments US, 2009. Morbidity and Mortality Weekly Report (October 21, 2010). A survey of Medicaid programs in the 50 states and the District of Columbia to document their 2009 tobacco-dependence treatment coverage. Break Free Alliance Resources. Visit the Alliance's Facebook and Twitter pages to stay up-to-date with future events, resources and advocacy initiatives. TARGET POPULATION: Hispanics/Latinos Smoking Behavior among Hispanic Adults with Diabetes on the US-Mexico Border. Revista Panamericana de Salud Publica (September 2010). Examines the prevalence of smoking behaviors among adults with diabetes on the US-Mexico border, compares these behaviors in U.S. Hispanics and Mexicans with diabetes, and identifies explanations for group differences.
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TARGET POPULATION: Lesbian/Gay/Bi-Sexual/Transgendered (LGBT) Adding Sexual Orientation Questions to Statewide Public Health Surveillance: New Mexico's Experience. American Journal of Public Health (October 21, 2010, Epub ahead of print). Perceptions that sexual orientation is too controversial a topic to be included on state surveys may be unfounded. TARGET POPULATION: Light/Intermittent/Social Users "I Smoke but I Am Not a Smoker": Phantom Smokers and the Discrepancy Between Selfidentity and Behavior. Journal of American College Health (September 2010). Phantom smokers' dissociation from smokers should be recognized and targeted as a distinct group for antismoking messages. TARGET POPULATION: Persons with Mental Illness or Developmental Delay Identity, Smoking, and Mental Illness in America. Journal of Social History (2010). This paper explores the relationship between mentally ill consumers, the tobacco industry, and public health in the United States through letters written by mentally ill smokers. TARGET POPULATION: Prisoners Tobacco Cessation for Correctional Populations Manual, 2nd Edition. This revised manual educates inmates on the health effects of tobacco use; teaches inmates how to quit using tobacco in the correctional environment; and how to stay quit upon release. To read the manual description and view pricing options, visit the Health Education Councils online store or you can contact the Council at 916-556-3344. Target Population: Women and Girls Aging Images As a Motivational Trigger for Smoking Cessation in Young Women. International Journal of Environmental Research and Public Health (September 2010). Aging images are a promising intervention for reaching young women and increasing their motivation to stop smoking. TARGET POPULATION: Youth/Young Adults Differences in the Smoking Identities of Adolescent Boys and Girls. Addictive Behaviors (October 7, 2010, Epub ahead of print). There may be differences in the ways boys and girls conceptualize, describe, and endorse smoking identities. Policy Statement--Children, Adolescents, Substance Abuse, and the Media. Pediatrics (September 27, 2010, Epub ahead of print). The American Academy of Pediatrics recommends a ban on all tobacco advertising in all media, avoiding exposure of young children to substance-related (tobacco, alcohol, prescription drugs, illegal drugs) content on television and in PG-13- and R-rated movies. Peer, Parent and Media Influences on Adolescent Smoking by Developmental Stage. Addictive Behaviors (September 18, 2010, Epub ahead of print). Exposure to tobacco-related media is associated with increased current and former smoking in both early and middle adolescence. Internet, Mobile Use Triples among Young Demographics. Media Post: Daily News (October 27, 2010). The average amount of time spent by 12- to-24-year-old Americans online has roughly tripled from 59
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minutes per day in 2000 to two hours and 52 minutes per day in 2010, according to Edison Research's American Youth Study 2010. Daily Patterns of Conjoint Smoking and Drinking in College Student Smokers. Psychology of Addictive Behaviors (September 2010). Light smokers were more likely than heavier smokers to smoke while drinking and to smoke more cigarettes while drinking. Marketers Get Creative Targeting Hard-to-reach College Students. USA Today (October 4, 2010). The most sophisticated college marketers, from American Eagle to Apple to Red Bull, are increasingly turning to social media focused on students' wants and needs. TOBACCO CESSATION YouTube As a Source of Quitting Smoking Information. Tobacco Control (October 21, 2010, Epub ahead of print). Analyses to determine the extent to which YouTube videos posted specific to smoking cessation were actually about quitting smoking and if so, whether or not they portrayed evidence-based practices. Two Contrary Views - Unassisted vs. Assisted Cessation. Listen to a recording of the October 25, 2010 webinar discussion between Simon Chapman, Ph.D. and Steve Schroeder, M.D., hosted by the Partnership for Prevention's ActionToQuit initiative. TOBACCO AND HEALTH Reductions in Cigarette Smoking and Acute Myocardial Infarction (AMI) Mortality in Jefferson County, TX. American Journal of Public Health (October 21, 2010, Epub ahead of print). Wellfunded activities were successful in reducing population rates of cigarette smoking; the reduction in smoking promptly led to lower rates of death from AMI. Health Consequences of Pipe versus Cigarette Smoking. Tobacco Control (October 15, 2010, Epub ahead of print). Between pipe and cigarette smokers, no or only minor differences were found in mortality from any cause and the specified smoking-related diseases. Pipe smoking is not safer than cigarette smoking. Menthol Cigarette Smoking and Health, FL 2007 BRFSS. American Journal of Health Behavior (January 2011). Racial/ethnic minorities, and individuals reporting a greater frequency of mental distress are more likely to smoke menthol vs. non-menthol cigarettes. Recent Trends and Geographic Patterns of the Burden of Disease Attributable to Smoking. Value in Health (October 12, 2010, Epub ahead of print). This analysis quantified the overall burden of smoking for the nation and individual states from 1993 to 2008. TOBACCO MARKETING/ADVERTISING/PROMOTION Covering Their Butts: Responses to the Cigarette Litter Problem. Tobacco Control (October 21, 2010, Epub ahead of print). This paper examines how the tobacco industry has managed the cigarette butt litter issue and how the issue has been covered in the media.

Information and links to non-Federal organizations are provided solely as a service to Media Network Members. Links do not constitute an endorsement of any organization by CDC or the Federal Government, and none should be inferred. CDC is not responsible for the content of the individual organization found at non-Federal links.
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From: "Leon-Guerrero, Michael" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Moreno, Emma" <Emma.Moreno@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> "Zemann, Paul" <Paul.Zemann@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> Date: 11/2/2010 4:21:39 PM Subject: RE: Presentation Thursday, Nov 4th Yeah I can! We just rescheduled our cessation meeting to 1pm :) I can cover compliance checks too, unless someone has a problem with that... Emma I'd like to show some visuals - do you think I will be able to setup my laptop and projector? Mike -----Original Message----From: Neal, Scott Sent: Tuesday, November 02, 2010 1:16 PM To: Moreno, Emma; Hatzenbuehler, Eric; de la Pena, Norilyn; Zemann, Paul; Bennett, John; Leon-Guerrero, Michael Subject: RE: Presentation Thursday, Nov 4th He Emma, Did someone respond that they would come with you? Scott -----Original Message----From: Moreno, Emma Sent: Monday, November 01, 2010 3:59 PM To: Hatzenbuehler, Eric; de la Pena, Norilyn; Zemann, Paul; Bennett, John; Leon-Guerrero, Michael; Neal, Scott Subject: Presentation Thursday, Nov 4th Hi All I have a request to do a presentation to a group of students of the Nursing School, they are working with the youth of Refugee Women's Alliance after school programs in creating a campaign and they want to learn more about dissolvable tobacco, e-cigarettes and hookah. They are particularly interested in the hookah and compliance checks. Is there someone available to come with me? When: Thursday, Nov 4th Time: 11:00 to 11:30 am Where; ReWA Please let me asap, to make arrangements Thank you Emma Moreno, MPH
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CPPW Tobacco Communities Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-9386

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From: "Zemann, Paul" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Moreno, Emma" <Emma.Moreno@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> "Leon-Guerrero, Michael" <Michael.Leon-Guerrero@kingcounty.gov> Date: 11/2/2010 4:17:01 PM Subject: RE: Presentation Thursday, Nov 4th I'm at Eastside Health Point Thursday till 1:00 sorry! PZ -----Original Message----From: Neal, Scott Sent: Tuesday, November 02, 2010 1:16 PM To: Moreno, Emma; Hatzenbuehler, Eric; de la Pena, Norilyn; Zemann, Paul; Bennett, John; Leon-Guerrero, Michael Subject: RE: Presentation Thursday, Nov 4th He Emma, Did someone respond that they would come with you? Scott -----Original Message----From: Moreno, Emma Sent: Monday, November 01, 2010 3:59 PM To: Hatzenbuehler, Eric; de la Pena, Norilyn; Zemann, Paul; Bennett, John; Leon-Guerrero, Michael; Neal, Scott Subject: Presentation Thursday, Nov 4th Hi All I have a request to do a presentation to a group of students of the Nursing School, they are working with the youth of Refugee Women's Alliance after school programs in creating a campaign and they want to learn more about dissolvable tobacco, e-cigarettes and hookah. They are particularly interested in the hookah and compliance checks. Is there someone available to come with me? When: Thursday, Nov 4th Time: 11:00 to 11:30 am Where; ReWA Please let me asap, to make arrangements Thank you Emma Moreno, MPH CPPW Tobacco Communities Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-9386
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From: "Neal, Scott" To: "Moreno, Emma" <Emma.Moreno@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> "Zemann, Paul" <Paul.Zemann@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> "Leon-Guerrero, Michael" <Michael.Leon-Guerrero@kingcounty.gov> Date: 11/2/2010 4:17:00 PM Subject: RE: Presentation Thursday, Nov 4th He Emma, Did someone respond that they would come with you? Scott -----Original Message----From: Moreno, Emma Sent: Monday, November 01, 2010 3:59 PM To: Hatzenbuehler, Eric; de la Pena, Norilyn; Zemann, Paul; Bennett, John; Leon-Guerrero, Michael; Neal, Scott Subject: Presentation Thursday, Nov 4th Hi All I have a request to do a presentation to a group of students of the Nursing School, they are working with the youth of Refugee Women's Alliance after school programs in creating a campaign and they want to learn more about dissolvable tobacco, e-cigarettes and hookah. They are particularly interested in the hookah and compliance checks. Is there someone available to come with me? When: Thursday, Nov 4th Time: 11:00 to 11:30 am Where; ReWA Please let me asap, to make arrangements Thank you Emma Moreno, MPH CPPW Tobacco Communities Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-9386

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From: "Moreno, Emma" To: "Leon-Guerrero, Michael" <Michael.Leon-Guerrero@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> Date: 11/2/2010 5:09:37 PM Subject: RE: Presentation Thursday, Nov 4th Hi Mike Thank you so much for the help. I will find out about setting up the projector Emma Moreno, MPH CPPW Tobacco Communities Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-9386

-----Original Message----From: Leon-Guerrero, Michael Sent: Tuesday, November 02, 2010 1:25 PM To: Hatzenbuehler, Eric Cc: Moreno, Emma Subject: RE: Presentation Thursday, Nov 4th No, not really.... you've already seen me in action! I'll go over just a few of the same basic slides I used at the Champ training - with the dissolvables and the Colbert video... But of COURSE tag along anyways! More people, more FUN! -----Original Message----From: Hatzenbuehler, Eric Sent: Tuesday, November 02, 2010 1:24 PM To: Leon-Guerrero, Michael Cc: Moreno, Emma Subject: RE: Presentation Thursday, Nov 4th I'd like to tag along, if that's alright, as a means of increasing my tobacco knowledge. -----Original Message----From: Leon-Guerrero, Michael Sent: Tuesday, November 02, 2010 1:22 PM To: Neal, Scott; Moreno, Emma; Hatzenbuehler, Eric; de la Pena, Norilyn; Zemann, Paul; Bennett, John Subject: RE: Presentation Thursday, Nov 4th Yeah I can! We just rescheduled our cessation meeting to 1pm :) I can cover compliance checks too, unless someone has a problem with that... Emma I'd like to show some visuals - do you think I will be able to setup my laptop and projector?
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Mike -----Original Message----From: Neal, Scott Sent: Tuesday, November 02, 2010 1:16 PM To: Moreno, Emma; Hatzenbuehler, Eric; de la Pena, Norilyn; Zemann, Paul; Bennett, John; Leon-Guerrero, Michael Subject: RE: Presentation Thursday, Nov 4th He Emma, Did someone respond that they would come with you? Scott -----Original Message----From: Moreno, Emma Sent: Monday, November 01, 2010 3:59 PM To: Hatzenbuehler, Eric; de la Pena, Norilyn; Zemann, Paul; Bennett, John; Leon-Guerrero, Michael; Neal, Scott Subject: Presentation Thursday, Nov 4th Hi All I have a request to do a presentation to a group of students of the Nursing School, they are working with the youth of Refugee Women's Alliance after school programs in creating a campaign and they want to learn more about dissolvable tobacco, e-cigarettes and hookah. They are particularly interested in the hookah and compliance checks. Is there someone available to come with me? When: Thursday, Nov 4th Time: 11:00 to 11:30 am Where; ReWA Please let me asap, to make arrangements Thank you Emma Moreno, MPH CPPW Tobacco Communities Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-9386

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From: "Hamilton, Joy" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 11/3/2010 11:55:05 AM Subject: E cigarettes creeping into mainstream http://www.usatoday.com/money/industries/travel/2010-11-02-airlinesmoking02_ST_N.htm An article about a charter airline company allowing e-cigarettes to be SAMPLED on their flights in California.

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From: "Pearson, Anne" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 11/3/2010 2:56:02 PM Subject: RE: Follow up to this mornings meeting with DF Thanks, Joy. Perfect timing as I'm working on this now. Apart from the supporting statements that we might put into a staff report, I think it would also be good to put a few sentences relating to intent into the law itself. Section 19.03.030 from the smoking in public places law is a great model of something that explains the BOH's motivation in a concise way. 19.03.030 Findings - intent. The Board of Health recognizes that exposure to second-hand smoke is known to cause cancer in humans and is a known cause of other diseases including pneumonia, asthma, bronchitis, and heart disease. Citizens are often exposed to second-hand smoke, and are likely to develop chronic, potentially fatal diseases as a result of such exposure. Due to the health hazard secondhand smoke poses to those exposed, the Board of Health adopts this regulation in order to protect the health and welfare of all citizens, including workers in their places of employment. (R&R 07-03 6, 2007). Could you put together a few sentences for the e-cig intent paragraph? I imagine it would address the emergence of the products, the risks they pose to kids, and the risks of sampling more generally. I don't think it needs to address the smoking in public places aspect as I'm dealing with that through simple amendment to the definition of "smoking." Let me know if you want to chat more about it.

>_____________________________________________ >From: Hamilton, Joy >Sent: Wednesday, November 03, 2010 11:51 AM >To: Pearson, Anne; Neal, Scott >Subject: RE: Follow up to this mornings meeting with DF > >Anne, >Please let me know if you need my help with this. I know that we had talked about me drafting the "intent" section of this. I just looked over Title 19 to get a sense of what that looked like and it is a lot of legal jargon so I'm not sure this is the right task for me but am certainly happy to help in anyway that you need. > >Thanks, >Joy > >_____________________________________________ >From: Pearson, Anne >Sent: Tuesday, November 02, 2010 5:13 PM >To: Neal, Scott >Cc: Hamilton, Joy >Subject: RE: Follow up to this mornings meeting with DF > >I started working on draft code language yesterday, and am aiming to have a draft to circulate to you and other
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reviewers like TFK and TCLC by the end of the week. I'm trying to block out of lot of time on my calendar so I'll get it done!! > > > > >_____________________________________________ > >From: Neal, Scott >Sent: Tuesday, November 02, 2010 4:24 PM >To: Pearson, Anne >Cc: Hamilton, Joy >Subject: Follow up to this mornings meeting with DF > >Hi Anne, > >I'm looking over the timeline that Joy created and it shows a draft for PAO review on Nov. 15th. I know that is a crazy fast turnaround. So I'm checking in with you to see if there is anything any of our tobacco staff could help you with as you draft the details of the code. Let me know if we need to huddle this week before our next Monday BOH planning meeting. > >Thanks >Scott

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From: To: Date: Subject:

"Hamilton, Joy" "Neal, Scott" <Scott.Neal@kingcounty.gov> 11/3/2010 2:39:36 PM RE: News about e-cigs and CA

If the AG has been looking at the e-cig issue, do we need to check with them or tell them about our e-cig policy work with BOH?

>_____________________________________________ >From: Neal, Scott >Sent: Wednesday, November 03, 2010 10:09 AM >To: Bennett, John; Pearson, Anne; Hamilton, Joy; Ross-Viles, Sarah >Cc: Hatzenbuehler, Eric; Pajimula, Fel >Subject: RE: News about e-cigs and CA > >What I know of the AG angle is that they have been looking into this issue, but that for some reason there is some different laws in Oregon that allowed them to take the action they did there and that we don't have the same ability here. However, there still may be something the they could do?? > >_____________________________________________ >From: Bennett, John >Sent: Wednesday, November 03, 2010 9:08 AM >To: Pearson, Anne; Hamilton, Joy; Neal, Scott; Ross-Viles, Sarah >Cc: Hatzenbuehler, Eric; Pajimula, Fel >Subject: RE: News about e-cigs and CA > >Is there a 1st amendment right to market illegal products? > >Do we know is anyone from the state has approached the AG's office to see if they may be willing to follow Oregon's lead in filing a lawsuit against the major e-cig manufacturers? > >_____________________________________________ >From: Pearson, Anne >Sent: Wednesday, November 03, 2010 8:59 AM >To: Hamilton, Joy; Neal, Scott; Ross-Viles, Sarah >Cc: Hatzenbuehler, Eric; Pajimula, Fel; Bennett, John >Subject: RE: News about e-cigs and CA > >I don't think we have considered marketing limits. These limits were reached in a negotiated settlement of a lawsuit. I think it's easier to restrict marketing under those circumstances than through a law since the law would raise first amendment concerns. > > > > >_____________________________________________ >From: Hamilton, Joy >Sent: Monday, November 01, 2010 8:45 AM >To: Neal, Scott; Ross-Viles, Sarah; Pearson, Anne
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>Cc: Hatzenbuehler, Eric; Pajimula, Fel; Bennett, John >Subject: News about e-cigs and CA > >News about e-cigs from over the weekend. Was marketing limits ever an option that was considered? > >http://www.reuters.com/article/idUSTRE69S5CH20101030 > > >Joy

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From: "Neal, Scott" To: "Bennett, John" <John.Bennett@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 11/3/2010 1:10:00 PM Subject: RE: News about e-cigs and CA What I know of the AG angle is that they have been looking into this issue, but that for some reason there is some different laws in Oregon that allowed them to take the action they did there and that we don't have the same ability here. However, there still may be something the they could do?? >_____________________________________________ >From: Bennett, John >Sent: Wednesday, November 03, 2010 9:08 AM >To: Pearson, Anne; Hamilton, Joy; Neal, Scott; Ross-Viles, Sarah >Cc: Hatzenbuehler, Eric; Pajimula, Fel >Subject: RE: News about e-cigs and CA > >Is there a 1st amendment right to market illegal products? > >Do we know is anyone from the state has approached the AG's office to see if they may be willing to follow Oregon's lead in filing a lawsuit against the major e-cig manufacturers? > >_____________________________________________ >From: Pearson, Anne >Sent: Wednesday, November 03, 2010 8:59 AM >To: Hamilton, Joy; Neal, Scott; Ross-Viles, Sarah >Cc: Hatzenbuehler, Eric; Pajimula, Fel; Bennett, John >Subject: RE: News about e-cigs and CA > >I don't think we have considered marketing limits. These limits were reached in a negotiated settlement of a lawsuit. I think it's easier to restrict marketing under those circumstances than through a law since the law would raise first amendment concerns. > > > > >_____________________________________________ >From: Hamilton, Joy >Sent: Monday, November 01, 2010 8:45 AM >To: Neal, Scott; Ross-Viles, Sarah; Pearson, Anne >Cc: Hatzenbuehler, Eric; Pajimula, Fel; Bennett, John >Subject: News about e-cigs and CA > >News about e-cigs from over the weekend. Was marketing limits ever an option that was considered? > >http://www.reuters.com/article/idUSTRE69S5CH20101030 > > >Joy
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From: "Bennett, John" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 11/3/2010 12:08:05 PM Subject: RE: News about e-cigs and CA Is there a 1st amendment right to market illegal products? Do we know is anyone from the state has approached the AG's office to see if they may be willing to follow Oregon's lead in filing a lawsuit against the major e-cig manufacturers? >_____________________________________________ >From: Pearson, Anne >Sent: Wednesday, November 03, 2010 8:59 AM >To: Hamilton, Joy; Neal, Scott; Ross-Viles, Sarah >Cc: Hatzenbuehler, Eric; Pajimula, Fel; Bennett, John >Subject: RE: News about e-cigs and CA > >I don't think we have considered marketing limits. These limits were reached in a negotiated settlement of a lawsuit. I think it's easier to restrict marketing under those circumstances than through a law since the law would raise first amendment concerns. > > > > >_____________________________________________ >From: Hamilton, Joy >Sent: Monday, November 01, 2010 8:45 AM >To: Neal, Scott; Ross-Viles, Sarah; Pearson, Anne >Cc: Hatzenbuehler, Eric; Pajimula, Fel; Bennett, John >Subject: News about e-cigs and CA > >News about e-cigs from over the weekend. Was marketing limits ever an option that was considered? > >http://www.reuters.com/article/idUSTRE69S5CH20101030 > > >Joy

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From: "Pearson, Anne" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 11/3/2010 11:59:30 AM Subject: RE: News about e-cigs and CA I don't think we have considered marketing limits. These limits were reached in a negotiated settlement of a lawsuit. I think it's easier to restrict marketing under those circumstances than through a law since the law would raise first amendment concerns.

>_____________________________________________ >From: Hamilton, Joy >Sent: Monday, November 01, 2010 8:45 AM >To: Neal, Scott; Ross-Viles, Sarah; Pearson, Anne >Cc: Hatzenbuehler, Eric; Pajimula, Fel; Bennett, John >Subject: News about e-cigs and CA > >News about e-cigs from over the weekend. Was marketing limits ever an option that was considered? > >http://www.reuters.com/article/idUSTRE69S5CH20101030 > > >Joy

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From: To: Date: Subject:

"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/3/2010 5:28:00 PM RE: News about e-cigs and CA

I'll give Paul Davis a calltechnically we cannot check in with them since they are a state office whose client is the statenot us. Kinda like our PAO is to us. >_____________________________________________ >From: Hamilton, Joy >Sent: Wednesday, November 03, 2010 11:40 AM >To: Neal, Scott >Subject: RE: News about e-cigs and CA > >If the AG has been looking at the e-cig issue, do we need to check with them or tell them about our e-cig policy work with BOH? > > > >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, November 03, 2010 10:09 AM >To: Bennett, John; Pearson, Anne; Hamilton, Joy; Ross-Viles, Sarah >Cc: Hatzenbuehler, Eric; Pajimula, Fel >Subject: RE: News about e-cigs and CA > >What I know of the AG angle is that they have been looking into this issue, but that for some reason there is some different laws in Oregon that allowed them to take the action they did there and that we don't have the same ability here. However, there still may be something the they could do?? > >_____________________________________________ >From: Bennett, John >Sent: Wednesday, November 03, 2010 9:08 AM >To: Pearson, Anne; Hamilton, Joy; Neal, Scott; Ross-Viles, Sarah >Cc: Hatzenbuehler, Eric; Pajimula, Fel >Subject: RE: News about e-cigs and CA > >Is there a 1st amendment right to market illegal products? > >Do we know is anyone from the state has approached the AG's office to see if they may be willing to follow Oregon's lead in filing a lawsuit against the major e-cig manufacturers? > >_____________________________________________ >From: Pearson, Anne >Sent: Wednesday, November 03, 2010 8:59 AM >To: Hamilton, Joy; Neal, Scott; Ross-Viles, Sarah >Cc: Hatzenbuehler, Eric; Pajimula, Fel; Bennett, John >Subject: RE: News about e-cigs and CA > >I don't think we have considered marketing limits. These limits were reached in a negotiated settlement of a lawsuit. I think it's easier to restrict marketing under those circumstances than through a law since the law would raise first
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amendment concerns. > > > > >_____________________________________________ >From: Hamilton, Joy >Sent: Monday, November 01, 2010 8:45 AM >To: Neal, Scott; Ross-Viles, Sarah; Pearson, Anne >Cc: Hatzenbuehler, Eric; Pajimula, Fel; Bennett, John >Subject: News about e-cigs and CA > >News about e-cigs from over the weekend. Was marketing limits ever an option that was considered? > >http://www.reuters.com/article/idUSTRE69S5CH20101030 > > >Joy

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From: To: Date: Subject:

"Neal, Scott" "Webb, Dean" <Dean.Webb@kingcounty.gov> 11/3/2010 2:27:00 PM RE: Public Health in the news 11.3.10

Thanks I had seen one of thesethis is definitely an increasing issue. >_____________________________________________ >From: Webb, Dean >Sent: Wednesday, November 03, 2010 10:36 AM >To: Neal, Scott >Subject: FW: Public Health in the news 11.3.10 > > >Scott, in the event you did not see this. Two references to E-cigarettes.-Dean >______________________________________________ >From: Cordero, Julia >Sent: Wednesday, November 03, 2010 10:08 AM >To: Cordero, Julia; Apa, James; Fleming, David; Haynes, Joan; Huus, Kathie; Johnson, Gareth; Leifer, Ben; Oleru, Ngozi; Pine, Bette; Plorde, Michele; Ro, Marguerite; Russillo, Chrissy; Teeter, Dorothy; Maurer, Marcy; Azpitarte, Felisa; Bibus, David; Hopkins, Sharon; MacCully, Judy; West, Cindy; Wilson, Janna; Worsham, Dennis; Ciske, Sandra; Wysen, Kirsten; Wood, Maria; Valenzuela, Matias; Sadow-Hasenberg, Nicole; Ross, Kathryn; Ott, Jim; Offenbecher, Whitney; Muhm, Jennifer; Mengistu, Aida; Li-Vollmer, Meredith; Karasz, Hilary; Cummins, Elaine; Bogan, Sharon; Beleford, June; Beebe, Alanna; Adams, Caren; Maurer, Carol; Christiaens, Roman; Ing, Jeff; Hitchcock, Laura; Solet, David; Albetta, Gloria; Chan, Nadine; Loehr, Michael; Weihe, Janine; Elsenboss, Carina; Allenbach, Mary Alice; Babasinian, Tamara; Conner, Sharon; Day, Esther; Fredrickson, Julie; Latshaw, Melody; Morris, Della; Rohr Tran, Holly; Sarna-Hrynacz, Malgorzata; Smith, Roxi; Burgess, Moffett; Carson, Kathy; Cosgrove, TJ; de la Pena, Maria; DiGiorgio, Lisa; Elmore, Willma; Fotinos, Charissa; LaQuey, Gerrie; Haynes, Joan; Hersh, Dorene; Holland, Annette; Latshaw, Melody; Lente, Natalie; Lohn, Sherman; Maisen, Heather; Mullin, Carole; Oatis, Susan; Owen, Eric; Kennedy, Patricia; Pennylegion, Michelle; Peterson, Maureen; Reyes, David; Russell, Karen; Schipper, Lois; Shields, Anne; Shinoda-Mettler, Anne; Simpson, Jane; St Clair, Linda; Stevenson, Vivian; Webb, Dean; Wilson, Janna; Yorita, Melinda; Zwerling, Mary; Jones, Natasha >Subject: Public Health in the news 11.3.10 > >Public Health in the news >A daily digest of selected public health and related articles, compiled by the Communications Team > for Public Health Seattle & King County staff > > >Local/State News > >No stories today. > >National News > >California's Whooping Cough Epidemic Hits Latino Babies Hardest >http://healthland.time.com/2010/10/29/californias-whooping-cough-epidemic-hits%C2%A0latino-babies-hardest/ > >E-cigarette seller accepts California marketing limits >http://www.reuters.com/article/idUSTRE69S5CH20101030 >
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>Electronic cigarettes are increasing in popularity but may carry risks >http://www.latimes.com/health/boostershots/la-heb-e-cigarettes-20101102,0,1716674.story?track=rss > >Many factors in infectious disease uptick (podcast) >http://pagingdrgupta.blogs.cnn.com/2010/11/02/many-factors-in-infectious-disease-uptick/ > >Many Higher-Income Parents Forgoing Kids' Vaccinations: Report >http://consumer.healthday.com/Article.asp?AID=645038 > >Outsourcing food safety >http://www.stltoday.com/news/opinion/columns/the-platform/article_8b6233b6-e3ae-11df-ab1d00127992bc8b.html > >San Francisco bans Happy Meals >http://www.seattlepi.com/lifestyle/429496_happymeals02.html > >Seniors should get whooping cough vaccine >http://www.upi.com/Health_News/2010/11/01/Seniors-should-get-whooping-cough-vaccine/UPI83681288586525/ >

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From: To: Date: Subject:

"Webb, Dean" "Neal, Scott" <Scott.Neal@kingcounty.gov> 11/3/2010 1:35:35 PM FW: Public Health in the news 11.3.10

Scott, in the event you did not see this. Two references to E-cigarettes.-Dean >______________________________________________ >From: Cordero, Julia >Sent: Wednesday, November 03, 2010 10:08 AM >To: Cordero, Julia; Apa, James; Fleming, David; Haynes, Joan; Huus, Kathie; Johnson, Gareth; Leifer, Ben; Oleru, Ngozi; Pine, Bette; Plorde, Michele; Ro, Marguerite; Russillo, Chrissy; Teeter, Dorothy; Maurer, Marcy; Azpitarte, Felisa; Bibus, David; Hopkins, Sharon; MacCully, Judy; West, Cindy; Wilson, Janna; Worsham, Dennis; Ciske, Sandra; Wysen, Kirsten; Wood, Maria; Valenzuela, Matias; Sadow-Hasenberg, Nicole; Ross, Kathryn; Ott, Jim; Offenbecher, Whitney; Muhm, Jennifer; Mengistu, Aida; Li-Vollmer, Meredith; Karasz, Hilary; Cummins, Elaine; Bogan, Sharon; Beleford, June; Beebe, Alanna; Adams, Caren; Maurer, Carol; Christiaens, Roman; Ing, Jeff; Hitchcock, Laura; Solet, David; Albetta, Gloria; Chan, Nadine; Loehr, Michael; Weihe, Janine; Elsenboss, Carina; Allenbach, Mary Alice; Babasinian, Tamara; Conner, Sharon; Day, Esther; Fredrickson, Julie; Latshaw, Melody; Morris, Della; Rohr Tran, Holly; Sarna-Hrynacz, Malgorzata; Smith, Roxi; Burgess, Moffett; Carson, Kathy; Cosgrove, TJ; de la Pena, Maria; DiGiorgio, Lisa; Elmore, Willma; Fotinos, Charissa; LaQuey, Gerrie; Haynes, Joan; Hersh, Dorene; Holland, Annette; Latshaw, Melody; Lente, Natalie; Lohn, Sherman; Maisen, Heather; Mullin, Carole; Oatis, Susan; Owen, Eric; Kennedy, Patricia; Pennylegion, Michelle; Peterson, Maureen; Reyes, David; Russell, Karen; Schipper, Lois; Shields, Anne; Shinoda-Mettler, Anne; Simpson, Jane; St Clair, Linda; Stevenson, Vivian; Webb, Dean; Wilson, Janna; Yorita, Melinda; Zwerling, Mary; Jones, Natasha >Subject: Public Health in the news 11.3.10 > >Public Health in the news >A daily digest of selected public health and related articles, compiled by the Communications Team > for Public Health Seattle & King County staff > > >Local/State News > >No stories today. > >National News > >California's Whooping Cough Epidemic Hits Latino Babies Hardest >http://healthland.time.com/2010/10/29/californias-whooping-cough-epidemic-hits%C2%A0latino-babies-hardest/ > >E-cigarette seller accepts California marketing limits >http://www.reuters.com/article/idUSTRE69S5CH20101030 > >Electronic cigarettes are increasing in popularity but may carry risks >http://www.latimes.com/health/boostershots/la-heb-e-cigarettes-20101102,0,1716674.story?track=rss > >Many factors in infectious disease uptick (podcast) >http://pagingdrgupta.blogs.cnn.com/2010/11/02/many-factors-in-infectious-disease-uptick/ > >Many Higher-Income Parents Forgoing Kids' Vaccinations: Report >http://consumer.healthday.com/Article.asp?AID=645038
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> >Outsourcing food safety >http://www.stltoday.com/news/opinion/columns/the-platform/article_8b6233b6-e3ae-11df-ab1d00127992bc8b.html > >San Francisco bans Happy Meals >http://www.seattlepi.com/lifestyle/429496_happymeals02.html > >Seniors should get whooping cough vaccine >http://www.upi.com/Health_News/2010/11/01/Seniors-should-get-whooping-cough-vaccine/UPI83681288586525/ >

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From: To: Date: Subject: Attachments:

"Neal, Scott" "Bennett, John" <John.Bennett@kingcounty.gov> 11/3/2010 6:07:00 PM FW: Spokane City Attorney EC 11 01 10 2 2CLEAN.doc Cal E cig law sb_882_bill_20100927_chaptered.pdf n2008_consent_judgment_se.pdf Cal AG new release.php.htm

FYI...they've come up with some additional items that we should add...

From: Beaumier, Robert [mailto:RBeaumier@SpokaneCity.org] Sent: Wednesday, November 03, 2010 3:02 PM To: Neal, Scott Cc: Pearson, Anne; Hamilton, Joy; Ross-Viles, Sarah Subject: RE: Spokane City Attorney Here are some materials for your consideration Scott. We are evaluating whether to make it an infraction for minor to procure these devices; no decision on that yet. Let me know if you would like to discuss further

Confidential & Privileged Legal Materials [No Disclosure Authorized Without Express Consent of Client(s) & City Attorney.]

Robert G. Beaumier, Jr. Assistant City Attorney Office of the City Attorney City of Spokane 808 W. Spokane Falls Blvd. 5th Floor, Municipal Bldg. Spokane, WA 99201-3326 (509) 625-6225 FAX (509) 625-6277 rbeaumier@spokanecity.org
NOTICE: This communication may contain privileged or other confidential information. If you are not the intended recipient, or believe that you have received this communication in error, please do not print, copy, retransmit, disseminate, or otherwise use the information. Also, please indicate to the sender that you have received this email in error, and delete the copy you received. Thank you.

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Wednesday, November 03, 2010 2:51 PM To: Beaumier, Robert Cc: Pearson, Anne; Hamilton, Joy; Ross-Viles, Sarah Subject: FW: Spokane City Attorney Hi Robert, I have been working recently with my colleague Christopher Zilar in the Spokane County Tobacco Prevention Program and 8_19_2011

Page 2 I am aware of the Spokane Board of Health's resolution asking cities to pass local regulations restricting e-cigs to be sold to adults only. Paul Davis at the DOH Tobacco Prevention Program mentioned that to me in a phone conversation about what we are planning to do here in King County. I'm happy to hear that Spokane City Council is considering taking this action. Since it sounds like we are working on similar agendas, I thought we should connect to see if we could benefit from sharing ideas when it comes to drafting code regulations. Essentially we've been working with our BOH Tobacco Policy Committee the last few months and have identified three main areas of focus regarding e-cigs that our BOH will consider at the Dec. 16, 2010 meeting. 1) restrict the sale of emerging nicotine delivery devices and products containing nicotine to adults 18 years of age or older; 2) prohibit providing free (sampling) or heavily discounted e-cigarettes, nicotine delivery devices, and products that contain nicotine and; 3) prohibit the use of e-cigarettes and similar smoking devices in places where smoking is prohibited by law. Our Code drafter Anne Pearson (cc'd on this email) is currently working on drafting code language for these areas and I thought it would begood to connect you and her on this to see if we can find some common language. Let me know what you think. I'm not sure how far along you are in the process or what month your city council is planning on considering this regulation. Thanks

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

From: Davis, Paul A (DOH) [mailto:Paul.Davis@DOH.WA.GOV] Sent: Wednesday, November 03, 2010 2:34 PM To: Neal, Scott Subject: FW: Spokane City Attorney

Robert G. Beaumier, Jr. Assistant City Attorney Office of the City Attorney City of Spokane 808 W. Spokane Falls Blvd. 5th Floor, Municipal Bldg. Spokane, WA 99201-3326 (509) 625-6225 FAX (509) 625-6277 rbeaumier@spokanecity.org Give him a call to consult on their work creating an e-cigarette ordinance.
Paul 8_19_2011

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www.doh.wa.gov/tobacco

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From: To: Date: Subject:


Hi Robert,

"Neal, Scott" rbeaumier@spokanecity.org 11/3/2010 5:52:00 PM FW: Spokane City Attorney

I have been working recently with my colleague Christopher Zilar in the Spokane County Tobacco Prevention Program and I am aware of the Spokane Board of Health's resolution asking cities to pass local regulations restricting e-cigs to be sold to adults only. Paul Davis at the DOH Tobacco Prevention Program mentioned that to me in a phone conversation about what we are planning to do here in King County. I'm happy to hear that Spokane City Council is considering taking this action. Since it sounds like we are working on similar agendas, I thought we should connect to see if we could benefit from sharing ideas when it comes to drafting code regulations. Essentially we've been working with our BOH Tobacco Policy Committee the last few months and have identified three main areas of focus regarding e-cigs that our BOH will consider at the Dec. 16, 2010 meeting. 1) restrict the sale of emerging nicotine delivery devices and products containing nicotine to adults 18 years of age or older; 2) prohibit providing free (sampling) or heavily discounted e-cigarettes, nicotine delivery devices, and products that contain nicotine and; 3) prohibit the use of e-cigarettes and similar smoking devices in places where smoking is prohibited by law. Our Code drafter Anne Pearson (cc'd on this email) is currently working on drafting code language for these areas and I thought it would be good to connect you and her on this to see if we can find some common language. Let me know what you think. I'm not sure how far along you are in the process or what month your city council is planning on considering this regulation. Thanks

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

From: Davis, Paul A (DOH) [mailto:Paul.Davis@DOH.WA.GOV] Sent: Wednesday, November 03, 2010 2:34 PM To: Neal, Scott Subject: FW: Spokane City Attorney

Robert G. Beaumier, Jr. Assistant City Attorney Office of the City Attorney City of Spokane 808 W. Spokane Falls Blvd.
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5th Floor, Municipal Bldg. Spokane, WA 99201-3326 (509) 625-6225 FAX (509) 625-6277 rbeaumier@spokanecity.org Give him a call to consult on their work creating an e-cigarette ordinance.
Paul

www.doh.wa.gov/tobacco

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From: To: Date: Subject:

"Davis, Paul A \(DOH\)" <Paul.Davis@DOH.WA.GOV> "Neal, Scott" <Scott.Neal@kingcounty.gov> 11/3/2010 5:34:26 PM FW: Spokane City Attorney

Robert G. Beaumier, Jr. Assistant City Attorney Office of the City Attorney City of Spokane 808 W. Spokane Falls Blvd. 5th Floor, Municipal Bldg. Spokane, WA 99201-3326 (509) 625-6225 FAX (509) 625-6277 rbeaumier@spokanecity.org Give him a call to consult on their work creating an e-cigarette ordinance.
Paul

www.doh.wa.gov/tobacco

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From: "Pearson, Anne" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 11/3/2010 6:48:33 PM Subject: FW: Spokane City Attorney Attachments: EC 11 01 10 2 2CLEAN.doc Cal E cig law sb_882_bill_20100927_chaptered.pdf n2008_consent_judgment_se.pdf Cal AG new release.php.htm
Very helpful! I am taking a slightly different drafting approach to some aspects of the code. For example, I'm using a slightly broader definition of e-cig, am requiring id checks for anyone over 26 (to be consistent with new FDA rule for tobacco), am prohibiting free sampling to all people (not just to kids), and am not inclined to make it a crime for kids to buy cigs (preferring to just go after the retailers instead.) Should we all schedule a time to speak with him to compare drafts and thinking since it would probalby make sense to have the ordinances be as aligned as possible? Or, I'm happy to just give him a call. Anne

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov

From: Beaumier, Robert [mailto:RBeaumier@SpokaneCity.org] Sent: Wednesday, November 03, 2010 3:02 PM To: Neal, Scott Cc: Pearson, Anne; Hamilton, Joy; Ross-Viles, Sarah Subject: RE: Spokane City Attorney Here are some materials for your consideration Scott. We are evaluating whether to make it an infraction for minor to procure these devices; no decision on that yet. Let me know if you would like to discuss further

Confidential & Privileged Legal Materials [No Disclosure Authorized Without Express Consent of Client(s) & City Attorney.]

Robert G. Beaumier, Jr. Assistant City Attorney Office of the City Attorney City of Spokane 808 W. Spokane Falls Blvd. 5th Floor, Municipal Bldg. Spokane, WA 99201-3326 (509) 625-6225
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FAX (509) 625-6277 rbeaumier@spokanecity.org


NOTICE: This communication may contain privileged or other confidential information. If you are not the intended recipient, or believe that you have received this communication in error, please do not print, copy, retransmit, disseminate, or otherwise use the information. Also, please indicate to the sender that you have received this email in error, and delete the copy you received. Thank you.

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Wednesday, November 03, 2010 2:51 PM To: Beaumier, Robert Cc: Pearson, Anne; Hamilton, Joy; Ross-Viles, Sarah Subject: FW: Spokane City Attorney Hi Robert, I have been working recently with my colleague Christopher Zilar in the Spokane County Tobacco Prevention Program and I am aware of the Spokane Board of Health's resolution asking cities to pass local regulations restricting e-cigs to be sold to adults only. Paul Davis at the DOH Tobacco Prevention Program mentioned that to me in a phone conversation about what we are planning to do here in King County. I'm happy to hear that Spokane City Council is considering taking this action. Since it sounds like we are working on similar agendas, I thought we should connect to see if we could benefit from sharing ideas when it comes to drafting code regulations. Essentially we've been working with our BOH Tobacco Policy Committee the last few months and have identified three main areas of focus regarding e-cigs that our BOH will consider at the Dec. 16, 2010 meeting. 1) restrict the sale of emerging nicotine delivery devices and products containing nicotine to adults 18 years of age or older; 2) prohibit providing free (sampling) or heavily discounted e-cigarettes, nicotine delivery devices, and products that contain nicotine and; 3) prohibit the use of e-cigarettes and similar smoking devices in places where smoking is prohibited by law. Our Code drafter Anne Pearson (cc'd on this email) is currently working on drafting code language for these areas and I thought it would begood to connect you and her on this to see if we can find some common language. Let me know what you think. I'm not sure how far along you are in the process or what month your city council is planning on considering this regulation. Thanks

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

From: Davis, Paul A (DOH) [mailto:Paul.Davis@DOH.WA.GOV] Sent: Wednesday, November 03, 2010 2:34 PM To: Neal, Scott Subject: FW: Spokane City Attorney

Robert G. Beaumier, Jr. Assistant City Attorney


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Office of the City Attorney City of Spokane 808 W. Spokane Falls Blvd. 5th Floor, Municipal Bldg. Spokane, WA 99201-3326 (509) 625-6225 FAX (509) 625-6277 rbeaumier@spokanecity.org Give him a call to consult on their work creating an e-cigarette ordinance.
Paul

www.doh.wa.gov/tobacco

8_19_2011

Page 1

From: To: Date: Subject:

"Bennett, John" "Neal, Scott" <Scott.Neal@kingcounty.gov> 11/3/2010 6:09:51 PM RE: Spokane City Attorney

This is awesome. The last 3 attached files are what I was discussing with you earlier Scott. There is room to do a lot more with our code if we choose to.

From: Neal, Scott Sent: Wednesday, November 03, 2010 3:06 PM To: Bennett, John Cc: Hatzenbuehler, Eric Subject: FW: Spokane City Attorney FYI...they've come up with some additional items that we should add...

From: Beaumier, Robert [mailto:RBeaumier@SpokaneCity.org] Sent: Wednesday, November 03, 2010 3:02 PM To: Neal, Scott Cc: Pearson, Anne; Hamilton, Joy; Ross-Viles, Sarah Subject: RE: Spokane City Attorney Here are some materials for your consideration Scott. We are evaluating whether to make it an infraction for minor to procure these devices; no decision on that yet. Let me know if you would like to discuss further

Confidential & Privileged Legal Materials [No Disclosure Authorized Without Express Consent of Client(s) & City Attorney.]

Robert G. Beaumier, Jr. Assistant City Attorney Office of the City Attorney City of Spokane 808 W. Spokane Falls Blvd. 5th Floor, Municipal Bldg. Spokane, WA 99201-3326 (509) 625-6225 FAX (509) 625-6277 rbeaumier@spokanecity.org
NOTICE: This communication may contain privileged or other confidential information. If you are not the intended recipient, or believe that you have received this communication in error, please do not print, copy, retransmit, disseminate, or otherwise use the information. Also, please indicate to the sender that you have received this email in error, and delete the copy you received. Thank you.

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Wednesday, November 03, 2010 2:51 PM To: Beaumier, Robert Cc: Pearson, Anne; Hamilton, Joy; Ross-Viles, Sarah 8_19_2011

Page 2 Subject: FW: Spokane City Attorney Hi Robert, I have been working recently with my colleague Christopher Zilar in the Spokane County Tobacco Prevention Program and I am aware of the Spokane Board of Health's resolution asking cities to pass local regulations restricting e-cigs to be sold to adults only. Paul Davis at the DOH Tobacco Prevention Program mentioned that to me in a phone conversation about what we are planning to do here in King County. I'm happy to hear that Spokane City Council is considering taking this action. Since it sounds like we are working on similar agendas, I thought we should connect to see if we could benefit from sharing ideas when it comes to drafting code regulations. Essentially we've been working with our BOH Tobacco Policy Committee the last few months and have identified three main areas of focus regarding e-cigs that our BOH will consider at the Dec. 16, 2010 meeting. 1) restrict the sale of emerging nicotine delivery devices and products containing nicotine to adults 18 years of age or older; 2) prohibit providing free (sampling) or heavily discounted e-cigarettes, nicotine delivery devices, and products that contain nicotine and; 3) prohibit the use of e-cigarettes and similar smoking devices in places where smoking is prohibited by law. Our Code drafter Anne Pearson (cc'd on this email) is currently working on drafting code language for these areas and I thought it would begood to connect you and her on this to see if we can find some common language. Let me know what you think. I'm not sure how far along you are in the process or what month your city council is planning on considering this regulation. Thanks

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

From: Davis, Paul A (DOH) [mailto:Paul.Davis@DOH.WA.GOV] Sent: Wednesday, November 03, 2010 2:34 PM To: Neal, Scott Subject: FW: Spokane City Attorney

Robert G. Beaumier, Jr. Assistant City Attorney Office of the City Attorney City of Spokane 808 W. Spokane Falls Blvd. 5th Floor, Municipal Bldg. Spokane, WA 99201-3326 (509) 625-6225 FAX (509) 625-6277
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rbeaumier@spokanecity.org Give him a call to consult on their work creating an e-cigarette ordinance.
Paul

www.doh.wa.gov/tobacco

8_19_2011

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From: To: Date: Subject:


thanks

"Neal, Scott" "Davis, Paul A \(DOH\)" <Paul.Davis@DOH.WA.GOV> 11/3/2010 5:37:00 PM RE: Spokane City Attorney

From: Davis, Paul A (DOH) [mailto:Paul.Davis@DOH.WA.GOV] Sent: Wednesday, November 03, 2010 2:34 PM To: Neal, Scott Subject: FW: Spokane City Attorney

Robert G. Beaumier, Jr. Assistant City Attorney Office of the City Attorney City of Spokane 808 W. Spokane Falls Blvd. 5th Floor, Municipal Bldg. Spokane, WA 99201-3326 (509) 625-6225 FAX (509) 625-6277 rbeaumier@spokanecity.org Give him a call to consult on their work creating an e-cigarette ordinance.
Paul

www.doh.wa.gov/tobacco

8_19_2011

Page 1

From: "Neal, Scott" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 11/3/2010 7:04:00 PM Subject: RE: Spokane City Attorney
I say go ahead and call him directly to have those conversations. I don't necessarily think it needs all of us for that conversation. :) Oh and I definitely like our position and where we are heading as opposed to some of what they are doing. thanks Scott

From: Pearson, Anne Sent: Wednesday, November 03, 2010 3:49 PM To: Neal, Scott; Ross-Viles, Sarah; Hamilton, Joy Subject: FW: Spokane City Attorney Very helpful! I am taking a slightly different drafting approach to some aspects of the code. For example, I'm using a slightly broader definition of e-cig, am requiring id checks for anyone over 26 (to be consistent with new FDA rule for tobacco), am prohibiting free sampling to all people (not just to kids), and am not inclined to make it a crime for kids to buy cigs (preferring to just go after the retailers instead.) Should we all schedule a time to speak with him to compare drafts and thinking since it would probalby make sense to have the ordinances be as aligned as possible? Or, I'm happy to just give him a call. Anne

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov

From: Beaumier, Robert [mailto:RBeaumier@SpokaneCity.org] Sent: Wednesday, November 03, 2010 3:02 PM To: Neal, Scott Cc: Pearson, Anne; Hamilton, Joy; Ross-Viles, Sarah Subject: RE: Spokane City Attorney Here are some materials for your consideration Scott. We are evaluating whether to make it an infraction for minor to procure these devices; no decision on that yet. Let me know if you would like to discuss further

Confidential & Privileged Legal Materials [No Disclosure Authorized Without Express Consent of Client(s) & City Attorney.]

Robert G. Beaumier, Jr.


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Assistant City Attorney Office of the City Attorney City of Spokane 808 W. Spokane Falls Blvd. 5th Floor, Municipal Bldg. Spokane, WA 99201-3326 (509) 625-6225 FAX (509) 625-6277 rbeaumier@spokanecity.org
NOTICE: This communication may contain privileged or other confidential information. If you are not the intended recipient, or believe that you have received this communication in error, please do not print, copy, retransmit, disseminate, or otherwise use the information. Also, please indicate to the sender that you have received this email in error, and delete the copy you received. Thank you.

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Wednesday, November 03, 2010 2:51 PM To: Beaumier, Robert Cc: Pearson, Anne; Hamilton, Joy; Ross-Viles, Sarah Subject: FW: Spokane City Attorney Hi Robert, I have been working recently with my colleague Christopher Zilar in the Spokane County Tobacco Prevention Program and I am aware of the Spokane Board of Health's resolution asking cities to pass local regulations restricting e-cigs to be sold to adults only. Paul Davis at the DOH Tobacco Prevention Program mentioned that to me in a phone conversation about what we are planning to do here in King County. I'm happy to hear that Spokane City Council is considering taking this action. Since it sounds like we are working on similar agendas, I thought we should connect to see if we could benefit from sharing ideas when it comes to drafting code regulations. Essentially we've been working with our BOH Tobacco Policy Committee the last few months and have identified three main areas of focus regarding e-cigs that our BOH will consider at the Dec. 16, 2010 meeting. 1) restrict the sale of emerging nicotine delivery devices and products containing nicotine to adults 18 years of age or older; 2) prohibit providing free (sampling) or heavily discounted e-cigarettes, nicotine delivery devices, and products that contain nicotine and; 3) prohibit the use of e-cigarettes and similar smoking devices in places where smoking is prohibited by law. Our Code drafter Anne Pearson (cc'd on this email) is currently working on drafting code language for these areas and I thought it would begood to connect you and her on this to see if we can find some common language. Let me know what you think. I'm not sure how far along you are in the process or what month your city council is planning on considering this regulation. Thanks

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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Page 3 From: Davis, Paul A (DOH) [mailto:Paul.Davis@DOH.WA.GOV] Sent: Wednesday, November 03, 2010 2:34 PM To: Neal, Scott Subject: FW: Spokane City Attorney

Robert G. Beaumier, Jr. Assistant City Attorney Office of the City Attorney City of Spokane 808 W. Spokane Falls Blvd. 5th Floor, Municipal Bldg. Spokane, WA 99201-3326 (509) 625-6225 FAX (509) 625-6277 rbeaumier@spokanecity.org Give him a call to consult on their work creating an e-cigarette ordinance.
Paul

www.doh.wa.gov/tobacco

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From: To: Date: Subject: Attachments:

"Beaumier, Robert" <RBeaumier@SpokaneCity.org> "Neal, Scott" <Scott.Neal@kingcounty.gov> 11/3/2010 6:02:11 PM RE: Spokane City Attorney EC 11 01 10 2 2CLEAN.doc Cal E cig law sb_882_bill_20100927_chaptered.pdf n2008_consent_judgment_se.pdf Cal AG new release.php.htm

Here are some materials for your consideration Scott. We are evaluating whether to make it an infraction for minor to procure these devices; no decision on that yet. Let me know if you would like to discuss further

Confidential & Privileged Legal Materials [No Disclosure Authorized Without Express Consent of Client(s) & City Attorney.]

Robert G. Beaumier, Jr. Assistant City Attorney Office of the City Attorney City of Spokane 808 W. Spokane Falls Blvd. 5th Floor, Municipal Bldg. Spokane, WA 99201-3326 (509) 625-6225 FAX (509) 625-6277 rbeaumier@spokanecity.org
NOTICE: This communication may contain privileged or other confidential information. If you are not the intended recipient, or believe that you have received this communication in error, please do not print, copy, retransmit, disseminate, or otherwise use the information. Also, please indicate to the sender that you have received this email in error, and delete the copy you received. Thank you.

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Wednesday, November 03, 2010 2:51 PM To: Beaumier, Robert Cc: Pearson, Anne; Hamilton, Joy; Ross-Viles, Sarah Subject: FW: Spokane City Attorney Hi Robert, I have been working recently with my colleague Christopher Zilar in the Spokane County Tobacco Prevention Program and I am aware of the Spokane Board of Health's resolution asking cities to pass local regulations restricting e-cigs to be sold to adults only. Paul Davis at the DOH Tobacco Prevention Program mentioned that to me in a phone conversation about what we are planning to do here in King County. I'm happy to hear that Spokane City Council is considering taking this action. Since it sounds like we are working on similar agendas, I thought we should connect to see if we could benefit from sharing ideas when it comes to drafting code regulations. Essentially we've been working with our BOH Tobacco Policy Committee the last few months and have identified three main areas of focus regarding e-cigs that our BOH will consider at the Dec. 16, 2010 meeting. 1) restrict the sale of emerging nicotine delivery devices and products containing nicotine to adults 18 years of age or 8_19_2011

Page 2 older; 2) prohibit providing free (sampling) or heavily discounted e-cigarettes, nicotine delivery devices, and products that contain nicotine and; 3) prohibit the use of e-cigarettes and similar smoking devices in places where smoking is prohibited by law. Our Code drafter Anne Pearson (cc'd on this email) is currently working on drafting code language for these areas and I thought it would begood to connect you and her on this to see if we can find some common language. Let me know what you think. I'm not sure how far along you are in the process or what month your city council is planning on considering this regulation. Thanks

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

From: Davis, Paul A (DOH) [mailto:Paul.Davis@DOH.WA.GOV] Sent: Wednesday, November 03, 2010 2:34 PM To: Neal, Scott Subject: FW: Spokane City Attorney

Robert G. Beaumier, Jr. Assistant City Attorney Office of the City Attorney City of Spokane 808 W. Spokane Falls Blvd. 5th Floor, Municipal Bldg. Spokane, WA 99201-3326 (509) 625-6225 FAX (509) 625-6277 rbeaumier@spokanecity.org Give him a call to consult on their work creating an e-cigarette ordinance.
Paul

www.doh.wa.gov/tobacco

8_19_2011

Page 1

From: "Hamilton, Joy" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 11/4/2010 11:47:30 AM Subject: RE: E cigarettes creeping into mainstream Another article the news media is really picking up on this topic. http://www.bloomberg.com/news/print/2010-11-02/electronic-cigarettes-nicotine-vapor-pits-anti-smokers-againstregulators.html

>_____________________________________________ >From: Hamilton, Joy >Sent: Wednesday, November 03, 2010 8:55 AM >To: Neal, Scott; Ross-Viles, Sarah; Pearson, Anne >Cc: Hatzenbuehler, Eric; Pajimula, Fel; Bennett, John; Ryan, Molly; Greto, Lindsey >Subject: E cigarettes creeping into mainstream > >http://www.usatoday.com/money/industries/travel/2010-11-02-airlinesmoking02_ST_N.htm > >An article about a charter airline company allowing e-cigarettes to be SAMPLED on their flights in California. > >

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From: To: Date: Subject: lame

"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/5/2010 5:20:00 PM RE: E cigarettes creeping into mainstream

>_____________________________________________ >From: Hamilton, Joy >Sent: Thursday, November 04, 2010 8:48 AM >To: Hamilton, Joy; Neal, Scott; Ross-Viles, Sarah; Pearson, Anne >Cc: Hatzenbuehler, Eric; Pajimula, Fel; Bennett, John; Ryan, Molly; Greto, Lindsey >Subject: RE: E cigarettes creeping into mainstream > >Another article the news media is really picking up on this topic. > >http://www.bloomberg.com/news/print/2010-11-02/electronic-cigarettes-nicotine-vapor-pits-anti-smokersagainst-regulators.html > > >_____________________________________________ >From: Hamilton, Joy >Sent: Wednesday, November 03, 2010 8:55 AM >To: Neal, Scott; Ross-Viles, Sarah; Pearson, Anne >Cc: Hatzenbuehler, Eric; Pajimula, Fel; Bennett, John; Ryan, Molly; Greto, Lindsey >Subject: E cigarettes creeping into mainstream > >http://www.usatoday.com/money/industries/travel/2010-11-02-airlinesmoking02_ST_N.htm > >An article about a charter airline company allowing e-cigarettes to be SAMPLED on their flights in California. > >

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From: "Hamilton, Joy" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 11/5/2010 1:40:48 PM Subject: RE: E cigarettes creeping into mainstream Article in the Seattle Times (pulled from LA Times) in today's paper. http://seattletimes.nwsource.com/html/health/2013345158_webcig05.html

>_____________________________________________ >From: Hamilton, Joy >Sent: Thursday, November 04, 2010 8:48 AM >To: Hamilton, Joy; Neal, Scott; Ross-Viles, Sarah; Pearson, Anne >Cc: Hatzenbuehler, Eric; Pajimula, Fel; Bennett, John; Ryan, Molly; Greto, Lindsey >Subject: RE: E cigarettes creeping into mainstream > >Another article the news media is really picking up on this topic. > >http://www.bloomberg.com/news/print/2010-11-02/electronic-cigarettes-nicotine-vapor-pits-anti-smokersagainst-regulators.html > > >_____________________________________________ >From: Hamilton, Joy >Sent: Wednesday, November 03, 2010 8:55 AM >To: Neal, Scott; Ross-Viles, Sarah; Pearson, Anne >Cc: Hatzenbuehler, Eric; Pajimula, Fel; Bennett, John; Ryan, Molly; Greto, Lindsey >Subject: E cigarettes creeping into mainstream > >http://www.usatoday.com/money/industries/travel/2010-11-02-airlinesmoking02_ST_N.htm > >An article about a charter airline company allowing e-cigarettes to be SAMPLED on their flights in California. > >

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From: "Neal, Scott" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> Date: 11/5/2010 6:35:00 PM Subject: RE: E-cigarette ordinance.doc Thanks Annehave a great weekend! >_____________________________________________ >From: Pearson, Anne >Sent: Friday, November 05, 2010 3:31 PM >To: Ross-Viles, Sarah; Hamilton, Joy; Bennett, John; Neal, Scott >Subject: E-cigarette ordinance.doc > > << File: E-cigarette ordinance.doc >> > > >Here's what I have so far. I could probably keep tinkering with it all night, but could use a little break. Why don't you all take a look and we can incorporate your feedback on Monday before sending it out to our legal partners for further review. > >Have a great weekend!

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From: "Hamilton, Joy" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 11/5/2010 7:46:55 PM Subject: RE: E-cigarette ordinance.doc Attachments: E-cigarette ordinance with intent section.doc Here is the version with the intent section added. I, like Anne, was tempted to tinker much longer but have run out of time -- so please give me feedback!

> __Joy___________________________________________ > From: Pearson, Anne > Sent: Friday, November 05, 2010 3:31 PM > To: Ross-Viles, Sarah; Hamilton, Joy; Bennett, John; Neal, Scott > Subject: E-cigarette ordinance.doc > > << File: E-cigarette ordinance.doc >> > > > Here's what I have so far. I could probably keep tinkering with it all night, but could use a little break. Why don't you all take a look and we can incorporate your feedback on Monday before sending it out to our legal partners for further review. > > Have a great weekend!

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From: "Ryan, Molly" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 11/8/2010 1:22:02 PM Subject: RE: E cigarettes creeping into mainstream Also, I was presenting on tobacco-free pharmacies project at the Washington State Pharmacy Association's annual conference this past Saturday, and not surprisingly, e-cigarettes were brought up. One of the pharmacists in the audience was saying that he had heard of physicians "prescribing" e-cigs to patients who were not responding to other forms of treatment. I don't know all the details, but it's a little concerning that healthcare providers may be promoting a product that hasn't been shown to be safe and effective. Yikes. >Molly Ryan, MPH >Tobacco Prevention Program >Public Health - Seattle & King County >Ph: (206) 263-8241 Fax: (206) 296-0177 > > >_____________________________________________ >From: Hamilton, Joy >Sent: Friday, November 05, 2010 10:41 AM >To: Hamilton, Joy; Neal, Scott; Ross-Viles, Sarah; Pearson, Anne >Cc: Hatzenbuehler, Eric; Pajimula, Fel; Bennett, John; Ryan, Molly; Greto, Lindsey >Subject: RE: E cigarettes creeping into mainstream > >Article in the Seattle Times (pulled from LA Times) in today's paper. > >http://seattletimes.nwsource.com/html/health/2013345158_webcig05.html > > >_____________________________________________ >From: Hamilton, Joy >Sent: Thursday, November 04, 2010 8:48 AM >To: Hamilton, Joy; Neal, Scott; Ross-Viles, Sarah; Pearson, Anne >Cc: Hatzenbuehler, Eric; Pajimula, Fel; Bennett, John; Ryan, Molly; Greto, Lindsey >Subject: RE: E cigarettes creeping into mainstream > >Another article the news media is really picking up on this topic. > >http://www.bloomberg.com/news/print/2010-11-02/electronic-cigarettes-nicotine-vapor-pits-anti-smokersagainst-regulators.html > > >_____________________________________________ >From: Hamilton, Joy >Sent: Wednesday, November 03, 2010 8:55 AM >To: Neal, Scott; Ross-Viles, Sarah; Pearson, Anne >Cc: Hatzenbuehler, Eric; Pajimula, Fel; Bennett, John; Ryan, Molly; Greto, Lindsey
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>Subject: E cigarettes creeping into mainstream > >http://www.usatoday.com/money/industries/travel/2010-11-02-airlinesmoking02_ST_N.htm > >An article about a charter airline company allowing e-cigarettes to be SAMPLED on their flights in California. > >

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From: "Neal, Scott" To: "Ryan, Molly" <Molly.Ryan@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 11/8/2010 1:39:00 PM Subject: RE: E cigarettes creeping into mainstream Yeah, that is troubling! >_____________________________________________ >From: Ryan, Molly >Sent: Monday, November 08, 2010 9:22 AM >To: Hamilton, Joy; Neal, Scott; Ross-Viles, Sarah; Pearson, Anne >Cc: Hatzenbuehler, Eric; Pajimula, Fel; Bennett, John; Greto, Lindsey; de la Pena, Norilyn; Leon-Guerrero, Michael; Zemann, Paul >Subject: RE: E cigarettes creeping into mainstream > >Also, I was presenting on tobacco-free pharmacies project at the Washington State Pharmacy Association's annual conference this past Saturday, and not surprisingly, e-cigarettes were brought up. > >One of the pharmacists in the audience was saying that he had heard of physicians "prescribing" e-cigs to patients who were not responding to other forms of treatment. I don't know all the details, but it's a little concerning that healthcare providers may be promoting a product that hasn't been shown to be safe and effective. Yikes. > >Molly Ryan, MPH >Tobacco Prevention Program >Public Health - Seattle & King County >Ph: (206) 263-8241 Fax: (206) 296-0177 > > >_____________________________________________ >From: Hamilton, Joy >Sent: Friday, November 05, 2010 10:41 AM >To: Hamilton, Joy; Neal, Scott; Ross-Viles, Sarah; Pearson, Anne >Cc: Hatzenbuehler, Eric; Pajimula, Fel; Bennett, John; Ryan, Molly; Greto, Lindsey >Subject: RE: E cigarettes creeping into mainstream > >Article in the Seattle Times (pulled from LA Times) in today's paper. > >http://seattletimes.nwsource.com/html/health/2013345158_webcig05.html > > >_____________________________________________ >From: Hamilton, Joy >Sent: Thursday, November 04, 2010 8:48 AM >To: Hamilton, Joy; Neal, Scott; Ross-Viles, Sarah; Pearson, Anne >Cc: Hatzenbuehler, Eric; Pajimula, Fel; Bennett, John; Ryan, Molly; Greto, Lindsey >Subject: RE: E cigarettes creeping into mainstream > >Another article the news media is really picking up on this topic.
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> >http://www.bloomberg.com/news/print/2010-11-02/electronic-cigarettes-nicotine-vapor-pits-anti-smokersagainst-regulators.html > > >_____________________________________________ >From: Hamilton, Joy >Sent: Wednesday, November 03, 2010 8:55 AM >To: Neal, Scott; Ross-Viles, Sarah; Pearson, Anne >Cc: Hatzenbuehler, Eric; Pajimula, Fel; Bennett, John; Ryan, Molly; Greto, Lindsey >Subject: E cigarettes creeping into mainstream > >http://www.usatoday.com/money/industries/travel/2010-11-02-airlinesmoking02_ST_N.htm > >An article about a charter airline company allowing e-cigarettes to be SAMPLED on their flights in California. > >

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From: "Bennett, John" To: "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 11/8/2010 6:18:33 PM Subject: Other Un-regulated Nicotine Products Fact Sheet Attachments: 0248[1].pdf Hey all, Here is a fact sheet the TFK put together back in the day about other unregulated nicotine products that we can use when discussing our rationale for prohibiting the sale of nicotine products to minors.

John

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From: "Greto, Lindsey" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 11/9/2010 4:15:35 PM Subject: E-Cigs question on ALA webinar - FYI On today's American Lung webinar on state cessation coverage, someone asked about ALA's position on using ecigarettes for cessation support. Here's their answer - not verbatim: E-Cigarettes should be regulated as a nicotine delivery device, not a tobacco product. Sale should not be permitted until FDA has evaluated the products to be safe and effective. They have not been proven to help smokers quit, so ALA doesn't support their use for cessation. The ALA is troubled by their sale and encourages smokers to utilize FDA-approved meds. --Lindsey Greto, MPA >Tobacco Prevention Program >Public Health - Seattle & King County >Ph: (206) 263-9410 Fax: (206) 296-0177 >

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From: To: Date: Subject:

"Neal, Scott" "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> 11/9/2010 4:23:00 PM RE: E-Cigs question on ALA webinar - FYI

ThanksI had heard that was their stancewhich is very appropriate I think. Scott >_____________________________________________ >From: Greto, Lindsey >Sent: Tuesday, November 09, 2010 12:16 PM >To: Hamilton, Joy; Neal, Scott >Subject: E-Cigs question on ALA webinar - FYI > >On today's American Lung webinar on state cessation coverage, someone asked about ALA's position on using ecigarettes for cessation support. Here's their answer - not verbatim: > >E-Cigarettes should be regulated as a nicotine delivery device, not a tobacco product. Sale should not be permitted until FDA has evaluated the products to be safe and effective. They have not been proven to help smokers quit, so ALA doesn't support their use for cessation. The ALA is troubled by their sale and encourages smokers to utilize FDA-approved meds. > >-->Lindsey Greto, MPA >Tobacco Prevention Program >Public Health - Seattle & King County >Ph: (206) 263-9410 Fax: (206) 296-0177 >

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From: "Neal, Scott" To: "Bennett, John" <John.Bennett@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 11/9/2010 12:14:00 PM Subject: RE: Other Un-regulated Nicotine Products Fact Sheet Thanks johngood info >_____________________________________________ >From: Bennett, John >Sent: Monday, November 08, 2010 2:18 PM >To: Hatzenbuehler, Eric; Neal, Scott; Ross-Viles, Sarah; Pearson, Anne >Cc: Hamilton, Joy >Subject: Other Un-regulated Nicotine Products Fact Sheet > >Hey all, > >Here is a fact sheet the TFK put together back in the day about other unregulated nicotine products that we can use when discussing our rationale for prohibiting the sale of nicotine products to minors. > > > << File: 0248[1].pdf >> > >John

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From: "Fallis, Rusty \(ATG\)" <RustyF@ATG.WA.GOV> To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Davis, Paul A \(DOH\)" <Paul.Davis@DOH.WA.GOV> Date: 11/12/2010 3:23:30 PM Subject: RE: Camel's campaign comes here too!
Thanks, Scott. (MollyI forwarded your phone message to my colleague, David Hankins, who handles our tobacco directory and who should be able to address your question. Let me know if you need anything else.)

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Friday, November 12, 2010 11:20 AM To: Fallis, Rusty (ATG); Davis, Paul A (DOH) Cc: Ryan, Molly; Ross-Viles, Sarah Subject: RE: Camel's campaign comes here too!

Thanks Rusty... And yes we've been tracking this and have made at least one call (to the Pike Place Market) as they use their copyrighted sign in their marketing materials, but they change the lettering. I also believe there are other icons from around Seattle that may be illegally used too. One being the Pyramid Brewery's two pyramid logo (as you can imagine that fits well with a "camel"). Molly in our office has been doing most of the work on this at this point, so I'm cc'ing her on this email and she can share more details about what we've done and are doing. thanks Scott

From: Fallis, Rusty (ATG) [mailto:RustyF@ATG.WA.GOV] Sent: Friday, November 12, 2010 11:16 AM To: Davis, Paul A (DOH); Neal, Scott Subject: FW: Camel's campaign comes here too!

Paul and ScottIve been up to my eyeballs in alcoholic energy drink-related work this week and thus havent been 100% current on RJR issues, but heres a message from my colleague in CA regarding a Camel promotion that features Seattle, among other cities. Ill try to find some time today to find out more about this (Perhaps you guys are ahead of meif so, please fill me in). Thanks. Rusty

From: Jeanne Finberg [mailto:Jeanne.Finberg@doj.ca.gov] 8_19_2011

Page 2 Sent: Friday, November 12, 2010 11:00 AM To: Tomisser, Rene (ATG); Fallis, Rusty (ATG); Dennis Eckhart; Shari Posner; William Lieblich; Marlene Trestman Subject: Camel's campaign comes here too!

Here're more detail on Reynolds new campaign -- hits SF and Seattle R.J. REYNOLDS USES NAMES AND IMAGES OF COOL U.S. CITIES TO MARKET CAMEL CIGARETTES TO KIDS Subtitle: Statement of Matthew L. Myers, President, Campaign for Tobacco-Free Kids Source: Campaign for Tobacco-Free Kids Date: 2010-11-12, (202) 296-5469 URL: http://www.tobaccofreekids.org/Script/DisplayPressRelease.php3?Display=1241 ID: 310601 Joe Camel may have been put out to pasture, but his spirit lives on in R.J. Reynolds' latest marketing campaign that once again tries to make Camel cigarettes cool, fun and rebellious and appealing to kids. The new campaign cynically uses the names and images of trendy U.S. destinations, including Seattle, Austin, San Francisco, Las Vegas, New Orleans, and Brooklyn's Williamsburg neighborhood, in an attempt to make Camel cigarettes cool again. RJR has unveiled cigarette pack designs bearing the name of each city on its Camel web site and has told the media that it will sell limited edition cigarette packs with the city names in December and January. (View images from the campaign) . ..

It is deeply disturbing that RJR is using the good name and hard-earned reputation of these great American cities to market deadly and addictive cigarettes, especially in a way that blatantly appeals to children. Certainly the citizens and leaders of these cities do not want to be associated with a product that kills more than 400,000 Americans every year. RJR showed truly shameless disregard for the death and suffering its products cause by calling this campaign a "celebration" of the locations involved. . . .

Several weeks ago, RJR launched this new online and direct mail marketing campaign, called the "Break Free Adventure," in which the Camel brand "visits" 10 different U.S. locations over a 10-week period. Visitors to the Camel web site can win prizes by reading a clue and guessing where Camel is that week. Each week, a new package design for Camel cigarettes is unveiled that features the name of that week's location and some of its iconic images. Other locations include Route 66; Bonneville Salt Flats, UT; Sturgis, SD; and Winston-Salem, NC. . . .

CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication.

8_19_2011

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From: "Neal, Scott" To: "Fallis, Rusty \(ATG\)" <RustyF@ATG.WA.GOV> "Davis, Paul A \(DOH\)" <Paul.Davis@DOH.WA.GOV> Date: 11/12/2010 3:21:00 PM Subject: RE: Camel's campaign comes here too!
Thanks Rusty... And yes we've been tracking this and have made at least one call (to the Pike Place Market) as they use their copyrighted sign in their marketing materials, but they change the lettering. I also believe there are other icons from around Seattle that may be illegally used too. One being the Pyramid Brewery's two pyramid logo (as you can imagine that fits well with a "camel"). Molly in our office has been doing most of the work on this at this point, so I'm cc'ing her on this email and she can share more details about what we've done and are doing. thanks Scott

From: Fallis, Rusty (ATG) [mailto:RustyF@ATG.WA.GOV] Sent: Friday, November 12, 2010 11:16 AM To: Davis, Paul A (DOH); Neal, Scott Subject: FW: Camel's campaign comes here too!

Paul and ScottIve been up to my eyeballs in alcoholic energy drink-related work this week and thus havent been 100% current on RJR issues, but heres a message from my colleague in CA regarding a Camel promotion that features Seattle, among other cities. Ill try to find some time today to find out more about this (Perhaps you guys are ahead of meif so, please fill me in). Thanks. Rusty

From: Jeanne Finberg [mailto:Jeanne.Finberg@doj.ca.gov] Sent: Friday, November 12, 2010 11:00 AM To: Tomisser, Rene (ATG); Fallis, Rusty (ATG); Dennis Eckhart; Shari Posner; William Lieblich; Marlene Trestman Subject: Camel's campaign comes here too!

Here're more detail on Reynolds new campaign -- hits SF and Seattle R.J. REYNOLDS USES NAMES AND IMAGES OF COOL U.S. CITIES TO MARKET CAMEL CIGARETTES TO KIDS Subtitle: Statement of Matthew L. Myers, President, Campaign for Tobacco-Free Kids Source: Campaign for Tobacco-Free Kids Date: 2010-11-12, (202) 296-5469 URL: http://www.tobaccofreekids.org/Script/DisplayPressRelease.php3?Display=1241 8_19_2011

Page 2 ID: 310601 Joe Camel may have been put out to pasture, but his spirit lives on in R.J. Reynolds' latest marketing campaign that once again tries to make Camel cigarettes cool, fun and rebellious and appealing to kids. The new campaign cynically uses the names and images of trendy U.S. destinations, including Seattle, Austin, San Francisco, Las Vegas, New Orleans, and Brooklyn's Williamsburg neighborhood, in an attempt to make Camel cigarettes cool again. RJR has unveiled cigarette pack designs bearing the name of each city on its Camel web site and has told the media that it will sell limited edition cigarette packs with the city names in December and January. (View images from the campaign) . ..

It is deeply disturbing that RJR is using the good name and hard-earned reputation of these great American cities to market deadly and addictive cigarettes, especially in a way that blatantly appeals to children. Certainly the citizens and leaders of these cities do not want to be associated with a product that kills more than 400,000 Americans every year. RJR showed truly shameless disregard for the death and suffering its products cause by calling this campaign a "celebration" of the locations involved. . . .

Several weeks ago, RJR launched this new online and direct mail marketing campaign, called the "Break Free Adventure," in which the Camel brand "visits" 10 different U.S. locations over a 10-week period. Visitors to the Camel web site can win prizes by reading a clue and guessing where Camel is that week. Each week, a new package design for Camel cigarettes is unveiled that features the name of that week's location and some of its iconic images. Other locations include Route 66; Bonneville Salt Flats, UT; Sturgis, SD; and Winston-Salem, NC. . . .

CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication.

8_19_2011

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From: "Fallis, Rusty \(ATG\)" <RustyF@ATG.WA.GOV> To: "Davis, Paul A \(DOH\)" <Paul.Davis@DOH.WA.GOV> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 11/12/2010 3:16:29 PM Subject: FW: Camel's campaign comes here too!
Paul and ScottIve been up to my eyeballs in alcoholic energy drink-related work this week and thus havent been 100% current on RJR issues, but heres a message from my colleague in CA regarding a Camel promotion that features Seattle, among other cities. Ill try to find some time today to find out more about this (Perhaps you guys are ahead of meif so, please fill me in). Thanks. Rusty

From: Jeanne Finberg [mailto:Jeanne.Finberg@doj.ca.gov] Sent: Friday, November 12, 2010 11:00 AM To: Tomisser, Rene (ATG); Fallis, Rusty (ATG); Dennis Eckhart; Shari Posner; William Lieblich; Marlene Trestman Subject: Camel's campaign comes here too!

Here're more detail on Reynolds new campaign -- hits SF and Seattle R.J. REYNOLDS USES NAMES AND IMAGES OF COOL U.S. CITIES TO MARKET CAMEL CIGARETTES TO KIDS Subtitle: Statement of Matthew L. Myers, President, Campaign for Tobacco-Free Kids Source: Campaign for Tobacco-Free Kids Date: 2010-11-12, (202) 296-5469 URL: http://www.tobaccofreekids.org/Script/DisplayPressRelease.php3?Display=1241 ID: 310601 Joe Camel may have been put out to pasture, but his spirit lives on in R.J. Reynolds' latest marketing campaign that once again tries to make Camel cigarettes cool, fun and rebellious and appealing to kids. The new campaign cynically uses the names and images of trendy U.S. destinations, including Seattle, Austin, San Francisco, Las Vegas, New Orleans, and Brooklyn's Williamsburg neighborhood, in an attempt to make Camel cigarettes cool again. RJR has unveiled cigarette pack designs bearing the name of each city on its Camel web site and has told the media that it will sell limited edition cigarette packs with the city names in December and January. (View images from the campaign) . ..

It is deeply disturbing that RJR is using the good name and hard-earned reputation of these great American cities to market deadly and addictive cigarettes, especially in a way that blatantly appeals to children. Certainly the citizens and leaders 8_19_2011

Page 2 of these cities do not want to be associated with a product that kills more than 400,000 Americans every year. RJR showed truly shameless disregard for the death and suffering its products cause by calling this campaign a "celebration" of the locations involved. . . .

Several weeks ago, RJR launched this new online and direct mail marketing campaign, called the "Break Free Adventure," in which the Camel brand "visits" 10 different U.S. locations over a 10-week period. Visitors to the Camel web site can win prizes by reading a clue and guessing where Camel is that week. Each week, a new package design for Camel cigarettes is unveiled that features the name of that week's location and some of its iconic images. Other locations include Route 66; Bonneville Salt Flats, UT; Sturgis, SD; and Winston-Salem, NC. . . .

CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication.

8_19_2011

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From: To: Date: Subject: Attachments:

"Neal, Scott" scott.neal@comcast.net 11/12/2010 8:11:00 PM FW: E-cig draft in just under the wire! E-cigarette regulation draft 3.doc

From: Pearson, Anne Sent: Tuesday, November 09, 2010 4:46 PM To: Neal, Scott; Ross-Viles, Sarah; Bennett, John; Hamilton, Joy; Hatzenbuehler, Eric Subject: E-cig draft in just under the wire! I promised a new draft by the end of the day, and here it is with 14 minutes to spare! I have tracked the changes so you can see what is different from the last draft. If people can get their comments/feedback to me by tomorrow at 2pm I will incorporate any edits so we can send to our external partners for review. Thanks to John for taking an interim look at this draft and for his close read and additions!

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From: To: Date: Subject:

"Hamilton, Joy" "Neal, Scott" <Scott.Neal@kingcounty.gov> 11/12/2010 4:05:28 PM RE: HHS Announces Plan for bolder health warnings on tobacco products and seeks public comment

The deadline is January 11th so I made a note to start working on this once we're through e-cigs stuff in early December. The buzz I heard at APHA about this is we need to make a push to add Quit Line information to these warnings. Anne can help us with the rationale as this would be in line with her graphic warnings in NYC. Seems like a nobrainer to me as 1-800-Quit-Now applies to the entire nation so its easy to implement. Joy >_____________________________________________ >From: Neal, Scott >Sent: Friday, November 12, 2010 10:27 AM >To: Hamilton, Joy >Subject: FW: HHS Announces Plan for bolder health warnings on tobacco products and seeks public comment > >Well here we go again. We should probably chime in on these new proposed warning labels. Paul Davis said that DOH is going to send in comments too and he offered to compile ours (and others) and send in one document from Washington. I'm not sure that is the bestas it might make more of an impact to see multiple docs saying the same thing. > >At any rate we should figure out how we want to submit our input. Good news is we have some time. I thin kthe deadline isn't until January or something like that. > >Scott >______________________________________________ >From: Zemann, Paul >Sent: Wednesday, November 10, 2010 9:39 AM >To: Neal, Scott >Subject: FW: HHS Announces Plan for bolder health warnings on tobacco products and seeks public comment > > > >______________________________________________ >From: McCabe, Sherry >Sent: Wednesday, November 10, 2010 9:38 AM >To: Aida Montalvo, SIHB Cl. Director; Al Sweeten, SIHB Director; Alison Foliart, PTS ED; Angela Grout, SDN Res Crd.; Ann McGettigan, SCS ED; Arden James, SMH COD Manager; Ardi Bury, RCKC Clin. Crd.; Ariana Viverso, Ryther CD Inpatient Crd.; Arlene Hampton, THS Wrap Coach; Barbara Graham, Seattle Childrens; Barbara Langdon, EDVP ED; Barbara Weiss, PHS Director; Ben Ross, THS Branch Mgr.; Beratta Gomillion, CHS ED; Beth Hammonds, VCCC Adult Director; Betsy Gudz, FOY CD Manager; Betsy Kruse, EH MH Director; Bob Akers, NSYFS Cl. Direcotr; Bridgette Folz; Bruce Mulvey, NYFS ED; Candace Hunsucker, CHS Wrap Coach; Carol Davidson, ETS Director; Carolyn Pietz, Alpha ED; Cary Sbarbaro, CCRS Interim ED; Cheryl Bozarth, DAWN ED; Cheryl Goluch, YMCA; Chris Furman, PCN; Chris Piatt, ECHC; Chris Szala, CHMH ED; Christine Foss, Seattle Children's Qual. Spec.; Claudia D'Allegri, SeaMar; Connie Cheng, ACRS; Corinne Wegenner; Cory Sbarbara, CCRS; Cynthia Jenson, CCS Prg. Asst.; Dan Brewer, Snoqualmie ; Dan Cable, Muckleshoot CD Supervisor; Darcell Slovek-Walker, TR CEO; Darcy Jaffe, HMC Admin Director; David
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Downing, YES Assoc. Director; David Johnson, Navos CEO; David Stone, SMH CEO; Declan Wynn, SMH Director; Dee Ashmore, KYFS Admin. Manager; Diana Thompson, WAPI Cl. Sup.; Diane Forgey, Snoqualmie CD Manager; D>iane Kjelberg, VYFS ED; Diane Narasaki, ACRS ED; Diane Swanberg, CCS Director; Dianne Gratzer, FOY Office Manager; Don Burdine, Seattle Childrens Home; Donna Imler, FOY MH Manager; Donnie Goodman, SCS Deputy Director; Doug Crandall, CCS COO; Dr. Gena Palm, SCH ED; Elisa Teague, CCRS CD Manager; Ellen Hurtado; Erin Lynch, Ryther Clin. Crd.; Faith Richie, VCCC CEO; Glenette Olvera; Graydon Andrus, DESC; Greg Garcia, WAPI ED; Greg Honeycutt, AYR Director; Gretchen Chambers, CPC; Heather Conners, NT ED; Ileana Janovich, THS/CYFS CD Mgr.; Jaime Moss, DESC CD Supervisor; Jan Balaban, St. Francis Director; Jan Berkely, YES AA; Jane Kennedy, ETS Admin. Director; Janet SooHoo, Deputy Director; Jayne Pelger, KYFS CD Specialist; Jeff Driscoll, T-Bird ; Jeff Koch, SeaMar; Jill Crisafulli, YMCA; Jill Gresham, NT ED; Jim Adams; Jim Blanchard, AYR ED; Joan Campbell, FOY CEO; Joan Zintak, Navos Director ; Joellen Monson, THS Branch Manager; John Frady; John Pastor, Harborview; Josephone Tamayo-Murray, CCS ED; Judy Holman, PHS VP ; Juliette Savage, KYFS CD Manager; Junko Yamazaki, ACRS Youth Director; Karen Kent, ECHC CD Director; Karen Lee, PHS CEO; Kate Naeseth, VCCC Youth Director; Kathy Brewer, Seattle Childrens; Kathy Connelly, Ryther OP Director; Katie Scifres, CCS Admin. Crd.; Kayett Asuquo, VCMC Director; Kelli Nomura, CPC Director; Kim Pendergrass, THS; Larry Bornstein, CPC; Lee Grogg, Ryther ED; Linda Penhallegon, YES CD Director; Linwood Carlson, THS/CYFS Manager; Lisa Grillo, CORP Director; Lois Loontjens, New Beginnings ED; Lori Ferro, UW FIT Prog. Mgr.; Lucy Berliner, HAAS Director; Maria Lopez, CCRS; Mary Ann Rose, VYFS Cl. Director; Mary Ellen Stone, KCSARC ED; Merril Cousin, KCCDV Ed; Mervyn Chambers, THS; Michelle Chen Carr, PTS Crd.; Michelle Mann, CPC Wrap Coach; Mick Clarke, Muckleshoot MH Supervisor; Mike Heinisch, KYFS ED; Nancy Stark, IA Director; Norman Johnson, THS ED; Paige Schmelzer, PHS QA; Pamelia Williams, SIHB Lead CDP; Pat Abler, Highline MC Director; Pat Knox, RCKC CEO; Patricia Edmund-Quinn, THS Branch Mgr.; Patti Skelton-McGougan, YES ED; Paul Eisenhauer, SMH; Paula Frederick, FOY Director; Paula Thomas, CHS Northshore Manager; Rachel Gerken, Ryther Director; Ralph Forquera, SIHB ED; Ramona Graham, CHS CD Director; Randon Aea, THS; Rasheedah Burnett, CHS CM; Richard Brooks, RAYS ED; Robert Calahan, RCKC Res. Svc. Crd.; >Roberto Terrones, CCRS CD PM; Rogelio Riojas, SeaMar CEO; Ron Blunk, Harborview CD Manager; Ron Jackson, ETS ED; Rose Ness, PCN ; Rose Quinby, YMCA Director; Rosemarie DeFarias, CHS Shoreline Manager; Roxane DeCamp, Prg. Crd.; Scott Johnson, SeaMar; Scott Metcalfe, Program Director; Scott Reding, IC Director; Sheri Healy, SDN ED; Shino Harada, NT CD Manager; Shirley Havenga, CPC CEO; Simba Rusike, CCRS Controller; SMH Wrap Coach; Someireh Amirfaiz, ReWA ED; Stacey Devenney, VCCC; Stacey Glyde, CPC Admin. Manager; Stephanie Overton, THS; Steve Olson, RAYS CD Manager; Susan Grunert, NSYFS Administrator; Susan Mowrey, CCSWW; Susan Peacey, CPC CD Supervisor; Susan Vaugn, CCS COO; Tae Son Lee, ACTS ED; Tammy Baker, CHMHA; Terri Vispo, CCRS Director; Tom Towler, RCKC Clin. Crd.; Tony Long, CPC Director; Torri Canda, CCRS MH Supervisor; Trish Blanchard, SMH; Vangie Dayawon, PTS Controller; VCCC Wrap Coach; Vicci Buschman, SeaMar Res.; Vicki Baumgardner, PCN; Victor Loo, ACRS CD Manager; Vinnie Ingarra; William Hobson, DESC ED; YMCA; Yoon Joo Han, ACRS Director >Cc: Bergh, Cindy; Crabb, Richard; Crain, Terry; Davis, Sean; de la Pena, Norilyn; Farmer, Sharon; Floyd, Lisa; Greto, Lindsey; Lau-Leung, Daisy; Leon-Guerrero, Michael; Lineweaver, Meg; Ng, Winnie; Oseguera, Jacilyn; Robertson, Jean; Smith, Margaret; Spoelman, Karen; Tomlin, Sandy; Trollan, Gregory; Vannatter, Barbara; Vollendroff, Jim; Young, Sylvia; Zemann, Paul >Subject: HHS Announces Plan for bolder health warnings on tobacco products and seeks public comment> > >The Department of Health and Human Services held a press release this morning announcing a new tobacco control strategy under the Family Smoking Prevention & Tobacco Control Act. This strategy is a part of the broader implementation of the nationwide tobacco control and prevention efforts and includes a proposal for new, bolder health warnings on cigarette packages and advertisements. > > >The HHS is seeking public comment on the 36 proposed health warning images. After a comprehensive review, 9 images and text warnings will be chosen. Beginning October 2012 these new warning labels will be required on all tobacco products and at all retailers.
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> >To access the HHS press release and strategic plan and to preview the proposed new images: > >http://www.hhs.gov/tobaccocontrol/index.html > > >(If you would like to be removed from this distribution list, please respond to this e-mail.) > > >Sherry McCabe >Project/Program Manager II | King County Mental Health, Chemical Abuse and Dependency Services Division >401 Fifth Avenue, Suite 400 - Seattle, WA. 98104 >Phone: 206-263-7859 | Fax: 206-296-0583 > >Please consider the environment before printing this email. > >Confidentiality Disclaimer: Public internet e-mail is not secure and should never be used to communicate client names or private information. Unless a secure connection is initiated, please do not send any client identifying or private information to this e-mail address. > >

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From: To: Date: Subject:

"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/12/2010 4:13:00 PM RE: HHS Announces Plan for bolder health warnings on tobacco products and seeks public comment

Sounds good. I also am not quite understanding why some of the proposed designs are so stupid looking. Why didn't we just copy what some other countries did? >_____________________________________________ >From: Hamilton, Joy >Sent: Friday, November 12, 2010 12:05 PM >To: Neal, Scott >Subject: RE: HHS Announces Plan for bolder health warnings on tobacco products and seeks public comment > >The deadline is January 11th so I made a note to start working on this once we're through e-cigs stuff in early December. > >The buzz I heard at APHA about this is we need to make a push to add Quit Line information to these warnings. Anne can help us with the rationale as this would be in line with her graphic warnings in NYC. Seems like a nobrainer to me as 1-800-Quit-Now applies to the entire nation so its easy to implement. > >Joy > >_____________________________________________ >From: Neal, Scott >Sent: Friday, November 12, 2010 10:27 AM >To: Hamilton, Joy >Subject: FW: HHS Announces Plan for bolder health warnings on tobacco products and seeks public comment > >Well here we go again. We should probably chime in on these new proposed warning labels. Paul Davis said that DOH is going to send in comments too and he offered to compile ours (and others) and send in one document from Washington. I'm not sure that is the bestas it might make more of an impact to see multiple docs saying the same thing. > >At any rate we should figure out how we want to submit our input. Good news is we have some time. I thin kthe deadline isn't until January or something like that. > >Scott >______________________________________________ >From: Zemann, Paul >Sent: Wednesday, November 10, 2010 9:39 AM >To: Neal, Scott >Subject: FW: HHS Announces Plan for bolder health warnings on tobacco products and seeks public comment > > > >______________________________________________ >From: McCabe, Sherry >Sent: Wednesday, November 10, 2010 9:38 AM >To: Aida Montalvo, SIHB Cl. Director; Al Sweeten, SIHB Director; Alison Foliart, PTS ED; Angela Grout, SDN Res Crd.; Ann McGettigan, SCS ED; Arden James, SMH COD Manager; Ardi Bury, RCKC Clin. Crd.; Ariana
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Viverso, Ryther CD Inpatient Crd.; Arlene Hampton, THS Wrap Coach; Barbara Graham, Seattle Childrens; Barbara Langdon, EDVP ED; Barbara Weiss, PHS Director; Ben Ross, THS Branch Mgr.; Beratta Gomillion, CHS ED; Beth Hammonds, VCCC Adult Director; Betsy Gudz, FOY CD Manager; Betsy Kruse, EH MH Director; Bob Akers, NSYFS Cl. Direcotr; Bridgette Folz; Bruce Mulvey, NYFS ED; Candace Hunsucker, CHS Wrap Coach; Carol Davidson, ETS Director; Carolyn Pietz, Alpha ED; Cary Sbarbaro, CCRS Interim ED; Cheryl Bozarth, DAWN ED; Cheryl Goluch, YMCA; Ch>ris Furman, PCN; Chris Piatt, ECHC; Chris Szala, CHMH ED; Christine Foss, Seattle Children's Qual. Spec.; Claudia D'Allegri, SeaMar; Connie Cheng, ACRS; Corinne Wegenner; Cory Sbarbara, CCRS; Cynthia Jenson, CCS Prg. Asst.; Dan Brewer, Snoqualmie ; Dan Cable, Muckleshoot CD Supervisor; Darcell Slovek-Walker, TR CEO; Darcy Jaffe, HMC Admin Director; David Downing, YES Assoc. Director; David Johnson, Navos CEO; David Stone, SMH CEO; Declan Wynn, SMH Director; Dee Ashmore, KYFS Admin. Manager; Diana Thompson, WAPI Cl. Sup.; Diane Forgey, Snoqualmie CD Manager; Diane Kjelberg, VYFS ED; Diane Narasaki, ACRS ED; Diane Swanberg, CCS Director; Dianne Gratzer, FOY Office Manager; Don Burdine, Seattle Childrens Home; Donna Imler, FOY MH Manager; Donnie Goodman, SCS Deputy Director; Doug Crandall, CCS COO; Dr. Gena Palm, SCH ED; Elisa Teague, CCRS CD Manager; Ellen Hurtado; Erin Lynch, Ryther Clin. Crd.; Faith Richie, VCCC CEO; Glenette Olvera; Graydon Andrus, DESC; Greg Garcia, WAPI ED; Greg Honeycutt, AYR Director; Gretchen Chambers, CPC; Heather Conners, NT ED; Ileana Janovich, THS/CYFS CD Mgr.; Jaime Moss, DESC CD Supervisor; Jan Balaban, St. Francis Director; Jan Berkely, YES AA; Jane Kennedy, ETS Admin. Director; Janet SooHoo, Deputy Director; Jayne Pelger, KYFS CD Specialist; Jeff Driscoll, T-Bird ; Jeff Koch, SeaMar; Jill Crisafulli, YMCA; Jill Gresham, NT ED; Jim Adams; Jim Blanchard, AYR ED; Joan Campbell, FOY CEO; Joan Zintak, Navos Director ; Joellen Monson, THS Branch Manager; John Frady; John Pastor, Harborview; Josephone Tamayo-Murray, CCS ED; Judy Holman, PHS VP ; Juliette Savage, KYFS CD Manager; Junko Yamazaki, ACRS Youth Director; Karen Kent, ECHC CD Director; Karen Lee, PHS CEO; Kate Naeseth, VCCC Youth Director; Kathy Brewer, Seattle Childrens; Kathy Connelly, Ryther OP Director; Katie Scifres, CCS Admin. Crd.; Kayett Asuquo, VCMC Director; Kelli Nomura, CPC Director; Kim Pendergrass, THS; Larry Bornstein, CPC; Lee Grogg, Ryther ED; Linda Penhallegon, YES CD Director; Linwood Carlson, THS/CYFS Manager; Lisa Grillo, CORP Director; Lois Loontjens, New Beginnings ED; Lori Ferro, UW FIT Prog. Mgr.; Lucy Berliner, HAAS Director; Maria Lopez, CCRS; Mary Ann Rose, VYFS Cl. Director; Mary Ellen Stone, KCSARC ED; Merril Cousin, KCCDV Ed; Mervyn Chambers, THS; Michelle Chen Carr, PTS Crd.; Michelle Mann, CPC Wrap Coach; Mick Clarke, Muckleshoot MH Supervisor; Mike Heinisch, KYFS ED; Nancy Stark, IA Director; Norman Johnson, THS ED; Paige Schmelzer, PHS QA; Pamelia Williams, SIHB Lead CDP; Pat Abler, Highline MC Director; Pat Knox, RCKC CEO; Patricia Edmund-Quinn, THS Branch Mgr.; Patti Skelton-McGougan, YES ED; Paul Eisenhauer, SMH; Pau>la Frederick, FOY Director; Paula Thomas, CHS Northshore Manager; Rachel Gerken, Ryther Director; Ralph Forquera, SIHB ED; Ramona Graham, CHS CD Director; Randon Aea, THS; Rasheedah Burnett, CHS CM; Richard Brooks, RAYS ED; Robert Calahan, RCKC Res. Svc. Crd.; Roberto Terrones, CCRS CD PM; Rogelio Riojas, SeaMar CEO; Ron Blunk, Harborview CD Manager; Ron Jackson, ETS ED; Rose Ness, PCN ; Rose Quinby, YMCA Director; Rosemarie DeFarias, CHS Shoreline Manager; Roxane DeCamp, Prg. Crd.; Scott Johnson, SeaMar; Scott Metcalfe, Program Director; Scott Reding, IC Director; Sheri Healy, SDN ED; Shino Harada, NT CD Manager; Shirley Havenga, CPC CEO; Simba Rusike, CCRS Controller; SMH Wrap Coach; Someireh Amirfaiz, ReWA ED; Stacey Devenney, VCCC; Stacey Glyde, CPC Admin. Manager; Stephanie Overton, THS; Steve Olson, RAYS CD Manager; Susan Grunert, NSYFS Administrator; Susan Mowrey, CCSWW; Susan Peacey, CPC CD Supervisor; Susan Vaugn, CCS COO; Tae Son Lee, ACTS ED; Tammy Baker, CHMHA; Terri Vispo, CCRS Director; Tom Towler, RCKC Clin. Crd.; Tony Long, CPC Director; Torri Canda, CCRS MH Supervisor; Trish Blanchard, SMH; Vangie Dayawon, PTS Controller; >VCCC Wrap Coach; Vicci Buschman, SeaMar Res.; Vicki Baumgardner, PCN; Victor Loo, ACRS CD Manager; Vinnie Ingarra; William Hobson, DESC ED; YMCA; Yoon Joo Han, ACRS Director >Cc: Bergh, Cindy; Crabb, Richard; Crain, Terry; Davis, Sean; de la Pena, Norilyn; Farmer, Sharon; Floyd, Lisa; Greto, Lindsey; Lau-Leung, Daisy; Leon-Guerrero, Michael; Lineweaver, Meg; Ng, Winnie; Oseguera, Jacilyn; Robertson, Jean; Smith, Margaret; Spoelman, Karen; Tomlin, Sandy; Trollan, Gregory; Vannatter, Barbara; Vollendroff, Jim; Young, Sylvia; Zemann, Paul >Subject: HHS Announces Plan for bolder health warnings on tobacco products and seeks public comment >
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>The Department of Health and Human Services held a press release this morning announcing a new tobacco control strategy under the Family Smoking Prevention & Tobacco Control Act. This strategy is a part of the broader implementation of the nationwide tobacco control and prevention efforts and includes a proposal for new, bolder health warnings on cigarette packages and advertisements. > > >The HHS is seeking public comment on the 36 proposed health warning images. After a comprehensive review, 9 images and text warnings will be chosen. Beginning October 2012 these new warning labels will be required on all tobacco products and at all retailers. > >To access the HHS press release and strategic plan and to preview the proposed new images: > >http://www.hhs.gov/tobaccocontrol/index.html > > >(If you would like to be removed from this distribution list, please respond to this e-mail.) > > >Sherry McCabe >Project/Program Manager II | King County Mental Health, Chemical Abuse and Dependency Services Division >401 Fifth Avenue, Suite 400 - Seattle, WA. 98104 >Phone: 206-263-7859 | Fax: 206-296-0583 > >Please consider the environment before printing this email. > >Confidentiality Disclaimer: Public internet e-mail is not secure and should never be used to communicate client names or private information. Unless a secure connection is initiated, please do not send any client identifying or private information to this e-mail address. > >

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From: To: Date: Subject:

"Ryan, Molly" "Neal, Scott" <Scott.Neal@kingcounty.gov> 11/15/2010 6:20:49 PM RE: Camel's campaign comes here too!

I was going to follow-up with Mr. Rusty Fallis (hehe) to update him on the latest. Should I ask his thoughts on whether this promotion violates the MSA (per TFK's press release urging state AGs to do so)? Thanks! M

Molly Ryan, MPH Tobacco Prevention Program Public Health - Seattle & King County Ph: (206) 263-8241 Fax: (206) 296-0177

From: Fallis, Rusty (ATG) [mailto:RustyF@ATG.WA.GOV] Sent: Friday, November 12, 2010 11:23 AM To: Neal, Scott; Davis, Paul A (DOH) Cc: Ryan, Molly; Ross-Viles, Sarah Subject: RE: Camel's campaign comes here too!

Thanks, Scott. (MollyI forwarded your phone message to my colleague, David Hankins, who handles our tobacco directory and who should be able to address your question. Let me know if you need anything else.)

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Friday, November 12, 2010 11:20 AM To: Fallis, Rusty (ATG); Davis, Paul A (DOH) Cc: Ryan, Molly; Ross-Viles, Sarah Subject: RE: Camel's campaign comes here too!

Thanks Rusty... And yes we've been tracking this and have made at least one call (to the Pike Place Market) as they use their copyrighted sign in their marketing materials, but they change the lettering. I also believe there are other icons from around Seattle that may be illegally used too. One being the Pyramid Brewery's two pyramid logo (as you can imagine that fits well with a "camel"). Molly in our office has been doing most of the work on this at this point, so I'm cc'ing her on this email and she can share more details about what we've done and are doing. thanks Scott

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Page 2 From: Fallis, Rusty (ATG) [mailto:RustyF@ATG.WA.GOV] Sent: Friday, November 12, 2010 11:16 AM To: Davis, Paul A (DOH); Neal, Scott Subject: FW: Camel's campaign comes here too!

Paul and ScottIve been up to my eyeballs in alcoholic energy drink-related work this week and thus havent been 100% current on RJR issues, but heres a message from my colleague in CA regarding a Camel promotion that features Seattle, among other cities. Ill try to find some time today to find out more about this (Perhaps you guys are ahead of meif so, please fill me in). Thanks. Rusty

From: Jeanne Finberg [mailto:Jeanne.Finberg@doj.ca.gov] Sent: Friday, November 12, 2010 11:00 AM To: Tomisser, Rene (ATG); Fallis, Rusty (ATG); Dennis Eckhart; Shari Posner; William Lieblich; Marlene Trestman Subject: Camel's campaign comes here too!

Here're more detail on Reynolds new campaign -- hits SF and Seattle R.J. REYNOLDS USES NAMES AND IMAGES OF COOL U.S. CITIES TO MARKET CAMEL CIGARETTES TO KIDS Subtitle: Statement of Matthew L. Myers, President, Campaign for Tobacco-Free Kids Source: Campaign for Tobacco-Free Kids Date: 2010-11-12, (202) 296-5469 URL: http://www.tobaccofreekids.org/Script/DisplayPressRelease.php3?Display=1241 ID: 310601 Joe Camel may have been put out to pasture, but his spirit lives on in R.J. Reynolds' latest marketing campaign that once again tries to make Camel cigarettes cool, fun and rebellious and appealing to kids. The new campaign cynically uses the names and images of trendy U.S. destinations, including Seattle, Austin, San Francisco, Las Vegas, New Orleans, and Brooklyn's Williamsburg neighborhood, in an attempt to make Camel cigarettes cool again. RJR has unveiled cigarette pack designs bearing the name of each city on its Camel web site and has told the media that it will sell limited edition cigarette packs with the city names in December and January. (View images from the campaign) . ..

It is deeply disturbing that RJR is using the good name and hard-earned reputation of these great American cities to market deadly and addictive cigarettes, especially in a way that blatantly appeals to children. Certainly the citizens and leaders of these cities do not want to be associated with a product that kills more than 400,000 Americans every year. RJR showed truly shameless disregard for the death and suffering its products cause by calling this campaign a "celebration" of the locations involved. . . . 8_19_2011

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Several weeks ago, RJR launched this new online and direct mail marketing campaign, called the "Break Free Adventure," in which the Camel brand "visits" 10 different U.S. locations over a 10-week period. Visitors to the Camel web site can win prizes by reading a clue and guessing where Camel is that week. Each week, a new package design for Camel cigarettes is unveiled that features the name of that week's location and some of its iconic images. Other locations include Route 66; Bonneville Salt Flats, UT; Sturgis, SD; and Winston-Salem, NC. . . .

CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication.

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From: To: Date: Subject:

"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/15/2010 4:30:00 PM FDA & E-cigs

Remember thiswe should put this together for the meeting this week.is there more to these that we should include? Does this answer what they policy committee asked about at our last meeting???

FDA's Stance on E-Cigs: * FDA has tested approximately 700 of these products and has determined (in every product they've tested) that these meet the "drug and device" definition thereby requiring that these products go through the FDA's New Drug Application process to be leaglly marketed in the U.S. FDA's Enforcement: * FDA continues to review and refuse importations of electronic cigarette products on a case-by-case basis when the agency finds that they are unapproved drug/device combinations. Since the first FDA documented shipment of electronic cigarettes imported to the U.S., FDA has prevented over 800 shipments from entering the country. * FDA has recently issued warning letters to five e-cigarette manufacturers and to the Electronic Cigarette Association warning them that these products (that they have tested) meet the drug/device definition and that they must be submitted for approval through their New Drug Application process to be legally marketed in the U.S. * Since the majority of these products are imported into the country, they are focusing enforcement efforts on reviewing these entries on a cas-by-case basis. * FDA is not focusing on enforcement at the retal level.

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From: To: Date: Subject:

"Hamilton, Joy" "Neal, Scott" <Scott.Neal@kingcounty.gov> 11/15/2010 4:30:31 PM RE: FDA & E-cigs

I will find the old email chain and make sure this is on the agenda and that we are prepared to answer the questions that Sally Clark had about the FDA. >_____________________________________________ >From: Neal, Scott >Sent: Monday, November 15, 2010 12:29 PM >To: Hamilton, Joy >Subject: FDA & E-cigs > >Remember thiswe should put this together for the meeting this week.is there more to these that we should include? Does this answer what they policy committee asked about at our last meeting??? > > > >FDA's Stance on E-Cigs: >* FDA has tested approximately 700 of these products and has determined (in every product they've tested) that these meet the "drug and device" definition thereby requiring that these products go through the FDA's New Drug Application process to be leaglly marketed in the U.S. > >FDA's Enforcement: >* FDA continues to review and refuse importations of electronic cigarette products on a case-by-case basis when the agency finds that they are unapproved drug/device combinations. Since the first FDA documented shipment of electronic cigarettes imported to the U.S., FDA has prevented over 800 shipments from entering the country. >* FDA has recently issued warning letters to five e-cigarette manufacturers and to the Electronic Cigarette Association warning them that these products (that they have tested) meet the drug/device definition and that they must be submitted for approval through their New Drug Application process to be legally marketed in the U.S. >* Since the majority of these products are imported into the country, they are focusing enforcement efforts on reviewing these entries on a cas-by-case basis. >* FDA is not focusing on enforcement at the retal level. > >

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From: To: Date: Subject: thanks

"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/15/2010 4:33:00 PM RE: FDA & E-cigs

>_____________________________________________ >From: Hamilton, Joy >Sent: Monday, November 15, 2010 12:30 PM >To: Neal, Scott >Subject: RE: FDA & E-cigs > >I will find the old email chain and make sure this is on the agenda and that we are prepared to answer the questions that Sally Clark had about the FDA. > >_____________________________________________ >From: Neal, Scott >Sent: Monday, November 15, 2010 12:29 PM >To: Hamilton, Joy >Subject: FDA & E-cigs > >Remember thiswe should put this together for the meeting this week.is there more to these that we should include? Does this answer what they policy committee asked about at our last meeting??? > > > >FDA's Stance on E-Cigs: >* FDA has tested approximately 700 of these products and has determined (in every product they've tested) that these meet the "drug and device" definition thereby requiring that these products go through the FDA's New Drug Application process to be leaglly marketed in the U.S. > >FDA's Enforcement: >* FDA continues to review and refuse importations of electronic cigarette products on a case-by-case basis when the agency finds that they are unapproved drug/device combinations. Since the first FDA documented shipment of electronic cigarettes imported to the U.S., FDA has prevented over 800 shipments from entering the country. >* FDA has recently issued warning letters to five e-cigarette manufacturers and to the Electronic Cigarette Association warning them that these products (that they have tested) meet the drug/device definition and that they must be submitted for approval through their New Drug Application process to be legally marketed in the U.S. >* Since the majority of these products are imported into the country, they are focusing enforcement efforts on reviewing these entries on a cas-by-case basis. >* FDA is not focusing on enforcement at the retal level. > >

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From: To: Date: Subject:

"Hatzenbuehler, Eric" "Neal, Scott" <Scott.Neal@kingcounty.gov> 11/15/2010 7:36:50 PM RE: Tomorrow's staff meeting

I dont have anything else. Staff should receive a link to the recognition survey after midnight tonightso tomorrow will be a good opportunity to remind everyone to complete it by the end of the week. _____________________________________________ From: Neal, Scott Sent: Monday, November 15, 2010 11:22 AM To: Ross-Viles, Sarah; Hatzenbuehler, Eric; de la Pena, Norilyn; Sherard, Mark Subject: Tomorrow's staff meeting FYIhere's some initial agenda ideas Got others??? Administrative Updates: * Employee recognition * Required Translation FDA - Graphic Health Warnings BOH Tobacco Policy Updates - E-cigs

Program Newsletter & Website

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From: To: Date: Subject: ok

"Neal, Scott" "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> 11/15/2010 7:51:00 PM RE: Tomorrow's staff meeting

>_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Monday, November 15, 2010 3:37 PM >To: Neal, Scott >Subject: RE: Tomorrow's staff meeting > >I dont have anything else. Staff should receive a link to the recognition survey after midnight tonightso tomorrow will be a good opportunity to remind everyone to complete it by the end of the week. > >_____________________________________________ >From: Neal, Scott >Sent: Monday, November 15, 2010 11:22 AM >To: Ross-Viles, Sarah; Hatzenbuehler, Eric; de la Pena, Norilyn; Sherard, Mark >Subject: Tomorrow's staff meeting > >FYIhere's some initial agenda ideas > >Got others??? > >Administrative Updates: >* Employee recognition >* Required Translation > >FDA >- Graphic Health Warnings > >BOH Tobacco Policy Updates >- E-cigs > > > >Program Newsletter & Website > > > >

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From: "Neal, Scott" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> "Sherard, Mark" <Mark.Sherard@kingcounty.gov> Date: 11/15/2010 3:23:00 PM Subject: Tomorrow's staff meeting FYIhere's some initial agenda ideas Got others??? Administrative Updates: * Employee recognition * Required Translation FDA - Graphic Health Warnings BOH Tobacco Policy Updates - E-cigs

Program Newsletter & Website

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From: "Hamilton, Joy" To: "Bud Nicola \(bnicola@u.washington.edu\)" <bnicola@u.washington.edu> "Dave Hutchinson" <mayord@ci.lake-forest-park.wa.us> "Drago, Jan" <Jan.Drago@kingcounty.gov> "Sally Clark" <sally.clark@seattle.gov> Date: 11/16/2010 4:56:32 PM Subject: BOH Tobacco Policy Committee agenda and draft code language for review Attachments: E-cigarette regulation(11 16 10).doc BOH Tobacco Policy Committee Meeting Agenda 11.17.doc Dear BOH Tobacco Policy Committee members, The Tobacco Prevention Program has prepared draft code language regarding electronic cigarette (and other unapproved nicotine delivery devices) regulations. If you have a chance, please review the proposed language and come prepared to tomorrow's committee meeting (1:30 pm, Chinook 1312) with any questions or comments. Please note that this is also being reviewed by the Prosecuting Attorney's Office. The proposed changes include: 1) restrict the sale of unapproved nicotine delivery devices and electronic smoking devices to adults 18 years of age or older; 2) prohibit providing free (sampling) or heavily discounted electronic smoking devices or unapproved nicotine delivery products and; 3) prohibit mechanical sales (vending machines) in any place where minors may be present 4) prohibit the use of e-cigarettes and similar "smoking" devices in places where smoking is prohibited by law. I've also attached the agenda for tomorrow's meeting.

Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

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From: "Johnson, Gareth" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Eiden, Amy" <Amy.Eiden@kingcounty.gov> Date: 11/16/2010 5:12:14 PM Subject: RE: E-cigarette regulation(11.16.10).doc It looks good to me so long as Amy agrees that the "legalese" is right. >_____________________________________________ >From: Neal, Scott >Sent: Tuesday, November 16, 2010 12:37 PM >To: Johnson, Gareth; Eiden, Amy >Cc: McKenzie, Jane; Pearson, Anne; Hamilton, Joy >Subject: FW: E-cigarette regulation(11.16.10).doc >Importance: High > >Hi Gary, >Attached is the draft proposed code language for the upcoming BOH meeting in December for your review. > >Hi Amy, >This is for your review as well given that Jane is out of town. First of all, let me apologize for this landing in your hands as we did not realize that Jane was going to be out of town during this point in the process. Plus, unfortunately due to the Thanksgiving Holiday we are on a tighter than normal timeline. Would it be possible to get your comments/feedback by Monday morning, Nov. 22nd? We have to get this to Bruce Ritzen by the 23rd to be able to make the deadline to publish in the Seattle Times as per our requirements. > >Thanks and please don't hesitate to give me a call if you have any questions. > >Scott Neal >Tobacco Prevention Program Manager >Public Health - Seattle & King County >401 Fifth Avenue, Suite 900 >Seattle, WA 98104 >Phone: 206-263-8197 >Fax: 206-296-0177 >Email: scott.neal@kingcounty.gov > > >______________________________________________ >From: Pearson, Anne >Sent: Tuesday, November 16, 2010 9:18 AM >To: Neal, Scott >Subject: E-cigarette regulation(11.16.10).doc > > << File: E-cigarette regulation(11.16.10).doc >> > > >Hi Scott, > >Attached please find a draft of the e-cigarette regulation that is ready for review by Amy, Gary and others. Let me know if you (or they!) have any questions.
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> >Anne

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From: "Neal, Scott" To: "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> "Eiden, Amy" <Amy.Eiden@kingcounty.gov> Date: 11/16/2010 4:38:00 PM Subject: FW: E-cigarette regulation(11.16.10).doc Attachments: E-cigarette regulation(11.16.10).doc Hi Gary, Attached is the draft proposed code language for the upcoming BOH meeting in December for your review. Hi Amy, This is for your review as well given that Jane is out of town. First of all, let me apologize for this landing in your hands as we did not realize that Jane was going to be out of town during this point in the process. Plus, unfortunately due to the Thanksgiving Holiday we are on a tighter than normal timeline. Would it be possible to get your comments/feedback by Monday morning, Nov. 22nd? We have to get this to Bruce Ritzen by the 23rd to be able to make the deadline to publish in the Seattle Times as per our requirements. Thanks and please don't hesitate to give me a call if you have any questions. Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

>______________________________________________ >From: Pearson, Anne >Sent: Tuesday, November 16, 2010 9:18 AM >To: Neal, Scott >Subject: E-cigarette regulation(11.16.10).doc > > > > >Hi Scott, > >Attached please find a draft of the e-cigarette regulation that is ready for review by Amy, Gary and others. Let me know if you (or they!) have any questions. > >Anne

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From: To: Date: Subject: Attachments:

"Pearson, Anne" "Neal, Scott" <Scott.Neal@kingcounty.gov> 11/16/2010 1:18:24 PM E-cigarette regulation(11.16.10).doc E-cigarette regulation(11.16.10).doc

Hi Scott, Attached please find a draft of the e-cigarette regulation that is ready for review by Amy, Gary and others. Let me know if you (or they!) have any questions. Anne

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From: To: Date: Subject:


Hi Pam,

"Neal, Scott" "Pam Wessel-Estes" <pwesselestes@shd.snohomish.wa.gov> 11/16/2010 12:11:00 PM RE:

I just spoke with Christopher in Spokane yesterday and was thinking I should do a check in call with you too. So good timing on your email. First of all to answer your question, yes we have (at the program level anyway) considered looking into that type of restriction. However we believe we may likely be preempted from doing this. This preemption issue is a big one and could open lots of doors for locals to take appropriate local action. :) 70.155.130 Preemption of political subdivisions. This chapter preempts political subdivisions from adopting or enforcing requirements for the licensure and regulation of tobacco product promotions and sales within retail stores, except that political subdivisions that have adopted ordinances prohibiting sampling by January 1, 1993, may continue to enforce these ordinances. No political subdivision may: (1) Impose fees or license requirements on retail businesses for possessing or selling cigarettes or tobacco products, other than general business taxes or license fees not primarily levied on tobacco products; or (2) regulate or prohibit activities covered by RCW 70.155.020 through 70.155.080. This chapter does not otherwise preempt political subdivisions from adopting ordinances regulating the sale, purchase, use, or promotion of tobacco products not inconsistent with chapter 507, Laws of 1993.

Regariding our plans for December, we are still moving forward with our planned E-cigarette policy restrictions and a resolution advocating for public health funding with specific tobacco funding included. Once our code language is in more of a final version (later today) I'll send it to you in case that might interest you and your board as well. And for January, we are still on track for the other resolution that we've talked about as well and hope that you can get approval to do the same in January too. Scott

From: Pam Wessel-Estes [mailto:pwesselestes@shd.snohomish.wa.gov] Sent: Tuesday, November 16, 2010 8:00 AM To: Neal, Scott Subject: FW:

Good morning Scott not sure if you were on this conference call yesterday. Have you considered pharmacy tobacco sales restrictions/bans as a policy option? Just wondering if anyone in WA is thinking about it. We are proposing a SHS & multi-unit housing resolution to the program/policy committee of the BOH in December. The policy pieces we hoped to get to our BOH Advisory Council have been pushed into 2011 due to holiday scheduling issues. ~P
Pam Wessel-Estes, MA
Program Manager Tobacco Prevention & Control | Chronic Disease Prevention

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Snohomish Health District | 3020 Rucker Ave. Ste 206 | Everett, WA 98201 P: 425.339.8703 | F: 425.339.8726

Public Health... Always working for a safer and healthier Snohomish County

From: Yolanda Savage [mailto:yolanda@nalboh.org] Sent: Monday, November 15, 2010 10:28 AM To: aaskam@bresnan.net; kadams@isdh.in.gov; mdrudik@nctc.net; dfleming@dhhs.state.nh.us; ruth.gerding@odh.ohio.gov; ahall1@isdh.in.gov; Kevin Hutchison; janice.jensen@co.dallas.ia.us; peetersh@co.tioga.ny.us; dkoester@purdue.edu; jpnic75@aol.com; MunozM1@dhw.idaho.gov; Jeff Neistadt; pparry@stamhealth.org; peetersh@co.tioga.ny.us; pamela_rollins@occhd.org; sshepeard@greendale.org; sstarkey@ndh.org; peggy.stecklein@co.dallas.ia.us; vivienne_treharne@doh.state.fl.us; lward@naccho.org; Pam Wessel-Estes; Jeff Neistadt Subject:

Good afternoon, Please find attached, supporting documents for today's webinar, "Steps to Take in Reviewing and Developing Policy". This information will supplement the policy discussion about Massachusetts Boards of Health. I look forward to your presence on the call. Yolanda

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From: "Wood, Maria" To: "Soo Hoo, Wendy" <Wendy.SooHoo@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 11/17/2010 1:21:22 PM Subject: RE: BOH Tobacco Policy Committee agenda and draft code language for review I'm happy to catch you up on the discussion. I'll follow up >_____________________________________________ >From: Soo Hoo, Wendy >Sent: Wednesday, November 17, 2010 9:20 AM >To: Hamilton, Joy; Neal, Scott; Wood, Maria >Cc: Holbrook, Marsha >Subject: RE: BOH Tobacco Policy Committee agenda and draft code language for review > >Hi all: > >Im really sorry I didnt have this on my calendar (probably declined it or deleted it assuming Id be in Budget Leadership). I was not planning on being in the office today, but I would love to debrief with Maria (or all of you) on what gets discussed, perhaps Monday or Tuesday? > >Based on the agenda, it looks like we should have a good December meeting! > >Thank you. > >Wendy > >_____________________________________________ >From: Hamilton, Joy >Sent: Tuesday, November 16, 2010 12:57 PM >To: Bud Nicola (bnicola@u.washington.edu); 'Dave Hutchinson'; Drago, Jan; 'Sally Clark' >Cc: Holbrook, Marsha; 'Jerry DeGreik'; Johnson, Gareth; 'LaTonya Brown'; Neal, Scott; Kolczynski, Angela; Pearson, Anne; Ross-Viles, Sarah; Hamilton, Joy; Soo Hoo, Wendy; Wood, Maria >Subject: BOH Tobacco Policy Committee agenda and draft code language for review > > >Dear BOH Tobacco Policy Committee members, > >The Tobacco Prevention Program has prepared draft code language regarding electronic cigarette (and other unapproved nicotine delivery devices) regulations. If you have a chance, please review the proposed language and come prepared to tomorrow's committee meeting (1:30 pm, Chinook 1312) with any questions or comments. Please note that this is also being reviewed by the Prosecuting Attorney's Office. > >The proposed changes include: > >1) restrict the sale of unapproved nicotine delivery devices and electronic smoking devices to adults 18 years of age or older; > >2) prohibit providing free (sampling) or heavily discounted electronic smoking devices or unapproved nicotine delivery products and;
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> >3) prohibit mechanical sales (vending machines) in any place where minors may be present > >4) prohibit the use of e-cigarettes and similar smoking devices in places where smoking is prohibited by law. > >I've also attached the agenda for tomorrow's meeting. > > << File: E-cigarette regulation(11 16 10).doc >> << File: BOH Tobacco Policy Committee Meeting Agenda 11.17.doc >> > >Thanks, >Joy Hamilton, MPH >Public Health - Seattle & King County >Communities Putting Prevention to Work >Tobacco Policy and Advocacy Manager >401 5th Ave. Suite 900 >Seattle, WA 98104 >(206) 263-9382 >joy.hamilton@kingcounty.gov >

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From: "Soo Hoo, Wendy" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 11/17/2010 1:19:46 PM Subject: RE: BOH Tobacco Policy Committee agenda and draft code language for review Hi all: Im really sorry I didnt have this on my calendar (probably declined it or deleted it assuming Id be in Budget Leadership). I was not planning on being in the office today, but I would love to debrief with Maria (or all of you) on what gets discussed, perhaps Monday or Tuesday? Based on the agenda, it looks like we should have a good December meeting! Thank you. Wendy _____________________________________________ From: Hamilton, Joy Sent: Tuesday, November 16, 2010 12:57 PM To: Bud Nicola (bnicola@u.washington.edu); 'Dave Hutchinson'; Drago, Jan; 'Sally Clark' Cc: Holbrook, Marsha; 'Jerry DeGreik'; Johnson, Gareth; 'LaTonya Brown'; Neal, Scott; Kolczynski, Angela; Pearson, Anne; Ross-Viles, Sarah; Hamilton, Joy; Soo Hoo, Wendy; Wood, Maria Subject: BOH Tobacco Policy Committee agenda and draft code language for review

Dear BOH Tobacco Policy Committee members, The Tobacco Prevention Program has prepared draft code language regarding electronic cigarette (and other unapproved nicotine delivery devices) regulations. If you have a chance, please review the proposed language and come prepared to tomorrow's committee meeting (1:30 pm, Chinook 1312) with any questions or comments. Please note that this is also being reviewed by the Prosecuting Attorney's Office. The proposed changes include: 1) restrict the sale of unapproved nicotine delivery devices and electronic smoking devices to adults 18 years of age or older; 2) prohibit providing free (sampling) or heavily discounted electronic smoking devices or unapproved nicotine delivery products and; 3) prohibit mechanical sales (vending machines) in any place where minors may be present 4) prohibit the use of e-cigarettes and similar smoking devices in places where smoking is prohibited by law. I've also attached the agenda for tomorrow's meeting. << File: E-cigarette regulation(11 16 10).doc >> << File: BOH Tobacco Policy Committee Meeting Agenda 11.17.doc >>
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Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

8_19_2011

Page 1

From: To: Date: Subject: Attachments:

"Pearson, Anne" "Gannett, Cynthia" <Cynthia.Gannett@kingcounty.gov> 11/17/2010 7:48:06 PM E-cigarette regulation E-cigarette regulation(11.17.10).doc

Hi Cynthia, Thanks for your swift consideration of this draft regulation. As discussed, I amended the draft that was sent to you yesterday to include a provision specifying that the new chapter applies to e-cigarettes (etc.) to the extent not preempted by federal law. As with the rest of the draft, we're very open to your input and edits. Thanks so much, Anne Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov

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From: "Neal, Scott" To: "Fallis, Rusty \(ATG\)" <RustyF@ATG.WA.GOV> "Ryan, Molly" <Molly.Ryan@kingcounty.gov> Date: 11/18/2010 5:49:00 PM Subject: RE: Camel's campaign comes here too!
Thanks Rusty... Any additional info regarding the MSA angle would be great. Scott

From: Fallis, Rusty (ATG) [mailto:RustyF@ATG.WA.GOV] Sent: Thursday, November 18, 2010 1:45 PM To: Ryan, Molly Cc: Ross-Viles, Sarah; Neal, Scott; Davis, Paul A (DOH) Subject: RE: Camel's campaign comes here too!

Thanks very much for the update, Molly. Im very glad to hear of the statements that will be forthcoming from officials in WA. I was on a conference call on Tuesday with colleagues from other states during which we discussed this situation from the standpoint of the MSA. We have more to talk about, and I will fill you as I have additional information.

Rusty

From: Ryan, Molly [mailto:Molly.Ryan@kingcounty.gov] Sent: Thursday, November 18, 2010 1:32 PM To: Fallis, Rusty (ATG) Cc: Ross-Viles, Sarah; Neal, Scott; Davis, Paul A (DOH) Subject: RE: Camel's campaign comes here too!

Hi Rusty, I wanted to update you on the recent developments regarding this Camel campaign. There is an increasing amount of media attention on this and targeted communities are calling on RJR to stop the campaign immediately. Sometime today, we also expect officials from here to release statements on this...details are below. Trademarks: we believe Pike Place is moving forward with issuing a cease and desist order to RJR, but we have not heard back from their office regarding the status on this. Campaign for Tobacco-Free Kids (TFK) + other targeted communities issue press releases: last Friday, TFK issued a statement calling on RJR to immediately stop the campaign and withdraw plans to release these promotional packs. Other targeted communities, including Austin, NYC, Las Vegas have issued statements. TFK press release: http://www.tobaccofreekids.org/Script/DisplayPressRelease.php3?Display=1241 NYC letter to RJR: earlier this week, NYC's health commissioner sent the attached letter to RJR. This has gotten picked up by several news groups. Governor Gregoire, King County Exec's office, & KC Board of Health rep to release statement today: we have received word that the Governor's office will be releasing a statement sometime very soon. Following the Governor's lead, another statement will be released which will be from the Exec's office and our Board of Health. Mayor McGinn's office has decided not to issue a statement for fear that it will help Camel promote the product. Also, in the TFK statement, they urge state AGs to investigate whether this promotion violates the MSA's prohibition on marketing that targets kids. We'd be curious to see what your thoughts are on this. In conversations with TFK, they 8_19_2011

Page 2 shared examples of where AG's have been able to force RJR to stop campaigns on these grounds (e.g., 2005's "Drink on Us" promotion where RJR was mailing coasters and drink recipes to customers; 2007, several AG's sued RJR over an ad in Rolling Stone that wrapped around a cartoon foldout), but I don't know how this current campaign compares to these previous wins. Thanks and we will keep you posted on any new developments. -Molly

Molly Ryan, MPH Tobacco Prevention Program Public Health - Seattle & King County Ph: (206) 263-8241 Fax: (206) 296-0177

From: Fallis, Rusty (ATG) [mailto:RustyF@ATG.WA.GOV] Sent: Friday, November 12, 2010 11:23 AM To: Neal, Scott; Davis, Paul A (DOH) Cc: Ryan, Molly; Ross-Viles, Sarah Subject: RE: Camel's campaign comes here too!

Thanks, Scott. (MollyI forwarded your phone message to my colleague, David Hankins, who handles our tobacco directory and who should be able to address your question. Let me know if you need anything else.)

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Friday, November 12, 2010 11:20 AM To: Fallis, Rusty (ATG); Davis, Paul A (DOH) Cc: Ryan, Molly; Ross-Viles, Sarah Subject: RE: Camel's campaign comes here too!

Thanks Rusty... And yes we've been tracking this and have made at least one call (to the Pike Place Market) as they use their copyrighted sign in their marketing materials, but they change the lettering. I also believe there are other icons from around Seattle that may be illegally used too. One being the Pyramid Brewery's two pyramid logo (as you can imagine that fits well with a "camel"). Molly in our office has been doing most of the work on this at this point, so I'm cc'ing her on this email and she can share more details about what we've done and are doing. thanks Scott

From: Fallis, Rusty (ATG) [mailto:RustyF@ATG.WA.GOV] Sent: Friday, November 12, 2010 11:16 AM To: Davis, Paul A (DOH); Neal, Scott Subject: FW: Camel's campaign comes here too!

Paul and ScottIve been up to my eyeballs in alcoholic energy drink-related work this week and thus havent
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been 100% current on RJR issues, but heres a message from my colleague in CA regarding a Camel promotion that features Seattle, among other cities. Ill try to find some time today to find out more about this (Perhaps you guys are ahead of meif so, please fill me in). Thanks. Rusty

From: Jeanne Finberg [mailto:Jeanne.Finberg@doj.ca.gov] Sent: Friday, November 12, 2010 11:00 AM To: Tomisser, Rene (ATG); Fallis, Rusty (ATG); Dennis Eckhart; Shari Posner; William Lieblich; Marlene Trestman Subject: Camel's campaign comes here too!

Here're more detail on Reynolds new campaign -- hits SF and Seattle R.J. REYNOLDS USES NAMES AND IMAGES OF COOL U.S. CITIES TO MARKET CAMEL CIGARETTES TO KIDS Subtitle: Statement of Matthew L. Myers, President, Campaign for Tobacco-Free Kids Source: Campaign for Tobacco-Free Kids Date: 2010-11-12, (202) 296-5469 URL: http://www.tobaccofreekids.org/Script/DisplayPressRelease.php3?Display=1241 ID: 310601 Joe Camel may have been put out to pasture, but his spirit lives on in R.J. Reynolds' latest marketing campaign that once again tries to make Camel cigarettes cool, fun and rebellious and appealing to kids. The new campaign cynically uses the names and images of trendy U.S. destinations, including Seattle, Austin, San Francisco, Las Vegas, New Orleans, and Brooklyn's Williamsburg neighborhood, in an attempt to make Camel cigarettes cool again. RJR has unveiled cigarette pack designs bearing the name of each city on its Camel web site and has told the media that it will sell limited edition cigarette packs with the city names in December and January. (View images from the campaign) . ..

It is deeply disturbing that RJR is using the good name and hard-earned reputation of these great American cities to market deadly and addictive cigarettes, especially in a way that blatantly appeals to children. Certainly the citizens and leaders of these cities do not want to be associated with a product that kills more than 400,000 Americans every year. RJR showed truly shameless disregard for the death and suffering its products cause by calling this campaign a "celebration" of the locations involved. . . .

Several weeks ago, RJR launched this new online and direct mail marketing campaign, called the "Break Free Adventure," in which the Camel brand "visits" 10 different U.S. locations over a 10-week period. Visitors to the Camel web site can win prizes by 8_19_2011

Page 4 reading a clue and guessing where Camel is that week. Each week, a new package design for Camel cigarettes is unveiled that features the name of that week's location and some of its iconic images. Other locations include Route 66; Bonneville Salt Flats, UT; Sturgis, SD; and Winston-Salem, NC. . . .

CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication.

8_19_2011

Page 1

From: To: Date: Subject: Attachments:


Hi Rusty,

"Ryan, Molly" "Fallis, Rusty \(ATG\)" <RustyF@ATG.WA.GOV> 11/18/2010 5:31:39 PM RE: Camel's campaign comes here too! Camel Williamsburg CEO letter_final.pdf

I wanted to update you on the recent developments regarding this Camel campaign. There is an increasing amount of media attention on this and targeted communities are calling on RJR to stop the campaign immediately. Sometime today, we also expect officials from here to release statements on this...details are below. Trademarks: we believe Pike Place is moving forward with issuing a cease and desist order to RJR, but we have not heard back from their office regarding the status on this. Campaign for Tobacco-Free Kids (TFK) + other targeted communities issue press releases: last Friday, TFK issued a statement calling on RJR to immediately stop the campaign and withdraw plans to release these promotional packs. Other targeted communities, including Austin, NYC, Las Vegas have issued statements. TFK press release: http://www.tobaccofreekids.org/Script/DisplayPressRelease.php3?Display=1241 NYC letter to RJR: earlier this week, NYC's health commissioner sent the attached letter to RJR. This has gotten picked up by several news groups. Governor Gregoire, King County Exec's office, & KC Board of Health rep to release statement today: we have received word that the Governor's office will be releasing a statement sometime very soon. Following the Governor's lead, another statement will be released which will be from the Exec's office and our Board of Health. Mayor McGinn's office has decided not to issue a statement for fear that it will help Camel promote the product. Also, in the TFK statement, they urge state AGs to investigate whether this promotion violates the MSA's prohibition on marketing that targets kids. We'd be curious to see what your thoughts are on this. In conversations with TFK, they shared examples of where AG's have been able to force RJR to stop campaigns on these grounds (e.g., 2005's "Drink on Us" promotion where RJR was mailing coasters and drink recipes to customers; 2007, several AG's sued RJR over an ad in Rolling Stone that wrapped around a cartoon foldout), but I don't know how this current campaign compares to these previous wins. Thanks and we will keep you posted on any new developments. -Molly

Molly Ryan, MPH Tobacco Prevention Program Public Health - Seattle & King County Ph: (206) 263-8241 Fax: (206) 296-0177

From: Fallis, Rusty (ATG) [mailto:RustyF@ATG.WA.GOV] Sent: Friday, November 12, 2010 11:23 AM To: Neal, Scott; Davis, Paul A (DOH) Cc: Ryan, Molly; Ross-Viles, Sarah Subject: RE: Camel's campaign comes here too!

Thanks, Scott. (MollyI forwarded your phone message to my colleague, David Hankins, who handles our tobacco directory and who should be able to address your question. Let me know if you need anything else.)

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] 8_19_2011

Page 2 Sent: Friday, November 12, 2010 11:20 AM To: Fallis, Rusty (ATG); Davis, Paul A (DOH) Cc: Ryan, Molly; Ross-Viles, Sarah Subject: RE: Camel's campaign comes here too!

Thanks Rusty... And yes we've been tracking this and have made at least one call (to the Pike Place Market) as they use their copyrighted sign in their marketing materials, but they change the lettering. I also believe there are other icons from around Seattle that may be illegally used too. One being the Pyramid Brewery's two pyramid logo (as you can imagine that fits well with a "camel"). Molly in our office has been doing most of the work on this at this point, so I'm cc'ing her on this email and she can share more details about what we've done and are doing. thanks Scott

From: Fallis, Rusty (ATG) [mailto:RustyF@ATG.WA.GOV] Sent: Friday, November 12, 2010 11:16 AM To: Davis, Paul A (DOH); Neal, Scott Subject: FW: Camel's campaign comes here too!

Paul and ScottIve been up to my eyeballs in alcoholic energy drink-related work this week and thus havent been 100% current on RJR issues, but heres a message from my colleague in CA regarding a Camel promotion that features Seattle, among other cities. Ill try to find some time today to find out more about this (Perhaps you guys are ahead of meif so, please fill me in). Thanks. Rusty

From: Jeanne Finberg [mailto:Jeanne.Finberg@doj.ca.gov] Sent: Friday, November 12, 2010 11:00 AM To: Tomisser, Rene (ATG); Fallis, Rusty (ATG); Dennis Eckhart; Shari Posner; William Lieblich; Marlene Trestman Subject: Camel's campaign comes here too!

Here're more detail on Reynolds new campaign -- hits SF and Seattle R.J. REYNOLDS USES NAMES AND IMAGES OF COOL U.S. CITIES TO MARKET CAMEL CIGARETTES TO KIDS Subtitle: Statement of Matthew L. Myers, President, Campaign for Tobacco-Free Kids Source: Campaign for Tobacco-Free Kids Date: 2010-11-12, (202) 296-5469 URL: http://www.tobaccofreekids.org/Script/DisplayPressRelease.php3?Display=1241 ID: 310601 8_19_2011

Page 3 Joe Camel may have been put out to pasture, but his spirit lives on in R.J. Reynolds' latest marketing campaign that once again tries to make Camel cigarettes cool, fun and rebellious and appealing to kids. The new campaign cynically uses the names and images of trendy U.S. destinations, including Seattle, Austin, San Francisco, Las Vegas, New Orleans, and Brooklyn's Williamsburg neighborhood, in an attempt to make Camel cigarettes cool again. RJR has unveiled cigarette pack designs bearing the name of each city on its Camel web site and has told the media that it will sell limited edition cigarette packs with the city names in December and January. (View images from the campaign) . ..

It is deeply disturbing that RJR is using the good name and hard-earned reputation of these great American cities to market deadly and addictive cigarettes, especially in a way that blatantly appeals to children. Certainly the citizens and leaders of these cities do not want to be associated with a product that kills more than 400,000 Americans every year. RJR showed truly shameless disregard for the death and suffering its products cause by calling this campaign a "celebration" of the locations involved. . . .

Several weeks ago, RJR launched this new online and direct mail marketing campaign, called the "Break Free Adventure," in which the Camel brand "visits" 10 different U.S. locations over a 10-week period. Visitors to the Camel web site can win prizes by reading a clue and guessing where Camel is that week. Each week, a new package design for Camel cigarettes is unveiled that features the name of that week's location and some of its iconic images. Other locations include Route 66; Bonneville Salt Flats, UT; Sturgis, SD; and Winston-Salem, NC. . . .

CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication.

8_19_2011

Page 1

From: To: Date: Subject:

"Fallis, Rusty \(ATG\)" <RustyF@ATG.WA.GOV> "Ryan, Molly" <Molly.Ryan@kingcounty.gov> 11/18/2010 5:45:40 PM RE: Camel's campaign comes here too!

Thanks very much for the update, Molly. Im very glad to hear of the statements that will be forthcoming from officials in WA. I was on a conference call on Tuesday with colleagues from other states during which we discussed this situation from the standpoint of the MSA. We have more to talk about, and I will fill you as I have additional information.

Rusty

From: Ryan, Molly [mailto:Molly.Ryan@kingcounty.gov] Sent: Thursday, November 18, 2010 1:32 PM To: Fallis, Rusty (ATG) Cc: Ross-Viles, Sarah; Neal, Scott; Davis, Paul A (DOH) Subject: RE: Camel's campaign comes here too!

Hi Rusty, I wanted to update you on the recent developments regarding this Camel campaign. There is an increasing amount of media attention on this and targeted communities are calling on RJR to stop the campaign immediately. Sometime today, we also expect officials from here to release statements on this...details are below. Trademarks: we believe Pike Place is moving forward with issuing a cease and desist order to RJR, but we have not heard back from their office regarding the status on this. Campaign for Tobacco-Free Kids (TFK) + other targeted communities issue press releases: last Friday, TFK issued a statement calling on RJR to immediately stop the campaign and withdraw plans to release these promotional packs. Other targeted communities, including Austin, NYC, Las Vegas have issued statements. TFK press release: http://www.tobaccofreekids.org/Script/DisplayPressRelease.php3?Display=1241 NYC letter to RJR: earlier this week, NYC's health commissioner sent the attached letter to RJR. This has gotten picked up by several news groups. Governor Gregoire, King County Exec's office, & KC Board of Health rep to release statement today: we have received word that the Governor's office will be releasing a statement sometime very soon. Following the Governor's lead, another statement will be released which will be from the Exec's office and our Board of Health. Mayor McGinn's office has decided not to issue a statement for fear that it will help Camel promote the product. Also, in the TFK statement, they urge state AGs to investigate whether this promotion violates the MSA's prohibition on marketing that targets kids. We'd be curious to see what your thoughts are on this. In conversations with TFK, they shared examples of where AG's have been able to force RJR to stop campaigns on these grounds (e.g., 2005's "Drink on Us" promotion where RJR was mailing coasters and drink recipes to customers; 2007, several AG's sued RJR over an ad in Rolling Stone that wrapped around a cartoon foldout), but I don't know how this current campaign compares to these previous wins. Thanks and we will keep you posted on any new developments. -Molly

Molly Ryan, MPH Tobacco Prevention Program Public Health - Seattle & King County Ph: (206) 263-8241 Fax: (206) 296-0177

8_19_2011

Page 2

From: Fallis, Rusty (ATG) [mailto:RustyF@ATG.WA.GOV] Sent: Friday, November 12, 2010 11:23 AM To: Neal, Scott; Davis, Paul A (DOH) Cc: Ryan, Molly; Ross-Viles, Sarah Subject: RE: Camel's campaign comes here too!

Thanks, Scott. (MollyI forwarded your phone message to my colleague, David Hankins, who handles our tobacco directory and who should be able to address your question. Let me know if you need anything else.)

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Friday, November 12, 2010 11:20 AM To: Fallis, Rusty (ATG); Davis, Paul A (DOH) Cc: Ryan, Molly; Ross-Viles, Sarah Subject: RE: Camel's campaign comes here too!

Thanks Rusty... And yes we've been tracking this and have made at least one call (to the Pike Place Market) as they use their copyrighted sign in their marketing materials, but they change the lettering. I also believe there are other icons from around Seattle that may be illegally used too. One being the Pyramid Brewery's two pyramid logo (as you can imagine that fits well with a "camel"). Molly in our office has been doing most of the work on this at this point, so I'm cc'ing her on this email and she can share more details about what we've done and are doing. thanks Scott

From: Fallis, Rusty (ATG) [mailto:RustyF@ATG.WA.GOV] Sent: Friday, November 12, 2010 11:16 AM To: Davis, Paul A (DOH); Neal, Scott Subject: FW: Camel's campaign comes here too!

Paul and ScottIve been up to my eyeballs in alcoholic energy drink-related work this week and thus havent been 100% current on RJR issues, but heres a message from my colleague in CA regarding a Camel promotion that features Seattle, among other cities. Ill try to find some time today to find out more about this (Perhaps you guys are ahead of meif so, please fill me in). Thanks. Rusty

8_19_2011

Page 3 From: Jeanne Finberg [mailto:Jeanne.Finberg@doj.ca.gov] Sent: Friday, November 12, 2010 11:00 AM To: Tomisser, Rene (ATG); Fallis, Rusty (ATG); Dennis Eckhart; Shari Posner; William Lieblich; Marlene Trestman Subject: Camel's campaign comes here too!

Here're more detail on Reynolds new campaign -- hits SF and Seattle R.J. REYNOLDS USES NAMES AND IMAGES OF COOL U.S. CITIES TO MARKET CAMEL CIGARETTES TO KIDS Subtitle: Statement of Matthew L. Myers, President, Campaign for Tobacco-Free Kids Source: Campaign for Tobacco-Free Kids Date: 2010-11-12, (202) 296-5469 URL: http://www.tobaccofreekids.org/Script/DisplayPressRelease.php3?Display=1241 ID: 310601 Joe Camel may have been put out to pasture, but his spirit lives on in R.J. Reynolds' latest marketing campaign that once again tries to make Camel cigarettes cool, fun and rebellious and appealing to kids. The new campaign cynically uses the names and images of trendy U.S. destinations, including Seattle, Austin, San Francisco, Las Vegas, New Orleans, and Brooklyn's Williamsburg neighborhood, in an attempt to make Camel cigarettes cool again. RJR has unveiled cigarette pack designs bearing the name of each city on its Camel web site and has told the media that it will sell limited edition cigarette packs with the city names in December and January. (View images from the campaign) . ..

It is deeply disturbing that RJR is using the good name and hard-earned reputation of these great American cities to market deadly and addictive cigarettes, especially in a way that blatantly appeals to children. Certainly the citizens and leaders of these cities do not want to be associated with a product that kills more than 400,000 Americans every year. RJR showed truly shameless disregard for the death and suffering its products cause by calling this campaign a "celebration" of the locations involved. . . .

Several weeks ago, RJR launched this new online and direct mail marketing campaign, called the "Break Free Adventure," in which the Camel brand "visits" 10 different U.S. locations over a 10-week period. Visitors to the Camel web site can win prizes by reading a clue and guessing where Camel is that week. Each week, a new package design for Camel cigarettes is unveiled that features the name of that week's location and some of its iconic images. Other locations include Route 66; Bonneville Salt Flats, UT; Sturgis, SD; and Winston-Salem, NC. . . .

CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential and/or legally privileged information. It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication.

8_19_2011

Page 1

From: "Carrie Nyssen" <cnyssen@lungmtpacific.org> To: "Carrie Nyssen" <cnyssen@lungmtpacific.org> "Lucy Culp" <lucy.culp@heart.org> Erin.Dziedzic@cancer.org "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 11/18/2010 6:11:00 PM Subject: RE: Meeting Friday AM I am such a nightmare ... I would have to do Fri am. Carrie Nyssen Director of Health Initiatives-Idaho and Washington Regional Director of Advocacy American Lung Association of the Mountain Pacific Fighting for Air

-----Original Message----From: Carrie Nyssen Sent: Thursday, November 18, 2010 2:07 PM To: Lucy Culp ; Erin.Dziedzic@cancer.org ; Sarah Ross-Viles ; Pearson, Anne ; Scott Neal ; 'Carrie Nyssen' Cc: Muhm, Jennifer ; Hamilton, Joy Subject: RE: Meeting Friday AM Works for me too! Carrie Nyssen Director of Health Initiatives-Idaho and Washington Regional Director of Advocacy American Lung Association of the Mountain Pacific Fighting for Air

-----Original Message----From: Lucy Culp Sent: Thursday, November 18, 2010 1:44 PM To: Erin.Dziedzic@cancer.org ; Sarah Ross-Viles ; Pearson, Anne ; Scott Neal ; 'Carrie Nyssen' Cc: Muhm, Jennifer ; Hamilton, Joy Subject: RE: Meeting Friday AM Me too! Carrie? ~Lucy -----Original Message----From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thursday, November 18, 2010 1:38 PM
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To: Sarah Ross-Viles; Pearson, Anne; Scott Neal; Lucy Culp; 'Carrie Nyssen' Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Works for me! Erin Dziedzic 425-466-5177

----- Original Message ----From: "Ross-Viles, Sarah" [Sarah.Ross-Viles@kingcounty.gov] Sent: 11/18/2010 01:36 PM PST To: Erin Dziedzic; "Pearson, Anne" ; "Neal, Scott" ; Lucy Culp ; "'Carrie Nyssen'" Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

How about 1:30 PM? Looks like it fits all the PHSKC calendars.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thursday, November 18, 2010 1:29 PM To: Ross-Viles, Sarah; Pearson, Anne; Neal, Scott; Lucy Culp; 'Carrie Nyssen' Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Can we do as early as possible that afternoon? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Ross-Viles, Sarah" [Sarah.Ross-Viles@kingcounty.gov] Sent: 11/18/2010 01:25 PM PST To: "Pearson, Anne" ; "Neal, Scott" ; "'Lucy Culp'" ; "'Carrie Nyssen'" ; Erin Dziedzic Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

Afternoon of the third is clear for me.

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Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Pearson, Anne Sent: Thursday, November 18, 2010 1:13 PM To: Neal, Scott; 'Lucy Culp'; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Works for me too.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 1:11 PM To: 'Lucy Culp'; Pearson, Anne; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Afternoon of the 3rd could work for me. Scott -----Original Message----From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thursday, November 18, 2010 12:46 PM To: Pearson, Anne; Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM I'm tied up on the second too. Anyone free the afternoon of the 30th or sometime on the 3rd? ~Lucy -----Original Message----From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Thursday, November 18, 2010 12:37 PM To: Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM
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Sorry, I have a conference call in the morning on the 2nd, and will be out of the office the remainder of the day.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 12:14 PM To: 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM Sarah, Dec. 2nd works for me too, but I am not sure Anne can make this time according to her schedule. Scott -----Original Message----From: Carrie Nyssen [mailto:cnyssen@lungmtpacific.org] Sent: Thursday, November 18, 2010 12:00 PM To: Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM I could make the 2nd in the morning ... -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org]


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Sent: Thu 11/18/2010 11:53 AM To: Carrie Nyssen; Lucy Culp; Sarah Ross-Viles Cc: Muhm, Jennifer; Scott Neal; Hamilton, Joy; Pearson, Anne Subject: Re: Meeting Friday AM

I can make the 1st work, or what about the 2nd in the morning? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 11:16 AM PST To: "Lucy Culp" ; "Ross-Viles, Sarah" Cc: Erin Dziedzic; "Muhm, Jennifer" ; "Neal, Scott" ; "Hamilton, Joy" ; "Pearson, Anne" Subject: RE: Meeting Friday AM

I'm scheduled for several meetings in Portland on December 1. If this date works for others, I'll see if I can rearrange my schedule. -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thu 11/18/2010 11:07 AM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; Carrie Nyssen; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

I'm free before 11 or from 3-5 on 12/1. Anyone else?


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I think discussing how the program and partners can have the greatest impact would be a great topic for face to face, I'm also hoping it will be a little more clear after Friday's meeting.

Attached is the ACS/AHA/ALA joint policy document on E-cigs. I haven't seen a draft of the BOH code changes, I would assume if they meet the criteria in this document our organizations would be supportive.

Let me know if you need anything else from me. See you tomorrow!

~Lucy From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Thursday, November 18, 2010 10:50 AM To: Lucy Culp Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

Hi Lucy -

It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and suggest revisions for the bill.

We did have some items for discussion this Friday, but can get the conversation started on email. First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this work, but wondered if your organizations would want to do supportive letters or testimony.

Thanks, Sarah

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Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org' Subject: Meeting Friday AM Hi Sarah - Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott aren't going to be there do you think we still need a face to face? We're waiting on the draft bill from the code reviser's office and can bounce it around on email for input. Did you have anything we needed to touch base on in person?

Let me know what you think.

Lucy Culp Senior Director, Advocacy American Heart Association American Stroke Association Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax Heart Disease and Stroke. You're the Cure. Join our grassroots network today! Click here to be part of the Cure!

8_19_2011

Page 8

8_19_2011

Page 1

From: "Carrie Nyssen" <cnyssen@lungmtpacific.org> To: "Lucy Culp" <lucy.culp@heart.org> Erin.Dziedzic@cancer.org "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Carrie Nyssen" <cnyssen@lungmtpacific.org> Date: 11/18/2010 6:04:55 PM Subject: RE: Meeting Friday AM Works for me too! Carrie Nyssen Director of Health Initiatives-Idaho and Washington Regional Director of Advocacy American Lung Association of the Mountain Pacific Fighting for Air

-----Original Message----From: Lucy Culp Sent: Thursday, November 18, 2010 1:44 PM To: Erin.Dziedzic@cancer.org ; Sarah Ross-Viles ; Pearson, Anne ; Scott Neal ; 'Carrie Nyssen' Cc: Muhm, Jennifer ; Hamilton, Joy Subject: RE: Meeting Friday AM Me too! Carrie? ~Lucy -----Original Message----From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thursday, November 18, 2010 1:38 PM To: Sarah Ross-Viles; Pearson, Anne; Scott Neal; Lucy Culp; 'Carrie Nyssen' Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Works for me! Erin Dziedzic 425-466-5177

----- Original Message ----From: "Ross-Viles, Sarah" [Sarah.Ross-Viles@kingcounty.gov] Sent: 11/18/2010 01:36 PM PST To: Erin Dziedzic; "Pearson, Anne" ; "Neal, Scott" ; Lucy Culp ; "'Carrie Nyssen'" Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

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How about 1:30 PM? Looks like it fits all the PHSKC calendars.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thursday, November 18, 2010 1:29 PM To: Ross-Viles, Sarah; Pearson, Anne; Neal, Scott; Lucy Culp; 'Carrie Nyssen' Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Can we do as early as possible that afternoon? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Ross-Viles, Sarah" [Sarah.Ross-Viles@kingcounty.gov] Sent: 11/18/2010 01:25 PM PST To: "Pearson, Anne" ; "Neal, Scott" ; "'Lucy Culp'" ; "'Carrie Nyssen'" ; Erin Dziedzic Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

Afternoon of the third is clear for me.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Pearson, Anne Sent: Thursday, November 18, 2010 1:13 PM To: Neal, Scott; 'Lucy Culp'; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Works for me too.

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Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 1:11 PM To: 'Lucy Culp'; Pearson, Anne; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Afternoon of the 3rd could work for me. Scott -----Original Message----From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thursday, November 18, 2010 12:46 PM To: Pearson, Anne; Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM I'm tied up on the second too. Anyone free the afternoon of the 30th or sometime on the 3rd? ~Lucy -----Original Message----From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Thursday, November 18, 2010 12:37 PM To: Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Sorry, I have a conference call in the morning on the 2nd, and will be out of the office the remainder of the day.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 12:14 PM To: 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM
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Sarah, Dec. 2nd works for me too, but I am not sure Anne can make this time according to her schedule. Scott -----Original Message----From: Carrie Nyssen [mailto:cnyssen@lungmtpacific.org] Sent: Thursday, November 18, 2010 12:00 PM To: Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM I could make the 2nd in the morning ... -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thu 11/18/2010 11:53 AM To: Carrie Nyssen; Lucy Culp; Sarah Ross-Viles Cc: Muhm, Jennifer; Scott Neal; Hamilton, Joy; Pearson, Anne Subject: Re: Meeting Friday AM

I can make the 1st work, or what about the 2nd in the morning? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 11:16 AM PST To: "Lucy Culp" ; "Ross-Viles, Sarah" Cc: Erin Dziedzic; "Muhm, Jennifer" ; "Neal, Scott" ; "Hamilton, Joy" ; "Pearson, Anne"
8_19_2011

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Subject: RE: Meeting Friday AM

I'm scheduled for several meetings in Portland on December 1. If this date works for others, I'll see if I can rearrange my schedule. -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thu 11/18/2010 11:07 AM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; Carrie Nyssen; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

I'm free before 11 or from 3-5 on 12/1. Anyone else?

I think discussing how the program and partners can have the greatest impact would be a great topic for face to face, I'm also hoping it will be a little more clear after Friday's meeting.

Attached is the ACS/AHA/ALA joint policy document on E-cigs. I haven't seen a draft of the BOH code changes, I would assume if they meet the criteria in this document our organizations would be supportive.

Let me know if you need anything else from me. See you tomorrow!

~Lucy
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From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Thursday, November 18, 2010 10:50 AM To: Lucy Culp Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

Hi Lucy -

It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and suggest revisions for the bill.

We did have some items for discussion this Friday, but can get the conversation started on email. First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this work, but wondered if your organizations would want to do supportive letters or testimony.

Thanks, Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah
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Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org' Subject: Meeting Friday AM Hi Sarah - Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott aren't going to be there do you think we still need a face to face? We're waiting on the draft bill from the code reviser's office and can bounce it around on email for input. Did you have anything we needed to touch base on in person?

Let me know what you think.

Lucy Culp Senior Director, Advocacy American Heart Association American Stroke Association Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax Heart Disease and Stroke. You're the Cure. Join our grassroots network today! Click here to be part of the Cure!

8_19_2011

Page 1

From: "Lucy Culp" <lucy.culp@heart.org> To: Erin.Dziedzic@cancer.org "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Carrie Nyssen" <cnyssen@lungmtpacific.org> Date: 11/18/2010 5:43:19 PM Subject: RE: Meeting Friday AM Me too! Carrie? ~Lucy -----Original Message----From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thursday, November 18, 2010 1:38 PM To: Sarah Ross-Viles; Pearson, Anne; Scott Neal; Lucy Culp; 'Carrie Nyssen' Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Works for me! Erin Dziedzic 425-466-5177

----- Original Message ----From: "Ross-Viles, Sarah" [Sarah.Ross-Viles@kingcounty.gov] Sent: 11/18/2010 01:36 PM PST To: Erin Dziedzic; "Pearson, Anne" ; "Neal, Scott" ; Lucy Culp ; "'Carrie Nyssen'" Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

How about 1:30 PM? Looks like it fits all the PHSKC calendars.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thursday, November 18, 2010 1:29 PM To: Ross-Viles, Sarah; Pearson, Anne; Neal, Scott; Lucy Culp; 'Carrie Nyssen' Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM
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Can we do as early as possible that afternoon? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Ross-Viles, Sarah" [Sarah.Ross-Viles@kingcounty.gov] Sent: 11/18/2010 01:25 PM PST To: "Pearson, Anne" ; "Neal, Scott" ; "'Lucy Culp'" ; "'Carrie Nyssen'" ; Erin Dziedzic Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

Afternoon of the third is clear for me.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Pearson, Anne Sent: Thursday, November 18, 2010 1:13 PM To: Neal, Scott; 'Lucy Culp'; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Works for me too.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 1:11 PM To: 'Lucy Culp'; Pearson, Anne; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Afternoon of the 3rd could work for me. Scott
8_19_2011

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-----Original Message----From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thursday, November 18, 2010 12:46 PM To: Pearson, Anne; Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM I'm tied up on the second too. Anyone free the afternoon of the 30th or sometime on the 3rd? ~Lucy -----Original Message----From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Thursday, November 18, 2010 12:37 PM To: Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Sorry, I have a conference call in the morning on the 2nd, and will be out of the office the remainder of the day.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 12:14 PM To: 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM Sarah, Dec. 2nd works for me too, but I am not sure Anne can make this time according to her schedule. Scott -----Original Message----From: Carrie Nyssen [mailto:cnyssen@lungmtpacific.org] Sent: Thursday, November 18, 2010 12:00 PM To: Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM I could make the 2nd in the morning ... -C Carrie Nyssen | Director Health Initiatives Washington & Idaho
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Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thu 11/18/2010 11:53 AM To: Carrie Nyssen; Lucy Culp; Sarah Ross-Viles Cc: Muhm, Jennifer; Scott Neal; Hamilton, Joy; Pearson, Anne Subject: Re: Meeting Friday AM

I can make the 1st work, or what about the 2nd in the morning? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 11:16 AM PST To: "Lucy Culp" ; "Ross-Viles, Sarah" Cc: Erin Dziedzic; "Muhm, Jennifer" ; "Neal, Scott" ; "Hamilton, Joy" ; "Pearson, Anne" Subject: RE: Meeting Friday AM

I'm scheduled for several meetings in Portland on December 1. If this date works for others, I'll see if I can rearrange my schedule. -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave
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Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thu 11/18/2010 11:07 AM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; Carrie Nyssen; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

I'm free before 11 or from 3-5 on 12/1. Anyone else?

I think discussing how the program and partners can have the greatest impact would be a great topic for face to face, I'm also hoping it will be a little more clear after Friday's meeting.

Attached is the ACS/AHA/ALA joint policy document on E-cigs. I haven't seen a draft of the BOH code changes, I would assume if they meet the criteria in this document our organizations would be supportive.

Let me know if you need anything else from me. See you tomorrow!

~Lucy From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Thursday, November 18, 2010 10:50 AM To: Lucy Culp Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

Hi Lucy -

It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and suggest revisions for the bill.
8_19_2011

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We did have some items for discussion this Friday, but can get the conversation started on email. First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this work, but wondered if your organizations would want to do supportive letters or testimony.

Thanks, Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org' Subject: Meeting Friday AM Hi Sarah - Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott aren't going to be there do you think we still need a face to face? We're waiting on the draft bill from the code reviser's office and can bounce it around on email for input. Did you have anything we needed to touch base on in person?

Let me know what you think.

Lucy Culp Senior Director, Advocacy American Heart Association American Stroke Association
8_19_2011

Page 7

Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax Heart Disease and Stroke. You're the Cure. Join our grassroots network today! Click here to be part of the Cure!

8_19_2011

Page 1

From: Erin.Dziedzic@cancer.org To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Lucy Culp" <lucy.culp@heart.org> "Carrie Nyssen" <cnyssen@lungmtpacific.org> Date: 11/18/2010 5:42:06 PM Subject: Re: Meeting Friday AM Works for me! Erin Dziedzic 425-466-5177

----- Original Message ----From: "Ross-Viles, Sarah" [Sarah.Ross-Viles@kingcounty.gov] Sent: 11/18/2010 01:36 PM PST To: Erin Dziedzic; "Pearson, Anne" ; "Neal, Scott" ; Lucy Culp ; "'Carrie Nyssen'" Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

How about 1:30 PM? Looks like it fits all the PHSKC calendars.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thursday, November 18, 2010 1:29 PM To: Ross-Viles, Sarah; Pearson, Anne; Neal, Scott; Lucy Culp; 'Carrie Nyssen' Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Can we do as early as possible that afternoon? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Ross-Viles, Sarah" [Sarah.Ross-Viles@kingcounty.gov] Sent: 11/18/2010 01:25 PM PST To: "Pearson, Anne" ; "Neal, Scott" ; "'Lucy Culp'" ; "'Carrie Nyssen'" ; Erin Dziedzic Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM
8_19_2011

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Afternoon of the third is clear for me.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Pearson, Anne Sent: Thursday, November 18, 2010 1:13 PM To: Neal, Scott; 'Lucy Culp'; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Works for me too.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 1:11 PM To: 'Lucy Culp'; Pearson, Anne; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Afternoon of the 3rd could work for me. Scott -----Original Message----From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thursday, November 18, 2010 12:46 PM To: Pearson, Anne; Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM I'm tied up on the second too. Anyone free the afternoon of the 30th or sometime on the 3rd? ~Lucy
8_19_2011

Page 3

-----Original Message----From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Thursday, November 18, 2010 12:37 PM To: Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Sorry, I have a conference call in the morning on the 2nd, and will be out of the office the remainder of the day.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 12:14 PM To: 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM Sarah, Dec. 2nd works for me too, but I am not sure Anne can make this time according to her schedule. Scott -----Original Message----From: Carrie Nyssen [mailto:cnyssen@lungmtpacific.org] Sent: Thursday, November 18, 2010 12:00 PM To: Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM I could make the 2nd in the morning ... -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682
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www.lungmtpacific.org

________________________________ From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thu 11/18/2010 11:53 AM To: Carrie Nyssen; Lucy Culp; Sarah Ross-Viles Cc: Muhm, Jennifer; Scott Neal; Hamilton, Joy; Pearson, Anne Subject: Re: Meeting Friday AM

I can make the 1st work, or what about the 2nd in the morning? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 11:16 AM PST To: "Lucy Culp" ; "Ross-Viles, Sarah" Cc: Erin Dziedzic; "Muhm, Jennifer" ; "Neal, Scott" ; "Hamilton, Joy" ; "Pearson, Anne" Subject: RE: Meeting Friday AM

I'm scheduled for several meetings in Portland on December 1. If this date works for others, I'll see if I can rearrange my schedule. -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thu 11/18/2010 11:07 AM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; Carrie Nyssen; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne
8_19_2011

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Subject: RE: Meeting Friday AM

I'm free before 11 or from 3-5 on 12/1. Anyone else?

I think discussing how the program and partners can have the greatest impact would be a great topic for face to face, I'm also hoping it will be a little more clear after Friday's meeting.

Attached is the ACS/AHA/ALA joint policy document on E-cigs. I haven't seen a draft of the BOH code changes, I would assume if they meet the criteria in this document our organizations would be supportive.

Let me know if you need anything else from me. See you tomorrow!

~Lucy From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Thursday, November 18, 2010 10:50 AM To: Lucy Culp Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

Hi Lucy -

It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and suggest revisions for the bill.

We did have some items for discussion this Friday, but can get the conversation started on email. First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this work, but wondered if your organizations would want to do supportive letters or testimony.

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Thanks, Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org' Subject: Meeting Friday AM Hi Sarah - Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott aren't going to be there do you think we still need a face to face? We're waiting on the draft bill from the code reviser's office and can bounce it around on email for input. Did you have anything we needed to touch base on in person?

Let me know what you think.

Lucy Culp Senior Director, Advocacy American Heart Association American Stroke Association Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax Heart Disease and Stroke. You're the Cure. Join our grassroots network today! Click here to be part of the Cure!

8_19_2011

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8_19_2011

Page 1

From: "Ross-Viles, Sarah" To: Erin.Dziedzic@cancer.org "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Lucy Culp" <lucy.culp@heart.org> "Carrie Nyssen" <cnyssen@lungmtpacific.org> Date: 11/18/2010 5:36:06 PM Subject: RE: Meeting Friday AM How about 1:30 PM? Looks like it fits all the PHSKC calendars.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thursday, November 18, 2010 1:29 PM To: Ross-Viles, Sarah; Pearson, Anne; Neal, Scott; Lucy Culp; 'Carrie Nyssen' Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Can we do as early as possible that afternoon? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Ross-Viles, Sarah" [Sarah.Ross-Viles@kingcounty.gov] Sent: 11/18/2010 01:25 PM PST To: "Pearson, Anne" ; "Neal, Scott" ; "'Lucy Culp'" ; "'Carrie Nyssen'" ; Erin Dziedzic Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

Afternoon of the third is clear for me.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----8_19_2011

Page 2

From: Pearson, Anne Sent: Thursday, November 18, 2010 1:13 PM To: Neal, Scott; 'Lucy Culp'; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Works for me too.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 1:11 PM To: 'Lucy Culp'; Pearson, Anne; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Afternoon of the 3rd could work for me. Scott -----Original Message----From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thursday, November 18, 2010 12:46 PM To: Pearson, Anne; Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM I'm tied up on the second too. Anyone free the afternoon of the 30th or sometime on the 3rd? ~Lucy -----Original Message----From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Thursday, November 18, 2010 12:37 PM To: Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Sorry, I have a conference call in the morning on the 2nd, and will be out of the office the remainder of the day.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104
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Page 3

(206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 12:14 PM To: 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM Sarah, Dec. 2nd works for me too, but I am not sure Anne can make this time according to her schedule. Scott -----Original Message----From: Carrie Nyssen [mailto:cnyssen@lungmtpacific.org] Sent: Thursday, November 18, 2010 12:00 PM To: Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM I could make the 2nd in the morning ... -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thu 11/18/2010 11:53 AM To: Carrie Nyssen; Lucy Culp; Sarah Ross-Viles Cc: Muhm, Jennifer; Scott Neal; Hamilton, Joy; Pearson, Anne Subject: Re: Meeting Friday AM

I can make the 1st work, or what about the 2nd in the morning?
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Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 11:16 AM PST To: "Lucy Culp" ; "Ross-Viles, Sarah" Cc: Erin Dziedzic; "Muhm, Jennifer" ; "Neal, Scott" ; "Hamilton, Joy" ; "Pearson, Anne" Subject: RE: Meeting Friday AM

I'm scheduled for several meetings in Portland on December 1. If this date works for others, I'll see if I can rearrange my schedule. -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thu 11/18/2010 11:07 AM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; Carrie Nyssen; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

I'm free before 11 or from 3-5 on 12/1. Anyone else?

I think discussing how the program and partners can have the greatest impact would be a great topic for face to face, I'm also hoping it will be a little more clear after Friday's meeting.

Attached is the ACS/AHA/ALA joint policy document on E-cigs. I haven't seen a draft of the BOH code changes, I
8_19_2011

Page 5

would assume if they meet the criteria in this document our organizations would be supportive.

Let me know if you need anything else from me. See you tomorrow!

~Lucy From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Thursday, November 18, 2010 10:50 AM To: Lucy Culp Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

Hi Lucy -

It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and suggest revisions for the bill.

We did have some items for discussion this Friday, but can get the conversation started on email. First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this work, but wondered if your organizations would want to do supportive letters or testimony.

Thanks, Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211
8_19_2011

Page 6

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org' Subject: Meeting Friday AM Hi Sarah - Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott aren't going to be there do you think we still need a face to face? We're waiting on the draft bill from the code reviser's office and can bounce it around on email for input. Did you have anything we needed to touch base on in person?

Let me know what you think.

Lucy Culp Senior Director, Advocacy American Heart Association American Stroke Association Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax Heart Disease and Stroke. You're the Cure. Join our grassroots network today! Click here to be part of the Cure!

8_19_2011

Page 1

From: Erin.Dziedzic@cancer.org To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Lucy Culp" <lucy.culp@heart.org> "Carrie Nyssen" <cnyssen@lungmtpacific.org> Date: 11/18/2010 5:33:14 PM Subject: Re: Meeting Friday AM Can we do as early as possible that afternoon? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Ross-Viles, Sarah" [Sarah.Ross-Viles@kingcounty.gov] Sent: 11/18/2010 01:25 PM PST To: "Pearson, Anne" ; "Neal, Scott" ; "'Lucy Culp'" ; "'Carrie Nyssen'" ; Erin Dziedzic Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

Afternoon of the third is clear for me.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Pearson, Anne Sent: Thursday, November 18, 2010 1:13 PM To: Neal, Scott; 'Lucy Culp'; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Works for me too.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----8_19_2011

Page 2

From: Neal, Scott Sent: Thursday, November 18, 2010 1:11 PM To: 'Lucy Culp'; Pearson, Anne; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Afternoon of the 3rd could work for me. Scott -----Original Message----From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thursday, November 18, 2010 12:46 PM To: Pearson, Anne; Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM I'm tied up on the second too. Anyone free the afternoon of the 30th or sometime on the 3rd? ~Lucy -----Original Message----From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Thursday, November 18, 2010 12:37 PM To: Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Sorry, I have a conference call in the morning on the 2nd, and will be out of the office the remainder of the day.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 12:14 PM To: 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM Sarah, Dec. 2nd works for me too, but I am not sure Anne can make this time according to her schedule. Scott -----Original Message----8_19_2011

Page 3

From: Carrie Nyssen [mailto:cnyssen@lungmtpacific.org] Sent: Thursday, November 18, 2010 12:00 PM To: Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM I could make the 2nd in the morning ... -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thu 11/18/2010 11:53 AM To: Carrie Nyssen; Lucy Culp; Sarah Ross-Viles Cc: Muhm, Jennifer; Scott Neal; Hamilton, Joy; Pearson, Anne Subject: Re: Meeting Friday AM

I can make the 1st work, or what about the 2nd in the morning? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 11:16 AM PST To: "Lucy Culp" ; "Ross-Viles, Sarah" Cc: Erin Dziedzic; "Muhm, Jennifer" ; "Neal, Scott" ; "Hamilton, Joy" ; "Pearson, Anne" Subject: RE: Meeting Friday AM

I'm scheduled for several meetings in Portland on December 1. If this date works for others, I'll see if I can rearrange my schedule. -C
8_19_2011

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Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thu 11/18/2010 11:07 AM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; Carrie Nyssen; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

I'm free before 11 or from 3-5 on 12/1. Anyone else?

I think discussing how the program and partners can have the greatest impact would be a great topic for face to face, I'm also hoping it will be a little more clear after Friday's meeting.

Attached is the ACS/AHA/ALA joint policy document on E-cigs. I haven't seen a draft of the BOH code changes, I would assume if they meet the criteria in this document our organizations would be supportive.

Let me know if you need anything else from me. See you tomorrow!

~Lucy From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Thursday, November 18, 2010 10:50 AM To: Lucy Culp Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM
8_19_2011

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Hi Lucy -

It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and suggest revisions for the bill.

We did have some items for discussion this Friday, but can get the conversation started on email. First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this work, but wondered if your organizations would want to do supportive letters or testimony.

Thanks, Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org' Subject: Meeting Friday AM Hi Sarah - Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott aren't going to be there do you think we still need a face to face? We're waiting on the draft bill from the code reviser's office and can bounce it around on email for input. Did you have anything we needed to touch base on in person?

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Let me know what you think.

Lucy Culp Senior Director, Advocacy American Heart Association American Stroke Association Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax Heart Disease and Stroke. You're the Cure. Join our grassroots network today! Click here to be part of the Cure!

8_19_2011

Page 1

From: "Ross-Viles, Sarah" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Lucy Culp" <lucy.culp@heart.org> "Carrie Nyssen" <cnyssen@lungmtpacific.org> Erin.Dziedzic@cancer.org Date: 11/18/2010 5:25:25 PM Subject: RE: Meeting Friday AM Afternoon of the third is clear for me.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Pearson, Anne Sent: Thursday, November 18, 2010 1:13 PM To: Neal, Scott; 'Lucy Culp'; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Works for me too.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 1:11 PM To: 'Lucy Culp'; Pearson, Anne; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Afternoon of the 3rd could work for me. Scott -----Original Message----From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thursday, November 18, 2010 12:46 PM To: Pearson, Anne; Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah
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Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM I'm tied up on the second too. Anyone free the afternoon of the 30th or sometime on the 3rd? ~Lucy -----Original Message----From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Thursday, November 18, 2010 12:37 PM To: Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Sorry, I have a conference call in the morning on the 2nd, and will be out of the office the remainder of the day.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 12:14 PM To: 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM Sarah, Dec. 2nd works for me too, but I am not sure Anne can make this time according to her schedule. Scott -----Original Message----From: Carrie Nyssen [mailto:cnyssen@lungmtpacific.org] Sent: Thursday, November 18, 2010 12:00 PM To: Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM I could make the 2nd in the morning ... -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC
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Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thu 11/18/2010 11:53 AM To: Carrie Nyssen; Lucy Culp; Sarah Ross-Viles Cc: Muhm, Jennifer; Scott Neal; Hamilton, Joy; Pearson, Anne Subject: Re: Meeting Friday AM

I can make the 1st work, or what about the 2nd in the morning? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 11:16 AM PST To: "Lucy Culp" ; "Ross-Viles, Sarah" Cc: Erin Dziedzic; "Muhm, Jennifer" ; "Neal, Scott" ; "Hamilton, Joy" ; "Pearson, Anne" Subject: RE: Meeting Friday AM

I'm scheduled for several meetings in Portland on December 1. If this date works for others, I'll see if I can rearrange my schedule. -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org
8_19_2011

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________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thu 11/18/2010 11:07 AM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; Carrie Nyssen; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

I'm free before 11 or from 3-5 on 12/1. Anyone else?

I think discussing how the program and partners can have the greatest impact would be a great topic for face to face, I'm also hoping it will be a little more clear after Friday's meeting.

Attached is the ACS/AHA/ALA joint policy document on E-cigs. I haven't seen a draft of the BOH code changes, I would assume if they meet the criteria in this document our organizations would be supportive.

Let me know if you need anything else from me. See you tomorrow!

~Lucy From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Thursday, November 18, 2010 10:50 AM To: Lucy Culp Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

Hi Lucy -

It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and suggest revisions for the bill.

We did have some items for discussion this Friday, but can get the conversation started on email.
8_19_2011

Page 5

First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this work, but wondered if your organizations would want to do supportive letters or testimony.

Thanks, Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org' Subject: Meeting Friday AM Hi Sarah - Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott aren't going to be there do you think we still need a face to face? We're waiting on the draft bill from the code reviser's office and can bounce it around on email for input. Did you have anything we needed to touch base on in person?

Let me know what you think.

Lucy Culp Senior Director, Advocacy American Heart Association American Stroke Association Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax
8_19_2011

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Heart Disease and Stroke. You're the Cure. Join our grassroots network today! Click here to be part of the Cure!

8_19_2011

Page 1

From: "Neal, Scott" To: "Lucy Culp" <lucy.culp@heart.org> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Carrie Nyssen" <cnyssen@lungmtpacific.org> Erin.Dziedzic@cancer.org "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 11/18/2010 5:13:00 PM Subject: RE: Meeting Friday AM Afternoon of the 3rd could work for me. Scott -----Original Message----From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thursday, November 18, 2010 12:46 PM To: Pearson, Anne; Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM I'm tied up on the second too. Anyone free the afternoon of the 30th or sometime on the 3rd? ~Lucy -----Original Message----From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Thursday, November 18, 2010 12:37 PM To: Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Sorry, I have a conference call in the morning on the 2nd, and will be out of the office the remainder of the day.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 12:14 PM To: 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM Sarah, Dec. 2nd works for me too, but I am not sure Anne can make this time according to her schedule.
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Scott -----Original Message----From: Carrie Nyssen [mailto:cnyssen@lungmtpacific.org] Sent: Thursday, November 18, 2010 12:00 PM To: Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM I could make the 2nd in the morning ... -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thu 11/18/2010 11:53 AM To: Carrie Nyssen; Lucy Culp; Sarah Ross-Viles Cc: Muhm, Jennifer; Scott Neal; Hamilton, Joy; Pearson, Anne Subject: Re: Meeting Friday AM

I can make the 1st work, or what about the 2nd in the morning? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 11:16 AM PST To: "Lucy Culp" ; "Ross-Viles, Sarah" Cc: Erin Dziedzic; "Muhm, Jennifer" ; "Neal, Scott" ; "Hamilton, Joy" ; "Pearson, Anne" Subject: RE: Meeting Friday AM

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I'm scheduled for several meetings in Portland on December 1. If this date works for others, I'll see if I can rearrange my schedule. -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thu 11/18/2010 11:07 AM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; Carrie Nyssen; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

I'm free before 11 or from 3-5 on 12/1. Anyone else?

I think discussing how the program and partners can have the greatest impact would be a great topic for face to face, I'm also hoping it will be a little more clear after Friday's meeting.

Attached is the ACS/AHA/ALA joint policy document on E-cigs. I haven't seen a draft of the BOH code changes, I would assume if they meet the criteria in this document our organizations would be supportive.

Let me know if you need anything else from me. See you tomorrow!

~Lucy From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Thursday, November 18, 2010 10:50 AM To: Lucy Culp
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Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

Hi Lucy -

It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and suggest revisions for the bill.

We did have some items for discussion this Friday, but can get the conversation started on email. First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this work, but wondered if your organizations would want to do supportive letters or testimony.

Thanks, Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org' Subject: Meeting Friday AM Hi Sarah - Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott aren't going to be there do you
8_19_2011

Page 5

think we still need a face to face? We're waiting on the draft bill from the code reviser's office and can bounce it around on email for input. Did you have anything we needed to touch base on in person?

Let me know what you think.

Lucy Culp Senior Director, Advocacy American Heart Association American Stroke Association Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax Heart Disease and Stroke. You're the Cure. Join our grassroots network today! Click here to be part of the Cure!

8_19_2011

Page 1

From: "Pearson, Anne" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Lucy Culp" <lucy.culp@heart.org> "Carrie Nyssen" <cnyssen@lungmtpacific.org> Erin.Dziedzic@cancer.org "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 11/18/2010 5:12:53 PM Subject: RE: Meeting Friday AM Works for me too.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 1:11 PM To: 'Lucy Culp'; Pearson, Anne; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Afternoon of the 3rd could work for me. Scott -----Original Message----From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thursday, November 18, 2010 12:46 PM To: Pearson, Anne; Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM I'm tied up on the second too. Anyone free the afternoon of the 30th or sometime on the 3rd? ~Lucy -----Original Message----From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Thursday, November 18, 2010 12:37 PM To: Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Sorry, I have a conference call in the morning on the 2nd, and will be out of the office the remainder of the day.

8_19_2011

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Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 12:14 PM To: 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM Sarah, Dec. 2nd works for me too, but I am not sure Anne can make this time according to her schedule. Scott -----Original Message----From: Carrie Nyssen [mailto:cnyssen@lungmtpacific.org] Sent: Thursday, November 18, 2010 12:00 PM To: Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM I could make the 2nd in the morning ... -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thu 11/18/2010 11:53 AM To: Carrie Nyssen; Lucy Culp; Sarah Ross-Viles Cc: Muhm, Jennifer; Scott Neal; Hamilton, Joy; Pearson, Anne Subject: Re: Meeting Friday AM
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I can make the 1st work, or what about the 2nd in the morning? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 11:16 AM PST To: "Lucy Culp" ; "Ross-Viles, Sarah" Cc: Erin Dziedzic; "Muhm, Jennifer" ; "Neal, Scott" ; "Hamilton, Joy" ; "Pearson, Anne" Subject: RE: Meeting Friday AM

I'm scheduled for several meetings in Portland on December 1. If this date works for others, I'll see if I can rearrange my schedule. -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thu 11/18/2010 11:07 AM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; Carrie Nyssen; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

I'm free before 11 or from 3-5 on 12/1. Anyone else?

I think discussing how the program and partners can have the greatest impact would be a great topic for face to face, I'm also hoping it will be a little more clear after Friday's meeting.
8_19_2011

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Attached is the ACS/AHA/ALA joint policy document on E-cigs. I haven't seen a draft of the BOH code changes, I would assume if they meet the criteria in this document our organizations would be supportive.

Let me know if you need anything else from me. See you tomorrow!

~Lucy From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Thursday, November 18, 2010 10:50 AM To: Lucy Culp Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

Hi Lucy -

It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and suggest revisions for the bill.

We did have some items for discussion this Friday, but can get the conversation started on email. First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this work, but wondered if your organizations would want to do supportive letters or testimony.

Thanks, Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County
8_19_2011

Page 5

Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org' Subject: Meeting Friday AM Hi Sarah - Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott aren't going to be there do you think we still need a face to face? We're waiting on the draft bill from the code reviser's office and can bounce it around on email for input. Did you have anything we needed to touch base on in person?

Let me know what you think.

Lucy Culp Senior Director, Advocacy American Heart Association American Stroke Association Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax Heart Disease and Stroke. You're the Cure. Join our grassroots network today! Click here to be part of the Cure!

8_19_2011

Page 1

From: Erin.Dziedzic@cancer.org To: "Lucy Culp" <lucy.culp@heart.org> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Carrie Nyssen" <cnyssen@lungmtpacific.org> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 11/18/2010 5:05:04 PM Subject: Re: Meeting Friday AM I could make one of those workErin Dziedzic 425-466-5177

----- Original Message ----From: Lucy Culp [lucy.culp@heart.org] Sent: 11/18/2010 02:46 PM CST To: "Pearson, Anne" ; "Neal, Scott" ; "'Carrie Nyssen'" ; Erin Dziedzic; "Ross-Viles, Sarah" Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

I'm tied up on the second too. Anyone free the afternoon of the 30th or sometime on the 3rd? ~Lucy -----Original Message----From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Thursday, November 18, 2010 12:37 PM To: Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Sorry, I have a conference call in the morning on the 2nd, and will be out of the office the remainder of the day.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 12:14 PM To: 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM
8_19_2011

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Sarah, Dec. 2nd works for me too, but I am not sure Anne can make this time according to her schedule. Scott -----Original Message----From: Carrie Nyssen [mailto:cnyssen@lungmtpacific.org] Sent: Thursday, November 18, 2010 12:00 PM To: Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM I could make the 2nd in the morning ... -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thu 11/18/2010 11:53 AM To: Carrie Nyssen; Lucy Culp; Sarah Ross-Viles Cc: Muhm, Jennifer; Scott Neal; Hamilton, Joy; Pearson, Anne Subject: Re: Meeting Friday AM

I can make the 1st work, or what about the 2nd in the morning? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 11:16 AM PST To: "Lucy Culp" ; "Ross-Viles, Sarah" Cc: Erin Dziedzic; "Muhm, Jennifer" ; "Neal, Scott" ; "Hamilton, Joy" ; "Pearson, Anne" Subject: RE: Meeting Friday AM
8_19_2011

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I'm scheduled for several meetings in Portland on December 1. If this date works for others, I'll see if I can rearrange my schedule. -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thu 11/18/2010 11:07 AM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; Carrie Nyssen; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

I'm free before 11 or from 3-5 on 12/1. Anyone else?

I think discussing how the program and partners can have the greatest impact would be a great topic for face to face, I'm also hoping it will be a little more clear after Friday's meeting.

Attached is the ACS/AHA/ALA joint policy document on E-cigs. I haven't seen a draft of the BOH code changes, I would assume if they meet the criteria in this document our organizations would be supportive.

Let me know if you need anything else from me. See you tomorrow!

~Lucy
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From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Thursday, November 18, 2010 10:50 AM To: Lucy Culp Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

Hi Lucy -

It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and suggest revisions for the bill.

We did have some items for discussion this Friday, but can get the conversation started on email. First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this work, but wondered if your organizations would want to do supportive letters or testimony.

Thanks, Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'
8_19_2011

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Subject: Meeting Friday AM Hi Sarah - Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott aren't going to be there do you think we still need a face to face? We're waiting on the draft bill from the code reviser's office and can bounce it around on email for input. Did you have anything we needed to touch base on in person?

Let me know what you think.

Lucy Culp Senior Director, Advocacy American Heart Association American Stroke Association Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax Heart Disease and Stroke. You're the Cure. Join our grassroots network today! Click here to be part of the Cure!

8_19_2011

Page 1

From: "Lucy Culp" <lucy.culp@heart.org> To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Carrie Nyssen" <cnyssen@lungmtpacific.org> Erin.Dziedzic@cancer.org "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 11/18/2010 4:46:36 PM Subject: RE: Meeting Friday AM I'm tied up on the second too. Anyone free the afternoon of the 30th or sometime on the 3rd? ~Lucy -----Original Message----From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Thursday, November 18, 2010 12:37 PM To: Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Sorry, I have a conference call in the morning on the 2nd, and will be out of the office the remainder of the day.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 12:14 PM To: 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM Sarah, Dec. 2nd works for me too, but I am not sure Anne can make this time according to her schedule. Scott -----Original Message----From: Carrie Nyssen [mailto:cnyssen@lungmtpacific.org] Sent: Thursday, November 18, 2010 12:00 PM To: Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM I could make the 2nd in the morning ...
8_19_2011

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-C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thu 11/18/2010 11:53 AM To: Carrie Nyssen; Lucy Culp; Sarah Ross-Viles Cc: Muhm, Jennifer; Scott Neal; Hamilton, Joy; Pearson, Anne Subject: Re: Meeting Friday AM

I can make the 1st work, or what about the 2nd in the morning? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 11:16 AM PST To: "Lucy Culp" ; "Ross-Viles, Sarah" Cc: Erin Dziedzic; "Muhm, Jennifer" ; "Neal, Scott" ; "Hamilton, Joy" ; "Pearson, Anne" Subject: RE: Meeting Friday AM

I'm scheduled for several meetings in Portland on December 1. If this date works for others, I'll see if I can rearrange my schedule. -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535
8_19_2011

Page 3

Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thu 11/18/2010 11:07 AM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; Carrie Nyssen; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

I'm free before 11 or from 3-5 on 12/1. Anyone else?

I think discussing how the program and partners can have the greatest impact would be a great topic for face to face, I'm also hoping it will be a little more clear after Friday's meeting.

Attached is the ACS/AHA/ALA joint policy document on E-cigs. I haven't seen a draft of the BOH code changes, I would assume if they meet the criteria in this document our organizations would be supportive.

Let me know if you need anything else from me. See you tomorrow!

~Lucy From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Thursday, November 18, 2010 10:50 AM To: Lucy Culp Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

Hi Lucy -

It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you
8_19_2011

Page 4

able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and suggest revisions for the bill.

We did have some items for discussion this Friday, but can get the conversation started on email. First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this work, but wondered if your organizations would want to do supportive letters or testimony.

Thanks, Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org' Subject: Meeting Friday AM Hi Sarah - Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott aren't going to be there do you think we still need a face to face? We're waiting on the draft bill from the code reviser's office and can bounce it around on email for input. Did you have anything we needed to touch base on in person?

Let me know what you think.

Lucy Culp Senior Director, Advocacy


8_19_2011

Page 5

American Heart Association American Stroke Association Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax Heart Disease and Stroke. You're the Cure. Join our grassroots network today! Click here to be part of the Cure!

8_19_2011

Page 1

From: "Pearson, Anne" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Carrie Nyssen" <cnyssen@lungmtpacific.org> Erin.Dziedzic@cancer.org "Lucy Culp" <lucy.culp@heart.org> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 11/18/2010 4:37:18 PM Subject: RE: Meeting Friday AM Sorry, I have a conference call in the morning on the 2nd, and will be out of the office the remainder of the day.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 12:14 PM To: 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM Sarah, Dec. 2nd works for me too, but I am not sure Anne can make this time according to her schedule. Scott -----Original Message----From: Carrie Nyssen [mailto:cnyssen@lungmtpacific.org] Sent: Thursday, November 18, 2010 12:00 PM To: Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM I could make the 2nd in the morning ... -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988
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9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thu 11/18/2010 11:53 AM To: Carrie Nyssen; Lucy Culp; Sarah Ross-Viles Cc: Muhm, Jennifer; Scott Neal; Hamilton, Joy; Pearson, Anne Subject: Re: Meeting Friday AM

I can make the 1st work, or what about the 2nd in the morning? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 11:16 AM PST To: "Lucy Culp" ; "Ross-Viles, Sarah" Cc: Erin Dziedzic; "Muhm, Jennifer" ; "Neal, Scott" ; "Hamilton, Joy" ; "Pearson, Anne" Subject: RE: Meeting Friday AM

I'm scheduled for several meetings in Portland on December 1. If this date works for others, I'll see if I can rearrange my schedule. -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org]


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Sent: Thu 11/18/2010 11:07 AM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; Carrie Nyssen; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

I'm free before 11 or from 3-5 on 12/1. Anyone else?

I think discussing how the program and partners can have the greatest impact would be a great topic for face to face, I'm also hoping it will be a little more clear after Friday's meeting.

Attached is the ACS/AHA/ALA joint policy document on E-cigs. I haven't seen a draft of the BOH code changes, I would assume if they meet the criteria in this document our organizations would be supportive.

Let me know if you need anything else from me. See you tomorrow!

~Lucy From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Thursday, November 18, 2010 10:50 AM To: Lucy Culp Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

Hi Lucy -

It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and suggest revisions for the bill.

We did have some items for discussion this Friday, but can get the conversation started on email. First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this
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work, but wondered if your organizations would want to do supportive letters or testimony.

Thanks, Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org' Subject: Meeting Friday AM Hi Sarah - Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott aren't going to be there do you think we still need a face to face? We're waiting on the draft bill from the code reviser's office and can bounce it around on email for input. Did you have anything we needed to touch base on in person?

Let me know what you think.

Lucy Culp Senior Director, Advocacy American Heart Association American Stroke Association Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax Heart Disease and Stroke. You're the Cure. Join our grassroots network today! Click here to be part of the Cure!
8_19_2011

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8_19_2011

Page 1

From: "Neal, Scott" To: "Carrie Nyssen" <cnyssen@lungmtpacific.org> Erin.Dziedzic@cancer.org "Lucy Culp" <lucy.culp@heart.org> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 11/18/2010 4:16:00 PM Subject: RE: Meeting Friday AM Sarah, Dec. 2nd works for me too, but I am not sure Anne can make this time according to her schedule. Scott -----Original Message----From: Carrie Nyssen [mailto:cnyssen@lungmtpacific.org] Sent: Thursday, November 18, 2010 12:00 PM To: Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM I could make the 2nd in the morning ... -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thu 11/18/2010 11:53 AM To: Carrie Nyssen; Lucy Culp; Sarah Ross-Viles Cc: Muhm, Jennifer; Scott Neal; Hamilton, Joy; Pearson, Anne Subject: Re: Meeting Friday AM

I can make the 1st work, or what about the 2nd in the morning? Erin Dziedzic
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425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 11:16 AM PST To: "Lucy Culp" ; "Ross-Viles, Sarah" Cc: Erin Dziedzic; "Muhm, Jennifer" ; "Neal, Scott" ; "Hamilton, Joy" ; "Pearson, Anne" Subject: RE: Meeting Friday AM

I'm scheduled for several meetings in Portland on December 1. If this date works for others, I'll see if I can rearrange my schedule. -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thu 11/18/2010 11:07 AM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; Carrie Nyssen; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

I'm free before 11 or from 3-5 on 12/1. Anyone else?

I think discussing how the program and partners can have the greatest impact would be a great topic for face to face, I'm also hoping it will be a little more clear after Friday's meeting.

Attached is the ACS/AHA/ALA joint policy document on E-cigs. I haven't seen a draft of the BOH code changes, I would assume if they meet the criteria in this document our organizations would be supportive.
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Let me know if you need anything else from me. See you tomorrow!

~Lucy From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Thursday, November 18, 2010 10:50 AM To: Lucy Culp Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

Hi Lucy -

It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and suggest revisions for the bill.

We did have some items for discussion this Friday, but can get the conversation started on email. First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this work, but wondered if your organizations would want to do supportive letters or testimony.

Thanks, Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

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________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org' Subject: Meeting Friday AM Hi Sarah - Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott aren't going to be there do you think we still need a face to face? We're waiting on the draft bill from the code reviser's office and can bounce it around on email for input. Did you have anything we needed to touch base on in person?

Let me know what you think.

Lucy Culp Senior Director, Advocacy American Heart Association American Stroke Association Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax Heart Disease and Stroke. You're the Cure. Join our grassroots network today! Click here to be part of the Cure!

8_19_2011

Page 1

From: "Carrie Nyssen" <cnyssen@lungmtpacific.org> To: Erin.Dziedzic@cancer.org "Lucy Culp" <lucy.culp@heart.org> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 11/18/2010 3:57:37 PM Subject: RE: Meeting Friday AM I could make the 2nd in the morning ... -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thu 11/18/2010 11:53 AM To: Carrie Nyssen; Lucy Culp; Sarah Ross-Viles Cc: Muhm, Jennifer; Scott Neal; Hamilton, Joy; Pearson, Anne Subject: Re: Meeting Friday AM

I can make the 1st work, or what about the 2nd in the morning? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 11:16 AM PST To: "Lucy Culp" ; "Ross-Viles, Sarah" Cc: Erin Dziedzic; "Muhm, Jennifer" ; "Neal, Scott" ; "Hamilton, Joy" ; "Pearson, Anne" Subject: RE: Meeting Friday AM

I'm scheduled for several meetings in Portland on December 1. If this date works for others, I'll see if I can rearrange my schedule.
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-C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thu 11/18/2010 11:07 AM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; Carrie Nyssen; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

I'm free before 11 or from 3-5 on 12/1. Anyone else?

I think discussing how the program and partners can have the greatest impact would be a great topic for face to face, I'm also hoping it will be a little more clear after Friday's meeting.

Attached is the ACS/AHA/ALA joint policy document on E-cigs. I haven't seen a draft of the BOH code changes, I would assume if they meet the criteria in this document our organizations would be supportive.

Let me know if you need anything else from me. See you tomorrow!

~Lucy From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Thursday, November 18, 2010 10:50 AM To: Lucy Culp Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne
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Subject: RE: Meeting Friday AM

Hi Lucy -

It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and suggest revisions for the bill.

We did have some items for discussion this Friday, but can get the conversation started on email. First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this work, but wondered if your organizations would want to do supportive letters or testimony.

Thanks, Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org' Subject: Meeting Friday AM Hi Sarah - Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott aren't going to be there do you think we still need a face to face? We're waiting on the draft bill from the code reviser's office and can bounce it around on email for input. Did you have anything we needed to touch base on in person?
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Let me know what you think.

Lucy Culp Senior Director, Advocacy American Heart Association American Stroke Association Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax Heart Disease and Stroke. You're the Cure. Join our grassroots network today! Click here to be part of the Cure!

8_19_2011

Page 1

From: Erin.Dziedzic@cancer.org To: "Carrie Nyssen" <cnyssen@lungmtpacific.org> "Lucy Culp" <lucy.culp@heart.org> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 11/18/2010 3:54:56 PM Subject: Re: Meeting Friday AM I can make the 1st work, or what about the 2nd in the morning? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 11:16 AM PST To: "Lucy Culp" ; "Ross-Viles, Sarah" Cc: Erin Dziedzic; "Muhm, Jennifer" ; "Neal, Scott" ; "Hamilton, Joy" ; "Pearson, Anne" Subject: RE: Meeting Friday AM

I'm scheduled for several meetings in Portland on December 1. If this date works for others, I'll see if I can rearrange my schedule. -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thu 11/18/2010 11:07 AM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; Carrie Nyssen; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

I'm free before 11 or from 3-5 on 12/1. Anyone else?


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I think discussing how the program and partners can have the greatest impact would be a great topic for face to face, I'm also hoping it will be a little more clear after Friday's meeting.

Attached is the ACS/AHA/ALA joint policy document on E-cigs. I haven't seen a draft of the BOH code changes, I would assume if they meet the criteria in this document our organizations would be supportive.

Let me know if you need anything else from me. See you tomorrow!

~Lucy From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Thursday, November 18, 2010 10:50 AM To: Lucy Culp Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

Hi Lucy -

It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and suggest revisions for the bill.

We did have some items for discussion this Friday, but can get the conversation started on email. First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this work, but wondered if your organizations would want to do supportive letters or testimony.

Thanks, Sarah
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Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org' Subject: Meeting Friday AM Hi Sarah - Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott aren't going to be there do you think we still need a face to face? We're waiting on the draft bill from the code reviser's office and can bounce it around on email for input. Did you have anything we needed to touch base on in person?

Let me know what you think.

Lucy Culp Senior Director, Advocacy American Heart Association American Stroke Association Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax Heart Disease and Stroke. You're the Cure. Join our grassroots network today! Click here to be part of the Cure!

8_19_2011

Page 1

From: "Carrie Nyssen" <cnyssen@lungmtpacific.org> To: "Lucy Culp" <lucy.culp@heart.org> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 11/18/2010 3:14:15 PM Subject: RE: Meeting Friday AM I'm scheduled for several meetings in Portland on December 1. If this date works for others, I'll see if I can rearrange my schedule. -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thu 11/18/2010 11:07 AM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; Carrie Nyssen; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

I'm free before 11 or from 3-5 on 12/1. Anyone else?

I think discussing how the program and partners can have the greatest impact would be a great topic for face to face, I'm also hoping it will be a little more clear after Friday's meeting.

Attached is the ACS/AHA/ALA joint policy document on E-cigs. I haven't seen a draft of the BOH code changes, I would assume if they meet the criteria in this document our organizations would be supportive.

Let me know if you need anything else from me. See you tomorrow!
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~Lucy From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Thursday, November 18, 2010 10:50 AM To: Lucy Culp Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

Hi Lucy -

It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and suggest revisions for the bill.

We did have some items for discussion this Friday, but can get the conversation started on email. First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this work, but wondered if your organizations would want to do supportive letters or testimony.

Thanks, Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

________________________________
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From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org' Subject: Meeting Friday AM Hi Sarah - Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott aren't going to be there do you think we still need a face to face? We're waiting on the draft bill from the code reviser's office and can bounce it around on email for input. Did you have anything we needed to touch base on in person?

Let me know what you think.

Lucy Culp Senior Director, Advocacy American Heart Association American Stroke Association Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax Heart Disease and Stroke. You're the Cure. Join our grassroots network today! Click here to be part of the Cure!

8_19_2011

Page 1

From: To: Date: Subject: Attachments:

"Lucy Culp" <lucy.culp@heart.org> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> 11/18/2010 3:08:03 PM RE: Meeting Friday AM Final Policy Guidance on E-Cigarettes 4-7-10.pdf

Im free before 11 or from 3-5 on 12/1. Anyone else? I think discussing how the program and partners can have the greatest impact would be a great topic for face to face, Im also hoping it will be a little more clear after Fridays meeting. Attached is the ACS/AHA/ALA joint policy document on E-cigs. I havent seen a draft of the BOH code changes, I would assume if they meet the criteria in this document our organizations would be supportive. Let me know if you need anything else from me. See you tomorrow!
~Lucy From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Thursday, November 18, 2010 10:50 AM To: Lucy Culp Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM Hi Lucy It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and suggest revisions for the bill. We did have some items for discussion this Friday, but can get the conversation started on email. First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this work, but wondered if your organizations would want to do supportive letters or testimony. Thanks, Sarah Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org' Subject: Meeting Friday AM Hi Sarah Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott arent going to be there do you think we still need a face to face? Were waiting on the draft bill from the code revisers office and can bounce it around on email for input. Did you have anything we needed to touch base on in person? Let me know what you think. 8_19_2011

Page 2 Lucy Culp Senior Director, Advocacy American Heart Association American Stroke Association Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax Heart Disease and Stroke. You're the Cure. Join our grassroots network today! Click here to be part of the Cure!

8_19_2011

Page 1

From: To: Date: Subject:


Hi Lucy -

"Ross-Viles, Sarah" "Lucy Culp" <lucy.culp@heart.org> 11/18/2010 2:49:40 PM RE: Meeting Friday AM

It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and suggest revisions for the bill. We did have some items for discussion this Friday, but can get the conversation started on email. First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this work, but wondered if your organizations would want to do supportive letters or testimony. Thanks, Sarah Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org' Subject: Meeting Friday AM Hi Sarah Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott arent going to be there do you think we still need a face to face? Were waiting on the draft bill from the code revisers office and can bounce it around on email for input. Did you have anything we needed to touch base on in person? Let me know what you think. Lucy Culp Senior Director, Advocacy American Heart Association American Stroke Association Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax Heart Disease and Stroke. You're the Cure. Join our grassroots network today! Click here to be part of the Cure!

8_19_2011

Page 1

From: To: Date: Subject:

"Johnson, Gareth" "Neal, Scott" <Scott.Neal@kingcounty.gov> 11/18/2010 2:28:25 PM RE: PAO & E-Cigs

Let's use the 2 PM time slot this afternoon. >_____________________________________________ >From: Neal, Scott >Sent: Thursday, November 18, 2010 10:25 AM >To: Johnson, Gareth >Cc: Pearson, Anne >Subject: PAO & E-Cigs >Importance: High > >Gary, > >Apparently the PAO is raising concerns about the timing of our December BOH action and potential concerns about the drafted code. I think it might be good to sit down for a few mintues with Anne to discuss this with you. > >Thanks >Scott

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From: To: Date: Subject: Ok sounds good.

"Neal, Scott" "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> 11/18/2010 2:42:00 PM RE: PAO & E-Cigs

>_____________________________________________ >From: Johnson, Gareth >Sent: Thursday, November 18, 2010 10:28 AM >To: Neal, Scott >Cc: Pearson, Anne >Subject: RE: PAO & E-Cigs > >Let's use the 2 PM time slot this afternoon. > >_____________________________________________ >From: Neal, Scott >Sent: Thursday, November 18, 2010 10:25 AM >To: Johnson, Gareth >Cc: Pearson, Anne >Subject: PAO & E-Cigs >Importance: High > >Gary, > >Apparently the PAO is raising concerns about the timing of our December BOH action and potential concerns about the drafted code. I think it might be good to sit down for a few mintues with Anne to discuss this with you. > >Thanks >Scott

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*** PHLP Director Position. CDCs Office for State, Tribal, Local and Territorial Support From: "Krieger, James" (OSTLTS) is currently seeking <Anne.Pearson@kingcounty.gov> of Director, Public Health To: "Pearson, Anne" exceptional candidates for the position Law Office. The applicant should be recognized as an authority in public health law and have "MacDougall, Erin" <Erin.MacDougall@kingcounty.gov> knowledge on the role of law in public health and on the relationship between public health law "Neal, Scott" <Scott.Neal@kingcounty.gov> and the broader and highly dynamic context of federal, state, tribal, territorial, and local law, "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> policy, finance and management. The Director will report to the OSTLTS Associate Deputy "Allis, Donna" <Donna.Allis@kingcounty.gov> Director. Duties include developing and directing the mission, goals, priorities, strategies, and Date: 11/18/2010 9:05:45 PM activities of the program, which include (1) providing support and consultation for, and access to,Subject: FW: The CDC Public Health territorial, and tribal public health levels, (2) public health law expertise at state, local, Law News, Thursday, November 18, 2010 engaging national, state and local public health partners and policy makers, state, local, and U.S. court systemsworthlaw enforcement wont forward any more.and in developing and applying legal FYIthis is and subscribing to. I in identifying priorities Jim tools, and (3) developing practical, law-centered tools for practitioners and policy makers at the James Krieger, MD, and state, local, territorial, MPHtribal levels. Salary range is $118,846 to $154,501 per year. To Chief, Chronic Disease and Injury Prevention Section apply visit http://www.usajobs.gov. The job announcement number for the public is HHS-CDCPublic Health - Seattle and King County D1-2011-0092 and the announcement number for current federal employees to apply is HHSChinook Building, Suite 900 CDC-T1-2011-0160. The closing date is December 2, 2010. 401 5th Ave
Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

From: Centers for Disease Control & Prevention [mailto:cdc@service.govdelivery.com] Sent: Thursday, November 18, 2010 1:11 PM To: Krieger, James Subject: The CDC Public Health Law News, Thursday, November 18, 2010

Thursday, November 18, 2010 From the Public Health Law Program, Office for State, Tribal, Local, and Territorial Support, CDC http://www2a.cdc.gov/phlp/

________________________________________________________________________ Announcements

*** Tribute to Dr. Tony Moulton. It is with mixed emotions and great respect that the CDC Office for State, Tribal, Local Support (OSTLTS) and the Public Health Law Program (PHLP) announce that Tony Moulton, Ph.D. will be leaving PHLP t Laboratory Science Policy and Practice Program Office as the Associate Director for Policy.

On November 17th, I presented Dr. Moulton with the 2010 OSTLTS Impact Award for his service to public health law. Dr. Director or Co-Director of the PHLP since its inception in 2000. He has worked to improve the understanding and use of law tool through research, training, information resources, and development of partnerships among public health practitioners, poli community, the emergency management community, and educators and extramural researchers.

He led the Program during its development, and during the challenging and changing times following 9/11, when public health waters in terms of legal issues. And the challenges kept on coming, with the unprecedented needs related to Hurricane Katrin health reform. Through all of this, Dr. Moulton brought to bear his leadership and passion for public health and the law in addr challenges. In addition, he has shown leadership and support for training and mentoring the next generation of public health law fellowships and work study programs, and supports them in finding permanent positions in public health institutions, including
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Dr. Moulton is a valuable leader, dedicated public servant and has significantly contributed to the public health law field. We w future endeavor.

Judith A. Monroe, MD FAAFP Deputy Director, Centers for Disease Control and Prevention Director for State, Tribal, Local and Territorial Support

*** HHS Tobacco Control Strategy. On November 10, 2010, the U.S. Department of Health and Human Services unveil comprehensive tobacco control strategy that includes the Food and Drug Administration (FDA) proposal Required Warning Packages and Advertisements. The proposed rule would implement the Family Smoking Prevention and Tobacco Control A nine new, larger and more noticeable label warning statements and color graphic images depicting the negative health consequ appear on cigarette packages and in cigarette advertisements. The FDA will select the final images and warning statements by the final rule will be implemented September 22, 2012. For more information, including information on the public comment pe http://www.hhs.gov/tobaccocontrol/index.html.

*** IOM Report on Nutrition Labeling. The Institute of Medicine (IOM) released Examination of Front of Package N Systems and Symbols on October 13, 2010. Congress directed the CDC to commission the IOM study to examine and prov regarding front-of-package nutrition rating systems and symbols. The study has been carried out in two phases; this report ma 1 and concludes, among other things, that sodium is one of only four nutrients that warrant labeling on the front of food packa with a workshop on October 26, 2010 and the report of the second phase is due in the fall of 2011. For the full report please http://books.nap.edu/openbook.php?record_id=12957.

*** State Oral Health Policy Comparison Tool. The Childrens Dental Project has updated the State Oral Health Policy capture information through August 15, 2010. The tool was originally developed in 2005-2006 to provide an overview of the oral health plans and to facilitate cross-state comparisons. For more information, please visit http://www.cdhp.org/resource/state_oral_health_policy_comparison_tool.

*** Tobacco Control Legal Update. The latest issue of the Legal Update released by the Tobacco Control Legal Consort Food and Drug Administration actions under the Family Smoking Prevention and Tobacco Control Act and new Consortium state and local governments interested in regulating tobacco advertising and promotion, tobacco retailers, and tobacco pricing newsletter, please visit http://www.publichealthlawcenter.org/sites/default/files/resources/tclc-legalupdate-nov1010.pdf.
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*** International Obesity Legal Issues. Joanna Stettner has written the article International Obesity: Legal Issues in the Law Review. The article examines the current international legal framework around obesity and the legal interventions implem jurisdictions. To read the article, please visit http://www2a.cdc.gov/phlp/docs/INTERNATIONAL%20OBESITY%20LEGAL%20ISSUES.pdf

*** ASLME Conference Website. The American Society of Law, Medicine, & Ethics (ASLME) has updated the website Policy, and Research to Improve the Publics Health: A National Conference to include speaker presentations and updated in conference took place September 13-15, 2010, in Atlanta. To view the website, please visit http://www.aslme.org/PHLConf *** International Senior Lawyers Project. The International Senior Lawyers Project, an NGO based in NYC, seeks three public health law attorneys for 6-8 week volunteer onsite missions to further develop the legal foundations and institutional cap of Health and Social Welfare of the Government of Liberia through three key activities: 1) Helping to rewrite the Public Health Adopting fair and transparent procedures for the promulgation of regulations; and 3) Assisting the General Counsel with healt contracts and pending legislation. Transportation and accommodations will be provided. For additional information: http://www.islp.org/Liberia_Probono.html *** PHLP Resource. In the September issue of the Public Health Law News, we introduced a new resource, Selected Leg Resources on Public Health Winnable Battles, which includes a new electronic mailbox to receive input and suggestions. Due the electronic mailbox was not working, but is now operational. We apologize for any inconvenience and welcome your comm http://www.phlp_web@cdc.gov. Top Story 1. Food safety: how to keep our global menu off the recall list States and Localities 2. Massachusetts: Effort to curb Lyme disease puts deer in the crosshairs 3. Michigan: Starting Sunday, bigger price for drunken driving at 0.17% or more National 4. Contraception could be free under health care law 5. Low-cost dental care ignites wide debate 6. U.S. says genes should not be eligible for patents International 7. Brussels calls for ban on meow meow drug despite limited scientific evidence 8. Trafficking, sexual exploitation of Haitian children in the Dominican Republic on the rise

Briefly Noted

California video game ban Deadly raves Happy Meal law Florida seafood inspection Michigan drivers Caffeinated Montana flu shots New York medical examiner Child sued Washington bike accident National emergency water E Alzheimers competency Military concussions Canada fireworks ban Congo Republic polio Kosovo organ-trafficki ban Spain smoking ban

Journal Articles

England smoking age Mobile food vending Alcohol tax Smoke-free workplace Spain traffic penalties Health dispa
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nutrition standards Local smoking ordinances Prison health standards Appalachian smoking legislation Graduated dr Vaccine mandates Counterfeit drug treaty Drug regulation Medical tourism Health reform

Court Opinions

California lead poisoning fees Connecticut parakeets Hawaii dog kennel Illinois breathalyzer results Louisiana oil-rel Michigan crowded housing New Jersey firearms forfeiture Tennessee fireworks ban Texas asbestos liability Federa Food poisoning causality Horses on federal land Cell phone emissions Patient identity disclosure

Special Focus: Diabetes in the Law

Quotation of the Month Faith Shapiro, Sudbury, Massachusetts, Conservation Commission employee

This Months Feature Overview of the First Decade of the CDC Public Health Law Program

_____________________________1_____________________________ Food safety: how to keep our global menu off the recall list Christian Science Monitor (10/23/2010) Laurent Belsie, Peter Ford and others http://www.csmonitor.com/USA/Society/2010/1023/Food-safety-How-to-keep-our-global-menu-off-the-recall-list

Seven decades worth of progress in the food packaging, preparation, cultivation, and preservation industries may have left th system behind. Many nations have taken considerable steps to update food-safety systems, particularly exports. Attempts to u the U.S. are stalling with a bill that would strengthen the agency responsible for the nations food supply in the Senate.

Caroline Smith DeWaal, food-safety director for the Washington non-profit Centers for Science in the Public Interest, says, Congress continues to let our food-safety system languish. These risks become more apparent when one considers the recen lettuce, spinach, and eggs.

Fifteen federal agencies and many state agencies are responsible for food safety; the U.S. Food and Drug Administration (FD States Department of Agriculture (USDA) share primary responsibility and have many overlapping duties. Scholars and expe field are critical of the USDAs and FDAs approaches. Glenn Morris, director of the University of Floridas Emerging Patho safety in the poultry industry, There is an awful lot of money being spent on guys standing around watching the chickens fly b what you are getting for your money.

In 2009 the House passed the Food Safety Enhancement Act, which gives the FDA authority to make mandatory recalls, to m inspections, and to require a food-safety plan from every food-processing facility and an annual registration fee from compani before the end of the lame-duck session, the legislations advocates will have to start over in both houses of Congress.

While changes need to be made in the food-safety industry, the US is up for the challenge. Dr. Robert Wallace, professor of e internal medicine at the University of Iowa, says, There are so many changes in the way food gets to the table. The number o is increasing . . . more and more food is being imported. More and more food is being consumed locally. Theres a lot of oppo
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[Editors Note: To read the Food Safety Enhancement Act, please visit http://www.thomas.gov/cgi-bin/query/D?c111:3:./tem _____________________________2_____________________________ Effort to curb Lyme disease puts deer in the crosshairs Boston Globe (10/26/2010) Peter Schworm http://www.boston.com/news/health/articles/2010/10/26/effort_to_curb_lyme_disease_puts_deer_in_the_crosshairs/

In Dover, Massachusetts, cases of Lyme disease have increased greatly likely due to a deer population that is almost three t levels recommended by state wildlife officials. In response, town officials have lifted bow hunting restrictions on specific public towns first deer culling.

According to Barbara Roth-Schechter, head of Dovers health board, Five years ago, we couldnt have done this; people w down. But theres been an exponential increase in Lyme disease, and people are fed up.

Lyme disease is a bacterial infection transmitted by tick bites. In towns near Dover there were 270 cases per 100,000 people to only 90 in 2006.

Dovers decision to cull deer is the result of a two-year discussion and is being closely followed by experts who say the actio population are long overdue.

The problem in the past has been Who wants to kill Bambi? But now theres a growing push to do something, says Micha administrator.

Matt Poole, the health agent in neighboring Edgartown, says You cant really have a serious conversation about reducing Lym conversation about reducing the deer herd.

Many residents still feel bow hunting the deer is not an appropriate response to the population problem. Ingrid De Baintner, a Bow hunting is notoriously cruel. They often die long, tortuous deaths.

Faith Shapiro, who works for the Conservation Commission in Sudbury, which has allowed arrow hunting to control deer her probably nothing worse than a deer running in front of your car. Except Lyme disease. _____________________________3_____________________________

Starting Sunday, bigger price for drunken driving at 0.17% or more Detroit Free Press (10/26/2010) Chris Christoff http://www.freep.com/article/20101026/NEWS06/10260433/1008/Starting-Sunday-bigger-price-for-drunken-driving-at-0.

A new Michigan state law increasing penalties for first-time drunken-driving offenders with breathalyzer alcohol levels of 0.17 on October 31, 2010. The threshold for drunken-driving charges in Michigan is 0.08%.

First-time offenders convicted with levels 0.17% or higher will automatically have their license suspended for a year while tho 0.08% threshold will have their licenses revoked for six months. Those with the higher levels could also receive bigger fines, si be sentenced to mandatory alcohol treatment and 180 days in jail, almost double the jail time of those convicted at the lower l convicted at the 0.17% level will be able to obtain a restricted drivers license if they install a breath alcohol ignition interlock o blocks them from starting the engine if they have been drinking. The device would be set at a much lower breathalyzer level th

Ingham County Prosecutor Stuart Dunnings III believes that those stopped with breathalyzer levels twice the legal limits are no for the first time. Its the first time theyve been caught, says Dunnings.

The law becomes effective as a $217,000 federal grant to increase road patrols is being implemented across 35 counties acro
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The breath alcohol ignition interlock not only requires a breath to start the engine but also signals the driver to blow again while will not start, the driver must contact a probation officer to unlock the ignition and eventually the court will receive an electron drivers alcohol registration.

Michigan representative Marc Corriveau, one of several sponsors of the legislation says of the law, It will make Michigan roa help people get the help they need.

[Editors note: To read the Michigan law, please visit http://www.legislature.mi.gov/documents/2009-2010/publicact/htm/201 _____________________________4_____________________________ Contraception could be free under health care law Washington Post (10/31/2010) Ricardo Alonso-Zaldivar http://www.washingtonpost.com/wp-dyn/content/article/2010/10/31/AR2010103101320.html

Some believe federal Patient Protection and Affordable Care Act preventive care provisions could provide free contraception This month, a panel of experts will meet and begin considering what kind of care qualifies as preventive and should be provid patient under the new law.

Senator Barbara Mikulski of Maryland believes the laws intent includes family planning, but for some the provisions intent is health views and moral beliefs sometimes at odds.

U.S. Catholic bishops maintain that because pregnancy is a healthy condition and preventive medical intervention is meant to p contraceptives do not preventing illness and should not be provided to the patient. We dont consider it to be health care, but We think there are other ways to avoid having children than by ingesting chemicals paid for by health insurance, says John H National Catholic Bioethics Center.

For others, the links between unplanned parenthood and illness are obvious. Dr. David Grimes, an obstetrician-gynecologist a medicine at the University of North Carolina, says, There is clear and incontrovertible evidence that family planning saves live health. Contraception rivals immunization in dollars saved for every dollar invested. Spacing out children allows for optimal pr child rearing. Contraception is a prototype of preventative medicine. Currently, almost all health insurance plans cover prescription contraceptives, as do Medicaid. [Editors note: To read the Patient Protection and Affordable Care Act, please visit http://www.gpo.gov/fdsys/pkg/PLAW111publ148/html/PLAW-111publ148.htm.] _____________________________5_____________________________ Low-cost dental care ignites wide debate New York Times (11/01/2010) Joyce Cohen http://www.nytimes.com/2010/11/02/health/02dental.html

Alaska eases its shortage of dentists by allowing certified dental therapists; dental therapists may perform extractions and admi certified after only two years of training. Alaska is the only state that allows dental therapy practice.

Many in the dental profession are concerned the dental therapists are not equipped to treat such illnesses. The American Dent opposes the use of a non-dentist for irreversible procedures for patient safety. Dr. Raymond Gist, the associations presiden person suffering from pain, that person has advanced disease. I would want that person to see a licensed dentist without delay

Connecticut and nine other states are discussing implementation of midlevel dental provider systems for underserved residents
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the topic has become contentious. The ADA is strongly opposed to the plan, having lost a court battle in 2005 to block the A

The ADA claims other states have no need for programs similar to the Alaska program because rural residents are accustom reach a shopping or entertainment destinations and can be expected to travel similar distances to reach a dentist.

Dr. Mary Williard, an Alaska dentist and director of the therapist training program for the nonprofit Alaska Native Tribal Heal disagrees with the ADAs assertions. Would I be satisfied to think that I would have to drive for five hours with a 3-year-old No, I would prefer to have care closer to him, she says.

In the underserved areas of Alaska, the states 14 dental therapists make a big difference and a two-year study, financed by W Rasmuson and Bethel Community Services foundations, has found that the therapists provide safe, competent, appropriate the therapists skill are referred to a supervising dentist. _____________________________6_____________________________ U.S. says genes should not be eligible for patents New York Times (10/29/2010) Andrew Pollack http://www.nytimes.com/2010/10/30/business/30drug.html

On October 29, 2010, the United States Department of Justice filed a friend-of-the-court brief stating that genes should not b reversing years of federal policy.

The brief stated in part, we acknowledge that this conclusion is contrary to the longstanding practice of the Patent and Trade as the practice of the National Institutes of Health and other government agencies that have in the past sought and obtained pa genomic DNA. It remains to be seen whether the Patent Office will adopt the position elucidated in the brief, but several age cooperated in the briefs creation.

The case in question was filed by the American Civil Liberties Union, the Public Patent Foundation, and others challenging pa genes which are evaluated to see if women have genetic predispositions to cancer. The patents are held by Myriad Genetic, w genetic testing for over $3,000 per analysis, and the University of Utah Research Foundation.

While the government has issued many genetic patents, the brief indicates an overall change in philosophy, noting the chemica human genes is a product of nature, and is no less a product of nature when that structure is isolated from its natural environm fibers that have been separated from cotton seeds or coal that has been extracted from the earth.

While both sides of the debate are heating up, Dr. James P. Evans, one of the University of North Carolinas professors of ge says the patentability of genes has never before been examined in court and the brief is a bit of a landmark, kind of a line in th _____________________________7_____________________________ Brussels calls for ban on meow meow drug despite limited scientific evidence. EUobserver (10/20/2010) Leigh Phillips http://euobserver.com/22/31088

The European Union (EU) Commission is seeking an EU-wide ban of mephedrone, a new designer drug on the market. The e known by several different names, including meow meow, meph, drone, and MCAT.

Reportedly manufactured in China, the drug has only been available in western markets since 2007, rapidly gaining popularity

Its a dangerous drug that is available online and on the street corner. People have died because of this drug, so I urge gover control and criminalize it, said justice commissioner Viviane Reding. We have a responsibility to protect young people again psychoactive substances.
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Some sources dispute accounts of mephedrone-related deaths. The EU Commission, however, states that the drug has been deaths in the United Kingdom (UK) and Ireland alone.

David Nutt, the former chairman of the UK governments Advisory Council, worried about the Commissions call for legal ac possible to say how harmful mephedrone is given the lack of evidence. However, by legislating on a substance without reliable evidence, we run the risk of causing more harm through criminalizing users than might be caused by the drug itself, he said.

Mephedrone is already illegal in the UK and 15 other EU countries. In the UK those convicted of possession of the drug for p to five years in jail, while those convicted of distributing the drug can be sentenced to up to 14 years in prison. _____________________________8_____________________________ Trafficking, sexual exploitation of Haitian children in the Dominican Republic on the rise Miami Herald (10/23/2010) Gerald Reyes and Jacqueline Charles http://www.miamiherald.com/2010/10/23/1888703/earthquake-survivors-are-being.html

The increased poverty and desperation in Haiti since the earthquake on January 12, 2010, has led to over 7,300 children being into the Dominican Republic. According to one human rights organization that monitors child trafficking at 10 border points, t victim increase from 2009.

According to several smugglers and a United Nations Childrens Fund UNICEF report, many of the smugglers are working w both countries. All the officials know who the traffickers are, but dont report them. It is a problem that is not going to end be sources of income would dry up, says Regino Martnez, a Jesuit priest and director of the Border Solidarity Foundation in Da border town.

Haitian Prime Minister Jean-Max Bellerive characterizes the 230-mile border between the Dominican Republic and Haiti as a an opening for bigger trafficking. Bellerive acknowledges culpability on both sides of the border, saying There is not one per have an interest in controlling the frontier. There are people on the Haitian side who are profiting because they are the ones wh trafficking.

Dominican President Leonel Fernndezs office claims to have increased border security and prosecutions and sanctions again Dominican immigration only records two trafficking convictions since 2006. According to a 2010 US State Department Repo Republic does not fully comply with the minimum standards for the elimination of trafficking and is not making significant effo

_____________________BRIEFLY NOTED______________________ California: U.S. Supreme Court to rule on Californias law banning violent video games Calif. pushes to uphold ban on violent video games NPR (11/02/1010) Nina Totenberg http://www.npr.org/templates/story/story.php?storyId=130979773 California: Raves will continue despite teens death Coliseum panel overturns ban on raves Los Angeles Times (11/04/2010) Rong-gong Lin II and Andrew Blankstein http://articles.latimes.com/2010/nov/04/local/la-me-rave-ban-20101104 California: San Francisco takes the fat and the happy from McDonalds Happy Meals San Francisco law curbs McDonalds Happy Meals toys Reuters (11/02/2010) Lisa Baertlein http://www.reuters.com/article/idUSN0229201820101102
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Florida: BP to pay $20 million over three years to fund seafood inspection BP to fund Fla. Seafood inspections USA Today (10/25/2010) James Ash http://www.usatoday.com/news/nation/2010-10-25-florida-seafood-inspections-oil_N.htm Michigan: State implements program to teach drivers with minor offenses and fix records Drivers get chance to fix records with classes Detroit Free Press (11/02/2010) Matt Helms http://www.freep.com/article/20101102/NEWS06/11020386/1318/Drivers-get-chance-to-fix-records Michigan: Alcohol-related emergencies lead to ban of 55 caffeinated-alcoholic drinks Four Loko and 54 other energy drinks banned by state Detroit Free Press (11/05/2010) Melanie D. Scott http://www.freep.com/article/20101105/NEWS05/11050332/Four-Loko-and-54-other-drinks-banned-by-state Montana: Employees fired for refusing to get flu shots, file suit claiming discrimination 2 fired employees say requirement discriminates Billings Gazette (10/20/2010) Cindy Uken http://billingsgazette.com/news/local/crime-and-courts/article_e51d67e4-dc11-11df-a0ad-001cc4c03286.html New York: Four-year-old hit elderly woman with bicycle, can be sued for negligence 4-year-old can be sued, judge rules in bike case New York Times (10/28/2010) Alan Feuer http://www.bclocalnews.com/news/105353968.html New York: Medical examiner may legally keep teens brain Parents shocked to learn examiner kept sons brain CNN (10/27/2010) Sabriya Rice http://www.cnn.com/2010/HEALTH/10/27/shipley.stolen.brain/index.html Washington: WSDOT settles suit with paralyzed biker for $8 million, admits no fault WSDOT to pay $8 million over Montlake Bridge bike accident Seattle pi (10/25/2010) Scott Gutierrez http://www.seattlepi.com/local/429030_settlement26.html?source=rss

National: Illinois officials accused of lying to federal regulators and selling toxic water Are emergency water supplies safe? Fed and states cant tell for sure Chicago Tribune (10/26/2010) Michael Hawthorne http://articles.chicagotribune.com/2010-10-26/health/ct-met-water-inspection-epa-20101026_1_mayor-robert-stranczek-wa crestwood-officials National: At least 1,600 illness linked to contaminated eggs, lawsuits difficult to prove Lawyers say proving egg-related lawsuits difficult ABC News (11/08/2010) Michael J. Crumb http://abcnews.go.com/Business/wireStory?id=12083991 National: Legal competency questioned as money woes are seen as a sign of Alzheimers Money woes can be early clue to Alzheimers New York Times (10/30/2010) Gina Kolata http://www.nytimes.com/2010/10/31/health/healthspecial/31finances.html
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National: Troops near blasts must be off field for 24 hours under new orders More troops concussions diagnosed under new rules USA Today (10/28/2010) Gregg Zoroya http://www.usatoday.com/news/military/2010-10-28-1Aconcussions28_ST_N.htm Canada: Fire-related injuries around Halloween decrease with fireworks ban Fireworks ban reduces Halloween call-outs Black Press (10/25/2010) Toby Gorman http://www.bclocalnews.com/news/105353968.html Congo Republic: Congo government will vaccinate entire population against polio Congo Republic declares a polio emergency New York Times (11/10/2010) Donald G. McNeil, Jr. http://www.nytimes.com/2010/11/10/world/africa/10polio.html?_r=1&scp=1&sq=congo%20republic%20polio&st=cse Kosovo: Indictment filed in international organ-trafficking ring, at least seven arrested Seven charged in Kosovo organ-trafficking ring New York Times (11/15/2010) Dan Bilefsky http://www.nytimes.com/2010/11/16/world/europe/16kosovo.html?ref=world Scotland: Movement to ban smoking in vehicles spreads to Scotland Ban smoking in vehicles, Scottish Government urged by Ash group Herald Scotland (10/20/2010) Helen Puttick http://www.heraldscotland.com/news/health/ban-smoking-in-vehicles-scottish-government-urged-by-ash-group-1.1062636 Spain: Banning smoking in bars and cafs, Spain now one of EUs toughest on smoking Spain says adios to smoking in bars, cafes CBS News (10/20/2010) http://www.cbsnews.com/stories/2010/10/20/world/main6976046.shtml

___________________JOURNAL ARTICLES____________________

Changes in smoking prevalence in 1617-year-old versus older adults following a rise in legal age of sale: findings from an En study Addiction (11/2010) Jennifer A. Fidler and Robert West http://onlinelibrary.wiley.com/doi/10.1111/j.1360-0443.2010.03039.x/abstract An analysis of public health policy and legal issues relevant to mobile food vending American Journal of Public Health (11/2010) June M. Tester http://ajph.aphapublications.org/cgi/content/full/100/11/2038

Effects of alcohol tax and price policies on morbidity and mortality: a systematic review American Journal of Public Health Alexander C. Wagenaar, Amy L. Tobler, and Kelli A. Komro http://ajph.aphapublications.org/cgi/content/full/100/11/2270 The impact of Massachusetts smoke-free workplace laws on acute myocardial infarction deaths American Journal of Public Health (11/2010) Melanie S. Dove and others http://ajph.aphapublications.org/cgi/content/full/100/11/2206 Impact of the penalty points system on road traffic injuries in Spain: a timeseries study
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American Journal of Public Health (11/2010) Ana M. Novoa and others http://ajph.aphapublications.org/cgi/content/full/100/11/2220

Increased blackwhite disparities in mortality after the introduction of lifesaving innovations: a possible consequence of US fe American Journal of Public Health (11/2010) Robert S. Levine and others http://ajph.aphapublications.org/cgi/content/full/100/11/2176 Lessons learned from evaluations of Californias statewide school nutrition standards American Journal of Public Health (11/2010) Gail Woodward-Lopez and others http://ajph.aphapublications.org/cgi/content/full/100/11/2137 Local smoke-free ordinances are passing in tobacco-growing states American Journal of Public Health (11/2010) Sarah Sullivan and Stanton A. Glantz http://ajph.aphapublications.org/cgi/content/full/100/11/2013-a Patient safety: moving the bar in prison health care standards American Journal of Public Health (11/2010) Marc F. Stern, Robert B. Greifinger, and Jeff Mellow http://ajph.aphapublications.org/cgi/content/full/100/11/2103 Smoke-free legislation in Appalachian counties American Journal of Public Health (11/2010) Ellen J. Hahn, Nancy L. York, and Mary Kay Rayens http://ajph.aphapublications.org/cgi/content/full/100/11/2012 Utilization of research in policymaking for graduated driver licensing American Journal of Public Health (11/2010) Reece Hinchcliff and others http://ajph.aphapublications.org/cgi/content/full/100/11/2052 Vaccination mandates vs. opt-out programs and rates of influenza immunization Journal of the American Medical Association (10/27/2010) Robert M. Rakita, Beverly A. Hagar, Joyce K. Lammert http://jama.ama-assn.org/cgi/content/full/304/16/1786 A counterfeit drug treaty: great idea, wrong implementation The Lancet (10/30/2010) Roger Bate and Amir Attaran http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)61416-X/fulltext (subscription required) The FDA and the black arts of drug regulation The Lancet (10/30/2010) Michael Rawlins http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)61979-4/fulltext Regulating medical tourism The Lancet (10/30/2010) Valorie A Crooks and Jeremy Snyder http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)61993-9/fulltext A broader regulatory scheme the constitutionality of health care reform New England Journal of Medicine (11/11/2010) S. Rosenbaum http://healthpolicyandreform.nejm.org/?p=12896

___________________COURT OPINIONS____________________
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California: Regulatory fees imposed for child lead poisoning prevention program constitutional Equilon Enterprises v. State Board of Equilization Court of Appeals of California, Third District Case No. C059079, Superior Court No. 05AS02406 Decided October 29, 2010 Opinion by Judge Robie http://scholar.google.com/scholar_case? case=11537599379886999196&hl=en&lr=lang_en&as_sdt=80002&as_vis=1&oi=scholaralrt&ct=alrt&cd=19 Connecticut: Injunction against companys killing and removing parakeets on power lines denied Friends of Animals v. United Illuminating Company Appellate Court of Connecticut Case No. 30006 Decided November 9, 2010 Opinion by Judge Robinson http://www.jud.ct.gov/external/supapp/Cases/AROap/AP124/124AP539.pdf Hawaii: Injunction and civil penalty against owner of unsanitary dog kennel affirmed Young v. Department of Health Intermediate Court of Appeals of Hawaii Case No. 29874 Decided October 25, 2010 http://scholar.google.com/scholar_case? case=770343410193705764&hl=en&lr=lang_en&as_sdt=80002&as_vis=1&oi=scholaralrt&ct=alrt&cd=3 Illinois: Use of breathalyzer test resulting in DUI conviction deemed constitutional People v. Jacobs Appellate Court of Illinois, Fourth District Case No. 4-09-0878 Decided Nov. 1, 2010 Opinion by Justice Turner http://state.il.us/court/Opinions/AppellateCourt/2010/4thDistrict/November/4090878.pdf Louisiana: Damages for construction workers injured by slop oil and toxic chemicals affirmed Arabie v. Citgo Petroleum Corporation Court of Appeal of Louisiana, Third Circuit Case No. 10-244 Decided October 27, 2010 Opinion by Chief Judge Thibodeaux http://scholar.google.com/scholar_case? case=4717903465817046816&hl=en&lr=lang_en&as_sdt=80002&as_vis=1&oi=scholaralrt&ct=alrt&cd=18 Michigan: Contract allowing construction of housing for more than 2 unrelated persons denied United Investments, Inc. v. City of Mount Pleasant Court of Appeals of Michigan Docket No. 292279 Decided October 21, 2010 Opinion per curiam http://coa.courts.mi.gov/documents/OPINIONS/FINAL/COA/20101021_C292279_46_292279.OPN.PDF New Jersey: Forfeiture of weapons by habitual drunkard required due to public health threat
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Return of Weapons in the Matter of R.B. Superior Court of New Jersey, Appellate Division Superior Court Docket No. FO-10-101-09 Decided November 4, 2010 Decision per curiam http://www.judiciary.state.nj.us/opinions/a2211-08.pdf

Tennessee: Enforcement of ban on fireworks absent zoning on annexed city property affirmed SNPCO, Inc. v. City of Jefferson City Court of Appeals of Tennessee Case No. E2009-02355-COA-R3-CV Decided October 29, 2010 Opinion by Judge Farmer http://www.tsc.state.tn.us/OPINIONS/TCA/PDF/104/SNCPO%20Inc%20dba%20Salvage%20Unlimited%20vs%20Jeffer Texas: Decision eliminating health liability of successor to asbestos product manufacturer reversed Robinson v. Crown Cork & Seal Co., Inc. Supreme Court of Texas Case No. 06-0714 Decided October 22, 2010 Opinion by Justice Hecht http://www.supreme.courts.state.tx.us/opinions/HTMLOpinionInfo.asp?OpinionID=2001612 Federal: Manufacturers unlawful marketing of drug for off-label use injured non-profit provider In re Neurontin Marketing and Sales Practices Litigation U.S. District Court for the District of Massachusetts Civil Action No. 04-cv-10739-PBS Decided Nov. 3, 2010 Opinion by Judge Saris http://pacer.mad.uscourts.gov/opinion.html Federal: Dismissal over lack of proof of causality of food poisoning denied Corbi v. Harrahs Hotel & Casino U.S. District Court for the District of New Jersey Civil Case No. 08-5875 (RBK/JS) Decided October 21, 2010 Opinion by Judge Kugler http://scholar.google.com/scholar_case? case=6657246718459683104&hl=en&lr=lang_en&as_sdt=80002&as_vis=1&oi=scholaralrt&ct=alrt&cd=12 Federal: Injunction against agency removal of excess wild horses from public land denied Habitat for Horses v. Salazar U.S. District Court for the Southern District of New York Case No. 10 Civ. 7684 (WHP) Decided October 21, 2010 Opinion by Judge Pauley http://www.nysd.uscourts.gov/ecf.php Federal: Class action alleging adverse effects of cell phone emissions preempted Farina v. Nokia, Inc. U.S. Court of Appeals for the Third Circuit Case No. 08-4034
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Filed October 22, 2010 Opinion by Judge Scirica http://www.ca3.uscourts.gov/ecfwebsite/default.aspx Federal: Motion to dismiss suit alleging disclosure of patient identity and treatment of TB denied Speaker v. U.S. Department of Health and Human Services Centers for Disease Control and Prevention U.S. Court of Appeals for the Eleventh Circuit Case No. 09-16154 Decided October 22, 2010 Opinion by Judge Hull http://scholar.google.com/scholar_case? case=15837064904821183127&hl=en&lr=lang_en&as_sdt=80002&as_vis=1&oi=scholaralrt&ct=alrt&cd=0

__________PHL NEWS QUOTATION OF THE MONTH___________ Theres probably nothing worse than a deer running in front of your car. Except Lyme disease.

-- Faith Shapiro, an employee of the Conservation Commission in Sudbury, which has allowed arrow hunting to control deer __________________SPECIAL FOCUS___________________ Focus on Diabetes in the Law

November is National Diabetes Awareness Month. Currently, more than 24 million people in the United States have diabetes Diabetes Translation projects that as many as one third of the U.S. adult population will have diabetes by 2050, if current tren is a disease in which blood glucose levels are above normal. Type 2 diabetes accounts for 90-95 percent of all U.S. diabetes occurs in people over 40 but its prevalence in children and adolescents is increasing. Among the risk factors associated with d obesity, family history of diabetes, prior history of gestational diabetes, impaired glucose tolerance, physical inactivity, and spe such as American Indians, African Americans, Hispanic/Latino Americans, and Asian/Pacific Islanders. Priority risk factors, in nutrition, and physical inactivity, are identified as CDC Winnable Battle topics and can be addressed through law-based interv components of comprehensive prevention initiatives.

The 2010 Patient Protection and Affordable Care Act (ACA), established several new federal diabetes treatment and preven is responsible for implementing the National Diabetes Report Card and Death Certificate/Data Collection Education (Sec. 10 Diabetes Prevention Program (Sec. 399V-3).

ACA authorizes the National Diabetes Report Card to be published on a biennial basis; it will contain aggregate health outco individuals diagnosed with diabetes and prediabetes, including, preventative care practices and quality of care, risk factors, an National Diabetes Prevention Program will include a grant program for community-based diabetes prevention model sites, a determine eligibility of entities to deliver community-based diabetes prevention services, as well as training and outreach pro carry out evaluation, monitoring, and technical assistance, and applied research in conjunction with the National Diabetes Pr

Many states have adopted laws authorizing health services to prevent or control diabetes. A table with information on many o accessible on the website of the National Conference of State Legislatures; the website of The American Diabetes Associatio information on diabetes-related laws.

For additional information on diabetes and on diabetes-related activities of CDC and the National Institutes of Medicine, pleas websites: CDC Public Health Resource
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http://www.cdc.gov/diabetes/ National Diabetes Education Program: http://www.ndep.nih.gov/index.aspx

__________________SPECIAL FEATURES___________________ Overview of the First Decade of the CDC Public Health Law Program

In workshops convened by the Centers for Disease Control and Prevention (CDC) in late 1999 and early 2000, CDC leader state and local public health practice and other sectors identified the need for a CDC-led initiative to improve the use of law to health. In response to these workshops, the CDC Office of the Director established the Public Health Law Program in March reports on some of the programs work during its first decade.

The program adopted three strategies supporting its missionto improve the health of the public through law: first, to develop related tools for front-line public health practitioners and policy makers; second, to provide actionable legal information and te those constituents, and CDC programs, can use to shape public health laws and implement legal best practices; and, third, to s national community of practitioners, policy makers, applied researchers, and others aligning their efforts toward better use of l public health.

The programs core method during the decade was to engage partners in every aspect of its work, focusing on needs identified partners and engaging them in the design, development, and implementation of new legal tools and information resources. Intra were forged with CDCs central emergency preparedness, influenza coordination, and research offices, with programs focuse control of chronic disease, infectious disease, and injury, and with the agencys Office of General Counsel. Extramurally, the p closely with such established CDC partners as the Association of State and Territorial Health Officials and the National Assoc City Health Officials. In addition, it engaged new partners from the spectrum of organizations and public agencies active in the implementation, enforcement, and adjudication of state, local, and federal laws. These included, for example, the National Co Legislatures and the Milbank Memorial Fund; legal counsel to public health agencies; associations of public health and health National Association of Attorneys General, the American Bar Associations Health Law Section, and the American Health La the U.S. Department of Justice (the Bureau of Justice Assistance, Executive Office of U.S. Attorneys, individual U.S. Attorne the National Advocacy Center); national, state and local law enforcement agencies and professional associations; the Federal corrections officials in the U.S. Bureau of Prisons and state and local corrections agencies.

From these strategies and partnerships came an array of practical tools and information resources, many cosponsored by part and other federal agencies, for public health practitioners and policy makers. These tools are available at http://www2a.cdc.go Among them are the following: Tools for improved public health emergency legal preparedness o The Draft Model State Emergency Health Powers Act o The Forensic Epidemiology and Public Health Emergency Law curricula o The Framework for Improving Cross-Sector Coordination for Emergency Preparedness and Response o The National Action Agenda for Public Health Legal Preparedness, and o The Menu of Suggested Provisions for Public Health Mutual Aid Agreements. Tools for improved chronic disease prevention and control o The Proceedings of the National Summit on Legal Preparedness for Obesity Prevention and Control
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o Guides to adoption of laws stemming from the 2010 Public Health Law Summit on Dietary Sodium Reduction

o The Public Health Law 101 Symposium curriculum and methodology to customize public health law training o Tools for improved infectious disease prevention and control o The Social Distancing Law Assessment Template

o The Menu of Selected Provisions for State Tuberculosis Control Programs and related legal handbook for tu practitioners

o A portfolio of tools supporting state laws that authorize expedited partner therapy (EPT) for chlamydia and gon and

o Model state legislation for prevention of healthcare-associated infections and a menu of legal provisions for imp response to foodborne disease outbreaks (in development in 2010). Also from this approach came such new tools, information, and community building resources as the following:

The volume Law in Public Health Practice (Oxford University Press, 2nd edition, 2007) oriented specifically to publ and counsel The nine-unit Public Health Law 101 curriculum for front-line practitioners

The monthly CDC Public Health Law News, a digest of developments and innovations in public health that had 43 2010

The Public Health Law Listserv that supports online, peer-to-peer problem solving among legal counsel to state pub and with Public Health Law Program staff

A host of practice-oriented reports on the impact specific laws have on the publics health, stemming from eleven ext reviewed research projects funded by the programs applied research initiative, and Five national public health law conferences held annually between 2002 and 2006.

A more complete compendium of the programs 2000-2010 work may be found on its website (http://www.cdc.gov/phlp). T Program is a unit within CDCs Office for State, Territorial, Local and Tribal Support.

___________________________________________________________ The CDC Public Health Law News is published the third Thursday of each month except holidays, plus special issues when distributed only in electronic form and is free of charge. News content is selected solely on the basis of newsworthiness and po readers. CDC and DHHS assume no responsibility for the factual accuracy of the items presented. The selection, omission, o does not imply any endorsement or other position taken by CDC or DHHS. Opinions expressed by the original authors of item News, or persons quoted therein, are strictly their own and are in no way meant to represent the opinion or views of CDC or products, trade names, publications, news sources, and non-CDC Websites are provided solely for informational purposes an endorsement by CDC or DHHS. Legal cases are presented for educational purposes only, and are not meant to represent the law. The findings and conclusions reported in this document are those of the author(s) and do not necessarily represent the vie News is in the public domain and may be freely forwarded and reproduced without permission. The original news sources and Health Law News should be cited as sources. Readers should contact the cited news sources for the full text of the articles. For past issues or to subscribe to the CDC Public Health Law News, visit http://www2a.cdc.gov/phlp/cphln.asp. For help w make comments or suggestions, send an email to Lindsay Culp at lculp@cdc.gov. The News is published by the Public Health Law Program, Office for State, Tribal, Local, and Territorial Support, Centers fo Prevention (CDC), U.S. Department of Health and Human Services (DHHS). Lindsay Culp, J.D., M.P.H., Editor; Abigail Fe Special thanks to Tara Ramanathan, J.D., M.P.H. for her help on this issue.
8_19_2011

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Modify/Update Subscriber Preferences | Unsubscribe | Send Feedback | Learn more about CDC Email Updates To receive the latest news for your region, please update your profile with your country, state and zip code. Questions or problems? Please contact support@govdelivery.com.

Centers for Disease Control and Prevention (CDC) 1600 Clifton Rd Atlanta GA 30333 800-CDC-INFO (800-232-4636)

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From: "Hamilton, Joy" To: "Apa, James" <James.Apa@kingcounty.gov> "Bates, Amy" <Amy.Bates@kingcounty.gov> "Beebe, Alanna" <Alanna.Beebe@kingcounty.gov> "DeAnn Cromp" <cromp.d@ghc.org> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Huus, Kathie" <Kathie.Huus@kingcounty.gov> "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> "Krieger, James" <James.Krieger@kingcounty.gov> "Louch, Jennifer" <Jennifer.Louch@kingcounty.gov> "Mark, Terry" <Terry.Mark@kingcounty.gov> "Moreno, Emma" <Emma.Moreno@kingcounty.gov> "Muhm, Jennifer" <Jennifer.Muhm@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Paul Davis" <Paul.Davis@DOH.WA.GOV> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Ryan, Molly" <Molly.Ryan@kingcounty.gov> "Sadow-Hasenberg, Nicole" <Nicole.Sadow-Hasenberg@kingcounty.gov> "Teeter, Dorothy" <Dorothy.Teeter@kingcounty.gov> "Valenzuela, Matias" <Matias.Valenzuela@kingcounty.gov> "Webb, Dean" <Dean.Webb@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 11/18/2010 4:11:00 PM Subject: Tobacco update (in lieu of meeting) Attachments: 10-183 tobacco return on investment.docx Greetings, In lieu of a meeting today, here are the updates that would have been presented: 1. We met with the BOH Tobacco Policy committee yesterday and they have agreed to present the proposed regulations related to electronic cigarettes to the full board at the December meeting. These proposed changes include: * restrict the sale of unapproved nicotine delivery devices and electronic smoking devices to adults 18 years of age or older; * prohibit providing free (sampling) or heavily discounted electronic smoking devices or unapproved nicotine delivery products and; * prohibit mechanical sales (vending machines) of e-cigarettes and unregulated nicotine delivery products in any place where minors may be present * prohibit the use of e-cigarettes and similar "smoking" devices in places where smoking is prohibited by law. 2. There was a press conference yesterday held by Mary Selecky, Jeff Harris, and Cheryl Healton (Legacy) to announce the findings of a new study showing that the return on investment in tobacco spending is five to one. I've attached the document that explains more in detail.

3. The Camel Cigarettes campaign featuring a Seattle pack of cigarettes is starting to receive media attention. We are expecting media around this today or tomorrow.
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4. We are working to prepare for the legislative session. We will have a one-pager on youth access and a campaign plan to review and discuss at the next meeting. Please let me or Scott or Sarah know if you have any questions. Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

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From: To: Date: Subject: See edits...

"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/18/2010 4:09:00 PM RE: Update on Tobacco Policy

>_____________________________________________ >From: Hamilton, Joy >Sent: Thursday, November 18, 2010 11:42 AM >To: Neal, Scott >Subject: Update on Tobacco Policy > >Greetings, > >In lieu of a meeting today, here are the updates that would have been presented: > >1. We met with the BOH Tobacco Policy committee yesterday and they have agreed to present the proposed regulations related to electronic cigarettes to the full board at the December meeting. These proposed changes include: > >* restrict the sale of unapproved nicotine delivery devices and electronic smoking devices to adults 18 years of age or older; >* prohibit providing free (sampling) or heavily discounted electronic smoking devices or unapproved nicotine delivery products and; >* prohibit mechanical sales of e-cigarettes (and unregulated nicotine delivery productsright?) (vending machines) in any place where minors may be present >* prohibit the use of e-cigarettes and similar smoking devices in places where smoking is prohibited by law. > >2. There was a press conference yesterday held by Mary Selecky, Jeff Harris, and Cheryl Healton (Legacy) to announce the findings of a new study showing that the return on investment in tobacco spending is five to one. I've attached the document that explains more in detail. > << File: 10-183 tobacco return on investment.docx >> > >3. The Camel Cigarettes campaign featuring a Seattle pack of cigarettes is starting to receive media attention. We are expecting media around this today or tomorrow. > >4. We are working to prepare for the legislative session. We will have a one-pager on youth access and a campaign plan to review and discuss at the next meeting. > >Please let me or Scott or Sarah know if you have any questions. > >Thanks, >Joy Hamilton, MPH >Public Health - Seattle & King County >Communities Putting Prevention to Work >Tobacco Policy and Advocacy Manager >401 5th Ave. Suite 900 >Seattle, WA 98104 >(206) 263-9382 >joy.hamilton@kingcounty.gov
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>

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From: To: Date: Subject: Attachments: Greetings,

"Hamilton, Joy" "Neal, Scott" <Scott.Neal@kingcounty.gov> 11/18/2010 3:42:06 PM Update on Tobacco Policy 10-183 tobacco return on investment.docx

In lieu of a meeting today, here are the updates that would have been presented: 1. We met with the BOH Tobacco Policy committee yesterday and they have agreed to present the proposed regulations related to electronic cigarettes to the full board at the December meeting. These proposed changes include: * restrict the sale of unapproved nicotine delivery devices and electronic smoking devices to adults 18 years of age or older; * prohibit providing free (sampling) or heavily discounted electronic smoking devices or unapproved nicotine delivery products and; * prohibit mechanical sales (vending machines) in any place where minors may be present * prohibit the use of e-cigarettes and similar smoking devices in places where smoking is prohibited by law. 2. There was a press conference yesterday held by Mary Selecky, Jeff Harris, and Cheryl Healton (Legacy) to announce the findings of a new study showing that the return on investment in tobacco spending is five to one. I've attached the document that explains more in detail.

3. The Camel Cigarettes campaign featuring a Seattle pack of cigarettes is starting to received media attention. We are expecting a story to be in the media later today. 4. We are working to prepare for the legislative session. We will have a one-pager on youth access and a campaign plan to review and discuss at the next meeting. Please let me or Scott or Sarah know if you have any questions. Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

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From: To: Date: Subject:

"Hamilton, Joy" "Ritzen, Bruce" <Bruce.Ritzen@kingcounty.gov> 11/19/2010 8:01:09 PM RE: E-cigarette regulation

Bruce, Thanks for your speedy review. Anne Pearson will be working to make the revisions and will contact you if she has any questions. This has already been reviewed by the PAO. Thanks, Joy

From: Ritzen, Bruce Sent: Friday, November 19, 2010 3:56 PM To: Hamilton, Joy Cc: Neal, Scott; Pearson, Anne; Wood, Maria; Ross-Viles, Sarah; Noris, Anne Subject: RE: E-cigarette regulation

Joy: Heres a reviewed version of the draft rule and regulation, with edits shown in Track Changes and a few Comments. This was overall really solid, and I realize youre still working on it, but the review had to be done on what was there. Most edits were for format and style, and most of that to try to keep things simple and consistent. The Comments explain a lot of whats going on (by their nature, theyre pithy). Sometimes a Comment is on an issue that comes up throughout the draft, and there was no attempt to be comprehensive on putting a Comment in every place they come up. One note on style is that the construction of No person shall is used quite often, rather than A person shall not Generally in drafting, the latter is preferred; to address this would require quite a lot of redrafting, and I dont know if it is necessary. You should check with counsel for their position on that. Speaking of which, overall, you should also be sure this is reviewed by counsel. I am happy to review further drafts and answer any questions or concerns you might have. Thanks for sending this for a review. Bruce

Please review this draft carefully and note that these recommendations do not constitute approval by the King County Council of the proposal's substantive content or a legal opinion as to the validity of the proposal or any part of it. Furthermore, there may be other legal or substantive issues to consider in addition to those addressed in this draft. To properly address substantive or legal issues, please consult with the Councils legal counsel or the Prosecuting Attorneys Office.
Bruce A. Ritzen Code Reviser bruce.ritzen@kingcounty.gov 206-296-1015 King County Council W1039 KCC-CC-1039 King County Courthouse 516 Third Ave Seattle, WA 98104

From: Hamilton, Joy 8_19_2011

Page 2 Sent: Friday, November 19, 2010 9:15 AM To: Ritzen, Bruce Cc: Neal, Scott; Pearson, Anne; Wood, Maria; Ross-Viles, Sarah Subject: E-cigarette regulation

Bruce, I just heard from Maria Wood that you are willing to look at our current draft of the e-cigs regulations (even though it is still in process). Thank you so much for being accommodating! I've attached the latest version. Thanks again, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

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From: To: Date: Subject:


Joy: Glad to give it a look. Bruce

"Ritzen, Bruce" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/19/2010 3:15:30 PM RE: E-cigarette regulation

From: Hamilton, Joy Sent: Friday, November 19, 2010 9:15 AM To: Ritzen, Bruce Cc: Neal, Scott; Pearson, Anne; Wood, Maria; Ross-Viles, Sarah Subject: E-cigarette regulation

Bruce, I just heard from Maria Wood that you are willing to look at our current draft of the e-cigs regulations (even though it is still in process). Thank you so much for being accommodating! I've attached the latest version. Thanks again, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

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From: To: Date: Subject:


Thanks, Joy. Bruce

"Ritzen, Bruce" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/19/2010 8:14:12 PM RE: E-cigarette regulation

From: Hamilton, Joy Sent: Friday, November 19, 2010 4:01 PM To: Ritzen, Bruce Cc: Neal, Scott; Pearson, Anne; Wood, Maria; Ross-Viles, Sarah; Noris, Anne Subject: RE: E-cigarette regulation

Bruce, Thanks for your speedy review. Anne Pearson will be working to make the revisions and will contact you if she has any questions. This has already been reviewed by the PAO. Thanks, Joy

From: Ritzen, Bruce Sent: Friday, November 19, 2010 3:56 PM To: Hamilton, Joy Cc: Neal, Scott; Pearson, Anne; Wood, Maria; Ross-Viles, Sarah; Noris, Anne Subject: RE: E-cigarette regulation

Joy: Heres a reviewed version of the draft rule and regulation, with edits shown in Track Changes and a few Comments. This was overall really solid, and I realize youre still working on it, but the review had to be done on what was there. Most edits were for format and style, and most of that to try to keep things simple and consistent. The Comments explain a lot of whats going on (by their nature, theyre pithy). Sometimes a Comment is on an issue that comes up throughout the draft, and there was no attempt to be comprehensive on putting a Comment in every place they come up. One note on style is that the construction of No person shall is used quite often, rather than A person shall not Generally in drafting, the latter is preferred; to address this would require quite a lot of redrafting, and I dont know if it is necessary. You should check with counsel for their position on that. Speaking of which, overall, you should also be sure this is reviewed by counsel. I am happy to review further drafts and answer any questions or concerns you might have. Thanks for sending this for a review. Bruce

Please review this draft carefully and note that these recommendations do not constitute approval by the King County Council of the proposal's substantive content or a legal opinion as to the validity of the proposal or any part of it. Furthermore, there may be other legal or substantive issues to consider in addition to those addressed in this draft. To properly address substantive or legal issues, please consult with the Councils legal counsel or the Prosecuting Attorneys Office.
Bruce A. Ritzen Code Reviser bruce.ritzen@kingcounty.gov 206-296-1015 8_19_2011

Page 2 King County Council W1039 KCC-CC-1039 King County Courthouse 516 Third Ave Seattle, WA 98104

From: Hamilton, Joy Sent: Friday, November 19, 2010 9:15 AM To: Ritzen, Bruce Cc: Neal, Scott; Pearson, Anne; Wood, Maria; Ross-Viles, Sarah Subject: E-cigarette regulation

Bruce, I just heard from Maria Wood that you are willing to look at our current draft of the e-cigs regulations (even though it is still in process). Thank you so much for being accommodating! I've attached the latest version. Thanks again, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

8_19_2011

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From: To: Date: Subject: Attachments:

"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/19/2010 1:13:00 PM FW: E-cigarette regulation E-cigarette regulation(11.17.10).doc

>______________________________________________ >From: Pearson, Anne >Sent: Wednesday, November 17, 2010 3:48 PM >To: Gannett, Cynthia >Cc: Neal, Scott >Subject: E-cigarette regulation > > >Hi Cynthia, > >Thanks for your swift consideration of this draft regulation. As discussed, I amended the draft that was sent to you yesterday to include a provision specifying that the new chapter applies to e-cigarettes (etc.) to the extent not preempted by federal law. As with the rest of the draft, we're very open to your input and edits. > >Thanks so much, > >Anne > >Anne Pearson, JD, MA >Public Health - Seattle & King County >401 5th Avenue, Suite 900 >Seattle, WA 98104 >(206) 263-9411 >anne.pearson@kingcounty.gov > > > >

8_19_2011

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From: To: Date: Subject: Attachments:

"Hamilton, Joy" "Ritzen, Bruce" <Bruce.Ritzen@kingcounty.gov> 11/19/2010 1:15:26 PM E-cigarette regulation E-cigarette regulation(11 17 10).doc

Bruce, I just heard from Maria Wood that you are willing to look at our current draft of the e-cigs regulations (even though it is still in process). Thank you so much for being accommodating! I've attached the latest version. Thanks again, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

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From: To: Date: Subject: Attachments:


Joy:

"Ritzen, Bruce" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/19/2010 7:56:01 PM RE: E-cigarette regulation E-cigarette regulation(11 17 10) BAR edits 11-19-10.doc

Heres a reviewed version of the draft rule and regulation, with edits shown in Track Changes and a few Comments. This was overall really solid, and I realize youre still working on it, but the review had to be done on what was there. Most edits were for format and style, and most of that to try to keep things simple and consistent. The Comments explain a lot of whats going on (by their nature, theyre pithy). Sometimes a Comment is on an issue that comes up throughout the draft, and there was no attempt to be comprehensive on putting a Comment in every place they come up. One note on style is that the construction of No person shall is used quite often, rather than A person shall not Generally in drafting, the latter is preferred; to address this would require quite a lot of redrafting, and I dont know if it is necessary. You should check with counsel for their position on that. Speaking of which, overall, you should also be sure this is reviewed by counsel. I am happy to review further drafts and answer any questions or concerns you might have. Thanks for sending this for a review. Bruce

Please review this draft carefully and note that these recommendations do not constitute approval by the King County Council of the proposal's substantive content or a legal opinion as to the validity of the proposal or any part of it. Furthermore, there may be other legal or substantive issues to consider in addition to those addressed in this draft. To properly address substantive or legal issues, please consult with the Councils legal counsel or the Prosecuting Attorneys Office.
Bruce A. Ritzen Code Reviser bruce.ritzen@kingcounty.gov 206-296-1015 King County Council W1039 KCC-CC-1039 King County Courthouse 516 Third Ave Seattle, WA 98104

From: Hamilton, Joy Sent: Friday, November 19, 2010 9:15 AM To: Ritzen, Bruce Cc: Neal, Scott; Pearson, Anne; Wood, Maria; Ross-Viles, Sarah Subject: E-cigarette regulation

Bruce, I just heard from Maria Wood that you are willing to look at our current draft of the e-cigs regulations (even though it is still in process). Thank you so much for being accommodating! I've attached the latest version. Thanks again,
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Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

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From: To: Date: Subject: Fel,

"Hamilton, Joy" "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> 11/19/2010 4:09:42 PM E-cigs prep

We met with James Apa in communications the other day to plan for the upcoming e-cigs regulations with the BOH. He suggested that we prepare a few things and I'm hoping you can help out with this. We need three things: 1. A flavored/colorful e-cig -- if you don't think that you can buy one from a kiosk, tobacco shop -- we can buy online 2. a list of locations of places that sell e-cigs (to give to media if they ask) 3. photos of e-cigs vendors/ads -- we already have the photo you took at 7-11, but more of this type of thing would be good. James wants us to have visual images because many people know so little about this product. Let me know if you can work on helping get these things or have any questions. Thanks!!! Joy

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From: "Ross-Viles, Sarah" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 11/19/2010 3:16:52 PM Subject: RE: Electronic cigarettes certainly takes any edge of the fear of a lawsuit. ________________________________________ From: Hamilton, Joy Sent: Friday, November 19, 2010 10:50 AM To: Neal, Scott Cc: Pearson, Anne; Ross-Viles, Sarah Subject: FW: Electronic cigarettes A letter from the E-cigs folks SUPPORTING youth restrictions. Could this help with the PAO? Joy ________________________________ From: Mulroy, Marie [mailto:mmulroy@breathenh.org] Sent: Friday, November 19, 2010 10:19 AM To: Hamilton, Joy Subject: RE: Electronic cigarettes Here's the letter of support ________________________________ From: Hamilton, Joy [Joy.Hamilton@kingcounty.gov] Sent: Friday, November 19, 2010 11:45 AM To: Mulroy, Marie Subject: RE: Electronic cigarettes Marie, Thanks again for speaking to me about your work with e-cigs regulations in New Hampshire. I wanted to follow up on one quick point. I think that you mentioned the the e-cig industry/vapers were IN SUPPORT of your regulations around restricting the sale to youth. Can you confirm this? How did they express this view? Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov ________________________________ From: Marie Mulroy [mailto:mmulroy@breathenh.org] Sent: Wednesday, October 27, 2010 9:39 AM
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To: Hamilton, Joy Subject: Electronic cigarettes Here is some background information on our bill. If you go on to our website www.breathenh.org towards the end of the homepage is a picture of the youth who sponsored the bill with the Governor click on the learn more about it here and it will take you to our YouTube information. Whatever help you need, let me know.

Marie Mulroy Manager Tobacco Program Breathe New Hampshire 9 Cedarwood Drive, Unit 12 Bedford, NH 03110 tel: 603.669.2411 fax: 603.645.6220 email: mmulroy@breathenh.org

This email, originating from Breathe New Hampshire, including any files or attachments transmitted with it, contains confidential information and is intended for use only by the specific individual or entity to which it is addressed, and accordingly is protected by law. Any disclosure, copying or distribution of this e-mail or the taking of any action based on its contents, other than for its intended purpose, is strictly prohibited. If you are not the intended recipient, please contact sender immediately by reply email and destroy all copies. E-mail transmission cannot be guaranteed to be error-free or secure from viruses, and Breathe New Hampshire disclaims all liability for any resulting damage, errors, or omissions

8_19_2011

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From: "Neal, Scott" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 11/19/2010 3:21:00 PM Subject: RE: Electronic cigarettes Agreed... I think this is the type of thing that we bring to DF in our discussion about whether to move forward or not, but probably would need to think through whether or not we use this in any briefing document to the BOH. Scott -----Original Message----From: Ross-Viles, Sarah Sent: Friday, November 19, 2010 11:16 AM To: Hamilton, Joy; Neal, Scott Cc: Pearson, Anne Subject: RE: Electronic cigarettes certainly takes any edge of the fear of a lawsuit. ________________________________________ From: Hamilton, Joy Sent: Friday, November 19, 2010 10:50 AM To: Neal, Scott Cc: Pearson, Anne; Ross-Viles, Sarah Subject: FW: Electronic cigarettes A letter from the E-cigs folks SUPPORTING youth restrictions. Could this help with the PAO? Joy ________________________________ From: Mulroy, Marie [mailto:mmulroy@breathenh.org] Sent: Friday, November 19, 2010 10:19 AM To: Hamilton, Joy Subject: RE: Electronic cigarettes Here's the letter of support ________________________________ From: Hamilton, Joy [Joy.Hamilton@kingcounty.gov] Sent: Friday, November 19, 2010 11:45 AM To: Mulroy, Marie Subject: RE: Electronic cigarettes Marie, Thanks again for speaking to me about your work with e-cigs regulations in New Hampshire. I wanted to follow up on one quick point. I think that you mentioned the the e-cig industry/vapers were IN SUPPORT of your regulations around restricting the sale to youth. Can you confirm this? How did they express this view? Thanks,
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Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov ________________________________ From: Marie Mulroy [mailto:mmulroy@breathenh.org] Sent: Wednesday, October 27, 2010 9:39 AM To: Hamilton, Joy Subject: Electronic cigarettes Here is some background information on our bill. If you go on to our website www.breathenh.org towards the end of the homepage is a picture of the youth who sponsored the bill with the Governor click on the learn more about it here and it will take you to our YouTube information. Whatever help you need, let me know.

Marie Mulroy Manager Tobacco Program Breathe New Hampshire 9 Cedarwood Drive, Unit 12 Bedford, NH 03110 tel: 603.669.2411 fax: 603.645.6220 email: mmulroy@breathenh.org

This email, originating from Breathe New Hampshire, including any files or attachments transmitted with it, contains confidential information and is intended for use only by the specific individual or entity to which it is addressed, and accordingly is protected by law. Any disclosure, copying or distribution of this e-mail or the taking of any action based on its contents, other than for its intended purpose, is strictly prohibited. If you are not the intended recipient, please contact sender immediately by reply email and destroy all copies. E-mail transmission cannot be guaranteed to be error-free or secure from viruses, and Breathe New Hampshire disclaims all liability for any resulting damage, errors, or omissions

8_19_2011

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From: To: Date: Subject: Attachments:

"Hamilton, Joy" "Neal, Scott" <Scott.Neal@kingcounty.gov> 11/19/2010 2:50:59 PM FW: Electronic cigarettes Letter from Electronic Cigarette Assn.pdf

A letter from the E-cigs folks SUPPORTING youth restrictions. Could this help with the PAO? Joy

From: Mulroy, Marie [mailto:mmulroy@breathenh.org] Sent: Friday, November 19, 2010 10:19 AM To: Hamilton, Joy Subject: RE: Electronic cigarettes Here's the letter of support

From: Hamilton, Joy [Joy.Hamilton@kingcounty.gov] Sent: Friday, November 19, 2010 11:45 AM To: Mulroy, Marie Subject: RE: Electronic cigarettes Marie, Thanks again for speaking to me about your work with e-cigs regulations in New Hampshire. I wanted to follow up on one quick point. I think that you mentioned the the e-cig industry/vapers were IN SUPPORT of your regulations around restricting the sale to youth. Can you confirm this? How did they express this view? Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

From: Marie Mulroy [mailto:mmulroy@breathenh.org] Sent: Wednesday, October 27, 2010 9:39 AM To: Hamilton, Joy Subject: Electronic cigarettes

Here is some background information on our bill. If you go on to our website www.breathenh.org towards the end of the homepage is a picture of the youth who sponsored the bill with the Governor click on the learn more about it here and it will take you to our YouTube information. Whatever help you need, let me know.

Marie Mulroy Manager Tobacco Program Breathe New Hampshire 9 Cedarw ood Drive, Unit 12 Bedford, NH 03110 tel: 603.669.2411 fax: 603.645.6220 email: mmulroy@breathenh.org

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This email, originating from Breathe New Hampshire, including any files or attachments transmitted with it, contains confidential information and is intended for use only by the specific individual or entity to which it is addressed, and accordingly is protected by law. Any disclosure, copying or distribution of this e-mail or the taking of any action based on its contents, other than for its intended purpose, is strictly prohibited. If you are not the intended recipient, please contact sender immediately by reply email and destroy all copies. E-mail transmission cannot be guaranteed to be error-free or secure from viruses, and Breathe New Hampshire disclaims all liability for any resulting damage, errors, or omissions

8_19_2011

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From: "Lucy Culp" <lucy.culp@heart.org> To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Erin.Dziedzic@cancer.org "Carrie Nyssen" <cnyssen@lungmtpacific.org> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 11/19/2010 3:17:43 PM Subject: RE: Meeting Friday AM
Works for me. Lucy Culp Senior Director, Advocacy American Heart Association (360) 870-4016

"Ross-Viles, Sarah" wrote:


Looks like 9:30 to 10:30 will work for PHSKC folks. Going once, going twice . . . ________________________________________ From: Erin.Dziedzic@cancer.org [Erin.Dziedzic@cancer.org] Sent: Friday, November 19, 2010 9:15 AM To: Carrie Nyssen; Lucy Culp; Ross-Viles, Sarah; Pearson, Anne; Neal, Scott Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Can we make Friday the 3rd in the morning work? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 02:10 PM PST To: "Carrie Nyssen" <cnyssen@lungmtpacific.org>; "Lucy Culp" <lucy.culp@heart.org>; Erin Dziedzic; "Sarah Ross-Viles" <sarah.ross-viles@kingcounty.gov>; "Pearson, Anne" <Anne.Pearson@kingcounty.gov>; "Scott Neal" <Scott.Neal@kingcounty.gov> Cc: "Muhm, Jennifer" <Jennifer.Muhm@kingcounty.gov>; "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Subject: RE: Meeting Friday AM

I am such a nightmare ... I would have to do Fri am. Carrie Nyssen Director of Health Initiatives-Idaho and Washington Regional Director of Advocacy American Lung Association of the Mountain Pacific Fighting for Air

-----Original Message----From: Carrie Nyssen <cnyssen@lungmtpacific.org> Sent: Thursday, November 18, 2010 2:07 PM To: Lucy Culp <lucy.culp@heart.org>; Erin.Dziedzic@cancer.org <Erin.Dziedzic@cancer.org>; Sarah Ross-Viles <sarah.rossviles@kingcounty.gov>; Pearson, Anne <Anne.Pearson@kingcounty.gov>; Scott Neal <Scott.Neal@kingcounty.gov>; 'Carrie Nyssen' <cnyssen@lungmtpacific.org> Cc: Muhm, Jennifer <Jennifer.Muhm@kingcounty.gov>; Hamilton, Joy <Joy.Hamilton@kingcounty.gov> Subject: RE: Meeting Friday AM Works for me too! 8_19_2011

Page 2 Carrie Nyssen Director of Health Initiatives-Idaho and Washington Regional Director of Advocacy American Lung Association of the Mountain Pacific Fighting for Air

-----Original Message----From: Lucy Culp <lucy.culp@heart.org> Sent: Thursday, November 18, 2010 1:44 PM To: Erin.Dziedzic@cancer.org <Erin.Dziedzic@cancer.org>; Sarah Ross-Viles <sarah.ross-viles@kingcounty.gov>; Pearson, Anne <Anne.Pearson@kingcounty.gov>; Scott Neal <Scott.Neal@kingcounty.gov>; 'Carrie Nyssen' <cnyssen@lungmtpacific.org> Cc: Muhm, Jennifer <Jennifer.Muhm@kingcounty.gov>; Hamilton, Joy <Joy.Hamilton@kingcounty.gov> Subject: RE: Meeting Friday AM Me too! Carrie? ~Lucy -----Original Message----From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thursday, November 18, 2010 1:38 PM To: Sarah Ross-Viles; Pearson, Anne; Scott Neal; Lucy Culp; 'Carrie Nyssen' Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Works for me! Erin Dziedzic 425-466-5177

----- Original Message ----From: "Ross-Viles, Sarah" [Sarah.Ross-Viles@kingcounty.gov] Sent: 11/18/2010 01:36 PM PST To: Erin Dziedzic; "Pearson, Anne" <Anne.Pearson@kingcounty.gov>; "Neal, Scott" <Scott.Neal@kingcounty.gov>; Lucy Culp <lucy.culp@heart.org>; "'Carrie Nyssen'" <cnyssen@lungmtpacific.org> Cc: "Muhm, Jennifer" <Jennifer.Muhm@kingcounty.gov>; "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Subject: RE: Meeting Friday AM

How about 1:30 PM? Looks like it fits all the PHSKC calendars.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thursday, November 18, 2010 1:29 PM To: Ross-Viles, Sarah; Pearson, Anne; Neal, Scott; Lucy Culp; 'Carrie Nyssen' Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Can we do as early as possible that afternoon? Erin Dziedzic 425-466-5177

----- Original Message ----8_19_2011

Page 3 From: "Ross-Viles, Sarah" [Sarah.Ross-Viles@kingcounty.gov] Sent: 11/18/2010 01:25 PM PST To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov>; "Neal, Scott" <Scott.Neal@kingcounty.gov>; "'Lucy Culp'" <lucy.culp@heart.org>; "'Carrie Nyssen'" <cnyssen@lungmtpacific.org>; Erin Dziedzic Cc: "Muhm, Jennifer" <Jennifer.Muhm@kingcounty.gov>; "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Subject: RE: Meeting Friday AM

Afternoon of the third is clear for me.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Pearson, Anne Sent: Thursday, November 18, 2010 1:13 PM To: Neal, Scott; 'Lucy Culp'; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Works for me too.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 1:11 PM To: 'Lucy Culp'; Pearson, Anne; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Afternoon of the 3rd could work for me. Scott -----Original Message----From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thursday, November 18, 2010 12:46 PM To: Pearson, Anne; Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM I'm tied up on the second too. Anyone free the afternoon of the 30th or sometime on the 3rd? ~Lucy -----Original Message----From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Thursday, November 18, 2010 12:37 PM To: Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM 8_19_2011

Page 4 Sorry, I have a conference call in the morning on the 2nd, and will be out of the office the remainder of the day.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 12:14 PM To: 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM Sarah, Dec. 2nd works for me too, but I am not sure Anne can make this time according to her schedule. Scott -----Original Message----From: Carrie Nyssen [mailto:cnyssen@lungmtpacific.org] Sent: Thursday, November 18, 2010 12:00 PM To: Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM I could make the 2nd in the morning ... -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org <http://www.lungmtpacific.org/>

________________________________ From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thu 11/18/2010 11:53 AM To: Carrie Nyssen; Lucy Culp; Sarah Ross-Viles Cc: Muhm, Jennifer; Scott Neal; Hamilton, Joy; Pearson, Anne Subject: Re: Meeting Friday AM

I can make the 1st work, or what about the 2nd in the morning? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] 8_19_2011

Page 5 Sent: 11/18/2010 11:16 AM PST To: "Lucy Culp" <lucy.culp@heart.org>; "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Cc: Erin Dziedzic; "Muhm, Jennifer" <Jennifer.Muhm@kingcounty.gov>; "Neal, Scott" <Scott.Neal@kingcounty.gov>; "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov>; "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Subject: RE: Meeting Friday AM

I'm scheduled for several meetings in Portland on December 1. If this date works for others, I'll see if I can re-arrange my schedule. -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org <http://www.lungmtpacific.org/>

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thu 11/18/2010 11:07 AM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; Carrie Nyssen; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

I'm free before 11 or from 3-5 on 12/1. Anyone else?

I think discussing how the program and partners can have the greatest impact would be a great topic for face to face, I'm also hoping it will be a little more clear after Friday's meeting.

Attached is the ACS/AHA/ALA joint policy document on E-cigs. I haven't seen a draft of the BOH code changes, I would assume if they meet the criteria in this document our organizations would be supportive.

Let me know if you need anything else from me. See you tomorrow!

~Lucy From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Thursday, November 18, 2010 10:50 AM To: Lucy Culp Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

Hi Lucy 8_19_2011

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It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and suggest revisions for the bill.

We did have some items for discussion this Friday, but can get the conversation started on email. First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this work, but wondered if your organizations would want to do supportive letters or testimony.

Thanks, Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org' Subject: Meeting Friday AM Hi Sarah - Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott aren't going to be there do you think we still need a face to face? We're waiting on the draft bill from the code reviser's office and can bounce it around on email for input. Did you have anything we needed to touch base on in person?

Let me know what you think.

Lucy Culp Senior Director, Advocacy American Heart Association American Stroke Association Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax Heart Disease and Stroke. You're the Cure. Join our grassroots network today! 8_19_2011

Page 7 Click here to be part of the Cure! <http://www.capitolconnect.com/yourethecure/index.aspx>

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From: "Ross-Viles, Sarah" To: Erin.Dziedzic@cancer.org "Carrie Nyssen" <cnyssen@lungmtpacific.org> "Lucy Culp" <lucy.culp@heart.org> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 11/19/2010 3:16:03 PM Subject: RE: Meeting Friday AM Looks like 9:30 to 10:30 will work for PHSKC folks. Going once, going twice . . . ________________________________________ From: Erin.Dziedzic@cancer.org [Erin.Dziedzic@cancer.org] Sent: Friday, November 19, 2010 9:15 AM To: Carrie Nyssen; Lucy Culp; Ross-Viles, Sarah; Pearson, Anne; Neal, Scott Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Can we make Friday the 3rd in the morning work? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 02:10 PM PST To: "Carrie Nyssen" ; "Lucy Culp" ; Erin Dziedzic; "Sarah Ross-Viles" ; "Pearson, Anne" ; "Scott Neal" Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

I am such a nightmare ... I would have to do Fri am. Carrie Nyssen Director of Health Initiatives-Idaho and Washington Regional Director of Advocacy American Lung Association of the Mountain Pacific Fighting for Air

-----Original Message----From: Carrie Nyssen Sent: Thursday, November 18, 2010 2:07 PM To: Lucy Culp ; Erin.Dziedzic@cancer.org ; Sarah Ross-Viles ; Pearson, Anne ; Scott Neal ; 'Carrie Nyssen' Cc: Muhm, Jennifer ; Hamilton, Joy Subject: RE: Meeting Friday AM Works for me too! Carrie Nyssen
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Director of Health Initiatives-Idaho and Washington Regional Director of Advocacy American Lung Association of the Mountain Pacific Fighting for Air

-----Original Message----From: Lucy Culp Sent: Thursday, November 18, 2010 1:44 PM To: Erin.Dziedzic@cancer.org ; Sarah Ross-Viles ; Pearson, Anne ; Scott Neal ; 'Carrie Nyssen' Cc: Muhm, Jennifer ; Hamilton, Joy Subject: RE: Meeting Friday AM Me too! Carrie? ~Lucy -----Original Message----From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thursday, November 18, 2010 1:38 PM To: Sarah Ross-Viles; Pearson, Anne; Scott Neal; Lucy Culp; 'Carrie Nyssen' Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Works for me! Erin Dziedzic 425-466-5177

----- Original Message ----From: "Ross-Viles, Sarah" [Sarah.Ross-Viles@kingcounty.gov] Sent: 11/18/2010 01:36 PM PST To: Erin Dziedzic; "Pearson, Anne" ; "Neal, Scott" ; Lucy Culp ; "'Carrie Nyssen'" Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

How about 1:30 PM? Looks like it fits all the PHSKC calendars.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thursday, November 18, 2010 1:29 PM
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To: Ross-Viles, Sarah; Pearson, Anne; Neal, Scott; Lucy Culp; 'Carrie Nyssen' Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Can we do as early as possible that afternoon? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Ross-Viles, Sarah" [Sarah.Ross-Viles@kingcounty.gov] Sent: 11/18/2010 01:25 PM PST To: "Pearson, Anne" ; "Neal, Scott" ; "'Lucy Culp'" ; "'Carrie Nyssen'" ; Erin Dziedzic Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

Afternoon of the third is clear for me.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Pearson, Anne Sent: Thursday, November 18, 2010 1:13 PM To: Neal, Scott; 'Lucy Culp'; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Works for me too.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 1:11 PM To: 'Lucy Culp'; Pearson, Anne; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM
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Afternoon of the 3rd could work for me. Scott -----Original Message----From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thursday, November 18, 2010 12:46 PM To: Pearson, Anne; Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM I'm tied up on the second too. Anyone free the afternoon of the 30th or sometime on the 3rd? ~Lucy -----Original Message----From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Thursday, November 18, 2010 12:37 PM To: Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Sorry, I have a conference call in the morning on the 2nd, and will be out of the office the remainder of the day.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 12:14 PM To: 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM Sarah, Dec. 2nd works for me too, but I am not sure Anne can make this time according to her schedule. Scott -----Original Message----From: Carrie Nyssen [mailto:cnyssen@lungmtpacific.org] Sent: Thursday, November 18, 2010 12:00 PM To: Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM
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I could make the 2nd in the morning ... -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thu 11/18/2010 11:53 AM To: Carrie Nyssen; Lucy Culp; Sarah Ross-Viles Cc: Muhm, Jennifer; Scott Neal; Hamilton, Joy; Pearson, Anne Subject: Re: Meeting Friday AM

I can make the 1st work, or what about the 2nd in the morning? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 11:16 AM PST To: "Lucy Culp" ; "Ross-Viles, Sarah" Cc: Erin Dziedzic; "Muhm, Jennifer" ; "Neal, Scott" ; "Hamilton, Joy" ; "Pearson, Anne" Subject: RE: Meeting Friday AM

I'm scheduled for several meetings in Portland on December 1. If this date works for others, I'll see if I can rearrange my schedule. -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air
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Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thu 11/18/2010 11:07 AM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; Carrie Nyssen; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

I'm free before 11 or from 3-5 on 12/1. Anyone else?

I think discussing how the program and partners can have the greatest impact would be a great topic for face to face, I'm also hoping it will be a little more clear after Friday's meeting.

Attached is the ACS/AHA/ALA joint policy document on E-cigs. I haven't seen a draft of the BOH code changes, I would assume if they meet the criteria in this document our organizations would be supportive.

Let me know if you need anything else from me. See you tomorrow!

~Lucy From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Thursday, November 18, 2010 10:50 AM To: Lucy Culp Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

Hi Lucy -

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It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and suggest revisions for the bill.

We did have some items for discussion this Friday, but can get the conversation started on email. First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this work, but wondered if your organizations would want to do supportive letters or testimony.

Thanks, Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org' Subject: Meeting Friday AM Hi Sarah - Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott aren't going to be there do you think we still need a face to face? We're waiting on the draft bill from the code reviser's office and can bounce it around on email for input. Did you have anything we needed to touch base on in person?

Let me know what you think.

Lucy Culp
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Senior Director, Advocacy American Heart Association American Stroke Association Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax Heart Disease and Stroke. You're the Cure. Join our grassroots network today! Click here to be part of the Cure!

8_19_2011

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From: "Neal, Scott" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 11/19/2010 1:51:00 PM Subject: RE: Meeting Friday AM Sure, guess that means I'm not going to the Tacoma/Pierce TAP meeting. :) -----Original Message----From: Hamilton, Joy Sent: Friday, November 19, 2010 9:47 AM To: Ross-Viles, Sarah; Neal, Scott; Pearson, Anne Subject: RE: Meeting Friday AM I checked Anne's schedule and she is free until 12 that day. Scott, how about you? -----Original Message----From: Ross-Viles, Sarah Sent: Friday, November 19, 2010 9:44 AM To: Neal, Scott; Pearson, Anne; Hamilton, Joy Subject: FW: Meeting Friday AM I could do after 10. One of Joy or I should be at the 8:30 to 10 meeting. What are others' schedules? ________________________________________ From: Erin.Dziedzic@cancer.org [Erin.Dziedzic@cancer.org] Sent: Friday, November 19, 2010 9:15 AM To: Carrie Nyssen; Lucy Culp; Ross-Viles, Sarah; Pearson, Anne; Neal, Scott Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Can we make Friday the 3rd in the morning work? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 02:10 PM PST To: "Carrie Nyssen" ; "Lucy Culp" ; Erin Dziedzic; "Sarah Ross-Viles" ; "Pearson, Anne" ; "Scott Neal" Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

I am such a nightmare ... I would have to do Fri am. Carrie Nyssen Director of Health Initiatives-Idaho and Washington Regional Director of Advocacy American Lung Association of the Mountain Pacific
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Fighting for Air

-----Original Message----From: Carrie Nyssen Sent: Thursday, November 18, 2010 2:07 PM To: Lucy Culp ; Erin.Dziedzic@cancer.org ; Sarah Ross-Viles ; Pearson, Anne ; Scott Neal ; 'Carrie Nyssen' Cc: Muhm, Jennifer ; Hamilton, Joy Subject: RE: Meeting Friday AM Works for me too! Carrie Nyssen Director of Health Initiatives-Idaho and Washington Regional Director of Advocacy American Lung Association of the Mountain Pacific Fighting for Air

-----Original Message----From: Lucy Culp Sent: Thursday, November 18, 2010 1:44 PM To: Erin.Dziedzic@cancer.org ; Sarah Ross-Viles ; Pearson, Anne ; Scott Neal ; 'Carrie Nyssen' Cc: Muhm, Jennifer ; Hamilton, Joy Subject: RE: Meeting Friday AM Me too! Carrie? ~Lucy -----Original Message----From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thursday, November 18, 2010 1:38 PM To: Sarah Ross-Viles; Pearson, Anne; Scott Neal; Lucy Culp; 'Carrie Nyssen' Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Works for me! Erin Dziedzic 425-466-5177

----- Original Message ----From: "Ross-Viles, Sarah" [Sarah.Ross-Viles@kingcounty.gov] Sent: 11/18/2010 01:36 PM PST To: Erin Dziedzic; "Pearson, Anne" ; "Neal, Scott" ; Lucy Culp ; "'Carrie Nyssen'" Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

How about 1:30 PM? Looks like it fits all the PHSKC calendars.
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Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thursday, November 18, 2010 1:29 PM To: Ross-Viles, Sarah; Pearson, Anne; Neal, Scott; Lucy Culp; 'Carrie Nyssen' Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Can we do as early as possible that afternoon? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Ross-Viles, Sarah" [Sarah.Ross-Viles@kingcounty.gov] Sent: 11/18/2010 01:25 PM PST To: "Pearson, Anne" ; "Neal, Scott" ; "'Lucy Culp'" ; "'Carrie Nyssen'" ; Erin Dziedzic Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

Afternoon of the third is clear for me.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Pearson, Anne Sent: Thursday, November 18, 2010 1:13 PM To: Neal, Scott; 'Lucy Culp'; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Works for me too.

Anne Pearson, JD, MA Public Health - Seattle & King County


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401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 1:11 PM To: 'Lucy Culp'; Pearson, Anne; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Afternoon of the 3rd could work for me. Scott -----Original Message----From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thursday, November 18, 2010 12:46 PM To: Pearson, Anne; Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM I'm tied up on the second too. Anyone free the afternoon of the 30th or sometime on the 3rd? ~Lucy -----Original Message----From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Thursday, November 18, 2010 12:37 PM To: Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Sorry, I have a conference call in the morning on the 2nd, and will be out of the office the remainder of the day.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 12:14 PM To: 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM Sarah,
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Dec. 2nd works for me too, but I am not sure Anne can make this time according to her schedule. Scott -----Original Message----From: Carrie Nyssen [mailto:cnyssen@lungmtpacific.org] Sent: Thursday, November 18, 2010 12:00 PM To: Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM I could make the 2nd in the morning ... -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thu 11/18/2010 11:53 AM To: Carrie Nyssen; Lucy Culp; Sarah Ross-Viles Cc: Muhm, Jennifer; Scott Neal; Hamilton, Joy; Pearson, Anne Subject: Re: Meeting Friday AM

I can make the 1st work, or what about the 2nd in the morning? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 11:16 AM PST To: "Lucy Culp" ; "Ross-Viles, Sarah" Cc: Erin Dziedzic; "Muhm, Jennifer" ; "Neal, Scott" ; "Hamilton, Joy" ; "Pearson, Anne" Subject: RE: Meeting Friday AM
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I'm scheduled for several meetings in Portland on December 1. If this date works for others, I'll see if I can rearrange my schedule. -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thu 11/18/2010 11:07 AM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; Carrie Nyssen; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

I'm free before 11 or from 3-5 on 12/1. Anyone else?

I think discussing how the program and partners can have the greatest impact would be a great topic for face to face, I'm also hoping it will be a little more clear after Friday's meeting.

Attached is the ACS/AHA/ALA joint policy document on E-cigs. I haven't seen a draft of the BOH code changes, I would assume if they meet the criteria in this document our organizations would be supportive.

Let me know if you need anything else from me. See you tomorrow!

~Lucy From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov]


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Sent: Thursday, November 18, 2010 10:50 AM To: Lucy Culp Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

Hi Lucy -

It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and suggest revisions for the bill.

We did have some items for discussion this Friday, but can get the conversation started on email. First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this work, but wondered if your organizations would want to do supportive letters or testimony.

Thanks, Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org' Subject: Meeting Friday AM
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Hi Sarah - Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott aren't going to be there do you think we still need a face to face? We're waiting on the draft bill from the code reviser's office and can bounce it around on email for input. Did you have anything we needed to touch base on in person?

Let me know what you think.

Lucy Culp Senior Director, Advocacy American Heart Association American Stroke Association Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax Heart Disease and Stroke. You're the Cure. Join our grassroots network today! Click here to be part of the Cure!

8_19_2011

Page 1

From: "Hamilton, Joy" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 11/19/2010 1:47:02 PM Subject: RE: Meeting Friday AM I checked Anne's schedule and she is free until 12 that day. Scott, how about you? -----Original Message----From: Ross-Viles, Sarah Sent: Friday, November 19, 2010 9:44 AM To: Neal, Scott; Pearson, Anne; Hamilton, Joy Subject: FW: Meeting Friday AM I could do after 10. One of Joy or I should be at the 8:30 to 10 meeting. What are others' schedules? ________________________________________ From: Erin.Dziedzic@cancer.org [Erin.Dziedzic@cancer.org] Sent: Friday, November 19, 2010 9:15 AM To: Carrie Nyssen; Lucy Culp; Ross-Viles, Sarah; Pearson, Anne; Neal, Scott Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Can we make Friday the 3rd in the morning work? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 02:10 PM PST To: "Carrie Nyssen" ; "Lucy Culp" ; Erin Dziedzic; "Sarah Ross-Viles" ; "Pearson, Anne" ; "Scott Neal" Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

I am such a nightmare ... I would have to do Fri am. Carrie Nyssen Director of Health Initiatives-Idaho and Washington Regional Director of Advocacy American Lung Association of the Mountain Pacific Fighting for Air

-----Original Message----From: Carrie Nyssen Sent: Thursday, November 18, 2010 2:07 PM To: Lucy Culp ; Erin.Dziedzic@cancer.org ; Sarah Ross-Viles ; Pearson, Anne ; Scott Neal ; 'Carrie Nyssen' Cc: Muhm, Jennifer ; Hamilton, Joy
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Subject: RE: Meeting Friday AM Works for me too! Carrie Nyssen Director of Health Initiatives-Idaho and Washington Regional Director of Advocacy American Lung Association of the Mountain Pacific Fighting for Air

-----Original Message----From: Lucy Culp Sent: Thursday, November 18, 2010 1:44 PM To: Erin.Dziedzic@cancer.org ; Sarah Ross-Viles ; Pearson, Anne ; Scott Neal ; 'Carrie Nyssen' Cc: Muhm, Jennifer ; Hamilton, Joy Subject: RE: Meeting Friday AM Me too! Carrie? ~Lucy -----Original Message----From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thursday, November 18, 2010 1:38 PM To: Sarah Ross-Viles; Pearson, Anne; Scott Neal; Lucy Culp; 'Carrie Nyssen' Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Works for me! Erin Dziedzic 425-466-5177

----- Original Message ----From: "Ross-Viles, Sarah" [Sarah.Ross-Viles@kingcounty.gov] Sent: 11/18/2010 01:36 PM PST To: Erin Dziedzic; "Pearson, Anne" ; "Neal, Scott" ; Lucy Culp ; "'Carrie Nyssen'" Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

How about 1:30 PM? Looks like it fits all the PHSKC calendars.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211
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-----Original Message----From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thursday, November 18, 2010 1:29 PM To: Ross-Viles, Sarah; Pearson, Anne; Neal, Scott; Lucy Culp; 'Carrie Nyssen' Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Can we do as early as possible that afternoon? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Ross-Viles, Sarah" [Sarah.Ross-Viles@kingcounty.gov] Sent: 11/18/2010 01:25 PM PST To: "Pearson, Anne" ; "Neal, Scott" ; "'Lucy Culp'" ; "'Carrie Nyssen'" ; Erin Dziedzic Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

Afternoon of the third is clear for me.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Pearson, Anne Sent: Thursday, November 18, 2010 1:13 PM To: Neal, Scott; 'Lucy Culp'; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Works for me too.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 1:11 PM
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To: 'Lucy Culp'; Pearson, Anne; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Afternoon of the 3rd could work for me. Scott -----Original Message----From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thursday, November 18, 2010 12:46 PM To: Pearson, Anne; Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM I'm tied up on the second too. Anyone free the afternoon of the 30th or sometime on the 3rd? ~Lucy -----Original Message----From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Thursday, November 18, 2010 12:37 PM To: Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Sorry, I have a conference call in the morning on the 2nd, and will be out of the office the remainder of the day.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 12:14 PM To: 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM Sarah, Dec. 2nd works for me too, but I am not sure Anne can make this time according to her schedule. Scott -----Original Message----From: Carrie Nyssen [mailto:cnyssen@lungmtpacific.org] Sent: Thursday, November 18, 2010 12:00 PM
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To: Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM I could make the 2nd in the morning ... -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thu 11/18/2010 11:53 AM To: Carrie Nyssen; Lucy Culp; Sarah Ross-Viles Cc: Muhm, Jennifer; Scott Neal; Hamilton, Joy; Pearson, Anne Subject: Re: Meeting Friday AM

I can make the 1st work, or what about the 2nd in the morning? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 11:16 AM PST To: "Lucy Culp" ; "Ross-Viles, Sarah" Cc: Erin Dziedzic; "Muhm, Jennifer" ; "Neal, Scott" ; "Hamilton, Joy" ; "Pearson, Anne" Subject: RE: Meeting Friday AM

I'm scheduled for several meetings in Portland on December 1. If this date works for others, I'll see if I can rearrange my schedule. -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy
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AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thu 11/18/2010 11:07 AM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; Carrie Nyssen; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

I'm free before 11 or from 3-5 on 12/1. Anyone else?

I think discussing how the program and partners can have the greatest impact would be a great topic for face to face, I'm also hoping it will be a little more clear after Friday's meeting.

Attached is the ACS/AHA/ALA joint policy document on E-cigs. I haven't seen a draft of the BOH code changes, I would assume if they meet the criteria in this document our organizations would be supportive.

Let me know if you need anything else from me. See you tomorrow!

~Lucy From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Thursday, November 18, 2010 10:50 AM To: Lucy Culp Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

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Hi Lucy -

It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and suggest revisions for the bill.

We did have some items for discussion this Friday, but can get the conversation started on email. First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this work, but wondered if your organizations would want to do supportive letters or testimony.

Thanks, Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org' Subject: Meeting Friday AM Hi Sarah - Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott aren't going to be there do you think we still need a face to face? We're waiting on the draft bill from the code reviser's office and can bounce it around on email for input. Did you have anything we needed to touch base on in person?

Let me know what you think.


8_19_2011

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Lucy Culp Senior Director, Advocacy American Heart Association American Stroke Association Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax Heart Disease and Stroke. You're the Cure. Join our grassroots network today! Click here to be part of the Cure!

8_19_2011

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From: Erin.Dziedzic@cancer.org To: "Carrie Nyssen" <cnyssen@lungmtpacific.org> "Lucy Culp" <lucy.culp@heart.org> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 11/19/2010 1:17:45 PM Subject: Re: Meeting Friday AM Can we make Friday the 3rd in the morning work? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 02:10 PM PST To: "Carrie Nyssen" ; "Lucy Culp" ; Erin Dziedzic; "Sarah Ross-Viles" ; "Pearson, Anne" ; "Scott Neal" Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

I am such a nightmare ... I would have to do Fri am. Carrie Nyssen Director of Health Initiatives-Idaho and Washington Regional Director of Advocacy American Lung Association of the Mountain Pacific Fighting for Air

-----Original Message----From: Carrie Nyssen Sent: Thursday, November 18, 2010 2:07 PM To: Lucy Culp ; Erin.Dziedzic@cancer.org ; Sarah Ross-Viles ; Pearson, Anne ; Scott Neal ; 'Carrie Nyssen' Cc: Muhm, Jennifer ; Hamilton, Joy Subject: RE: Meeting Friday AM Works for me too! Carrie Nyssen Director of Health Initiatives-Idaho and Washington Regional Director of Advocacy American Lung Association of the Mountain Pacific Fighting for Air

-----Original Message----8_19_2011

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From: Lucy Culp Sent: Thursday, November 18, 2010 1:44 PM To: Erin.Dziedzic@cancer.org ; Sarah Ross-Viles ; Pearson, Anne ; Scott Neal ; 'Carrie Nyssen' Cc: Muhm, Jennifer ; Hamilton, Joy Subject: RE: Meeting Friday AM Me too! Carrie? ~Lucy -----Original Message----From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thursday, November 18, 2010 1:38 PM To: Sarah Ross-Viles; Pearson, Anne; Scott Neal; Lucy Culp; 'Carrie Nyssen' Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Works for me! Erin Dziedzic 425-466-5177

----- Original Message ----From: "Ross-Viles, Sarah" [Sarah.Ross-Viles@kingcounty.gov] Sent: 11/18/2010 01:36 PM PST To: Erin Dziedzic; "Pearson, Anne" ; "Neal, Scott" ; Lucy Culp ; "'Carrie Nyssen'" Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

How about 1:30 PM? Looks like it fits all the PHSKC calendars.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thursday, November 18, 2010 1:29 PM To: Ross-Viles, Sarah; Pearson, Anne; Neal, Scott; Lucy Culp; 'Carrie Nyssen' Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Can we do as early as possible that afternoon? Erin Dziedzic 425-466-5177
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----- Original Message ----From: "Ross-Viles, Sarah" [Sarah.Ross-Viles@kingcounty.gov] Sent: 11/18/2010 01:25 PM PST To: "Pearson, Anne" ; "Neal, Scott" ; "'Lucy Culp'" ; "'Carrie Nyssen'" ; Erin Dziedzic Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

Afternoon of the third is clear for me.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Pearson, Anne Sent: Thursday, November 18, 2010 1:13 PM To: Neal, Scott; 'Lucy Culp'; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Works for me too.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 1:11 PM To: 'Lucy Culp'; Pearson, Anne; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Afternoon of the 3rd could work for me. Scott -----Original Message----From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thursday, November 18, 2010 12:46 PM To: Pearson, Anne; Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah
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Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM I'm tied up on the second too. Anyone free the afternoon of the 30th or sometime on the 3rd? ~Lucy -----Original Message----From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Thursday, November 18, 2010 12:37 PM To: Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Sorry, I have a conference call in the morning on the 2nd, and will be out of the office the remainder of the day.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 12:14 PM To: 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM Sarah, Dec. 2nd works for me too, but I am not sure Anne can make this time according to her schedule. Scott -----Original Message----From: Carrie Nyssen [mailto:cnyssen@lungmtpacific.org] Sent: Thursday, November 18, 2010 12:00 PM To: Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM I could make the 2nd in the morning ... -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC
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Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thu 11/18/2010 11:53 AM To: Carrie Nyssen; Lucy Culp; Sarah Ross-Viles Cc: Muhm, Jennifer; Scott Neal; Hamilton, Joy; Pearson, Anne Subject: Re: Meeting Friday AM

I can make the 1st work, or what about the 2nd in the morning? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 11:16 AM PST To: "Lucy Culp" ; "Ross-Viles, Sarah" Cc: Erin Dziedzic; "Muhm, Jennifer" ; "Neal, Scott" ; "Hamilton, Joy" ; "Pearson, Anne" Subject: RE: Meeting Friday AM

I'm scheduled for several meetings in Portland on December 1. If this date works for others, I'll see if I can rearrange my schedule. -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org
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________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thu 11/18/2010 11:07 AM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; Carrie Nyssen; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

I'm free before 11 or from 3-5 on 12/1. Anyone else?

I think discussing how the program and partners can have the greatest impact would be a great topic for face to face, I'm also hoping it will be a little more clear after Friday's meeting.

Attached is the ACS/AHA/ALA joint policy document on E-cigs. I haven't seen a draft of the BOH code changes, I would assume if they meet the criteria in this document our organizations would be supportive.

Let me know if you need anything else from me. See you tomorrow!

~Lucy From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Thursday, November 18, 2010 10:50 AM To: Lucy Culp Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

Hi Lucy -

It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and suggest revisions for the bill.

We did have some items for discussion this Friday, but can get the conversation started on email.
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First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this work, but wondered if your organizations would want to do supportive letters or testimony.

Thanks, Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org' Subject: Meeting Friday AM Hi Sarah - Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott aren't going to be there do you think we still need a face to face? We're waiting on the draft bill from the code reviser's office and can bounce it around on email for input. Did you have anything we needed to touch base on in person?

Let me know what you think.

Lucy Culp Senior Director, Advocacy American Heart Association American Stroke Association Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax
8_19_2011

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Heart Disease and Stroke. You're the Cure. Join our grassroots network today! Click here to be part of the Cure!

8_19_2011

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From: Erin.Dziedzic@cancer.org To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Carrie Nyssen" <cnyssen@lungmtpacific.org> "Lucy Culp" <lucy.culp@heart.org> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 11/19/2010 3:20:54 PM Subject: Re: Meeting Friday AM Works for me. Erin Dziedzic 425-466-5177

----- Original Message ----From: "Ross-Viles, Sarah" [Sarah.Ross-Viles@kingcounty.gov] Sent: 11/19/2010 11:15 AM PST To: Erin Dziedzic; Carrie Nyssen ; Lucy Culp ; "Pearson, Anne" ; "Neal, Scott" Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

Looks like 9:30 to 10:30 will work for PHSKC folks. Going once, going twice . . . ________________________________________ From: Erin.Dziedzic@cancer.org [Erin.Dziedzic@cancer.org] Sent: Friday, November 19, 2010 9:15 AM To: Carrie Nyssen; Lucy Culp; Ross-Viles, Sarah; Pearson, Anne; Neal, Scott Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Can we make Friday the 3rd in the morning work? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 02:10 PM PST To: "Carrie Nyssen" ; "Lucy Culp" ; Erin Dziedzic; "Sarah Ross-Viles" ; "Pearson, Anne" ; "Scott Neal" Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

I am such a nightmare ... I would have to do Fri am. Carrie Nyssen Director of Health Initiatives-Idaho and Washington Regional Director of Advocacy American Lung Association of the Mountain Pacific
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Fighting for Air

-----Original Message----From: Carrie Nyssen Sent: Thursday, November 18, 2010 2:07 PM To: Lucy Culp ; Erin.Dziedzic@cancer.org ; Sarah Ross-Viles ; Pearson, Anne ; Scott Neal ; 'Carrie Nyssen' Cc: Muhm, Jennifer ; Hamilton, Joy Subject: RE: Meeting Friday AM Works for me too! Carrie Nyssen Director of Health Initiatives-Idaho and Washington Regional Director of Advocacy American Lung Association of the Mountain Pacific Fighting for Air

-----Original Message----From: Lucy Culp Sent: Thursday, November 18, 2010 1:44 PM To: Erin.Dziedzic@cancer.org ; Sarah Ross-Viles ; Pearson, Anne ; Scott Neal ; 'Carrie Nyssen' Cc: Muhm, Jennifer ; Hamilton, Joy Subject: RE: Meeting Friday AM Me too! Carrie? ~Lucy -----Original Message----From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thursday, November 18, 2010 1:38 PM To: Sarah Ross-Viles; Pearson, Anne; Scott Neal; Lucy Culp; 'Carrie Nyssen' Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Works for me! Erin Dziedzic 425-466-5177

----- Original Message ----From: "Ross-Viles, Sarah" [Sarah.Ross-Viles@kingcounty.gov] Sent: 11/18/2010 01:36 PM PST To: Erin Dziedzic; "Pearson, Anne" ; "Neal, Scott" ; Lucy Culp ; "'Carrie Nyssen'" Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

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How about 1:30 PM? Looks like it fits all the PHSKC calendars.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thursday, November 18, 2010 1:29 PM To: Ross-Viles, Sarah; Pearson, Anne; Neal, Scott; Lucy Culp; 'Carrie Nyssen' Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Can we do as early as possible that afternoon? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Ross-Viles, Sarah" [Sarah.Ross-Viles@kingcounty.gov] Sent: 11/18/2010 01:25 PM PST To: "Pearson, Anne" ; "Neal, Scott" ; "'Lucy Culp'" ; "'Carrie Nyssen'" ; Erin Dziedzic Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

Afternoon of the third is clear for me.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Pearson, Anne Sent: Thursday, November 18, 2010 1:13 PM To: Neal, Scott; 'Lucy Culp'; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Works for me too.

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Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 1:11 PM To: 'Lucy Culp'; Pearson, Anne; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Afternoon of the 3rd could work for me. Scott -----Original Message----From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thursday, November 18, 2010 12:46 PM To: Pearson, Anne; Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM I'm tied up on the second too. Anyone free the afternoon of the 30th or sometime on the 3rd? ~Lucy -----Original Message----From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Thursday, November 18, 2010 12:37 PM To: Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Sorry, I have a conference call in the morning on the 2nd, and will be out of the office the remainder of the day.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 12:14 PM To: 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM
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Sarah, Dec. 2nd works for me too, but I am not sure Anne can make this time according to her schedule. Scott -----Original Message----From: Carrie Nyssen [mailto:cnyssen@lungmtpacific.org] Sent: Thursday, November 18, 2010 12:00 PM To: Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM I could make the 2nd in the morning ... -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thu 11/18/2010 11:53 AM To: Carrie Nyssen; Lucy Culp; Sarah Ross-Viles Cc: Muhm, Jennifer; Scott Neal; Hamilton, Joy; Pearson, Anne Subject: Re: Meeting Friday AM

I can make the 1st work, or what about the 2nd in the morning? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 11:16 AM PST To: "Lucy Culp" ; "Ross-Viles, Sarah" Cc: Erin Dziedzic; "Muhm, Jennifer" ; "Neal, Scott" ; "Hamilton, Joy" ; "Pearson, Anne"
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Subject: RE: Meeting Friday AM

I'm scheduled for several meetings in Portland on December 1. If this date works for others, I'll see if I can rearrange my schedule. -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thu 11/18/2010 11:07 AM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; Carrie Nyssen; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

I'm free before 11 or from 3-5 on 12/1. Anyone else?

I think discussing how the program and partners can have the greatest impact would be a great topic for face to face, I'm also hoping it will be a little more clear after Friday's meeting.

Attached is the ACS/AHA/ALA joint policy document on E-cigs. I haven't seen a draft of the BOH code changes, I would assume if they meet the criteria in this document our organizations would be supportive.

Let me know if you need anything else from me. See you tomorrow!

~Lucy
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From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Thursday, November 18, 2010 10:50 AM To: Lucy Culp Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

Hi Lucy -

It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and suggest revisions for the bill.

We did have some items for discussion this Friday, but can get the conversation started on email. First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this work, but wondered if your organizations would want to do supportive letters or testimony.

Thanks, Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah
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Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org' Subject: Meeting Friday AM Hi Sarah - Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott aren't going to be there do you think we still need a face to face? We're waiting on the draft bill from the code reviser's office and can bounce it around on email for input. Did you have anything we needed to touch base on in person?

Let me know what you think.

Lucy Culp Senior Director, Advocacy American Heart Association American Stroke Association Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax Heart Disease and Stroke. You're the Cure. Join our grassroots network today! Click here to be part of the Cure!

8_19_2011

Page 1

From: "Ross-Viles, Sarah" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 11/19/2010 1:45:25 PM Subject: FW: Meeting Friday AM I could do after 10. One of Joy or I should be at the 8:30 to 10 meeting. What are others' schedules? ________________________________________ From: Erin.Dziedzic@cancer.org [Erin.Dziedzic@cancer.org] Sent: Friday, November 19, 2010 9:15 AM To: Carrie Nyssen; Lucy Culp; Ross-Viles, Sarah; Pearson, Anne; Neal, Scott Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Can we make Friday the 3rd in the morning work? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 02:10 PM PST To: "Carrie Nyssen" ; "Lucy Culp" ; Erin Dziedzic; "Sarah Ross-Viles" ; "Pearson, Anne" ; "Scott Neal" Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

I am such a nightmare ... I would have to do Fri am. Carrie Nyssen Director of Health Initiatives-Idaho and Washington Regional Director of Advocacy American Lung Association of the Mountain Pacific Fighting for Air

-----Original Message----From: Carrie Nyssen Sent: Thursday, November 18, 2010 2:07 PM To: Lucy Culp ; Erin.Dziedzic@cancer.org ; Sarah Ross-Viles ; Pearson, Anne ; Scott Neal ; 'Carrie Nyssen' Cc: Muhm, Jennifer ; Hamilton, Joy Subject: RE: Meeting Friday AM Works for me too! Carrie Nyssen Director of Health Initiatives-Idaho and Washington Regional Director of Advocacy
8_19_2011

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American Lung Association of the Mountain Pacific Fighting for Air

-----Original Message----From: Lucy Culp Sent: Thursday, November 18, 2010 1:44 PM To: Erin.Dziedzic@cancer.org ; Sarah Ross-Viles ; Pearson, Anne ; Scott Neal ; 'Carrie Nyssen' Cc: Muhm, Jennifer ; Hamilton, Joy Subject: RE: Meeting Friday AM Me too! Carrie? ~Lucy -----Original Message----From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thursday, November 18, 2010 1:38 PM To: Sarah Ross-Viles; Pearson, Anne; Scott Neal; Lucy Culp; 'Carrie Nyssen' Cc: Muhm, Jennifer; Hamilton, Joy Subject: Re: Meeting Friday AM Works for me! Erin Dziedzic 425-466-5177

----- Original Message ----From: "Ross-Viles, Sarah" [Sarah.Ross-Viles@kingcounty.gov] Sent: 11/18/2010 01:36 PM PST To: Erin Dziedzic; "Pearson, Anne" ; "Neal, Scott" ; Lucy Culp ; "'Carrie Nyssen'" Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

How about 1:30 PM? Looks like it fits all the PHSKC calendars.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thursday, November 18, 2010 1:29 PM To: Ross-Viles, Sarah; Pearson, Anne; Neal, Scott; Lucy Culp; 'Carrie Nyssen' Cc: Muhm, Jennifer; Hamilton, Joy
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Subject: Re: Meeting Friday AM Can we do as early as possible that afternoon? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Ross-Viles, Sarah" [Sarah.Ross-Viles@kingcounty.gov] Sent: 11/18/2010 01:25 PM PST To: "Pearson, Anne" ; "Neal, Scott" ; "'Lucy Culp'" ; "'Carrie Nyssen'" ; Erin Dziedzic Cc: "Muhm, Jennifer" ; "Hamilton, Joy" Subject: RE: Meeting Friday AM

Afternoon of the third is clear for me.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Pearson, Anne Sent: Thursday, November 18, 2010 1:13 PM To: Neal, Scott; 'Lucy Culp'; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Works for me too.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 1:11 PM To: 'Lucy Culp'; Pearson, Anne; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Afternoon of the 3rd could work for me.
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Scott -----Original Message----From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thursday, November 18, 2010 12:46 PM To: Pearson, Anne; Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM I'm tied up on the second too. Anyone free the afternoon of the 30th or sometime on the 3rd? ~Lucy -----Original Message----From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Thursday, November 18, 2010 12:37 PM To: Neal, Scott; 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy Subject: RE: Meeting Friday AM Sorry, I have a conference call in the morning on the 2nd, and will be out of the office the remainder of the day.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 12:14 PM To: 'Carrie Nyssen'; Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM Sarah, Dec. 2nd works for me too, but I am not sure Anne can make this time according to her schedule. Scott -----Original Message----From: Carrie Nyssen [mailto:cnyssen@lungmtpacific.org] Sent: Thursday, November 18, 2010 12:00 PM To: Erin.Dziedzic@cancer.org; Lucy Culp; Ross-Viles, Sarah Cc: Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM I could make the 2nd in the morning ... -C
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Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484 Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Thu 11/18/2010 11:53 AM To: Carrie Nyssen; Lucy Culp; Sarah Ross-Viles Cc: Muhm, Jennifer; Scott Neal; Hamilton, Joy; Pearson, Anne Subject: Re: Meeting Friday AM

I can make the 1st work, or what about the 2nd in the morning? Erin Dziedzic 425-466-5177

----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org] Sent: 11/18/2010 11:16 AM PST To: "Lucy Culp" ; "Ross-Viles, Sarah" Cc: Erin Dziedzic; "Muhm, Jennifer" ; "Neal, Scott" ; "Hamilton, Joy" ; "Pearson, Anne" Subject: RE: Meeting Friday AM

I'm scheduled for several meetings in Portland on December 1. If this date works for others, I'll see if I can rearrange my schedule. -C Carrie Nyssen | Director Health Initiatives Washington & Idaho Regional Director of Advocacy AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC Fighting for Air Home Office Phone: 360.883.3535 Cell Phone: 360.921.1484
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Fax: 360.891.8988 9708 NE 133rd Ave Vancouver, WA 98682 www.lungmtpacific.org

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thu 11/18/2010 11:07 AM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; Carrie Nyssen; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

I'm free before 11 or from 3-5 on 12/1. Anyone else?

I think discussing how the program and partners can have the greatest impact would be a great topic for face to face, I'm also hoping it will be a little more clear after Friday's meeting.

Attached is the ACS/AHA/ALA joint policy document on E-cigs. I haven't seen a draft of the BOH code changes, I would assume if they meet the criteria in this document our organizations would be supportive.

Let me know if you need anything else from me. See you tomorrow!

~Lucy From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Thursday, November 18, 2010 10:50 AM To: Lucy Culp Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

Hi Lucy -

It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and
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suggest revisions for the bill.

We did have some items for discussion this Friday, but can get the conversation started on email. First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this work, but wondered if your organizations would want to do supportive letters or testimony.

Thanks, Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

________________________________ From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org' Subject: Meeting Friday AM Hi Sarah - Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott aren't going to be there do you think we still need a face to face? We're waiting on the draft bill from the code reviser's office and can bounce it around on email for input. Did you have anything we needed to touch base on in person?

Let me know what you think.

Lucy Culp Senior Director, Advocacy


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American Heart Association American Stroke Association Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax Heart Disease and Stroke. You're the Cure. Join our grassroots network today! Click here to be part of the Cure!

8_19_2011

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From: To: Date: Subject: Will do

"Neal, Scott" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 11/19/2010 11:27:27 AM Re: Partner's stance on E-cigs

----- Original Message ----From: Pearson, Anne Sent: Friday, November 19, 2010 07:26 AM To: Neal, Scott Subject: RE: Partner's stance on E-cigs Hey Scott, If anything changes with the timing of our 3:30 mtg, will you give me a call on my cell? 646-241-7670. Thanks! ________________________________________ From: Neal, Scott Sent: Thursday, November 18, 2010 12:15 PM To: Pearson, Anne Subject: Partner's stance on E-cigs

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From: To: Date: Subject: Hey Scott,

"Pearson, Anne" "Neal, Scott" <Scott.Neal@kingcounty.gov> 11/19/2010 11:26:55 AM RE: Partner's stance on E-cigs

If anything changes with the timing of our 3:30 mtg, will you give me a call on my cell? 646-241-7670. Thanks! ________________________________________ From: Neal, Scott Sent: Thursday, November 18, 2010 12:15 PM To: Pearson, Anne Subject: Partner's stance on E-cigs

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From: To: Date: Subject:

"Neal, Scott" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 11/19/2010 12:43:00 PM RE: Partner's stance on E-cigs

FYI...I just spoke with Cynthia. Apparently she left you a message and thought she'd call me too since she wasn't sure you were if you were in today or not. I can talk with you more about this at today's meeting with DF. I am better understanding her idea and position on the inclusion of this in the Smoking in Public Places part of our regulation and we can probably figure out a good solution to that. Scott -----Original Message----From: Pearson, Anne Sent: Friday, November 19, 2010 7:26 AM To: Neal, Scott Subject: RE: Partner's stance on E-cigs Hey Scott, If anything changes with the timing of our 3:30 mtg, will you give me a call on my cell? 646-241-7670. Thanks! ________________________________________ From: Neal, Scott Sent: Thursday, November 18, 2010 12:15 PM To: Pearson, Anne Subject: Partner's stance on E-cigs

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From: To: Date: Subject: Attachments:

"Pearson, Anne" "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> 11/21/2010 6:36:42 PM Revised E-cigarette regulation E-cigarette regulation(11 21 10).doc

Gary, As we discussed on Friday, I am very grateful for the PAOs quick review of our draft E-cigarette regulation and have made the following changes to respond to the concerns that were raised. * The revised draft (attached) does not amend the county Smoking in Public Places Law. Rather, the prohibition on using e-cigarettes in public places and places of employment now appears as a stand-alone section in the new chapter governing electronic smoking devices. * This draft includes a section entitled Applicability, which makes very clear that this regulation applies to electronic smoking devices and nicotine delivery products only to the extent not preempted by federal law, including, but not limited to, the regulation of those products by the United States Food and Drug Administration. Should the FDA eventually regulate e-cigarettes either as drug delivery devices or as tobacco products -- this provision acknowledges that the federal regulations would prevail. I hope that these changes are sufficient to address the PAOs concerns, although I welcome their input and edits as we move forward together to finalize the regulation. On the issue of preemption, I think we stand on firm ground. As you know, electronic cigarettes are not currently regulated by the FDA because they are relatively new to the market and there is an unresolved dispute concerning whether they are drug delivery devices or tobacco products. If e-cigarettes are determined to be drug devices, the proposed regulation would be preempted only if and when the FDA establishes specific regulations or other requirements applicable to electronic cigarettes. See 21 C.F.R. 808.1(d); Jacobs v. E.I. du Pont de Nemours & Co., 67 F.3d 1219 (6th Cir. 1995); King v. Collagen Corp., 983 F.2d 1130 (1st Cir. 1993) . In the absence of any specific FDA regulations governing e-cigarettes, local requirements pose no conflict and are not preempted. If it is determined that e-cigarettes are tobacco products, as defined by the Family Smoking Prevention and Tobacco Control Act, there is nothing in the proposed regulation that would be preempted as the FSPTCA very clearly reserves the rights of localities to regulate the sale, distribution, possession, exposure to, access to, advertising and promotion of, or use of tobacco products by individuals of any age. 21 U.S.C.A. 387p(a)(1). The proposed restrictions on minimum age, sampling, i.d. checks and use in public are consistent with the powers reserved to localities. Although the FSPTCA would preempt local regulation of e-cigarettes should they be classified as modified risk tobacco products, id. at 387p(a)(2)(A), manufacturers of e-cigarettes would be required to apply for and receive an order from the FDA finding that their products are sold or distributed for use to reduce harm or the risk of tobacco related disease associated with commercially marketed tobacco products. I am not aware that any manufacturers of electronic cigarettes have sought such classification. In the absence of an order finding that they meet that definition, there would be no preemption of local regulations restricting youth access. Lastly, RCW 70.155 preempts local governments from regulating the retail sales of tobacco products, which are defined as a product that contains tobacco and is intended for human use. Although some brands of e-cigarettes may
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contain nicotine that is derived from tobacco, they do not contain tobacco itself. The fact that e-cigarettes like the nicotine patch and nicotine gum may contain a chemical derived from tobacco, does not make them fit within the state definition of tobacco products. Please let me know if you have any questions or concerns. -Anne

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From: To: Date: Subject:

"Hamilton, Joy" "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> 11/22/2010 7:06:24 PM FW: BOH Tobacco Policy Committee agenda and draft code language for review

Team, I talked to Eric about this and the plan is to write a response in the next day or two (with Scott's sign off before we send). Joy

From: David R. Hutchinson [mailto:mayord@ci.lake-forest-park.wa.us] Sent: Monday, November 22, 2010 2:51 PM To: Hamilton, Joy Subject: RE: BOH Tobacco Policy Committee agenda and draft code language for review

Thanks Joy. I think the minutes are pretty self-explanatory. Keep up the good work. By the way, what happened to the Seattle University pipe shops? Do we have a handle on this? Mayor Dave
From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Wednesday, November 17, 2010 9:58 AM To: 'mayordave@cityoflfp.com' Cc: Wood, Maria Subject: FW: BOH Tobacco Policy Committee agenda and draft code language for review Mayor Dave, Maria Wood informed me that you aren't able to attend today's tobacco policy committee meeting. Please let me know if you have any questions or comments. Maria or I are happy to fill you in on the meeting when you are back. Thanks, Joy

______________________________________________ amilton, Joy esday, November 16, 2010 12:57 PM Nicola (bnicola@u.washington.edu); 'Dave Hutchinson'; Drago, Jan; 'Sally Clark' brook, Marsha; 'Jerry DeGreik'; Johnson, Gareth; 'LaTonya Brown'; Neal, Scott; Kolczynski, Angela; Pearson, Anne; Ross-Viles, Sarah; Hamilton, Joy; Soo Hoo, Wendy; Wood, Maria BOH Tobacco Policy Committee agenda and draft code language for review

Dear BOH Tobacco Policy Committee members, The Tobacco Prevention Program has prepared draft code language regarding electronic cigarette (and other unapproved nicotine delivery devices) regulations. If you have a chance, please review the proposed language and come prepared to tomorrow's committee meeting (1:30 pm, Chinook 1312) with any questions or comments. Please note that this is also being reviewed by the Prosecuting Attorney's Office. The proposed changes include: 1) restrict the sale of unapproved nicotine delivery devices and electronic smoking devices to adults 18 years of age or older; 2) prohibit providing free (sampling) or heavily discounted electronic smoking devices or unapproved nicotine delivery products and; 3) prohibit mechanical sales (vending machines) in any place where minors may be present 4) prohibit the use of e-cigarettes and similar smoking devices in places where smoking is prohibited by law. 8_19_2011

Page 2 I've also attached the agenda for tomorrow's meeting.

Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

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From: "Hamilton, Joy" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> lucy.culp@heart.org Date: 11/22/2010 5:49:16 PM Subject: RE: e-cigs Lucy, Our proposed e-cigs regulations for the Board of Health are as follows: 1) restrict the sale of unapproved nicotine delivery devices and electronic smoking devices to adults 18 years of age or older; 2) prohibit providing free (sampling) or heavily discounted electronic smoking devices or unapproved nicotine delivery products and; 3) prohibit mechanical sales (vending machines) in any place where minors may be present 4) prohibit the use of e-cigarettes and similar "smoking" devices in places where smoking is prohibited by law. Clearly, this doesn't go as far as the policy document by ACS/AHA/ALA. Do you think that your organization will still be supportive? Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov
From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Thursday, November 18, 2010 11:08 AM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne Subject: RE: Meeting Friday AM

Im free before 11 or from 3-5 on 12/1. Anyone else? I think discussing how the program and partners can have the greatest impact would be a great topic for face to face, Im also hoping it will be a little more clear after Fridays meeting. Attached is the ACS/AHA/ALA joint policy document on E-cigs. I havent seen a draft of the BOH code changes, I would assume if they meet the criteria in this document our organizations would be supportive. Let me know if you need anything else from me. See you tomorrow!
~Lucy From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Thursday, November 18, 2010 10:50 AM To: Lucy Culp Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org'; Muhm, Jennifer; Neal, Scott; Hamilton, Joy; Pearson, Anne 8_19_2011

Page 2 Subject: RE: Meeting Friday AM Hi Lucy It would be good for Scott to be part of the face to face meeting, and for the three of you to meet Anne. Are you able to do the next partner check-in (Wednesday, December 1st)? Then we will have had time to add comments and suggest revisions for the bill. We did have some items for discussion this Friday, but can get the conversation started on email. First, we are looking at how to run the campaign from our side. Do you have thoughts about how our program and partners can have the best impact? Also, we the e-cig code changes will be in front of the BOH on December 16th. We have partners in support of this work, but wondered if your organizations would want to do supportive letters or testimony. Thanks, Sarah Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

From: Lucy Culp [mailto:lucy.culp@heart.org] Sent: Wednesday, November 17, 2010 7:21 PM To: Ross-Viles, Sarah Cc: Erin.Dziedzic@cancer.org; 'cnyssen@lungmtpacific.org' Subject: Meeting Friday AM Hi Sarah Just wanted to check in on our 8:00 meeting Friday. Since Anne and Scott arent going to be there do you think we still need a face to face? Were waiting on the draft bill from the code revisers office and can bounce it around on email for input. Did you have anything we needed to touch base on in person? Let me know what you think. Lucy Culp Senior Director, Advocacy American Heart Association American Stroke Association Pacific/Mountain Affiliate (360) 870-4016 - cell (206) 834-8658 - office (206) 632-8478 - fax Heart Disease and Stroke. You're the Cure. Join our grassroots network today! Click here to be part of the Cure!

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From: To: Date: Subject:

"Pajimula, Fel" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/22/2010 5:02:15 PM RE: E-cigs prep

Questions / clarifications / ideas / deadline? Joy, 1. e-cigs themselves aren't being marketed or packaged as flashy or colorful. The flavors come in to play more w/ the e-liquids. Most of the kits are simply packaged w/ a dosing for nicotine (high, med, low, zero). The two versions we have in the office (if PZ has kept his around) both are in simple black packaging, which is consistent w/ most of the brands I've seen around. The X-Hale02 brand at 7-Eleven is one brand where the colors/flavors come into play, and that's only with their "e-hookah" flavors. 2. We spoke briefly about the locations. As I mentioned, more and more 7-Elevens are carrying the X-Hale02 brand. www.xhaleo2.com - Northgate and Southcenter malls both have the Smoking Everywhere kiosks, and I'm almost certain Alderwood (Snohomish County) does as well. I have also confirmed e-cig units being sold throughout the county including: Capitol Hill Smoke Shop (smoke stick, 51 gold starter pack, cartridges), Holy Smoke (nicstick no-name brand, e-liquid, cartridges), Duvall Cigarland ("clean" and refills $29) and Smokeco Plus in Fall City (fiftyone starter kit $59.) 3. I have a few other images of the Smoking Everywhere kiosk in Southcenter. I had more of the 7-11 ones, but my phone decided to dump those a week or two ago. I can get more of those fairly easily.

I haven't seen much within the county that goes beyond what I've collected as far as vendors/ads. There's a lot online of course, and I previously sent an email w/ a lot of that information. When does James say we should have these items? Let me know what you think, FP

> _____________________________________________ > From: Hamilton, Joy > Sent: Friday, November 19, 2010 12:10 PM > To: Pajimula, Fel > Cc: Neal, Scott; Hatzenbuehler, Eric > Subject: E-cigs prep > > Fel, > > We met with James Apa in communications the other day to plan for the upcoming e-cigs regulations with the BOH. He suggested that we prepare a few things and I'm hoping you can help out with this. We need three things: > > 1. A flavored/colorful e-cig -- if you don't think that you can buy one from a kiosk, tobacco shop -- we can buy online > 2. a list of locations of places that sell e-cigs (to give to media if they ask) > 3. photos of e-cigs vendors/ads -- we already have the photo you took at 7-11, but more of this type of thing would be good. James wants us to have visual images because many people know so little about this product.
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> > Let me know if you can work on helping get these things or have any questions. > > Thanks!!! > Joy

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From: To: Date: Subject: Attachments:

"Hamilton, Joy" "Ritzen, Bruce" <Bruce.Ritzen@kingcounty.gov> 11/22/2010 6:00:03 PM FW: Revised E-cigarette regulation E-cigarette regulation(11 21 10).doc KC BOH Public Notice e-cigs 12-01-10 (2).docx

Bruce, I have attached a revised draft for your final review. Anne made a few changes since you last saw the draft on Friday primarily: * The revised draft (attached) does not amend the county Smoking in Public Places Law. Rather, the prohibition on using e-cigarettes in public places and places of employment now appears as a stand-alone section in the new chapter governing electronic smoking devices. * This draft includes a section entitled "Applicability," which makes very clear that this regulation applies to electronic smoking devices and nicotine delivery products "only to the extent not preempted by federal law, including, but not limited to, the regulation of those products by the United States Food and Drug Administration." Should the FDA eventually regulate e-cigarettes - either as drug delivery devices or as tobacco products -- this provision acknowledges that the federal regulations would prevail. I have also attached the public notice document (that will be published in the Seattle Times) for your review as well.

> Thanks again for your help, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

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From: "Johnson, Gareth" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 11/22/2010 5:36:42 PM Subject: FW: Revised E-cigarette regulation Attachments: E-cigarette regulation(11 21 10).doc Anne, Scott, Joy -- FYI. Roxi, please get an hour sometime next week for the four of us with Jane McKenzie (required) and Cynthia Gannett (optional) to meet on this topic. > ______________________________________________ > From: Johnson, Gareth > Sent: Monday, November 22, 2010 1:32 PM > To: Gannett, Cynthia > Cc: McKenzie, Jane > Subject: FW: Revised E-cigarette regulation > > Cynthia, I want to share with you the revised draft ordinance amendment addressing this topic. As Anne Pearson notes in her message below, this draft addresses some of the concerns you raised in your email of November 18 to Anne. We appreciate your analysis of our first draft and your advice which, we believe, has given us the opportunity to strengthen our new draft. > > As to the preemption issues you raised, we believe Anne's comments below address those concerns. We look forward to discussing this issue further when Jane McKenzie returns from vacation next week. I will be asking my confidential assistant, Roxi Smith, to schedule a meeting for that purpose. I will ask her to include you on the invitation. I will understand if you decline as Jane is our usual go-to person for legal advice. > > In the meantime, though, I will be authorizing the Tobacco Program to send this new draft to the code reviewer today because tomorrow is the deadline to do so if we hope to get this issue before the Board of Health for their December meeting. If our meeting convinces us that the O.A. should not be considered in this form by the BOH next month we can still withdraw it. We discussed your concerns with our Director, Dr. David Fleming, last Friday and he agreed this is the best way to manage this work given the time constraints we are working under. > > Thanks again for your help during Jane's vacation. I know it's difficult to step in on such short notice. > > Gary > > Gareth R. Johnson, Manager > Prevention Division > Public Health Seattle & King County > Ph. 206-263-8185 > Fax 206-296-6544 > > > ______________________________________________ > From: Pearson, Anne > Sent: Sunday, November 21, 2010 2:37 PM > To: Johnson, Gareth
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> Cc: Fleming, David; Neal, Scott; Wood, Maria; Ross-Viles, Sarah; Hamilton, Joy > Subject: Revised E-cigarette regulation > > > Gary, > > As we discussed on Friday, I am very grateful for the PAOs quick review of our draft E-cigarette regulation and have made the following changes to respond to the concerns that were raised. > > * The revised draft (attached) does not amend the county Smoking in Public Places Law. Rather, the prohibition on using e-cigarettes in public places and places of employment now appears as a stand-alone section in the new chapter governing electronic smoking devices. > > * This draft includes a section entitled Applicability, which makes very clear that this regulation applies to electronic smoking devices and nicotine delivery products only to the extent not preempted by federal law, including, but not limited to, the regulation of those products by the United States Food and Drug Administration. Should the FDA eventually regulate e-cigarettes either as drug delivery devices or as tobacco products -- this provision acknowledges that the federal regulations would prevail. > > I hope that these changes are sufficient to address the PAOs concerns, although I welcome their input and edits as we move forward together to finalize the regulation. > > On the issue of preemption, I think we stand on firm ground. As you know, electronic cigarettes are not currently regulated by the FDA because they are relatively new to the market and there is an unresolved dispute concerning whether they are drug delivery devices or tobacco products. > > If e-cigarettes are determined to be drug devices, the proposed regulation would be preempted only if and when the FDA establishes specific regulations or other requirements applicable to electronic cigarettes. > See 21 C.F.R. 808.1(d); Jacobs v. E.I. du Pont de Nemours & Co., 67 F.3d 1219 (6th Cir. 1995); King v. Collagen Corp., 983 F.2d 1130 (1st Cir. 1993) . In the absence of any specific FDA regulations governing e-cigarettes, local requirements pose no conflict and are not preempted. > > If it is determined that e-cigarettes are tobacco products, as defined by the Family Smoking Prevention and Tobacco Control Act, there is nothing in the proposed regulation that would be preempted as the FSPTCA very clearly reserves the rights of localities to regulate the sale, distribution, possession, exposure to, access to, advertising and promotion of, or use of tobacco products by individuals of any age. 21 U.S.C.A. 387p(a)(1). The proposed restrictions on minimum age, sampling, i.d. checks and use in public are consistent with the powers reserved to localities. > > Although the FSPTCA would preempt local regulation of e-cigarettes should they be classified as modified risk tobacco products, id. at 387p(a)(2)(A), manufacturers of e-cigarettes would be required to apply for and receive an order from the FDA finding that their products are sold or distributed for use to reduce harm or the risk of tobacco related disease associated with commercially marketed tobacco products. I am not aware that any manufacturers of electronic cigarettes have sought such classification. In the absence of an order finding that they meet that definition, there would be no preemption of local regulations restricting youth access. > > Lastly, RCW 70.155 preempts local governments from regulating the retail sales of tobacco products, which are defined as a product that contains tobacco and is intended for human use. Although some brands of e-cigarettes may contain nicotine that is derived from tobacco, they do not contain tobacco itself. The fact that e-cigarettes like the nicotine patch and nicotine gum may contain a chemical derived from tobacco, does not make them fit within the state definition of tobacco products. >
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> Please let me know if you have any questions or concerns. > > -Anne > >

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From: To: Date: Subject:

"Hamilton, Joy" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 11/22/2010 6:11:46 PM FW: Revised E-cigarette regulation

FYI -- the deadline to submit the FINAL to clerk's office is MONDAY at 10 am (after the holiday). I've asked Bruce to get us his revisions by COB tomorrow. Anne -- please let me know if you need it sooner -- I noticed that you've got meetings most of the day tomorrow and are out of the office Wednesday. > ______________________________________________ > From: Ritzen, Bruce > Sent: Monday, November 22, 2010 2:05 PM > To: Hamilton, Joy > Cc: Pearson, Anne; Neal, Scott; Johnson, Gareth; Wood, Maria; Noris, Anne > Subject: RE: Revised E-cigarette regulation > > Thanks, Joy. I> '> m glad to review the draft rule; I> '> m sorry, but I don> '> t know what> '> s required of the public notice and cannot help you with that. What> '> s your timeline on this? > Bruce > > _____________________________________________ > From: Hamilton, Joy > Sent: Monday, November 22, 2010 2:00 PM > To: Ritzen, Bruce > Cc: Pearson, Anne; Neal, Scott; Johnson, Gareth; Wood, Maria > Subject: FW: Revised E-cigarette regulation > > > Bruce, > > I have attached a revised draft for your final review. Anne made a few changes since you last saw the draft on Friday primarily: > > * The revised draft (attached) does not amend the county Smoking in Public Places Law. Rather, the prohibition on using e-cigarettes in public places and places of employment now appears as a stand-alone section in the new chapter governing electronic smoking devices. > > * This draft includes a section entitled > "> Applicability,> "> which makes very clear that this regulation applies to electronic smoking devices and nicotine delivery products > "> only to the extent not preempted by federal law, including, but not limited to, the regulation of those products by the United States Food and Drug Administration.> "> Should the FDA eventually regulate e-cigarettes > -> either as drug delivery devices or as tobacco products -this provision acknowledges that the federal regulations would prevail. > > I have also attached the public notice document (that will be published in the Seattle Times) for your review as well. > > > << File: E-cigarette regulation(11 21 10).doc >> << File: KC BOH Public Notice e-cigs 12-01-10 (2).docx >> > Thanks again for your help, > Joy Hamilton, MPH > Public Health - Seattle & King County
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> Communities Putting Prevention to Work > Tobacco Policy and Advocacy Manager > 401 5th Ave. Suite 900 > Seattle, WA 98104 > (206) 263-9382 > joy.hamilton@kingcounty.gov >

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From: To: Date: Subject:

"Hamilton, Joy" "Ritzen, Bruce" <Bruce.Ritzen@kingcounty.gov> 11/22/2010 6:09:16 PM RE: Revised E-cigarette regulation

We will have someone in the clerk's office review the public notice. We need your final edits by COB tomorrow. Joy > _____________________________________________ > From: Ritzen, Bruce > Sent: Monday, November 22, 2010 2:05 PM > To: Hamilton, Joy > Cc: Pearson, Anne; Neal, Scott; Johnson, Gareth; Wood, Maria; Noris, Anne > Subject: RE: Revised E-cigarette regulation > > Thanks, Joy. I> '> m glad to review the draft rule; I> '> m sorry, but I don> '> t know what> '> s required of the public notice and cannot help you with that. What> '> s your timeline on this? > Bruce > > _____________________________________________ > From: Hamilton, Joy > Sent: Monday, November 22, 2010 2:00 PM > To: Ritzen, Bruce > Cc: Pearson, Anne; Neal, Scott; Johnson, Gareth; Wood, Maria > Subject: FW: Revised E-cigarette regulation > > > Bruce, > > I have attached a revised draft for your final review. Anne made a few changes since you last saw the draft on Friday primarily: > > * The revised draft (attached) does not amend the county Smoking in Public Places Law. Rather, the prohibition on using e-cigarettes in public places and places of employment now appears as a stand-alone section in the new chapter governing electronic smoking devices. > > * This draft includes a section entitled > "> Applicability,> "> which makes very clear that this regulation applies to electronic smoking devices and nicotine delivery products > "> only to the extent not preempted by federal law, including, but not limited to, the regulation of those products by the United States Food and Drug Administration.> "> Should the FDA eventually regulate e-cigarettes > -> either as drug delivery devices or as tobacco products -this provision acknowledges that the federal regulations would prevail. > > I have also attached the public notice document (that will be published in the Seattle Times) for your review as well. > > > << File: E-cigarette regulation(11 21 10).doc >> << File: KC BOH Public Notice e-cigs 12-01-10 (2).docx >> > Thanks again for your help,
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> Joy Hamilton, MPH > Public Health - Seattle & King County > Communities Putting Prevention to Work > Tobacco Policy and Advocacy Manager > 401 5th Ave. Suite 900 > Seattle, WA 98104 > (206) 263-9382 > joy.hamilton@kingcounty.gov >

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From: To: Date: Subject:

"Ritzen, Bruce" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/22/2010 6:04:41 PM RE: Revised E-cigarette regulation

Thanks, Joy. I'm glad to review the draft rule; I'm sorry, but I don't know what's required of the public notice and cannot help you with that. What's your timeline on this? Bruce _____________________________________________ From: Hamilton, Joy Sent: Monday, November 22, 2010 2:00 PM To: Ritzen, Bruce Cc: Pearson, Anne; Neal, Scott; Johnson, Gareth; Wood, Maria Subject: FW: Revised E-cigarette regulation

Bruce, I have attached a revised draft for your final review. Anne made a few changes since you last saw the draft on Friday primarily: * The revised draft (attached) does not amend the county Smoking in Public Places Law. Rather, the prohibition on using e-cigarettes in public places and places of employment now appears as a stand-alone section in the new chapter governing electronic smoking devices. * This draft includes a section entitled "Applicability," which makes very clear that this regulation applies to electronic smoking devices and nicotine delivery products "only to the extent not preempted by federal law, including, but not limited to, the regulation of those products by the United States Food and Drug Administration." Should the FDA eventually regulate e-cigarettes - either as drug delivery devices or as tobacco products -- this provision acknowledges that the federal regulations would prevail. I have also attached the public notice document (that will be published in the Seattle Times) for your review as well.

<< File: E-cigarette regulation(11 21 10).doc >> << File: KC BOH Public Notice e-cigs 12-01-10 (2).docx >> Thanks again for your help, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

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From: To: Date: Subject: Attachments:

"Ritzen, Bruce" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/22/2010 7:07:11 PM RE: Revised E-cigarette regulation E-cigarette regulation(11 21 10) BAR edits 11-22-10.doc

Here you go, Joy. I made a few minor edits (shown in Track Changes), and there are a few comments either explaining things or asking questions (I noticed a couple of other things from the previous draft). Please let me know if you have any questions, and thanks again for sending this for review. Bruce _____________________________________________ From: Hamilton, Joy Sent: Monday, November 22, 2010 2:00 PM To: Ritzen, Bruce Cc: Pearson, Anne; Neal, Scott; Johnson, Gareth; Wood, Maria Subject: FW: Revised E-cigarette regulation

Bruce, I have attached a revised draft for your final review. Anne made a few changes since you last saw the draft on Friday primarily: * The revised draft (attached) does not amend the county Smoking in Public Places Law. Rather, the prohibition on using e-cigarettes in public places and places of employment now appears as a stand-alone section in the new chapter governing electronic smoking devices. * This draft includes a section entitled "Applicability," which makes very clear that this regulation applies to electronic smoking devices and nicotine delivery products "only to the extent not preempted by federal law, including, but not limited to, the regulation of those products by the United States Food and Drug Administration." Should the FDA eventually regulate e-cigarettes - either as drug delivery devices or as tobacco products -- this provision acknowledges that the federal regulations would prevail. I have also attached the public notice document (that will be published in the Seattle Times) for your review as well.

<< File: E-cigarette regulation(11 21 10).doc >> << File: KC BOH Public Notice e-cigs 12-01-10 (2).docx >> Thanks again for your help, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

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From: To: Date: Subject: To you too -

"Wood, Maria" "Neal, Scott" <Scott.Neal@kingcounty.gov> 11/24/2010 4:58:03 PM RE: BOH e-cigarettes R&R and public notice

-----Original Message----From: Neal, Scott Sent: Wednesday, November 24, 2010 12:57 PM To: Wood, Maria; Noris, Anne; Ritzen, Bruce; Pedroza, Melani; Blossey, Linda Cc: Pearson, Anne; Hamilton, Joy Subject: RE: BOH e-cigarettes R&R and public notice Thanks all for getting this in final form this difficult week! Happy Thanksgiving! Scott ________________________________________ From: Wood, Maria Sent: Wednesday, November 24, 2010 12:46 PM To: Noris, Anne; Ritzen, Bruce; Pedroza, Melani; Blossey, Linda Cc: Pearson, Anne; Hamilton, Joy; Neal, Scott Subject: BOH e-cigarettes R&R and public notice Hi Attached please find the final draft of the R&R incorporating Bruce's comments with the following exceptions: 1) Bruce recommended minor changes to section 11 (governing e-cigs sold by machine.) That section is patterned on language in the RCW governing cigarette machines, and I think it is important we keep the restrictions identical. 2) Bruce suggested we move section 14 up and incorporate it into section 3. Section 14 is important for purposes of clarifying that our law is not applicable should the FDA eventually regulate e-cigs, so I think it makes sense to isolate the provision for emphasis.

The R&R is ready to be entered into Legistar so that we have the R&R number to include in the Public Notice. Here is the draft Public Notice. Please include the legistar number once known, otherwise it is good to go unless you have any suggested changes.

I understand Linda is out of the office today, so we don't expect this to be submitted to the Seattle Times until Monday morning per our discussion earlier this week. Please let me know if you have any questions or concerns, and thanks for your flexibility in working around the holiday and unexpected winter weather. Maria
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E. Maria Wood, MA Board of Health Administrator Public Health Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166

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From: "Neal, Scott" To: "Wood, Maria" <Maria.Wood@kingcounty.gov> "Noris, Anne" <Anne.Noris@kingcounty.gov> "Ritzen, Bruce" <Bruce.Ritzen@kingcounty.gov> "Pedroza, Melani" <Melani.Pedroza@kingcounty.gov> "Blossey, Linda" <Linda.Blossey@kingcounty.gov> Date: 11/24/2010 4:57:07 PM Subject: RE: BOH e-cigarettes R&R and public notice Thanks all for getting this in final form this difficult week! Happy Thanksgiving! Scott ________________________________________ From: Wood, Maria Sent: Wednesday, November 24, 2010 12:46 PM To: Noris, Anne; Ritzen, Bruce; Pedroza, Melani; Blossey, Linda Cc: Pearson, Anne; Hamilton, Joy; Neal, Scott Subject: BOH e-cigarettes R&R and public notice Hi Attached please find the final draft of the R&R incorporating Bruce's comments with the following exceptions: 1) Bruce recommended minor changes to section 11 (governing e-cigs sold by machine.) That section is patterned on language in the RCW governing cigarette machines, and I think it is important we keep the restrictions identical. 2) Bruce suggested we move section 14 up and incorporate it into section 3. Section 14 is important for purposes of clarifying that our law is not applicable should the FDA eventually regulate e-cigs, so I think it makes sense to isolate the provision for emphasis.

The R&R is ready to be entered into Legistar so that we have the R&R number to include in the Public Notice. Here is the draft Public Notice. Please include the legistar number once known, otherwise it is good to go unless you have any suggested changes.

I understand Linda is out of the office today, so we don't expect this to be submitted to the Seattle Times until Monday morning per our discussion earlier this week. Please let me know if you have any questions or concerns, and thanks for your flexibility in working around the holiday and unexpected winter weather. Maria E. Maria Wood, MA Board of Health Administrator Public Health Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104
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t: 206-263-8791 f: 206-296-0166

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From: "Wood, Maria" To: "Noris, Anne" <Anne.Noris@kingcounty.gov> "Ritzen, Bruce" <Bruce.Ritzen@kingcounty.gov> "Pedroza, Melani" <Melani.Pedroza@kingcounty.gov> "Blossey, Linda" <Linda.Blossey@kingcounty.gov> Date: 11/24/2010 4:46:34 PM Subject: BOH e-cigarettes R&R and public notice Attachments: BOH Regulation E-cigarette FINAL sent 11-23-2010.doc KC BOH Public Notice e-cigs 12-01-10.docx Hi Attached please find the final draft of the R&R incorporating Bruce's comments with the following exceptions: 1) Bruce recommended minor changes to section 11 (governing e-cigs sold by machine.) That section is patterned on language in the RCW governing cigarette machines, and I think it is important we keep the restrictions identical. 2) Bruce suggested we move section 14 up and incorporate it into section 3. Section 14 is important for purposes of clarifying that our law is not applicable should the FDA eventually regulate e-cigs, so I think it makes sense to isolate the provision for emphasis.

The R&R is ready to be entered into Legistar so that we have the R&R number to include in the Public Notice. Here is the draft Public Notice. Please include the legistar number once known, otherwise it is good to go unless you have any suggested changes.

I understand Linda is out of the office today, so we don't expect this to be submitted to the Seattle Times until Monday morning per our discussion earlier this week. Please let me know if you have any questions or concerns, and thanks for your flexibility in working around the holiday and unexpected winter weather. Maria E. Maria Wood, MA Board of Health Administrator Public Health - Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166

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From: "Hamilton, Joy" To: "Wood, Maria" <Maria.Wood@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 11/24/2010 5:28:52 PM Subject: RE: E-cigarette revision A meeting has been set up with Jane McKenzie for next Wednesday. I checked with Gary about any tension this might cause (since the reg will be published that day) and he is okay waiting until then to meet. I will make sure that you get an update on what happens in that meeting before your meeting with Dr. Fleming Thursday morning. I don't think that we heard back from the PAO on the latest draft changes (since the meeting with Dr. Fleming Friday afternoon). Joy ________________________________________ From: Wood, Maria Sent: Wednesday, November 24, 2010 12:28 PM To: Pearson, Anne; Hamilton, Joy Cc: Neal, Scott Subject: RE: E-cigarette revision Thanks for the quick turn around on this document. I will forward to the clerk's office and will include your responses to Bruce's comments so he understands why we did not implement his recommendations. I'll cc you two in case there are questions that I can't answer, and I'm leaving the office a bit early today. Since the usual person who submits the ad to the Times is out today, I don't expect there to be any action on the public notice until Monday, but I will submit it at the same time as the R&R. On a slightly separate note, did we hear anything back from the PAO's office? If so and they are now satisfied with this draft, great. If not, what is the plan to follow up with Jane Mc on Monday? Dr. Fleming and I meet with Julia Patterson on Thursday morning and we need to know where we stand with the R&R as published by then so we can plan accordingly for the day of the meeting. Thanks again, and look to be cc'd on the email to the clerk's office soon. Maria

-----Original Message----From: Pearson, Anne Sent: Wednesday, November 24, 2010 12:21 PM To: Hamilton, Joy Cc: Wood, Maria Subject: E-cigarette revision Hi Joy and Maria, Attached is the revised text. I have generally accepted Bruce's suggestions, but have not accepted two, for the following reasons (in case he asks): 1) Bruce recommended minor changes to section 11 (governing e-cigs sold by machine.) That section is patterned on
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language in the RCW governing cigarette machines, and I think it is important we keep the restrictions identical. 2) Bruce suggested we move section 14 up and incorporate it into section 3. Section 14 is important for purposes of clarifying that our law is not applicable should the FDA eventually regulate e-cigs, so I think it makes sense to isolate the provision for emphasis. -Anne

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Hamilton, Joy Sent: Wednesday, November 24, 2010 10:14 AM To: Pearson, Anne Subject: FW: Importance: High Anne, I hear that you made it into the office -- that's great! Once the reg is finished, please send to me and Maria (who will route on to the appropriate people). Thanks and hope that you have a great Thanksgiving. JOy

________________________________________ From: Wood, Maria Sent: Wednesday, November 24, 2010 8:57 AM To: Hamilton, Joy Subject: RE: Hi - Send it to me, and I will route it through. There is actually a different person responsible for the newspaper ad, but she isn't in today. Anyway, I'll make sure it starts moving, knowing that it is possible that nothing will happen until Monday morning, which is fine. Thanks, and have a great Thanksgiving. Maria -----Original Message----From: Hamilton, Joy Sent: Wednesday, November 24, 2010 8:25 AM To: Wood, Maria Subject: Maria,
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I'm working from home today. Anne is going to send the final reg sometime this morning. Shall I send directly to Anne Norris or do you want me to send you the reg and you will send to the clerk's office? I know that everything is funny because of the weather so I'm just making sure that we keep the process moving. Thanks, Joy

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From: "Wood, Maria" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 11/24/2010 5:29:58 PM Subject: RE: E-cigarette revision Thanks for the info. Anne gave me the meeting particulars for Wed PM and I may join the group for the discussion. -----Original Message----From: Hamilton, Joy Sent: Wednesday, November 24, 2010 1:26 PM To: Wood, Maria; Pearson, Anne Cc: Neal, Scott Subject: RE: E-cigarette revision A meeting has been set up with Jane McKenzie for next Wednesday. I checked with Gary about any tension this might cause (since the reg will be published that day) and he is okay waiting until then to meet. I will make sure that you get an update on what happens in that meeting before your meeting with Dr. Fleming Thursday morning. I don't think that we heard back from the PAO on the latest draft changes (since the meeting with Dr. Fleming Friday afternoon). Joy ________________________________________ From: Wood, Maria Sent: Wednesday, November 24, 2010 12:28 PM To: Pearson, Anne; Hamilton, Joy Cc: Neal, Scott Subject: RE: E-cigarette revision Thanks for the quick turn around on this document. I will forward to the clerk's office and will include your responses to Bruce's comments so he understands why we did not implement his recommendations. I'll cc you two in case there are questions that I can't answer, and I'm leaving the office a bit early today. Since the usual person who submits the ad to the Times is out today, I don't expect there to be any action on the public notice until Monday, but I will submit it at the same time as the R&R. On a slightly separate note, did we hear anything back from the PAO's office? If so and they are now satisfied with this draft, great. If not, what is the plan to follow up with Jane Mc on Monday? Dr. Fleming and I meet with Julia Patterson on Thursday morning and we need to know where we stand with the R&R as published by then so we can plan accordingly for the day of the meeting. Thanks again, and look to be cc'd on the email to the clerk's office soon. Maria

-----Original Message----From: Pearson, Anne Sent: Wednesday, November 24, 2010 12:21 PM
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To: Hamilton, Joy Cc: Wood, Maria Subject: E-cigarette revision Hi Joy and Maria, Attached is the revised text. I have generally accepted Bruce's suggestions, but have not accepted two, for the following reasons (in case he asks): 1) Bruce recommended minor changes to section 11 (governing e-cigs sold by machine.) That section is patterned on language in the RCW governing cigarette machines, and I think it is important we keep the restrictions identical. 2) Bruce suggested we move section 14 up and incorporate it into section 3. Section 14 is important for purposes of clarifying that our law is not applicable should the FDA eventually regulate e-cigs, so I think it makes sense to isolate the provision for emphasis. -Anne

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Hamilton, Joy Sent: Wednesday, November 24, 2010 10:14 AM To: Pearson, Anne Subject: FW: Importance: High Anne, I hear that you made it into the office -- that's great! Once the reg is finished, please send to me and Maria (who will route on to the appropriate people). Thanks and hope that you have a great Thanksgiving. JOy

________________________________________ From: Wood, Maria Sent: Wednesday, November 24, 2010 8:57 AM To: Hamilton, Joy Subject: RE: Hi - Send it to me, and I will route it through. There is actually a different person responsible for the newspaper ad, but she isn't in today. Anyway, I'll make sure it starts moving, knowing that it is possible that nothing will happen until Monday morning, which is fine. Thanks, and have a great Thanksgiving.
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Maria -----Original Message----From: Hamilton, Joy Sent: Wednesday, November 24, 2010 8:25 AM To: Wood, Maria Subject: Maria, I'm working from home today. Anne is going to send the final reg sometime this morning. Shall I send directly to Anne Norris or do you want me to send you the reg and you will send to the clerk's office? I know that everything is funny because of the weather so I'm just making sure that we keep the process moving. Thanks, Joy

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From: "Wood, Maria" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 11/24/2010 4:28:01 PM Subject: RE: E-cigarette revision Thanks for the quick turn around on this document. I will forward to the clerk's office and will include your responses to Bruce's comments so he understands why we did not implement his recommendations. I'll cc you two in case there are questions that I can't answer, and I'm leaving the office a bit early today. Since the usual person who submits the ad to the Times is out today, I don't expect there to be any action on the public notice until Monday, but I will submit it at the same time as the R&R. On a slightly separate note, did we hear anything back from the PAO's office? If so and they are now satisfied with this draft, great. If not, what is the plan to follow up with Jane Mc on Monday? Dr. Fleming and I meet with Julia Patterson on Thursday morning and we need to know where we stand with the R&R as published by then so we can plan accordingly for the day of the meeting. Thanks again, and look to be cc'd on the email to the clerk's office soon. Maria

-----Original Message----From: Pearson, Anne Sent: Wednesday, November 24, 2010 12:21 PM To: Hamilton, Joy Cc: Wood, Maria Subject: E-cigarette revision Hi Joy and Maria, Attached is the revised text. I have generally accepted Bruce's suggestions, but have not accepted two, for the following reasons (in case he asks): 1) Bruce recommended minor changes to section 11 (governing e-cigs sold by machine.) That section is patterned on language in the RCW governing cigarette machines, and I think it is important we keep the restrictions identical. 2) Bruce suggested we move section 14 up and incorporate it into section 3. Section 14 is important for purposes of clarifying that our law is not applicable should the FDA eventually regulate e-cigs, so I think it makes sense to isolate the provision for emphasis. -Anne

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----8_19_2011

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From: Hamilton, Joy Sent: Wednesday, November 24, 2010 10:14 AM To: Pearson, Anne Subject: FW: Importance: High Anne, I hear that you made it into the office -- that's great! Once the reg is finished, please send to me and Maria (who will route on to the appropriate people). Thanks and hope that you have a great Thanksgiving. JOy

________________________________________ From: Wood, Maria Sent: Wednesday, November 24, 2010 8:57 AM To: Hamilton, Joy Subject: RE: Hi - Send it to me, and I will route it through. There is actually a different person responsible for the newspaper ad, but she isn't in today. Anyway, I'll make sure it starts moving, knowing that it is possible that nothing will happen until Monday morning, which is fine. Thanks, and have a great Thanksgiving. Maria -----Original Message----From: Hamilton, Joy Sent: Wednesday, November 24, 2010 8:25 AM To: Wood, Maria Subject: Maria, I'm working from home today. Anne is going to send the final reg sometime this morning. Shall I send directly to Anne Norris or do you want me to send you the reg and you will send to the clerk's office? I know that everything is funny because of the weather so I'm just making sure that we keep the process moving. Thanks, Joy

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From: To: Date: Subject: Fel,

"Hamilton, Joy" "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> 11/24/2010 4:02:12 PM RE: E-cigs prep

I think we need to talk more about the flashy e-cigs and if its necessary to buy one. I'll add that to the agenda for our BOH prep meeting on MOnday. Here's an interesting article I just found about this issue: http://hubpages.com/hub/Where-To-Buy-Color-Electronic-Cigarettes I think we should also check in with James about strategy for providing a list of retailers if there is a request from the media. As I mentioned to you, I'm cautious about calling these places out. Frankly, they aren't hard to find and a resourceful reporter shouldn't need guidance from us! The timeline we're working with is that I need to have images by Dec. 12 for the PPT presentation and James will likley be getting media inquires just before the meeting on the 16th. Joy

________________________________________ From: Pajimula, Fel Sent: Monday, November 22, 2010 1:02 PM To: Hamilton, Joy Cc: Neal, Scott; Hatzenbuehler, Eric Subject: RE: E-cigs prep Questions / clarifications / ideas / deadline? Joy, 1. e-cigs themselves aren't being marketed or packaged as flashy or colorful. The flavors come in to play more w/ the e-liquids. Most of the kits are simply packaged w/ a dosing for nicotine (high, med, low, zero). The two versions we have in the office (if PZ has kept his around) both are in simple black packaging, which is consistent w/ most of the brands I've seen around. The X-Hale02 brand at 7-Eleven is one brand where the colors/flavors come into play, and that's only with their "e-hookah" flavors. 2. We spoke briefly about the locations. As I mentioned, more and more 7-Elevens are carrying the X-Hale02 brand. www.xhaleo2.com - Northgate and Southcenter malls both have the Smoking Everywhere kiosks, and I'm almost certain Alderwood (Snohomish County) does as well. I have also confirmed e-cig units being sold throughout the county including: Capitol Hill Smoke Shop (smoke stick, 51 gold starter pack, cartridges), Holy Smoke (nicstick no-name brand, e-liquid, cartridges), Duvall Cigarland ("clean" and refills $29) and Smokeco Plus in Fall City (fiftyone starter kit $59.) 3. I have a few other images of the Smoking Everywhere kiosk in Southcenter. I had more of the 7-11 ones, but my phone decided to dump those a week or two ago. I can get more of those fairly easily.

I haven't seen much within the county that goes beyond what I've collected as far as vendors/ads. There's a lot online of course, and I previously sent an email w/ a lot of that information.
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When does James say we should have these items? Let me know what you think, FP

_____________________________________________ From: Hamilton, Joy Sent: Friday, November 19, 2010 12:10 PM To: Pajimula, Fel Cc: Neal, Scott; Hatzenbuehler, Eric Subject: E-cigs prep Fel, We met with James Apa in communications the other day to plan for the upcoming e-cigs regulations with the BOH. He suggested that we prepare a few things and I'm hoping you can help out with this. We need three things: 1. A flavored/colorful e-cig -- if you don't think that you can buy one from a kiosk, tobacco shop -- we can buy online 2. a list of locations of places that sell e-cigs (to give to media if they ask) 3. photos of e-cigs vendors/ads -- we already have the photo you took at 7-11, but more of this type of thing would be good. James wants us to have visual images because many people know so little about this product. Let me know if you can work on helping get these things or have any questions. Thanks!!! Joy

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From: To: Date: Subject:


Muchas graz!

"Leon-Guerrero, Michael" "Neal, Scott" <Scott.Neal@kingcounty.gov> 11/24/2010 8:08:32 PM RE: question elec.vapor cigarettes

From: Neal, Scott Sent: Wednesday, November 24, 2010 4:04 PM To: Leon-Guerrero, Michael; Bennett, John; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Cc: Ross-Viles, Sarah Subject: Re: question elec.vapor cigarettes Importance: High

Mike there is nothing yet but the BOH is looking to include the use of e-cigs in areas where reg cigs are prohibited. They will be considering this at the dec. BOH mtg. Please talk with sarah or joy about how we should respond to this inquiry. Scott
From: Leon-Guerrero, Michael Sent: Wednesday, November 24, 2010 03:58 PM To: Bennett, John; Neal, Scott; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Subject: FW: question elec.vapor cigarettes Hello all I haven't been able to find a formal answer, is there something King County specific that addresses E-cigs in nonsmoking areas? I'm guessing that someone was trying to use on on the deck...

From: thecuffcomplex@aol.com [mailto:thecuffcomplex@aol.com] Sent: Monday, November 22, 2010 2:28 PM To: Leon-Guerrero, Michael Subject: question elec.vapor cigarettes

Hello Michael, I have a question on the use of Electronic Vapor Cigarettes. Is there any regulations on these and there use in no smoking areas ? any info would be help full . Also where can I get state endorsed no smoking sign age. Have a great Thanksgiving ! Thanks Dan Daniels GM The Cuff 206-323-1525 Dan@cuffcomplex.com

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From: "Neal, Scott" To: "Leon-Guerrero, Michael" <Michael.Leon-Guerrero@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Zemann, Paul" <Paul.Zemann@kingcounty.gov> "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> Date: 11/24/2010 8:04:07 PM Subject: Re: question elec.vapor cigarettes
Mike there is nothing yet but the BOH is looking to include the use of e-cigs in areas where reg cigs are prohibited. They will be considering this at the dec. BOH mtg. Please talk with sarah or joy about how we should respond to this inquiry. Scott
From: Leon-Guerrero, Michael Sent: Wednesday, November 24, 2010 03:58 PM To: Bennett, John; Neal, Scott; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Subject: FW: question elec.vapor cigarettes Hello all I haven't been able to find a formal answer, is there something King County specific that addresses E-cigs in nonsmoking areas? I'm guessing that someone was trying to use on on the deck...

From: thecuffcomplex@aol.com [mailto:thecuffcomplex@aol.com] Sent: Monday, November 22, 2010 2:28 PM To: Leon-Guerrero, Michael Subject: question elec.vapor cigarettes

Hello Michael, I have a question on the use of Electronic Vapor Cigarettes. Is there any regulations on these and there use in no smoking areas ? any info would be help full . Also where can I get state endorsed no smoking sign age. Have a great Thanksgiving ! Thanks Dan Daniels GM The Cuff 206-323-1525 Dan@cuffcomplex.com

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From: "Leon-Guerrero, Michael" To: "Bennett, John" <John.Bennett@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Zemann, Paul" <Paul.Zemann@kingcounty.gov> "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> Date: 11/24/2010 7:58:19 PM Subject: FW: question elec.vapor cigarettes
Hello all I haven't been able to find a formal answer, is there something King County specific that addresses E-cigs in nonsmoking areas? I'm guessing that someone was trying to use on on the deck...

From: thecuffcomplex@aol.com [mailto:thecuffcomplex@aol.com] Sent: Monday, November 22, 2010 2:28 PM To: Leon-Guerrero, Michael Subject: question elec.vapor cigarettes

Hello Michael, I have a question on the use of Electronic Vapor Cigarettes. Is there any regulations on these and there use in no smoking areas ? any info would be help full . Also where can I get state endorsed no smoking sign age. Have a great Thanksgiving ! Thanks Dan Daniels GM The Cuff 206-323-1525 Dan@cuffcomplex.com

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From: "Pedroza, Melani" To: "Wood, Maria" <Maria.Wood@kingcounty.gov> "Noris, Anne" <Anne.Noris@kingcounty.gov> "Ritzen, Bruce" <Bruce.Ritzen@kingcounty.gov> "Blossey, Linda" <Linda.Blossey@kingcounty.gov> Date: 11/29/2010 11:56:55 AM Subject: RE: BOH e-cigarettes R&R and public notice Its in Legistar and Linda is working on the advertising now. The number is BOH10-04. Melani _____________________________________________ From: Wood, Maria Sent: Wednesday, November 24, 2010 12:47 PM To: Noris, Anne; Ritzen, Bruce; Pedroza, Melani; Blossey, Linda Cc: Pearson, Anne; Hamilton, Joy; Neal, Scott Subject: BOH e-cigarettes R&R and public notice

Hi Attached please find the final draft of the R&R incorporating Bruce's comments with the following exceptions: 1) Bruce recommended minor changes to section 11 (governing e-cigs sold by machine.) That section is patterned on language in the RCW governing cigarette machines, and I think it is important we keep the restrictions identical. 2) Bruce suggested we move section 14 up and incorporate it into section 3. Section 14 is important for purposes of clarifying that our law is not applicable should the FDA eventually regulate e-cigs, so I think it makes sense to isolate the provision for emphasis. << File: BOH Regulation E-cigarette FINAL sent 11-23-2010.doc >> The R&R is ready to be entered into Legistar so that we have the R&R number to include in the Public Notice. Here is the draft Public Notice. Please include the legistar number once known, otherwise it is good to go unless you have any suggested changes. << File: KC BOH Public Notice e-cigs 12-01-10.docx >> I understand Linda is out of the office today, so we don't expect this to be submitted to the Seattle Times until Monday morning per our discussion earlier this week. Please let me know if you have any questions or concerns, and thanks for your flexibility in working around the holiday and unexpected winter weather. Maria E. Maria Wood, MA Board of Health Administrator Public Health Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166
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From: "Blossey, Linda" To: "Pedroza, Melani" <Melani.Pedroza@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Noris, Anne" <Anne.Noris@kingcounty.gov> "Ritzen, Bruce" <Bruce.Ritzen@kingcounty.gov> Date: 11/29/2010 12:17:41 PM Subject: RE: BOH e-cigarettes R&R and public notice Attachments: R&R re to electronic smoking devices BOH10-04.doc It's off to the paper!!!

_____________________________________________ From: Pedroza, Melani Sent: Monday, November 29, 2010 7:57 AM To: Wood, Maria; Noris, Anne; Ritzen, Bruce; Blossey, Linda Cc: Pearson, Anne; Hamilton, Joy; Neal, Scott Subject: RE: BOH e-cigarettes R&R and public notice

It's in Legistar and Linda is working on the advertising now. The number is BOH10-04. Melani _____________________________________________ From: Wood, Maria Sent: Wednesday, November 24, 2010 12:47 PM To: Noris, Anne; Ritzen, Bruce; Pedroza, Melani; Blossey, Linda Cc: Pearson, Anne; Hamilton, Joy; Neal, Scott Subject: BOH e-cigarettes R&R and public notice

Hi Attached please find the final draft of the R&R incorporating Bruce's comments with the following exceptions: 1) Bruce recommended minor changes to section 11 (governing e-cigs sold by machine.) That section is patterned on language in the RCW governing cigarette machines, and I think it is important we keep the restrictions identical. 2) Bruce suggested we move section 14 up and incorporate it into section 3. Section 14 is important for purposes of clarifying that our law is not applicable should the FDA eventually regulate e-cigs, so I think it makes sense to isolate the provision for emphasis. << File: BOH Regulation E-cigarette FINAL sent 11-23-2010.doc >> The R&R is ready to be entered into Legistar so that we have the R&R number to include in the Public Notice. Here is the draft Public Notice. Please include the legistar number once known, otherwise it is good to go unless you have any suggested changes. << File: KC BOH Public Notice e-cigs 12-01-10.docx >> I understand Linda is out of the office today, so we don't expect this to be submitted to the Seattle Times until
8_19_2011

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Monday morning per our discussion earlier this week. Please let me know if you have any questions or concerns, and thanks for your flexibility in working around the holiday and unexpected winter weather. Maria E. Maria Wood, MA Board of Health Administrator Public Health - Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166

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From: To: Date: Subject: Christopher,

"Hamilton, Joy" "Zilar, Christopher" <CZilar@spokanecounty.org> 11/29/2010 6:56:54 PM E-cigarettes compliance

Greetings. As you know, we are preparing for the King County BOH to consider e-cigs regulations at their December meeting. Can you send me any documents you have related to the compliance checks done in Spokane? (I recall something about 28 out of 31 vendors selling to minors...) It would be very helpful to have that information to show that these products are being sold to minors. Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

8_19_2011

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From: "Muhm, Jennifer" To: "Albetta, Gloria" <Gloria.Albetta@kingcounty.gov> "Apa, James" <James.Apa@kingcounty.gov> "Burgess, Moffett" <Moffett.Burgess@kingcounty.gov> "Carson, Kathy" <Kathy.Carson@kingcounty.gov> "Chaffee, Frank" <Frank.Chaffee@kingcounty.gov> "Ciske, Sandra" <Sandra.Ciske@kingcounty.gov> "Cordero, Julia" <Julia.Cordero@kingcounty.gov> "Cummins, Elaine" <Elaine.Cummins@kingcounty.gov> "Fleming, David" <David.Fleming@kingcounty.gov> "Gomez, Tony" <Tony.Gomez@kingcounty.gov> "Huus, Kathie" <Kathie.Huus@kingcounty.gov> "Johnson, Kirste" <Kirste.Johnson@kingcounty.gov> "Karasz, Hilary" <Hilary.Karasz@kingcounty.gov> "Kellogg, Ryan" <Ryan.Kellogg@kingcounty.gov> "Maurer, Carol" <Carol.Maurer@kingcounty.gov> "Muhm, Jennifer" <Jennifer.Muhm@kingcounty.gov> "Oberg, Donna" <Donna.Oberg@kingcounty.gov> "Podell, Lisa" <Lisa.Podell@kingcounty.gov> "Quinn, Rachel" <Rachel.Quinn@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> "Russillo, Chrissy" <Chrissy.Russillo@kingcounty.gov> "Sadow-Hasenberg, Nicole" <Nicole.Sadow-Hasenberg@kingcounty.gov> "Sanchez, Kristie" <Kristie.Sanchez@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Teeter, Dorothy" <Dorothy.Teeter@kingcounty.gov> "Valenzuela, Matias" <Matias.Valenzuela@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Worsham, Dennis" <Dennis.Worsham@kingcounty.gov> Date: 11/29/2010 3:09:09 PM Subject: November 29th: Legislative Related News Clips
NOTE: Sen. Lisa Brown's blog on the Governor's proposed supplemental budget in the SDC blog. Additionally, several articles on the new makeup of the legislature and the state budget.

The Daily E-Clips


An electronic roundup of legislative news from Washington and the nation by the House and Senate Democratic Caucus Media Departments
(Time-sensitive material. Links may expire after the day of publication)

Monday, November 29, 2010

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Bellingham Herald Hatchery fish may be eating up food supply for wild salmon Fishing moratorium proposed for Elwha River
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Bellingham men charged in conspiracy to mail methamphetamine into state prisons Column: More credits in high school not necessarily the answer Op-ed: Sheriff outlines problems with jail, need for new one Op-ed: Doctor worries about board deciding healthcare treatments

Columbian Column: I'm way into being thankful (Moeller) Editorial: In our view: Unkindest Cuts (state budget)

Everett Herald Eyman expands his reach (Dunshee) Swedish Hospitals' Edmonds move to fund $3.5 million in health programs Four cities hire lobbyist to help them get funding for Highway 9 Congress divided over jobless aid Despite Democratic control, GOP makes gains (Sullivan, Kessler, Chopp, Linville, Prentice, Murray, Owen, Kilmer, Fraser) Op-ed by Reps. Simpson and Williams: One last gasp of progressivism in Olympia? Editorial: Creating a smarter system (health-care reform)

Kitsap Sun Lakewood police dedicate memorial to 4 officers Shootings don't change police procedures, behavior USDA asked to approve GMO apple that won't brown

Longview Daily News Taxed to better health? (cigarette taxes)

News Tribune 71 percent of Washington's voters turned out for election Spokane: Tribes at odds in competing Vegas-style casino plan Hatchery vs. wild: It's a fight for food (salmon) Unemployment checks may be a couple days late
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DOT: Commuters spent less time stuck in traffic last year UW researchers taking a closer look at schools Editorial: Master's bump: $330 million a year for nothing (K-12) Editorial: Cops reacted with honor to killings of their peers

Olympian Legislature eyes deficit (Sullivan, Kessler, Chopp, Linville, Murray, Prentice, Kilmer, Fraser) Plenty of salmon in the sea UW researchers take closer look at schools Fish and Wildlife grants available Gregoire proposes ways to cut budget (Brown) Olympia elementary receives top national award Editorial: State's minimum wage law needs to be amended

Oregonian Editorial: Let states innovate on health care Editorial: Leave room for wave energy

Puget Sound Business Journal Bezos named PSBJ's Executive of the Year

Seattle Times Last year's police shootings didn't change procedures, behavior (Kline) Bellingham men charged in meth prison conspiracy State won't agree to national immigration program All-potato diet almost over; spud promoter longs for something crunchy (State Potato Commission) Dems still in control, but GOP makes gains in Legislature State has no game wardens in Cowlitz County Washington drivers are spending less time in traffic Op-ed: Washington higher education: When should we schedule the last Apple Cup?
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Seattle Weekly Gov. Gregoire urges draconian cuts to state programs benefiting poor and sick

Skagit Valley Herald State has no game wardens in Cowlitz County Democrats still in control, but Republicans make gains (Sullivan, Kessler, Chopp, Linville, Murray, Prentice, Kilmer, Fraser)

Tri-City Herald State agencies learn to manage food safety issues Dems still in control, but GOP makes gains (Chopp, Kessler, Linville, Sullivan, Murray, Prentice, Kilmer, Fraser) State gives Kennewick $1.1M grant for Edison St. Director to end spud diet Marcus Whitman principal wins top honor Squad partner remembers slain Lakewood officers Shootings don't change police procedures, behavior (Kline) Tribes at odds in competing casino plan (Prentice) State has no game wardens in Cowlitz County DOT: Congestion down in Wash. last year BPA pikeminnow program pays $1.2M to limit pest Editorials: Gov. Gregoire, call a special session now Campaigning is over; let the real work begin (Congress) Columbia River hatcheries need better options Op-ed: Founders at odds over Constitution Op-ed: Medicaid prescription drug cuts not smart

Walla Walla Union Bulletin Editorial: Public gets government it asked for

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Yakima Herald Republic With Latino population rising, Zillah is undergoing growing pains Editorial: Governor, Legislature must cut fast, deep (Morris)

BROADCAST
KING 5 TV (NBC) Memorial to honor slain Lakewood police officers

KIRO FM Lakewood officers honored one year after killings Grocery workers to vote on new contract

NW Public Radio Lakewood Police Murders Remembered One Year Later Three Years Since Washington Voters Approved Triple Damages

Q13 TV (Fox) Fallen Officers Memorial To Be Unveiled Monday In Honor Of The Four Fallen Lakewood Officers Seattle Man's Caffeinated Alcohol Drink Is Not Another "Four Loko"

WEB
Crosscut A radical proposal for funding public colleges An Oregon idea for saving U.W. (Chopp)

From Our Corner (Secretary of State blog) Election certified. Now for some recounts

The HDC Advance The first step to fixing the $5.7 billion budget problem

Publicola Quote of the day (Brown)

8_19_2011

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The SDC Hopper Sen. Lisa Brown on Gov. Gregoires proposed cuts

Seattle PI Despite GOP gains, Democrats still rule in Olympia (Murray, Prentice, Kilmer, Fraser, Sullivan, Kessler, Chopp, Linville)

Seattle Post Globe Prostitution sweep recovered 23 children; hundreds more still stuck in 'The Life' Voices of the exploited... 'make every day of your life count' Teen prostitution: Prevention tips and warning signs Lost and found: Home offers place just for sexually exploited teens

Slog The last thing Ill say about liquor stores (for today at least)

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From: "Ross-Viles, Sarah" To: "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 11/29/2010 3:51:00 PM Subject: RE: question elec.vapor cigarettes
Thanks for working on a new draft, John. My concerns are being very direct with folks about the law they are actually enforcing (smoking in public places) and not giving them so much information that they become confused.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

From: Hatzenbuehler, Eric Sent: Monday, November 29, 2010 11:25 AM To: Ross-Viles, Sarah; Bennett, John; Neal, Scott Subject: RE: question elec.vapor cigarettes A few thoughts and a question: 1. I think this is the first of many times we'll be getting a question like this from bar/restaurant owners and the differing opinion on how to respond is worth discussing. 2. We might want to consider establishing a clear rationale for not permitting e-cigarettes that includes Sarah's and John's responses. I like being fully transparent in our thinking which definitely includes federal, state, and local laws as well as practical/enforcement perspectives. One question - how public do we want to be about pending BOH policy initiatives? I've asked John to re-draft a response that we can discuss from there. Eric

From: Ross-Viles, Sarah Sent: Monday, November 29, 2010 9:48 AM To: Bennett, John; Neal, Scott; Leon-Guerrero, Michael; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Subject: RE: question elec.vapor cigarettes While John's information is right, it does not look like what Dan is looking for. Currently, there is no State or King County Code that prohibits the use electronic cigarettes in areas that are non-smoking by law. However, these products make enforcement of the smoking law more difficult, and the Board of Health is looking at including these devices into the smoking in public places law. As a business owner and someone who enforces the law, it is our recommendation that The Cuff prohibit the use of these devices where they prohibit smoking in order to have uniform enforcement. How does this sound to folks?

From: Bennett, John 8_19_2011

Page 2 Sent: Monday, November 29, 2010 7:14 AM To: Neal, Scott; Leon-Guerrero, Michael; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Cc: Ross-Viles, Sarah Subject: RE: question elec.vapor cigarettes Mike, I think the answer is that these products are unapproved drug delivery devices and that they are not currently legal in the US? As far as signage goes, there is no officially endorsed state signage but we can send him some signs that the state made that will work. Otherwise, he is free to use any other signage as long as it clearly indicates that smoking is prohibited. John

From: Neal, Scott Sent: Wednesday, November 24, 2010 4:04 PM To: Leon-Guerrero, Michael; Bennett, John; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Cc: Ross-Viles, Sarah Subject: Re: question elec.vapor cigarettes Importance: High

Mike there is nothing yet but the BOH is looking to include the use of e-cigs in areas where reg cigs are prohibited. They will be considering this at the dec. BOH mtg. Please talk with sarah or joy about how we should respond to this inquiry. Scott
From: Leon-Guerrero, Michael Sent: Wednesday, November 24, 2010 03:58 PM To: Bennett, John; Neal, Scott; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Subject: FW: question elec.vapor cigarettes Hello all I haven't been able to find a formal answer, is there something King County specific that addresses E-cigs in nonsmoking areas? I'm guessing that someone was trying to use on on the deck...

From: thecuffcomplex@aol.com [mailto:thecuffcomplex@aol.com] Sent: Monday, November 22, 2010 2:28 PM To: Leon-Guerrero, Michael Subject: question elec.vapor cigarettes

Hello Michael, I have a question on the use of Electronic Vapor Cigarettes. Is there any regulations on these and there use in no smoking areas ? any info would be help full . Also where can I get state endorsed no smoking sign age. Have a great Thanksgiving ! Thanks Dan Daniels GM The Cuff 206-323-1525 Dan@cuffcomplex.com

8_19_2011

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From: "Hatzenbuehler, Eric" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 11/29/2010 3:24:55 PM Subject: RE: question elec.vapor cigarettes
A few thoughts and a question: 1. I think this is the first of many times we'll be getting a question like this from bar/restaurant owners and the differing opinion on how to respond is worth discussing. 2. We might want to consider establishing a clear rationale for not permitting e-cigarettes that includes Sarah's and John's responses. I like being fully transparent in our thinking which definitely includes federal, state, and local laws as well as practical/enforcement perspectives. One question - how public do we want to be about pending BOH policy initiatives? I've asked John to re-draft a response that we can discuss from there. Eric

From: Ross-Viles, Sarah Sent: Monday, November 29, 2010 9:48 AM To: Bennett, John; Neal, Scott; Leon-Guerrero, Michael; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Subject: RE: question elec.vapor cigarettes While John's information is right, it does not look like what Dan is looking for. Currently, there is no State or King County Code that prohibits the use electronic cigarettes in areas that are non-smoking by law. However, these products make enforcement of the smoking law more difficult, and the Board of Health is looking at including these devices into the smoking in public places law. As a business owner and someone who enforces the law, it is our recommendation that The Cuff prohibit the use of these devices where they prohibit smoking in order to have uniform enforcement. How does this sound to folks?

From: Bennett, John Sent: Monday, November 29, 2010 7:14 AM To: Neal, Scott; Leon-Guerrero, Michael; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Cc: Ross-Viles, Sarah Subject: RE: question elec.vapor cigarettes Mike, I think the answer is that these products are unapproved drug delivery devices and that they are not currently legal in the US? As far as signage goes, there is no officially endorsed state signage but we can send him some signs that the state made that will work. Otherwise, he is free to use any other signage as long as it clearly indicates that smoking is prohibited. John

From: Neal, Scott Sent: Wednesday, November 24, 2010 4:04 PM To: Leon-Guerrero, Michael; Bennett, John; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Cc: Ross-Viles, Sarah Subject: Re: question elec.vapor cigarettes 8_19_2011

Page 2 Importance: High

Mike there is nothing yet but the BOH is looking to include the use of e-cigs in areas where reg cigs are prohibited. They will be considering this at the dec. BOH mtg. Please talk with sarah or joy about how we should respond to this inquiry. Scott
From: Leon-Guerrero, Michael Sent: Wednesday, November 24, 2010 03:58 PM To: Bennett, John; Neal, Scott; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Subject: FW: question elec.vapor cigarettes Hello all I haven't been able to find a formal answer, is there something King County specific that addresses E-cigs in nonsmoking areas? I'm guessing that someone was trying to use on on the deck...

From: thecuffcomplex@aol.com [mailto:thecuffcomplex@aol.com] Sent: Monday, November 22, 2010 2:28 PM To: Leon-Guerrero, Michael Subject: question elec.vapor cigarettes

Hello Michael, I have a question on the use of Electronic Vapor Cigarettes. Is there any regulations on these and there use in no smoking areas ? any info would be help full . Also where can I get state endorsed no smoking sign age. Have a great Thanksgiving ! Thanks Dan Daniels GM The Cuff 206-323-1525 Dan@cuffcomplex.com

8_19_2011

Page 1

From: "Leon-Guerrero, Michael" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Zemann, Paul" <Paul.Zemann@kingcounty.gov> "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> Date: 11/29/2010 2:52:14 PM Subject: RE: question elec.vapor cigarettes
So I have agreement on: Currently, there is no State or King County Code that prohibits the use electronic cigarettes in areas that are nonsmoking by law. However, these products make enforcement of the smoking law more difficult, and the Board of Health is looking at including these devices into the smoking in public places law. As a business owner and someone who enforces the law, it is our recommendation that The Cuff prohibit the use of these devices where they prohibit smoking in order to have uniform enforcement. Thanks to all!

From: Neal, Scott Sent: Monday, November 29, 2010 10:00 AM To: Ross-Viles, Sarah; Bennett, John; Leon-Guerrero, Michael; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Subject: Re: question elec.vapor cigarettes

Good

From: Ross-Viles, Sarah Sent: Monday, November 29, 2010 09:47 AM To: Bennett, John; Neal, Scott; Leon-Guerrero, Michael; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Subject: RE: question elec.vapor cigarettes While John's information is right, it does not look like what Dan is looking for. Currently, there is no State or King County Code that prohibits the use electronic cigarettes in areas that are non-smoking by law. However, these products make enforcement of the smoking law more difficult, and the Board of Health is looking at including these devices into the smoking in public places law. As a business owner and someone who enforces the law, it is our recommendation that The Cuff prohibit the use of these devices where they prohibit smoking in order to have uniform enforcement. How does this sound to folks?

From: Bennett, John Sent: Monday, November 29, 2010 7:14 AM To: Neal, Scott; Leon-Guerrero, Michael; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Cc: Ross-Viles, Sarah Subject: RE: question elec.vapor cigarettes Mike, I think the answer is that these products are unapproved drug delivery devices and that they are not currently legal in the US? As far as signage goes, there is no officially endorsed state signage but we can send him some signs that the state made that will work. Otherwise, he is free to use any other signage as long as it clearly indicates that smoking is prohibited. John 8_19_2011

Page 2

From: Neal, Scott Sent: Wednesday, November 24, 2010 4:04 PM To: Leon-Guerrero, Michael; Bennett, John; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Cc: Ross-Viles, Sarah Subject: Re: question elec.vapor cigarettes Importance: High

Mike there is nothing yet but the BOH is looking to include the use of e-cigs in areas where reg cigs are prohibited. They will be considering this at the dec. BOH mtg. Please talk with sarah or joy about how we should respond to this inquiry. Scott
From: Leon-Guerrero, Michael Sent: Wednesday, November 24, 2010 03:58 PM To: Bennett, John; Neal, Scott; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Subject: FW: question elec.vapor cigarettes Hello all I haven't been able to find a formal answer, is there something King County specific that addresses E-cigs in nonsmoking areas? I'm guessing that someone was trying to use on on the deck...

From: thecuffcomplex@aol.com [mailto:thecuffcomplex@aol.com] Sent: Monday, November 22, 2010 2:28 PM To: Leon-Guerrero, Michael Subject: question elec.vapor cigarettes

Hello Michael, I have a question on the use of Electronic Vapor Cigarettes. Is there any regulations on these and there use in no smoking areas ? any info would be help full . Also where can I get state endorsed no smoking sign age. Have a great Thanksgiving ! Thanks Dan Daniels GM The Cuff 206-323-1525 Dan@cuffcomplex.com

8_19_2011

Page 1

From: "Bennett, John" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> Date: 11/29/2010 2:07:10 PM Subject: RE: question elec.vapor cigarettes
I think it makes no sense to respond that there are currently no regulations pertaining to their use in public places in KC without making it clear that the products are illegal under federal law. This simply is about more than recommending that a bar not allow e-cigs to help ease enforcement. It is about a bar owner not permitting the use of an illegal device in their establishment. 100 to 1, the bar owner is hoping they are illegal so that he can wipe his hands of the whole mess and not have to be the bad guy. John

From: Neal, Scott Sent: Monday, November 29, 2010 10:00 AM To: Ross-Viles, Sarah; Bennett, John; Leon-Guerrero, Michael; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Subject: Re: question elec.vapor cigarettes

Good

From: Ross-Viles, Sarah Sent: Monday, November 29, 2010 09:47 AM To: Bennett, John; Neal, Scott; Leon-Guerrero, Michael; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Subject: RE: question elec.vapor cigarettes While John's information is right, it does not look like what Dan is looking for. Currently, there is no State or King County Code that prohibits the use electronic cigarettes in areas that are non-smoking by law. However, these products make enforcement of the smoking law more difficult, and the Board of Health is looking at including these devices into the smoking in public places law. As a business owner and someone who enforces the law, it is our recommendation that The Cuff prohibit the use of these devices where they prohibit smoking in order to have uniform enforcement. How does this sound to folks?

From: Bennett, John Sent: Monday, November 29, 2010 7:14 AM To: Neal, Scott; Leon-Guerrero, Michael; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Cc: Ross-Viles, Sarah Subject: RE: question elec.vapor cigarettes Mike, I think the answer is that these products are unapproved drug delivery devices and that they are not currently legal in the US? As far as signage goes, there is no officially endorsed state signage but we can send him some signs that the state made that will work. Otherwise, he is free to use any other signage as long as it clearly indicates that smoking is prohibited. John

8_19_2011

Page 2 From: Neal, Scott Sent: Wednesday, November 24, 2010 4:04 PM To: Leon-Guerrero, Michael; Bennett, John; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Cc: Ross-Viles, Sarah Subject: Re: question elec.vapor cigarettes Importance: High

Mike there is nothing yet but the BOH is looking to include the use of e-cigs in areas where reg cigs are prohibited. They will be considering this at the dec. BOH mtg. Please talk with sarah or joy about how we should respond to this inquiry. Scott
From: Leon-Guerrero, Michael Sent: Wednesday, November 24, 2010 03:58 PM To: Bennett, John; Neal, Scott; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Subject: FW: question elec.vapor cigarettes Hello all I haven't been able to find a formal answer, is there something King County specific that addresses E-cigs in nonsmoking areas? I'm guessing that someone was trying to use on on the deck...

From: thecuffcomplex@aol.com [mailto:thecuffcomplex@aol.com] Sent: Monday, November 22, 2010 2:28 PM To: Leon-Guerrero, Michael Subject: question elec.vapor cigarettes

Hello Michael, I have a question on the use of Electronic Vapor Cigarettes. Is there any regulations on these and there use in no smoking areas ? any info would be help full . Also where can I get state endorsed no smoking sign age. Have a great Thanksgiving ! Thanks Dan Daniels GM The Cuff 206-323-1525 Dan@cuffcomplex.com

8_19_2011

Page 1

From: "Neal, Scott" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> "Leon-Guerrero, Michael" <Michael.Leon-Guerrero@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Zemann, Paul" <Paul.Zemann@kingcounty.gov> "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> Date: 11/29/2010 1:59:40 PM Subject: Re: question elec.vapor cigarettes
Good

From: Ross-Viles, Sarah Sent: Monday, November 29, 2010 09:47 AM To: Bennett, John; Neal, Scott; Leon-Guerrero, Michael; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Subject: RE: question elec.vapor cigarettes While John's information is right, it does not look like what Dan is looking for. Currently, there is no State or King County Code that prohibits the use electronic cigarettes in areas that are non-smoking by law. However, these products make enforcement of the smoking law more difficult, and the Board of Health is looking at including these devices into the smoking in public places law. As a business owner and someone who enforces the law, it is our recommendation that The Cuff prohibit the use of these devices where they prohibit smoking in order to have uniform enforcement. How does this sound to folks?

From: Bennett, John Sent: Monday, November 29, 2010 7:14 AM To: Neal, Scott; Leon-Guerrero, Michael; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Cc: Ross-Viles, Sarah Subject: RE: question elec.vapor cigarettes Mike, I think the answer is that these products are unapproved drug delivery devices and that they are not currently legal in the US? As far as signage goes, there is no officially endorsed state signage but we can send him some signs that the state made that will work. Otherwise, he is free to use any other signage as long as it clearly indicates that smoking is prohibited. John

From: Neal, Scott Sent: Wednesday, November 24, 2010 4:04 PM To: Leon-Guerrero, Michael; Bennett, John; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Cc: Ross-Viles, Sarah Subject: Re: question elec.vapor cigarettes Importance: High

Mike there is nothing yet but the BOH is looking to include the use of e-cigs in areas where reg cigs are prohibited. They will be considering this at the dec. BOH mtg. Please talk with sarah or joy about how we should respond to this inquiry. Scott
8_19_2011

Page 2 From: Leon-Guerrero, Michael Sent: Wednesday, November 24, 2010 03:58 PM To: Bennett, John; Neal, Scott; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Subject: FW: question elec.vapor cigarettes Hello all I haven't been able to find a formal answer, is there something King County specific that addresses E-cigs in nonsmoking areas? I'm guessing that someone was trying to use on on the deck...

From: thecuffcomplex@aol.com [mailto:thecuffcomplex@aol.com] Sent: Monday, November 22, 2010 2:28 PM To: Leon-Guerrero, Michael Subject: question elec.vapor cigarettes

Hello Michael, I have a question on the use of Electronic Vapor Cigarettes. Is there any regulations on these and there use in no smoking areas ? any info would be help full . Also where can I get state endorsed no smoking sign age. Have a great Thanksgiving ! Thanks Dan Daniels GM The Cuff 206-323-1525 Dan@cuffcomplex.com

8_19_2011

Page 1

From: "Ross-Viles, Sarah" To: "Bennett, John" <John.Bennett@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Leon-Guerrero, Michael" <Michael.Leon-Guerrero@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Zemann, Paul" <Paul.Zemann@kingcounty.gov> "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> Date: 11/29/2010 1:47:46 PM Subject: RE: question elec.vapor cigarettes
While John's information is right, it does not look like what Dan is looking for. Currently, there is no State or King County Code that prohibits the use electronic cigarettes in areas that are non-smoking by law. However, these products make enforcement of the smoking law more difficult, and the Board of Health is looking at including these devices into the smoking in public places law. As a business owner and someone who enforces the law, it is our recommendation that The Cuff prohibit the use of these devices where they prohibit smoking in order to have uniform enforcement. How does this sound to folks?

From: Bennett, John Sent: Monday, November 29, 2010 7:14 AM To: Neal, Scott; Leon-Guerrero, Michael; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Cc: Ross-Viles, Sarah Subject: RE: question elec.vapor cigarettes Mike, I think the answer is that these products are unapproved drug delivery devices and that they are not currently legal in the US? As far as signage goes, there is no officially endorsed state signage but we can send him some signs that the state made that will work. Otherwise, he is free to use any other signage as long as it clearly indicates that smoking is prohibited. John

From: Neal, Scott Sent: Wednesday, November 24, 2010 4:04 PM To: Leon-Guerrero, Michael; Bennett, John; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Cc: Ross-Viles, Sarah Subject: Re: question elec.vapor cigarettes Importance: High

Mike there is nothing yet but the BOH is looking to include the use of e-cigs in areas where reg cigs are prohibited. They will be considering this at the dec. BOH mtg. Please talk with sarah or joy about how we should respond to this inquiry. Scott
From: Leon-Guerrero, Michael Sent: Wednesday, November 24, 2010 03:58 PM To: Bennett, John; Neal, Scott; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Subject: FW: question elec.vapor cigarettes Hello all I haven't been able to find a formal answer, is there something King County specific that addresses E-cigs in nonsmoking areas? I'm guessing that someone was trying to use on on the deck... 8_19_2011

Page 2

From: thecuffcomplex@aol.com [mailto:thecuffcomplex@aol.com] Sent: Monday, November 22, 2010 2:28 PM To: Leon-Guerrero, Michael Subject: question elec.vapor cigarettes

Hello Michael, I have a question on the use of Electronic Vapor Cigarettes. Is there any regulations on these and there use in no smoking areas ? any info would be help full . Also where can I get state endorsed no smoking sign age. Have a great Thanksgiving ! Thanks Dan Daniels GM The Cuff 206-323-1525 Dan@cuffcomplex.com

8_19_2011

Page 1

From: "Bennett, John" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Leon-Guerrero, Michael" <Michael.Leon-Guerrero@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Zemann, Paul" <Paul.Zemann@kingcounty.gov> "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> Date: 11/29/2010 11:14:18 AM Subject: RE: question elec.vapor cigarettes
Mike, I think the answer is that these products are unapproved drug delivery devices and that they are not currently legal in the US? As far as signage goes, there is no officially endorsed state signage but we can send him some signs that the state made that will work. Otherwise, he is free to use any other signage as long as it clearly indicates that smoking is prohibited. John

From: Neal, Scott Sent: Wednesday, November 24, 2010 4:04 PM To: Leon-Guerrero, Michael; Bennett, John; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Cc: Ross-Viles, Sarah Subject: Re: question elec.vapor cigarettes Importance: High

Mike there is nothing yet but the BOH is looking to include the use of e-cigs in areas where reg cigs are prohibited. They will be considering this at the dec. BOH mtg. Please talk with sarah or joy about how we should respond to this inquiry. Scott
From: Leon-Guerrero, Michael Sent: Wednesday, November 24, 2010 03:58 PM To: Bennett, John; Neal, Scott; Hatzenbuehler, Eric; Zemann, Paul; de la Pena, Norilyn Subject: FW: question elec.vapor cigarettes Hello all I haven't been able to find a formal answer, is there something King County specific that addresses E-cigs in nonsmoking areas? I'm guessing that someone was trying to use on on the deck...

From: thecuffcomplex@aol.com [mailto:thecuffcomplex@aol.com] Sent: Monday, November 22, 2010 2:28 PM To: Leon-Guerrero, Michael Subject: question elec.vapor cigarettes

Hello Michael, I have a question on the use of Electronic Vapor Cigarettes. Is there any regulations on these and there use in no smoking areas ? any info would be help full . Also where can I get state endorsed no smoking sign age. Have a great Thanksgiving ! 8_19_2011

Page 2 Thanks Dan Daniels GM The Cuff 206-323-1525 Dan@cuffcomplex.com

8_19_2011

Page 1

From: To: Date: Subject:

"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/30/2010 2:06:00 PM RE: BOH e-cigarettes R&R and public notice

ThanksI just found this email.. LOL still digging out :) >_____________________________________________ >From: Hamilton, Joy >Sent: Tuesday, November 30, 2010 10:02 AM >To: Neal, Scott >Subject: FW: BOH e-cigarettes R&R and public notice > > > >______________________________________________ >From: Wood, Maria >Sent: Wednesday, November 24, 2010 12:47 PM >To: Noris, Anne; Ritzen, Bruce; Pedroza, Melani; Blossey, Linda >Cc: Pearson, Anne; Hamilton, Joy; Neal, Scott >Subject: BOH e-cigarettes R&R and public notice > >Hi > >Attached please find the final draft of the R&R incorporating Bruce's comments with the following exceptions: > >1) Bruce recommended minor changes to section 11 (governing e-cigs sold by machine.) That section is patterned on language in the RCW governing cigarette machines, and I think it is important we keep the restrictions identical. >2) Bruce suggested we move section 14 up and incorporate it into section 3. Section 14 is important for purposes of clarifying that our law is not applicable should the FDA eventually regulate e-cigs, so I think it makes sense to isolate the provision for emphasis. > > << File: BOH Regulation E-cigarette FINAL sent 11-23-2010.doc >> >The R&R is ready to be entered into Legistar so that we have the R&R number to include in the Public Notice. > >Here is the draft Public Notice. Please include the legistar number once known, otherwise it is good to go unless you have any suggested changes. > > << File: KC BOH Public Notice e-cigs 12-01-10.docx >> > >I understand Linda is out of the office today, so we don't expect this to be submitted to the Seattle Times until Monday morning per our discussion earlier this week. > >Please let me know if you have any questions or concerns, and thanks for your flexibility in working around the holiday and unexpected winter weather. > >Maria > >E. Maria Wood, MA >Board of Health Administrator >Public Health Seattle & King County
8_19_2011

Page 2

>401 Fifth Avenue, Suite 1300 >Seattle, WA 98104 >t: 206-263-8791 f: 206-296-0166 > >

8_19_2011

Page 1

From: To: Date: Subject: Attachments:

"Hamilton, Joy" "Neal, Scott" <Scott.Neal@kingcounty.gov> 11/30/2010 2:02:09 PM FW: BOH e-cigarettes R&R and public notice BOH Regulation E-cigarette FINAL sent 11-23-2010.doc KC BOH Public Notice e-cigs 12-01-10.docx

>______________________________________________ >From: Wood, Maria >Sent: Wednesday, November 24, 2010 12:47 PM >To: Noris, Anne; Ritzen, Bruce; Pedroza, Melani; Blossey, Linda >Cc: Pearson, Anne; Hamilton, Joy; Neal, Scott >Subject: BOH e-cigarettes R&R and public notice > >Hi > >Attached please find the final draft of the R&R incorporating Bruce's comments with the following exceptions: > >1) Bruce recommended minor changes to section 11 (governing e-cigs sold by machine.) That section is patterned on language in the RCW governing cigarette machines, and I think it is important we keep the restrictions identical. >2) Bruce suggested we move section 14 up and incorporate it into section 3. Section 14 is important for purposes of clarifying that our law is not applicable should the FDA eventually regulate e-cigs, so I think it makes sense to isolate the provision for emphasis. > > >The R&R is ready to be entered into Legistar so that we have the R&R number to include in the Public Notice. > >Here is the draft Public Notice. Please include the legistar number once known, otherwise it is good to go unless you have any suggested changes. > > > >I understand Linda is out of the office today, so we don't expect this to be submitted to the Seattle Times until Monday morning per our discussion earlier this week. > >Please let me know if you have any questions or concerns, and thanks for your flexibility in working around the holiday and unexpected winter weather. > >Maria > >E. Maria Wood, MA >Board of Health Administrator >Public Health Seattle & King County >401 Fifth Avenue, Suite 1300 >Seattle, WA 98104 >t: 206-263-8791 f: 206-296-0166 > >
8_19_2011

Page 1

From: "Neal, Scott" To: "Bennett, John" <John.Bennett@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> Date: 11/30/2010 7:22:00 PM Subject: RE: BOH Tobacco Policy Committee agenda and draft code language for review
thanks guys...I'm thinking less is more with this response...so I'm going to water this down a bit and send it on to Joy and cc you. I appreciate your detailed thought process in putting this together. Scott

From: Bennett, John Sent: Tuesday, November 30, 2010 2:10 PM To: Hatzenbuehler, Eric; Neal, Scott Subject: RE: BOH Tobacco Policy Committee agenda and draft code language for review Here is my suggestion:

Update on Hookah in Seattle We are in the final stages of legal action with Majles presided over by the King County Hearing Examiner. This case was regarding a fine issued prior to the BOH Code 19.03 amendments that went into effect October 16, 2010. Though the Hearing Examiner denied Majles' appeal of being in violation of the no smoking in public places law, he chose to facilitate the development of an operating plan that is, by his definition and not public health's, in compliance with the old law. On October, 15th 2010 the Tobacco Prevention Program sent an educational letter to all establishments in King County, including Majles, that had received any enforcement action in the past alerting them of the changes to the law. That weekend staff began conducting inspections and issuing Notice of Violation letters under the new code. Majles has been inspected two times since the new law went into effect and has been found in violation of the law on both occasions. The Hearing Examiner has informed the program that a new Notice and Order is required in order to enforce the new provisions of the code on Majles. The program is currently working with the Prosecuting Attorney's Office to decide how best to proceed. The amendments that the Board passed clarify definitions of terms that were open to broad interpretation during the most recent ruling and will support public health in proceeding with new inspections under the revised guidelines. Any violations under the new guidelines will result in fines, newly created re-inspection fees, and appropriate legal action. However, it is highly likely that each hookah establishment will require a somewhat lengthy legal process before compliance is achieved.

From: Hamilton, Joy Sent: Monday, November 22, 2010 3:06 PM To: Hatzenbuehler, Eric Cc: Neal, Scott; Bennett, John Subject: FW: BOH Tobacco Policy Committee agenda and draft code language for review

Team, I talked to Eric about this and the plan is to write a response in the next day or two (with Scott's sign off before we send). Joy

8_19_2011

Page 2 From: David R. Hutchinson [mailto:mayord@ci.lake-forest-park.wa.us] Sent: Monday, November 22, 2010 2:51 PM To: Hamilton, Joy Subject: RE: BOH Tobacco Policy Committee agenda and draft code language for review

Thanks Joy. I think the minutes are pretty self-explanatory. Keep up the good work. By the way, what happened to the Seattle University pipe shops? Do we have a handle on this? Mayor Dave
From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Wednesday, November 17, 2010 9:58 AM To: 'mayordave@cityoflfp.com' Cc: Wood, Maria Subject: FW: BOH Tobacco Policy Committee agenda and draft code language for review Mayor Dave, Maria Wood informed me that you aren't able to attend today's tobacco policy committee meeting. Please let me know if you have any questions or comments. Maria or I are happy to fill you in on the meeting when you are back. Thanks, Joy

______________________________________________ amilton, Joy esday, November 16, 2010 12:57 PM Nicola (bnicola@u.washington.edu); 'Dave Hutchinson'; Drago, Jan; 'Sally Clark' brook, Marsha; 'Jerry DeGreik'; Johnson, Gareth; 'LaTonya Brown'; Neal, Scott; Kolczynski, Angela; Pearson, Anne; Ross-Viles, Sarah; Hamilton, Joy; Soo Hoo, Wendy; Wood, Maria BOH Tobacco Policy Committee agenda and draft code language for review

Dear BOH Tobacco Policy Committee members, The Tobacco Prevention Program has prepared draft code language regarding electronic cigarette (and other unapproved nicotine delivery devices) regulations. If you have a chance, please review the proposed language and come prepared to tomorrow's committee meeting (1:30 pm, Chinook 1312) with any questions or comments. Please note that this is also being reviewed by the Prosecuting Attorney's Office. The proposed changes include: 1) restrict the sale of unapproved nicotine delivery devices and electronic smoking devices to adults 18 years of age or older; 2) prohibit providing free (sampling) or heavily discounted electronic smoking devices or unapproved nicotine delivery products and; 3) prohibit mechanical sales (vending machines) in any place where minors may be present 4) prohibit the use of e-cigarettes and similar smoking devices in places where smoking is prohibited by law. I've also attached the agenda for tomorrow's meeting.

Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

8_19_2011

Page 1

From: "Bennett, John" To: "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 11/30/2010 6:10:09 PM Subject: RE: BOH Tobacco Policy Committee agenda and draft code language for review
Here is my suggestion:

Update on Hookah in Seattle We are in the final stages of legal action with Majles presided over by the King County Hearing Examiner. This case was regarding a fine issued prior to the BOH Code 19.03 amendments that went into effect October 16, 2010. Though the Hearing Examiner denied Majles' appeal of being in violation of the no smoking in public places law, he chose to facilitate the development of an operating plan that is, by his definition and not public health's, in compliance with the old law. On October, 15th 2010 the Tobacco Prevention Program sent an educational letter to all establishments in King County, including Majles, that had received any enforcement action in the past alerting them of the changes to the law. That weekend staff began conducting inspections and issuing Notice of Violation letters under the new code. Majles has been inspected two times since the new law went into effect and has been found in violation of the law on both occasions. The Hearing Examiner has informed the program that a new Notice and Order is required in order to enforce the new provisions of the code on Majles. The program is currently working with the Prosecuting Attorney's Office to decide how best to proceed. The amendments that the Board passed clarify definitions of terms that were open to broad interpretation during the most recent ruling and will support public health in proceeding with new inspections under the revised guidelines. Any violations under the new guidelines will result in fines, newly created re-inspection fees, and appropriate legal action. However, it is highly likely that each hookah establishment will require a somewhat lengthy legal process before compliance is achieved.

From: Hamilton, Joy Sent: Monday, November 22, 2010 3:06 PM To: Hatzenbuehler, Eric Cc: Neal, Scott; Bennett, John Subject: FW: BOH Tobacco Policy Committee agenda and draft code language for review

Team, I talked to Eric about this and the plan is to write a response in the next day or two (with Scott's sign off before we send). Joy

From: David R. Hutchinson [mailto:mayord@ci.lake-forest-park.wa.us] Sent: Monday, November 22, 2010 2:51 PM To: Hamilton, Joy Subject: RE: BOH Tobacco Policy Committee agenda and draft code language for review

Thanks Joy. I think the minutes are pretty self-explanatory. Keep up the good work. By the way, what happened to the Seattle University pipe shops? Do we have a handle on this? Mayor Dave
From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] 8_19_2011

Page 2 Sent: Wednesday, November 17, 2010 9:58 AM To: 'mayordave@cityoflfp.com' Cc: Wood, Maria Subject: FW: BOH Tobacco Policy Committee agenda and draft code language for review Mayor Dave, Maria Wood informed me that you aren't able to attend today's tobacco policy committee meeting. Please let me know if you have any questions or comments. Maria or I are happy to fill you in on the meeting when you are back. Thanks, Joy

______________________________________________ amilton, Joy esday, November 16, 2010 12:57 PM Nicola (bnicola@u.washington.edu); 'Dave Hutchinson'; Drago, Jan; 'Sally Clark' brook, Marsha; 'Jerry DeGreik'; Johnson, Gareth; 'LaTonya Brown'; Neal, Scott; Kolczynski, Angela; Pearson, Anne; Ross-Viles, Sarah; Hamilton, Joy; Soo Hoo, Wendy; Wood, Maria BOH Tobacco Policy Committee agenda and draft code language for review

Dear BOH Tobacco Policy Committee members, The Tobacco Prevention Program has prepared draft code language regarding electronic cigarette (and other unapproved nicotine delivery devices) regulations. If you have a chance, please review the proposed language and come prepared to tomorrow's committee meeting (1:30 pm, Chinook 1312) with any questions or comments. Please note that this is also being reviewed by the Prosecuting Attorney's Office. The proposed changes include: 1) restrict the sale of unapproved nicotine delivery devices and electronic smoking devices to adults 18 years of age or older; 2) prohibit providing free (sampling) or heavily discounted electronic smoking devices or unapproved nicotine delivery products and; 3) prohibit mechanical sales (vending machines) in any place where minors may be present 4) prohibit the use of e-cigarettes and similar smoking devices in places where smoking is prohibited by law. I've also attached the agenda for tomorrow's meeting.

Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

8_19_2011

Page 1

From: "Neal, Scott" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> Date: 11/30/2010 2:09:00 PM Subject: RE: BOH Tobacco Policy Committee agenda and draft code language for review
just closing the loop on my end. Did this ever get finalized??? Do we need to discuss???

From: Hamilton, Joy Sent: Monday, November 22, 2010 3:06 PM To: Hatzenbuehler, Eric Cc: Neal, Scott; Bennett, John Subject: FW: BOH Tobacco Policy Committee agenda and draft code language for review

Team, I talked to Eric about this and the plan is to write a response in the next day or two (with Scott's sign off before we send). Joy

From: David R. Hutchinson [mailto:mayord@ci.lake-forest-park.wa.us] Sent: Monday, November 22, 2010 2:51 PM To: Hamilton, Joy Subject: RE: BOH Tobacco Policy Committee agenda and draft code language for review

Thanks Joy. I think the minutes are pretty self-explanatory. Keep up the good work. By the way, what happened to the Seattle University pipe shops? Do we have a handle on this? Mayor Dave
From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Wednesday, November 17, 2010 9:58 AM To: 'mayordave@cityoflfp.com' Cc: Wood, Maria Subject: FW: BOH Tobacco Policy Committee agenda and draft code language for review Mayor Dave, Maria Wood informed me that you aren't able to attend today's tobacco policy committee meeting. Please let me know if you have any questions or comments. Maria or I are happy to fill you in on the meeting when you are back. Thanks, Joy

______________________________________________ amilton, Joy esday, November 16, 2010 12:57 PM Nicola (bnicola@u.washington.edu); 'Dave Hutchinson'; Drago, Jan; 'Sally Clark' brook, Marsha; 'Jerry DeGreik'; Johnson, Gareth; 'LaTonya Brown'; Neal, Scott; Kolczynski, Angela; Pearson, Anne; Ross-Viles, Sarah; Hamilton, Joy; Soo Hoo, Wendy; Wood, Maria BOH Tobacco Policy Committee agenda and draft code language for review

Dear BOH Tobacco Policy Committee members, The Tobacco Prevention Program has prepared draft code language regarding electronic cigarette (and other unapproved nicotine delivery devices) regulations. If you have a chance, please review the proposed language and come prepared to tomorrow's committee meeting (1:30 pm, Chinook 1312) with any questions or comments. Please note that this is also being reviewed by the Prosecuting Attorney's Office. 8_19_2011

Page 2 The proposed changes include: 1) restrict the sale of unapproved nicotine delivery devices and electronic smoking devices to adults 18 years of age or older; 2) prohibit providing free (sampling) or heavily discounted electronic smoking devices or unapproved nicotine delivery products and; 3) prohibit mechanical sales (vending machines) in any place where minors may be present 4) prohibit the use of e-cigarettes and similar smoking devices in places where smoking is prohibited by law. I've also attached the agenda for tomorrow's meeting.

Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

8_19_2011

Page 1

From: To: Date: Subject:


Joy,

"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/30/2010 7:27:00 PM FW: BOH Tobacco Policy Committee agenda and draft code language for review

Here is what I would respond to Mayor Dave... I've watered this down a bit from what John and Eric pulled together. I just don't think that Mayor Dave needs to hear the details of our case with Majles. Update on Hookah in Seattle On October, 15th 2010 the Tobacco Prevention Program sent an educational letter to all establishments in King County (including all hookah lounges) that had received any enforcement action in the past alerting them of the changes to the law. That weekend staff began conducting inspections and issuing Notice of Violation letters under the new code. Because this is a new regulation any place found in violation must go through the standard violation process which includes the issuance of a Notice and Order along with a right to appeal that notice. We are currently working with the Prosecuting Attorney's Office to work out the minor changes needed to our Noticie and Orders under the new regulation and will proceed with enforcement action on any violators as appropriate. The amendments that the Board passed clarify definitions of terms that were open to broad interpretation and will support public health in proceeding with new inspections under the revised guidelines. Any violations under the new guidelines will result in fines, newly created re-inspection fees, and appropriate legal action. However, it is highly likely that each hookah establishment will require a somewhat lengthy legal process before compliance is achieved. Scott

From: Bennett, John Sent: Tuesday, November 30, 2010 2:10 PM To: Hatzenbuehler, Eric; Neal, Scott Subject: RE: BOH Tobacco Policy Committee agenda and draft code language for review Here is my suggestion:

Update on Hookah in Seattle We are in the final stages of legal action with Majles presided over by the King County Hearing Examiner. This case was regarding a fine issued prior to the BOH Code 19.03 amendments that went into effect October 16, 2010. Though the Hearing Examiner denied Majles' appeal of being in violation of the no smoking in public places law, he chose to facilitate the development of an operating plan that is, by his definition and not public health's, in compliance with the old law. On October, 15th 2010 the Tobacco Prevention Program sent an educational letter to all establishments in King County, including Majles, that had received any enforcement action in the past alerting them of the changes to the law. That weekend staff began conducting inspections and issuing Notice of Violation letters under the new code. Majles has been inspected two times since the new law went into effect and has been found in violation of the law on both occasions. The Hearing Examiner has informed the program that a new Notice and Order is required in order to enforce the new provisions of the code on Majles. The program is currently working with the Prosecuting Attorney's Office to decide how best to proceed. The amendments that the Board passed clarify definitions of terms that were open to broad interpretation during the most recent ruling and will support public health in proceeding with new inspections under the revised guidelines. Any violations under the new guidelines will result in fines, newly created re-inspection fees, and appropriate legal action. However, it is highly likely that each hookah establishment will require a somewhat lengthy legal process before compliance is achieved. 8_19_2011

Page 2

From: Hamilton, Joy Sent: Monday, November 22, 2010 3:06 PM To: Hatzenbuehler, Eric Cc: Neal, Scott; Bennett, John Subject: FW: BOH Tobacco Policy Committee agenda and draft code language for review

Team, I talked to Eric about this and the plan is to write a response in the next day or two (with Scott's sign off before we send). Joy

From: David R. Hutchinson [mailto:mayord@ci.lake-forest-park.wa.us] Sent: Monday, November 22, 2010 2:51 PM To: Hamilton, Joy Subject: RE: BOH Tobacco Policy Committee agenda and draft code language for review

Thanks Joy. I think the minutes are pretty self-explanatory. Keep up the good work. By the way, what happened to the Seattle University pipe shops? Do we have a handle on this? Mayor Dave
From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Wednesday, November 17, 2010 9:58 AM To: 'mayordave@cityoflfp.com' Cc: Wood, Maria Subject: FW: BOH Tobacco Policy Committee agenda and draft code language for review Mayor Dave, Maria Wood informed me that you aren't able to attend today's tobacco policy committee meeting. Please let me know if you have any questions or comments. Maria or I are happy to fill you in on the meeting when you are back. Thanks, Joy

______________________________________________ amilton, Joy esday, November 16, 2010 12:57 PM Nicola (bnicola@u.washington.edu); 'Dave Hutchinson'; Drago, Jan; 'Sally Clark' brook, Marsha; 'Jerry DeGreik'; Johnson, Gareth; 'LaTonya Brown'; Neal, Scott; Kolczynski, Angela; Pearson, Anne; Ross-Viles, Sarah; Hamilton, Joy; Soo Hoo, Wendy; Wood, Maria BOH Tobacco Policy Committee agenda and draft code language for review

Dear BOH Tobacco Policy Committee members, The Tobacco Prevention Program has prepared draft code language regarding electronic cigarette (and other unapproved nicotine delivery devices) regulations. If you have a chance, please review the proposed language and come prepared to tomorrow's committee meeting (1:30 pm, Chinook 1312) with any questions or comments. Please note that this is also being reviewed by the Prosecuting Attorney's Office. The proposed changes include: 1) restrict the sale of unapproved nicotine delivery devices and electronic smoking devices to adults 18 years of age or older; 2) prohibit providing free (sampling) or heavily discounted electronic smoking devices or unapproved nicotine delivery products and; 3) prohibit mechanical sales (vending machines) in any place where minors may be present 4) prohibit the use of e-cigarettes and similar smoking devices in places where smoking is prohibited by law. 8_19_2011

Page 3 I've also attached the agenda for tomorrow's meeting.

Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

8_19_2011

Page 1

From: "Hatzenbuehler, Eric" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> Date: 11/30/2010 4:58:59 PM Subject: FW: BOH Tobacco Policy Committee agenda and draft code language for review
Last week's craziness almost made me forget - here's a start to a simple question with no easy answer: Update on Hookah in Seattle Specifically regarding Majles near Seattle University, prevention and enforcement efforts are on-going. We are in the final stages of legal action with Majles presided over by the King County Hearing Examiner. This case was regarding a fine issued prior to the BOH Code 19.03 amendments that went into effect October 16, 2010. Though the Hearing Examiner denied Majles' appeal of being in violation of the no smoking in public places law, he chose to facilitate the development of an operating plan that is, by his definition and not public health's, in compliance with the old law. The amendments that the Board passed clarify definitions of terms that were open to broad interpretation during the most recent ruling and will support public health in proceeding with new inspections under the revised guidelines. Any violations under the new guidelines will result in fines, newly created re-inspection fees, and appropriate legal action. These inspections have already begun. Too much? Additions?

From: Hamilton, Joy Sent: Monday, November 22, 2010 3:06 PM To: Hatzenbuehler, Eric Cc: Neal, Scott; Bennett, John Subject: FW: BOH Tobacco Policy Committee agenda and draft code language for review

Team, I talked to Eric about this and the plan is to write a response in the next day or two (with Scott's sign off before we send). Joy

From: David R. Hutchinson [mailto:mayord@ci.lake-forest-park.wa.us] Sent: Monday, November 22, 2010 2:51 PM To: Hamilton, Joy Subject: RE: BOH Tobacco Policy Committee agenda and draft code language for review

Thanks Joy. I think the minutes are pretty self-explanatory. Keep up the good work. By the way, what happened to the Seattle University pipe shops? Do we have a handle on this? Mayor Dave
From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Wednesday, November 17, 2010 9:58 AM To: 'mayordave@cityoflfp.com' Cc: Wood, Maria Subject: FW: BOH Tobacco Policy Committee agenda and draft code language for review Mayor Dave, Maria Wood informed me that you aren't able to attend today's tobacco policy committee meeting. Please let me know if you have any questions or comments. Maria or I are happy to fill you in on the meeting when you are back. Thanks, 8_19_2011

Page 2 Joy

______________________________________________ amilton, Joy esday, November 16, 2010 12:57 PM Nicola (bnicola@u.washington.edu); 'Dave Hutchinson'; Drago, Jan; 'Sally Clark' brook, Marsha; 'Jerry DeGreik'; Johnson, Gareth; 'LaTonya Brown'; Neal, Scott; Kolczynski, Angela; Pearson, Anne; Ross-Viles, Sarah; Hamilton, Joy; Soo Hoo, Wendy; Wood, Maria BOH Tobacco Policy Committee agenda and draft code language for review

Dear BOH Tobacco Policy Committee members, The Tobacco Prevention Program has prepared draft code language regarding electronic cigarette (and other unapproved nicotine delivery devices) regulations. If you have a chance, please review the proposed language and come prepared to tomorrow's committee meeting (1:30 pm, Chinook 1312) with any questions or comments. Please note that this is also being reviewed by the Prosecuting Attorney's Office. The proposed changes include: 1) restrict the sale of unapproved nicotine delivery devices and electronic smoking devices to adults 18 years of age or older; 2) prohibit providing free (sampling) or heavily discounted electronic smoking devices or unapproved nicotine delivery products and; 3) prohibit mechanical sales (vending machines) in any place where minors may be present 4) prohibit the use of e-cigarettes and similar smoking devices in places where smoking is prohibited by law. I've also attached the agenda for tomorrow's meeting.

Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

8_19_2011

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From: To: Date: Subject: Hey Joy,

"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/30/2010 1:59:00 PM Final version of proposed BOH regulation?

I'm catching up on emails and I'm not sure I have a final version of the proposed E-cig regulation. I think the latest one I have was marked up by bruce on 11/22. Can you send me the final one? Thanks Scott

8_19_2011

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From: To: Date: Subject:


Hey Dan,

"Bennett, John" thecuffcomplex@aol.com 11/30/2010 4:55:06 PM RE: question elec.vapor cigarettes

Thanks for contacting the Tobacco Prevention Program with your questions concerning the use of electronic cigarettes in public places. The Tobacco Prevention Program strongly recommends that you not permit the use of these products on your property for the following reasons: #1. Permitting their use complicates enforcement of the state and county smoking bans. The Tobacco Prevention Program has learned from the experiences of business owners who had a person attempt to use an electronic cigarette in their establishment that permitting their use even for a short time tends to upset other customers who are often very vocal about demanding that the electronic cigarettes be put away. In addition, on some occasions customers actually began using traditional cigarettes under the mistaken assumption that it may be legal to do so or that the owner/management of the establishment was not enforcing the law. Many owners have made the decision not to allow electronic cigarettes simply to keep their customers from being upset and to reduce confusion about the law. #2. It is not legal to market, distribute, or receive E-Cigarettes in the United States. The Food and Drug Administration has determined that electronic cigarettes are unapproved drug delivery devices. They have also begun confiscating shipments of electronic cigarettes into the country. More information about the action the FDA has taken can be found online here: http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm225224.htm. I hope this information has been helpful. If you have any further questions or concerns, please feel free to contact John Bennett by email at john.bennett@kingcounty.gov or by phone at 206-263-8156. John Bennett Public Health- Seattle & King County 401 5th Ave, Suite 900 Seattle, WA 98104 (p) 206.263.8156 (f) 206.296.0177 Office Hours: Monday-Thursday 7:00am 5:30pm

From: Leon-Guerrero, Michael Sent: Monday, November 29, 2010 3:58 PM To: 'thecuffcomplex@aol.com' Cc: Bennett, John Subject: RE: question elec.vapor cigarettes Dan the signs have been sent out. John (CC'd here) will be sending you a response regarding the electronic cigarettes. Let us know if you have any further questions! Mike

From: thecuffcomplex@aol.com [mailto:thecuffcomplex@aol.com] Sent: Wednesday, November 24, 2010 10:23 PM To: Leon-Guerrero, Michael Subject: Re: question elec.vapor cigarettes 8_19_2011

Page 2 Hey Mike, Thanks for getting back to me , and passing the question along. Oh yes please send me some No smoking signs we have a large area so if you could send 6 that would be great. The Cuff Attn.Dan 1122 E. Pike St. # 1123 Seattle 98122 Thanks Have a great Holiday Dan Daniels GM The Cuff 206-323-1525 Dan@cuffcomplex.com

-----Original Message----From: Leon-Guerrero, Michael <Michael.Leon-Guerrero@kingcounty.gov> To: 'thecuffcomplex@aol.com' <thecuffcomplex@aol.com> Sent: Wed, Nov 24, 2010 4:02 pm Subject: RE: question elec.vapor cigarettes Dan I have sent your request on, but do not have a formal answer. I do know that many business owners have simply said they are not allowed to avoid any confusion and alarm, because they DO look so much like a regular cigarette. I will get back to you early next week. Additionally, we can send out the state no smoking signs. How many do you need? Should I send them to the Cuff or do you have another address I should send them to? Thanks! Mike

From: thecuffcomplex@aol.com [mailto:thecuffcomplex@aol.com] Sent: Monday, November 22, 2010 2:28 PM To: Leon-Guerrero, Michael Subject: question elec.vapor cigarettes

Hello Michael, I have a question on the use of Electronic Vapor Cigarettes. Is there any regulations on these and there use in no smoking areas ? any info would be help full . Also where can I get state endorsed no smoking sign age. Have a great Thanksgiving ! Thanks Dan Daniels GM The Cuff 206-323-1525 Dan@cuffcomplex.com

8_19_2011

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From: "Bennett, John" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> Date: 11/30/2010 4:33:23 PM Subject: RE: question elec.vapor cigarettes
Hey all! Here is some information regarding the legality of electronic cigarettes in the US, followed by my draft response to the owner or the Cuff. Have a look and let me know what you think.

Statement from the FDA:


"The products we reviewed so far we found to be illegal. There is pending litigation on the issue of FDA fs jurisdiction over e-cigarettes." attorney Michael Levy, director of the FDA office of compliance in the division of drug fs evaluation and research, says, as quoted by the aforementioned publication. "We felt it important that while there is litigation and we are considering options, there is no reason to be confused about FDA position on this fs issue." Joshua Sharfstein, MD, FDA principal deputy commissioner, adds.

Rationale:
The FDA has established that electronic cigarettes are considered "new drugs". New drugs must receive extensive scrutiny before FDA approval in a process called a New Drug Application or NDA. New drugs are available only by prescription by default. A change to Over the Counter (OTC) status is a separate process and the drug must be approved through an NDA first. A drug that is approved is said to be "safe and effective when used as directed." "New drugs" require approval of an application filed in accordance with section 505 of the Act (21 U.S.C. 355) to be legally marketed in the United States. None of the electronic cigarette or cigar products is so approved; therefore, marketing these products in the United States violates section 505 of the Act. The FDA has the power to take legal action against manufacturers of these products, including, without limitation, seizure and injunction.

Supporting Code:
SEC. 301. [21 USC Prohibited acts 331] The following acts and the causing thereof are hereby prohibited: @1 (a) The introduction or delivery for introduction into interstate commerce of any food, drug, device, or cosmetic that is adulterated or misbranded. (b) The adulteration or misbranding of any food, drug, device, or cosmetic in interstate commerce. (c) The receipt in interstate commerce of any food, drug, device, or cosmetic that is adulterated or misbranded, and the delivery or proffered delivery thereof for pay or otherwise. (d) The introduction or delivery for introduction into interstate commerce of any article in violation of section 404, 505 or 564. SEC. 505. [21 USC New Drugs 355] (a) Necessity of effective approval of application. No person shall introduce or deliver for introduction into @ interstate commerce any new drug, unless an approval of an application filed pursuant to subsection (b) or (j) is effective with respect to such drug. @

Related Court Ruling (Civ. No. 09-cv-0771 (RJL) :


"The intervener also incorrectly asserts that a product is not a "drug" within the meaning of the FDCA unless the manufacturer makes "medical or therapeutic claims . . . on the product labeling or promotional materials." Int. Supp. Br. fs 8_19_2011

Page 2 at 2. Such a restrictive definition is contrary to the language of the statute, FDA regulations, FDA administrative practice, and case law. The FDCA defines "drug" to include, among other things, "articles (other than food) intended to affect the structure or any function of the body," as well as "articles intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease." 21 U.S.C. 321(g)(1)(B) & (C). Thus, whether an article is a drug depends on its "intended use." The "intended use" of a product refers, in turn, "to the objective intent of the persons legally responsible for the labeling of drugs," which "is determined by such persons f expressions or may be shown by the circumstances surrounding the distribution of the article. This objective intent may, for example, be shown by labeling claims, advertising matter, or oral or written statements by such persons or their representatives. . . ." 21 C.F.R. 201.128. The case law further supports a far broader definition of "drug" than the intervener espouses. See, e.g., Action on Smoking and Health v. Harris, 655 F.2d 236, 239 (D.C. Cir. 1980) ("[I]t is well established that the eintended use a f of product, within the meaning of the Act, is determined from its label, accompanying labeling, promotional claims, advertising, and any other relevant source.") (internal citations and quotation marks omitted); United States v. Travia, 180 F. Supp. 2d 115, 119 (D.D.C. 2001) (Despite the absence of labeling, "the surrounding circumstances of the sales" demonstrated that the intended use of the nitrous oxide product was to affect the structure or any function of the body of man). See also U.S. Mem. at 4-5, 16-21. "

>>>>>>>>>>>>>>>>>>>>>>_______DRAFT RESPONSE_________<<<<<<<<<<<<<<<<<<<<<<<
Hey Dan, Thanks for contacting the Tobacco Prevention Program with your questions concerning the use of electronic cigarettes in public places. The Tobacco Prevention Program strongly recommends that you not permit the use of these products on your property for the following reasons: #1. It is not legal to market, distribute, or receive E-Cigarettes in the United States. The Food and Drug Administration has determined that electronic cigarettes are unapproved drug delivery devices. They have also begun confiscating shipments of electronic cigarettes into the country. More information about the action the FDA has taken can be found online here: http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm225224.htm. #2. Permitting their use complicates enforcement of the state and county smoking bans. The Tobacco Prevention Program has learned from the experiences of business owners who had a person attempt to use an electronic cigarette in their establishment that permitting their use even for a short time tends to upset other customers who are often very vocal about demanding that the electronic cigarettes be put away. In addition, on some occasions customers actually began using traditional cigarettes under the mistaken assumption that it may be legal to do so or that the owner/management of the establishment was not enforcing the law. Many owners have made the decision not to allow electronic cigarettes simply to keep their customers from being upset and to reduce confusion about the law. I hope this information has been helpful. If you have any further questions or concerns, please feel free to contact John Bennett by email at john.bennett@kingcounty.gov or by phone at 206-263-8156. John Bennett Public Health- Seattle & King County 401 5th Ave, Suite 900 Seattle, WA 98104 (p) 206.263.8156 (f) 206.296.0177 Office Hours: Monday-Thursday 7:00am 5:30pm

From: thecuffcomplex@aol.com [mailto:thecuffcomplex@aol.com] Sent: Monday, November 22, 2010 2:28 PM To: Leon-Guerrero, Michael Subject: question elec.vapor cigarettes

Hello Michael, 8_19_2011

Page 3 I have a question on the use of Electronic Vapor Cigarettes. Is there any regulations on these and there use in no smoking areas ? any info would be help full . Also where can I get state endorsed no smoking sign age. Have a great Thanksgiving ! Thanks Dan Daniels GM The Cuff 206-323-1525 Dan@cuffcomplex.com

8_19_2011

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From: To: Date: Subject:

"Hamilton, Joy" "David R. Hutchinson" <mayord@ci.lake-forest-park.wa.us> 12/1/2010 12:04:01 PM RE: BOH Tobacco Policy Committee agenda and draft code language for review

Mayor Dave, Good morning. I asked the enforcement team to give you an update on the hookah bars:
Update on Hookah in Seattle On October, 15th 2010 the Tobacco Prevention Program sent an educational letter to all establishments in King County (including all hookah lounges) that had received any enforcement action in the past alerting them of the changes to the law. That weekend staff began conducting inspections and issuing Notice of Violation letters under the new code. Because this is a new regulation any place found in violation must go through the standard violation process which includes the issuance of a Notice and Order along with a right to appeal that notice. We are currently working with the Prosecuting Attorney's Office to work out the minor changes needed to our Notice and Orders under the new regulation and will proceed with enforcement action on any violators as appropriate. The amendments that the Board passed clarify definitions of terms that were open to broad interpretation and will support public health in proceeding with new inspections under the revised guidelines. Any violations under the new guidelines will result in fines, newly created re-inspection fees, and appropriate legal action. However, it is highly likely that each hookah establishment will require a somewhat lengthy legal process before compliance is achieved.

Please let me know if you have any further questions. Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

From: David R. Hutchinson [mailto:mayord@ci.lake-forest-park.wa.us] Sent: Monday, November 22, 2010 2:51 PM To: Hamilton, Joy Subject: RE: BOH Tobacco Policy Committee agenda and draft code language for review

Thanks Joy. I think the minutes are pretty self-explanatory. Keep up the good work. By the way, what happened to the Seattle University pipe shops? Do we have a handle on this? Mayor Dave
From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Wednesday, November 17, 2010 9:58 AM To: 'mayordave@cityoflfp.com' Cc: Wood, Maria Subject: FW: BOH Tobacco Policy Committee agenda and draft code language for review Mayor Dave, Maria Wood informed me that you aren't able to attend today's tobacco policy committee meeting. Please let me know if you have any questions or comments. Maria or I are happy to fill you in on the meeting when you are back. 8_19_2011

Page 2 Thanks, Joy

______________________________________________ amilton, Joy esday, November 16, 2010 12:57 PM Nicola (bnicola@u.washington.edu); 'Dave Hutchinson'; Drago, Jan; 'Sally Clark' brook, Marsha; 'Jerry DeGreik'; Johnson, Gareth; 'LaTonya Brown'; Neal, Scott; Kolczynski, Angela; Pearson, Anne; Ross-Viles, Sarah; Hamilton, Joy; Soo Hoo, Wendy; Wood, Maria BOH Tobacco Policy Committee agenda and draft code language for review

Dear BOH Tobacco Policy Committee members, The Tobacco Prevention Program has prepared draft code language regarding electronic cigarette (and other unapproved nicotine delivery devices) regulations. If you have a chance, please review the proposed language and come prepared to tomorrow's committee meeting (1:30 pm, Chinook 1312) with any questions or comments. Please note that this is also being reviewed by the Prosecuting Attorney's Office. The proposed changes include: 1) restrict the sale of unapproved nicotine delivery devices and electronic smoking devices to adults 18 years of age or older; 2) prohibit providing free (sampling) or heavily discounted electronic smoking devices or unapproved nicotine delivery products and; 3) prohibit mechanical sales (vending machines) in any place where minors may be present 4) prohibit the use of e-cigarettes and similar smoking devices in places where smoking is prohibited by law. I've also attached the agenda for tomorrow's meeting.

Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

8_19_2011

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From: "Muhm, Jennifer" To: "Albetta, Gloria" <Gloria.Albetta@kingcounty.gov> "Apa, James" <James.Apa@kingcounty.gov> "Burgess, Moffett" <Moffett.Burgess@kingcounty.gov> "Carson, Kathy" <Kathy.Carson@kingcounty.gov> "Chaffee, Frank" <Frank.Chaffee@kingcounty.gov> "Ciske, Sandra" <Sandra.Ciske@kingcounty.gov> "Cordero, Julia" <Julia.Cordero@kingcounty.gov> "Cummins, Elaine" <Elaine.Cummins@kingcounty.gov> "Fleming, David" <David.Fleming@kingcounty.gov> "Gomez, Tony" <Tony.Gomez@kingcounty.gov> "Huus, Kathie" <Kathie.Huus@kingcounty.gov> "Johnson, Kirste" <Kirste.Johnson@kingcounty.gov> "Karasz, Hilary" <Hilary.Karasz@kingcounty.gov> "Kellogg, Ryan" <Ryan.Kellogg@kingcounty.gov> "Maurer, Carol" <Carol.Maurer@kingcounty.gov> "Muhm, Jennifer" <Jennifer.Muhm@kingcounty.gov> "Oberg, Donna" <Donna.Oberg@kingcounty.gov> "Podell, Lisa" <Lisa.Podell@kingcounty.gov> "Quinn, Rachel" <Rachel.Quinn@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> "Russillo, Chrissy" <Chrissy.Russillo@kingcounty.gov> "Sadow-Hasenberg, Nicole" <Nicole.Sadow-Hasenberg@kingcounty.gov> "Sanchez, Kristie" <Kristie.Sanchez@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Teeter, Dorothy" <Dorothy.Teeter@kingcounty.gov> "Valenzuela, Matias" <Matias.Valenzuela@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Worsham, Dennis" <Dennis.Worsham@kingcounty.gov> Date: 12/1/2010 4:00:35 PM Subject: December 1st: Legislative Related News Clips
NOTE: Suzan DelBene, who recently ran against Congressman Reichert in the 8th congressional district, has been appointed as the new head of the State Department of Revenue. Also one or two articles on legislators' delayed response to Governor's supplemental budget proposals.

The Daily E-Clips


An electronic roundup of legislative news from Washington and the nation by the House and Senate Democratic Caucus Media Departments
(Time-sensitive material. Links may expire after the day of publication)

Wednesday, December 1, 2010

PRINT
Bellingham Herald Buys, Linville recount results likely Thursday or Friday for 42nd Legislative District
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Column: Governor should call an immediate special session

Columbian Unions pressed to give up more 9 Washington high schools improve graduation rates WA state hospitals post surgery infection data

Everett Herald Ex-drug czar sticks to his guns on pot Republican Hope to run for county executive State hospitals post surgery infection data Gregoire appoints Suzan DelBene to cabinet Jeannette Hayner, former state Senate majority leader, dies Davis column: Governors influence must come into play Op-ed: Make access to live-saving medicines a right Editorial: How far should FBI plot?

Kitsap Sun $1M in hearing aids for Washington Deaf School 9 Washington high schools improve graduation rates

Longview Daily News LCC to shut down campus for 10 days to save money Editorial: No child Left Behind reform isn't perfect, but it's been effective

News Tribune Web page provides state hospitals' infection rates Davis column: Governor needs to use her power to solve budget crisis (Brown) Blog: Governor doesn't like use of Seattle, Mount Rainier in Camel marketing campaign

Olympian DelBene named to head Department of Revenue


8_19_2011

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Oregonian The Northwest's newest export: global warming

Othello Outlook Op-ed by Rep. Liias: Time to stop school bullying

Puget Sound Business Journal Washington hospital surgical infection rates charted Seattle may be hip but are Camel cigarettes?

Robinson Newspapers The Deep Bore Tunnel Controversy

Seattle Times Debate over bail lingers after Clemmons case (Kline) Having surgery? Website shows hospital infection rates Gov. Gregoire appoints Suzan DelBene to cabinet Varner column: Subprime opportunities at career colleges Editorial: Health insurer surplus should be limited Blogs: Big splits on liquor privatization Governor wants to beef up tax audits to bring in more money Gregoire considering budget gimmick to "save" $240 million

Seattle Weekly Blog: Camel Launches Seattle-Themed Cigarette Pack, Gov. Gregoire Not Amused

Sequim Gazette Van De Wege picked as majority whip (Santos)

Skagit Valley Herald Newswatch: Gregoire appoints DelBene to cabinet

Tri-City Herald Gov. Gregoire appoints Suzan DelBene to cabinet


8_19_2011

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Database tracks hospitals' surgical infection rates $1M in hearing aids for Washington Deaf School Lesbian nurse expects Air Force reinstatement 2 million face loss of jobless benefits today

Yakima Herald Republic Editorial: Now's not the time to eliminate federal hatchery funding

BROADCAST
KING 5 TV (NBC) Gregoire fuming over cigarette ads featuring Seattle landmarks Governor appoints Del Bene as new revenue director

KIRO FM Gregoire appoints DelBene to cabinet Washington St. to announce big gift $1M in hearing aids for Washington Deaf School

NW Public Radio Scientists Expect Water Shortages, Extreme Weather in the NW

Q13 TV (Fox) Time Runs Out For 2 Million Americans Who Will Lose Jobless Benefits As Holidays Arrive Gay Students Want New Dorms At UW

WEB
The Capitol Record Remembering former state Sen. Jeannette Hayner

Crosscut Liquor privatization: Voters delivered a clear message


8_19_2011

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Evergreen Freedom Foundation Open Letter to Governor Gregoire

The HDC Advance This for that - Carlyle's pitch for PAYGO

Publicola Transportation Choices Holiday Party (Clibborn) Environmentalists Outline Legislative Agenda for 2011 Session DelBene to Head State Revenue Department

Seattle Post Globe Gregoire needs to force legislature's hand on balancing the budget US companies get low grades on work-family flexibility; should be "basic benefits" Primer: What is a wrongful foreclosure? Should landlords be allowed to discriminate against non-violent felons? With federal benefits set to expire, unemployed workers face shrinking safety net US companies get low grades on work-family flexibility; should be "basic benefits"

WashACE Time passes as legislators delay responses to Gregoire's appeal for budget ideas

8_19_2011

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From: "Neal, Scott" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 12/1/2010 4:51:00 PM Subject: RE: E-cig staff report Thanks Anne, I am adding my comments and inserting additions (some of which address your comments). I have meetings for the next three hours so I won't have this finished until tomorrow. But just so you know, I'm on it and will send this back to you all and maybe Joy or Sarah can take the next stab after my input? Scott >_____________________________________________ >From: Pearson, Anne >Sent: Wednesday, December 01, 2010 10:54 AM >To: Hamilton, Joy; Neal, Scott; Ross-Viles, Sarah >Subject: RE: E-cig staff report > >Wow. Great job! > >I've made a number of suggestions in the attached. > >Some general comments: > >- I think we need to provide more information about nicotine delivery devices other than e-cigs to justify our regulation of them; >- I think we should also try to provide more information about the enforcement concerns. Can we find out from John how many complaints/inquiries re: e-cigs we have received, and provide a little more detail about why permitting e-cig use in public is a problem? >- Lastly, I think we should support the staff report with as many documents as possible. There are a few additional FDA documents that would be useful to attach. There are also some recent articles that look at e-cigs that are worth reviewing to see if they provide support. http://www.ncbi.nlm.nih.gov/pubmed/20980012; http://www.ncbi.nlm.nih.gov/pubmed/20644205. If so, they could be attached. Always important to make sure we describe what the source says with 100% accuracy. > >After you look through, let me know if you want to discuss. > >A > > << File: December Rule and Regulation Staff Report_ap.doc >> > > >_____________________________________________ >From: Hamilton, Joy >Sent: Wednesday, December 01, 2010 8:19 AM >To: Neal, Scott; Ross-Viles, Sarah; Pearson, Anne >Subject: E-cig staff report >
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>Scott/Sarah/Anne, > >Here's what I've put together for the BOH staff report on e-cigs. The final draft is due Friday COB to Maria. > >I do my best to keep these reports succinct and approachable but I'm concerned that it still may be missing a strong argument about why we need to regulate these products. Anne -- I know that you have a good sense of what specific evidence the PAO needs (and will know more after today's meeting with Jane!) so feedback from you will be especially helpful. > >Please send comments in track changes ASAP. > > > << File: December Rule and Regulation Staff Report.doc >> > >Thanks!!! >Joy

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From: "Ross-Viles, Sarah" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 12/1/2010 5:43:50 PM Subject: RE: E-cig staff report I wait with baited breath. I have a meetings until 4:30 tomorrow, so my comments will be at COB. Is that enough time? Alternatively: Scott - if you finish by COB today, I can take a stab tonight. Or, I can jump you in line . . . Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

>_____________________________________________ >From: Neal, Scott >Sent: Wednesday, December 01, 2010 12:50 PM >To: Pearson, Anne; Hamilton, Joy; Ross-Viles, Sarah >Subject: RE: E-cig staff report > >Thanks Anne, > >I am adding my comments and inserting additions (some of which address your comments). I have meetings for the next three hours so I won't have this finished until tomorrow. But just so you know, I'm on it and will send this back to you all and maybe Joy or Sarah can take the next stab after my input? > >Scott > >_____________________________________________ >From: Pearson, Anne >Sent: Wednesday, December 01, 2010 10:54 AM >To: Hamilton, Joy; Neal, Scott; Ross-Viles, Sarah >Subject: RE: E-cig staff report > >Wow. Great job! > >I've made a number of suggestions in the attached. > >Some general comments: > >- I think we need to provide more information about nicotine delivery devices other than e-cigs to justify our regulation of them; >- I think we should also try to provide more information about the enforcement concerns. Can we find out from John how many complaints/inquiries re: e-cigs we have received, and provide a little more detail about why permitting e-cig use in public is a problem? >- Lastly, I think we should support the staff report with as many documents as possible. There are a few additional FDA documents that would be useful to attach. There are also some recent articles that look at e-cigs that are worth
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reviewing to see if they provide support. http://www.ncbi.nlm.nih.gov/pubmed/20980012; http://www.ncbi.nlm.nih.gov/pubmed/20644205. If so, they could be attached. Always important to make sure we describe what the source says with 100% accuracy. > >After you look through, let me know if you want to discuss. > >A > > << File: December Rule and Regulation Staff Report_ap.doc >> > > >_____________________________________________ >From: Hamilton, Joy >Sent: Wednesday, December 01, 2010 8:19 AM >To: Neal, Scott; Ross-Viles, Sarah; Pearson, Anne >Subject: E-cig staff report > >Scott/Sarah/Anne, > >Here's what I've put together for the BOH staff report on e-cigs. The final draft is due Friday COB to Maria. > >I do my best to keep these reports succinct and approachable but I'm concerned that it still may be missing a strong argument about why we need to regulate these products. Anne -- I know that you have a good sense of what specific evidence the PAO needs (and will know more after today's meeting with Jane!) so feedback from you will be especially helpful. > >Please send comments in track changes ASAP. > > > << File: December Rule and Regulation Staff Report.doc >> > >Thanks!!! >Joy

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From: "Hamilton, Joy" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 12/1/2010 12:18:55 PM Subject: E-cig staff report Attachments: December Rule and Regulation Staff Report.doc Scott/Sarah/Anne, Here's what I've put together for the BOH staff report on e-cigs. The final draft is due Friday COB to Maria. I do my best to keep these reports succinct and approachable but I'm concerned that it still may be missing a strong argument about why we need to regulate these products. Anne -- I know that you have a good sense of what specific evidence the PAO needs (and will know more after today's meeting with Jane!) so feedback from you will be especially helpful. Please send comments in track changes ASAP.

Thanks!!! Joy

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From: "Pearson, Anne" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 12/1/2010 2:53:31 PM Subject: RE: E-cig staff report Attachments: December Rule and Regulation Staff Report_ap.doc Wow. Great job! I've made a number of suggestions in the attached. Some general comments: - I think we need to provide more information about nicotine delivery devices other than e-cigs to justify our regulation of them; - I think we should also try to provide more information about the enforcement concerns. Can we find out from John how many complaints/inquiries re: e-cigs we have received, and provide a little more detail about why permitting ecig use in public is a problem? - Lastly, I think we should support the staff report with as many documents as possible. There are a few additional FDA documents that would be useful to attach. There are also some recent articles that look at e-cigs that are worth reviewing to see if they provide support. http://www.ncbi.nlm.nih.gov/pubmed/20980012; http://www.ncbi.nlm.nih.gov/pubmed/20644205. If so, they could be attached. Always important to make sure we describe what the source says with 100% accuracy. After you look through, let me know if you want to discuss. A

> _____________________________________________ > From: Hamilton, Joy > Sent: Wednesday, December 01, 2010 8:19 AM > To: Neal, Scott; Ross-Viles, Sarah; Pearson, Anne > Subject: E-cig staff report > > Scott/Sarah/Anne, > > Here's what I've put together for the BOH staff report on e-cigs. The final draft is due Friday COB to Maria. > > I do my best to keep these reports succinct and approachable but I'm concerned that it still may be missing a strong argument about why we need to regulate these products. Anne -- I know that you have a good sense of what specific evidence the PAO needs (and will know more after today's meeting with Jane!) so feedback from you will be especially helpful. > > Please send comments in track changes ASAP. > > > << File: December Rule and Regulation Staff Report.doc >>
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> > Thanks!!! > Joy

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From: "Neal, Scott" To: "Bennett, John" <John.Bennett@kingcounty.gov> "Brawley, Karen" <Karen.Brawley@kingcounty.gov> "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Holt, Lauren" <Lauren.Holt@kingcounty.gov> "Leon-Guerrero, Michael" <Michael.Leon-Guerrero@kingcounty.gov> "Moreno, Emma" <Emma.Moreno@kingcounty.gov> "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> "Ronneberg, Brett" <Brett.Ronneberg@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Ryan, Molly" <Molly.Ryan@kingcounty.gov> "Sherard, Mark" <Mark.Sherard@kingcounty.gov> "Zemann, Paul" <Paul.Zemann@kingcounty.gov> Date: 12/1/2010 2:29:00 PM Subject: Just more interesting clips regarding e-cigs Thought you might like to see some interesting clips from major network tv shows discussing e-cigs. Doctors show on ABC discuss benefits of E-cigs (not sure when it aired, but was posted on youtube in Feb. 2010) http://www.youtube.com/watch?v=FaZ6abK2RrQ Dude talks about clip of Rachel Ray's show that discusses banning e-cigs (posted to youtube March 2010) http://www.youtube.com/watch?v=flXtE8hb6cs

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From: To: Date: Subject: Exactlytotal endorsement!

"Neal, Scott" "Holt, Lauren" <Lauren.Holt@kingcounty.gov> 12/1/2010 7:19:00 PM RE: Just more interesting clips regarding e-cigs

>_____________________________________________ >From: Holt, Lauren >Sent: Wednesday, December 01, 2010 2:23 PM >To: Leon-Guerrero, Michael; Pajimula, Fel; Neal, Scott; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Moreno, Emma; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul >Cc: Pearson, Anne >Subject: RE: Just more interesting clips regarding e-cigs > >As long as were sharing > >My favorite line is just to be clear, we are in no way endorsing the e-cig right after they talk about people in their group quitting smoking after using it. Sounds like an endorsement to me :-) > > > >_____________________________________________ >From: Leon-Guerrero, Michael >Sent: Wednesday, December 01, 2010 2:05 PM >To: Pajimula, Fel; Neal, Scott; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Moreno, Emma; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul >Cc: Pearson, Anne >Subject: RE: Just more interesting clips regarding e-cigs > >Sorry if I'm out of the loop on this, but what about the e-cigarettes that have no nicotine, such as the first link below? > >My partner's mom is staying with us currently and she's using an e-cigarette (black with a green glow-tip) has no nicotine - would they specifically be included in a potential ban? The one she is using does have an electronic component, does emit vapor, and must have other chemicals. > >I know we don't condone the e-cigarette for reasons which I am very well aware of, but my partners mother hasn't smoked a conventional cigarette in three months and only uses the e-cigarette 2-3 times a day. She has emphysema, previously smoked a pack a day and has tried Chantix, Welbutrin and the patch coupled with counseling without success. > >My favorite line from the video: >"My shrimp and grits will make you slap yo grandma!" > >_____________________________________________ >From: Pajimula, Fel >Sent: Wednesday, December 01, 2010 12:58 PM >To: Neal, Scott; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy;
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Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul >Cc: Pearson, Anne >Subject: RE: Just more interesting clips regarding e-cigs > >After viewing the 1st link Scott provided, I found these as well: > >A 3 part news story compiled on youtube on the E-Cig. >the news station recruited 8 smokers to test it and followed their progress over 3 weeks: > >http://www.youtube.com/watch?v=X6-AovJrdf0 > > >and this FOX News story that seems to be cheering on the e-cig: >http://www.youtube.com/watch?v=kDZ6tQC05A4 > > >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, December 01, 2010 10:28 AM >To: Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Pajimula, Fel; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul >Cc: Pearson, Anne >Subject: Just more interesting clips regarding e-cigs > >Thought you might like to see some interesting clips from major network tv shows discussing e-cigs. > >Doctors show on ABC discuss benefits of E-cigs (not sure when it aired, but was posted on youtube in Feb. 2010) >http://www.youtube.com/watch?v=FaZ6abK2RrQ > >Dude talks about clip of Rachel Ray's show that discusses banning e-cigs (posted to youtube March 2010) >http://www.youtube.com/watch?v=flXtE8hb6cs

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From: "Neal, Scott" To: "Leon-Guerrero, Michael" <Michael.Leon-Guerrero@kingcounty.gov> "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> "Brawley, Karen" <Karen.Brawley@kingcounty.gov> "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Holt, Lauren" <Lauren.Holt@kingcounty.gov> "Moreno, Emma" <Emma.Moreno@kingcounty.gov> "Ronneberg, Brett" <Brett.Ronneberg@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Ryan, Molly" <Molly.Ryan@kingcounty.gov> "Sherard, Mark" <Mark.Sherard@kingcounty.gov> "Zemann, Paul" <Paul.Zemann@kingcounty.gov> Date: 12/1/2010 7:18:00 PM Subject: RE: Just more interesting clips regarding e-cigs What is likely being proposed at the BOH is not a ban, but a restriction that these products be sold to 18+. In addition, the use of these products would also be prohibited (nicotine or non-nicotine) in all places that smoking is prohibited. Long story short, she could still use them. :) >_____________________________________________ >From: Leon-Guerrero, Michael >Sent: Wednesday, December 01, 2010 2:05 PM >To: Pajimula, Fel; Neal, Scott; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Moreno, Emma; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul >Cc: Pearson, Anne >Subject: RE: Just more interesting clips regarding e-cigs > >Sorry if I'm out of the loop on this, but what about the e-cigarettes that have no nicotine, such as the first link below? > >My partner's mom is staying with us currently and she's using an e-cigarette (black with a green glow-tip) has no nicotine - would they specifically be included in a potential ban? The one she is using does have an electronic component, does emit vapor, and must have other chemicals. > >I know we don't condone the e-cigarette for reasons which I am very well aware of, but my partners mother hasn't smoked a conventional cigarette in three months and only uses the e-cigarette 2-3 times a day. She has emphysema, previously smoked a pack a day and has tried Chantix, Welbutrin and the patch coupled with counseling without success. > >My favorite line from the video: >"My shrimp and grits will make you slap yo grandma!" > >_____________________________________________ >From: Pajimula, Fel >Sent: Wednesday, December 01, 2010 12:58 PM
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>To: Neal, Scott; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul >Cc: Pearson, Anne >Subject: RE: Just more interesting clips regarding e-cigs > >After viewing the 1st link Scott provided, I found these as well: > >A 3 part news story compiled on youtube on the E-Cig. >the news station recruited 8 smokers to test it and followed their progress over 3 weeks: > >http://www.youtube.com/watch?v=X6-AovJrdf0 > > >and this FOX News story that seems to be cheering on the e-cig: >http://www.youtube.com/watch?v=kDZ6tQC05A4 > > >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, December 01, 2010 10:28 AM >To: Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Pajimula, Fel; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul >Cc: Pearson, Anne >Subject: Just more interesting clips regarding e-cigs > >Thought you might like to see some interesting clips from major network tv shows discussing e-cigs. > >Doctors show on ABC discuss benefits of E-cigs (not sure when it aired, but was posted on youtube in Feb. 2010) >http://www.youtube.com/watch?v=FaZ6abK2RrQ > >Dude talks about clip of Rachel Ray's show that discusses banning e-cigs (posted to youtube March 2010) >http://www.youtube.com/watch?v=flXtE8hb6cs

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From: "Holt, Lauren" To: "Leon-Guerrero, Michael" <Michael.Leon-Guerrero@kingcounty.gov> "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> "Brawley, Karen" <Karen.Brawley@kingcounty.gov> "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Moreno, Emma" <Emma.Moreno@kingcounty.gov> "Ronneberg, Brett" <Brett.Ronneberg@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Ryan, Molly" <Molly.Ryan@kingcounty.gov> "Sherard, Mark" <Mark.Sherard@kingcounty.gov> "Zemann, Paul" <Paul.Zemann@kingcounty.gov> Date: 12/1/2010 6:23:15 PM Subject: RE: Just more interesting clips regarding e-cigs As long as were sharing My favorite line is just to be clear, we are in no way endorsing the e-cig right after they talk about people in their group quitting smoking after using it. Sounds like an endorsement to me :-)

_____________________________________________ From: Leon-Guerrero, Michael Sent: Wednesday, December 01, 2010 2:05 PM To: Pajimula, Fel; Neal, Scott; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Moreno, Emma; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul Cc: Pearson, Anne Subject: RE: Just more interesting clips regarding e-cigs Sorry if I'm out of the loop on this, but what about the e-cigarettes that have no nicotine, such as the first link below? My partner's mom is staying with us currently and she's using an e-cigarette (black with a green glow-tip) has no nicotine - would they specifically be included in a potential ban? The one she is using does have an electronic component, does emit vapor, and must have other chemicals. I know we don't condone the e-cigarette for reasons which I am very well aware of, but my partners mother hasn't smoked a conventional cigarette in three months and only uses the e-cigarette 2-3 times a day. She has emphysema, previously smoked a pack a day and has tried Chantix, Welbutrin and the patch coupled with counseling without success. My favorite line from the video: "My shrimp and grits will make you slap yo grandma!" _____________________________________________
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From: Pajimula, Fel Sent: Wednesday, December 01, 2010 12:58 PM To: Neal, Scott; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul Cc: Pearson, Anne Subject: RE: Just more interesting clips regarding e-cigs After viewing the 1st link Scott provided, I found these as well: A 3 part news story compiled on youtube on the E-Cig. the news station recruited 8 smokers to test it and followed their progress over 3 weeks: http://www.youtube.com/watch?v=X6-AovJrdf0

and this FOX News story that seems to be cheering on the e-cig: http://www.youtube.com/watch?v=kDZ6tQC05A4

_____________________________________________ From: Neal, Scott Sent: Wednesday, December 01, 2010 10:28 AM To: Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Pajimula, Fel; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul Cc: Pearson, Anne Subject: Just more interesting clips regarding e-cigs Thought you might like to see some interesting clips from major network tv shows discussing e-cigs. Doctors show on ABC discuss benefits of E-cigs (not sure when it aired, but was posted on youtube in Feb. 2010) http://www.youtube.com/watch?v=FaZ6abK2RrQ Dude talks about clip of Rachel Ray's show that discusses banning e-cigs (posted to youtube March 2010) http://www.youtube.com/watch?v=flXtE8hb6cs

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From: "Bennett, John" To: "Leon-Guerrero, Michael" <Michael.Leon-Guerrero@kingcounty.gov> "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Brawley, Karen" <Karen.Brawley@kingcounty.gov> "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Holt, Lauren" <Lauren.Holt@kingcounty.gov> "Moreno, Emma" <Emma.Moreno@kingcounty.gov> "Ronneberg, Brett" <Brett.Ronneberg@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Ryan, Molly" <Molly.Ryan@kingcounty.gov> "Sherard, Mark" <Mark.Sherard@kingcounty.gov> "Zemann, Paul" <Paul.Zemann@kingcounty.gov> Date: 12/1/2010 6:11:27 PM Subject: RE: Just more interesting clips regarding e-cigs Hey all! I will respond to Mike so that we don't have a dozen people all working on this :-) John >_____________________________________________ >From: Leon-Guerrero, Michael >Sent: Wednesday, December 01, 2010 2:05 PM >To: Pajimula, Fel; Neal, Scott; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Moreno, Emma; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul >Cc: Pearson, Anne >Subject: RE: Just more interesting clips regarding e-cigs > >Sorry if I'm out of the loop on this, but what about the e-cigarettes that have no nicotine, such as the first link below? > >My partner's mom is staying with us currently and she's using an e-cigarette (black with a green glow-tip) has no nicotine - would they specifically be included in a potential ban? The one she is using does have an electronic component, does emit vapor, and must have other chemicals. > >I know we don't condone the e-cigarette for reasons which I am very well aware of, but my partners mother hasn't smoked a conventional cigarette in three months and only uses the e-cigarette 2-3 times a day. She has emphysema, previously smoked a pack a day and has tried Chantix, Welbutrin and the patch coupled with counseling without success. > >My favorite line from the video: >"My shrimp and grits will make you slap yo grandma!" > >_____________________________________________ >From: Pajimula, Fel >Sent: Wednesday, December 01, 2010 12:58 PM
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>To: Neal, Scott; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul >Cc: Pearson, Anne >Subject: RE: Just more interesting clips regarding e-cigs > >After viewing the 1st link Scott provided, I found these as well: > >A 3 part news story compiled on youtube on the E-Cig. >the news station recruited 8 smokers to test it and followed their progress over 3 weeks: > >http://www.youtube.com/watch?v=X6-AovJrdf0 > > >and this FOX News story that seems to be cheering on the e-cig: >http://www.youtube.com/watch?v=kDZ6tQC05A4 > > >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, December 01, 2010 10:28 AM >To: Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Pajimula, Fel; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul >Cc: Pearson, Anne >Subject: Just more interesting clips regarding e-cigs > >Thought you might like to see some interesting clips from major network tv shows discussing e-cigs. > >Doctors show on ABC discuss benefits of E-cigs (not sure when it aired, but was posted on youtube in Feb. 2010) >http://www.youtube.com/watch?v=FaZ6abK2RrQ > >Dude talks about clip of Rachel Ray's show that discusses banning e-cigs (posted to youtube March 2010) >http://www.youtube.com/watch?v=flXtE8hb6cs

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From: "Leon-Guerrero, Michael" To: "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> "Brawley, Karen" <Karen.Brawley@kingcounty.gov> "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Holt, Lauren" <Lauren.Holt@kingcounty.gov> "Moreno, Emma" <Emma.Moreno@kingcounty.gov> "Ronneberg, Brett" <Brett.Ronneberg@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Ryan, Molly" <Molly.Ryan@kingcounty.gov> "Sherard, Mark" <Mark.Sherard@kingcounty.gov> "Zemann, Paul" <Paul.Zemann@kingcounty.gov> Date: 12/1/2010 6:04:49 PM Subject: RE: Just more interesting clips regarding e-cigs Sorry if I'm out of the loop on this, but what about the e-cigarettes that have no nicotine, such as the first link below? My partner's mom is staying with us currently and she's using an e-cigarette (black with a green glow-tip) has no nicotine - would they specifically be included in a potential ban? The one she is using does have an electronic component, does emit vapor, and must have other chemicals. I know we don't condone the e-cigarette for reasons which I am very well aware of, but my partners mother hasn't smoked a conventional cigarette in three months and only uses the e-cigarette 2-3 times a day. She has emphysema, previously smoked a pack a day and has tried Chantix, Welbutrin and the patch coupled with counseling without success. My favorite line from the video: "My shrimp and grits will make you slap yo grandma!" >_____________________________________________ >From: Pajimula, Fel >Sent: Wednesday, December 01, 2010 12:58 PM >To: Neal, Scott; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul >Cc: Pearson, Anne >Subject: RE: Just more interesting clips regarding e-cigs > >After viewing the 1st link Scott provided, I found these as well: > >A 3 part news story compiled on youtube on the E-Cig. >the news station recruited 8 smokers to test it and followed their progress over 3 weeks: > >http://www.youtube.com/watch?v=X6-AovJrdf0 > >
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>and this FOX News story that seems to be cheering on the e-cig: >http://www.youtube.com/watch?v=kDZ6tQC05A4 > > >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, December 01, 2010 10:28 AM >To: Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Pajimula, Fel; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul >Cc: Pearson, Anne >Subject: Just more interesting clips regarding e-cigs > >Thought you might like to see some interesting clips from major network tv shows discussing e-cigs. > >Doctors show on ABC discuss benefits of E-cigs (not sure when it aired, but was posted on youtube in Feb. 2010) >http://www.youtube.com/watch?v=FaZ6abK2RrQ > >Dude talks about clip of Rachel Ray's show that discusses banning e-cigs (posted to youtube March 2010) >http://www.youtube.com/watch?v=flXtE8hb6cs

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From: "Pajimula, Fel" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> "Brawley, Karen" <Karen.Brawley@kingcounty.gov> "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Holt, Lauren" <Lauren.Holt@kingcounty.gov> "Leon-Guerrero, Michael" <Michael.Leon-Guerrero@kingcounty.gov> "Moreno, Emma" <Emma.Moreno@kingcounty.gov> "Ronneberg, Brett" <Brett.Ronneberg@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Ryan, Molly" <Molly.Ryan@kingcounty.gov> "Sherard, Mark" <Mark.Sherard@kingcounty.gov> "Zemann, Paul" <Paul.Zemann@kingcounty.gov> Date: 12/1/2010 4:57:34 PM Subject: RE: Just more interesting clips regarding e-cigs After viewing the 1st link Scott provided, I found these as well: A 3 part news story compiled on youtube on the E-Cig. the news station recruited 8 smokers to test it and followed their progress over 3 weeks: http://www.youtube.com/watch?v=X6-AovJrdf0

and this FOX News story that seems to be cheering on the e-cig: http://www.youtube.com/watch?v=kDZ6tQC05A4

>_____________________________________________ >From: Neal, Scott >Sent: Wednesday, December 01, 2010 10:28 AM >To: Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Pajimula, Fel; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul >Cc: Pearson, Anne >Subject: Just more interesting clips regarding e-cigs > >Thought you might like to see some interesting clips from major network tv shows discussing e-cigs. > >Doctors show on ABC discuss benefits of E-cigs (not sure when it aired, but was posted on youtube in Feb. 2010) >http://www.youtube.com/watch?v=FaZ6abK2RrQ > >Dude talks about clip of Rachel Ray's show that discusses banning e-cigs (posted to youtube March 2010) >http://www.youtube.com/watch?v=flXtE8hb6cs

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From: To: Date: Subject:

"Pajimula, Fel" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/1/2010 4:47:50 PM RE: Just more interesting clips regarding e-cigs

wow, this guy getting interviewed by FOX news sounds like he's celebrating these things: http://www.youtube.com/user/josphill99#p/u/8/kDZ6tQC05A4

>_____________________________________________ >From: Neal, Scott >Sent: Wednesday, December 01, 2010 10:28 AM >To: Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Pajimula, Fel; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul >Cc: Pearson, Anne >Subject: Just more interesting clips regarding e-cigs > >Thought you might like to see some interesting clips from major network tv shows discussing e-cigs. > >Doctors show on ABC discuss benefits of E-cigs (not sure when it aired, but was posted on youtube in Feb. 2010) >http://www.youtube.com/watch?v=FaZ6abK2RrQ > >Dude talks about clip of Rachel Ray's show that discusses banning e-cigs (posted to youtube March 2010) >http://www.youtube.com/watch?v=flXtE8hb6cs

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From: To: Date: Subject:

"Zemann, Paul" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/1/2010 3:18:51 PM RE: Just more interesting clips regarding e-cigs

Very interesting. Wish some one would get in gear and complete some meaningful research on these ! >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, December 01, 2010 10:28 AM >To: Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Pajimula, Fel; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul >Cc: Pearson, Anne >Subject: Just more interesting clips regarding e-cigs > >Thought you might like to see some interesting clips from major network tv shows discussing e-cigs. > >Doctors show on ABC discuss benefits of E-cigs (not sure when it aired, but was posted on youtube in Feb. 2010) >http://www.youtube.com/watch?v=FaZ6abK2RrQ > >Dude talks about clip of Rachel Ray's show that discusses banning e-cigs (posted to youtube March 2010) >http://www.youtube.com/watch?v=flXtE8hb6cs

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From: To: Date: Subject: Gary,

"Pearson, Anne" "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> 12/1/2010 9:46:35 PM Meeting with PAO re: E-cigarette regulation

At your request, I'm summarizing today's meeting with Jane McKenzie concerning the proposed e-cigarette regulation. As I think you would agree, the meeting was very cordial and we had a healthy back and forth about the legal issues presented by the proposal. As to the proposed ban on using e-cigarettes in public places, Jane conceded that since the state law does not affirmatively permit e-cigarette use, the proposed restriction is not likely preempted. We noted our appreciation of Cynthia's recommended edits, and I believe there is agreement that this provision is within the authority of the Board of Health. As to the question of whether the proposed regulation of e-cigarettes is preempted by the state law prohibiting local regulation of the retail sale of tobacco products, Jane agrees that it is not preempted so long as e-cigarettes do not contain tobacco. We agreed that this question hinges entirely on the contents of the products. Where we continue to disagree is on the scope of federal preemption. As you know, the question that has been raised in litigation is whether e-cigarettes are tobacco products or drug delivery devices. Jane said that an appellate decision in the litigation might be handed down shortly, and suggested that the Board might want to wait to act until that decision has been rendered. That said, if the decision -- which will not be binding in WA state -- finds that e-cigarettes are "drug/device combination products with the primary mode of action being that of a drug," which is the current position of the FDA, I believe that localities will not be preempted from regulating them until such time as the FDA issues specific regulations governing them as devices. Notably, Scott and I have spoken with FDA officials in the drug/device division, and while they have not expressly said that they do not believe our proposed regulation is not preempted by federal drug/device laws, they have expressed support for our efforts and never raised any concerns with respect to preemption. If the decision finds that they are modified risk tobacco products, it is Jane's position that localities will be preempted from regulating them even before the manufacturers of those products have applied for and received an order from the FDA finding that they meet that definition. She reads the FDA law to provide that modified risk tobacco products that have not gone through the FDA approval process are prohibited from being sold, but at the same time may not be regulated at the local level. I think that the preemptive scope of the new FDA law with respect to modified risk tobacco products is very much an open question, but that it is not consistent with the spirit of the law to prohibit localities from regulating products that are essentially operating on the black market. At the end of the day, no state or locality that has passed an e-cigarette law has been sued. In all likelihood, this is the case because to claim that the local laws are preempted is tantamount to conceding that e-cigarettes are either tobacco products (in which case they are already subject to minimum age and sampling restrictions), modified risk tobacco products (in which case they may not even be sold in the U.S. prior to FDA approval) or drug/delivery devices (in which case they will require approval from a different branch of the FDA.) Please let me know if you have any questions. -Anne
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From: "Neal, Scott" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/2/2010 1:34:00 PM Subject: RE: BOH Tobacco Policy Committee agenda and draft code language for review
Maria or Joy..should I respond? I don't want Mayor Dave to think that there is resistance to the new law. The reference to lengthy legal process is resistance to the state law. The local law actually should help clarify and make it easier for us to build a case against places that continue to allow smoking. Unfortunately the BOH can't pass regulations to speed up the legal process. :) Scott

From: Hamilton, Joy Sent: Thursday, December 02, 2010 8:23 AM To: Wood, Maria; Neal, Scott Cc: Hatzenbuehler, Eric; Bennett, John Subject: FW: BOH Tobacco Policy Committee agenda and draft code language for review

FYI...

From: David R. Hutchinson [mailto:mayord@ci.lake-forest-park.wa.us] Sent: Thursday, December 02, 2010 8:22 AM To: Hamilton, Joy Subject: RE: BOH Tobacco Policy Committee agenda and draft code language for review

Thanks for the up-date Joy. Sounds like there is some resistance to the new law with your reference to a lengthy legal process. Mayor Dave
From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Wednesday, December 01, 2010 4:24 PM To: 'mayordave@cityoflfp.com' Subject: FW: BOH Tobacco Policy Committee agenda and draft code language for review

Mayor Dave, Good morning. I asked the enforcement team to give you an update on the hookah bars:
Update on Hookah in Seattle On October, 15th 2010 the Tobacco Prevention Program sent an educational letter to all establishments in King County (including all hookah lounges) that had received any enforcement action in the past alerting them of the changes to the law. That weekend staff began conducting inspections and issuing Notice of Violation letters under the new code. Because this is a new regulation any place found in violation must go through the standard violation process which includes the issuance of a Notice and Order along with a right to appeal that notice. We are currently working with the Prosecuting Attorney's Office to work out the minor changes needed to our Notice and Orders under the new regulation and will proceed with enforcement action on any violators as appropriate. The amendments that the Board passed clarify definitions of terms that were open to broad interpretation and will support public health in proceeding with new inspections under the revised guidelines. Any violations under the new guidelines will result in fines, newly created re-inspection fees, and appropriate legal action. However, it is highly likely that each hookah establishment will require a somewhat lengthy legal process before compliance is achieved.

Please let me know if you have any further questions.


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Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

From: David R. Hutchinson [mailto:mayord@ci.lake-forest-park.wa.us] Sent: Monday, November 22, 2010 2:51 PM To: Hamilton, Joy Subject: RE: BOH Tobacco Policy Committee agenda and draft code language for review

Thanks Joy. I think the minutes are pretty self-explanatory. Keep up the good work. By the way, what happened to the Seattle University pipe shops? Do we have a handle on this? Mayor Dave
From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Wednesday, November 17, 2010 9:58 AM To: 'mayordave@cityoflfp.com' Cc: Wood, Maria Subject: FW: BOH Tobacco Policy Committee agenda and draft code language for review Mayor Dave, Maria Wood informed me that you aren't able to attend today's tobacco policy committee meeting. Please let me know if you have any questions or comments. Maria or I are happy to fill you in on the meeting when you are back. Thanks, Joy

______________________________________________ amilton, Joy esday, November 16, 2010 12:57 PM Nicola (bnicola@u.washington.edu); 'Dave Hutchinson'; Drago, Jan; 'Sally Clark' brook, Marsha; 'Jerry DeGreik'; Johnson, Gareth; 'LaTonya Brown'; Neal, Scott; Kolczynski, Angela; Pearson, Anne; Ross-Viles, Sarah; Hamilton, Joy; Soo Hoo, Wendy; Wood, Maria BOH Tobacco Policy Committee agenda and draft code language for review

Dear BOH Tobacco Policy Committee members, The Tobacco Prevention Program has prepared draft code language regarding electronic cigarette (and other unapproved nicotine delivery devices) regulations. If you have a chance, please review the proposed language and come prepared to tomorrow's committee meeting (1:30 pm, Chinook 1312) with any questions or comments. Please note that this is also being reviewed by the Prosecuting Attorney's Office. The proposed changes include: 1) restrict the sale of unapproved nicotine delivery devices and electronic smoking devices to adults 18 years of age or older; 2) prohibit providing free (sampling) or heavily discounted electronic smoking devices or unapproved nicotine delivery products and; 3) prohibit mechanical sales (vending machines) in any place where minors may be present 4) prohibit the use of e-cigarettes and similar smoking devices in places where smoking is prohibited by law. I've also attached the agenda for tomorrow's meeting.

8_19_2011

Page 3 Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

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From: "Hamilton, Joy" To: "Wood, Maria" <Maria.Wood@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 12/2/2010 12:23:04 PM Subject: FW: BOH Tobacco Policy Committee agenda and draft code language for review FYI...

From: David R. Hutchinson [mailto:mayord@ci.lake-forest-park.wa.us] Sent: Thursday, December 02, 2010 8:22 AM To: Hamilton, Joy Subject: RE: BOH Tobacco Policy Committee agenda and draft code language for review

Thanks for the up-date Joy. Sounds like there is some resistance to the new law with your reference to a lengthy legal process. Mayor Dave
From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Wednesday, December 01, 2010 4:24 PM To: 'mayordave@cityoflfp.com' Subject: FW: BOH Tobacco Policy Committee agenda and draft code language for review

Mayor Dave, Good morning. I asked the enforcement team to give you an update on the hookah bars:
Update on Hookah in Seattle On October, 15th 2010 the Tobacco Prevention Program sent an educational letter to all establishments in King County (including all hookah lounges) that had received any enforcement action in the past alerting them of the changes to the law. That weekend staff began conducting inspections and issuing Notice of Violation letters under the new code. Because this is a new regulation any place found in violation must go through the standard violation process which includes the issuance of a Notice and Order along with a right to appeal that notice. We are currently working with the Prosecuting Attorney's Office to work out the minor changes needed to our Notice and Orders under the new regulation and will proceed with enforcement action on any violators as appropriate. The amendments that the Board passed clarify definitions of terms that were open to broad interpretation and will support public health in proceeding with new inspections under the revised guidelines. Any violations under the new guidelines will result in fines, newly created re-inspection fees, and appropriate legal action. However, it is highly likely that each hookah establishment will require a somewhat lengthy legal process before compliance is achieved.

Please let me know if you have any further questions. Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

From: David R. Hutchinson [mailto:mayord@ci.lake-forest-park.wa.us] 8_19_2011

Page 2 Sent: Monday, November 22, 2010 2:51 PM To: Hamilton, Joy Subject: RE: BOH Tobacco Policy Committee agenda and draft code language for review

Thanks Joy. I think the minutes are pretty self-explanatory. Keep up the good work. By the way, what happened to the Seattle University pipe shops? Do we have a handle on this? Mayor Dave
From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Wednesday, November 17, 2010 9:58 AM To: 'mayordave@cityoflfp.com' Cc: Wood, Maria Subject: FW: BOH Tobacco Policy Committee agenda and draft code language for review Mayor Dave, Maria Wood informed me that you aren't able to attend today's tobacco policy committee meeting. Please let me know if you have any questions or comments. Maria or I are happy to fill you in on the meeting when you are back. Thanks, Joy

______________________________________________ amilton, Joy esday, November 16, 2010 12:57 PM Nicola (bnicola@u.washington.edu); 'Dave Hutchinson'; Drago, Jan; 'Sally Clark' brook, Marsha; 'Jerry DeGreik'; Johnson, Gareth; 'LaTonya Brown'; Neal, Scott; Kolczynski, Angela; Pearson, Anne; Ross-Viles, Sarah; Hamilton, Joy; Soo Hoo, Wendy; Wood, Maria BOH Tobacco Policy Committee agenda and draft code language for review

Dear BOH Tobacco Policy Committee members, The Tobacco Prevention Program has prepared draft code language regarding electronic cigarette (and other unapproved nicotine delivery devices) regulations. If you have a chance, please review the proposed language and come prepared to tomorrow's committee meeting (1:30 pm, Chinook 1312) with any questions or comments. Please note that this is also being reviewed by the Prosecuting Attorney's Office. The proposed changes include: 1) restrict the sale of unapproved nicotine delivery devices and electronic smoking devices to adults 18 years of age or older; 2) prohibit providing free (sampling) or heavily discounted electronic smoking devices or unapproved nicotine delivery products and; 3) prohibit mechanical sales (vending machines) in any place where minors may be present 4) prohibit the use of e-cigarettes and similar smoking devices in places where smoking is prohibited by law. I've also attached the agenda for tomorrow's meeting.

Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

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From: To: Date: Subject:

"Leon-Guerrero, Michael" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/2/2010 1:19:54 PM RE: Just more interesting clips regarding e-cigs

Cool. I was more concerned about the ban in public places, nicotine AND non-nicotine, so that's cool. Whew! Sounds like we're headed in the right direction. >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, December 01, 2010 3:17 PM >To: Leon-Guerrero, Michael; Pajimula, Fel; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Moreno, Emma; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul >Cc: Pearson, Anne >Subject: RE: Just more interesting clips regarding e-cigs > >What is likely being proposed at the BOH is not a ban, but a restriction that these products be sold to 18+. In addition, the use of these products would also be prohibited (nicotine or non-nicotine) in all places that smoking is prohibited. Long story short, she could still use them. :) > >_____________________________________________ >From: Leon-Guerrero, Michael >Sent: Wednesday, December 01, 2010 2:05 PM >To: Pajimula, Fel; Neal, Scott; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Moreno, Emma; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul >Cc: Pearson, Anne >Subject: RE: Just more interesting clips regarding e-cigs > >Sorry if I'm out of the loop on this, but what about the e-cigarettes that have no nicotine, such as the first link below? > >My partner's mom is staying with us currently and she's using an e-cigarette (black with a green glow-tip) has no nicotine - would they specifically be included in a potential ban? The one she is using does have an electronic component, does emit vapor, and must have other chemicals. > >I know we don't condone the e-cigarette for reasons which I am very well aware of, but my partners mother hasn't smoked a conventional cigarette in three months and only uses the e-cigarette 2-3 times a day. She has emphysema, previously smoked a pack a day and has tried Chantix, Welbutrin and the patch coupled with counseling without success. > >My favorite line from the video: >"My shrimp and grits will make you slap yo grandma!" > >_____________________________________________ >From: Pajimula, Fel >Sent: Wednesday, December 01, 2010 12:58 PM >To: Neal, Scott; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Ronneberg, Brett; Ross-Viles, Sarah;
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Page 2

Ryan, Molly; Sherard, Mark; Zemann, Paul >Cc: Pearson, Anne >Subject: RE: Just more interesting clips regarding e-cigs > >After viewing the 1st link Scott provided, I found these as well: > >A 3 part news story compiled on youtube on the E-Cig. >the news station recruited 8 smokers to test it and followed their progress over 3 weeks: > >http://www.youtube.com/watch?v=X6-AovJrdf0 > > >and this FOX News story that seems to be cheering on the e-cig: >http://www.youtube.com/watch?v=kDZ6tQC05A4 > > >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, December 01, 2010 10:28 AM >To: Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Pajimula, Fel; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul >Cc: Pearson, Anne >Subject: Just more interesting clips regarding e-cigs > >Thought you might like to see some interesting clips from major network tv shows discussing e-cigs. > >Doctors show on ABC discuss benefits of E-cigs (not sure when it aired, but was posted on youtube in Feb. 2010)> >http://www.youtube.com/watch?v=FaZ6abK2RrQ > >Dude talks about clip of Rachel Ray's show that discusses banning e-cigs (posted to youtube March 2010) >http://www.youtube.com/watch?v=flXtE8hb6cs

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From: To: Date: Subject:

"Neal, Scott" "Leon-Guerrero, Michael" <Michael.Leon-Guerrero@kingcounty.gov> 12/2/2010 1:22:00 PM RE: Just more interesting clips regarding e-cigs

Well the use of those would be prohibited in public places too. So if that is a concernthat is on the table still. >_____________________________________________ >From: Leon-Guerrero, Michael >Sent: Thursday, December 02, 2010 9:20 AM >To: Neal, Scott >Subject: RE: Just more interesting clips regarding e-cigs > >Cool. I was more concerned about the ban in public places, nicotine AND non-nicotine, so that's cool. > >Whew! Sounds like we're headed in the right direction. > >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, December 01, 2010 3:17 PM >To: Leon-Guerrero, Michael; Pajimula, Fel; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Moreno, Emma; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul >Cc: Pearson, Anne >Subject: RE: Just more interesting clips regarding e-cigs > >What is likely being proposed at the BOH is not a ban, but a restriction that these products be sold to 18+. In addition, the use of these products would also be prohibited (nicotine or non-nicotine) in all places that smoking is prohibited. Long story short, she could still use them. :) > >_____________________________________________ >From: Leon-Guerrero, Michael >Sent: Wednesday, December 01, 2010 2:05 PM >To: Pajimula, Fel; Neal, Scott; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Moreno, Emma; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul >Cc: Pearson, Anne >Subject: RE: Just more interesting clips regarding e-cigs > >Sorry if I'm out of the loop on this, but what about the e-cigarettes that have no nicotine, such as the first link below? > >My partner's mom is staying with us currently and she's using an e-cigarette (black with a green glow-tip) has no nicotine - would they specifically be included in a potential ban? The one she is using does have an electronic component, does emit vapor, and must have other chemicals. > >I know we don't condone the e-cigarette for reasons which I am very well aware of, but my partners mother hasn't smoked a conventional cigarette in three months and only uses the e-cigarette 2-3 times a day. She has emphysema, previously smoked a pack a day and has tried Chantix, Welbutrin and the patch coupled with counseling without success. >
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>My favorite line from the video: >"My shrimp and grits will make you slap yo grandma!" > >_____________________________________________ >From: Pajimula, Fel >Sent: Wednesday, December 01, 2010 12:58 PM >To: Neal, Scott; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul >Cc: Pearson, Anne >Subject: RE: Just more interesting clips regarding e-cigs > >After viewing the 1st link Scott provided, I found these as well: > >A 3 part news story compiled on youtube on the E-Cig. >the news station recruited 8 smokers to test it and followed their progress over 3 weeks: > >http://www.youtube.com/watch?v=X6-AovJrdf0 > > >and this FOX News story that seems to be cheering on the e-cig: >http://www.youtube.com/watch?v=kDZ6tQC05A4 > > >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, December 01, 2010 10:28 AM >To: Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Pajimula, Fel; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul> >Cc: Pearson, Anne >Subject: Just more interesting clips regarding e-cigs > >Thought you might like to see some interesting clips from major network tv shows discussing e-cigs. > >Doctors show on ABC discuss benefits of E-cigs (not sure when it aired, but was posted on youtube in Feb. 2010) >http://www.youtube.com/watch?v=FaZ6abK2RrQ > >Dude talks about clip of Rachel Ray's show that discusses banning e-cigs (posted to youtube March 2010)> >http://www.youtube.com/watch?v=flXtE8hb6cs

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From: "Fleming, David" To: "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 12/2/2010 12:54:05 PM Subject: Re: Meeting with PAO re: E-cigarette regulation
I think we should go with this and will talk with Julia this morning. Is it possible to get a clearer reading from FDA that we aren't pre-empted or is this as good as it gets?
From: Johnson, Gareth Sent: Wednesday, December 01, 2010 09:54 PM To: Pearson, Anne Cc: Fleming, David; Neal, Scott; Wood, Maria Subject: Re: Meeting with PAO re: E-cigarette regulation

Thanks Anne. So we feel we made progress, but not on every point David. It may finally come down to whether you decide to proceed even though we have heard Jane's concerns. Should we get together again to discuss this further?

From: Pearson, Anne Sent: Wednesday, December 01, 2010 05:46 PM To: Johnson, Gareth Cc: Fleming, David; Neal, Scott; Wood, Maria Subject: Meeting with PAO re: E-cigarette regulation

Gary, At your request, Im summarizing todays meeting with Jane McKenzie concerning the proposed e-cigarette regulation. As I think you would agree, the meeting was very cordial and we had a healthy back and forth about the legal issues presented by the proposal. As to the proposed ban on using e-cigarettes in public places, Jane conceded that since the state law does not affirmatively permit e-cigarette use, the proposed restriction is not likely preempted. We noted our appreciation of Cynthias recommended edits, and I believe there is agreement that this provision is within the authority of the Board of Health. As to the question of whether the proposed regulation of e-cigarettes is preempted by the state law prohibiting local regulation of the retail sale of tobacco products, Jane agrees that it is not preempted so long as e-cigarettes do not contain tobacco. We agreed that this question hinges entirely on the contents of the products. Where we continue to disagree is on the scope of federal preemption. As you know, the question that has been raised in litigation is whether e-cigarettes are tobacco products or drug delivery devices. Jane said that an appellate decision in the litigation might be handed down shortly, and suggested that the Board might want to wait to act until that decision has been rendered. That said, if the decision -- which will not be binding in WA state -- finds that e-cigarettes are drug/device combination products with the primary mode of action being that of a drug, which is the current position of the FDA, I believe that localities will not be preempted from regulating them until such time as the FDA issues specific regulations governing them as devices. Notably, Scott and I have spoken with FDA officials in the drug/device division, and while they have not expressly said that they do not believe our proposed regulation is not preempted by federal drug/device laws, they have expressed support for our efforts and never raised any concerns with respect to preemption. If the decision finds that they are modified risk tobacco products, it is Janes position that localities will be preempted from regulating them even before the manufacturers of those products have applied for and received an order from the FDA finding that they meet that definition. She reads the FDA law to provide that modified risk tobacco products that have not gone through the FDA approval process are prohibited from being sold, but at the same time may not be regulated at the local level. I think that the preemptive scope of the new FDA law with respect to modified risk tobacco products is very 8_19_2011

Page 2 much an open question, but that it is not consistent with the spirit of the law to prohibit localities from regulating products that are essentially operating on the black market. At the end of the day, no state or locality that has passed an e-cigarette law has been sued. In all likelihood, this is the case because to claim that the local laws are preempted is tantamount to conceding that e-cigarettes are either tobacco products (in which case they are already subject to minimum age and sampling restrictions), modified risk tobacco products (in which case they may not even be sold in the U.S. prior to FDA approval) or drug/delivery devices (in which case they will require approval from a different branch of the FDA.) Please let me know if you have any questions. -Anne

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From: To: Date: Subject:


Thanks Anne.

"Johnson, Gareth" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 12/2/2010 1:54:56 AM Re: Meeting with PAO re: E-cigarette regulation

So we feel we made progress, but not on every point David. It may finally come down to whether you decide to proceed even though we have heard Jane's concerns. Should we get together again to discuss this further?

From: Pearson, Anne Sent: Wednesday, December 01, 2010 05:46 PM To: Johnson, Gareth Cc: Fleming, David; Neal, Scott; Wood, Maria Subject: Meeting with PAO re: E-cigarette regulation

Gary, At your request, Im summarizing todays meeting with Jane McKenzie concerning the proposed e-cigarette regulation. As I think you would agree, the meeting was very cordial and we had a healthy back and forth about the legal issues presented by the proposal. As to the proposed ban on using e-cigarettes in public places, Jane conceded that since the state law does not affirmatively permit e-cigarette use, the proposed restriction is not likely preempted. We noted our appreciation of Cynthias recommended edits, and I believe there is agreement that this provision is within the authority of the Board of Health. As to the question of whether the proposed regulation of e-cigarettes is preempted by the state law prohibiting local regulation of the retail sale of tobacco products, Jane agrees that it is not preempted so long as e-cigarettes do not contain tobacco. We agreed that this question hinges entirely on the contents of the products. Where we continue to disagree is on the scope of federal preemption. As you know, the question that has been raised in litigation is whether e-cigarettes are tobacco products or drug delivery devices. Jane said that an appellate decision in the litigation might be handed down shortly, and suggested that the Board might want to wait to act until that decision has been rendered. That said, if the decision -- which will not be binding in WA state -- finds that e-cigarettes are drug/device combination products with the primary mode of action being that of a drug, which is the current position of the FDA, I believe that localities will not be preempted from regulating them until such time as the FDA issues specific regulations governing them as devices. Notably, Scott and I have spoken with FDA officials in the drug/device division, and while they have not expressly said that they do not believe our proposed regulation is not preempted by federal drug/device laws, they have expressed support for our efforts and never raised any concerns with respect to preemption. If the decision finds that they are modified risk tobacco products, it is Janes position that localities will be preempted from regulating them even before the manufacturers of those products have applied for and received an order from the FDA finding that they meet that definition. She reads the FDA law to provide that modified risk tobacco products that have not gone through the FDA approval process are prohibited from being sold, but at the same time may not be regulated at the local level. I think that the preemptive scope of the new FDA law with respect to modified risk tobacco products is very much an open question, but that it is not consistent with the spirit of the law to prohibit localities from regulating products that are essentially operating on the black market. At the end of the day, no state or locality that has passed an e-cigarette law has been sued. In all likelihood, this is the case because to claim that the local laws are preempted is tantamount to conceding that e-cigarettes are either tobacco products (in which case they are already subject to minimum age and sampling restrictions), modified risk tobacco products (in which case they may not even be sold in the U.S. prior to FDA approval) or drug/delivery devices (in which case they will require approval from a different branch of the FDA.) Please let me know if you have any questions. -Anne 8_19_2011

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8_19_2011

Page 1

From: "Johnson, Gareth" To: "Fleming, David" <David.Fleming@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 12/2/2010 12:56:02 PM Subject: RE: Meeting with PAO re: E-cigarette regulation
I asked that of Scott and Anne yesterday and I thing this is as good as it is at least for now. FDA is still in litigation on this issue and they have to be cautious about what they put out on the record.

From: Fleming, David Sent: Thursday, December 02, 2010 8:54 AM To: Johnson, Gareth; Pearson, Anne Cc: Neal, Scott; Wood, Maria Subject: Re: Meeting with PAO re: E-cigarette regulation

I think we should go with this and will talk with Julia this morning. Is it possible to get a clearer reading from FDA that we aren't pre-empted or is this as good as it gets?
From: Johnson, Gareth Sent: Wednesday, December 01, 2010 09:54 PM To: Pearson, Anne Cc: Fleming, David; Neal, Scott; Wood, Maria Subject: Re: Meeting with PAO re: E-cigarette regulation

Thanks Anne. So we feel we made progress, but not on every point David. It may finally come down to whether you decide to proceed even though we have heard Jane's concerns. Should we get together again to discuss this further?

From: Pearson, Anne Sent: Wednesday, December 01, 2010 05:46 PM To: Johnson, Gareth Cc: Fleming, David; Neal, Scott; Wood, Maria Subject: Meeting with PAO re: E-cigarette regulation

Gary, At your request, Im summarizing todays meeting with Jane McKenzie concerning the proposed e-cigarette regulation. As I think you would agree, the meeting was very cordial and we had a healthy back and forth about the legal issues presented by the proposal. As to the proposed ban on using e-cigarettes in public places, Jane conceded that since the state law does not affirmatively permit e-cigarette use, the proposed restriction is not likely preempted. We noted our appreciation of Cynthias recommended edits, and I believe there is agreement that this provision is within the authority of the Board of Health. As to the question of whether the proposed regulation of e-cigarettes is preempted by the state law prohibiting local regulation of the retail sale of tobacco products, Jane agrees that it is not preempted so long as e-cigarettes do not contain tobacco. We agreed that this question hinges entirely on the contents of the products. Where we continue to disagree is on the scope of federal preemption. As you know, the question that has been raised in litigation is whether e-cigarettes are tobacco products or drug delivery devices. Jane said that an appellate decision in the litigation might be handed down shortly, and suggested that the Board might want to wait to act until that decision has been rendered. That said, if the decision -- which will not be binding in WA state -- finds that e-cigarettes are drug/device combination 8_19_2011

Page 2 products with the primary mode of action being that of a drug, which is the current position of the FDA, I believe that localities will not be preempted from regulating them until such time as the FDA issues specific regulations governing them as devices. Notably, Scott and I have spoken with FDA officials in the drug/device division, and while they have not expressly said that they do not believe our proposed regulation is not preempted by federal drug/device laws, they have expressed support for our efforts and never raised any concerns with respect to preemption. If the decision finds that they are modified risk tobacco products, it is Janes position that localities will be preempted from regulating them even before the manufacturers of those products have applied for and received an order from the FDA finding that they meet that definition. She reads the FDA law to provide that modified risk tobacco products that have not gone through the FDA approval process are prohibited from being sold, but at the same time may not be regulated at the local level. I think that the preemptive scope of the new FDA law with respect to modified risk tobacco products is very much an open question, but that it is not consistent with the spirit of the law to prohibit localities from regulating products that are essentially operating on the black market. At the end of the day, no state or locality that has passed an e-cigarette law has been sued. In all likelihood, this is the case because to claim that the local laws are preempted is tantamount to conceding that e-cigarettes are either tobacco products (in which case they are already subject to minimum age and sampling restrictions), modified risk tobacco products (in which case they may not even be sold in the U.S. prior to FDA approval) or drug/delivery devices (in which case they will require approval from a different branch of the FDA.) Please let me know if you have any questions. -Anne

8_19_2011

Page 1

From: "Neal, Scott" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 12/2/2010 12:16:00 PM Subject: FW: Meeting with PAO re: E-cigarette regulation
FYI...more to come later today.

From: Johnson, Gareth Sent: Wednesday, December 01, 2010 9:55 PM To: Pearson, Anne Cc: Fleming, David; Neal, Scott; Wood, Maria Subject: Re: Meeting with PAO re: E-cigarette regulation

Thanks Anne. So we feel we made progress, but not on every point David. It may finally come down to whether you decide to proceed even though we have heard Jane's concerns. Should we get together again to discuss this further?

From: Pearson, Anne Sent: Wednesday, December 01, 2010 05:46 PM To: Johnson, Gareth Cc: Fleming, David; Neal, Scott; Wood, Maria Subject: Meeting with PAO re: E-cigarette regulation

Gary, At your request, Im summarizing todays meeting with Jane McKenzie concerning the proposed e-cigarette regulation. As I think you would agree, the meeting was very cordial and we had a healthy back and forth about the legal issues presented by the proposal. As to the proposed ban on using e-cigarettes in public places, Jane conceded that since the state law does not affirmatively permit e-cigarette use, the proposed restriction is not likely preempted. We noted our appreciation of Cynthias recommended edits, and I believe there is agreement that this provision is within the authority of the Board of Health. As to the question of whether the proposed regulation of e-cigarettes is preempted by the state law prohibiting local regulation of the retail sale of tobacco products, Jane agrees that it is not preempted so long as e-cigarettes do not contain tobacco. We agreed that this question hinges entirely on the contents of the products. Where we continue to disagree is on the scope of federal preemption. As you know, the question that has been raised in litigation is whether e-cigarettes are tobacco products or drug delivery devices. Jane said that an appellate decision in the litigation might be handed down shortly, and suggested that the Board might want to wait to act until that decision has been rendered. That said, if the decision -- which will not be binding in WA state -- finds that e-cigarettes are drug/device combination products with the primary mode of action being that of a drug, which is the current position of the FDA, I believe that localities will not be preempted from regulating them until such time as the FDA issues specific regulations governing them as devices. Notably, Scott and I have spoken with FDA officials in the drug/device division, and while they have not expressly said that they do not believe our proposed regulation is not preempted by federal drug/device laws, they have expressed support for our efforts and never raised any concerns with respect to preemption. If the decision finds that they are modified risk tobacco products, it is Janes position that localities will be preempted from regulating them even before the manufacturers of those products have applied for and received an order from the FDA finding that they meet that definition. She reads the FDA law to provide that modified risk tobacco products that have not gone through the FDA approval process are prohibited from being sold, but at the same time may not be regulated at the local level. I think that the preemptive scope of the new FDA law with respect to modified risk tobacco products is very much an open question, but that it is not consistent with the spirit of the law to prohibit localities from regulating products 8_19_2011

Page 2 that are essentially operating on the black market. At the end of the day, no state or locality that has passed an e-cigarette law has been sued. In all likelihood, this is the case because to claim that the local laws are preempted is tantamount to conceding that e-cigarettes are either tobacco products (in which case they are already subject to minimum age and sampling restrictions), modified risk tobacco products (in which case they may not even be sold in the U.S. prior to FDA approval) or drug/delivery devices (in which case they will require approval from a different branch of the FDA.) Please let me know if you have any questions. -Anne

8_19_2011

Page 1

From: To: Date: Subject:

"Neal, Scott" "David R. Hutchinson" <mayord@ci.lake-forest-park.wa.us> 12/3/2010 3:43:00 PM FW: BOH Tobacco Policy Committee agenda and draft code language for review

Hi Mayor Dave, Joy shared your email with me regarding the hookah update. I just wanted to clarify...the resistance that we are seeing has nothing to do with recently adopted BOH code. These establishments are simply resisting the original 5 year old statewide smoking ban. Unfortunately the "lengthy legal process" reference in the email cannot be expedited by the new BOH code. However if we have to go down the legal process, the new code helps make our case more likely to be successful because it makes these cases more black or white with regards to if smoking is occuring in a public place or place of employment. It has also helped our staff communicate more clearly to callers that continue to ask us how they can open a hookah lounge. thanks Scott

From: David R. Hutchinson [mailto:mayord@ci.lake-forest-park.wa.us] Sent: Thursday, December 02, 2010 8:22 AM To: Hamilton, Joy Subject: RE: BOH Tobacco Policy Committee agenda and draft code language for review

Thanks for the up-date Joy. Sounds like there is some resistance to the new law with your reference to a lengthy legal process. Mayor Dave
From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Wednesday, December 01, 2010 4:24 PM To: 'mayordave@cityoflfp.com' Subject: FW: BOH Tobacco Policy Committee agenda and draft code language for review

Mayor Dave, Good morning. I asked the enforcement team to give you an update on the hookah bars:
Update on Hookah in Seattle On October, 15th 2010 the Tobacco Prevention Program sent an educational letter to all establishments in King County (including all hookah lounges) that had received any enforcement action in the past alerting them of the changes to the law. That weekend staff began conducting inspections and issuing Notice of Violation letters under the new code. Because this is a new regulation any place found in violation must go through the standard violation process which includes the issuance of a Notice and Order along with a right to appeal that notice. We are currently working with the Prosecuting Attorney's Office to work out the minor changes needed to our Notice and Orders under the new regulation and will proceed with enforcement action on any violators as appropriate. The amendments that the Board passed clarify definitions of terms that were open to broad interpretation and will support public health in proceeding with new inspections under the revised guidelines. Any violations under the new guidelines will result in fines, newly created re-inspection fees, and appropriate legal action. However, it is highly likely that each hookah establishment will require a somewhat lengthy legal process before compliance is achieved.

Please let me know if you have any further questions. Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work
8_19_2011

Page 2

Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

From: David R. Hutchinson [mailto:mayord@ci.lake-forest-park.wa.us] Sent: Monday, November 22, 2010 2:51 PM To: Hamilton, Joy Subject: RE: BOH Tobacco Policy Committee agenda and draft code language for review

Thanks Joy. I think the minutes are pretty self-explanatory. Keep up the good work. By the way, what happened to the Seattle University pipe shops? Do we have a handle on this? Mayor Dave
From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Wednesday, November 17, 2010 9:58 AM To: 'mayordave@cityoflfp.com' Cc: Wood, Maria Subject: FW: BOH Tobacco Policy Committee agenda and draft code language for review Mayor Dave, Maria Wood informed me that you aren't able to attend today's tobacco policy committee meeting. Please let me know if you have any questions or comments. Maria or I are happy to fill you in on the meeting when you are back. Thanks, Joy

______________________________________________ amilton, Joy esday, November 16, 2010 12:57 PM Nicola (bnicola@u.washington.edu); 'Dave Hutchinson'; Drago, Jan; 'Sally Clark' brook, Marsha; 'Jerry DeGreik'; Johnson, Gareth; 'LaTonya Brown'; Neal, Scott; Kolczynski, Angela; Pearson, Anne; Ross-Viles, Sarah; Hamilton, Joy; Soo Hoo, Wendy; Wood, Maria BOH Tobacco Policy Committee agenda and draft code language for review

Dear BOH Tobacco Policy Committee members, The Tobacco Prevention Program has prepared draft code language regarding electronic cigarette (and other unapproved nicotine delivery devices) regulations. If you have a chance, please review the proposed language and come prepared to tomorrow's committee meeting (1:30 pm, Chinook 1312) with any questions or comments. Please note that this is also being reviewed by the Prosecuting Attorney's Office. The proposed changes include: 1) restrict the sale of unapproved nicotine delivery devices and electronic smoking devices to adults 18 years of age or older; 2) prohibit providing free (sampling) or heavily discounted electronic smoking devices or unapproved nicotine delivery products and; 3) prohibit mechanical sales (vending machines) in any place where minors may be present 4) prohibit the use of e-cigarettes and similar smoking devices in places where smoking is prohibited by law. I've also attached the agenda for tomorrow's meeting.

Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 8_19_2011

Page 3 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

8_19_2011

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From: To: Date: Subject: Hi all,

"Pearson, Anne" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/3/2010 12:59:02 PM RE: E cigs staff report

I know there isn't much time left to work on this, but for what it's worth, I would recommend adding as much detail as possible about the FDA testing findings (e.g. naming the particular toxic chemicals that were identified, noting that they are also found in antifreeze, etc.) and spending less time on what the FDA is doing to regulate e-cigarettes since that suggests that the feds are on it and local action is unnecessary and potentially preempted. A

>_____________________________________________ >From: Hamilton, Joy >Sent: Friday, December 03, 2010 8:24 AM >To: Johnson, Gareth >Cc: Neal, Scott; Ross-Viles, Sarah; Pearson, Anne >Subject: E cigs staff report > >Gary, > >I'm attaching the most recent draft of the e-cigs staff report. This has been reviewed by Anne, Scott and Sarah. The deadline to submit a final draft to Maria is COB today. As you will see in the draft, it is still a work in progress as there are a few sources and information that still need to be added. Since we are meeting with ACS/ALA/AHA this morning and I won't have time to complete the needed changes, I wanted to send you the draft to look at now and provide any feedback so that can be incorporated by the end of the day. Please send any comments/changes back to me ASAP. > > << File: December Rule and Regulation Staff Report_ap sn srv jmh.doc >> > >Thanks so much, >Joy

8_19_2011

Page 1

From: "Neal, Scott" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 12/3/2010 1:06:00 PM Subject: RE: E cigs staff report Thanks AnneI think that makes sense. >_____________________________________________ >From: Pearson, Anne >Sent: Friday, December 03, 2010 8:59 AM >To: Hamilton, Joy >Cc: Neal, Scott; Ross-Viles, Sarah >Subject: RE: E cigs staff report > >Hi all, > >I know there isn't much time left to work on this, but for what it's worth, I would recommend adding as much detail as possible about the FDA testing findings (e.g. naming the particular toxic chemicals that were identified, noting that they are also found in antifreeze, etc.) and spending less time on what the FDA is doing to regulate e-cigarettes since that suggests that the feds are on it and local action is unnecessary and potentially preempted. > >A > > > > >_____________________________________________ >From: Hamilton, Joy >Sent: Friday, December 03, 2010 8:24 AM >To: Johnson, Gareth >Cc: Neal, Scott; Ross-Viles, Sarah; Pearson, Anne >Subject: E cigs staff report > >Gary, > >I'm attaching the most recent draft of the e-cigs staff report. This has been reviewed by Anne, Scott and Sarah. The deadline to submit a final draft to Maria is COB today. As you will see in the draft, it is still a work in progress as there are a few sources and information that still need to be added. Since we are meeting with ACS/ALA/AHA this morning and I won't have time to complete the needed changes, I wanted to send you the draft to look at now and provide any feedback so that can be incorporated by the end of the day. Please send any comments/changes back to me ASAP. > > << File: December Rule and Regulation Staff Report_ap sn srv jmh.doc >> > >Thanks so much, >Joy

8_19_2011

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From: To: Date: Subject: Attachments: Gary,

"Hamilton, Joy" "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> 12/3/2010 12:24:02 PM E cigs staff report December Rule and Regulation Staff Report_ap sn srv jmh.doc

I'm attaching the most recent draft of the e-cigs staff report. This has been reviewed by Anne, Scott and Sarah. The deadline to submit a final draft to Maria is COB today. As you will see in the draft, it is still a work in progress as there are a few sources and information that still need to be added. Since we are meeting with ACS/ALA/AHA this morning and I won't have time to complete the needed changes, I wanted to send you the draft to look at now and provide any feedback so that can be incorporated by the end of the day. Please send any comments/changes back to me ASAP.

Thanks so much, Joy

8_19_2011

Page 1

From: To: Date: Subject: Attachments:

"Johnson, Gareth" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/3/2010 6:10:29 PM RE: E cigs staff report December Rule and Regulation Staff Report_ap sn srv jmh (2).doc

I made a couple of small changes. This is good to go to Maria. gary > _____________________________________________ > From: Hamilton, Joy > Sent: Friday, December 03, 2010 8:24 AM > To: Johnson, Gareth > Cc: Neal, Scott; Ross-Viles, Sarah; Pearson, Anne > Subject: E cigs staff report > > Gary, > > I'm attaching the most recent draft of the e-cigs staff report. This has been reviewed by Anne, Scott and Sarah. The deadline to submit a final draft to Maria is COB today. As you will see in the draft, it is still a work in progress as there are a few sources and information that still need to be added. Since we are meeting with ACS/ALA/AHA this morning and I won't have time to complete the needed changes, I wanted to send you the draft to look at now and provide any feedback so that can be incorporated by the end of the day. Please send any comments/changes back to me ASAP. > > << File: December Rule and Regulation Staff Report_ap sn srv jmh.doc >> > > Thanks so much, > Joy

8_19_2011

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From: To: Date: Subject: Attachments:

"Zilar, Christopher" <CZilar@spokanecounty.org> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/3/2010 9:00:53 PM RE: E-cigarettes compliance E-Cig Special Emphasis Project.pdf 07.15.2010 minutes.pdf

Joy, Please let me know if you need more from us. If necessary, I could scan and email all our (redacted) field records. Some comments made by vendors would make your toenails curl. See attached (and good luck). Sorry, by the way, for my late reply. I have been out sick all week.
Christopher P. Zilar, Program Manager Breast, Cervical and Colon Health Tobacco Prevention and Control Spokane Regional Health District 1101 W. College Ave., Suite 401 Spokane, WA 99201 (509) 324-1538 mailto:czilar@ pokanecounty.org s www.srhd.org

Public Health - Alw a y s w o r k i n g f o r a s a f e r a n d h e a l t h i e r c o m m u n i t y


CONFIDENTIALITY NOTICE: This email and any attachments are for the sole use of the intended recipient(s) and may contain proprietary, confidential, or privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited and may be a violation of law. If you are not the intended recipient or a person responsible for delivering this message to an intended recipient, please contact the sender by reply email and destroy all copies of the original message.

From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Monday, November 29, 2010 2:57 PM To: Zilar, Christopher Cc: Neal, Scott Subject: E-cigarettes compliance

Christopher, Greetings. As you know, we are preparing for the King County BOH to consider e-cigs regulations at their December meeting. Can you send me any documents you have related to the compliance checks done in Spokane? (I recall something about 28 out of 31 vendors selling to minors...) It would be very helpful to have that information to show that these products are being sold to minors. Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

8_19_2011

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From: To: Date: Subject:

"Wood, Maria" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/6/2010 5:32:44 PM RE: E Cig staff report

Thanks, this looks great! I don't anticipate many changes from Wendy, but will let you know when I hear back from her. Maria >_____________________________________________ >From: Hamilton, Joy >Sent: Monday, December 06, 2010 11:52 AM >To: Wood, Maria >Cc: Neal, Scott; Johnson, Gareth; Pearson, Anne; Ross-Viles, Sarah >Subject: E Cig staff report > >Maria, >I've attached the e-cig staff report. The proposed regulation language is an attachment and then there are a series of exhibits (all in one document). > > << File: E-cig staff report FINAL 12.6.10.doc >> << File: BOH Regulation E-cigarette FINAL sent 11-232010.doc >> << File: ALL Exhibits.pdf >> > >Please let me know if you need anything else or have comments or questions. > > >Thanks, >Joy Hamilton, MPH >Public Health - Seattle & King County >Communities Putting Prevention to Work >Tobacco Policy and Advocacy Manager >401 5th Ave. Suite 900 >Seattle, WA 98104 >(206) 263-9382 >joy.hamilton@kingcounty.gov > > >

8_19_2011

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From: To: Date: Subject: Attachments:

"Hamilton, Joy" "Wood, Maria" <Maria.Wood@kingcounty.gov> 12/6/2010 3:51:59 PM E Cig staff report E-cig staff report FINAL 12.6.10.doc BOH Regulation E-cigarette FINAL sent 11-23-2010.doc ALL Exhibits.pdf

Maria, I've attached the e-cig staff report. The proposed regulation language is an attachment and then there are a series of exhibits (all in one document).

Please let me know if you need anything else or have comments or questions.

Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

8_19_2011

Page 1

From: "Soo Hoo, Wendy" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 12/6/2010 6:16:18 PM Subject: RE: E-cig staff report FINAL 12 6 10 wsh
Great thank you!
From: Pearson, Anne Sent: Monday, December 06, 2010 2:16 PM To: Wood, Maria; Hamilton, Joy; Neal, Scott Cc: Soo Hoo, Wendy Subject: RE: E-cig staff report FINAL 12 6 10 wsh Many of the proposed restrictions on access to electronic smoking devices were patterned on the state law that restricts youth access to traditional tobacco products. Pasted below is that portion of the RCW that regulates cigarette vending machine locations. As you'll see, the language about the location of such machines is borrowed verbatim from that section of the state law. I don't know how the state law came about. Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov

RCW 70.155.030

Cigarette machine location.


No person shall sell or permit to be sold any tobacco product through any device that mechanically dispenses tobacco products unless the device is located fully within premises from which minors are prohibited or in industrial worksites where minors are not employed and not less than ten feet from all entrance or exit ways to and from each premise. The board shall adopt rules that allow an exception to the requirement that a device be located not less than ten feet from all entrance or exit ways to and from a premise if it is architecturally impractical for the device to be located not less than ten feet from all entrance and exit ways.

From: Wood, Maria Sent: Monday, December 06, 2010 2:09 PM To: Hamilton, Joy; Neal, Scott; Pearson, Anne Cc: Soo Hoo, Wendy Subject: FW: E-cig staff report FINAL 12 6 10 wsh Hi - Wendy has a couple suggested changes in track changes. Also, Joy and I talked about the question below, but since CM Patterson asked the question, it would be good to know for sure where the language re: industrial work sites 8_19_2011

Page 2 comes from and if you know how this provision came to be. Thanks, Maria

From: Soo Hoo, Wendy Sent: Monday, December 06, 2010 1:50 PM To: Wood, Maria Subject: E-cig staff report FINAL 12 6 10 wsh

Just a few minor edits. Thanks, Maria. Also, did Scott/Joy answer the question about why the regulation includes that provision allowing the sale in industrial work sites and whether that just mirrors existing smoking/tobacco laws?

8_19_2011

Page 1

From: "Soo Hoo, Wendy" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 12/6/2010 6:20:11 PM Subject: RE: E-cig staff report FINAL 12 6 10 wsh
Thanks, Joy!
From: Hamilton, Joy Sent: Monday, December 06, 2010 2:20 PM To: Soo Hoo, Wendy; Pearson, Anne; Wood, Maria; Neal, Scott Subject: RE: E-cig staff report FINAL 12 6 10 wsh

Wendy, I've accepted all your changes except for the first one. The statement comes from a consumer update and in this particular scenario the FDA was actually warning and not accurately indicating. Thanks for a quick review.

Joy
From: Soo Hoo, Wendy Sent: Monday, December 06, 2010 2:16 PM To: Pearson, Anne; Wood, Maria; Hamilton, Joy; Neal, Scott Subject: RE: E-cig staff report FINAL 12 6 10 wsh

Great thank you!


From: Pearson, Anne Sent: Monday, December 06, 2010 2:16 PM To: Wood, Maria; Hamilton, Joy; Neal, Scott Cc: Soo Hoo, Wendy Subject: RE: E-cig staff report FINAL 12 6 10 wsh Many of the proposed restrictions on access to electronic smoking devices were patterned on the state law that restricts youth access to traditional tobacco products. Pasted below is that portion of the RCW that regulates cigarette vending machine locations. As you'll see, the language about the location of such machines is borrowed verbatim from that section of the state law. I don't know how the state law came about. Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov

8_19_2011

Page 2

RCW 70.155.030

Cigarette machine location.


No person shall sell or permit to be sold any tobacco product through any device that mechanically dispenses tobacco products unless the device is located fully within premises from which minors are prohibited or in industrial worksites where minors are not employed and not less than ten feet from all entrance or exit ways to and from each premise. The board shall adopt rules that allow an exception to the requirement that a device be located not less than ten feet from all entrance or exit ways to and from a premise if it is architecturally impractical for the device to be located not less than ten feet from all entrance and exit ways.

From: Wood, Maria Sent: Monday, December 06, 2010 2:09 PM To: Hamilton, Joy; Neal, Scott; Pearson, Anne Cc: Soo Hoo, Wendy Subject: FW: E-cig staff report FINAL 12 6 10 wsh Hi - Wendy has a couple suggested changes in track changes. Also, Joy and I talked about the question below, but since CM Patterson asked the question, it would be good to know for sure where the language re: industrial work sites comes from and if you know how this provision came to be. Thanks, Maria

From: Soo Hoo, Wendy Sent: Monday, December 06, 2010 1:50 PM To: Wood, Maria Subject: E-cig staff report FINAL 12 6 10 wsh

Just a few minor edits. Thanks, Maria. Also, did Scott/Joy answer the question about why the regulation includes that provision allowing the sale in industrial work sites and whether that just mirrors existing smoking/tobacco laws?

8_19_2011

Page 1

From: "Wood, Maria" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 12/6/2010 6:08:42 PM Subject: FW: E-cig staff report FINAL 12 6 10 wsh Attachments: E-cig staff report FINAL 12 6 10 wsh.doc
Hi - Wendy has a couple suggested changes in track changes. Also, Joy and I talked about the question below, but since CM Patterson asked the question, it would be good to know for sure where the language re: industrial work sites comes from and if you know how this provision came to be. Thanks, Maria

From: Soo Hoo, Wendy Sent: Monday, December 06, 2010 1:50 PM To: Wood, Maria Subject: E-cig staff report FINAL 12 6 10 wsh

Just a few minor edits. Thanks, Maria. Also, did Scott/Joy answer the question about why the regulation includes that provision allowing the sale in industrial work sites and whether that just mirrors existing smoking/tobacco laws?

8_19_2011

Page 1

From: "Pearson, Anne" To: "Wood, Maria" <Maria.Wood@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 12/6/2010 6:15:37 PM Subject: RE: E-cig staff report FINAL 12 6 10 wsh
Many of the proposed restrictions on access to electronic smoking devices were patterned on the state law that restricts youth access to traditional tobacco products. Pasted below is that portion of the RCW that regulates cigarette vending machine locations. As you'll see, the language about the location of such machines is borrowed verbatim from that section of the state law. I don't know how the state law came about. Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov

RCW 70.155.030

Cigarette machine location.


No person shall sell or permit to be sold any tobacco product through any device that mechanically dispenses tobacco products unless the device is located fully within premises from which minors are prohibited or in industrial worksites where minors are not employed and not less than ten feet from all entrance or exit ways to and from each premise. The board shall adopt rules that allow an exception to the requirement that a device be located not less than ten feet from all entrance or exit ways to and from a premise if it is architecturally impractical for the device to be located not less than ten feet from all entrance and exit ways.

From: Wood, Maria Sent: Monday, December 06, 2010 2:09 PM To: Hamilton, Joy; Neal, Scott; Pearson, Anne Cc: Soo Hoo, Wendy Subject: FW: E-cig staff report FINAL 12 6 10 wsh Hi - Wendy has a couple suggested changes in track changes. Also, Joy and I talked about the question below, but since CM Patterson asked the question, it would be good to know for sure where the language re: industrial work sites comes from and if you know how this provision came to be. Thanks, Maria

From: Soo Hoo, Wendy 8_19_2011

Page 2 Sent: Monday, December 06, 2010 1:50 PM To: Wood, Maria Subject: E-cig staff report FINAL 12 6 10 wsh

Just a few minor edits. Thanks, Maria. Also, did Scott/Joy answer the question about why the regulation includes that provision allowing the sale in industrial work sites and whether that just mirrors existing smoking/tobacco laws?

8_19_2011

Page 1

From: "Hamilton, Joy" To: "Soo Hoo, Wendy" <Wendy.SooHoo@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 12/6/2010 6:19:39 PM Subject: RE: E-cig staff report FINAL 12 6 10 wsh Attachments: E-cig staff report FINAL 12 6 10 wsh jmh.doc Wendy, I've accepted all your changes except for the first one. The statement comes from a consumer update and in this particular scenario the FDA was actually warning and not accurately indicating. Thanks for a quick review.

Joy
From: Soo Hoo, Wendy Sent: Monday, December 06, 2010 2:16 PM To: Pearson, Anne; Wood, Maria; Hamilton, Joy; Neal, Scott Subject: RE: E-cig staff report FINAL 12 6 10 wsh

Great thank you!


From: Pearson, Anne Sent: Monday, December 06, 2010 2:16 PM To: Wood, Maria; Hamilton, Joy; Neal, Scott Cc: Soo Hoo, Wendy Subject: RE: E-cig staff report FINAL 12 6 10 wsh Many of the proposed restrictions on access to electronic smoking devices were patterned on the state law that restricts youth access to traditional tobacco products. Pasted below is that portion of the RCW that regulates cigarette vending machine locations. As you'll see, the language about the location of such machines is borrowed verbatim from that section of the state law. I don't know how the state law came about. Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov

RCW 70.155.030

Cigarette machine location.


8_19_2011

Page 2

No person shall sell or permit to be sold any tobacco product through any device that mechanically dispenses tobacco products unless the device is located fully within premises from which minors are prohibited or in industrial worksites where minors are not employed and not less than ten feet from all entrance or exit ways to and from each premise. The board shall adopt rules that allow an exception to the requirement that a device be located not less than ten feet from all entrance or exit ways to and from a premise if it is architecturally impractical for the device to be located not less than ten feet from all entrance and exit ways.

From: Wood, Maria Sent: Monday, December 06, 2010 2:09 PM To: Hamilton, Joy; Neal, Scott; Pearson, Anne Cc: Soo Hoo, Wendy Subject: FW: E-cig staff report FINAL 12 6 10 wsh Hi - Wendy has a couple suggested changes in track changes. Also, Joy and I talked about the question below, but since CM Patterson asked the question, it would be good to know for sure where the language re: industrial work sites comes from and if you know how this provision came to be. Thanks, Maria

From: Soo Hoo, Wendy Sent: Monday, December 06, 2010 1:50 PM To: Wood, Maria Subject: E-cig staff report FINAL 12 6 10 wsh

Just a few minor edits. Thanks, Maria. Also, did Scott/Joy answer the question about why the regulation includes that provision allowing the sale in industrial work sites and whether that just mirrors existing smoking/tobacco laws?

8_19_2011

Page 1

From: "Hamilton, Joy" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Ryan, Molly" <Molly.Ryan@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 12/7/2010 5:08:35 PM Subject: RE: Appeals Court rules FDA cannot ban e-cigarettes as drug devices I am now! Joy

From: Ross-Viles, Sarah Sent: Tuesday, December 07, 2010 12:37 PM To: Ryan, Molly; Neal, Scott; Pearson, Anne; Hamilton, Joy Subject: RE: Appeals Court rules FDA cannot ban e-cigarettes as drug devices Is anyone on the e-cigs list for globallink?

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

From: Ryan, Molly Sent: Tuesday, December 07, 2010 12:09 PM To: Neal, Scott; Pearson, Anne; Ross-Viles, Sarah; Hamilton, Joy Subject: FW: Appeals Court rules FDA cannot ban e-cigarettes as drug devices FYI - response to previous posting + info re: new e-cig report released today. Molly Ryan, MPH Tobacco Prevention Program Public Health - Seattle & King County Ph: (206) 263-8241 Fax: (206) 296-0177

From: Stan Shatenstein [mailto:shatenstein@globalink.org] Sent: Tuesday, December 07, 2010 12:03 PM To: general@globalink.org Subject: Re: Appeals Court rules FDA cannot ban e-cigarettes as drug devices

General Messages by Stan Shatenstein


Go to other forums | Rate this article | Reply to author | Reply to all

8_19_2011

Page 2 Bill, You have every right to signal and celebrate a decision with which you agree but you are no oracle and do not have the right or authority to declare "a huge victory for public health and civil justice." I would venture to assume that far more members of GLOBALink think this a problematic ruling than a victory. Just today, an Open Access report by Trtchounian and Talbot has been posted on the Tobacco Control website and the authors are far less sanguine than you concerning the merits of e-cigarettes. I include the conclusions and a couple of excerpts below, along with the links. The authors have a cautionary tale to tell. As you have posted to General, I'm responding both here and on the E-Cigs list, but further discussion should be on the latter only, as it was intended for just such rulings and reports. Best wishes, Stan --------Stan Shatenstein Contributing Editor, Tobacco Control Coordinator, GLOBALink NIMI News & Information Monitoring Initiative shatensteins@sympatico.ca ======================= Electronic nicotine delivery systems: is there a need for regulation? Tob Control Published Online First 7 December 2010 Anna Trtchounian, Prue Talbot Conclusions Design flaws, lack of adequate labelling and concerns about quality control and health issues indicate that regulators should consider removing ENDS from the market until their safety can be adequately evaluated.

Truth in advertisement On both websites and in print material, we found numerous statements regarding ENDS that were not based on scientific findings and for which there is no rigorous supporting data. Examples of such statements include: Be careful to avoid inhaling any significant quantity of liquid. Although it gives you a slight tingling sensation, it is not harmful (Liberty Stix); Within 2 weeks, your lung capacity will increase by 30%. Your energy levels will increase. Your throat and lungs will feel markedly better! Wrinkles in your skin will become less noticeable and colour will return to your skin (Liberty Stix). One pack (Smoking Everywhere) was labelled Vitamin, although no indication of what this meant was given. Discussion ...Used cartridges contained fluid after they ceased producing aerosol. Regulatory agencies need to address how to safely dispose of used cartridges and minimise introduction of nicotine into the environment. Studies documenting hazards associated with disposal of cigarette butts12 13 led to regulation of butt disposal in Australia, where fines are issued to those who do not deposit butts in valid receptacles.14 Residual nicotine in spent ENDS cartridges can leak onto surfaces where conversion to carcinogens could take place.6 Furthermore, as nicotine from used ENDS cartridges leaches into water supplies, it may directly affect aquatic life and could be propagated through the food chain. Proper disposal of ENDS cartridges should be addressed before spent cartridges present a serious health problem. Better regulation of ENDS sales and distribution is needed to protect children and adults from nicotine exposure and possible addiction. Our observations provide evidence that regulators should consider 8_19_2011

Page 3 removing ENDS from the market until design features, quality control, labelling, disposal and safety issues have been adequately addressed. http://tobaccocontrol.bmj.com/content/early/2010/10/22/tc.20... http://tobaccocontrol.bmj.com/content/early/2010/10/22/tc.20...

----- Original Message ----From: Mr. Bill Godshall To: general@globalink.org Sent: Tuesday, December 07, 2010 2:32 PM Subject: Appeals Court rules FDA cannot ban e-cigarettes as drug devices General Messages by Mr. Bill Godshall Go to other forums | Rate this article | Reply to author | Reply to all

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 at: http://www.e-cigarette-forum.com/forum/e-cigarette-news/9218... 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 e-cigarettes 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... Appeals Court: FDA Authority Over E-Cigarettes Is Limited http://www.nasdaq.com/aspx/stock-market-news-story.aspx?stor... Bill Godshall Executive Director Smokefree Pennsylvania 1926 Monongahela Avenue Pittsburgh, PA 15218 412-351-5880 FAX 412-351-5881 smokefree@compuserve.com Contact GLK | Netiquette | Report abuse | Unsubscribe Mr. Bill Godshall has declared no competing interest. If you are new to GLOBALink, please make yourself familiar with GLOBALink Netiquette before posting. Please keep in mind that there is no place for engaging in hate speech on GLOBALink forums. GLOBALink membership is subject to suspension and expulsion if rules are violated.
Contact GLK | Netiquette | Report abuse | Unsubscribe
Stan Shatenstein has declared no competing interest. If you are new to GLOBALink, please make yourself familiar with GLOBALink Netiquette before posting. Please keep in mind that there is no place for engaging in hate speech on GLOBALink forums. GLOBALink membership is subject to suspension and expulsion if rules are violated.

8_19_2011

Page 1

From: "Ross-Viles, Sarah" To: "Ryan, Molly" <Molly.Ryan@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 12/7/2010 4:37:10 PM Subject: RE: Appeals Court rules FDA cannot ban e-cigarettes as drug devices
Is anyone on the e-cigs list for globallink?

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

From: Ryan, Molly Sent: Tuesday, December 07, 2010 12:09 PM To: Neal, Scott; Pearson, Anne; Ross-Viles, Sarah; Hamilton, Joy Subject: FW: Appeals Court rules FDA cannot ban e-cigarettes as drug devices FYI - response to previous posting + info re: new e-cig report released today. Molly Ryan, MPH Tobacco Prevention Program Public Health - Seattle & King County Ph: (206) 263-8241 Fax: (206) 296-0177

From: Stan Shatenstein [mailto:shatenstein@globalink.org] Sent: Tuesday, December 07, 2010 12:03 PM To: general@globalink.org Subject: Re: Appeals Court rules FDA cannot ban e-cigarettes as drug devices

General Messages by Stan Shatenstein


Go to other forums | Rate this article | Reply to author | Reply to all

Bill, You have every right to signal and celebrate a decision with which you agree but you are no oracle and do not have the right or authority to declare "a huge victory for public health and civil justice." I would venture to assume that far more members of GLOBALink think this a problematic ruling than a victory. Just today, an Open Access report by Trtchounian and Talbot has been posted on the Tobacco Control website and the authors are far less sanguine than you concerning the merits of e-cigarettes. I include the conclusions and a couple of excerpts below, along with the links. The authors have a cautionary tale to tell. 8_19_2011

Page 2 As you have posted to General, I'm responding both here and on the E-Cigs list, but further discussion should be on the latter only, as it was intended for just such rulings and reports. Best wishes, Stan --------Stan Shatenstein Contributing Editor, Tobacco Control Coordinator, GLOBALink NIMI News & Information Monitoring Initiative shatensteins@sympatico.ca ======================= Electronic nicotine delivery systems: is there a need for regulation? Tob Control Published Online First 7 December 2010 Anna Trtchounian, Prue Talbot Conclusions Design flaws, lack of adequate labelling and concerns about quality control and health issues indicate that regulators should consider removing ENDS from the market until their safety can be adequately evaluated.

Truth in advertisement On both websites and in print material, we found numerous statements regarding ENDS that were not based on scientific findings and for which there is no rigorous supporting data. Examples of such statements include: Be careful to avoid inhaling any significant quantity of liquid. Although it gives you a slight tingling sensation, it is not harmful (Liberty Stix); Within 2 weeks, your lung capacity will increase by 30%. Your energy levels will increase. Your throat and lungs will feel markedly better! Wrinkles in your skin will become less noticeable and colour will return to your skin (Liberty Stix). One pack (Smoking Everywhere) was labelled Vitamin, although no indication of what this meant was given. Discussion ...Used cartridges contained fluid after they ceased producing aerosol. Regulatory agencies need to address how to safely dispose of used cartridges and minimise introduction of nicotine into the environment. Studies documenting hazards associated with disposal of cigarette butts12 13 led to regulation of butt disposal in Australia, where fines are issued to those who do not deposit butts in valid receptacles.14 Residual nicotine in spent ENDS cartridges can leak onto surfaces where conversion to carcinogens could take place.6 Furthermore, as nicotine from used ENDS cartridges leaches into water supplies, it may directly affect aquatic life and could be propagated through the food chain. Proper disposal of ENDS cartridges should be addressed before spent cartridges present a serious health problem. Better regulation of ENDS sales and distribution is needed to protect children and adults from nicotine exposure and possible addiction. Our observations provide evidence that regulators should consider removing ENDS from the market until design features, quality control, labelling, disposal and safety issues have been adequately addressed. http://tobaccocontrol.bmj.com/content/early/2010/10/22/tc.20... http://tobaccocontrol.bmj.com/content/early/2010/10/22/tc.20...

----- Original Message ----From: Mr. Bill Godshall To: general@globalink.org Sent: Tuesday, December 07, 2010 2:32 PM 8_19_2011

Page 3 Subject: Appeals Court rules FDA cannot ban e-cigarettes as drug devices General Messages by Mr. Bill Godshall Go to other forums | Rate this article | Reply to author | Reply to all

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 at: http://www.e-cigarette-forum.com/forum/e-cigarette-news/9218... 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 e-cigarettes 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... Appeals Court: FDA Authority Over E-Cigarettes Is Limited http://www.nasdaq.com/aspx/stock-market-news-story.aspx?stor... Bill Godshall Executive Director Smokefree Pennsylvania 1926 Monongahela Avenue Pittsburgh, PA 15218 412-351-5880 FAX 412-351-5881 smokefree@compuserve.com Contact GLK | Netiquette | Report abuse | Unsubscribe Mr. Bill Godshall has declared no competing interest. If you are new to GLOBALink, please make yourself familiar with GLOBALink Netiquette before posting. Please keep in mind that there is no place for engaging in hate speech on GLOBALink forums. GLOBALink membership is subject to suspension and expulsion if rules are violated.
Contact GLK | Netiquette | Report abuse | Unsubscribe
Stan Shatenstein has declared no competing interest. If you are new to GLOBALink, please make yourself familiar with GLOBALink Netiquette before posting. Please keep in mind that there is no place for engaging in hate speech on GLOBALink forums. GLOBALink membership is subject to suspension and expulsion if rules are violated.

8_19_2011

Page 1

From: "Neal, Scott" To: "Ryan, Molly" <Molly.Ryan@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 12/7/2010 4:01:00 PM Subject: RE: Appeals Court rules FDA cannot ban e-cigarettes as drug devices
ut oh

From: Ryan, Molly Sent: Tuesday, December 07, 2010 11:40 AM To: Neal, Scott; Ross-Viles, Sarah; Hamilton, Joy; Pearson, Anne Subject: FW: Appeals Court rules FDA cannot ban e-cigarettes as drug devices If you haven't seen this....

Molly Ryan, MPH Tobacco Prevention Program Public Health - Seattle & King County Ph: (206) 263-8241 Fax: (206) 296-0177

From: Mr.Bill Godshall [mailto:godshall@globalink.org] Sent: Tuesday, December 07, 2010 11:32 AM To: general@globalink.org Subject: Appeals Court rules FDA cannot ban e-cigarettes as drug devices

General Messages by Mr. Bill Godshall


Go to other forums | Rate this article | Reply to author | Reply to all

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 at: http://www.e-cigarette-forum.com/forum/e-cigarette-news/9218... 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 e-cigarettes 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... Appeals Court: FDA Authority Over E-Cigarettes Is Limited http://www.nasdaq.com/aspx/stock-market-news-story.aspx?stor...
8_19_2011

Page 2

Bill Godshall Executive Director Smokefree Pennsylvania 1926 Monongahela Avenue Pittsburgh, PA 15218 412-351-5880 FAX 412-351-5881 smokefree@compuserve.com
Contact GLK | Netiquette | Report abuse | Unsubscribe
Mr. Bill Godshall has declared no competing interest. If you are new to GLOBALink, please make yourself familiar with GLOBALink Netiquette before posting. Please keep in mind that there is no place for engaging in hate speech on GLOBALink forums. GLOBALink membership is subject to suspension and expulsion if rules are violated.

8_19_2011

Page 1

From: To: Date: Subject:


Thanks.

"Apa, James" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/7/2010 5:09:33 PM RE: Appeals Court rules FDA cannot ban e-cigarettes as drug devices

From: Neal, Scott Sent: Tuesday, December 07, 2010 12:11 PM To: Johnson, Gareth; Apa, James; Wood, Maria Cc: Allis, Donna; Krieger, James Subject: FW: Appeals Court rules FDA cannot ban e-cigarettes as drug devices Importance: High FYI...Anne is looking up the actual ruling so we can review it and see if it means we need to change our BOH plans for next week. Scott

From: Ryan, Molly Sent: Tuesday, December 07, 2010 11:40 AM To: Neal, Scott; Ross-Viles, Sarah; Hamilton, Joy; Pearson, Anne Subject: FW: Appeals Court rules FDA cannot ban e-cigarettes as drug devices If you haven't seen this....

Molly Ryan, MPH Tobacco Prevention Program Public Health - Seattle & King County Ph: (206) 263-8241 Fax: (206) 296-0177

From: Mr.Bill Godshall [mailto:godshall@globalink.org] Sent: Tuesday, December 07, 2010 11:32 AM To: general@globalink.org Subject: Appeals Court rules FDA cannot ban e-cigarettes as drug devices

8_19_2011

Page 2

General Messages by Mr. Bill Godshall


Go to other forums | Rate this article | Reply to author | Reply to all

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 at: http://www.e-cigarette-forum.com/forum/e-cigarette-news/9218... 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 e-cigarettes 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... Appeals Court: FDA Authority Over E-Cigarettes Is Limited http://www.nasdaq.com/aspx/stock-market-news-story.aspx?stor... Bill Godshall Executive Director Smokefree Pennsylvania 1926 Monongahela Avenue Pittsburgh, PA 15218 412-351-5880 FAX 412-351-5881 smokefree@compuserve.com
Contact GLK | Netiquette | Report abuse | Unsubscribe
Mr. Bill Godshall has declared no competing interest. If you are new to GLOBALink, please make yourself familiar with GLOBALink Netiquette before posting. Please keep in mind that there is no place for engaging in hate speech on GLOBALink forums. GLOBALink membership is subject to suspension and expulsion if rules are violated.

8_19_2011

Page 1

From: "Ryan, Molly" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 12/7/2010 4:09:10 PM Subject: FW: Appeals Court rules FDA cannot ban e-cigarettes as drug devices
FYI - response to previous posting + info re: new e-cig report released today. Molly Ryan, MPH Tobacco Prevention Program Public Health - Seattle & King County Ph: (206) 263-8241 Fax: (206) 296-0177

From: Stan Shatenstein [mailto:shatenstein@globalink.org] Sent: Tuesday, December 07, 2010 12:03 PM To: general@globalink.org Subject: Re: Appeals Court rules FDA cannot ban e-cigarettes as drug devices

General Messages by Stan Shatenstein


Go to other forums | Rate this article | Reply to author | Reply to all

Bill, You have every right to signal and celebrate a decision with which you agree but you are no oracle and do not have the right or authority to declare "a huge victory for public health and civil justice." I would venture to assume that far more members of GLOBALink think this a problematic ruling than a victory. Just today, an Open Access report by Trtchounian and Talbot has been posted on the Tobacco Control website and the authors are far less sanguine than you concerning the merits of e-cigarettes. I include the conclusions and a couple of excerpts below, along with the links. The authors have a cautionary tale to tell. As you have posted to General, I'm responding both here and on the E-Cigs list, but further discussion should be on the latter only, as it was intended for just such rulings and reports. Best wishes, Stan --------Stan Shatenstein Contributing Editor, Tobacco Control Coordinator, GLOBALink NIMI News & Information Monitoring Initiative shatensteins@sympatico.ca ======================= Electronic nicotine delivery systems: is there a need for regulation? Tob Control 8_19_2011

Page 2 Published Online First 7 December 2010 Anna Trtchounian, Prue Talbot Conclusions Design flaws, lack of adequate labelling and concerns about quality control and health issues indicate that regulators should consider removing ENDS from the market until their safety can be adequately evaluated.

Truth in advertisement On both websites and in print material, we found numerous statements regarding ENDS that were not based on scientific findings and for which there is no rigorous supporting data. Examples of such statements include: Be careful to avoid inhaling any significant quantity of liquid. Although it gives you a slight tingling sensation, it is not harmful (Liberty Stix); Within 2 weeks, your lung capacity will increase by 30%. Your energy levels will increase. Your throat and lungs will feel markedly better! Wrinkles in your skin will become less noticeable and colour will return to your skin (Liberty Stix). One pack (Smoking Everywhere) was labelled Vitamin, although no indication of what this meant was given. Discussion ...Used cartridges contained fluid after they ceased producing aerosol. Regulatory agencies need to address how to safely dispose of used cartridges and minimise introduction of nicotine into the environment. Studies documenting hazards associated with disposal of cigarette butts12 13 led to regulation of butt disposal in Australia, where fines are issued to those who do not deposit butts in valid receptacles.14 Residual nicotine in spent ENDS cartridges can leak onto surfaces where conversion to carcinogens could take place.6 Furthermore, as nicotine from used ENDS cartridges leaches into water supplies, it may directly affect aquatic life and could be propagated through the food chain. Proper disposal of ENDS cartridges should be addressed before spent cartridges present a serious health problem. Better regulation of ENDS sales and distribution is needed to protect children and adults from nicotine exposure and possible addiction. Our observations provide evidence that regulators should consider removing ENDS from the market until design features, quality control, labelling, disposal and safety issues have been adequately addressed. http://tobaccocontrol.bmj.com/content/early/2010/10/22/tc.20... http://tobaccocontrol.bmj.com/content/early/2010/10/22/tc.20...

----- Original Message ----From: Mr. Bill Godshall To: general@globalink.org Sent: Tuesday, December 07, 2010 2:32 PM Subject: Appeals Court rules FDA cannot ban e-cigarettes as drug devices

8_19_2011

Page 3 General Messages by Mr. Bill Godshall Go to other forums | Rate this article | Reply to author | Reply to all

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 at: http://www.e-cigarette-forum.com/forum/e-cigarette-news/9218... 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 e-cigarettes 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... Appeals Court: FDA Authority Over E-Cigarettes Is Limited http://www.nasdaq.com/aspx/stock-market-news-story.aspx?stor... Bill Godshall Executive Director Smokefree Pennsylvania 1926 Monongahela Avenue Pittsburgh, PA 15218 412-351-5880 FAX 412-351-5881 smokefree@compuserve.com Contact GLK | Netiquette | Report abuse | Unsubscribe Mr. Bill Godshall has declared no competing interest. If you are new to GLOBALink, please make yourself familiar with GLOBALink Netiquette before posting. Please keep in mind that there is no place for engaging in hate speech on GLOBALink forums. GLOBALink membership is subject to suspension and expulsion if rules are violated.
Contact GLK | Netiquette | Report abuse | Unsubscribe
Stan Shatenstein has declared no competing interest. If you are new to GLOBALink, please make yourself familiar with GLOBALink Netiquette before posting. Please keep in mind that there is no place for engaging in hate speech on GLOBALink forums. GLOBALink membership is subject to suspension and expulsion if rules are violated.

8_19_2011

Page 1

From: "Ryan, Molly" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 12/7/2010 3:40:26 PM Subject: FW: Appeals Court rules FDA cannot ban e-cigarettes as drug devices
If you haven't seen this....

Molly Ryan, MPH Tobacco Prevention Program Public Health - Seattle & King County Ph: (206) 263-8241 Fax: (206) 296-0177

From: Mr.Bill Godshall [mailto:godshall@globalink.org] Sent: Tuesday, December 07, 2010 11:32 AM To: general@globalink.org Subject: Appeals Court rules FDA cannot ban e-cigarettes as drug devices

General Messages by Mr. Bill Godshall


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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 at: http://www.e-cigarette-forum.com/forum/e-cigarette-news/9218... 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 e-cigarettes 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... Appeals Court: FDA Authority Over E-Cigarettes Is Limited http://www.nasdaq.com/aspx/stock-market-news-story.aspx?stor... Bill Godshall Executive Director Smokefree Pennsylvania 1926 Monongahela Avenue Pittsburgh, PA 15218 412-351-5880 FAX 412-351-5881
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smokefree@compuserve.com
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Mr. Bill Godshall has declared no competing interest. If you are new to GLOBALink, please make yourself familiar with GLOBALink Netiquette before posting. Please keep in mind that there is no place for engaging in hate speech on GLOBALink forums. GLOBALink membership is subject to suspension and expulsion if rules are violated.

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From: "Neal, Scott" To: "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> "Apa, James" <James.Apa@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/7/2010 4:12:00 PM Subject: FW: Appeals Court rules FDA cannot ban e-cigarettes as drug devices
FYI...Anne is looking up the actual ruling so we can review it and see if it means we need to change our BOH plans for next week. Scott

From: Ryan, Molly Sent: Tuesday, December 07, 2010 11:40 AM To: Neal, Scott; Ross-Viles, Sarah; Hamilton, Joy; Pearson, Anne Subject: FW: Appeals Court rules FDA cannot ban e-cigarettes as drug devices If you haven't seen this....

Molly Ryan, MPH Tobacco Prevention Program Public Health - Seattle & King County Ph: (206) 263-8241 Fax: (206) 296-0177

From: Mr.Bill Godshall [mailto:godshall@globalink.org] Sent: Tuesday, December 07, 2010 11:32 AM To: general@globalink.org Subject: Appeals Court rules FDA cannot ban e-cigarettes as drug devices

General Messages by Mr. Bill Godshall


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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 at: http://www.e-cigarette-forum.com/forum/e-cigarette-news/9218... 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 e-cigarettes 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... Appeals Court: FDA Authority Over E-Cigarettes Is Limited http://www.nasdaq.com/aspx/stock-market-news-story.aspx?stor...
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Bill Godshall Executive Director Smokefree Pennsylvania 1926 Monongahela Avenue Pittsburgh, PA 15218 412-351-5880 FAX 412-351-5881 smokefree@compuserve.com
Contact GLK | Netiquette | Report abuse | Unsubscribe
Mr. Bill Godshall has declared no competing interest. If you are new to GLOBALink, please make yourself familiar with GLOBALink Netiquette before posting. Please keep in mind that there is no place for engaging in hate speech on GLOBALink forums. GLOBALink membership is subject to suspension and expulsion if rules are violated.

8_19_2011

Page 1

From: "Apa, James" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> Date: 12/7/2010 10:22:50 PM Subject: FW: Board of Health approves blueprint for a healthy King County Hi, Scott, Joy and Maria. Thanks for the meeting today. To recap tasks for next week, here's what I have: * Draft media release - thanks for taking the first cut, Joy and Scott. AS a template, below is a recent example of a "ta da" release from the Board. * Talking points/Q&A - I'll send you some draft questions * Lead when I'm out -- Katie will be point from Tuesday on next week. Please include her in our e-mail loops. * Staff report - thanks for sending to me. * Heads up to Exec and Mayor - Mayor through Jerry, I'll notify Frank and Christine. * Bud as media lead - He's a go. Thanks for contacting him, Maria. * E-cigarettes props - program working to get them * Recruiting and coordinating testimony from local partners - program working on it

Am I missing anything? Thanks, -James

_____________________________________________ From: King County Council Communications Sent: Thursday, September 16, 2010 4:14 PM Subject: Board of Health approves blueprint for a healthy King County

Contact: Julia Patterson 206-296-1005 julia.patterson@kingcounty.gov

September 16, 2010


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Board of Health approves blueprint for a healthy King County Guidelines seen as outline to assist communities in land use and transportation planning decisions The King County Board of Health today passed a resolution approving and supporting the 2010 Board of Health Guidelines: Planning for Healthy Communities, intended to inform land use and transportation planning decisions to promote healthy living throughout King County. "Our environment, such as our roads, walking paths and economic infrastructure, has a significant impact on the physical, mental and social well-being of the people in our communities" said Julia Patterson, Chair of the King County Board of Health. "These guidelines are intended to help local jurisdictions ensure that their land use planning decisions do not compromise the public's health, and to serve as a reminder that planning issues remain at the root of some of the most widespread public health problems like obesity and substance abuse." The Board of Health has been actively promoting the goals of healthy eating and active living since 2005 with the King County Overweight Prevention Initiative and other efforts, after an increasing body of evidence has shown that effective land use and transportation planning decisions can help create environments that allow people to be physically active, eat healthy food, and live in safe and healthy places. The Board's planning for Healthy Communities guidelines are intended to inform land use and transportation planners working at regional, county, and city levels of actions. The guidelines include: * Physical Activity: Residents in all communities in King County have access to safe and convenient opportunities for physical activity and exercise. * Nutrition: Residents in all communities in King County have access to healthy, affordable foods. * Harmful Environmental Exposures: Residents in all communities in King County are protected from exposure to harmful environmental agents and infectious diseases. * Injury: o Residents in all communities in King County use transportation systems designed to prevent driver, bicyclist and pedestrian injuries. o Residents in all communities in King County live in safe communities free from violence and fear of violence. * Tobacco Use: Residents in all communities in King County are protected from involuntary exposure to second hand tobacco smoke and children cannot access tobacco products. * Alcohol Use: Residents in all communities in King County are protected from negative impacts of alcohol. * Mental Health and Well-being: Residents in all communities in King County benefit from community design that maximizes opportunities for social connectivity and stress reduction. * Access to Health Care: Residents in all communities in King County have local access to health care services. Urban planning and public health have been linked for nearly a century, starting from the need to prevent infectious disease outbreaks in the early 1900's. More recently public health agencies, including the King County Board of Health, have returned to a focus on urban design as it becomes more apparent that "place" does matter and that the leading causes of death and disability are linked to the environments where we live, work, learn and play. In 2008, the Puget Sound Regional Council adopted VISION 2040, the growth management, environmental, economic, and transportation strategy for the Central Puget Sound Region which contains strategies for promoting the well-being of people and communities, economic vitality, and a healthy environment. Within VISION 2040, the Built Environment and Health section includes broad goal and policies to serve as a platform for counties and cities as they continue to integrate knowledge of public health impacts into their planning activities.
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The Board of Health, based on its function to promote and improve public health for all King County residents, determined this an opportune time to provide additional guidance and detail as jurisdictions work to include the VISION 2040 policies on the built environment and health into their planning processes. The Board of Health supports the reintegration of public health into planning decisions as an important strategy to ensure that all people and communities have the opportunity to make healthy choices regardless of their income, education or ethnic background.

###

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From: "Pearson, Anne" To: "Krieger, James" <James.Krieger@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> Date: 12/7/2010 8:06:08 PM Subject: RE: BOH Staff Report: E-Cigs Attachments: RE: BOH Staff Report: E-Cigs.msg
Hi Jim, I'm attaching an email I drafted a few minutes ago with my analysis of the court decision, as well as TFK's analysis. As you'll see, I don't think this affects our ability to move forward. Let me know if you have any questions.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov

From: Krieger, James Sent: Tuesday, December 07, 2010 4:02 PM To: Neal, Scott; Johnson, Gareth Cc: Allis, Donna; Hamilton, Joy; Wood, Maria; Pearson, Anne; Ross-Viles, Sarah Subject: RE: BOH Staff Report: E-Cigs Given the proposed regulation focuses on e-cigs as nicotine delivery devices/electronic smoking devices, does this present a problem in light of the US Appeals ruling? James Krieger, MD, MPH Chief , Chronic Disease and I njury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 f ax: 206 205 0525 email: james.krieger@kingcounty.gov

From: Neal, Scott Sent: Tuesday, December 07, 2010 1:04 PM To: Johnson, Gareth Cc: Krieger, James; Allis, Donna; Hamilton, Joy; Wood, Maria; Pearson, Anne; Ross-Viles, Sarah Subject: BOH Staff Report: E-Cigs Importance: High Gary, Attached are the final BOH staff report with attachements. Given our situation with the PAO, Maria thought it thought it would be a good idea to send this to Jane so she has it ahead of time and maybe explain that it is possible she may be 8_19_2011

Page 2 called to answer questions about her review on this proposed regulation. It would be very helpful to be able to prepare for additional questions we may get after her response to any questions. Also a late breaking development...the U.S. Court of appeals has just ruled against the FDA in the E-Cigarette case. We haven't had a chance to read through the decision in its entirety yet, but it appears the court decided that the e-cigs are tobacco products. I'm not yet sure if that means they said they are "modified risk" or just "tobacco products" and whether or not that has much bearing on us locally given the differrent federal and state definitions for "tobacco products." Scott

From: "Pearson, Anne" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: Subject: RE: BOH Staff Report: E-Cigs I just read the opinion. I also communicated with Eric Lindblom, the general counsel for TFK, who shared with me his analysis which I have pasted below. In reading the opinion it is important to remember that there are a large number and variety of e-cigarettes. Some of them (such as the product at issue in the litigation) market themselves only "for smoking pleasure" and make no health related claims. Some brands market themselves as having a therapeutic use (e.g. to treat nicotine addiction). And other brands market themselves as harm reduction products. Today's decision concluded that e-cigarettes that make no health-related claims should be regulated at the federal level as tobacco products. To the extent that these products make no health claims, it is unlikely that they will be defined as modified risk tobacco products and will be regulated as traditional tobacco products. As you know, localities are not preempted from regulating the sale of traditional tobacco products in the ways proposed by our regulation. It may well be the case that some brands of e-cigarettes will eventually be determined to be modified risk tobacco products or drug/delivery devices over which we have limited jurisdiction. That does not eliminate the need -- or affect our local authority -- to regulate those e-cigarettes that are likely to be treated at the federal level as ordinary tobacco products.

Eric Lindblom's analysis: In a nutshell, the case finds that e-cigarettes with nicotine derived from tobacco fall under the definition of tobacco product in the FDA tobacco law and may only be regulated by FDA under that law unless the e-cigarettes are marketed or labeled with therapeutic claims, in which case they fall under FDA's jurisdiction over drugs and devices. Court says FDA has not established that the e-cigarettes in the case were marketed or labeled with any therapeutic claims but notes that FDA might be able to do so at some point, in which case it could assert jurisdiction using its authority over drugs and devices.

So FDA could simply acknowledge the court's ruling but say it has little impact beyond the e-cigarettes in the case, itself, because virtually all (or maybe all) other e-cigarettes are marketed with therapeutic claims. And FDA could make clear that its current restrictions regarding e-cigarettes, while blocked by the court in regard to the e-cigarettes in that case (at least until FDA establishes they are marketed with therapeutic claims), still remain in full force and
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effect in regards to the many other brands of e-cigarettes with therapeutic claims.

In any case, I don't think the ruling does anything to suggest that states and localities do not still need to take aggressive action against e-cigarettes to stop their sale to kids, tax them, and/or ban them if not approved by FDA (either through its drug and device jurisdiction or its tobacco product jurisdiction).

_____ From: Neal, Scott Sent: Tuesday, December 07, 2010 1:21 PM To: Wood, Maria Cc: Hamilton, Joy; Pearson, Anne; Johnson, Gareth Subject: RE: BOH Staff Report: E-Cigs

thanks Maria...we'll be in touch ASAP _____ From: Wood, Maria Sent: Tuesday, December 07, 2010 1:20 PM To: Neal, Scott Cc: Hamilton, Joy; Pearson, Anne; Johnson, Gareth Subject: RE: BOH Staff Report: E-Cigs

Please let me know as soon as you can if we need to change anything in the staff report in light of this decision. I have just given the clerk's office a heads up that I will be delayed in getting the packet to them and will submit tomorrow, so that buys us some time if we need it. Thanks, Maria

_____ From: Neal, Scott Sent: Tuesday, December 07, 2010 1:04 PM To: Johnson, Gareth Cc: Krieger, James; Allis, Donna; Hamilton, Joy; Wood, Maria; Pearson, Anne; Ross-Viles, Sarah Subject: BOH Staff Report: E-Cigs Importance: High

Gary, Attached are the final BOH staff report with attachements. Given our situation with the PAO, Maria thought it
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thought it would be a good idea to send this to Jane so she has it ahead of time and maybe explain that it is possible she may be called to answer questions about her review on this proposed regulation. It would be very helpful to be able to prepare for additional questions we may get after her response to any questions. Also a late breaking development...the U.S. Court of appeals has just ruled against the FDA in the E-Cigarette case. We haven't had a chance to read through the decision in its entirety yet, but it appears the court decided that the ecigs are tobacco products. I'm not yet sure if that means they said they are "modified risk" or just "tobacco products" and whether or not that has much bearing on us locally given the differrent federal and state definitions for "tobacco products." Scott

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From: "Krieger, James" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> Date: 12/7/2010 8:02:39 PM Subject: RE: BOH Staff Report: E-Cigs
Very nice work!!!! James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

From: Neal, Scott Sent: Tuesday, December 07, 2010 1:04 PM To: Johnson, Gareth Cc: Krieger, James; Allis, Donna; Hamilton, Joy; Wood, Maria; Pearson, Anne; Ross-Viles, Sarah Subject: BOH Staff Report: E-Cigs Importance: High Gary, Attached are the final BOH staff report with attachements. Given our situation with the PAO, Maria thought it thought it would be a good idea to send this to Jane so she has it ahead of time and maybe explain that it is possible she may be called to answer questions about her review on this proposed regulation. It would be very helpful to be able to prepare for additional questions we may get after her response to any questions. Also a late breaking development...the U.S. Court of appeals has just ruled against the FDA in the E-Cigarette case. We haven't had a chance to read through the decision in its entirety yet, but it appears the court decided that the e-cigs are tobacco products. I'm not yet sure if that means they said they are "modified risk" or just "tobacco products" and whether or not that has much bearing on us locally given the differrent federal and state definitions for "tobacco products." Scott

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From: "Krieger, James" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> Date: 12/7/2010 8:02:29 PM Subject: RE: BOH Staff Report: E-Cigs
Given the proposed regulation focuses on e-cigs as nicotine delivery devices/electronic smoking devices, does this present a problem in light of the US Appeals ruling? James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

From: Neal, Scott Sent: Tuesday, December 07, 2010 1:04 PM To: Johnson, Gareth Cc: Krieger, James; Allis, Donna; Hamilton, Joy; Wood, Maria; Pearson, Anne; Ross-Viles, Sarah Subject: BOH Staff Report: E-Cigs Importance: High Gary, Attached are the final BOH staff report with attachements. Given our situation with the PAO, Maria thought it thought it would be a good idea to send this to Jane so she has it ahead of time and maybe explain that it is possible she may be called to answer questions about her review on this proposed regulation. It would be very helpful to be able to prepare for additional questions we may get after her response to any questions. Also a late breaking development...the U.S. Court of appeals has just ruled against the FDA in the E-Cigarette case. We haven't had a chance to read through the decision in its entirety yet, but it appears the court decided that the e-cigs are tobacco products. I'm not yet sure if that means they said they are "modified risk" or just "tobacco products" and whether or not that has much bearing on us locally given the differrent federal and state definitions for "tobacco products." Scott

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From: "Wood, Maria" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 12/7/2010 7:18:59 PM Subject: RE: BOH Staff Report: E-Cigs
So in sum, the proposed regulation and staff report should stand as currently written? Thanks for your speedy assessment. Maria

From: Pearson, Anne Sent: Tuesday, December 07, 2010 3:14 PM To: Neal, Scott; Wood, Maria Cc: Hamilton, Joy; Johnson, Gareth Subject: RE: BOH Staff Report: E-Cigs I just read the opinion. I also communicated with Eric Lindblom, the general counsel for TFK, who shared with me his analysis which I have pasted below. In reading the opinion it is important to remember that there are a large number and variety of e-cigarettes. Some of them (such as the product at issue in the litigation) market themselves only "for smoking pleasure" and make no health related claims. Some brands market themselves as having a therapeutic use (e.g. to treat nicotine addiction). And other brands market themselves as harm reduction products. Today's decision concluded that e-cigarettes that make no health-related claims should be regulated at the federal level as tobacco products. To the extent that these products make no health claims, it is unlikely that they will be defined as modified risk tobacco products and will be regulated as traditional tobacco products. As you know, localities are not preempted from regulating the sale of traditional tobacco products in the ways proposed by our regulation. It may well be the case that some brands of e-cigarettes will eventually be determined to be modified risk tobacco products or drug/delivery devices over which we have limited jurisdiction. That does not eliminate the need -- or affect our local authority -- to regulate those e-cigarettes that are likely to be treated at the federal level as ordinary tobacco products.

Eric Lindblom's analysis: In a nutshell, the case finds that e-cigarettes with nicotine derived from tobacco fall under the definition of tobacco product in the FDA tobacco law and may only be regulated by FDA under that law unless the e-cigarettes are marketed or labeled with therapeutic claims, in which case they fall under FDA's jurisdiction over drugs and devices. Court says FDA has not established that the e-cigarettes in the case were marketed or labeled with any therapeutic claims but notes that FDA might be able to do so at some point, in which case it could assert jurisdiction using its authority over drugs and devices. So FDA could simply acknowledge the court's ruling but say it has little impact beyond the e-cigarettes in the case, itself, because virtually all (or maybe all) other e-cigarettes are marketed with therapeutic claims. And FDA could make clear that its current restrictions regarding e-cigarettes, while blocked by the court in regard to the e-cigarettes in that case (at least until FDA establishes they are marketed with therapeutic claims), still remain in full force and effect in regards to the many other brands of e-cigarettes with therapeutic claims. In any case, I don't think the ruling does anything to suggest that states and localities do not still need to take aggressive action against e-cigarettes to stop their sale to kids, tax them, and/or ban them if not approved by FDA (either through its drug and device jurisdiction or its tobacco product jurisdiction).

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Page 2 From: Neal, Scott Sent: Tuesday, December 07, 2010 1:21 PM To: Wood, Maria Cc: Hamilton, Joy; Pearson, Anne; Johnson, Gareth Subject: RE: BOH Staff Report: E-Cigs thanks Maria...we'll be in touch ASAP

From: Wood, Maria Sent: Tuesday, December 07, 2010 1:20 PM To: Neal, Scott Cc: Hamilton, Joy; Pearson, Anne; Johnson, Gareth Subject: RE: BOH Staff Report: E-Cigs Please let me know as soon as you can if we need to change anything in the staff report in light of this decision. I have just given the clerk's office a heads up that I will be delayed in getting the packet to them and will submit tomorrow, so that buys us some time if we need it. Thanks, Maria

From: Neal, Scott Sent: Tuesday, December 07, 2010 1:04 PM To: Johnson, Gareth Cc: Krieger, James; Allis, Donna; Hamilton, Joy; Wood, Maria; Pearson, Anne; Ross-Viles, Sarah Subject: BOH Staff Report: E-Cigs Importance: High Gary, Attached are the final BOH staff report with attachements. Given our situation with the PAO, Maria thought it thought it would be a good idea to send this to Jane so she has it ahead of time and maybe explain that it is possible she may be called to answer questions about her review on this proposed regulation. It would be very helpful to be able to prepare for additional questions we may get after her response to any questions. Also a late breaking development...the U.S. Court of appeals has just ruled against the FDA in the E-Cigarette case. We haven't had a chance to read through the decision in its entirety yet, but it appears the court decided that the e-cigs are tobacco products. I'm not yet sure if that means they said they are "modified risk" or just "tobacco products" and whether or not that has much bearing on us locally given the differrent federal and state definitions for "tobacco products." Scott

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From: To: Date: Subject:


thanks Maria...we'll be in touch ASAP

"Neal, Scott" "Wood, Maria" <Maria.Wood@kingcounty.gov> 12/7/2010 5:22:00 PM RE: BOH Staff Report: E-Cigs

From: Wood, Maria Sent: Tuesday, December 07, 2010 1:20 PM To: Neal, Scott Cc: Hamilton, Joy; Pearson, Anne; Johnson, Gareth Subject: RE: BOH Staff Report: E-Cigs Please let me know as soon as you can if we need to change anything in the staff report in light of this decision. I have just given the clerk's office a heads up that I will be delayed in getting the packet to them and will submit tomorrow, so that buys us some time if we need it. Thanks, Maria

From: Neal, Scott Sent: Tuesday, December 07, 2010 1:04 PM To: Johnson, Gareth Cc: Krieger, James; Allis, Donna; Hamilton, Joy; Wood, Maria; Pearson, Anne; Ross-Viles, Sarah Subject: BOH Staff Report: E-Cigs Importance: High Gary, Attached are the final BOH staff report with attachements. Given our situation with the PAO, Maria thought it thought it would be a good idea to send this to Jane so she has it ahead of time and maybe explain that it is possible she may be called to answer questions about her review on this proposed regulation. It would be very helpful to be able to prepare for additional questions we may get after her response to any questions. Also a late breaking development...the U.S. Court of appeals has just ruled against the FDA in the E-Cigarette case. We haven't had a chance to read through the decision in its entirety yet, but it appears the court decided that the e-cigs are tobacco products. I'm not yet sure if that means they said they are "modified risk" or just "tobacco products" and whether or not that has much bearing on us locally given the differrent federal and state definitions for "tobacco products." Scott

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From: To: Date: Subject:

"Wood, Maria" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/7/2010 5:20:06 PM RE: BOH Staff Report: E-Cigs

Please let me know as soon as you can if we need to change anything in the staff report in light of this decision. I have just given the clerk's office a heads up that I will be delayed in getting the packet to them and will submit tomorrow, so that buys us some time if we need it. Thanks, Maria

From: Neal, Scott Sent: Tuesday, December 07, 2010 1:04 PM To: Johnson, Gareth Cc: Krieger, James; Allis, Donna; Hamilton, Joy; Wood, Maria; Pearson, Anne; Ross-Viles, Sarah Subject: BOH Staff Report: E-Cigs Importance: High Gary, Attached are the final BOH staff report with attachements. Given our situation with the PAO, Maria thought it thought it would be a good idea to send this to Jane so she has it ahead of time and maybe explain that it is possible she may be called to answer questions about her review on this proposed regulation. It would be very helpful to be able to prepare for additional questions we may get after her response to any questions. Also a late breaking development...the U.S. Court of appeals has just ruled against the FDA in the E-Cigarette case. We haven't had a chance to read through the decision in its entirety yet, but it appears the court decided that the e-cigs are tobacco products. I'm not yet sure if that means they said they are "modified risk" or just "tobacco products" and whether or not that has much bearing on us locally given the differrent federal and state definitions for "tobacco products." Scott

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Page 1

From: "Neal, Scott" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Krieger, James" <James.Krieger@kingcounty.gov> "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> Date: 12/7/2010 8:18:00 PM Subject: RE: BOH Staff Report: E-Cigs
Also to clarify... Anne is drafting (thank you Anne!!) a brief BOH Staff Report Addendum that will be provided to along with the staff report so the latest information about the FDA court case is included and can be reviewed prior to the Dec. 16th BOH meeting. thanks Scott

From: Pearson, Anne Sent: Tuesday, December 07, 2010 4:06 PM To: Krieger, James; Neal, Scott; Johnson, Gareth Cc: Allis, Donna; Hamilton, Joy; Wood, Maria; Ross-Viles, Sarah Subject: RE: BOH Staff Report: E-Cigs Hi Jim, I'm attaching an email I drafted a few minutes ago with my analysis of the court decision, as well as TFK's analysis. As you'll see, I don't think this affects our ability to move forward. Let me know if you have any questions.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov

From: Krieger, James Sent: Tuesday, December 07, 2010 4:02 PM To: Neal, Scott; Johnson, Gareth Cc: Allis, Donna; Hamilton, Joy; Wood, Maria; Pearson, Anne; Ross-Viles, Sarah Subject: RE: BOH Staff Report: E-Cigs Given the proposed regulation focuses on e-cigs as nicotine delivery devices/electronic smoking devices, does this present a problem in light of the US Appeals ruling? James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov 8_19_2011

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From: Neal, Scott Sent: Tuesday, December 07, 2010 1:04 PM To: Johnson, Gareth Cc: Krieger, James; Allis, Donna; Hamilton, Joy; Wood, Maria; Pearson, Anne; Ross-Viles, Sarah Subject: BOH Staff Report: E-Cigs Importance: High Gary, Attached are the final BOH staff report with attachements. Given our situation with the PAO, Maria thought it thought it would be a good idea to send this to Jane so she has it ahead of time and maybe explain that it is possible she may be called to answer questions about her review on this proposed regulation. It would be very helpful to be able to prepare for additional questions we may get after her response to any questions. Also a late breaking development...the U.S. Court of appeals has just ruled against the FDA in the E-Cigarette case. We haven't had a chance to read through the decision in its entirety yet, but it appears the court decided that the e-cigs are tobacco products. I'm not yet sure if that means they said they are "modified risk" or just "tobacco products" and whether or not that has much bearing on us locally given the differrent federal and state definitions for "tobacco products." Scott

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From: To: Date: Subject: Attachments:

"Neal, Scott" "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> 12/7/2010 5:05:00 PM BOH Staff Report: E-Cigs E-cig staff report FINAL 12 6 10 wsh jmh.doc ALL Exhibits.pdf

Gary, Attached are the final BOH staff report with attachements. Given our situation with the PAO, Maria thought it thought it would be a good idea to send this to Jane so she has it ahead of time and maybe explain that it is possible she may be called to answer questions about her review on this proposed regulation. It would be very helpful to be able to prepare for additional questions we may get after her response to any questions. Also a late breaking development...the U.S. Court of appeals has just ruled against the FDA in the E-Cigarette case. We haven't had a chance to read through the decision in its entirety yet, but it appears the court decided that the e-cigs are tobacco products. I'm not yet sure if that means they said they are "modified risk" or just "tobacco products" and whether or not that has much bearing on us locally given the differrent federal and state definitions for "tobacco products." Scott

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From: "Pearson, Anne" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/7/2010 7:14:01 PM Subject: RE: BOH Staff Report: E-Cigs
I just read the opinion. I also communicated with Eric Lindblom, the general counsel for TFK, who shared with me his analysis which I have pasted below. In reading the opinion it is important to remember that there are a large number and variety of e-cigarettes. Some of them (such as the product at issue in the litigation) market themselves only "for smoking pleasure" and make no health related claims. Some brands market themselves as having a therapeutic use (e.g. to treat nicotine addiction). And other brands market themselves as harm reduction products. Today's decision concluded that e-cigarettes that make no health-related claims should be regulated at the federal level as tobacco products. To the extent that these products make no health claims, it is unlikely that they will be defined as modified risk tobacco products and will be regulated as traditional tobacco products. As you know, localities are not preempted from regulating the sale of traditional tobacco products in the ways proposed by our regulation. It may well be the case that some brands of e-cigarettes will eventually be determined to be modified risk tobacco products or drug/delivery devices over which we have limited jurisdiction. That does not eliminate the need -- or affect our local authority -- to regulate those e-cigarettes that are likely to be treated at the federal level as ordinary tobacco products.

Eric Lindblom's analysis: In a nutshell, the case finds that e-cigarettes with nicotine derived from tobacco fall under the definition of tobacco product in the FDA tobacco law and may only be regulated by FDA under that law unless the e-cigarettes are marketed or labeled with therapeutic claims, in which case they fall under FDA's jurisdiction over drugs and devices. Court says FDA has not established that the e-cigarettes in the case were marketed or labeled with any therapeutic claims but notes that FDA might be able to do so at some point, in which case it could assert jurisdiction using its authority over drugs and devices. So FDA could simply acknowledge the court's ruling but say it has little impact beyond the e-cigarettes in the case, itself, because virtually all (or maybe all) other e-cigarettes are marketed with therapeutic claims. And FDA could make clear that its current restrictions regarding e-cigarettes, while blocked by the court in regard to the e-cigarettes in that case (at least until FDA establishes they are marketed with therapeutic claims), still remain in full force and effect in regards to the many other brands of e-cigarettes with therapeutic claims. In any case, I don't think the ruling does anything to suggest that states and localities do not still need to take aggressive action against e-cigarettes to stop their sale to kids, tax them, and/or ban them if not approved by FDA (either through its drug and device jurisdiction or its tobacco product jurisdiction).

From: Neal, Scott Sent: Tuesday, December 07, 2010 1:21 PM To: Wood, Maria Cc: Hamilton, Joy; Pearson, Anne; Johnson, Gareth Subject: RE: BOH Staff Report: E-Cigs thanks Maria...we'll be in touch ASAP

From: Wood, Maria Sent: Tuesday, December 07, 2010 1:20 PM To: Neal, Scott 8_19_2011

Page 2 Cc: Hamilton, Joy; Pearson, Anne; Johnson, Gareth Subject: RE: BOH Staff Report: E-Cigs Please let me know as soon as you can if we need to change anything in the staff report in light of this decision. I have just given the clerk's office a heads up that I will be delayed in getting the packet to them and will submit tomorrow, so that buys us some time if we need it. Thanks, Maria

From: Neal, Scott Sent: Tuesday, December 07, 2010 1:04 PM To: Johnson, Gareth Cc: Krieger, James; Allis, Donna; Hamilton, Joy; Wood, Maria; Pearson, Anne; Ross-Viles, Sarah Subject: BOH Staff Report: E-Cigs Importance: High Gary, Attached are the final BOH staff report with attachements. Given our situation with the PAO, Maria thought it thought it would be a good idea to send this to Jane so she has it ahead of time and maybe explain that it is possible she may be called to answer questions about her review on this proposed regulation. It would be very helpful to be able to prepare for additional questions we may get after her response to any questions. Also a late breaking development...the U.S. Court of appeals has just ruled against the FDA in the E-Cigarette case. We haven't had a chance to read through the decision in its entirety yet, but it appears the court decided that the e-cigs are tobacco products. I'm not yet sure if that means they said they are "modified risk" or just "tobacco products" and whether or not that has much bearing on us locally given the differrent federal and state definitions for "tobacco products." Scott

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From: To: Date: Subject: Attachments: Here it isI got this from an e-cig forum

"Neal, Scott" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 12/7/2010 4:15:00 PM FDA Appeals court ruling FDA Appeals Court Decision.pdf

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From: "Pajimula, Fel" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> Date: 12/7/2010 9:15:17 PM Subject: I was able to get a few updated e-cig photos. they are living on the shared drive: (also attached) Retailer Education & Compliance\Prevention\Retailers\2010-10 BOH store photos\ECIGS someone has been moving things around in there, but this is where they can be found for now.

Fel Pajimula Tobacco Prevention Program Public Health - Seattle & King County fel.pajimula@kingcounty.gov Main: 206-296-7613 Desk: 206-263-8203

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From: To: Date: Subject: Hi Bud,

"Wood, Maria" "Bud Nicola" <bnicola@u.washington.edu> 12/7/2010 5:41:00 PM Media Contact re: e-cigarette regulation

We anticipate that there will be some media interest in the proposed e-cigarette regulation scheduled to be heard by the BOH next week. As the chair of the tobacco sub-committee, would you be willing to talk to media outlets if we have requests, and what is your general availability next week? Our communications team would work with you and provide talking points as we get requests. The agenda is already out there, but we will do our usual BOH meeting press release late this week, which could prompt requests. Thanks for your help with this. Maria

E. Maria Wood, MA Board of Health Administrator Public Health Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166

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From: To: Date: Subject:

"Wood, Maria" "Bud Nicola" <bnicola@u.washington.edu> 12/7/2010 6:15:56 PM RE: Media Contact re: e-cigarette regulation

Thanks so much. We'll be in touch as needed. Maria

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Tuesday, December 07, 2010 2:00 PM To: Wood, Maria Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: Re: Media Contact re: e-cigarette regulation

Hi Maria, Next week should work. Happy to help. Bud bnicola@uw.edu via Blackberry
From: Wood, Maria [mailto:Maria.Wood@kingcounty.gov] Sent: Tuesday, December 07, 2010 01:40 PM To: Bud Nicola Cc: Apa, James <James.Apa@kingcounty.gov>; Hamilton, Joy <Joy.Hamilton@kingcounty.gov>; Neal, Scott <Scott.Neal@kingcounty.gov> Subject: Media Contact re: e-cigarette regulation Hi Bud, We anticipate that there will be some media interest in the proposed e-cigarette regulation scheduled to be heard by the BOH next week. As the chair of the tobacco sub-committee, would you be willing to talk to media outlets if we have requests, and what is your general availability next week? Our communications team would work with you and provide talking points as we get requests. The agenda is already out there, but we will do our usual BOH meeting press release late this week, which could prompt requests. Thanks for your help with this. Maria

E. Maria Wood, MA Board of Health Administrator Public Health Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166

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From: To: Date: Subject:

"Bud Nicola" <bnicola@u.washington.edu> "Wood, Maria" <Maria.Wood@kingcounty.gov> 12/7/2010 6:01:31 PM Re: Media Contact re: e-cigarette regulation

Hi Maria, Next week should work. Happy to help. Bud bnicola@uw.edu via Blackberry
From: Wood, Maria [mailto:Maria.Wood@kingcounty.gov] Sent: Tuesday, December 07, 2010 01:40 PM To: Bud Nicola Cc: Apa, James <James.Apa@kingcounty.gov>; Hamilton, Joy <Joy.Hamilton@kingcounty.gov>; Neal, Scott <Scott.Neal@kingcounty.gov> Subject: Media Contact re: e-cigarette regulation Hi Bud, We anticipate that there will be some media interest in the proposed e-cigarette regulation scheduled to be heard by the BOH next week. As the chair of the tobacco sub-committee, would you be willing to talk to media outlets if we have requests, and what is your general availability next week? Our communications team would work with you and provide talking points as we get requests. The agenda is already out there, but we will do our usual BOH meeting press release late this week, which could prompt requests. Thanks for your help with this. Maria

E. Maria Wood, MA Board of Health Administrator Public Health Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166

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From: To: Date: Subject: Gary,

"Neal, Scott" "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> 12/7/2010 11:22:09 PM FW: Working on something now...

Here is what Anne pulled together tonight. As she states, she took a bit of a different approach to this, but I think this is clear and gets to the point about this ruling was on this particular product and also how other products may not be considered "Tobacco Products" and instead indeed fall under the Drug Compliance oversight. Let me know if this is ok or if we should have her add more detail. Once we get the final content right, I can put this into a one page (or likely half page) with a heading that is appropriate for this to be added as an attachment to the staff report. Complicating matters a bit is that Anne is off tomorrow and I'm not sure if she will be monitoring her email and able to respond. If not, we can always provide this after the staff report gets sent...as this is very much late breaking information. thanks Scott

________________________________________ From: Pearson, Anne Sent: Tuesday, December 07, 2010 5:21 PM To: Neal, Scott Subject: RE: Working on something now... OK, I decided to stay and just bang it out. Here's what I have. I tried to give more background than legal opinion, but it may need more of the latter. What do you think?

In 2009, the Federal Food and Drug Administration (FDA) sought to curb the proliferation of e-cigarettes by ordering that a shipment of e-cigarettes by denied entry into the United States. The FDA took this action pursuant to its belief that the seized e-cigarettes were unapproved drug-device combinations under the Food, Drug and Cosmetic Act. The manufacturer of the e-cigarettes that were seized by the FDA, NJOY, filed a lawsuit challenging the agency action. On December 7, 2010, the United States Court of Appeals for the District of Columbia Circuit issued an opinion stating that the FDA could not prohibit the importation of NJOY e-cigarettes pursuant to its authority to regulate drug-device combinations. Rather, the court concluded that NJOY e-cigarettes are more appropriately regulated by the FDA as tobacco products, like cigarettes and cigars. This decision rested in part on the fact that NJOY ecigarettes market themselves for smoking pleasure and not as a therapeutic or smoking cessation product. The court acknowledged that other e-cigarettes which market themselves differently may meet the definition of drugdevice combination. The Campaign for Tobacco Free Kids notes that while the court found that the FDA could regulate some electronic cigarettes as tobacco products, it will take the FDA time to assert jurisdiction over these products and issue regulations governing them, leaving these products unregulated in the meantime. If e-cigarettes are regulated as tobacco products at the federal level, local jurisdictions will retain their authority to regulate the sale, distribution, and promotion of those products, just as they regulate the sale of traditional tobacco products.

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From: To: Date: Subject:

"Neal, Scott" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 12/7/2010 11:16:06 PM RE: Working on something now...

Thanks Anne...I'm going to run this by Gary and see if he thinks this is enough to go with. My gut says that this gets to the point and probably is enough, but I do wonder if it is enough to appease the BOH members. The balance I think we try to aim for is including enough information that avoid tons of questions, but not be too detailed to confuse the issue. thanks Scott ________________________________________ From: Pearson, Anne Sent: Tuesday, December 07, 2010 5:21 PM To: Neal, Scott Subject: RE: Working on something now... OK, I decided to stay and just bang it out. Here's what I have. I tried to give more background than legal opinion, but it may need more of the latter. What do you think?

In 2009, the Federal Food and Drug Administration (FDA) sought to curb the proliferation of e-cigarettes by ordering that a shipment of e-cigarettes by denied entry into the United States. The FDA took this action pursuant to its belief that the seized e-cigarettes were unapproved drug-device combinations under the Food, Drug and Cosmetic Act. The manufacturer of the e-cigarettes that were seized by the FDA, NJOY, filed a lawsuit challenging the agency action. On December 7, 2010, the United States Court of Appeals for the District of Columbia Circuit issued an opinion stating that the FDA could not prohibit the importation of NJOY e-cigarettes pursuant to its authority to regulate drug-device combinations. Rather, the court concluded that NJOY e-cigarettes are more appropriately regulated by the FDA as tobacco products, like cigarettes and cigars. This decision rested in part on the fact that NJOY ecigarettes market themselves for smoking pleasure and not as a therapeutic or smoking cessation product. The court acknowledged that other e-cigarettes which market themselves differently may meet the definition of drugdevice combination. The Campaign for Tobacco Free Kids notes that while the court found that the FDA could regulate some electronic cigarettes as tobacco products, it will take the FDA time to assert jurisdiction over these products and issue regulations governing them, leaving these products unregulated in the meantime. If e-cigarettes are regulated as tobacco products at the federal level, local jurisdictions will retain their authority to regulate the sale, distribution, and promotion of those products, just as they regulate the sale of traditional tobacco products.

_____________________________________________ From: Neal, Scott Sent: Tuesday, December 07, 2010 4:56 PM To: Pearson, Anne Subject: RE: Working on something now... That is fine. It needs to get to the clerks office a week prior to the meeting, so that deadline is Thursday. But they may need a little time to copy and paginate all the items in the reports. So Maria is wanting to send this over by noon
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tomorrow. Long story shortyou still have time to send it tomorrowmorning. :) Thanks for the quick turnaround. I know you are busy. Scott _____________________________________________ From: Pearson, Anne Sent: Tuesday, December 07, 2010 4:51 PM To: Neal, Scott Subject: Working on something now... But taking longer than expected. A reprieve until tomorrow would be great. If I don't finish tonight, I can do it from home tomorrow and send it in. Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov

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From: To: Date: Subject:

"Pearson, Anne" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/7/2010 9:21:20 PM RE: Working on something now...

OK, I decided to stay and just bang it out. Here's what I have. I tried to give more background than legal opinion, but it may need more of the latter. What do you think? In 2009, the Federal Food and Drug Administration (FDA) sought to curb the proliferation of e-cigarettes by ordering that a shipment of e-cigarettes by denied entry into the United States. The FDA took this action pursuant to its belief that the seized e-cigarettes were unapproved drug-device combinations under the Food, Drug and Cosmetic Act. The manufacturer of the e-cigarettes that were seized by the FDA, NJOY, filed a lawsuit challenging the agency action. On December 7, 2010, the United States Court of Appeals for the District of Columbia Circuit issued an opinion stating that the FDA could not prohibit the importation of NJOY e-cigarettes pursuant to its authority to regulate drug-device combinations. Rather, the court concluded that NJOY e-cigarettes are more appropriately regulated by the FDA as tobacco products, like cigarettes and cigars. This decision rested in part on the fact that NJOY ecigarettes market themselves for smoking pleasure and not as a therapeutic or smoking cessation product. The court acknowledged that other e-cigarettes which market themselves differently may meet the definition of drugdevice combination. The Campaign for Tobacco Free Kids notes that while the court found that the FDA could regulate some electronic cigarettes as tobacco products, it will take the FDA time to assert jurisdiction over these products and issue regulations governing them, leaving these products unregulated in the meantime. If e-cigarettes are regulated as tobacco products at the federal level, local jurisdictions will retain their authority to regulate the sale, distribution, and promotion of those products, just as they regulate the sale of traditional tobacco products.

>_____________________________________________ > >From: Neal, Scott >Sent: Tuesday, December 07, 2010 4:56 PM >To: Pearson, Anne >Subject: RE: Working on something now... > >That is fine. It needs to get to the clerks office a week prior to the meeting, so that deadline is Thursday. But they may need a little time to copy and paginate all the items in the reports. So Maria is wanting to send this over by noon tomorrow. Long story shortyou still have time to send it tomorrowmorning. :) > >Thanks for the quick turnaround. I know you are busy. > >Scott > >_____________________________________________ >From: Pearson, Anne >Sent: Tuesday, December 07, 2010 4:51 PM >To: Neal, Scott >Subject: Working on something now... > >But taking longer than expected. A reprieve until tomorrow would be great. If I don't finish tonight, I can do it from home tomorrow and send it in.
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> >Anne Pearson, JD, MA >Public Health - Seattle & King County >401 5th Avenue, Suite 900 >Seattle, WA 98104 >(206) 263-9411 >anne.pearson@kingcounty.gov >

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From: "Johnson, Gareth" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/8/2010 3:15:51 PM Subject: RE: Attachement for BOH staff report... Thanks Scott. >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, December 08, 2010 11:00 AM >To: Wood, Maria >Cc: Hamilton, Joy; Pearson, Anne; Johnson, Gareth; Allis, Donna >Subject: Attachement for BOH staff report... >Importance: High > >Maria, > >Attached is a document that Anne prepared to help the BOH understand what the implications of yesterday's U.S. Court of Appeals decision on e-cigarettes has on our proposed BOH regulation. Rather than weaving this into the staff report, we thought we should just add this to the attachements and we can refer to it as needed during the meeting. > > << File: Recent Federal Court Decision Regarding One E.doc >> > >Thanks >Scott

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From: To: Date: Subject:

"Wood, Maria" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/8/2010 3:30:37 PM RE: Attachement for BOH staff report...

OK, I'll just tack this on to the end of the attachments for the staff report. Thanks for the quick turnaround. Maria

>_____________________________________________ >From: Neal, Scott >Sent: Wednesday, December 08, 2010 11:00 AM >To: Wood, Maria >Cc: Hamilton, Joy; Pearson, Anne; Johnson, Gareth; Allis, Donna >Subject: Attachement for BOH staff report... >Importance: High > >Maria, > >Attached is a document that Anne prepared to help the BOH understand what the implications of yesterday's U.S. Court of Appeals decision on e-cigarettes has on our proposed BOH regulation. Rather than weaving this into the staff report, we thought we should just add this to the attachements and we can refer to it as needed during the meeting. > > << File: Recent Federal Court Decision Regarding One E.doc >> > >Thanks >Scott

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From: To: Date: Subject: Attachments: Maria,

"Neal, Scott" "Wood, Maria" <Maria.Wood@kingcounty.gov> 12/8/2010 3:02:00 PM Attachement for BOH staff report... Recent Federal Court Decision Regarding One E.doc

Attached is a document that Anne prepared to help the BOH understand what the implications of yesterday's U.S. Court of Appeals decision on e-cigarettes has on our proposed BOH regulation. Rather than weaving this into the staff report, we thought we should just add this to the attachements and we can refer to it as needed during the meeting.

Thanks Scott

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From: "Hamilton, Joy" To: "Apa, James" <James.Apa@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> Date: 12/8/2010 12:39:22 PM Subject: RE: E-cigarettes compliance James, You are correct that no ordinances (that we know of) have been adopted in the Spokane area. The city of Spokane has drafted a proposed regulation and we shared drafts with their city attorneys, but it was unclear exactly when they were planning to move it forward. Joy

From: Apa, James Sent: Tuesday, December 07, 2010 7:00 PM To: Hamilton, Joy; Wood, Maria; Ross, Kathryn Subject: RE: E-cigarettes compliance

Thanks much. My recollection is that they ultimately passed a resolution, but no cities in that area (or the county) have yet adopted ordinances to implement the under age ban. Is that correct?

From: Hamilton, Joy Sent: Tuesday, December 07, 2010 1:12 PM To: Apa, James; Wood, Maria Subject: FW: E-cigarettes compliance

James and Maria, FYI -- here's what Spokane's TPP staff sent me about their e-cigs compliance checks. Joy

From: Zilar, Christopher [mailto:CZilar@spokanecounty.org] Sent: Friday, December 03, 2010 4:59 PM To: Hamilton, Joy Cc: Neal, Scott Subject: RE: E-cigarettes compliance

Joy, Please let me know if you need more from us. If necessary, I could scan and email all our (redacted) field records. Some comments made by vendors would make your toenails curl. See attached (and good luck). Sorry, by the way, for my late reply. I have been out sick all week.
Christopher P. Zilar, Program Manager Breast, Cervical and Colon Health Tobacco Prevention and Control Spokane Regional Health District 1101 W. College Ave., Suite 401 8_19_2011

Page 2 Spokane, WA 99201 (509) 324-1538 mailto:czilar@spokanecounty.org www.srhd.org

Public Health - Always working for a safer and healthier community


CONFIDENTIALITY NOTICE: This email and any attachments are for the sole use of the intended recipient(s) and may contain proprietary, confidential, or privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited and may be a violation of law. If you are not the intended recipient or a person responsible for delivering this message to an intended recipient, please contact the sender by reply email and destroy all copies of the original message.

From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Monday, November 29, 2010 2:57 PM To: Zilar, Christopher Cc: Neal, Scott Subject: E-cigarettes compliance

Christopher, Greetings. As you know, we are preparing for the King County BOH to consider e-cigs regulations at their December meeting. Can you send me any documents you have related to the compliance checks done in Spokane? (I recall something about 28 out of 31 vendors selling to minors...) It would be very helpful to have that information to show that these products are being sold to minors. Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

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From: "Apa, James" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> Date: 12/8/2010 2:11:47 PM Subject: RE: E-cigarettes compliance
Thanks.

From: Hamilton, Joy Sent: Wednesday, December 08, 2010 8:39 AM To: Apa, James; Wood, Maria; Ross, Kathryn Cc: Neal, Scott Subject: RE: E-cigarettes compliance

James, You are correct that no ordinances (that we know of) have been adopted in the Spokane area. The city of Spokane has drafted a proposed regulation and we shared drafts with their city attorneys, but it was unclear exactly when they were planning to move it forward. Joy

From: Apa, James Sent: Tuesday, December 07, 2010 7:00 PM To: Hamilton, Joy; Wood, Maria; Ross, Kathryn Subject: RE: E-cigarettes compliance

Thanks much. My recollection is that they ultimately passed a resolution, but no cities in that area (or the county) have yet adopted ordinances to implement the under age ban. Is that correct?

From: Hamilton, Joy Sent: Tuesday, December 07, 2010 1:12 PM To: Apa, James; Wood, Maria Subject: FW: E-cigarettes compliance

James and Maria, FYI -- here's what Spokane's TPP staff sent me about their e-cigs compliance checks. Joy

From: Zilar, Christopher [mailto:CZilar@spokanecounty.org] Sent: Friday, December 03, 2010 4:59 PM To: Hamilton, Joy Cc: Neal, Scott Subject: RE: E-cigarettes compliance

Joy, Please let me know if you need more from us. If necessary, I could scan and email all our (redacted) field records. Some comments made by vendors would
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make your toenails curl. See attached (and good luck). Sorry, by the way, for my late reply. I have been out sick all week.
Christopher P. Zilar, Program Manager Breast, Cervical and Colon Health Tobacco Prevention and Control Spokane Regional Health District 1101 W. College Ave., Suite 401 Spokane, WA 99201 (509) 324-1538 mailto:czilar@spokanecounty.org www.srhd.org

Public Health - Always working for a safer and healthier community


CONFIDENTIALITY NOTICE: This email and any attachments are for the sole use of the intended recipient(s) and may contain proprietary, confidential, or privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited and may be a violation of law. If you are not the intended recipient or a person responsible for delivering this message to an intended recipient, please contact the sender by reply email and destroy all copies of the original message.

From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Monday, November 29, 2010 2:57 PM To: Zilar, Christopher Cc: Neal, Scott Subject: E-cigarettes compliance

Christopher, Greetings. As you know, we are preparing for the King County BOH to consider e-cigs regulations at their December meeting. Can you send me any documents you have related to the compliance checks done in Spokane? (I recall something about 28 out of 31 vendors selling to minors...) It would be very helpful to have that information to show that these products are being sold to minors. Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

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From: "Pajimula, Fel" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 12/8/2010 10:23:48 PM Subject: E-CIGS for BOH/Policy stuff I was able to purchase a Menthol X-HALE-O2 e-cig from 7-Eleven, Labeled: "E-Cigarette Elite Kit Menthol" http://www.xhaleo2.com Here are a photo I just took of the kit (2 others placed on the shared drive along with the kiosk and display photos):

I placed this kit in with the other kit previously purchased. This one is in a silver case with refill cartriges. The older one in the black case, there are 2 e-cigarettes and refil cartridges. So along with Paul Z.'s version we have 4 cigarettes total. Make sure to take the xhaleo2 one out of the plastic packaging when presenting it, it smells nice and minty. thanks,fel. Fel Pajimula Tobacco Prevention Program Public Health - Seattle & King County fel.pajimula@kingcounty.gov Main: 206-296-7613 Desk: 206-263-8203

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From: "Neal, Scott" To: "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> Date: 12/8/2010 12:19:00 PM Subject: RE: I was able to get a few updated e-cig photos. Good pictures Felthanks! >_____________________________________________ >From: Pajimula, Fel >Sent: Tuesday, December 07, 2010 5:15 PM >To: Hamilton, Joy; Neal, Scott; Hatzenbuehler, Eric >Subject: I was able to get a few updated e-cig photos. > >they are living on the shared drive: (also attached) >Retailer Education & Compliance\Prevention\Retailers\2010-10 BOH store photos\ECIGS >someone has been moving things around in there, but this is where they can be found for now. > > << File: 7-ELEVEN e-hookah.JPG >> << File: northgate.JPG >> > > >Fel Pajimula >Tobacco Prevention Program >Public Health Seattle & King County >fel.pajimula@kingcounty.gov > >Main: 206-296-7613 >Desk: 206-263-8203 >

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From: To: Date: Subject: Attachments:

"Neal, Scott" wage1@comcast.net 12/8/2010 5:59:00 PM Tobacco Prevention Information Camel's Break Free Adventure overview.doc Final partners letter_tobacco funding.doc

Hi Julie, It was nice talking with you about how you can get involved in tobacco prevention. Below is the information that we discussed on the phone. Tobacco Prevention & Control Program Funding Please see our letter for friends and partners that describes the current situation for tobacco prevention and control in Washington State. You can voice your opinion about this situation or any legislative matter online: "Find Your Legislators" webpage (http://apps.leg.wa.gov/DistrictFinder/Default.aspx) Governor's webpage: http://www.governor.wa.gov/contact/default.asp King County Board of Health (BOH) The BOH is scheduled to meet on Dec. 16, 2010 at 9:30am Meeting Agenda: http://www.kingcounty.gov/healthservices/health/BOH/agenda.aspx The BOH will be considering restrictions to the sale and use of electronic cigarettes. Camel "Seattle" Campaign: Attached is some information about the Camel "Seattle" Campaign. Pike Place Market Info: http://www.pikeplacemarket.org/market_organizations/pda_council_committees/contact Thanks again for your interest in tobacco prevention and please feel free to contact me if you have any further questions about what we do or how you can get involved with making your voice heard. Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: To: Date: Subject:

"Johnson, Gareth" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/8/2010 2:01:35 AM Re: Working on something now...

It looks OK after a very quick read. I'll look at it more carefully first thing tomorrow.

----- Original Message ----From: Neal, Scott Sent: Tuesday, December 07, 2010 07:30 PM To: Johnson, Gareth Subject: FW: Working on something now... Gary, Here is what Anne pulled together tonight. As she states, she took a bit of a different approach to this, but I think this is clear and gets to the point about this ruling was on this particular product and also how other products may not be considered "Tobacco Products" and instead indeed fall under the Drug Compliance oversight. Let me know if this is ok or if we should have her add more detail. Once we get the final content right, I can put this into a one page (or likely half page) with a heading that is appropriate for this to be added as an attachment to the staff report. Complicating matters a bit is that Anne is off tomorrow and I'm not sure if she will be monitoring her email and able to respond. If not, we can always provide this after the staff report gets sent...as this is very much late breaking information. thanks Scott

________________________________________ From: Pearson, Anne Sent: Tuesday, December 07, 2010 5:21 PM To: Neal, Scott Subject: RE: Working on something now... OK, I decided to stay and just bang it out. Here's what I have. I tried to give more background than legal opinion, but it may need more of the latter. What do you think?

In 2009, the Federal Food and Drug Administration (FDA) sought to curb the proliferation of e-cigarettes by ordering that a shipment of e-cigarettes by denied entry into the United States. The FDA took this action pursuant to its belief that the seized e-cigarettes were unapproved drug-device combinations under the Food, Drug and Cosmetic Act. The manufacturer of the e-cigarettes that were seized by the FDA, NJOY, filed a lawsuit challenging the agency action. On December 7, 2010, the United States Court of Appeals for the District of Columbia Circuit issued an opinion stating that the FDA could not prohibit the importation of NJOY e-cigarettes pursuant to its authority to regulate drug-device combinations. Rather, the court concluded that NJOY e-cigarettes are more appropriately regulated by the FDA as tobacco products, like cigarettes and cigars. This decision rested in part on the fact that NJOY ecigarettes market themselves for smoking pleasure and not as a therapeutic or smoking cessation product. The court acknowledged that other e-cigarettes which market themselves differently may meet the definition of drug8_19_2011

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device combination. The Campaign for Tobacco Free Kids notes that while the court found that the FDA could regulate some electronic cigarettes as tobacco products, it will take the FDA time to assert jurisdiction over these products and issue regulations governing them, leaving these products unregulated in the meantime. If e-cigarettes are regulated as tobacco products at the federal level, local jurisdictions will retain their authority to regulate the sale, distribution, and promotion of those products, just as they regulate the sale of traditional tobacco products.

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From: To: Date: Subject:

"David R. Hutchinson" <mayord@ci.lake-forest-park.wa.us> "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/9/2010 5:55:23 PM RE: BOH Tobacco Policy Committee agenda and draft code language for review

Thanks Scott. Now I understand. Mayor Dave


From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Friday, December 03, 2010 11:42 AM To: David R. Hutchinson Cc: Hamilton, Joy; Wood, Maria Subject: FW: BOH Tobacco Policy Committee agenda and draft code language for review Hi Mayor Dave, Joy shared your email with me regarding the hookah update. I just wanted to clarify...the resistance that we are seeing has nothing to do with recently adopted BOH code. These establishments are simply resisting the original 5 year old statewide smoking ban. Unfortunately the "lengthy legal process" reference in the email cannot be expedited by the new BOH code. However if we have to go down the legal process, the new code helps make our case more likely to be successful because it makes these cases more black or white with regards to if smoking is occuring in a public place or place of employment. It has also helped our staff communicate more clearly to callers that continue to ask us how they can open a hookah lounge. thanks Scott

From: David R. Hutchinson [mailto:mayord@ci.lake-forest-park.wa.us] Sent: Thursday, December 02, 2010 8:22 AM To: Hamilton, Joy Subject: RE: BOH Tobacco Policy Committee agenda and draft code language for review

Thanks for the up-date Joy. Sounds like there is some resistance to the new law with your reference to a lengthy legal process. Mayor Dave
From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Wednesday, December 01, 2010 4:24 PM To: 'mayordave@cityoflfp.com' Subject: FW: BOH Tobacco Policy Committee agenda and draft code language for review

Mayor Dave, Good morning. I asked the enforcement team to give you an update on the hookah bars:
Update on Hookah in Seattle On October, 15th 2010 the Tobacco Prevention Program sent an educational letter to all establishments in King County (including all hookah lounges) that had received any enforcement action in the past alerting them of the changes to the law. That weekend staff began conducting inspections and issuing Notice of Violation letters under the new code. Because this is a new regulation any place found in violation must go through the standard violation process which includes the issuance of a Notice and Order along with a right to appeal that notice. We are currently working with the Prosecuting Attorney's Office to work out the minor changes needed to our Notice and Orders under the new regulation and will proceed with enforcement action on any violators as appropriate. The amendments that the Board passed clarify definitions of terms that were open to broad interpretation and will support public health in proceeding with new inspections under the revised guidelines. Any violations under the new guidelines will result in fines, newly created re-inspection fees, and appropriate legal action. However, it is highly likely that each 8_19_2011

Page 2 hookah establishment will require a somewhat lengthy legal process before compliance is achieved.

Please let me know if you have any further questions. Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

From: David R. Hutchinson [mailto:mayord@ci.lake-forest-park.wa.us] Sent: Monday, November 22, 2010 2:51 PM To: Hamilton, Joy Subject: RE: BOH Tobacco Policy Committee agenda and draft code language for review

Thanks Joy. I think the minutes are pretty self-explanatory. Keep up the good work. By the way, what happened to the Seattle University pipe shops? Do we have a handle on this? Mayor Dave
From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Wednesday, November 17, 2010 9:58 AM To: 'mayordave@cityoflfp.com' Cc: Wood, Maria Subject: FW: BOH Tobacco Policy Committee agenda and draft code language for review Mayor Dave, Maria Wood informed me that you aren't able to attend today's tobacco policy committee meeting. Please let me know if you have any questions or comments. Maria or I are happy to fill you in on the meeting when you are back. Thanks, Joy

______________________________________________ amilton, Joy esday, November 16, 2010 12:57 PM Nicola (bnicola@u.washington.edu); 'Dave Hutchinson'; Drago, Jan; 'Sally Clark' brook, Marsha; 'Jerry DeGreik'; Johnson, Gareth; 'LaTonya Brown'; Neal, Scott; Kolczynski, Angela; Pearson, Anne; Ross-Viles, Sarah; Hamilton, Joy; Soo Hoo, Wendy; Wood, Maria BOH Tobacco Policy Committee agenda and draft code language for review

Dear BOH Tobacco Policy Committee members, The Tobacco Prevention Program has prepared draft code language regarding electronic cigarette (and other unapproved nicotine delivery devices) regulations. If you have a chance, please review the proposed language and come prepared to tomorrow's committee meeting (1:30 pm, Chinook 1312) with any questions or comments. Please note that this is also being reviewed by the Prosecuting Attorney's Office. The proposed changes include: 1) restrict the sale of unapproved nicotine delivery devices and electronic smoking devices to adults 18 years of age or older; 2) prohibit providing free (sampling) or heavily discounted electronic smoking devices or unapproved nicotine delivery products and; 3) prohibit mechanical sales (vending machines) in any place where minors may be present 4) prohibit the use of e-cigarettes and similar smoking devices in places where smoking is prohibited by law. 8_19_2011

Page 3 I've also attached the agenda for tomorrow's meeting.

Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

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From: "Fallis, Rusty \(ATG\)" <RustyF@ATG.WA.GOV> To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Davis, Paul A \(DOH\)" <Paul.Davis@DOH.WA.GOV> Date: 12/9/2010 2:57:49 PM Subject: RE: Camel Break Out Adventure--citizen offer to help
Scott, thanks very much for contacting her. I appreciate it. Rusty
From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Thursday, December 09, 2010 10:55 AM To: Davis, Paul A (DOH); Fallis, Rusty (ATG) Subject: RE: Camel Break Out Adventure--citizen offer to help yes, I spoke with her a couple of days ago. I also shared with her the program situation and the BOH work we are doing next week as well (e-cig regulations). I followed up with an information email to her following my phone conversation. I don't know what her next steps will be, but she has plenty of options for her to take whatever action she wants. :) Scott

From: Davis, Paul A (DOH) [mailto:Paul.Davis@DOH.WA.GOV] Sent: Thursday, December 09, 2010 10:51 AM To: Fallis, Rusty (ATG); Neal, Scott Subject: Re: Camel Break Out Adventure--citizen offer to help Scott, did you contact that person who was referred by ag office?

From: Fallis, Rusty (ATG) To: Davis, Paul A (DOH) Sent: Thu Dec 09 09:47:30 2010 Subject: FW: Camel Break Out Adventure--citizen offer to help

Hi, Paul. Did you happen to hear anything back from Scott? Thanks. Rusty
_____________________________________________ From: Fallis, Rusty (ATG) Sent: Friday, December 03, 2010 2:04 PM To: 'Neal, Scott'; Davis, Paul A (DOH) Subject: Camel Break Out Adventure--citizen offer to help

Hi, Scott and Paul. Attached is a constituent letter from a person who would like to volunteer to help educate the public about the dangers of smoking. We dont have any existing structure <<cctn 209858.htm>> in the AGO for tobacco-related volunteer work. Are either of you aware of any opportunities that would be appropriate given this persons particular expressed interest (either governmental or NGO)? If so, please pass them along and Ill relay them accordingly. Thanks. Rusty Robert J. Fallis
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Assistant Attorney General Office of the Attorney General 800 5th Avenue Suite 2000, TB-14 Seattle, Washington 98104-3188 Phone: 206-389-3888 Fax: 206-464-6451 Email: rustyf@atg.wa.gov

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From: "Neal, Scott" To: "Davis, Paul A \(DOH\)" <Paul.Davis@DOH.WA.GOV> "Fallis, Rusty \(ATG\)" <RustyF@ATG.WA.GOV> Date: 12/9/2010 2:56:00 PM Subject: RE: Camel Break Out Adventure--citizen offer to help
yes, I spoke with her a couple of days ago. I also shared with her the program situation and the BOH work we are doing next week as well (e-cig regulations). I followed up with an information email to her following my phone conversation. I don't know what her next steps will be, but she has plenty of options for her to take whatever action she wants. :) Scott

From: Davis, Paul A (DOH) [mailto:Paul.Davis@DOH.WA.GOV] Sent: Thursday, December 09, 2010 10:51 AM To: Fallis, Rusty (ATG); Neal, Scott Subject: Re: Camel Break Out Adventure--citizen offer to help Scott, did you contact that person who was referred by ag office?

From: Fallis, Rusty (ATG) To: Davis, Paul A (DOH) Sent: Thu Dec 09 09:47:30 2010 Subject: FW: Camel Break Out Adventure--citizen offer to help

Hi, Paul. Did you happen to hear anything back from Scott? Thanks. Rusty
_____________________________________________ From: Fallis, Rusty (ATG) Sent: Friday, December 03, 2010 2:04 PM To: 'Neal, Scott'; Davis, Paul A (DOH) Subject: Camel Break Out Adventure--citizen offer to help

Hi, Scott and Paul. Attached is a constituent letter from a person who would like to volunteer to help educate the public about the dangers of smoking. We dont have any existing structure <<cctn 209858.htm>> in the AGO for tobacco-related volunteer work. Are either of you aware of any opportunities that would be appropriate given this persons particular expressed interest (either governmental or NGO)? If so, please pass them along and Ill relay them accordingly. Thanks. Rusty Robert J. Fallis Assistant Attorney General Office of the Attorney General 800 5th Avenue Suite 2000, TB-14
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Seattle, Washington 98104-3188 Phone: 206-389-3888 Fax: 206-464-6451 Email: rustyf@atg.wa.gov

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From: To: Date: Subject:

"Neal, Scott" "Fallis, Rusty \(ATG\)" <RustyF@ATG.WA.GOV> 12/9/2010 3:09:00 PM RE: Camel Break Out Adventure--citizen offer to help

no problem...any time you get people who are interested in taking action or voicing their support, please feel free to foward them our way. We love to provide education to potential advocates! Scott

From: Fallis, Rusty (ATG) [mailto:RustyF@ATG.WA.GOV] Sent: Thursday, December 09, 2010 10:58 AM To: Neal, Scott; Davis, Paul A (DOH) Subject: RE: Camel Break Out Adventure--citizen offer to help

Scott, thanks very much for contacting her. I appreciate it. Rusty
From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Thursday, December 09, 2010 10:55 AM To: Davis, Paul A (DOH); Fallis, Rusty (ATG) Subject: RE: Camel Break Out Adventure--citizen offer to help yes, I spoke with her a couple of days ago. I also shared with her the program situation and the BOH work we are doing next week as well (e-cig regulations). I followed up with an information email to her following my phone conversation. I don't know what her next steps will be, but she has plenty of options for her to take whatever action she wants. :) Scott

From: Davis, Paul A (DOH) [mailto:Paul.Davis@DOH.WA.GOV] Sent: Thursday, December 09, 2010 10:51 AM To: Fallis, Rusty (ATG); Neal, Scott Subject: Re: Camel Break Out Adventure--citizen offer to help Scott, did you contact that person who was referred by ag office?

From: Fallis, Rusty (ATG) To: Davis, Paul A (DOH) Sent: Thu Dec 09 09:47:30 2010 Subject: FW: Camel Break Out Adventure--citizen offer to help

Hi, Paul. Did you happen to hear anything back from Scott? Thanks. Rusty
_____________________________________________ From: Fallis, Rusty (ATG) Sent: Friday, December 03, 2010 2:04 PM To: 'Neal, Scott'; Davis, Paul A (DOH) Subject: Camel Break Out Adventure--citizen offer to help

Hi, Scott and Paul. Attached is a constituent letter from a person who would like to volunteer to help educate the public about the dangers of smoking. We dont have any existing structure <<cctn 209858.htm>>
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in the AGO for tobacco-related volunteer work. Are either of you aware of any opportunities that would be appropriate given this persons particular expressed interest (either governmental or NGO)? If so, please pass them along and Ill relay them accordingly. Thanks. Rusty Robert J. Fallis Assistant Attorney General Office of the Attorney General 800 5th Avenue Suite 2000, TB-14 Seattle, Washington 98104-3188 Phone: 206-389-3888 Fax: 206-464-6451 Email: rustyf@atg.wa.gov

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From: "Coppage, William \(CDC/ONDIEH/NCCDPHP\) \(CTR\)" <wic5@cdc.gov> To: Date: 12/9/2010 2:04:52 PM Subject: Surgeon General's Report Released
Dear Colleague: The Centers for Disease Control and Prevention (CDC) and the U.S. Surgeon Generals Office are working together to inform states, public health partners, and the general public about a new report released today, December 9, 2010. This Surgeon Generals report contains important new information on how tobacco smoke causes disease and explains why it is crucial to stop smoking and avoid secondhand smoke. The full report and supporting materials are described below. This e-mail also contains helpful information on how to obtain copies.

Products Available
Full report
How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease: A Report of the Surgeon General A 700+ page scientific report that reviews the evidence on the mechanisms by which smoking causes disease.

Executive summary
How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease: A Report of the Surgeon GeneralExecutive Summary A 20-page document that summarizes the evidence in the full report and provides the six major conclusions as well as each of the chapter conclusions from the full report.

Consumer summary
A Report of the Surgeon General: How Tobacco Smoke Causes Disease: What It Means to You An easy-to-read, 20-page booklet that summarizes the full report and provides practical information about the dangers of tobacco use and what people can do to quit tobacco use and protect themselves and their families from exposure to tobacco smoke.

Clinicians piece
What to Tell Your Patients About Smoking A one-page fact sheet that lists findings from the full report and features smoking-attributable chronic disease information as well as how to quit information from the Clinical Practice Guidelines (published by the U.S. Agency for Healthcare Research and Quality). The fact sheet provides simple talking points and key information to help medical providers talk to their patients about quitting tobacco use.

Public service announcement


At the December 9 press event announcing the release of the report, CDC will unveil a new 30-second public service announcement (PSA) featuring the U.S. Surgeon General, Dr. Regina M. Benjamin. The PSA features hyper-realistic animation showing how smoking causes a heart attack. The PSA can be obtained by calling (240) 747-4844.

Ad package
To assist states in promoting the report, CDCs Office on Smoking and Health (OSH) purchased the talent and holding fees associated with three antismoking TV ads that states can run at a reduced cost. All three ads (Reverse Heart Attack, Reverse Lung Cancer, and Cigarettes Are Eating You Alive) are available (in 15and 30-second spots) for broadcast, cable, and Internet use from December 9, 2010, through December 7,
8_19_2011

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2011. States will be responsible for placement of the ads and can localize them with their state quitline information and/or 1-800-QUIT-NOW. These ads are available through CDCs Media Campaign Resource Center (MCRC).

Getting Copies
Electronic copies To download an electronic copy of the full report, executive summary, consumer summary, or clinicians piece, visit www.cdc.gov/tobacco and click on Surgeon Generals Reports. Print copies To order print copies of the full report, executive summary, consumer summary, or clinicians piece, visit www.cdc.gov/tobacco and click on Publications Catalog or call toll free 1-800-CDC-INFO (1-800-232-4636). Allow 5 to 7 weeks for domestic delivery and 8 to 10 weeks for international delivery.

Spreading the Word


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

Feature article
Read CDCs feature article about the Surgeon Generals report (http://www.cdc.gov/features/SmokeExposure/) and encourage others to do so as well.

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

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

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

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

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

e-Cards
Send Health-e-Cards emphasizing the value of being tobacco free. Refer to www2c.cdc.gov/ecards/index.asp?category=201.

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

Office on Smoking and Health

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From: To: Date: Subject: Thanks Joylooks great

"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/9/2010 8:05:00 PM RE: Upcoming Board of Health meeting - Dec. 16th

>_____________________________________________ >From: Hamilton, Joy >Sent: Thursday, December 09, 2010 3:50 PM >To: zzgrp, PH CPPW Heal Project Managers; zzgrp, PH CPPW Tobacco >Cc: Ross-Viles, Sarah; Neal, Scott >Subject: Upcoming Board of Health meeting - Dec. 16th > >Project Officers, > >Below is the text of an email that I would encourage you to send out ASAP to your grantees in particular those who attended the Advocacy training or those who are working on community mobilization. Board of Health meetings are a great low-stress opportunity for people to practice advocacy skills. Feel free to contact me if you need more information or have any questions. > >Thanks, >Joy > >_________________________ >Next Thursday, December 16th, the King County Board of Health will have its monthly meeting. This is a fantastic opportunity to practice your advocacy skills and make your voice heard in a public meeting. The agenda for the meeting includes several items of interest to CPPW grantees: >1. Regulations relating to electronic smoking devices (also known as e-cigarettes) and unapproved nicotine delivery products. These regulations will help protect youth from starting to use electronic cigarettes and will reduce enforcement challenges for the smoking in public places and places of employment law. >2. A resolution calling on the state of Washington to provide dedicated and long-term financing so local public health jurisdictions can protect and improve the health of all community residents. >3. An annual report for Public Health Seattle-King County presented by the director, Dr. David Fleming. > >For more information about any of these items, please see the meeting packet. > >Public comments can be made in person at the beginning of the meeting or submitted in written form. For more details, please consult the Board of Health website . > >The Board of Health meeting will be at 9:30 am on December 16th in the King County Council Chambers (10th floor of the King County Courthouse, 516 3rd Avenue, Room 1001). > >If you have any questions, please contact your project officer or Joy Hamilton (contact info below). > >Sincerely, >Joy Hamilton, MPH >Public Health - Seattle & King County >Communities Putting Prevention to Work >Tobacco Policy and Advocacy Manager >401 5th Ave. Suite 900
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>Seattle, WA 98104 >(206) 263-9382 >joy.hamilton@kingcounty.gov > >

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From: "Hamilton, Joy" To: "zzgrp, PH CPPW Heal Project Managers" <healpms@kingcounty.gov> "zzgrp, PH CPPW Tobacco" <zzgrp_PHCPPWTobacco@kingcounty.gov> Date: 12/9/2010 7:50:09 PM Subject: Upcoming Board of Health meeting - Dec. 16th Project Officers, Below is the text of an email that I would encourage you to send out ASAP to your grantees in particular those who attended the Advocacy training or those who are working on community mobilization. Board of Health meetings are a great low-stress opportunity for people to practice advocacy skills. Feel free to contact me if you need more information or have any questions. Thanks, Joy _________________________ Next Thursday, December 16th, the King County Board of Health will have its monthly meeting. This is a fantastic opportunity to practice your advocacy skills and make your voice heard in a public meeting. The agenda for the meeting includes several items of interest to CPPW grantees: 1. Regulations relating to electronic smoking devices (also known as e-cigarettes) and unapproved nicotine delivery products. These regulations will help protect youth from starting to use electronic cigarettes and will reduce enforcement challenges for the smoking in public places and places of employment law. 2. A resolution calling on the state of Washington to provide dedicated and long-term financing so local public health jurisdictions can protect and improve the health of all community residents. 3. An annual report for Public Health Seattle-King County presented by the director, Dr. David Fleming. For more information about any of these items, please see the meeting packet. Public comments can be made in person at the beginning of the meeting or submitted in written form. For more details, please consult the Board of Health website . The Board of Health meeting will be at 9:30 am on December 16th in the King County Council Chambers (10th floor of the King County Courthouse, 516 3rd Avenue, Room 1001). If you have any questions, please contact your project officer or Joy Hamilton (contact info below). Sincerely, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

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From: "Neal, Scott" To: "Apa, James" <James.Apa@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> Date: 12/10/2010 8:04:34 PM Subject: RE: Board of Health approves blueprint for a healthy King County thanks for the update James! ________________________________________ From: Apa, James Sent: Friday, December 10, 2010 4:03 PM To: Hamilton, Joy; Neal, Scott; Wood, Maria; Ross, Kathryn Cc: Ross-Viles, Sarah Subject: RE: Board of Health approves blueprint for a healthy King County Thanks, Joy. This is a great start, and Ill review them over the weekend. I havent heard back from Bud, but P-I is going to delay the story until Tuesday, so we should be able to connect them on Monday. Katie will send around a rough Q& A shortly. _____________________________________________ From: Hamilton, Joy Sent: Friday, December 10, 2010 2:59 PM To: Apa, James; Neal, Scott; Wood, Maria; Ross, Kathryn Cc: Ross-Viles, Sarah Subject: RE: Board of Health approves blueprint for a healthy King County Here's some quick talking points: E-cigarettes contain nicotine which is the same highly addictive substance in cigarettes. Even when marketed as not containing nicotine, FDA testing detected nicotine in all samples, except for one. These products have a high appeal to youth. They are sold in convenience stores and mall kiosks and come in candy flavors. The FDA has warned that e cigarettes can increase nicotine addiction among young people and may lead youth to try conventional tobacco products. Product testing by the FDA has also found detectable levels of known carcinogens and toxic chemicals to which users could potentially be exposed. E-cigarettes have made the Smoking in Public Places law difficult to enforce because of their resemblance to cigarettes. This has become a problem for business owners and several have contacted the health department with questions about how to handle this. Public Health inspectors have observed use of electronic cigarettes in public can increase the likelihood that people will break the law by lighting up cigarettes because they see what appears to be someone smoking. I'm also including the addendum that Anne put together earlier this week in light of the latest court ruling. << File: Recent Federal Court Decision Regarding One E.doc >> Please let me know if you need anything else. Joy _____________________________________________ From: Apa, James
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Sent: Friday, December 10, 2010 2:03 PM To: Hamilton, Joy; Neal, Scott; Wood, Maria; Ross, Kathryn Subject: RE: Board of Health approves blueprint for a healthy King County I think a draft ta da by Tuesday would be OK. Right now, could you take a first shot at 3 - 5 top level talking points on the proposed regulation that Bud could use this afternoon or Monday. One weve already discussed is the reasonable regulation to protect kids now, even as FDA looks at further regulation Katie will work up some tough questions that we can flesh out answers for early next week. _____________________________________________ From: Hamilton, Joy Sent: Friday, December 10, 2010 1:13 PM To: Apa, James; Neal, Scott; Wood, Maria; Ross, Kathryn Subject: RE: Board of Health approves blueprint for a healthy King County When do you need the "ta da" press release draft? _____________________________________________ From: Apa, James Sent: Friday, December 10, 2010 1:07 PM To: Neal, Scott; Hamilton, Joy; Wood, Maria; Ross, Kathryn Subject: RE: Board of Health approves blueprint for a healthy King County Hi, all. To follow up, Ill be issuing the BOH release today. Vanessa Ho from the P-I has already found it on our web site, so we should expect this to spin up fast. Im going to call her back a little later today and see where shes at. Ideally, we could push toward Monday and have Bud talk with her then, but if shes determined to roll this out today, its in our best interest to have him available now. Maria do you have his phone number? I havent had time to work on the tough questions, but will send some around later today. -James

_____________________________________________ From: Apa, James Sent: Tuesday, December 07, 2010 6:23 PM To: Neal, Scott; Hamilton, Joy; Wood, Maria; Ross, Kathryn Subject: FW: Board of Health approves blueprint for a healthy King County Hi, Scott, Joy and Maria. Thanks for the meeting today. To recap tasks for next week, heres what I have: Draft media release thanks for taking the first cut, Joy and Scott. AS a template, below is a recent example of a ta da release from the Board. Talking points/Q&A Ill send you some draft questions Lead when Im out -- Katie will be point from Tuesday on next week. Please include her in our e-mail loops.
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Staff report thanks for sending to me. Heads up to Exec and Mayor Mayor through Jerry, Ill notify Frank and Christine. Bud as media lead Hes a go. Thanks for contacting him, Maria. E-cigarettes props program working to get them Recruiting and coordinating testimony from local partners program working on it

Am I missing anything? Thanks, -James

_____________________________________________ From: King County Council Communications Sent: Thursday, September 16, 2010 4:14 PM Subject: Board of Health approves blueprint for a healthy King County << OLE Object: Picture (Metafile) >> Contact: Julia Patterson 206-296-1005 julia.patterson@kingcounty.gov

September 16, 2010 Board of Health approves blueprint for a healthy King County Guidelines seen as outline to assist communities in land use and transportation planning decisions The King County Board of Health today passed a resolution approving and supporting the 2010 Board of Health Guidelines: Planning for Healthy Communities, intended to inform land use and transportation planning decisions to promote healthy living throughout King County. Our environment, such as our roads, walking paths and economic infrastructure, has a significant impact on the physical, mental and social well-being of the people in our communities said Julia Patterson, Chair of the King County Board of Health. These guidelines are intended to help local jurisdictions ensure that their land use planning decisions do not compromise the publics health, and to serve as a reminder that planning issues remain at the root of some of the most widespread public health problems like obesity and substance abuse. The Board of Health has been actively promoting the goals of healthy eating and active living since 2005 with the King County Overweight Prevention Initiative and other efforts, after an increasing body of evidence has shown that effective land use and transportation planning decisions can help create environments that allow people to be physically active, eat healthy food, and live in safe and healthy places.
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The Boards planning for Healthy Communities guidelines are intended to inform land use and transportation planners working at regional, county, and city levels of actions. The guidelines include: Physical Activity: Residents in all communities in King County have access to safe and convenient opportunities for physical activity and exercise. Nutrition: Residents in all communities in King County have access to healthy, affordable foods. Harmful Environmental Exposures: Residents in all communities in King County are protected from exposure to harmful environmental agents and infectious diseases. Injury: o Residents in all communities in King County use transportation systems designed to prevent driver, bicyclist and pedestrian injuries. o Residents in all communities in King County live in safe communities free from violence and fear of violence. Tobacco Use: Residents in all communities in King County are protected from involuntary exposure to second hand tobacco smoke and children cannot access tobacco products. Alcohol Use: Residents in all communities in King County are protected from negative impacts of alcohol. Mental Health and Well-being: Residents in all communities in King County benefit from community design that maximizes opportunities for social connectivity and stress reduction. Access to Health Care: Residents in all communities in King County have local access to health care services. Urban planning and public health have been linked for nearly a century, starting from the need to prevent infectious disease outbreaks in the early 1900s. More recently public health agencies, including the King County Board of Health, have returned to a focus on urban design as it becomes more apparent that place does matter and that the leading causes of death and disability are linked to the environments where we live, work, learn and play. In 2008, the Puget Sound Regional Council adopted VISION 2040, the growth management, environmental, economic, and transportation strategy for the Central Puget Sound Region which contains strategies for promoting the well-being of people and communities, economic vitality, and a healthy environment. Within VISION 2040, the Built Environment and Health section includes broad goal and policies to serve as a platform for counties and cities as they continue to integrate knowledge of public health impacts into their planning activities. The Board of Health, based on its function to promote and improve public health for all King County residents, determined this an opportune time to provide additional guidance and detail as jurisdictions work to include the VISION 2040 policies on the built environment and health into their planning processes. The Board of Health supports the reintegration of public health into planning decisions as an important strategy to ensure that all people and communities have the opportunity to make healthy choices regardless of their income, education or ethnic background.

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From: "Apa, James" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> Date: 12/10/2010 8:03:54 PM Subject: RE: Board of Health approves blueprint for a healthy King County Thanks, Joy. This is a great start, and Ill review them over the weekend. I havent heard back from Bud, but P-I is going to delay the story until Tuesday, so we should be able to connect them on Monday. Katie will send around a rough Q& A shortly. _____________________________________________ From: Hamilton, Joy Sent: Friday, December 10, 2010 2:59 PM To: Apa, James; Neal, Scott; Wood, Maria; Ross, Kathryn Cc: Ross-Viles, Sarah Subject: RE: Board of Health approves blueprint for a healthy King County Here's some quick talking points: * E-cigarettes contain nicotine which is the same highly addictive substance in cigarettes. Even when marketed as not containing nicotine, FDA testing detected nicotine in all samples, except for one. * These products have a high appeal to youth. They are sold in convenience stores and mall kiosks and come in candy flavors. The FDA has warned that e cigarettes can increase nicotine addiction among young people and may lead youth to try conventional tobacco products. * Product testing by the FDA has also found detectable levels of known carcinogens and toxic chemicals to which users could potentially be exposed. * E-cigarettes have made the Smoking in Public Places law difficult to enforce because of their resemblance to cigarettes. This has become a problem for business owners and several have contacted the health department with questions about how to handle this. * Public Health inspectors have observed use of electronic cigarettes in public can increase the likelihood that people will break the law by lighting up cigarettes because they see what appears to be someone smoking. I'm also including the addendum that Anne put together earlier this week in light of the latest court ruling. << File: Recent Federal Court Decision Regarding One E.doc >> Please let me know if you need anything else. Joy _____________________________________________ From: Apa, James Sent: Friday, December 10, 2010 2:03 PM To: Hamilton, Joy; Neal, Scott; Wood, Maria; Ross, Kathryn Subject: RE: Board of Health approves blueprint for a healthy King County I think a draft ta da by Tuesday would be OK. Right now, could you take a first shot at 3 - 5 top level talking points on the proposed regulation that Bud could use this afternoon or Monday. One weve already discussed is the reasonable regulation to protect kids now, even as FDA looks at further regulation
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Katie will work up some tough questions that we can flesh out answers for early next week. _____________________________________________ From: Hamilton, Joy Sent: Friday, December 10, 2010 1:13 PM To: Apa, James; Neal, Scott; Wood, Maria; Ross, Kathryn Subject: RE: Board of Health approves blueprint for a healthy King County When do you need the "ta da" press release draft? _____________________________________________ From: Apa, James Sent: Friday, December 10, 2010 1:07 PM To: Neal, Scott; Hamilton, Joy; Wood, Maria; Ross, Kathryn Subject: RE: Board of Health approves blueprint for a healthy King County Hi, all. To follow up, Ill be issuing the BOH release today. Vanessa Ho from the P-I has already found it on our web site, so we should expect this to spin up fast. Im going to call her back a little later today and see where shes at. Ideally, we could push toward Monday and have Bud talk with her then, but if shes determined to roll this out today, its in our best interest to have him available now. Maria do you have his phone number? I havent had time to work on the tough questions, but will send some around later today. -James

_____________________________________________ From: Apa, James Sent: Tuesday, December 07, 2010 6:23 PM To: Neal, Scott; Hamilton, Joy; Wood, Maria; Ross, Kathryn Subject: FW: Board of Health approves blueprint for a healthy King County Hi, Scott, Joy and Maria. Thanks for the meeting today. To recap tasks for next week, heres what I have: * Draft media release thanks for taking the first cut, Joy and Scott. AS a template, below is a recent example of a ta da release from the Board. * Talking points/Q&A Ill send you some draft questions * Lead when Im out -- Katie will be point from Tuesday on next week. Please include her in our e-mail loops. * Staff report thanks for sending to me. * Heads up to Exec and Mayor Mayor through Jerry, Ill notify Frank and Christine. * Bud as media lead Hes a go. Thanks for contacting him, Maria. * E-cigarettes props program working to get them
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* Recruiting and coordinating testimony from local partners program working on it

Am I missing anything? Thanks, -James

_____________________________________________ From: King County Council Communications Sent: Thursday, September 16, 2010 4:14 PM Subject: Board of Health approves blueprint for a healthy King County << OLE Object: Picture (Metafile) >> Contact: Julia Patterson 206-296-1005 julia.patterson@kingcounty.gov

September 16, 2010 Board of Health approves blueprint for a healthy King County Guidelines seen as outline to assist communities in land use and transportation planning decisions The King County Board of Health today passed a resolution approving and supporting the 2010 Board of Health Guidelines: Planning for Healthy Communities, intended to inform land use and transportation planning decisions to promote healthy living throughout King County. Our environment, such as our roads, walking paths and economic infrastructure, has a significant impact on the physical, mental and social well-being of the people in our communities said Julia Patterson, Chair of the King County Board of Health. These guidelines are intended to help local jurisdictions ensure that their land use planning decisions do not compromise the publics health, and to serve as a reminder that planning issues remain at the root of some of the most widespread public health problems like obesity and substance abuse. The Board of Health has been actively promoting the goals of healthy eating and active living since 2005 with the King County Overweight Prevention Initiative and other efforts, after an increasing body of evidence has shown that effective land use and transportation planning decisions can help create environments that allow people to be physically active, eat healthy food, and live in safe and healthy places. The Boards planning for Healthy Communities guidelines are intended to inform land use and transportation planners working at regional, county, and city levels of actions. The guidelines include: * Physical Activity: Residents in all communities in King County have access to safe and convenient opportunities for physical activity and exercise. * Nutrition: Residents in all communities in King County have access to healthy, affordable foods. * Harmful Environmental Exposures: Residents in all communities in King County are protected from exposure to
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harmful environmental agents and infectious diseases. * Injury: o Residents in all communities in King County use transportation systems designed to prevent driver, bicyclist and pedestrian injuries. o Residents in all communities in King County live in safe communities free from violence and fear of violence. * Tobacco Use: Residents in all communities in King County are protected from involuntary exposure to second hand tobacco smoke and children cannot access tobacco products. * Alcohol Use: Residents in all communities in King County are protected from negative impacts of alcohol. * Mental Health and Well-being: Residents in all communities in King County benefit from community design that maximizes opportunities for social connectivity and stress reduction. * Access to Health Care: Residents in all communities in King County have local access to health care services. Urban planning and public health have been linked for nearly a century, starting from the need to prevent infectious disease outbreaks in the early 1900s. More recently public health agencies, including the King County Board of Health, have returned to a focus on urban design as it becomes more apparent that place does matter and that the leading causes of death and disability are linked to the environments where we live, work, learn and play. In 2008, the Puget Sound Regional Council adopted VISION 2040, the growth management, environmental, economic, and transportation strategy for the Central Puget Sound Region which contains strategies for promoting the well-being of people and communities, economic vitality, and a healthy environment. Within VISION 2040, the Built Environment and Health section includes broad goal and policies to serve as a platform for counties and cities as they continue to integrate knowledge of public health impacts into their planning activities. The Board of Health, based on its function to promote and improve public health for all King County residents, determined this an opportune time to provide additional guidance and detail as jurisdictions work to include the VISION 2040 policies on the built environment and health into their planning processes. The Board of Health supports the reintegration of public health into planning decisions as an important strategy to ensure that all people and communities have the opportunity to make healthy choices regardless of their income, education or ethnic background.

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From: "Apa, James" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> Date: 12/10/2010 6:02:41 PM Subject: RE: Board of Health approves blueprint for a healthy King County I think a draft ta da by Tuesday would be OK. Right now, could you take a first shot at 3 - 5 top level talking points on the proposed regulation that Bud could use this afternoon or Monday. One weve already discussed is the reasonable regulation to protect kids now, even as FDA looks at further regulation Katie will work up some tough questions that we can flesh out answers for early next week. _____________________________________________ From: Hamilton, Joy Sent: Friday, December 10, 2010 1:13 PM To: Apa, James; Neal, Scott; Wood, Maria; Ross, Kathryn Subject: RE: Board of Health approves blueprint for a healthy King County When do you need the "ta da" press release draft? _____________________________________________ From: Apa, James Sent: Friday, December 10, 2010 1:07 PM To: Neal, Scott; Hamilton, Joy; Wood, Maria; Ross, Kathryn Subject: RE: Board of Health approves blueprint for a healthy King County Hi, all. To follow up, Ill be issuing the BOH release today. Vanessa Ho from the P-I has already found it on our web site, so we should expect this to spin up fast. Im going to call her back a little later today and see where shes at. Ideally, we could push toward Monday and have Bud talk with her then, but if shes determined to roll this out today, its in our best interest to have him available now. Maria do you have his phone number? I havent had time to work on the tough questions, but will send some around later today. -James

_____________________________________________ From: Apa, James Sent: Tuesday, December 07, 2010 6:23 PM To: Neal, Scott; Hamilton, Joy; Wood, Maria; Ross, Kathryn Subject: FW: Board of Health approves blueprint for a healthy King County Hi, Scott, Joy and Maria. Thanks for the meeting today. To recap tasks for next week, heres what I have: * Draft media release thanks for taking the first cut, Joy and Scott. AS a template, below is a recent example of a ta da release from the Board.
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* Talking points/Q&A Ill send you some draft questions * Lead when Im out -- Katie will be point from Tuesday on next week. Please include her in our e-mail loops. * Staff report thanks for sending to me. * Heads up to Exec and Mayor Mayor through Jerry, Ill notify Frank and Christine. * Bud as media lead Hes a go. Thanks for contacting him, Maria. * E-cigarettes props program working to get them * Recruiting and coordinating testimony from local partners program working on it

Am I missing anything? Thanks, -James

_____________________________________________ From: King County Council Communications Sent: Thursday, September 16, 2010 4:14 PM Subject: Board of Health approves blueprint for a healthy King County << OLE Object: Picture (Metafile) >> Contact: Julia Patterson 206-296-1005 julia.patterson@kingcounty.gov

September 16, 2010 Board of Health approves blueprint for a healthy King County Guidelines seen as outline to assist communities in land use and transportation planning decisions The King County Board of Health today passed a resolution approving and supporting the 2010 Board of Health Guidelines: Planning for Healthy Communities, intended to inform land use and transportation planning decisions to promote healthy living throughout King County. Our environment, such as our roads, walking paths and economic infrastructure, has a significant impact on the physical, mental and social well-being of the people in our communities said Julia Patterson, Chair of the King County Board of Health. These guidelines are intended to help local jurisdictions ensure that their land use planning decisions do not compromise the publics health, and to serve as a reminder that planning issues remain at the root of some of the most widespread public health problems like obesity and substance abuse.
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The Board of Health has been actively promoting the goals of healthy eating and active living since 2005 with the King County Overweight Prevention Initiative and other efforts, after an increasing body of evidence has shown that effective land use and transportation planning decisions can help create environments that allow people to be physically active, eat healthy food, and live in safe and healthy places. The Boards planning for Healthy Communities guidelines are intended to inform land use and transportation planners working at regional, county, and city levels of actions. The guidelines include: * Physical Activity: Residents in all communities in King County have access to safe and convenient opportunities for physical activity and exercise. * Nutrition: Residents in all communities in King County have access to healthy, affordable foods. * Harmful Environmental Exposures: Residents in all communities in King County are protected from exposure to harmful environmental agents and infectious diseases. * Injury: o Residents in all communities in King County use transportation systems designed to prevent driver, bicyclist and pedestrian injuries. o Residents in all communities in King County live in safe communities free from violence and fear of violence. * Tobacco Use: Residents in all communities in King County are protected from involuntary exposure to second hand tobacco smoke and children cannot access tobacco products. * Alcohol Use: Residents in all communities in King County are protected from negative impacts of alcohol. * Mental Health and Well-being: Residents in all communities in King County benefit from community design that maximizes opportunities for social connectivity and stress reduction. * Access to Health Care: Residents in all communities in King County have local access to health care services. Urban planning and public health have been linked for nearly a century, starting from the need to prevent infectious disease outbreaks in the early 1900s. More recently public health agencies, including the King County Board of Health, have returned to a focus on urban design as it becomes more apparent that place does matter and that the leading causes of death and disability are linked to the environments where we live, work, learn and play. In 2008, the Puget Sound Regional Council adopted VISION 2040, the growth management, environmental, economic, and transportation strategy for the Central Puget Sound Region which contains strategies for promoting the well-being of people and communities, economic vitality, and a healthy environment. Within VISION 2040, the Built Environment and Health section includes broad goal and policies to serve as a platform for counties and cities as they continue to integrate knowledge of public health impacts into their planning activities. The Board of Health, based on its function to promote and improve public health for all King County residents, determined this an opportune time to provide additional guidance and detail as jurisdictions work to include the VISION 2040 policies on the built environment and health into their planning processes. The Board of Health supports the reintegration of public health into planning decisions as an important strategy to ensure that all people and communities have the opportunity to make healthy choices regardless of their income, education or ethnic background.

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From: "Hamilton, Joy" To: "Apa, James" <James.Apa@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> Date: 12/10/2010 5:12:40 PM Subject: RE: Board of Health approves blueprint for a healthy King County When do you need the "ta da" press release draft? >_____________________________________________ >From: Apa, James >Sent: Friday, December 10, 2010 1:07 PM >To: Neal, Scott; Hamilton, Joy; Wood, Maria; Ross, Kathryn >Subject: RE: Board of Health approves blueprint for a healthy King County > >Hi, all. To follow up, Ill be issuing the BOH release today. Vanessa Ho from the P-I has already found it on our web site, so we should expect this to spin up fast. Im going to call her back a little later today and see where shes at. Ideally, we could push toward Monday and have Bud talk with her then, but if shes determined to roll this out today, its in our best interest to have him available now. Maria do you have his phone number? > >I havent had time to work on the tough questions, but will send some around later today. > >-James > > > >_____________________________________________ >From: Apa, James >Sent: Tuesday, December 07, 2010 6:23 PM >To: Neal, Scott; Hamilton, Joy; Wood, Maria; Ross, Kathryn >Subject: FW: Board of Health approves blueprint for a healthy King County > >Hi, Scott, Joy and Maria. Thanks for the meeting today. > >To recap tasks for next week, heres what I have: > >* Draft media release thanks for taking the first cut, Joy and Scott. AS a template, below is a recent example of a ta da release from the Board. > >* Talking points/Q&A Ill send you some draft questions > >* Lead when Im out -- Katie will be point from Tuesday on next week. Please include her in our e-mail loops. > >* Staff report thanks for sending to me. > >* Heads up to Exec and Mayor Mayor through Jerry, Ill notify Frank and Christine. > >* Bud as media lead Hes a go. Thanks for contacting him, Maria. > >* E-cigarettes props program working to get them
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> >* Recruiting and coordinating testimony from local partners program working on it > > >Am I missing anything? > >Thanks, > >-James > > > >_____________________________________________ >From: King County Council Communications >Sent: Thursday, September 16, 2010 4:14 PM >Subject: Board of Health approves blueprint for a healthy King County > > << OLE Object: Picture (Metafile) >> > >Contact: Julia Patterson 206-296-1005 >julia.patterson@kingcounty.gov > > >September 16, 2010 > >Board of Health approves blueprint >for a healthy King County >Guidelines seen as outline to assist communities in land use >and transportation planning decisions > >The King County Board of Health today passed a resolution approving and supporting the 2010 Board of Health Guidelines: Planning for Healthy Communities, intended to inform land use and transportation planning decisions to promote healthy living throughout King County. > >Our environment, such as our roads, walking paths and economic infrastructure, has a significant impact on the physical, mental and social well-being of the people in our communities said Julia Patterson, Chair of the King County Board of Health. These guidelines are intended to help local jurisdictions ensure that their land use planning decisions do not compromise the publics health, and to serve as a reminder that planning issues remain at the root of some of the most widespread public health problems like obesity and substance abuse. > >The Board of Health has been actively promoting the goals of healthy eating and active living since 2005 with the King County Overweight Prevention Initiative and other efforts, after an increasing body of evidence has shown that effective land use and transportation planning decisions can help create environments that allow people to be physically active, eat healthy food, and live in safe and healthy places. > >The Boards planning for Healthy Communities guidelines are intended to inform land use and transportation planners working at regional, county, and city levels of actions. > > >The guidelines include:> >* Physical Activity: Residents in all communities in King County have access to safe and convenient opportunities for physical activity and exercise. >* Nutrition: Residents in all communities in King County have access to healthy, affordable foods.
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>* Harmful Environmental Exposures: Residents in all communities in King County are protected from exposure to harmful environmental agents and infectious diseases. >* Injury: > o Residents in all communities in King County use transportation systems designed to prevent driver, bicyclist and pedestrian injuries. > o Residents in all communities in King County live in safe communities free from violence and fear of violence. > >* Tobacco Use: Residents in all communities in King County are protected from involuntary exposure to second hand tobacco smoke and children cannot access tobacco products. >* Alcohol Use: Residents in all communities in King County are protected from negative impacts of alcohol. > >* Mental Health and Well-being: Residents in all communities in King County benefit from community design that maximizes opportunities for social connectivity and stress reduction. >* Access to Health Care: Residents in all communities in King County have local access to health care services. > >Urban planning and public health have been linked for nearly a century, starting from the need to prevent infectious disease outbreaks in the early 1900s. More recently public health agencies, including the King County Board of Health, have returned to a focus on urban design as it becomes more apparent that place does matter and that the leading causes of death and disability are linked to the environments where we live, work, learn and play. > >In 2008, the Puget Sound Regional Council adopted VISION 2040, the growth management, environmental, economic, and transportation strategy for the Central Puget Sound Region which contains strategies for promoting the well-being of people and communities, economic vitality, and a healthy environment. Within VISION 2040, the Built Environment and Health section includes broad goal and policies to serve as a platform for counties and cities as they continue to integrate knowledge of public health impacts into their planning activities. > >The Board of Health, based on its function to promote and improve public health for all King County residents, determined this an opportune time to provide additional guidance and detail as jurisdictions work to include the VISION 2040 policies on the built environment and health into their planning processes. The Board of Health supports the reintegration of public health into planning decisions as an important strategy to ensure that all people and communities have the opportunity to make healthy choices regardless of their income, education or ethnic background. > > ># # # > > >

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From: "Apa, James" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> Date: 12/10/2010 5:06:32 PM Subject: RE: Board of Health approves blueprint for a healthy King County Hi, all. To follow up, Ill be issuing the BOH release today. Vanessa Ho from the P-I has already found it on our web site, so we should expect this to spin up fast. Im going to call her back a little later today and see where shes at. Ideally, we could push toward Monday and have Bud talk with her then, but if shes determined to roll this out today, its in our best interest to have him available now. Maria do you have his phone number? I havent had time to work on the tough questions, but will send some around later today. -James

_____________________________________________ From: Apa, James Sent: Tuesday, December 07, 2010 6:23 PM To: Neal, Scott; Hamilton, Joy; Wood, Maria; Ross, Kathryn Subject: FW: Board of Health approves blueprint for a healthy King County Hi, Scott, Joy and Maria. Thanks for the meeting today. To recap tasks for next week, heres what I have: * Draft media release thanks for taking the first cut, Joy and Scott. AS a template, below is a recent example of a ta da release from the Board. * Talking points/Q&A Ill send you some draft questions * Lead when Im out -- Katie will be point from Tuesday on next week. Please include her in our e-mail loops. * Staff report thanks for sending to me. * Heads up to Exec and Mayor Mayor through Jerry, Ill notify Frank and Christine. * Bud as media lead Hes a go. Thanks for contacting him, Maria. * E-cigarettes props program working to get them * Recruiting and coordinating testimony from local partners program working on it

Am I missing anything? Thanks,


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-James

_____________________________________________ From: King County Council Communications Sent: Thursday, September 16, 2010 4:14 PM Subject: Board of Health approves blueprint for a healthy King County << OLE Object: Picture (Metafile) >> Contact: Julia Patterson 206-296-1005 julia.patterson@kingcounty.gov

September 16, 2010 Board of Health approves blueprint for a healthy King County Guidelines seen as outline to assist communities in land use and transportation planning decisions The King County Board of Health today passed a resolution approving and supporting the 2010 Board of Health Guidelines: Planning for Healthy Communities, intended to inform land use and transportation planning decisions to promote healthy living throughout King County. Our environment, such as our roads, walking paths and economic infrastructure, has a significant impact on the physical, mental and social well-being of the people in our communities said Julia Patterson, Chair of the King County Board of Health. These guidelines are intended to help local jurisdictions ensure that their land use planning decisions do not compromise the publics health, and to serve as a reminder that planning issues remain at the root of some of the most widespread public health problems like obesity and substance abuse. The Board of Health has been actively promoting the goals of healthy eating and active living since 2005 with the King County Overweight Prevention Initiative and other efforts, after an increasing body of evidence has shown that effective land use and transportation planning decisions can help create environments that allow people to be physically active, eat healthy food, and live in safe and healthy places. The Boards planning for Healthy Communities guidelines are intended to inform land use and transportation planners working at regional, county, and city levels of actions. The guidelines include: * Physical Activity: Residents in all communities in King County have access to safe and convenient opportunities for physical activity and exercise. * Nutrition: Residents in all communities in King County have access to healthy, affordable foods. * Harmful Environmental Exposures: Residents in all communities in King County are protected from exposure to harmful environmental agents and infectious diseases. * Injury: o Residents in all communities in King County use transportation systems designed to prevent driver, bicyclist and pedestrian injuries. o Residents in all communities in King County live in safe communities free from violence and fear of violence. * Tobacco Use: Residents in all communities in King County are protected from involuntary exposure to second
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hand tobacco smoke and children cannot access tobacco products. * Alcohol Use: Residents in all communities in King County are protected from negative impacts of alcohol. * Mental Health and Well-being: Residents in all communities in King County benefit from community design that maximizes opportunities for social connectivity and stress reduction. * Access to Health Care: Residents in all communities in King County have local access to health care services. Urban planning and public health have been linked for nearly a century, starting from the need to prevent infectious disease outbreaks in the early 1900s. More recently public health agencies, including the King County Board of Health, have returned to a focus on urban design as it becomes more apparent that place does matter and that the leading causes of death and disability are linked to the environments where we live, work, learn and play. In 2008, the Puget Sound Regional Council adopted VISION 2040, the growth management, environmental, economic, and transportation strategy for the Central Puget Sound Region which contains strategies for promoting the well-being of people and communities, economic vitality, and a healthy environment. Within VISION 2040, the Built Environment and Health section includes broad goal and policies to serve as a platform for counties and cities as they continue to integrate knowledge of public health impacts into their planning activities. The Board of Health, based on its function to promote and improve public health for all King County residents, determined this an opportune time to provide additional guidance and detail as jurisdictions work to include the VISION 2040 policies on the built environment and health into their planning processes. The Board of Health supports the reintegration of public health into planning decisions as an important strategy to ensure that all people and communities have the opportunity to make healthy choices regardless of their income, education or ethnic background.

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From: "Ross, Kathryn" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Apa, James" <James.Apa@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/10/2010 8:09:46 PM Subject: RE: Board of Health approves blueprint for a healthy King County Attachments: E Cig Rude Q.doc Here's a start to the Tough Questions doc - the questions are there, but we're working on the answers. Please let me know if you have any additions to the list of questions. Thanks! Katie -----Original Message----From: Neal, Scott Sent: Friday, December 10, 2010 4:05 PM To: Apa, James; Hamilton, Joy; Wood, Maria; Ross, Kathryn Cc: Ross-Viles, Sarah Subject: RE: Board of Health approves blueprint for a healthy King County thanks for the update James! ________________________________________ From: Apa, James Sent: Friday, December 10, 2010 4:03 PM To: Hamilton, Joy; Neal, Scott; Wood, Maria; Ross, Kathryn Cc: Ross-Viles, Sarah Subject: RE: Board of Health approves blueprint for a healthy King County Thanks, Joy. This is a great start, and I'll review them over the weekend. I haven't heard back from Bud, but P-I is going to delay the story until Tuesday, so we should be able to connect them on Monday. Katie will send around a rough Q& A shortly. _____________________________________________ From: Hamilton, Joy Sent: Friday, December 10, 2010 2:59 PM To: Apa, James; Neal, Scott; Wood, Maria; Ross, Kathryn Cc: Ross-Viles, Sarah Subject: RE: Board of Health approves blueprint for a healthy King County Here's some quick talking points: * E-cigarettes contain nicotine which is the same highly addictive substance in cigarettes. Even when marketed as not containing nicotine, FDA testing detected nicotine in all samples, except for one. * These products have a high appeal to youth. They are sold in convenience stores and mall kiosks and come in candy flavors. The FDA has warned that e cigarettes can increase nicotine addiction among young people and may lead youth to try conventional tobacco products. * Product testing by the FDA has also found detectable levels of known carcinogens and toxic chemicals to which users could potentially be exposed.
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* E-cigarettes have made the Smoking in Public Places law difficult to enforce because of their resemblance to cigarettes. This has become a problem for business owners and several have contacted the health department with questions about how to handle this. * Public Health inspectors have observed use of electronic cigarettes in public can increase the likelihood that people will break the law by lighting up cigarettes because they see what appears to be someone smoking. I'm also including the addendum that Anne put together earlier this week in light of the latest court ruling. << File: Recent Federal Court Decision Regarding One E.doc >> Please let me know if you need anything else. Joy _____________________________________________ From: Apa, James Sent: Friday, December 10, 2010 2:03 PM To: Hamilton, Joy; Neal, Scott; Wood, Maria; Ross, Kathryn Subject: RE: Board of Health approves blueprint for a healthy King County I think a draft "ta da" by Tuesday would be OK. Right now, could you take a first shot at 3 - 5 top level talking points on the proposed regulation that Bud could use this afternoon or Monday. One we've already discussed is the "reasonable regulation to protect kids now, even as FDA looks at further regulation" Katie will work up some tough questions that we can flesh out answers for early next week. _____________________________________________ From: Hamilton, Joy Sent: Friday, December 10, 2010 1:13 PM To: Apa, James; Neal, Scott; Wood, Maria; Ross, Kathryn Subject: RE: Board of Health approves blueprint for a healthy King County When do you need the "ta da" press release draft? _____________________________________________ From: Apa, James Sent: Friday, December 10, 2010 1:07 PM To: Neal, Scott; Hamilton, Joy; Wood, Maria; Ross, Kathryn Subject: RE: Board of Health approves blueprint for a healthy King County Hi, all. To follow up, I'll be issuing the BOH release today. Vanessa Ho from the P-I has already found it on our web site, so we should expect this to spin up fast. I'm going to call her back a little later today and see where she's at. Ideally, we could push toward Monday and have Bud talk with her then, but if she's determined to roll this out today, it's in our best interest to have him available now. Maria - do you have his phone number? I haven't had time to work on the tough questions, but will send some around later today. -James

_____________________________________________ From: Apa, James Sent: Tuesday, December 07, 2010 6:23 PM
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To: Neal, Scott; Hamilton, Joy; Wood, Maria; Ross, Kathryn Subject: FW: Board of Health approves blueprint for a healthy King County Hi, Scott, Joy and Maria. Thanks for the meeting today. To recap tasks for next week, here's what I have: * Draft media release - thanks for taking the first cut, Joy and Scott. AS a template, below is a recent example of a "ta da" release from the Board. * Talking points/Q&A - I'll send you some draft questions * Lead when I'm out -- Katie will be point from Tuesday on next week. Please include her in our e-mail loops. * Staff report - thanks for sending to me. * Heads up to Exec and Mayor - Mayor through Jerry, I'll notify Frank and Christine. * Bud as media lead - He's a go. Thanks for contacting him, Maria. * E-cigarettes props - program working to get them * Recruiting and coordinating testimony from local partners - program working on it

Am I missing anything? Thanks, -James

_____________________________________________ From: King County Council Communications Sent: Thursday, September 16, 2010 4:14 PM Subject: Board of Health approves blueprint for a healthy King County << OLE Object: Picture (Metafile) >> Contact: Julia Patterson 206-296-1005 julia.patterson@kingcounty.gov

September 16, 2010 Board of Health approves blueprint for a healthy King County Guidelines seen as outline to assist communities in land use and transportation planning decisions The King County Board of Health today passed a resolution approving and supporting the 2010 Board of Health Guidelines: Planning for Healthy Communities, intended to inform land use and transportation planning decisions to
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promote healthy living throughout King County. "Our environment, such as our roads, walking paths and economic infrastructure, has a significant impact on the physical, mental and social well-being of the people in our communities" said Julia Patterson, Chair of the King County Board of Health. "These guidelines are intended to help local jurisdictions ensure that their land use planning decisions do not compromise the public's health, and to serve as a reminder that planning issues remain at the root of some of the most widespread public health problems like obesity and substance abuse." The Board of Health has been actively promoting the goals of healthy eating and active living since 2005 with the King County Overweight Prevention Initiative and other efforts, after an increasing body of evidence has shown that effective land use and transportation planning decisions can help create environments that allow people to be physically active, eat healthy food, and live in safe and healthy places. The Board's planning for Healthy Communities guidelines are intended to inform land use and transportation planners working at regional, county, and city levels of actions. The guidelines include: * Physical Activity: Residents in all communities in King County have access to safe and convenient opportunities for physical activity and exercise. * Nutrition: Residents in all communities in King County have access to healthy, affordable foods. * Harmful Environmental Exposures: Residents in all communities in King County are protected from exposure to harmful environmental agents and infectious diseases. * Injury: o Residents in all communities in King County use transportation systems designed to prevent driver, bicyclist and pedestrian injuries. o Residents in all communities in King County live in safe communities free from violence and fear of violence. * Tobacco Use: Residents in all communities in King County are protected from involuntary exposure to second hand tobacco smoke and children cannot access tobacco products. * Alcohol Use: Residents in all communities in King County are protected from negative impacts of alcohol. * Mental Health and Well-being: Residents in all communities in King County benefit from community design that maximizes opportunities for social connectivity and stress reduction. * Access to Health Care: Residents in all communities in King County have local access to health care services. Urban planning and public health have been linked for nearly a century, starting from the need to prevent infectious disease outbreaks in the early 1900's. More recently public health agencies, including the King County Board of Health, have returned to a focus on urban design as it becomes more apparent that "place" does matter and that the leading causes of death and disability are linked to the environments where we live, work, learn and play. In 2008, the Puget Sound Regional Council adopted VISION 2040, the growth management, environmental, economic, and transportation strategy for the Central Puget Sound Region which contains strategies for promoting the well-being of people and communities, economic vitality, and a healthy environment. Within VISION 2040, the Built Environment and Health section includes broad goal and policies to serve as a platform for counties and cities as they continue to integrate knowledge of public health impacts into their planning activities.
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The Board of Health, based on its function to promote and improve public health for all King County residents, determined this an opportune time to provide additional guidance and detail as jurisdictions work to include the VISION 2040 policies on the built environment and health into their planning processes. The Board of Health supports the reintegration of public health into planning decisions as an important strategy to ensure that all people and communities have the opportunity to make healthy choices regardless of their income, education or ethnic background.

###

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From: "Hamilton, Joy" To: "Apa, James" <James.Apa@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> Date: 12/10/2010 6:59:10 PM Subject: RE: Board of Health approves blueprint for a healthy King County Attachments: Recent Federal Court Decision Regarding One E.doc Here's some quick talking points: * E-cigarettes contain nicotine which is the same highly addictive substance in cigarettes. Even when marketed as not containing nicotine, FDA testing detected nicotine in all samples, except for one. * These products have a high appeal to youth. They are sold in convenience stores and mall kiosks and come in candy flavors. The FDA has warned that e cigarettes can increase nicotine addiction among young people and may lead youth to try conventional tobacco products. * Product testing by the FDA has also found detectable levels of known carcinogens and toxic chemicals to which users could potentially be exposed. * E-cigarettes have made the Smoking in Public Places law difficult to enforce because of their resemblance to cigarettes. This has become a problem for business owners and several have contacted the health department with questions about how to handle this. * Public Health inspectors have observed use of electronic cigarettes in public can increase the likelihood that people will break the law by lighting up cigarettes because they see what appears to be someone smoking. I'm also including the addendum that Anne put together earlier this week in light of the latest court ruling.

Please let me know if you need anything else. Joy > _____________________________________________ > From: Apa, James > Sent: Friday, December 10, 2010 2:03 PM > To: Hamilton, Joy; Neal, Scott; Wood, Maria; Ross, Kathryn > Subject: RE: Board of Health approves blueprint for a healthy King County > > I think a draft > "> ta da> "> by Tuesday would be OK. Right now, could you take a first shot at 3 - 5 top level talking points on the proposed regulation that Bud could use this afternoon or Monday. One we> '> ve already discussed is the > "> reasonable regulation to protect kids now, even as FDA looks at further regulation> "> > > Katie will work up some tough questions that we can flesh out answers for early next week. > > _____________________________________________ > From: Hamilton, Joy > Sent: Friday, December 10, 2010 1:13 PM > To: Apa, James; Neal, Scott; Wood, Maria; Ross, Kathryn > Subject: RE: Board of Health approves blueprint for a healthy King County > > When do you need the "ta da" press release draft? >
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> _____________________________________________ > From: Apa, James > Sent: Friday, December 10, 2010 1:07 PM > To: Neal, Scott; Hamilton, Joy; Wood, Maria; Ross, Kathryn > Subject: RE: Board of Health approves blueprint for a healthy King County > > Hi, all. To follow up, I> '> ll be issuing the BOH release today. Vanessa Ho from the P-I has already found it on our web site, so we should expect this to spin up fast. I> '> m going to call her back a little later today and see where she> '> s at. Ideally, we could push toward Monday and have Bud talk with her then, but if she> '> s determined to roll this out today, it> '> s in our best interest to have him available now. Maria > -> do you have his phone number? > > I haven> '> t had time to work on the tough questions, but will send some around later today. > > -James > > > > _____________________________________________ > From: Apa, James > Sent: Tuesday, December 07, 2010 6:23 PM > To: Neal, Scott; Hamilton, Joy; Wood, Maria; Ross, Kathryn > Subject: FW: Board of Health approves blueprint for a healthy King County > > Hi, Scott, Joy and Maria. Thanks for the meeting today. > > To recap tasks for next week, here> '> s what I have: > > * Draft media release > -> thanks for taking the first cut, Joy and Scott. AS a template, below is a recent example of a > "> ta da> "> release from the Board. > > * Talking points/Q&A > -> I> '> ll send you some draft questions > > * Lead when I> '> m out -- Katie will be point from Tuesday on next week. Please include her in our e-mail loops. > > * Staff report > -> thanks for sending to me. > > * Heads up to Exec and Mayor > -> Mayor through Jerry, I> '> ll notify Frank and Christine. > > * Bud as media lead > -> He> '> s a go. Thanks for contacting him, Maria. > > * E-cigarettes props > -> program working to get them > > * Recruiting and coordinating testimony from local partners > -> program working on it > > > Am I missing anything? > > Thanks, > > -James > >
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> > _____________________________________________ > From: King County Council Communications > Sent: Thursday, September 16, 2010 4:14 PM > Subject: Board of Health approves blueprint for a healthy King County > > << OLE Object: Picture (Metafile) >> > > Contact: Julia Patterson 206-296-1005 > julia.patterson@kingcounty.gov > > > September 16, 2010 > > Board of Health approves blueprint > for a healthy King County > Guidelines seen as outline to assist communities in land use > and transportation planning decisions > > The King County Board of Health today passed a resolution approving and supporting the 2010 Board of Health Guidelines: Planning for Healthy Communities, intended to inform land use and transportation planning decisions to promote healthy living throughout King County. > > "> Our environment, such as our roads, walking paths and economic infrastructure, has a significant impact on the physical, mental and social well-being of the people in our communities> "> said Julia Patterson, Chair of the King County Board of Health. > "> These guidelines are intended to help local jurisdictions ensure that their land use planning decisions do not compromise the public> '> s health, and to serve as a reminder that planning issues remain at the root of some of the most widespread public health problems like obesity and substance abuse.> "> > > The Board of Health has been actively promoting the goals of healthy eating and active living since 2005 with the King County Overweight Prevention Initiative and other efforts, after an increasing body of evidence has shown that effective land use and transportation planning decisions can help create environments that allow people to be physically active, eat healthy food, and live in safe and healthy places. > > The Board> '> s planning for Healthy Communities guidelines are intended to inform land use and transportation planners working at regional, county, and city levels of actions. > > The guidelines include: > * Physical Activity: Residents in all communities in King County have access to safe and convenient opportunities for physical activity and exercise. > * Nutrition: Residents in all communities in King County have access to healthy, affordable foods. > * Harmful Environmental Exposures: Residents in all communities in King County are protected from exposure to harmful environmental agents and infectious diseases. > * Injury: > o Residents in all communities in King County use transportation systems designed to prevent driver, bicyclist and pedestrian injuries. > o Residents in all communities in King County live in safe communities free from violence and fear of violence. > > * Tobacco Use: Residents in all communities in King County are protected from involuntary exposure to second hand tobacco smoke and children cannot access tobacco products. > * Alcohol Use: Residents in all communities in King County are protected from negative impacts of alcohol. >
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> * Mental Health and Well-being: Residents in all communities in King County benefit from community design that maximizes opportunities for social connectivity and stress reduction. > * Access to Health Care: Residents in all communities in King County have local access to health care services. > > Urban planning and public health have been linked for nearly a century, starting from the need to prevent infectious disease outbreaks in the early 1900> '> s. More recently public health agencies, including the King County Board of Health, have returned to a focus on urban design as it becomes more apparent that > "> place> "> does matter and that the leading causes of death and disability are linked to the environments where we live, work, learn and play. > > In 2008, the Puget Sound Regional Council adopted VISION 2040, the growth management, environmental, economic, and transportation strategy for the Central Puget Sound Region which contains strategies for promoting the well-being of people and communities, economic vitality, and a healthy environment. Within VISION 2040, the Built Environment and Health section includes broad goal and policies to serve as a platform for counties and cities as they continue to integrate knowledge of public health impacts into their planning activities. > > The Board of Health, based on its function to promote and improve public health for all King County residents, determined this an opportune time to provide additional guidance and detail as jurisdictions work to include the VISION 2040 policies on the built environment and health into their planning processes. The Board of Health supports the reintegration of public health into planning decisions as an important strategy to ensure that all people and communities have the opportunity to make healthy choices regardless of their income, education or ethnic background. > > >### > > >

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From: To: Date: Subject: thanks.

"Neal, Scott" "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> 12/10/2010 6:37:11 PM RE: Can you guys check this website?

FYI..I just spoke with James Apa...apparently Seattle PI (Vanessa) has contacted him about the E-cig BOH regulations...specifically about the public places restrictions. Sounds like I might be talking with her today or possibly James will, but I told him I'm available by phone. I'll update you if I do. Scott ________________________________________ From: Ross-Viles, Sarah Sent: Friday, December 10, 2010 2:32 PM To: Neal, Scott Subject: FW: Can you guys check this website? Multiple reports saying nothing doing. Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

______________________________________________ From: Holt, Lauren Sent: Friday, December 10, 2010 2:13 PM To: Ross-Viles, Sarah; Brawley, Karen; Greto, Lindsey; Ryan, Molly Subject: RE: Can you guys check this website? Nope, not on my end at least.

_____________________________________________ From: Ross-Viles, Sarah Sent: Friday, December 10, 2010 2:11 PM To: Holt, Lauren; Brawley, Karen; Greto, Lindsey; Ryan, Molly Subject: Can you guys check this website?

Please DO NOT TAKE ACTION. But, can you check this site and let me know if you see it mysteriously prepopulated with Joy's info? http://action.tobaccofreekids.org/site/R?i=cDDFBafvkz2-u_g-4ftlkQ AGAIN - DO NOT TAKE ACTION.
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Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

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From: To: Date: Subject:

"Ross-Viles, Sarah" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/10/2010 6:48:39 PM RE: Can you guys check this website?

Joy and I just talked about talking points. Did not know it was specific to SIPP. Joy - can you elaborate that point to include 1) Difficulty for business owners and the fact that we have received questions about it and 2) Observation that when someone "lights" an e-cig, people smoking cigarettes gather around/ Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211 -----Original Message----From: Neal, Scott Sent: Friday, December 10, 2010 2:37 PM To: Ross-Viles, Sarah Cc: Hamilton, Joy Subject: RE: Can you guys check this website? thanks. FYI..I just spoke with James Apa...apparently Seattle PI (Vanessa) has contacted him about the E-cig BOH regulations...specifically about the public places restrictions. Sounds like I might be talking with her today or possibly James will, but I told him I'm available by phone. I'll update you if I do. Scott ________________________________________ From: Ross-Viles, Sarah Sent: Friday, December 10, 2010 2:32 PM To: Neal, Scott Subject: FW: Can you guys check this website? Multiple reports saying nothing doing. Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

______________________________________________ From: Holt, Lauren Sent: Friday, December 10, 2010 2:13 PM To: Ross-Viles, Sarah; Brawley, Karen; Greto, Lindsey; Ryan, Molly Subject: RE: Can you guys check this website?
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Nope, not on my end at least.

_____________________________________________ From: Ross-Viles, Sarah Sent: Friday, December 10, 2010 2:11 PM To: Holt, Lauren; Brawley, Karen; Greto, Lindsey; Ryan, Molly Subject: Can you guys check this website?

Please DO NOT TAKE ACTION. But, can you check this site and let me know if you see it mysteriously prepopulated with Joy's info? http://action.tobaccofreekids.org/site/R?i=cDDFBafvkz2-u_g-4ftlkQ AGAIN - DO NOT TAKE ACTION.

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

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From: "Bud Nicola" <bnicola@u.washington.edu> To: "Apa, James" <James.Apa@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/10/2010 9:08:23 PM Subject: Re: Media Contact re: e-cigarette regulation
James, Just got your e-mail and am waiting for a bus. Monday morning will work best. What time? What's the message? Bud bnicola@uw.edu via Blackberry
From: Apa, James [mailto:James.Apa@kingcounty.gov] Sent: Friday, December 10, 2010 02:22 PM To: Wood, Maria <Maria.Wood@kingcounty.gov>; Bud Nicola Cc: Hamilton, Joy <Joy.Hamilton@kingcounty.gov>; Neal, Scott <Scott.Neal@kingcounty.gov> Subject: RE: Media Contact re: e-cigarette regulation Hi, Bud. The P-I is interested in doing a story for today or Monday, and would like to talk with you. Whats your availability today and Monday morning to talk with them? -James

From: Wood, Maria Sent: Tuesday, December 07, 2010 2:16 PM To: 'Bud Nicola' Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation Thanks so much. We'll be in touch as needed. Maria

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Tuesday, December 07, 2010 2:00 PM To: Wood, Maria Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: Re: Media Contact re: e-cigarette regulation

Hi Maria, Next week should work. Happy to help. Bud bnicola@uw.edu via Blackberry
From: Wood, Maria [mailto:Maria.Wood@kingcounty.gov] Sent: Tuesday, December 07, 2010 01:40 PM To: Bud Nicola Cc: Apa, James <James.Apa@kingcounty.gov>; Hamilton, Joy <Joy.Hamilton@kingcounty.gov>; Neal, Scott <Scott.Neal@kingcounty.gov> Subject: Media Contact re: e-cigarette regulation Hi Bud, We anticipate that there will be some media interest in the proposed e-cigarette regulation scheduled to be heard by the BOH next week. As the chair of the tobacco sub-committee, would you be willing to talk to media outlets if we have requests, and what is your general availability next week? Our communications team would work with you and provide talking points as we get requests. The agenda is already out there, but we will do our usual BOH meeting press release late this week, which could prompt requests. 8_19_2011

Page 2 Thanks for your help with this. Maria

E. Maria Wood, MA Board of Health Administrator Public Health Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166

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From: "Apa, James" To: "Wood, Maria" <Maria.Wood@kingcounty.gov> "Bud Nicola" <bnicola@u.washington.edu> Date: 12/10/2010 6:22:29 PM Subject: RE: Media Contact re: e-cigarette regulation
Hi, Bud. The P-I is interested in doing a story for today or Monday, and would like to talk with you. Whats your availability today and Monday morning to talk with them? -James

From: Wood, Maria Sent: Tuesday, December 07, 2010 2:16 PM To: 'Bud Nicola' Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation Thanks so much. We'll be in touch as needed. Maria

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Tuesday, December 07, 2010 2:00 PM To: Wood, Maria Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: Re: Media Contact re: e-cigarette regulation

Hi Maria, Next week should work. Happy to help. Bud bnicola@uw.edu via Blackberry
From: Wood, Maria [mailto:Maria.Wood@kingcounty.gov] Sent: Tuesday, December 07, 2010 01:40 PM To: Bud Nicola Cc: Apa, James <James.Apa@kingcounty.gov>; Hamilton, Joy <Joy.Hamilton@kingcounty.gov>; Neal, Scott <Scott.Neal@kingcounty.gov> Subject: Media Contact re: e-cigarette regulation Hi Bud, We anticipate that there will be some media interest in the proposed e-cigarette regulation scheduled to be heard by the BOH next week. As the chair of the tobacco sub-committee, would you be willing to talk to media outlets if we have requests, and what is your general availability next week? Our communications team would work with you and provide talking points as we get requests. The agenda is already out there, but we will do our usual BOH meeting press release late this week, which could prompt requests. Thanks for your help with this. Maria

E. Maria Wood, MA Board of Health Administrator Public Health Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166
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From: "Apa, James" To: "Bud Nicola" <bnicola@u.washington.edu> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/10/2010 9:44:40 PM Subject: RE: Media Contact re: e-cigarette regulation
Thanks, Bud. Monday will work fine for the reporter as well (Vanessa Ho at the P-I). We have some preliminary messages that well be tuning up over the weekend and I will send to you. Perhaps you and I could talk in the morning, and then you can connect with Vanessa afterward.

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Friday, December 10, 2010 5:05 PM To: Apa, James; Wood, Maria Cc: Hamilton, Joy; Neal, Scott Subject: Re: Media Contact re: e-cigarette regulation

James, Just got your e-mail and am waiting for a bus. Monday morning will work best. What time? What's the message? Bud bnicola@uw.edu via Blackberry
From: Apa, James [mailto:James.Apa@kingcounty.gov] Sent: Friday, December 10, 2010 02:22 PM To: Wood, Maria <Maria.Wood@kingcounty.gov>; Bud Nicola Cc: Hamilton, Joy <Joy.Hamilton@kingcounty.gov>; Neal, Scott <Scott.Neal@kingcounty.gov> Subject: RE: Media Contact re: e-cigarette regulation Hi, Bud. The P-I is interested in doing a story for today or Monday, and would like to talk with you. Whats your availability today and Monday morning to talk with them? -James

From: Wood, Maria Sent: Tuesday, December 07, 2010 2:16 PM To: 'Bud Nicola' Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation Thanks so much. We'll be in touch as needed. Maria

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Tuesday, December 07, 2010 2:00 PM To: Wood, Maria Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: Re: Media Contact re: e-cigarette regulation

Hi Maria, Next week should work. Happy to help. Bud bnicola@uw.edu via Blackberry
From: Wood, Maria [mailto:Maria.Wood@kingcounty.gov] Sent: Tuesday, December 07, 2010 01:40 PM To: Bud Nicola 8_19_2011

Page 2 Cc: Apa, James <James.Apa@kingcounty.gov>; Hamilton, Joy <Joy.Hamilton@kingcounty.gov>; Neal, Scott <Scott.Neal@kingcounty.gov> Subject: Media Contact re: e-cigarette regulation Hi Bud, We anticipate that there will be some media interest in the proposed e-cigarette regulation scheduled to be heard by the BOH next week. As the chair of the tobacco sub-committee, would you be willing to talk to media outlets if we have requests, and what is your general availability next week? Our communications team would work with you and provide talking points as we get requests. The agenda is already out there, but we will do our usual BOH meeting press release late this week, which could prompt requests. Thanks for your help with this. Maria

E. Maria Wood, MA Board of Health Administrator Public Health Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166

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From: "Pajimula, Fel" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 12/13/2010 4:06:18 PM Subject: movie: "The Tourist" Johnny Depp + e-cig found this on that forum that was emailed about about the BOH stuff: http://www.newsday.com/entertainment/celebrities/holy-smoke-what-s-with-all-this-vaping-1.2530621 ending in this at the end of the article: "The e-cig industry, like Big Tobacco before it, is proactively pushing its product. Blu, one of the most recognizable e-cig brands, managed to place its packs in this year's Grammy gift bags. Gradually, it seems, the general public is getting a message: Vape 'em if you got 'em. "

>_____________________________________________ >From: Ross-Viles, Sarah >Sent: Monday, December 13, 2010 11:23 AM >To: Apa, James; Hamilton, Joy; Neal, Scott; Hatzenbuehler, Eric; Bennett, John; Pearson, Anne; Pajimula, Fel; Wood, Maria >Subject: RE: Vapers know about BOH work > >On an up note - one of the Vapors supported our arguments. > >Sarah Ross-Viles >CPPW Tobacco Project Manager >Public Health - Seattle & King County >Suite 900 401 5th Avenue >Seattle, WA 98102 >(206) 263-8211 > > >_____________________________________________ >From: Apa, James >Sent: Monday, December 13, 2010 11:08 AM >To: Hamilton, Joy; Neal, Scott; Ross-Viles, Sarah; Hatzenbuehler, Eric; Bennett, John; Pearson, Anne; Pajimula, Fel; Wood, Maria >Subject: RE: Vapers know about BOH work > >Thanks, Joy. KOMO TV ran brief anchor reads over the weekend, so that may have tipped them. Bud Nicolas talking with Vanessa at the P-I today, and Im pitching to KUOW and KPLU for starters today. > >_____________________________________________ >From: Hamilton, Joy >Sent: Monday, December 13, 2010 8:48 AM
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>To: Neal, Scott; Ross-Viles, Sarah; Hatzenbuehler, Eric; Bennett, John; Pearson, Anne; Pajimula, Fel; Apa, James >Subject: Vapers know about BOH work > >Greetings, > >The Vapers caught wind of Thursday's proposed regulations. > >http://www.vapersforum.com/showthread.php?t=25794 > > >There is a comment that they let the National Vapers Club Board of Directors know about this and "they are on it." Also, one poster connected this to the fact that we have CPPW money and jumped to the conclusion that this work is therefore on behalf of the FDA. > >Joy

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From: "Neal, Scott" To: "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 12/13/2010 4:55:00 PM Subject: RE: movie: "The Tourist" Johnny Depp + e-cig horrible >_____________________________________________ >From: Pajimula, Fel >Sent: Monday, December 13, 2010 12:06 PM >To: Ross-Viles, Sarah; Hamilton, Joy; Neal, Scott; Hatzenbuehler, Eric; Bennett, John; Pearson, Anne >Subject: movie: "The Tourist" Johnny Depp + e-cig > >found this on that forum that was emailed about about the BOH stuff: > >http://www.newsday.com/entertainment/celebrities/holy-smoke-what-s-with-all-this-vaping-1.2530621 > >ending in this at the end of the article: > >"The e-cig industry, like Big Tobacco before it, is proactively pushing its product. Blu, one of the most recognizable e-cig brands, managed to place its packs in this year's Grammy gift bags. Gradually, it seems, the general public is getting a message: Vape 'em if you got 'em. " > > >_____________________________________________ >From: Ross-Viles, Sarah >Sent: Monday, December 13, 2010 11:23 AM >To: Apa, James; Hamilton, Joy; Neal, Scott; Hatzenbuehler, Eric; Bennett, John; Pearson, Anne; Pajimula, Fel; Wood, Maria >Subject: RE: Vapers know about BOH work > >On an up note - one of the Vapors supported our arguments. > >Sarah Ross-Viles >CPPW Tobacco Project Manager >Public Health - Seattle & King County >Suite 900 401 5th Avenue >Seattle, WA 98102 >(206) 263-8211 > > >_____________________________________________ >From: Apa, James >Sent: Monday, December 13, 2010 11:08 AM >To: Hamilton, Joy; Neal, Scott; Ross-Viles, Sarah; Hatzenbuehler, Eric; Bennett, John; Pearson, Anne; Pajimula, Fel; Wood, Maria
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>Subject: RE: Vapers know about BOH work > >Thanks, Joy. KOMO TV ran brief anchor reads over the weekend, so that may have tipped them. Bud Nicolas talking with Vanessa at the P-I today, and Im pitching to KUOW and KPLU for starters today. > >_____________________________________________ >From: Hamilton, Joy >Sent: Monday, December 13, 2010 8:48 AM >To: Neal, Scott; Ross-Viles, Sarah; Hatzenbuehler, Eric; Bennett, John; Pearson, Anne; Pajimula, Fel; Apa, James >Subject: Vapers know about BOH work > >Greetings, > >The Vapers caught wind of Thursday's proposed regulations. > >http://www.vapersforum.com/showthread.php?t=25794 > > >There is a comment that they let the National Vapers Club Board of Directors know about this and "they are on it." Also, one poster connected this to the fact that we have CPPW money and jumped to the conclusion that this work is therefore on behalf of the FDA. > >Joy

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From: "Apa, James" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> Date: 12/13/2010 10:25:16 PM Subject: FW: alternatives to cigarettes
FYI

From: Apa, James Sent: Monday, December 13, 2010 6:22 PM To: 'Keith Seinfeld' Subject: alternatives to cigarettes Hi, Keith. Im following up on your question about alternatives to cigarette smoking, in the context of our survey results that local youth are more attracted to alternative tobacco products. Some examples are snus (https://snus.tobaccopleasure.com/modules/security/Login.aspx), candy-like products (Camel Sticks, Orbs and Strips http://tobaccoproducts.org/index.php/Camel_Sticks,_Camel_Orbs_and_Camel_Strips), hookah and cloves. While e-cigarettes dont have tobacco in them, they are similar to these other alternatives in not having the same stigma and branding of health risk and addiction that tobacco cigarettes have, while they also carry an element of novelty that can be attractive to youth. -James

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From: "Hamilton, Joy" To: "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Apa, James" <James.Apa@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/13/2010 8:37:40 PM Subject: RE: Board of Health approves blueprint for a healthy King County Katie, I'm happy to work on the answers for these questions (if you haven't already). I have time to do this tomorrow. Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

-----Original Message----From: Ross, Kathryn Sent: Friday, December 10, 2010 4:10 PM To: Neal, Scott; Apa, James; Hamilton, Joy; Wood, Maria Cc: Ross-Viles, Sarah Subject: RE: Board of Health approves blueprint for a healthy King County Here's a start to the Tough Questions doc - the questions are there, but we're working on the answers. Please let me know if you have any additions to the list of questions. Thanks! Katie -----Original Message----From: Neal, Scott Sent: Friday, December 10, 2010 4:05 PM To: Apa, James; Hamilton, Joy; Wood, Maria; Ross, Kathryn Cc: Ross-Viles, Sarah Subject: RE: Board of Health approves blueprint for a healthy King County thanks for the update James! ________________________________________ From: Apa, James Sent: Friday, December 10, 2010 4:03 PM To: Hamilton, Joy; Neal, Scott; Wood, Maria; Ross, Kathryn Cc: Ross-Viles, Sarah Subject: RE: Board of Health approves blueprint for a healthy King County Thanks, Joy. This is a great start, and Ill review them over the weekend. I havent heard back from Bud, but P-I is
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going to delay the story until Tuesday, so we should be able to connect them on Monday. Katie will send around a rough Q& A shortly. _____________________________________________ From: Hamilton, Joy Sent: Friday, December 10, 2010 2:59 PM To: Apa, James; Neal, Scott; Wood, Maria; Ross, Kathryn Cc: Ross-Viles, Sarah Subject: RE: Board of Health approves blueprint for a healthy King County Here's some quick talking points: E-cigarettes contain nicotine which is the same highly addictive substance in cigarettes. Even when marketed as not containing nicotine, FDA testing detected nicotine in all samples, except for one. These products have a high appeal to youth. They are sold in convenience stores and mall kiosks and come in candy flavors. The FDA has warned that e cigarettes can increase nicotine addiction among young people and may lead youth to try conventional tobacco products. Product testing by the FDA has also found detectable levels of known carcinogens and toxic chemicals to which users could potentially be exposed. E-cigarettes have made the Smoking in Public Places law difficult to enforce because of their resemblance to cigarettes. This has become a problem for business owners and several have contacted the health department with questions about how to handle this. Public Health inspectors have observed use of electronic cigarettes in public can increase the likelihood that people will break the law by lighting up cigarettes because they see what appears to be someone smoking. I'm also including the addendum that Anne put together earlier this week in light of the latest court ruling. << File: Recent Federal Court Decision Regarding One E.doc >> Please let me know if you need anything else. Joy _____________________________________________ From: Apa, James Sent: Friday, December 10, 2010 2:03 PM To: Hamilton, Joy; Neal, Scott; Wood, Maria; Ross, Kathryn Subject: RE: Board of Health approves blueprint for a healthy King County I think a draft ta da by Tuesday would be OK. Right now, could you take a first shot at 3 - 5 top level talking points on the proposed regulation that Bud could use this afternoon or Monday. One weve already discussed is the reasonable regulation to protect kids now, even as FDA looks at further regulation Katie will work up some tough questions that we can flesh out answers for early next week. _____________________________________________ From: Hamilton, Joy Sent: Friday, December 10, 2010 1:13 PM To: Apa, James; Neal, Scott; Wood, Maria; Ross, Kathryn Subject: RE: Board of Health approves blueprint for a healthy King County When do you need the "ta da" press release draft? _____________________________________________
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From: Apa, James Sent: Friday, December 10, 2010 1:07 PM To: Neal, Scott; Hamilton, Joy; Wood, Maria; Ross, Kathryn Subject: RE: Board of Health approves blueprint for a healthy King County Hi, all. To follow up, Ill be issuing the BOH release today. Vanessa Ho from the P-I has already found it on our web site, so we should expect this to spin up fast. Im going to call her back a little later today and see where shes at. Ideally, we could push toward Monday and have Bud talk with her then, but if shes determined to roll this out today, its in our best interest to have him available now. Maria do you have his phone number? I havent had time to work on the tough questions, but will send some around later today. -James

_____________________________________________ From: Apa, James Sent: Tuesday, December 07, 2010 6:23 PM To: Neal, Scott; Hamilton, Joy; Wood, Maria; Ross, Kathryn Subject: FW: Board of Health approves blueprint for a healthy King County Hi, Scott, Joy and Maria. Thanks for the meeting today. To recap tasks for next week, heres what I have: Draft media release thanks for taking the first cut, Joy and Scott. AS a template, below is a recent example of a ta da release from the Board. Talking points/Q&A Ill send you some draft questions Lead when Im out -- Katie will be point from Tuesday on next week. Please include her in our e-mail loops. Staff report thanks for sending to me. Heads up to Exec and Mayor Mayor through Jerry, Ill notify Frank and Christine. Bud as media lead Hes a go. Thanks for contacting him, Maria. E-cigarettes props program working to get them Recruiting and coordinating testimony from local partners program working on it

Am I missing anything? Thanks, -James

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_____________________________________________ From: King County Council Communications Sent: Thursday, September 16, 2010 4:14 PM Subject: Board of Health approves blueprint for a healthy King County << OLE Object: Picture (Metafile) >> Contact: Julia Patterson 206-296-1005 julia.patterson@kingcounty.gov

September 16, 2010 Board of Health approves blueprint for a healthy King County Guidelines seen as outline to assist communities in land use and transportation planning decisions The King County Board of Health today passed a resolution approving and supporting the 2010 Board of Health Guidelines: Planning for Healthy Communities, intended to inform land use and transportation planning decisions to promote healthy living throughout King County. Our environment, such as our roads, walking paths and economic infrastructure, has a significant impact on the physical, mental and social well-being of the people in our communities said Julia Patterson, Chair of the King County Board of Health. These guidelines are intended to help local jurisdictions ensure that their land use planning decisions do not compromise the publics health, and to serve as a reminder that planning issues remain at the root of some of the most widespread public health problems like obesity and substance abuse. The Board of Health has been actively promoting the goals of healthy eating and active living since 2005 with the King County Overweight Prevention Initiative and other efforts, after an increasing body of evidence has shown that effective land use and transportation planning decisions can help create environments that allow people to be physically active, eat healthy food, and live in safe and healthy places. The Boards planning for Healthy Communities guidelines are intended to inform land use and transportation planners working at regional, county, and city levels of actions. The guidelines include: Physical Activity: Residents in all communities in King County have access to safe and convenient opportunities for physical activity and exercise. Nutrition: Residents in all communities in King County have access to healthy, affordable foods. Harmful Environmental Exposures: Residents in all communities in King County are protected from exposure to harmful environmental agents and infectious diseases. Injury: o Residents in all communities in King County use transportation systems designed to prevent driver, bicyclist and pedestrian injuries. o Residents in all communities in King County live in safe communities free from violence and fear of violence. Tobacco Use: Residents in all communities in King County are protected from involuntary exposure to second hand
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tobacco smoke and children cannot access tobacco products. Alcohol Use: Residents in all communities in King County are protected from negative impacts of alcohol. Mental Health and Well-being: Residents in all communities in King County benefit from community design that maximizes opportunities for social connectivity and stress reduction. Access to Health Care: Residents in all communities in King County have local access to health care services. Urban planning and public health have been linked for nearly a century, starting from the need to prevent infectious disease outbreaks in the early 1900s. More recently public health agencies, including the King County Board of Health, have returned to a focus on urban design as it becomes more apparent that place does matter and that the leading causes of death and disability are linked to the environments where we live, work, learn and play. In 2008, the Puget Sound Regional Council adopted VISION 2040, the growth management, environmental, economic, and transportation strategy for the Central Puget Sound Region which contains strategies for promoting the well-being of people and communities, economic vitality, and a healthy environment. Within VISION 2040, the Built Environment and Health section includes broad goal and policies to serve as a platform for counties and cities as they continue to integrate knowledge of public health impacts into their planning activities. The Board of Health, based on its function to promote and improve public health for all King County residents, determined this an opportune time to provide additional guidance and detail as jurisdictions work to include the VISION 2040 policies on the built environment and health into their planning processes. The Board of Health supports the reintegration of public health into planning decisions as an important strategy to ensure that all people and communities have the opportunity to make healthy choices regardless of their income, education or ethnic background.

###

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From: To: Date: Subject: Attachments:

"Apa, James" "Bud Nicola" <bnicola@u.washington.edu> 12/13/2010 1:14:28 PM RE: Board of Health approves blueprint for a healthy King County Recent Federal Court Decision Regarding One E.doc

Hi, Bud. Good talking with you on Friday. As we discussed, here are some key talking points for discussing the board's proposal with Vanessa Ho at the P-I and other media. I'll let her know about your availability between 11:30 a.m. and 12:30 p.m. today. For other media we might line up today, do you have any availability this afternoon? Also attached is a staff write up on the recent ruling in federal court about the FDA petition. Please let me know if you need any additional information. Thanks, -James Key points: * The board is proposing to restrict the sales of e-cigarettes or any other unapproved nicotine delivery devices only to people 18 and older to protect youth. E-cigarettes deliver nicotine, the same highly addictive drug that's in tobacco. These are black market products, and have not been approved by the FDA. * E-cigarettes have a high appeal to youth. They are sold in convenience stores and mall kiosks and come in candy flavors as well. The FDA has warned that e-cigarettes can increase nicotine addiction among young people and may lead youth to try conventional tobacco products. And the risk of an e-cigarette product getting into kids' hands is real: in a test in Spokane County earlier this year, of 31 attempts to purchase e-cigarettes with minors 15 and 16 years old, they were sold the product 28 times. * There are many unanswered questions about the safety of e-cigarettes, and the FDA is currently investigating. This proposal is a reasonable step to protect youth immediately in King County while federal authorities continue to look into these products. * The board's proposal would also prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products, as these samples are highly likely to get in the hands of youth. * The board's proposal would also prohibit the use of e-cigarette devices in places where smoking in prohibited by law, as they make enforcement of the smoking law difficult for businesses. Local businesses have told us that ecigarettes have created problems for them in following the law in their establishments, because the e-cigarette is virtually indistinguishable from the use of traditional tobacco products in public. * Also, Public Health inspectors have observed that use of electronic cigarettes in public increases the likelihood that people will break the law by lighting up cigarettes because they see what appears to be someone smoking.

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From: "Hamilton, Joy" To: "Wood, Maria" <Maria.Wood@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 12/13/2010 4:15:01 PM Subject: RE: E-cig follow up Maria and Wendy, I spoke with our enforcement staff and they are working on getting me the documentation of the incident they witnessed at Qwest Field in which an e-cig attracted several traditional smokers to light up. The Surgeon General's report released last week shows that there is no safe exposure to tobacco smoke. If e-cigs cause people to be exposed to tobacco smoke, then there is a clear health risk. There have been NO studies about e-cigarette vapor health risk conducted at this point, to my knowledge. Joy > _____________________________________________ > From: Wood, Maria > Sent: Monday, December 13, 2010 11:38 AM > To: Hamilton, Joy; Pearson, Anne > Cc: Johnson, Gareth > Subject: E-cig follow up > > Just sent Wendy Soo Hoo to Joy/Anne for details on jurisdictions that have banned, and what the research says on health risk in prep for our meeting with Jane Mc at 2. > > Thanks, > Maria > > > E. Maria Wood, MA > Board of Health Administrator > Public Health > -> Seattle & King County > 401 Fifth Avenue, Suite 1300 > Seattle, WA 98104 > t: 206-263-8791 f: 206-296-0166 > >

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From: "Pearson, Anne" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 12/13/2010 2:05:32 PM Subject: FW: E-cigarette regulation
See below. Eric Lindblom says its ok to represent to BOH that TFKs general counsel has reviewed the regulation and does not see federal preemption. Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov

From: Eric Lindblom [mailto:elindblom@TobaccoFreeKids.org] Sent: Monday, December 13, 2010 10:01 AM To: Pearson, Anne Subject: RE: E-cigarette regulation You can certainly say that the General Counsel for the Campaign for Tobacco-Free Kids has reviewed the matter and does not see any federal preemption of the proposed regulation regarding e-cigarettes. I've asked our SHS folks your other questions and will let you know what they come up with. Eric From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Monday, December 13, 2010 12:37 PM To: Eric Lindblom Subject: FW: E-cigarette regulation Hi Eric, Im resending this without the attachment as it was too large. The board package can be accessed here. Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov _____________________________________________ From: Pearson, Anne Sent: Monday, December 13, 2010 9:14 AM To: Mahoney, Maggie; 'Eric Lindblom' Subject: E-cigarette regulation Hi Maggie and Eric, Our board of health will be voting on the e-cigarette regulation this Thursday. Im attaching below the board packet which includes the regulation that will be subject to the vote. Two favors: first, is it ok to represent that TFK and TCLC believe that the regulation is not preempted by federal law? We anticipate that the county attorney will raise some concerns on that front, so we are preparing our counter arguments. As always, your opinion is highly respected and would be given great weight by the Board members. Also, are you aware of any jurisdictions that have rolled back smoke-free air laws (e.g. permitted smoking after restricting 8_19_2011

Page 2 it)? We are working on our presentation to explain why it is necessary to restrict e-cigarette use in public, and would like to draw from the literature that looks at the impact of smoke-free air laws on social norming and on consumption. Thanks! Anne Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov

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From: To: Date: Subject: Hi Annie,

"Hamilton, Joy" annie.tegen@no-smoke.org 12/13/2010 5:02:58 PM E-cigs and smoke free air

Greetings. It was nice to meet you at APHA and put a face to your name. As I think I mentioned, we are working with the King County Board of Health to make e-cigarette policies. The meeting is this Thursday. There has been concern expressed about the rationale for banning e-cigs in public places. Are you aware of any jurisdictions that have rolled back smoke-free air laws (e.g. permitted smoking after restricting it)? We are working on our presentation to explain why it is necessary to restrict e-cigarette use in public, and would like to draw from the literature that looks at the impact of smoke-free air laws on social norming and on consumption. Any help you can offer would be great. Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

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From: "Hamilton, Joy" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 12/13/2010 6:53:15 PM Subject: FW: E-cigs and smoke free air Some useful e-cigs info from ANR.

From: Annie Tegen [mailto:annie.tegen@no-smoke.org] Sent: Monday, December 13, 2010 2:44 PM To: Hamilton, Joy Subject: Re: E-cigs and smoke free air

Hi Joy! Okay here is what I found as far as cities enacting (or considering) laws that pertain to e-cigarettes. E-cig laws, like hookah laws, are tricky to track since they're not always explicitly mentioned. We did a database search for e-cig laws, and here are the results: Martinez, CA enacted a law on 5/6/09 which defines "Smoking" as, among other things, "possessing a lighted Tobacco Product," and defines "Tobacco Product" to mean, among other things, "any product or formulation of matter containing biologically active amounts of nicotine that is manufactured, sold, offered for sale, or otherwise distributed with the expectation that the product or matter will be introduced into the human body by inhalation; but does not include any cessation product specifically approved by the U. S. Food and Drug Administration for use in treating nicotine or tobacco dependence." Glendale, CA enacted a law on 10/7/08 that uses the following definition: (incidentally, the purpose of this language was to cover hookah places, but seems to cover e-cigs too): Tobacco product means any substance made from the tobacco leaf including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, hookah tobacco, dipping tobacco, smokeless tobacco, bidis, or products prepared from tobacco and designed for smoking or ingestion and any product or formulation of matter containing biologically active amounts of nicotine that is manufactured, sold, offered for sale, or otherwise distributed with the expectation that the product or matter will be introduced into the human body. Crescent City CA Place4/89: No smoking in all buildings and vehicles owned or leased by city (except Cultural Center). Smoking is permitted in open areas and in special areas designated by City Manager. 12/03: Exception for Cultural Center deleted. Smoking permitted in designated smoking areas in City facilities. Smoking prohibited within 25 feet of entrances and windows to places where smoking is prohibited and within 25 feet of children's play areas. 5/10: Smoking prohibited in all City parks and at public events. Smoking includes use of e-cigarettes. Hillsborough County FL County 9/09: Use of tobacco products and facsimile tobacco products, including ecigarettes, prohibited in Sheriff's Office facilities and vehicles and on grounds of facilities. Other penalty = 1st violation - smoking cessation program for employees; eviction from facility or trespass warning for public; 2d violation - disciplinary action for employees. Bergen County NJ County4/04: Smoking prohibited in all County operated playgrounds, ball fields, and swimming pools leased or owned by County. 10/09: E-cigarettes prohibited in County parks where children are present and in County buildings and vehicles. New Jersey NJ State8/05: Smoking prohibited in college and university dormitories. 12/05: Smoking prohibited in
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foster care homes and in cars transporting foster children. 1/06: Smoking prohibited in all workplaces, restaurants, bars, and public places generally. 1/10: Use of e-cigarettes prohibited in all indoor places where smoking is prohibited. Suffolk County NY County6/84: Smoking prohibited in some workplace areas and in some public places, except for smoking areas. Restaurants with more than 50 seats must be at least 20% nonsmoking. 8/86: No substantive change. 7/89: Smoking prohibited in settee area of bowling alleys. 6/94: Smoking prohibited in restaurants, except for separately ventilated rooms. Smoking permitted in bowling alleys during certain hours of operation: After 6:00 P.M. during adult bowling leagues and in settee area. 5/95: Smoking prohibited in attached bars after 6/30/98. 9/98: Bingo halls are governed by State law. 4/02: Smoking prohibited within 50 feet of street level entrances to County buildings and hospitals. 6/02: Smoking prohibited in bowling alleys. 2/03: Smoking prohibited in all workplaces, restaurants, and bars. Exemption for bingo parlors deleted. 11/06: Smoking prohibited within 50 feet of all entrances to County buildings. 9/09: Amended definition of smoking to include e-cigarettes.

At 01:02 PM 12/13/2010, you wrote:


Hi Annie, Greetings. It was nice to meet you at APHA and put a face to your name. As I think I mentioned, we are working with the King County Board of Health to make e-cigarette policies. The meeting is this Thursday. There has been concern expressed about the rationale for banning e-cigs in public places. Are you aware of any jurisdictions that have rolled back smoke-free air laws (e.g. permitted smoking after restricting it)? We are working on our presentation to explain why it is necessary to restrict e-cigarette use in public, and would like to draw from the literature that looks at the impact of smoke-free air laws on social norming and on consumption. Any help you can offer would be great. Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

Annie Tegen, MPH Senior Program Manager Americans for Nonsmokers' Rights American Nonsmokers Rights Foundation annie.tegen@no-smoke.org Phone: 206.545.7175

Are you a member of ANR? If not, please join us today. Our work depends on members like you!

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From: "Bud Nicola" <bnicola@u.washington.edu> To: "Apa, James" <James.Apa@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/13/2010 3:41:49 PM Subject: feedback on Vanessa Ho interview
The interview was fairly short and I stuck to the talking points. A question that I couldnt answer: other municipalities that have passed a similar regulation? Bud Nicola bnicola@uw.edu

From: Apa, James [mailto:James.Apa@kingcounty.gov] Sent: Friday, December 10, 2010 2:22 PM To: Wood, Maria; Bud Nicola Cc: Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation Hi, Bud. The P-I is interested in doing a story for today or Monday, and would like to talk with you. Whats your availability today and Monday morning to talk with them? -James

From: Wood, Maria Sent: Tuesday, December 07, 2010 2:16 PM To: 'Bud Nicola' Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation Thanks so much. We'll be in touch as needed. Maria

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Tuesday, December 07, 2010 2:00 PM To: Wood, Maria Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: Re: Media Contact re: e-cigarette regulation

Hi Maria, Next week should work. Happy to help. Bud bnicola@uw.edu via Blackberry
From: Wood, Maria [mailto:Maria.Wood@kingcounty.gov] Sent: Tuesday, December 07, 2010 01:40 PM To: Bud Nicola Cc: Apa, James <James.Apa@kingcounty.gov>; Hamilton, Joy <Joy.Hamilton@kingcounty.gov>; Neal, Scott <Scott.Neal@kingcounty.gov> Subject: Media Contact re: e-cigarette regulation Hi Bud, We anticipate that there will be some media interest in the proposed e-cigarette regulation scheduled to be heard by the BOH next week. As the chair of the tobacco sub-committee, would you be willing to talk to media outlets if we have requests, and what is your general availability next week? Our communications team would work with you and provide talking points as we get requests. The agenda is already out there, but we will do our usual BOH meeting press release late this week, which could prompt requests. 8_19_2011

Page 2 Thanks for your help with this. Maria

E. Maria Wood, MA Board of Health Administrator Public Health Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166

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From: To: Date: Subject:


also included in this "alternative" is hookah!

"Neal, Scott" "Apa, James" <James.Apa@kingcounty.gov> 12/13/2010 9:59:00 PM RE: feedback on Vanessa Ho interview

From: Apa, James Sent: Monday, December 13, 2010 4:47 PM To: Neal, Scott; Hamilton, Joy; 'Bud Nicola'; Wood, Maria Subject: RE: feedback on Vanessa Ho interview Keith had another follow-up: when I told him that our surveys show that youth use alternative tobacco products more frequently that cigarettes, Keith wanted some examples. I just need a few to give him. Thanks.

From: Neal, Scott Sent: Monday, December 13, 2010 4:01 PM To: Hamilton, Joy; 'Bud Nicola'; Apa, James; Wood, Maria Subject: RE: feedback on Vanessa Ho interview They are also popping up in 7-Elevens...although there aren't that many 7-Elevens "downtown." We do know that they are in the 7-Eleven on Phinney near the Woodland Park Zoo. And we've seen them in another 7-Eleven in N.Seattle (I'd need to look that location up though). Scott

From: Hamilton, Joy Sent: Monday, December 13, 2010 3:55 PM To: 'Bud Nicola'; Apa, James; Wood, Maria Cc: Neal, Scott Subject: RE: feedback on Vanessa Ho interview

There is a kiosk in Northgate mall and Southcenter mall.

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Monday, December 13, 2010 3:53 PM To: Hamilton, Joy; Apa, James; Wood, Maria Cc: Neal, Scott Subject: RE: feedback on Vanessa Ho interview The interview with Keith was a bit longer and he probed quite a bit more. He has gone looking for these downtown and only found them in a smoke shop. Are there any kiosks in surrounding malls? I thought I remembered seeing a kiosk in a mall last year, but couldnt remember where. Bud Nicola bnicola@uw.edu

From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Monday, December 13, 2010 3:26 PM To: Apa, James; Bud Nicola; Wood, Maria Cc: Neal, Scott Subject: RE: feedback on Vanessa Ho interview Here's the answers to Keith Seinfeld's questions: 8_19_2011

Page 2 What evidence do we have that youth are actually buying e-cigarettes (e.g., youth surveys)? Or is this more a preventative move based on the risk?

These products are marketed with flashy designs and flavoring, much in the same way that flavored alternative tobacco are marketed. In King County, youth use alternative tobacco products more frequently than cigarettes. There are many videos on YouTube of youth using these products.
We don't have solid evidence because these products are so new to the market.

During compliance checks in Spokane County this past summer, youth operatives were able to purchase e-cigs or liquid nicotine 28 out of 31 times.
Can youth under 18 purchase regulated nicotine products, like Nicorette? If so, is this a double standard?

NO. Youth under 18 can NOT purchase FDA-approved nicotine products like the patch or gum.
Could e-cigarettes be retrofitted to smoke marijuana?

Not that we are aware of. The e-cig vaporizes liquid nicotine and there is no igniting or combustion involved.
When were tobacco sales to kids first restricted?

In the early 1990s the Board of Health passed regulations restricting sales to youth. Hope this helps. Let us know if there are further questions. Joy

From: Apa, James Sent: Monday, December 13, 2010 3:04 PM To: 'Bud Nicola'; Wood, Maria Cc: Hamilton, Joy; Neal, Scott Subject: RE: feedback on Vanessa Ho interview Thanks Bud. Ive talked with Keith Seinfeld at KPLU and hed like to interview you this afternoon. You can call him at 922-1024. Keith had a few questions I couldnt directly answer. Scott and Joy, could you weigh in on these?

Thanks, -James From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Monday, December 13, 2010 11:41 AM To: Apa, James; Wood, Maria Cc: Hamilton, Joy; Neal, Scott Subject: feedback on Vanessa Ho interview The interview was fairly short and I stuck to the talking points. A question that I couldnt answer: other municipalities that have passed a similar regulation? Bud Nicola bnicola@uw.edu

From: Apa, James [mailto:James.Apa@kingcounty.gov] Sent: Friday, December 10, 2010 2:22 PM To: Wood, Maria; Bud Nicola Cc: Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation 8_19_2011

Page 3 Hi, Bud. The P-I is interested in doing a story for today or Monday, and would like to talk with you. Whats your availability today and Monday morning to talk with them? -James

From: Wood, Maria Sent: Tuesday, December 07, 2010 2:16 PM To: 'Bud Nicola' Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation Thanks so much. We'll be in touch as needed. Maria

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Tuesday, December 07, 2010 2:00 PM To: Wood, Maria Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: Re: Media Contact re: e-cigarette regulation

Hi Maria, Next week should work. Happy to help. Bud bnicola@uw.edu via Blackberry
From: Wood, Maria [mailto:Maria.Wood@kingcounty.gov] Sent: Tuesday, December 07, 2010 01:40 PM To: Bud Nicola Cc: Apa, James <James.Apa@kingcounty.gov>; Hamilton, Joy <Joy.Hamilton@kingcounty.gov>; Neal, Scott <Scott.Neal@kingcounty.gov> Subject: Media Contact re: e-cigarette regulation Hi Bud, We anticipate that there will be some media interest in the proposed e-cigarette regulation scheduled to be heard by the BOH next week. As the chair of the tobacco sub-committee, would you be willing to talk to media outlets if we have requests, and what is your general availability next week? Our communications team would work with you and provide talking points as we get requests. The agenda is already out there, but we will do our usual BOH meeting press release late this week, which could prompt requests. Thanks for your help with this. Maria

E. Maria Wood, MA Board of Health Administrator Public Health Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166

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From: To: Date: Subject:


Got it.

"Apa, James" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/13/2010 9:57:41 PM RE: feedback on Vanessa Ho interview

From: Neal, Scott Sent: Monday, December 13, 2010 5:57 PM To: Apa, James Subject: RE: feedback on Vanessa Ho interview also included in this "alternative" is hookah!

From: Apa, James Sent: Monday, December 13, 2010 4:47 PM To: Neal, Scott; Hamilton, Joy; 'Bud Nicola'; Wood, Maria Subject: RE: feedback on Vanessa Ho interview Keith had another follow-up: when I told him that our surveys show that youth use alternative tobacco products more frequently that cigarettes, Keith wanted some examples. I just need a few to give him. Thanks.

From: Neal, Scott Sent: Monday, December 13, 2010 4:01 PM To: Hamilton, Joy; 'Bud Nicola'; Apa, James; Wood, Maria Subject: RE: feedback on Vanessa Ho interview They are also popping up in 7-Elevens...although there aren't that many 7-Elevens "downtown." We do know that they are in the 7-Eleven on Phinney near the Woodland Park Zoo. And we've seen them in another 7-Eleven in N.Seattle (I'd need to look that location up though). Scott

From: Hamilton, Joy Sent: Monday, December 13, 2010 3:55 PM To: 'Bud Nicola'; Apa, James; Wood, Maria Cc: Neal, Scott Subject: RE: feedback on Vanessa Ho interview

There is a kiosk in Northgate mall and Southcenter mall.

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Monday, December 13, 2010 3:53 PM To: Hamilton, Joy; Apa, James; Wood, Maria Cc: Neal, Scott Subject: RE: feedback on Vanessa Ho interview The interview with Keith was a bit longer and he probed quite a bit more. He has gone looking for these downtown and only found them in a smoke shop. Are there any kiosks in surrounding malls? I thought I remembered seeing a kiosk in a mall last year, but couldnt remember where. Bud Nicola bnicola@uw.edu 8_19_2011

Page 2 From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Monday, December 13, 2010 3:26 PM To: Apa, James; Bud Nicola; Wood, Maria Cc: Neal, Scott Subject: RE: feedback on Vanessa Ho interview Here's the answers to Keith Seinfeld's questions: What evidence do we have that youth are actually buying e-cigarettes (e.g., youth surveys)? Or is this more a preventative move based on the risk?

These products are marketed with flashy designs and flavoring, much in the same way that flavored alternative tobacco are marketed. In King County, youth use alternative tobacco products more frequently than cigarettes. There are many videos on YouTube of youth using these products.
We don't have solid evidence because these products are so new to the market.

During compliance checks in Spokane County this past summer, youth operatives were able to purchase e-cigs or liquid nicotine 28 out of 31 times.
Can youth under 18 purchase regulated nicotine products, like Nicorette? If so, is this a double standard?

NO. Youth under 18 can NOT purchase FDA-approved nicotine products like the patch or gum.
Could e-cigarettes be retrofitted to smoke marijuana?

Not that we are aware of. The e-cig vaporizes liquid nicotine and there is no igniting or combustion involved.
When were tobacco sales to kids first restricted?

In the early 1990s the Board of Health passed regulations restricting sales to youth. Hope this helps. Let us know if there are further questions. Joy

From: Apa, James Sent: Monday, December 13, 2010 3:04 PM To: 'Bud Nicola'; Wood, Maria Cc: Hamilton, Joy; Neal, Scott Subject: RE: feedback on Vanessa Ho interview Thanks Bud. Ive talked with Keith Seinfeld at KPLU and hed like to interview you this afternoon. You can call him at 922-1024. Keith had a few questions I couldnt directly answer. Scott and Joy, could you weigh in on these?

Thanks, -James From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Monday, December 13, 2010 11:41 AM To: Apa, James; Wood, Maria Cc: Hamilton, Joy; Neal, Scott Subject: feedback on Vanessa Ho interview The interview was fairly short and I stuck to the talking points. A question that I couldnt answer: other municipalities that have passed a similar regulation? Bud Nicola 8_19_2011

Page 3 bnicola@uw.edu

From: Apa, James [mailto:James.Apa@kingcounty.gov] Sent: Friday, December 10, 2010 2:22 PM To: Wood, Maria; Bud Nicola Cc: Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation Hi, Bud. The P-I is interested in doing a story for today or Monday, and would like to talk with you. Whats your availability today and Monday morning to talk with them? -James

From: Wood, Maria Sent: Tuesday, December 07, 2010 2:16 PM To: 'Bud Nicola' Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation Thanks so much. We'll be in touch as needed. Maria

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Tuesday, December 07, 2010 2:00 PM To: Wood, Maria Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: Re: Media Contact re: e-cigarette regulation

Hi Maria, Next week should work. Happy to help. Bud bnicola@uw.edu via Blackberry
From: Wood, Maria [mailto:Maria.Wood@kingcounty.gov] Sent: Tuesday, December 07, 2010 01:40 PM To: Bud Nicola Cc: Apa, James <James.Apa@kingcounty.gov>; Hamilton, Joy <Joy.Hamilton@kingcounty.gov>; Neal, Scott <Scott.Neal@kingcounty.gov> Subject: Media Contact re: e-cigarette regulation Hi Bud, We anticipate that there will be some media interest in the proposed e-cigarette regulation scheduled to be heard by the BOH next week. As the chair of the tobacco sub-committee, would you be willing to talk to media outlets if we have requests, and what is your general availability next week? Our communications team would work with you and provide talking points as we get requests. The agenda is already out there, but we will do our usual BOH meeting press release late this week, which could prompt requests. Thanks for your help with this. Maria

E. Maria Wood, MA Board of Health Administrator Public Health Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166
8_19_2011

Page 4

8_19_2011

Page 1

From: "Apa, James" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Bud Nicola" <bnicola@u.washington.edu> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/13/2010 8:46:47 PM Subject: RE: feedback on Vanessa Ho interview
Keith had another follow-up: when I told him that our surveys show that youth use alternative tobacco products more frequently that cigarettes, Keith wanted some examples. I just need a few to give him. Thanks.

From: Neal, Scott Sent: Monday, December 13, 2010 4:01 PM To: Hamilton, Joy; 'Bud Nicola'; Apa, James; Wood, Maria Subject: RE: feedback on Vanessa Ho interview They are also popping up in 7-Elevens...although there aren't that many 7-Elevens "downtown." We do know that they are in the 7-Eleven on Phinney near the Woodland Park Zoo. And we've seen them in another 7-Eleven in N.Seattle (I'd need to look that location up though). Scott

From: Hamilton, Joy Sent: Monday, December 13, 2010 3:55 PM To: 'Bud Nicola'; Apa, James; Wood, Maria Cc: Neal, Scott Subject: RE: feedback on Vanessa Ho interview

There is a kiosk in Northgate mall and Southcenter mall.

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Monday, December 13, 2010 3:53 PM To: Hamilton, Joy; Apa, James; Wood, Maria Cc: Neal, Scott Subject: RE: feedback on Vanessa Ho interview The interview with Keith was a bit longer and he probed quite a bit more. He has gone looking for these downtown and only found them in a smoke shop. Are there any kiosks in surrounding malls? I thought I remembered seeing a kiosk in a mall last year, but couldnt remember where. Bud Nicola bnicola@uw.edu

From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Monday, December 13, 2010 3:26 PM To: Apa, James; Bud Nicola; Wood, Maria Cc: Neal, Scott Subject: RE: feedback on Vanessa Ho interview Here's the answers to Keith Seinfeld's questions: What evidence do we have that youth are actually buying e-cigarettes (e.g., youth surveys)? Or is this more a preventative move based on the risk? 8_19_2011

Page 2

These products are marketed with flashy designs and flavoring, much in the same way that flavored alternative tobacco are marketed. In King County, youth use alternative tobacco products more frequently than cigarettes. There are many videos on YouTube of youth using these products.
We don't have solid evidence because these products are so new to the market.

During compliance checks in Spokane County this past summer, youth operatives were able to purchase e-cigs or liquid nicotine 28 out of 31 times.
Can youth under 18 purchase regulated nicotine products, like Nicorette? If so, is this a double standard?

NO. Youth under 18 can NOT purchase FDA-approved nicotine products like the patch or gum.
Could e-cigarettes be retrofitted to smoke marijuana?

Not that we are aware of. The e-cig vaporizes liquid nicotine and there is no igniting or combustion involved.
When were tobacco sales to kids first restricted?

In the early 1990s the Board of Health passed regulations restricting sales to youth. Hope this helps. Let us know if there are further questions. Joy

From: Apa, James Sent: Monday, December 13, 2010 3:04 PM To: 'Bud Nicola'; Wood, Maria Cc: Hamilton, Joy; Neal, Scott Subject: RE: feedback on Vanessa Ho interview Thanks Bud. Ive talked with Keith Seinfeld at KPLU and hed like to interview you this afternoon. You can call him at 922-1024. Keith had a few questions I couldnt directly answer. Scott and Joy, could you weigh in on these?

Thanks, -James From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Monday, December 13, 2010 11:41 AM To: Apa, James; Wood, Maria Cc: Hamilton, Joy; Neal, Scott Subject: feedback on Vanessa Ho interview The interview was fairly short and I stuck to the talking points. A question that I couldnt answer: other municipalities that have passed a similar regulation? Bud Nicola bnicola@uw.edu

From: Apa, James [mailto:James.Apa@kingcounty.gov] Sent: Friday, December 10, 2010 2:22 PM To: Wood, Maria; Bud Nicola Cc: Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation Hi, Bud. The P-I is interested in doing a story for today or Monday, and would like to talk with you. Whats your availability today and Monday morning to talk with them? 8_19_2011

Page 3 -James

From: Wood, Maria Sent: Tuesday, December 07, 2010 2:16 PM To: 'Bud Nicola' Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation Thanks so much. We'll be in touch as needed. Maria

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Tuesday, December 07, 2010 2:00 PM To: Wood, Maria Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: Re: Media Contact re: e-cigarette regulation

Hi Maria, Next week should work. Happy to help. Bud bnicola@uw.edu via Blackberry
From: Wood, Maria [mailto:Maria.Wood@kingcounty.gov] Sent: Tuesday, December 07, 2010 01:40 PM To: Bud Nicola Cc: Apa, James <James.Apa@kingcounty.gov>; Hamilton, Joy <Joy.Hamilton@kingcounty.gov>; Neal, Scott <Scott.Neal@kingcounty.gov> Subject: Media Contact re: e-cigarette regulation Hi Bud, We anticipate that there will be some media interest in the proposed e-cigarette regulation scheduled to be heard by the BOH next week. As the chair of the tobacco sub-committee, would you be willing to talk to media outlets if we have requests, and what is your general availability next week? Our communications team would work with you and provide talking points as we get requests. The agenda is already out there, but we will do our usual BOH meeting press release late this week, which could prompt requests. Thanks for your help with this. Maria

E. Maria Wood, MA Board of Health Administrator Public Health Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166

8_19_2011

Page 1

From: "Neal, Scott" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Bud Nicola" <bnicola@u.washington.edu> "Apa, James" <James.Apa@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/13/2010 8:02:00 PM Subject: RE: feedback on Vanessa Ho interview
They are also popping up in 7-Elevens...although there aren't that many 7-Elevens "downtown." We do know that they are in the 7-Eleven on Phinney near the Woodland Park Zoo. And we've seen them in another 7-Eleven in N.Seattle (I'd need to look that location up though). Scott

From: Hamilton, Joy Sent: Monday, December 13, 2010 3:55 PM To: 'Bud Nicola'; Apa, James; Wood, Maria Cc: Neal, Scott Subject: RE: feedback on Vanessa Ho interview

There is a kiosk in Northgate mall and Southcenter mall.

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Monday, December 13, 2010 3:53 PM To: Hamilton, Joy; Apa, James; Wood, Maria Cc: Neal, Scott Subject: RE: feedback on Vanessa Ho interview The interview with Keith was a bit longer and he probed quite a bit more. He has gone looking for these downtown and only found them in a smoke shop. Are there any kiosks in surrounding malls? I thought I remembered seeing a kiosk in a mall last year, but couldnt remember where. Bud Nicola bnicola@uw.edu

From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Monday, December 13, 2010 3:26 PM To: Apa, James; Bud Nicola; Wood, Maria Cc: Neal, Scott Subject: RE: feedback on Vanessa Ho interview Here's the answers to Keith Seinfeld's questions: What evidence do we have that youth are actually buying e-cigarettes (e.g., youth surveys)? Or is this more a preventative move based on the risk?

These products are marketed with flashy designs and flavoring, much in the same way that flavored alternative tobacco are marketed. In King County, youth use alternative tobacco products more frequently than cigarettes. There are many videos on YouTube of youth using these products.
We don't have solid evidence because these products are so new to the market.

During compliance checks in Spokane County this past summer, youth operatives were able to purchase e-cigs or liquid nicotine 28 out of 31 times.
8_19_2011

Page 2 Can youth under 18 purchase regulated nicotine products, like Nicorette? If so, is this a double standard?

NO. Youth under 18 can NOT purchase FDA-approved nicotine products like the patch or gum.
Could e-cigarettes be retrofitted to smoke marijuana?

Not that we are aware of. The e-cig vaporizes liquid nicotine and there is no igniting or combustion involved.
When were tobacco sales to kids first restricted?

In the early 1990s the Board of Health passed regulations restricting sales to youth. Hope this helps. Let us know if there are further questions. Joy

From: Apa, James Sent: Monday, December 13, 2010 3:04 PM To: 'Bud Nicola'; Wood, Maria Cc: Hamilton, Joy; Neal, Scott Subject: RE: feedback on Vanessa Ho interview Thanks Bud. Ive talked with Keith Seinfeld at KPLU and hed like to interview you this afternoon. You can call him at 922-1024. Keith had a few questions I couldnt directly answer. Scott and Joy, could you weigh in on these?

Thanks, -James From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Monday, December 13, 2010 11:41 AM To: Apa, James; Wood, Maria Cc: Hamilton, Joy; Neal, Scott Subject: feedback on Vanessa Ho interview The interview was fairly short and I stuck to the talking points. A question that I couldnt answer: other municipalities that have passed a similar regulation? Bud Nicola bnicola@uw.edu

From: Apa, James [mailto:James.Apa@kingcounty.gov] Sent: Friday, December 10, 2010 2:22 PM To: Wood, Maria; Bud Nicola Cc: Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation Hi, Bud. The P-I is interested in doing a story for today or Monday, and would like to talk with you. Whats your availability today and Monday morning to talk with them? -James

From: Wood, Maria Sent: Tuesday, December 07, 2010 2:16 PM To: 'Bud Nicola' Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation 8_19_2011

Page 3 Thanks so much. We'll be in touch as needed. Maria

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Tuesday, December 07, 2010 2:00 PM To: Wood, Maria Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: Re: Media Contact re: e-cigarette regulation

Hi Maria, Next week should work. Happy to help. Bud bnicola@uw.edu via Blackberry
From: Wood, Maria [mailto:Maria.Wood@kingcounty.gov] Sent: Tuesday, December 07, 2010 01:40 PM To: Bud Nicola Cc: Apa, James <James.Apa@kingcounty.gov>; Hamilton, Joy <Joy.Hamilton@kingcounty.gov>; Neal, Scott <Scott.Neal@kingcounty.gov> Subject: Media Contact re: e-cigarette regulation Hi Bud, We anticipate that there will be some media interest in the proposed e-cigarette regulation scheduled to be heard by the BOH next week. As the chair of the tobacco sub-committee, would you be willing to talk to media outlets if we have requests, and what is your general availability next week? Our communications team would work with you and provide talking points as we get requests. The agenda is already out there, but we will do our usual BOH meeting press release late this week, which could prompt requests. Thanks for your help with this. Maria

E. Maria Wood, MA Board of Health Administrator Public Health Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166

8_19_2011

Page 1

From: "Hamilton, Joy" To: "Bud Nicola" <bnicola@u.washington.edu> "Apa, James" <James.Apa@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/13/2010 7:55:25 PM Subject: RE: feedback on Vanessa Ho interview There is a kiosk in Northgate mall and Southcenter mall.

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Monday, December 13, 2010 3:53 PM To: Hamilton, Joy; Apa, James; Wood, Maria Cc: Neal, Scott Subject: RE: feedback on Vanessa Ho interview The interview with Keith was a bit longer and he probed quite a bit more. He has gone looking for these downtown and only found them in a smoke shop. Are there any kiosks in surrounding malls? I thought I remembered seeing a kiosk in a mall last year, but couldnt remember where. Bud Nicola bnicola@uw.edu

From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Monday, December 13, 2010 3:26 PM To: Apa, James; Bud Nicola; Wood, Maria Cc: Neal, Scott Subject: RE: feedback on Vanessa Ho interview Here's the answers to Keith Seinfeld's questions: What evidence do we have that youth are actually buying e-cigarettes (e.g., youth surveys)? Or is this more a preventative move based on the risk?

These products are marketed with flashy designs and flavoring, much in the same way that flavored alternative tobacco are marketed. In King County, youth use alternative tobacco products more frequently than cigarettes. There are many videos on YouTube of youth using these products.
We don't have solid evidence because these products are so new to the market.

During compliance checks in Spokane County this past summer, youth operatives were able to purchase e-cigs or liquid nicotine 28 out of 31 times.
Can youth under 18 purchase regulated nicotine products, like Nicorette? If so, is this a double standard?

NO. Youth under 18 can NOT purchase FDA-approved nicotine products like the patch or gum.
Could e-cigarettes be retrofitted to smoke marijuana?

Not that we are aware of. The e-cig vaporizes liquid nicotine and there is no igniting or combustion involved.
When were tobacco sales to kids first restricted?

In the early 1990s the Board of Health passed regulations restricting sales to youth. Hope this helps. Let us know if there are further questions. Joy
8_19_2011

Page 2

From: Apa, James Sent: Monday, December 13, 2010 3:04 PM To: 'Bud Nicola'; Wood, Maria Cc: Hamilton, Joy; Neal, Scott Subject: RE: feedback on Vanessa Ho interview Thanks Bud. Ive talked with Keith Seinfeld at KPLU and hed like to interview you this afternoon. You can call him at 922-1024. Keith had a few questions I couldnt directly answer. Scott and Joy, could you weigh in on these?

Thanks, -James From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Monday, December 13, 2010 11:41 AM To: Apa, James; Wood, Maria Cc: Hamilton, Joy; Neal, Scott Subject: feedback on Vanessa Ho interview The interview was fairly short and I stuck to the talking points. A question that I couldnt answer: other municipalities that have passed a similar regulation? Bud Nicola bnicola@uw.edu

From: Apa, James [mailto:James.Apa@kingcounty.gov] Sent: Friday, December 10, 2010 2:22 PM To: Wood, Maria; Bud Nicola Cc: Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation Hi, Bud. The P-I is interested in doing a story for today or Monday, and would like to talk with you. Whats your availability today and Monday morning to talk with them? -James

From: Wood, Maria Sent: Tuesday, December 07, 2010 2:16 PM To: 'Bud Nicola' Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation Thanks so much. We'll be in touch as needed. Maria

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Tuesday, December 07, 2010 2:00 PM To: Wood, Maria Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: Re: Media Contact re: e-cigarette regulation

Hi Maria, Next week should work. Happy to help. Bud


8_19_2011

Page 3

bnicola@uw.edu via Blackberry


From: Wood, Maria [mailto:Maria.Wood@kingcounty.gov] Sent: Tuesday, December 07, 2010 01:40 PM To: Bud Nicola Cc: Apa, James <James.Apa@kingcounty.gov>; Hamilton, Joy <Joy.Hamilton@kingcounty.gov>; Neal, Scott <Scott.Neal@kingcounty.gov> Subject: Media Contact re: e-cigarette regulation Hi Bud, We anticipate that there will be some media interest in the proposed e-cigarette regulation scheduled to be heard by the BOH next week. As the chair of the tobacco sub-committee, would you be willing to talk to media outlets if we have requests, and what is your general availability next week? Our communications team would work with you and provide talking points as we get requests. The agenda is already out there, but we will do our usual BOH meeting press release late this week, which could prompt requests. Thanks for your help with this. Maria

E. Maria Wood, MA Board of Health Administrator Public Health Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166

8_19_2011

Page 1

From: "Bud Nicola" <bnicola@u.washington.edu> To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Apa, James" <James.Apa@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/13/2010 7:54:06 PM Subject: RE: feedback on Vanessa Ho interview
The interview with Keith was a bit longer and he probed quite a bit more. He has gone looking for these downtown and only found them in a smoke shop. Are there any kiosks in surrounding malls? I thought I remembered seeing a kiosk in a mall last year, but couldnt remember where. Bud Nicola bnicola@uw.edu

From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Monday, December 13, 2010 3:26 PM To: Apa, James; Bud Nicola; Wood, Maria Cc: Neal, Scott Subject: RE: feedback on Vanessa Ho interview Here's the answers to Keith Seinfeld's questions: What evidence do we have that youth are actually buying e-cigarettes (e.g., youth surveys)? Or is this more a preventative move based on the risk?

These products are marketed with flashy designs and flavoring, much in the same way that flavored alternative tobacco are marketed. In King County, youth use alternative tobacco products more frequently than cigarettes. There are many videos on YouTube of youth using these products.
We don't have solid evidence because these products are so new to the market.

During compliance checks in Spokane County this past summer, youth operatives were able to purchase e-cigs or liquid nicotine 28 out of 31 times.
Can youth under 18 purchase regulated nicotine products, like Nicorette? If so, is this a double standard?

NO. Youth under 18 can NOT purchase FDA-approved nicotine products like the patch or gum.
Could e-cigarettes be retrofitted to smoke marijuana?

Not that we are aware of. The e-cig vaporizes liquid nicotine and there is no igniting or combustion involved.
When were tobacco sales to kids first restricted?

In the early 1990s the Board of Health passed regulations restricting sales to youth. Hope this helps. Let us know if there are further questions. Joy

From: Apa, James Sent: Monday, December 13, 2010 3:04 PM To: 'Bud Nicola'; Wood, Maria Cc: Hamilton, Joy; Neal, Scott Subject: RE: feedback on Vanessa Ho interview Thanks Bud. Ive talked with Keith Seinfeld at KPLU and hed like to interview you this afternoon. You can call him at 9221024. 8_19_2011

Page 2 Keith had a few questions I couldnt directly answer. Scott and Joy, could you weigh in on these?

Thanks, -James From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Monday, December 13, 2010 11:41 AM To: Apa, James; Wood, Maria Cc: Hamilton, Joy; Neal, Scott Subject: feedback on Vanessa Ho interview The interview was fairly short and I stuck to the talking points. A question that I couldnt answer: other municipalities that have passed a similar regulation? Bud Nicola bnicola@uw.edu

From: Apa, James [mailto:James.Apa@kingcounty.gov] Sent: Friday, December 10, 2010 2:22 PM To: Wood, Maria; Bud Nicola Cc: Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation Hi, Bud. The P-I is interested in doing a story for today or Monday, and would like to talk with you. Whats your availability today and Monday morning to talk with them? -James

From: Wood, Maria Sent: Tuesday, December 07, 2010 2:16 PM To: 'Bud Nicola' Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation Thanks so much. We'll be in touch as needed. Maria

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Tuesday, December 07, 2010 2:00 PM To: Wood, Maria Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: Re: Media Contact re: e-cigarette regulation

Hi Maria, Next week should work. Happy to help. Bud bnicola@uw.edu via Blackberry
From: Wood, Maria [mailto:Maria.Wood@kingcounty.gov] Sent: Tuesday, December 07, 2010 01:40 PM To: Bud Nicola Cc: Apa, James <James.Apa@kingcounty.gov>; Hamilton, Joy <Joy.Hamilton@kingcounty.gov>; Neal, Scott <Scott.Neal@kingcounty.gov> Subject: Media Contact re: e-cigarette regulation Hi Bud, 8_19_2011

Page 3 We anticipate that there will be some media interest in the proposed e-cigarette regulation scheduled to be heard by the BOH next week. As the chair of the tobacco sub-committee, would you be willing to talk to media outlets if we have requests, and what is your general availability next week? Our communications team would work with you and provide talking points as we get requests. The agenda is already out there, but we will do our usual BOH meeting press release late this week, which could prompt requests. Thanks for your help with this. Maria

E. Maria Wood, MA Board of Health Administrator Public Health Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166

8_19_2011

Page 1

From: "Bud Nicola" <bnicola@u.washington.edu> To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Apa, James" <James.Apa@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/13/2010 7:28:34 PM Subject: RE: feedback on Vanessa Ho interview
Thanks, Joy. Ill give Keith a call. Bud Bud Nicola bnicola@uw.edu

From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Monday, December 13, 2010 3:26 PM To: Apa, James; Bud Nicola; Wood, Maria Cc: Neal, Scott Subject: RE: feedback on Vanessa Ho interview Here's the answers to Keith Seinfeld's questions: What evidence do we have that youth are actually buying e-cigarettes (e.g., youth surveys)? Or is this more a preventative move based on the risk?

These products are marketed with flashy designs and flavoring, much in the same way that flavored alternative tobacco are marketed. In King County, youth use alternative tobacco products more frequently than cigarettes. There are many videos on YouTube of youth using these products.
We don't have solid evidence because these products are so new to the market.

During compliance checks in Spokane County this past summer, youth operatives were able to purchase e-cigs or liquid nicotine 28 out of 31 times.
Can youth under 18 purchase regulated nicotine products, like Nicorette? If so, is this a double standard?

NO. Youth under 18 can NOT purchase FDA-approved nicotine products like the patch or gum.
Could e-cigarettes be retrofitted to smoke marijuana?

Not that we are aware of. The e-cig vaporizes liquid nicotine and there is no igniting or combustion involved.
When were tobacco sales to kids first restricted?

In the early 1990s the Board of Health passed regulations restricting sales to youth. Hope this helps. Let us know if there are further questions. Joy

From: Apa, James Sent: Monday, December 13, 2010 3:04 PM To: 'Bud Nicola'; Wood, Maria Cc: Hamilton, Joy; Neal, Scott Subject: RE: feedback on Vanessa Ho interview Thanks Bud. Ive talked with Keith Seinfeld at KPLU and hed like to interview you this afternoon. You can call him at 9221024. 8_19_2011

Page 2 Keith had a few questions I couldnt directly answer. Scott and Joy, could you weigh in on these?

Thanks, -James From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Monday, December 13, 2010 11:41 AM To: Apa, James; Wood, Maria Cc: Hamilton, Joy; Neal, Scott Subject: feedback on Vanessa Ho interview The interview was fairly short and I stuck to the talking points. A question that I couldnt answer: other municipalities that have passed a similar regulation? Bud Nicola bnicola@uw.edu

From: Apa, James [mailto:James.Apa@kingcounty.gov] Sent: Friday, December 10, 2010 2:22 PM To: Wood, Maria; Bud Nicola Cc: Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation Hi, Bud. The P-I is interested in doing a story for today or Monday, and would like to talk with you. Whats your availability today and Monday morning to talk with them? -James

From: Wood, Maria Sent: Tuesday, December 07, 2010 2:16 PM To: 'Bud Nicola' Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation Thanks so much. We'll be in touch as needed. Maria

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Tuesday, December 07, 2010 2:00 PM To: Wood, Maria Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: Re: Media Contact re: e-cigarette regulation

Hi Maria, Next week should work. Happy to help. Bud bnicola@uw.edu via Blackberry
From: Wood, Maria [mailto:Maria.Wood@kingcounty.gov] Sent: Tuesday, December 07, 2010 01:40 PM To: Bud Nicola Cc: Apa, James <James.Apa@kingcounty.gov>; Hamilton, Joy <Joy.Hamilton@kingcounty.gov>; Neal, Scott <Scott.Neal@kingcounty.gov> Subject: Media Contact re: e-cigarette regulation Hi Bud, 8_19_2011

Page 3 We anticipate that there will be some media interest in the proposed e-cigarette regulation scheduled to be heard by the BOH next week. As the chair of the tobacco sub-committee, would you be willing to talk to media outlets if we have requests, and what is your general availability next week? Our communications team would work with you and provide talking points as we get requests. The agenda is already out there, but we will do our usual BOH meeting press release late this week, which could prompt requests. Thanks for your help with this. Maria

E. Maria Wood, MA Board of Health Administrator Public Health Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166

8_19_2011

Page 1

From: "Hamilton, Joy" To: "Bud Nicola" <bnicola@u.washington.edu> "Apa, James" <James.Apa@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/13/2010 3:47:14 PM Subject: RE: feedback on Vanessa Ho interview From the staff report: Other Jurisdictions: Several local jurisdictions (Somerset, MA and Suffolk County, NY) and states (Minnesota, New Hampshire, New Jersey and California) have enacted laws regulating e-cigarettes. These laws generally ban the sale of e-cigarettes to minors, prohibit their use in places where smoking is restricted, and/or forbid the free sampling of e-cigarettes. When New Hampshire was considering e-cigarette legislation, the Electronic Cigarette Association wrote a letter strongly supporting restrictions on sales to minors but opposing prohibitions on public use. We are the only jurisdiction to pass this combination of restrictions (age, sampling, public places). Others have come close -- for example New Hampshire banned sales to minors, free samples and use in grounds of public education facilities. Let me know if you have further questions. Joy
From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Monday, December 13, 2010 11:41 AM To: Apa, James; Wood, Maria Cc: Hamilton, Joy; Neal, Scott Subject: feedback on Vanessa Ho interview The interview was fairly short and I stuck to the talking points. A question that I couldnt answer: other municipalities that have passed a similar regulation? Bud Nicola bnicola@uw.edu

From: Apa, James [mailto:James.Apa@kingcounty.gov] Sent: Friday, December 10, 2010 2:22 PM To: Wood, Maria; Bud Nicola Cc: Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation Hi, Bud. The P-I is interested in doing a story for today or Monday, and would like to talk with you. Whats your availability today and Monday morning to talk with them? -James

From: Wood, Maria Sent: Tuesday, December 07, 2010 2:16 PM To: 'Bud Nicola' Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation Thanks so much. We'll be in touch as needed. Maria 8_19_2011

Page 2 From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Tuesday, December 07, 2010 2:00 PM To: Wood, Maria Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: Re: Media Contact re: e-cigarette regulation

Hi Maria, Next week should work. Happy to help. Bud bnicola@uw.edu via Blackberry
From: Wood, Maria [mailto:Maria.Wood@kingcounty.gov] Sent: Tuesday, December 07, 2010 01:40 PM To: Bud Nicola Cc: Apa, James <James.Apa@kingcounty.gov>; Hamilton, Joy <Joy.Hamilton@kingcounty.gov>; Neal, Scott <Scott.Neal@kingcounty.gov> Subject: Media Contact re: e-cigarette regulation Hi Bud, We anticipate that there will be some media interest in the proposed e-cigarette regulation scheduled to be heard by the BOH next week. As the chair of the tobacco sub-committee, would you be willing to talk to media outlets if we have requests, and what is your general availability next week? Our communications team would work with you and provide talking points as we get requests. The agenda is already out there, but we will do our usual BOH meeting press release late this week, which could prompt requests. Thanks for your help with this. Maria

E. Maria Wood, MA Board of Health Administrator Public Health Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166

8_19_2011

Page 1

From: "Hamilton, Joy" To: "Apa, James" <James.Apa@kingcounty.gov> "Bud Nicola" <bnicola@u.washington.edu> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/13/2010 7:25:48 PM Subject: RE: feedback on Vanessa Ho interview
Here's the answers to Keith Seinfeld's questions: What evidence do we have that youth are actually buying e-cigarettes (e.g., youth surveys)? Or is this more a preventative move based on the risk?

These products are marketed with flashy designs and flavoring, much in the same way that flavored alternative tobacco are marketed. In King County, youth use alternative tobacco products more frequently than cigarettes. There are many videos on YouTube of youth using these products.
We don't have solid evidence because these products are so new to the market.

During compliance checks in Spokane County this past summer, youth operatives were able to purchase e-cigs or liquid nicotine 28 out of 31 times.
Can youth under 18 purchase regulated nicotine products, like Nicorette? If so, is this a double standard?

NO. Youth under 18 can NOT purchase FDA-approved nicotine products like the patch or gum.
Could e-cigarettes be retrofitted to smoke marijuana?

Not that we are aware of. The e-cig vaporizes liquid nicotine and there is no igniting or combustion involved.
When were tobacco sales to kids first restricted?

In the early 1990s the Board of Health passed regulations restricting sales to youth. Hope this helps. Let us know if there are further questions. Joy

From: Apa, James Sent: Monday, December 13, 2010 3:04 PM To: 'Bud Nicola'; Wood, Maria Cc: Hamilton, Joy; Neal, Scott Subject: RE: feedback on Vanessa Ho interview Thanks Bud. Ive talked with Keith Seinfeld at KPLU and hed like to interview you this afternoon. You can call him at 922-1024. Keith had a few questions I couldnt directly answer. Scott and Joy, could you weigh in on these?

Thanks, -James From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Monday, December 13, 2010 11:41 AM To: Apa, James; Wood, Maria 8_19_2011

Page 2 Cc: Hamilton, Joy; Neal, Scott Subject: feedback on Vanessa Ho interview The interview was fairly short and I stuck to the talking points. A question that I couldnt answer: other municipalities that have passed a similar regulation? Bud Nicola bnicola@uw.edu

From: Apa, James [mailto:James.Apa@kingcounty.gov] Sent: Friday, December 10, 2010 2:22 PM To: Wood, Maria; Bud Nicola Cc: Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation Hi, Bud. The P-I is interested in doing a story for today or Monday, and would like to talk with you. Whats your availability today and Monday morning to talk with them? -James

From: Wood, Maria Sent: Tuesday, December 07, 2010 2:16 PM To: 'Bud Nicola' Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation Thanks so much. We'll be in touch as needed. Maria

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Tuesday, December 07, 2010 2:00 PM To: Wood, Maria Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: Re: Media Contact re: e-cigarette regulation

Hi Maria, Next week should work. Happy to help. Bud bnicola@uw.edu via Blackberry
From: Wood, Maria [mailto:Maria.Wood@kingcounty.gov] Sent: Tuesday, December 07, 2010 01:40 PM To: Bud Nicola Cc: Apa, James <James.Apa@kingcounty.gov>; Hamilton, Joy <Joy.Hamilton@kingcounty.gov>; Neal, Scott <Scott.Neal@kingcounty.gov> Subject: Media Contact re: e-cigarette regulation Hi Bud, We anticipate that there will be some media interest in the proposed e-cigarette regulation scheduled to be heard by the BOH next week. As the chair of the tobacco sub-committee, would you be willing to talk to media outlets if we have requests, and what is your general availability next week? Our communications team would work with you and provide talking points as we get requests. The agenda is already out there, but we will do our usual BOH meeting press release late this week, which could prompt requests. Thanks for your help with this. Maria

8_19_2011

Page 3

E. Maria Wood, MA Board of Health Administrator Public Health Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166

8_19_2011

Page 1

From: "Apa, James" To: "Bud Nicola" <bnicola@u.washington.edu> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/13/2010 7:04:20 PM Subject: RE: feedback on Vanessa Ho interview
Thanks Bud. Ive talked with Keith Seinfeld at KPLU and hed like to interview you this afternoon. You can call him at 922-1024. Keith had a few questions I couldnt directly answer. Scott and Joy, could you weigh in on these? What evidence do we have that youth are actually buying e-cigarettes (e.g., youth surveys)? Or is this more a preventative move based on the risk? Can youth under 18 purchase regulated nicotine products, like Nicorette? If so, is this a double standard? Could e-cigarettes be retrofitted to smoke marijuana? When were tobacco sales to kids first restricted? Thanks, -James From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Monday, December 13, 2010 11:41 AM To: Apa, James; Wood, Maria Cc: Hamilton, Joy; Neal, Scott Subject: feedback on Vanessa Ho interview The interview was fairly short and I stuck to the talking points. A question that I couldnt answer: other municipalities that have passed a similar regulation? Bud Nicola bnicola@uw.edu

From: Apa, James [mailto:James.Apa@kingcounty.gov] Sent: Friday, December 10, 2010 2:22 PM To: Wood, Maria; Bud Nicola Cc: Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation Hi, Bud. The P-I is interested in doing a story for today or Monday, and would like to talk with you. Whats your availability today and Monday morning to talk with them? -James

From: Wood, Maria Sent: Tuesday, December 07, 2010 2:16 PM To: 'Bud Nicola' Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation Thanks so much. We'll be in touch as needed. Maria

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Tuesday, December 07, 2010 2:00 PM To: Wood, Maria Cc: Apa, James; Hamilton, Joy; Neal, Scott 8_19_2011

Page 2 Subject: Re: Media Contact re: e-cigarette regulation

Hi Maria, Next week should work. Happy to help. Bud bnicola@uw.edu via Blackberry
From: Wood, Maria [mailto:Maria.Wood@kingcounty.gov] Sent: Tuesday, December 07, 2010 01:40 PM To: Bud Nicola Cc: Apa, James <James.Apa@kingcounty.gov>; Hamilton, Joy <Joy.Hamilton@kingcounty.gov>; Neal, Scott <Scott.Neal@kingcounty.gov> Subject: Media Contact re: e-cigarette regulation Hi Bud, We anticipate that there will be some media interest in the proposed e-cigarette regulation scheduled to be heard by the BOH next week. As the chair of the tobacco sub-committee, would you be willing to talk to media outlets if we have requests, and what is your general availability next week? Our communications team would work with you and provide talking points as we get requests. The agenda is already out there, but we will do our usual BOH meeting press release late this week, which could prompt requests. Thanks for your help with this. Maria

E. Maria Wood, MA Board of Health Administrator Public Health Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166

8_19_2011

Page 1

From: "Apa, James" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Bud Nicola" <bnicola@u.washington.edu> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/13/2010 7:58:28 PM Subject: RE: feedback on Vanessa Ho interview
Thanks, Bud. Ive seen them at the 7-11 across the street from me in Phinney Ridge (which is across from the Zoo and a kids park), and at the Tacoma Mall. Does Keith need any additional follow up? (And did you cover the questions he had below?) Thanks, -James

From: Hamilton, Joy Sent: Monday, December 13, 2010 3:55 PM To: 'Bud Nicola'; Apa, James; Wood, Maria Cc: Neal, Scott Subject: RE: feedback on Vanessa Ho interview

There is a kiosk in Northgate mall and Southcenter mall.

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Monday, December 13, 2010 3:53 PM To: Hamilton, Joy; Apa, James; Wood, Maria Cc: Neal, Scott Subject: RE: feedback on Vanessa Ho interview The interview with Keith was a bit longer and he probed quite a bit more. He has gone looking for these downtown and only found them in a smoke shop. Are there any kiosks in surrounding malls? I thought I remembered seeing a kiosk in a mall last year, but couldnt remember where. Bud Nicola bnicola@uw.edu

From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Monday, December 13, 2010 3:26 PM To: Apa, James; Bud Nicola; Wood, Maria Cc: Neal, Scott Subject: RE: feedback on Vanessa Ho interview Here's the answers to Keith Seinfeld's questions: What evidence do we have that youth are actually buying e-cigarettes (e.g., youth surveys)? Or is this more a preventative move based on the risk?

These products are marketed with flashy designs and flavoring, much in the same way that flavored alternative tobacco are marketed. In King County, youth use alternative tobacco products more frequently than cigarettes. There are many videos on YouTube of youth using these products.
We don't have solid evidence because these products are so new to the market. 8_19_2011

Page 2

During compliance checks in Spokane County this past summer, youth operatives were able to purchase e-cigs or liquid nicotine 28 out of 31 times.
Can youth under 18 purchase regulated nicotine products, like Nicorette? If so, is this a double standard?

NO. Youth under 18 can NOT purchase FDA-approved nicotine products like the patch or gum.
Could e-cigarettes be retrofitted to smoke marijuana?

Not that we are aware of. The e-cig vaporizes liquid nicotine and there is no igniting or combustion involved.
When were tobacco sales to kids first restricted?

In the early 1990s the Board of Health passed regulations restricting sales to youth. Hope this helps. Let us know if there are further questions. Joy

From: Apa, James Sent: Monday, December 13, 2010 3:04 PM To: 'Bud Nicola'; Wood, Maria Cc: Hamilton, Joy; Neal, Scott Subject: RE: feedback on Vanessa Ho interview Thanks Bud. Ive talked with Keith Seinfeld at KPLU and hed like to interview you this afternoon. You can call him at 922-1024. Keith had a few questions I couldnt directly answer. Scott and Joy, could you weigh in on these?

Thanks, -James From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Monday, December 13, 2010 11:41 AM To: Apa, James; Wood, Maria Cc: Hamilton, Joy; Neal, Scott Subject: feedback on Vanessa Ho interview The interview was fairly short and I stuck to the talking points. A question that I couldnt answer: other municipalities that have passed a similar regulation? Bud Nicola bnicola@uw.edu

From: Apa, James [mailto:James.Apa@kingcounty.gov] Sent: Friday, December 10, 2010 2:22 PM To: Wood, Maria; Bud Nicola Cc: Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation Hi, Bud. The P-I is interested in doing a story for today or Monday, and would like to talk with you. Whats your availability today and Monday morning to talk with them? -James

From: Wood, Maria Sent: Tuesday, December 07, 2010 2:16 PM To: 'Bud Nicola' 8_19_2011

Page 3 Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: RE: Media Contact re: e-cigarette regulation Thanks so much. We'll be in touch as needed. Maria

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Tuesday, December 07, 2010 2:00 PM To: Wood, Maria Cc: Apa, James; Hamilton, Joy; Neal, Scott Subject: Re: Media Contact re: e-cigarette regulation

Hi Maria, Next week should work. Happy to help. Bud bnicola@uw.edu via Blackberry
From: Wood, Maria [mailto:Maria.Wood@kingcounty.gov] Sent: Tuesday, December 07, 2010 01:40 PM To: Bud Nicola Cc: Apa, James <James.Apa@kingcounty.gov>; Hamilton, Joy <Joy.Hamilton@kingcounty.gov>; Neal, Scott <Scott.Neal@kingcounty.gov> Subject: Media Contact re: e-cigarette regulation Hi Bud, We anticipate that there will be some media interest in the proposed e-cigarette regulation scheduled to be heard by the BOH next week. As the chair of the tobacco sub-committee, would you be willing to talk to media outlets if we have requests, and what is your general availability next week? Our communications team would work with you and provide talking points as we get requests. The agenda is already out there, but we will do our usual BOH meeting press release late this week, which could prompt requests. Thanks for your help with this. Maria

E. Maria Wood, MA Board of Health Administrator Public Health Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166

8_19_2011

Page 1

From: "Johnson, Gareth" To: "McKenzie, Jane" <Jane.McKenzie@kingcounty.gov> Date: 12/14/2010 5:25:33 PM Subject: Jane, with this rationale, as a basis for the prohibition on use of E-cigs in public places/places of employment, would you agree that we have a reasonable basis for this action? (please excuse the formatting) gary * Following an extensive literature review, the Institute of Medicine1 found that smokefree air laws: * protect nonsmokers from the health effects and the noxious odors of secondhand smoke; * help smokers quit, cut down on their smoking, and avoid relapses; and * reinforce a nonsmoking social norm by altering the perceived social acceptability of smoking . Public E-Cigarette Use Undermines Smoking in Public Places Law * People who use e-cigarettes in public appear to be smoking traditional cigarettes. * As witnessed by PHSKC inspectors, some people who observe public e-cigarette use conclude that they are in a location where smoking is permitted, prompting them to light and smoke traditional tobacco products. * As public e-cigarette use becomes more widespread, tobacco use in public will likely increase. Health Consequences of Smoking in Public Places * As affirmed in a recent report by the Surgeon General1 * there is no risk-free level of secondhand smoke; * even low levels of exposure to secondhand tobacco smoke lead to a rapid and sharp increase in endothelial dysfunction and inflammation which are implicated in acute cardiovascular events and thrombosis. * Therefore, any tobacco use which is precipitated by use of e-cigarettes in public presents a threat to the public health. 1. 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. Social Norming Consequences of Smoking in Public Places * Smokefree air laws change social norms for tobacco use.1 * The more visible smoking is, the more it is perceived by adolescents as socially acceptable and normal.2 * Youth living in towns with smoke-free restaurant laws that completely banned smoking had lower rates of progression to smoking than those youth living in towns with weaker or no laws.3 * Clean indoor air laws that include social venues such as restaurants may have indirect influences on youth smoking through substantially influencing the pattern of adult smoking in a community.1 * By returning smoking to the public eye, public e-cigarette use threatens to undermine the social norming impact of Smoking in Public Places law. * Wakefield, M., & Forster, J. (January 01, 2005). Growing evidence for new benefit of clean indoor air laws: reduced adolescent smoking. Tobacco Control, 14, 5, 292. * Alesci, N. L., Forster, J. L., & Blaine, T. (January 01, 2003). Smoking visibility, perceived acceptability, and frequency in various locations among youth and adults.Preventive Medicine, 36, 3, 272-81. * Siegel M, Albers AB, Cheng DM, et al. Effect of local restaurant smoking regulations on progression to established smoking among youths. Tobacco Control 2005;14:3006.

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Page 1

From: "Apa, James" To: "Ing, Jeff" <Jeff.Ing@kingcounty.gov> "Valenzuela, Matias" <Matias.Valenzuela@kingcounty.gov> "Karasz, Hilary" <Hilary.Karasz@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 12/14/2010 9:59:23 PM Subject: RE: Ban of Electronic Cigarettes
Thanks, Jeff. Katie, could you work on this tomorrow? Media keeps using the unfortunate ban language

From: Ing, Jeff Sent: Tuesday, December 14, 2010 5:58 PM To: Apa, James; Valenzuela, Matias; Karasz, Hilary; Ross, Kathryn Subject: FW: Ban of Electronic Cigarettes

-----Original Message----From: Public Health Sent: Tuesday, December 14, 2010 5:55 PM To: Public Health Subject: Ban of Electronic Cigarettes

Path: http://www.kingcounty.gov/healthservices/health.aspx Sent: 12/14/2010 5:55:06 PM From: Mike Subject: Ban of Electronic Cigarettes Unbeleivable! You are going to vote to ban a tabacco free product? You have got to be kidding me!!!! You tell all of us smokers not to smoke, then we find an alternative to smoking and you are going to ban that too? You guys are idiots! ZIP : 98125 E-mail response requested: No

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From: "Apa, James" To: "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 12/14/2010 11:51:41 PM Subject: RE: Ban on e-cigarettes in public places Attachments: Hoskin Response.doc
Katie thanks for working on this. After reading it, I realized that I didnt give you the best guidance on what to use, since some of the talking points dont work as well in letter form, and dont necessarily speak to the point. Ive attached a revised version for review. (The second sentence in parens can be used for those letters where people misunderstood what the BOH is doing.) Thanks, -James

From: Ross, Kathryn Sent: Tuesday, December 14, 2010 5:13 PM To: Apa, James; Neal, Scott; Wood, Maria Subject: RE: Ban on e-cigarettes in public places Hi Scott and Maria, I've attached a draft response to the email below. We're hoping to use it as a template for future emails on the BOH regulations. Please let me know if you have any edits. Thanks! Katie From: Apa, James Sent: Tuesday, December 14, 2010 1:03 PM To: Neal, Scott; Wood, Maria; Ross, Kathryn Cc: Ing, Jeff Subject: RE: Ban on e-cigarettes in public places Thanks. Katie, could you do a short draft? To add to the tough Q&A does this regulation mean that people cant e-smoke in multi-family housing units, including those that already ban tobacco? (Keith Seinfeld is interviewing a woman whos worried that she wont be able to smoke ecigarettes in her apartment). I told him that the regulation wouldnt affect this.

From: Neal, Scott Sent: Tuesday, December 14, 2010 12:53 PM To: Wood, Maria; Apa, James; Ross, Kathryn Cc: Ing, Jeff Subject: RE: Ban on e-cigarettes in public places It would be great if Comms could respond...I'm happy to review response if needed...but we are swamped getting the final prep work for the BOH meeting ready. Also dealing with finanicial issues due to the recent leg session. UGH

From: Wood, Maria Sent: Tuesday, December 14, 2010 12:48 PM To: Apa, James; Ross, Kathryn 8_19_2011

Page 2 Cc: Neal, Scott; Ing, Jeff Subject: FW: Ban on e-cigarettes in public places In the spirit of consistency, could Comms please respond to this email? Thanks, Maria

From: Ing, Jeff Sent: Tuesday, December 14, 2010 10:27 AM To: Neal, Scott; Wood, Maria Subject: FW: Ban on e-cigarettes in public places FYI -----Original Message----From: october001@gmail.com [mailto:october001@gmail.com] Sent: Tuesday, December 14, 2010 8:59 AM To: Public Health Subject: Re: Ban on e-cigarettes in public places

Path: http://www.kingcounty.gov/healthservices/health.aspx Sent: 12/14/2010 8:59:27 AM From: Jon Hoskins <october001@gmail.com> Subject: Re: Ban on e-cigarettes in public places Hi there, I just heard about the proposed ban on "electronic cigarettes in public places" on the local news radio. The executives in charge of marketing for big tobacco will certainly sigh in relief when they get this news as "e-cigs" are certainly carving a swath in their profit margins. In all seriousness the "e-cigs", while they are not marketed as a smoking cessation device (and not FDA approved as one either), have done more to replace the good, old fashioned tobacco version than any other product on the market. They also have many fewer potential risks... no fire, no matches, no smoke, no second hand smoke, no filthy butts littering the streets, etc. One report even suggested that Propylene Glycol, a major component used in "e-cigs", (as well as medicinal inhalers such as those used by asthmatics) may even help stave off germs such as H1N1 (swine flu). To comment on some specific concerns mentioned in the news broadcast: "Easy to confuse with the real thing": The exhaled component from an e-cig is mostly water vapor made slightly visible due to the propylene glycol and rapidly dissipates, similar to your breath on a cold, winter day. It has little to no smell (no worse than your normally invisible exhalations) and no lingering after affects. Held in the hand an e-cig looks much more like a ballpoint pen or magic marker, not a real cigarette. Very few are even designed in the traditional white/beige color scheme of a real cigarette, the more popular designs being simple black, metallic or a more visually appealing combination of one or more colors. During use an "e-cig" typically "lights up" on the end with a colorful LED, perhaps purple or blue, to indicate that it is functioning correctly and is very difficult to confuse with a real, lit cigarette. "As a gateway to using the real thing": As an adult user of both "e-cigs" and real tobacco products I can tell you that making the leap from one to the other is not an easy thing to do and certainly not one that is made casually on impulse. Further "e-cigs" are at least as expensive as the real thing and the sheer cost makes them a luxury most un/under-employed youth cannot afford. "e-cigarettes" are also not as peer friendly as the real ones as most users only carry a single personal device... sharing an "ecig" is more akin to sharing a toothbrush than it is to sharing a pack of real cigarettes. 8_19_2011

Page 3 Last but not least cartridges for e-cigarettes are available in different strengths of nicotine. By far the most popular strength is 0 (zero) nicotine! As a temporary replacement for a real cigarette the major benefit is in the physical act of "smoking", the hand-to-mouth habits , and so on, NOT in the amount of nicotine contained in the cartridge itself. When smoking real cigarettes in public places was banned in the state of Washington it did nothing to reduce the amount of tobacco that I personally consume... but the amount of time (and money) that my wife and I spent patronizing the local establishments was reduced greatly. When electronic cigarettes were first made available we started dining out more. My productivity at work increased simply because I no longer needed that occasional "smoke break" outdoors, etc., and my consumption of real cigarettes was greatly reduced. Even though the attention that is drawn using an electronic cigarette at work or in public places actually discourages me from using it the simple thought that I could, should the craving arise, is more often than not, enough. Please do more research before banning electronic cigarettes in public places. I feel a ban on ecigarettes would effectively suppress the market entirely here and as a result, funnel more money into the coffers of big tobacco and away from local dining and drinking establishments. Sincerely, Jon Hoskins E-mail response requested: Yes

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From: "Ross, Kathryn" To: "Apa, James" <James.Apa@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/14/2010 9:13:08 PM Subject: RE: Ban on e-cigarettes in public places Attachments: Hoskin Response.doc
Hi Scott and Maria, I've attached a draft response to the email below. We're hoping to use it as a template for future emails on the BOH regulations. Please let me know if you have any edits. Thanks! Katie From: Apa, James Sent: Tuesday, December 14, 2010 1:03 PM To: Neal, Scott; Wood, Maria; Ross, Kathryn Cc: Ing, Jeff Subject: RE: Ban on e-cigarettes in public places Thanks. Katie, could you do a short draft? To add to the tough Q&A does this regulation mean that people cant e-smoke in multi-family housing units, including those that already ban tobacco? (Keith Seinfeld is interviewing a woman whos worried that she wont be able to smoke ecigarettes in her apartment). I told him that the regulation wouldnt affect this.

From: Neal, Scott Sent: Tuesday, December 14, 2010 12:53 PM To: Wood, Maria; Apa, James; Ross, Kathryn Cc: Ing, Jeff Subject: RE: Ban on e-cigarettes in public places It would be great if Comms could respond...I'm happy to review response if needed...but we are swamped getting the final prep work for the BOH meeting ready. Also dealing with finanicial issues due to the recent leg session. UGH

From: Wood, Maria Sent: Tuesday, December 14, 2010 12:48 PM To: Apa, James; Ross, Kathryn Cc: Neal, Scott; Ing, Jeff Subject: FW: Ban on e-cigarettes in public places In the spirit of consistency, could Comms please respond to this email? Thanks, Maria

From: Ing, Jeff Sent: Tuesday, December 14, 2010 10:27 AM To: Neal, Scott; Wood, Maria Subject: FW: Ban on e-cigarettes in public places FYI -----Original Message----8_19_2011

Page 2 From: october001@gmail.com [mailto:october001@gmail.com] Sent: Tuesday, December 14, 2010 8:59 AM To: Public Health Subject: Re: Ban on e-cigarettes in public places

Path: http://www.kingcounty.gov/healthservices/health.aspx Sent: 12/14/2010 8:59:27 AM From: Jon Hoskins <october001@gmail.com> Subject: Re: Ban on e-cigarettes in public places Hi there, I just heard about the proposed ban on "electronic cigarettes in public places" on the local news radio. The executives in charge of marketing for big tobacco will certainly sigh in relief when they get this news as "e-cigs" are certainly carving a swath in their profit margins. In all seriousness the "e-cigs", while they are not marketed as a smoking cessation device (and not FDA approved as one either), have done more to replace the good, old fashioned tobacco version than any other product on the market. They also have many fewer potential risks... no fire, no matches, no smoke, no second hand smoke, no filthy butts littering the streets, etc. One report even suggested that Propylene Glycol, a major component used in "e-cigs", (as well as medicinal inhalers such as those used by asthmatics) may even help stave off germs such as H1N1 (swine flu). To comment on some specific concerns mentioned in the news broadcast: "Easy to confuse with the real thing": The exhaled component from an e-cig is mostly water vapor made slightly visible due to the propylene glycol and rapidly dissipates, similar to your breath on a cold, winter day. It has little to no smell (no worse than your normally invisible exhalations) and no lingering after affects. Held in the hand an e-cig looks much more like a ballpoint pen or magic marker, not a real cigarette. Very few are even designed in the traditional white/beige color scheme of a real cigarette, the more popular designs being simple black, metallic or a more visually appealing combination of one or more colors. During use an "e-cig" typically "lights up" on the end with a colorful LED, perhaps purple or blue, to indicate that it is functioning correctly and is very difficult to confuse with a real, lit cigarette. "As a gateway to using the real thing": As an adult user of both "e-cigs" and real tobacco products I can tell you that making the leap from one to the other is not an easy thing to do and certainly not one that is made casually on impulse. Further "e-cigs" are at least as expensive as the real thing and the sheer cost makes them a luxury most un/under-employed youth cannot afford. "e-cigarettes" are also not as peer friendly as the real ones as most users only carry a single personal device... sharing an "ecig" is more akin to sharing a toothbrush than it is to sharing a pack of real cigarettes. Last but not least cartridges for e-cigarettes are available in different strengths of nicotine. By far the most popular strength is 0 (zero) nicotine! As a temporary replacement for a real cigarette the major benefit is in the physical act of "smoking", the hand-to-mouth habits , and so on, NOT in the amount of nicotine contained in the cartridge itself. When smoking real cigarettes in public places was banned in the state of Washington it did nothing to reduce the amount of tobacco that I personally consume... but the amount of time (and money) that my wife and I spent patronizing the local establishments was reduced greatly. When electronic cigarettes were first made available we started dining out more. My productivity at work increased simply because I no longer needed that occasional "smoke break" outdoors, etc., and my consumption of real cigarettes was greatly reduced. Even though the attention that is drawn using an electronic cigarette at work or in public places actually discourages me from using it the simple thought that I could, should the craving arise, is more often than not, enough. Please do more research before banning electronic cigarettes in public places. I feel a ban on ecigarettes would effectively suppress the market entirely here and as a result, funnel more money into the coffers of big tobacco and away from local dining and drinking establishments. 8_19_2011

Page 3 Sincerely, Jon Hoskins E-mail response requested: Yes

8_19_2011

Page 1

From: "Neal, Scott" To: "Apa, James" <James.Apa@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> Date: 12/14/2010 5:19:00 PM Subject: RE: Ban on e-cigarettes in public places
Agreed the regulation would not affect this.

From: Apa, James Sent: Tuesday, December 14, 2010 1:03 PM To: Neal, Scott; Wood, Maria; Ross, Kathryn Cc: Ing, Jeff Subject: RE: Ban on e-cigarettes in public places Thanks. Katie, could you do a short draft? To add to the tough Q&A does this regulation mean that people cant e-smoke in multi-family housing units, including those that already ban tobacco? (Keith Seinfeld is interviewing a woman whos worried that she wont be able to smoke ecigarettes in her apartment). I told him that the regulation wouldnt affect this.

From: Neal, Scott Sent: Tuesday, December 14, 2010 12:53 PM To: Wood, Maria; Apa, James; Ross, Kathryn Cc: Ing, Jeff Subject: RE: Ban on e-cigarettes in public places It would be great if Comms could respond...I'm happy to review response if needed...but we are swamped getting the final prep work for the BOH meeting ready. Also dealing with finanicial issues due to the recent leg session. UGH

From: Wood, Maria Sent: Tuesday, December 14, 2010 12:48 PM To: Apa, James; Ross, Kathryn Cc: Neal, Scott; Ing, Jeff Subject: FW: Ban on e-cigarettes in public places In the spirit of consistency, could Comms please respond to this email? Thanks, Maria

From: Ing, Jeff Sent: Tuesday, December 14, 2010 10:27 AM To: Neal, Scott; Wood, Maria Subject: FW: Ban on e-cigarettes in public places FYI -----Original Message----From: october001@gmail.com [mailto:october001@gmail.com] Sent: Tuesday, December 14, 2010 8:59 AM To: Public Health Subject: Re: Ban on e-cigarettes in public places

8_19_2011

Page 2 Path: http://www.kingcounty.gov/healthservices/health.aspx Sent: 12/14/2010 8:59:27 AM From: Jon Hoskins <october001@gmail.com> Subject: Re: Ban on e-cigarettes in public places Hi there, I just heard about the proposed ban on "electronic cigarettes in public places" on the local news radio. The executives in charge of marketing for big tobacco will certainly sigh in relief when they get this news as "e-cigs" are certainly carving a swath in their profit margins. In all seriousness the "e-cigs", while they are not marketed as a smoking cessation device (and not FDA approved as one either), have done more to replace the good, old fashioned tobacco version than any other product on the market. They also have many fewer potential risks... no fire, no matches, no smoke, no second hand smoke, no filthy butts littering the streets, etc. One report even suggested that Propylene Glycol, a major component used in "e-cigs", (as well as medicinal inhalers such as those used by asthmatics) may even help stave off germs such as H1N1 (swine flu). To comment on some specific concerns mentioned in the news broadcast: "Easy to confuse with the real thing": The exhaled component from an e-cig is mostly water vapor made slightly visible due to the propylene glycol and rapidly dissipates, similar to your breath on a cold, winter day. It has little to no smell (no worse than your normally invisible exhalations) and no lingering after affects. Held in the hand an e-cig looks much more like a ballpoint pen or magic marker, not a real cigarette. Very few are even designed in the traditional white/beige color scheme of a real cigarette, the more popular designs being simple black, metallic or a more visually appealing combination of one or more colors. During use an "e-cig" typically "lights up" on the end with a colorful LED, perhaps purple or blue, to indicate that it is functioning correctly and is very difficult to confuse with a real, lit cigarette. "As a gateway to using the real thing": As an adult user of both "e-cigs" and real tobacco products I can tell you that making the leap from one to the other is not an easy thing to do and certainly not one that is made casually on impulse. Further "e-cigs" are at least as expensive as the real thing and the sheer cost makes them a luxury most un/under-employed youth cannot afford. "e-cigarettes" are also not as peer friendly as the real ones as most users only carry a single personal device... sharing an "ecig" is more akin to sharing a toothbrush than it is to sharing a pack of real cigarettes. Last but not least cartridges for e-cigarettes are available in different strengths of nicotine. By far the most popular strength is 0 (zero) nicotine! As a temporary replacement for a real cigarette the major benefit is in the physical act of "smoking", the hand-to-mouth habits , and so on, NOT in the amount of nicotine contained in the cartridge itself. When smoking real cigarettes in public places was banned in the state of Washington it did nothing to reduce the amount of tobacco that I personally consume... but the amount of time (and money) that my wife and I spent patronizing the local establishments was reduced greatly. When electronic cigarettes were first made available we started dining out more. My productivity at work increased simply because I no longer needed that occasional "smoke break" outdoors, etc., and my consumption of real cigarettes was greatly reduced. Even though the attention that is drawn using an electronic cigarette at work or in public places actually discourages me from using it the simple thought that I could, should the craving arise, is more often than not, enough. Please do more research before banning electronic cigarettes in public places. I feel a ban on ecigarettes would effectively suppress the market entirely here and as a result, funnel more money into the coffers of big tobacco and away from local dining and drinking establishments. Sincerely, Jon Hoskins E-mail response requested: Yes 8_19_2011

Page 3

8_19_2011

Page 1

From: "Apa, James" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> Date: 12/14/2010 5:03:04 PM Subject: RE: Ban on e-cigarettes in public places
Thanks. Katie, could you do a short draft? To add to the tough Q&A does this regulation mean that people cant e-smoke in multi-family housing units, including those that already ban tobacco? (Keith Seinfeld is interviewing a woman whos worried that she wont be able to smoke ecigarettes in her apartment). I told him that the regulation wouldnt affect this.

From: Neal, Scott Sent: Tuesday, December 14, 2010 12:53 PM To: Wood, Maria; Apa, James; Ross, Kathryn Cc: Ing, Jeff Subject: RE: Ban on e-cigarettes in public places It would be great if Comms could respond...I'm happy to review response if needed...but we are swamped getting the final prep work for the BOH meeting ready. Also dealing with finanicial issues due to the recent leg session. UGH

From: Wood, Maria Sent: Tuesday, December 14, 2010 12:48 PM To: Apa, James; Ross, Kathryn Cc: Neal, Scott; Ing, Jeff Subject: FW: Ban on e-cigarettes in public places In the spirit of consistency, could Comms please respond to this email? Thanks, Maria

From: Ing, Jeff Sent: Tuesday, December 14, 2010 10:27 AM To: Neal, Scott; Wood, Maria Subject: FW: Ban on e-cigarettes in public places FYI -----Original Message----From: october001@gmail.com [mailto:october001@gmail.com] Sent: Tuesday, December 14, 2010 8:59 AM To: Public Health Subject: Re: Ban on e-cigarettes in public places

Path: http://www.kingcounty.gov/healthservices/health.aspx Sent: 12/14/2010 8:59:27 AM From: Jon Hoskins <october001@gmail.com> Subject: Re: Ban on e-cigarettes in public places Hi there, I just heard about the proposed ban on "electronic cigarettes in public places" on the local news radio. The executives in charge of marketing for big tobacco will certainly sigh in relief when they get this news 8_19_2011

Page 2 as "e-cigs" are certainly carving a swath in their profit margins. In all seriousness the "e-cigs", while they are not marketed as a smoking cessation device (and not FDA approved as one either), have done more to replace the good, old fashioned tobacco version than any other product on the market. They also have many fewer potential risks... no fire, no matches, no smoke, no second hand smoke, no filthy butts littering the streets, etc. One report even suggested that Propylene Glycol, a major component used in "e-cigs", (as well as medicinal inhalers such as those used by asthmatics) may even help stave off germs such as H1N1 (swine flu). To comment on some specific concerns mentioned in the news broadcast: "Easy to confuse with the real thing": The exhaled component from an e-cig is mostly water vapor made slightly visible due to the propylene glycol and rapidly dissipates, similar to your breath on a cold, winter day. It has little to no smell (no worse than your normally invisible exhalations) and no lingering after affects. Held in the hand an e-cig looks much more like a ballpoint pen or magic marker, not a real cigarette. Very few are even designed in the traditional white/beige color scheme of a real cigarette, the more popular designs being simple black, metallic or a more visually appealing combination of one or more colors. During use an "e-cig" typically "lights up" on the end with a colorful LED, perhaps purple or blue, to indicate that it is functioning correctly and is very difficult to confuse with a real, lit cigarette. "As a gateway to using the real thing": As an adult user of both "e-cigs" and real tobacco products I can tell you that making the leap from one to the other is not an easy thing to do and certainly not one that is made casually on impulse. Further "e-cigs" are at least as expensive as the real thing and the sheer cost makes them a luxury most un/under-employed youth cannot afford. "e-cigarettes" are also not as peer friendly as the real ones as most users only carry a single personal device... sharing an "ecig" is more akin to sharing a toothbrush than it is to sharing a pack of real cigarettes. Last but not least cartridges for e-cigarettes are available in different strengths of nicotine. By far the most popular strength is 0 (zero) nicotine! As a temporary replacement for a real cigarette the major benefit is in the physical act of "smoking", the hand-to-mouth habits , and so on, NOT in the amount of nicotine contained in the cartridge itself. When smoking real cigarettes in public places was banned in the state of Washington it did nothing to reduce the amount of tobacco that I personally consume... but the amount of time (and money) that my wife and I spent patronizing the local establishments was reduced greatly. When electronic cigarettes were first made available we started dining out more. My productivity at work increased simply because I no longer needed that occasional "smoke break" outdoors, etc., and my consumption of real cigarettes was greatly reduced. Even though the attention that is drawn using an electronic cigarette at work or in public places actually discourages me from using it the simple thought that I could, should the craving arise, is more often than not, enough. Please do more research before banning electronic cigarettes in public places. I feel a ban on ecigarettes would effectively suppress the market entirely here and as a result, funnel more money into the coffers of big tobacco and away from local dining and drinking establishments. Sincerely, Jon Hoskins E-mail response requested: Yes

8_19_2011

Page 1

From: "Neal, Scott" To: "Wood, Maria" <Maria.Wood@kingcounty.gov> "Apa, James" <James.Apa@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> Date: 12/14/2010 4:55:00 PM Subject: RE: Ban on e-cigarettes in public places
It would be great if Comms could respond...I'm happy to review response if needed...but we are swamped getting the final prep work for the BOH meeting ready. Also dealing with finanicial issues due to the recent leg session. UGH

From: Wood, Maria Sent: Tuesday, December 14, 2010 12:48 PM To: Apa, James; Ross, Kathryn Cc: Neal, Scott; Ing, Jeff Subject: FW: Ban on e-cigarettes in public places In the spirit of consistency, could Comms please respond to this email? Thanks, Maria

From: Ing, Jeff Sent: Tuesday, December 14, 2010 10:27 AM To: Neal, Scott; Wood, Maria Subject: FW: Ban on e-cigarettes in public places FYI -----Original Message----From: october001@gmail.com [mailto:october001@gmail.com] Sent: Tuesday, December 14, 2010 8:59 AM To: Public Health Subject: Re: Ban on e-cigarettes in public places

Path: http://www.kingcounty.gov/healthservices/health.aspx Sent: 12/14/2010 8:59:27 AM From: Jon Hoskins <october001@gmail.com> Subject: Re: Ban on e-cigarettes in public places Hi there, I just heard about the proposed ban on "electronic cigarettes in public places" on the local news radio. The executives in charge of marketing for big tobacco will certainly sigh in relief when they get this news as "e-cigs" are certainly carving a swath in their profit margins. In all seriousness the "e-cigs", while they are not marketed as a smoking cessation device (and not FDA approved as one either), have done more to replace the good, old fashioned tobacco version than any other product on the market. They also have many fewer potential risks... no fire, no matches, no smoke, no second hand smoke, no filthy butts littering the streets, etc. One report even suggested that Propylene Glycol, a major component used in "e-cigs", (as well as medicinal inhalers such as those used by asthmatics) may even help stave off germs such as H1N1 (swine flu). To comment on some specific concerns mentioned in the news broadcast: 8_19_2011

Page 2 "Easy to confuse with the real thing": The exhaled component from an e-cig is mostly water vapor made slightly visible due to the propylene glycol and rapidly dissipates, similar to your breath on a cold, winter day. It has little to no smell (no worse than your normally invisible exhalations) and no lingering after affects. Held in the hand an e-cig looks much more like a ballpoint pen or magic marker, not a real cigarette. Very few are even designed in the traditional white/beige color scheme of a real cigarette, the more popular designs being simple black, metallic or a more visually appealing combination of one or more colors. During use an "e-cig" typically "lights up" on the end with a colorful LED, perhaps purple or blue, to indicate that it is functioning correctly and is very difficult to confuse with a real, lit cigarette. "As a gateway to using the real thing": As an adult user of both "e-cigs" and real tobacco products I can tell you that making the leap from one to the other is not an easy thing to do and certainly not one that is made casually on impulse. Further "e-cigs" are at least as expensive as the real thing and the sheer cost makes them a luxury most un/under-employed youth cannot afford. "e-cigarettes" are also not as peer friendly as the real ones as most users only carry a single personal device... sharing an "ecig" is more akin to sharing a toothbrush than it is to sharing a pack of real cigarettes. Last but not least cartridges for e-cigarettes are available in different strengths of nicotine. By far the most popular strength is 0 (zero) nicotine! As a temporary replacement for a real cigarette the major benefit is in the physical act of "smoking", the hand-to-mouth habits , and so on, NOT in the amount of nicotine contained in the cartridge itself. When smoking real cigarettes in public places was banned in the state of Washington it did nothing to reduce the amount of tobacco that I personally consume... but the amount of time (and money) that my wife and I spent patronizing the local establishments was reduced greatly. When electronic cigarettes were first made available we started dining out more. My productivity at work increased simply because I no longer needed that occasional "smoke break" outdoors, etc., and my consumption of real cigarettes was greatly reduced. Even though the attention that is drawn using an electronic cigarette at work or in public places actually discourages me from using it the simple thought that I could, should the craving arise, is more often than not, enough. Please do more research before banning electronic cigarettes in public places. I feel a ban on ecigarettes would effectively suppress the market entirely here and as a result, funnel more money into the coffers of big tobacco and away from local dining and drinking establishments. Sincerely, Jon Hoskins E-mail response requested: Yes

8_19_2011

Page 1

From: "Wood, Maria" To: "Apa, James" <James.Apa@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> Date: 12/14/2010 4:47:46 PM Subject: FW: Ban on e-cigarettes in public places
In the spirit of consistency, could Comms please respond to this email? Thanks, Maria

From: Ing, Jeff Sent: Tuesday, December 14, 2010 10:27 AM To: Neal, Scott; Wood, Maria Subject: FW: Ban on e-cigarettes in public places FYI -----Original Message----From: october001@gmail.com [mailto:october001@gmail.com] Sent: Tuesday, December 14, 2010 8:59 AM To: Public Health Subject: Re: Ban on e-cigarettes in public places

Path: http://www.kingcounty.gov/healthservices/health.aspx Sent: 12/14/2010 8:59:27 AM From: Jon Hoskins <october001@gmail.com> Subject: Re: Ban on e-cigarettes in public places Hi there, I just heard about the proposed ban on "electronic cigarettes in public places" on the local news radio. The executives in charge of marketing for big tobacco will certainly sigh in relief when they get this news as "e-cigs" are certainly carving a swath in their profit margins. In all seriousness the "e-cigs", while they are not marketed as a smoking cessation device (and not FDA approved as one either), have done more to replace the good, old fashioned tobacco version than any other product on the market. They also have many fewer potential risks... no fire, no matches, no smoke, no second hand smoke, no filthy butts littering the streets, etc. One report even suggested that Propylene Glycol, a major component used in "e-cigs", (as well as medicinal inhalers such as those used by asthmatics) may even help stave off germs such as H1N1 (swine flu). To comment on some specific concerns mentioned in the news broadcast: "Easy to confuse with the real thing": The exhaled component from an e-cig is mostly water vapor made slightly visible due to the propylene glycol and rapidly dissipates, similar to your breath on a cold, winter day. It has little to no smell (no worse than your normally invisible exhalations) and no lingering after affects. Held in the hand an e-cig looks much more like a ballpoint pen or magic marker, not a real cigarette. Very few are even designed in the traditional white/beige color scheme of a real cigarette, the more popular designs being simple black, metallic or a more visually appealing combination of one or more colors. During use an "e-cig" typically "lights up" on the end with a colorful LED, perhaps purple or blue, to indicate that it is functioning correctly and is very difficult to confuse with a real, lit cigarette. "As a gateway to using the real thing": As an adult user of both "e-cigs" and real tobacco products I 8_19_2011

Page 2 can tell you that making the leap from one to the other is not an easy thing to do and certainly not one that is made casually on impulse. Further "e-cigs" are at least as expensive as the real thing and the sheer cost makes them a luxury most un/under-employed youth cannot afford. "e-cigarettes" are also not as peer friendly as the real ones as most users only carry a single personal device... sharing an "ecig" is more akin to sharing a toothbrush than it is to sharing a pack of real cigarettes. Last but not least cartridges for e-cigarettes are available in different strengths of nicotine. By far the most popular strength is 0 (zero) nicotine! As a temporary replacement for a real cigarette the major benefit is in the physical act of "smoking", the hand-to-mouth habits , and so on, NOT in the amount of nicotine contained in the cartridge itself. When smoking real cigarettes in public places was banned in the state of Washington it did nothing to reduce the amount of tobacco that I personally consume... but the amount of time (and money) that my wife and I spent patronizing the local establishments was reduced greatly. When electronic cigarettes were first made available we started dining out more. My productivity at work increased simply because I no longer needed that occasional "smoke break" outdoors, etc., and my consumption of real cigarettes was greatly reduced. Even though the attention that is drawn using an electronic cigarette at work or in public places actually discourages me from using it the simple thought that I could, should the craving arise, is more often than not, enough. Please do more research before banning electronic cigarettes in public places. I feel a ban on ecigarettes would effectively suppress the market entirely here and as a result, funnel more money into the coffers of big tobacco and away from local dining and drinking establishments. Sincerely, Jon Hoskins E-mail response requested: Yes

8_19_2011

Page 1

From: To: Date: Subject:

"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/14/2010 4:53:00 PM FW: Ban on e-cigarettes in public places

FYI...interesting...this guy claims he eats out more and is more productive at work because he apparently is able to vape in those locations! LOL really?!

From: Wood, Maria Sent: Tuesday, December 14, 2010 12:48 PM To: Apa, James; Ross, Kathryn Cc: Neal, Scott; Ing, Jeff Subject: FW: Ban on e-cigarettes in public places In the spirit of consistency, could Comms please respond to this email? Thanks, Maria

From: Ing, Jeff Sent: Tuesday, December 14, 2010 10:27 AM To: Neal, Scott; Wood, Maria Subject: FW: Ban on e-cigarettes in public places FYI -----Original Message----From: october001@gmail.com [mailto:october001@gmail.com] Sent: Tuesday, December 14, 2010 8:59 AM To: Public Health Subject: Re: Ban on e-cigarettes in public places

Path: http://www.kingcounty.gov/healthservices/health.aspx Sent: 12/14/2010 8:59:27 AM From: Jon Hoskins <october001@gmail.com> Subject: Re: Ban on e-cigarettes in public places Hi there, I just heard about the proposed ban on "electronic cigarettes in public places" on the local news radio. The executives in charge of marketing for big tobacco will certainly sigh in relief when they get this news as "e-cigs" are certainly carving a swath in their profit margins. In all seriousness the "e-cigs", while they are not marketed as a smoking cessation device (and not FDA approved as one either), have done more to replace the good, old fashioned tobacco version than any other product on the market. They also have many fewer potential risks... no fire, no matches, no smoke, no second hand smoke, no filthy butts littering the streets, etc. One report even suggested that Propylene Glycol, a major component used in "e-cigs", (as well as medicinal inhalers such as those used by asthmatics) may even help stave off germs such as H1N1 (swine flu). To comment on some specific concerns mentioned in the news broadcast: "Easy to confuse with the real thing": The exhaled component from an e-cig is mostly water vapor made slightly visible due to the propylene glycol and rapidly dissipates, similar to your breath on a cold, winter day. It has little to no smell (no worse than your normally invisible exhalations) and no lingering after 8_19_2011

Page 2 affects. Held in the hand an e-cig looks much more like a ballpoint pen or magic marker, not a real cigarette. Very few are even designed in the traditional white/beige color scheme of a real cigarette, the more popular designs being simple black, metallic or a more visually appealing combination of one or more colors. During use an "e-cig" typically "lights up" on the end with a colorful LED, perhaps purple or blue, to indicate that it is functioning correctly and is very difficult to confuse with a real, lit cigarette. "As a gateway to using the real thing": As an adult user of both "e-cigs" and real tobacco products I can tell you that making the leap from one to the other is not an easy thing to do and certainly not one that is made casually on impulse. Further "e-cigs" are at least as expensive as the real thing and the sheer cost makes them a luxury most un/under-employed youth cannot afford. "e-cigarettes" are also not as peer friendly as the real ones as most users only carry a single personal device... sharing an "ecig" is more akin to sharing a toothbrush than it is to sharing a pack of real cigarettes. Last but not least cartridges for e-cigarettes are available in different strengths of nicotine. By far the most popular strength is 0 (zero) nicotine! As a temporary replacement for a real cigarette the major benefit is in the physical act of "smoking", the hand-to-mouth habits , and so on, NOT in the amount of nicotine contained in the cartridge itself. When smoking real cigarettes in public places was banned in the state of Washington it did nothing to reduce the amount of tobacco that I personally consume... but the amount of time (and money) that my wife and I spent patronizing the local establishments was reduced greatly. When electronic cigarettes were first made available we started dining out more. My productivity at work increased simply because I no longer needed that occasional "smoke break" outdoors, etc., and my consumption of real cigarettes was greatly reduced. Even though the attention that is drawn using an electronic cigarette at work or in public places actually discourages me from using it the simple thought that I could, should the craving arise, is more often than not, enough. Please do more research before banning electronic cigarettes in public places. I feel a ban on ecigarettes would effectively suppress the market entirely here and as a result, funnel more money into the coffers of big tobacco and away from local dining and drinking establishments. Sincerely, Jon Hoskins E-mail response requested: Yes

8_19_2011

Page 1

From: "Neal, Scott" To: shelleyc@cschc.org "Brandie Flood \(brandie.flood@cschc.org\)" <brandie.flood@cschc.org> janelle@cschc.org "Eric Mose" <eric@apicat.org> "Elaine Ishihara" <e.ishihara@comcast.net> "Julie Peterson" <JulieP@chef.org> fred@gaycity.org "Carlos Mejia" <Cmejia@wacmhc.org> robynp@sihb.org lark@gaycity.org "Alison Shigaki \(alishigaki@sprynet.com\)" <alishigaki@sprynet.com> "Antoinette Angulo" <AntoinetteAngulo@seamarchc.org> "Frank Dibiase" <FDibiase@tpchd.org> kelly.kasner@cancer.org "Stephanie Silvernail \(ssilvernail@psesd.org\)" <ssilvernail@psesd.org> wgilreath@psesd.org "Zilar, Christopher" <CZilar@spokanecounty.org> Date: 12/14/2010 8:34:00 PM Subject: Board of Health Meeting - Thursday Morning! As you may already know, the King County Board of Health is scheduled to meet this Thursday, December 16th at 9:30am. The agenda for the meeting includes: 1. Regulations relating to electronic smoking devices (also known as e-cigarettes) and unapproved nicotine delivery products. These regulations will help protect youth from starting to use electronic cigarettes and will protect the social norms created by the smoking in public places/places of employment laws. 2. A resolution calling on the state of Washington to provide dedicated and long-term financing so local public health jurisdictions can protect and improve the health of all community residents. 3. An annual report for Public Health Seattle-King County presented by the director, Dr. David Fleming. For more information about any of these items, please see the meeting packet. Public comments can be made in person at the beginning of the meeting or submitted in written form. For more details, please consult the Board of Health website . The Board of Health meeting will be at 9:30 am on December 16th in the King County Council Chambers (10th floor of the King County Courthouse, 516 3rd Avenue, Room 1001). If you have any questions or concerns, please feel free to contact me. Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197
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Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: To: Date: Subject:


Good luck!!!

"Zilar, Christopher" <CZilar@spokanecounty.org> "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/14/2010 9:03:16 PM RE: Board of Health Meeting - Thursday Morning!

Christopher P. Zilar, Program Manager Breast, Cervical and Colon Health Tobacco Prevention and Control Spokane Regional Health District 1101 W. College Ave., Suite 401 Spokane, WA 99201 (509) 324-1538 mailto:czilar@spokanecounty.org www.srhd.org

Public Health - Always working for a safer and healthier community


CONFIDENTIALITY NOTICE: This email and any attachments are for the sole use of the intended recipient(s) and may contain proprietary, confidential, or privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited and may be a violation of law. If you are not the intended recipient or a person responsible for delivering this message to an intended recipient, please contact the sender by reply email and destroy all copies of the original message.

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Tuesday, December 14, 2010 4:33 PM To: (shelleyc@cschc.org); Brandie Flood (brandie.flood@cschc.org); (janelle@cschc.org); 'Eric Mose'; Elaine Ishihara; 'Julie Peterson'; 'fred@gaycity.org'; 'Carlos Mejia'; 'robynp@sihb.org'; 'lark@gaycity.org'; Alison Shigaki (alishigaki@sprynet.com); Antoinette Angulo; Frank Dibiase; kelly.kasner@cancer.org; Stephanie Silvernail (ssilvernail@psesd.org); 'wgilreath@psesd.org'; Zilar, Christopher Subject: Board of Health Meeting - Thursday Morning! Importance: High As you may already know, the King County Board of Health is scheduled to meet this Thursday, December 16th at 9:30am. The agenda for the meeting includes: 1. Regulations relating to electronic smoking devices (also known as e-cigarettes) and unapproved nicotine delivery products. These regulations will help protect youth from starting to use electronic cigarettes and will protect the social norms created by the smoking in public places/places of employment laws. 2. A resolution calling on the state of Washington to provide dedicated and long-term financing so local public health jurisdictions can protect and improve the health of all community residents. 3. An annual report for Public Health Seattle-King County presented by the director, Dr. David Fleming. For more information about any of these items, please see the meeting packet. Public comments can be made in person at the beginning of the meeting or submitted in written form. For more details, please consult the Board of Health website. The Board of Health meeting will be at 9:30 am on December 16th in the King County Council Chambers (10th floor of the King County Courthouse, 516 3rd Avenue, Room 1001). If you have any questions or concerns, please feel free to contact me. Thanks

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 8_19_2011

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From: "Muhm, Jennifer" To: "Albetta, Gloria" <Gloria.Albetta@kingcounty.gov> "Apa, James" <James.Apa@kingcounty.gov> "Burgess, Moffett" <Moffett.Burgess@kingcounty.gov> "Carson, Kathy" <Kathy.Carson@kingcounty.gov> "Chaffee, Frank" <Frank.Chaffee@kingcounty.gov> "Ciske, Sandra" <Sandra.Ciske@kingcounty.gov> "Cordero, Julia" <Julia.Cordero@kingcounty.gov> "Cummins, Elaine" <Elaine.Cummins@kingcounty.gov> "Fleming, David" <David.Fleming@kingcounty.gov> "Gomez, Tony" <Tony.Gomez@kingcounty.gov> "Huus, Kathie" <Kathie.Huus@kingcounty.gov> "Johnson, Kirste" <Kirste.Johnson@kingcounty.gov> "Karasz, Hilary" <Hilary.Karasz@kingcounty.gov> "Kellogg, Ryan" <Ryan.Kellogg@kingcounty.gov> "Maurer, Carol" <Carol.Maurer@kingcounty.gov> "Muhm, Jennifer" <Jennifer.Muhm@kingcounty.gov> "Oberg, Donna" <Donna.Oberg@kingcounty.gov> "Podell, Lisa" <Lisa.Podell@kingcounty.gov> "Quinn, Rachel" <Rachel.Quinn@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> "Russillo, Chrissy" <Chrissy.Russillo@kingcounty.gov> "Sadow-Hasenberg, Nicole" <Nicole.Sadow-Hasenberg@kingcounty.gov> "Sanchez, Kristie" <Kristie.Sanchez@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Teeter, Dorothy" <Dorothy.Teeter@kingcounty.gov> "Valenzuela, Matias" <Matias.Valenzuela@kingcounty.gov> "Wilson, Janna" <Janna.Wilson@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Worsham, Dennis" <Dennis.Worsham@kingcounty.gov> Date: 12/14/2010 3:15:35 PM Subject: December 14th: Legislative Related News Clips
NOTE: The King County Board of Health proposed e-cigarette action made it into the legislature's clips. Otherwise lots of state budget news, especially around the Governor's announcement yesterday regarding the state pension system.

The Daily E-Clips


An electronic roundup of legislative news from Washington and the nation by the House and Senate Democratic Caucus Media Departments
(Time-sensitive material. Links may expire after the day of publication)

Tuesday, December 14, 2010

PRINT
Bellingham Herald Lynden School District putting $35 million bond on February ballot
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Washington state to release jobless figures Callaghan column: State cuts could have been worse, and soon they will be (Springer, Williams) Blog: Gregoire: Stop giving annual pay increases to state pensioners

Columbian WA governor seeking pension, health care savings Washington program fast-tracks pros into teaching

Everett Herald Gregoire asks Legislature for pension, health care changes (Carlyle) Washington program fast-tracks professionals into teaching

Island Guardian Saving Money On Short Socks (Department of Corrections) WSF Staff Coming To FH -& Soon The Chetzemoka Too? (ferries)

Kitsap Sun Governor Targets Health Care Costs, Pensions Washington state to release jobless figures Washington program fast-tracks pros into teaching

News Tribune Gregoire plan taps pensions, health care (Carlyle) Callaghan column: Perhaps no really meant no on liquor sales

Olympian Gregoire plan taps pensions, health care (Carlyle)

Peninsula Daily News Tharinger, Van De Wege prepare for Olympia (Kessler, Sullivan, Sheldon)

Puget Sound Business Journal Supreme Court split on Costco-Omega case

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Robinson Newspapers Burien high school students see graphic display of texting while driving danger

Seattle Times Gregoire wants to cut some public pension benefits, double-dip loophole Governor, probe target rehiring of state retirees Washington among the best in disaster response Brodeur column: Budget cuts spare some special dentists, this time (Dickerson) Editorial: Legislature's budget work is only two-thirds done

Skagit Valley Herald Gregoire seeking pension, health care changes (Carlyle)

Tri-City Herald Gregoire honors Walla Walla CC water, environmental center Hanford cleanup of ALE finished Tri-City schools won't feel special session cuts instantly NYC sues Wash. tobacco company over cig taxes WA governor seeking pension, health care changes (Carlyle) Groups fight decision allowing Asia coal exports Black segregation in US drops to lowest in century Op-ed: Government's priority should be creating jobs Op-ed: Give electric vehicles a fair chance Editorial: Pasco school district explores ways to grow

BROADCAST
KING 5 TV (NBC) Retail sales rise 0.8 percent in November Kitsap County community stranded by washout

KIRO FM
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Gov. seeks pension, health savings (Carlyle) Northwest "under siege" by gangs King County wants to ban e-cigarettes Washington state to release jobless figures NYC sues Wash. tobacco company over cig taxes

KIRO 7 TV (CBS) Full Text Of Cuts Made During Washington Legislature Special Session

KOMO 4 TV (ABC) Gregoire seeking pension, health care savings (Carlyle) Environmentalists fight Longview coal port plan

KUOW FM Wash. Lawmakers Take Bite Out Of $1.1 Billion Shortfall In Special Session (Oemig)

NW Public Radio Kitzhaber: Fiscal Crisis Calls For Spending Overhaul

Q13 TV (Fox) Inspectors Check For Levee Breaches

WEB
The Capitol Record Gregoire: Pensions and healthcare will have serious consequences if not reformed

Crosscut Bill struggles to give municipal judges freedom from cities pressure on revenues (Kline) Municipal courts: How independent are some judges? (Kline)

The HDC Advance Rep. Williams' last speech on the House Floor, on cuts to health and social services

HorsesAss.org
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Cash-strapped House Finance Committee cuts self

Phinney Wood Blog Rep. Carlyle asks teens to serve as legislative pages

Publicola A Little Oppo Research (Fitzgibbon)

Schmudget Don't forget the tax expenditures: Cutting subsidies by a simple majority

The SDC Hopper Statement from Sen. Ed Murray on Gov. Gregoires health care/pension proposals

Seattle PI Gregoire aims to rein in state pension costs

Seattle Post Globe Early learning programs dodge deep cuts in latest Washington state budget Wall Street quietly creates a new way to profit from homeowner distress False attorney signatures cast new doubts on foreclosures

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From: "Neal, Scott" To: "Apa, James" <James.Apa@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 12/14/2010 6:04:00 PM Subject: RE: E cig
Thanks for sharing...he is not addressing our concern about the use in public places (which may not actually be inside, but is often in outdoor employee areas).

From: Apa, James Sent: Tuesday, December 14, 2010 1:58 PM To: Wood, Maria; Neal, Scott; Ross, Kathryn; Hamilton, Joy Subject: FW: E cig FYI Spoke with Mr. Story from Georgia, who saw the pi.com story. His main argument was that if you treat e-cigarettes in the same way as tobacco cigarettes, it will unfairly stigmatize the product, as theyre actually much better for your health than cigarettes (according to him). Below he offers some alternatives options to an indoor ban not clear how or where hes tested the signage mentioned. He claimed that he was the one who successfully challenged the FDA on regulation of their product as a nicotine delivery device, and indicated that his attorneys would be looking at our regulation if it passes.

From: Ray Story [mailto:raystory@hotmail.com] Sent: Tuesday, December 14, 2010 12:06 PM To: Apa, James; Haynes, Joan Subject: E cig

Thank you for your time James. I have provided you with our info so that you can contact us any time . Please forward this to any one that would like to discuss this matter with us. We agree and adopt your concern when applied to age verification as well as special sales programs or give away concerning the E cig. Our disagreement is only based on the enforcement issues . Don't paint us with the same brush because the reason for the indoor smoking ban is precisely second and 3rd hand smoke. The E Cigarette DOES NOT OMIT SECOND OR 3RD HAND SMOKE. ITS WATER VAPOR. I propose signs that clearly state. ONLY E CIGARETTES CAN BE USED INDOOR AND THIS WILL BE STRICTLY ENFORCED. We have tested this in other markets and it has been very successful. This also stops exposing unnecessarily those who are E cigarette users from occupying the same area as the conventional smoker. Because they are then exposed to 2nd and 3rd hand smoke once again. They have made a conscious choice to use the E cigarette as an alternative to the conventional cigarette due to the lack of many chemicals and smoke. Don't punish them for making the right decision that affects all of us smokers and NON smokers. Thank You.

Ray Story, Office: 1-888-99-TVECA (88322) Cell: (770)714-4118 www.tveca.com

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From: "Apa, James" To: "Wood, Maria" <Maria.Wood@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 12/14/2010 5:58:01 PM Subject: FW: E cig
FYI Spoke with Mr. Story from Georgia, who saw the pi.com story. His main argument was that if you treat e-cigarettes in the same way as tobacco cigarettes, it will unfairly stigmatize the product, as theyre actually much better for your health than cigarettes (according to him). Below he offers some alternatives options to an indoor ban not clear how or where hes tested the signage mentioned. He claimed that he was the one who successfully challenged the FDA on regulation of their product as a nicotine delivery device, and indicated that his attorneys would be looking at our regulation if it passes.

From: Ray Story [mailto:raystory@hotmail.com] Sent: Tuesday, December 14, 2010 12:06 PM To: Apa, James; Haynes, Joan Subject: E cig

Thank you for your time James. I have provided you with our info so that you can contact us any time . Please forward this to any one that would like to discuss this matter with us. We agree and adopt your concern when applied to age verification as well as special sales programs or give away concerning the E cig. Our disagreement is only based on the enforcement issues . Don't paint us with the same brush because the reason for the indoor smoking ban is precisely second and 3rd hand smoke. The E Cigarette DOES NOT OMIT SECOND OR 3RD HAND SMOKE. ITS WATER VAPOR. I propose signs that clearly state. ONLY E CIGARETTES CAN BE USED INDOOR AND THIS WILL BE STRICTLY ENFORCED. We have tested this in other markets and it has been very successful. This also stops exposing unnecessarily those who are E cigarette users from occupying the same area as the conventional smoker. Because they are then exposed to 2nd and 3rd hand smoke once again. They have made a conscious choice to use the E cigarette as an alternative to the conventional cigarette due to the lack of many chemicals and smoke. Don't punish them for making the right decision that affects all of us smokers and NON smokers. Thank You.

Ray Story, Office: 1-888-99-TVECA (88322) Cell: (770)714-4118 www.tveca.com

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From: To: Date: Subject:

"Soo Hoo, Wendy" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/14/2010 5:29:25 PM RE: E-cigs and smoke free air

I added a general reference to other jurisdictions. Thanks for doing this research.
From: Hamilton, Joy Sent: Tuesday, December 14, 2010 1:18 PM To: Soo Hoo, Wendy Cc: Wood, Maria; Neal, Scott Subject: FW: E-cigs and smoke free air

Wendy and Maria, Here is a list of MORE jurisdictions who have e-cigs in their smoke free air laws -- feel free to add these to the list for the rationale document. Joy

From: Annie Tegen [mailto:annie.tegen@no-smoke.org] Sent: Monday, December 13, 2010 2:44 PM To: Hamilton, Joy Subject: Re: E-cigs and smoke free air

Hi Joy! Okay here is what I found as far as cities enacting (or considering) laws that pertain to e-cigarettes. E-cig laws, like hookah laws, are tricky to track since they're not always explicitly mentioned. We did a database search for e-cig laws, and here are the results: Martinez, CA enacted a law on 5/6/09 which defines "Smoking" as, among other things, "possessing a lighted Tobacco Product," and defines "Tobacco Product" to mean, among other things, "any product or formulation of matter containing biologically active amounts of nicotine that is manufactured, sold, offered for sale, or otherwise distributed with the expectation that the product or matter will be introduced into the human body by inhalation; but does not include any cessation product specifically approved by the U. S. Food and Drug Administration for use in treating nicotine or tobacco dependence." Glendale, CA enacted a law on 10/7/08 that uses the following definition: (incidentally, the purpose of this language was to cover hookah places, but seems to cover e-cigs too): Tobacco product means any substance made from the tobacco leaf including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, hookah tobacco, dipping tobacco, smokeless tobacco, bidis, or products prepared from tobacco and designed for smoking or ingestion and any product or formulation of matter containing biologically active amounts of nicotine that is manufactured, sold, offered for sale, or otherwise distributed with the expectation that the product or matter will be introduced into the human body. Crescent City CA Place4/89: No smoking in all buildings and vehicles owned or leased by city (except Cultural Center). Smoking is permitted in open areas and in special areas designated by City Manager. 12/03: Exception for Cultural Center deleted. Smoking permitted in designated smoking areas in City facilities. Smoking prohibited within 25 feet of entrances and windows to places where smoking is prohibited and within 25 feet of children's play areas. 5/10: Smoking prohibited in all City parks and at public events. Smoking includes use of e-cigarettes. Hillsborough County FL County 9/09: Use of tobacco products and facsimile tobacco products, including e8_19_2011

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cigarettes, prohibited in Sheriff's Office facilities and vehicles and on grounds of facilities. Other penalty = 1st violation - smoking cessation program for employees; eviction from facility or trespass warning for public; 2d violation - disciplinary action for employees. Bergen County NJ County4/04: Smoking prohibited in all County operated playgrounds, ball fields, and swimming pools leased or owned by County. 10/09: E-cigarettes prohibited in County parks where children are present and in County buildings and vehicles. New Jersey NJ State8/05: Smoking prohibited in college and university dormitories. 12/05: Smoking prohibited in foster care homes and in cars transporting foster children. 1/06: Smoking prohibited in all workplaces, restaurants, bars, and public places generally. 1/10: Use of e-cigarettes prohibited in all indoor places where smoking is prohibited. Suffolk County NY County6/84: Smoking prohibited in some workplace areas and in some public places, except for smoking areas. Restaurants with more than 50 seats must be at least 20% nonsmoking. 8/86: No substantive change. 7/89: Smoking prohibited in settee area of bowling alleys. 6/94: Smoking prohibited in restaurants, except for separately ventilated rooms. Smoking permitted in bowling alleys during certain hours of operation: After 6:00 P.M. during adult bowling leagues and in settee area. 5/95: Smoking prohibited in attached bars after 6/30/98. 9/98: Bingo halls are governed by State law. 4/02: Smoking prohibited within 50 feet of street level entrances to County buildings and hospitals. 6/02: Smoking prohibited in bowling alleys. 2/03: Smoking prohibited in all workplaces, restaurants, and bars. Exemption for bingo parlors deleted. 11/06: Smoking prohibited within 50 feet of all entrances to County buildings. 9/09: Amended definition of smoking to include e-cigarettes.

At 01:02 PM 12/13/2010, you wrote:


Hi Annie, Greetings. It was nice to meet you at APHA and put a face to your name. As I think I mentioned, we are working with the King County Board of Health to make e-cigarette policies. The meeting is this Thursday. There has been concern expressed about the rationale for banning e-cigs in public places. Are you aware of any jurisdictions that have rolled back smoke-free air laws (e.g. permitted smoking after restricting it)? We are working on our presentation to explain why it is necessary to restrict e-cigarette use in public, and would like to draw from the literature that looks at the impact of smoke-free air laws on social norming and on consumption. Any help you can offer would be great. Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

Annie Tegen, MPH Senior Program Manager Americans for Nonsmokers' Rights American Nonsmokers Rights Foundation annie.tegen@no-smoke.org Phone: 206.545.7175
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Are you a member of ANR? If not, please join us today. Our work depends on members like you!

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From: To: Date: Subject:

"Hamilton, Joy" "Soo Hoo, Wendy" <Wendy.SooHoo@kingcounty.gov> 12/14/2010 5:17:36 PM FW: E-cigs and smoke free air

Wendy and Maria, Here is a list of MORE jurisdictions who have e-cigs in their smoke free air laws -- feel free to add these to the list for the rationale document. Joy

From: Annie Tegen [mailto:annie.tegen@no-smoke.org] Sent: Monday, December 13, 2010 2:44 PM To: Hamilton, Joy Subject: Re: E-cigs and smoke free air

Hi Joy! Okay here is what I found as far as cities enacting (or considering) laws that pertain to e-cigarettes. E-cig laws, like hookah laws, are tricky to track since they're not always explicitly mentioned. We did a database search for e-cig laws, and here are the results: Martinez, CA enacted a law on 5/6/09 which defines "Smoking" as, among other things, "possessing a lighted Tobacco Product," and defines "Tobacco Product" to mean, among other things, "any product or formulation of matter containing biologically active amounts of nicotine that is manufactured, sold, offered for sale, or otherwise distributed with the expectation that the product or matter will be introduced into the human body by inhalation; but does not include any cessation product specifically approved by the U. S. Food and Drug Administration for use in treating nicotine or tobacco dependence." Glendale, CA enacted a law on 10/7/08 that uses the following definition: (incidentally, the purpose of this language was to cover hookah places, but seems to cover e-cigs too): Tobacco product means any substance made from the tobacco leaf including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, hookah tobacco, dipping tobacco, smokeless tobacco, bidis, or products prepared from tobacco and designed for smoking or ingestion and any product or formulation of matter containing biologically active amounts of nicotine that is manufactured, sold, offered for sale, or otherwise distributed with the expectation that the product or matter will be introduced into the human body. Crescent City CA Place4/89: No smoking in all buildings and vehicles owned or leased by city (except Cultural Center). Smoking is permitted in open areas and in special areas designated by City Manager. 12/03: Exception for Cultural Center deleted. Smoking permitted in designated smoking areas in City facilities. Smoking prohibited within 25 feet of entrances and windows to places where smoking is prohibited and within 25 feet of children's play areas. 5/10: Smoking prohibited in all City parks and at public events. Smoking includes use of e-cigarettes. Hillsborough County FL County 9/09: Use of tobacco products and facsimile tobacco products, including ecigarettes, prohibited in Sheriff's Office facilities and vehicles and on grounds of facilities. Other penalty = 1st violation - smoking cessation program for employees; eviction from facility or trespass warning for public; 2d violation - disciplinary action for employees. Bergen County NJ County4/04: Smoking prohibited in all County operated playgrounds, ball fields, and swimming pools leased or owned by County. 10/09: E-cigarettes prohibited in County parks where children are present and in County buildings and vehicles.
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New Jersey NJ State8/05: Smoking prohibited in college and university dormitories. 12/05: Smoking prohibited in foster care homes and in cars transporting foster children. 1/06: Smoking prohibited in all workplaces, restaurants, bars, and public places generally. 1/10: Use of e-cigarettes prohibited in all indoor places where smoking is prohibited. Suffolk County NY County6/84: Smoking prohibited in some workplace areas and in some public places, except for smoking areas. Restaurants with more than 50 seats must be at least 20% nonsmoking. 8/86: No substantive change. 7/89: Smoking prohibited in settee area of bowling alleys. 6/94: Smoking prohibited in restaurants, except for separately ventilated rooms. Smoking permitted in bowling alleys during certain hours of operation: After 6:00 P.M. during adult bowling leagues and in settee area. 5/95: Smoking prohibited in attached bars after 6/30/98. 9/98: Bingo halls are governed by State law. 4/02: Smoking prohibited within 50 feet of street level entrances to County buildings and hospitals. 6/02: Smoking prohibited in bowling alleys. 2/03: Smoking prohibited in all workplaces, restaurants, and bars. Exemption for bingo parlors deleted. 11/06: Smoking prohibited within 50 feet of all entrances to County buildings. 9/09: Amended definition of smoking to include e-cigarettes.

At 01:02 PM 12/13/2010, you wrote:


Hi Annie, Greetings. It was nice to meet you at APHA and put a face to your name. As I think I mentioned, we are working with the King County Board of Health to make e-cigarette policies. The meeting is this Thursday. There has been concern expressed about the rationale for banning e-cigs in public places. Are you aware of any jurisdictions that have rolled back smoke-free air laws (e.g. permitted smoking after restricting it)? We are working on our presentation to explain why it is necessary to restrict e-cigarette use in public, and would like to draw from the literature that looks at the impact of smoke-free air laws on social norming and on consumption. Any help you can offer would be great. Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

Annie Tegen, MPH Senior Program Manager Americans for Nonsmokers' Rights American Nonsmokers Rights Foundation annie.tegen@no-smoke.org Phone: 206.545.7175

Are you a member of ANR? If not, please join us today. Our work depends on members like you!

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From: "Bud Nicola" <bnicola@u.washington.edu> To: "Apa, James" <James.Apa@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 12/14/2010 1:40:19 PM Subject: RE: feedback on Vanessa Ho interview
I got a call from KIRO at 6:30 am and did a short story with Alex Silverman. Im scheduled for an interview with KOMO at 10:30. Bud Nicola bnicola@uw.edu

From: Apa, James [mailto:James.Apa@kingcounty.gov] Sent: Tuesday, December 14, 2010 9:05 AM To: Bud Nicola; Hamilton, Joy; Wood, Maria; Ross, Kathryn; Neal, Scott Cc: Valenzuela, Matias; Karasz, Hilary Subject: RE: feedback on Vanessa Ho interview FYI the P-I chose to emphasize the ban in public places with a nanny tone thats disappointing; protecting kids is mentioned, but its not the main message. KIRO TV also did a short anchor read based on this. I havent seen the KPLU story posted yet but will let you know. I think we want to do two things with subsequent media: 1) continue to emphasize as the main message the risks to teens and the need to protect them with the under 18 ban, and 2) after some discussions here in the late afternoon about the public places ban, we want to emphasize the second hand smoke risk: e-cigarettes lead to more tobacco smoking in establishments, which leads to more second hand smoke, which we now know from the latest second hand smoke report by the Surgeon General that it can be instantly harmful. The challenge to proprietors and inspectors can be mentioned as a secondary point. Do we have top level stats on the number of deaths and illnesses estimated to be caused by second hand smoke each year? Bud how does your availability look today for follow-ups? Im expecting well get calls today and/or tomorrow. Thanks again for your help. Thanks, -James

http://www.seattlepi.com/local/431707_e-cigarettes.html

King County wants to ban public e-cigarette smoking


Monday, December 13, 2010
Last updated December 14, 2010 8:18 a.m. PT

By VANESSA HO SEATTLEPI.COM STAFF

Five years after Washington residents voted to ban smoking cigarettes, cigars and pipes in public places, King County wants to add one more thing to the list: Electronic cigarettes. The 2006 state law banned smoking in bars and restaurants on the basis that second-hand smoke causes cancer and other diseases. But King County's rationale for adding e-cigarettes - also known as battery-powered nicotinedelivery devices - to the list of forbidden acts is a little different. The fake cigs, from which users inhale vaporized nicotine, don't emit smoke. Rather, they produce a less-smelly,
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combustion-free mist. But public health officials say they're so similar to the real thing that they make tobacco enforcement difficult and often prompt smokers to think it's OK to light up in public. And that leads to second-hand smoke, health officials reason. "The idea is that even though they're not exactly identical to cigarettes, people see folks using e-cigarettes, and they think somebody else is smoking," said Bud Nicola, a King County Board of Health member and affiliate professor with the University of Washington School of Public Health. "It makes it very difficult for inspectors." The Board of Health is scheduled to discuss and vote on the proposed regulation (PDF) Thursday. The proposal also includes restricting the sales of e-cigarettes and similar devices to people 18 and over, and a ban on free giveaways and heavily discounted sales of the products. Often marketed as "healthier smoking" or a way to quit smoking, e-cigarettes have become a controversial issue in public health circles. Earlier this month, the federal Food and Drug Administration lost its court fight to ban or regulate e-cigarettes as unapproved drug delivery devices. According to a Public Health Seattle-King County report, the FDA had found known toxins in a sampling of ecigarettes, including carcinogenic nitrosamines and diethylene glycol, an anti-freeze ingredient. The FDA also found the devices delivered a strikingly wide range of nicotine. The amount of the toxins was not included in the local health report. Although some e-cigarette makers say their products don't contain nicotine, the FDA says there is no way of knowing that for sure. Despite that, the products are widely available in convenience stores and malls and increasingly popular, making health experts worry that they can be a youth "gateway" for smoking. A recent operation by the Spokane public health district found that most retailers sold e-cigarettes to teens who tried to buy them. "These are something that can potentially get kids hooked on nicotine," Nicola said. "E-cigarettes have a high appeal to youth. They come in candy flavors." While the feds study their e-cigarette options, Nicola said its important for local health officials to protect the public from potential harm. King County's proposal would also restrict sales and giveaways of other "unapproved nicotine delivery devices," such as nicotine lollipops, wafers and water. None of those products have undergone FDA review. Nicotine gum and patches would not be a part of the restrictions, because they are regulated by the FDA as smoking-cessation products. If King County's proposal is passed, it's believed it would be the strictest in the country. A handful of states and other jurisdictions have some e-cigarette rules, but none as comprehensive as the one proposed here. The proposal aggravated e-cigarette users, many of whom are former smokers who say they switched to the products for health and environmental reasons. "I am an adult who has smoked for 30 years; I liked smoking," said Jeff Mauzey, who lives in Federal Way. "I switched to e-cigs not for health reasons, but because I wanted to smoke with less harm and less impact to those around me."

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From: "Apa, James" To: "Bud Nicola" <bnicola@u.washington.edu> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 12/14/2010 1:05:27 PM Subject: RE: feedback on Vanessa Ho interview
FYI the P-I chose to emphasize the ban in public places with a nanny tone thats disappointing; protecting kids is mentioned, but its not the main message. KIRO TV also did a short anchor read based on this. I havent seen the KPLU story posted yet but will let you know. I think we want to do two things with subsequent media: 1) continue to emphasize as the main message the risks to teens and the need to protect them with the under 18 ban, and 2) after some discussions here in the late afternoon about the public places ban, we want to emphasize the second hand smoke risk: e-cigarettes lead to more tobacco smoking in establishments, which leads to more second hand smoke, which we now know from the latest second hand smoke report by the Surgeon General that it can be instantly harmful. The challenge to proprietors and inspectors can be mentioned as a secondary point. Do we have top level stats on the number of deaths and illnesses estimated to be caused by second hand smoke each year? Bud how does your availability look today for follow-ups? Im expecting well get calls today and/or tomorrow. Thanks again for your help. Thanks, -James

http://www.seattlepi.com/local/431707_e-cigarettes.html

King County wants to ban public e-cigarette smoking


Monday, December 13, 2010
Last updated December 14, 2010 8:18 a.m. PT

By VANESSA HO SEATTLEPI.COM STAFF

Five years after Washington residents voted to ban smoking cigarettes, cigars and pipes in public places, King County wants to add one more thing to the list: Electronic cigarettes. The 2006 state law banned smoking in bars and restaurants on the basis that second-hand smoke causes cancer and other diseases. But King County's rationale for adding e-cigarettes - also known as battery-powered nicotinedelivery devices - to the list of forbidden acts is a little different. The fake cigs, from which users inhale vaporized nicotine, don't emit smoke. Rather, they produce a less-smelly, combustion-free mist. But public health officials say they're so similar to the real thing that they make tobacco enforcement difficult and often prompt smokers to think it's OK to light up in public. And that leads to second-hand smoke, health officials reason. "The idea is that even though they're not exactly identical to cigarettes, people see folks using e-cigarettes, and they think somebody else is smoking," said Bud Nicola, a King County Board of Health member and affiliate professor with the University of Washington School of Public Health. "It makes it very difficult for inspectors."
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The Board of Health is scheduled to discuss and vote on the proposed regulation (PDF) Thursday. The proposal also includes restricting the sales of e-cigarettes and similar devices to people 18 and over, and a ban on free giveaways and heavily discounted sales of the products. Often marketed as "healthier smoking" or a way to quit smoking, e-cigarettes have become a controversial issue in public health circles. Earlier this month, the federal Food and Drug Administration lost its court fight to ban or regulate e-cigarettes as unapproved drug delivery devices. According to a Public Health Seattle-King County report, the FDA had found known toxins in a sampling of ecigarettes, including carcinogenic nitrosamines and diethylene glycol, an anti-freeze ingredient. The FDA also found the devices delivered a strikingly wide range of nicotine. The amount of the toxins was not included in the local health report. Although some e-cigarette makers say their products don't contain nicotine, the FDA says there is no way of knowing that for sure. Despite that, the products are widely available in convenience stores and malls and increasingly popular, making health experts worry that they can be a youth "gateway" for smoking. A recent operation by the Spokane public health district found that most retailers sold e-cigarettes to teens who tried to buy them. "These are something that can potentially get kids hooked on nicotine," Nicola said. "E-cigarettes have a high appeal to youth. They come in candy flavors." While the feds study their e-cigarette options, Nicola said its important for local health officials to protect the public from potential harm. King County's proposal would also restrict sales and giveaways of other "unapproved nicotine delivery devices," such as nicotine lollipops, wafers and water. None of those products have undergone FDA review. Nicotine gum and patches would not be a part of the restrictions, because they are regulated by the FDA as smoking-cessation products. If King County's proposal is passed, it's believed it would be the strictest in the country. A handful of states and other jurisdictions have some e-cigarette rules, but none as comprehensive as the one proposed here. The proposal aggravated e-cigarette users, many of whom are former smokers who say they switched to the products for health and environmental reasons. "I am an adult who has smoked for 30 years; I liked smoking," said Jeff Mauzey, who lives in Federal Way. "I switched to e-cigs not for health reasons, but because I wanted to smoke with less harm and less impact to those around me."

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From: "Apa, James" To: "Bud Nicola" <bnicola@u.washington.edu> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 12/14/2010 1:59:39 PM Subject: RE: feedback on Vanessa Ho interview
Thanks, Bud. We just talked, and thanks for doing the KUOW the Conversation as well. As I mentioned, in talking about the risk of second hand smoke, the Surgeon Generals report is important to highlight it states clearly (see in bold) that secondhand hand smoke causes immediate harm, and e-cigarettes are contributing to more smoking in indoor places. -James

FOR IMMEDIATE RELEASE Thursday, December 9, 2010 Contact: HHS Press Office (202) 690-6343 Exposure to tobacco smoke causes immediate damage, says new Surgeon General's report Report focuses on how tobacco smoke causes disease Exposure to tobacco smoke - even occasional smoking or secondhand smoke - causes immediate damage to your body that can lead to serious illness or death, according to a report released today by U.S. Surgeon General Regina M. Benjamin. The comprehensive scientific report - Benjamin's first Surgeon General's report and the 30th tobaccorelated Surgeon General's report issued since 1964 - describes specific pathways by which tobacco smoke damages the human body and leads to disease and death. The report, How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease, finds that cellular damage and tissue inflammation from tobacco smoke are immediate, and that repeated exposure weakens the body's ability to heal the damage. "The chemicals in tobacco smoke reach your lungs quickly every time you inhale causing damage immediately," Benjamin said in releasing the report. "Inhaling even the smallest amount of tobacco smoke can also damage your DNA, which can lead to cancer." "Over the last two years we have stepped up efforts to reduce tobacco use, including implementing legislation to regulate tobacco products, investing in local tobacco control efforts and expanding access to insurance coverage for tobacco cessation" said Secretary of Health and Human Services Kathleen Sebelius. "This will remain a key priority of this Administration." The report also explains why it is so difficult to quit smoking. According to the research, cigarettes are designed for addiction. The design and contents of current tobacco products make them more attractive and addictive than ever before. Today's cigarettes deliver nicotine more quickly and efficiently than cigarettes of many years ago. Tobacco smoke contains a deadly mixture of more than 7,000 chemicals and compounds, of which hundreds are toxic and at least 70 cause cancer. Every exposure to these cancercausing chemicals could damage DNA in a way that leads to cancer. Exposure to smoke also decreases the benefits of chemotherapy and other cancer treatments. Smoking causes more than 85% of lung cancers and can cause cancer almost anywhere in the body. One in three cancer deaths in the U.S. is tobacco-related. 8_19_2011

Page 2 The report describes how the delicate lining of the lungs becomes inflamed as soon as it is exposed to the chemical mixture in cigarette smoke. Over time, the smoke can cause chronic obstructive pulmonary disease including emphysema and chronic bronchitis. Even brief exposure to secondhand smoke can cause cardiovascular disease and could trigger acute cardiac events, such as heart attack. The report describes how chemicals from tobacco smoke quickly damage blood vessels and make blood more likely to clot. The evidence in this report shows how smoking causes cardiovascular disease and increases risks for heart attack, stroke, and aortic aneurysm. Smoking causes many other harmful effects throughout the body, including making it harder for diabetics to control their blood sugar. Smoking makes it harder for women to get pregnant and can cause a miscarriage, preterm delivery, low birth weight, as well as damage to fetal lungs and brain tissue. Babies who are exposed to secondhand smoke are more likely to die from sudden infant death syndrome, the report finds. "This report makes it clear - quitting at any time gives your body a chance to heal the damage caused by smoking," the Surgeon General said. "It's never too late to quit, but the sooner you do it, the better." Fortunately, there are now more effective ways to help people quit than ever before. Nicotine replacement is available over the counter and doctors can prescribe medications that improve the chances of successful quit attempts. Smokers can also call 1-800-QUIT-NOW for help. To help communicate the report findings as widely as possible, the Surgeon General unveiled an easy-to-read guide with practical information about how tobacco smoke causes disease, A Report of the Surgeon General: How Tobacco Smoke Causes Disease: What It Means to You. Copies of the full report, executive summary, and the easy-to-read guide may be downloaded at www.surgeongeneral.gov/library/tobaccosmoke/index.html. To order printed copies of these documents, go to http://www.cdc.gov/tobacco and click the Publications Catalog link under Tools & Resources.

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Tuesday, December 14, 2010 9:37 AM To: Apa, James; Hamilton, Joy; Wood, Maria; Ross, Kathryn; Neal, Scott Cc: Valenzuela, Matias; Karasz, Hilary Subject: RE: feedback on Vanessa Ho interview I got a call from KIRO at 6:30 am and did a short story with Alex Silverman. Im scheduled for an interview with KOMO at 10:30. Bud Nicola bnicola@uw.edu

From: Apa, James [mailto:James.Apa@kingcounty.gov] Sent: Tuesday, December 14, 2010 9:05 AM To: Bud Nicola; Hamilton, Joy; Wood, Maria; Ross, Kathryn; Neal, Scott Cc: Valenzuela, Matias; Karasz, Hilary Subject: RE: feedback on Vanessa Ho interview FYI the P-I chose to emphasize the ban in public places with a nanny tone thats disappointing; protecting kids is mentioned, but its not the main message. KIRO TV also did a short anchor read based on this. I havent seen the KPLU story posted yet but will let you know. I think we want to do two things with subsequent media: 1) continue to emphasize as the main message the risks to teens and the need to protect them with the under 18 ban, and 2) after some discussions here in the late afternoon about the public places ban, we want to emphasize the second hand smoke risk: e-cigarettes lead to more tobacco smoking in 8_19_2011

Page 3 establishments, which leads to more second hand smoke, which we now know from the latest second hand smoke report by the Surgeon General that it can be instantly harmful. The challenge to proprietors and inspectors can be mentioned as a secondary point. Do we have top level stats on the number of deaths and illnesses estimated to be caused by second hand smoke each year? Bud how does your availability look today for follow-ups? Im expecting well get calls today and/or tomorrow. Thanks again for your help. Thanks, -James

http://www.seattlepi.com/local/431707_e-cigarettes.html

King County wants to ban public e-cigarette smoking


Monday, December 13, 2010
Last updated December 14, 2010 8:18 a.m. PT

By VANESSA HO SEATTLEPI.COM STAFF

Five years after Washington residents voted to ban smoking cigarettes, cigars and pipes in public places, King County wants to add one more thing to the list: Electronic cigarettes. The 2006 state law banned smoking in bars and restaurants on the basis that second-hand smoke causes cancer and other diseases. But King County's rationale for adding e-cigarettes - also known as battery-powered nicotinedelivery devices - to the list of forbidden acts is a little different. The fake cigs, from which users inhale vaporized nicotine, don't emit smoke. Rather, they produce a less-smelly, combustion-free mist. But public health officials say they're so similar to the real thing that they make tobacco enforcement difficult and often prompt smokers to think it's OK to light up in public. And that leads to second-hand smoke, health officials reason. "The idea is that even though they're not exactly identical to cigarettes, people see folks using e-cigarettes, and they think somebody else is smoking," said Bud Nicola, a King County Board of Health member and affiliate professor with the University of Washington School of Public Health. "It makes it very difficult for inspectors." The Board of Health is scheduled to discuss and vote on the proposed regulation (PDF) Thursday. The proposal also includes restricting the sales of e-cigarettes and similar devices to people 18 and over, and a ban on free giveaways and heavily discounted sales of the products. Often marketed as "healthier smoking" or a way to quit smoking, e-cigarettes have become a controversial issue in public health circles. Earlier this month, the federal Food and Drug Administration lost its court fight to ban or regulate e-cigarettes as unapproved drug delivery devices. According to a Public Health Seattle-King County report, the FDA had found known toxins in a sampling of ecigarettes, including carcinogenic nitrosamines and diethylene glycol, an anti-freeze ingredient. The FDA also found the devices delivered a strikingly wide range of nicotine. The amount of the toxins was not included in the local health report. Although some e-cigarette makers say their products don't contain nicotine, the FDA says there is no way of knowing that for sure. Despite that, the products are widely available in convenience stores and malls and increasingly popular, making
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health experts worry that they can be a youth "gateway" for smoking. A recent operation by the Spokane public health district found that most retailers sold e-cigarettes to teens who tried to buy them. "These are something that can potentially get kids hooked on nicotine," Nicola said. "E-cigarettes have a high appeal to youth. They come in candy flavors." While the feds study their e-cigarette options, Nicola said its important for local health officials to protect the public from potential harm. King County's proposal would also restrict sales and giveaways of other "unapproved nicotine delivery devices," such as nicotine lollipops, wafers and water. None of those products have undergone FDA review. Nicotine gum and patches would not be a part of the restrictions, because they are regulated by the FDA as smoking-cessation products. If King County's proposal is passed, it's believed it would be the strictest in the country. A handful of states and other jurisdictions have some e-cigarette rules, but none as comprehensive as the one proposed here. The proposal aggravated e-cigarette users, many of whom are former smokers who say they switched to the products for health and environmental reasons. "I am an adult who has smoked for 30 years; I liked smoking," said Jeff Mauzey, who lives in Federal Way. "I switched to e-cigs not for health reasons, but because I wanted to smoke with less harm and less impact to those around me."

8_19_2011

Page 1

From: To: Date: Subject: Attachments:

"Hamilton, Joy" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/14/2010 8:20:34 PM Partners E cigs letter - v2.doc Partners E cigs letter - v2.doc

This letter has a lot more detail -- for example, explaining what an e-cig is.

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From: To: Date: Subject:

"Sherard, Mark" "ZZGrp, PH Tobacco All" <ZZGrp_PHTobaccoAll@kingcounty.gov> 12/14/2010 11:58:17 AM PI story on E-Cig

http://www.seattlepi.com/local/431707_e-cigarettes.html

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From: To: Date: Subject: FYIfrom yesterday's interviews...

"Neal, Scott" "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> 12/14/2010 12:45:00 PM FW: PI story on E-Cig

>______________________________________________ >From: Sherard, Mark >Sent: Tuesday, December 14, 2010 7:58 AM >To: ZZGrp, PH Tobacco All >Subject: PI story on E-Cig > >http://www.seattlepi.com/local/431707_e-cigarettes.html

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From: "Wood, Maria" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 12/14/2010 8:33:23 PM Subject: FW: R&R No. BOH10-04
FYI - testimony lining up!

From: Wood, Maria Sent: Tuesday, December 14, 2010 4:32 PM To: 'Thad Marney' Subject: RE: R&R No. BOH10-04 Hello, Yes, the process for adopting Board of Health regulations includes a public hearing prior to the vote. The order of the agenda for BOH10-04 will be the staff report on the proposed regulation, followed by the public hearing, followed by the vote. Public testimony is generally limited to 2 minutes per person. This item is #9 on the agenda, so roughly in the middle of the meeting which is scheduled to begin at 9:30 A.M. If you are not able to attend in person, you can submit written testimony via email to me by 5 P.M. tomorrow, and it will be logged as public comment. Let me know if you have additional questions. Thank you for your interest, Maria Wood

From: Thad Marney [mailto:tmarney@casaa.org] Sent: Tuesday, December 14, 2010 4:23 PM To: Wood, Maria Subject: R&R No. BOH10-04

Ms. Wood, The Consumer Advocates for Smoke-free Alternatives Association (CASAA) is deeply concerned about resolution BOH10-04 that attempts to include smoke-free tobacco products like electronic cigarettes in King Countys indoor smoking ban. I am writing to inquire if there will be an opportunity for public comment. I understand that the Board is scheduled to discuss this issue in a Special Meeting this Thursday, Dec 16, and I am interested in giving a brief presentation and/or answering any questions the Board may have on this or related issues. I have already spoken with a few of our members in King County who are planning to attend, but I am available to attend in person and/or send printed materials and 0testimony if there will be an opportunity to assist the Board of Health in this hearing. I look forward to hearing from you soon. Best regards, Thaddeus Marney Director, Consumer Advocates for Smoke-free Alternatives Association (CASAA).

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From: "Neal, Scott" To: "Wood, Maria" <Maria.Wood@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 12/14/2010 8:47:00 PM Subject: RE: R&R No. BOH10-04
oh boy...sounds interesting

From: Wood, Maria Sent: Tuesday, December 14, 2010 4:33 PM To: Hamilton, Joy; Neal, Scott; Pearson, Anne Subject: FW: R&R No. BOH10-04 FYI - testimony lining up!

From: Wood, Maria Sent: Tuesday, December 14, 2010 4:32 PM To: 'Thad Marney' Subject: RE: R&R No. BOH10-04 Hello, Yes, the process for adopting Board of Health regulations includes a public hearing prior to the vote. The order of the agenda for BOH10-04 will be the staff report on the proposed regulation, followed by the public hearing, followed by the vote. Public testimony is generally limited to 2 minutes per person. This item is #9 on the agenda, so roughly in the middle of the meeting which is scheduled to begin at 9:30 A.M. If you are not able to attend in person, you can submit written testimony via email to me by 5 P.M. tomorrow, and it will be logged as public comment. Let me know if you have additional questions. Thank you for your interest, Maria Wood

From: Thad Marney [mailto:tmarney@casaa.org] Sent: Tuesday, December 14, 2010 4:23 PM To: Wood, Maria Subject: R&R No. BOH10-04

Ms. Wood, The Consumer Advocates for Smoke-free Alternatives Association (CASAA) is deeply concerned about resolution BOH10-04 that attempts to include smoke-free tobacco products like electronic cigarettes in King Countys indoor smoking ban. I am writing to inquire if there will be an opportunity for public comment. I understand that the Board is scheduled to discuss this issue in a Special Meeting this Thursday, Dec 16, and I am interested in giving a brief presentation and/or answering any questions the Board may have on this or related issues. I have already spoken with a few of our members in King County who are planning to attend, but I am available to attend in person and/or send printed materials and 0testimony if there will be an opportunity to assist the Board of Health in this hearing. I look forward to hearing from you soon.
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Best regards, Thaddeus Marney Director, Consumer Advocates for Smoke-free Alternatives Association (CASAA).

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From: "Pearson, Anne" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 12/14/2010 6:08:44 PM Subject: Fw: Smoke-Free Laws That Were Terminated? Attachments: 2009 Brown- a longitudinal study of policy effect (SF Leg) on smoking norms- ITC UK.pdf AJPM - Bernat.pdf ANR repeal list for local laws.doc
Info from tfk...

From: Eric Lindblom [mailto:elindblom@TobaccoFreeKids.org] Sent: Tuesday, December 14, 2010 01:59 PM To: Pearson, Anne Subject: FW: Smoke-Free Laws That Were Terminated? Here's what one of our smoke-free folks pulled together. See, also, our factsheet on smoke-free laws reducing smoking, which might be somewhat helpful or have helpful links: http://www.tobaccofreekids.org/research/factsheets/pdf/0198.pdf Eric _____________________________________________ From: Jessica Guilfoyle Sent: Tuesday, December 14, 2010 3:23 PM To: Eric Lindblom Subject: RE: Smoke-Free Laws That Were Terminated?

2009 Brown- a longitudinal study of policy effect (SF Leg) on smoking norms- ITC UK.pdf AJPM - Bernat.pdf ANR repeal list for local laws.doc Ive attached two studies one on the policy effects of smoke-free laws in the United Kingdom and the other analyzing the effects of the MN smoke-free law on opportunities to smoke. While there are several studies that document the decrease in smoking prevalence after the implementation of a smoke-free law, they dont necessarily touch on the social norming aspects. Ive also attached an ANR document detailing local laws that have been repealed. This is one of those by-request lists, so its possible theyve updated it since, but it looks like its from 2009. Ive sent an email requesting an updated version if there is one.
_____________________________________________ From: Eric Lindblom Sent: Monday, December 13, 2010 12:58 PM To: Nichole Veatch; Jessica Guilfoyle Cc: Peter Fisher; Beverly May Subject: Smoke-Free Laws That Were Terminated?

Have any state/local smoke-free laws been terminated i.e., has any state or city gone back from being smoke free to allow smoking again? Do we have any research on smoke-free laws reducing smoking or changing social norms by making smoking less visible that a locality could use to support banning e-cigarette use in smoke-free areas, as well? Seattle and King County in WA state is looking into such a ban and has (via Anne Pearson) asked for this info. 8_19_2011

Page 2 Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov

More on the proposed Board of Health rule in WA is at the following link (click on "Board of HealthThursday, December 16, 2010): http://kingcounty.gov/council/clerk/materials_interest.aspx. Eric

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From: To: Date: Subject: Attachments:

"Hamilton, Joy" "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> 12/14/2010 7:12:37 PM RE: Tough Questions E Cig Tough Q jmh.doc

Here's some edits/updates. The nanny state is always so hard to answer so it may need some more work. I'm working on the press release draft next -Joy > _____________________________________________ > From: Ross, Kathryn > Sent: Tuesday, December 14, 2010 10:28 AM > To: Hamilton, Joy > Cc: Apa, James > Subject: Tough Questions > > << File: E Cig Tough Q.doc >> > > Hi Joy, > > Here's a draft Tough Questions doc for e-cigarettes. Thanks for your help! > > Katie

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From: To: Date: Subject:

"Hamilton, Joy" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/14/2010 8:18:47 PM FW: Upcoming Board of Health meeting - Dec. 16th

> ______________________________________________ > From: Hamilton, Joy > Sent: Thursday, December 09, 2010 3:50 PM > To: zzgrp, PH CPPW Heal Project Managers; zzgrp, PH CPPW Tobacco > Cc: Ross-Viles, Sarah; Neal, Scott > Subject: Upcoming Board of Health meeting - Dec. 16th > > Project Officers, > > Below is the text of an email that I would encourage you to send out ASAP to your grantees in particular those who attended the Advocacy training or those who are working on community mobilization. Board of Health meetings are a great low-stress opportunity for people to practice advocacy skills. Feel free to contact me if you need more information or have any questions. > > Thanks, > Joy > > _________________________ > Next Thursday, December 16th, the King County Board of Health will have its monthly meeting. This is a fantastic opportunity to practice your advocacy skills and make your voice heard in a public meeting. The agenda for the meeting includes several items of interest to CPPW grantees: > 1. Regulations relating to electronic smoking devices (also known as e-cigarettes) and unapproved nicotine delivery products. These regulations will help protect youth from starting to use electronic cigarettes and will reduce enforcement challenges for the smoking in public places and places of employment law. > 2. A resolution calling on the state of Washington to provide dedicated and long-term financing so local public health jurisdictions can protect and improve the health of all community residents. > 3. An annual report for Public Health Seattle-King County presented by the director, Dr. David Fleming. > > For more information about any of these items, please see the meeting packet. > > Public comments can be made in person at the beginning of the meeting or submitted in written form. For more details, please consult the Board of Health website . > > The Board of Health meeting will be at 9:30 am on December 16th in the King County Council Chambers (10th floor of the King County Courthouse, 516 3rd Avenue, Room 1001). > > If you have any questions, please contact your project officer or Joy Hamilton (contact info below). > > Sincerely, > Joy Hamilton, MPH > Public Health - Seattle & King County > Communities Putting Prevention to Work > Tobacco Policy and Advocacy Manager > 401 5th Ave. Suite 900
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> Seattle, WA 98104 > (206) 263-9382 > joy.hamilton@kingcounty.gov > >

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From: To: Date: Subject:

"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/15/2010 3:06:00 PM RE: 12 sec e-somking video

That one is pretty goodalthough it almost appears as though the regular smoker is downplaying the smoke he is exhaling whereas the e-cig smoker is making it very noticable? >_____________________________________________ >From: Hamilton, Joy >Sent: Wednesday, December 15, 2010 10:58 AM >To: Neal, Scott >Cc: Pearson, Anne >Subject: RE: 12 sec e-somking video > >Or this one showing two guys smoking -- one with ecig and the other a real cig > >http://www.youtube.com/watch?v=rFMa4nMg3pQ&feature=related > > >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, December 15, 2010 10:51 AM >To: Hamilton, Joy >Cc: Pearson, Anne >Subject: 12 sec e-somking video > >What about this one? > >http://www.youtube.com/watch?v=XqCDYWHKnZU >

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From: To: Date: Subject:


good catch!

"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/15/2010 12:48:00 PM RE: Ban on e-cigarettes in public places

From: Hamilton, Joy Sent: Wednesday, December 15, 2010 8:45 AM To: Neal, Scott; Apa, James; Ross, Kathryn; Wood, Maria Subject: RE: Ban on e-cigarettes in public places

One quick edit. Add one word to this sentence in the second paragraph: These products deliver nicotine,
the same highly addictive product thats in tobacco. . From: Neal, Scott Sent: Wednesday, December 15, 2010 8:42 AM To: Apa, James; Ross, Kathryn; Wood, Maria; Hamilton, Joy Subject: RE: Ban on e-cigarettes in public places Ok, I've made a few edits on this latest version, please disregard my earlier email this morning. Scott

From: Apa, James Sent: Tuesday, December 14, 2010 7:52 PM To: Ross, Kathryn; Neal, Scott; Wood, Maria; Hamilton, Joy Subject: RE: Ban on e-cigarettes in public places Katie thanks for working on this. After reading it, I realized that I didnt give you the best guidance on what to use, since some of the talking points dont work as well in letter form, and dont necessarily speak to the point. Ive attached a revised version for review. (The second sentence in parens can be used for those letters where people misunderstood what the BOH is doing.) Thanks, -James

From: Ross, Kathryn Sent: Tuesday, December 14, 2010 5:13 PM To: Apa, James; Neal, Scott; Wood, Maria Subject: RE: Ban on e-cigarettes in public places Hi Scott and Maria, I've attached a draft response to the email below. We're hoping to use it as a template for future emails on the BOH regulations. Please let me know if you have any edits. Thanks! Katie From: Apa, James Sent: Tuesday, December 14, 2010 1:03 PM 8_19_2011

Page 2 To: Neal, Scott; Wood, Maria; Ross, Kathryn Cc: Ing, Jeff Subject: RE: Ban on e-cigarettes in public places Thanks. Katie, could you do a short draft? To add to the tough Q&A does this regulation mean that people cant e-smoke in multi-family housing units, including those that already ban tobacco? (Keith Seinfeld is interviewing a woman whos worried that she wont be able to smoke ecigarettes in her apartment). I told him that the regulation wouldnt affect this.

From: Neal, Scott Sent: Tuesday, December 14, 2010 12:53 PM To: Wood, Maria; Apa, James; Ross, Kathryn Cc: Ing, Jeff Subject: RE: Ban on e-cigarettes in public places It would be great if Comms could respond...I'm happy to review response if needed...but we are swamped getting the final prep work for the BOH meeting ready. Also dealing with finanicial issues due to the recent leg session. UGH

From: Wood, Maria Sent: Tuesday, December 14, 2010 12:48 PM To: Apa, James; Ross, Kathryn Cc: Neal, Scott; Ing, Jeff Subject: FW: Ban on e-cigarettes in public places In the spirit of consistency, could Comms please respond to this email? Thanks, Maria

From: Ing, Jeff Sent: Tuesday, December 14, 2010 10:27 AM To: Neal, Scott; Wood, Maria Subject: FW: Ban on e-cigarettes in public places FYI -----Original Message----From: october001@gmail.com [mailto:october001@gmail.com] Sent: Tuesday, December 14, 2010 8:59 AM To: Public Health Subject: Re: Ban on e-cigarettes in public places

Path: http://www.kingcounty.gov/healthservices/health.aspx Sent: 12/14/2010 8:59:27 AM From: Jon Hoskins <october001@gmail.com> Subject: Re: Ban on e-cigarettes in public places Hi there, I just heard about the proposed ban on "electronic cigarettes in public places" on the local news radio. The executives in charge of marketing for big tobacco will certainly sigh in relief when they get this news as "e-cigs" are certainly carving a swath in their profit margins. In all seriousness the "e-cigs", while they are not marketed as a smoking cessation device (and not FDA approved as one either), have done more to replace the good, old fashioned tobacco version than any other product on the market. 8_19_2011

Page 3 They also have many fewer potential risks... no fire, no matches, no smoke, no second hand smoke, no filthy butts littering the streets, etc. One report even suggested that Propylene Glycol, a major component used in "e-cigs", (as well as medicinal inhalers such as those used by asthmatics) may even help stave off germs such as H1N1 (swine flu). To comment on some specific concerns mentioned in the news broadcast: "Easy to confuse with the real thing": The exhaled component from an e-cig is mostly water vapor made slightly visible due to the propylene glycol and rapidly dissipates, similar to your breath on a cold, winter day. It has little to no smell (no worse than your normally invisible exhalations) and no lingering after affects. Held in the hand an e-cig looks much more like a ballpoint pen or magic marker, not a real cigarette. Very few are even designed in the traditional white/beige color scheme of a real cigarette, the more popular designs being simple black, metallic or a more visually appealing combination of one or more colors. During use an "e-cig" typically "lights up" on the end with a colorful LED, perhaps purple or blue, to indicate that it is functioning correctly and is very difficult to confuse with a real, lit cigarette. "As a gateway to using the real thing": As an adult user of both "e-cigs" and real tobacco products I can tell you that making the leap from one to the other is not an easy thing to do and certainly not one that is made casually on impulse. Further "e-cigs" are at least as expensive as the real thing and the sheer cost makes them a luxury most un/under-employed youth cannot afford. "e-cigarettes" are also not as peer friendly as the real ones as most users only carry a single personal device... sharing an "ecig" is more akin to sharing a toothbrush than it is to sharing a pack of real cigarettes. Last but not least cartridges for e-cigarettes are available in different strengths of nicotine. By far the most popular strength is 0 (zero) nicotine! As a temporary replacement for a real cigarette the major benefit is in the physical act of "smoking", the hand-to-mouth habits , and so on, NOT in the amount of nicotine contained in the cartridge itself. When smoking real cigarettes in public places was banned in the state of Washington it did nothing to reduce the amount of tobacco that I personally consume... but the amount of time (and money) that my wife and I spent patronizing the local establishments was reduced greatly. When electronic cigarettes were first made available we started dining out more. My productivity at work increased simply because I no longer needed that occasional "smoke break" outdoors, etc., and my consumption of real cigarettes was greatly reduced. Even though the attention that is drawn using an electronic cigarette at work or in public places actually discourages me from using it the simple thought that I could, should the craving arise, is more often than not, enough. Please do more research before banning electronic cigarettes in public places. I feel a ban on ecigarettes would effectively suppress the market entirely here and as a result, funnel more money into the coffers of big tobacco and away from local dining and drinking establishments. Sincerely, Jon Hoskins E-mail response requested: Yes

8_19_2011

Page 1

From: To: Date: Subject:


no problem

"Neal, Scott" "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> 12/15/2010 12:47:00 PM RE: Ban on e-cigarettes in public places

From: Ross, Kathryn Sent: Wednesday, December 15, 2010 8:44 AM To: Neal, Scott Subject: RE: Ban on e-cigarettes in public places Thank you! Sorry to make you do it twice.

From: Neal, Scott Sent: Wednesday, December 15, 2010 8:42 AM To: Apa, James; Ross, Kathryn; Wood, Maria; Hamilton, Joy Subject: RE: Ban on e-cigarettes in public places Ok, I've made a few edits on this latest version, please disregard my earlier email this morning. Scott

From: Apa, James Sent: Tuesday, December 14, 2010 7:52 PM To: Ross, Kathryn; Neal, Scott; Wood, Maria; Hamilton, Joy Subject: RE: Ban on e-cigarettes in public places Katie thanks for working on this. After reading it, I realized that I didnt give you the best guidance on what to use, since some of the talking points dont work as well in letter form, and dont necessarily speak to the point. Ive attached a revised version for review. (The second sentence in parens can be used for those letters where people misunderstood what the BOH is doing.) Thanks, -James

From: Ross, Kathryn Sent: Tuesday, December 14, 2010 5:13 PM To: Apa, James; Neal, Scott; Wood, Maria Subject: RE: Ban on e-cigarettes in public places Hi Scott and Maria, I've attached a draft response to the email below. We're hoping to use it as a template for future emails on the BOH regulations. Please let me know if you have any edits. Thanks! Katie From: Apa, James Sent: Tuesday, December 14, 2010 1:03 PM To: Neal, Scott; Wood, Maria; Ross, Kathryn 8_19_2011

Page 2 Cc: Ing, Jeff Subject: RE: Ban on e-cigarettes in public places Thanks. Katie, could you do a short draft? To add to the tough Q&A does this regulation mean that people cant e-smoke in multi-family housing units, including those that already ban tobacco? (Keith Seinfeld is interviewing a woman whos worried that she wont be able to smoke ecigarettes in her apartment). I told him that the regulation wouldnt affect this.

From: Neal, Scott Sent: Tuesday, December 14, 2010 12:53 PM To: Wood, Maria; Apa, James; Ross, Kathryn Cc: Ing, Jeff Subject: RE: Ban on e-cigarettes in public places It would be great if Comms could respond...I'm happy to review response if needed...but we are swamped getting the final prep work for the BOH meeting ready. Also dealing with finanicial issues due to the recent leg session. UGH

From: Wood, Maria Sent: Tuesday, December 14, 2010 12:48 PM To: Apa, James; Ross, Kathryn Cc: Neal, Scott; Ing, Jeff Subject: FW: Ban on e-cigarettes in public places In the spirit of consistency, could Comms please respond to this email? Thanks, Maria

From: Ing, Jeff Sent: Tuesday, December 14, 2010 10:27 AM To: Neal, Scott; Wood, Maria Subject: FW: Ban on e-cigarettes in public places FYI -----Original Message----From: october001@gmail.com [mailto:october001@gmail.com] Sent: Tuesday, December 14, 2010 8:59 AM To: Public Health Subject: Re: Ban on e-cigarettes in public places

Path: http://www.kingcounty.gov/healthservices/health.aspx Sent: 12/14/2010 8:59:27 AM From: Jon Hoskins <october001@gmail.com> Subject: Re: Ban on e-cigarettes in public places Hi there, I just heard about the proposed ban on "electronic cigarettes in public places" on the local news radio. The executives in charge of marketing for big tobacco will certainly sigh in relief when they get this news as "e-cigs" are certainly carving a swath in their profit margins. In all seriousness the "e-cigs", while they are not marketed as a smoking cessation device (and not FDA approved as one either), have done more to replace the good, old fashioned tobacco version than any other product on the market. They also have many fewer potential risks... no fire, no matches, no smoke, no second hand smoke, no 8_19_2011

Page 3 filthy butts littering the streets, etc. One report even suggested that Propylene Glycol, a major component used in "e-cigs", (as well as medicinal inhalers such as those used by asthmatics) may even help stave off germs such as H1N1 (swine flu). To comment on some specific concerns mentioned in the news broadcast: "Easy to confuse with the real thing": The exhaled component from an e-cig is mostly water vapor made slightly visible due to the propylene glycol and rapidly dissipates, similar to your breath on a cold, winter day. It has little to no smell (no worse than your normally invisible exhalations) and no lingering after affects. Held in the hand an e-cig looks much more like a ballpoint pen or magic marker, not a real cigarette. Very few are even designed in the traditional white/beige color scheme of a real cigarette, the more popular designs being simple black, metallic or a more visually appealing combination of one or more colors. During use an "e-cig" typically "lights up" on the end with a colorful LED, perhaps purple or blue, to indicate that it is functioning correctly and is very difficult to confuse with a real, lit cigarette. "As a gateway to using the real thing": As an adult user of both "e-cigs" and real tobacco products I can tell you that making the leap from one to the other is not an easy thing to do and certainly not one that is made casually on impulse. Further "e-cigs" are at least as expensive as the real thing and the sheer cost makes them a luxury most un/under-employed youth cannot afford. "e-cigarettes" are also not as peer friendly as the real ones as most users only carry a single personal device... sharing an "ecig" is more akin to sharing a toothbrush than it is to sharing a pack of real cigarettes. Last but not least cartridges for e-cigarettes are available in different strengths of nicotine. By far the most popular strength is 0 (zero) nicotine! As a temporary replacement for a real cigarette the major benefit is in the physical act of "smoking", the hand-to-mouth habits , and so on, NOT in the amount of nicotine contained in the cartridge itself. When smoking real cigarettes in public places was banned in the state of Washington it did nothing to reduce the amount of tobacco that I personally consume... but the amount of time (and money) that my wife and I spent patronizing the local establishments was reduced greatly. When electronic cigarettes were first made available we started dining out more. My productivity at work increased simply because I no longer needed that occasional "smoke break" outdoors, etc., and my consumption of real cigarettes was greatly reduced. Even though the attention that is drawn using an electronic cigarette at work or in public places actually discourages me from using it the simple thought that I could, should the craving arise, is more often than not, enough. Please do more research before banning electronic cigarettes in public places. I feel a ban on ecigarettes would effectively suppress the market entirely here and as a result, funnel more money into the coffers of big tobacco and away from local dining and drinking establishments. Sincerely, Jon Hoskins E-mail response requested: Yes

8_19_2011

Page 1

From: "Hamilton, Joy" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Apa, James" <James.Apa@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/15/2010 12:45:24 PM Subject: RE: Ban on e-cigarettes in public places One quick edit. Add one word to this sentence in the second paragraph: These products deliver nicotine,
the same highly addictive product thats in tobacco. . From: Neal, Scott Sent: Wednesday, December 15, 2010 8:42 AM To: Apa, James; Ross, Kathryn; Wood, Maria; Hamilton, Joy Subject: RE: Ban on e-cigarettes in public places Ok, I've made a few edits on this latest version, please disregard my earlier email this morning. Scott

From: Apa, James Sent: Tuesday, December 14, 2010 7:52 PM To: Ross, Kathryn; Neal, Scott; Wood, Maria; Hamilton, Joy Subject: RE: Ban on e-cigarettes in public places Katie thanks for working on this. After reading it, I realized that I didnt give you the best guidance on what to use, since some of the talking points dont work as well in letter form, and dont necessarily speak to the point. Ive attached a revised version for review. (The second sentence in parens can be used for those letters where people misunderstood what the BOH is doing.) Thanks, -James

From: Ross, Kathryn Sent: Tuesday, December 14, 2010 5:13 PM To: Apa, James; Neal, Scott; Wood, Maria Subject: RE: Ban on e-cigarettes in public places Hi Scott and Maria, I've attached a draft response to the email below. We're hoping to use it as a template for future emails on the BOH regulations. Please let me know if you have any edits. Thanks! Katie From: Apa, James Sent: Tuesday, December 14, 2010 1:03 PM To: Neal, Scott; Wood, Maria; Ross, Kathryn Cc: Ing, Jeff Subject: RE: Ban on e-cigarettes in public places Thanks. Katie, could you do a short draft? 8_19_2011

Page 2 To add to the tough Q&A does this regulation mean that people cant e-smoke in multi-family housing units, including those that already ban tobacco? (Keith Seinfeld is interviewing a woman whos worried that she wont be able to smoke ecigarettes in her apartment). I told him that the regulation wouldnt affect this.

From: Neal, Scott Sent: Tuesday, December 14, 2010 12:53 PM To: Wood, Maria; Apa, James; Ross, Kathryn Cc: Ing, Jeff Subject: RE: Ban on e-cigarettes in public places It would be great if Comms could respond...I'm happy to review response if needed...but we are swamped getting the final prep work for the BOH meeting ready. Also dealing with finanicial issues due to the recent leg session. UGH

From: Wood, Maria Sent: Tuesday, December 14, 2010 12:48 PM To: Apa, James; Ross, Kathryn Cc: Neal, Scott; Ing, Jeff Subject: FW: Ban on e-cigarettes in public places In the spirit of consistency, could Comms please respond to this email? Thanks, Maria

From: Ing, Jeff Sent: Tuesday, December 14, 2010 10:27 AM To: Neal, Scott; Wood, Maria Subject: FW: Ban on e-cigarettes in public places FYI -----Original Message----From: october001@gmail.com [mailto:october001@gmail.com] Sent: Tuesday, December 14, 2010 8:59 AM To: Public Health Subject: Re: Ban on e-cigarettes in public places

Path: http://www.kingcounty.gov/healthservices/health.aspx Sent: 12/14/2010 8:59:27 AM From: Jon Hoskins <october001@gmail.com> Subject: Re: Ban on e-cigarettes in public places Hi there, I just heard about the proposed ban on "electronic cigarettes in public places" on the local news radio. The executives in charge of marketing for big tobacco will certainly sigh in relief when they get this news as "e-cigs" are certainly carving a swath in their profit margins. In all seriousness the "e-cigs", while they are not marketed as a smoking cessation device (and not FDA approved as one either), have done more to replace the good, old fashioned tobacco version than any other product on the market. They also have many fewer potential risks... no fire, no matches, no smoke, no second hand smoke, no filthy butts littering the streets, etc. One report even suggested that Propylene Glycol, a major component used in "e-cigs", (as well as medicinal inhalers such as those used by asthmatics) may even help stave off germs such as H1N1 (swine flu). 8_19_2011

Page 3 To comment on some specific concerns mentioned in the news broadcast: "Easy to confuse with the real thing": The exhaled component from an e-cig is mostly water vapor made slightly visible due to the propylene glycol and rapidly dissipates, similar to your breath on a cold, winter day. It has little to no smell (no worse than your normally invisible exhalations) and no lingering after affects. Held in the hand an e-cig looks much more like a ballpoint pen or magic marker, not a real cigarette. Very few are even designed in the traditional white/beige color scheme of a real cigarette, the more popular designs being simple black, metallic or a more visually appealing combination of one or more colors. During use an "e-cig" typically "lights up" on the end with a colorful LED, perhaps purple or blue, to indicate that it is functioning correctly and is very difficult to confuse with a real, lit cigarette. "As a gateway to using the real thing": As an adult user of both "e-cigs" and real tobacco products I can tell you that making the leap from one to the other is not an easy thing to do and certainly not one that is made casually on impulse. Further "e-cigs" are at least as expensive as the real thing and the sheer cost makes them a luxury most un/under-employed youth cannot afford. "e-cigarettes" are also not as peer friendly as the real ones as most users only carry a single personal device... sharing an "ecig" is more akin to sharing a toothbrush than it is to sharing a pack of real cigarettes. Last but not least cartridges for e-cigarettes are available in different strengths of nicotine. By far the most popular strength is 0 (zero) nicotine! As a temporary replacement for a real cigarette the major benefit is in the physical act of "smoking", the hand-to-mouth habits , and so on, NOT in the amount of nicotine contained in the cartridge itself. When smoking real cigarettes in public places was banned in the state of Washington it did nothing to reduce the amount of tobacco that I personally consume... but the amount of time (and money) that my wife and I spent patronizing the local establishments was reduced greatly. When electronic cigarettes were first made available we started dining out more. My productivity at work increased simply because I no longer needed that occasional "smoke break" outdoors, etc., and my consumption of real cigarettes was greatly reduced. Even though the attention that is drawn using an electronic cigarette at work or in public places actually discourages me from using it the simple thought that I could, should the craving arise, is more often than not, enough. Please do more research before banning electronic cigarettes in public places. I feel a ban on ecigarettes would effectively suppress the market entirely here and as a result, funnel more money into the coffers of big tobacco and away from local dining and drinking establishments. Sincerely, Jon Hoskins E-mail response requested: Yes

8_19_2011

Page 1

From: To: Date: Subject:


Thank you! Sorry to make you do it twice.

"Ross, Kathryn" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/15/2010 12:44:15 PM RE: Ban on e-cigarettes in public places

From: Neal, Scott Sent: Wednesday, December 15, 2010 8:42 AM To: Apa, James; Ross, Kathryn; Wood, Maria; Hamilton, Joy Subject: RE: Ban on e-cigarettes in public places Ok, I've made a few edits on this latest version, please disregard my earlier email this morning. Scott

From: Apa, James Sent: Tuesday, December 14, 2010 7:52 PM To: Ross, Kathryn; Neal, Scott; Wood, Maria; Hamilton, Joy Subject: RE: Ban on e-cigarettes in public places Katie thanks for working on this. After reading it, I realized that I didnt give you the best guidance on what to use, since some of the talking points dont work as well in letter form, and dont necessarily speak to the point. Ive attached a revised version for review. (The second sentence in parens can be used for those letters where people misunderstood what the BOH is doing.) Thanks, -James

From: Ross, Kathryn Sent: Tuesday, December 14, 2010 5:13 PM To: Apa, James; Neal, Scott; Wood, Maria Subject: RE: Ban on e-cigarettes in public places Hi Scott and Maria, I've attached a draft response to the email below. We're hoping to use it as a template for future emails on the BOH regulations. Please let me know if you have any edits. Thanks! Katie From: Apa, James Sent: Tuesday, December 14, 2010 1:03 PM To: Neal, Scott; Wood, Maria; Ross, Kathryn Cc: Ing, Jeff Subject: RE: Ban on e-cigarettes in public places Thanks. Katie, could you do a short draft? To add to the tough Q&A does this regulation mean that people cant e-smoke in multi-family housing units, including those that already ban tobacco? (Keith Seinfeld is interviewing a woman whos worried that she wont be able to smoke ecigarettes in her apartment). I told him that the regulation wouldnt affect this. 8_19_2011

Page 2 From: Neal, Scott Sent: Tuesday, December 14, 2010 12:53 PM To: Wood, Maria; Apa, James; Ross, Kathryn Cc: Ing, Jeff Subject: RE: Ban on e-cigarettes in public places It would be great if Comms could respond...I'm happy to review response if needed...but we are swamped getting the final prep work for the BOH meeting ready. Also dealing with finanicial issues due to the recent leg session. UGH

From: Wood, Maria Sent: Tuesday, December 14, 2010 12:48 PM To: Apa, James; Ross, Kathryn Cc: Neal, Scott; Ing, Jeff Subject: FW: Ban on e-cigarettes in public places In the spirit of consistency, could Comms please respond to this email? Thanks, Maria

From: Ing, Jeff Sent: Tuesday, December 14, 2010 10:27 AM To: Neal, Scott; Wood, Maria Subject: FW: Ban on e-cigarettes in public places FYI -----Original Message----From: october001@gmail.com [mailto:october001@gmail.com] Sent: Tuesday, December 14, 2010 8:59 AM To: Public Health Subject: Re: Ban on e-cigarettes in public places

Path: http://www.kingcounty.gov/healthservices/health.aspx Sent: 12/14/2010 8:59:27 AM From: Jon Hoskins <october001@gmail.com> Subject: Re: Ban on e-cigarettes in public places Hi there, I just heard about the proposed ban on "electronic cigarettes in public places" on the local news radio. The executives in charge of marketing for big tobacco will certainly sigh in relief when they get this news as "e-cigs" are certainly carving a swath in their profit margins. In all seriousness the "e-cigs", while they are not marketed as a smoking cessation device (and not FDA approved as one either), have done more to replace the good, old fashioned tobacco version than any other product on the market. They also have many fewer potential risks... no fire, no matches, no smoke, no second hand smoke, no filthy butts littering the streets, etc. One report even suggested that Propylene Glycol, a major component used in "e-cigs", (as well as medicinal inhalers such as those used by asthmatics) may even help stave off germs such as H1N1 (swine flu). To comment on some specific concerns mentioned in the news broadcast: "Easy to confuse with the real thing": The exhaled component from an e-cig is mostly water vapor made slightly visible due to the propylene glycol and rapidly dissipates, similar to your breath on a cold, winter day. It has little to no smell (no worse than your normally invisible exhalations) and no lingering after 8_19_2011

Page 3 affects. Held in the hand an e-cig looks much more like a ballpoint pen or magic marker, not a real cigarette. Very few are even designed in the traditional white/beige color scheme of a real cigarette, the more popular designs being simple black, metallic or a more visually appealing combination of one or more colors. During use an "e-cig" typically "lights up" on the end with a colorful LED, perhaps purple or blue, to indicate that it is functioning correctly and is very difficult to confuse with a real, lit cigarette. "As a gateway to using the real thing": As an adult user of both "e-cigs" and real tobacco products I can tell you that making the leap from one to the other is not an easy thing to do and certainly not one that is made casually on impulse. Further "e-cigs" are at least as expensive as the real thing and the sheer cost makes them a luxury most un/under-employed youth cannot afford. "e-cigarettes" are also not as peer friendly as the real ones as most users only carry a single personal device... sharing an "ecig" is more akin to sharing a toothbrush than it is to sharing a pack of real cigarettes. Last but not least cartridges for e-cigarettes are available in different strengths of nicotine. By far the most popular strength is 0 (zero) nicotine! As a temporary replacement for a real cigarette the major benefit is in the physical act of "smoking", the hand-to-mouth habits , and so on, NOT in the amount of nicotine contained in the cartridge itself. When smoking real cigarettes in public places was banned in the state of Washington it did nothing to reduce the amount of tobacco that I personally consume... but the amount of time (and money) that my wife and I spent patronizing the local establishments was reduced greatly. When electronic cigarettes were first made available we started dining out more. My productivity at work increased simply because I no longer needed that occasional "smoke break" outdoors, etc., and my consumption of real cigarettes was greatly reduced. Even though the attention that is drawn using an electronic cigarette at work or in public places actually discourages me from using it the simple thought that I could, should the craving arise, is more often than not, enough. Please do more research before banning electronic cigarettes in public places. I feel a ban on ecigarettes would effectively suppress the market entirely here and as a result, funnel more money into the coffers of big tobacco and away from local dining and drinking establishments. Sincerely, Jon Hoskins E-mail response requested: Yes

8_19_2011

Page 1

From: "Neal, Scott" To: "Apa, James" <James.Apa@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 12/15/2010 12:44:00 PM Subject: RE: Ban on e-cigarettes in public places Attachments: Hoskin Response (2).sn.doc
Ok, I've made a few edits on this latest version, please disregard my earlier email this morning. Scott

From: Apa, James Sent: Tuesday, December 14, 2010 7:52 PM To: Ross, Kathryn; Neal, Scott; Wood, Maria; Hamilton, Joy Subject: RE: Ban on e-cigarettes in public places Katie thanks for working on this. After reading it, I realized that I didnt give you the best guidance on what to use, since some of the talking points dont work as well in letter form, and dont necessarily speak to the point. Ive attached a revised version for review. (The second sentence in parens can be used for those letters where people misunderstood what the BOH is doing.) Thanks, -James

From: Ross, Kathryn Sent: Tuesday, December 14, 2010 5:13 PM To: Apa, James; Neal, Scott; Wood, Maria Subject: RE: Ban on e-cigarettes in public places Hi Scott and Maria, I've attached a draft response to the email below. We're hoping to use it as a template for future emails on the BOH regulations. Please let me know if you have any edits. Thanks! Katie From: Apa, James Sent: Tuesday, December 14, 2010 1:03 PM To: Neal, Scott; Wood, Maria; Ross, Kathryn Cc: Ing, Jeff Subject: RE: Ban on e-cigarettes in public places Thanks. Katie, could you do a short draft? To add to the tough Q&A does this regulation mean that people cant e-smoke in multi-family housing units, including those that already ban tobacco? (Keith Seinfeld is interviewing a woman whos worried that she wont be able to smoke ecigarettes in her apartment). I told him that the regulation wouldnt affect this.

From: Neal, Scott Sent: Tuesday, December 14, 2010 12:53 PM 8_19_2011

Page 2 To: Wood, Maria; Apa, James; Ross, Kathryn Cc: Ing, Jeff Subject: RE: Ban on e-cigarettes in public places It would be great if Comms could respond...I'm happy to review response if needed...but we are swamped getting the final prep work for the BOH meeting ready. Also dealing with finanicial issues due to the recent leg session. UGH

From: Wood, Maria Sent: Tuesday, December 14, 2010 12:48 PM To: Apa, James; Ross, Kathryn Cc: Neal, Scott; Ing, Jeff Subject: FW: Ban on e-cigarettes in public places In the spirit of consistency, could Comms please respond to this email? Thanks, Maria

From: Ing, Jeff Sent: Tuesday, December 14, 2010 10:27 AM To: Neal, Scott; Wood, Maria Subject: FW: Ban on e-cigarettes in public places FYI -----Original Message----From: october001@gmail.com [mailto:october001@gmail.com] Sent: Tuesday, December 14, 2010 8:59 AM To: Public Health Subject: Re: Ban on e-cigarettes in public places

Path: http://www.kingcounty.gov/healthservices/health.aspx Sent: 12/14/2010 8:59:27 AM From: Jon Hoskins <october001@gmail.com> Subject: Re: Ban on e-cigarettes in public places Hi there, I just heard about the proposed ban on "electronic cigarettes in public places" on the local news radio. The executives in charge of marketing for big tobacco will certainly sigh in relief when they get this news as "e-cigs" are certainly carving a swath in their profit margins. In all seriousness the "e-cigs", while they are not marketed as a smoking cessation device (and not FDA approved as one either), have done more to replace the good, old fashioned tobacco version than any other product on the market. They also have many fewer potential risks... no fire, no matches, no smoke, no second hand smoke, no filthy butts littering the streets, etc. One report even suggested that Propylene Glycol, a major component used in "e-cigs", (as well as medicinal inhalers such as those used by asthmatics) may even help stave off germs such as H1N1 (swine flu). To comment on some specific concerns mentioned in the news broadcast: "Easy to confuse with the real thing": The exhaled component from an e-cig is mostly water vapor made slightly visible due to the propylene glycol and rapidly dissipates, similar to your breath on a cold, winter day. It has little to no smell (no worse than your normally invisible exhalations) and no lingering after affects. Held in the hand an e-cig looks much more like a ballpoint pen or magic marker, not a real cigarette. 8_19_2011

Page 3 Very few are even designed in the traditional white/beige color scheme of a real cigarette, the more popular designs being simple black, metallic or a more visually appealing combination of one or more colors. During use an "e-cig" typically "lights up" on the end with a colorful LED, perhaps purple or blue, to indicate that it is functioning correctly and is very difficult to confuse with a real, lit cigarette. "As a gateway to using the real thing": As an adult user of both "e-cigs" and real tobacco products I can tell you that making the leap from one to the other is not an easy thing to do and certainly not one that is made casually on impulse. Further "e-cigs" are at least as expensive as the real thing and the sheer cost makes them a luxury most un/under-employed youth cannot afford. "e-cigarettes" are also not as peer friendly as the real ones as most users only carry a single personal device... sharing an "ecig" is more akin to sharing a toothbrush than it is to sharing a pack of real cigarettes. Last but not least cartridges for e-cigarettes are available in different strengths of nicotine. By far the most popular strength is 0 (zero) nicotine! As a temporary replacement for a real cigarette the major benefit is in the physical act of "smoking", the hand-to-mouth habits , and so on, NOT in the amount of nicotine contained in the cartridge itself. When smoking real cigarettes in public places was banned in the state of Washington it did nothing to reduce the amount of tobacco that I personally consume... but the amount of time (and money) that my wife and I spent patronizing the local establishments was reduced greatly. When electronic cigarettes were first made available we started dining out more. My productivity at work increased simply because I no longer needed that occasional "smoke break" outdoors, etc., and my consumption of real cigarettes was greatly reduced. Even though the attention that is drawn using an electronic cigarette at work or in public places actually discourages me from using it the simple thought that I could, should the craving arise, is more often than not, enough. Please do more research before banning electronic cigarettes in public places. I feel a ban on ecigarettes would effectively suppress the market entirely here and as a result, funnel more money into the coffers of big tobacco and away from local dining and drinking establishments. Sincerely, Jon Hoskins E-mail response requested: Yes

8_19_2011

Page 1

From: "Neal, Scott" To: "Apa, James" <James.Apa@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/15/2010 12:35:00 PM Subject: RE: Ban on e-cigarettes in public places
ok on it now...catching up on emails

From: Apa, James Sent: Wednesday, December 15, 2010 8:32 AM To: Neal, Scott; Ross, Kathryn; Wood, Maria Subject: Re: Ban on e-cigarettes in public places

Scott, I sent a revised version last night...could you look at it as well?


From: Neal, Scott Sent: Wednesday, December 15, 2010 08:26 AM To: Ross, Kathryn; Apa, James; Wood, Maria Subject: RE: Ban on e-cigarettes in public places Hi Katie, I've made some changes and tracked them. Thanks Scott

From: Ross, Kathryn Sent: Tuesday, December 14, 2010 5:13 PM To: Apa, James; Neal, Scott; Wood, Maria Subject: RE: Ban on e-cigarettes in public places Hi Scott and Maria, I've attached a draft response to the email below. We're hoping to use it as a template for future emails on the BOH regulations. Please let me know if you have any edits. Thanks! Katie From: Apa, James Sent: Tuesday, December 14, 2010 1:03 PM To: Neal, Scott; Wood, Maria; Ross, Kathryn Cc: Ing, Jeff Subject: RE: Ban on e-cigarettes in public places Thanks. Katie, could you do a short draft? To add to the tough Q&A does this regulation mean that people cant e-smoke in multi-family housing units, including those that already ban tobacco? (Keith Seinfeld is interviewing a woman whos worried that she wont be able to smoke ecigarettes in her apartment). I told him that the regulation wouldnt affect this.

From: Neal, Scott Sent: Tuesday, December 14, 2010 12:53 PM 8_19_2011

Page 2 To: Wood, Maria; Apa, James; Ross, Kathryn Cc: Ing, Jeff Subject: RE: Ban on e-cigarettes in public places It would be great if Comms could respond...I'm happy to review response if needed...but we are swamped getting the final prep work for the BOH meeting ready. Also dealing with finanicial issues due to the recent leg session. UGH

From: Wood, Maria Sent: Tuesday, December 14, 2010 12:48 PM To: Apa, James; Ross, Kathryn Cc: Neal, Scott; Ing, Jeff Subject: FW: Ban on e-cigarettes in public places In the spirit of consistency, could Comms please respond to this email? Thanks, Maria

From: Ing, Jeff Sent: Tuesday, December 14, 2010 10:27 AM To: Neal, Scott; Wood, Maria Subject: FW: Ban on e-cigarettes in public places FYI -----Original Message----From: october001@gmail.com [mailto:october001@gmail.com] Sent: Tuesday, December 14, 2010 8:59 AM To: Public Health Subject: Re: Ban on e-cigarettes in public places

Path: http://www.kingcounty.gov/healthservices/health.aspx Sent: 12/14/2010 8:59:27 AM From: Jon Hoskins <october001@gmail.com> Subject: Re: Ban on e-cigarettes in public places Hi there, I just heard about the proposed ban on "electronic cigarettes in public places" on the local news radio. The executives in charge of marketing for big tobacco will certainly sigh in relief when they get this news as "e-cigs" are certainly carving a swath in their profit margins. In all seriousness the "e-cigs", while they are not marketed as a smoking cessation device (and not FDA approved as one either), have done more to replace the good, old fashioned tobacco version than any other product on the market. They also have many fewer potential risks... no fire, no matches, no smoke, no second hand smoke, no filthy butts littering the streets, etc. One report even suggested that Propylene Glycol, a major component used in "e-cigs", (as well as medicinal inhalers such as those used by asthmatics) may even help stave off germs such as H1N1 (swine flu). To comment on some specific concerns mentioned in the news broadcast: "Easy to confuse with the real thing": The exhaled component from an e-cig is mostly water vapor made slightly visible due to the propylene glycol and rapidly dissipates, similar to your breath on a cold, winter day. It has little to no smell (no worse than your normally invisible exhalations) and no lingering after affects. Held in the hand an e-cig looks much more like a ballpoint pen or magic marker, not a real cigarette. 8_19_2011

Page 3 Very few are even designed in the traditional white/beige color scheme of a real cigarette, the more popular designs being simple black, metallic or a more visually appealing combination of one or more colors. During use an "e-cig" typically "lights up" on the end with a colorful LED, perhaps purple or blue, to indicate that it is functioning correctly and is very difficult to confuse with a real, lit cigarette. "As a gateway to using the real thing": As an adult user of both "e-cigs" and real tobacco products I can tell you that making the leap from one to the other is not an easy thing to do and certainly not one that is made casually on impulse. Further "e-cigs" are at least as expensive as the real thing and the sheer cost makes them a luxury most un/under-employed youth cannot afford. "e-cigarettes" are also not as peer friendly as the real ones as most users only carry a single personal device... sharing an "ecig" is more akin to sharing a toothbrush than it is to sharing a pack of real cigarettes. Last but not least cartridges for e-cigarettes are available in different strengths of nicotine. By far the most popular strength is 0 (zero) nicotine! As a temporary replacement for a real cigarette the major benefit is in the physical act of "smoking", the hand-to-mouth habits , and so on, NOT in the amount of nicotine contained in the cartridge itself. When smoking real cigarettes in public places was banned in the state of Washington it did nothing to reduce the amount of tobacco that I personally consume... but the amount of time (and money) that my wife and I spent patronizing the local establishments was reduced greatly. When electronic cigarettes were first made available we started dining out more. My productivity at work increased simply because I no longer needed that occasional "smoke break" outdoors, etc., and my consumption of real cigarettes was greatly reduced. Even though the attention that is drawn using an electronic cigarette at work or in public places actually discourages me from using it the simple thought that I could, should the craving arise, is more often than not, enough. Please do more research before banning electronic cigarettes in public places. I feel a ban on ecigarettes would effectively suppress the market entirely here and as a result, funnel more money into the coffers of big tobacco and away from local dining and drinking establishments. Sincerely, Jon Hoskins E-mail response requested: Yes

8_19_2011

Page 1

From: "Apa, James" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/15/2010 12:31:34 PM Subject: Re: Ban on e-cigarettes in public places
Scott, I sent a revised version last night...could you look at it as well?
From: Neal, Scott Sent: Wednesday, December 15, 2010 08:26 AM To: Ross, Kathryn; Apa, James; Wood, Maria Subject: RE: Ban on e-cigarettes in public places Hi Katie, I've made some changes and tracked them. Thanks Scott

From: Ross, Kathryn Sent: Tuesday, December 14, 2010 5:13 PM To: Apa, James; Neal, Scott; Wood, Maria Subject: RE: Ban on e-cigarettes in public places Hi Scott and Maria, I've attached a draft response to the email below. We're hoping to use it as a template for future emails on the BOH regulations. Please let me know if you have any edits. Thanks! Katie From: Apa, James Sent: Tuesday, December 14, 2010 1:03 PM To: Neal, Scott; Wood, Maria; Ross, Kathryn Cc: Ing, Jeff Subject: RE: Ban on e-cigarettes in public places Thanks. Katie, could you do a short draft? To add to the tough Q&A does this regulation mean that people cant e-smoke in multi-family housing units, including those that already ban tobacco? (Keith Seinfeld is interviewing a woman whos worried that she wont be able to smoke ecigarettes in her apartment). I told him that the regulation wouldnt affect this.

From: Neal, Scott Sent: Tuesday, December 14, 2010 12:53 PM To: Wood, Maria; Apa, James; Ross, Kathryn Cc: Ing, Jeff Subject: RE: Ban on e-cigarettes in public places It would be great if Comms could respond...I'm happy to review response if needed...but we are swamped getting the final prep work for the BOH meeting ready. Also dealing with finanicial issues due to the recent leg session. UGH

8_19_2011

Page 2 From: Wood, Maria Sent: Tuesday, December 14, 2010 12:48 PM To: Apa, James; Ross, Kathryn Cc: Neal, Scott; Ing, Jeff Subject: FW: Ban on e-cigarettes in public places In the spirit of consistency, could Comms please respond to this email? Thanks, Maria

From: Ing, Jeff Sent: Tuesday, December 14, 2010 10:27 AM To: Neal, Scott; Wood, Maria Subject: FW: Ban on e-cigarettes in public places FYI -----Original Message----From: october001@gmail.com [mailto:october001@gmail.com] Sent: Tuesday, December 14, 2010 8:59 AM To: Public Health Subject: Re: Ban on e-cigarettes in public places

Path: http://www.kingcounty.gov/healthservices/health.aspx Sent: 12/14/2010 8:59:27 AM From: Jon Hoskins <october001@gmail.com> Subject: Re: Ban on e-cigarettes in public places Hi there, I just heard about the proposed ban on "electronic cigarettes in public places" on the local news radio. The executives in charge of marketing for big tobacco will certainly sigh in relief when they get this news as "e-cigs" are certainly carving a swath in their profit margins. In all seriousness the "e-cigs", while they are not marketed as a smoking cessation device (and not FDA approved as one either), have done more to replace the good, old fashioned tobacco version than any other product on the market. They also have many fewer potential risks... no fire, no matches, no smoke, no second hand smoke, no filthy butts littering the streets, etc. One report even suggested that Propylene Glycol, a major component used in "e-cigs", (as well as medicinal inhalers such as those used by asthmatics) may even help stave off germs such as H1N1 (swine flu). To comment on some specific concerns mentioned in the news broadcast: "Easy to confuse with the real thing": The exhaled component from an e-cig is mostly water vapor made slightly visible due to the propylene glycol and rapidly dissipates, similar to your breath on a cold, winter day. It has little to no smell (no worse than your normally invisible exhalations) and no lingering after affects. Held in the hand an e-cig looks much more like a ballpoint pen or magic marker, not a real cigarette. Very few are even designed in the traditional white/beige color scheme of a real cigarette, the more popular designs being simple black, metallic or a more visually appealing combination of one or more colors. During use an "e-cig" typically "lights up" on the end with a colorful LED, perhaps purple or blue, to indicate that it is functioning correctly and is very difficult to confuse with a real, lit cigarette. "As a gateway to using the real thing": As an adult user of both "e-cigs" and real tobacco products I can tell you that making the leap from one to the other is not an easy thing to do and certainly not one that is made casually on impulse. Further "e-cigs" are at least as expensive as the real thing and the sheer cost makes them a luxury most un/under-employed youth cannot afford. "e-cigarettes" are also 8_19_2011

Page 3 not as peer friendly as the real ones as most users only carry a single personal device... sharing an "ecig" is more akin to sharing a toothbrush than it is to sharing a pack of real cigarettes. Last but not least cartridges for e-cigarettes are available in different strengths of nicotine. By far the most popular strength is 0 (zero) nicotine! As a temporary replacement for a real cigarette the major benefit is in the physical act of "smoking", the hand-to-mouth habits , and so on, NOT in the amount of nicotine contained in the cartridge itself. When smoking real cigarettes in public places was banned in the state of Washington it did nothing to reduce the amount of tobacco that I personally consume... but the amount of time (and money) that my wife and I spent patronizing the local establishments was reduced greatly. When electronic cigarettes were first made available we started dining out more. My productivity at work increased simply because I no longer needed that occasional "smoke break" outdoors, etc., and my consumption of real cigarettes was greatly reduced. Even though the attention that is drawn using an electronic cigarette at work or in public places actually discourages me from using it the simple thought that I could, should the craving arise, is more often than not, enough. Please do more research before banning electronic cigarettes in public places. I feel a ban on ecigarettes would effectively suppress the market entirely here and as a result, funnel more money into the coffers of big tobacco and away from local dining and drinking establishments. Sincerely, Jon Hoskins E-mail response requested: Yes

8_19_2011

Page 1

From: "Neal, Scott" To: "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> "Apa, James" <James.Apa@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/15/2010 12:28:00 PM Subject: RE: Ban on e-cigarettes in public places Attachments: Hoskin Response.sn.doc
Hi Katie, I've made some changes and tracked them. Thanks Scott

From: Ross, Kathryn Sent: Tuesday, December 14, 2010 5:13 PM To: Apa, James; Neal, Scott; Wood, Maria Subject: RE: Ban on e-cigarettes in public places Hi Scott and Maria, I've attached a draft response to the email below. We're hoping to use it as a template for future emails on the BOH regulations. Please let me know if you have any edits. Thanks! Katie From: Apa, James Sent: Tuesday, December 14, 2010 1:03 PM To: Neal, Scott; Wood, Maria; Ross, Kathryn Cc: Ing, Jeff Subject: RE: Ban on e-cigarettes in public places Thanks. Katie, could you do a short draft? To add to the tough Q&A does this regulation mean that people cant e-smoke in multi-family housing units, including those that already ban tobacco? (Keith Seinfeld is interviewing a woman whos worried that she wont be able to smoke ecigarettes in her apartment). I told him that the regulation wouldnt affect this.

From: Neal, Scott Sent: Tuesday, December 14, 2010 12:53 PM To: Wood, Maria; Apa, James; Ross, Kathryn Cc: Ing, Jeff Subject: RE: Ban on e-cigarettes in public places It would be great if Comms could respond...I'm happy to review response if needed...but we are swamped getting the final prep work for the BOH meeting ready. Also dealing with finanicial issues due to the recent leg session. UGH

From: Wood, Maria Sent: Tuesday, December 14, 2010 12:48 PM To: Apa, James; Ross, Kathryn Cc: Neal, Scott; Ing, Jeff Subject: FW: Ban on e-cigarettes in public places In the spirit of consistency, could Comms please respond to this email? 8_19_2011

Page 2 Thanks, Maria

From: Ing, Jeff Sent: Tuesday, December 14, 2010 10:27 AM To: Neal, Scott; Wood, Maria Subject: FW: Ban on e-cigarettes in public places FYI -----Original Message----From: october001@gmail.com [mailto:october001@gmail.com] Sent: Tuesday, December 14, 2010 8:59 AM To: Public Health Subject: Re: Ban on e-cigarettes in public places

Path: http://www.kingcounty.gov/healthservices/health.aspx Sent: 12/14/2010 8:59:27 AM From: Jon Hoskins <october001@gmail.com> Subject: Re: Ban on e-cigarettes in public places Hi there, I just heard about the proposed ban on "electronic cigarettes in public places" on the local news radio. The executives in charge of marketing for big tobacco will certainly sigh in relief when they get this news as "e-cigs" are certainly carving a swath in their profit margins. In all seriousness the "e-cigs", while they are not marketed as a smoking cessation device (and not FDA approved as one either), have done more to replace the good, old fashioned tobacco version than any other product on the market. They also have many fewer potential risks... no fire, no matches, no smoke, no second hand smoke, no filthy butts littering the streets, etc. One report even suggested that Propylene Glycol, a major component used in "e-cigs", (as well as medicinal inhalers such as those used by asthmatics) may even help stave off germs such as H1N1 (swine flu). To comment on some specific concerns mentioned in the news broadcast: "Easy to confuse with the real thing": The exhaled component from an e-cig is mostly water vapor made slightly visible due to the propylene glycol and rapidly dissipates, similar to your breath on a cold, winter day. It has little to no smell (no worse than your normally invisible exhalations) and no lingering after affects. Held in the hand an e-cig looks much more like a ballpoint pen or magic marker, not a real cigarette. Very few are even designed in the traditional white/beige color scheme of a real cigarette, the more popular designs being simple black, metallic or a more visually appealing combination of one or more colors. During use an "e-cig" typically "lights up" on the end with a colorful LED, perhaps purple or blue, to indicate that it is functioning correctly and is very difficult to confuse with a real, lit cigarette. "As a gateway to using the real thing": As an adult user of both "e-cigs" and real tobacco products I can tell you that making the leap from one to the other is not an easy thing to do and certainly not one that is made casually on impulse. Further "e-cigs" are at least as expensive as the real thing and the sheer cost makes them a luxury most un/under-employed youth cannot afford. "e-cigarettes" are also not as peer friendly as the real ones as most users only carry a single personal device... sharing an "ecig" is more akin to sharing a toothbrush than it is to sharing a pack of real cigarettes. Last but not least cartridges for e-cigarettes are available in different strengths of nicotine. By far the most popular strength is 0 (zero) nicotine! As a temporary replacement for a real cigarette the major benefit is in the physical act of "smoking", the hand-to-mouth habits , and so on, NOT in the amount of nicotine contained in the cartridge itself. 8_19_2011

Page 3 When smoking real cigarettes in public places was banned in the state of Washington it did nothing to reduce the amount of tobacco that I personally consume... but the amount of time (and money) that my wife and I spent patronizing the local establishments was reduced greatly. When electronic cigarettes were first made available we started dining out more. My productivity at work increased simply because I no longer needed that occasional "smoke break" outdoors, etc., and my consumption of real cigarettes was greatly reduced. Even though the attention that is drawn using an electronic cigarette at work or in public places actually discourages me from using it the simple thought that I could, should the craving arise, is more often than not, enough. Please do more research before banning electronic cigarettes in public places. I feel a ban on ecigarettes would effectively suppress the market entirely here and as a result, funnel more money into the coffers of big tobacco and away from local dining and drinking establishments. Sincerely, Jon Hoskins E-mail response requested: Yes

8_19_2011

Page 1

From: "Apa, James" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 12/15/2010 7:22:37 PM Subject: RE: Ban on e-cigarettes in public places
Thanks, Scott. Per our phone chat earlier, I think we can keep the original language about the Surgeon General, since I took it from the HHS media release.

From: Neal, Scott Sent: Wednesday, December 15, 2010 8:42 AM To: Apa, James; Ross, Kathryn; Wood, Maria; Hamilton, Joy Subject: RE: Ban on e-cigarettes in public places Ok, I've made a few edits on this latest version, please disregard my earlier email this morning. Scott

From: Apa, James Sent: Tuesday, December 14, 2010 7:52 PM To: Ross, Kathryn; Neal, Scott; Wood, Maria; Hamilton, Joy Subject: RE: Ban on e-cigarettes in public places Katie thanks for working on this. After reading it, I realized that I didnt give you the best guidance on what to use, since some of the talking points dont work as well in letter form, and dont necessarily speak to the point. Ive attached a revised version for review. (The second sentence in parens can be used for those letters where people misunderstood what the BOH is doing.) Thanks, -James

From: Ross, Kathryn Sent: Tuesday, December 14, 2010 5:13 PM To: Apa, James; Neal, Scott; Wood, Maria Subject: RE: Ban on e-cigarettes in public places Hi Scott and Maria, I've attached a draft response to the email below. We're hoping to use it as a template for future emails on the BOH regulations. Please let me know if you have any edits. Thanks! Katie From: Apa, James Sent: Tuesday, December 14, 2010 1:03 PM To: Neal, Scott; Wood, Maria; Ross, Kathryn Cc: Ing, Jeff Subject: RE: Ban on e-cigarettes in public places 8_19_2011

Page 2 Thanks. Katie, could you do a short draft? To add to the tough Q&A does this regulation mean that people cant e-smoke in multi-family housing units, including those that already ban tobacco? (Keith Seinfeld is interviewing a woman whos worried that she wont be able to smoke ecigarettes in her apartment). I told him that the regulation wouldnt affect this.

From: Neal, Scott Sent: Tuesday, December 14, 2010 12:53 PM To: Wood, Maria; Apa, James; Ross, Kathryn Cc: Ing, Jeff Subject: RE: Ban on e-cigarettes in public places It would be great if Comms could respond...I'm happy to review response if needed...but we are swamped getting the final prep work for the BOH meeting ready. Also dealing with finanicial issues due to the recent leg session. UGH

From: Wood, Maria Sent: Tuesday, December 14, 2010 12:48 PM To: Apa, James; Ross, Kathryn Cc: Neal, Scott; Ing, Jeff Subject: FW: Ban on e-cigarettes in public places In the spirit of consistency, could Comms please respond to this email? Thanks, Maria

From: Ing, Jeff Sent: Tuesday, December 14, 2010 10:27 AM To: Neal, Scott; Wood, Maria Subject: FW: Ban on e-cigarettes in public places FYI -----Original Message----From: october001@gmail.com [mailto:october001@gmail.com] Sent: Tuesday, December 14, 2010 8:59 AM To: Public Health Subject: Re: Ban on e-cigarettes in public places

Path: http://www.kingcounty.gov/healthservices/health.aspx Sent: 12/14/2010 8:59:27 AM From: Jon Hoskins <october001@gmail.com> Subject: Re: Ban on e-cigarettes in public places Hi there, I just heard about the proposed ban on "electronic cigarettes in public places" on the local news radio. The executives in charge of marketing for big tobacco will certainly sigh in relief when they get this news as "e-cigs" are certainly carving a swath in their profit margins. In all seriousness the "e-cigs", while they are not marketed as a smoking cessation device (and not FDA approved as one either), have done more to replace the good, old fashioned tobacco version than any other product on the market. They also have many fewer potential risks... no fire, no matches, no smoke, no second hand smoke, no filthy butts littering the streets, etc. One report even suggested that Propylene Glycol, a major component used in "e-cigs", (as well as medicinal inhalers such as those used by asthmatics) may even help stave off germs such as H1N1 (swine flu). 8_19_2011

Page 3 To comment on some specific concerns mentioned in the news broadcast: "Easy to confuse with the real thing": The exhaled component from an e-cig is mostly water vapor made slightly visible due to the propylene glycol and rapidly dissipates, similar to your breath on a cold, winter day. It has little to no smell (no worse than your normally invisible exhalations) and no lingering after affects. Held in the hand an e-cig looks much more like a ballpoint pen or magic marker, not a real cigarette. Very few are even designed in the traditional white/beige color scheme of a real cigarette, the more popular designs being simple black, metallic or a more visually appealing combination of one or more colors. During use an "e-cig" typically "lights up" on the end with a colorful LED, perhaps purple or blue, to indicate that it is functioning correctly and is very difficult to confuse with a real, lit cigarette. "As a gateway to using the real thing": As an adult user of both "e-cigs" and real tobacco products I can tell you that making the leap from one to the other is not an easy thing to do and certainly not one that is made casually on impulse. Further "e-cigs" are at least as expensive as the real thing and the sheer cost makes them a luxury most un/under-employed youth cannot afford. "e-cigarettes" are also not as peer friendly as the real ones as most users only carry a single personal device... sharing an "ecig" is more akin to sharing a toothbrush than it is to sharing a pack of real cigarettes. Last but not least cartridges for e-cigarettes are available in different strengths of nicotine. By far the most popular strength is 0 (zero) nicotine! As a temporary replacement for a real cigarette the major benefit is in the physical act of "smoking", the hand-to-mouth habits , and so on, NOT in the amount of nicotine contained in the cartridge itself. When smoking real cigarettes in public places was banned in the state of Washington it did nothing to reduce the amount of tobacco that I personally consume... but the amount of time (and money) that my wife and I spent patronizing the local establishments was reduced greatly. When electronic cigarettes were first made available we started dining out more. My productivity at work increased simply because I no longer needed that occasional "smoke break" outdoors, etc., and my consumption of real cigarettes was greatly reduced. Even though the attention that is drawn using an electronic cigarette at work or in public places actually discourages me from using it the simple thought that I could, should the craving arise, is more often than not, enough. Please do more research before banning electronic cigarettes in public places. I feel a ban on ecigarettes would effectively suppress the market entirely here and as a result, funnel more money into the coffers of big tobacco and away from local dining and drinking establishments. Sincerely, Jon Hoskins E-mail response requested: Yes

8_19_2011

Page 1

From: To: Date: Subject:


ok thanks

"Neal, Scott" Kelly.Kasner@cancer.org 12/15/2010 2:14:00 PM RE: Board of Health Meeting - Thursday Morning!

From: Kelly.Kasner@cancer.org [mailto:Kelly.Kasner@cancer.org] Sent: Wednesday, December 15, 2010 9:26 AM To: Neal, Scott Subject: Re: Board of Health Meeting - Thursday Morning!

Hi Scott, I will not be able to attend this meeting, but would like to know how it goes if you can send an update or minutes. Thanks! Kelly Kasner | Community Relationship Manager: SpeakOUT Youth Initiative Program Great West Division | American Cancer Society, Inc. 728 134th ST SW, Suite 101 Everett, WA 98204 | cancer.org 425.322.1130 | fax: 425.741.9638

"Neal, Scott" <Scott.Neal@kingcounty.gov>

"Neal, Scott" <Scott.Neal@kingcounty.gov> 12/14/2010 04:31 PM

To" (shelleyc@cschc.org)" <shelleyc@cschc.org>, "Brandie Flood (brandie.flood@cschc.org)" <brandie.flood@cschc.org>, " (janelle@cschc.org)" <janelle@cschc.org>, "'Eric Mose'" <eric@apicat.org>, Elaine Ishihara <e.ishihara@comcast.net>, "'Julie Peterson'" <JulieP@chef.org>, "'fred@gaycity.org'" <fred@gaycity.org>, "'Carlos Mejia'" <Cmejia@wacmhc.org>, "'robynp@sihb.org'" <robynp@sihb.org>, "'lark@gaycity.org'" <lark@gaycity.org>, "Alison Shigaki (alishigaki@sprynet.com)" <alishigaki@sprynet.com>, Antoinette Angulo <AntoinetteAngulo@seamarchc.org>, Frank Dibiase <FDibiase@tpchd.org>, "kelly.kasner@cancer.org" <kelly.kasner@cancer.org>, "Stephanie Silvernail (ssilvernail@psesd.org)" <ssilvernail@psesd.org>, "'wgilreath@psesd.org'" <wgilreath@psesd.org>, "'Zilar, Christopher'" <CZilar@spokanecounty.org> cc SubjectBoard of Health Meeting - Thursday Morning!

As you may already know, the King County Board of Health is scheduled to meet this Thursday, December 16th at 9:30am. The agenda for the meeting includes: 1. Regulations relating to electronic smoking devices (also known as e-cigarettes) and unapproved nicotine delivery products. These regulations will help protect youth from starting to use electronic cigarettes and will protect the social norms created by the smoking in public places/places of employment laws.
8_19_2011

Page 2

2. A resolution calling on the state of Washington to provide dedicated and long-term financing so local public health jurisdictions can protect and improve the health of all community residents. 3. An annual report for Public Health Seattle-King County presented by the director, Dr. David Fleming. For more information about any of these items, please see the meeting packet. Public comments can be made in person at the beginning of the meeting or submitted in written form. For more details, please consult the Board of Health website. The Board of Health meeting will be at 9:30 am on December 16th in the King County Council Chambers (10th floor of the King County Courthouse, 516 3rd Avenue, Room 1001). If you have any questions or concerns, please feel free to contact me. Thanks

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

8_19_2011

Page 1

From: To: Date: Subject:

Kelly.Kasner@cancer.org "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/15/2010 1:28:29 PM Re: Board of Health Meeting - Thursday Morning!

Hi Scott, I will not be able to attend this meeting, but would like to know how it goes if you can send an update or minutes. Thanks! Kelly Kasner | Community Relationship Manager: SpeakOUT Youth Initiative Program Great West Division | American Cancer Society, Inc. 728 134th ST SW, Suite 101 Everett, WA 98204 | cancer.org 425.322.1130 | fax: 425.741.9638

"Neal, Scott" <Scott.Neal@kingcounty.gov>

"Neal, Scott" <Scott.Neal@kingcounty.gov> 12/14/2010 04:31 PM

To" (shelleyc@cschc.org)" <shelleyc@cschc.org>, "Brandie Flood (brandie.flood@cschc.org)" <brandie.flood@cschc.org>, " (janelle@cschc.org)" <janelle@cschc.org>, "'Eric Mose'" <eric@apicat.org>, Elaine Ishihara <e.ishihara@comcast.net>, "'Julie Peterson'" <JulieP@chef.org>, "'fred@gaycity.org'" <fred@gaycity.org>, "'Carlos Mejia'" <Cmejia@wacmhc.org>, "'robynp@sihb.org'" <robynp@sihb.org>, "'lark@gaycity.org'" <lark@gaycity.org>, "Alison Shigaki (alishigaki@sprynet.com)" <alishigaki@sprynet.com>, Antoinette Angulo <AntoinetteAngulo@seamarchc.org>, Frank Dibiase <FDibiase@tpchd.org>, "kelly.kasner@cancer.org" <kelly.kasner@cancer.org>, "Stephanie Silvernail (ssilvernail@psesd.org)" <ssilvernail@psesd.org>, "'wgilreath@psesd.org'" <wgilreath@psesd.org>, "'Zilar, Christopher'" <CZilar@spokanecounty.org> cc SubjectBoard of Health Meeting - Thursday Morning!

As you may already know, the King County Board of Health is scheduled to meet this Thursday, December 16th at 9:30am. The agenda for the meeting includes: 1. Regulations relating to electronic smoking devices (also known as e-cigarettes) and unapproved nicotine delivery products. These regulations will help protect youth from starting to use electronic cigarettes and will protect the social norms created by the smoking in public places/places of employment laws. 2. A resolution calling on the state of Washington to provide dedicated and long-term financing so local public health jurisdictions can protect and improve the health of all community residents. 3. An annual report for Public Health Seattle-King County presented by the director, Dr. David Fleming. For more information about any of these items, please see the meeting packet.
8_19_2011

Page 2

Public comments can be made in person at the beginning of the meeting or submitted in written form. For more details, please consult the Board of Health website. The Board of Health meeting will be at 9:30 am on December 16th in the King County Council Chambers (10th floor of the King County Courthouse, 516 3rd Avenue, Room 1001). If you have any questions or concerns, please feel free to contact me. Thanks

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: To: Date: Subject:

"Neal, Scott" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 12/15/2010 9:43:00 PM RE: E-cig talking points.doc

Thanksyou always make great arguments! So if you have to chime in, I have no doubt that the Board Members will hear our position and trust we are not crazies! :) >_____________________________________________ >From: Pearson, Anne >Sent: Wednesday, December 15, 2010 4:07 PM >To: Neal, Scott >Subject: E-cig talking points.doc > > > > > << File: E-cig talking points.doc >>

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From: To: Date: Subject:

"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/15/2010 12:47:00 PM FW: e-cigarette recap for the day

Joy...so from reading the mynorthwest article...Bud said he expects it to pass! that one is actually pretty good because it closes with the FDA stuff, which actually says that that judge says these things are like tobacco products...so it makes sense for use to treat them as such, right!? :)

From: Apa, James Sent: Tuesday, December 14, 2010 9:10 PM To: 'Bud Nicola'; Hamilton, Joy; Neal, Scott; Ross, Kathryn; Wood, Maria Subject: e-cigarette recap for the day Hi, all. As a quick re-cap, we (meaning Bud) did a good deal of media today, including KIRO radio, KOMO radio, KUOW radio and KING TV. (Am I missing anyone?) National Fox News also called, but they wanted to do it between 3 - 6 a.m. our time, so Bud passed on that opportunity. The P-I piece set the tone for a tough and sometimes misleading narrative today that focused on the application of the indoor smoking law to e-cigarettes. Bud did a great job, including in some pretty tough venues, to emphasize the youth protection elements and the secondhand smoke risks. Ive included links below to the KIRO radio and KING TV stories below. Tomorrow may be a lighter day on coverage, but I expect the KPLU story to come out then. http://www.mynorthwest.com/category/local_news_articles/20101214/King-County-wants-to-ban-electronic-cigarettes/ http://www.king5.com/health/King-County-considers-ban-on-electronic-cigarettes-111895834.html Thanks, -James

James Apa Communications Manager Public Health - Seattle & King County 206-205-5442 james.apa@kingcounty.gov www.kingcounty.gov/health Follow us: www.facebook.com/KCPubhealth | www.twitter.com/KCPubhealth

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From: "Apa, James" To: "Bud Nicola" <bnicola@u.washington.edu> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/15/2010 1:09:37 AM Subject: e-cigarette recap for the day
Hi, all. As a quick re-cap, we (meaning Bud) did a good deal of media today, including KIRO radio, KOMO radio, KUOW radio and KING TV. (Am I missing anyone?) National Fox News also called, but they wanted to do it between 3 - 6 a.m. our time, so Bud passed on that opportunity. The P-I piece set the tone for a tough and sometimes misleading narrative today that focused on the application of the indoor smoking law to e-cigarettes. Bud did a great job, including in some pretty tough venues, to emphasize the youth protection elements and the secondhand smoke risks. Ive included links below to the KIRO radio and KING TV stories below. Tomorrow may be a lighter day on coverage, but I expect the KPLU story to come out then. http://www.mynorthwest.com/category/local_news_articles/20101214/King-County-wants-to-ban-electronic-cigarettes/ http://www.king5.com/health/King-County-considers-ban-on-electronic-cigarettes-111895834.html Thanks, -James

James Apa Communications Manager Public Health - Seattle & King County 206-205-5442 james.apa@kingcounty.gov www.kingcounty.gov/health Follow us: www.facebook.com/KCPubhealth | www.twitter.com/KCPubhealth

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From: To: Date: Subject:


Thanks.

"Apa, James" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/15/2010 10:21:00 PM RE: E-Cigarette Regulation Media Advisory

From: Neal, Scott Sent: Wednesday, December 15, 2010 5:03 PM To: Apa, James Cc: Ross, Kathryn Subject: FW: E-Cigarette Regulation Media Advisory FYI...I sent a draft up earlier...just making sure you were included in this latest info... Scott

From: Wood, Maria Sent: Wednesday, December 15, 2010 4:48 PM To: Ross, Kathryn Cc: Fleming, David; Neal, Scott; 'Bud Nicola' Subject: FW: E-Cigarette Regulation Media Advisory Hello, Here is the plan for the press release tomorrow. Thanks, Maria

From: Soo Hoo, Wendy Sent: Wednesday, December 15, 2010 3:25 PM To: Allison, Michelle; Atherton, Emiko; Sanders, Al Cc: Daly, Sharon; Wood, Maria Subject: E-Cigarette Regulation Media Advisory

FYI CM Patterson would like to have a press release tomorrow after the BOH votes on the e-cigarette regulation (R&R 10-04). As I understand it, PH will draft the press release with quotes from Bud Nicola, Board Chair Patterson, Sally Clark, and Mayor Dave. Michelle/Emiko: Well need you to work up a quote for CM Patterson and send that to Maria. Al: Im just putting you on alert, because I believe the intent is that it be sent by our communications group. Thanks, all! Wendy Soo Hoo Senior Legislative Analyst | Metropolitan King County Council | 206.296.0352

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From: To: Date: Subject:


Hello,

"Wood, Maria" "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> 12/15/2010 8:47:37 PM FW: E-Cigarette Regulation Media Advisory

Here is the plan for the press release tomorrow. Thanks, Maria

From: Soo Hoo, Wendy Sent: Wednesday, December 15, 2010 3:25 PM To: Allison, Michelle; Atherton, Emiko; Sanders, Al Cc: Daly, Sharon; Wood, Maria Subject: E-Cigarette Regulation Media Advisory

FYI CM Patterson would like to have a press release tomorrow after the BOH votes on the e-cigarette regulation (R&R 10-04). As I understand it, PH will draft the press release with quotes from Bud Nicola, Board Chair Patterson, Sally Clark, and Mayor Dave. Michelle/Emiko: Well need you to work up a quote for CM Patterson and send that to Maria. Al: Im just putting you on alert, because I believe the intent is that it be sent by our communications group. Thanks, all! Wendy Soo Hoo Senior Legislative Analyst | Metropolitan King County Council | 206.296.0352

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From: To: Date: Subject:

"Neal, Scott" "Apa, James" <James.Apa@kingcounty.gov> 12/15/2010 9:04:00 PM FW: E-Cigarette Regulation Media Advisory

FYI...I sent a draft up earlier...just making sure you were included in this latest info... Scott

From: Wood, Maria Sent: Wednesday, December 15, 2010 4:48 PM To: Ross, Kathryn Cc: Fleming, David; Neal, Scott; 'Bud Nicola' Subject: FW: E-Cigarette Regulation Media Advisory Hello, Here is the plan for the press release tomorrow. Thanks, Maria

From: Soo Hoo, Wendy Sent: Wednesday, December 15, 2010 3:25 PM To: Allison, Michelle; Atherton, Emiko; Sanders, Al Cc: Daly, Sharon; Wood, Maria Subject: E-Cigarette Regulation Media Advisory

FYI CM Patterson would like to have a press release tomorrow after the BOH votes on the e-cigarette regulation (R&R 10-04). As I understand it, PH will draft the press release with quotes from Bud Nicola, Board Chair Patterson, Sally Clark, and Mayor Dave. Michelle/Emiko: Well need you to work up a quote for CM Patterson and send that to Maria. Al: Im just putting you on alert, because I believe the intent is that it be sent by our communications group. Thanks, all! Wendy Soo Hoo Senior Legislative Analyst | Metropolitan King County Council | 206.296.0352

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From: To: Date: Subject:

"Hamilton, Joy" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 12/15/2010 2:13:13 PM FW: E-cigs and smoke free air

The list from ANR of other jurisdictions who have e-cigs in their smoke free air laws.

From: Annie Tegen [mailto:annie.tegen@no-smoke.org] Sent: Monday, December 13, 2010 2:44 PM To: Hamilton, Joy Subject: Re: E-cigs and smoke free air

Hi Joy! Okay here is what I found as far as cities enacting (or considering) laws that pertain to e-cigarettes. E-cig laws, like hookah laws, are tricky to track since they're not always explicitly mentioned. We did a database search for e-cig laws, and here are the results: Martinez, CA enacted a law on 5/6/09 which defines "Smoking" as, among other things, "possessing a lighted Tobacco Product," and defines "Tobacco Product" to mean, among other things, "any product or formulation of matter containing biologically active amounts of nicotine that is manufactured, sold, offered for sale, or otherwise distributed with the expectation that the product or matter will be introduced into the human body by inhalation; but does not include any cessation product specifically approved by the U. S. Food and Drug Administration for use in treating nicotine or tobacco dependence." Glendale, CA enacted a law on 10/7/08 that uses the following definition: (incidentally, the purpose of this language was to cover hookah places, but seems to cover e-cigs too): Tobacco product means any substance made from the tobacco leaf including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, hookah tobacco, dipping tobacco, smokeless tobacco, bidis, or products prepared from tobacco and designed for smoking or ingestion and any product or formulation of matter containing biologically active amounts of nicotine that is manufactured, sold, offered for sale, or otherwise distributed with the expectation that the product or matter will be introduced into the human body. Crescent City CA Place4/89: No smoking in all buildings and vehicles owned or leased by city (except Cultural Center). Smoking is permitted in open areas and in special areas designated by City Manager. 12/03: Exception for Cultural Center deleted. Smoking permitted in designated smoking areas in City facilities. Smoking prohibited within 25 feet of entrances and windows to places where smoking is prohibited and within 25 feet of children's play areas. 5/10: Smoking prohibited in all City parks and at public events. Smoking includes use of e-cigarettes. Hillsborough County FL County 9/09: Use of tobacco products and facsimile tobacco products, including ecigarettes, prohibited in Sheriff's Office facilities and vehicles and on grounds of facilities. Other penalty = 1st violation - smoking cessation program for employees; eviction from facility or trespass warning for public; 2d violation - disciplinary action for employees. Bergen County NJ County4/04: Smoking prohibited in all County operated playgrounds, ball fields, and swimming pools leased or owned by County. 10/09: E-cigarettes prohibited in County parks where children are present and in County buildings and vehicles. New Jersey NJ State8/05: Smoking prohibited in college and university dormitories. 12/05: Smoking prohibited in foster care homes and in cars transporting foster children. 1/06: Smoking prohibited in all workplaces, restaurants, bars, and public places generally. 1/10: Use of e-cigarettes prohibited in all indoor places where smoking is
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prohibited. Suffolk County NY County6/84: Smoking prohibited in some workplace areas and in some public places, except for smoking areas. Restaurants with more than 50 seats must be at least 20% nonsmoking. 8/86: No substantive change. 7/89: Smoking prohibited in settee area of bowling alleys. 6/94: Smoking prohibited in restaurants, except for separately ventilated rooms. Smoking permitted in bowling alleys during certain hours of operation: After 6:00 P.M. during adult bowling leagues and in settee area. 5/95: Smoking prohibited in attached bars after 6/30/98. 9/98: Bingo halls are governed by State law. 4/02: Smoking prohibited within 50 feet of street level entrances to County buildings and hospitals. 6/02: Smoking prohibited in bowling alleys. 2/03: Smoking prohibited in all workplaces, restaurants, and bars. Exemption for bingo parlors deleted. 11/06: Smoking prohibited within 50 feet of all entrances to County buildings. 9/09: Amended definition of smoking to include e-cigarettes.

At 01:02 PM 12/13/2010, you wrote:


Hi Annie, Greetings. It was nice to meet you at APHA and put a face to your name. As I think I mentioned, we are working with the King County Board of Health to make e-cigarette policies. The meeting is this Thursday. There has been concern expressed about the rationale for banning e-cigs in public places. Are you aware of any jurisdictions that have rolled back smoke-free air laws (e.g. permitted smoking after restricting it)? We are working on our presentation to explain why it is necessary to restrict e-cigarette use in public, and would like to draw from the literature that looks at the impact of smoke-free air laws on social norming and on consumption. Any help you can offer would be great. Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

Annie Tegen, MPH Senior Program Manager Americans for Nonsmokers' Rights American Nonsmokers Rights Foundation annie.tegen@no-smoke.org Phone: 206.545.7175

Are you a member of ANR? If not, please join us today. Our work depends on members like you!

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From: "Apa, James" To: "Bud Nicola" <bnicola@u.washington.edu> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> Date: 12/15/2010 4:18:55 PM Subject: RE: Fox & Friends Interview Request
Sounds good, thanks.

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Wednesday, December 15, 2010 12:18 PM To: Wood, Maria; Neal, Scott; Apa, James; Ross, Kathryn Subject: RE: Fox & Friends Interview Request Im fine with being a spokesperson for local media, but with my federal position Im nervous about talking to national media and would prefer not to do that (even if its not Fox). Bud Bud Nicola bnicola@uw.edu

From: Wood, Maria [mailto:Maria.Wood@kingcounty.gov] Sent: Wednesday, December 15, 2010 12:13 PM To: Neal, Scott; Apa, James; Bud Nicola; Ross, Kathryn Subject: RE: Fox & Friends Interview Request I'm in a meeting with Julia later this afternoon, so I will get her ideas and follow up via email on her preferences. Thanks, Maria

From: Neal, Scott Sent: Wednesday, December 15, 2010 12:12 PM To: Apa, James; 'Bud Nicola'; Ross, Kathryn Cc: Wood, Maria Subject: RE: Fox & Friends Interview Request I am very wary about the Fox & Friends interview as well. As for contacts for media to interview following the meeting, I tend to think that having a Board Member speak is best. Bud has been doing a great Job and I know Julia would as well. I'm happy to do it, but I think the message is stronger being delivered by the Board. Scott

From: Apa, James Sent: Wednesday, December 15, 2010 12:05 PM To: 'Bud Nicola'; Ross, Kathryn; Neal, Scott Cc: Wood, Maria Subject: RE: Fox & Friends Interview Request I will send her a message now, letting her know that well be in touch if we find someone whos available. Katie will on point on this for our team for the rest of the week, as Im hoping to take a few days off. 8_19_2011

Page 2 Maria in conjunction with the press release that goes out tomorrow after the board acts, we should have a point spokesperson or spokespeople for media, both for after the meeting itself and any follow-ups by phone. Could you check with Julia on her preferences would she like to be point, continue to have Bud as point, or split duties? Also, Scott can be available for post-meeting interviews, too. And well get updated talking points to everyone.

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Wednesday, December 15, 2010 10:42 AM To: Apa, James Cc: Wood, Maria Subject: RE: Fox & Friends Interview Request James, Im not sure about the details at this point. Would you want me to refer her to you? Bud Bud Nicola bnicola@uw.edu

From: Apa, James [mailto:James.Apa@kingcounty.gov] Sent: Wednesday, December 15, 2010 8:35 AM To: Bud Nicola; Wood, Maria Subject: Re: Fox & Friends Interview Request

Hi, Bud. As a suggestion, you could tell her that you'll check and will let her know if we find someone. As for doing it, we could check with Julia, but I would continue to be wary about this show. Would it still be the 36am timeframe?
From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Wednesday, December 15, 2010 08:07 AM To: Apa, James; Wood, Maria Subject: FW: Fox & Friends Interview Request Any thoughts about responses? Bud Nicola bnicola@uw.edu

From: Lewis, Andrea [mailto:andrea.lewis@FOXNEWS.COM] Sent: Wednesday, December 15, 2010 7:16 AM To: Bud Nicola Subject: Fox & Friends Interview Request Hi Mr. Nicola, I got your message about not wanting to be on the show. I appreciate you getting back to me. Just wondered if there might be anyone else on the board willing to speak about this proposal that you all are putting forth on ecigarettes. We are still looking to do a story on this for the weekend program so anyone who is willing to interview on Saturday or Sunday morning would be great. Please let me know if there might be someone else thats willing to work with me. Thanks! Andrea O. Lewis 347-563-3980

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From: "Bud Nicola" <bnicola@u.washington.edu> To: "Wood, Maria" <Maria.Wood@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Apa, James" <James.Apa@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> Date: 12/15/2010 4:18:28 PM Subject: RE: Fox & Friends Interview Request
Im fine with being a spokesperson for local media, but with my federal position Im nervous about talking to national media and would prefer not to do that (even if its not Fox). Bud Bud Nicola bnicola@uw.edu

From: Wood, Maria [mailto:Maria.Wood@kingcounty.gov] Sent: Wednesday, December 15, 2010 12:13 PM To: Neal, Scott; Apa, James; Bud Nicola; Ross, Kathryn Subject: RE: Fox & Friends Interview Request I'm in a meeting with Julia later this afternoon, so I will get her ideas and follow up via email on her preferences. Thanks, Maria

From: Neal, Scott Sent: Wednesday, December 15, 2010 12:12 PM To: Apa, James; 'Bud Nicola'; Ross, Kathryn Cc: Wood, Maria Subject: RE: Fox & Friends Interview Request I am very wary about the Fox & Friends interview as well. As for contacts for media to interview following the meeting, I tend to think that having a Board Member speak is best. Bud has been doing a great Job and I know Julia would as well. I'm happy to do it, but I think the message is stronger being delivered by the Board. Scott

From: Apa, James Sent: Wednesday, December 15, 2010 12:05 PM To: 'Bud Nicola'; Ross, Kathryn; Neal, Scott Cc: Wood, Maria Subject: RE: Fox & Friends Interview Request I will send her a message now, letting her know that well be in touch if we find someone whos available. Katie will on point on this for our team for the rest of the week, as Im hoping to take a few days off. Maria in conjunction with the press release that goes out tomorrow after the board acts, we should have a point spokesperson or spokespeople for media, both for after the meeting itself and any follow-ups by phone. Could you check with Julia on her preferences would she like to be point, continue to have Bud as point, or split duties? Also, Scott can be available for post-meeting interviews, too. And well get updated talking points to everyone.

From: Bud Nicola [mailto:bnicola@u.washington.edu] 8_19_2011

Page 2 Sent: Wednesday, December 15, 2010 10:42 AM To: Apa, James Cc: Wood, Maria Subject: RE: Fox & Friends Interview Request James, Im not sure about the details at this point. Would you want me to refer her to you? Bud Bud Nicola bnicola@uw.edu

From: Apa, James [mailto:James.Apa@kingcounty.gov] Sent: Wednesday, December 15, 2010 8:35 AM To: Bud Nicola; Wood, Maria Subject: Re: Fox & Friends Interview Request

Hi, Bud. As a suggestion, you could tell her that you'll check and will let her know if we find someone. As for doing it, we could check with Julia, but I would continue to be wary about this show. Would it still be the 36am timeframe?
From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Wednesday, December 15, 2010 08:07 AM To: Apa, James; Wood, Maria Subject: FW: Fox & Friends Interview Request Any thoughts about responses? Bud Nicola bnicola@uw.edu

From: Lewis, Andrea [mailto:andrea.lewis@FOXNEWS.COM] Sent: Wednesday, December 15, 2010 7:16 AM To: Bud Nicola Subject: Fox & Friends Interview Request Hi Mr. Nicola, I got your message about not wanting to be on the show. I appreciate you getting back to me. Just wondered if there might be anyone else on the board willing to speak about this proposal that you all are putting forth on ecigarettes. We are still looking to do a story on this for the weekend program so anyone who is willing to interview on Saturday or Sunday morning would be great. Please let me know if there might be someone else thats willing to work with me. Thanks! Andrea O. Lewis 347-563-3980

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From: "Wood, Maria" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Apa, James" <James.Apa@kingcounty.gov> "Bud Nicola" <bnicola@u.washington.edu> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> Date: 12/15/2010 4:13:03 PM Subject: RE: Fox & Friends Interview Request
I'm in a meeting with Julia later this afternoon, so I will get her ideas and follow up via email on her preferences. Thanks, Maria

From: Neal, Scott Sent: Wednesday, December 15, 2010 12:12 PM To: Apa, James; 'Bud Nicola'; Ross, Kathryn Cc: Wood, Maria Subject: RE: Fox & Friends Interview Request I am very wary about the Fox & Friends interview as well. As for contacts for media to interview following the meeting, I tend to think that having a Board Member speak is best. Bud has been doing a great Job and I know Julia would as well. I'm happy to do it, but I think the message is stronger being delivered by the Board. Scott

From: Apa, James Sent: Wednesday, December 15, 2010 12:05 PM To: 'Bud Nicola'; Ross, Kathryn; Neal, Scott Cc: Wood, Maria Subject: RE: Fox & Friends Interview Request I will send her a message now, letting her know that well be in touch if we find someone whos available. Katie will on point on this for our team for the rest of the week, as Im hoping to take a few days off. Maria in conjunction with the press release that goes out tomorrow after the board acts, we should have a point spokesperson or spokespeople for media, both for after the meeting itself and any follow-ups by phone. Could you check with Julia on her preferences would she like to be point, continue to have Bud as point, or split duties? Also, Scott can be available for post-meeting interviews, too. And well get updated talking points to everyone.

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Wednesday, December 15, 2010 10:42 AM To: Apa, James Cc: Wood, Maria Subject: RE: Fox & Friends Interview Request James, Im not sure about the details at this point. Would you want me to refer her to you? Bud Bud Nicola bnicola@uw.edu

From: Apa, James [mailto:James.Apa@kingcounty.gov] 8_19_2011

Page 2 Sent: Wednesday, December 15, 2010 8:35 AM To: Bud Nicola; Wood, Maria Subject: Re: Fox & Friends Interview Request

Hi, Bud. As a suggestion, you could tell her that you'll check and will let her know if we find someone. As for doing it, we could check with Julia, but I would continue to be wary about this show. Would it still be the 36am timeframe?
From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Wednesday, December 15, 2010 08:07 AM To: Apa, James; Wood, Maria Subject: FW: Fox & Friends Interview Request Any thoughts about responses? Bud Nicola bnicola@uw.edu

From: Lewis, Andrea [mailto:andrea.lewis@FOXNEWS.COM] Sent: Wednesday, December 15, 2010 7:16 AM To: Bud Nicola Subject: Fox & Friends Interview Request Hi Mr. Nicola, I got your message about not wanting to be on the show. I appreciate you getting back to me. Just wondered if there might be anyone else on the board willing to speak about this proposal that you all are putting forth on ecigarettes. We are still looking to do a story on this for the weekend program so anyone who is willing to interview on Saturday or Sunday morning would be great. Please let me know if there might be someone else thats willing to work with me. Thanks! Andrea O. Lewis 347-563-3980

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From: "Neal, Scott" To: "Apa, James" <James.Apa@kingcounty.gov> "Bud Nicola" <bnicola@u.washington.edu> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> Date: 12/15/2010 4:13:00 PM Subject: RE: Fox & Friends Interview Request
I am very wary about the Fox & Friends interview as well. As for contacts for media to interview following the meeting, I tend to think that having a Board Member speak is best. Bud has been doing a great Job and I know Julia would as well. I'm happy to do it, but I think the message is stronger being delivered by the Board. Scott

From: Apa, James Sent: Wednesday, December 15, 2010 12:05 PM To: 'Bud Nicola'; Ross, Kathryn; Neal, Scott Cc: Wood, Maria Subject: RE: Fox & Friends Interview Request I will send her a message now, letting her know that well be in touch if we find someone whos available. Katie will on point on this for our team for the rest of the week, as Im hoping to take a few days off. Maria in conjunction with the press release that goes out tomorrow after the board acts, we should have a point spokesperson or spokespeople for media, both for after the meeting itself and any follow-ups by phone. Could you check with Julia on her preferences would she like to be point, continue to have Bud as point, or split duties? Also, Scott can be available for post-meeting interviews, too. And well get updated talking points to everyone.

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Wednesday, December 15, 2010 10:42 AM To: Apa, James Cc: Wood, Maria Subject: RE: Fox & Friends Interview Request James, Im not sure about the details at this point. Would you want me to refer her to you? Bud Bud Nicola bnicola@uw.edu

From: Apa, James [mailto:James.Apa@kingcounty.gov] Sent: Wednesday, December 15, 2010 8:35 AM To: Bud Nicola; Wood, Maria Subject: Re: Fox & Friends Interview Request

Hi, Bud. As a suggestion, you could tell her that you'll check and will let her know if we find someone. As for doing it, we could check with Julia, but I would continue to be wary about this show. Would it still be the 36am timeframe?
From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Wednesday, December 15, 2010 08:07 AM To: Apa, James; Wood, Maria Subject: FW: Fox & Friends Interview Request 8_19_2011

Page 2 Any thoughts about responses? Bud Nicola bnicola@uw.edu

From: Lewis, Andrea [mailto:andrea.lewis@FOXNEWS.COM] Sent: Wednesday, December 15, 2010 7:16 AM To: Bud Nicola Subject: Fox & Friends Interview Request Hi Mr. Nicola, I got your message about not wanting to be on the show. I appreciate you getting back to me. Just wondered if there might be anyone else on the board willing to speak about this proposal that you all are putting forth on ecigarettes. We are still looking to do a story on this for the weekend program so anyone who is willing to interview on Saturday or Sunday morning would be great. Please let me know if there might be someone else thats willing to work with me. Thanks! Andrea O. Lewis 347-563-3980

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From: "Apa, James" To: "Bud Nicola" <bnicola@u.washington.edu> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 12/15/2010 4:05:21 PM Subject: RE: Fox & Friends Interview Request
I will send her a message now, letting her know that well be in touch if we find someone whos available. Katie will on point on this for our team for the rest of the week, as Im hoping to take a few days off. Maria in conjunction with the press release that goes out tomorrow after the board acts, we should have a point spokesperson or spokespeople for media, both for after the meeting itself and any follow-ups by phone. Could you check with Julia on her preferences would she like to be point, continue to have Bud as point, or split duties? Also, Scott can be available for post-meeting interviews, too. And well get updated talking points to everyone.

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Wednesday, December 15, 2010 10:42 AM To: Apa, James Cc: Wood, Maria Subject: RE: Fox & Friends Interview Request James, Im not sure about the details at this point. Would you want me to refer her to you? Bud Bud Nicola bnicola@uw.edu

From: Apa, James [mailto:James.Apa@kingcounty.gov] Sent: Wednesday, December 15, 2010 8:35 AM To: Bud Nicola; Wood, Maria Subject: Re: Fox & Friends Interview Request

Hi, Bud. As a suggestion, you could tell her that you'll check and will let her know if we find someone. As for doing it, we could check with Julia, but I would continue to be wary about this show. Would it still be the 36am timeframe?
From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Wednesday, December 15, 2010 08:07 AM To: Apa, James; Wood, Maria Subject: FW: Fox & Friends Interview Request Any thoughts about responses? Bud Nicola bnicola@uw.edu

From: Lewis, Andrea [mailto:andrea.lewis@FOXNEWS.COM] Sent: Wednesday, December 15, 2010 7:16 AM To: Bud Nicola Subject: Fox & Friends Interview Request Hi Mr. Nicola, I got your message about not wanting to be on the show. I appreciate you getting back to me. Just wondered if there might be anyone else on the board willing to speak about this proposal that you all are putting forth on ecigarettes. We are still looking to do a story on this for the weekend program so anyone who is willing to interview on 8_19_2011

Page 2 Saturday or Sunday morning would be great. Please let me know if there might be someone else thats willing to work with me. Thanks! Andrea O. Lewis 347-563-3980

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From: "Bud Nicola" <bnicola@u.washington.edu> To: "Apa, James" <James.Apa@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 12/15/2010 4:20:17 PM Subject: RE: Fox & Friends Interview Request
James, Thanks for following up on this and getting me out of the Fox loop. Bud Bud Nicola bnicola@uw.edu

From: Apa, James [mailto:James.Apa@kingcounty.gov] Sent: Wednesday, December 15, 2010 12:05 PM To: Bud Nicola; Ross, Kathryn; Neal, Scott Cc: Wood, Maria Subject: RE: Fox & Friends Interview Request I will send her a message now, letting her know that well be in touch if we find someone whos available. Katie will on point on this for our team for the rest of the week, as Im hoping to take a few days off. Maria in conjunction with the press release that goes out tomorrow after the board acts, we should have a point spokesperson or spokespeople for media, both for after the meeting itself and any follow-ups by phone. Could you check with Julia on her preferences would she like to be point, continue to have Bud as point, or split duties? Also, Scott can be available for post-meeting interviews, too. And well get updated talking points to everyone.

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Wednesday, December 15, 2010 10:42 AM To: Apa, James Cc: Wood, Maria Subject: RE: Fox & Friends Interview Request James, Im not sure about the details at this point. Would you want me to refer her to you? Bud Bud Nicola bnicola@uw.edu

From: Apa, James [mailto:James.Apa@kingcounty.gov] Sent: Wednesday, December 15, 2010 8:35 AM To: Bud Nicola; Wood, Maria Subject: Re: Fox & Friends Interview Request

Hi, Bud. As a suggestion, you could tell her that you'll check and will let her know if we find someone. As for doing it, we could check with Julia, but I would continue to be wary about this show. Would it still be the 36am timeframe?
From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Wednesday, December 15, 2010 08:07 AM To: Apa, James; Wood, Maria Subject: FW: Fox & Friends Interview Request Any thoughts about responses? Bud Nicola bnicola@uw.edu 8_19_2011

Page 2 From: Lewis, Andrea [mailto:andrea.lewis@FOXNEWS.COM] Sent: Wednesday, December 15, 2010 7:16 AM To: Bud Nicola Subject: Fox & Friends Interview Request Hi Mr. Nicola, I got your message about not wanting to be on the show. I appreciate you getting back to me. Just wondered if there might be anyone else on the board willing to speak about this proposal that you all are putting forth on ecigarettes. We are still looking to do a story on this for the weekend program so anyone who is willing to interview on Saturday or Sunday morning would be great. Please let me know if there might be someone else thats willing to work with me. Thanks! Andrea O. Lewis 347-563-3980

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From: To: Date: Subject:

"Neal, Scott" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 12/15/2010 7:19:00 PM RE: Include in slides????

Well his story isn't that greatmostly that he agrees with a Casino floor manager that told his buddy to stop it because it would lead to other people smoking regular cigs. >_____________________________________________ >From: Pearson, Anne >Sent: Wednesday, December 15, 2010 3:15 PM >To: Neal, Scott >Subject: RE: Include in slides???? > >I wouldnt include it in the PPT, but when you show the slide that says PHSKC inspectors have observed. You can note that they are not the only people to have observed this phenomenon. In fact, on a blog for people who use e-cigs, one vapor said he agreed 100% with this theory, and can describe the nature of his comments. > > > >Anne Pearson, JD, MA >Public Health - Seattle & King County >401 5th Avenue, Suite 900 >Seattle, WA 98104 >(206) 263-9411 >anne.pearson@kingcounty.gov > >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, December 15, 2010 3:13 PM >To: Pearson, Anne >Subject: Include in slides???? > >Anne, > >So this is the post in the vapor forum that was referenced earlier today. I'm not exactly sure how to include this in the presentation at this point. Should we just have copies handy and if this become a contentious point made by vaperers (is that a word?) be able to refute their claims by adding this to the information we already have provided? > >Scott > >http://www.vapersforum.com/showpost.php?p=526406&postcount=7

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"Pearson, Anne" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/15/2010 7:18:48 PM RE: Include in slides????

I dont know.. he goes on to say and he was right. I read that to mean that something happened to prove up the theory Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov _____________________________________________ From: Neal, Scott Sent: Wednesday, December 15, 2010 3:18 PM To: Pearson, Anne Subject: RE: Include in slides???? Well his story isn't that greatmostly that he agrees with a Casino floor manager that told his buddy to stop it because it would lead to other people smoking regular cigs. _____________________________________________ From: Pearson, Anne Sent: Wednesday, December 15, 2010 3:15 PM To: Neal, Scott Subject: RE: Include in slides???? I wouldnt include it in the PPT, but when you show the slide that says PHSKC inspectors have observed. You can note that they are not the only people to have observed this phenomenon. In fact, on a blog for people who use e-cigs, one vapor said he agreed 100% with this theory, and can describe the nature of his comments.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov _____________________________________________ From: Neal, Scott Sent: Wednesday, December 15, 2010 3:13 PM To: Pearson, Anne Subject: Include in slides???? Anne,
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So this is the post in the vapor forum that was referenced earlier today. I'm not exactly sure how to include this in the presentation at this point. Should we just have copies handy and if this become a contentious point made by vaperers (is that a word?) be able to refute their claims by adding this to the information we already have provided? Scott http://www.vapersforum.com/showpost.php?p=526406&postcount=7

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From: To: Date: Subject: Hmm yeah maybe

"Neal, Scott" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 12/15/2010 7:21:00 PM RE: Include in slides????

>_____________________________________________ >From: Pearson, Anne >Sent: Wednesday, December 15, 2010 3:19 PM >To: Neal, Scott >Subject: RE: Include in slides???? > >I dont know.. he goes on to say and he was right. I read that to mean that something happened to prove up the theory > >Anne Pearson, JD, MA >Public Health - Seattle & King County >401 5th Avenue, Suite 900 >Seattle, WA 98104 >(206) 263-9411 >anne.pearson@kingcounty.gov > >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, December 15, 2010 3:18 PM >To: Pearson, Anne >Subject: RE: Include in slides???? > >Well his story isn't that greatmostly that he agrees with a Casino floor manager that told his buddy to stop it because it would lead to other people smoking regular cigs. > >_____________________________________________ >From: Pearson, Anne >Sent: Wednesday, December 15, 2010 3:15 PM >To: Neal, Scott >Subject: RE: Include in slides???? > >I wouldnt include it in the PPT, but when you show the slide that says PHSKC inspectors have observed. You can note that they are not the only people to have observed this phenomenon. In fact, on a blog for people who use e-cigs, one vapor said he agreed 100% with this theory, and can describe the nature of his comments. > > > >Anne Pearson, JD, MA >Public Health - Seattle & King County >401 5th Avenue, Suite 900 >Seattle, WA 98104 >(206) 263-9411 >anne.pearson@kingcounty.gov >
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>_____________________________________________ >From: Neal, Scott >Sent: Wednesday, December 15, 2010 3:13 PM >To: Pearson, Anne >Subject: Include in slides???? > >Anne, > >So this is the post in the vapor forum that was referenced earlier today. I'm not exactly sure how to include this in the presentation at this point. Should we just have copies handy and if this become a contentious point made by vaperers (is that a word?) be able to refute their claims by adding this to the information we already have provided? > >Scott > >http://www.vapersforum.com/showpost.php?p=526406&postcount=7

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From: To: Date: Subject:

"Pearson, Anne" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/15/2010 7:14:50 PM RE: Include in slides????

I wouldn't include it in the PPT, but when you show the slide that says "PHSKC inspectors have observed...." You can note that they are not the only people to have observed this phenomenon. In fact, on a blog for people who use e-cigs, one vapor said he agreed 100% with this theory, and can describe the nature of his comments.

Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov _____________________________________________ From: Neal, Scott Sent: Wednesday, December 15, 2010 3:13 PM To: Pearson, Anne Subject: Include in slides???? Anne, So this is the post in the vapor forum that was referenced earlier today. I'm not exactly sure how to include this in the presentation at this point. Should we just have copies handy and if this become a contentious point made by vaperers (is that a word?) be able to refute their claims by adding this to the information we already have provided? Scott http://www.vapersforum.com/showpost.php?p=526406&postcount=7

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From: To: Date: Subject:


thanks

"Neal, Scott" "Leon-Guerrero, Michael" <Michael.Leon-Guerrero@kingcounty.gov> 12/15/2010 2:20:00 PM RE: question elec.vapor cigarettes

From: Leon-Guerrero, Michael Sent: Wednesday, December 15, 2010 10:12 AM To: Neal, Scott Subject: FW: question elec.vapor cigarettes It is pure speculation on my part that he wants them banned - given that he is a bar owner and is requesting more no smoking signs, it would make sense that he feels the e-cigs undermine their attempt to appear smoke free. I'll check.

From: Bennett, John Sent: Tuesday, November 30, 2010 12:55 PM To: 'thecuffcomplex@aol.com' Cc: Leon-Guerrero, Michael; Hatzenbuehler, Eric Subject: RE: question elec.vapor cigarettes Hey Dan, Thanks for contacting the Tobacco Prevention Program with your questions concerning the use of electronic cigarettes in public places. The Tobacco Prevention Program strongly recommends that you not permit the use of these products on your property for the following reasons: #1. Permitting their use complicates enforcement of the state and county smoking bans. The Tobacco Prevention Program has learned from the experiences of business owners who had a person attempt to use an electronic cigarette in their establishment that permitting their use even for a short time tends to upset other customers who are often very vocal about demanding that the electronic cigarettes be put away. In addition, on some occasions customers actually began using traditional cigarettes under the mistaken assumption that it may be legal to do so or that the owner/management of the establishment was not enforcing the law. Many owners have made the decision not to allow electronic cigarettes simply to keep their customers from being upset and to reduce confusion about the law. #2. It is not legal to market, distribute, or receive E-Cigarettes in the United States. The Food and Drug Administration has determined that electronic cigarettes are unapproved drug delivery devices. They have also begun confiscating shipments of electronic cigarettes into the country. More information about the action the FDA has taken can be found online here: http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm225224.htm. I hope this information has been helpful. If you have any further questions or concerns, please feel free to contact John Bennett by email at john.bennett@kingcounty.gov or by phone at 206-263-8156. John Bennett Public Health- Seattle & King County 401 5th Ave, Suite 900 Seattle, WA 98104 (p) 206.263.8156 (f) 206.296.0177 Office Hours: Monday-Thursday 7:00am 5:30pm

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Page 2 From: Leon-Guerrero, Michael Sent: Monday, November 29, 2010 3:58 PM To: 'thecuffcomplex@aol.com' Cc: Bennett, John Subject: RE: question elec.vapor cigarettes Dan the signs have been sent out. John (CC'd here) will be sending you a response regarding the electronic cigarettes. Let us know if you have any further questions! Mike

From: thecuffcomplex@aol.com [mailto:thecuffcomplex@aol.com] Sent: Wednesday, November 24, 2010 10:23 PM To: Leon-Guerrero, Michael Subject: Re: question elec.vapor cigarettes Hey Mike, Thanks for getting back to me , and passing the question along. Oh yes please send me some No smoking signs we have a large area so if you could send 6 that would be great. The Cuff Attn.Dan 1122 E. Pike St. # 1123 Seattle 98122 Thanks Have a great Holiday Dan Daniels GM The Cuff 206-323-1525 Dan@cuffcomplex.com

-----Original Message----From: Leon-Guerrero, Michael <Michael.Leon-Guerrero@kingcounty.gov> To: 'thecuffcomplex@aol.com' <thecuffcomplex@aol.com> Sent: Wed, Nov 24, 2010 4:02 pm Subject: RE: question elec.vapor cigarettes Dan I have sent your request on, but do not have a formal answer. I do know that many business owners have simply said they are not allowed to avoid any confusion and alarm, because they DO look so much like a regular cigarette. I will get back to you early next week. Additionally, we can send out the state no smoking signs. How many do you need? Should I send them to the Cuff or do you have another address I should send them to? Thanks! Mike

From: thecuffcomplex@aol.com [mailto:thecuffcomplex@aol.com] Sent: Monday, November 22, 2010 2:28 PM To: Leon-Guerrero, Michael Subject: question elec.vapor cigarettes

Hello Michael, 8_19_2011

Page 3 I have a question on the use of Electronic Vapor Cigarettes. Is there any regulations on these and there use in no smoking areas ? any info would be help full . Also where can I get state endorsed no smoking sign age. Have a great Thanksgiving ! Thanks Dan Daniels GM The Cuff 206-323-1525 Dan@cuffcomplex.com

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From: To: Date: Subject:

"Leon-Guerrero, Michael" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/15/2010 7:15:48 PM FW: question elec.vapor cigarettes

Aha! A concerned business owner, confused about the content of an e-cigarette's smoke/vapor! They are NOT letting them be used in their facility!

From: thecuffcomplex@aol.com [mailto:thecuffcomplex@aol.com] Sent: Wednesday, December 15, 2010 2:26 PM To: Leon-Guerrero, Michael Subject: Re: question elec.vapor cigarettes Hey Mike, We have had a few guest that have had them in and out of the building. And of course when approached proclaim that they are not smoking.. But dose the vapor still release nicotine ? and Yes it can be confusing to other guest. I really don't know how they work or what they truly expel in to the air around them. We have taken the option to ask them not to be used in the facility. The Reason I was asking was to get info for my staff who were in question on what to do for I did not have the answer . Thanks Dan

-----Original Message----From: Leon-Guerrero, Michael <Michael.Leon-Guerrero@kingcounty.gov> To: 'thecuffcomplex@aol.com' <thecuffcomplex@aol.com> Sent: Wed, Dec 15, 2010 10:30 am Subject: FW: question elec.vapor cigarettes Dan - I'm just curious, was there an incident that lead to your inquiry about the e-cigarettes being used on your patio? The Board of Health will be looking at this issue more closely tomorrow. As a business owner, would it be beneficial if the E-cigarettes were specifically included in the ban on smoking in public places law? Thanks Mike

From: Bennett, John Sent: Tuesday, November 30, 2010 12:55 PM To: 'thecuffcomplex@aol.com' Cc: Leon-Guerrero, Michael; Hatzenbuehler, Eric Subject: RE: question elec.vapor cigarettes Hey Dan, Thanks for contacting the Tobacco Prevention Program with your questions concerning the use of electronic cigarettes in public places. The Tobacco Prevention Program strongly recommends that you not permit the use of these products on your property for the following reasons: #1. Permitting their use complicates enforcement of the state and county smoking bans. The Tobacco Prevention Program has learned from the experiences of business owners who had a person attempt to use an electronic cigarette in their establishment that permitting their use even for a short time tends to upset other customers who are often very vocal about demanding that the electronic cigarettes be put away. In addition, on some occasions 8_19_2011

Page 2 customers actually began using traditional cigarettes under the mistaken assumption that it may be legal to do so or that the owner/management of the establishment was not enforcing the law. Many owners have made the decision not to allow electronic cigarettes simply to keep their customers from being upset and to reduce confusion about the law. #2. It is not legal to market, distribute, or receive E-Cigarettes in the United States. The Food and Drug Administration has determined that electronic cigarettes are unapproved drug delivery devices. They have also begun confiscating shipments of electronic cigarettes into the country. More information about the action the FDA has taken can be found online here: http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm225224.htm. I hope this information has been helpful. If you have any further questions or concerns, please feel free to contact John Bennett by email at john.bennett@kingcounty.gov or by phone at 206-263-8156. John Bennett Public Health- Seattle & King County 401 5th Ave, Suite 900 Seattle, WA 98104 (p) 206.263.8156 (f) 206.296.0177 Office Hours: Monday-Thursday 7:00am 5:30pm

From: Leon-Guerrero, Michael Sent: Monday, November 29, 2010 3:58 PM To: 'thecuffcomplex@aol.com' Cc: Bennett, John Subject: RE: question elec.vapor cigarettes Dan the signs have been sent out. John (CC'd here) will be sending you a response regarding the electronic cigarettes. Let us know if you have any further questions! Mike

From: thecuffcomplex@aol.com [mailto:thecuffcomplex@aol.com] Sent: Wednesday, November 24, 2010 10:23 PM To: Leon-Guerrero, Michael Subject: Re: question elec.vapor cigarettes Hey Mike, Thanks for getting back to me , and passing the question along. Oh yes please send me some No smoking signs we have a large area so if you could send 6 that would be great. The Cuff Attn.Dan 1122 E. Pike St. # 1123 Seattle 98122 Thanks Have a great Holiday Dan Daniels GM The Cuff 206-323-1525 Dan@cuffcomplex.com

-----Original Message----From: Leon-Guerrero, Michael <Michael.Leon-Guerrero@kingcounty.gov> To: 'thecuffcomplex@aol.com' <thecuffcomplex@aol.com> Sent: Wed, Nov 24, 2010 4:02 pm Subject: RE: question elec.vapor cigarettes 8_19_2011

Page 3 Dan I have sent your request on, but do not have a formal answer. I do know that many business owners have simply said they are not allowed to avoid any confusion and alarm, because they DO look so much like a regular cigarette. I will get back to you early next week. Additionally, we can send out the state no smoking signs. How many do you need? Should I send them to the Cuff or do you have another address I should send them to? Thanks! Mike

From: thecuffcomplex@aol.com [mailto:thecuffcomplex@aol.com] Sent: Monday, November 22, 2010 2:28 PM To: Leon-Guerrero, Michael Subject: question elec.vapor cigarettes

Hello Michael, I have a question on the use of Electronic Vapor Cigarettes. Is there any regulations on these and there use in no smoking areas ? any info would be help full . Also where can I get state endorsed no smoking sign age. Have a great Thanksgiving ! Thanks Dan Daniels GM The Cuff 206-323-1525 Dan@cuffcomplex.com

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From: To: Date: Subject:

"Leon-Guerrero, Michael" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/15/2010 2:12:04 PM FW: question elec.vapor cigarettes

It is pure speculation on my part that he wants them banned - given that he is a bar owner and is requesting more no smoking signs, it would make sense that he feels the e-cigs undermine their attempt to appear smoke free. I'll check.

From: Bennett, John Sent: Tuesday, November 30, 2010 12:55 PM To: 'thecuffcomplex@aol.com' Cc: Leon-Guerrero, Michael; Hatzenbuehler, Eric Subject: RE: question elec.vapor cigarettes Hey Dan, Thanks for contacting the Tobacco Prevention Program with your questions concerning the use of electronic cigarettes in public places. The Tobacco Prevention Program strongly recommends that you not permit the use of these products on your property for the following reasons: #1. Permitting their use complicates enforcement of the state and county smoking bans. The Tobacco Prevention Program has learned from the experiences of business owners who had a person attempt to use an electronic cigarette in their establishment that permitting their use even for a short time tends to upset other customers who are often very vocal about demanding that the electronic cigarettes be put away. In addition, on some occasions customers actually began using traditional cigarettes under the mistaken assumption that it may be legal to do so or that the owner/management of the establishment was not enforcing the law. Many owners have made the decision not to allow electronic cigarettes simply to keep their customers from being upset and to reduce confusion about the law. #2. It is not legal to market, distribute, or receive E-Cigarettes in the United States. The Food and Drug Administration has determined that electronic cigarettes are unapproved drug delivery devices. They have also begun confiscating shipments of electronic cigarettes into the country. More information about the action the FDA has taken can be found online here: http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm225224.htm. I hope this information has been helpful. If you have any further questions or concerns, please feel free to contact John Bennett by email at john.bennett@kingcounty.gov or by phone at 206-263-8156. John Bennett Public Health- Seattle & King County 401 5th Ave, Suite 900 Seattle, WA 98104 (p) 206.263.8156 (f) 206.296.0177 Office Hours: Monday-Thursday 7:00am 5:30pm

From: Leon-Guerrero, Michael Sent: Monday, November 29, 2010 3:58 PM To: 'thecuffcomplex@aol.com' Cc: Bennett, John Subject: RE: question elec.vapor cigarettes Dan the signs have been sent out. 8_19_2011

Page 2 John (CC'd here) will be sending you a response regarding the electronic cigarettes. Let us know if you have any further questions! Mike

From: thecuffcomplex@aol.com [mailto:thecuffcomplex@aol.com] Sent: Wednesday, November 24, 2010 10:23 PM To: Leon-Guerrero, Michael Subject: Re: question elec.vapor cigarettes Hey Mike, Thanks for getting back to me , and passing the question along. Oh yes please send me some No smoking signs we have a large area so if you could send 6 that would be great. The Cuff Attn.Dan 1122 E. Pike St. # 1123 Seattle 98122 Thanks Have a great Holiday Dan Daniels GM The Cuff 206-323-1525 Dan@cuffcomplex.com

-----Original Message----From: Leon-Guerrero, Michael <Michael.Leon-Guerrero@kingcounty.gov> To: 'thecuffcomplex@aol.com' <thecuffcomplex@aol.com> Sent: Wed, Nov 24, 2010 4:02 pm Subject: RE: question elec.vapor cigarettes Dan I have sent your request on, but do not have a formal answer. I do know that many business owners have simply said they are not allowed to avoid any confusion and alarm, because they DO look so much like a regular cigarette. I will get back to you early next week. Additionally, we can send out the state no smoking signs. How many do you need? Should I send them to the Cuff or do you have another address I should send them to? Thanks! Mike

From: thecuffcomplex@aol.com [mailto:thecuffcomplex@aol.com] Sent: Monday, November 22, 2010 2:28 PM To: Leon-Guerrero, Michael Subject: question elec.vapor cigarettes

Hello Michael, I have a question on the use of Electronic Vapor Cigarettes. Is there any regulations on these and there use in no smoking areas ? any info would be help full . Also where can I get state endorsed no smoking sign age. Have a great Thanksgiving ! Thanks Dan Daniels GM 8_19_2011

Page 3 The Cuff 206-323-1525 Dan@cuffcomplex.com

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From: To: Date: Subject:


looks like this is at least helpful....

"Neal, Scott" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 12/15/2010 7:20:00 PM FW: question elec.vapor cigarettes

From: Leon-Guerrero, Michael Sent: Wednesday, December 15, 2010 3:16 PM To: Neal, Scott Subject: FW: question elec.vapor cigarettes Aha! A concerned business owner, confused about the content of an e-cigarette's smoke/vapor! They are NOT letting them be used in their facility!

From: thecuffcomplex@aol.com [mailto:thecuffcomplex@aol.com] Sent: Wednesday, December 15, 2010 2:26 PM To: Leon-Guerrero, Michael Subject: Re: question elec.vapor cigarettes Hey Mike, We have had a few guest that have had them in and out of the building. And of course when approached proclaim that they are not smoking.. But dose the vapor still release nicotine ? and Yes it can be confusing to other guest. I really don't know how they work or what they truly expel in to the air around them. We have taken the option to ask them not to be used in the facility. The Reason I was asking was to get info for my staff who were in question on what to do for I did not have the answer . Thanks Dan

-----Original Message----From: Leon-Guerrero, Michael <Michael.Leon-Guerrero@kingcounty.gov> To: 'thecuffcomplex@aol.com' <thecuffcomplex@aol.com> Sent: Wed, Dec 15, 2010 10:30 am Subject: FW: question elec.vapor cigarettes Dan - I'm just curious, was there an incident that lead to your inquiry about the e-cigarettes being used on your patio? The Board of Health will be looking at this issue more closely tomorrow. As a business owner, would it be beneficial if the E-cigarettes were specifically included in the ban on smoking in public places law? Thanks Mike

From: Bennett, John Sent: Tuesday, November 30, 2010 12:55 PM To: 'thecuffcomplex@aol.com' Cc: Leon-Guerrero, Michael; Hatzenbuehler, Eric Subject: RE: question elec.vapor cigarettes Hey Dan, 8_19_2011

Page 2 Thanks for contacting the Tobacco Prevention Program with your questions concerning the use of electronic cigarettes in public places. The Tobacco Prevention Program strongly recommends that you not permit the use of these products on your property for the following reasons: #1. Permitting their use complicates enforcement of the state and county smoking bans. The Tobacco Prevention Program has learned from the experiences of business owners who had a person attempt to use an electronic cigarette in their establishment that permitting their use even for a short time tends to upset other customers who are often very vocal about demanding that the electronic cigarettes be put away. In addition, on some occasions customers actually began using traditional cigarettes under the mistaken assumption that it may be legal to do so or that the owner/management of the establishment was not enforcing the law. Many owners have made the decision not to allow electronic cigarettes simply to keep their customers from being upset and to reduce confusion about the law. #2. It is not legal to market, distribute, or receive E-Cigarettes in the United States. The Food and Drug Administration has determined that electronic cigarettes are unapproved drug delivery devices. They have also begun confiscating shipments of electronic cigarettes into the country. More information about the action the FDA has taken can be found online here: http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm225224.htm. I hope this information has been helpful. If you have any further questions or concerns, please feel free to contact John Bennett by email at john.bennett@kingcounty.gov or by phone at 206-263-8156. John Bennett Public Health- Seattle & King County 401 5th Ave, Suite 900 Seattle, WA 98104 (p) 206.263.8156 (f) 206.296.0177 Office Hours: Monday-Thursday 7:00am 5:30pm

From: Leon-Guerrero, Michael Sent: Monday, November 29, 2010 3:58 PM To: 'thecuffcomplex@aol.com' Cc: Bennett, John Subject: RE: question elec.vapor cigarettes Dan the signs have been sent out. John (CC'd here) will be sending you a response regarding the electronic cigarettes. Let us know if you have any further questions! Mike

From: thecuffcomplex@aol.com [mailto:thecuffcomplex@aol.com] Sent: Wednesday, November 24, 2010 10:23 PM To: Leon-Guerrero, Michael Subject: Re: question elec.vapor cigarettes Hey Mike, Thanks for getting back to me , and passing the question along. Oh yes please send me some No smoking signs we have a large area so if you could send 6 that would be great. The Cuff Attn.Dan 1122 E. Pike St. # 1123 Seattle 98122 Thanks Have a great Holiday Dan Daniels GM The Cuff 206-323-1525 Dan@cuffcomplex.com 8_19_2011

Page 3

-----Original Message----From: Leon-Guerrero, Michael <Michael.Leon-Guerrero@kingcounty.gov> To: 'thecuffcomplex@aol.com' <thecuffcomplex@aol.com> Sent: Wed, Nov 24, 2010 4:02 pm Subject: RE: question elec.vapor cigarettes Dan I have sent your request on, but do not have a formal answer. I do know that many business owners have simply said they are not allowed to avoid any confusion and alarm, because they DO look so much like a regular cigarette. I will get back to you early next week. Additionally, we can send out the state no smoking signs. How many do you need? Should I send them to the Cuff or do you have another address I should send them to? Thanks! Mike

From: thecuffcomplex@aol.com [mailto:thecuffcomplex@aol.com] Sent: Monday, November 22, 2010 2:28 PM To: Leon-Guerrero, Michael Subject: question elec.vapor cigarettes

Hello Michael, I have a question on the use of Electronic Vapor Cigarettes. Is there any regulations on these and there use in no smoking areas ? any info would be help full . Also where can I get state endorsed no smoking sign age. Have a great Thanksgiving ! Thanks Dan Daniels GM The Cuff 206-323-1525 Dan@cuffcomplex.com

8_19_2011

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From: To: Date: Subject:

"Wood, Maria" "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> 12/15/2010 1:37:00 PM RE:

Thanks for the info. Hope you feel better soon. We'll follow up with Jane as needed today in prep for tomorrow. Maria

From: Johnson, Gareth Sent: Wednesday, December 15, 2010 9:36 AM To: Wood, Maria Cc: Neal, Scott; Pearson, Anne Subject: Re:

I didn't hear back from her and I'm home sick today.

From: Wood, Maria Sent: Wednesday, December 15, 2010 09:30 AM To: Johnson, Gareth Cc: Neal, Scott; Pearson, Anne Subject: RE:

Did you hear back from Jane? Are there plans to try to connect with her today? Thanks, Maria

_____________________________________________ From: Johnson, Gareth Sent: Tuesday, December 14, 2010 1:26 PM To: McKenzie, Jane

Cc: Wood, Maria; Neal, Scott Subject: Importance: High

Jane, with this rationale, as a basis for the prohibition on use of E-cigs in public places/places of employment, would you agree that we have a reasonable basis for this action? (please excuse the formatting) gary Following an extensive literature review, the Institute of Medicine1 found that smokefree air laws: protect nonsmokers from the health effects and the noxious odors of secondhand smoke; help smokers quit, cut down on their smoking, and avoid relapses; and reinforce a nonsmoking social norm by altering the perceived social acceptability of smoking . Public E-Cigarette Use Undermines Smoking in Public Places Law People who use e-cigarettes in public appear to be smoking traditional cigarettes. As witnessed by PHSKC inspectors, some people who observe public e-cigarette use conclude that they are in a location where smoking is permitted, prompting them to light and smoke traditional tobacco products. As public e-cigarette use becomes more widespread, tobacco use in public will likely increase.
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Health Consequences of Smoking in Public Places As affirmed in a recent report by the Surgeon General1 there is no risk-free level of secondhand smoke; even low levels of exposure to secondhand tobacco smoke lead to a rapid and sharp increase in endothelial dysfunction and inflammation which are implicated in acute cardiovascular events and thrombosis. Therefore, any tobacco use which is precipitated by use of e-cigarettes in public presents a threat to the public health. 1. 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. Social Norming Consequences of Smoking in Public Places Smokefree air laws change social norms for tobacco use.1 The more visible smoking is, the more it is perceived by adolescents as socially acceptable and normal.2 Youth living in towns with smoke-free restaurant laws that completely banned smoking had lower rates of progression to smoking than those youth living in towns with weaker or no laws.3 Clean indoor air laws that include social venues such as restaurants may have indirect influences on youth smoking through substantially influencing the pattern of adult smoking in a community.1 By returning smoking to the public eye, public e-cigarette use threatens to undermine the social norming impact of Smoking in Public Places law. Wakefield, M., & Forster, J. (January 01, 2005). Growing evidence for new benefit of clean indoor air laws: reduced adolescent smoking. Tobacco Control, 14, 5, 292. Alesci, N. L., Forster, J. L., & Blaine, T. (January 01, 2003). Smoking visibility, perceived acceptability, and frequency in various locations among youth and adults.Preventive Medicine, 36, 3, 272-81. Siegel M, Albers AB, Cheng DM, et al. Effect of local restaurant smoking regulations on progression to established smoking among youths. Tobacco Control 2005;14:3006.

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From: To: Date: Subject:

"Wood, Maria" "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> 12/15/2010 1:30:45 PM RE:

Did you hear back from Jane? Are there plans to try to connect with her today? Thanks, Maria

>_____________________________________________ >From: Johnson, Gareth >Sent: Tuesday, December 14, 2010 1:26 PM >To: McKenzie, Jane >Cc: Wood, Maria; Neal, Scott >Subject: >Importance: High > >Jane, with this rationale, as a basis for the prohibition on use of E-cigs in public places/places of employment, would you agree that we have a reasonable basis for this action? (please excuse the formatting) > >gary > >* Following an extensive literature review, the Institute of Medicine1 found that smokefree air laws: >* protect nonsmokers from the health effects and the noxious odors of secondhand smoke; >* help smokers quit, cut down on their smoking, and avoid relapses; and >* reinforce a nonsmoking social norm by altering the perceived social acceptability of smoking . >Public E-Cigarette Use Undermines Smoking in Public Places Law >* People who use e-cigarettes in public appear to be smoking traditional cigarettes. >* As witnessed by PHSKC inspectors, some people who observe public e-cigarette use conclude that they are in a location where smoking is permitted, prompting them to light and smoke traditional tobacco products. >* As public e-cigarette use becomes more widespread, tobacco use in public will likely increase. >Health Consequences of Smoking in Public Places >* As affirmed in a recent report by the Surgeon General1 >* there is no risk-free level of secondhand smoke; >* even low levels of exposure to secondhand tobacco smoke lead to a rapid and sharp increase in endothelial dysfunction and inflammation which are implicated in acute cardiovascular events and thrombosis. >* Therefore, any tobacco use which is precipitated by use of e-cigarettes in public presents a threat to the public health. >1. 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. >Social Norming Consequences of Smoking in Public Places >* Smokefree air laws change social norms for tobacco use.1 >* The more visible smoking is, the more it is perceived by adolescents as socially acceptable and normal.2 >* Youth living in towns with smoke-free restaurant laws that completely banned smoking had lower rates of progression to smoking than those youth living in towns with weaker or no laws.3 >* Clean indoor air laws that include social venues such as restaurants may have indirect influences on youth smoking through substantially influencing the pattern of adult smoking in a community.1
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>* By returning smoking to the public eye, public e-cigarette use threatens to undermine the social norming impact of Smoking in Public Places law. >* Wakefield, M., & Forster, J. (January 01, 2005). Growing evidence for new benefit of clean indoor air laws: reduced adolescent smoking. Tobacco Control, 14, 5, 292. >* Alesci, N. L., Forster, J. L., & Blaine, T. (January 01, 2003). Smoking visibility, perceived acceptability, and frequency in various locations among youth and adults.Preventive Medicine, 36, 3, 272-81. >* Siegel M, Albers AB, Cheng DM, et al. Effect of local restaurant smoking regulations on progression to established smoking among youths. Tobacco Control 2005;14:3006. >

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From: "Neal, Scott" To: "Wood, Maria" <Maria.Wood@kingcounty.gov> "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> Date: 12/15/2010 2:15:00 PM Subject: RE:
Maria, Let me know what our next step is on this. I think we need to get at least an idea from Jane about this before tomorrow. Scott

From: Wood, Maria Sent: Wednesday, December 15, 2010 9:37 AM To: Johnson, Gareth Cc: Neal, Scott; Pearson, Anne Subject: RE: Thanks for the info. Hope you feel better soon. We'll follow up with Jane as needed today in prep for tomorrow. Maria

From: Johnson, Gareth Sent: Wednesday, December 15, 2010 9:36 AM To: Wood, Maria Cc: Neal, Scott; Pearson, Anne Subject: Re:

I didn't hear back from her and I'm home sick today.

From: Wood, Maria Sent: Wednesday, December 15, 2010 09:30 AM To: Johnson, Gareth Cc: Neal, Scott; Pearson, Anne Subject: RE:

Did you hear back from Jane? Are there plans to try to connect with her today? Thanks, Maria

_____________________________________________ From: Johnson, Gareth Sent: Tuesday, December 14, 2010 1:26 PM To: McKenzie, Jane

Cc: Wood, Maria; Neal, Scott Subject: Importance: High

Jane, with this rationale, as a basis for the prohibition on use of E-cigs in public places/places of employment, would you agree that we have a reasonable basis for this action? (please excuse the formatting)
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gary Following an extensive literature review, the Institute of Medicine1 found that smokefree air laws: protect nonsmokers from the health effects and the noxious odors of secondhand smoke; help smokers quit, cut down on their smoking, and avoid relapses; and reinforce a nonsmoking social norm by altering the perceived social acceptability of smoking . Public E-Cigarette Use Undermines Smoking in Public Places Law People who use e-cigarettes in public appear to be smoking traditional cigarettes. As witnessed by PHSKC inspectors, some people who observe public e-cigarette use conclude that they are in a location where smoking is permitted, prompting them to light and smoke traditional tobacco products. As public e-cigarette use becomes more widespread, tobacco use in public will likely increase. Health Consequences of Smoking in Public Places As affirmed in a recent report by the Surgeon General1 there is no risk-free level of secondhand smoke; even low levels of exposure to secondhand tobacco smoke lead to a rapid and sharp increase in endothelial dysfunction and inflammation which are implicated in acute cardiovascular events and thrombosis. Therefore, any tobacco use which is precipitated by use of e-cigarettes in public presents a threat to the public health. 1. 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. Social Norming Consequences of Smoking in Public Places Smokefree air laws change social norms for tobacco use.1 The more visible smoking is, the more it is perceived by adolescents as socially acceptable and normal.2 Youth living in towns with smoke-free restaurant laws that completely banned smoking had lower rates of progression to smoking than those youth living in towns with weaker or no laws.3 Clean indoor air laws that include social venues such as restaurants may have indirect influences on youth smoking through substantially influencing the pattern of adult smoking in a community.1 By returning smoking to the public eye, public e-cigarette use threatens to undermine the social norming impact of Smoking in Public Places law. Wakefield, M., & Forster, J. (January 01, 2005). Growing evidence for new benefit of clean indoor air laws: reduced adolescent smoking. Tobacco Control, 14, 5, 292. Alesci, N. L., Forster, J. L., & Blaine, T. (January 01, 2003). Smoking visibility, perceived acceptability, and frequency in various locations among youth and adults.Preventive Medicine, 36, 3, 272-81. Siegel M, Albers AB, Cheng DM, et al. Effect of local restaurant smoking regulations on progression to established smoking among youths. Tobacco Control 2005;14:3006.

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From: To: Date: Subject:

"Johnson, Gareth" "Wood, Maria" <Maria.Wood@kingcounty.gov> 12/15/2010 1:36:17 PM Re:

I didn't hear back from her and I'm home sick today.

From: Wood, Maria Sent: Wednesday, December 15, 2010 09:30 AM To: Johnson, Gareth Cc: Neal, Scott; Pearson, Anne Subject: RE:

Did you hear back from Jane? Are there plans to try to connect with her today? Thanks, Maria

_____________________________________________ From: Johnson, Gareth Sent: Tuesday, December 14, 2010 1:26 PM To: McKenzie, Jane

Cc: Wood, Maria; Neal, Scott Subject: Importance: High

Jane, with this rationale, as a basis for the prohibition on use of E-cigs in public places/places of employment, would you agree that we have a reasonable basis for this action? (please excuse the formatting) gary Following an extensive literature review, the Institute of Medicine1 found that smokefree air laws: protect nonsmokers from the health effects and the noxious odors of secondhand smoke; help smokers quit, cut down on their smoking, and avoid relapses; and reinforce a nonsmoking social norm by altering the perceived social acceptability of smoking . Public E-Cigarette Use Undermines Smoking in Public Places Law People who use e-cigarettes in public appear to be smoking traditional cigarettes. As witnessed by PHSKC inspectors, some people who observe public e-cigarette use conclude that they are in a location where smoking is permitted, prompting them to light and smoke traditional tobacco products. As public e-cigarette use becomes more widespread, tobacco use in public will likely increase. Health Consequences of Smoking in Public Places As affirmed in a recent report by the Surgeon General1 there is no risk-free level of secondhand smoke; even low levels of exposure to secondhand tobacco smoke lead to a rapid and sharp increase in endothelial dysfunction and inflammation which are implicated in acute cardiovascular events and thrombosis. Therefore, any tobacco use which is precipitated by use of e-cigarettes in public presents a threat to the public health.
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1. 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. Social Norming Consequences of Smoking in Public Places Smokefree air laws change social norms for tobacco use.1 The more visible smoking is, the more it is perceived by adolescents as socially acceptable and normal.2 Youth living in towns with smoke-free restaurant laws that completely banned smoking had lower rates of progression to smoking than those youth living in towns with weaker or no laws.3 Clean indoor air laws that include social venues such as restaurants may have indirect influences on youth smoking through substantially influencing the pattern of adult smoking in a community.1 By returning smoking to the public eye, public e-cigarette use threatens to undermine the social norming impact of Smoking in Public Places law. Wakefield, M., & Forster, J. (January 01, 2005). Growing evidence for new benefit of clean indoor air laws: reduced adolescent smoking. Tobacco Control, 14, 5, 292. Alesci, N. L., Forster, J. L., & Blaine, T. (January 01, 2003). Smoking visibility, perceived acceptability, and frequency in various locations among youth and adults.Preventive Medicine, 36, 3, 272-81. Siegel M, Albers AB, Cheng DM, et al. Effect of local restaurant smoking regulations on progression to established smoking among youths. Tobacco Control 2005;14:3006.

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From: To: Date: Subject: Attachments:

"Neal, Scott" "Bennett, John" <John.Bennett@kingcounty.gov> 12/15/2010 7:51:00 PM FW: Tough Questions E Cig Tough Q jmh.doc

>______________________________________________ >From: Hamilton, Joy >Sent: Tuesday, December 14, 2010 3:13 PM >To: Ross, Kathryn >Cc: Apa, James; Neal, Scott >Subject: RE: Tough Questions > >Here's some edits/updates. The nanny state is always so hard to answer so it may need some more work. > >I'm working on the press release draft next -> >Joy > >_____________________________________________ >From: Ross, Kathryn >Sent: Tuesday, December 14, 2010 10:28 AM >To: Hamilton, Joy >Cc: Apa, James >Subject: Tough Questions > > << File: E Cig Tough Q.doc >> > >Hi Joy, > >Here's a draft Tough Questions doc for e-cigarettes. Thanks for your help! > >Katie

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From: "Pearson, Anne" To: "Wood, Maria" <Maria.Wood@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 12/15/2010 3:37:52 PM Subject: RE: Video for tomorrow I think the video is perfect and really adds to that portion of our rationale which is that e-cig use and regular cig use are indistinguishable. _____________________________________________ From: Wood, Maria Sent: Wednesday, December 15, 2010 11:36 AM To: Neal, Scott Cc: Hamilton, Joy; Pearson, Anne Subject: RE: Video for tomorrow Still need to vet with Fleming so please hold off on adding until confirmed. Also, haven't heard back from Wendy on her review ppt, will bug her now. _____________________________________________ From: Neal, Scott Sent: Wednesday, December 15, 2010 11:35 AM To: Wood, Maria Cc: Hamilton, Joy; Pearson, Anne Subject: RE: Video for tomorrow Are we ok with adding this? I would add it to slide #16 that shows e-cig marketing saying "you cannot tell the difference." _____________________________________________ From: Wood, Maria Sent: Wednesday, December 15, 2010 11:33 AM To: Neal, Scott Cc: Hamilton, Joy; Pearson, Anne Subject: RE: Video for tomorrow I agree this is the best options, no advertising and side by side. _____________________________________________ From: Neal, Scott Sent: Wednesday, December 15, 2010 11:19 AM To: Wood, Maria; Hamilton, Joy Cc: Pearson, Anne Subject: RE: Video for tomorrow We also found this one that get to more of our objective to show vapingcompared to smoking http://www.youtube.com/watch?v=rFMa4nMg3pQ&feature=related I actually recommend this one probably over the other advertising video.
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_____________________________________________ From: Wood, Maria Sent: Wednesday, December 15, 2010 11:14 AM To: Hamilton, Joy Cc: Pearson, Anne; Neal, Scott Subject: RE: Video for tomorrow Let me run this by Dr. Fleming - I think there are pros and cons, but I'll get his take on it. I likely won't have a chance to talk with him until later this afternoon, and I'll get back to you. Thanks, Maria

_____________________________________________ From: Hamilton, Joy Sent: Wednesday, December 15, 2010 10:40 AM To: Wood, Maria Cc: Pearson, Anne; Neal, Scott Subject: Video for tomorrow Maria, We are considering showing a video tomorrow as part of the e-cig presentation. The primary objective is to show people what it looks like when someone uses these products. This is a promotional video showing a product that we've purchased from a local 7/11 store. What do you think? Give me a call and we can talk about this more. http://www.youtube.com/watch?v=PgzwXkjNY9I

Joy

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From: To: Date: Subject:

"Neal, Scott" "Wood, Maria" <Maria.Wood@kingcounty.gov> 12/15/2010 3:37:00 PM RE: Video for tomorrow

Are we ok with adding this? I would add it to slide #16 that shows e-cig marketing saying "you cannot tell the difference." >_____________________________________________ >From: Wood, Maria >Sent: Wednesday, December 15, 2010 11:33 AM >To: Neal, Scott >Cc: Hamilton, Joy; Pearson, Anne >Subject: RE: Video for tomorrow > >I agree this is the best options, no advertising and side by side. > >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, December 15, 2010 11:19 AM >To: Wood, Maria; Hamilton, Joy >Cc: Pearson, Anne >Subject: RE: Video for tomorrow > >We also found this one that get to more of our objective to show vapingcompared to smoking > >http://www.youtube.com/watch?v=rFMa4nMg3pQ&feature=related > >I actually recommend this one probably over the other advertising video. > >_____________________________________________ >From: Wood, Maria >Sent: Wednesday, December 15, 2010 11:14 AM >To: Hamilton, Joy >Cc: Pearson, Anne; Neal, Scott >Subject: RE: Video for tomorrow > >Let me run this by Dr. Fleming - I think there are pros and cons, but I'll get his take on it. I likely won't have a chance to talk with him until later this afternoon, and I'll get back to you. > >Thanks, >Maria > > >_____________________________________________ >From: Hamilton, Joy >Sent: Wednesday, December 15, 2010 10:40 AM >To: Wood, Maria >Cc: Pearson, Anne; Neal, Scott >Subject: Video for tomorrow >
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>Maria, >We are considering showing a video tomorrow as part of the e-cig presentation. The primary objective is to show people what it looks like when someone uses these products. This is a promotional video showing a product that we've purchased from a local 7/11 store. > >What do you think? Give me a call and we can talk about this more. > >http://www.youtube.com/watch?v=PgzwXkjNY9I > > >Joy

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From: To: Date: Subject:

"Wood, Maria" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/15/2010 3:36:08 PM RE: Video for tomorrow

Still need to vet with Fleming so please hold off on adding until confirmed. Also, haven't heard back from Wendy on her review ppt, will bug her now. >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, December 15, 2010 11:35 AM >To: Wood, Maria >Cc: Hamilton, Joy; Pearson, Anne >Subject: RE: Video for tomorrow > >Are we ok with adding this? I would add it to slide #16 that shows e-cig marketing saying "you cannot tell the difference." > >_____________________________________________ >From: Wood, Maria >Sent: Wednesday, December 15, 2010 11:33 AM >To: Neal, Scott >Cc: Hamilton, Joy; Pearson, Anne >Subject: RE: Video for tomorrow > >I agree this is the best options, no advertising and side by side. > >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, December 15, 2010 11:19 AM >To: Wood, Maria; Hamilton, Joy >Cc: Pearson, Anne >Subject: RE: Video for tomorrow > >We also found this one that get to more of our objective to show vapingcompared to smoking > >http://www.youtube.com/watch?v=rFMa4nMg3pQ&feature=related > >I actually recommend this one probably over the other advertising video. > >_____________________________________________ >From: Wood, Maria >Sent: Wednesday, December 15, 2010 11:14 AM >To: Hamilton, Joy >Cc: Pearson, Anne; Neal, Scott >Subject: RE: Video for tomorrow > >Let me run this by Dr. Fleming - I think there are pros and cons, but I'll get his take on it. I likely won't have a chance to talk with him until later this afternoon, and I'll get back to you. > >Thanks,
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>Maria > > >_____________________________________________ >From: Hamilton, Joy >Sent: Wednesday, December 15, 2010 10:40 AM >To: Wood, Maria >Cc: Pearson, Anne; Neal, Scott >Subject: Video for tomorrow > >Maria, >We are considering showing a video tomorrow as part of the e-cig presentation. The primary objective is to show people what it looks like when someone uses these products. This is a promotional video showing a product that we've purchased from a local 7/11 store. > >What do you think? Give me a call and we can talk about this more. > >http://www.youtube.com/watch?v=PgzwXkjNY9I > > >Joy

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From: "Neal, Scott" To: "Wood, Maria" <Maria.Wood@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 12/15/2010 3:21:00 PM Subject: RE: Video for tomorrow We also found this one that get to more of our objective to show vapingcompared to smoking http://www.youtube.com/watch?v=rFMa4nMg3pQ&feature=related I actually recommend this one probably over the other advertising video. >_____________________________________________ >From: Wood, Maria >Sent: Wednesday, December 15, 2010 11:14 AM >To: Hamilton, Joy >Cc: Pearson, Anne; Neal, Scott >Subject: RE: Video for tomorrow > >Let me run this by Dr. Fleming - I think there are pros and cons, but I'll get his take on it. I likely won't have a chance to talk with him until later this afternoon, and I'll get back to you. > >Thanks, >Maria > > >_____________________________________________ >From: Hamilton, Joy >Sent: Wednesday, December 15, 2010 10:40 AM >To: Wood, Maria >Cc: Pearson, Anne; Neal, Scott >Subject: Video for tomorrow > >Maria, >We are considering showing a video tomorrow as part of the e-cig presentation. The primary objective is to show people what it looks like when someone uses these products. This is a promotional video showing a product that we've purchased from a local 7/11 store. > >What do you think? Give me a call and we can talk about this more. > >http://www.youtube.com/watch?v=PgzwXkjNY9I > > >Joy

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From: "Wood, Maria" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 12/15/2010 3:40:47 PM Subject: RE: Video for tomorrow I'll present it that way and see what he says. >_____________________________________________ >From: Pearson, Anne >Sent: Wednesday, December 15, 2010 11:38 AM >To: Wood, Maria; Neal, Scott >Cc: Hamilton, Joy >Subject: RE: Video for tomorrow > >I think the video is perfect and really adds to that portion of our rationale which is that e-cig use and regular cig use are indistinguishable. > >_____________________________________________ >From: Wood, Maria >Sent: Wednesday, December 15, 2010 11:36 AM >To: Neal, Scott >Cc: Hamilton, Joy; Pearson, Anne >Subject: RE: Video for tomorrow > >Still need to vet with Fleming so please hold off on adding until confirmed. Also, haven't heard back from Wendy on her review ppt, will bug her now. > >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, December 15, 2010 11:35 AM >To: Wood, Maria >Cc: Hamilton, Joy; Pearson, Anne >Subject: RE: Video for tomorrow > >Are we ok with adding this? I would add it to slide #16 that shows e-cig marketing saying "you cannot tell the difference." > >_____________________________________________ >From: Wood, Maria >Sent: Wednesday, December 15, 2010 11:33 AM >To: Neal, Scott >Cc: Hamilton, Joy; Pearson, Anne >Subject: RE: Video for tomorrow > >I agree this is the best options, no advertising and side by side. > >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, December 15, 2010 11:19 AM >To: Wood, Maria; Hamilton, Joy
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>Cc: Pearson, Anne >Subject: RE: Video for tomorrow > >We also found this one that get to more of our objective to show vapingcompared to smoking > >http://www.youtube.com/watch?v=rFMa4nMg3pQ&feature=related > >I actually recommend this one probably over the other advertising video. > >_____________________________________________ >From: Wood, Maria >Sent: Wednesday, December 15, 2010 11:14 AM >To: Hamilton, Joy >Cc: Pearson, Anne; Neal, Scott >Subject: RE: Video for tomorrow > >Let me run this by Dr. Fleming - I think there are pros and cons, but I'll get his take on it. I likely won't have a chance to talk with him until later this afternoon, and I'll get back to you. > >Thanks, >Maria > > >_____________________________________________ >From: Hamilton, Joy >Sent: Wednesday, December 15, 2010 10:40 AM >To: Wood, Maria >Cc: Pearson, Anne; Neal, Scott >Subject: Video for tomorrow > >Maria, >We are considering showing a video tomorrow as part of the e-cig presentation. The primary objective is to show people what it looks like when someone uses these products. This is a promotional video showing a product that we've purchased from a local 7/11 store. > >What do you think? Give me a call and we can talk about this more. > >http://www.youtube.com/watch?v=PgzwXkjNY9I > > >Joy

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From: To: Date: Subject:

"Wood, Maria" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/15/2010 3:14:13 PM RE: Video for tomorrow

Let me run this by Dr. Fleming - I think there are pros and cons, but I'll get his take on it. I likely won't have a chance to talk with him until later this afternoon, and I'll get back to you. Thanks, Maria

> _____________________________________________ > From: Hamilton, Joy > Sent: Wednesday, December 15, 2010 10:40 AM > To: Wood, Maria > Cc: Pearson, Anne; Neal, Scott > Subject: Video for tomorrow > > Maria, > We are considering showing a video tomorrow as part of the e-cig presentation. The primary objective is to show people what it looks like when someone uses these products. This is a promotional video showing a product that we've purchased from a local 7/11 store. > > What do you think? Give me a call and we can talk about this more. > > http://www.youtube.com/watch?v=PgzwXkjNY9I > > > Joy

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From: To: Date: Subject:

"Wood, Maria" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/15/2010 3:32:52 PM RE: Video for tomorrow

I agree this is the best options, no advertising and side by side. > _____________________________________________ > From: Neal, Scott > Sent: Wednesday, December 15, 2010 11:19 AM > To: Wood, Maria; Hamilton, Joy > Cc: Pearson, Anne > Subject: RE: Video for tomorrow > > We also found this one that get to more of our objective to show vaping> ...> compared to smoking> ...> > > http://www.youtube.com/watch?v=rFMa4nMg3pQ&feature=related > > I actually recommend this one probably over the other advertising video. > > _____________________________________________ > From: Wood, Maria > Sent: Wednesday, December 15, 2010 11:14 AM > To: Hamilton, Joy > Cc: Pearson, Anne; Neal, Scott > Subject: RE: Video for tomorrow > > Let me run this by Dr. Fleming - I think there are pros and cons, but I'll get his take on it. I likely won't have a chance to talk with him until later this afternoon, and I'll get back to you. > > Thanks, > Maria > > > _____________________________________________ > From: Hamilton, Joy > Sent: Wednesday, December 15, 2010 10:40 AM > To: Wood, Maria > Cc: Pearson, Anne; Neal, Scott > Subject: Video for tomorrow > > Maria, > We are considering showing a video tomorrow as part of the e-cig presentation. The primary objective is to show people what it looks like when someone uses these products. This is a promotional video showing a product that we've purchased from a local 7/11 store. > > What do you think? Give me a call and we can talk about this more. > > http://www.youtube.com/watch?v=PgzwXkjNY9I > >
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> Joy

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From: To: Date: Subject:

"Hamilton, Joy" "Wood, Maria" <Maria.Wood@kingcounty.gov> 12/15/2010 2:40:07 PM Video for tomorrow

Maria, We are considering showing a video tomorrow as part of the e-cig presentation. The primary objective is to show people what it looks like when someone uses these products. This is a promotional video showing a product that we've purchased from a local 7/11 store. What do you think? Give me a call and we can talk about this more. http://www.youtube.com/watch?v=PgzwXkjNY9I

Joy

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From: To: Date: Subject: Hi Scott,

"Ross, Kathryn" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/16/2010 4:42:42 PM BBC - back to you

Well, Bud punted the BBC interview back to you. Do you have time to speak with them? Here's the info from Hilary: BBC World Service wants to do a short interview with us re: e-cigs. Scott can you catch him? International call 0044-207-557-0104. Producers name is Megha Mohan (not Meghan). Its 8 p.m. They will be interviewing a person who likes e-cigs, so Scott will have to acknowledge that some folks find it helpful (possibly). You know the messages well - it's all about protecting kids. But please let me know if I can help prep you at all. I think it would be best to call sooner rather than later given the timing. Thanks! Katie

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From: To: Date: Subject:

"Ross, Kathryn" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/16/2010 8:11:59 PM RE: BBC - back to you

Oh no! I'm sorry to hear that. Thank you for trying. I spoke with Sharon in Julia Patterson's office and she's available off-and-on tomorrow to do media as needed. I'll try to direct everything her way. Thanks - and great job today! Katie

>_____________________________________________ >From: Neal, Scott >Sent: Thursday, December 16, 2010 4:04 PM >To: Ross, Kathryn >Cc: Johnson, Gareth; Krieger, James; Allis, Donna; Apa, James; 'Bud Nicola' >Subject: RE: BBC - back to you > >Hi Katie, > >I just called and spoke with someone at this number and I explained that the meeting happened today and that the board passed the proposed regulations, explaining that this was NOT a ban on e-cigs, but was a restriction for the sale to adults only, that it prohibited providing free samples, and prohibited the use in public places and places of employment. I then finished by explaining that all of these regulations now simply mimic what has already been in place for a number of years for tobacco products. > >After that he checked with his editor and they thanked me for calling back and said that they did not need me for the interview. > >Scott > >_____________________________________________ >From: Ross, Kathryn >Sent: Thursday, December 16, 2010 12:43 PM >To: Neal, Scott >Subject: BBC - back to you > >Hi Scott, > >Well, Bud punted the BBC interview back to you. Do you have time to speak with them? Here's the info from Hilary: > >BBC World Service wants to do a short interview with us re: e-cigs. Scott can you catch him? International call 0044-207-557-0104. >Producers name is Megha Mohan (not Meghan). Its 8 p.m. They will be interviewing a person who likes e-cigs, so Scott will have to acknowledge that some folks find it helpful (possibly).
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> >You know the messages well - it's all about protecting kids. But please let me know if I can help prep you at all. I think it would be best to call sooner rather than later given the timing. > >Thanks! > >Katie

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From: To: Date: Subject:

"Neal, Scott" "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> 12/16/2010 7:42:00 PM RE: BBC - back to you

I think I figured it outI'll let you know if this doesn't work >_____________________________________________ >From: Ross, Kathryn >Sent: Thursday, December 16, 2010 3:40 PM >To: Neal, Scott >Subject: RE: BBC - back to you > >Me neither! Let me ask around. > >_____________________________________________ >From: Neal, Scott >Sent: Thursday, December 16, 2010 3:37 PM >To: Ross, Kathryn >Subject: RE: BBC - back to you > >I don't know how to make an international callit doesnt' seem to work for my phone! > >_____________________________________________ >From: Ross, Kathryn >Sent: Thursday, December 16, 2010 12:43 PM >To: Neal, Scott >Subject: BBC - back to you > >Hi Scott, > >Well, Bud punted the BBC interview back to you. Do you have time to speak with them? Here's the info from Hilary: > >BBC World Service wants to do a short interview with us re: e-cigs. Scott can you catch him? International call 0044-207-557-0104. >Producers name is Megha Mohan (not Meghan). Its 8 p.m. They will be interviewing a person who likes e-cigs, so Scott will have to acknowledge that some folks find it helpful (possibly). > >You know the messages well - it's all about protecting kids. But please let me know if I can help prep you at all. I think it would be best to call sooner rather than later given the timing. > >Thanks! > >Katie

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From: To: Date: Subject: Me neither! Let me ask around.

"Ross, Kathryn" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/16/2010 7:40:24 PM RE: BBC - back to you

>_____________________________________________ >From: Neal, Scott >Sent: Thursday, December 16, 2010 3:37 PM >To: Ross, Kathryn >Subject: RE: BBC - back to you > >I don't know how to make an international callit doesnt' seem to work for my phone! > >_____________________________________________ >From: Ross, Kathryn >Sent: Thursday, December 16, 2010 12:43 PM >To: Neal, Scott >Subject: BBC - back to you > >Hi Scott, > >Well, Bud punted the BBC interview back to you. Do you have time to speak with them? Here's the info from Hilary: > >BBC World Service wants to do a short interview with us re: e-cigs. Scott can you catch him? International call 0044-207-557-0104. >Producers name is Megha Mohan (not Meghan). Its 8 p.m. They will be interviewing a person who likes e-cigs, so Scott will have to acknowledge that some folks find it helpful (possibly). > >You know the messages well - it's all about protecting kids. But please let me know if I can help prep you at all. I think it would be best to call sooner rather than later given the timing. > >Thanks! > >Katie

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From: To: Date: Subject:

"Neal, Scott" "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> 12/16/2010 7:39:00 PM RE: BBC - back to you

I don't know how to make an international callit doesnt' seem to work for my phone! >_____________________________________________ >From: Ross, Kathryn >Sent: Thursday, December 16, 2010 12:43 PM >To: Neal, Scott >Subject: BBC - back to you > >Hi Scott, > >Well, Bud punted the BBC interview back to you. Do you have time to speak with them? Here's the info from Hilary: > >BBC World Service wants to do a short interview with us re: e-cigs. Scott can you catch him? International call 0044-207-557-0104. >Producers name is Megha Mohan (not Meghan). Its 8 p.m. They will be interviewing a person who likes e-cigs, so Scott will have to acknowledge that some folks find it helpful (possibly). > >You know the messages well - it's all about protecting kids. But please let me know if I can help prep you at all. I think it would be best to call sooner rather than later given the timing. > >Thanks! > >Katie

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From: To: Date: Subject:

"Ross, Kathryn" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/16/2010 6:22:05 PM RE: BBC - back to you

Hi Scott, Just wanted to follow-up on my voicemail re: the BBC. They're not looking to interview you at 8 p.m. - just as soon as you're able to give them a call. Does that work for you? Thanks, Katie >_____________________________________________ >From: Ross, Kathryn >Sent: Thursday, December 16, 2010 12:43 PM >To: Neal, Scott >Subject: BBC - back to you > >Hi Scott, > >Well, Bud punted the BBC interview back to you. Do you have time to speak with them? Here's the info from Hilary: > >BBC World Service wants to do a short interview with us re: e-cigs. Scott can you catch him? International call 0044-207-557-0104. >Producers name is Megha Mohan (not Meghan). Its 8 p.m. They will be interviewing a person who likes e-cigs, so Scott will have to acknowledge that some folks find it helpful (possibly). > >You know the messages well - it's all about protecting kids. But please let me know if I can help prep you at all. I think it would be best to call sooner rather than later given the timing. > >Thanks! > >Katie

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From: To: Date: Subject: Hi Katie,

"Neal, Scott" "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> 12/16/2010 8:06:00 PM RE: BBC - back to you

I just called and spoke with someone at this number and I explained that the meeting happened today and that the board passed the proposed regulations, explaining that this was NOT a ban on e-cigs, but was a restriction for the sale to adults only, that it prohibited providing free samples, and prohibited the use in public places and places of employment. I then finished by explaining that all of these regulations now simply mimic what has already been in place for a number of years for tobacco products. After that he checked with his editor and they thanked me for calling back and said that they did not need me for the interview. Scott > _____________________________________________ > From: Ross, Kathryn > Sent: Thursday, December 16, 2010 12:43 PM > To: Neal, Scott > Subject: BBC - back to you > > Hi Scott, > > Well, Bud punted the BBC interview back to you. Do you have time to speak with them? Here's the info from Hilary: > > BBC World Service wants to do a short interview with us re: e-cigs. Scott > -> can you catch him? International call > -> 0044-207-557-0104. > Producer> '> s name is Megha Mohan (not Meghan). It> '> s 8 p.m. They will be interviewing a person who likes e-cigs, so Scott will have to acknowledge that some folks find it helpful (possibly). > > You know the messages well - it's all about protecting kids. But please let me know if I can help prep you at all. I think it would be best to call sooner rather than later given the timing. > > Thanks! > > Katie

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From: To: Date: Subject:

e.ishihara@comcast.net "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/16/2010 1:19:26 PM Re: Board of Health Meeting - Thursday Morning!

Hi Scott, I won't be able to attend the meeting this morning, sending Eric on behalf of APICAT. Hope things are going well with you! elaine

----- Original Message ----From: "Scott Neal" <Scott.Neal@kingcounty.gov> To: "(shelleyc@cschc.org)" <shelleyc@cschc.org>, "Brandie Flood (brandie.flood@cschc.org)" <brandie.flood@cschc.org>, "(janelle@cschc.org)" <janelle@cschc.org>, "Eric Mose" <eric@apicat.org>, "Elaine Ishihara" <e.ishihara@comcast.net>, "Julie Peterson" <JulieP@chef.org>, "fred@gaycity.org" <fred@gaycity.org>, "Carlos Mejia" <Cmejia@wacmhc.org>, "robynp@sihb.org" <robynp@sihb.org>, "lark@gaycity.org" <lark@gaycity.org>, "Alison Shigaki (alishigaki@sprynet.com)" <alishigaki@sprynet.com>, "Antoinette Angulo" <AntoinetteAngulo@seamarchc.org>, "Frank Dibiase" <FDibiase@tpchd.org>, "kelly kasner" <kelly.kasner@cancer.org>, "Stephanie Silvernail (ssilvernail@psesd.org)" <ssilvernail@psesd.org>, "wgilreath@psesd.org" <wgilreath@psesd.org>, "Christopher' 'Zilar" <CZilar@spokanecounty.org> Sent: Tuesday, December 14, 2010 4:32:47 PM Subject: Board of Health Meeting - Thursday Morning!
As you may already know, the King County Board of Health is scheduled to meet this Thursday, December 16th at 9:30am. The agenda for the meeting includes: 1. Regulations relating to electronic smoking devices (also known as e-cigarettes) and unapproved nicotine delivery products. These regulations will help protect youth from starting to use electronic cigarettes and will protect the social norms created by the smoking in public places/places of employment laws. 2. A resolution calling on the state of Washington to provide dedicated and long-term financing so local public health jurisdictions can protect and improve the health of all community residents. 3. An annual report for Public Health Seattle-King County presented by the director, Dr. David Fleming. For more information about any of these items, please see the meeting packet. Public comments can be made in person at the beginning of the meeting or submitted in written form. For more details, please consult the Board of Health website. The Board of Health meeting will be at 9:30 am on December 16th in the King County Council Chambers (10th floor of the King County Courthouse, 516 3rd Avenue, Room 1001). If you have any questions or concerns, please feel free to contact me. Thanks

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: "Johnson, Gareth" To: "Fleming, David" <David.Fleming@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Krieger, James" <James.Krieger@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/16/2010 12:21:02 PM Subject: RE: BOH10-04.1 -- Electronic Cigarettes I just went to their website. Apparently the organization was created in 1954 to specifically represent PH physicians. I looked at their board of directors and only recognized one name. That was Quentin Young from Chicago who is sometimes kind of out their, but a good guy. David Cundiff from Olympia, WA is on the board, too, but I don't recall hearing that name before. I haven't even heard of the organization before but they don't appear to be a front group for either tobacco or E-cigs.

From: Fleming, David Sent: Thursday, December 16, 2010 8:13 AM To: Neal, Scott; Krieger, James; Johnson, Gareth; Wood, Maria Subject: Fw: BOH10-04.1 -- Electronic Cigarettes
Looks like a cover organization, but might be worth looking up if there is time.
From: Joel Nitzkin [mailto:jln-md@mindspring.com] Sent: Thursday, December 16, 2010 08:04 AM To: Patterson, Julia; jan.drago@kingcounty.gov <jan.drago@kingcounty.gov>; Lambert, Kathy; nick.licata@seattle.gov <nick.licata@seattle.gov>; sally.clark@seattle.gov <sally.clark@seattle.gov>; richard.conlin@seattle.gov <richard.conlin@seattle.gov>; MayorDave@cityoflfp.com <MayorDave@cityoflfp.com>; benjamin.danielson@seattlechildrens.org <benjamin.danielson@seattlechildrens.org>; bnicola@u.washington.edu <bnicola@u.washington.edu>; wsboh@doh.wa.gov <wsboh@doh.wa.gov>; Dunn, Reagan; mike.obrien@seattle.gov <mike.obrien@seattle.gov>; dsherman@desmoineswa.gov <dsherman@desmoineswa.gov>; Fleming, David Subject: Re: BOH10-04.1 -- Electronic Cigarettes

Dear King County Board of Health. Banning e-cigarettes will harm, not protect the health of King County residents and visitors. For pertinent background information regarding the safety and optimal regulation of electronic cigarettes, please go to the Tobacco Issues page of the www.aaphp.org web site (American Association of Public Health Physicians). There you will find two petitions submitted by AAPHP to FDA in February of this year plus extensive reference data. The two petitions are 12 and 20 pages apiece and easy reading. They also provide an index to the reference documents. I would be happy to answer any questions King County BOH members may have about any of the material noted above. Joel L. Nitzkin, MD, MPH, DPA Past Co-chair, AAPHP Tobacco Control Task Force 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
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jln-md@mindspring.com

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From: "Fleming, David" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Krieger, James" <James.Krieger@kingcounty.gov> "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/16/2010 12:12:37 PM Subject: Fw: BOH10-04.1 -- Electronic Cigarettes
Looks like a cover organization, but might be worth looking up if there is time.
From: Joel Nitzkin [mailto:jln-md@mindspring.com] Sent: Thursday, December 16, 2010 08:04 AM To: Patterson, Julia; jan.drago@kingcounty.gov <jan.drago@kingcounty.gov>; Lambert, Kathy; nick.licata@seattle.gov <nick.licata@seattle.gov>; sally.clark@seattle.gov <sally.clark@seattle.gov>; richard.conlin@seattle.gov <richard.conlin@seattle.gov>; MayorDave@cityoflfp.com <MayorDave@cityoflfp.com>; benjamin.danielson@seattlechildrens.org <benjamin.danielson@seattlechildrens.org>; bnicola@u.washington.edu <bnicola@u.washington.edu>; wsboh@doh.wa.gov <wsboh@doh.wa.gov>; Dunn, Reagan; mike.obrien@seattle.gov <mike.obrien@seattle.gov>; dsherman@desmoineswa.gov <dsherman@desmoineswa.gov>; Fleming, David Subject: Re: BOH10-04.1 -- Electronic Cigarettes

Dear King County Board of Health. Banning e-cigarettes will harm, not protect the health of King County residents and visitors. For pertinent background information regarding the safety and optimal regulation of electronic cigarettes, please go to the Tobacco Issues page of the www.aaphp.org web site (American Association of Public Health Physicians). There you will find two petitions submitted by AAPHP to FDA in February of this year plus extensive reference data. The two petitions are 12 and 20 pages apiece and easy reading. They also provide an index to the reference documents. I would be happy to answer any questions King County BOH members may have about any of the material noted above. Joel L. Nitzkin, MD, MPH, DPA Past Co-chair, AAPHP Tobacco Control Task Force 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: To: Date: Subject:

"Ross, Kathryn" "Bud Nicola" <bnicola@u.washington.edu> 12/16/2010 8:13:21 PM RE: E-cig media call

Thank you! I spoke with the producer a little while ago. They may call back tomorrow; I'll check with Julia's office on her availability if I hear from them.

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Thursday, December 16, 2010 4:10 PM To: Ross, Kathryn Cc: Neal, Scott; Wood, Maria; Karasz, Hilary Subject: RE: E-cig media call I just got a call from Julias office about a KIRO talk show looking for someone to talk tonite. I said Im not available tonight and apparently neither is Julia - and told her to let you know about it. Bud Bud Nicola bnicola@uw.edu

From: Ross, Kathryn [mailto:Kathryn.Ross@kingcounty.gov] Sent: Thursday, December 16, 2010 3:59 PM To: Bud Nicola Cc: Neal, Scott; Wood, Maria; Karasz, Hilary Subject: RE: E-cig media call Hi Bud, Thanks for letting us know. We really appreciate your willingness to explain the Board's decision. It's important to get our messages out there, even if the reporter has already decided what they're going to write. We'll also check on Julia's availability if we get media calls tomorrow - you've earned a break! Katie

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Thursday, December 16, 2010 3:38 PM To: Ross, Kathryn Cc: Neal, Scott; Wood, Maria Subject: RE: E-cig media call Fyi - I talked to Matt Lube at the Stranger and am not expecting a very supportive story. Bud Nicola bnicola@uw.edu

From: Ross, Kathryn [mailto:Kathryn.Ross@kingcounty.gov] Sent: Thursday, December 16, 2010 12:51 PM To: Bud Nicola Subject: E-cig media call Importance: High 8_19_2011

Page 2 Hi Bud, Are you able to give the Stranger a call this afternoon re: the e-cigarette regulation? The reporter's name is Matt Lube 206-323-7101 x3016. His question is, "what's the rationale for the ban." Please let me know if you're not able to do this, and I'll check in w/ Julia's office. Thank you! Katie Ross 206-263-8781

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From: To: Date: Subject:

"Bud Nicola" <bnicola@u.washington.edu> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> 12/16/2010 8:12:17 PM RE: E-cig media call

I just got a call from Julias office about a KIRO talk show looking for someone to talk tonite. I said Im not available tonight and apparently neither is Julia - and told her to let you know about it. Bud Bud Nicola bnicola@uw.edu

From: Ross, Kathryn [mailto:Kathryn.Ross@kingcounty.gov] Sent: Thursday, December 16, 2010 3:59 PM To: Bud Nicola Cc: Neal, Scott; Wood, Maria; Karasz, Hilary Subject: RE: E-cig media call Hi Bud, Thanks for letting us know. We really appreciate your willingness to explain the Board's decision. It's important to get our messages out there, even if the reporter has already decided what they're going to write. We'll also check on Julia's availability if we get media calls tomorrow - you've earned a break! Katie

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Thursday, December 16, 2010 3:38 PM To: Ross, Kathryn Cc: Neal, Scott; Wood, Maria Subject: RE: E-cig media call Fyi - I talked to Matt Lube at the Stranger and am not expecting a very supportive story. Bud Nicola bnicola@uw.edu

From: Ross, Kathryn [mailto:Kathryn.Ross@kingcounty.gov] Sent: Thursday, December 16, 2010 12:51 PM To: Bud Nicola Subject: E-cig media call Importance: High Hi Bud, Are you able to give the Stranger a call this afternoon re: the e-cigarette regulation? The reporter's name is Matt Lube 206-323-7101 x3016. His question is, "what's the rationale for the ban." Please let me know if you're not able to do this, and I'll check in w/ Julia's office. Thank you! Katie Ross 206-263-8781 8_19_2011

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From: To: Date: Subject:


Hi Bud,

"Ross, Kathryn" "Bud Nicola" <bnicola@u.washington.edu> 12/16/2010 7:58:49 PM RE: E-cig media call

Thanks for letting us know. We really appreciate your willingness to explain the Board's decision. It's important to get our messages out there, even if the reporter has already decided what they're going to write. We'll also check on Julia's availability if we get media calls tomorrow - you've earned a break! Katie

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Thursday, December 16, 2010 3:38 PM To: Ross, Kathryn Cc: Neal, Scott; Wood, Maria Subject: RE: E-cig media call Fyi - I talked to Matt Lube at the Stranger and am not expecting a very supportive story. Bud Nicola bnicola@uw.edu

From: Ross, Kathryn [mailto:Kathryn.Ross@kingcounty.gov] Sent: Thursday, December 16, 2010 12:51 PM To: Bud Nicola Subject: E-cig media call Importance: High Hi Bud, Are you able to give the Stranger a call this afternoon re: the e-cigarette regulation? The reporter's name is Matt Lube 206-323-7101 x3016. His question is, "what's the rationale for the ban." Please let me know if you're not able to do this, and I'll check in w/ Julia's office. Thank you! Katie Ross 206-263-8781

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From: "Neal, Scott" To: "Bud Nicola" <bnicola@u.washington.edu> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> Date: 12/16/2010 7:42:00 PM Subject: RE: E-cig media call
Hi Bud, Thanks for taking that interview and for all your work and support on this issue over the past several months (especially the past week!). Scott

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Thursday, December 16, 2010 3:38 PM To: Ross, Kathryn Cc: Neal, Scott; Wood, Maria Subject: RE: E-cig media call Fyi - I talked to Matt Lube at the Stranger and am not expecting a very supportive story. Bud Nicola bnicola@uw.edu

From: Ross, Kathryn [mailto:Kathryn.Ross@kingcounty.gov] Sent: Thursday, December 16, 2010 12:51 PM To: Bud Nicola Subject: E-cig media call Importance: High Hi Bud, Are you able to give the Stranger a call this afternoon re: the e-cigarette regulation? The reporter's name is Matt Lube 206-323-7101 x3016. His question is, "what's the rationale for the ban." Please let me know if you're not able to do this, and I'll check in w/ Julia's office. Thank you! Katie Ross 206-263-8781

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From: To: Date: Subject:

"Bud Nicola" <bnicola@u.washington.edu> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> 12/16/2010 7:39:33 PM RE: E-cig media call

Fyi - I talked to Matt Lube at the Stranger and am not expecting a very supportive story. Bud Nicola bnicola@uw.edu

From: Ross, Kathryn [mailto:Kathryn.Ross@kingcounty.gov] Sent: Thursday, December 16, 2010 12:51 PM To: Bud Nicola Subject: E-cig media call Importance: High Hi Bud, Are you able to give the Stranger a call this afternoon re: the e-cigarette regulation? The reporter's name is Matt Lube 206-323-7101 x3016. His question is, "what's the rationale for the ban." Please let me know if you're not able to do this, and I'll check in w/ Julia's office. Thank you! Katie Ross 206-263-8781

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From: To: Date: Subject:

"Bud Nicola" <bnicola@u.washington.edu> "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/16/2010 8:08:17 PM RE: E-cig media call

Scott, Youre welcome. And thanks for the great work that you and your staff do. On a different topic I moderate a monthly webinar for the Northwest Center for Public Health Practice called Hot Topics in Preparedness although we cover many different areas of public health. Would you be willing to help out on a session in February related to an update on issues related to tobacco? I think our work today will be of interest to other health departments. Im also trying to find someone from another state in this region since the webinar is regional and am sending a query to health dept friends in Montana. Its probably not fair to ask you since the programs funding is up in the air so I would certainly understand if you cant commit. Bud Bud Nicola bnicola@uw.edu

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Thursday, December 16, 2010 3:40 PM To: Bud Nicola; Ross, Kathryn Cc: Wood, Maria Subject: RE: E-cig media call Hi Bud, Thanks for taking that interview and for all your work and support on this issue over the past several months (especially the past week!). Scott

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Thursday, December 16, 2010 3:38 PM To: Ross, Kathryn Cc: Neal, Scott; Wood, Maria Subject: RE: E-cig media call Fyi - I talked to Matt Lube at the Stranger and am not expecting a very supportive story. Bud Nicola bnicola@uw.edu

From: Ross, Kathryn [mailto:Kathryn.Ross@kingcounty.gov] Sent: Thursday, December 16, 2010 12:51 PM To: Bud Nicola Subject: E-cig media call Importance: High Hi Bud, Are you able to give the Stranger a call this afternoon re: the e-cigarette regulation? The reporter's name is Matt Lube 206-323-7101 x3016. His question is, "what's the rationale for the ban." Please let me know if you're not able to do this, and I'll check in w/ Julia's office. Thank you! 8_19_2011

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From: "Fleming, David" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Krieger, James" <James.Krieger@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/16/2010 12:06:21 PM Subject: Hearing We are bringing an e-cigarette that looks like a cigarette, right? There is a fair amount of articulate "anti" e-mail coming in so it should ne interesting. We need a succinct clear reason for the public ban that we stick to. Do we want to say anything about the possible harm of inhaling nicotine?

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From: "Krieger, James" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/16/2010 8:13:33 PM Subject: RE: Hearing I'd been interested, as we did last time, to debrief the process and see what we have learned. I wonder if prepping the board more about counter-arguments, checking in with them about email prior to the meeting to get a sense of what they were reading, and having some allies there to testify might be helpful for future efforts? Jim James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

-----Original Message----From: Neal, Scott Sent: Thursday, December 16, 2010 8:56 AM To: Krieger, James; Fleming, David; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing We don't know if we will have supporters or not willing to testify. We do know that ACS, Am. Heart and ALAW all recommend a full ban on these products until they have been proven to be safe for use. We had heard that they were going to send a letter or email to that point, but I'm not sure if that happened. Scott -----Original Message----From: Krieger, James Sent: Thursday, December 16, 2010 8:49 AM To: Neal, Scott; Fleming, David; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing I would also be cautious about the harms of nicotine beyond addiction, since we don't know the dose being inhaled and only fairly high doses have acute effects. Are supporters lined up to attend in case the opposition shows up? James Krieger, MD, MPH
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Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

-----Original Message----From: Neal, Scott Sent: Thursday, December 16, 2010 8:46 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing Agreed...and this is included in the presentation. -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:34 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: Re: Hearing Scott -- I'm not sure I would go the second hand route unless we have some info to back. I was responding more to the assertions from e-mails that these are safe and the only reason we are banning is to protect others, so thought we might point out that these are devices that deliver a dose of an addictive and harmful product. I don't feel strongly, but would want us to make an advance decision about what we would say here and then stick with it at the hearing.

----- Original Message ----From: Neal, Scott Sent: Thursday, December 16, 2010 08:26 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing I think this issue is a complicated one for the general public to understand and one that I've been thinking a great deal about overnight. I agree that we should at least present the fact that nicotine is not only addicitive but can be harmful in certain doses and link this back to the fact that the scientific tests have shown great inconsistencies among these producs and the amount of nicotine that is delivered. I however struggle with finding data that shows this on the exhaled vapor, but I would assume that not all the nicotine or other chemicals are absorbed by the user. Is this getting at your thoughts about inhaling nicotine?

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Scott -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:06 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth Subject: Hearing We are bringing an e-cigarette that looks like a cigarette, right? There is a fair amount of articulate "anti" e-mail coming in so it should ne interesting. We need a succinct clear reason for the public ban that we stick to. Do we want to say anything about the possible harm of inhaling nicotine?

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From: To: Date: Subject:

"Krieger, James" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/16/2010 1:01:13 PM RE: Hearing

Any chance of getting them out last minute? James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

-----Original Message----From: Neal, Scott Sent: Thursday, December 16, 2010 8:56 AM To: Krieger, James; Fleming, David; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing We don't know if we will have supporters or not willing to testify. We do know that ACS, Am. Heart and ALAW all recommend a full ban on these products until they have been proven to be safe for use. We had heard that they were going to send a letter or email to that point, but I'm not sure if that happened. Scott -----Original Message----From: Krieger, James Sent: Thursday, December 16, 2010 8:49 AM To: Neal, Scott; Fleming, David; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing I would also be cautious about the harms of nicotine beyond addiction, since we don't know the dose being inhaled and only fairly high doses have acute effects. Are supporters lined up to attend in case the opposition shows up? James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227
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fax: 206 205 0525 email: james.krieger@kingcounty.gov

-----Original Message----From: Neal, Scott Sent: Thursday, December 16, 2010 8:46 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing Agreed...and this is included in the presentation. -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:34 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: Re: Hearing Scott -- I'm not sure I would go the second hand route unless we have some info to back. I was responding more to the assertions from e-mails that these are safe and the only reason we are banning is to protect others, so thought we might point out that these are devices that deliver a dose of an addictive and harmful product. I don't feel strongly, but would want us to make an advance decision about what we would say here and then stick with it at the hearing.

----- Original Message ----From: Neal, Scott Sent: Thursday, December 16, 2010 08:26 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing I think this issue is a complicated one for the general public to understand and one that I've been thinking a great deal about overnight. I agree that we should at least present the fact that nicotine is not only addicitive but can be harmful in certain doses and link this back to the fact that the scientific tests have shown great inconsistencies among these producs and the amount of nicotine that is delivered. I however struggle with finding data that shows this on the exhaled vapor, but I would assume that not all the nicotine or other chemicals are absorbed by the user. Is this getting at your thoughts about inhaling nicotine?

Scott -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:06 AM
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To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth Subject: Hearing We are bringing an e-cigarette that looks like a cigarette, right? There is a fair amount of articulate "anti" e-mail coming in so it should ne interesting. We need a succinct clear reason for the public ban that we stick to. Do we want to say anything about the possible harm of inhaling nicotine?

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From: "Neal, Scott" To: "Krieger, James" <James.Krieger@kingcounty.gov> "Fleming, David" <David.Fleming@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/16/2010 12:57:00 PM Subject: RE: Hearing We don't know if we will have supporters or not willing to testify. We do know that ACS, Am. Heart and ALAW all recommend a full ban on these products until they have been proven to be safe for use. We had heard that they were going to send a letter or email to that point, but I'm not sure if that happened. Scott -----Original Message----From: Krieger, James Sent: Thursday, December 16, 2010 8:49 AM To: Neal, Scott; Fleming, David; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing I would also be cautious about the harms of nicotine beyond addiction, since we don't know the dose being inhaled and only fairly high doses have acute effects. Are supporters lined up to attend in case the opposition shows up? James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

-----Original Message----From: Neal, Scott Sent: Thursday, December 16, 2010 8:46 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing Agreed...and this is included in the presentation. -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:34 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne
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Subject: Re: Hearing Scott -- I'm not sure I would go the second hand route unless we have some info to back. I was responding more to the assertions from e-mails that these are safe and the only reason we are banning is to protect others, so thought we might point out that these are devices that deliver a dose of an addictive and harmful product. I don't feel strongly, but would want us to make an advance decision about what we would say here and then stick with it at the hearing.

----- Original Message ----From: Neal, Scott Sent: Thursday, December 16, 2010 08:26 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing I think this issue is a complicated one for the general public to understand and one that I've been thinking a great deal about overnight. I agree that we should at least present the fact that nicotine is not only addicitive but can be harmful in certain doses and link this back to the fact that the scientific tests have shown great inconsistencies among these producs and the amount of nicotine that is delivered. I however struggle with finding data that shows this on the exhaled vapor, but I would assume that not all the nicotine or other chemicals are absorbed by the user. Is this getting at your thoughts about inhaling nicotine?

Scott -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:06 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth Subject: Hearing We are bringing an e-cigarette that looks like a cigarette, right? There is a fair amount of articulate "anti" e-mail coming in so it should ne interesting. We need a succinct clear reason for the public ban that we stick to. Do we want to say anything about the possible harm of inhaling nicotine?

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Page 1

From: "Krieger, James" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Fleming, David" <David.Fleming@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/16/2010 12:49:15 PM Subject: RE: Hearing I would also be cautious about the harms of nicotine beyond addiction, since we don't know the dose being inhaled and only fairly high doses have acute effects. Are supporters lined up to attend in case the opposition shows up? James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

-----Original Message----From: Neal, Scott Sent: Thursday, December 16, 2010 8:46 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing Agreed...and this is included in the presentation. -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:34 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: Re: Hearing Scott -- I'm not sure I would go the second hand route unless we have some info to back. I was responding more to the assertions from e-mails that these are safe and the only reason we are banning is to protect others, so thought we might point out that these are devices that deliver a dose of an addictive and harmful product. I don't feel strongly, but would want us to make an advance decision about what we would say here and then stick with it at the hearing.

----- Original Message ----From: Neal, Scott Sent: Thursday, December 16, 2010 08:26 AM
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To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing I think this issue is a complicated one for the general public to understand and one that I've been thinking a great deal about overnight. I agree that we should at least present the fact that nicotine is not only addicitive but can be harmful in certain doses and link this back to the fact that the scientific tests have shown great inconsistencies among these producs and the amount of nicotine that is delivered. I however struggle with finding data that shows this on the exhaled vapor, but I would assume that not all the nicotine or other chemicals are absorbed by the user. Is this getting at your thoughts about inhaling nicotine?

Scott -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:06 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth Subject: Hearing We are bringing an e-cigarette that looks like a cigarette, right? There is a fair amount of articulate "anti" e-mail coming in so it should ne interesting. We need a succinct clear reason for the public ban that we stick to. Do we want to say anything about the possible harm of inhaling nicotine?

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Page 1

From: "Neal, Scott" To: "Fleming, David" <David.Fleming@kingcounty.gov> "Krieger, James" <James.Krieger@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/16/2010 12:48:00 PM Subject: RE: Hearing Agreed...and this is included in the presentation. -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:34 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: Re: Hearing Scott -- I'm not sure I would go the second hand route unless we have some info to back. I was responding more to the assertions from e-mails that these are safe and the only reason we are banning is to protect others, so thought we might point out that these are devices that deliver a dose of an addictive and harmful product. I don't feel strongly, but would want us to make an advance decision about what we would say here and then stick with it at the hearing.

----- Original Message ----From: Neal, Scott Sent: Thursday, December 16, 2010 08:26 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing I think this issue is a complicated one for the general public to understand and one that I've been thinking a great deal about overnight. I agree that we should at least present the fact that nicotine is not only addicitive but can be harmful in certain doses and link this back to the fact that the scientific tests have shown great inconsistencies among these producs and the amount of nicotine that is delivered. I however struggle with finding data that shows this on the exhaled vapor, but I would assume that not all the nicotine or other chemicals are absorbed by the user. Is this getting at your thoughts about inhaling nicotine?

Scott -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:06 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth Subject: Hearing
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We are bringing an e-cigarette that looks like a cigarette, right? There is a fair amount of articulate "anti" e-mail coming in so it should ne interesting. We need a succinct clear reason for the public ban that we stick to. Do we want to say anything about the possible harm of inhaling nicotine?

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Page 1

From: "Fleming, David" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Krieger, James" <James.Krieger@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/16/2010 12:33:42 PM Subject: Re: Hearing Scott -- I'm not sure I would go the second hand route unless we have some info to back. I was responding more to the assertions from e-mails that these are safe and the only reason we are banning is to protect others, so thought we might point out that these are devices that deliver a dose of an addictive and harmful product. I don't feel strongly, but would want us to make an advance decision about what we would say here and then stick with it at the hearing.

----- Original Message ----From: Neal, Scott Sent: Thursday, December 16, 2010 08:26 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing I think this issue is a complicated one for the general public to understand and one that I've been thinking a great deal about overnight. I agree that we should at least present the fact that nicotine is not only addicitive but can be harmful in certain doses and link this back to the fact that the scientific tests have shown great inconsistencies among these producs and the amount of nicotine that is delivered. I however struggle with finding data that shows this on the exhaled vapor, but I would assume that not all the nicotine or other chemicals are absorbed by the user. Is this getting at your thoughts about inhaling nicotine?

Scott -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:06 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth Subject: Hearing We are bringing an e-cigarette that looks like a cigarette, right? There is a fair amount of articulate "anti" e-mail coming in so it should ne interesting. We need a succinct clear reason for the public ban that we stick to. Do we want to say anything about the possible harm of inhaling nicotine?

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Page 1

From: "Neal, Scott" To: "Fleming, David" <David.Fleming@kingcounty.gov> "Krieger, James" <James.Krieger@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/16/2010 12:29:00 PM Subject: RE: Hearing I think this issue is a complicated one for the general public to understand and one that I've been thinking a great deal about overnight. I agree that we should at least present the fact that nicotine is not only addicitive but can be harmful in certain doses and link this back to the fact that the scientific tests have shown great inconsistencies among these producs and the amount of nicotine that is delivered. I however struggle with finding data that shows this on the exhaled vapor, but I would assume that not all the nicotine or other chemicals are absorbed by the user. Is this getting at your thoughts about inhaling nicotine?

Scott -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:06 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth Subject: Hearing We are bringing an e-cigarette that looks like a cigarette, right? There is a fair amount of articulate "anti" e-mail coming in so it should ne interesting. We need a succinct clear reason for the public ban that we stick to. Do we want to say anything about the possible harm of inhaling nicotine?

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From: "Pearson, Anne" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 12/16/2010 12:55:02 PM Subject: FW: Hi -- can you send ASAP any paper related to the e-cig discussion at today's board meeting
Can you send? Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov

From: Russillo, Chrissy Sent: Thursday, December 16, 2010 8:54 AM To: Bibus, David; Johnson, Gareth; Pearson, Anne Cc: Huus, Kathie; Wood, Maria Subject: Hi -- can you send ASAP any paper related to the e-cig discussion at today's board meeting Importance: High We need to as soon as possible to share w/ someone in the EO

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From: To: Date: Subject:


Hi Sarah,

"Rosalind Sciammas" <Rosalind.Sciammas@gmmb.com> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> 12/16/2010 6:48:41 PM RE: January meeting

Would any time on Mon., Jan. 2 or Thu., Jan. 6, anywhere between 11:30 a.m. 2 p.m. or 3:30 5 p.m. work? It was great seeing you too. Congratulations to you and your team for the BOHs approval of legislation on e-cigarette use restrictions today. This must bode well for the BOHs adoption of your upcoming youth access bill.

Wed be happy to get started on drafting an op-ed from Dr. Fleming on the youth access bill, as long as this is still an appropriate earned media tactic for January. Weve discussed the idea briefly and could probably start drafting this after we get a chance to review proposed legislation from ACS, as well as any other message mandates. Just let us know if we can b helpful to your team before our meeting in the new year. Thanks for getting this on everyones calendars. Roz

Rosalind Sciammas Vice President 206.352.8598 | office +gmmb cause the effect

From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Tuesday, December 14, 2010 3:45 PM To: Rosalind Sciammas Cc: Apa, James; Neal, Scott Subject: January meeting Hi Ros Good to see you today. Not to lose track of other follow-up, I have been tracking down times for GMMB to follow up with myself, Scott and James on tobacco media and communications for the next 18 months. Due to vacations, are earliest dates are the first week of January. However, we have a lot of availability at that time. Can you send some times that would work for you doing that week and I will match to our calendars? Thanks, Sarah Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

Confidentiality Notice: This email and all attachments are intended solely for the named person or entity to w hich it is addressed and contains information tha may be privileged, confidential or copyrighted under applicable law . Any review , distribution, dissemination or copying of this email or the information herein anyone other than the intended recipient, or an agent responsible for delivering the message to the intended recipient, is strictly prohibited. If you have recei this email in error, please immediately notify the sender or contact the offices of GMMB Inc. at 202-572-2818.

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From: "Ross, Kathryn" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/16/2010 9:16:29 PM Subject: KPLU e-cigarette story http://www.kplunews.org/post/electronic-cigarettes-considered-new-public-health-threat Electronic cigarettes considered a new public health threat Just when you thought cigarettes were headed for obscurity, along comes the electronic cigarette. The King County Board of Health is restricting these "e-cigarettes" in the name of protecting youth -- and keeping a stigma against smoking. E-cigarettes are battery powered devices, shaped like a cigarette, that deliver little puffs of nicotine - with no smoke. They use a small capsule with nicotine suspended in a flavored liquid. If you squeeze a button on the device (or with some models, just inhale), the liquid heats up and turns into a misty vapor to inhale. Then it shuts off. "These are just a god-send for me ... I love them," says Amber Joy, 68, of Seattle. She's been a cigarette smoker for 50 years. She's quit more than once, calls it a stupid habit, but can't do without her smokes. The electronic cigarette satisfies her craving, without most of the negatives. "It doesn't smell, it doesn't bother my breath, it doesn't bother anybody around me," she says. That means she can use it in her smoke-free apartment. "There's no odor to it." Tobacco or medicine? Legal or not? She feels it's healthier, because she's only getting nicotine, not the rest of the chemicals in cigarettes. Is it smoking? Is it a medical device, like a nicotine patch? Those questions are embroiled in federal lawsuits. Earlier this month, a federal appeals court ruled the Food and Drug Administration (FDA) must treat it like a tobacco product, not as a drug. That means it can't be banned outright. For now, the King County Board of Health is banning the sale of e-cigarettes to children under 18. "We know from a lot of scientific studies that nicotine is very addictive," says Bud Nicola, a doctor and member of the Board of Health. Most lifetime smokers start before the age of 18, so the devices could ensnare a new generation of smokers. There's no evidence, yet, that kids are buying the e-cigarettes - which typically cost $50 or more. However, there are cheaper "starter" versions, and some are sold with flavors that appeal to kids, such as vanilla, coffee or cherry. King County is also banning e-cigarettes from bars, restaurants and other public places where smoking is currently banned. The public health department says it's confusing -- and can trigger real smoking -- if people see someone else puffing the electronic version. This has only been documented in two cases. But, the e-cigarette makers are promoting them with phrases like "experience the freedom of smoking anywhere" and "looks, feels, and tastes like the real thing." Earlier this fall, actress Katherine Heigl gave the products a marketing boost, by showing off her e-cigarette to David Letterman. The FDA has been studying e-cigarettes for the past few years and has a detailed analysis , along with this video from the FDA's media office. Board of Health chair Julia Patterson said one reason she voted for the new regulations is to preserve the "social norms" against smoking, which she described as a hard-fought victory. "I would like to see us protect public places from the image of someone sitting at their desk, with something that looks identical to a cigarette, and puffing on it. That's a very powerful subliminal message," she said.
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From: "Ross, Kathryn" To: Date: 12/16/2010 9:34:32 PM Subject: Media Release: Board of Health approves electronic cigarette regulations

cid:image001.png@01CB9D41.1CE250A0

Contact: Julia Patterson 206-296-1005, julia.patterson@kingcounty.gov December 16, 2010

Board of Health approves electronic cigarette regulations


Regulations will limit sales to adults only, prohibit free samples, and restrict use in public places and places of employment

King County, WAThe King County Board of Health passed regulations today to protect King County youth from electronic smoking devices and unregulated nicotine delivery devices. The Board of Health voted unanimously to: restrict the sales of e-cigarettes or any other unapproved nicotine delivery devices only to people 18 and older; prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products; prohibit the use of e-cigarette devices in places where smoking is prohibited by law. I am pleased that the Board of Health acted today to prohibit the sale of e-cigarettes to youth and to restrict their use in public spaces, said Board of Health Chair Julia Patterson. Ecigarettes are used as a means to encourage people, especially our youth, to begin smoking. Their safety and long-term health impacts are untested and unknown. The Board of Healths responsibility is to create policies that foster the health and well being of our community, and todays action will help achieve that objective. Electronic smoking devices, commonly known as e-cigarettes, are battery-operated devices designed to look like and to be used in the same manner as conventional cigarettes. E-cigarettes use cartridges to deliver vaporized nicotine, the same highly addictive drug thats in tobacco. The FDA is investigating e-cigarettes, but the products are currently unregulated at the federal level. This Board of Health proposal is a reasonable step to protect youth immediately in King County while federal authorities continue to look into these products, said Dr. David Fleming, Director and Health Officer for Public Health Seattle & King County. Through this regulation, young people in King County have one less opportunity to get hooked on nicotine. E-cigarettes have a high appeal to youth. They are sold in convenience stores and mall kiosks and come in candy flavors including chocolate, vanilla and mint. The FDA has warned that ecigarettes can increase nicotine addiction among young people and may lead youth to try conventional tobacco products. "The Board of Health's action will help protect our youth from the addictive effects of nicotine," said Boardmember Dr. Bud Nicola. The Board of Health heard from a number of people who use these as an alternative to real cigarettes, and there may be a harm-reduction role, said Boardmember and Seattle City
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Councilmember Sally Clark. But nicotine remains addictive, and the steps we took today are about protecting youth. As these products have become more widely available, public use has also increased. Ecigarettes mimic the appearance of regular cigarettes because the user exhales a smoke-like vapor similar in appearance to the exhaled smoke from a cigarette. Their use is virtually indistinguishable from the use of traditional tobacco products in public, which leads to confusion and prompts people to light and smoke traditional tobacco products. No matter how its delivered, nicotine is highly addictive. We took an important step today to keep these unknown products out of the hands of kids in King County, said Boardmember and Lake Forest Park Mayor David Hutchinson. The Board of Health convened a Tobacco Policy committee in June 2010 to review the evidence and develop new tobacco policies that respond to current policy opportunities and disparities in King County. Todays regulations were endorsed by the committee members. Several other jurisdictions across the nation have created similar regulations related to ecigarettes but it is believed that King Countys regulations are the most comprehensive in the nation. The King County Board of Health sets county-wide public health policy, enacts and enforces local public health regulations, and carries out other duties of local boards of health specified in state law. These duties include enforcing state public health statutes, preventing and controlling the spread of infectious disease, abating nuisances, and establishing fee schedules for licenses, permits and other services. ###

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From: "Ross, Kathryn" To: Date: 12/16/2010 9:35:04 PM Subject: Media Release: Board of Health approves electronic cigarette regulations

cid:image001.png@01CB9D41.1CE250A0

Contact: Julia Patterson 206-296-1005, julia.patterson@kingcounty.gov December 16, 2010

Board of Health approves electronic cigarette regulations


Regulations will limit sales to adults only, prohibit free samples, and restrict use in public places and places of employment

King County, WAThe King County Board of Health passed regulations today to protect King County youth from electronic smoking devices and unregulated nicotine delivery devices. The Board of Health voted unanimously to: restrict the sales of e-cigarettes or any other unapproved nicotine delivery devices only to people 18 and older; prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products; prohibit the use of e-cigarette devices in places where smoking is prohibited by law. I am pleased that the Board of Health acted today to prohibit the sale of e-cigarettes to youth and to restrict their use in public spaces, said Board of Health Chair Julia Patterson. Ecigarettes are used as a means to encourage people, especially our youth, to begin smoking. Their safety and long-term health impacts are untested and unknown. The Board of Healths responsibility is to create policies that foster the health and well being of our community, and todays action will help achieve that objective. Electronic smoking devices, commonly known as e-cigarettes, are battery-operated devices designed to look like and to be used in the same manner as conventional cigarettes. E-cigarettes use cartridges to deliver vaporized nicotine, the same highly addictive drug thats in tobacco. The FDA is investigating e-cigarettes, but the products are currently unregulated at the federal level. This Board of Health proposal is a reasonable step to protect youth immediately in King County while federal authorities continue to look into these products, said Dr. David Fleming, Director and Health Officer for Public Health Seattle & King County. Through this regulation, young people in King County have one less opportunity to get hooked on nicotine. E-cigarettes have a high appeal to youth. They are sold in convenience stores and mall kiosks and come in candy flavors including chocolate, vanilla and mint. The FDA has warned that ecigarettes can increase nicotine addiction among young people and may lead youth to try conventional tobacco products. "The Board of Health's action will help protect our youth from the addictive effects of nicotine," said Boardmember Dr. Bud Nicola. The Board of Health heard from a number of people who use these as an alternative to real cigarettes, and there may be a harm-reduction role, said Boardmember and Seattle City
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Councilmember Sally Clark. But nicotine remains addictive, and the steps we took today are about protecting youth. As these products have become more widely available, public use has also increased. Ecigarettes mimic the appearance of regular cigarettes because the user exhales a smoke-like vapor similar in appearance to the exhaled smoke from a cigarette. Their use is virtually indistinguishable from the use of traditional tobacco products in public, which leads to confusion and prompts people to light and smoke traditional tobacco products. No matter how its delivered, nicotine is highly addictive. We took an important step today to keep these unknown products out of the hands of kids in King County, said Boardmember and Lake Forest Park Mayor David Hutchinson. The Board of Health convened a Tobacco Policy committee in June 2010 to review the evidence and develop new tobacco policies that respond to current policy opportunities and disparities in King County. Todays regulations were endorsed by the committee members. Several other jurisdictions across the nation have created similar regulations related to ecigarettes but it is believed that King Countys regulations are the most comprehensive in the nation. The King County Board of Health sets county-wide public health policy, enacts and enforces local public health regulations, and carries out other duties of local boards of health specified in state law. These duties include enforcing state public health statutes, preventing and controlling the spread of infectious disease, abating nuisances, and establishing fee schedules for licenses, permits and other services. ###

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From: "Ross, Kathryn" To: Date: 12/16/2010 9:34:30 PM Subject: Media Release: Board of Health approves electronic cigarette regulations

cid:image001.png@01CB9D41.1CE250A0

Contact: Julia Patterson 206-296-1005, julia.patterson@kingcounty.gov December 16, 2010

Board of Health approves electronic cigarette regulations


Regulations will limit sales to adults only, prohibit free samples, and restrict use in public places and places of employment

King County, WAThe King County Board of Health passed regulations today to protect King County youth from electronic smoking devices and unregulated nicotine delivery devices. The Board of Health voted unanimously to: restrict the sales of e-cigarettes or any other unapproved nicotine delivery devices only to people 18 and older; prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products; prohibit the use of e-cigarette devices in places where smoking is prohibited by law. I am pleased that the Board of Health acted today to prohibit the sale of e-cigarettes to youth and to restrict their use in public spaces, said Board of Health Chair Julia Patterson. Ecigarettes are used as a means to encourage people, especially our youth, to begin smoking. Their safety and long-term health impacts are untested and unknown. The Board of Healths responsibility is to create policies that foster the health and well being of our community, and todays action will help achieve that objective. Electronic smoking devices, commonly known as e-cigarettes, are battery-operated devices designed to look like and to be used in the same manner as conventional cigarettes. E-cigarettes use cartridges to deliver vaporized nicotine, the same highly addictive drug thats in tobacco. The FDA is investigating e-cigarettes, but the products are currently unregulated at the federal level. This Board of Health proposal is a reasonable step to protect youth immediately in King County while federal authorities continue to look into these products, said Dr. David Fleming, Director and Health Officer for Public Health Seattle & King County. Through this regulation, young people in King County have one less opportunity to get hooked on nicotine. E-cigarettes have a high appeal to youth. They are sold in convenience stores and mall kiosks and come in candy flavors including chocolate, vanilla and mint. The FDA has warned that ecigarettes can increase nicotine addiction among young people and may lead youth to try conventional tobacco products. "The Board of Health's action will help protect our youth from the addictive effects of nicotine," said Boardmember Dr. Bud Nicola. The Board of Health heard from a number of people who use these as an alternative to real cigarettes, and there may be a harm-reduction role, said Boardmember and Seattle City
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Councilmember Sally Clark. But nicotine remains addictive, and the steps we took today are about protecting youth. As these products have become more widely available, public use has also increased. Ecigarettes mimic the appearance of regular cigarettes because the user exhales a smoke-like vapor similar in appearance to the exhaled smoke from a cigarette. Their use is virtually indistinguishable from the use of traditional tobacco products in public, which leads to confusion and prompts people to light and smoke traditional tobacco products. No matter how its delivered, nicotine is highly addictive. We took an important step today to keep these unknown products out of the hands of kids in King County, said Boardmember and Lake Forest Park Mayor David Hutchinson. The Board of Health convened a Tobacco Policy committee in June 2010 to review the evidence and develop new tobacco policies that respond to current policy opportunities and disparities in King County. Todays regulations were endorsed by the committee members. Several other jurisdictions across the nation have created similar regulations related to ecigarettes but it is believed that King Countys regulations are the most comprehensive in the nation. The King County Board of Health sets county-wide public health policy, enacts and enforces local public health regulations, and carries out other duties of local boards of health specified in state law. These duties include enforcing state public health statutes, preventing and controlling the spread of infectious disease, abating nuisances, and establishing fee schedules for licenses, permits and other services. ###

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From: To: Date: Subject:

"Scott Neal" <scott.neal@comcast.net> "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/16/2010 1:10:08 AM Fwd: Public support for e-cig laws

Begin forwarded message:


From: Scott Neal <scott.neal@comcast.net> Date: December 15, 2010 9:09:39 PM PST To: joy.hamilton@kingcounty.gov Cc: anne.pearson@kingcounty.gov, Sarah Ross-Viles <sarah.ross-viles@kingcounty.gov> Subject: Public support for e-cig laws

First of all...hopefully you don't read this until tomorrow...there's no need for all of us to be up working late! But I couldn't wait to share this interesting piece of information! http://www.med.umich.edu/mott/npch/pdf/091310report.pdf

Scott

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From: Lei <siouxpaw@yahoo.com> To: "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> "Prevention, Tobacco" <Tobacco.Prevention@kingcounty.gov> Date: 12/17/2010 2:23:01 PM Subject:
Just wanted to say thanks so much and give you guys a big 'thumbs up' for all your hard work! Give yourselves a big pat on the back and a Christmas bonus! I've been smoking for 30 years. Last month, however, I became an ex-smoker. How? Well, it started when I saw a young man smoking in the MALL! I was so surprised that I stopped walking and stared: like the rest of the world, I've been 'conditioned' to be shocked by such behavior. Then I noticed the booth he was standing at- oh my gosh, ecigarettes! 45 minutes later, I walked away with not one, but TWO e-cigarettes! Why two? I gave one to my son. He's 19. It's been a pretty great 4 weeks. Other family members who smoke tried my e-cigarette and purchased their own. The $250 which would have normally been spent on tobacco didn't get shoved into my mattress, it was put back into the struggling economy via local merchants. My health has improved, my activity levels have increased, and 7 members of our family are on their way to becoming non-smokers. And then... DPH has apparently taken offense to our quitting the tobacco habit. I now have to ask: WHAT IS WRONG WITH YOU PEOPLE! 6 members of your Board actually took the stand that "By returning smoking to the public eye, public e-cigarette use threatens to undermine the social norming impact" of our society? This is the best your department can come up with? Again, I ask 'why'? Is this response out of fear that Washington State will lose the coveted status of having the 3rd lowest # of smokers in the nation? I doubt it. I think it's much more likely that DPH is concerned about losing the 25.5 million grant awarded last March; which was awarded in part by the goals your department claimed to have a desire to reach. Please attend particularly to goal #3: Increase levels of physical activity and healthy nutrition Decrease rates of overweight and obesity Decrease smoking rates, smoking initiation by teens and exposure to secondhand smoke Reduce health inequities by focusing on communities with the greatest disadvantage It certainly seems to me that e-cigarettes meet and exceed this goal. What could be the reasons for DPH to act against it's own goals? Perhaps obesity doesn't tug enough heartstrings? Tax dollars lost from the sale of cigarettes will negatively impact your departmental budget? Hmm.. Oh wait- there is the $25.5 million to consider, isn't there? The likely hood of being awarded this grant in 2012 would decrease immensely if the majority of smokers turned to ecigarettes... Again, my congratulations. I'm ever so happy that your jobs will be secure in 2012. Lord knows with people such as yourselves making the rules, we'll need a babysitter. Madeline Dietz P.S. As one of the millions of un-insured citizens in this great Nation of ours, I would have thought that the Department of Public Health would seize any opportunity to applaud the efforts of smokers to quit. Think of the health costs that would be lowered! Of course, that would mean a lower departmental budget, wouldn't it? Sad to think that money is the motivating factor- but I'm sure you have a family that depends on you, too. Do have a lovely Holiday.

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From: To: Date: Subject: post BOH emails - there are four total

"Wood, Maria" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/17/2010 7:52:06 PM FW: Ban

From: john.jasper@comcast.net [mailto:john.jasper@comcast.net] Sent: Thursday, December 16, 2010 6:48 PM To: Wood, Maria Subject: Ban

Dear Maria Woods, It's pretty obvious that you already had your mind made up to ban electronic cigarettes no matter what because the report given by this guy was all most all "I'm not sure" "I think" "I'll find out later" "They weren't sure but think" etc. This report was nothing more than this persons assumptions on what he thought. To use that as your standard to ban the use of these products in public was a very selfish personal thing that pertained to nothing more than your feelings on the subject. You have put your personal views before the publics well being and I am shocked that you accept a report that even the person giving it gave no data but maybe, should, might and ought to before CASA report of substantiated fact. By the way I am not affiliated with CASA in any way. I am amazed the good people of King County keep you employed. The bright side is maybe they will see you for who you really are and get rid of you and your co-horts. Sincerely, J.F. Jasper

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From: To: Date: Subject: The fun never stops :)

"Ross, Kathryn" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/17/2010 12:03:40 PM Re: BBC - back to you

----- Original Message ----From: Neal, Scott Sent: Friday, December 17, 2010 07:56 AM To: Ross, Kathryn Subject: RE: BBC - back to you Well if I wasn't dealing with our budget crisis all day yesterday, I could have probably gotten back to them sooner. Oh well. :) -----Original Message----From: Ross, Kathryn Sent: Thursday, December 16, 2010 8:15 PM To: Neal, Scott Subject: RE: BBC - back to you Hi Scott, James heard the BBC piece on KUOW tonight. Apparently it was not in our favor. They must have wrapped the piece before you got in touch with them. It's disappointing that they weren't more forthcoming about that - and that they did a one-sided story. I can't find a link to the story, but will let you know I come across it. Thanks, Katie ________________________________________ From: Neal, Scott Sent: Thursday, December 16, 2010 4:04 PM To: Ross, Kathryn Cc: Johnson, Gareth; Krieger, James; Allis, Donna; Apa, James; 'Bud Nicola' Subject: RE: BBC - back to you Hi Katie, I just called and spoke with someone at this number and I explained that the meeting happened today and that the board passed the proposed regulations, explaining that this was NOT a ban on e-cigs, but was a restriction for the sale to adults only, that it prohibited providing free samples, and prohibited the use in public places and places of employment. I then finished by explaining that all of these regulations now simply mimic what has already been in place for a number of years for tobacco products. After that he checked with his editor and they thanked me for calling back and said that they did not need me for the
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interview. Scott _____________________________________________ From: Ross, Kathryn Sent: Thursday, December 16, 2010 12:43 PM To: Neal, Scott Subject: BBC - back to you Hi Scott, Well, Bud punted the BBC interview back to you. Do you have time to speak with them? Here's the info from Hilary:

BBC World Service wants to do a short interview with us re: e-cigs. Scott can you catch him? International call 0044-207-557-0104. Producers name is Megha Mohan (not Meghan). Its 8 p.m. They will be interviewing a person who likes e-cigs, so Scott will have to acknowledge that some folks find it helpful (possibly). You know the messages well - it's all about protecting kids. But please let me know if I can help prep you at all. I think it would be best to call sooner rather than later given the timing. Thanks! Katie

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From: To: Date: Subject:

"Neal, Scott" "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> 12/17/2010 11:58:00 AM RE: BBC - back to you

Well if I wasn't dealing with our budget crisis all day yesterday, I could have probably gotten back to them sooner. Oh well. :) -----Original Message----From: Ross, Kathryn Sent: Thursday, December 16, 2010 8:15 PM To: Neal, Scott Subject: RE: BBC - back to you Hi Scott, James heard the BBC piece on KUOW tonight. Apparently it was not in our favor. They must have wrapped the piece before you got in touch with them. It's disappointing that they weren't more forthcoming about that - and that they did a one-sided story. I can't find a link to the story, but will let you know I come across it. Thanks, Katie ________________________________________ From: Neal, Scott Sent: Thursday, December 16, 2010 4:04 PM To: Ross, Kathryn Cc: Johnson, Gareth; Krieger, James; Allis, Donna; Apa, James; 'Bud Nicola' Subject: RE: BBC - back to you Hi Katie, I just called and spoke with someone at this number and I explained that the meeting happened today and that the board passed the proposed regulations, explaining that this was NOT a ban on e-cigs, but was a restriction for the sale to adults only, that it prohibited providing free samples, and prohibited the use in public places and places of employment. I then finished by explaining that all of these regulations now simply mimic what has already been in place for a number of years for tobacco products. After that he checked with his editor and they thanked me for calling back and said that they did not need me for the interview. Scott _____________________________________________ From: Ross, Kathryn Sent: Thursday, December 16, 2010 12:43 PM To: Neal, Scott Subject: BBC - back to you
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Hi Scott, Well, Bud punted the BBC interview back to you. Do you have time to speak with them? Here's the info from Hilary:

BBC World Service wants to do a short interview with us re: e-cigs. Scott can you catch him? International call 0044-207-557-0104. Producers name is Megha Mohan (not Meghan). Its 8 p.m. They will be interviewing a person who likes e-cigs, so Scott will have to acknowledge that some folks find it helpful (possibly). You know the messages well - it's all about protecting kids. But please let me know if I can help prep you at all. I think it would be best to call sooner rather than later given the timing. Thanks! Katie

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From: To: Date: Subject: Hi Scott,

"Ross, Kathryn" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/17/2010 12:17:41 AM RE: BBC - back to you

James heard the BBC piece on KUOW tonight. Apparently it was not in our favor. They must have wrapped the piece before you got in touch with them. It's disappointing that they weren't more forthcoming about that - and that they did a one-sided story. I can't find a link to the story, but will let you know I come across it. Thanks, Katie ________________________________________ From: Neal, Scott Sent: Thursday, December 16, 2010 4:04 PM To: Ross, Kathryn Cc: Johnson, Gareth; Krieger, James; Allis, Donna; Apa, James; 'Bud Nicola' Subject: RE: BBC - back to you Hi Katie, I just called and spoke with someone at this number and I explained that the meeting happened today and that the board passed the proposed regulations, explaining that this was NOT a ban on e-cigs, but was a restriction for the sale to adults only, that it prohibited providing free samples, and prohibited the use in public places and places of employment. I then finished by explaining that all of these regulations now simply mimic what has already been in place for a number of years for tobacco products. After that he checked with his editor and they thanked me for calling back and said that they did not need me for the interview. Scott _____________________________________________ From: Ross, Kathryn Sent: Thursday, December 16, 2010 12:43 PM To: Neal, Scott Subject: BBC - back to you Hi Scott, Well, Bud punted the BBC interview back to you. Do you have time to speak with them? Here's the info from Hilary:

BBC World Service wants to do a short interview with us re: e-cigs. Scott can you catch him? International call 0044-207-557-0104. Producers name is Megha Mohan (not Meghan). Its 8 p.m. They will be interviewing a person who likes e-cigs, so Scott will have to acknowledge that some folks find it helpful (possibly).
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You know the messages well - it's all about protecting kids. But please let me know if I can help prep you at all. I think it would be best to call sooner rather than later given the timing. Thanks! Katie

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From: To: Date: Subject:

"Neal, Scott" "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> 12/17/2010 12:06:00 PM RE: BBC - back to you

Well that is exactly what we are trying to find any way to avoid...the fun stopping because of budget cuts. :( -----Original Message----From: Ross, Kathryn Sent: Friday, December 17, 2010 8:04 AM To: Neal, Scott Subject: Re: BBC - back to you The fun never stops :)

----- Original Message ----From: Neal, Scott Sent: Friday, December 17, 2010 07:56 AM To: Ross, Kathryn Subject: RE: BBC - back to you Well if I wasn't dealing with our budget crisis all day yesterday, I could have probably gotten back to them sooner. Oh well. :) -----Original Message----From: Ross, Kathryn Sent: Thursday, December 16, 2010 8:15 PM To: Neal, Scott Subject: RE: BBC - back to you Hi Scott, James heard the BBC piece on KUOW tonight. Apparently it was not in our favor. They must have wrapped the piece before you got in touch with them. It's disappointing that they weren't more forthcoming about that - and that they did a one-sided story. I can't find a link to the story, but will let you know I come across it. Thanks, Katie ________________________________________ From: Neal, Scott Sent: Thursday, December 16, 2010 4:04 PM To: Ross, Kathryn Cc: Johnson, Gareth; Krieger, James; Allis, Donna; Apa, James; 'Bud Nicola' Subject: RE: BBC - back to you Hi Katie,
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I just called and spoke with someone at this number and I explained that the meeting happened today and that the board passed the proposed regulations, explaining that this was NOT a ban on e-cigs, but was a restriction for the sale to adults only, that it prohibited providing free samples, and prohibited the use in public places and places of employment. I then finished by explaining that all of these regulations now simply mimic what has already been in place for a number of years for tobacco products. After that he checked with his editor and they thanked me for calling back and said that they did not need me for the interview. Scott _____________________________________________ From: Ross, Kathryn Sent: Thursday, December 16, 2010 12:43 PM To: Neal, Scott Subject: BBC - back to you Hi Scott, Well, Bud punted the BBC interview back to you. Do you have time to speak with them? Here's the info from Hilary:

BBC World Service wants to do a short interview with us re: e-cigs. Scott can you catch him? International call 0044-207-557-0104. Producers name is Megha Mohan (not Meghan). Its 8 p.m. They will be interviewing a person who likes e-cigs, so Scott will have to acknowledge that some folks find it helpful (possibly). You know the messages well - it's all about protecting kids. But please let me know if I can help prep you at all. I think it would be best to call sooner rather than later given the timing. Thanks! Katie

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From: To: Date: Subject:


Hi Bud,

"Neal, Scott" "Bud Nicola" <bnicola@u.washington.edu> 12/17/2010 12:10:00 PM RE: E-cig media call

Yes, we are definitely fighting what seems to be a loosing battle over funding, but that being said, I think we could commit to helping out. I say we because I'm not sure I can commit personally given my wife and I are expecting a baby Jan. 28th, so I may not be very available through February. But I'm sure that if I can't do this, I would highly recommend Sarah or Joy as alternates and I would imagine both would be happy to help. I will talk with both of them today about this and we'll get back with you to confirm. Thanks Scott

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Thursday, December 16, 2010 4:07 PM To: Neal, Scott Subject: RE: E-cig media call Scott, Youre welcome. And thanks for the great work that you and your staff do. On a different topic I moderate a monthly webinar for the Northwest Center for Public Health Practice called Hot Topics in Preparedness although we cover many different areas of public health. Would you be willing to help out on a session in February related to an update on issues related to tobacco? I think our work today will be of interest to other health departments. Im also trying to find someone from another state in this region since the webinar is regional and am sending a query to health dept friends in Montana. Its probably not fair to ask you since the programs funding is up in the air so I would certainly understand if you cant commit. Bud Bud Nicola bnicola@uw.edu

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Thursday, December 16, 2010 3:40 PM To: Bud Nicola; Ross, Kathryn Cc: Wood, Maria Subject: RE: E-cig media call Hi Bud, Thanks for taking that interview and for all your work and support on this issue over the past several months (especially the past week!). Scott

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Thursday, December 16, 2010 3:38 PM To: Ross, Kathryn Cc: Neal, Scott; Wood, Maria Subject: RE: E-cig media call Fyi - I talked to Matt Lube at the Stranger and am not expecting a very supportive story. Bud Nicola bnicola@uw.edu 8_19_2011

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From: Ross, Kathryn [mailto:Kathryn.Ross@kingcounty.gov] Sent: Thursday, December 16, 2010 12:51 PM To: Bud Nicola Subject: E-cig media call Importance: High Hi Bud, Are you able to give the Stranger a call this afternoon re: the e-cigarette regulation? The reporter's name is Matt Lube 206-323-7101 x3016. His question is, "what's the rationale for the ban." Please let me know if you're not able to do this, and I'll check in w/ Julia's office. Thank you! Katie Ross 206-263-8781

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From: To: Date: Subject:

"Wood, Maria" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/17/2010 6:37:03 PM FW: E-cigs and smoke free air

I think this list is what Wendy printed out and distributed at the meeting yesterday.

From: Hamilton, Joy Sent: Tuesday, December 14, 2010 1:18 PM To: Soo Hoo, Wendy Cc: Wood, Maria; Neal, Scott Subject: FW: E-cigs and smoke free air

Wendy and Maria, Here is a list of MORE jurisdictions who have e-cigs in their smoke free air laws -- feel free to add these to the list for the rationale document. Joy

From: Annie Tegen [mailto:annie.tegen@no-smoke.org] Sent: Monday, December 13, 2010 2:44 PM To: Hamilton, Joy Subject: Re: E-cigs and smoke free air

Hi Joy! Okay here is what I found as far as cities enacting (or considering) laws that pertain to e-cigarettes. E-cig laws, like hookah laws, are tricky to track since they're not always explicitly mentioned. We did a database search for e-cig laws, and here are the results: Martinez, CA enacted a law on 5/6/09 which defines "Smoking" as, among other things, "possessing a lighted Tobacco Product," and defines "Tobacco Product" to mean, among other things, "any product or formulation of matter containing biologically active amounts of nicotine that is manufactured, sold, offered for sale, or otherwise distributed with the expectation that the product or matter will be introduced into the human body by inhalation; but does not include any cessation product specifically approved by the U. S. Food and Drug Administration for use in treating nicotine or tobacco dependence." Glendale, CA enacted a law on 10/7/08 that uses the following definition: (incidentally, the purpose of this language was to cover hookah places, but seems to cover e-cigs too): Tobacco product means any substance made from the tobacco leaf including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, hookah tobacco, dipping tobacco, smokeless tobacco, bidis, or products prepared from tobacco and designed for smoking or ingestion and any product or formulation of matter containing biologically active amounts of nicotine that is manufactured, sold, offered for sale, or otherwise distributed with the expectation that the product or matter will be introduced into the human body. Crescent City CA Place4/89: No smoking in all buildings and vehicles owned or leased by city (except Cultural Center). Smoking is permitted in open areas and in special areas designated by City Manager. 12/03: Exception for Cultural Center deleted. Smoking permitted in designated smoking areas in City facilities. Smoking prohibited within 25 feet of entrances and windows to places where smoking is prohibited and within 25 feet of children's play areas. 5/10: Smoking prohibited in all City parks and at public events. Smoking includes use of e-cigarettes.
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Hillsborough County FL County 9/09: Use of tobacco products and facsimile tobacco products, including ecigarettes, prohibited in Sheriff's Office facilities and vehicles and on grounds of facilities. Other penalty = 1st violation - smoking cessation program for employees; eviction from facility or trespass warning for public; 2d violation - disciplinary action for employees. Bergen County NJ County4/04: Smoking prohibited in all County operated playgrounds, ball fields, and swimming pools leased or owned by County. 10/09: E-cigarettes prohibited in County parks where children are present and in County buildings and vehicles. New Jersey NJ State8/05: Smoking prohibited in college and university dormitories. 12/05: Smoking prohibited in foster care homes and in cars transporting foster children. 1/06: Smoking prohibited in all workplaces, restaurants, bars, and public places generally. 1/10: Use of e-cigarettes prohibited in all indoor places where smoking is prohibited. Suffolk County NY County6/84: Smoking prohibited in some workplace areas and in some public places, except for smoking areas. Restaurants with more than 50 seats must be at least 20% nonsmoking. 8/86: No substantive change. 7/89: Smoking prohibited in settee area of bowling alleys. 6/94: Smoking prohibited in restaurants, except for separately ventilated rooms. Smoking permitted in bowling alleys during certain hours of operation: After 6:00 P.M. during adult bowling leagues and in settee area. 5/95: Smoking prohibited in attached bars after 6/30/98. 9/98: Bingo halls are governed by State law. 4/02: Smoking prohibited within 50 feet of street level entrances to County buildings and hospitals. 6/02: Smoking prohibited in bowling alleys. 2/03: Smoking prohibited in all workplaces, restaurants, and bars. Exemption for bingo parlors deleted. 11/06: Smoking prohibited within 50 feet of all entrances to County buildings. 9/09: Amended definition of smoking to include e-cigarettes.

At 01:02 PM 12/13/2010, you wrote:


Hi Annie, Greetings. It was nice to meet you at APHA and put a face to your name. As I think I mentioned, we are working with the King County Board of Health to make e-cigarette policies. The meeting is this Thursday. There has been concern expressed about the rationale for banning e-cigs in public places. Are you aware of any jurisdictions that have rolled back smoke-free air laws (e.g. permitted smoking after restricting it)? We are working on our presentation to explain why it is necessary to restrict e-cigarette use in public, and would like to draw from the literature that looks at the impact of smoke-free air laws on social norming and on consumption. Any help you can offer would be great. Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

Annie Tegen, MPH Senior Program Manager Americans for Nonsmokers' Rights American Nonsmokers Rights Foundation
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annie.tegen@no-smoke.org Phone: 206.545.7175

Are you a member of ANR? If not, please join us today. Our work depends on members like you!

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From: To: Date: Subject:

"Wood, Maria" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/17/2010 7:52:13 PM FW: Electronic Cigarette Ban.

From: john.jasper@comcast.net [mailto:john.jasper@comcast.net] Sent: Thursday, December 16, 2010 6:04 PM To: Wood, Maria Subject: Electronic Cigarette Ban.

Dear Maria Wood, The King County Board of Health has decided it wants to ban the use of electronic cigarettes because they are a nuisance and pose a health risk to the good citizens of King County. You have based this on erroneous facts that cannot be proven but you still consider this ban. You contend that the vapor that is exhaled from the user will cause addiction to others. Do you hear how nave and idiotic that statement is? I will spare you the links to case studies on the subject as Im sure you have been bombarded with them already. I find it very odd that you havent banned barbeques as the char broiled meat was long ago proven to contain carcinogens far worse to the consumer than electronic cigarette vapor. You also did not ban them as being appealing to teenagers. I am quite sure that I will see more teenagers with hamburgers cooked in the back yards and our county parks than I will using an electronic cigarette. You state that it is confusing to your inspectors that are searching out cigarette smokers but if you get close to a cigarette smoker the foul odor they emit will be there a long time whereas an electronic cigarette users emits no foul odor. The appearance you worry about for your inspectors yet since I was a child you could buy candy cigarettes, and still can, that look exactly like a cigarette from a short distance and they are of no concern to you and probably lead more children down that path than an electronic cigarette ever will. If your inspectors are having that much of a problem, especially at the wages they get, I submit to you its time to hire better inspectors. Shall I go on or are you starting to understand how idiotic this venture is? It doesnt wash with me and Ill hazard a guess not too many other intelligent people. I find it odd that you suggest patches and other remedies that dont work for people over ones that do. Could it be you have an ulterior motive in considering this ban? I would also like to know why I, and people like me that dont smoke tobacco, have to be subjected to the harmful toxins that I have finally rid myself of by being placed in smoking areas? I was under the impression they were set aside for smokers, of which Im not, to keep the rest of us safe from second hand smoke and the harmful chemicals contained therein? Is your health more important than mine? Am I being punished for choosing a healthy alternative to smoking or is it because you just dont like people that dont live the way you want them to live? Im concerned because you are really classing me as a second class citizen and thats not fair. All of my doctors have told me that my health has improved since I quit smoking tobacco and started using electronic cigarettes but you want me to return to smoking and are passing policy to insure it. Please rethink your agenda and at least get honest factual data to base this ban on instead of the tainted and biased ones you are using. Sincerely, J. F. Jasper

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From: To: Date: Subject:

"Wood, Maria" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/17/2010 7:52:33 PM FW: Electronic Cigarettes

From: Doug Rector [mailto:doug@nwlpc.com] Sent: Thursday, December 16, 2010 3:28 PM To: Wood, Maria Subject: Electronic Cigarettes I know I wont get a response because that is not the way KC does business BUTR you need to listen to the citizens. Banning electronic cigarettes is the most ridiculous things I have ever heard, and believe me I have seen many in KC. Hey! Lets ban apple juice! I was in McDonalds and saw a 5 year old drinking something that looked like beer!

Dont you think that us stupid citizens know the difference between a real cigarette with its smoke and smell and a device that emits nothing! OH! I get it! Its an electronic cigarette and youre afraid if we are drinking something the cigarette may electrocute us! Now I get it!

Douglas Rector (

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From: To: Date: Subject:

"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/17/2010 3:52:00 PM RE: Electronic Cigarettes policy debrief

Do we have any indication of when Jim IS actually available? Is it soon? We are getting close to the holidays and I'm afraid that if we push this out any more, we just end up losing more people >_____________________________________________ >From: Hamilton, Joy >Sent: Friday, December 17, 2010 10:36 AM >To: Neal, Scott >Subject: FW: Electronic Cigarettes policy debrief > >Scott, >Should I reschedule the meeting so that Jim can be there? I did call Claire when I scheduled the meeting but I guess I didn't ask the right questions (his calendar shows that he is available at that time). > >I think its really important that this meeting be held as soon as possible (especially with the holidays approaching). > >FYI -- accepted so far are: Chrissy R, Katie Ross, Jenn Muhm, Maria, Anne > >Joy > >_____________________________________________ >From: Krieger, James >Sent: Friday, December 17, 2010 10:29 AM >To: Hamilton, Joy >Cc: Magbanua, Arsenia Claire >Subject: Declined: Electronic Cigarettes policy debrief >When: Monday, December 20, 2010 3:00 PM-4:30 PM (GMT-08:00) Pacific Time (US & Canada). >Where: RR, NCOB Floor 11 Room 1127 - Capacity 12 > >Joy, as I mentioned, I cannot do Mondaytoo much on the calendar that day. Did you check in with Claire about my availability before choosing this time? She knows when I can and cannot do meetings. Please check with her. Thanks, Jim

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From: To: Date: Subject:

"Hamilton, Joy" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/17/2010 4:32:27 PM RE: Electronic Cigarettes policy debrief

Looks like he might be free on Tuesday from 12 to 1 (but I have to check with Claire because apparently his calendar isn't always reflective of WHEN he is free). If we go with that time -- Jennifer and Chrissy aren't available AND we have a lot to talk about in just an hour.

>_____________________________________________ >From: Neal, Scott >Sent: Friday, December 17, 2010 11:51 AM >To: Hamilton, Joy >Subject: RE: Electronic Cigarettes policy debrief > >Do we have any indication of when Jim IS actually available? Is it soon? We are getting close to the holidays and I'm afraid that if we push this out any more, we just end up losing more people > >_____________________________________________ >From: Hamilton, Joy >Sent: Friday, December 17, 2010 10:36 AM >To: Neal, Scott >Subject: FW: Electronic Cigarettes policy debrief > >Scott, >Should I reschedule the meeting so that Jim can be there? I did call Claire when I scheduled the meeting but I guess I didn't ask the right questions (his calendar shows that he is available at that time). > >I think its really important that this meeting be held as soon as possible (especially with the holidays approaching). > >FYI -- accepted so far are: Chrissy R, Katie Ross, Jenn Muhm, Maria, Anne > >Joy > >_____________________________________________ >From: Krieger, James >Sent: Friday, December 17, 2010 10:29 AM >To: Hamilton, Joy >Cc: Magbanua, Arsenia Claire >Subject: Declined: Electronic Cigarettes policy debrief >When: Monday, December 20, 2010 3:00 PM-4:30 PM (GMT-08:00) Pacific Time (US & Canada). >Where: RR, NCOB Floor 11 Room 1127 - Capacity 12 > >Joy, as I mentioned, I cannot do Mondaytoo much on the calendar that day. Did you check in with Claire about my availability before choosing this time? She knows when I can and cannot do meetings. Please check with her. Thanks, Jim

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From: To: Date: Subject:

"Hamilton, Joy" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/17/2010 2:36:21 PM FW: Electronic Cigarettes policy debrief

Scott, Should I reschedule the meeting so that Jim can be there? I did call Claire when I scheduled the meeting but I guess I didn't ask the right questions (his calendar shows that he is available at that time). I think its really important that this meeting be held as soon as possible (especially with the holidays approaching). FYI -- accepted so far are: Chrissy R, Katie Ross, Jenn Muhm, Maria, Anne Joy >_____________________________________________ >From: Krieger, James >Sent: Friday, December 17, 2010 10:29 AM >To: Hamilton, Joy >Cc: Magbanua, Arsenia Claire >Subject: Declined: Electronic Cigarettes policy debrief >When: Monday, December 20, 2010 3:00 PM-4:30 PM (GMT-08:00) Pacific Time (US & Canada). >Where: RR, NCOB Floor 11 Room 1127 - Capacity 12 > >Joy, as I mentioned, I cannot do Mondaytoo much on the calendar that day. Did you check in with Claire about my availability before choosing this time? She knows when I can and cannot do meetings. Please check with her. Thanks, Jim

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From: "Wood, Maria" To: "Julia Patterson, King County Councilmember" <KingCountyCouncilmember.JuliaPatterson@kingcounty.gov> "Lambert, Kathy" <Kathy.Lambert@kingcounty.gov> "McDermott, Joe" <Joe.McDermott@kingcounty.gov> "Dunn, Reagan" <Reagan.Dunn@kingcounty.gov> nick.licata@seattle.gov "Clark, Sally" <Sally.Clark@seattle.gov> Richard.conlin@seattle.gov mike.obrien@seattle.gov "Ava Frisinger" <AvaF@ci.issaquah.wa.us> mayordave@cityoflfp.com "Dan Sherman" <DSherman@desmoineswa.gov> "Bud Nicola" <bnicola@u.washington.edu> "Danielson, Benjamin" <benjamin.danielson@seattlechildrens.org> "Frankie T. Manning" <frankietmanning@hotmail.com> "Fleming, David" <David.Fleming@kingcounty.gov> Date: 12/17/2010 7:16:53 PM Subject: Follow up from Board of Health Meeting Hi Folks, This is the link to the short video that did not work during the e-cigarette briefing at yesterday's BOH meeting. This video shows two individuals side by side, one lights and smokes a regular cigarette and the other uses an e-cigarette. This video captures the typical image of what it looks like when someone use e-cigarettes. http://www.youtube.com/watch?v=rFMa4nMg3pQ Thanks, Maria E. Maria Wood, MA Board of Health Administrator Public Health - Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166

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From: To: Date: Subject: Hey Scott,

"Pearson, Anne" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/17/2010 2:37:17 PM RE: Hearing

As much as there is probably much that we can learn from the process, I hope that all this talk about debriefing doesn't lead us to overlook just how much went right. Your team did an amazing job and achieved something really great. They have turned into a lean mean policy machine in no time flat. I hope everyone is feeling really proud. Anne ________________________________________ From: Neal, Scott Sent: Friday, December 17, 2010 7:54 AM To: Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne; Fleming, David; Huus, Kathie Subject: RE: Hearing We have set up a meeting on Monday to do just this. I agree that we could probably learn a lot from how this went down on a lot of levels. We definitely need to iron out the process and preparation. Scott -----Original Message----From: Krieger, James Sent: Thursday, December 16, 2010 4:14 PM To: Neal, Scott; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne; Fleming, David; Huus, Kathie Subject: RE: Hearing I'd been interested, as we did last time, to debrief the process and see what we have learned. I wonder if prepping the board more about counter-arguments, checking in with them about email prior to the meeting to get a sense of what they were reading, and having some allies there to testify might be helpful for future efforts? Jim James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

-----Original Message----From: Neal, Scott Sent: Thursday, December 16, 2010 8:56 AM To: Krieger, James; Fleming, David; Wood, Maria
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Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing We don't know if we will have supporters or not willing to testify. We do know that ACS, Am. Heart and ALAW all recommend a full ban on these products until they have been proven to be safe for use. We had heard that they were going to send a letter or email to that point, but I'm not sure if that happened. Scott -----Original Message----From: Krieger, James Sent: Thursday, December 16, 2010 8:49 AM To: Neal, Scott; Fleming, David; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing I would also be cautious about the harms of nicotine beyond addiction, since we don't know the dose being inhaled and only fairly high doses have acute effects. Are supporters lined up to attend in case the opposition shows up? James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

-----Original Message----From: Neal, Scott Sent: Thursday, December 16, 2010 8:46 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing Agreed...and this is included in the presentation. -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:34 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: Re: Hearing Scott -- I'm not sure I would go the second hand route unless we have some info to back. I was responding more to the assertions from e-mails that these are safe and the only reason we are banning is to protect others, so thought we might point out that these are devices that deliver a dose of an addictive and harmful product.
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I don't feel strongly, but would want us to make an advance decision about what we would say here and then stick with it at the hearing.

----- Original Message ----From: Neal, Scott Sent: Thursday, December 16, 2010 08:26 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing I think this issue is a complicated one for the general public to understand and one that I've been thinking a great deal about overnight. I agree that we should at least present the fact that nicotine is not only addicitive but can be harmful in certain doses and link this back to the fact that the scientific tests have shown great inconsistencies among these producs and the amount of nicotine that is delivered. I however struggle with finding data that shows this on the exhaled vapor, but I would assume that not all the nicotine or other chemicals are absorbed by the user. Is this getting at your thoughts about inhaling nicotine?

Scott -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:06 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth Subject: Hearing We are bringing an e-cigarette that looks like a cigarette, right? There is a fair amount of articulate "anti" e-mail coming in so it should ne interesting. We need a succinct clear reason for the public ban that we stick to. Do we want to say anything about the possible harm of inhaling nicotine?

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From: "Krieger, James" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 12/17/2010 1:47:30 PM Subject: RE: Hearing Thanks...Joy, please check with Claire on my calendar. James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

-----Original Message----From: Neal, Scott Sent: Friday, December 17, 2010 9:45 AM To: Krieger, James Cc: Hamilton, Joy Subject: RE: Hearing It's currently in room 926 at 3:30pm, but given the increasing number of people being invited, this room may need to change. Also, there are a couple of things happening now. We had initially set up a more "internal" program debrief, but now it seems to have morphed into a more dept-wide process debrief (which is also needed, but may be more linked to the policy workgroup work). I will have Joy invite you though so we can iron out the debriefing needs and move forward. Scott -----Original Message----From: Krieger, James Sent: Friday, December 17, 2010 9:40 AM To: Neal, Scott Subject: RE: Hearing When is meeting...I would like to be there and my Monday is pretty much filled. James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov
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-----Original Message----From: Neal, Scott Sent: Friday, December 17, 2010 9:09 AM To: Fleming, David; Krieger, James; Wood, Maria; Russillo, Chrissy Cc: Johnson, Gareth; Pearson, Anne; Huus, Kathie Subject: RE: Hearing Agreed...we will loop Chrissy into this debrief. Scott -----Original Message----From: Fleming, David Sent: Friday, December 17, 2010 9:01 AM To: Neal, Scott; Krieger, James; Wood, Maria; Russillo, Chrissy Cc: Johnson, Gareth; Pearson, Anne; Huus, Kathie Subject: Re: Hearing I've asked Chrissy to loop into this as well. I think it is important to talk about some of the tactics that, in retrospect, would have been important. To me, maybe even more important are identifying roles, responsibilities and triggers for when to implement what kind of measures as not all BOH issues are the same level of controversy -- the need for an assessment and monitoring piece may be the most critical learning. Also probably should talk about PAO engagement and construction of rationales. Thanks for all your hard work on this. ----- Original Message ----From: Neal, Scott Sent: Friday, December 17, 2010 07:54 AM To: Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne; Fleming, David; Huus, Kathie Subject: RE: Hearing We have set up a meeting on Monday to do just this. I agree that we could probably learn a lot from how this went down on a lot of levels. We definitely need to iron out the process and preparation. Scott -----Original Message----From: Krieger, James Sent: Thursday, December 16, 2010 4:14 PM To: Neal, Scott; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne; Fleming, David; Huus, Kathie Subject: RE: Hearing I'd been interested, as we did last time, to debrief the process and see what we have learned. I wonder if prepping the board more about counter-arguments, checking in with them about email prior to the meeting to get a sense of what they were reading, and having some allies there to testify might be helpful for future efforts?
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Jim James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

-----Original Message----From: Neal, Scott Sent: Thursday, December 16, 2010 8:56 AM To: Krieger, James; Fleming, David; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing We don't know if we will have supporters or not willing to testify. We do know that ACS, Am. Heart and ALAW all recommend a full ban on these products until they have been proven to be safe for use. We had heard that they were going to send a letter or email to that point, but I'm not sure if that happened. Scott -----Original Message----From: Krieger, James Sent: Thursday, December 16, 2010 8:49 AM To: Neal, Scott; Fleming, David; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing I would also be cautious about the harms of nicotine beyond addiction, since we don't know the dose being inhaled and only fairly high doses have acute effects. Are supporters lined up to attend in case the opposition shows up? James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

-----Original Message----From: Neal, Scott Sent: Thursday, December 16, 2010 8:46 AM
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To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing Agreed...and this is included in the presentation. -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:34 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: Re: Hearing Scott -- I'm not sure I would go the second hand route unless we have some info to back. I was responding more to the assertions from e-mails that these are safe and the only reason we are banning is to protect others, so thought we might point out that these are devices that deliver a dose of an addictive and harmful product. I don't feel strongly, but would want us to make an advance decision about what we would say here and then stick with it at the hearing.

----- Original Message ----From: Neal, Scott Sent: Thursday, December 16, 2010 08:26 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing I think this issue is a complicated one for the general public to understand and one that I've been thinking a great deal about overnight. I agree that we should at least present the fact that nicotine is not only addicitive but can be harmful in certain doses and link this back to the fact that the scientific tests have shown great inconsistencies among these producs and the amount of nicotine that is delivered. I however struggle with finding data that shows this on the exhaled vapor, but I would assume that not all the nicotine or other chemicals are absorbed by the user. Is this getting at your thoughts about inhaling nicotine?

Scott -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:06 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth Subject: Hearing We are bringing an e-cigarette that looks like a cigarette, right? There is a fair amount of articulate "anti" e-mail coming in so it should ne interesting.
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We need a succinct clear reason for the public ban that we stick to. Do we want to say anything about the possible harm of inhaling nicotine?

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From: To: Date: Subject:

"Neal, Scott" "Krieger, James" <James.Krieger@kingcounty.gov> 12/17/2010 1:46:00 PM RE: Hearing

It's currently in room 926 at 3:30pm, but given the increasing number of people being invited, this room may need to change. Also, there are a couple of things happening now. We had initially set up a more "internal" program debrief, but now it seems to have morphed into a more dept-wide process debrief (which is also needed, but may be more linked to the policy workgroup work). I will have Joy invite you though so we can iron out the debriefing needs and move forward. Scott -----Original Message----From: Krieger, James Sent: Friday, December 17, 2010 9:40 AM To: Neal, Scott Subject: RE: Hearing When is meeting...I would like to be there and my Monday is pretty much filled. James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Friday, December 17, 2010 9:09 AM To: Fleming, David; Krieger, James; Wood, Maria; Russillo, Chrissy Cc: Johnson, Gareth; Pearson, Anne; Huus, Kathie Subject: RE: Hearing Agreed...we will loop Chrissy into this debrief. Scott -----Original Message----From: Fleming, David Sent: Friday, December 17, 2010 9:01 AM To: Neal, Scott; Krieger, James; Wood, Maria; Russillo, Chrissy Cc: Johnson, Gareth; Pearson, Anne; Huus, Kathie Subject: Re: Hearing I've asked Chrissy to loop into this as well. I think it is important to talk about some of the tactics that, in retrospect, would have been important. To me, maybe
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even more important are identifying roles, responsibilities and triggers for when to implement what kind of measures as not all BOH issues are the same level of controversy -- the need for an assessment and monitoring piece may be the most critical learning. Also probably should talk about PAO engagement and construction of rationales. Thanks for all your hard work on this. ----- Original Message ----From: Neal, Scott Sent: Friday, December 17, 2010 07:54 AM To: Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne; Fleming, David; Huus, Kathie Subject: RE: Hearing We have set up a meeting on Monday to do just this. I agree that we could probably learn a lot from how this went down on a lot of levels. We definitely need to iron out the process and preparation. Scott -----Original Message----From: Krieger, James Sent: Thursday, December 16, 2010 4:14 PM To: Neal, Scott; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne; Fleming, David; Huus, Kathie Subject: RE: Hearing I'd been interested, as we did last time, to debrief the process and see what we have learned. I wonder if prepping the board more about counter-arguments, checking in with them about email prior to the meeting to get a sense of what they were reading, and having some allies there to testify might be helpful for future efforts? Jim James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

-----Original Message----From: Neal, Scott Sent: Thursday, December 16, 2010 8:56 AM To: Krieger, James; Fleming, David; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing We don't know if we will have supporters or not willing to testify.
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We do know that ACS, Am. Heart and ALAW all recommend a full ban on these products until they have been proven to be safe for use. We had heard that they were going to send a letter or email to that point, but I'm not sure if that happened. Scott -----Original Message----From: Krieger, James Sent: Thursday, December 16, 2010 8:49 AM To: Neal, Scott; Fleming, David; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing I would also be cautious about the harms of nicotine beyond addiction, since we don't know the dose being inhaled and only fairly high doses have acute effects. Are supporters lined up to attend in case the opposition shows up? James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

-----Original Message----From: Neal, Scott Sent: Thursday, December 16, 2010 8:46 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing Agreed...and this is included in the presentation. -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:34 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: Re: Hearing Scott -- I'm not sure I would go the second hand route unless we have some info to back. I was responding more to the assertions from e-mails that these are safe and the only reason we are banning is to protect others, so thought we might point out that these are devices that deliver a dose of an addictive and harmful product. I don't feel strongly, but would want us to make an advance decision about what we would say here and then stick with it at the hearing.

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----- Original Message ----From: Neal, Scott Sent: Thursday, December 16, 2010 08:26 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing I think this issue is a complicated one for the general public to understand and one that I've been thinking a great deal about overnight. I agree that we should at least present the fact that nicotine is not only addicitive but can be harmful in certain doses and link this back to the fact that the scientific tests have shown great inconsistencies among these producs and the amount of nicotine that is delivered. I however struggle with finding data that shows this on the exhaled vapor, but I would assume that not all the nicotine or other chemicals are absorbed by the user. Is this getting at your thoughts about inhaling nicotine?

Scott -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:06 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth Subject: Hearing We are bringing an e-cigarette that looks like a cigarette, right? There is a fair amount of articulate "anti" e-mail coming in so it should ne interesting. We need a succinct clear reason for the public ban that we stick to. Do we want to say anything about the possible harm of inhaling nicotine?

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From: To: Date: Subject:

"Krieger, James" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/17/2010 1:40:30 PM RE: Hearing

When is meeting...I would like to be there and my Monday is pretty much filled. James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Friday, December 17, 2010 9:09 AM To: Fleming, David; Krieger, James; Wood, Maria; Russillo, Chrissy Cc: Johnson, Gareth; Pearson, Anne; Huus, Kathie Subject: RE: Hearing Agreed...we will loop Chrissy into this debrief. Scott -----Original Message----From: Fleming, David Sent: Friday, December 17, 2010 9:01 AM To: Neal, Scott; Krieger, James; Wood, Maria; Russillo, Chrissy Cc: Johnson, Gareth; Pearson, Anne; Huus, Kathie Subject: Re: Hearing I've asked Chrissy to loop into this as well. I think it is important to talk about some of the tactics that, in retrospect, would have been important. To me, maybe even more important are identifying roles, responsibilities and triggers for when to implement what kind of measures as not all BOH issues are the same level of controversy -- the need for an assessment and monitoring piece may be the most critical learning. Also probably should talk about PAO engagement and construction of rationales. Thanks for all your hard work on this. ----- Original Message ----From: Neal, Scott Sent: Friday, December 17, 2010 07:54 AM To: Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne; Fleming, David; Huus, Kathie
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Subject: RE: Hearing We have set up a meeting on Monday to do just this. I agree that we could probably learn a lot from how this went down on a lot of levels. We definitely need to iron out the process and preparation. Scott -----Original Message----From: Krieger, James Sent: Thursday, December 16, 2010 4:14 PM To: Neal, Scott; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne; Fleming, David; Huus, Kathie Subject: RE: Hearing I'd been interested, as we did last time, to debrief the process and see what we have learned. I wonder if prepping the board more about counter-arguments, checking in with them about email prior to the meeting to get a sense of what they were reading, and having some allies there to testify might be helpful for future efforts? Jim James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

-----Original Message----From: Neal, Scott Sent: Thursday, December 16, 2010 8:56 AM To: Krieger, James; Fleming, David; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing We don't know if we will have supporters or not willing to testify. We do know that ACS, Am. Heart and ALAW all recommend a full ban on these products until they have been proven to be safe for use. We had heard that they were going to send a letter or email to that point, but I'm not sure if that happened. Scott -----Original Message----From: Krieger, James Sent: Thursday, December 16, 2010 8:49 AM To: Neal, Scott; Fleming, David; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing
8_19_2011

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I would also be cautious about the harms of nicotine beyond addiction, since we don't know the dose being inhaled and only fairly high doses have acute effects. Are supporters lined up to attend in case the opposition shows up? James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

-----Original Message----From: Neal, Scott Sent: Thursday, December 16, 2010 8:46 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing Agreed...and this is included in the presentation. -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:34 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: Re: Hearing Scott -- I'm not sure I would go the second hand route unless we have some info to back. I was responding more to the assertions from e-mails that these are safe and the only reason we are banning is to protect others, so thought we might point out that these are devices that deliver a dose of an addictive and harmful product. I don't feel strongly, but would want us to make an advance decision about what we would say here and then stick with it at the hearing.

----- Original Message ----From: Neal, Scott Sent: Thursday, December 16, 2010 08:26 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing I think this issue is a complicated one for the general public to understand and one that I've been thinking a great deal about overnight. I agree that we should at least present the fact that nicotine is not only addicitive but can be harmful in certain doses and link this back to the fact that the scientific tests have shown great inconsistencies among these producs and the
8_19_2011

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amount of nicotine that is delivered. I however struggle with finding data that shows this on the exhaled vapor, but I would assume that not all the nicotine or other chemicals are absorbed by the user. Is this getting at your thoughts about inhaling nicotine?

Scott -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:06 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth Subject: Hearing We are bringing an e-cigarette that looks like a cigarette, right? There is a fair amount of articulate "anti" e-mail coming in so it should ne interesting. We need a succinct clear reason for the public ban that we stick to. Do we want to say anything about the possible harm of inhaling nicotine?

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From: "Neal, Scott" To: "Fleming, David" <David.Fleming@kingcounty.gov> "Krieger, James" <James.Krieger@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Russillo, Chrissy" <Chrissy.Russillo@kingcounty.gov> Date: 12/17/2010 1:11:00 PM Subject: RE: Hearing Agreed...we will loop Chrissy into this debrief. Scott -----Original Message----From: Fleming, David Sent: Friday, December 17, 2010 9:01 AM To: Neal, Scott; Krieger, James; Wood, Maria; Russillo, Chrissy Cc: Johnson, Gareth; Pearson, Anne; Huus, Kathie Subject: Re: Hearing I've asked Chrissy to loop into this as well. I think it is important to talk about some of the tactics that, in retrospect, would have been important. To me, maybe even more important are identifying roles, responsibilities and triggers for when to implement what kind of measures as not all BOH issues are the same level of controversy -- the need for an assessment and monitoring piece may be the most critical learning. Also probably should talk about PAO engagement and construction of rationales. Thanks for all your hard work on this. ----- Original Message ----From: Neal, Scott Sent: Friday, December 17, 2010 07:54 AM To: Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne; Fleming, David; Huus, Kathie Subject: RE: Hearing We have set up a meeting on Monday to do just this. I agree that we could probably learn a lot from how this went down on a lot of levels. We definitely need to iron out the process and preparation. Scott -----Original Message----From: Krieger, James Sent: Thursday, December 16, 2010 4:14 PM To: Neal, Scott; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne; Fleming, David; Huus, Kathie Subject: RE: Hearing I'd been interested, as we did last time, to debrief the process and see what we have learned. I wonder if prepping the board more about counter-arguments, checking in with them about email prior to the meeting to get a sense of
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what they were reading, and having some allies there to testify might be helpful for future efforts? Jim James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

-----Original Message----From: Neal, Scott Sent: Thursday, December 16, 2010 8:56 AM To: Krieger, James; Fleming, David; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing We don't know if we will have supporters or not willing to testify. We do know that ACS, Am. Heart and ALAW all recommend a full ban on these products until they have been proven to be safe for use. We had heard that they were going to send a letter or email to that point, but I'm not sure if that happened. Scott -----Original Message----From: Krieger, James Sent: Thursday, December 16, 2010 8:49 AM To: Neal, Scott; Fleming, David; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing I would also be cautious about the harms of nicotine beyond addiction, since we don't know the dose being inhaled and only fairly high doses have acute effects. Are supporters lined up to attend in case the opposition shows up? James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

-----Original Message----8_19_2011

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From: Neal, Scott Sent: Thursday, December 16, 2010 8:46 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing Agreed...and this is included in the presentation. -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:34 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: Re: Hearing Scott -- I'm not sure I would go the second hand route unless we have some info to back. I was responding more to the assertions from e-mails that these are safe and the only reason we are banning is to protect others, so thought we might point out that these are devices that deliver a dose of an addictive and harmful product. I don't feel strongly, but would want us to make an advance decision about what we would say here and then stick with it at the hearing.

----- Original Message ----From: Neal, Scott Sent: Thursday, December 16, 2010 08:26 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing I think this issue is a complicated one for the general public to understand and one that I've been thinking a great deal about overnight. I agree that we should at least present the fact that nicotine is not only addicitive but can be harmful in certain doses and link this back to the fact that the scientific tests have shown great inconsistencies among these producs and the amount of nicotine that is delivered. I however struggle with finding data that shows this on the exhaled vapor, but I would assume that not all the nicotine or other chemicals are absorbed by the user. Is this getting at your thoughts about inhaling nicotine?

Scott -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:06 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth Subject: Hearing We are bringing an e-cigarette that looks like a cigarette, right?
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There is a fair amount of articulate "anti" e-mail coming in so it should ne interesting. We need a succinct clear reason for the public ban that we stick to. Do we want to say anything about the possible harm of inhaling nicotine?

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From: "Fleming, David" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Krieger, James" <James.Krieger@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Russillo, Chrissy" <Chrissy.Russillo@kingcounty.gov> Date: 12/17/2010 1:01:01 PM Subject: Re: Hearing I've asked Chrissy to loop into this as well. I think it is important to talk about some of the tactics that, in retrospect, would have been important. To me, maybe even more important are identifying roles, responsibilities and triggers for when to implement what kind of measures as not all BOH issues are the same level of controversy -- the need for an assessment and monitoring piece may be the most critical learning. Also probably should talk about PAO engagement and construction of rationales. Thanks for all your hard work on this. ----- Original Message ----From: Neal, Scott Sent: Friday, December 17, 2010 07:54 AM To: Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne; Fleming, David; Huus, Kathie Subject: RE: Hearing We have set up a meeting on Monday to do just this. I agree that we could probably learn a lot from how this went down on a lot of levels. We definitely need to iron out the process and preparation. Scott -----Original Message----From: Krieger, James Sent: Thursday, December 16, 2010 4:14 PM To: Neal, Scott; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne; Fleming, David; Huus, Kathie Subject: RE: Hearing I'd been interested, as we did last time, to debrief the process and see what we have learned. I wonder if prepping the board more about counter-arguments, checking in with them about email prior to the meeting to get a sense of what they were reading, and having some allies there to testify might be helpful for future efforts? Jim James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525
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email: james.krieger@kingcounty.gov

-----Original Message----From: Neal, Scott Sent: Thursday, December 16, 2010 8:56 AM To: Krieger, James; Fleming, David; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing We don't know if we will have supporters or not willing to testify. We do know that ACS, Am. Heart and ALAW all recommend a full ban on these products until they have been proven to be safe for use. We had heard that they were going to send a letter or email to that point, but I'm not sure if that happened. Scott -----Original Message----From: Krieger, James Sent: Thursday, December 16, 2010 8:49 AM To: Neal, Scott; Fleming, David; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing I would also be cautious about the harms of nicotine beyond addiction, since we don't know the dose being inhaled and only fairly high doses have acute effects. Are supporters lined up to attend in case the opposition shows up? James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

-----Original Message----From: Neal, Scott Sent: Thursday, December 16, 2010 8:46 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing Agreed...and this is included in the presentation. -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:34 AM
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To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: Re: Hearing Scott -- I'm not sure I would go the second hand route unless we have some info to back. I was responding more to the assertions from e-mails that these are safe and the only reason we are banning is to protect others, so thought we might point out that these are devices that deliver a dose of an addictive and harmful product. I don't feel strongly, but would want us to make an advance decision about what we would say here and then stick with it at the hearing.

----- Original Message ----From: Neal, Scott Sent: Thursday, December 16, 2010 08:26 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing I think this issue is a complicated one for the general public to understand and one that I've been thinking a great deal about overnight. I agree that we should at least present the fact that nicotine is not only addicitive but can be harmful in certain doses and link this back to the fact that the scientific tests have shown great inconsistencies among these producs and the amount of nicotine that is delivered. I however struggle with finding data that shows this on the exhaled vapor, but I would assume that not all the nicotine or other chemicals are absorbed by the user. Is this getting at your thoughts about inhaling nicotine?

Scott -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:06 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth Subject: Hearing We are bringing an e-cigarette that looks like a cigarette, right? There is a fair amount of articulate "anti" e-mail coming in so it should ne interesting. We need a succinct clear reason for the public ban that we stick to. Do we want to say anything about the possible harm of inhaling nicotine?

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From: "Neal, Scott" To: "Krieger, James" <James.Krieger@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/17/2010 11:56:00 AM Subject: RE: Hearing We have set up a meeting on Monday to do just this. I agree that we could probably learn a lot from how this went down on a lot of levels. We definitely need to iron out the process and preparation. Scott -----Original Message----From: Krieger, James Sent: Thursday, December 16, 2010 4:14 PM To: Neal, Scott; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne; Fleming, David; Huus, Kathie Subject: RE: Hearing I'd been interested, as we did last time, to debrief the process and see what we have learned. I wonder if prepping the board more about counter-arguments, checking in with them about email prior to the meeting to get a sense of what they were reading, and having some allies there to testify might be helpful for future efforts? Jim James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

-----Original Message----From: Neal, Scott Sent: Thursday, December 16, 2010 8:56 AM To: Krieger, James; Fleming, David; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing We don't know if we will have supporters or not willing to testify. We do know that ACS, Am. Heart and ALAW all recommend a full ban on these products until they have been proven to be safe for use. We had heard that they were going to send a letter or email to that point, but I'm not sure if that happened. Scott -----Original Message----From: Krieger, James
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Sent: Thursday, December 16, 2010 8:49 AM To: Neal, Scott; Fleming, David; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing I would also be cautious about the harms of nicotine beyond addiction, since we don't know the dose being inhaled and only fairly high doses have acute effects. Are supporters lined up to attend in case the opposition shows up? James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

-----Original Message----From: Neal, Scott Sent: Thursday, December 16, 2010 8:46 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing Agreed...and this is included in the presentation. -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:34 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: Re: Hearing Scott -- I'm not sure I would go the second hand route unless we have some info to back. I was responding more to the assertions from e-mails that these are safe and the only reason we are banning is to protect others, so thought we might point out that these are devices that deliver a dose of an addictive and harmful product. I don't feel strongly, but would want us to make an advance decision about what we would say here and then stick with it at the hearing.

----- Original Message ----From: Neal, Scott Sent: Thursday, December 16, 2010 08:26 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing
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I think this issue is a complicated one for the general public to understand and one that I've been thinking a great deal about overnight. I agree that we should at least present the fact that nicotine is not only addicitive but can be harmful in certain doses and link this back to the fact that the scientific tests have shown great inconsistencies among these producs and the amount of nicotine that is delivered. I however struggle with finding data that shows this on the exhaled vapor, but I would assume that not all the nicotine or other chemicals are absorbed by the user. Is this getting at your thoughts about inhaling nicotine?

Scott -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:06 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth Subject: Hearing We are bringing an e-cigarette that looks like a cigarette, right? There is a fair amount of articulate "anti" e-mail coming in so it should ne interesting. We need a succinct clear reason for the public ban that we stick to. Do we want to say anything about the possible harm of inhaling nicotine?

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From: To: Date: Subject:

"Neal, Scott" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 12/17/2010 3:51:00 PM RE: Hearing

Thanks Anne, I agree that we did a lot of things right too and we won't lose sight of that during this process. I was thinking last night when I got home that you are right...what we achieved was something very big and I'm very proud of our team! It isn't always easy, but making policy is fun! This debrief sorta morphed into a larger dept. level debrief on this process, which is important to do given the policy making workgroup that is working on general policy making process for the dept. Thanks Scott

-----Original Message----From: Pearson, Anne Sent: Friday, December 17, 2010 10:33 AM To: Neal, Scott Subject: RE: Hearing Hey Scott, As much as there is probably much that we can learn from the process, I hope that all this talk about debriefing doesn't lead us to overlook just how much went right. Your team did an amazing job and achieved something really great. They have turned into a lean mean policy machine in no time flat. I hope everyone is feeling really proud. Anne ________________________________________ From: Neal, Scott Sent: Friday, December 17, 2010 7:54 AM To: Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne; Fleming, David; Huus, Kathie Subject: RE: Hearing We have set up a meeting on Monday to do just this. I agree that we could probably learn a lot from how this went down on a lot of levels. We definitely need to iron out the process and preparation. Scott -----Original Message----From: Krieger, James Sent: Thursday, December 16, 2010 4:14 PM To: Neal, Scott; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne; Fleming, David; Huus, Kathie Subject: RE: Hearing I'd been interested, as we did last time, to debrief the process and see what we have learned. I wonder if prepping the board more about counter-arguments, checking in with them about email prior to the meeting to get a sense of
8_19_2011

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what they were reading, and having some allies there to testify might be helpful for future efforts? Jim James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

-----Original Message----From: Neal, Scott Sent: Thursday, December 16, 2010 8:56 AM To: Krieger, James; Fleming, David; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing We don't know if we will have supporters or not willing to testify. We do know that ACS, Am. Heart and ALAW all recommend a full ban on these products until they have been proven to be safe for use. We had heard that they were going to send a letter or email to that point, but I'm not sure if that happened. Scott -----Original Message----From: Krieger, James Sent: Thursday, December 16, 2010 8:49 AM To: Neal, Scott; Fleming, David; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing I would also be cautious about the harms of nicotine beyond addiction, since we don't know the dose being inhaled and only fairly high doses have acute effects. Are supporters lined up to attend in case the opposition shows up? James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

-----Original Message----8_19_2011

Page 3

From: Neal, Scott Sent: Thursday, December 16, 2010 8:46 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing Agreed...and this is included in the presentation. -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:34 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: Re: Hearing Scott -- I'm not sure I would go the second hand route unless we have some info to back. I was responding more to the assertions from e-mails that these are safe and the only reason we are banning is to protect others, so thought we might point out that these are devices that deliver a dose of an addictive and harmful product. I don't feel strongly, but would want us to make an advance decision about what we would say here and then stick with it at the hearing.

----- Original Message ----From: Neal, Scott Sent: Thursday, December 16, 2010 08:26 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing I think this issue is a complicated one for the general public to understand and one that I've been thinking a great deal about overnight. I agree that we should at least present the fact that nicotine is not only addicitive but can be harmful in certain doses and link this back to the fact that the scientific tests have shown great inconsistencies among these producs and the amount of nicotine that is delivered. I however struggle with finding data that shows this on the exhaled vapor, but I would assume that not all the nicotine or other chemicals are absorbed by the user. Is this getting at your thoughts about inhaling nicotine?

Scott -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:06 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth Subject: Hearing We are bringing an e-cigarette that looks like a cigarette, right?
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There is a fair amount of articulate "anti" e-mail coming in so it should ne interesting. We need a succinct clear reason for the public ban that we stick to. Do we want to say anything about the possible harm of inhaling nicotine?

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From: To: Date: Subject: Joy,

"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/17/2010 1:12:00 PM FW: Hearing

Please invite Chrissy Russillo into this debrief meeting. If she can't make this time, it probably would be good to reschedule...which may make sense since James was very involved in some of these decisions around media and it sounds like he can't make Monday. Sorry for making this more complicated. Scott -----Original Message----From: Fleming, David Sent: Friday, December 17, 2010 9:01 AM To: Neal, Scott; Krieger, James; Wood, Maria; Russillo, Chrissy Cc: Johnson, Gareth; Pearson, Anne; Huus, Kathie Subject: Re: Hearing I've asked Chrissy to loop into this as well. I think it is important to talk about some of the tactics that, in retrospect, would have been important. To me, maybe even more important are identifying roles, responsibilities and triggers for when to implement what kind of measures as not all BOH issues are the same level of controversy -- the need for an assessment and monitoring piece may be the most critical learning. Also probably should talk about PAO engagement and construction of rationales. Thanks for all your hard work on this. ----- Original Message ----From: Neal, Scott Sent: Friday, December 17, 2010 07:54 AM To: Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne; Fleming, David; Huus, Kathie Subject: RE: Hearing We have set up a meeting on Monday to do just this. I agree that we could probably learn a lot from how this went down on a lot of levels. We definitely need to iron out the process and preparation. Scott -----Original Message----From: Krieger, James Sent: Thursday, December 16, 2010 4:14 PM To: Neal, Scott; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne; Fleming, David; Huus, Kathie Subject: RE: Hearing
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I'd been interested, as we did last time, to debrief the process and see what we have learned. I wonder if prepping the board more about counter-arguments, checking in with them about email prior to the meeting to get a sense of what they were reading, and having some allies there to testify might be helpful for future efforts? Jim James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

-----Original Message----From: Neal, Scott Sent: Thursday, December 16, 2010 8:56 AM To: Krieger, James; Fleming, David; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing We don't know if we will have supporters or not willing to testify. We do know that ACS, Am. Heart and ALAW all recommend a full ban on these products until they have been proven to be safe for use. We had heard that they were going to send a letter or email to that point, but I'm not sure if that happened. Scott -----Original Message----From: Krieger, James Sent: Thursday, December 16, 2010 8:49 AM To: Neal, Scott; Fleming, David; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing I would also be cautious about the harms of nicotine beyond addiction, since we don't know the dose being inhaled and only fairly high doses have acute effects. Are supporters lined up to attend in case the opposition shows up? James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov
8_19_2011

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-----Original Message----From: Neal, Scott Sent: Thursday, December 16, 2010 8:46 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing Agreed...and this is included in the presentation. -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:34 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: Re: Hearing Scott -- I'm not sure I would go the second hand route unless we have some info to back. I was responding more to the assertions from e-mails that these are safe and the only reason we are banning is to protect others, so thought we might point out that these are devices that deliver a dose of an addictive and harmful product. I don't feel strongly, but would want us to make an advance decision about what we would say here and then stick with it at the hearing.

----- Original Message ----From: Neal, Scott Sent: Thursday, December 16, 2010 08:26 AM To: Fleming, David; Krieger, James; Wood, Maria Cc: Johnson, Gareth; Pearson, Anne Subject: RE: Hearing I think this issue is a complicated one for the general public to understand and one that I've been thinking a great deal about overnight. I agree that we should at least present the fact that nicotine is not only addicitive but can be harmful in certain doses and link this back to the fact that the scientific tests have shown great inconsistencies among these producs and the amount of nicotine that is delivered. I however struggle with finding data that shows this on the exhaled vapor, but I would assume that not all the nicotine or other chemicals are absorbed by the user. Is this getting at your thoughts about inhaling nicotine?

Scott -----Original Message----From: Fleming, David Sent: Thursday, December 16, 2010 8:06 AM To: Neal, Scott; Krieger, James; Wood, Maria Cc: Johnson, Gareth
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Subject: Hearing We are bringing an e-cigarette that looks like a cigarette, right? There is a fair amount of articulate "anti" e-mail coming in so it should ne interesting. We need a succinct clear reason for the public ban that we stick to. Do we want to say anything about the possible harm of inhaling nicotine?

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From: "Ross-Viles, Sarah" To: "Bud Nicola" <bnicola@u.washington.edu> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 12/17/2010 3:20:55 PM Subject: RE: Hot topics webinar
Thanks Bud and Scott - You can keep myself and Joy on this email chain for Sarah's communications in January and we will pick-up if Scott is out being a new dad. Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Friday, December 17, 2010 10:35 AM To: Neal, Scott Cc: Sarah Paliulis; Ross-Viles, Sarah; Hamilton, Joy Subject: Hot topics webinar

Thanks, Scott, and congratulations on the new baby! He or she will certainly keep you busy. The date of the webinar is February 22nd from noon to 1 pm. We have the speaker sign in at 11:30 am to test the system and hang on for a few minutes afterward to evaluate how it went. It is ideal if we can get slides for the session 3 weeks in advance (Feb 1) so the NW Center instructional designer can help adapt them for webinar interaction. We usually also have an orientation to the i-link webinar system about a week before the webinar. Sarah Paliulis helps coordinate everything. Sarah or I will be back in touch in January with more information. Bud bnicola@uw.edu via Blackberry
From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Friday, December 17, 2010 08:08 AM To: Bud Nicola Subject: RE: E-cig media call Hi Bud, Yes, we are definitely fighting what seems to be a loosing battle over funding, but that being said, I think we could commit to helping out. I say we because I'm not sure I can commit personally given my wife and I are expecting a baby Jan. 28th, so I may not be very available through February. But I'm sure that if I can't do this, I would highly recommend Sarah or Joy as alternates and I would imagine both would be happy to help. I will talk with both of them today about this and we'll get back with you to confirm. Thanks Scott

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Thursday, December 16, 2010 4:07 PM To: Neal, Scott 8_19_2011

Page 2 Subject: RE: E-cig media call Scott, Youre welcome. And thanks for the great work that you and your staff do. On a different topic I moderate a monthly webinar for the Northwest Center for Public Health Practice called Hot Topics in Preparedness although we cover many different areas of public health. Would you be willing to help out on a session in February related to an update on issues related to tobacco? I think our work today will be of interest to other health departments. Im also trying to find someone from another state in this region since the webinar is regional and am sending a query to health dept friends in Montana. Its probably not fair to ask you since the programs funding is up in the air so I would certainly understand if you cant commit. Bud Bud Nicola bnicola@uw.edu

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Thursday, December 16, 2010 3:40 PM To: Bud Nicola; Ross, Kathryn Cc: Wood, Maria Subject: RE: E-cig media call Hi Bud, Thanks for taking that interview and for all your work and support on this issue over the past several months (especially the past week!). Scott

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Thursday, December 16, 2010 3:38 PM To: Ross, Kathryn Cc: Neal, Scott; Wood, Maria Subject: RE: E-cig media call Fyi - I talked to Matt Lube at the Stranger and am not expecting a very supportive story. Bud Nicola bnicola@uw.edu

From: Ross, Kathryn [mailto:Kathryn.Ross@kingcounty.gov] Sent: Thursday, December 16, 2010 12:51 PM To: Bud Nicola Subject: E-cig media call Importance: High Hi Bud, Are you able to give the Stranger a call this afternoon re: the e-cigarette regulation? The reporter's name is Matt Lube 206-323-7101 x3016. His question is, "what's the rationale for the ban." Please let me know if you're not able to do this, and I'll check in w/ Julia's office. Thank you! Katie Ross 206-263-8781

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From: "Bud Nicola" <bnicola@u.washington.edu> To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 12/17/2010 3:25:38 PM Subject: RE: Hot topics webinar
Sarah will send you information about the next steps. Bud Bud Nicola bnicola@uw.edu

From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Friday, December 17, 2010 11:21 AM To: Bud Nicola; Neal, Scott Cc: Sarah Paliulis; Hamilton, Joy Subject: RE: Hot topics webinar Thanks Bud and Scott - You can keep myself and Joy on this email chain for Sarah's communications in January and we will pick-up if Scott is out being a new dad. Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Friday, December 17, 2010 10:35 AM To: Neal, Scott Cc: Sarah Paliulis; Ross-Viles, Sarah; Hamilton, Joy Subject: Hot topics webinar

Thanks, Scott, and congratulations on the new baby! He or she will certainly keep you busy. The date of the webinar is February 22nd from noon to 1 pm. We have the speaker sign in at 11:30 am to test the system and hang on for a few minutes afterward to evaluate how it went. It is ideal if we can get slides for the session 3 weeks in advance (Feb 1) so the NW Center instructional designer can help adapt them for webinar interaction. We usually also have an orientation to the i-link webinar system about a week before the webinar. Sarah Paliulis helps coordinate everything. Sarah or I will be back in touch in January with more information. Bud bnicola@uw.edu via Blackberry
From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Friday, December 17, 2010 08:08 AM To: Bud Nicola Subject: RE: E-cig media call Hi Bud,

8_19_2011

Page 2 Yes, we are definitely fighting what seems to be a loosing battle over funding, but that being said, I think we could commit to helping out. I say we because I'm not sure I can commit personally given my wife and I are expecting a baby Jan. 28th, so I may not be very available through February. But I'm sure that if I can't do this, I would highly recommend Sarah or Joy as alternates and I would imagine both would be happy to help. I will talk with both of them today about this and we'll get back with you to confirm. Thanks Scott

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Thursday, December 16, 2010 4:07 PM To: Neal, Scott Subject: RE: E-cig media call Scott, Youre welcome. And thanks for the great work that you and your staff do. On a different topic I moderate a monthly webinar for the Northwest Center for Public Health Practice called Hot Topics in Preparedness although we cover many different areas of public health. Would you be willing to help out on a session in February related to an update on issues related to tobacco? I think our work today will be of interest to other health departments. Im also trying to find someone from another state in this region since the webinar is regional and am sending a query to health dept friends in Montana. Its probably not fair to ask you since the programs funding is up in the air so I would certainly understand if you cant commit. Bud Bud Nicola bnicola@uw.edu

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Thursday, December 16, 2010 3:40 PM To: Bud Nicola; Ross, Kathryn Cc: Wood, Maria Subject: RE: E-cig media call Hi Bud, Thanks for taking that interview and for all your work and support on this issue over the past several months (especially the past week!). Scott

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Thursday, December 16, 2010 3:38 PM To: Ross, Kathryn Cc: Neal, Scott; Wood, Maria Subject: RE: E-cig media call Fyi - I talked to Matt Lube at the Stranger and am not expecting a very supportive story. Bud Nicola bnicola@uw.edu

From: Ross, Kathryn [mailto:Kathryn.Ross@kingcounty.gov] Sent: Thursday, December 16, 2010 12:51 PM To: Bud Nicola Subject: E-cig media call Importance: High Hi Bud, 8_19_2011

Page 3 Are you able to give the Stranger a call this afternoon re: the e-cigarette regulation? The reporter's name is Matt Lube 206-323-7101 x3016. His question is, "what's the rationale for the ban." Please let me know if you're not able to do this, and I'll check in w/ Julia's office. Thank you! Katie Ross 206-263-8781

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From: To: Date: Subject:

"Bud Nicola" <bnicola@u.washington.edu> "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/17/2010 2:36:08 PM Hot topics webinar

Thanks, Scott, and congratulations on the new baby! He or she will certainly keep you busy. The date of the webinar is February 22nd from noon to 1 pm. We have the speaker sign in at 11:30 am to test the system and hang on for a few minutes afterward to evaluate how it went. It is ideal if we can get slides for the session 3 weeks in advance (Feb 1) so the NW Center instructional designer can help adapt them for webinar interaction. We usually also have an orientation to the i-link webinar system about a week before the webinar. Sarah Paliulis helps coordinate everything. Sarah or I will be back in touch in January with more information. Bud bnicola@uw.edu via Blackberry
From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Friday, December 17, 2010 08:08 AM To: Bud Nicola Subject: RE: E-cig media call Hi Bud, Yes, we are definitely fighting what seems to be a loosing battle over funding, but that being said, I think we could commit to helping out. I say we because I'm not sure I can commit personally given my wife and I are expecting a baby Jan. 28th, so I may not be very available through February. But I'm sure that if I can't do this, I would highly recommend Sarah or Joy as alternates and I would imagine both would be happy to help. I will talk with both of them today about this and we'll get back with you to confirm. Thanks Scott

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Thursday, December 16, 2010 4:07 PM To: Neal, Scott Subject: RE: E-cig media call Scott, Youre welcome. And thanks for the great work that you and your staff do. On a different topic I moderate a monthly webinar for the Northwest Center for Public Health Practice called Hot Topics in Preparedness although we cover many different areas of public health. Would you be willing to help out on a session in February related to an update on issues related to tobacco? I think our work today will be of interest to other health departments. Im also trying to find someone from another state in this region since the webinar is regional and am sending a query to health dept friends in Montana. Its probably not fair to ask you since the programs funding is up in the air so I would certainly understand if you cant commit. Bud Bud Nicola bnicola@uw.edu

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Thursday, December 16, 2010 3:40 PM To: Bud Nicola; Ross, Kathryn Cc: Wood, Maria Subject: RE: E-cig media call Hi Bud, 8_19_2011

Page 2 Thanks for taking that interview and for all your work and support on this issue over the past several months (especially the past week!). Scott

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Thursday, December 16, 2010 3:38 PM To: Ross, Kathryn Cc: Neal, Scott; Wood, Maria Subject: RE: E-cig media call Fyi - I talked to Matt Lube at the Stranger and am not expecting a very supportive story. Bud Nicola bnicola@uw.edu

From: Ross, Kathryn [mailto:Kathryn.Ross@kingcounty.gov] Sent: Thursday, December 16, 2010 12:51 PM To: Bud Nicola Subject: E-cig media call Importance: High Hi Bud, Are you able to give the Stranger a call this afternoon re: the e-cigarette regulation? The reporter's name is Matt Lube 206-323-7101 x3016. His question is, "what's the rationale for the ban." Please let me know if you're not able to do this, and I'll check in w/ Julia's office. Thank you! Katie Ross 206-263-8781

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Page 1

From: To: Date: Subject: At this this one is pretty accurate! :)

"Neal, Scott" "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> 12/17/2010 1:41:00 PM RE: KPLU e-cigarette story

>_____________________________________________ >From: Ross, Kathryn >Sent: Thursday, December 16, 2010 5:16 PM >To: Hamilton, Joy; Neal, Scott; Wood, Maria >Cc: Julia Patterson, King County Councilmember; Apa, James; Karasz, Hilary >Subject: KPLU e-cigarette story > >http://www.kplunews.org/post/electronic-cigarettes-considered-new-public-health-threat > >Electronic cigarettes considered a new public health threat >Just when you thought cigarettes were headed for obscurity, along comes the electronic cigarette. The King County Board of Health is restricting these "e-cigarettes" in the name of protecting youth -- and keeping a stigma against smoking. >E-cigarettes are battery powered devices, shaped like a cigarette, that deliver little puffs of nicotine with no smoke. They use a small capsule with nicotine suspended in a flavored liquid. If you squeeze a button on the device (or with some models, just inhale), the liquid heats up and turns into a misty vapor to inhale. Then it shuts off. >"These are just a god-send for me ... I love them," says Amber Joy, 68, of Seattle. She's been a cigarette smoker for 50 years. Shes quit more than once, calls it a stupid habit, but cant do without her smokes. The electronic cigarette satisfies her craving, without most of the negatives. >"It doesnt smell, it doesnt bother my breath, it doesnt bother anybody around me," she says. That means she can use it in her smoke-free apartment. "There's no odor to it." >Tobacco or medicine? Legal or not? >She feels its healthier, because shes only getting nicotine, not the rest of the chemicals in cigarettes. >Is it smoking? Is it a medical device, like a nicotine patch? Those questions are embroiled in federal lawsuits. Earlier this month, a federal appeals court ruled the Food and Drug Administration (FDA) must treat it like a tobacco product, not as a drug. That means it can't be banned outright. > >For now, the King County Board of Health is banning the sale of e-cigarettes to children under 18. > >"We know from a lot of scientific studies that nicotine is very addictive," says Bud Nicola, a doctor and member of the Board of Health. Most lifetime smokers start before the age of 18, so the devices could ensnare a new generation of smokers. > >Theres no evidence, yet, that kids are buying the e-cigarettes which typically cost $50 or more. However, there are cheaper "starter" versions, and some are sold with flavors that appeal to kids, such as vanilla, coffee or cherry. > >King County is also banning e-cigarettes from bars, restaurants and other public places where smoking is currently banned. The public health department says it's confusing -- and can trigger real smoking -- if people see someone else puffing the electronic version. This has only been documented in two cases. But, the e-cigarette makers are promoting them with phrases like "experience the freedom of smoking anywhere" and "looks, feels, and tastes like the real thing." > >Earlier this fall, actress Katherine Heigl gave the products a marketing boost, by showing off her e-cigarette to David Letterman.
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> >The FDA has been studying e-cigarettes for the past few years and has a detailed analysis , along with this video from the FDA's media office. >Board of Health chair Julia Patterson said one reason she voted for the new regulations is to preserve the "social norms" against smoking, which she described as a hard-fought victory. "I would like to see us protect public places from the image of someone sitting at their desk, with something that looks identical to a cigarette, and puffing on it. That>s a very powerful subliminal message," she said. > >

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From: To: Date: Subject:


Thanks, Scott

"DeGrieck, Jerry" <Jerry.DeGrieck@seattle.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/17/2010 9:18:07 PM RE: Other jurisdictions with e-cig regulations

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Friday, December 17, 2010 2:55 PM To: Licata, Nick Cc: DeGrieck, Jerry; Johnson, Gareth; Allis, Donna; Wood, Maria Subject: Other jurisdictions with e-cig regulations Councilmember Licata, During yesterday's Board of Health meeting you requested more details on jurisdictions that have passed similar ecigarette regulations. I believe Wendy may have passed this document around during the meeting, but I wanted to follow up with you and make sure that you had this information in case you did not recieve it during yesterdays meeting. Please let me know if you have any further questions. Thanks

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

From: Annie Tegen [mailto:annie.tegen@no-smoke.org] Sent: Monday, December 13, 2010 2:44 PM To: Hamilton, Joy Subject: Re: E-cigs and smoke free air

Hi Joy! Okay here is what I found as far as cities enacting (or considering) laws that pertain to e-cigarettes. E-cig laws, like hookah laws, are tricky to track since they're not always explicitly mentioned. We did a database search for e-cig laws, and here are the results: Martinez, CA enacted a law on 5/6/09 which defines "Smoking" as, among other things, "possessing a lighted Tobacco Product," and defines "Tobacco Product" to mean, among other things, "any product or formulation of matter containing biologically active amounts of nicotine that is manufactured, sold, offered for sale, or otherwise distributed with the expectation that the product or matter will be introduced into the human body by inhalation; but does not include any cessation product specifically approved by the U. S. Food and Drug Administration for use in treating nicotine or tobacco dependence." Glendale, CA enacted a law on 10/7/08 that uses the following definition: (incidentally, the purpose of this language was to cover hookah places, but seems to cover e-cigs too): Tobacco product means any substance made from the tobacco leaf including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, hookah tobacco, dipping tobacco, smokeless tobacco, bidis, or products prepared from tobacco and designed for smoking or ingestion and any product or formulation of matter containing
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biologically active amounts of nicotine that is manufactured, sold, offered for sale, or otherwise distributed with the expectation that the product or matter will be introduced into the human body. Crescent City CA Place4/89: No smoking in all buildings and vehicles owned or leased by city (except Cultural Center). Smoking is permitted in open areas and in special areas designated by City Manager. 12/03: Exception for Cultural Center deleted. Smoking permitted in designated smoking areas in City facilities. Smoking prohibited within 25 feet of entrances and windows to places where smoking is prohibited and within 25 feet of children's play areas. 5/10: Smoking prohibited in all City parks and at public events. Smoking includes use of e-cigarettes. Hillsborough County FL County 9/09: Use of tobacco products and facsimile tobacco products, including ecigarettes, prohibited in Sheriff's Office facilities and vehicles and on grounds of facilities. Other penalty = 1st violation - smoking cessation program for employees; eviction from facility or trespass warning for public; 2d violation - disciplinary action for employees. Bergen County NJ County4/04: Smoking prohibited in all County operated playgrounds, ball fields, and swimming pools leased or owned by County. 10/09: E-cigarettes prohibited in County parks where children are present and in County buildings and vehicles. New Jersey NJ State8/05: Smoking prohibited in college and university dormitories. 12/05: Smoking prohibited in foster care homes and in cars transporting foster children. 1/06: Smoking prohibited in all workplaces, restaurants, bars, and public places generally. 1/10: Use of e-cigarettes prohibited in all indoor places where smoking is prohibited. Suffolk County NY County6/84: Smoking prohibited in some workplace areas and in some public places, except for smoking areas. Restaurants with more than 50 seats must be at least 20% nonsmoking. 8/86: No substantive change. 7/89: Smoking prohibited in settee area of bowling alleys. 6/94: Smoking prohibited in restaurants, except for separately ventilated rooms. Smoking permitted in bowling alleys during certain hours of operation: After 6:00 P.M. during adult bowling leagues and in settee area. 5/95: Smoking prohibited in attached bars after 6/30/98. 9/98: Bingo halls are governed by State law. 4/02: Smoking prohibited within 50 feet of street level entrances to County buildings and hospitals. 6/02: Smoking prohibited in bowling alleys. 2/03: Smoking prohibited in all workplaces, restaurants, and bars. Exemption for bingo parlors deleted. 11/06: Smoking prohibited within 50 feet of all entrances to County buildings. 9/09: Amended definition of smoking to include e-cigarettes.

Annie Tegen, MPH Senior Program Manager Americans for Nonsmokers' Rights American Nonsmokers Rights Foundation annie.tegen@no-smoke.org Phone: 206.545.7175

Are you a member of ANR? If not, please join us today. Our work depends on members like you!

8_19_2011

Page 1

From: To: Date: Subject:


Councilmember Licata,

"Neal, Scott" nick.licata@seattle.gov 12/17/2010 6:56:00 PM Other jurisdictions with e-cig regulations

During yesterday's Board of Health meeting you requested more details on jurisdictions that have passed similar ecigarette regulations. I believe Wendy may have passed this document around during the meeting, but I wanted to follow up with you and make sure that you had this information in case you did not recieve it during yesterdays meeting. Please let me know if you have any further questions. Thanks

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

From: Annie Tegen [mailto:annie.tegen@no-smoke.org] Sent: Monday, December 13, 2010 2:44 PM To: Hamilton, Joy Subject: Re: E-cigs and smoke free air

Hi Joy! Okay here is what I found as far as cities enacting (or considering) laws that pertain to e-cigarettes. E-cig laws, like hookah laws, are tricky to track since they're not always explicitly mentioned. We did a database search for e-cig laws, and here are the results: Martinez, CA enacted a law on 5/6/09 which defines "Smoking" as, among other things, "possessing a lighted Tobacco Product," and defines "Tobacco Product" to mean, among other things, "any product or formulation of matter containing biologically active amounts of nicotine that is manufactured, sold, offered for sale, or otherwise distributed with the expectation that the product or matter will be introduced into the human body by inhalation; but does not include any cessation product specifically approved by the U. S. Food and Drug Administration for use in treating nicotine or tobacco dependence." Glendale, CA enacted a law on 10/7/08 that uses the following definition: (incidentally, the purpose of this language was to cover hookah places, but seems to cover e-cigs too): Tobacco product means any substance made from the tobacco leaf including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, hookah tobacco, dipping tobacco, smokeless tobacco, bidis, or products prepared from tobacco and designed for smoking or ingestion and any product or formulation of matter containing biologically active amounts of nicotine that is manufactured, sold, offered for sale, or otherwise distributed with the expectation that the product or matter will be introduced into the human body. Crescent City CA Place4/89: No smoking in all buildings and vehicles owned or leased by city (except Cultural Center). Smoking is permitted in open areas and in special areas designated by City Manager. 12/03: Exception for Cultural Center deleted. Smoking permitted in designated smoking areas in City facilities. Smoking prohibited within 25 feet of entrances and windows to places where smoking is prohibited and within 25 feet of children's play areas.
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5/10: Smoking prohibited in all City parks and at public events. Smoking includes use of e-cigarettes. Hillsborough County FL County 9/09: Use of tobacco products and facsimile tobacco products, including ecigarettes, prohibited in Sheriff's Office facilities and vehicles and on grounds of facilities. Other penalty = 1st violation - smoking cessation program for employees; eviction from facility or trespass warning for public; 2d violation - disciplinary action for employees. Bergen County NJ County4/04: Smoking prohibited in all County operated playgrounds, ball fields, and swimming pools leased or owned by County. 10/09: E-cigarettes prohibited in County parks where children are present and in County buildings and vehicles. New Jersey NJ State8/05: Smoking prohibited in college and university dormitories. 12/05: Smoking prohibited in foster care homes and in cars transporting foster children. 1/06: Smoking prohibited in all workplaces, restaurants, bars, and public places generally. 1/10: Use of e-cigarettes prohibited in all indoor places where smoking is prohibited. Suffolk County NY County6/84: Smoking prohibited in some workplace areas and in some public places, except for smoking areas. Restaurants with more than 50 seats must be at least 20% nonsmoking. 8/86: No substantive change. 7/89: Smoking prohibited in settee area of bowling alleys. 6/94: Smoking prohibited in restaurants, except for separately ventilated rooms. Smoking permitted in bowling alleys during certain hours of operation: After 6:00 P.M. during adult bowling leagues and in settee area. 5/95: Smoking prohibited in attached bars after 6/30/98. 9/98: Bingo halls are governed by State law. 4/02: Smoking prohibited within 50 feet of street level entrances to County buildings and hospitals. 6/02: Smoking prohibited in bowling alleys. 2/03: Smoking prohibited in all workplaces, restaurants, and bars. Exemption for bingo parlors deleted. 11/06: Smoking prohibited within 50 feet of all entrances to County buildings. 9/09: Amended definition of smoking to include e-cigarettes.

Annie Tegen, MPH Senior Program Manager Americans for Nonsmokers' Rights American Nonsmokers Rights Foundation annie.tegen@no-smoke.org Phone: 206.545.7175

Are you a member of ANR? If not, please join us today. Our work depends on members like you!

8_19_2011

Page 1

From: To: Date: Subject: thanks scott!

"Leon-Guerrero, Michael" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/17/2010 3:23:52 PM RE: out

congrats on the e-cig! :-) i think enforcement will be easier for the cuff with the new regulation and reduce confusion! ________________________________________ From: Neal, Scott Sent: Friday, December 17, 2010 8:27 AM To: Leon-Guerrero, Michael Subject: RE: out Mike, I had heard that something was serious and needed your attention. I am really sorry this and my heart goes out to you. And of course I understand that you need to be with your mom. Please don't worry about anything here at work, you have more important things to think about. Just keep me posted. My thoughts are with you and your family. Let me know if there is anything I can do. Scott -----Original Message----From: Leon-Guerrero, Michael Sent: Friday, December 17, 2010 8:19 AM To: Neal, Scott Subject: out Scott - I don't know if you heard but my mom had a massive stroke yesterday morning and I need to be with her today - additionally I'm her power of attorney which makes it even more crucial that I am here. I'll be checking in on email and with my projects. Thanks if you need to reach me, text or call would be quicker than email 206-795-8033 although I will be checking email. Makes sense? :) Mike

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From: "Russillo, Chrissy" To: "Krieger, James" <James.Krieger@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Apa, James" <James.Apa@kingcounty.gov> Date: 12/17/2010 10:06:03 PM Subject: Re: PI story on E-Cig
For now but we'll keep watching
From: Krieger, James Sent: Friday, December 17, 2010 06:02 PM To: Russillo, Chrissy; Neal, Scott; Johnson, Gareth; Ross-Viles, Sarah; Apa, James Subject: RE: PI story on E-Cig So sounds like not to worry this particular type of forum James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

From: Russillo, Chrissy Sent: Friday, December 17, 2010 6:01 PM To: Krieger, James; Neal, Scott; Johnson, Gareth; Ross-Viles, Sarah; Apa, James Subject: Re: PI story on E-Cig

I agree that it's always good to have pro voices but it's expected to have such negative web comments. You will see that on a lot news stories actually no matter what the content. Unfortunately the comment sections are not a place where objective dialogue takes place. I have cc'd James in case he hasn't something too add.
From: Krieger, James Sent: Friday, December 17, 2010 05:29 PM To: Neal, Scott; Johnson, Gareth; Russillo, Chrissy; Ross-Viles, Sarah Subject: RE: PI story on E-Cig

The posts on the article are quite rabid, and about 50:1 against regulationare we loosing the electronic commons debate? Where are those who support this approach? Does it matter that they dont show up ion the PI website? James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 8_19_2011

Page 2 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov _____________________________________________ From: Neal, Scott Sent: Tuesday, December 14, 2010 8:43 AM To: Johnson, Gareth Cc: Krieger, James Subject: FW: PI story on E-Cig FYIfrom yesterday's interviews...
______________________________________________ From: Sherard, Mark Sent: Tuesday, December 14, 2010 7:58 AM To: ZZGrp, PH Tobacco All PI story on E-Cig

Subject:

http://www.seattlepi.com/local/431707_e-cigarettes.html

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Page 1

From: "Krieger, James" To: "Russillo, Chrissy" <Chrissy.Russillo@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Apa, James" <James.Apa@kingcounty.gov> Date: 12/17/2010 10:02:12 PM Subject: RE: PI story on E-Cig
So sounds like not to worry this particular type of forum James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

From: Russillo, Chrissy Sent: Friday, December 17, 2010 6:01 PM To: Krieger, James; Neal, Scott; Johnson, Gareth; Ross-Viles, Sarah; Apa, James Subject: Re: PI story on E-Cig

I agree that it's always good to have pro voices but it's expected to have such negative web comments. You will see that on a lot news stories actually no matter what the content. Unfortunately the comment sections are not a place where objective dialogue takes place. I have cc'd James in case he hasn't something too add.
From: Krieger, James Sent: Friday, December 17, 2010 05:29 PM To: Neal, Scott; Johnson, Gareth; Russillo, Chrissy; Ross-Viles, Sarah Subject: RE: PI story on E-Cig

The posts on the article are quite rabid, and about 50:1 against regulationare we loosing the electronic commons debate? Where are those who support this approach? Does it matter that they dont show up ion the PI website? James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov _____________________________________________ From: Neal, Scott Sent: Tuesday, December 14, 2010 8:43 AM To: Johnson, Gareth 8_19_2011

Page 2 Cc: Krieger, James Subject: FW: PI story on E-Cig FYIfrom yesterday's interviews...
______________________________________________ From: Sherard, Mark Sent: Tuesday, December 14, 2010 7:58 AM To: ZZGrp, PH Tobacco All PI story on E-Cig

Subject:

http://www.seattlepi.com/local/431707_e-cigarettes.html

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Page 1

From: "Russillo, Chrissy" To: "Krieger, James" <James.Krieger@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Apa, James" <James.Apa@kingcounty.gov> Date: 12/17/2010 10:00:50 PM Subject: Re: PI story on E-Cig
I agree that it's always good to have pro voices but it's expected to have such negative web comments. You will see that on a lot news stories actually no matter what the content. Unfortunately the comment sections are not a place where objective dialogue takes place. I have cc'd James in case he hasn't something too add.
From: Krieger, James Sent: Friday, December 17, 2010 05:29 PM To: Neal, Scott; Johnson, Gareth; Russillo, Chrissy; Ross-Viles, Sarah Subject: RE: PI story on E-Cig

The posts on the article are quite rabid, and about 50:1 against regulationare we loosing the electronic commons debate? Where are those who support this approach? Does it matter that they dont show up ion the PI website? James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

_____________________________________________ From: Neal, Scott Sent: Tuesday, December 14, 2010 8:43 AM To: Johnson, Gareth Cc: Krieger, James Subject: FW: PI story on E-Cig FYIfrom yesterday's interviews...
______________________________________________ From: Sherard, Mark Sent: Tuesday, December 14, 2010 7:58 AM To: ZZGrp, PH Tobacco All PI story on E-Cig

Subject:

http://www.seattlepi.com/local/431707_e-cigarettes.html

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From: "Neal, Scott" To: "Krieger, James" <James.Krieger@kingcounty.gov> "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> "Russillo, Chrissy" <Chrissy.Russillo@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 12/17/2010 9:51:00 PM Subject: RE: PI story on E-Cig This is pretty much what we expected would happen. People don't tend to get out there in force to support these things after the fact. That being said this is one of the areas that we need to improve on in future policy makinggetting our partners to voice their opinions. Luckily we did have two agencies show up and testify to help balance out the e-cig proponents during the BOH meeting. I honestly think this will all die down in a day or two. The reality is although there may be a growing number of e-cig users, I don't think there are that manyyet. I just wish we could get the media to stop using the word "ban" because I really think that has negative connotations and leads to more emotional reactions when people read these articles. Scott >_____________________________________________ >From: Krieger, James >Sent: Friday, December 17, 2010 5:30 PM >To: Neal, Scott; Johnson, Gareth; Russillo, Chrissy; Ross-Viles, Sarah >Subject: RE: PI story on E-Cig > >The posts on the article are quite rabid, and about 50:1 against regulationare we loosing the electronic commons debate? Where are those who support this approach? Does it matter that they dont show up ion the PI website? > >James Krieger, MD, MPH >Chief, Chronic Disease and Injury Prevention Section >Public Health - Seattle and King County >Chinook Building, Suite 900 >401 5th Ave >Seattle, WA 98104 >voice: 206-263-8227 >fax: 206 205 0525 >email: james.krieger@kingcounty.gov > > >_____________________________________________ >From: Neal, Scott >Sent: Tuesday, December 14, 2010 8:43 AM >To: Johnson, Gareth >Cc: Krieger, James >Subject: FW: PI story on E-Cig > >FYIfrom yesterday's interviews... > >______________________________________________ >From: Sherard, Mark
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>Sent: Tuesday, December 14, 2010 7:58 AM >To: ZZGrp, PH Tobacco All >Subject: PI story on E-Cig > >http://www.seattlepi.com/local/431707_e-cigarettes.html

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From: "Krieger, James" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> "Russillo, Chrissy" <Chrissy.Russillo@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 12/17/2010 9:29:47 PM Subject: RE: PI story on E-Cig The posts on the article are quite rabid, and about 50:1 against regulationare we loosing the electronic commons debate? Where are those who support this approach? Does it matter that they dont show up ion the PI website? James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

_____________________________________________ From: Neal, Scott Sent: Tuesday, December 14, 2010 8:43 AM To: Johnson, Gareth Cc: Krieger, James Subject: FW: PI story on E-Cig FYIfrom yesterday's interviews... ______________________________________________ From: Sherard, Mark Sent: Tuesday, December 14, 2010 7:58 AM To: ZZGrp, PH Tobacco All Subject: PI story on E-Cig http://www.seattlepi.com/local/431707_e-cigarettes.html

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From: "Apa, James" To: "Russillo, Chrissy" <Chrissy.Russillo@kingcounty.gov> "Krieger, James" <James.Krieger@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> Date: 12/17/2010 10:37:37 PM Subject: Re: PI story on E-Cig
Hi Jim. Our team has been working closely with the program on this, and handling quite a bit of media on the issue. We've also received at least 25 e-mails from people in opposition, some quite upset. Unfortunately, the indoor smoking ban is what has drawn the media's and public's interest, and our rationale on this element isn't easy to communicate in a soundbite and also shifted somewhat midstream. If the board action would have been solely about youth protection, the coverage would have been far more positive. But I'm glad our board was willing to stand up for public health in spite of the reaction to the proposal.
From: Russillo, Chrissy Sent: Friday, December 17, 2010 06:06 PM To: Krieger, James; Neal, Scott; Johnson, Gareth; Ross-Viles, Sarah; Apa, James Subject: Re: PI story on E-Cig

For now but we'll keep watching


From: Krieger, James Sent: Friday, December 17, 2010 06:02 PM To: Russillo, Chrissy; Neal, Scott; Johnson, Gareth; Ross-Viles, Sarah; Apa, James Subject: RE: PI story on E-Cig So sounds like not to worry this particular type of forum James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov

From: Russillo, Chrissy Sent: Friday, December 17, 2010 6:01 PM To: Krieger, James; Neal, Scott; Johnson, Gareth; Ross-Viles, Sarah; Apa, James Subject: Re: PI story on E-Cig

I agree that it's always good to have pro voices but it's expected to have such negative web comments. You will see that on a lot news stories actually no matter what the content. Unfortunately the comment sections are not a place where objective dialogue takes place. I have cc'd James in case he hasn't something too add.
From: Krieger, James 8_19_2011

Page 2 Sent: Friday, December 17, 2010 05:29 PM To: Neal, Scott; Johnson, Gareth; Russillo, Chrissy; Ross-Viles, Sarah Subject: RE: PI story on E-Cig

The posts on the article are quite rabid, and about 50:1 against regulationare we loosing the electronic commons debate? Where are those who support this approach? Does it matter that they dont show up ion the PI website? James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov _____________________________________________ From: Neal, Scott Sent: Tuesday, December 14, 2010 8:43 AM To: Johnson, Gareth Cc: Krieger, James Subject: FW: PI story on E-Cig FYIfrom yesterday's interviews...
______________________________________________ From: Sherard, Mark Sent: Tuesday, December 14, 2010 7:58 AM To: ZZGrp, PH Tobacco All PI story on E-Cig

Subject:

http://www.seattlepi.com/local/431707_e-cigarettes.html

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From: "Allis, Donna" To: "Kellogg, Ryan" <Ryan.Kellogg@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Gomez, Tony" <Tony.Gomez@kingcounty.gov> "Lacet, Blishda" <Blishda.Lacet@kingcounty.gov> "MacDougall, Erin" <Erin.MacDougall@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Philby, Miriam" <Miriam.Philby@kingcounty.gov> "Phillips-Angeles, Ellen" <Ellen.Phillips-Angeles@kingcounty.gov> "Schwartz, Linda" <Linda.Schwartz@kingcounty.gov> Date: 12/17/2010 7:40:21 PM Subject: FW: Public Health Executive's Semi-Monthly Highlights 12-16-10

Donna J Allis, Ph.D., RN Health Services Administrator Chronic Disease & Injury Prevention Section Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104-1823 206-263-8186

From: Karasz, Hilary Sent: Friday, December 17, 2010 2:44 PM To: Moritz, Don; Gibson, Dorothy; Teeter, Dorothy; Phillips-Angeles, Ellen; Oren, Eyal; Chaffee, Frank; Johnson, Gareth; Hewett, Greg; Chatalas, Helen; Karasz, Hilary; Rohr Tran, Holly; Krieger, James; Weihe, Janine; Wilson, Janna; Duchin, Jeff; Haynes, Joan; Nakagawara, Jon; Byrd, Julia; West, Julie; Beleford, June; Huus, Kathie; Uhlorn, Kathleen; Carson, Kathy; Wuellner, Kurt; Federighi, Laura; Maurer, Marcy; Wood, Maria; Zwerling, Mary; Narita, Masa; Hanrahan, Michael; Loehr, Michael; Lente, Natalie; Oleru, Ngozi; Sadow-Hasenberg, Nicole; Swenson, Paul; Harruff, Richard; Weigelt, Ron; Ciske, Sandra; Lohn, Sherman; Eisele, Susan; Oatis, Susan; Cosgrove, TJ; Elmore, Willma; Muhm, Jennifer; Plorde, Michele; West, Cindy; Allis, Donna; Valenzuela, Matias; Albetta, Gloria; Chan, Nadine; Solet, David; Wysen, Kirsten; Jones, Scott; Burgess, Moffett; Kennedy, Patricia; LaQuey, Gerrie; Mullin, Carole; Owen, Eric; Peterson, Maureen; Russell, Karen; Simpson, Jane; St Clair, Linda; Cummins, Elaine; Russillo, Chrissy; Hitchcock, Laura Subject: Public Health Executive's Semi-Monthly Highlights 12-16-10

Public Health
Executive Semi-Monthly Highlights December 16, 2010 POTENTIAL ISSUE ALERTS
New Requirements for Vaccines for Children program New federal requirements have been added to program audits conducted by Public Health - Seattle & King County of Vaccines for Children (VFC) providers. Where previously 25% of all participating clinics needed an annual quality assurance site visit, in 2011 50% of sites are being required to have this visit. This is a significant workload increase for the Communicable Disease and Immunization Section without increased funding. To adjust to the new requirement, the Immunization Section is redesigning the quality assurance site visits with greater efficiencies, and streamlining the process while maintaining the current level of service for all participating providers. In addition, the Immunization Section will necessarily reduce
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immunization needs assessment and education services funded by CDC/DOH in order to adjust to the increased workload. VFC is a federal and state program established in 1993 to remove the barriers of cost and access for families to attain childhood immunizations. Public Health Seattle & King County manages the vaccine supplies, which amounted to 850,000 doses of childhood vaccine worth $33 million distributed to 347 health care provider clinic sites in King County. Almost 95% of public and private immunization providers in King County are currently enrolled. All children from birth up to the 19th birthday (hepatitis B up to the 20th birthday) are eligible to receive these vaccines. Tuberculosis grant The TB strain responsible for most cases of TB among King County homeless persons in 2002-2003 is still being diagnosed in King County and Washington State, including some individuals outside of the homeless community as well. People who have been diagnosed with this strain appear to have more advanced disease, which increases the risk for transmission. A Centers for Disease Control and Prevention (CDC) team visited us over the summer to conduct a more indepth investigation of TB cases caused by this strain to better understand factors related to ongoing transmission. The program requested and was granted $90,000 from CDC to provide targeted testing, diagnosis, and treatment of latent TB infection among homeless individuals. This funding will be for the period January through December 2011. Vital Statistics Office relocating Vital Statistics will be moving to a new location on the second floor of the 9th and Jefferson Building at 908 Jefferson Street in Seattle. The new office will be co-located with the Medical Examiners Office, an efficiency that will save money and improve customer service for many Vital Statistics customers due to improved parking options and longer hours. The new location will be particularly convenient for funeral directors who work with both the Medical Examiners Office and Vital Statistics. Vital Statistics will be closed during the move on the 17th and 20th of December, and will re-open on December 21st . Office hours will be Monday through Friday from 8:00 to 4:30.

COUNCIL CONTACTS AND LEGISLATIVE ACTIVITY


State budget impacts on Public Health and the safety net Governor Gregoires 2011-13 biennial budget was released on Wednesday, December 15. King County residents and Public Health - Seattle & King County will be impacted in numerous ways. A new cut to Federal Qualified Health Center (FQHC) reimbursement carried forward from last week's special session is especially devastating to, and threatens the viability of, public health and community clinics that serve the state's most vulnerable people. Cuts to Medicaid optional services--and specifically Maternity Support Services (MSS), which was reduced by half--will also be harmful to the clients we serve in King County. Reductions to flexible funds for public health will reduce our ability to provide core public health services, and will further weaken the statewide public health infrastructure. Another significant loss is state funding for local tobacco prevention and control programs. Overall, these public health and clinical cuts hurt the poorest of the poor in our community and serve as a catastrophic blow to an already weakened safety net. At todays Board of Health meeting, the Board passed a resolution calling on Washington State to provide a stable source of funding for the public health system, and to avoid making cuts to FQHC and to other essential services provided by Public Health and our partners in the safety net community. Moving forward, our first priority will be to educate decision-makers on the impact of FQHC reimbursement rates, which will go into effect January 1st . In January and beyond as the Legislative session gets underway, our goal is to insure that decision-makers understand the impact of cuts to MSS, Family Planning, Tobacco, Adult Dental, flexible funding and the other important public health services that are provided by Public Health and community providers. This summary at the state Office of Financial Management describes the cuts to Health and Human Services more completely.
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Farmers Market Roundtable Seattle City Councilmember Sally Clark hosted a Farmers Market roundtable on December 15 that Environmental Health staff participated in along with Seattle City Councilmember Mike O'Brien, King County Councilmember Larry Phillips, State Senator Jeanne Kohl-Welles and several farmers and farmers market coordinators. The roundtable was called to discuss what is working well and what needs attention with regard to farmers market operations in Seattle & King County. Discussion topics centered around Public Health Code and its enforcement, the City's fostering of new farmers markets and the State Legislative agenda with respect to farmers markets and where there might be opportunities for positive change. GOOD NEWS ITEMS E-cigarette regulations On December 16, the King County Board of Health unanimously passed new electronic cigarette regulations. Electronic cigarettes are battery-operated devices that deliver vaporized nicotine instead of burning tobacco. These products are available to buy online, at smoke shops and at mall kiosks. The Board of Health regulations include prohibiting sales to minors, prohibiting free samples, and prohibiting the use of these products in places where smoking is prohibited by law.

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From: "Allis, Donna" To: "Kellogg, Ryan" <Ryan.Kellogg@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Gomez, Tony" <Tony.Gomez@kingcounty.gov> "Lacet, Blishda" <Blishda.Lacet@kingcounty.gov> "MacDougall, Erin" <Erin.MacDougall@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Philby, Miriam" <Miriam.Philby@kingcounty.gov> "Phillips-Angeles, Ellen" <Ellen.Phillips-Angeles@kingcounty.gov> "Schwartz, Linda" <Linda.Schwartz@kingcounty.gov> Date: 12/17/2010 7:39:20 PM Subject: FW: Public Health Mayor's Semi-Monthly Highlights 12.17.10

Donna J Allis, Ph.D., RN Health Services Administrator Chronic Disease & Injury Prevention Section Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104-1823 206-263-8186

From: Karasz, Hilary Sent: Friday, December 17, 2010 3:28 PM To: Moritz, Don; Gibson, Dorothy; Teeter, Dorothy; Phillips-Angeles, Ellen; Oren, Eyal; Chaffee, Frank; Johnson, Gareth; Hewett, Greg; Chatalas, Helen; Karasz, Hilary; Rohr Tran, Holly; Krieger, James; Weihe, Janine; Wilson, Janna; Duchin, Jeff; Haynes, Joan; Nakagawara, Jon; Byrd, Julia; West, Julie; Beleford, June; Huus, Kathie; Uhlorn, Kathleen; Carson, Kathy; Wuellner, Kurt; Federighi, Laura; Maurer, Marcy; Wood, Maria; Zwerling, Mary; Narita, Masa; Hanrahan, Michael; Loehr, Michael; Lente, Natalie; Oleru, Ngozi; Sadow-Hasenberg, Nicole; Swenson, Paul; Harruff, Richard; Weigelt, Ron; Ciske, Sandra; Lohn, Sherman; Eisele, Susan; Oatis, Susan; Cosgrove, TJ; Elmore, Willma; Muhm, Jennifer; Plorde, Michele; West, Cindy; Allis, Donna; Valenzuela, Matias; Albetta, Gloria; Chan, Nadine; Solet, David; Wysen, Kirsten; Jones, Scott; Burgess, Moffett; Kennedy, Patricia; LaQuey, Gerrie; Mullin, Carole; Owen, Eric; Peterson, Maureen; Russell, Karen; Simpson, Jane; St Clair, Linda; Cummins, Elaine; Russillo, Chrissy; Hitchcock, Laura Subject: Public Health Mayor's Semi-Monthly Highlights 12.17.10

TO: FROM: DATE: RE:

Mayor Michael Patrick McGinn Dr. David Fleming, Director and Health Officer December 17, 2010 Public Health Semi-Monthly Highlights

MAYORS PRIORITIES Youth and Families Initiative Establishing new school-based health center Public Health has coordinated with City Human Services Department, Office for Education, and Seattle Public Schools to support the development of a school-based health center and family engagement program at the Secondary Bilingual Orientation Center (SBOC). Public Health staff have led a
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community outreach process to move this strategy forward - engaging SBOC students, families, immigrant/refugee communities, and Youth and Family Initiative participants. Public Health will continue to work with City department and Mayor's Office staff in development of a Request for Proposals that will be issued in early 2011 to create community partnerships to establish this new program. MAJOR ACCOMPLISHMENTS E-cigarette regulations On December 16, the King County Board of Health unanimously passed new electronic cigarette regulations. Electronic cigarettes are battery-operated devices that deliver vaporized nicotine instead of burning tobacco. These products are available to buy online, at smoke shops and at mall kiosks. The Board of Health regulations include prohibiting sales to minors, prohibiting free samples, and prohibiting the use of these products in places where smoking is prohibited by law. MAJOR COMMUNITY CONCERNS State budget impacts on Public Health and the safety net Governor Gregoires 2011-13 biennial budget was released on Wednesday, December 15. King County residents and Public Health - Seattle & King County will be impacted in numerous ways. A new cut to Federal Qualified Health Center (FQHC) reimbursement carried forward from last week's special session is especially devastating to, and threatens the viability of, public health and community clinics that serve the state's most vulnerable people. Cuts to Medicaid optional services--and specifically Maternity Support Services (MSS), which was reduced by half--will also be harmful to the clients we serve in King County. Reductions to flexible funds for public health will reduce our ability to provide core public health services, and will further weaken the statewide public health infrastructure. Another significant loss is state funding for local tobacco prevention and control programs. Overall, these public health and clinical cuts hurt the poorest of the poor in our community and serve as a catastrophic blow to an already weakened safety net. At yesterdays Board of Health meeting, the Board passed a resolution calling on Washington State to provide a stable source of funding for the public health system, and to avoid making cuts to FQHC and to other essential services provided by Public Health and our partners in the safety net community. Moving forward, our first priority will be to educate decision-makers on the impact of FQHC reimbursement rates, which will go into effect January 1st . In January and beyond as the Legislative session gets underway, our goal is to insure that decision-makers understand the impact of cuts to MSS, Family Planning, Tobacco, Adult Dental, flexible funding and the other important public health services that are provided by Public Health and community providers. This summary at the state Office of Financial Management describes the cuts to Health and Human Services more completely. New Requirements for Vaccines for Children program New federal requirements have been added to program audits conducted by Public Health - Seattle & King County of Vaccines for Children (VFC) providers. Where previously 25% of all participating clinics needed an annual quality assurance site visit, in 2011 50% of sites are being required to have this visit. This is a significant workload increase for the Communicable Disease and Immunization Section without increased funding. To adjust to the new requirement, the Immunization Section is redesigning the quality assurance site visits with greater efficiencies, and streamlining the process while maintaining the current level of service for all participating providers. In addition, the Immunization Section will necessarily reduce immunization needs assessment and education services funded by CDC and the state Department of Health in order to adjust to the increased workload.
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VFC is a federal and state program established in 1993 to remove the barriers of cost and access for families to attain childhood immunizations. Public Health Seattle & King County manages the vaccine supplies, which amounted to 850,000 doses of childhood vaccine worth $33 million distributed to 347 health care provider clinic sites in King County. Almost 95% of public and private immunization providers in King County are currently enrolled. All children from birth up to the 19th birthday (hepatitis B up to the 20th birthday) are eligible to receive these vaccines. Tuberculosis grant The TB strain responsible for most cases of TB among King County homeless persons in 2002-2003 is still being diagnosed in King County and Washington State, including some individuals outside of the homeless community as well. People who have been diagnosed with this strain appear to have more advanced disease, which increases the risk for transmission. A Centers for Disease Control and Prevention (CDC) team visited us over the summer to conduct a more in-depth investigation of TB cases caused by this strain to better understand factors related to ongoing transmission. The program requested and was granted $90,000 from CDC to provide targeted testing, diagnosis, and treatment of latent TB infection among homeless individuals. This funding will be for the period January through December 2011. Vital Statistics Office relocating Vital Statistics will be moving to a new location on the second floor of the 9th and Jefferson Building at 908 Jefferson Street in Seattle. The new office will be co-located with the Medical Examiners Office, an efficiency that will save money and improve customer service for many Vital Statistics customers due to improved parking options and longer hours. The new location will be particularly convenient for funeral directors who work with both the Medical Examiners Office and Vital Statistics. Vital Statistics will be closed during the move on the 17th and 20th of December, and will re-open on December 21st . Office hours will be Monday through Friday from 8:00 to 4:30. COUNCIL CONTACTS Farmers Market Roundtable Seattle City Councilmember Sally Clark hosted a Farmers Market roundtable on December 15 that Environmental Health staff participated in along with Seattle City Councilmember Mike O'Brien, King County Councilmember Larry Phillips, State Senator Jeanne Kohl-Welles and several farmers and farmers market coordinators. The roundtable was called to discuss what is working well and what needs attention with regard to farmers market operations in Seattle & King County. Discussion topics centered around Public Health Code and its enforcement, the City's fostering of new farmers markets and the State Legislative agenda with respect to farmers markets and where there might be opportunities for positive change. FUTURE MEDIA OPPORTUNITIES Nothing to report

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From: "Ross-Viles, Sarah" To: "Brandie Flood" <Brandie.Flood@cschc.org> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 12/17/2010 4:34:42 PM Subject: RE: Public Hearing

Wow - Brandie! Thanks for sharing. Sorry you got targeted - a creepier side to Facebook for sure. I find the assumptions folks ma about funding and motivation for tobacco control work disappointing and odd. Is it so far fetched that we are just concerned with public health? Thanks for saying things so well yesterday. Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

From: Brandie Flood [mailto:Brandie.Flood@cschc.org] Sent: Friday, December 17, 2010 11:34 AM To: Neal, Scott; Ross-Viles, Sarah Subject: FW: Public Hearing Importance: High

Hey Scott,

I got this ugly message about my comments at the hearing yesterday from some guy on facebook. I just thought you shoul know in case you get the same message. I blocked him from my facebook and its private anyway so he wont be able to se my pictures or anything.

Brandie Flood, MSW Center for MultiCultural Health 1120 East Terrace St., Suite 200 Seattle, WA 98122 206-461-6910 ext. 203 From: Facebook [mailto:notification+kbsb4byr@facebookmail.com] Sent: Thursday, December 16, 2010 7:16 PM To: Brandie Flood Subject: Gregory Conley sent you a message on Facebook...

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facebook
Gregory sent you a message. Gregory ConleyDecember 16, 2010 at 10:15pm Subject: Electronic cigarette Ms. Flood, I listened to the audio from today's King County Board of Health meeting and was shocked to hear you say, "We don't know what's in [electronic cigarettes]." How could you attend the meting, listen to the presentations, and then say such a thing? We know what is in the ecigarette; propoylene glycol and nicotine. PG is safe for human inhalation, and nicotine is not a burning, combustible toxin like the 40 individual types of carcinogens in tobacco cigarettes that are released into the air in the form of second-hand smoke. Does the organization you work for publicly reveal its funding sources? I'd be interested to know how much comes from pharmaceutical companies that have smoking aids out on the market. Please see below. http://www.facebook.com/l/95699whc6BS2KgtOf8zCRMeT5oA;www.healthnz.co.nz/DublinEcigBenchtopHandout.pdf http://www.facebook.com/l/95699rwokbqI3AcxhPgV_dpd2bQ;www.casaa.org/files/Study_TSN...NJOY_Vapor.pdf http://www.facebook.com/l/95699fy8Yy7o28woWS2W1jJPs6Q;sph.bu.edu/insider/index.php/Recent-News/evidencesuggests-e-cigs-safer-than-cigarettes-researcher-claims.html

To reply to this message, follow the link below: http://www.facebook.com/n/? inbox%2Freadmessage.php&t=1553352636956&mid=374d314G4000e7e2G2128b84G0&n_m=brandie.flood%40cschc.org

This message was intended for brandie.flood@cschc.org. If you do not wish to receive this type of email from Facebook in the future, please follow the link below to unsubscribe. http://www.facebook.com/o.php? k=ab26ff&u=1073801186&mid=374d314G4000e7e2G2128b84G0 Facebook, Inc. P.O. Box 10005, Palo Alto, CA 94303

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From: "Brandie Flood" <Brandie.Flood@cschc.org> To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 12/17/2010 3:33:45 PM Subject: FW: Public Hearing
Hey Scott,

I got this ugly message about my comments at the hearing yesterday from some guy on facebook. I just thought you shoul know in case you get the same message. I blocked him from my facebook and its private anyway so he wont be able to see my pictures or anything.

Brandie Flood, MSW Center for MultiCultural Health 1120 East Terrace St., Suite 200 Seattle, WA 98122 206-461-6910 ext. 203 From: Facebook [mailto:notification+kbsb4byr@facebookmail.com] Sent: Thursday, December 16, 2010 7:16 PM To: Brandie Flood Subject: Gregory Conley sent you a message on Facebook...

facebook
Gregory sent you a message. Gregory ConleyDecember 16, 2010 at 10:15pm Subject: Electronic cigarette Ms. Flood, I listened to the audio from today's King County Board of Health meeting and was shocked to hear you say, "We don't know what's in [electronic cigarettes]." How could you attend the meting, listen to the presentations, and then say such a thing? We know what is in the ecigarette; propoylene glycol and nicotine. PG is safe for human inhalation, and nicotine is not a burning, combustible toxin like the 40 individual types of carcinogens in tobacco cigarettes that are released into the air in the form of second-hand smoke. Does the organization you work for publicly reveal its funding sources? I'd be interested to know how much comes from pharmaceutical companies that have smoking aids out on the market. Please see below. http://www.facebook.com/l/95699whc6BS2KgtOf8zCRMeT5oA;www.healthnz.co.nz/DublinEcigBenchtopHandout.pdf http://www.facebook.com/l/95699rwokbqI3AcxhPgV_dpd2bQ;www.casaa.org/files/Study_TSN...NJOY_Vapor.pdf http://www.facebook.com/l/95699fy8Yy7o28woWS2W1jJPs6Q;sph.bu.edu/insider/index.php/Recent-News/evidencesuggests-e-cigs-safer-than-cigarettes-researcher-claims.html

To reply to this message, follow the link below: http://www.facebook.com/n/? inbox%2Freadmessage.php&t=1553352636956&mid=374d314G4000e7e2G2128b84G0&n_m=brandie.flood%40cschc.org

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This message was intended for brandie.flood@cschc.org. If you do not wish to receive this type of email from Facebook in the future, please follow the link below to unsubscribe. http://www.facebook.com/o.php? k=ab26ff&u=1073801186&mid=374d314G4000e7e2G2128b84G0 Facebook, Inc. P.O. Box 10005, Palo Alto, CA 94303

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From: To: Date: Subject:

"Wood, Maria" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/17/2010 7:52:25 PM FW: R&R No. BOH10-04

From: Brandon Leeberg [mailto:broncoguy@comcast.net] Sent: Thursday, December 16, 2010 5:58 PM To: Wood, Maria Subject: R&R No. BOH10-04

Are you kidding me? Youre going to ban e-cigs, which pose NO threat to others, just because people might think its a cigarette? Whats this world coming to? King County is so BACKWARDS.

No virus found in this message. Checked by AVG - www.avg.com Version: 10.0.1170 / Virus Database: 426/3317 - Release Date: 12/15/10

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From: To: Date: Subject:

"Wood, Maria" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/17/2010 7:17:11 PM RE: Video link showing e-cigarette use vs. regular cigarette smoking

Decided on second thought to no add the comment. Sometimes less is more >_____________________________________________ >From: Neal, Scott >Sent: Friday, December 17, 2010 3:07 PM >To: Wood, Maria >Subject: RE: Video link showing e-cigarette use vs. regular cigarette smoking > >ThanksI forgot to write something about the fact that there are endless videos on youtube that can show similar e-cig use > >_____________________________________________ >From: Wood, Maria >Sent: Friday, December 17, 2010 3:07 PM >To: Neal, Scott >Subject: RE: Video link showing e-cigarette use vs. regular cigarette smoking > >Thanks, I'll send out to members now and cc your team. > >_____________________________________________ >From: Neal, Scott >Sent: Friday, December 17, 2010 3:01 PM >To: Wood, Maria >Subject: Video link showing e-cigarette use vs. regular cigarette smoking > >Maria, > >This is the link to the short video that did not work during yesterday's BOH meeting. This video shows two individuals side by side, one lights and smokes a regular cigarette and the other uses an e-cigarette. This video captures the typical image of what it looks like when someone use e-cigarettes. > >http://www.youtube.com/watch?v=rFMa4nMg3pQ > > >Thanks >Scott

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From: To: Date: Subject:

"Wood, Maria" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/17/2010 7:13:01 PM RE: Video link showing e-cigarette use vs. regular cigarette smoking

I'll add that in. >_____________________________________________ >From: Neal, Scott >Sent: Friday, December 17, 2010 3:07 PM >To: Wood, Maria >Subject: RE: Video link showing e-cigarette use vs. regular cigarette smoking > >ThanksI forgot to write something about the fact that there are endless videos on youtube that can show similar e-cig use > >_____________________________________________ >From: Wood, Maria >Sent: Friday, December 17, 2010 3:07 PM >To: Neal, Scott >Subject: RE: Video link showing e-cigarette use vs. regular cigarette smoking > >Thanks, I'll send out to members now and cc your team. > >_____________________________________________ >From: Neal, Scott >Sent: Friday, December 17, 2010 3:01 PM >To: Wood, Maria >Subject: Video link showing e-cigarette use vs. regular cigarette smoking > >Maria, > >This is the link to the short video that did not work during yesterday's BOH meeting. This video shows two individuals side by side, one lights and smokes a regular cigarette and the other uses an e-cigarette. This video captures the typical image of what it looks like when someone use e-cigarettes. > >http://www.youtube.com/watch?v=rFMa4nMg3pQ > > >Thanks >Scott

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From: To: Date: Subject:

"Neal, Scott" "Wood, Maria" <Maria.Wood@kingcounty.gov> 12/17/2010 7:09:00 PM RE: Video link showing e-cigarette use vs. regular cigarette smoking

ThanksI forgot to write something about the fact that there are endless videos on youtube that can show similar ecig use >_____________________________________________ >From: Wood, Maria >Sent: Friday, December 17, 2010 3:07 PM >To: Neal, Scott >Subject: RE: Video link showing e-cigarette use vs. regular cigarette smoking > >Thanks, I'll send out to members now and cc your team. > >_____________________________________________ >From: Neal, Scott >Sent: Friday, December 17, 2010 3:01 PM >To: Wood, Maria >Subject: Video link showing e-cigarette use vs. regular cigarette smoking > >Maria, > >This is the link to the short video that did not work during yesterday's BOH meeting. This video shows two individuals side by side, one lights and smokes a regular cigarette and the other uses an e-cigarette. This video captures the typical image of what it looks like when someone use e-cigarettes. > >http://www.youtube.com/watch?v=rFMa4nMg3pQ > > >Thanks >Scott

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From: To: Date: Subject:

"Wood, Maria" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/17/2010 7:06:37 PM RE: Video link showing e-cigarette use vs. regular cigarette smoking

Thanks, I'll send out to members now and cc your team. >_____________________________________________ >From: Neal, Scott >Sent: Friday, December 17, 2010 3:01 PM >To: Wood, Maria >Subject: Video link showing e-cigarette use vs. regular cigarette smoking > >Maria, > >This is the link to the short video that did not work during yesterday's BOH meeting. This video shows two individuals side by side, one lights and smokes a regular cigarette and the other uses an e-cigarette. This video captures the typical image of what it looks like when someone use e-cigarettes. > >http://www.youtube.com/watch?v=rFMa4nMg3pQ > > >Thanks >Scott

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From: To: Date: Subject:

"Neal, Scott" "Wood, Maria" <Maria.Wood@kingcounty.gov> 12/17/2010 7:21:00 PM RE: Video link showing e-cigarette use vs. regular cigarette smoking

Agreedthanks! >_____________________________________________ >From: Wood, Maria >Sent: Friday, December 17, 2010 3:17 PM >To: Neal, Scott >Subject: RE: Video link showing e-cigarette use vs. regular cigarette smoking > >Decided on second thought to no add the comment. Sometimes less is more > >_____________________________________________ >From: Neal, Scott >Sent: Friday, December 17, 2010 3:07 PM >To: Wood, Maria >Subject: RE: Video link showing e-cigarette use vs. regular cigarette smoking > >ThanksI forgot to write something about the fact that there are endless videos on youtube that can show similar e-cig use > >_____________________________________________ >From: Wood, Maria >Sent: Friday, December 17, 2010 3:07 PM >To: Neal, Scott >Subject: RE: Video link showing e-cigarette use vs. regular cigarette smoking > >Thanks, I'll send out to members now and cc your team. > >_____________________________________________ >From: Neal, Scott >Sent: Friday, December 17, 2010 3:01 PM >To: Wood, Maria >Subject: Video link showing e-cigarette use vs. regular cigarette smoking > >Maria, > >This is the link to the short video that did not work during yesterday's BOH meeting. This video shows two individuals side by side, one lights and smokes a regular cigarette and the other uses an e-cigarette. This video captures the typical image of what it looks like when someone use e-cigarettes. > >http://www.youtube.com/watch?v=rFMa4nMg3pQ > > >Thanks >Scott

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From: To: Date: Subject: Maria,

"Neal, Scott" "Wood, Maria" <Maria.Wood@kingcounty.gov> 12/17/2010 7:03:00 PM Video link showing e-cigarette use vs. regular cigarette smoking

This is the link to the short video that did not work during yesterday's BOH meeting. This video shows two individuals side by side, one lights and smokes a regular cigarette and the other uses an e-cigarette. This video captures the typical image of what it looks like when someone use e-cigarettes. http://www.youtube.com/watch?v=rFMa4nMg3pQ

Thanks Scott

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From: To: Date: Subject:

e.ishihara@comcast.net "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/20/2010 7:01:18 PM Re: Board of Health Meeting - Thursday Morning!

Hi Scott, I heard via Brandie, that you did well in addressing all of the questions and comments that were hurdled your way! good for u! With e-cigs being so new on the market, of course it's going to raise a lot of controversy, because it looks "safe"... Did Brandie tell you that someone found her on face book and sent her a msg? I'll forward to you... she has blocked him. And yes, lets get together soon, to discuss the future of our programs, ... so sorry that you all are experiencing an early reduction to your program. Why don't you send out some dates and times to meet? Sooner rather then later works for me. best regards, elaine ----- Original Message ----From: "Scott Neal" <Scott.Neal@kingcounty.gov> To: "e.ishihara@comcast.net" <e.ishihara@comcast.net> Sent: Monday, December 20, 2010 10:40:16 AM Subject: RE: Board of Health Meeting - Thursday Morning!
Hi Elaine, Thanks...we saw Eric in the crowd. The meeting was quite interesting and long. But ultimately the BOH passed the proposed regulations. However, I know we (and probably the BOH members too) are getting hit with a lot of negative emails and phone calls following this vote. My concern is that they are only hearing from the negative side and not the advocates and I really hope this doesn't affect decisions in the weeks and months ahead. As for our budget crisis...things are NOT good. I'm running crazy trying to find ways to manage this enormous hole in the budget. I think it will be important to find time soon to sit down with the networks and other partners to figure out how this all pans out. Scott

From: e.ishihara@comcast.net [mailto:e.ishihara@comcast.net] Sent: Thursday, December 16, 2010 9:19 AM To: Neal, Scott Subject: Re: Board of Health Meeting - Thursday Morning!

Hi Scott, I won't be able to attend the meeting this morning, sending Eric on behalf of APICAT. Hope things are going well with you! elaine

----- Original Message ----From: "Scott Neal" <Scott.Neal@kingcounty.gov> To: "(shelleyc@cschc.org)" <shelleyc@cschc.org>, "Brandie Flood (brandie.flood@cschc.org)" <brandie.flood@cschc.org>, "(janelle@cschc.org)" <janelle@cschc.org>, "Eric Mose" <eric@apicat.org>, "Elaine Ishihara" <e.ishihara@comcast.net>, "Julie Peterson" <JulieP@chef.org>, "fred@gaycity.org" <fred@gaycity.org>, "Carlos Mejia" <Cmejia@wacmhc.org>, "robynp@sihb.org" <robynp@sihb.org>, "lark@gaycity.org" <lark@gaycity.org>, "Alison Shigaki
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(alishigaki@sprynet.com)" <alishigaki@sprynet.com>, "Antoinette Angulo" <AntoinetteAngulo@seamarchc.org>, "Frank Dibiase" <FDibiase@tpchd.org>, "kelly kasner" <kelly.kasner@cancer.org>, "Stephanie Silvernail (ssilvernail@psesd.org)" <ssilvernail@psesd.org>, "wgilreath@psesd.org" <wgilreath@psesd.org>, "Christopher' 'Zilar" <CZilar@spokanecounty.org> Sent: Tuesday, December 14, 2010 4:32:47 PM Subject: Board of Health Meeting - Thursday Morning!
As you may already know, the King County Board of Health is scheduled to meet this Thursday, December 16th at 9:30am. The agenda for the meeting includes: 1. Regulations relating to electronic smoking devices (also known as e-cigarettes) and unapproved nicotine delivery products. These regulations will help protect youth from starting to use electronic cigarettes and will protect the social norms created by the smoking in public places/places of employment laws. 2. A resolution calling on the state of Washington to provide dedicated and long-term financing so local public health jurisdictions can protect and improve the health of all community residents. 3. An annual report for Public Health Seattle-King County presented by the director, Dr. David Fleming. For more information about any of these items, please see the meeting packet. Public comments can be made in person at the beginning of the meeting or submitted in written form. For more details, please consult the Board of Health website. The Board of Health meeting will be at 9:30 am on December 16th in the King County Council Chambers (10th floor of the King County Courthouse, 516 3rd Avenue, Room 1001). If you have any questions or concerns, please feel free to contact me. Thanks

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: To: Date: Subject:


Hi Elaine,

"Neal, Scott" e.ishihara@comcast.net 12/20/2010 2:42:00 PM RE: Board of Health Meeting - Thursday Morning!

Thanks...we saw Eric in the crowd. The meeting was quite interesting and long. But ultimately the BOH passed the proposed regulations. However, I know we (and probably the BOH members too) are getting hit with a lot of negative emails and phone calls following this vote. My concern is that they are only hearing from the negative side and not the advocates and I really hope this doesn't affect decisions in the weeks and months ahead. As for our budget crisis...things are NOT good. I'm running crazy trying to find ways to manage this enormous hole in the budget. I think it will be important to find time soon to sit down with the networks and other partners to figure out how this all pans out. Scott

From: e.ishihara@comcast.net [mailto:e.ishihara@comcast.net] Sent: Thursday, December 16, 2010 9:19 AM To: Neal, Scott Subject: Re: Board of Health Meeting - Thursday Morning!

Hi Scott, I won't be able to attend the meeting this morning, sending Eric on behalf of APICAT. Hope things are going well with you! elaine

----- Original Message ----From: "Scott Neal" <Scott.Neal@kingcounty.gov> To: "(shelleyc@cschc.org)" <shelleyc@cschc.org>, "Brandie Flood (brandie.flood@cschc.org)" <brandie.flood@cschc.org>, "(janelle@cschc.org)" <janelle@cschc.org>, "Eric Mose" <eric@apicat.org>, "Elaine Ishihara" <e.ishihara@comcast.net>, "Julie Peterson" <JulieP@chef.org>, "fred@gaycity.org" <fred@gaycity.org>, "Carlos Mejia" <Cmejia@wacmhc.org>, "robynp@sihb.org" <robynp@sihb.org>, "lark@gaycity.org" <lark@gaycity.org>, "Alison Shigaki (alishigaki@sprynet.com)" <alishigaki@sprynet.com>, "Antoinette Angulo" <AntoinetteAngulo@seamarchc.org>, "Frank Dibiase" <FDibiase@tpchd.org>, "kelly kasner" <kelly.kasner@cancer.org>, "Stephanie Silvernail (ssilvernail@psesd.org)" <ssilvernail@psesd.org>, "wgilreath@psesd.org" <wgilreath@psesd.org>, "Christopher' 'Zilar" <CZilar@spokanecounty.org> Sent: Tuesday, December 14, 2010 4:32:47 PM Subject: Board of Health Meeting - Thursday Morning!
As you may already know, the King County Board of Health is scheduled to meet this Thursday, December 16th at 9:30am. The agenda for the meeting includes: 1. Regulations relating to electronic smoking devices (also known as e-cigarettes) and unapproved nicotine delivery products. These regulations will help protect youth from starting to use electronic cigarettes and will protect the social norms created by the smoking in public places/places of employment laws. 2. A resolution calling on the state of Washington to provide dedicated and long-term financing so local public health jurisdictions can protect and improve the health of all community residents. 3. An annual report for Public Health Seattle-King County presented by the director, Dr. David Fleming. For more information about any of these items, please see the meeting packet. 8_19_2011

Page 2 Public comments can be made in person at the beginning of the meeting or submitted in written form. For more details, please consult the Board of Health website. The Board of Health meeting will be at 9:30 am on December 16th in the King County Council Chambers (10th floor of the King County Courthouse, 516 3rd Avenue, Room 1001). If you have any questions or concerns, please feel free to contact me. Thanks

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: To: Date: Subject: short and sweet! :)

"Neal, Scott" "Wood, Maria" <Maria.Wood@kingcounty.gov> 12/20/2010 1:18:00 PM RE: BOH10-04.1

From: Wood, Maria Sent: Monday, December 20, 2010 9:14 AM To: Neal, Scott Subject: FW: BOH10-04.1 my personal favorite

From: James Flaherty [mailto:flahertyjames@comcast.net] Sent: Saturday, December 18, 2010 11:51 AM To: Wood, Maria Cc: KCC, Comments Subject: BOH10-04.1 Who the hell do you people think you're fooling? You do realize that this is completely unenforceable, do you not? Now people who have quit are forced to go outside with the smokers. I just as well start smoking again... wait... that was the plan all along wasn't it! The state cannot tax e-cigs like they do tobacco... so you must be losing money with every e-cigarette sold. Follow the money... and enjoy your time in prison bitch. James Flaherty

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From: To: Date: Subject: my personal favorite

"Wood, Maria" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/20/2010 1:14:18 PM FW: BOH10-04.1

From: James Flaherty [mailto:flahertyjames@comcast.net] Sent: Saturday, December 18, 2010 11:51 AM To: Wood, Maria Cc: KCC, Comments Subject: BOH10-04.1 Who the hell do you people think you're fooling? You do realize that this is completely unenforceable, do you not? Now people who have quit are forced to go outside with the smokers. I just as well start smoking again... wait... that was the plan all along wasn't it! The state cannot tax e-cigs like they do tobacco... so you must be losing money with every e-cigarette sold. Follow the money... and enjoy your time in prison bitch. James Flaherty

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From: To: Date: Subject:

"Neal, Scott" "Heather Boylan" <Heather.Boylan@destmark.com> 12/20/2010 12:55:00 PM RE: E-Cig Advertisement/web Page

yeah, I've seen that site...I can't believe that stupid "Doctors" show (and I used the word doctors loosely!) practically did an infomer

From: Heather Boylan [mailto:Heather.Boylan@destmark.com] Sent: Monday, December 20, 2010 8:51 AM To: Neal, Scott Subject: E-Cig Advertisement/web Page http://consumerweeklyreport.com/stopsmokingsolution/direct1ajetstream.php?subid=newspremimg

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8_19_2011

Page 3 Heather Boylan | Production Manager


6808 220th ST SW, Suite 300 Mountlake Terrace, WA 98043 P 425.774.8343 F 425.774.8499

Destination Marketing

Please consider the environment before printing this email

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From: To: Date: Subject:

"Wood, Maria" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/20/2010 1:14:03 PM FW: e-cig ban

From: esdel@comcast.net [mailto:esdel@comcast.net] Sent: Sunday, December 19, 2010 3:29 PM To: Patterson, Julia; Lambert, Kathy; McDermott, Joe; nick licata; sally clark; richard conlin; Wood, Maria Subject: e-cig ban

On the King County Board of Health website, Board of Health Chair Julia Patterson is quoted as saying E-cigarettes are used as a means to encourage people, especially our youth, to begin smoking." I would like to know what evidence the Board has to back up this claim. Please explain to me why the electronic cigarette industry would market a product designed to get people off of that product, and onto another industry's product. If the Board has evidence that the electronic cigarette industry was designed to self-destruct, and is merely a plot by the tobacco industry to hook children on cigarettes, I believe the residents of King County deserve to know this evidence. If, on the other hand, the King County Board of Health can simply make up whatever "facts" it wants in order to justify its dictatorial overreach of power, I believe the residents of King County deserve to know that, as well. It is interesting that Ms. Patterson's very next statement was Their (e-cigs') safety and long-term health impacts are untested and unknown." It would seem that, within the space of two sentences, she has gone from a careless disseminator of wild, unsubstantiated claims, to an ardent advocate of the strictest scientific method. The citizens of King County are not fooled by this transparent ploy. We deserve better from our officials. Again I ask, what actual evidence do you have to back up the claims made by Ms. Patterson on your website? If you have no such evidence, what right do you have to pass laws based on conjecture and fabrication on your side, while demanding the strictest scientific evidence on the other? Esteban Delgado, Renton

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From: To: Date: Subject:

"Wood, Maria" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/20/2010 1:14:29 PM FW: Electonic Cigarettes study

From: john.jasper@comcast.net [mailto:john.jasper@comcast.net] Sent: Saturday, December 18, 2010 11:17 AM To: Wood, Maria Subject: Electonic Cigarettes study

Maria Woods, Here is some information you should look at.


The review, which will be published online ahead of print this month in the Journal of Public Health Policy, is the first to comprehensively examine scientific evidence about the safety and effectiveness of electronic cigarettes, also known as e-cigarettes, said Michael Siegel, professor of community health sciences at BUSPH. The battery-powered devices provide tobacco-less doses of nicotine in a vaporized solution.

"Few, if any, chemicals at levels detected in electronic cigarettes raise serious health concerns," the authors said. "Although the existing research does not warrant a conclusion that electronic cigarettes are safe in absolute terms and further clinical studies are needed to comprehensively assess the safety of electronic cigarettes, a preponderance of the available evidence shows them to be much safer than tobacco cigarettes and comparable in toxicity to conventional nicotine replacement products." The report reviewed 16 laboratory studies that identified the components in electronic cigarette liquid and vapor. The authors found that carcinogen levels in electronic cigarettes are up to 1,000 times lower than in tobacco cigarettes. "The FDA and major anti-smoking groups keep saying that we don't know anything about what is in electronic cigarettes," Siegel said. "The truth is, we know a lot more about what is in electronic cigarettes than regular cigarettes." Since coming onto the market in the United States more than three years ago, electronic cigarettes have proven to be controversial. The FDA has threatened to ban the sell of e-cigarettes and six national anti-smoking groups the American Cancer Society, American Heart Association, American Lung Association, Campaign for Tobacco-Free Kids, American Legacy Foundation, and Action on Smoking and Health have also called for the removal of electronic cigarettes from the market. Their concerns are that the FDA has not evaluated any e-cigarettes for safety or effectiveness, that the devices contain dangerous chemicals, and that they are marketed toward children. In December, however, a federal appeals court ruled that the FDA should regulate e-cigarettes as tobacco products rather than as drug-delivery devices, such as nicotine-replacement patches or gum. The latter undergo much more stringent FDA regulations. "Taking these products off the market would force thousands of users to return to cigarette smoking," Siegel said. "Why would the FDA and the anti-smoking groups want to take an action that is going to seriously harm the public's health? The only ones who would be protected by a ban on e-cigarettes are the tobacco companies, as these new products represent the first real threat to their profits in decades." The report also reviews preliminary evidence that electronic cigarettes can be effective in suppressing the urge to smoke, largely because they simulate the act of smoking a real cigarette. E-cigarettes might also offer an advantage over traditional nicotine delivery devices, the authors argue, because smoking-related stimuli alone have been found capable of suppressing tobacco abstinence symptoms for long periods of time. Provided by Boston University Medical Center

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From: "Communities Putting Prevention to Work" To: "zzgrp, PH CPPW Staff" <zzgrp_PHCPPWStaff@kingcounty.gov> "ZZGrp, Public Health Communications" <ZZGrp_PublicHealthCommunications@kingcounty.gov> Date: 12/20/2010 8:51:54 PM Subject: Healthy King County Newsletter
Having trouble viewing this email? Click here

Healthy King County Newsletter


Communities Putting Prevention to Work

December 2010

Welcome to the inaugural edition of the Healthy King County newsletter. Each month, we'll provide you updates on the good work of Communities Putting Prevention to Work (CPPW) funded projects across King County, as well as policy updates related to tobacco and obesity prevention, local education campaigns and links to recent news articles. Please share with your colleagues and let us know if you have any feedback or suggestions.

CPPW in King County


Communities Putting Prevention to Work (CPPW) is a national initiative to prevent chronic disease and promote health through policy, systems and environment changes. In spring 2010, Public Health - Seattle & King County was awarded two CPPW grants from the Centers for Disease Control and Prevention (CDC), one for tobacco prevention ($9.9 million) and the other for obesity prevention ($15.5 million). Obesity and tobacco use contribute to the leading causes of death in our region.

Camel uses Seattle to sell cigarettes


Camel brand cigarettes, which is owned by RJ Reynolds (RJR), has launched a new marketing campaign to recruit young smokers that exploits the image and vitality of the Seattle area to sell a highly addictive, deadly product.

Camel's Seattle cigarette pack depicts iconic sites including Pike Place Market & Exposure to campaigns like this increases the chance that a young Mt. Rainier. person will start smoking. This poses a significant threat to our local and national tobacco prevention efforts.

Public Health awarded most of the CPPW dollars to external partners, such as school districts, media organizations, communitybased agencies, and local governments. Our partners "We've cut the smoking rate in half in just the last decade in King are implementing long County, and it has proved its worth in lives and money saved. We lasting changes that improve can't take a step backward by allowing predatory marketing nutrition and physical activity campaigns to lure kids into tobacco addiction," said King County and decrease tobacco use Board of Health Chair Julia Patterson. and exposure. Ultimately, these changes will make Advocates call on RJR to end campaign King County a place where Many tobacco prevention and control groups and organizations, as the healthy choice is the easy well as elected officials, are outraged by this campaign and are one, and the unhealthy one demanding that RJR end this promotion immediately. In their difficult. This will reduce statement, the Campaign for Tobacco-Free Kids describes this campaign as evidence that RJR "has not changed" and "is continuing chronic diseases and potentially millions of dollars its longstanding efforts to make the Camel brand appealing to youth." In a letter sent directly to RJR, the National Association of in medical spending. The Attorney Generals asks that the campaign be terminated immediately focus is on the communities "out of concern for America's youth." with the greatest needs. Local and state officials also voiced opposition to this campaign. Governor Christine Gregoire released a statement calling on RJR to "halt their cynical campaign and not use our local landmarks for their gain." Other political leaders including King County Executive Dow Constantine and Board of Health Chair Julia Patterson released statements echoing her sentiments.

Cause for concern This "Break Free Adventure" campaign is using iconic images from Seattle and nine other cities to sell their cigarettes. The campaign exploits our city's vibrant and alternative culture in an attempt to make Camel cigarettes appear cool, fun and rebellious themes which resonate with youth.

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Local and state officials also voiced opposition to this campaign. Governor Christine Gregoire released a statement calling on RJR to "halt their cynical campaign and not use our local landmarks for their gain." Other political leaders including King County Executive Dow Constantine and Board of Health Chair Julia Patterson released statements echoing her sentiments. Public Health - Seattle & King County demands that Camel end this campaign immediately. We invite our community partners to join us in this effort. Ways to take action include: Write a letter directly to R.J. Reynolds Educate others about the dangers of this type of campaign via letters to the editor, op-eds, blogs, etc. Sign this petition.

Get Connected

Sugar-loaded beverages campaign


Public Health has recently launched a new campaign to educate county residents about the health impacts of consuming sugar-loaded beverages. And we need your help getting the word out!

HealthyKingCounty.org is a new online tool provided by Public Health - Seattle & King County for CPPW partners to network, share resources and calendars and stay up-to-date on current CPPW work.

Through the new website, you can find out The new education campaign is aimed at parents about CPPW projects and features local online ads, a new video in throughout King County, English and Spanish, and downloadable posters identify who is working in seven languages. The campaign builds on on similar issues, and materials developed in New York City. discuss ideas and challenges. You'll also What can you do to help spread the word? Share the video with your find a range of friends and families via email or Facebook. Reach out to your friends resources. and colleagues who work in schools, physician's offices, day care centers or other places with lots of kids to make sure they've seen Need some expert the downloadable posters. Let your friends and neighbors know assistance with your about the new campaign. CPPW project? Check out the CPPW Technical Sugar-loaded beverages are exactly what they sound like: drinks Assistance Guide to find with added sugars such as soda pop, sweetened vitamin water, out what help is energy drinks and sweetened fruit drinks. These sugars translate available to you. Want into "empty" calories without any nutritional value that our bodies posters in Chinese from don't need. These calories can lead to weight gain and long-term health problems, including Type 2 diabetes and high blood pressure. the sugar-loaded beverage campaign? Nearly one in three children in middle and high school in King County They are available in six languages in the is overweight or obese. Sugar-loaded beverages pose potential Resources section. Even health risks for kids, including overweight and obesity, tooth decay, better, share some of and osteoporosis and brittle bones. the work you're doing by What should people drink instead? Public Health recommends water posting to the site or uploading materials that and 1% or non-fat milk. you've developed. Click here for more information. Join us for a webinar on

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Seattle churches use CPPW funds to create a legacy of health


Pastors are taking an active role learning about and advocating for policy changes to promote health in their churches. On Tuesday, Nov. 16, pastors from the six churches working on the CPPW project "Moving Together in Faith and Health" met at the Douglass Truth Library in central Seattle. Churches funded through CPPW to promote the well being of their congregations include First A.M.E., Tabernacle Missionary Baptist, Immaculate Conception, New Direction Baptist, Goodwill Missionary Baptist and Mt. Zion Baptist. These six churches serve mostly African American populations and a large percentage of persons from working class and fixed-income backgrounds. Church pastors, church leaders and Dr. Doris Boutain from the University of Washington's School of Nursing collaboratively developed the idea to work directly with pastors, "church change teams," and Schools of Nursing at the University of Washington, Seattle University, and Seattle Pacific University. The goal is to build support for healthy eating and active living environments by developing and implementing policies. These policies will encourage nutritious snacks and meals, and increased opportunity for physical activity and play. Changes will benefit children, youth, adults and families. Each church change team includes two youth, a lead from the health ministry, a lead cook/chef, and a lead from the children/youth program. Pastors provide leadership and encouragement to the church change teams by championing recommended changes. Early accomplishments of this CPPW project include two churches removing soda machines within the first few months of grant implementation. Congratulations to Goodwill Missionary Baptist and New Direction Missionary Baptist! Read more about this project in a recent article in the Seattle Times. For more information about this project please contact Dr. Doris Boutain.

Thursday, Jan. 6, 2011 from 10-11 a.m. for additional training on using the site. You can access the webinar from any location where there's a phone and online access. For more information, contact Meredith Li-Vollmer.

King County Board of Health votes to regulate e-cigarettes

On Thursday, Dec. 16, the King County Board of Health voted to approve electronic cigarette regulations, including limiting sales to adults only, prohibiting free samples, and restricting the use of these products in places where smoking is prohibited by law. Electronic cigarettes are battery-operated devices that deliver vaporized nicotine instead of burning tobacco. These products are available to buy online, at smoke shops and at mall kiosks. The proposal was brought to the board on behalf of the Tobacco Policy Committee, which is supported by CPPW Tobacco Prevention staff.

Dr. Jim Kreiger, Public Health, addresses change teams (credit Storms Photographic)

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Page 4 In the news


Has your CPPW project been in the news lately? Send us the clip. Obesity Prevention Sweetened beverages target of health campaign, KPLU, Nov. 29 A mission to promote health and wellness Seattle Times, Dec. 17 Tobacco Prevention Walk a mile for a Camel? Not in my state, Gregoire says, Seattle P-I, Nov. 30

Dr. Jim Kreiger, Public Health, addresses change teams (credit Storms Photographic)

CPPW projects hard at work to improve nutrition and physical activity at child care centers
A CPPW-funded project through the Coalition for Safety and Health and Early Learning (C-SHEL) is working to adopt stricter standards for nutrition, physical activity and screen time with child-care centers run by the City of Seattle and the Seattle Housing Authority. The enhanced standards will provide more detail about how to put together healthy meals for children in child-care centers. Right now the regulations are vague, requiring only that dairy, grain, and fruit and/or vegetables be served at every meal. The City of Seattle is also surveying their staff about attitudes and thoughts around nutrition standards. C-SHEL has been training staff to help train others on implementing nutrition, physical activity and screen-time policies. C-SHEL is also looking best practices in other states, limiting juice intake, and regulating screen time. Further, the CPPW child care work group has been active, currently thinking about how to revise regulations for healthy child-care settings.

Cigarette campaign draws fire from Washington leaders, KPLU, Dec. 1

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8_19_2011

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From: To: Date: Subject:

"Ross, Kathryn" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/20/2010 5:28:07 PM Healthy King County Newsletter

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Healthy King County Newsletter


Communities Putting Prevention to Work

December 2010

Welcome to the inaugural edition of the Healthy King County newsletter. Each month, we'll provide you updates on the good work of Communities Putting Prevention to Work (CPPW) funded projects across King County, as well as policy updates related to tobacco and obesity prevention, local education campaigns and links to recent news articles. Please share with your colleagues and let us know if you have any feedback or suggestions.

CPPW in King County


Communities Putting Prevention to Work (CPPW) is a national initiative to prevent chronic disease and promote health through policy, systems and environment changes. In spring 2010, Public Health - Seattle & King County was awarded two CPPW grants from the Centers for Disease Control and Prevention (CDC), one for tobacco prevention ($9.9 million) and the other for obesity prevention ($15.5 million). Obesity and tobacco use contribute to the leading causes of death in our region.

Camel uses Seattle to sell cigarettes


Camel brand cigarettes, which is owned by RJ Reynolds (RJR), has launched a new marketing campaign to recruit young smokers that exploits the image and vitality of the Seattle area to sell a highly addictive, deadly product.

Camel's Seattle cigarette pack depicts iconic sites including Pike Place Market & Exposure to campaigns like this increases the chance that a young Mt. Rainier. person will start smoking. This poses a significant threat to our local and national tobacco prevention efforts.

Public Health awarded most of the CPPW dollars to external partners, such as school districts, media organizations, communitybased agencies, and local governments. Our partners "We've cut the smoking rate in half in just the last decade in King are implementing long County, and it has proved its worth in lives and money saved. We lasting changes that improve can't take a step backward by allowing predatory marketing nutrition and physical activity campaigns to lure kids into tobacco addiction," said King County and decrease tobacco use Board of Health Chair Julia Patterson. and exposure. Ultimately, these changes will make Advocates call on RJR to end campaign King County a place where Many tobacco prevention and control groups and organizations, as the healthy choice is the easy well as elected officials, are outraged by this campaign and are one, and the unhealthy one demanding that RJR end this promotion immediately. In their difficult. This will reduce statement, the Campaign for Tobacco-Free Kids describes this campaign as evidence that RJR "has not changed" and "is continuing chronic diseases and potentially millions of dollars its longstanding efforts to make the Camel brand appealing to in medical spending. The youth." In a letter sent directly to RJR, the National Association of Attorney Generals asks that the campaign be terminated immediately focus is on the communities "out of concern for America's youth." with the greatest needs. Local and state officials also voiced opposition to this campaign. Governor Christine Gregoire released a statement calling on RJR to "halt their cynical campaign and not use our local landmarks for their gain." Other political leaders including King County Executive Dow Constantine and Board of Health Chair Julia Patterson released statements echoing her sentiments.

Cause for concern This "Break Free Adventure" campaign is using iconic images from Seattle and nine other cities to sell their cigarettes. The campaign exploits our city's vibrant and alternative culture in an attempt to make Camel cigarettes appear cool, fun and rebellious themes which resonate with youth.

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Page 2
Local and state officials also voiced opposition to this campaign. Governor Christine Gregoire released a statement calling on RJR to "halt their cynical campaign and not use our local landmarks for their gain." Other political leaders including King County Executive Dow Constantine and Board of Health Chair Julia Patterson released statements echoing her sentiments. Public Health - Seattle & King County demands that Camel end this campaign immediately. We invite our community partners to join us in this effort. Ways to take action include: Write a letter directly to R.J. Reynolds Educate others about the dangers of this type of campaign via letters to the editor, op-eds, blogs, etc. Sign this petition.

Get Connected

Sugar-loaded beverages campaign


Public Health has recently launched a new campaign to educate county residents about the health impacts of consuming sugar-loaded beverages. And we need your help getting the word out!

HealthyKingCounty.org is a new online tool provided by Public Health - Seattle & King County for CPPW partners to network, share resources and calendars and stay up-to-date on current CPPW work.

Through the new website, you can find out The new education campaign is aimed at parents about CPPW projects and features local online ads, a new video in throughout King County, English and Spanish, and downloadable posters identify who is working in seven languages. The campaign builds on on similar issues, and materials developed in New York City. discuss ideas and challenges. You'll also What can you do to help spread the word? Share the video with your find a range of friends and families via email or Facebook. Reach out to your friends resources. and colleagues who work in schools, physician's offices, day care centers or other places with lots of kids to make sure they've seen Need some expert the downloadable posters. Let your friends and neighbors know assistance with your about the new campaign. CPPW project? Check out Sugar-loaded beverages are exactly what they sound like: drinks with added sugars such as soda pop, sweetened vitamin water, energy drinks and sweetened fruit drinks. These sugars translate into "empty" calories without any nutritional value that our bodies don't need. These calories can lead to weight gain and long-term health problems, including Type 2 diabetes and high blood pressure. Nearly one in three children in middle and high school in King County is overweight or obese. Sugar-loaded beverages pose potential health risks for kids, including overweight and obesity, tooth decay, and osteoporosis and brittle bones. What should people drink instead? Public Health recommends water and 1% or non-fat milk. Click here for more information. the CPPW Technical Assistance Guide to find out what help is available to you. Want posters in Chinese from the sugar-loaded beverage campaign? They are available in six languages in the Resources section. Even better, share some of the work you're doing by posting to the site or uploading materials that you've developed. Join us for a webinar on

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Seattle churches use CPPW funds to create a legacy of health


Pastors are taking an active role learning about and advocating for policy changes to promote health in their churches. On Tuesday, Nov. 16, pastors from the six churches working on the CPPW project "Moving Together in Faith and Health" met at the Douglass Truth Library in central Seattle. Churches funded through CPPW to promote the well being of their congregations include First A.M.E., Tabernacle Missionary Baptist, Immaculate Conception, New Direction Baptist, Goodwill Missionary Baptist and Mt. Zion Baptist. These six churches serve mostly African American populations and a large percentage of persons from working class and fixed-income backgrounds. Church pastors, church leaders and Dr. Doris Boutain from the University of Washington's School of Nursing collaboratively developed the idea to work directly with pastors, "church change teams," and Schools of Nursing at the University of Washington, Seattle University, and Seattle Pacific University. The goal is to build support for healthy eating and active living environments by developing and implementing policies. These policies will encourage nutritious snacks and meals, and increased opportunity for physical activity and play. Changes will benefit children, youth, adults and families. Each church change team includes two youth, a lead from the health ministry, a lead cook/chef, and a lead from the children/youth program. Pastors provide leadership and encouragement to the church change teams by championing recommended changes. Early accomplishments of this CPPW project include two churches removing soda machines within the first few months of grant implementation. Congratulations to Goodwill Missionary Baptist and New Direction Missionary Baptist! Read more about this project in a recent article in the Seattle Times. For more information about this project please contact Dr. Doris Boutain.

Thursday, Jan. 6, 2011 from 10-11 a.m. for additional training on using the site. You can access the webinar from any location where there's a phone and online access. For more information, contact Meredith Li-Vollmer.

King County Board of Health votes to regulate e-cigarettes

On Thursday, Dec. 16, the King County Board of Health voted to approve electronic cigarette regulations, including limiting sales to adults only, prohibiting free samples, and restricting the use of these products in places where smoking is prohibited by law. Electronic cigarettes are battery-operated devices that deliver vaporized nicotine instead of burning tobacco. These products are available to buy online, at smoke shops and at mall kiosks. The proposal was brought to the board on behalf of the Tobacco Policy Committee, which is supported by CPPW Tobacco Prevention staff.

Dr. Jim Kreiger, Public Health, addresses change teams (credit Storms Photographic)

8_19_2011

Page 4 In the news


Has your CPPW project been in the news lately? Send us the clip. Obesity Prevention Sweetened beverages target of health campaign, KPLU, Nov. 29 A mission to promote health and wellness Seattle Times, Dec. 17 Tobacco Prevention Walk a mile for a Camel? Not in my state, Gregoire says, Seattle P-I, Nov. 30

Dr. Jim Kreiger, Public Health, addresses change teams (credit Storms Photographic)

CPPW projects hard at work to improve nutrition and physical activity at child care centers
A CPPW-funded project through the Coalition for Safety and Health and Early Learning (C-SHEL) is working to adopt stricter standards for nutrition, physical activity and screen time with child-care centers run by the City of Seattle and the Seattle Housing Authority. The enhanced standards will provide more detail about how to put together healthy meals for children in child-care centers. Right now the regulations are vague, requiring only that dairy, grain, and fruit and/or vegetables be served at every meal. The City of Seattle is also surveying their staff about attitudes and thoughts around nutrition standards. C-SHEL has been training staff to help train others on implementing nutrition, physical activity and screen-time policies. C-SHEL is also looking best practices in other states, limiting juice intake, and regulating screen time. Further, the CPPW child care work group has been active, currently thinking about how to revise regulations for healthy child-care settings.

Cigarette campaign draws fire from Washington leaders, KPLU, Dec. 1

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Public Health - Seattle & King County | 401 5th Ave., Ste. 1300 | CNK-PH-1300 | Seattle | WA | 98104

8_19_2011

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From: To: Date: Subject:

"Ross-Viles, Sarah" "Rosalind Sciammas" <Rosalind.Sciammas@gmmb.com> 12/20/2010 9:03:01 PM RE: January meeting

Ros - How about noon to one on Monday the 3rd (your email says the 2nd, but I trust we will all be out!). If that time works, feel fre to send a meeting request. Thanks, Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

From: Rosalind Sciammas [mailto:Rosalind.Sciammas@gmmb.com] Sent: Thursday, December 16, 2010 2:49 PM To: Ross-Viles, Sarah Cc: Apa, James; Neal, Scott; Melissa Simpson Subject: RE: January meeting

Hi Sarah, Would any time on Mon., Jan. 2 or Thu., Jan. 6, anywhere between 11:30 a.m. 2 p.m. or 3:30 5 p.m. work? It was great seeing you too. Congratulations to you and your team for the BOHs approval of legislation on e-cigarette use restrictions today. This must bode well for the BOHs adoption of your upcoming youth access bill.

Wed be happy to get started on drafting an op-ed from Dr. Fleming on the youth access bill, as long as this is still an appropriate earned media tactic for January. Weve discussed the idea briefly and could probably start drafting this after w get a chance to review proposed legislation from ACS, as well as any other message mandates. Just let us know if we can b helpful to your team before our meeting in the new year. Thanks for getting this on everyones calendars. Roz

Rosalind Sciammas Vice President 206.352.8598 | office +gmmb cause the effect

From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Tuesday, December 14, 2010 3:45 PM To: Rosalind Sciammas Cc: Apa, James; Neal, Scott Subject: January meeting 8_19_2011

Page 2 Hi Ros Good to see you today. Not to lose track of other follow-up, I have been tracking down times for GMMB to follow up with myself, Scott and James on tobacco media and communications for the next 18 months. Due to vacations, are earliest dates are the first week of January. However, we have a lot of availability at that time. Can you send some times that would work for you doing that week and I will match to our calendars? Thanks, Sarah Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

Confidentiality Notice: This email and all attachments are intended solely for the named person or entity to w hich it is addressed and contains information tha may be privileged, confidential or copyrighted under applicable law . Any review , distribution, dissemination or copying of this email or the information herein anyone other than the intended recipient, or an agent responsible for delivering the message to the intended recipient, is strictly prohibited. If you have recei this email in error, please immediately notify the sender or contact the offices of GMMB Inc. at 202-572-2818.

8_19_2011

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From: To: Date: Subject:

"Neal, Scott" "Bennett, John" <John.Bennett@kingcounty.gov> 12/20/2010 9:43:14 PM Re: Unpaid Intern

Seems like we have a fair number of supporters based on comments...or at least willing to understand our points.
From: Bennett, John Sent: Monday, December 20, 2010 05:09 PM To: Hatzenbuehler, Eric; Hamilton, Joy; Neal, Scott; Ross-Viles, Sarah; Pajimula, Fel Subject: Unpaid Intern

He is at it again! http://slog.thestranger.com/slog/archives/2010/12/20/the-e-cigarette-ban-that-launched-1000-angry-words

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From: "Bennett, John" To: "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> Date: 12/20/2010 9:09:03 PM Subject: Unpaid Intern He is at it again! http://slog.thestranger.com/slog/archives/2010/12/20/the-e-cigarette-ban-that-launched-1000-angry-words

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From: To: Date: Subject:

"Neal, Scott" e.ishihara@comcast.net 12/21/2010 12:28:00 PM RE: Board of Health Meeting - Thursday Morning!

Thanks Elaine, Brandie did share that facebook message that she got. It never ceases to amaze me how angry people get over these things. As for setting up a meeting...I'm thinking about later in January and probably bringing all the networks and ESDs together to discuss this. I'll try to get an email out with some potential dates soon. Part of the reason I need to push this meeting out a little bit is that we are still trying to figure out how we manage these massive cuts and that is going to take a couple of weeks at this point to really understand what we will look like into January and later. Once I get our department approval for what we are prelimnarily planning, we'll be in a better place to discuss how we all can continue to work together and find alternative funding for the important continuation of tobacco prevention! Scott

From: e.ishihara@comcast.net [mailto:e.ishihara@comcast.net] Sent: Monday, December 20, 2010 3:01 PM To: Neal, Scott Subject: Re: Board of Health Meeting - Thursday Morning!

Hi Scott, I heard via Brandie, that you did well in addressing all of the questions and comments that were hurdled your way! good for u! With e-cigs being so new on the market, of course it's going to raise a lot of controversy, because it looks "safe"... Did Brandie tell you that someone found her on face book and sent her a msg? I'll forward to you... she has blocked him. And yes, lets get together soon, to discuss the future of our programs, ... so sorry that you all are experiencing an early reduction to your program. Why don't you send out some dates and times to meet? Sooner rather then later works for me. best regards, elaine ----- Original Message ----From: "Scott Neal" <Scott.Neal@kingcounty.gov> To: "e.ishihara@comcast.net" <e.ishihara@comcast.net> Sent: Monday, December 20, 2010 10:40:16 AM Subject: RE: Board of Health Meeting - Thursday Morning!
Hi Elaine, Thanks...we saw Eric in the crowd. The meeting was quite interesting and long. But ultimately the BOH passed the proposed regulations. However, I know we (and probably the BOH members too) are getting hit with a lot of negative emails and phone calls following this vote. My concern is that they are only hearing from the negative side and not the advocates and I really hope this doesn't affect decisions in the weeks and months ahead. As for our budget crisis...things are NOT good. I'm running crazy trying to find ways to manage this enormous hole in the budget. I think it will be important to find time soon to sit down with the networks and other partners to figure out how this all pans out. 8_19_2011

Page 2 Scott

From: e.ishihara@comcast.net [mailto:e.ishihara@comcast.net] Sent: Thursday, December 16, 2010 9:19 AM To: Neal, Scott Subject: Re: Board of Health Meeting - Thursday Morning!

Hi Scott, I won't be able to attend the meeting this morning, sending Eric on behalf of APICAT. Hope things are going well with you! elaine

----- Original Message ----From: "Scott Neal" <Scott.Neal@kingcounty.gov> To: "(shelleyc@cschc.org)" <shelleyc@cschc.org>, "Brandie Flood (brandie.flood@cschc.org)" <brandie.flood@cschc.org>, "(janelle@cschc.org)" <janelle@cschc.org>, "Eric Mose" <eric@apicat.org>, "Elaine Ishihara" <e.ishihara@comcast.net>, "Julie Peterson" <JulieP@chef.org>, "fred@gaycity.org" <fred@gaycity.org>, "Carlos Mejia" <Cmejia@wacmhc.org>, "robynp@sihb.org" <robynp@sihb.org>, "lark@gaycity.org" <lark@gaycity.org>, "Alison Shigaki (alishigaki@sprynet.com)" <alishigaki@sprynet.com>, "Antoinette Angulo" <AntoinetteAngulo@seamarchc.org>, "Frank Dibiase" <FDibiase@tpchd.org>, "kelly kasner" <kelly.kasner@cancer.org>, "Stephanie Silvernail (ssilvernail@psesd.org)" <ssilvernail@psesd.org>, "wgilreath@psesd.org" <wgilreath@psesd.org>, "Christopher' 'Zilar" <CZilar@spokanecounty.org> Sent: Tuesday, December 14, 2010 4:32:47 PM Subject: Board of Health Meeting - Thursday Morning!
As you may already know, the King County Board of Health is scheduled to meet this Thursday, December 16th at 9:30am. The agenda for the meeting includes: 1. Regulations relating to electronic smoking devices (also known as e-cigarettes) and unapproved nicotine delivery products. These regulations will help protect youth from starting to use electronic cigarettes and will protect the social norms created by the smoking in public places/places of employment laws. 2. A resolution calling on the state of Washington to provide dedicated and long-term financing so local public health jurisdictions can protect and improve the health of all community residents. 3. An annual report for Public Health Seattle-King County presented by the director, Dr. David Fleming. For more information about any of these items, please see the meeting packet. Public comments can be made in person at the beginning of the meeting or submitted in written form. For more details, please consult the Board of Health website. The Board of Health meeting will be at 9:30 am on December 16th in the King County Council Chambers (10th floor of the King County Courthouse, 516 3rd Avenue, Room 1001). If you have any questions or concerns, please feel free to contact me. Thanks

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov 8_19_2011

Page 3

8_19_2011

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From: To: Date: Subject:

e.ishihara@comcast.net "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/21/2010 2:46:04 PM Re: Board of Health Meeting - Thursday Morning!

Hi Scott, Yes, end of Jan will be fine... Shelley & I were discussing this last week after the Governor announced her budget. Dave has scheduled a network meeting for us in early Feb. We asked that he not include the county public health depts, primarily because our last meeting was such a fiasco... and the concern was primarily about the state reduction. Despite the the difficult decisions and challenges you're facing... I hope you'll find time to enjoy the holidays with your family and friends! Won't be long now before you'll be adding to your family! Exciting! take care, warm regards, elaine

----- Original Message ----From: "Scott Neal" <Scott.Neal@kingcounty.gov> To: "e.ishihara@comcast.net" <e.ishihara@comcast.net> Sent: Tuesday, December 21, 2010 8:26:46 AM Subject: RE: Board of Health Meeting - Thursday Morning!
Thanks Elaine, Brandie did share that facebook message that she got. It never ceases to amaze me how angry people get over these things. As for setting up a meeting...I'm thinking about later in January and probably bringing all the networks and ESDs together to discuss this. I'll try to get an email out with some potential dates soon. Part of the reason I need to push this meeting out a little bit is that we are still trying to figure out how we manage these massive cuts and that is going to take a couple of weeks at this point to really understand what we will look like into January and later. Once I get our department approval for what we are prelimnarily planning, we'll be in a better place to discuss how we all can continue to work together and find alternative funding for the important continuation of tobacco prevention! Scott

From: e.ishihara@comcast.net [mailto:e.ishihara@comcast.net] Sent: Monday, December 20, 2010 3:01 PM To: Neal, Scott Subject: Re: Board of Health Meeting - Thursday Morning!

Hi Scott, I heard via Brandie, that you did well in addressing all of the questions and comments that were hurdled your way! good for u! With e-cigs being so new on the market, of course it's going to raise a lot of controversy, because it looks "safe"... Did Brandie tell you that someone found her on face book and sent her a msg? I'll forward to you... she has blocked him. And yes, lets get together soon, to discuss the future of our programs, ... so sorry that you all are experiencing an early reduction to your program. Why don't you send out some dates and times to meet? Sooner rather then later works for me. best regards, elaine
8_19_2011

Page 2

----- Original Message ----From: "Scott Neal" <Scott.Neal@kingcounty.gov> To: "e.ishihara@comcast.net" <e.ishihara@comcast.net> Sent: Monday, December 20, 2010 10:40:16 AM Subject: RE: Board of Health Meeting - Thursday Morning!
Hi Elaine, Thanks...we saw Eric in the crowd. The meeting was quite interesting and long. But ultimately the BOH passed the proposed regulations. However, I know we (and probably the BOH members too) are getting hit with a lot of negative emails and phone calls following this vote. My concern is that they are only hearing from the negative side and not the advocates and I really hope this doesn't affect decisions in the weeks and months ahead. As for our budget crisis...things are NOT good. I'm running crazy trying to find ways to manage this enormous hole in the budget. I think it will be important to find time soon to sit down with the networks and other partners to figure out how this all pans out. Scott

From: e.ishihara@comcast.net [mailto:e.ishihara@comcast.net] Sent: Thursday, December 16, 2010 9:19 AM To: Neal, Scott Subject: Re: Board of Health Meeting - Thursday Morning!

Hi Scott, I won't be able to attend the meeting this morning, sending Eric on behalf of APICAT. Hope things are going well with you! elaine

----- Original Message ----From: "Scott Neal" <Scott.Neal@kingcounty.gov> To: "(shelleyc@cschc.org)" <shelleyc@cschc.org>, "Brandie Flood (brandie.flood@cschc.org)" <brandie.flood@cschc.org>, "(janelle@cschc.org)" <janelle@cschc.org>, "Eric Mose" <eric@apicat.org>, "Elaine Ishihara" <e.ishihara@comcast.net>, "Julie Peterson" <JulieP@chef.org>, "fred@gaycity.org" <fred@gaycity.org>, "Carlos Mejia" <Cmejia@wacmhc.org>, "robynp@sihb.org" <robynp@sihb.org>, "lark@gaycity.org" <lark@gaycity.org>, "Alison Shigaki (alishigaki@sprynet.com)" <alishigaki@sprynet.com>, "Antoinette Angulo" <AntoinetteAngulo@seamarchc.org>, "Frank Dibiase" <FDibiase@tpchd.org>, "kelly kasner" <kelly.kasner@cancer.org>, "Stephanie Silvernail (ssilvernail@psesd.org)" <ssilvernail@psesd.org>, "wgilreath@psesd.org" <wgilreath@psesd.org>, "Christopher' 'Zilar" <CZilar@spokanecounty.org> Sent: Tuesday, December 14, 2010 4:32:47 PM Subject: Board of Health Meeting - Thursday Morning!
As you may already know, the King County Board of Health is scheduled to meet this Thursday, December 16th at 9:30am. The agenda for the meeting includes: 1. Regulations relating to electronic smoking devices (also known as e-cigarettes) and unapproved nicotine delivery products. These regulations will help protect youth from starting to use electronic cigarettes and will protect the social norms created by the smoking in public places/places of employment laws. 2. A resolution calling on the state of Washington to provide dedicated and long-term financing so local public health jurisdictions can protect and improve the health of all community residents. 3. An annual report for Public Health Seattle-King County presented by the director, Dr. David Fleming. For more information about any of these items, please see the meeting packet. 8_19_2011

Page 3 Public comments can be made in person at the beginning of the meeting or submitted in written form. For more details, please consult the Board of Health website. The Board of Health meeting will be at 9:30 am on December 16th in the King County Council Chambers (10th floor of the King County Courthouse, 516 3rd Avenue, Room 1001). If you have any questions or concerns, please feel free to contact me. Thanks

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: "Neal, Scott" To: "Wood, Maria" <Maria.Wood@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 12/21/2010 6:46:00 PM Subject: RE: BOH Dec 16th meeting
Thanks Maria, I know Caroline well. Scott

From: Wood, Maria Sent: Tuesday, December 21, 2010 1:01 PM To: Neal, Scott; Hamilton, Joy Subject: FW: BOH Dec 16th meeting King County Health Matters is a fan - do you have contact with them?

From: Hughes, Caroline Sent: Tuesday, December 21, 2010 11:36 AM To: Wood, Maria Subject: RE: BOH Dec 16th meeting

Good news. Thanks!


From: Wood, Maria Sent: Tuesday, December 21, 2010 11:35 AM To: Hughes, Caroline Subject: RE: BOH Dec 16th meeting Yes, by an unanimous vote with no substantial amendments. We are very happy, but continue to hear criticism from the public.

From: Hughes, Caroline Sent: Tuesday, December 21, 2010 11:34 AM To: Wood, Maria Subject: RE: BOH Dec 16th meeting

Thanks Maria. Did the e-cigarettes R&R pass?


From: Wood, Maria Sent: Tuesday, December 21, 2010 11:32 AM To: Hughes, Caroline Subject: RE: BOH Dec 16th meeting Hi Caroline, Sorry we are a bit behind. I've requested our webmaster to add the links for the Sept and Oct meetings which should be done relatively quickly. It will take few days for the December proceedings to be available, and we will add the link to the BOH page by the first week in January. And a note on the Dec meeting - the electronic smoking devices agenda item went long, so we deferred the Drinking Water Program Update to the January meeting. Also, I want to let you know of an additional pathway to BOH materials - you can go to Legistar which is the KC system 8_19_2011

Page 2 for keeping track of their legislative business. I've provided the link below to the page that has the BOH proceedings, including all of the electronic documents used at the meetings, and the video of the meeting. For the meetings that don't have the minutes available, that reflects that the minutes have not yet been approved. We sometimes run into quorum issues at the beginning of the meeting so the minutes don't get approved. It is my goal to get all of the outstanding minutes approved at the January meeting so we are caught up, then complete materials will be posted. http://mkcclegisearch.kingcounty.gov/custom/king/calendar.htm Let me know if you have any additional questions. Thanks, Maria

From: Hughes, Caroline Sent: Tuesday, December 21, 2010 11:20 AM To: Wood, Maria Subject: BOH Dec 16th meeting

Hi Maria, I was looking online for the proceedings from the Dec 16th meeting regarding the info below. There are no meeting proceedings updated since July 2010. Is an update expected soon? 1. Briefing 10-B23: Drinking Water Program Update
Larry Fay, Section Manager, Environmental Health, Public Health Seattle & King County

2. R&R No. BOH10-04


A Rule and Regulation relating to electronic smoking devices and unapproved nicotine delivery products and adding a new chapter to BOH Title 19; enacted pursuant to RCW 70.05.060 and 70.160.080, including the latest amendments or revisions thereto. Scott Neal, Tobacco Prevention and Control Program Manager, Public Health - Seattle & King County

3. Briefing 10-B24: Annual Report to the Board of Health

Caroline Hughes, MPH, CHES Health Matters, Health Reform Program


400 Yesler Way, MS: YES-ES-0500 Seattle, WA 98104-2683 phone: 206-263-6085, fax: 206-263-6694 e-mail: caroline.hughes@kingcounty.gov

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From: "Wood, Maria" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 12/21/2010 5:00:39 PM Subject: FW: BOH Dec 16th meeting
King County Health Matters is a fan - do you have contact with them?

From: Hughes, Caroline Sent: Tuesday, December 21, 2010 11:36 AM To: Wood, Maria Subject: RE: BOH Dec 16th meeting

Good news. Thanks!


From: Wood, Maria Sent: Tuesday, December 21, 2010 11:35 AM To: Hughes, Caroline Subject: RE: BOH Dec 16th meeting Yes, by an unanimous vote with no substantial amendments. We are very happy, but continue to hear criticism from the public.

From: Hughes, Caroline Sent: Tuesday, December 21, 2010 11:34 AM To: Wood, Maria Subject: RE: BOH Dec 16th meeting

Thanks Maria. Did the e-cigarettes R&R pass?


From: Wood, Maria Sent: Tuesday, December 21, 2010 11:32 AM To: Hughes, Caroline Subject: RE: BOH Dec 16th meeting Hi Caroline, Sorry we are a bit behind. I've requested our webmaster to add the links for the Sept and Oct meetings which should be done relatively quickly. It will take few days for the December proceedings to be available, and we will add the link to the BOH page by the first week in January. And a note on the Dec meeting - the electronic smoking devices agenda item went long, so we deferred the Drinking Water Program Update to the January meeting. Also, I want to let you know of an additional pathway to BOH materials - you can go to Legistar which is the KC system for keeping track of their legislative business. I've provided the link below to the page that has the BOH proceedings, including all of the electronic documents used at the meetings, and the video of the meeting. For the meetings that don't have the minutes available, that reflects that the minutes have not yet been approved. We sometimes run into quorum issues at the beginning of the meeting so the minutes don't get approved. It is my goal to get all of the outstanding minutes approved at the January meeting so we are caught up, then complete materials will be posted. http://mkcclegisearch.kingcounty.gov/custom/king/calendar.htm Let me know if you have any additional questions. Thanks, Maria 8_19_2011

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From: Hughes, Caroline Sent: Tuesday, December 21, 2010 11:20 AM To: Wood, Maria Subject: BOH Dec 16th meeting

Hi Maria, I was looking online for the proceedings from the Dec 16th meeting regarding the info below. There are no meeting proceedings updated since July 2010. Is an update expected soon? 1. Briefing 10-B23: Drinking Water Program Update
Larry Fay, Section Manager, Environmental Health, Public Health Seattle & King County

2. R&R No. BOH10-04


A Rule and Regulation relating to electronic smoking devices and unapproved nicotine delivery products and adding a new chapter to BOH Title 19; enacted pursuant to RCW 70.05.060 and 70.160.080, including the latest amendments or revisions thereto. Scott Neal, Tobacco Prevention and Control Program Manager, Public Health - Seattle & King County

3. Briefing 10-B24: Annual Report to the Board of Health

Caroline Hughes, MPH, CHES Health Matters, Health Reform Program


400 Yesler Way, MS: YES-ES-0500 Seattle, WA 98104-2683 phone: 206-263-6085, fax: 206-263-6694 e-mail: caroline.hughes@kingcounty.gov

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From: "Krieger, James" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Muhm, Jennifer" <Jennifer.Muhm@kingcounty.gov> "Russillo, Chrissy" <Chrissy.Russillo@kingcounty.gov> Date: 12/21/2010 8:21:42 PM Subject: RE: Electronic Cigarettes policy debrief Thanks for sharing these. Based on reading of the notes, conversations with some of you, and watching parts of the BOH meeting, I'd like to offer these observations: 1. View BOH regulations as a policy campaign and apply the tools that are being developed for such work to our BOH policy-making work. 2. The process, level and intensity of engaging community partners needs attention. Having partners support our position with the policy making body and available for media is something we have not done well - with menu labeling, with smoking in Seattle Parks, and with e-cigs. In all these cases, this has been problematic, leading to a loss and some close calls. In part, this may reflect a view of the policy-making process that emphasizes a top-down, grass-tops approach. I believe that effective policy advocacy needs both. We are trying to do this with the SLB campaign. Not all efforts will need the same degree of intensity of community mobilization, but it should be an explicit decision as to what level we implement. Building this into the evolving work on how we design and implement policy efforts would be great...part of the checklist and process. 3. We need to clarify the role of in-house legal advisor in relation to the PAO specifically, and more generally the job title/position description of our legal advisor in the near future...this process has been in the works for quite some time now. 4. We need further description of the protocols for our interaction with PAO, and what each party would like to see in the protocols: timelines, level of involvement, communication channels. 5. The comments on staging the policy hearing/vote meeting seem well-taken. 6. Having 1:1 check-ins with policy makers prior to vote for vote-counting, questions and discussion, and firming up support...not sure how much of this is done, so maybe already sufficient? This would be more pro-active than offering briefings...goal would be to have them happen. Is the forum for addressing this with the policy development work group (Kathie, Gary, Chrissy, Jim)? We will also be discussing some of these issues (those around community mobilization especially) at our next CDIP managers meeting in January. James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov
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_____________________________________________ From: Hamilton, Joy Sent: Tuesday, December 21, 2010 3:53 PM To: Neal, Scott; Ross-Viles, Sarah; Pearson, Anne; Hatzenbuehler, Eric; Wood, Maria; Krieger, James; Ross, Kathryn; Muhm, Jennifer; Russillo, Chrissy; Pajimula, Fel; Bennett, John Cc: Wysen, Kirsten; Kellogg, Ryan; MacDougall, Erin; Apa, James Subject: Electronic Cigarettes policy debrief Greetings all, I've attached the notes from yesterday. I also talked to Kirsten Wysen about the meeting and how it relates to the CPPW Policy Ops group. << File: Electronic Cigarette policy debrief sn (2).doc >> Thanks to everyone for gathering and having a thoughtful discussion. Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

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From: "Krieger, James" To: "Allis, Donna" <Donna.Allis@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 12/21/2010 12:24:19 PM Subject: Managers meeting I'd like to discuss lessons learned from the menu labeling, smoking ban in seattle parks and e-cig experiences at next managers mtg in january...with a focus on what might be std procedures for the politcal, campaign side of the work. We might include dennis and/or donna, and kathie and/or chrissy at the meeting.

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From: "Krieger, James" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Allis, Donna" <Donna.Allis@kingcounty.gov> Date: 12/21/2010 12:41:31 PM Subject: RE: Managers meeting Great...thanks. And I'd like to check in about budget issues before I go on vacation...do have time before 10 AM today? James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Tuesday, December 21, 2010 8:34 AM To: Krieger, James; Allis, Donna Subject: RE: Managers meeting Sounds good...and we'll get you the debrief notes soon from yesterdays debrief meeting. I think it provides a good idea of what challenges we had (and to some extent still are dealing with) relating to our recent e-cig regulations. Scott -----Original Message----From: Krieger, James Sent: Tuesday, December 21, 2010 8:24 AM To: Allis, Donna; Neal, Scott Subject: Managers meeting I'd like to discuss lessons learned from the menu labeling, smoking ban in seattle parks and e-cig experiences at next managers mtg in january...with a focus on what might be std procedures for the politcal, campaign side of the work. We might include dennis and/or donna, and kathie and/or chrissy at the meeting.

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From: "Neal, Scott" To: "Krieger, James" <James.Krieger@kingcounty.gov> "Allis, Donna" <Donna.Allis@kingcounty.gov> Date: 12/21/2010 12:35:00 PM Subject: RE: Managers meeting Sounds good...and we'll get you the debrief notes soon from yesterdays debrief meeting. I think it provides a good idea of what challenges we had (and to some extent still are dealing with) relating to our recent e-cig regulations. Scott -----Original Message----From: Krieger, James Sent: Tuesday, December 21, 2010 8:24 AM To: Allis, Donna; Neal, Scott Subject: Managers meeting I'd like to discuss lessons learned from the menu labeling, smoking ban in seattle parks and e-cig experiences at next managers mtg in january...with a focus on what might be std procedures for the politcal, campaign side of the work. We might include dennis and/or donna, and kathie and/or chrissy at the meeting.

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From: "Neal, Scott" To: "Krieger, James" <James.Krieger@kingcounty.gov> "Allis, Donna" <Donna.Allis@kingcounty.gov> Date: 12/21/2010 12:50:00 PM Subject: RE: Managers meeting We are in a staff meeting from 9-10 and the tobacco law training from 10-11am -----Original Message----From: Krieger, James Sent: Tuesday, December 21, 2010 8:42 AM To: Neal, Scott; Allis, Donna Subject: RE: Managers meeting Great...thanks. And I'd like to check in about budget issues before I go on vacation...do have time before 10 AM today? James Krieger, MD, MPH Chief, Chronic Disease and Injury Prevention Section Public Health - Seattle and King County Chinook Building, Suite 900 401 5th Ave Seattle, WA 98104 voice: 206-263-8227 fax: 206 205 0525 email: james.krieger@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Tuesday, December 21, 2010 8:34 AM To: Krieger, James; Allis, Donna Subject: RE: Managers meeting Sounds good...and we'll get you the debrief notes soon from yesterdays debrief meeting. I think it provides a good idea of what challenges we had (and to some extent still are dealing with) relating to our recent e-cig regulations. Scott -----Original Message----From: Krieger, James Sent: Tuesday, December 21, 2010 8:24 AM To: Allis, Donna; Neal, Scott Subject: Managers meeting I'd like to discuss lessons learned from the menu labeling, smoking ban in seattle parks and e-cig experiences at next managers mtg in january...with a focus on what might be std procedures for the politcal, campaign side of the work. We might include dennis and/or donna, and kathie and/or chrissy at the meeting.

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From: To: Date: Subject: Katie,

"Hamilton, Joy" "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> 12/21/2010 5:31:46 PM RE: partners email

Thanks for your work putting this together. Scott and I talked about it and we decided it would be more effective to make a few calls to some key partners than to send out an email. Let me know if you have any questions. Thanks, Joy -----Original Message----From: Ross, Kathryn Sent: Monday, December 20, 2010 7:15 PM To: Hamilton, Joy Subject: partners email Hi Joy, Here's a draft of the e-cig email to partners. Please let me know if you think it crosses any advocacy lines. I think we're safe, but I'm going to run the "let them know you support their decision" line by Jennifer. Also, I'll plug in email addresses and hyperlinks in the AM. Thanks! Katie I wanted to make sure you had seen the recent good news in local tobacco prevention efforts. Last week, the King County Board of Health passed regulations on e-cigarettes. The new regulations: - limit the sales of e-cigarettes or any other unapproved nicotine delivery devices only to people 18 and older; - prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products; - restrict the use of e-cigarette devices in places where smoking is prohibited by law. The Board of Health took this step despite vocal opposition, and we're hoping you'll join us in thanking them for their decision. We encourage you to email Board of Health members: - Thank them for their vote to regulate e-cigarettes. Let them know you support their decision. - Tell them a little bit about the work your organization is doing to support tobacco prevention efforts in your community. - Thank them for taking a step to protect King County youth from highly addictive nicotine products. More information on Board of Health members can be found here. Please feel free to copy and paste the following email addresses if you'd like to email the members directly: INSERT EMAILS Please let me know if you have any questions about the recent regulations. As always, thank you for your support of tobacco prevention efforts.
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Best regards, SCOTT OR SARAH

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From: To: Date: Subject:

"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/21/2010 1:46:00 PM RE: partners email

Ugh...I actually wonder if this is going too far. I know the vote is over, but I wonder if this crosses the line. We should check with Anne on this too. Scott -----Original Message----From: Hamilton, Joy Sent: Tuesday, December 21, 2010 8:56 AM To: Neal, Scott Subject: FW: partners email

-----Original Message----From: Ross, Kathryn Sent: Monday, December 20, 2010 7:15 PM To: Hamilton, Joy Subject: partners email Hi Joy, Here's a draft of the e-cig email to partners. Please let me know if you think it crosses any advocacy lines. I think we're safe, but I'm going to run the "let them know you support their decision" line by Jennifer. Also, I'll plug in email addresses and hyperlinks in the AM. Thanks! Katie I wanted to make sure you had seen the recent good news in local tobacco prevention efforts. Last week, the King County Board of Health passed regulations on e-cigarettes. The new regulations: - limit the sales of e-cigarettes or any other unapproved nicotine delivery devices only to people 18 and older; - prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products; - restrict the use of e-cigarette devices in places where smoking is prohibited by law. The Board of Health took this step despite vocal opposition, and we're hoping you'll join us in thanking them for their decision. We encourage you to email Board of Health members: - Thank them for their vote to regulate e-cigarettes. Let them know you support their decision. - Tell them a little bit about the work your organization is doing to support tobacco prevention efforts in your community. - Thank them for taking a step to protect King County youth from highly addictive nicotine products. More information on Board of Health members can be found here. Please feel free to copy and paste the following email addresses if you'd like to email the members directly: INSERT EMAILS
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Please let me know if you have any questions about the recent regulations. As always, thank you for your support of tobacco prevention efforts. Best regards, SCOTT OR SARAH

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From: To: Date: Subject: Sounds great - thanks! Katie

"Ross, Kathryn" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/21/2010 5:43:12 PM RE: partners email

-----Original Message----From: Hamilton, Joy Sent: Tuesday, December 21, 2010 1:32 PM To: Ross, Kathryn Cc: Neal, Scott Subject: RE: partners email Katie, Thanks for your work putting this together. Scott and I talked about it and we decided it would be more effective to make a few calls to some key partners than to send out an email. Let me know if you have any questions. Thanks, Joy -----Original Message----From: Ross, Kathryn Sent: Monday, December 20, 2010 7:15 PM To: Hamilton, Joy Subject: partners email Hi Joy, Here's a draft of the e-cig email to partners. Please let me know if you think it crosses any advocacy lines. I think we're safe, but I'm going to run the "let them know you support their decision" line by Jennifer. Also, I'll plug in email addresses and hyperlinks in the AM. Thanks! Katie I wanted to make sure you had seen the recent good news in local tobacco prevention efforts. Last week, the King County Board of Health passed regulations on e-cigarettes. The new regulations: - limit the sales of e-cigarettes or any other unapproved nicotine delivery devices only to people 18 and older; - prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products; - restrict the use of e-cigarette devices in places where smoking is prohibited by law. The Board of Health took this step despite vocal opposition, and we're hoping you'll join us in thanking them for their decision. We encourage you to email Board of Health members:
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- Thank them for their vote to regulate e-cigarettes. Let them know you support their decision. - Tell them a little bit about the work your organization is doing to support tobacco prevention efforts in your community. - Thank them for taking a step to protect King County youth from highly addictive nicotine products. More information on Board of Health members can be found here. Please feel free to copy and paste the following email addresses if you'd like to email the members directly: INSERT EMAILS Please let me know if you have any questions about the recent regulations. As always, thank you for your support of tobacco prevention efforts. Best regards, SCOTT OR SARAH

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From: To: Date: Subject:

"Hamilton, Joy" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/21/2010 12:55:47 PM FW: partners email

-----Original Message----From: Ross, Kathryn Sent: Monday, December 20, 2010 7:15 PM To: Hamilton, Joy Subject: partners email Hi Joy, Here's a draft of the e-cig email to partners. Please let me know if you think it crosses any advocacy lines. I think we're safe, but I'm going to run the "let them know you support their decision" line by Jennifer. Also, I'll plug in email addresses and hyperlinks in the AM. Thanks! Katie I wanted to make sure you had seen the recent good news in local tobacco prevention efforts. Last week, the King County Board of Health passed regulations on e-cigarettes. The new regulations: - limit the sales of e-cigarettes or any other unapproved nicotine delivery devices only to people 18 and older; - prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products; - restrict the use of e-cigarette devices in places where smoking is prohibited by law. The Board of Health took this step despite vocal opposition, and we're hoping you'll join us in thanking them for their decision. We encourage you to email Board of Health members: - Thank them for their vote to regulate e-cigarettes. Let them know you support their decision. - Tell them a little bit about the work your organization is doing to support tobacco prevention efforts in your community. - Thank them for taking a step to protect King County youth from highly addictive nicotine products. More information on Board of Health members can be found here. Please feel free to copy and paste the following email addresses if you'd like to email the members directly: INSERT EMAILS Please let me know if you have any questions about the recent regulations. As always, thank you for your support of tobacco prevention efforts. Best regards, SCOTT OR SARAH

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From: To: Date: Subject: Attachments: Hi Joy,

"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/21/2010 5:47:00 PM RE: Policy debrief notes Electronic Cigarette policy debrief.sn.doc

I've made (and accepted) changes. Please feel free to forward out to all the attendees plus. Jim K. and Kirsten Wysen! Thanks Scott >_____________________________________________ >From: Hamilton, Joy >Sent: Tuesday, December 21, 2010 1:11 PM >To: Neal, Scott >Subject: Policy debrief notes > >These are pretty comprehensive feel free to pair down. > > << File: Electronic Cigarette policy debrief.doc >>

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From: To: Date: Subject:


Thanks Maria, this is good info to be sending out. Scott

"Neal, Scott" "Wood, Maria" <Maria.Wood@kingcounty.gov> 12/21/2010 12:49:00 PM RE: Post-BOH meeting comments from the public

From: Wood, Maria Sent: Tuesday, December 21, 2010 8:37 AM To: Lambert, Kathy; McDermott, Joe; 'Richard.conlin@seattle.gov'; 'nick.licata@seattle.gov'; Clark, Sally; 'Mayordave@cityoflfp.com'; 'Ava Frisinger'; 'Bud Nicola'; 'Danielson, Benjamin'; 'Frankie T. Manning'; Dunn, Reagan; 'mike.obrien@seattle.gov'; 'Dan Sherman' Cc: Julia Patterson, King County Councilmember; Kolczynski, Angela; Allison, Michelle; Reamer, Grace; Braddock, Shannon; 'Ko, Elaine'; 'Herbold, Lisa'; 'Brown, LaTonya'; 'esther.handy@seattle.gov'; Soo Hoo, Wendy; 'DeGrieck, Jerry'; Russillo, Chrissy; Fleming, David; Day, Esther; Ross, Kathryn; Karasz, Hilary; Neal, Scott; Hamilton, Joy; Muhm, Jennifer Subject: FW: Post-BOH meeting comments from the public Hi Folks, Public Health has been receiving ongoing public comment and requests for response on the e-cigarette regulation passed last week, and thought that you may be too. Below, please find the response Chair Patterson and her staff have been using as a template which outlines some key points of the regulation you are welcome to use for responding to your constituents. Let me know if you have any questions. Thanks, Maria

_____________________________________________ From: Allison, Michelle Sent: Monday, December 20, 2010 2:45 PM To: Wood, Maria Cc: Kolczynski, Angela Subject: RE: Post-BOH meeting comments from the public

Hi Maria Councilmember Patterson is sending a response to people who email her office regarding last weeks e-cigarette decision. Below is a copy of the response. Thank you for sending along the emails you received and feel free to continue to do so. Let me know if you have any questions. Thanks, Michelle Dear ___, Thank you for your email regarding the recently adopted e-cigarette regulations. As Chair of the Board of Health, I carefully reviewed the proposal and am confident that the unanimous Board decision is in the best interest of the public. The new regulations do not ban the adult use of e-cigarettes in King County. Instead, the regulations: restrict the sales of e-cigarettes or any other unapproved nicotine delivery devices only to people 18 and older; prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products; prohibit the use of e-cigarette devices in places where smoking is prohibited by law. I support efforts to discourage youth from using nicotine devices such as e-cigarettes. In a recent test in Spokane County, 28 of 8_19_2011

Page 2 31 attempts to purchase e-cigarettes by minors were successful. These devices are sold in convenience stores and mall kiosks and come in candy flavors, making them even more tempting for youth. The FDA has warned that e-cigarettes can increase nicotine addiction among young people and may lead youth to try conventional tobacco products. The new regulations ban the sale of these devices to youth under 18 in an attempt to discourage nicotine use. The new regulations also prohibit the use of e-cigarette devices in places where smoking is prohibited by law. E-cigarettes are virtually indistinguishable from the use of traditional tobacco products in public, increasing the likelihood that people will break the law by lighting up cigarettes because they see what appears to be someone smoking. This results in more people being exposed to secondhand smoke, which the Surgeon General recently announced has immediate health impacts. Even brief exposure to secondhand smoke can cause cardiovascular disease and could trigger acute cardiac events, such as heart attack. The Board of Health convened a Tobacco Policy committee in June 2010 to review the evidence and develop new tobacco policies that respond to current policy opportunities and disparities in King County. The recent e-cigarette regulations were endorsed by the committee members. There are many unanswered questions about the safety of these unregulated, black market e-cigarette products. The Board of Health took a reasonable step to protect youth in King County while federal authorities continue to look into these products. Thank you again for your email. Please feel free to contact me with additional questions regarding this or any other matter in King County. Sincerely, King County Councilmember Julia Patterson District 5

_____________________________________________ From: Wood, Maria Sent: Friday, December 17, 2010 1:51 PM To: Kolczynski, Angela; Soo Hoo, Wendy; Allison, Michelle Cc: Russillo, Chrissy Subject: Post-BOH meeting comments from the public

Hi Given that my name and contact info were out there for BOH public comment, I received a few emails after the BOH decision on the e-cigarette regulation. As these comments came in after the cut off period for comment, I will keep a copy of them, but do not plan to respond. However, we thought we should share them with the BOH Chair as an FYI. I will be forwarding five emails I have received so far, and will send along any others that come in. Thanks, Maria

E. Maria Wood, MA Board of Health Administrator Public Health Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166

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From: "Wood, Maria" To: "Lambert, Kathy" <Kathy.Lambert@kingcounty.gov> "McDermott, Joe" <Joe.McDermott@kingcounty.gov> Richard.conlin@seattle.gov nick.licata@seattle.gov "Clark, Sally" <Sally.Clark@seattle.gov> Mayordave@cityoflfp.com "Ava Frisinger" <AvaF@ci.issaquah.wa.us> "Bud Nicola" <bnicola@u.washington.edu> "Danielson, Benjamin" <benjamin.danielson@seattlechildrens.org> "Frankie T. Manning" <frankietmanning@hotmail.com> "Dunn, Reagan" <Reagan.Dunn@kingcounty.gov> mike.obrien@seattle.gov "Dan Sherman" <DSherman@desmoineswa.gov> Date: 12/21/2010 12:37:22 PM Subject: FW: Post-BOH meeting comments from the public
Hi Folks, Public Health has been receiving ongoing public comment and requests for response on the e-cigarette regulation passed last week, and thought that you may be too. Below, please find the response Chair Patterson and her staff have been using as a template which outlines some key points of the regulation you are welcome to use for responding to your constituents. Let me know if you have any questions. Thanks, Maria

_____________________________________________ From: Allison, Michelle Sent: Monday, December 20, 2010 2:45 PM To: Wood, Maria Cc: Kolczynski, Angela Subject: RE: Post-BOH meeting comments from the public

Hi Maria Councilmember Patterson is sending a response to people who email her office regarding last weeks e-cigarette decision. Below is a copy of the response. Thank you for sending along the emails you received and feel free to continue to do so. Let me know if you have any questions. Thanks, Michelle Dear ___, Thank you for your email regarding the recently adopted e-cigarette regulations. As Chair of the Board of Health, I carefully reviewed the proposal and am confident that the unanimous Board decision is in the best interest of the public. The new regulations do not ban the adult use of e-cigarettes in King County. Instead, the regulations: restrict the sales of e-cigarettes or any other unapproved nicotine delivery devices only to people 18 and older; prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products; prohibit the use of e-cigarette devices in places where smoking is prohibited by law. I support efforts to discourage youth from using nicotine devices such as e-cigarettes. In a recent test in Spokane County, 28 of 31 attempts to purchase e-cigarettes by minors were successful. These devices are sold in convenience stores and mall kiosks and come in candy flavors, making them even more tempting for youth. The FDA has warned that e-cigarettes can increase nicotine addiction among young people and may lead youth to try conventional tobacco products. The new regulations ban the 8_19_2011

Page 2 sale of these devices to youth under 18 in an attempt to discourage nicotine use. The new regulations also prohibit the use of e-cigarette devices in places where smoking is prohibited by law. E-cigarettes are virtually indistinguishable from the use of traditional tobacco products in public, increasing the likelihood that people will break the law by lighting up cigarettes because they see what appears to be someone smoking. This results in more people being exposed to secondhand smoke, which the Surgeon General recently announced has immediate health impacts. Even brief exposure to secondhand smoke can cause cardiovascular disease and could trigger acute cardiac events, such as heart attack. The Board of Health convened a Tobacco Policy committee in June 2010 to review the evidence and develop new tobacco policies that respond to current policy opportunities and disparities in King County. The recent e-cigarette regulations were endorsed by the committee members. There are many unanswered questions about the safety of these unregulated, black market e-cigarette products. The Board of Health took a reasonable step to protect youth in King County while federal authorities continue to look into these products. Thank you again for your email. Please feel free to contact me with additional questions regarding this or any other matter in King County. Sincerely, King County Councilmember Julia Patterson District 5

_____________________________________________ From: Wood, Maria Sent: Friday, December 17, 2010 1:51 PM To: Kolczynski, Angela; Soo Hoo, Wendy; Allison, Michelle Cc: Russillo, Chrissy Subject: Post-BOH meeting comments from the public

Hi Given that my name and contact info were out there for BOH public comment, I received a few emails after the BOH decision on the e-cigarette regulation. As these comments came in after the cut off period for comment, I will keep a copy of them, but do not plan to respond. However, we thought we should share them with the BOH Chair as an FYI. I will be forwarding five emails I have received so far, and will send along any others that come in. Thanks, Maria

E. Maria Wood, MA Board of Health Administrator Public Health Seattle & King County 401 Fifth Avenue, Suite 1300 Seattle, WA 98104 t: 206-263-8791 f: 206-296-0166

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From: To: Date: Subject: Hope this letter make sense... ~Heather

"Heather Neal" <featherb1@hotmail.com> "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/21/2010 7:57:45 PM FW: Thank you for passing E-Cigarette Regulations

Subject: Thank you for passing E-Cigarette Regulations Date: Tue, 21 Dec 2010 15:57:13 -0800 From: Heather.Boylan@destmark.com To: Julia.patterson@kingcounty.gov; Kathy.lambert@kingcounty.gov; Joe.mcdermott@kingcounty.gov; Richard.conlin@seattle.gov; Nick.licata@seattle.gov; Sally.clark@seattle.gov; mayordave@cityoflfp.com; avaf@ci.issaquah.wa.us; bnicola@u.washington.edu; benjamin.danielson@seattlechildrens.org; frankietmanning@hotmail.com; Reagan.dunn@kingcounty.gov; mike.obrien@seattle.gov; DSherman@desmoineswa.gov
Hello Everyone,

I wanted to send out a quick thank you to everyone who helped pass the E-cigarette regulations in King County. This is truly a milestone in the fight against tobacco! By not allowing the e-cigarette into offices, bars ect we are effectively telling people that smoking is not a social norm nor will it become one again regardless of how creative the tobacco companies decide to become. This also holds true for the youth of the state. As a parent, it is very important that the message legislators are sending is that tobacco is not acceptable in any form and will not be tolerated. Thanks again your conscientious vote is much appreciated.

Heather Boylan | Production Manager


6808 220th ST SW, Suite 300 Mountlake Terrace, WA 98043 P 425.774.8343 F 425.774.8499

Destination Marketing

Please consider the environment before printing this email

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From: To: Date: Subject: FYI

"Neal, Scott" "Wood, Maria" <Maria.Wood@kingcounty.gov> 12/21/2010 12:02:00 PM FW: Unpaid Intern

>______________________________________________ >From: Bennett, John >Sent: Monday, December 20, 2010 5:09 PM >To: Hatzenbuehler, Eric; Hamilton, Joy; Neal, Scott; Ross-Viles, Sarah; Pajimula, Fel >Subject: Unpaid Intern > >He is at it again! > >http://slog.thestranger.com/slog/archives/2010/12/20/the-e-cigarette-ban-that-launched-1000-angry-words > >

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From: "Neal, Scott" To: "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> "Allis, Donna" <Donna.Allis@kingcounty.gov> Date: 12/22/2010 3:59:00 PM Subject: RE: Attached Image yes >_____________________________________________ >From: Johnson, Gareth >Sent: Wednesday, December 22, 2010 11:45 AM >To: Neal, Scott; Allis, Donna >Subject: RE: Attached Image > >Does this relate to the E-Cigs action? > >_____________________________________________ >From: Neal, Scott >Sent: Tuesday, December 21, 2010 3:01 PM >To: Allis, Donna >Cc: Johnson, Gareth >Subject: FW: Attached Image > >Just and FYIwe are providing info for the public disclosure request regarding our recent BOH documents. > >Scott > >______________________________________________ >From: Wood, Maria >Sent: Tuesday, December 21, 2010 2:54 PM >To: Neal, Scott; Hamilton, Joy >Subject: RE: Attached Image > >That's my read as well, the meeting materials plus access to the video, all things that we routinely make available to the public anyway. I have already provided Patrick with the meeting packet (includes staff report with attachments, and proposed regulation). I haven't yet sent the ppt, but can do that as well. The video will be posted in a couple of days, then we are done. > >_____________________________________________ >From: Neal, Scott >Sent: Tuesday, December 21, 2010 2:47 PM >To: Hamilton, Joy >Cc: Wood, Maria >Subject: FW: Attached Image >Importance: High > > >This is the email that I was BCC'd on from Patrick in our Public Disclosure Office. When I read this document, it appears to me that what we need to provide is simply the documents used in the Dec. 16th BOH meeting, including the presentation. >
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>Maria...Is this your read of this? Or do we need to dig up all the notes from prior BOH Tobacco Policy meetings? > >Scott > >______________________________________________ >From: Vanzo, Patrick >Sent: Monday, December 20, 2010 3:00 PM >To: 'jkahwaty@gmail.com' >Subject: FW: Attached Image > > > > << File: 4785_001.pdf >> >Mr. Kahwaty, >Thank you for calling me this morning (12/20/10) with your Public Disclosure Request (see attached pdf). I believe I captured the essence of what you are requesting. If have not interpreted your request accurately, please let me know so that I can make the necessary corrections. I will need to seek the cooperation of a few different parties in order to obtain the records you are seeking. My initial impression is that the video records of the 12/16 BOH hearing may not be immediately accessible. However, I will continue to seek clarification of that issue. I expect to contact you again not later than close of business on January 7, 2010, to advise you of our progress in this matter. If you have any questions, please contact me. > >Patrick Vanzo >Public Disclosure Officer >Public Health - Seattle & King County >401 Fifth Avenue, Suite 900 >Seattle WA 98104-1818 >patrick.vanzo@kingcounty.gov >phone: 206-263-8249 >fax: 206-205-3945 > >

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From: "Johnson, Gareth" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Allis, Donna" <Donna.Allis@kingcounty.gov> Date: 12/22/2010 3:44:54 PM Subject: RE: Attached Image Does this relate to the E-Cigs action? >_____________________________________________ >From: Neal, Scott >Sent: Tuesday, December 21, 2010 3:01 PM >To: Allis, Donna >Cc: Johnson, Gareth >Subject: FW: Attached Image > >Just and FYIwe are providing info for the public disclosure request regarding our recent BOH documents. > >Scott > >______________________________________________ >From: Wood, Maria >Sent: Tuesday, December 21, 2010 2:54 PM >To: Neal, Scott; Hamilton, Joy >Subject: RE: Attached Image > >That's my read as well, the meeting materials plus access to the video, all things that we routinely make available to the public anyway. I have already provided Patrick with the meeting packet (includes staff report with attachments, and proposed regulation). I haven't yet sent the ppt, but can do that as well. The video will be posted in a couple of days, then we are done. > >_____________________________________________ >From: Neal, Scott >Sent: Tuesday, December 21, 2010 2:47 PM >To: Hamilton, Joy >Cc: Wood, Maria >Subject: FW: Attached Image >Importance: High > > >This is the email that I was BCC'd on from Patrick in our Public Disclosure Office. When I read this document, it appears to me that what we need to provide is simply the documents used in the Dec. 16th BOH meeting, including the presentation. > >Maria...Is this your read of this? Or do we need to dig up all the notes from prior BOH Tobacco Policy meetings? > >Scott > >______________________________________________ >From: Vanzo, Patrick >Sent: Monday, December 20, 2010 3:00 PM >To: 'jkahwaty@gmail.com'
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>Subject: FW: Attached Image > > > > << File: 4785_001.pdf >> >Mr. Kahwaty, >Thank you for calling me this morning (12/20/10) with your Public Disclosure Request (see attached pdf). I believe I captured the essence of what you are requesting. If have not interpreted your request accurately, please let me know so that I can make the necessary corrections. I will need to seek the cooperation of a few different parties in order to obtain the records you are seeking. My initial impression is that the video records of the 12/16 BOH hearing may not be immediately accessible. However, I will continue to seek clarification of that issue. I expect to contact you again not later than close of business on January 7, 2010, to advise you of our progress in this matter. If you have any questions, please contact me. > >Patrick Vanzo >Public Disclosure Officer >Public Health - Seattle & King County >401 Fifth Avenue, Suite 900 >Seattle WA 98104-1818 >patrick.vanzo@kingcounty.gov >phone: 206-263-8249 >fax: 206-205-3945 > >

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From: "Johnson, Gareth" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Allis, Donna" <Donna.Allis@kingcounty.gov> Date: 12/22/2010 4:01:54 PM Subject: RE: Attached Image Thanks >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, December 22, 2010 11:57 AM >To: Johnson, Gareth; Allis, Donna >Subject: RE: Attached Image > >yes > >_____________________________________________ >From: Johnson, Gareth >Sent: Wednesday, December 22, 2010 11:45 AM >To: Neal, Scott; Allis, Donna >Subject: RE: Attached Image > >Does this relate to the E-Cigs action? > >_____________________________________________ >From: Neal, Scott >Sent: Tuesday, December 21, 2010 3:01 PM >To: Allis, Donna >Cc: Johnson, Gareth >Subject: FW: Attached Image > >Just and FYIwe are providing info for the public disclosure request regarding our recent BOH documents. > >Scott > >______________________________________________ >From: Wood, Maria >Sent: Tuesday, December 21, 2010 2:54 PM >To: Neal, Scott; Hamilton, Joy >Subject: RE: Attached Image > >That's my read as well, the meeting materials plus access to the video, all things that we routinely make available to the public anyway. I have already provided Patrick with the meeting packet (includes staff report with attachments, and proposed regulation). I haven't yet sent the ppt, but can do that as well. The video will be posted in a couple of days, then we are done. > >_____________________________________________ >From: Neal, Scott >Sent: Tuesday, December 21, 2010 2:47 PM >To: Hamilton, Joy >Cc: Wood, Maria
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>Subject: FW: Attached Image >Importance: High > > >This is the email that I was BCC'd on from Patrick in our Public Disclosure Office. When I read this document, it appears to me that what we need to provide is simply the documents used in the Dec. 16th BOH meeting, including the presentation. > >Maria...Is this your read of this? Or do we need to dig up all the notes from prior BOH Tobacco Policy meetings? > >Scott > >______________________________________________ >From: Vanzo, Patrick >Sent: Monday, December 20, 2010 3:00 PM >To: 'jkahwaty@gmail.com' >Subject: FW: Attached Image > > > > << File: 4785_001.pdf >> >Mr. Kahwaty, >Thank you for calling me this morning (12/20/10) with your Public Disclosure Request (see attached pdf). I believe I captured the essence of what you are requesting. If have not interpreted your request accurately, please let me know so that I can make the necessary corrections. I will need to seek the cooperation of a few different parties in order to obtain the records you are seeking. My initial impression is that the video records of the 12/16 BOH hearing may not be immediately accessible. However, I will continue to seek clarification of that issue. I expect to contact you again not later than close of business on January 7, 2010, to advise you of our progress in this matter. If you have any questions, please contact me. > >Patrick Vanzo >Public Disclosure Officer >Public Health - Seattle & King County >401 Fifth Avenue, Suite 900 >Seattle WA 98104-1818 >patrick.vanzo@kingcounty.gov >phone: 206-263-8249 >fax: 206-205-3945 > >

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From: "Neal, Scott" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 12/22/2010 2:25:00 PM Subject: RE: FDA and e-cigs I saw this toovery interesting >_____________________________________________ >From: Hamilton, Joy >Sent: Wednesday, December 22, 2010 9:11 AM >To: Pearson, Anne; Neal, Scott >Cc: Ross-Viles, Sarah >Subject: FDA and e-cigs > >FYI, the FDA filed a new appeal. > >http://online.wsj.com/article/SB10001424052748703581204576033640017829896.html > > >Joy

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From: "Hamilton, Joy" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 12/22/2010 6:28:20 PM Subject: Joe McDermott At the e-cig debrief, someone mentioned that our new policy committee member, Joe McDermott, has championed tobacco issues in the past. I did some digging and he introduced a bill for a smoking ban in 2003. Great to hear that we've got a true champion joining our committee. http://www.thestranger.com/seattle/Content?oid=13558

Joy

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From: "Neal, Scott" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 12/22/2010 6:33:00 PM Subject: RE: Joe McDermott Very cool >_____________________________________________ >From: Hamilton, Joy >Sent: Wednesday, December 22, 2010 2:28 PM >To: Neal, Scott; Ross-Viles, Sarah; Pearson, Anne >Subject: Joe McDermott > >At the e-cig debrief, someone mentioned that our new policy committee member, Joe McDermott, has championed tobacco issues in the past. I did some digging and he introduced a bill for a smoking ban in 2003. Great to hear that we've got a true champion joining our committee. > >http://www.thestranger.com/seattle/Content?oid=13558 > > >Joy

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From: To: Date: Subject:

"Neal, Scott" "Wood, Maria" <Maria.Wood@kingcounty.gov> 12/22/2010 2:38:00 PM FW: Thank you for passing E-Cigarette Regulations

FYI...this was sent to the BOH members yesterday. Scott

Subject: Thank you for passing E-Cigarette Regulations Date: Tue, 21 Dec 2010 15:57:13 -0800 From: Heather.Boylan@destmark.com To: Julia.patterson@kingcounty.gov; Kathy.lambert@kingcounty.gov; Joe.mcdermott@kingcounty.gov; Richard.conlin@seattle.gov; Nick.licata@seattle.gov; Sally.clark@seattle.gov; mayordave@cityoflfp.com; avaf@ci.issaquah.wa.us; bnicola@u.washington.edu; benjamin.danielson@seattlechildrens.org; frankietmanning@hotmail.com; Reagan.dunn@kingcounty.gov; mike.obrien@seattle.gov; DSherman@desmoineswa.gov
Hello Everyone,

I wanted to send out a quick thank you to everyone who helped pass the E-cigarette regulations in King County. This is truly a milestone in the fight against tobacco! By not allowing the e-cigarette into offices, bars ect we are effectively telling people that smoking is not a social norm nor will it become one again regardless of how creative the tobacco companies decide to become. This also holds true for the youth of the state. As a parent, it is very important that the message legislators are sending is that tobacco is not acceptable in any form and will not be tolerated. Thanks again your conscientious vote is much appreciated.

Heather Boylan | Production Manager


6808 220th ST SW, Suite 300 Mountlake Terrace, WA 98043 P 425.774.8343 F 425.774.8499

Destination Marketing

Please consider the environment before printing this email

8_19_2011

Page 1

From: To: Date: Subject:

"Neal, Scott" "Heather Neal" <featherb1@hotmail.com> 12/22/2010 12:36:00 PM RE: Thank you for passing E-Cigarette Regulations

They will definitely read this! Either in their own email or it will get seen and read by their office staff who WILL share this with them...especially since this was a significant issue that was pretty contentious. every one of these makes a difference.

From: Heather Neal [mailto:featherb1@hotmail.com] Sent: Wednesday, December 22, 2010 8:32 AM To: Neal, Scott Subject: RE: Thank you for passing E-Cigarette Regulations Do you think that these people will actually read this or will it get sorted into the trash?

From: Scott.Neal@kingcounty.gov To: featherb1@hotmail.com Date: Wed, 22 Dec 2010 08:24:51 -0800 Subject: RE: Thank you for passing E-Cigarette Regulations hey thanks!!! this is short and sweet and very good!

From: Heather Neal [mailto:featherb1@hotmail.com] Sent: Tuesday, December 21, 2010 3:58 PM To: Neal, Scott Subject: FW: Thank you for passing E-Cigarette Regulations Hope this letter make sense... ~Heather

Subject: Thank you for passing E-Cigarette Regulations Date: Tue, 21 Dec 2010 15:57:13 -0800 From: Heather.Boylan@destmark.com To: Julia.patterson@kingcounty.gov; Kathy.lambert@kingcounty.gov; Joe.mcdermott@kingcounty.gov; Richard.conlin@seattle.gov; Nick.licata@seattle.gov; Sally.clark@seattle.gov; mayordave@cityoflfp.com; avaf@ci.issaquah.wa.us; bnicola@u.washington.edu; benjamin.danielson@seattlechildrens.org; frankietmanning@hotmail.com; Reagan.dunn@kingcounty.gov; mike.obrien@seattle.gov; DSherman@desmoineswa.gov
Hello Everyone,

8_19_2011

Page 2 I wanted to send out a quick thank you to everyone who helped pass the E-cigarette regulations in King County. This is truly a milestone in the fight against tobacco! By not allowing the e-cigarette into offices, bars ect we are effectively telling people that smoking is not a social norm nor will it become one again regardless of how creative the tobacco companies decide to become. This also holds true for the youth of the state. As a parent, it is very important that the message legislators are sending is that tobacco is not acceptable in any form and will not be tolerated. Thanks again your conscientious vote is much appreciated.

Heather Boylan | Production Manager


6808 220th ST SW, Suite 300 Mountlake Terrace, WA 98043 P 425.774.8343 F 425.774.8499

Destination Marketing

Please consider the environment before printing this email

8_19_2011

Page 1

From: To: Date: Subject:

"Neal, Scott" "Heather Neal" <featherb1@hotmail.com> 12/22/2010 12:26:00 PM RE: Thank you for passing E-Cigarette Regulations

hey thanks!!! this is short and sweet and very good!

From: Heather Neal [mailto:featherb1@hotmail.com] Sent: Tuesday, December 21, 2010 3:58 PM To: Neal, Scott Subject: FW: Thank you for passing E-Cigarette Regulations Hope this letter make sense... ~Heather

Subject: Thank you for passing E-Cigarette Regulations Date: Tue, 21 Dec 2010 15:57:13 -0800 From: Heather.Boylan@destmark.com To: Julia.patterson@kingcounty.gov; Kathy.lambert@kingcounty.gov; Joe.mcdermott@kingcounty.gov; Richard.conlin@seattle.gov; Nick.licata@seattle.gov; Sally.clark@seattle.gov; mayordave@cityoflfp.com; avaf@ci.issaquah.wa.us; bnicola@u.washington.edu; benjamin.danielson@seattlechildrens.org; frankietmanning@hotmail.com; Reagan.dunn@kingcounty.gov; mike.obrien@seattle.gov; DSherman@desmoineswa.gov
Hello Everyone,

I wanted to send out a quick thank you to everyone who helped pass the E-cigarette regulations in King County. This is truly a milestone in the fight against tobacco! By not allowing the e-cigarette into offices, bars ect we are effectively telling people that smoking is not a social norm nor will it become one again regardless of how creative the tobacco companies decide to become. This also holds true for the youth of the state. As a parent, it is very important that the message legislators are sending is that tobacco is not acceptable in any form and will not be tolerated. Thanks again your conscientious vote is much appreciated.

Heather Boylan | Production Manager


6808 220th ST SW, Suite 300 Mountlake Terrace, WA 98043 P 425.774.8343 F 425.774.8499

Destination Marketing

Please consider the environment before printing this email

8_19_2011

Page 1

From: To: Date: Subject: Nice, thanks for sharing.

"Wood, Maria" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/22/2010 3:06:00 PM RE: Thank you for passing E-Cigarette Regulations

From: Neal, Scott Sent: Wednesday, December 22, 2010 10:36 AM To: Wood, Maria Cc: Hamilton, Joy Subject: FW: Thank you for passing E-Cigarette Regulations FYI...this was sent to the BOH members yesterday. Scott

Subject: Thank you for passing E-Cigarette Regulations Date: Tue, 21 Dec 2010 15:57:13 -0800 From: Heather.Boylan@destmark.com To: Julia.patterson@kingcounty.gov; Kathy.lambert@kingcounty.gov; Joe.mcdermott@kingcounty.gov; Richard.conlin@seattle.gov; Nick.licata@seattle.gov; Sally.clark@seattle.gov; mayordave@cityoflfp.com; avaf@ci.issaquah.wa.us; bnicola@u.washington.edu; benjamin.danielson@seattlechildrens.org; frankietmanning@hotmail.com; Reagan.dunn@kingcounty.gov; mike.obrien@seattle.gov; DSherman@desmoineswa.gov
Hello Everyone,

I wanted to send out a quick thank you to everyone who helped pass the E-cigarette regulations in King County. This is truly a milestone in the fight against tobacco! By not allowing the e-cigarette into offices, bars ect we are effectively telling people that smoking is not a social norm nor will it become one again regardless of how creative the tobacco companies decide to become. This also holds true for the youth of the state. As a parent, it is very important that the message legislators are sending is that tobacco is not acceptable in any form and will not be tolerated. Thanks again your conscientious vote is much appreciated.

Heather Boylan | Production Manager


6808 220th ST SW, Suite 300 Mountlake Terrace, WA 98043 P 425.774.8343 F 425.774.8499

Destination Marketing

Please consider the environment before printing this email

8_19_2011

Page 1

From: "Apa, James" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Karasz, Hilary" <Hilary.Karasz@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/23/2010 5:56:03 PM Subject: FW: FOX and Friends
FYI e-cigarettes on Fox.

From: Ray Story [mailto:raystory@hotmail.com] Sent: Tuesday, December 21, 2010 8:48 AM Subject: FOX and Friends This is of you tube just Fox has not posted it yet. aired Sunday 19th Dec 8:30 am eastern time.

Ray Story, CEO WannaVape Cell: (770)714-4118 www.wannavape.com www.tveca.com

http://www.youtube.com/watch?v=8bAp0Z6wMOw&feature=BF&playnext=1&list=QL

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From: To: Date: Subject: Hi Nate, I hope that all is going well at Legacy.

"Greto, Lindsey" ncobb@legacyforhealth.org 12/23/2010 6:18:58 PM Fox News segment re: ecigs

We just saw the Fox News segment that referenced King County's recent e-cigarette regulation. We wanted to thank you for providing such a great counter to the industry argument - we had some industry presence at the hearing last week and know that our Board members have received a lot of negative feedback. Thanks for providing the medical perspective on the show. Thanks again for helping out our cause! And if you have any suggestions for us (literature, etc), please pass it on we're anticipating more push back in the coming weeks. Happy holidays, Lindsey --Lindsey Greto, MPA >Tobacco Prevention Program >Public Health - Seattle & King County >Ph: (206) 263-9410 Fax: (206) 296-0177 >

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From: "Neal, Scott" To: "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 12/23/2010 10:10:09 PM Subject: Re: Fox News segment re: ecigs Thanks for connecting with him and thanking him...we need all the support we can get on this! Now go enjoy the holidays!!! ----- Original Message ----From: Greto, Lindsey Sent: Thursday, December 23, 2010 05:56 PM To: Hamilton, Joy; Pearson, Anne; Neal, Scott Subject: FW: Fox News segment re: ecigs Nate's answer on e-cig segment. Good point about the toxicity of nicotine... if we could use his expertise for a board statement later, I bet we can get it... ________________________________________ From: Nathan Cobb [NCobb@legacyforhealth.org] Sent: Thursday, December 23, 2010 3:49 PM To: Greto, Lindsey Subject: Re: Fox News segment re: ecigs Lindsey, Good to hear from you! I was happy to do the segment, and a little surprised that the host wasn't more positive towards the industry (I was expecting to get double teamed.) There are a couple of swirling arguments, and I think they were expecting a more traditional tobacco control argument. There is a valid one to be made - including issues with you uptake and displacement of cessation aids. Another way of looking at it is that until these devices, every time refined nicotine has been introduced into the consumer market (apart from pharma) it has been swiftly removed. Even the tobacco companies have never tried this. There is a clear precedent that refined nicotine is too dangerous to be marketed without oversight and controls. My personal view is that the refined nicotine is the elephant in the room. Its incredibly toxic when not bound in tobacco or something else, and its only a matter of time before a kid drinks a bottle of cherry flavored "juice". - Nate On Dec 23, 2010, at 5:18 PM, Greto, Lindsey wrote: Hi Nate, I hope that all is going well at Legacy. We just saw the Fox News segment that referenced King County's recent e-cigarette regulation. We wanted to thank you for providing such a great counter to the industry argument - we had some industry presence at the hearing last week and know that our Board members have received a lot of negative feedback. Thanks for providing the medical perspective on the show. Thanks again for helping out our cause! And if you have any suggestions for us (literature, etc), please pass it on we're anticipating more push back in the coming weeks.
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Happy holidays, Lindsey --Lindsey Greto, MPA Tobacco Prevention Program Public Health - Seattle & King County Ph: (206) 263-9410 Fax: (206) 296-0177

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From: "Greto, Lindsey" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 12/23/2010 9:58:38 PM Subject: FW: Fox News segment re: ecigs Nate's answer on e-cig segment. Good point about the toxicity of nicotine... if we could use his expertise for a board statement later, I bet we can get it... ________________________________________ From: Nathan Cobb [NCobb@legacyforhealth.org] Sent: Thursday, December 23, 2010 3:49 PM To: Greto, Lindsey Subject: Re: Fox News segment re: ecigs Lindsey, Good to hear from you! I was happy to do the segment, and a little surprised that the host wasn't more positive towards the industry (I was expecting to get double teamed.) There are a couple of swirling arguments, and I think they were expecting a more traditional tobacco control argument. There is a valid one to be made - including issues with you uptake and displacement of cessation aids. Another way of looking at it is that until these devices, every time refined nicotine has been introduced into the consumer market (apart from pharma) it has been swiftly removed. Even the tobacco companies have never tried this. There is a clear precedent that refined nicotine is too dangerous to be marketed without oversight and controls. My personal view is that the refined nicotine is the elephant in the room. Its incredibly toxic when not bound in tobacco or something else, and its only a matter of time before a kid drinks a bottle of cherry flavored "juice". - Nate On Dec 23, 2010, at 5:18 PM, Greto, Lindsey wrote: Hi Nate, I hope that all is going well at Legacy. We just saw the Fox News segment that referenced King County's recent e-cigarette regulation. We wanted to thank you for providing such a great counter to the industry argument - we had some industry presence at the hearing last week and know that our Board members have received a lot of negative feedback. Thanks for providing the medical perspective on the show. Thanks again for helping out our cause! And if you have any suggestions for us (literature, etc), please pass it on we're anticipating more push back in the coming weeks. Happy holidays, Lindsey --Lindsey Greto, MPA Tobacco Prevention Program Public Health - Seattle & King County Ph: (206) 263-9410 Fax: (206) 296-0177
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From: "Hamilton, Joy" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 12/23/2010 1:19:21 PM Subject: Rush Limbaugh Came across the Rush Limbaugh transcript about our e-cigs work this am: http://www.rushlimbaugh.com/home/daily/site_121410/content/01125109.guest.html

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From: "Ross-Viles, Sarah" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 12/24/2010 10:17:49 AM FW: CPPW Weekly Update 12.24.10 - E-cigs and early success in CPPW weekly bulleting for Subject: site Attachments: CPPW Related Training Events Calendar January - April 2011.pdf Coalition Effectiveness Inventory_butterfoss.pdf CACSH Partnership Self Assessment Tool.pdf

________________________________________ From: Payne, Rebecca L. (CDC/ONDIEH/NCCDPHP) [rco0@cdc.gov] Sent: Friday, December 24, 2010 5:34 AM

Hello!

We hope this message finds you healthy and well, and hopefully finding some time to relax and recharge as we bring 2010 to a close. Below you will find the weekly update for the week ending December 24, 2010. To be added to the distribution of this message please send your name, title, organization, and e-mail address to Brenzena Avery at bavery@cdc.gov.

All the Best, Becky Payne Here is what you will find in this update: General Updates & Resources: Reminder CPPW Training Calendar; The CPPW "Collaborative Space"; Communities Putting Prevention to Work Website; Secretary of Health and Human Services Announces 2011 Healthy Living Innovation Awards Cooperative Agreement Updates: None this week Tobacco Resources: None this week

Nutrition, Physical Activity & Obesity Resources: Nominations requested for food policy and active transportation initiatives to prevent obesity; Tools for Measuring Partnership and Coalition Strength; APHA Invites You to a Webinar Series on: What Healthy Communities Need from their Transportation Networks; The Beverage Bulletin Early Successes: E-Cigarette regulation passed in Seattle King County ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ General Updates & Resources: Reminder - CPPW Training Calendar: We are pleased to announce the availability of a CPPW Training Calendar attached. The purpose of the Training Calendar is to provide CPPW communities with an at-a-glance update on upcoming CPPW-related training events. The contact person is listed for each event on the attached calendar, and they can be contacted if you have any questions.
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Reminder - The CPPW "Collaborative Space" now has the National Campaign presentation from the Action Institute, NYC ads, and numerous reports and resources. The Collaborative Space is a secure, interactive, website designed to give core staff in the 50 communities a place to share resources and ideas. Please remember that the collaborative space is a great forum for sharing and well collaborating. This forum is available for any topics related to CPPW. We have heard that some thought it was only for media contacts, however we encourage you to own the space as a community and use it to foster sharing and to make peer connections on any topics you choose. If you would like to receive an invitation to the space, need assistance, or have questions, please email Cindy Hockaday at hia5@cdc.gov or call 770-488-5053.

Reminder - Communities Putting Prevention to Work Website: In October we announced the release of the Communities Putting Prevention to Work (CPPW) website on cdc.gov. We hope the Information on this website will be of value to funded communities, partners, and communities across the nation that are interested in addressing obesity and tobacco use locally and may benefit from the experience of the CPPW communities.

This website will be updated periodically, and in the future will include such features as community-specific profiles and an expanded tools and resources section.

Please feel free to share this website with your colleagues. http://www.cdc.gov/CommunitiesPuttingPreventiontoWork/

Secretary of Health and Human Services Announces 2011 Healthy Living Innovation Awards The Secretary of Health and Human Services is proud to announce the 2011 Healthy Living Innovation Awards. A new initiative at the U.S. Department of Health and Human Services (HHS) that seeks to identify and acknowledge innovative health promotion projects within the last 3 years that have demonstrated a significant impact on the health status of a community. The Healthy Living Innovation Awards offer an exciting chance to recognize and foster the spread of effective health promotion efforts, specifically community-based efforts that either make use of an entirely new tool or approach or have applied existing tools in an unusual way to improve community health and well-being. Eligible organizations must have an innovative project in at least one of three health promotion areas: Healthy weight Physical activity Nutrition

Nominated programs must have been piloted or implemented within the last three years and have demonstrated results. (Note: An innovation can be an existing program that has been implemented in a new way within the last three years.) Awards will be given in the following categories 1) Faith-Based and/or Community Initiatives 2) Health Care Delivery
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3) Healthy Workplace Large Employer > 500 Employees Small Employer < 500 Employees 4) Non-Profit 5) Public Sector 6) Schools (K-12) 7) Lets Move Cities and Towns Winners will receive awards from the Secretary at a public recognition ceremony and have the opportunity to present their innovations at a national conference in spring 2011. Nominations for the awards will be accepted January 18 through March 1, 2011. To learn more about the 2011 Healthy Living Innovation Awards, please visit www.hhs.gov/secretary/about/healthyliving/. Additional information about how to apply for the awards will be forthcoming.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Cooperative Agreement Updates: None this week

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Tobacco Resources: None this week

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Nutrition, Physical Activity, Obesity Resources:

Nominations requested for food policy and active transportation initiatives to prevent obesity CDC's Division of Nutrition, Physical Activity and Obesity (DNPAO). DNPAO is seeking nominations for food policy councils and active transportation initiatives that: Address obesity through improved nutrition and increased physical activity Have not already undergone a rigorous evaluation of effectiveness NOTE: We are especially interested in programs and policies that address low-income populations and ethnic groups that experience higher rates of obesity. Please consider nominating your own work or that of others, and please distribute information about this nomination process widely to your relevant networks. Submission Deadline is January 21, 2011. If selected, your program will be: Invited to participate in an Evaluability Assessment to determine its readiness for evaluation, which will include a
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Spring 2011 site visit to assess implementation, data availability, intended outcomes and staff capacity. Offered ideas by CDC project staff for improvement and evaluation design. Featured on the CDC Web site and may be considered for a comprehensive evaluation. Share your promising programs and policies with us today! To share your notable practices with us, visit www.zoomerang.com/Survey/WEB22BK2CHY6U6/ Tools for Measuring Partnership and Coalition Strength As part of an evaluation of one of North Carolinas state-level programs (the Eat Smart Move More Community Grants Program), tools for measuring the strength of community partnerships and/or coalitions were identified. Attached are two tools they found that may be useful to your program as well. * Partnership Self-Assessment Tool (2006-7, Center for the Advancement of Collaborative Strategies in Health, accompanying documents can be found at http://partnershiptool.net/) * Coalition Effectiveness Inventory (1998, Frances Butterfoss)

APHA Invites You to a Webinar Series on: What Healthy Communities Need from their Transportation Networks Public health and transportation professionals have the opportunity to participate in a new, four-part webinar series in 2011 that covers how transportation systems impact health in diverse communities across the nation. Join us for this series that explores the intersections between health and transportation, highlights innovative state and local programs that leverages opportunities in transportation that benefit health, and explains what the future may hold for the federal surface transportation authorization.

Participants must register to join the webinar. Please click here to register or visit https://cc.readytalk.com/r/4ozeg2azyaax

Beverage Bulletin: The Beverage Bulletin is a new CDCsupported electronic resource for practitioners interested in public health efforts to reduce sugar drinks. In addition to this monthly email bulletin, we are seeking your input on how regular networking calls related to sugar drink reduction strategies might be beneficial to you. These calls would be similar to the Fruit and Vegetable Coordinator Call or the Child Care Networking Call. Topics could include: Ensuring ready access to potable drinking water Limiting access to sugar drinks Promoting access to more healthful drink alternatives Limiting marketing of sugar drinks
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Differential pricing of beverages Please respond to Kelly Pattillo at KPattillo@cdc.gov with your interest level or ideas regarding a sugar drink networking call.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Early Successes: E-Cigarette regulation passed in Seattle King County! Board of Health approves electronic cigarette regulations. Regulations will limit sales to adults only, prohibit free samples, and restrict use in public places and places of employment. King County, WAThe King County Board of Health passed regulations today to protect King County youth from electronic smoking devices and unregulated nicotine delivery devices. The Board of Health voted unanimously to: * restrict the sales of e-cigarettes or any other unapproved nicotine delivery devices only to people 18 and older; * prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products; * prohibit the use of e-cigarette devices in places where smoking is prohibited by law. I am pleased that the Board of Health acted today to prohibit the sale of e-cigarettes to youth and to restrict their use in public spaces, said Board of Health Chair Julia Patterson. E-cigarettes are used as a means to encourage people, especially our youth, to begin smoking. Their safety and long-term health impacts are untested and unknown. The Board of Healths responsibility is to create policies that foster the health and well being of our community, and todays action will help achieve that objective. Rebecca Payne, MPH Community Interventions Team Lead Communities Putting Prevention to Work Division of Adult and Community Health, NCCDPHP CDC-Atlanta office: 770-488-5167 fax: 770-488-5964

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From: "Hamilton, Joy" To: "Wood, Maria" <Maria.Wood@kingcounty.gov> "Soo Hoo, Wendy" <Wendy.SooHoo@kingcounty.gov> Date: 12/27/2010 4:43:56 PM Subject: Quick question Maria and Wendy, I think you two are likely out this week but I figure I'll send this email before I forget! Is there any chance that an amendment to our e-cigs regulations could be presented at a future meeting? The scenario I'm envisioning would be a board member proposing that the public places part be removed. Or can you not vote on that again because it was already voted on? Obviously, we're very happy that the regulations passed and we would like to ensure that they aren't changed in a future meeting of the board. Thanks, Joy

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From: "Soo Hoo, Wendy" To: "Soo Hoo, Wendy" <Wendy.SooHoo@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/27/2010 4:51:49 PM Subject: Re: Quick question Hi joy, my impression is that would be extremely, extremely unlikely since it ultimately passed unanimously. You never know what a future board member might take interest in, but I think you should rest assured, relax, and be proud of the work you've done. Sent from a mobile. ----- Reply message ----From: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: Mon, Dec 27, 2010 12:43 pm Subject: Quick question To: "Wood, Maria" <Maria.Wood@kingcounty.gov>, "Soo Hoo, Wendy" <Wendy.SooHoo@kingcounty.gov> Cc: "Neal, Scott" <Scott.Neal@kingcounty.gov>
Maria and Wendy, I think you two are likely out this week but I figure I'll send this email before I forget! Is there any chance that an amendment to our e-cigs regulations could be presented at a future meeting? The scenario I'm envisioning would be a board member proposing that the public places part be removed. Or can you not vote on that again because it was already voted on? Obviously, we're very happy that the regulations passed and we would like to ensure that they aren't changed in a future meeting of the board. Thanks, Joy

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From: "Ross-Viles, Sarah" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 12/27/2010 1:27:41 PM Subject: RE: Rush Limbaugh Deep breaths. Sigh. At least he is more factual than the Fox report. However, 10 to 1 says he was either shipped free product or is getting kick-backs to use and discuss the product. Sarah ________________________________________ From: Hamilton, Joy Sent: Thursday, December 23, 2010 9:19 AM To: Pearson, Anne; Neal, Scott; Ross-Viles, Sarah Cc: Bennett, John; Hatzenbuehler, Eric; Pajimula, Fel; Greto, Lindsey Subject: Rush Limbaugh Came across the Rush Limbaugh transcript about our e-cigs work this am: http://www.rushlimbaugh.com/home/daily/site_121410/content/01125109.guest.html

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From: "Ross-Viles, Sarah" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Muhm, Jennifer" <Jennifer.Muhm@kingcounty.gov> Date: 12/28/2010 3:05:23 PM Subject: RE: Bill Draft Thanks, Joy and Anne. These questions reflect all my concerns. ________________________________________ From: Hamilton, Joy Sent: Tuesday, December 28, 2010 10:38 AM To: Pearson, Anne; Ross-Viles, Sarah; Neal, Scott; Muhm, Jennifer Subject: RE: Bill Draft Looks like you've got everything covered Anne. One other thing to add is that we will revise the intent section to make a stronger youth-centered argument with as strong a rationale as possible. We may considered also adding rationale for the fee and penalty increases if that stays in the bill. Joy ________________________________ From: Pearson, Anne Sent: Tuesday, December 28, 2010 10:33 AM To: Ross-Viles, Sarah; Neal, Scott; Hamilton, Joy; Muhm, Jennifer Subject: RE: Bill Draft

Joy and I had a chance to speak briefly this morning. Here is a list of questions we would like to discuss on tomorrow's call:

1. The fee and penalty increases are something we havent discussed previously. Where did that idea come from? How were the increases calculated? Should we consult the relevant agencies before proposing these increases? In particular, it would be useful to know how the agency would explain the need for an increased license fee. 2. what was the intent in singling out non-tobacco products that contain nicotine? Do they intend to use this bill to ban e-cigarettes since that description does not capture dissolvables, which contain ground tobacco. 3. the proposed language banning flavored products has a number of significant legal problems which I can explain on the call. I have drafted an alternative which we can describe and discuss. 4. On the issue of flavored, we need to decide whether we want to include an exception for menthol/mint flavor. As you all know, the FDA scientific advisory committee is reviewing the evidence base concerning menthol now and is scheduled to issue a report in March. Joy will take a look at the presentations that have been made to the committee to see what evidence about mint-flavored OTPs has been presented. 5. A ban on flavored products will not reach dissolvable products, unless there is the program/money to test those products to determine if they have a flavor. (I assume there will be no such funding available.) So, we need to think of an alternative way to approach dissolvables.
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6. Lastly, what is the timeframe. Erin wanted edits by this Friday, which isnt really realistic given the holidays and the need for extensive re-writes.

Joy, did I miss anything??

-----Original Message----From: Ross-Viles, Sarah Sent: Monday, December 27, 2010 4:24 PM To: Pearson, Anne; Neal, Scott; Hamilton, Joy; Muhm, Jennifer Subject: RE: Bill Draft

Hi Anne,

I thought your comments were the important ones. I added a few comments on Anne's comments. As an overall piece, I had expected to see dissolvables called out specifically. Given the difficulty of writing an all-inclusive definition for flavor, I thought the course to go would be defining dissolveable as well, and restricting products that fit that definition.

________________________________________ From: Pearson, Anne Sent: Monday, December 27, 2010 12:51 PM To: Neal, Scott; Hamilton, Joy; Ross-Viles, Sarah; Muhm, Jennifer Subject: FW: Bill Draft

Hi all,

I have had a chance to review this today and have a number of questions and concerns. I know we have a call scheduled with the advocates this Wed. I am going to try to schedule a time for us to chat internally before that call so were all on the same page before Wed.
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Anne

________________________________ From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Monday, December 27, 2010 9:31 AM To: Hamilton, Joy; Muhm, Jennifer Cc: Pearson, Anne; 'Carrie.Glover@cancer.org'; 'Carrie Nyssen'; 'Lucy Culp'; Ross-Viles, Sarah; Neal, Scott Subject: Bill Draft

Hi All,

Thank you for your patience. Attached is a very rough draft of the pre-emption bill. I have not had a chance to review it but wanted to forward it so we could all start reviewing. Please again note this is a rough draft and any error or omission is just a mistake, not indicative of a change in direction on this legislation.

Please send your comments, proposed changes or concerns to me by Friday.

Thanks.

(See attached file: Tobacco control legislation.docx)

Erin Dziedzic Washington State Government Relations Director American Cancer Society Cancer Action Network (ACS CAN)
8_19_2011

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2120 1st Ave N. Seattle, WA 98109 Cell: 425-466-5177 Erin.Dziedzic@cancer.org

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Page 1

From: "Hamilton, Joy" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Muhm, Jennifer" <Jennifer.Muhm@kingcounty.gov> Date: 12/28/2010 2:38:48 PM Subject: RE: Bill Draft Looks like you've got everything covered Anne. One other thing to add is that we will revise the intent section to make a stronger youth-centered argument with as strong a rationale as possible. We may considered also adding rationale for the fee and penalty increases if that stays in the bill. Joy

From: Pearson, Anne Sent: Tuesday, December 28, 2010 10:33 AM To: Ross-Viles, Sarah; Neal, Scott; Hamilton, Joy; Muhm, Jennifer Subject: RE: Bill Draft Joy and I had a chance to speak briefly this morning. would like to discuss on tomorrow's call: Here is a list of questions we

1. The fee and penalty increases are something we havent discussed previously. Where did that idea come from? How were the increases calculated? Should we consult the relevant agencies before proposing these increases? In particular, it would be useful to know how the agency would explain the need for an increased license fee. 2. what was the intent in singling out non-tobacco products that contain nicotine? Do they intend to use this bill to ban e-cigarettes since that description does not capture dissolvables, which contain ground tobacco. 3. the proposed language banning flavored products has a number of significant legal problems which I can explain on the call. I have drafted an alternative which we can describe and discuss. 4. On the issue of flavored, we need to decide whether we want to include an exception for menthol/mint flavor. As you all know, the FDA scientific advisory committee is reviewing the evidence base concerning menthol now and is scheduled to issue a report in March. Joy will take a look at the presentations that have been made to the committee to see what evidence about mint-flavored OTPs has been presented. 5. A ban on flavored products will not reach dissolvable products, unless there is the program/money to test those products to determine if they have a flavor. (I assume there will be no such funding available.) So, we need to think of an alternative way to approach dissolvables. 6. Lastly, what is the timeframe. Erin wanted edits by this Friday, which isnt really realistic given the holidays and the need for extensive re-writes. Joy, did I miss anything??

-----Original Message----From: Ross-Viles, Sarah Sent: Monday, December 27, 2010 4:24 PM To: Pearson, Anne; Neal, Scott; Hamilton, Joy; Muhm, Jennifer Subject: RE: Bill Draft Hi Anne, I thought your comments were the important ones. 8_19_2011 I added a few comments on Anne's

Page 2 comments. As an overall piece, I had expected to see dissolvables called out specifically. Given the difficulty of writing an all-inclusive definition for flavor, I thought the course to go would be defining dissolveable as well, and restricting products that fit that definition.

________________________________________ From: Pearson, Anne Sent: Monday, December 27, 2010 12:51 PM To: Neal, Scott; Hamilton, Joy; Ross-Viles, Sarah; Muhm, Jennifer Subject: FW: Bill Draft Hi all, I have had a chance to review this today and have a number of questions and concerns. I know we have a call scheduled with the advocates this Wed. I am going to try to schedule a time for us to chat internally before that call so were all on the same page before Wed. Anne ________________________________ From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Monday, December 27, 2010 9:31 AM To: Hamilton, Joy; Muhm, Jennifer Cc: Pearson, Anne; 'Carrie.Glover@cancer.org'; 'Carrie Nyssen'; 'Lucy Culp'; RossViles, Sarah; Neal, Scott Subject: Bill Draft

Hi All, Thank you for your patience. Attached is a very rough draft of the pre-emption bill. I have not had a chance to review it but wanted to forward it so we could all start reviewing. Please again note this is a rough draft and any error or omission is just a mistake, not indicative of a change in direction on this legislation. Please send your comments, proposed changes or concerns to me by Friday. Thanks. (See attached file: Tobacco control legislation.docx)

Erin Dziedzic Washington State Government Relations Director American Cancer Society Cancer Action Network (ACS CAN) 2120 1st Ave N. Seattle, WA 98109 Cell: 425-466-5177 Erin.Dziedzic@cancer.org

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From: "Pearson, Anne" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Muhm, Jennifer" <Jennifer.Muhm@kingcounty.gov> Date: 12/28/2010 2:33:13 PM Subject: RE: Bill Draft
Joy and I had a chance to speak briefly this morning. would like to discuss on tomorrow's call: Here is a list of questions we

1. The fee and penalty increases are something we havent discussed previously. Where did that idea come from? How were the increases calculated? Should we consult the relevant agencies before proposing these increases? In particular, it would be useful to know how the agency would explain the need for an increased license fee. 2. what was the intent in singling out non-tobacco products that contain nicotine? Do they intend to use this bill to ban e-cigarettes since that description does not capture dissolvables, which contain ground tobacco. 3. the proposed language banning flavored products has a number of significant legal problems which I can explain on the call. I have drafted an alternative which we can describe and discuss. 4. On the issue of flavored, we need to decide whether we want to include an exception for menthol/mint flavor. As you all know, the FDA scientific advisory committee is reviewing the evidence base concerning menthol now and is scheduled to issue a report in March. Joy will take a look at the presentations that have been made to the committee to see what evidence about mint-flavored OTPs has been presented. 5. A ban on flavored products will not reach dissolvable products, unless there is the program/money to test those products to determine if they have a flavor. (I assume there will be no such funding available.) So, we need to think of an alternative way to approach dissolvables. 6. Lastly, what is the timeframe. Erin wanted edits by this Friday, which isnt really realistic given the holidays and the need for extensive re-writes. Joy, did I miss anything??

-----Original Message----From: Ross-Viles, Sarah Sent: Monday, December 27, 2010 4:24 PM To: Pearson, Anne; Neal, Scott; Hamilton, Joy; Muhm, Jennifer Subject: RE: Bill Draft Hi Anne, I thought your comments were the important ones. I added a few comments on Anne's comments. As an overall piece, I had expected to see dissolvables called out specifically. Given the difficulty of writing an all-inclusive definition for flavor, I thought the course to go would be defining dissolveable as well, and restricting products that fit that definition.

________________________________________ From: Pearson, Anne Sent: Monday, December 27, 2010 12:51 PM To: Neal, Scott; Hamilton, Joy; Ross-Viles, Sarah; Muhm, Jennifer Subject: FW: Bill Draft Hi all, I have had a chance to review this today and have a number of questions and concerns. 8_19_2011

Page 2 I know we have a call scheduled with the advocates this Wed. I am going to try to schedule a time for us to chat internally before that call so were all on the same page before Wed. Anne ________________________________ From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Monday, December 27, 2010 9:31 AM To: Hamilton, Joy; Muhm, Jennifer Cc: Pearson, Anne; 'Carrie.Glover@cancer.org'; 'Carrie Nyssen'; 'Lucy Culp'; RossViles, Sarah; Neal, Scott Subject: Bill Draft

Hi All, Thank you for your patience. Attached is a very rough draft of the pre-emption bill. I have not had a chance to review it but wanted to forward it so we could all start reviewing. Please again note this is a rough draft and any error or omission is just a mistake, not indicative of a change in direction on this legislation. Please send your comments, proposed changes or concerns to me by Friday. Thanks. (See attached file: Tobacco control legislation.docx)

Erin Dziedzic Washington State Government Relations Director American Cancer Society Cancer Action Network (ACS CAN) 2120 1st Ave N. Seattle, WA 98109 Cell: 425-466-5177 Erin.Dziedzic@cancer.org

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Page 1

From: "Hamilton, Joy" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Muhm, Jennifer" <Jennifer.Muhm@kingcounty.gov> Date: 12/28/2010 3:48:08 PM Subject: RE: Bill Draft Did some looking and I didn't find anything addressing mint flavored OTPs in either the FDA's advisory committee on menthol or in Tobacco Control. Its possible its buried in there but the committee seems pretty cigarette focused. What I did find was the FDA's page on flavored products (can't believe I hadn't found this yet!). Its really odd because they refer to the flavored tobacco products but ultimately the ban only applies to flavored cigarettes. Anyway -- there is some good data cited so this may be useful. http://www.fda.gov/TobaccoProducts/ProtectingKidsfromTobacco/FlavoredTobacco/ucm183228.htm Joy

From: Pearson, Anne Sent: Tuesday, December 28, 2010 10:33 AM To: Ross-Viles, Sarah; Neal, Scott; Hamilton, Joy; Muhm, Jennifer Subject: RE: Bill Draft Joy and I had a chance to speak briefly this morning. would like to discuss on tomorrow's call: Here is a list of questions we

1. The fee and penalty increases are something we havent discussed previously. Where did that idea come from? How were the increases calculated? Should we consult the relevant agencies before proposing these increases? In particular, it would be useful to know how the agency would explain the need for an increased license fee. 2. what was the intent in singling out non-tobacco products that contain nicotine? Do they intend to use this bill to ban e-cigarettes since that description does not capture dissolvables, which contain ground tobacco. 3. the proposed language banning flavored products has a number of significant legal problems which I can explain on the call. I have drafted an alternative which we can describe and discuss. 4. On the issue of flavored, we need to decide whether we want to include an exception for menthol/mint flavor. As you all know, the FDA scientific advisory committee is reviewing the evidence base concerning menthol now and is scheduled to issue a report in March. Joy will take a look at the presentations that have been made to the committee to see what evidence about mint-flavored OTPs has been presented. 5. A ban on flavored products will not reach dissolvable products, unless there is the program/money to test those products to determine if they have a flavor. (I assume there will be no such funding available.) So, we need to think of an alternative way to approach dissolvables. 6. Lastly, what is the timeframe. Erin wanted edits by this Friday, which isnt really realistic given the holidays and the need for extensive re-writes. Joy, did I miss anything??

-----Original Message----From: Ross-Viles, Sarah 8_19_2011

Page 2 Sent: Monday, December 27, 2010 4:24 PM To: Pearson, Anne; Neal, Scott; Hamilton, Joy; Muhm, Jennifer Subject: RE: Bill Draft Hi Anne, I thought your comments were the important ones. I added a few comments on Anne's comments. As an overall piece, I had expected to see dissolvables called out specifically. Given the difficulty of writing an all-inclusive definition for flavor, I thought the course to go would be defining dissolveable as well, and restricting products that fit that definition.

________________________________________ From: Pearson, Anne Sent: Monday, December 27, 2010 12:51 PM To: Neal, Scott; Hamilton, Joy; Ross-Viles, Sarah; Muhm, Jennifer Subject: FW: Bill Draft Hi all, I have had a chance to review this today and have a number of questions and concerns. I know we have a call scheduled with the advocates this Wed. I am going to try to schedule a time for us to chat internally before that call so were all on the same page before Wed. Anne ________________________________ From: Erin.Dziedzic@cancer.org [mailto:Erin.Dziedzic@cancer.org] Sent: Monday, December 27, 2010 9:31 AM To: Hamilton, Joy; Muhm, Jennifer Cc: Pearson, Anne; 'Carrie.Glover@cancer.org'; 'Carrie Nyssen'; 'Lucy Culp'; RossViles, Sarah; Neal, Scott Subject: Bill Draft

Hi All, Thank you for your patience. Attached is a very rough draft of the pre-emption bill. I have not had a chance to review it but wanted to forward it so we could all start reviewing. Please again note this is a rough draft and any error or omission is just a mistake, not indicative of a change in direction on this legislation. Please send your comments, proposed changes or concerns to me by Friday. Thanks. (See attached file: Tobacco control legislation.docx)

Erin Dziedzic Washington State Government Relations Director American Cancer Society Cancer Action Network (ACS CAN) 2120 1st Ave N. Seattle, WA 98109 Cell: 425-466-5177 Erin.Dziedzic@cancer.org

8_19_2011

Page 1

From: To: Date: Subject:


cool!

"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/28/2010 12:33:00 PM RE: Media Release: Board of Health approves electronic cigarette regulations

From: Hamilton, Joy Sent: Tuesday, December 28, 2010 8:29 AM To: Neal, Scott Subject: FW: Media Release: Board of Health approves electronic cigarette regulations

FYI -- I let NALBOH know about our e-cigs work. Joy

From: Marita Sommer [mailto:marita@nalboh.org] Sent: Tuesday, December 28, 2010 6:32 AM To: Hamilton, Joy Cc: Wood, Maria; Tracy Schupp; Tricia Valasek; Jeff Neistadt Subject: RE: Media Release: Board of Health approves electronic cigarette regulations

Thanks Joy! It was a pleasure to meet you as well. The press release looks great! Congratulations to your BOH, health agency, and everyone in your community for passing these regulations. Ive CCed a few of my colleagues that work on tobacco issues and our annual conference to this message as well. Im very excited to hear that someone from the BOH may be attending our conference. I want to also let you know that we are currently accepting abstracts if anyone from King County is interested in presenting at the conference. Heres a link to learn more: http://www.nalboh.org//NALBOH_Conference.htm Happy Holidays,

Marita Sommer, MPH Project Coordinator National Association of Local Boards of Health 1300 L St. NW, Suite 800 Washington, D.C. 20005 Phone: (202) 218-4413 Fax: (202) 218-4409 www.nalboh.org

t_logo-a.png F Facebook Logo.jpg

From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Wednesday, December 22, 2010 12:36 PM To: Marita Sommer Cc: Wood, Maria Subject: FW: Media Release: Board of Health approves electronic cigarette regulations 8_19_2011

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Marita, Greetings and happy holidays. It was nice to meet you at APHA and again I'm thrilled at the attention that NALBOH has been giving to tobacco issues. Last week, our BOH passed several electronic cigarette regulations. Here is the press release. Also, I've CCed my colleague, Maria Wood, who is our Board of Health administrator. She is planning to look into sending someone from the King County BOH to your annual conference this summer. Let me know if you have any questions. Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

From: Ross, Kathryn Sent: Thursday, December 16, 2010 5:34 PM Subject: Media Release: Board of Health approves electronic cigarette regulations

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Contact: Julia Patterson 206-296-1005, julia.patterson@kingcounty.gov December 16, 2010

Board of Health approves electronic cigarette regulations


Regulations will limit sales to adults only, prohibit free samples, and restrict use in public places and places of employment

King County, WAThe King County Board of Health passed regulations today to protect King County youth from electronic smoking devices and unregulated nicotine delivery devices. The Board of Health voted unanimously to: restrict the sales of e-cigarettes or any other unapproved nicotine delivery devices only to people 18 and older; prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products; prohibit the use of e-cigarette devices in places where smoking is prohibited by law. I am pleased that the Board of Health acted today to prohibit the sale of e-cigarettes to youth and to restrict their use in public spaces, said Board of Health Chair Julia Patterson. Ecigarettes are used as a means to encourage people, especially our youth, to begin smoking.
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Their safety and long-term health impacts are untested and unknown. The Board of Healths responsibility is to create policies that foster the health and well being of our community, and todays action will help achieve that objective. Electronic smoking devices, commonly known as e-cigarettes, are battery-operated devices designed to look like and to be used in the same manner as conventional cigarettes. E-cigarettes use cartridges to deliver vaporized nicotine, the same highly addictive drug thats in tobacco. The FDA is investigating e-cigarettes, but the products are currently unregulated at the federal level. This Board of Health proposal is a reasonable step to protect youth immediately in King County while federal authorities continue to look into these products, said Dr. David Fleming, Director and Health Officer for Public Health Seattle & King County. Through this regulation, young people in King County have one less opportunity to get hooked on nicotine. E-cigarettes have a high appeal to youth. They are sold in convenience stores and mall kiosks and come in candy flavors including chocolate, vanilla and mint. The FDA has warned that ecigarettes can increase nicotine addiction among young people and may lead youth to try conventional tobacco products. "The Board of Health's action will help protect our youth from the addictive effects of nicotine," said Boardmember Dr. Bud Nicola. The Board of Health heard from a number of people who use these as an alternative to real cigarettes, and there may be a harm-reduction role, said Boardmember and Seattle City Councilmember Sally Clark. But nicotine remains addictive, and the steps we took today are about protecting youth. As these products have become more widely available, public use has also increased. Ecigarettes mimic the appearance of regular cigarettes because the user exhales a smoke-like vapor similar in appearance to the exhaled smoke from a cigarette. Their use is virtually indistinguishable from the use of traditional tobacco products in public, which leads to confusion and prompts people to light and smoke traditional tobacco products. No matter how its delivered, nicotine is highly addictive. We took an important step today to keep these unknown products out of the hands of kids in King County, said Boardmember and Lake Forest Park Mayor David Hutchinson. The Board of Health convened a Tobacco Policy committee in June 2010 to review the evidence and develop new tobacco policies that respond to current policy opportunities and disparities in King County. Todays regulations were endorsed by the committee members. Several other jurisdictions across the nation have created similar regulations related to ecigarettes but it is believed that King Countys regulations are the most comprehensive in the nation. The King County Board of Health sets county-wide public health policy, enacts and enforces local public health regulations, and carries out other duties of local boards of health specified in state law. These duties include enforcing state public health statutes, preventing and controlling the spread of infectious disease, abating nuisances, and establishing fee schedules for licenses, permits and other services. ###

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From: To: Date: Subject:

"Hamilton, Joy" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/28/2010 12:28:39 PM FW: Media Release: Board of Health approves electronic cigarette regulations

FYI -- I let NALBOH know about our e-cigs work. Joy

From: Marita Sommer [mailto:marita@nalboh.org] Sent: Tuesday, December 28, 2010 6:32 AM To: Hamilton, Joy Cc: Wood, Maria; Tracy Schupp; Tricia Valasek; Jeff Neistadt Subject: RE: Media Release: Board of Health approves electronic cigarette regulations

Thanks Joy! It was a pleasure to meet you as well. The press release looks great! Congratulations to your BOH, health agency, and everyone in your community for passing these regulations. Ive CCed a few of my colleagues that work on tobacco issues and our annual conference to this message as well. Im very excited to hear that someone from the BOH may be attending our conference. I want to also let you know that we are currently accepting abstracts if anyone from King County is interested in presenting at the conference. Heres a link to learn more: http://www.nalboh.org//NALBOH_Conference.htm Happy Holidays,

Marita Sommer, MPH Project Coordinator National Association of Local Boards of Health 1300 L St. NW, Suite 800 Washington, D.C. 20005 Phone: (202) 218-4413 Fax: (202) 218-4409 www.nalboh.org

t_logo-a.png F Facebook Logo.jpg

From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Wednesday, December 22, 2010 12:36 PM To: Marita Sommer Cc: Wood, Maria Subject: FW: Media Release: Board of Health approves electronic cigarette regulations

Marita, Greetings and happy holidays. It was nice to meet you at APHA and again I'm thrilled at the attention that NALBOH has been giving to tobacco issues. Last week, our BOH passed several electronic cigarette regulations. Here is the press release.

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Also, I've CCed my colleague, Maria Wood, who is our Board of Health administrator. She is planning to look into sending someone from the King County BOH to your annual conference this summer. Let me know if you have any questions. Thanks, Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

From: Ross, Kathryn Sent: Thursday, December 16, 2010 5:34 PM Subject: Media Release: Board of Health approves electronic cigarette regulations

cid:image001.png@01CB9D41.1CE250A0

Contact: Julia Patterson 206-296-1005, julia.patterson@kingcounty.gov December 16, 2010

Board of Health approves electronic cigarette regulations


Regulations will limit sales to adults only, prohibit free samples, and restrict use in public places and places of employment

King County, WAThe King County Board of Health passed regulations today to protect King County youth from electronic smoking devices and unregulated nicotine delivery devices. The Board of Health voted unanimously to: restrict the sales of e-cigarettes or any other unapproved nicotine delivery devices only to people 18 and older; prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products; prohibit the use of e-cigarette devices in places where smoking is prohibited by law. I am pleased that the Board of Health acted today to prohibit the sale of e-cigarettes to youth and to restrict their use in public spaces, said Board of Health Chair Julia Patterson. Ecigarettes are used as a means to encourage people, especially our youth, to begin smoking. Their safety and long-term health impacts are untested and unknown. The Board of Healths responsibility is to create policies that foster the health and well being of our community, and todays action will help achieve that objective. Electronic smoking devices, commonly known as e-cigarettes, are battery-operated devices designed to look like and to be used in the same manner as conventional cigarettes. E-cigarettes use cartridges to deliver vaporized nicotine, the same highly addictive drug thats in tobacco.
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The FDA is investigating e-cigarettes, but the products are currently unregulated at the federal level. This Board of Health proposal is a reasonable step to protect youth immediately in King County while federal authorities continue to look into these products, said Dr. David Fleming, Director and Health Officer for Public Health Seattle & King County. Through this regulation, young people in King County have one less opportunity to get hooked on nicotine. E-cigarettes have a high appeal to youth. They are sold in convenience stores and mall kiosks and come in candy flavors including chocolate, vanilla and mint. The FDA has warned that ecigarettes can increase nicotine addiction among young people and may lead youth to try conventional tobacco products. "The Board of Health's action will help protect our youth from the addictive effects of nicotine," said Boardmember Dr. Bud Nicola. The Board of Health heard from a number of people who use these as an alternative to real cigarettes, and there may be a harm-reduction role, said Boardmember and Seattle City Councilmember Sally Clark. But nicotine remains addictive, and the steps we took today are about protecting youth. As these products have become more widely available, public use has also increased. Ecigarettes mimic the appearance of regular cigarettes because the user exhales a smoke-like vapor similar in appearance to the exhaled smoke from a cigarette. Their use is virtually indistinguishable from the use of traditional tobacco products in public, which leads to confusion and prompts people to light and smoke traditional tobacco products. No matter how its delivered, nicotine is highly addictive. We took an important step today to keep these unknown products out of the hands of kids in King County, said Boardmember and Lake Forest Park Mayor David Hutchinson. The Board of Health convened a Tobacco Policy committee in June 2010 to review the evidence and develop new tobacco policies that respond to current policy opportunities and disparities in King County. Todays regulations were endorsed by the committee members. Several other jurisdictions across the nation have created similar regulations related to ecigarettes but it is believed that King Countys regulations are the most comprehensive in the nation. The King County Board of Health sets county-wide public health policy, enacts and enforces local public health regulations, and carries out other duties of local boards of health specified in state law. These duties include enforcing state public health statutes, preventing and controlling the spread of infectious disease, abating nuisances, and establishing fee schedules for licenses, permits and other services. ###

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From: "Wysen, Kirsten" To: "Cadigan, Helen" <Helen.Cadigan@kingcounty.gov> "Bates, Amy" <Amy.Bates@kingcounty.gov> "Beebe, Alanna" <Alanna.Beebe@kingcounty.gov> "Bell, Kadie" <Kadie.Bell@kingcounty.gov> "Cummins, Elaine" <Elaine.Cummins@kingcounty.gov> "Dorf, Adrienne" <Adrienne.Dorf@kingcounty.gov> "Johnson, Kirste" <Kirste.Johnson@kingcounty.gov> "Kellogg, Ryan" <Ryan.Kellogg@kingcounty.gov> "MacDougall, Erin" <Erin.MacDougall@kingcounty.gov> "Moreno, Emma" <Emma.Moreno@kingcounty.gov> "Oberg, Donna" <Donna.Oberg@kingcounty.gov> "Sadow-Hasenberg, Nicole" <Nicole.Sadow-Hasenberg@kingcounty.gov> "Shumann, Amy" <Amy.Shumann@kingcounty.gov> "Worsham, Dennis" <Dennis.Worsham@kingcounty.gov> "Brawley, Karen" <Karen.Brawley@kingcounty.gov> "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Moreno, Emma" <Emma.Moreno@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Ryan, Molly" <Molly.Ryan@kingcounty.gov> "Sherard, Mark" <Mark.Sherard@kingcounty.gov> Date: 1/3/2011 4:31:07 PM "Success story template" from CDC and coalition email today--RE: Telecommuting/Alternative Subject: Work Arrangements Information Attachments: Success Story Template.doc
Hi again all, Here's the "success story template" from the CDC, which offers a suggestion about describing CPPW successes in general, and at tomorrow's large group ARRA meeting. The POs we identified to provide a 3 to 4 minute (max) highlight at tomorrow's gruesomely early 8 AM meeting are: Lindsey G for smoke free hospitals and schools Donna O for Team Auburn, HEAL schools Joy H for e-cigarette regulations Amy S for churches and Everyone Swims Last, Amy B will be working with Meredith today to send out info to the Coalition members about the Ed Network (healthy king county.org) webinar and a save the date for the 1/25 coalition meeting. She will cc the POs when the email goes out and send a link to the list she used, so you all can see who got the email and who didn't and follow-up accordingly with grantees. Amy said this email may go out from "Amy Bates" in the interest of time, but we'll work on a plan to use the CPPW@kingcounty.gov email address more going forward, when appropriate. thanks, Kirsten

From: Cadigan, Helen Sent: Monday, January 03, 2011 12:04 PM To: Bates, Amy; Beebe, Alanna; Bell, Kadie; Cummins, Elaine; Dorf, Adrienne; Johnson, Kirste; Kellogg, Ryan; MacDougall, Erin; Moreno, Emma; Oberg, Donna; Sadow-Hasenberg, Nicole; Shumann, Amy; Worsham, Dennis; Wysen, Kirsten; Brawley, Karen; Greto, Lindsey; Hamilton, Joy; Moreno, Emma; Neal, Scott; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Song, Ashley 8_19_2011

Page 2 Cc: Ringaert, Laurie; McNees, Molly Subject: Telecommuting/Alternative Work Arrangements Information

Hello All, As discussed in todays CPPW Project Officer Team meeting, Im including a link below to the shared drive folder that has information about Alternative Work Arrangements including Telecommuting (my shared drive designation is K). Because the policies defer to union contracts for represented employees, Ive include copies of the WSNA and the Local 17 IFPTE contracts: K:\\Joint Implementation\\Telecommuting-Alternative Work Schedule Policies and Procedures

Helen Cadigan, Admin Spec II (206) 263-9384 Fax (206) 296-0177 CPPW-Healthy Eating Active Living (HEAL) Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104-1823
Please note: Chinook 9th floor is a fragrance-free area due to potential severe allergic reactions to scent experienced by some staff. Please avoid using scented products on site.
Connect with us on Facebook.com/KCPubHealth Follow us on Twitter.com/KCPubHealth

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From: "Hamilton, Joy" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 1/5/2011 1:40:00 PM Subject: Conlin's blog Good morning, Richard Conlin posted a nice blog post about the e-cigs regulations today. http://conlin.seattle.gov/2011/01/04/ecigarettes-who-thought-of-that/ Also interesting to note that yesterday Sally Clark posted a year-end wrap up and DID NOT mention e-cigs. Joy

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From: "Neal, Scott" To: "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> Date: 1/5/2011 6:22:00 PM Subject: RE: draft of letter to retailers for 2011 I would like us to ask to see if they have any budget for postage given our situation. They may find some given our situation. If not, we can do it, but every little bit adds up so if they have a little to cover this, even halfwould be great! Scott >_____________________________________________ >From: Pajimula, Fel >Sent: Wednesday, January 05, 2011 2:17 PM >To: Neal, Scott; Hatzenbuehler, Eric >Subject: RE: draft of letter to retailers for 2011 > >So I've confirmed availability from Sharon Toquinto's clerical staff to do the stuffing and labeling again. Last year they did not have budget for postage, this is something we did not discuss, are we good for postage? I think last year I was able to keep it under 1 ounce @ 44 cents. (approx. $880) > >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, January 05, 2011 11:38 AM >To: Pajimula, Fel; Hatzenbuehler, Eric >Subject: RE: draft of letter to retailers for 2011 > >Ok sounds good > >_____________________________________________ >From: Pajimula, Fel >Sent: Wednesday, January 05, 2011 11:29 AM >To: Hatzenbuehler, Eric >Cc: Neal, Scott >Subject: RE: draft of letter to retailers for 2011 > >updated the word change and also added to a section, as per a suggestion from Lindsey: > >added the actual BOH Code #, and stated penalties are the same... it now reads: > >Legal Updates: The King County Board of Health has approved regulations to restrict the sale of electronic cigarettes and any other unapproved nicotine delivery devices to people 18 and older, and also prohibits them from being given away for free or highly discounted . In addition, the use of e-cigarettes is prohibited in places where smoking is currently prohibited by law, and penalties are similar to those for smoking and tobacco sales. (KC BOH Code 19.03) > > > > >_____________________________________________
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>From: Hatzenbuehler, Eric >Sent: Wednesday, January 05, 2011 10:01 AM >To: Pajimula, Fel >Subject: FW: draft of letter to retailers for 2011 > >Fel would you please make the added correction(s) Scott recommended? After that, the letter is good to go. > >Thanks, >Eric > >_____________________________________________ >From: Neal, Scott >Sent: Tuesday, January 04, 2011 4:42 PM >To: Hatzenbuehler, Eric >Subject: RE: draft of letter to retailers for 2011 > >Looks good, only change I'd make is change "banned" to "prohibited" (even though it will mean it is in that sentence twice. Banned sounds too negative. :) > >_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Tuesday, January 04, 2011 10:59 AM >To: Neal, Scott >Subject: FW: draft of letter to retailers for 2011 > >Scott, > >This looks good to me. Any last revisions? > >Eric > > << File: 2011-0101 RetailerLetter_2011.doc >> > >_____________________________________________ >From: Pajimula, Fel >Sent: Wednesday, December 29, 2010 4:33 PM >To: Hamilton, Joy >Cc: Hatzenbuehler, Eric >Subject: draft of letter to retailers for 2011 > >Joy, >Eric had mentioned you wanted to take a look at the letter that goes out to the retailers. I'm not up to speed on putting shortcuts in email, but this is where it lives> >Shared Tobacco Drive: Retailer Education & Compliance\Prevention\Retailers\Education Materials\Date Stickers Letter Draft > >it's the the: RetailerLetter_2011.doc - in draft form, of course. It's slated to go out mid-January, so we have time to make changes. > >ENJOY! >FP.
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From: "Pajimula, Fel" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> Date: 1/5/2011 6:16:38 PM Subject: RE: draft of letter to retailers for 2011 So I've confirmed availability from Sharon Toquinto's clerical staff to do the stuffing and labeling again. Last year they did not have budget for postage, this is something we did not discuss, are we good for postage? I think last year I was able to keep it under 1 ounce @ 44 cents. (approx. $880) >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, January 05, 2011 11:38 AM >To: Pajimula, Fel; Hatzenbuehler, Eric >Subject: RE: draft of letter to retailers for 2011 > >Ok sounds good > >_____________________________________________ >From: Pajimula, Fel >Sent: Wednesday, January 05, 2011 11:29 AM >To: Hatzenbuehler, Eric >Cc: Neal, Scott >Subject: RE: draft of letter to retailers for 2011 > >updated the word change and also added to a section, as per a suggestion from Lindsey: > >added the actual BOH Code #, and stated penalties are the same... it now reads: > >Legal Updates: The King County Board of Health has approved regulations to restrict the sale of electronic cigarettes and any other unapproved nicotine delivery devices to people 18 and older, and also prohibits them from being given away for free or highly discounted . In addition, the use of e-cigarettes is prohibited in places where smoking is currently prohibited by law, and penalties are similar to those for smoking and tobacco sales. (KC BOH Code 19.03) > > > > >_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Wednesday, January 05, 2011 10:01 AM >To: Pajimula, Fel >Subject: FW: draft of letter to retailers for 2011 > >Fel would you please make the added correction(s) Scott recommended? After that, the letter is good to go. > >Thanks, >Eric > >_____________________________________________ >From: Neal, Scott
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>Sent: Tuesday, January 04, 2011 4:42 PM >To: Hatzenbuehler, Eric >Subject: RE: draft of letter to retailers for 2011 > >Looks good, only change I'd make is change "banned" to "prohibited" (even though it will mean it is in that sentence twice. Banned sounds too negative. :) > >_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Tuesday, January 04, 2011 10:59 AM >To: Neal, Scott >Subject: FW: draft of letter to retailers for 2011 > >Scott, > >This looks good to me. Any last revisions? > >Eric > > << File: 2011-0101 RetailerLetter_2011.doc >> > >_____________________________________________ >From: Pajimula, Fel >Sent: Wednesday, December 29, 2010 4:33 PM >To: Hamilton, Joy >Cc: Hatzenbuehler, Eric >Subject: draft of letter to retailers for 2011 > >Joy, >Eric had mentioned you wanted to take a look at the letter that goes out to the retailers. I'm not up to speed on putting shortcuts in email, but this is where it lives> >Shared Tobacco Drive: Retailer Education & Compliance\Prevention\Retailers\Education Materials\Date Stickers Letter Draft > >it's the the: RetailerLetter_2011.doc - in draft form, of course. It's slated to go out mid-January, so we have time to make changes. > >ENJOY! >FP.

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From: "Neal, Scott" To: "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> Date: 1/5/2011 3:40:00 PM Subject: RE: draft of letter to retailers for 2011 Ok sounds good >_____________________________________________ >From: Pajimula, Fel >Sent: Wednesday, January 05, 2011 11:29 AM >To: Hatzenbuehler, Eric >Cc: Neal, Scott >Subject: RE: draft of letter to retailers for 2011 > >updated the word change and also added to a section, as per a suggestion from Lindsey: > >added the actual BOH Code #, and stated penalties are the same... it now reads: > >Legal Updates: The King County Board of Health has approved regulations to restrict the sale of electronic cigarettes and any other unapproved nicotine delivery devices to people 18 and older, and also prohibits them from being given away for free or highly discounted . In addition, the use of e-cigarettes is prohibited in places where smoking is currently prohibited by law, and penalties are similar to those for smoking and tobacco sales. (KC BOH Code 19.03) > > > > >_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Wednesday, January 05, 2011 10:01 AM >To: Pajimula, Fel >Subject: FW: draft of letter to retailers for 2011 > >Fel would you please make the added correction(s) Scott recommended? After that, the letter is good to go. > >Thanks, >Eric > >_____________________________________________ >From: Neal, Scott >Sent: Tuesday, January 04, 2011 4:42 PM >To: Hatzenbuehler, Eric >Subject: RE: draft of letter to retailers for 2011 > >Looks good, only change I'd make is change "banned" to "prohibited" (even though it will mean it is in that sentence twice. Banned sounds too negative. :) > >_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Tuesday, January 04, 2011 10:59 AM
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>To: Neal, Scott >Subject: FW: draft of letter to retailers for 2011 > >Scott, > >This looks good to me. Any last revisions? > >Eric > > << File: 2011-0101 RetailerLetter_2011.doc >> > >_____________________________________________ >From: Pajimula, Fel >Sent: Wednesday, December 29, 2010 4:33 PM >To: Hamilton, Joy >Cc: Hatzenbuehler, Eric >Subject: draft of letter to retailers for 2011 > >Joy, >Eric had mentioned you wanted to take a look at the letter that goes out to the retailers. I'm not up to speed on putting shortcuts in email, but this is where it lives> >Shared Tobacco Drive: Retailer Education & Compliance\Prevention\Retailers\Education Materials\Date Stickers Letter Draft > >it's the the: RetailerLetter_2011.doc - in draft form, of course. It's slated to go out mid-January, so we have time to make changes. > >ENJOY! >FP.

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From: To: Date: Subject:

"Pajimula, Fel" "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> 1/5/2011 3:29:03 PM RE: draft of letter to retailers for 2011

updated the word change and also added to a section, as per a suggestion from Lindsey: added the actual BOH Code #, and stated penalties are the same... it now reads: Legal Updates: The King County Board of Health has approved regulations to restrict the sale of electronic cigarettes and any other unapproved nicotine delivery devices to people 18 and older, and also prohibits them from being given away for free or highly discounted . In addition, the use of e-cigarettes is prohibited in places where smoking is currently prohibited by law, and penalties are similar to those for smoking and tobacco sales. (KC BOH Code 19.03)

>_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Wednesday, January 05, 2011 10:01 AM >To: Pajimula, Fel >Subject: FW: draft of letter to retailers for 2011 > >Fel would you please make the added correction(s) Scott recommended? After that, the letter is good to go. > >Thanks, >Eric > >_____________________________________________ >From: Neal, Scott >Sent: Tuesday, January 04, 2011 4:42 PM >To: Hatzenbuehler, Eric >Subject: RE: draft of letter to retailers for 2011 > >Looks good, only change I'd make is change "banned" to "prohibited" (even though it will mean it is in that sentence twice. Banned sounds too negative. :) > >_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Tuesday, January 04, 2011 10:59 AM >To: Neal, Scott >Subject: FW: draft of letter to retailers for 2011 > >Scott, > >This looks good to me. Any last revisions? > >Eric > > << File: 2011-0101 RetailerLetter_2011.doc >>
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> >_____________________________________________ >From: Pajimula, Fel >Sent: Wednesday, December 29, 2010 4:33 PM >To: Hamilton, Joy >Cc: Hatzenbuehler, Eric >Subject: draft of letter to retailers for 2011 > >Joy, >Eric had mentioned you wanted to take a look at the letter that goes out to the retailers. I'm not up to speed on putting shortcuts in email, but this is where it lives> >Shared Tobacco Drive: Retailer Education & Compliance\Prevention\Retailers\Education Materials\Date Stickers Letter Draft > >it's the the: RetailerLetter_2011.doc - in draft form, of course. It's slated to go out mid-January, so we have time to make changes. > >ENJOY! >FP.

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From: "Wood, Maria" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 1/6/2011 3:54:04 PM Subject: RE: Conlin's blog Just got Julia Patterson's year end summary in the mail at home - she mentions e-cigs regulation. I'll bring it in for the file. >_____________________________________________ >From: Hamilton, Joy >Sent: Wednesday, January 05, 2011 9:40 AM >To: Neal, Scott; Pearson, Anne; Ross-Viles, Sarah; Wood, Maria >Cc: Greto, Lindsey >Subject: Conlin's blog > >Good morning, > >Richard Conlin posted a nice blog post about the e-cigs regulations today. http://conlin.seattle.gov/2011/01/04/ecigarettes-who-thought-of-that/ > >Also interesting to note that yesterday Sally Clark posted a year-end wrap up and DID NOT mention e-cigs. > >Joy

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From: "Pajimula, Fel" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> Date: 1/6/2011 1:30:31 PM Subject: RE: draft of letter to retailers for 2011 consider it done >_____________________________________________ >From: Neal, Scott >Sent: Thursday, January 06, 2011 9:30 AM >To: Pajimula, Fel; Hatzenbuehler, Eric >Subject: RE: draft of letter to retailers for 2011 > >In house on our copy machines is probably the cheapest > >_____________________________________________ >From: Pajimula, Fel >Sent: Thursday, January 06, 2011 9:16 AM >To: Neal, Scott; Hatzenbuehler, Eric >Subject: RE: draft of letter to retailers for 2011 > >Since every dollar is counting... > >Printing 2,000 copies of this letter ... in-house on our printers in the copy room or send it somewhere? > >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, January 05, 2011 2:20 PM >To: Pajimula, Fel; Hatzenbuehler, Eric >Subject: RE: draft of letter to retailers for 2011 > >I would like us to ask to see if they have any budget for postage given our situation. They may find some given our situation. If not, we can do it, but every little bit adds up so if they have a little to cover this, even halfwould be great! > >Scott > >_____________________________________________ >From: Pajimula, Fel >Sent: Wednesday, January 05, 2011 2:17 PM >To: Neal, Scott; Hatzenbuehler, Eric >Subject: RE: draft of letter to retailers for 2011 > >So I've confirmed availability from Sharon Toquinto's clerical staff to do the stuffing and labeling again. Last year they did not have budget for postage, this is something we did not discuss, are we good for postage? I think last year I was able to keep it under 1 ounce @ 44 cents. (approx. $880) > >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, January 05, 2011 11:38 AM
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>To: Pajimula, Fel; Hatzenbuehler, Eric >Subject: RE: draft of letter to retailers for 2011 > >Ok sounds good > >_____________________________________________ >From: Pajimula, Fel >Sent: Wednesday, January 05, 2011 11:29 AM >To: Hatzenbuehler, Eric >Cc: Neal, Scott >Subject: RE: draft of letter to retailers for 2011 > >updated the word change and also added to a section, as per a suggestion from Lindsey: > >added the actual BOH Code #, and stated penalties are the same... it now reads: > >Legal Updates: The King County Board of Health has approved regulations to restrict the sale of electronic cigarettes and any other unapproved nicotine delivery devices to people 18 and older, and also prohibits them from being given away for free or highly discounted . In addition, the use of e-cigarettes is prohibited in places where smoking is currently prohibited by law, and penalties are similar to those for smoking and tobacco sales. (KC BOH Code 19.03) > > > > >_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Wednesday, January 05, 2011 10:01 AM >To: Pajimula, Fel >Subject: FW: draft of letter to retailers for 2011 > >Fel would you please make the added correction(s) Scott recommended? After that, the letter is good to go. > >Thanks, >Eric > >_____________________________________________ >From: Neal, Scott >Sent: Tuesday, January 04, 2011 4:42 PM >To: Hatzenbuehler, Eric >Subject: RE: draft of letter to retailers for 2011 > >Looks good, only change I'd make is change "banned" to "prohibited" (even though it will mean it is in that sentence twice. Banned sounds too negative. :) > >_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Tuesday, January 04, 2011 10:59 AM >To: Neal, Scott >Subject: FW: draft of letter to retailers for 2011 > >Scott,
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> >This looks good to me. Any last revisions? > >Eric > > << File: 2011-0101 RetailerLetter_2011.doc >> > >_____________________________________________ >From: Pajimula, Fel >Sent: Wednesday, December 29, 2010 4:33 PM >To: Hamilton, Joy >Cc: Hatzenbuehler, Eric> >Subject: draft of letter to retailers for 2011 > >Joy, >Eric had mentioned you wanted to take a look at the letter that goes out to the retailers. I'm not up to speed on putting shortcuts in email, but this is where it lives-> > >Shared Tobacco Drive: Retailer Education & Compliance\Prevention\Retailers\Education Materials\Date Stickers Letter Draft > >it's the the: RetailerLetter_2011.doc - in draft form, of course. It's slated to go out mid-January, so we have time to make changes. > >ENJOY! >FP.

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From: "Pajimula, Fel" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> Date: 1/6/2011 1:15:32 PM Subject: RE: draft of letter to retailers for 2011 Since every dollar is counting... Printing 2,000 copies of this letter ... in-house on our printers in the copy room or send it somewhere? >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, January 05, 2011 2:20 PM >To: Pajimula, Fel; Hatzenbuehler, Eric >Subject: RE: draft of letter to retailers for 2011 > >I would like us to ask to see if they have any budget for postage given our situation. They may find some given our situation. If not, we can do it, but every little bit adds up so if they have a little to cover this, even halfwould be great! > >Scott > >_____________________________________________ >From: Pajimula, Fel >Sent: Wednesday, January 05, 2011 2:17 PM >To: Neal, Scott; Hatzenbuehler, Eric >Subject: RE: draft of letter to retailers for 2011 > >So I've confirmed availability from Sharon Toquinto's clerical staff to do the stuffing and labeling again. Last year they did not have budget for postage, this is something we did not discuss, are we good for postage? I think last year I was able to keep it under 1 ounce @ 44 cents. (approx. $880) > >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, January 05, 2011 11:38 AM >To: Pajimula, Fel; Hatzenbuehler, Eric >Subject: RE: draft of letter to retailers for 2011 > >Ok sounds good > >_____________________________________________ >From: Pajimula, Fel >Sent: Wednesday, January 05, 2011 11:29 AM >To: Hatzenbuehler, Eric >Cc: Neal, Scott >Subject: RE: draft of letter to retailers for 2011 > >updated the word change and also added to a section, as per a suggestion from Lindsey: > >added the actual BOH Code #, and stated penalties are the same... it now reads: >
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>Legal Updates: The King County Board of Health has approved regulations to restrict the sale of electronic cigarettes and any other unapproved nicotine delivery devices to people 18 and older, and also prohibits them from being given away for free or highly discounted . In addition, the use of e-cigarettes is prohibited in places where smoking is currently prohibited by law, and penalties are similar to those for smoking and tobacco sales. (KC BOH Code 19.03) > > > > >_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Wednesday, January 05, 2011 10:01 AM >To: Pajimula, Fel >Subject: FW: draft of letter to retailers for 2011 > >Fel would you please make the added correction(s) Scott recommended? After that, the letter is good to go. > >Thanks, >Eric > >_____________________________________________ >From: Neal, Scott >Sent: Tuesday, January 04, 2011 4:42 PM >To: Hatzenbuehler, Eric >Subject: RE: draft of letter to retailers for 2011 > >Looks good, only change I'd make is change "banned" to "prohibited" (even though it will mean it is in that sentence twice. Banned sounds too negative. :) > >_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Tuesday, January 04, 2011 10:59 AM >To: Neal, Scott >Subject: FW: draft of letter to retailers for 2011 > >Scott, > >This looks good to me. Any last revisions? > >Eric > > << File: 2011-0101 RetailerLetter_2011.doc >> > >_____________________________________________ >From: Pajimula, Fel >Sent: Wednesday, December 29, 2010 4:33 PM >To: Hamilton, Joy >Cc: Hatzenbuehler, Eric >Subject: draft of letter to retailers for 2011 > >Joy, >Eric had mentioned you wanted to take a look at the letter that goes out to the retailers. I'm not up to speed on
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putting shortcuts in email, but this is where it lives> >Shared Tobacco Drive: Retailer Education & Compliance\Prevention\Retailers\Education Materials\Date Stickers Letter Draft > >it's the the: >RetailerLetter_2011.doc - in draft form, of course. It's slated to go out mid-January, so we have time to make changes. > >ENJOY! >FP.

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From: "Neal, Scott" To: "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> Date: 1/6/2011 1:32:00 PM Subject: RE: draft of letter to retailers for 2011 In house on our copy machines is probably the cheapest >_____________________________________________ >From: Pajimula, Fel >Sent: Thursday, January 06, 2011 9:16 AM >To: Neal, Scott; Hatzenbuehler, Eric >Subject: RE: draft of letter to retailers for 2011 > >Since every dollar is counting... > >Printing 2,000 copies of this letter ... in-house on our printers in the copy room or send it somewhere? > >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, January 05, 2011 2:20 PM >To: Pajimula, Fel; Hatzenbuehler, Eric >Subject: RE: draft of letter to retailers for 2011 > >I would like us to ask to see if they have any budget for postage given our situation. They may find some given our situation. If not, we can do it, but every little bit adds up so if they have a little to cover this, even halfwould be great! > >Scott > >_____________________________________________ >From: Pajimula, Fel >Sent: Wednesday, January 05, 2011 2:17 PM >To: Neal, Scott; Hatzenbuehler, Eric >Subject: RE: draft of letter to retailers for 2011 > >So I've confirmed availability from Sharon Toquinto's clerical staff to do the stuffing and labeling again. Last year they did not have budget for postage, this is something we did not discuss, are we good for postage? I think last year I was able to keep it under 1 ounce @ 44 cents. (approx. $880) > >_____________________________________________ >From: Neal, Scott >Sent: Wednesday, January 05, 2011 11:38 AM >To: Pajimula, Fel; Hatzenbuehler, Eric >Subject: RE: draft of letter to retailers for 2011 > >Ok sounds good > >_____________________________________________ >From: Pajimula, Fel >Sent: Wednesday, January 05, 2011 11:29 AM
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>To: Hatzenbuehler, Eric >Cc: Neal, Scott >Subject: RE: draft of letter to retailers for 2011 > >updated the word change and also added to a section, as per a suggestion from Lindsey: > >added the actual BOH Code #, and stated penalties are the same... it now reads: > >Legal Updates: The King County Board of Health has approved regulations to restrict the sale of electronic cigarettes and any other unapproved nicotine delivery devices to people 18 and older, and also prohibits them from being given away for free or highly discounted . In addition, the use of e-cigarettes is prohibited in places where smoking is currently prohibited by law, and penalties are similar to those for smoking and tobacco sales. (KC BOH Code 19.03) > > > > >_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Wednesday, January 05, 2011 10:01 AM >To: Pajimula, Fel >Subject: FW: draft of letter to retailers for 2011 > >Fel would you please make the added correction(s) Scott recommended? After that, the letter is good to go. > >Thanks, >Eric > >_____________________________________________ >From: Neal, Scott >Sent: Tuesday, January 04, 2011 4:42 PM >To: Hatzenbuehler, Eric >Subject: RE: draft of letter to retailers for 2011 > >Looks good, only change I'd make is change "banned" to "prohibited" (even though it will mean it is in that sentence twice. Banned sounds too negative. :) > >_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Tuesday, January 04, 2011 10:59 AM >To: Neal, Scott >Subject: FW: draft of letter to retailers for 2011 > >Scott, > >This looks good to me. Any last revisions? > >Eric > > << File: 2011-0101 RetailerLetter_2011.doc >> > >_____________________________________________
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>From: Pajimula, Fel >Sent: Wednesday, December 29, 2010 4:33 PM >To: Hamilton, Joy >Cc: Hatzenbuehler, Eric >Subject: draft of letter to retailers for 2011 > >Joy, >Eric had mentioned you wanted to take a look at the letter that goes out to the retailers. I'm not up to speed on putting shortcuts in email, but this is where it lives-> > >Shared Tobacco Drive: Retailer Education & Compliance\Prevention\Retailers\Education Materials>\Date Stickers Letter Draft > >it's the the: RetailerLetter_2011.doc - in draft form, of course. It's slated to go out mid-January, so we have time to make changes. > >ENJOY! >FP.

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From: To: Date: Subject:

"Vanzo, Patrick" jkahwaty@gmail.com 1/6/2011 7:19:38 PM Regarding the video in native format (PDR from J. Kahwaty)

> Mr. Kahwaty, > After reviewing your request with colleagues, we have determined that the Clerk of the County Council is in the best position to respond to your request for a native format video of the Board of Health proceeding on 12/16/10 including the portion that relates to electronic cigarettes. You can find out how to make that request by going to: www.kingcounty.gov/council/clerk.aspx . They are the custodians of the records of Board of Health proceedings. > > With information in this email, my two emails to you dated 12/21/10, the re-sending by me to you of one of those emails on 1/5/11, and my email to you of earlier today, which contained the name of Mr. Neal's Supervisor, our response to your request is completed. If you have questions please contact me. Thank you. > > Patrick Vanzo > Public Disclosure Officer > Public Health - Seattle & King County > 401 Fifth Avenue, Suite 900 > Seattle WA 98104-1818 > patrick.vanzo@kingcounty.gov > phone: 206-263-8249 > fax: 206-205-3945 > > > >

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From: To: Date: Subject: Attachments:

"Hamilton, Joy" "Neal, Scott" <Scott.Neal@kingcounty.gov> 1/7/2011 12:25:48 PM FW: E-cigs E-cig staff report FINAL 12 6 10 wsh jmh.doc ALL Exhibits.pdf BOH Regulation E-cigarette FINAL sent 11-23-2010.doc

> ______________________________________________ > From: Hamilton, Joy > Sent: Thursday, January 06, 2011 3:26 PM > To: 'Ann-Gale Peterson' > Subject: RE: E-cigs > > http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm172906.htm > > > Please let me know if you need anything else! > > Joy Hamilton, MPH > Public Health - Seattle & King County > Communities Putting Prevention to Work > Tobacco Policy and Advocacy Manager > 401 5th Ave. Suite 900 > Seattle, WA 98104 > (206) 263-9382 > joy.hamilton@kingcounty.gov > > > _____________________________________________ > From: Ross-Viles, Sarah > Sent: Wednesday, January 05, 2011 12:46 PM > To: 'Ann-Gale Peterson' > Cc: Hamilton, Joy > Subject: E-cigs > > Hi Annie > > Thanks for your call about e-cig regulation. We did put restrictions in place in King County last month. Joy Hamilton in our office (CC'd here) worked very closely with these regs. I have asked Joy to give you a call to explain what we did. > > Sarah > > Sarah Ross-Viles > CPPW Tobacco Project Manager > Public Health - Seattle & King County > Suite 900 401 5th Avenue > Seattle, WA 98102
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> (206) 263-8211 >

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From: To: Date: Subject: Attachments: Hi Donna, Here you go.

"Neal, Scott" "Allis, Donna" <Donna.Allis@kingcounty.gov> 1/7/2011 12:21:00 PM E-Cigs PPT Ecigs slides final.ppt

I believe the complaint is based on slide 17, but slide 16 shows a caucasian so I'm not sure where this complaint is coming from. The picture on slide 17 was actually a video clip taken from a youtube.com search. It was the only video I could find that showed side by side smoking of cigs vs. e-cigs. Unfortunately the video did not actually work during the presentation at the BOH meeting, but I did forward the link to Maria who forwarded it to the BOH members following the meeting. Scott

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From: To: Date: Subject:

"Holt, Lauren" "Neal, Scott" <Scott.Neal@kingcounty.gov> 1/7/2011 1:10:35 PM RE: Interesting E-Cig Manufacturing website

I hate to say it, but the e-pipe is kind of tempting

_____________________________________________ From: Neal, Scott Sent: Friday, January 07, 2011 8:23 AM To: Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hamilton, Joy; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Pajimula, Fel; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Zemann, Paul Cc: Pearson, Anne Subject: Interesting E-Cig Manufacturing website There are some interesting videos showing how these products are made. http://www.hkbrotherunion.com/Home.html

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From: To: Date: Subject:

"Hamilton, Joy" "Neal, Scott" <Scott.Neal@kingcounty.gov> 1/10/2011 12:22:26 PM FW: NEWSALERT: Tobacco Use Prevention and Control-January 2011

Are you on this mailing list? We're mentioned for our e-cig work!

From: NALBOH [mailto:nalboh@nalboh.org] Sent: Monday, January 10, 2011 7:33 AM To: Hamilton, Joy Subject: NEWSALERT: Tobacco Use Prevention and Control-January 2011
Having trouble viewing this email? Click here

In This Issue
Tobacco Headlines New Resources Available Boards of Health in the News NALBOH News

Tobacco Use Prevention and Control NEWSALERT


January 2011 Tobacco Headlines FDA to require substantial equivalence reviews for new tobacco products.
"This specific part of the law is meant to ensure that new tobacco products are evaluated by the FDA before they are cleared to enter the marketplace. The law requires FDA to carefully examine the impact those products may have on the public health," said Lawrence R. Deyton, MSPH, MD, director of the agency's Center for Tobacco Products. "This piece of the Tobacco Control Act protects the health of all Americans," said Health and Human Services Secretary Kathleen Sebelius. "It does this by setting a clear deadline for tobacco companies to provide important product information to the FDA so the agency can then begin evaluating tobacco products for any potential new risks to public health." Read more.

View Upcoming Events and Webinars

Californians Still Kicking the Habit


"The state's percentage of smokers drops faster than the national average. Gender, income, and other factors affect results." Read the full article.

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New Resources Available Surgeon General report now available


Tobacco use remains the single largest preventable cause of death and disease for both men and women in the United States today. In December 2010, the Surgeon General's office released their latest report. This report contains important new information on how tobacco smoke causes disease and explains why it is crucial to stop smoking and avoid secondhand smoke. Click to read How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease: A Report of the Surgeon General.

Feedback is requested
The National Prevention Strategy provides an unprecedented opportunity to shift the nation from a focus on sickness and disease to one based on wellness and prevention. Bringing a focus on the prevention of disease and promotion of wellness to the forefront of our efforts will help lead to longer, healthier, and more productive lives for all Americans. Draft recommendations that highlight the overarching priorities focusing on communities have been posted online. Submit comments by January 13, 2011 to www.hhs.gov/news/reports/nphps.html.

Boards of Health in the News


King County (WA) Board of Health approves new electronic cigarette regulations. Learn more. Southborough (MA) Board of Health considering restricting the sale of tobacco products at pharmacies. Wyoming Bill proposed to clarify board of health smoking ban authority. New Hanover (NC) Board of Health approves resolution supporting the N.C. Alliance for Health's proposal urging the state to raise cigarette taxes. St. Louis (MO) County and City smoking ban now in effect. Brookhaven (NY) Town Board approves smoking ban in parks.

NALBOH News
Call for Presentations Now Open! NALBOH has released the call for presentations for our 19th Annual Conference in Coeur d'Alene, Idaho. This year's theme is Public Health: Effective Governance, Strong Leadership, Engaged Citizens. Abstracts are due March 31, 2011. View submission guidelines and submit your abstract today.

National Profile of Local Boards of Health Launched! NALBOH is currently conducting a survey of all local boards of health. Please encourage YOUR board chair to complete the profile. For more information, visit www.nalboh.org/profile.htm. Save the Date The 12th Annual Ned E. Baker Lecture in Public Health (and Webcast) will be held March 31, 2011. The featured speaker is Kristen Grimm, Founder and President of Spitfire Strategies. The lecture theme is "Using Social Marketing to Strengthen Public Health Policies." Learn more.

Need More Information?


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Tricia Valasek, MPH Project Director-Tobacco Use Prevention and Control National Association of Local Boards of Health 1840 East Gypsy Lane Road Bowling Green, OH 43402 Phone: (419) 353-7714 Fax: (419) 352-6278 Email: tricia@nalboh.org
Copyright 2011, National Association of Local Boards of Health
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From: To: Date: Subject:

"Jonnae Tillman" <jtillman@shd.snohomish.wa.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> 1/11/2011 2:09:49 PM FDA ruling

Since the ruling identifies e-cigarettes as a tobacco product, then are sales restricted to over 18 without local jurisdiction ruling?

Jonnae Tillman
Snohomish Health District desk 425.339.8634 fax 425.339.8726

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From: To: Date: Subject:


ahhh...good question.

"Neal, Scott" "Jonnae Tillman" <jtillman@shd.snohomish.wa.gov> 1/11/2011 2:33:00 PM RE: FDA ruling

This can get confusing so hold on for a moment and see if I can cover this in email...it may be easier over the phone. The court ruling was not on "e-cigarettes" in general, but specifically to one brand of e-cigarettes (N-Joy). So for that brand, technically they would fall under the general FDA provisions restricting the sale of those to people over 18. However, we do not have local authority to take any action as that would be FDA enfrocement that would have to happen. The federal definition of a tobacco product includes something that is "derived from tobacco." Whereas under our state law no e-cigs would fall under our definition of tobacco products because none of them that I'm aware of "contain tobacco." So long story short...even though this ONE brand is currently considered a tobacco product under the federal definition, we don't have FDA authority to take any local action...AND...without state law or local regulations restricting e-cigs from sale to minors, retailers are legally able to continue to sell these products to kids. Call me if this doesn't make sense. :)

Scott Neal
Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

From: Jonnae Tillman [mailto:jtillman@shd.snohomish.wa.gov] Sent: Tuesday, January 11, 2011 10:10 AM To: Neal, Scott Subject: FDA ruling

Since the ruling identifies e-cigarettes as a tobacco product, then are sales restricted to over 18 without local jurisdiction ruling?

Jonnae Tillman
Snohomish Health District desk 425.339.8634 fax 425.339.8726

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From: To: Date: Subject: Thanks Molly!

"Neal, Scott" "Ryan, Molly" <Molly.Ryan@kingcounty.gov> 1/11/2011 2:58:00 PM RE: Joy's performance review feedback request

>_____________________________________________ >From: Ryan, Molly >Sent: Tuesday, January 11, 2011 10:55 AM >To: Neal, Scott >Subject: RE: Joy's performance review feedback request > >My answers are below.. > >Molly Ryan, MPH >Tobacco Prevention Program >Public Health - Seattle & King County >Ph: (206) 263-8241 Fax: (206) 296-0177 > > >_____________________________________________ >From: Neal, Scott >Sent: Thursday, January 06, 2011 6:26 PM >To: Neal, Scott >Subject: Joy's performance review feedback request > > >I am beginning Joy's performance review and she provided me with your name to provide feedback from you regarding her performance over the past year. Please answer the questions below and return them to me by end of day Jan. 12th. If you need more time, please let me know. > >1. In what capacity have you worked with Joy this past year and how did she enable you to get your work done? I have worked with Joy on a variety of different projects in a variety of different capacities. One area she has particularly been critical in is my work with North Seattle Community College -- she was very willing to work her connections and find an "in" for me to initiate the discussion on the possibility of going smoke-free. She has also been particularly in creating, reviewing and editing documents and/or materials that I have created or we are working to create as a group. She always provides her honest opinions, but is receptive to hearing my (and other peoples') thoughts. > >2. What strengths does Joy bring to your working relationship and/or the program? Joy has the eye for details, but also on the broader goals and objectives of any given task. She is very approachable and willing to help out where she can. > >3. Is there a particular success that Joy has achieved in this past year, and if so, what was it? Her transition into her new position has been very smooth and she already has had a hand in some great program successes, including the work with the BOH. Although I don't work too closely with her in this capacity, I would imagine that she has been vital in the efforts to pass the recent regulations on e-cigarettes and improve the rules surrounding smoking in public places. > >4. What recommendations for improvement or goals would you suggest Joy work towards? Not that I can think of
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> >5. Is there anything else you wish to comment on in regards to Joy's performance and/or areas for improvement? > > >Thanks >Scott > >

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From: To: Date: Subject:

"Scholer, Julie" <JSCHOLER@spokanecounty.org> "Neal, Scott" <Scott.Neal@kingcounty.gov> 1/12/2011 6:58:54 PM E-cig Resolution

Scott, Can you send me another copy of the resolution that Sea-King did for the e-cigarette? I know you sent it to me before but I cant seem to find it. Thank you. Julie Scholer M.Ed.
Health Program Specialist II Tobacco Prevention & Control Spokane Regional Health District 1101 West College Avenue #401 Spokane, WA 99201-2095 Phone: 509-324-1452 jscholer@spokanecounty.org www.srhd.org

Public Health-Always working for a safer and healthier community


CONFIDENTIALITY NOTICE: This e-mail message and any attachments are for the sole use of the intended recipient(s) and may contain proprietary, confidential or priveleged information. Any unauthorized review , use, disclosure or distribution is prohibited and may be a violation of law . If you are not the intended recipient or a person responsible for delivereing this message to an intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.

Life will always throw you curves, just keep fouling them off... the right pitch will come, but when it does, be prepared to run the bases. ~Rick Maksian

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From: To: Date: Subject: Attachments:


here you go... Scott

"Neal, Scott" "Scholer, Julie" <JSCHOLER@spokanecounty.org> 1/12/2011 8:48:00 PM RE: E-cig Resolution BOH Regulation E-cigarette FINAL sent 11-23-2010.doc

From: Scholer, Julie [mailto:JSCHOLER@spokanecounty.org] Sent: Wednesday, January 12, 2011 2:58 PM To: Neal, Scott Subject: E-cig Resolution

Scott, Can you send me another copy of the resolution that Sea-King did for the e-cigarette? I know you sent it to me before but I cant seem to find it. Thank you. Julie Scholer M.Ed.
Health Program Specialist II Tobacco Prevention & Control Spokane Regional Health District 1101 West College Avenue #401 Spokane, WA 99201-2095 Phone: 509-324-1452 jscholer@spokanecounty.org www.srhd.org

Public Health-Always working for a safer and healthier community


CONFIDENTIALITY NOTICE: This e-mail message and any attachments are for the sole use of the intended recipient(s) and may contain proprietary, confidential or priveleged information. Any unauthorized review , use, disclosure or distribution is prohibited and may be a violation of law . If you are not the intended recipient or a person responsible for delivereing this message to an intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.

Life will always throw you curves, just keep fouling them off... the right pitch will come, but when it does, be prepared to run the bases. ~Rick Maksian

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From: "Neal, Scott" To: "Bennett, John" <John.Bennett@kingcounty.gov> "Brawley, Karen" <Karen.Brawley@kingcounty.gov> "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Holt, Lauren" <Lauren.Holt@kingcounty.gov> "Leon-Guerrero, Michael" <Michael.Leon-Guerrero@kingcounty.gov> "Moreno, Emma" <Emma.Moreno@kingcounty.gov> "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> "Ronneberg, Brett" <Brett.Ronneberg@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Ryan, Molly" <Molly.Ryan@kingcounty.gov> "Sherard, Mark" <Mark.Sherard@kingcounty.gov> "Zemann, Paul" <Paul.Zemann@kingcounty.gov> Date: 1/12/2011 1:58:00 PM Subject: FW: OSH Media Network January 2011 e-Bulletin
FYI...sorry if you already get this. Scott

From: Scala, Robin (CDC/ONDIEH/NCCDPHP) [mailto:iet5@cdc.gov] Sent: Wednesday, January 12, 2011 9:46 AM Subject: OSH Media Network January 2011 e-Bulletin

You may circulate or post, but please remove the OSH Media Network headings before doing so.

Office on Smoking and Health Media Network January 2011 e-Bulletin The e-Bulletins are posted on the OSH State Information Forum. Go to <Media Network Minutes and Materials>, click on the folder <2011 Media Network e-Bulletins>, scroll down. CALL FOR ABSTRACTS/PROPOSALS/NOMINATIONS/APPLICATIONS Countermarketing and Media Campaign RFP. The State of Connecticut, Department of Public Health announces the release of RFP # 2010-0916 for a statewide tobacco use countermarketing and media campaign targeting youth and young adults ages 18-24 years old in CT. The RFP is available on the State Contracting portal, the DPH website or by calling 860-509-8251. The Letter of Intent is due February 1, 2011 and proposals are due February 24, 2011. Contact Katie Shuttleworth with questions (860-509-8251, DPHTobacco@ct.gov). American Public Health Association Call for Abstracts. 2011 Annual Meeting, Healthy Communities Promote Healthy Minds and Bodies. Oct 29-Nov 2 in Washington, DC. Abstracts must be submitted online, submission deadline ranges from Feb 7-11, 2011. CONFERENCES/TRAININGS/EVENTS HINTS Webinar. Jan 18, 2011 3:00 4:00 pm eastern time. Survey researchers are using Health Information National Trends Survey (HINTS) data to understand how adults use different communication channels, including
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the Internet, to obtain health information. 8th Annual Tobacco-Free Campus Workshop. April 7, 2011 in Kansas City, MO, for those interested in, or already helping their organization become smoke- or tobacco-free. EVALUATION: Counter-Marketing or Media Analysis Evaluation of EX: A National Mass Media Smoking Cessation Campaign. American Journal of Public Health (Dec 16, 2010, Epub ahead of print). A national, branded, mass media campaign changed smokers' cognitions about quitting and increased quit attempts. Evaluation of a Social Marketing Campaign to Support Mexico City's Comprehensive Smoke-free Law. American Journal of Public Health (Dec 16, 2010, Epub ahead of print). Social marketing campaigns can reinforce knowledge and attitudes that favor smoke-free laws, thereby helping to establish smoke-free norms. Social Networking Websites as a Platform for Disseminating Social Marketing Interventions. Social Marketing Quarterly (March 2010). This pilot study gauged users' receptivity to receiving health information via the social networking sites they use. Text Messaging as a Tool for Behavior Change in Disease Prevention and Management. Epidemiologic Reviews (First published online: March 30, 2010). Review of behavior change interventions for disease management and prevention delivered through text messaging. OTHER PRODUCTS: Smokeless, Cigars, Hookahs, e-Cigarettes, etc. Global Surveillance of Oral Tobacco Products. Tobacco Control (Nov 25, 2010, Epub ahead of print). Due to the wide chemical variation, oral tobacco products should not be categorized together when considering the public health implications of their use. Waterpipe Tobacco Smoking and Cigarette Smoking: A Direct Comparison of Toxicant Exposure and Subjective Effects. Nicotine and Tobacco Research (Dec 2, 2010, Epub ahead of print). Relative to a cigarette, waterpipe tobacco smoking was associated with similar peak nicotine exposure, 3.75-fold greater COHb, and 56-fold greater inhaled smoke volume. Novel Nicotine Delivery Systems and Public Health: The Rise of the 'E-Cigarette'. American Journal of Public Health (Dec 2010). Novel risks of the devices and their refill solutions include variable nicotine delivery (even potentially lethal systemic delivery), and accidental ingestion by children as they are generally not sold in child resistant containers. e-Cig Advertorial. Made to look like a news feature, leaves an impression that e-cigs are safer, are effective cessation aids and allowable under smoke-free policy. PACKAGE DESIGN & WARNING LABELS FDA Experimental Study of Graphic Cigarette Warning Labels. The Final Results Report was posted on Regulations.gov. Impact of the New Malaysian Cigarette Pack Warnings on Smokers. International Journal of Environmental Research and Public Health (Nov 2010). Pictorial warnings resulted in increased awareness of the risks of smoking, stronger behavioral response to the warnings and increased interest in quitting smoking. RESOURCES: General Media/Communications Generations Online in 2010. Pew Internet and American Life Project (Dec 16, 2010). There are still differences by generation in online activities, but the dominance of the Millennial generation (see "Generations" report in 2009) has slipped in many activities. The People Who Use Twitter. Pew Internet and American Life Project (Dec 9, 2010). 8% of American adults who use the internet use Twitter; most are from a younger, urban demographic; it is twice as popular among African Americans and Hispanics than whites. Internet Gains on TV as Public's Main News Source. Pew Research Center for the People & the Press (Jan
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4, 2011). Television is the public's top source for news, but it's becoming less popular; the internet has now surpassed TV as the main news source for young adults. Time Spent on Internet Is Equal to TV. AdWeek (Dec 13, 2010). Over a third of the hours on the Web are for work purposes, while TV is nearly exclusively a leisure activity RESOURCES: Tobacco-Related Effect of the Arizona Tobacco Control Program on Cigarette Consumption and Healthcare Expenditures. Social Science and Medicine (Online Nov 24, 2010). Arizonas tobacco control program reduced cigarette consumption and healthcare expenditures, amounting to about 10 times the cost of the program through 2004. The California program, whose focus was not limited to youth, achieved even greater effects (Effect of the California Tobacco Control Program on Personal Health Care Expenditures. PLoS Medicine, Aug 26, 2008). SMOKE - The Convenient Truth. This presentation by Empowered Presentations won first place in SlideShares 2010 Worlds Best Presentation Contest. SECONDHAND SMOKE (SHS)/CLEAN INDOOR AIR (CIA) Not Just 'A Few Wisps': Real-time Measurement of Tobacco Smoke at Entrances to Office Buildings. Tobacco Control (Dec 21, 2010, Epub ahead of print). The findings support smoke-free policies at entrances to buildings. Immediate and Short-term Consequences of Secondhand Smoke Exposure on the Respiratory System. Current Opinion in Pulmonary Medicine (Dec 21, 2010, Epub ahead of print). Exposure to SHS at bar/restaurant generates a marked inflammatory reaction and significant decrements on lung function. Worldwide Burden of Disease from Exposure to Secondhand Smoke. The Lancet (Nov 25, 2010, Epub ahead of print). More than 600,000 deaths worldwide are caused by secondhand smoke. Tobacco-smoke Exposure in Children Who Live in Multiunit Housing. Pediatrics (Dec 13, 2010, Epub ahead of print). Children in apartments had higher mean cotinine levels than children in detached houses. Smoke-free Air Laws and Asthma Prevalence, Symptoms, and Severity among Nonsmoking Youth. Pediatrics (Dec 13, 2010, Epub ahead of print). Smoke-free laws reduce asthmatic symptoms, including persistent wheeze, chronic night cough, and wheeze-medication use in nonsmoking youth. Moving Multiunit Housing Providers toward Adoption of Smoke-free Policies. Preventing Chronic Disease (Jan 2011). Building partnerships with public and private stakeholders, collecting local data to shape educational messages, and emphasizing to landlords the business case, not the public health rationale, for smokefree housing. College Student Reactions to Smoking Bans in Public, on Campus and at Home. Health Education Research (Dec 1, 2010, Epub ahead of print) Examined college student reactions to a statewide public smokefree policy, campus policies and private restrictions. Do Smoke-free Laws Affect Revenues in Pubs and Restaurants? European Journal of Health Economics (Nov 20, 2010, Epub ahead of print). The law did not have a long-term effect on revenue in restaurants or pubs. Smoke-Free Laws Maps. The ANR Foundation has released its quarterly update to the lists and maps of U.S. municipalities and states with 100% smoke-free laws. TARGET POPULATION: African American Stress and Tobacco Use among African-American Adolescents: The Buffering Effect of Cultural Factors. Journal of Drug Education (2010). Consider religious beliefs and practices and also to link youth with supportive adults in their community. Health Risk Behaviors of Black Male College Students. Association of Black Nursing Faculty in Higher Education Journal (Fall 2010). 15% of the students smoked, 1/3 of the smokers began smoking during college.
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TARGET POPULATION: American Indian/Alaska Native Tobacco Use Among American Indian or Alaska Native Middle- and High-school Students in the United States. Nicotine and Tobacco Research (Dec 23, 2010, Epub ahead of print). 54% of respondents used cigarettes, 24% cigars, 16% smokeless tobacco, 13% pipe, and 12% menthol cigarettes. 32% used 2 or more forms of tobacco. TARGET POPULATION: Asian/Pacific Islander American Individual and Family Factors Associated With Intention to Quit among Male Vietnamese American Smokers. Addictive Behaviors (Nov 27, 2010, Epub ahead of print). Findings underscore the importance of designing interventions that meet the needs of smokers at individual and family levels. TARGET POPULATION: Disadvantaged/Low SES Adolescent Smoking Risk Increases With Wider Income Gaps Between Rich and Poor. Health and Place (Oct 19, 2010, Epub ahead of print). Greater county-level income inequality and not poverty rates, was associated with higher established smoking risk. Loosening the Link between Childhood Poverty and Adolescent Smoking and Obesity. Psychological Science (Nov 24, 2010, Epub ahead of print). At-risk youth in communities with a relatively rich array of social capital did not smoke more compared with their more affluent counterparts. A Longitudinal Study of Medicaid Coverage for Tobacco Dependence Treatments in Massachusetts and Associated Decreases in Hospitalizations for Cardiovascular Disease. PLoS Medicine (Dec 7, 2010). Medicaid subscribers use of a comprehensive tobacco cessation pharmacotherapy benefit was associated with a significant decrease in claims for hospitalizations for acute myocardial infarction and acute coronary heart disease. Integrating Smoking Care in Community Welfare Agencies to Reach Disadvantaged People. Health Promotion Journal of Australia (Dec 2010). Community service organizations could play a role in providing smoking care to disadvantaged people. TARGET POPULATION: Dual Users Smokers Who Are Also Using Smokeless Tobacco Products in the US: A National Assessment of Characteristics, Behaviors and Beliefs of 'Dual Users. Tobacco Control (Dec 19, 2010, Epub ahead of print). 'Dual use' was more common among cigarette smokers who were young, white men living in the Midwest or South. TARGET POPULATION: Hispanic/Latino Influences on Tobacco Use among Urban Hispanic Young Adults in Baltimore. Progress in Community Health Partnerships Win (2010). Explores the social and environmental influences and norms that affect tobacco use among Hispanic young adults in Baltimore. TARGET POPULATION: Lesbian/Gay/Bi-Sexual/Transgendered (LGBT) LGB Smoking Survey in WV. WV Covenant House survey of smoking among LGB West Virginians conducted by the Tobacco Prevention and Evaluation Program at UNC, Chapel Hill. For questions, contact Joseph Lee (919) 966-8948 jose.lee@unc.edu. TARGET POPULATION: Multiple Populations Social Determinants of Health Research. American Journal of Preventive Medicine (Supplement Dec 2010). This issue features articles exploring how social factors affect health and offers recommendations for
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action. See also the RWJ Foundation presentation A New Way to Talk about the Social Determinants of Health. How Can Health Promotion Interventions be Adapted for Minority Ethnic Communities? Five Principles for Guiding the Development of Behavioral Interventions. Health Promotion International. (June 2010). Five principles for adapting behavioral interventions for minority ethnic communities were identified. TARGET POPULATION: Persons with Mental Illness or Developmental Delay Gender-specific Profiles of Tobacco Use Among Non-institutionalized People With Serious Mental Illness. BMC Psychiatry (Nov 30, 2010, Epub ahead of print). Important determinants of smoking differ by gender in this population. Personality Disorders and Cigarette Smoking Among Adults in the United States. Journal of Psychiatric Research (Dec 16, 2010, Epub ahead of print). The association between personality disorders and smoking differ by specific personality disorder. Impact of a Smoke-free Policy in a Large Psychiatric Hospital on Staff Attitudes and Patient Behavior. General Hospital Psychiatry (Nov 2010). A smoke-free policy can be implemented in a large psychiatric hospital with a high degree of support from staff and no substantial negative impact on patient behavior. Do Quitlines Have a Role in Serving the Tobacco Cessation Needs of Persons with Mental Illnesses and Substance Abuse Disorders? Quitline Behavioral Health Advisory Forum (2010). A brief introduction to the evidence base and expert opinion regarding a variety of issues, including the association between tobacco use and behavioral disorders, barriers to cessation in this population, desire and ability of these individuals to quit. TARGET POPULATION: Rural Communities Tobacco Use and Exposure in Rural Areas: Findings from the Behavioral Risk Factor Surveillance System. Addictive Behaviors (Nov 10, 2010, Epub ahead of print). Those living in rural areas are at increased risk for tobacco-related illness due to both their own tobacco use and exposure to others' cigarette smoke. TARGET POPULATION: Tobacco Users Risk Perception in Smokers with Children With Asthma. Journal of Consulting and Clinical Psychology (Dec 2010). Self-perceived risk of smoking was associated with perceived risk to child. TARGET POPULATION: Workers or Workplaces Non-smoking Worksites in the Residential Construction Sector. Tobacco Control (Nov 29, 2010, Epub ahead of print). The smoking-related social climate in the residential construction sector, including potential barriers and facilitators to creating smoke-free worksites. TARGET POPULATION: Youth/Young Adults Children's Loss of Autonomy Over Smoking: The Global Youth Tobacco Survey. Tobacco Control (Nov 25, 2010, Epub ahead of print). Young adolescents experience symptoms of nicotine addiction with infrequent tobacco use. Using Market Research to Characterize College Students and Identify Potential Targets for Influencing Health Behaviors. Social Marketing Quarterly (Dec 2010). Defines market segments of college smokers, to examine differences in their health behaviors, and to determine the validity of these segments. TOBACCO AND HEALTH SGR Report: How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking8_19_2011

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Attributable Disease. (Dec 2010). Includes links to report, press release, consumer and clinician materials and a PSA. Smoking is a Major Preventable Risk Factor for Rheumatoid Arthritis. Annals of the Rheumatic Diseases (Published Online First, Dec 13, 2010). Smoking accounts for more than a third of cases of the most severe and common form of rheumatoid arthritis. TOBACCO CESSATION Awareness and Use of Tobacco Quitlines. Journal of Health Communication (2010, 15 Supplement 3). While awareness of quitlines appears to be high, quitline utilization is low. Age, ethnicity, and education were significantly related to quitline awareness. Evaluation of a Direct Mailing Campaign to Increase Physician Awareness and Utilization of a Quitline Fax Referral Service. Journal of Health Communication (Dec 2010). Evaluation of a small-scale educational and promotional campaign to increase health care providers' awareness and utilization of a state quitline fax referral service. NTCC Launches What Works. The National Tobacco Cessation Collaborative has released a "Consumer Reports" style card, What Works? A Guide to Quit Smoking Methods to help smokers choose appropriate methods for quitting. TOBACCO MARKETING/ADVERTISING/PROMOTION Promoting Health (Implicitly)? A Longitudinal Content Analysis of Implicit Health Information in Cigarette Advertising, 1954-2003. Journal of Health Communication (Oct 2010). Examined the frequencies and kinds of implicit health information in cigarette advertising across five distinct smoking eras covering the years 1954-2003. The Effect of Tobacco Outlet Density and Proximity on Smoking Cessation. American Journal of Public Health (Dec 16, 2010, Epub ahead of print). Because residential proximity to tobacco outlets influences smoking cessation, zoning restrictions to limit tobacco sales in residential areas may complement existing efforts to reduce tobacco use. The Importance of Income in the Link between Tobacco Outlet Density and Demographics at the Tract Level of Analysis in New Jersey. Journal of Ethnicity and Substance Abuse (Oct 2010). Tracts with lower median household income and higher percentages of minority residents had greater densities of tobacco-selling retail outlets. TOBACCO INDUSTRY WATCH R.J. Reynolds Pulls Dissolvable Smokeless Products from Test Markets. PR Newswire (Dec 20, 2010). Dissolvable smokeless products have been pulled for potential redesign and may be test-marketed elsewhere in the future. TOBACCO TAXES AND PRICING Effectiveness of Tax and Price Policies in Tobacco Control. Tobacco Control (Nov 29, 2010, Epub ahead of print). Evidence of effectiveness of increased tobacco excise taxes and prices in reducing tobacco consumption and prevalence of tobacco use and improvement of public health. Addressing Tobacco Pricing Policies: A Toolkit for Tobacco Control Program Managers. Tobacco Technical Assistance Consortium. This guide provides new tools to support program managers ability to promote and sustain social norm changes through pricing strategies.

Information and links to non-Federal organizations are provided solely as a service to Media Network Members. Links do not constitute an endorsement of any organization by CDC or the Federal Government,
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and none should be inferred. CDC is not responsible for the content of the individual organization found at non-Federal links.

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From: "Neal, Scott" To: "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> Date: 1/13/2011 3:20:00 PM Subject: RE: Enforcement Assignment List yes >_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Thursday, January 13, 2011 11:12 AM >To: Bennett, John; Pajimula, Fel >Cc: Neal, Scott >Subject: RE: Enforcement Assignment List > >Should we add the e-cig kiosks at Northgate and South Center Malls? New policy goes into effect on Sunday. > >_____________________________________________ >From: Bennett, John >Sent: Wednesday, January 12, 2011 11:43 AM >To: Pajimula, Fel; Bennett, John >Cc: Neal, Scott; Hatzenbuehler, Eric >Subject: Enforcement Assignment List > >The assignment list is on Clarizen. Inspections due by 1/24/2012! Please attach inspection report to appropriate task after check is completed. > > >John Bennett >Public Health- Seattle & King County >401 5th Ave, Suite 900 >Seattle, WA 98104 >(p) 206.263.8156 >(f) 206.296.0177 > >Office Hours: Monday-Thursday 7:00am 5:30pm > > > >

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From: "Hatzenbuehler, Eric" To: "Bennett, John" <John.Bennett@kingcounty.gov> "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> Date: 1/13/2011 3:11:44 PM Subject: RE: Enforcement Assignment List Should we add the e-cig kiosks at Northgate and South Center Malls? New policy goes into effect on Sunday. _____________________________________________ From: Bennett, John Sent: Wednesday, January 12, 2011 11:43 AM To: Pajimula, Fel; Bennett, John Cc: Neal, Scott; Hatzenbuehler, Eric Subject: Enforcement Assignment List The assignment list is on Clarizen. Inspections due by 1/24/2012! Please attach inspection report to appropriate task after check is completed.

John Bennett Public Health- Seattle & King County 401 5th Ave, Suite 900 Seattle, WA 98104 (p) 206.263.8156 (f) 206.296.0177 Office Hours: Monday-Thursday 7:00am 5:30pm

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From: "Bennett, John" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> Date: 1/13/2011 3:26:10 PM Subject: RE: Enforcement Assignment List Added in Clarizen! >_____________________________________________ >From: Neal, Scott >Sent: Thursday, January 13, 2011 11:18 AM >To: Hatzenbuehler, Eric; Bennett, John; Pajimula, Fel >Subject: RE: Enforcement Assignment List > >yes > >_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Thursday, January 13, 2011 11:12 AM >To: Bennett, John; Pajimula, Fel >Cc: Neal, Scott >Subject: RE: Enforcement Assignment List > >Should we add the e-cig kiosks at Northgate and South Center Malls? New policy goes into effect on Sunday. > >_____________________________________________ >From: Bennett, John >Sent: Wednesday, January 12, 2011 11:43 AM >To: Pajimula, Fel; Bennett, John >Cc: Neal, Scott; Hatzenbuehler, Eric >Subject: Enforcement Assignment List > >The assignment list is on Clarizen. Inspections due by 1/24/2012! Please attach inspection report to appropriate task after check is completed. > > >John Bennett >Public Health- Seattle & King County >401 5th Ave, Suite 900 >Seattle, WA 98104 >(p) 206.263.8156 >(f) 206.296.0177 > >Office Hours: Monday-Thursday 7:00am 5:30pm > > > >

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From: "Hamilton, Joy" To: "Lucy Culp" <lucy.culp@heart.org> Erin.Dziedzic@cancer.org "Carrie Nyssen" <cnyssen@lungmtpacific.org> Date: 1/14/2011 6:29:03 PM Subject: Follow up from today's call Greetings, Here's a few examples of what locals can do once preemption is lifted: 1. SIGNAGE. Locals know their jurisdictions the best and can create signage requirements tailored to their specific constituents. They can do this by requiring signs to be displayed in certain languages or with messages that are targeted to their communities. 2. TRAINING. Locals can create training programs for retailers that are specific to their needs. For example, they can require additional retailer training in areas that historically have low compliance rates. 3. NEW PRODUCTS. Locals are able to respond quickly to emerging products on the market (such as e-cigarettes in King County). Hope that helps. Let us know if you need more or different examples. Also, here is the link to the news article about Buffalo, NY and the planned work to regulate and restrict tobacco sales. http://www.buffalonews.com/city/communities/buffalo/article305870.ece Anne has a copy of the proposed regulations and I think she can pass that along if anyone is interested. Thanks everyone for a good call! Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

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From: To: Date: Subject:

"Prevention, Tobacco" "Neal, Scott" <Scott.Neal@kingcounty.gov> 1/18/2011 3:49:22 PM [Testing] King County Tobacco Prevention Community Update

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In this issue... Tobacco prevention pays off New products & marketing threaten tobacco prevention successes Exposure to tobacco smoke causes immediate damage Healthy environments Prevent youth from tobacco use BOH approves e-cigarette regulations

Investing in tobacco prevention programs pays off


by Joy Hamilton

Tobacco control programs play a crucial role in the prevention of many chronic conditions such as cancer, heart disease and respiratory illness. Comprehensive tobacco prevention and cessation programs prevent kids from starting to smoke; help adult smokers quit; educate the public, the media and policymakers about ways to reduce tobacco use; address disparities; and serve as a counter to the ever-present tobacco industry. When adequately funded, comprehensive tobacco prevention programs quickly and substantially reduce tobacco use, which saves lives and money, cutting smoking-cause medical costs and lost productivity. The effectiveness of these programs becomes abundantly clear when funding disappears. States that have experimented with tobacco prevention funding cuts have seen their progress in reducing tobacco use erode, resulting in higher smoking rates and associated deaths, disease, and costs. Massachusetts and Indiana are interesting case studies for this. Unfortunately, similar results can be found in many other states including Minnesota, Florida, and California.

Continue reading

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Unsubscribe scott.neal@kingcounty.gov Our email: tobacco.prevention@kingcounty.gov Our website: www.kingcounty.gov/health/tobacco Our mailing address: 401 5th Ave Suite 900, Seattle, WA 98104

In this issue... Tobacco prevention pays off New products & marketing threaten tobacco prevention successes Exposure to tobacco smoke causes immediate damage Healthy environments Prevent youth from tobacco use BOH approves e-cigarette regulations

(Continued)
MASSACHUSETTS For years, Massachusetts was a leader in tobacco prevention. The successful statewide program resulted in declines in cigarette consumption at rates significantly greater than the nation as a whole. Despite this success, in 2004 funding for the state's tobacco prevention program was cut by 95 percent. The drastic reduction in funding has taken its toll studies show that in 2005 and 2006, cigarette consumption actually increased in Massachusetts, just one to two years after funding was cut. INDIANA In 2000, Indiana implemented a comprehensive tobacco prevention and cessation program with revenue from the state's tobacco settlement. The Indiana Tobacco Prevention and Cessation (ITPC) program contributed to significant declines in smoking among both adults and youth, but in 2004, state leaders cut the program's funding by almost 70 percent. Subsequently, Indiana's progress in reducing smoking rates stalled for both adults and youth. W ASHINGTON Washington state's adult smoking rate is the third lowest in the nation (14.8 percent), largely due to our Tobacco Prevention and Control Program, which was started in 2000. Since the Program began, the smoking rate declined by about a third. However Washington state's Tobacco Prevention and Control Account has been reduced by more than 50 percent over the last two years. In the recent special legislative session called by Governor Gregoire, the Program suffered an additional cut of $3 million. Governor Gregoire has proposed that Washington state eliminate funding for comprehensive tobacco prevention and control on July 1, 2011. Cutting funding to tobacco prevention may not spell the savings she expects though a recent report from the Department of Health credited the Tobacco Prevention and Control Program for saving five dollars in health care costs for every one dollar spent for the Program. Based on data from other states, it's likely that the progress seen in our state to reduce

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tobacco use rates will erode, rates of smoking may raise and associated health costs will skyrocket due to these cuts.
Joy Hamilton is the Policy/Advocacy Manager in the Tobacco Prevention Program at Public Health Seattle & King County. For more information, contact her at Joy.Hamilton@ kingcounty.gov or (206) 2967613. REFERENCES Tobacco Free Kids.The impact of reductions to state Tobacco Control Program funding. Retrieved 12/22/2010. Department of Health. Washington's adult smokingn rate now third lowest in the nation. Retrieved 12/23/2010. Department of Health. Thousands of lives saved due to Tobacco Prevention and Controls Program. Retrieved 01/11/2011.

In this issue... Tobacco prevention pays off New products & marketing threaten tobacco prevention successes Exposure to tobacco smoke causes immediate damage Healthy environments Prevent youth from tobacco use BOH approves e-cigarette regulations

New products and marketing threaten tobacco control and prevention successes
by Molly Ryan

If I've learned one thing for certain during my time in tobacco prevention and control, it's that the fight against tobacco is never over. We have made great strides in reducing the burden of tobacco on our community. Over the past decade, we have decreased the overall smoking rate, reduced youth initiation, and increased protection against deadly secondhand smoke. But the tobacco industry is an ever-present threat because our success means their failure (and vice versa). When we get people to quit or prevent people from starting, we are essentially taking away their customers, and when they keep customers and/or gain new ones, we see bad health outcomes. So, for both sides of this battle, there is a lot to be gained and even more to be lost. Because of this, it comes at no surprise that as we continue to successfully reduce tobacco use rates, tobacco companies are working harder than ever to recruit and retain customers. This effort to counter tobacco prevention and control successes is very clearly demonstrated by the emergence of new products and reinvigorated marketing efforts. NEW PRODUCTS With increasingly tighter smoking restrictions and subsequent reduction in smoking rates (and cigarette sales), the tobacco industry has responded by introducing new products to fill that market niche. Electronic cigarettes, or "e-cigarettes," are currently a hot topic of discussion. There is limited research about the safety of these products and initial testing by the FDA raises some concerns. Ingredient testing on several samples shows the presence of various toxins and carcinogens (chemicals that cause cancer), a discrepancy in nicotine levels among cartridges with the same label (e.g., "low," "medium"), and low levels of nicotine among all but one of the cartridges that were labeled as

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containing no nicotine. In addition to this apparent lack of quality control and evidence to show these products are safe, public health officials are concerned over the potential appeal that these products may have to youth. Their high-tech design, easy availability online or at mall kiosks, lack of health warnings and the wide array of flavors, including chocolate, vanilla and mint, may encourage young people to try these products and potentially get them addicted to nicotine. The King County Board of Health recently passed a regulation prohibiting the sale of e-cigarettes to youth. While manufacturers for e-cigarettes seemingly appeared out of the woodwork to fill the market niche that smoking restrictions created, cigarette manufacturers like Philip Morris (Marlboro) and R.J. Reynolds (Camel) have responded by introducing smokeless, spitless tobacco products that can be used in situations and settings where smoking or using spit tobacco is not allowed. As described in our spring 2010 newsletter, there is some debate over whether Snus is a friend or foe of tobacco prevention and control some believe that it could be a safe alternative to cigarettes, but many believe this is yet another attempt by American tobacco companies to expand their market share. Many public health officials are concerned that Snus is a "gateway product" that is meant to get people addicted to nicotine so that they will graduate to products with higher nicotine content, like cigarettes. Snus is especially appealing to young people, who already use smokeless tobacco at higher rates than adults, because it can be used discreetly and comes in a variety of flavors and nicotine levels. NEW MARKETING Since the vast majority of regular adult smokers started smoking before the age of 18, it comes as no surprise that tobacco companies invest millions of dollars to market their products to young people. Youth are particularly vulnerable to tobacco marketing; research has shown a causal relationship between exposure to tobacco marketing and likelihood of using tobacco. The more cigarette ads and promotions a young person sees, the more likely they are to start smoking. Cigarette companies have been hugely successful in recruiting new, young customers by bombarding them with advertisements and marketing materials that promote positive opinions and attitudes towards smoking and smokers. Despite the 1998 Master Settlement Agreement (MSA) aimed to restrict marketing directly to kids and the disappearance of billboards and t-shirts adorned with images of Joe Camel, tobacco companies are still reaching kids. The most recent example of this is the "Break Free Adventure," Camel's new marketing campaign which includes the release of special-edition

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packs of cigarettes that feature 10 cities across the U.S., including Seattle. This campaign exploits Seattle's vibrant and alternative culture in an attempt to make Camel cigarettes appear cool, fun and rebellious themes that resonate with youth. Many tobacco prevention and control groups and organizations, including the Campaign for Tobacco-Free Kids and the National Association of Attorney Generals, as well as elected officials, are outraged by this campaign and are demanding that R.J. Reynolds (RJR), makers of Camel cigarettes, end this promotion immediately. In their statement, the Campaign for Tobacco-Free Kids describes this campaign as evidence that RJR "has not changed" and "is continuing its longstanding efforts to make the Camel brand appealing to youth." In a letter sent directly to RJR, the National Association of Attorney Generals asks that the campaign be terminated immediately "out of concern for America's youth." Local and state officials also voiced opposition to this campaign. Governor Christine Gregoire released a statement calling on RJR to "halt their cynical campaign and not use our local landmarks for their gain." Other political leaders including King County Executive Dow Constantine and Board of Health chair Julia Patterson also released statements echoing these sentiments. "We've cut the smoking rate in half in just the last decade in King County, and it has proved its worth in lives and money saved. We can't take a step backward by allowing predatory marketing campaigns to lure kids into tobacco addiction." King County Board of Health Chair Julia Patterson CLOSING By their own admission, the tobacco industry see young people as the key to their company's future success they represent the next generation of smokers (and customers). Because of this, it comes as no surprise that tobacco companies continue to target young people with their product development and marketing campaigns. Check out previous newsletter articles on this topic: Snus: Safe alternative to smoking? and The cigarette E-volves (electronic cigarettes).

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Molly Ryan is the Pharmacy and Colleges/Universities Manager in the Tobacco Prevention Program at Public Health Seattle & King County. For more information, contact her at Molly.Ryan @kingcounty.gov or (206) 296-7613.

In this issue... Tobacco prevention pays off New products & marketing threaten tobacco prevention successes Exposure to tobacco smoke causes immediate damage Healthy environments Prevent youth from tobacco use BOH approves e-cigarette regulations

Exposure to tobacco smoke causes immediate damage, says new Surgeon General's report
by Joy Hamilton

A new report from the Surgeon General finds that exposure to tobacco smoke even occasional smoking or secondhand smoke causes immediate damage to your body that can lead to serious illness or death. The report, titled How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease, provides scientific evidence of the importance of smoke free air and will serve as an important tool for public health advocates in their efforts to create smoke free environment policies. Some highlights of the report include: Cellular damage and tissue inflammation from tobacco smoke are immediate, and that repeated exposure weakens the body's ability to heal the damage. The report also explains why it is so difficult to quit smoking. According to the research, cigarettes are designed for addiction. The design and contents of current tobacco products make them more attractive and addictive than ever before. Today's cigarettes deliver nicotine more quickly and efficiently than cigarettes of many years ago. Tobacco smoke contains a deadly mixture of more than 7,000 chemicals and compounds, of which hundreds are toxic and at least 70 cause cancer. Every exposure to these cancer-causing chemicals could damage DNA in a way that leads to cancer.

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Even brief exposure to secondhand smoke can cause cardiovascular disease and could trigger acute cardiac events, such as heart attack. The report describes how chemicals from tobacco smoke quickly damage blood vessels and make blood more likely to clot. The evidence in this report shows how smoking causes cardiovascular disease and increases risks for heart attack, stroke,
Joy Hamilton is the Policy/Advocacy Manager in the Tobacco Prevention Program at Public Health Seattle & King County. For more information, contact her at Joy.Hamilton@ kingcounty.gov or (206) 2967613.

and aortic aneurysm. This report is the 30th tobacco-related Surgeon General's report issued since 1964. The full report, along with several other resources such as a consumer booklet and a clinician fact sheet, can be found on the CDC's website.

In this issue...

Healthy Environments
Tobacco prevention pays off New products & marketing threaten tobacco prevention successes Exposure to tobacco smoke causes immediate damage Healthy environments Prevent youth from tobacco use BOH approves e-cigarette regulations
by Karen Brawley, Norilyn de la Pena, Lindsey Greto, and Paul Zemann

Everyone deserves a healthy environment and in our county, we want the healthy choice to be the easy choice. All-inclusive tobaccofree policies protect nonsmokers from dangerous secondhand smoke (SHS), support people who are actively trying to quit tobacco, and keep youth away from tobacco products. Tobacco-free environments protect the health, safety, and welfare of all community members and establish the norm that tobacco use is not an acceptable behavior for young people or adults. Kids can't imitate what they don't see keeping tobacco products out of sight also keeps it out of mind. Through King County's Communities Putting Prevention to Work efforts, there are a number of new projects working on healthy, smoke-free environments. More about their work can be found in the links below. COLLEGES AND UNIVERSITIES Young adulthood, considered to be ages 18-24, is a time of transition from adolescence to adulthood when young people are faced with new freedoms, experiences and responsibilities. This is a critical time in which tobacco addictions are either established or squashed; although many smokers start smoking before the age of 18, the majority don't actually

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become addicted (i.e., "established" smokers) until they are between 18 and 24. Tobacco companies take full advantage of this fact by aggressively marketing their products to this vulnerable age group, particularly college students an effective strategy that encourages smoking. Considering this, it is to no surprise that the smoking rate among young adults is higher than any other age group. Colleges and universities are uniquely positioned to be able to combat the tobacco industry's efforts to promote smoking among young adults. Strong smoke-free campus policies create smoke-free social norms, discourage tobacco use, and also protect people from deadly SHS ultimately improving the health and well-being of students, staff, faculty and visitors. Click here to learn more about the work Cornish College of the Arts is doing to become a smoke-free campus. HOSPITALS AND SPECIALIZED CLINICS Walking through a cloud of smoke on the way to a doctor's visit, a surgery or a group counseling session is antithetical to the mission of health-care organizations. Tobacco-free hospital and clinic environments protect patients, staff and visitors from the negative health effects of tobacco use. It's well-known that tobacco use adversely impacts medical treatment for most illnesses. Smoking slows wound healing and is the most common cause of poor birth outcomes. SHS is dangerous for anyone to breathe, but is especially problematic for sick patients or those with compromised immune systems. By instituting a strong tobacco-free policy at places of health, organizations can demonstrate a strong commitment to health and safety. The University of Washington and King County Mental Health Chemical Abuse and Dependency Services are working to create smoke-free hospital and clinic environments in King County. HOUSING While Washington's smoke-free workplace laws protect workers from SHS exposure, no laws protect people from SHS where they live. Reducing exposure to SHS in multi-family units is vital to creating a healthier environment for all residents. Smoke drifting from smokers'
Karen Brawley is the Housing & Cities Manager in the Tobacco Prevention Program at Public Health Seattle & King County. For more information, contact her at Karen.Brawley @kingcounty.gov or (206)

apartments to those of non-smokers forces residents to breathe in the carcinogens found in SHS. Children and those with long-term health conditions are susceptible to a host of health problems from SHS, including: sudden infant death syndrome (SIDS), acute respiratory problems, ear infections, asthma attacks, heart disease and a variety of cancers.

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296-7613. Norilyn de la Pena is the Cessation Manager in the Tobacco Prevention Program at Public Health Seattle & King County. For more information, contact her at Norilyn.delaPena @kingcounty.gov or (206) 296-7613. Lindsey Greto is the Schools & Clinics Program Manager in the Tobacco Prevention Program at Public Health Seattle & King County. For more information, contact her at Lindsey.Greto @kingcounty.gov or (206) 296-7613. Paul Zemann is a Health Educator in the Tobacco Prevention Program at Public Health Seattle & King County. For more information, contact him at Paul.Zemann @kingcounty.gov or (206) 296-7613.

cancers. Tobacco-free housing also provides a financial incentive. As a result of residual chemical residue, extensive cleaning is required to maintain the value and cleanliness of a smoking home. Having tobacco-free housing also lowers the risk of fires. Cigarettes are a leading cause of residential building fires and are the leading reason for fire death in the United States. Click here to learn more about the work Housing Resource Group is doing to implement smoke-free housing policies in at least 26 affordable housing buildings in Seattle. PARKS Parks are established to promote healthy activities. The purpose of park areas is to promote community wellness, and tobacco-free policies fit with this idea. Secondhand smoke levels in outdoor public places can reach levels as high as those found in indoor facilities where smoking is permitted. Furthermore, cigarette litter is dangerous. When discarded, cigarettes can pollute the land and water and may be ingested by toddlers, pets, birds or fish.

In this issue...

Prevent youth from tobacco use


Tobacco prevention pays off New products & marketing threaten tobacco prevention successes Exposure to tobacco smoke causes immediate damage Healthy environments Prevent youth from tobacco use BOH approves e-cigarette regulations
Every day in the United States, about 4,100 youth between the ages of 12 and 17 try a cigarette for the first time. Of the youth who take up smoking, about one in three will eventually die from a tobacco-related disease. Youth cigarette use declined sharply from 1997 2003, but in recent years the decline has stalled and the rate of smokeless product usage has
Lindsey Greto

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increased. In King County, 18.8 percent of high school seniors report current cigarette use, and more youth use smokeless tobacco than adults. Tobacco companies can no longer overtly market their products to youth, but instead use covert marketing techniques, such as production of youthfriendly products, advertisements in magazines with high youth readership and tobacco industry sponsorship of recreation events. Nearly 80% of adult smokers started before the age of 18. Products that are especially appealing to youth include flavored smokeless tobacco. These products are easily concealed from parents and teachers and often come in candy-like flavors. Tobacco industry documents show that flavored products have historically been aggressively marketed to attract new, young users, who then graduate to non-flavored products in adulthood. Not only can experimentation with tobacco products in adolescence result in a lifelong addiction, it's also related to poor academic performance and other high-risk behaviors. Healthy students are more prepared to learn. Students with certain health risk factors, including tobacco use, have worse outcomes in school. Students that use tobacco are: 3 times more likely to get Cs/Ds/Fs 4 times more likely to skip class 21 times more likely to use marijuana 4 times more likely to be suspended 8 times more likely to binge drink 36 times more likely to use drugs However reducing student tobacco use improves graduation rates, increases seat times for students, improves classroom management, improves test scores, improves learning disparities, and increases personal success. These alarming statistics underscore the need for
Lindsey Greto is the Schools & Clinics Program Manager in the Tobacco Prevention Program at Public Health Seattle & King County. For more information, contact her at Lindsey.Greto @kingcounty.gov or (206) 296-7613.

effective youth tobacco prevention programs.

To request a full list of references for this article, please contact Lauren Holt at Lauren.Holt@kingcounty.gov.

In this issue... Tobacco prevention pays

Board of Health approves electronic cigarette regulations


8_19_2011

prevention pays off New products & marketing threaten tobacco prevention successes Exposure to tobacco smoke causes immediate damage Healthy environments Prevent youth from tobacco use BOH approves e-cigarette regulations

Page 11
by Joy Hamilton

The King County Board of Health recently passed regulations to protect King County youth from electronic smoking devices and unregulated nicotine delivery products. The Board of Health voted unanimously to: restrict the sales of e-cigarettes or any other unapproved nicotine delivery products to people 18 and older; prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products; prohibit the use of e-cigarette devices in places where smoking is prohibited by law. Electronic smoking devices, commonly known as "e-cigarettes," are battery-operated devices designed to look like and to be used in the same manner as conventional cigarettes. E-cigarettes use cartridges to deliver vaporized nicotine, the same highly addictive drug that's in tobacco. The FDA is investigating e-cigarettes, but the products are currently unregulated at the federal level. E-cigarettes have a high appeal to youth. They are sold in convenience stores and mall kiosks and come in candy flavors including chocolate, vanilla and mint. The FDA has warned that e-cigarettes can increase nicotine addiction among young people and may lead youth to try conventional tobacco products. As these products have become more widely available, public use has also increased. E-cigarettes mimic the appearance of regular cigarettes because the user exhales a smoke-like vapor similar in appearance to the exhaled smoke from a cigarette. Their use is visually indistinguishable from the use of traditional tobacco products in public, which leads to confusion and may prompt people to smoke traditional tobacco products. In passing the regulation, Board of Health members also expressed

Joy Hamilton is the Policy/Advocacy Manager in the Tobacco Prevention Program at Public Health Seattle & King County. For more information, contact her at Joy.Hamilton @kingcounty.gov or (206) 296-7613.

concern that the use of these products threatens to undermine the social norming impact of Smoking in Public Places law. Several other jurisdictions across the United States have created similar regulations related to e-cigarettes, but King County's regulations are believed to be the most comprehensive in the nation.

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From: To: Date: Subject:

"Neal, Scott" "Alyonik Hrushow" <Alyonik.Hrushow@sfdph.org> 1/18/2011 8:08:00 PM RE: King County ban on e cigarettes

I'm currently available Thursday at 11am or Friday I'm more available if that works too. Scott -----Original Message----From: Alyonik Hrushow [mailto:Alyonik.Hrushow@sfdph.org] Sent: Tuesday, January 18, 2011 4:03 PM To: Neal, Scott Subject: RE: King County ban on e cigarettes Thanks so much for the quick response, Scott. Your staff report looks great and will be helpful. I would like to give you a call this week to find out more about the process you went through. Would you be available sometime Wed. afternoon or Thursday morning? Alyonik Hrushow San Francisco Tobacco Free Project

"Neal, Scott" ounty.gov> To 'Alyonik Hrushow' 01/18/2011 02:56 PM cc Subject RE: King County ban on e cigarettes

Hi Alyonik, At any rate, I've attached the BOH staff report along with the attached various exhibits we included for background info. I also attached the final version of our code language, but their was a couple of very minor edits during the meeting. I expect that the final version will be posted online within the next week or so, but you can at least get a good idea of what we ended up with. I'm happy to discuss the process we went through and the interesting experience we had with local and national media around this issue. It was a bit of a roller coaster ride.
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My hope is that other locations will continue the trend toward setting restrictions on these products! Scott

-----Original Message----From: Alyonik Hrushow [mailto:Alyonik.Hrushow@sfdph.org] Sent: Tuesday, January 18, 2011 9:42 AM To: Neal, Scott Subject: King County ban on e cigarettes

Hi Scott Hope you are well. I heard that King County banned e cigarettes and wanted to get a copy of the legislation, particularly the findings or rationale that was used in adopting the ordinance. Alyonik Hrushow San Francisco Tobacco Free Project

[attachment "BOH Regulation E-cigarette FINAL sent 11-23-2010.doc" deleted by Alyonik Hrushow/DPH/SFGOV] [attachment "ALL Exhibits.pdf" deleted by Alyonik Hrushow/DPH/SFGOV] [attachment "E-cig staff report FINAL 12 6 10 wsh jmh.doc" deleted by Alyonik Hrushow/DPH/SFGOV]

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From: To: Date: Subject: Sounds good.. You can reach me at 206-263-8197 Thanks Scott

"Neal, Scott" "Alyonik Hrushow" <Alyonik.Hrushow@sfdph.org> 1/18/2011 9:07:00 PM RE: King County ban on e cigarettes

Ps. My wife and I are expecting a baby any time now (due date is Jan. 28th) so there is at least a chance that I may not be here at some point soon for at least a few weeks.

-----Original Message----From: Alyonik Hrushow [mailto:Alyonik.Hrushow@sfdph.org] Sent: Tuesday, January 18, 2011 4:08 PM To: Neal, Scott Subject: RE: King County ban on e cigarettes How about I call you Th. at 11am? Alyonik Hrushow San Francisco Tobacco Free Project

"Neal, Scott" ounty.gov> To 'Alyonik Hrushow' 01/18/2011 04:05 PM cc Subject RE: King County ban on e cigarettes

I'm currently available Thursday at 11am or Friday I'm more available if that works too. Scott
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Page 2

-----Original Message----From: Alyonik Hrushow [mailto:Alyonik.Hrushow@sfdph.org] Sent: Tuesday, January 18, 2011 4:03 PM To: Neal, Scott Subject: RE: King County ban on e cigarettes Thanks so much for the quick response, Scott. Your staff report looks great and will be helpful. I would like to give you a call this week to find out more about the process you went through. Would you be available sometime Wed. afternoon or Thursday morning? Alyonik Hrushow San Francisco Tobacco Free Project

"Neal, Scott" ounty.gov> To 'Alyonik Hrushow' 01/18/2011 02:56 PM cc Subject RE: King County ban on e cigarettes

Hi Alyonik, At any rate, I've attached the BOH staff report along with the attached various exhibits we included for background info. I also attached the final version of our code language, but their was a couple of very minor edits during the meeting. I expect that the final version will be posted online within the next week or so, but you can at least get a good idea of what we ended up with. I'm happy to discuss the process we went through and the interesting experience we had with local and national media around this issue. It was a bit of a roller coaster ride. My hope is that other locations will continue the trend toward setting restrictions on these products! Scott

-----Original Message----From: Alyonik Hrushow [mailto:Alyonik.Hrushow@sfdph.org] Sent: Tuesday, January 18, 2011 9:42 AM
8_19_2011

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To: Neal, Scott Subject: King County ban on e cigarettes

Hi Scott Hope you are well. I heard that King County banned e cigarettes and wanted to get a copy of the legislation, particularly the findings or rationale that was used in adopting the ordinance. Alyonik Hrushow San Francisco Tobacco Free Project

[attachment "BOH Regulation E-cigarette FINAL sent 11-23-2010.doc" deleted by Alyonik Hrushow/DPH/SFGOV] [attachment "ALL Exhibits.pdf" deleted by Alyonik Hrushow/DPH/SFGOV] [attachment "E-cig staff report FINAL 12 6 10 wsh jmh.doc" deleted by Alyonik Hrushow/DPH/SFGOV]

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From: To: Date: Subject:

"Prevention, Tobacco" "Neal, Scott" <Scott.Neal@kingcounty.gov> 1/18/2011 7:24:06 PM King County Tobacco Prevention Community Update

Email not displaying correctly? View it in your browser.

In this issue... Tobacco prevention pays off New products & marketing threaten tobacco prevention successes Exposure to tobacco smoke causes immediate damage Healthy tobaccofree environments Critical need to prevent youth from tobacco use BOH approves ecigarette regulations

Investing in tobacco prevention programs pays off


by Joy Hamilton

Tobacco control programs play a crucial role in the prevention of many chronic conditions such as cancer, heart disease and respiratory illness. Comprehensive tobacco prevention and cessation programs prevent kids from starting to smoke; help adult smokers quit; educate the public, the media and policymakers about ways to reduce tobacco use; address disparities; and serve as a counter to the ever-present tobacco industry. When adequately funded, comprehensive tobacco prevention programs quickly and substantially reduce tobacco use, which saves lives and money, cutting smoking-cause medical costs and lost productivity. The effectiveness of these programs becomes abundantly clear when funding disappears. States that have experimented with tobacco prevention funding cuts have seen their progress in reducing tobacco use erode, resulting in higher smoking rates and associated deaths, disease, and costs. Massachusetts and Indiana are interesting case studies for this. Unfortunately, similar results can be found in many other states including Minnesota, Florida, and California.

Continue reading

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Unsubscribe scott.neal@kingcounty.gov Our email: tobacco.prevention@kingcounty.gov Our website: www.kingcounty.gov/health/tobacco Our mailing address: 401 5th Ave Suite 900, Seattle, WA 98104

In this issue... Tobacco prevention pays off New products & marketing threaten tobacco prevention successes Exposure to tobacco smoke causes immediate damage Healthy tobaccofree environments Critical need to prevent youth from tobacco use BOH approves ecigarette regulations

(Continued)
MASSACHUSETTS For years, Massachusetts was a leader in tobacco prevention. The successful statewide program resulted in declines in cigarette consumption at rates significantly greater than the nation as a whole. Despite this success, in 2004 funding for the state's tobacco prevention program was cut by 95 percent. The drastic reduction in funding has taken its toll studies show that in 2005 and 2006, cigarette consumption actually increased in Massachusetts, just one to two years after funding was cut. INDIANA In 2000, Indiana implemented a comprehensive tobacco prevention and cessation program with revenue from the state's tobacco settlement. The Indiana Tobacco Prevention and Cessation (ITPC) program contributed to significant declines in smoking among both adults and youth, but in 2004, state leaders cut the program's funding by almost 70 percent. Subsequently, Indiana's progress in reducing smoking rates stalled for both adults and youth. W ASHINGTON Washington state's adult smoking rate is the third lowest in the nation (14.8 percent), largely due to our Tobacco Prevention and Control Program, which was started in 2000. Since the Program began, the smoking rate declined by about a third. However Washington state's Tobacco Prevention and Control Account has been reduced by more than 50 percent over the last two years. In the recent special legislative session called by Governor Gregoire, the Program suffered an additional cut of $3 million. Governor Gregoire has proposed that Washington state eliminate funding for comprehensive tobacco prevention and control on July 1, 2011. Cutting funding to tobacco prevention may not spell the savings she expects though a recent report from the Department of Health credited the Tobacco Prevention and Control Program for saving five dollars in health care costs for every one dollar spent for the Program. Based on data from other states, it's likely that the progress seen in our state to reduce

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tobacco use rates will erode, rates of smoking may raise and associated health costs will skyrocket due to these cuts.
Joy Hamilton is the Policy/Advocacy Manager in the Tobacco Prevention Program at Public Health Seattle & King County. For more information, contact her at Joy.Hamilton@ kingcounty.gov or (206) 2967613. REFERENCES Tobacco Free Kids.The impact of reductions to state Tobacco Control Program funding. Retrieved 12/22/2010. Department of Health. Washington's adult smokingn rate now third lowest in the nation. Retrieved 12/23/2010. Department of Health. Thousands of lives saved due to Tobacco Prevention and Controls Program. Retrieved 01/11/2011.

In this issue... Tobacco prevention pays off New products & marketing threaten tobacco prevention successes Exposure to tobacco smoke causes immediate damage Healthy tobaccofree environments Critical need to prevent youth from tobacco use BOH approves ecigarette regulations

New products and marketing threaten tobacco control and prevention successes
by Molly Ryan

If I've learned one thing for certain during my time in tobacco prevention and control, it's that the fight against tobacco is never over. We have made great strides in reducing the burden of tobacco on our community. Over the past decade, we have decreased the overall smoking rate, reduced youth initiation, and increased protection against deadly secondhand smoke. But the tobacco industry is an ever-present threat because our success means their failure (and vice versa). When we get people to quit or prevent people from starting, we are essentially taking away their customers, and when they keep customers and/or gain new ones, we see bad health outcomes. So, for both sides of this battle, there is a lot to be gained and even more to be lost. Because of this, it comes at no surprise that as we continue to successfully reduce tobacco use rates, tobacco companies are working harder than ever to recruit and retain customers. This effort to counter tobacco prevention and control successes is very clearly demonstrated by the emergence of new products and reinvigorated marketing efforts. NEW PRODUCTS With increasingly tighter smoking restrictions and subsequent reduction in smoking rates (and cigarette sales), the tobacco industry has responded by introducing new products to fill that market niche. Electronic cigarettes, or "e-cigarettes," are currently a hot topic of discussion. There is limited research about the safety of these products and initial testing by the FDA raises some concerns. Ingredient testing on several samples shows the presence of various toxins and carcinogens (chemicals that cause cancer), a discrepancy in nicotine levels among cartridges with the same label (e.g., "low," "medium"), and low levels of nicotine among all but one of the cartridges that were labeled as

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containing no nicotine. In addition to this apparent lack of quality control and evidence to show these products are safe, public health officials are concerned over the potential appeal that these products may have to youth. Their high-tech design, easy availability online or at mall kiosks, lack of health warnings and the wide array of flavors, including chocolate, vanilla and mint, may encourage young people to try these products and potentially get them addicted to nicotine. The King County Board of Health recently passed a regulation prohibiting the sale of e-cigarettes to youth. While manufacturers for e-cigarettes seemingly appeared out of the woodwork to fill the market niche that smoking restrictions created, cigarette manufacturers like Philip Morris (Marlboro) and R.J. Reynolds (Camel) have responded by introducing smokeless, spitless tobacco products that can be used in situations and settings where smoking or using spit tobacco is not allowed. As described in our spring 2010 newsletter, there is some debate over whether Snus is a friend or foe of tobacco prevention and control some believe that it could be a safe alternative to cigarettes, but many believe this is yet another attempt by American tobacco companies to expand their market share. Many public health officials are concerned that Snus is a "gateway product" that is meant to get people addicted to nicotine so that they will graduate to products with higher nicotine content, like cigarettes. Snus is especially appealing to young people, who already use smokeless tobacco at higher rates than adults, because it can be used discreetly and comes in a variety of flavors and nicotine levels. NEW MARKETING Since the vast majority of regular adult smokers started smoking before the age of 18, it comes as no surprise that tobacco companies invest millions of dollars to market their products to young people. Youth are particularly vulnerable to tobacco marketing; research has shown a causal relationship between exposure to tobacco marketing and likelihood of using tobacco. The more cigarette ads and promotions a young person sees, the more likely they are to start smoking. Cigarette companies have been hugely successful in recruiting new, young customers by bombarding them with advertisements and marketing materials that promote positive opinions and attitudes towards smoking and smokers. Despite the 1998 Master Settlement Agreement (MSA) aimed to restrict marketing directly to kids and the disappearance of billboards and t-shirts adorned with images of Joe Camel, tobacco companies are still reaching kids. The most recent example of this is the "Break Free Adventure," Camel's new marketing campaign which includes the release of special-edition

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packs of cigarettes that feature 10 cities across the U.S., including Seattle. This campaign exploits Seattle's vibrant and alternative culture in an attempt to make Camel cigarettes appear cool, fun and rebellious themes that resonate with youth. Many tobacco prevention and control groups and organizations, including the Campaign for Tobacco-Free Kids and the National Association of Attorney Generals, as well as elected officials, are outraged by this campaign and are demanding that R.J. Reynolds (RJR), makers of Camel cigarettes, end this promotion immediately. In their statement, the Campaign for Tobacco-Free Kids describes this campaign as evidence that RJR "has not changed" and "is continuing its longstanding efforts to make the Camel brand appealing to youth." In a letter sent directly to RJR, the National Association of Attorney Generals asks that the campaign be terminated immediately "out of concern for America's youth." Local and state officials also voiced opposition to this campaign. Governor Christine Gregoire released a statement calling on RJR to "halt their cynical campaign and not use our local landmarks for their gain." Other political leaders including King County Executive Dow Constantine and Board of Health chair Julia Patterson also released statements echoing these sentiments. "We've cut the smoking rate in half in just the last decade in King County, and it has proved its worth in lives and money saved. We can't take a step backward by allowing predatory marketing campaigns to lure kids into tobacco addiction." King County Board of Health Chair Julia Patterson CLOSING By their own admission, the tobacco industry see young people as the key to their company's future success they represent the next generation of smokers (and customers). Because of this, it comes as no surprise that tobacco companies continue to target young people with their product development and marketing campaigns. Check out previous newsletter articles on this topic: Snus: Safe alternative to smoking? and The cigarette E-volves (electronic cigarettes).

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Molly Ryan is the Pharmacy and Colleges/Universities Manager in the Tobacco Prevention Program at Public Health Seattle & King County. For more information, contact her at Molly.Ryan @kingcounty.gov or (206) 296-7613.

In this issue... Tobacco prevention pays off New products & marketing threaten tobacco prevention successes Exposure to tobacco smoke causes immediate damage Healthy tobaccofree environments Critical need to prevent youth from tobacco use BOH approves ecigarette regulations

Exposure to tobacco smoke causes immediate damage, says new Surgeon General's report
by Joy Hamilton

A new report from the Surgeon General finds that exposure to tobacco smoke even occasional smoking or secondhand smoke causes immediate damage to your body that can lead to serious illness or death. The report, titled How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease, provides scientific evidence of the importance of smoke free air and will serve as an important tool for public health advocates in their efforts to create smoke free environment policies. Some highlights of the report include: Cellular damage and tissue inflammation from tobacco smoke are immediate, and that repeated exposure weakens the body's ability to heal the damage. The report also explains why it is so difficult to quit smoking. According to the research, cigarettes are designed for addiction. The design and contents of current tobacco products make them more attractive and addictive than ever before. Today's cigarettes deliver nicotine more quickly and efficiently than cigarettes of many years ago. Tobacco smoke contains a deadly mixture of more than 7,000 chemicals and compounds, of which hundreds are toxic and at least 70 cause cancer. Every exposure to these cancer-causing chemicals could damage DNA in a way that leads to cancer.

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Even brief exposure to secondhand smoke can cause cardiovascular disease and could trigger acute cardiac events, such as heart attack. The report describes how chemicals from tobacco smoke quickly damage blood vessels and make blood more likely to clot. The evidence in this report shows how smoking causes cardiovascular disease and increases risks for heart attack, stroke,
Joy Hamilton is the Policy/Advocacy Manager in the Tobacco Prevention Program at Public Health Seattle & King County. For more information, contact her at Joy.Hamilton@ kingcounty.gov or (206) 2967613.

and aortic aneurysm. This report is the 30th tobacco-related Surgeon General's report issued since 1964. The full report, along with several other resources such as a consumer booklet and a clinician fact sheet, can be found on the CDC's website.

In this issue...

Healthy tobacco-free environments


Tobacco prevention pays off New products & marketing threaten tobacco prevention successes Exposure to tobacco smoke causes immediate damage Healthy tobaccofree environments Critical need to prevent youth from tobacco use BOH approves ecigarette regulations
by Karen Brawley, Norilyn de la Pena, Lindsey Greto, and Paul Zemann

Everyone deserves a healthy environment and in our county, we want the healthy choice to be the easy choice. All-inclusive tobaccofree policies protect nonsmokers from dangerous secondhand smoke (SHS), support people who are actively trying to quit tobacco, and keep youth away from tobacco products. Tobacco-free environments protect the health, safety, and welfare of all community members and establish the norm that tobacco use is not an acceptable behavior for young people or adults. Kids can't imitate what they don't see keeping tobacco products out of sight also keeps it out of mind. Through King County's Communities Putting Prevention to Work efforts, there are a number of new projects working on healthy, smoke-free environments. More about their work can be found in the links below. COLLEGES AND UNIVERSITIES Young adulthood, considered to be ages 18-24, is a time of transition from adolescence to adulthood when young people are faced with new freedoms, experiences and responsibilities. This is a critical time in which tobacco addictions are either established or squashed; although many smokers start smoking before the age of 18, the majority don't actually

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become addicted (i.e., "established" smokers) until they are between 18 and 24. Tobacco companies take full advantage of this fact by aggressively marketing their products to this vulnerable age group, particularly college students an effective strategy that encourages smoking. Considering this, it is to no surprise that the smoking rate among young adults is higher than any other age group. Colleges and universities are uniquely positioned to be able to combat the tobacco industry's efforts to promote smoking among young adults. Strong smoke-free campus policies create smoke-free social norms, discourage tobacco use, and also protect people from deadly SHS ultimately improving the health and well-being of students, staff, faculty and visitors. Click here to learn more about the work Cornish College of the Arts is doing to become a smoke-free campus. HOSPITALS AND SPECIALIZED CLINICS Walking through a cloud of smoke on the way to a doctor's visit, a surgery or a group counseling session is antithetical to the mission of health-care organizations. Tobacco-free hospital and clinic environments protect patients, staff and visitors from the negative health effects of tobacco use. It's well-known that tobacco use adversely impacts medical treatment for most illnesses. Smoking slows wound healing and is the most common cause of poor birth outcomes. SHS is dangerous for anyone to breathe, but is especially problematic for sick patients or those with compromised immune systems. By instituting a strong tobacco-free policy at places of health, organizations can demonstrate a strong commitment to health and safety. The University of Washington and King County Mental Health Chemical Abuse and Dependency Services are working to create smoke-free hospital and clinic environments in King County. HOUSING While Washington's smoke-free workplace laws protect workers from SHS exposure, no laws protect people from SHS where they live. Reducing exposure to SHS in multi-family units is vital to creating a healthier environment for all residents. Smoke drifting from smokers'
Karen Brawley is the Housing & Cities Manager in the Tobacco Prevention Program at Public Health Seattle & King County. For more information, contact her at Karen.Brawley @kingcounty.gov or (206)

apartments to those of non-smokers forces residents to breathe in the carcinogens found in SHS. Children and those with long-term health conditions are susceptible to a host of health problems from SHS, including: sudden infant death syndrome (SIDS), acute respiratory problems, ear infections, asthma attacks, heart disease and a variety of cancers.

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296-7613. Norilyn de la Pena is the Cessation Manager in the Tobacco Prevention Program at Public Health Seattle & King County. For more information, contact her at Norilyn.delaPena @kingcounty.gov or (206) 296-7613. Lindsey Greto is the Schools & Clinics Program Manager in the Tobacco Prevention Program at Public Health Seattle & King County. For more information, contact her at Lindsey.Greto @kingcounty.gov or (206) 296-7613. Paul Zemann is a Health Educator in the Tobacco Prevention Program at Public Health Seattle & King County. For more information, contact him at Paul.Zemann @kingcounty.gov or (206) 296-7613.

cancers. Tobacco-free housing also provides a financial incentive. As a result of residual chemical residue, extensive cleaning is required to maintain the value and cleanliness of a smoking home. Having tobacco-free housing also lowers the risk of fires. Cigarettes are a leading cause of residential building fires and are the leading reason for fire death in the United States. Click here to learn more about the work Housing Resource Group is doing to implement smoke-free housing policies in at least 26 affordable housing buildings in Seattle. PARKS Parks are established to promote healthy activities. The purpose of park areas is to promote community wellness, and tobacco-free policies fit with this idea. Secondhand smoke levels in outdoor public places can reach levels as high as those found in indoor facilities where smoking is permitted. Furthermore, cigarette litter is dangerous. When discarded, cigarettes can pollute the land and water and may be ingested by toddlers, pets, birds or fish.

In this issue... Tobacco prevention pays off New products & marketing threaten tobacco prevention successes Exposure to tobacco smoke causes immediate damage Healthy tobaccofree environments Critical need to prevent youth from tobacco use BOH approves ecigarette

Critical need to prevent youth from tobacco use


Lindsey Greto

Every day in the United States, about 4,100 youth between the ages of 12 and 17 try a cigarette for the first time. Of the youth who take up smoking, about one in three will eventually die from a tobacco-related disease.

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regulations

Youth cigarette use declined sharply from 1997 2003, but in recent years the decline has stalled and the rate of smokeless product usage has increased. In King County, 17.3 percent of high school seniors report current cigarette use, and more youth use smokeless tobacco than adults. Tobacco companies can no longer overtly market their products to youth, but instead use covert marketing techniques, such as production of youthfriendly products, advertisements in magazines with high youth readership and tobacco industry sponsorship of recreation events. Nearly 80% of adult smokers started before the age of 18. Products that are especially appealing to youth include flavored smokeless tobacco. These products are easily concealed from parents and teachers and often come in candy-like flavors. Tobacco industry documents show that flavored products have historically been aggressively marketed to attract new, young users, who then graduate to non-flavored products in adulthood. Not only can experimentation with tobacco products in adolescence result in a lifelong addiction, it's also related to poor academic performance and other high-risk behaviors. Healthy students are more prepared to learn. Students with certain health risk factors, including tobacco use, have worse outcomes in school. Students that use tobacco are: 3 times more likely to get Cs/Ds/Fs 4 times more likely to skip class 21 times more likely to use marijuana 4 times more likely to be suspended 8 times more likely to binge drink 36 times more likely to use drugs However reducing student tobacco use improves graduation rates, increases seat times for students, improves classroom management, improves test scores, improves learning disparities, and increases personal success. These alarming statistics underscore the need for

Lindsey Greto is the Schools & Clinics Program Manager in the Tobacco Prevention Program at Public Health Seattle & King County. For more information, contact her at Lindsey.Greto @kingcounty.gov or (206) 296-7613.

effective youth tobacco prevention programs.

To request a full list of references for this article, please contact Lauren Holt at Lauren.Holt@kingcounty.gov.

In this issue...
8_19_2011

In this issue... Tobacco prevention pays off New products & marketing threaten tobacco prevention successes Exposure to tobacco smoke causes immediate damage Healthy tobaccofree environments Critical need to prevent youth from tobacco use BOH approves ecigarette regulations

Page 11

Board of Health approves electronic cigarette regulations


by Joy Hamilton

The King County Board of Health recently passed regulations to protect King County youth from electronic smoking devices and unregulated nicotine delivery products. The Board of Health voted unanimously to: restrict the sales of e-cigarettes or any other unapproved nicotine delivery products to people 18 and older; prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products; prohibit the use of e-cigarette devices in places where smoking is prohibited by law. Electronic smoking devices, commonly known as "e-cigarettes," are battery-operated devices designed to look like and to be used in the same manner as conventional cigarettes. E-cigarettes use cartridges to deliver vaporized nicotine, the same highly addictive drug that's in tobacco. The FDA is investigating e-cigarettes, but the products are currently unregulated at the federal level. E-cigarettes have a high appeal to youth. They are sold in convenience stores and mall kiosks and come in candy flavors including chocolate, vanilla and mint. The FDA has warned that e-cigarettes can increase nicotine addiction among young people and may lead youth to try conventional tobacco products. As these products have become more widely available, public use has also increased. E-cigarettes mimic the appearance of regular cigarettes because the user exhales a smoke-like vapor similar in appearance to the exhaled smoke from a cigarette. Their use is visually indistinguishable from the use of traditional tobacco products in public, which leads to confusion and may prompt people to smoke traditional tobacco products. In passing the regulation, Board of Health members also expressed

Joy Hamilton is the Policy/Advocacy Manager in the Tobacco Prevention Program at Public Health Seattle & King County. For more information, contact her at Joy.Hamilton @kingcounty.gov or (206) 296-7613.

concern that the use of these products threatens to undermine the social norming impact of Smoking in Public Places law. Several other jurisdictions across the United States have created similar regulations related to e-cigarettes, but King County's regulations are believed to be the most comprehensive in the nation.

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From: "Hatzenbuehler, Eric" To: "Bennett, John" <John.Bennett@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 1/18/2011 4:55:01 PM Subject: RE: Quick Question Im feeling a little impatient as of late - I vote for manager/manager via Scott. Thanks for checking-in, John.

_____________________________________________ From: Bennett, John Sent: Tuesday, January 18, 2011 11:44 AM To: Neal, Scott; Hatzenbuehler, Eric Subject: FW: Quick Question The Contact I was given is Mark Rowe. I still haven't heard back so am just checking in to see if we still want Scott to put in an ask manager/manager, or if you would like me to follow up? Also, I heard back from Maria Wood that Bruce will not be able to get the language of the code updated until the end of this week - just FYI. John ______________________________________________ From: Skilton, Christopher Sent: Tuesday, January 11, 2011 4:03 PM To: Bennett, John; Rowe, Mark Subject: RE: Quick Question Probably. I will forward to our Section Manager, Mark Rowe -- he'll know. Mark, John is in Tobacco Prevention, 9th floor. Chris _____________________________________________ From: Bennett, John Sent: Tuesday, January 11, 2011 12:42 PM To: Skilton, Christopher Subject: Quick Question Hey Chris, Are there any methods EH has for communicating to restaurants/places with a food permit on a large scale? We are trying to figure out a cost effective way to let them know of the ban on e-cigarettes in public places that the BOH adopted. Thanks!
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John

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From: "Bennett, John" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> Date: 1/18/2011 3:44:09 PM Subject: FW: Quick Question The Contact I was given is Mark Rowe. I still haven't heard back so am just checking in to see if we still want Scott to put in an ask manager/manager, or if you would like me to follow up? Also, I heard back from Maria Wood that Bruce will not be able to get the language of the code updated until the end of this week - just FYI. John >______________________________________________ >From: Skilton, Christopher >Sent: Tuesday, January 11, 2011 4:03 PM >To: Bennett, John; Rowe, Mark >Subject: RE: Quick Question > >Probably. I will forward to our Section Manager, Mark Rowe -- he'll know. > >Mark, John is in Tobacco Prevention, 9th floor. > >Chris > >_____________________________________________ >From: Bennett, John >Sent: Tuesday, January 11, 2011 12:42 PM >To: Skilton, Christopher >Subject: Quick Question > >Hey Chris, > >Are there any methods EH has for communicating to restaurants/places with a food permit on a large scale? We are trying to figure out a cost effective way to let them know of the ban on e-cigarettes in public places that the BOH adopted. > >Thanks! > >John > > > >

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From: "Neal, Scott" To: "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> Date: 1/19/2011 12:27:00 PM Subject: RE: Quick Question So should I be checking with Mark Rowe directly? And What exactly am I asking from him? Are we wanting to get a list or are we wanting to just find out how they communicate and determine if there is a way to get our message through their system? Scott >_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Tuesday, January 18, 2011 12:55 PM >To: Bennett, John; Neal, Scott >Subject: RE: Quick Question > >Im feeling a little impatient as of late - I vote for manager/manager via Scott. > >Thanks for checking-in, John. > > > >_____________________________________________ >From: Bennett, John >Sent: Tuesday, January 18, 2011 11:44 AM >To: Neal, Scott; Hatzenbuehler, Eric >Subject: FW: Quick Question > >The Contact I was given is Mark Rowe. I still haven't heard back so am just checking in to see if we still want Scott to put in an ask manager/manager, or if you would like me to follow up? > >Also, I heard back from Maria Wood that Bruce will not be able to get the language of the code updated until the end of this week - just FYI. > >John > >______________________________________________ >From: Skilton, Christopher >Sent: Tuesday, January 11, 2011 4:03 PM >To: Bennett, John; Rowe, Mark >Subject: RE: Quick Question > >Probably. I will forward to our Section Manager, Mark Rowe -- he'll know. > >Mark, John is in Tobacco Prevention, 9th floor. > >Chris > >_____________________________________________
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>From: Bennett, John >Sent: Tuesday, January 11, 2011 12:42 PM >To: Skilton, Christopher >Subject: Quick Question > >Hey Chris, > >Are there any methods EH has for communicating to restaurants/places with a food permit on a large scale? We are trying to figure out a cost effective way to let them know of the ban on e-cigarettes in public places that the BOH adopted. > >Thanks! > >John > > > >

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From: "Hatzenbuehler, Eric" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> Date: 1/19/2011 1:11:53 PM Subject: RE: Quick Question The idea is to check in with Mark directly about methods or systems EH might have in place to communicate with all restaurants/places with food permits regarding the ban on e-cigarettes in public places. Ideally, this would be via email or as a small announcement in an existing newsletter. Eric _____________________________________________ From: Neal, Scott Sent: Wednesday, January 19, 2011 8:25 AM To: Hatzenbuehler, Eric; Bennett, John Subject: RE: Quick Question So should I be checking with Mark Rowe directly? And What exactly am I asking from him? Are we wanting to get a list or are we wanting to just find out how they communicate and determine if there is a way to get our message through their system? Scott _____________________________________________ From: Hatzenbuehler, Eric Sent: Tuesday, January 18, 2011 12:55 PM To: Bennett, John; Neal, Scott Subject: RE: Quick Question Im feeling a little impatient as of late - I vote for manager/manager via Scott. Thanks for checking-in, John.

_____________________________________________ From: Bennett, John Sent: Tuesday, January 18, 2011 11:44 AM To: Neal, Scott; Hatzenbuehler, Eric Subject: FW: Quick Question The Contact I was given is Mark Rowe. I still haven't heard back so am just checking in to see if we still want Scott to put in an ask manager/manager, or if you would like me to follow up? Also, I heard back from Maria Wood that Bruce will not be able to get the language of the code updated until the end of this week - just FYI. John ______________________________________________ From: Skilton, Christopher
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Sent: Tuesday, January 11, 2011 4:03 PM To: Bennett, John; Rowe, Mark Subject: RE: Quick Question Probably. I will forward to our Section Manager, Mark Rowe -- he'll know. Mark, John is in Tobacco Prevention, 9th floor. Chris _____________________________________________ From: Bennett, John Sent: Tuesday, January 11, 2011 12:42 PM To: Skilton, Christopher Subject: Quick Question Hey Chris, Are there any methods EH has for communicating to restaurants/places with a food permit on a large scale? We are trying to figure out a cost effective way to let them know of the ban on e-cigarettes in public places that the BOH adopted. Thanks! John

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From: To: Date: Subject: Fel,

"Hatzenbuehler, Eric" "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> 1/21/2011 7:54:56 PM E-Cig Phone Call

It is likely you received a phone call from the owner of the e-cig kiosks in Northgate and South Center to discuss potential for collaboration. His name is Yaron Navati and he hopes we'll give him an exemption to allow customers to try an e-cig at point of purchase. I talked to him today (and indicated that such exemption won't be given) and told him we'd be in touch by Wednesday with a confirmed response. I know we won't grant the exemption. However, he really wanted to meet in person and from a customer service perspective, wanted to gauge how we would respond to this and future requests to meet. He is waiting to hear from us before signing his lease at Northgate. Eric

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From: To: Date: Subject: Attachments: Hi Alyonik,

"Neal, Scott" "Alyonik Hrushow" <Alyonik.Hrushow@sfdph.org> 1/21/2011 2:21:00 PM E-cigarette code now online... BOH Code - Title 19 - Tobacco Products 1.21.11.pdf

It looks like our E-cigarette code just made it online, so I downloaded it in pdf in case you are interested.

Thanks Scott

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From: "Allis, Donna" To: "Kellogg, Ryan" <Ryan.Kellogg@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Gomez, Tony" <Tony.Gomez@kingcounty.gov> "Lacet, Blishda" <Blishda.Lacet@kingcounty.gov> "MacDougall, Erin" <Erin.MacDougall@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Philby, Miriam" <Miriam.Philby@kingcounty.gov> "Phillips-Angeles, Ellen" <Ellen.Phillips-Angeles@kingcounty.gov> "Schwartz, Linda" <Linda.Schwartz@kingcounty.gov> Date: 1/21/2011 12:38:40 AM Subject: FW: Public Health Executive's Semi-Monthly Highlights 1.13.11

Donna J Allis, Ph.D., RN Health Services Administrator Chronic Disease & Injury Prevention Section Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104-1823 206-263-8186

From: Apa, James Sent: Thursday, January 20, 2011 7:20 PM To: Shinoda-Mettler, Anne; Krekeler, Barbara; Leifer, Ben; Pine, Bette; Adams, Caren; Fotinos, Charissa; Bibus, David; Fleming, David; Reyes, David; Webb, Dean; Worsham, Dennis; Vinh, Diana; Moritz, Don; Gibson, Dorothy; Teeter, Dorothy; Phillips-Angeles, Ellen; Oren, Eyal; Chaffee, Frank; Johnson, Gareth; Hewett, Greg; Chatalas, Helen; Karasz, Hilary; Rohr Tran, Holly; Apa, James; Krieger, James; Weihe, Janine; Wilson, Janna; Duchin, Jeff; Haynes, Joan; Nakagawara, Jon; Byrd, Julia; West, Julie; Beleford, June; Huus, Kathie; Uhlorn, Kathleen; Carson, Kathy; Wuellner, Kurt; Federighi, Laura; Maurer, Marcy; Wood, Maria; Zwerling, Mary; Narita, Masa; Hanrahan, Michael; Loehr, Michael; Lente, Natalie; Oleru, Ngozi; Sadow-Hasenberg, Nicole; Swenson, Paul; Harruff, Richard; Weigelt, Ron; Ciske, Sandra; Lohn, Sherman; Eisele, Susan; Oatis, Susan; Cosgrove, TJ; Muhm, Jennifer; Plorde, Michele; West, Cindy; Allis, Donna; Valenzuela, Matias; Albetta, Gloria; Chan, Nadine; Solet, David; Wysen, Kirsten; Jones, Scott; Burgess, Moffett; Kennedy, Patricia; LaQuey, Gerrie; Mullin, Carole; Owen, Eric; Peterson, Maureen; Russell, Karen; Simpson, Jane; St Clair, Linda; Golden, Matthew-contact; Cummins, Elaine; Russillo, Chrissy; Hitchcock, Laura; Ross, Kathryn; Ro, Marguerite; Hopkins, Sharon Subject: Public Health Executive's Semi-Monthly Highlights 1.13.11

Public Health
Executive Semi-Monthly Highlights January 13, 2011 POTENTIAL ISSUE ALERTS
State budget update I spoke before two committees in Olympia yesterday to share the local service impacts of the 50% state budget cut to Maternity Support Services (MSS) and the 30% reduction in reimbursement rates for Federally
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Qualified Health Centers, and offer creative alternatives that can increase the efficiency and value of health care provided through Medicaid dollars and help to preserve more services for the most vulnerable. We also began to issue layoff notices to 123 staff yesterday, effective February 28, as a consequence of the MSS cut, and informed the community and media; we received wide media coverage of the announcement and ongoing efforts in Olympia. Fluoridation recommendation update Lat week, the federal Department of Health and Human Services announced that they were updating their recommended level of fluoridation in the water supply to 0.7 milligrams of fluoride per liter of water (from the old range of 0.8 to 1.2 milligrams), a level that will continue to be an effective public health measure in reducing the prevalence of tooth decay in communities, but also reduce the chance of dental fluorosis in children, a condition that can cause spotting on teeth if too much fluoride is ingested. Several water systems in King County, including the City of Seattle, fluoridate their water. Seattle Public Utilities and other local utilities will be working the Washington State Department of Health, which regulates large water systems, and Public Health Seattle & King County to review the federal recommendations and consider changes in their fluoridation levels.

COUNCIL CONTACTS AND LEGISLATIVE ACTIVITY


See State budget update under Potential Issue Alerts Board of Health Action on e-cigarettes: In December, the King County Board of Health passed regulations to protect King County youth from electronic smoking devices and unregulated nicotine delivery products. The Board voted unanimously to: restrict the sales of e-cigarettes or any other unapproved nicotine delivery products only to people 18 and older; prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products; prohibit the use of e-cigarette devices in places where smoking is prohibited by law. Electronic smoking devices, commonly known as "e-cigarettes," are battery-operated devices designed to look like and to be used in the same manner as conventional cigarettes. E-cigarettes use cartridges to deliver vaporized nicotine, the same highly addictive drug that's in tobacco. The FDA is investigating ecigarettes, but the products are currently unregulated at the federal level. Several other jurisdictions across the nation have created similar regulations related to e-cigarettes but it is believed that King County's regulations are the most comprehensive in the nation. January Board of Health meeting: The Board will hold its first meeting of the new year next Thursday, January 20 at 1:30 p.m. in King County Council chambers. Board agenda items include a legislative update, a Drinking Water Program update, an annual report from the Director. Elections for Board officers will also be held; King County Councilmember Julia Paterson, who has served as Board chair for the past five years, has announced that she will not run for chair again, and will place King County Councilmember Joe McDermotts name in nomination for the position.

PRIORITIES
Communities Putting Prevention to Work (CPPW) obesity and tobacco prevention grants Hospital goes smoke-free to start the year Highline Medical Center in Burien became the first hospital to go smoke-free as part of the University of Washington (UW) and the Washington State Hospital Association's (WSHA) CPPW efforts to provide safe, smoke-free environments for patients, staff and visitors at all King County hospitals. When Highline went
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smoke-free on Jan. 5, the number of hospitals in King County that do not have smoke-free campus policies shrunk to just nine out of 21 hospitals. The UW, in collaboration with the WSHA, will continue to work with the remaining nine hospitals to support their transition to smoke-free campuses and provide cessation options for hospitals to use with smokers who want to quit.

GOOD NEWS ITEMS


Public Health Ready renewal Public Health recently had its Public Health Ready designation renewed by the National Association of City and County Health Officials. To achieve Public Health Ready status, public health agencies need to meet rigorous standards that demonstrate their planning, capacity and ongoing improvement to respond effectively to a breadth of public health-related disasters. More information on Project Public Health Ready is at www.naccho.org/topics/emergency/PPHR/ Medical Examiners report for 2009 show homicides, traffic accidents down In December, the King County Medical Examiner issued its annual report for 2009, showing the lowest number of deaths due to homicide and traffic accidents in the past ten years. Overall, there were an estimated 12,967 deaths in King County, and the Medical Examiner assumed jurisdiction in 2,190 deaths, which included 989 natural deaths, 632 accidental deaths, 253 suicides, 141 traffic deaths, 63 homicides and 59 undetermined causes. The full report, at www.kingcounty.gov/health/examiner, presents a detailed analysis of deaths that fall under Medical Examiner's jurisdiction, including suspicious, sudden, unexpected or violent deaths in King County for the previous year, as well as trends in homicides, traffic fatalities and drug overdose deaths.

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From: "Allis, Donna" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Kellogg, Ryan" <Ryan.Kellogg@kingcounty.gov> "Gomez, Tony" <Tony.Gomez@kingcounty.gov> "Lacet, Blishda" <Blishda.Lacet@kingcounty.gov> "MacDougall, Erin" <Erin.MacDougall@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Philby, Miriam" <Miriam.Philby@kingcounty.gov> "Phillips-Angeles, Ellen" <Ellen.Phillips-Angeles@kingcounty.gov> "Schwartz, Linda" <Linda.Schwartz@kingcounty.gov> Date: 1/21/2011 12:37:43 AM Subject: FW: Public Health Mayor's Semi-Monthly Highlights 1.14.11

Donna J Allis, Ph.D., RN Health Services Administrator Chronic Disease & Injury Prevention Section Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104-1823 206-263-8186

From: Apa, James Sent: Thursday, January 20, 2011 7:17 PM To: Shinoda-Mettler, Anne; Krekeler, Barbara; Leifer, Ben; Pine, Bette; Adams, Caren; Maurer, Carol; Fotinos, Charissa; Bibus, David; Fleming, David; Reyes, David; Webb, Dean; Worsham, Dennis; Vinh, Diana; Moritz, Don; Gibson, Dorothy; Teeter, Dorothy; Phillips-Angeles, Ellen; Oren, Eyal; Chaffee, Frank; Johnson, Gareth; Hewett, Greg; Chatalas, Helen; Karasz, Hilary; Rohr Tran, Holly; Apa, James; Krieger, James; Weihe, Janine; Wilson, Janna; Duchin, Jeff; Haynes, Joan; Nakagawara, Jon; Byrd, Julia; West, Julie; Beleford, June; Huus, Kathie; Uhlorn, Kathleen; Carson, Kathy; Wuellner, Kurt; Federighi, Laura; Maurer, Marcy; Wood, Maria; Zwerling, Mary; Narita, Masa; Hanrahan, Michael; Loehr, Michael; Lente, Natalie; Oleru, Ngozi; Sadow-Hasenberg, Nicole; Swenson, Paul; Harruff, Richard; Weigelt, Ron; Ciske, Sandra; Lohn, Sherman; Eisele, Susan; Oatis, Susan; Cosgrove, TJ; Muhm, Jennifer; Plorde, Michele; West, Cindy; Allis, Donna; Valenzuela, Matias; Albetta, Gloria; Chan, Nadine; Solet, David; Wysen, Kirsten; Jones, Scott; Burgess, Moffett; Kennedy, Patricia; LaQuey, Gerrie; Mullin, Carole; Owen, Eric; Peterson, Maureen; Russell, Karen; Simpson, Jane; St Clair, Linda; Golden, Matthew-contact; Cummins, Elaine; Russillo, Chrissy; Hitchcock, Laura; Ross, Kathryn; Ro, Marguerite; Hopkins, Sharon Subject: Public Health Mayor's Semi-Monthly Highlights 1.14.11

TO: FROM: DATE: RE:

Mayor Michael Patrick McGinn Dr. David Fleming, Director and Health Officer January 14, 2011 Public Health Semi-Monthly Highlights

MAYORS PRIORITIES Nothing to report

MAJOR ACCOMPLISHMENTS
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Communities Putting Prevention to Work (CPPW) obesity and tobacco prevention grants Hospital goes smoke-free to start the year Highline Medical Center in Burien became the first hospital to go smoke-free as part of the University of Washington (UW) and the Washington State Hospital Association's (WSHA) CPPW efforts to provide safe, smoke-free environments for patients, staff and visitors at all King County hospitals. When Highline went smoke-free on Jan. 5, the number of hospitals in King County that do not have smokefree campus policies shrunk to just nine out of 21 hospitals. The UW, in collaboration with the WSHA, will continue to work with the remaining nine hospitals to support their transition to smoke-free campuses and provide cessation options for hospitals to use with smokers who want to quit. Public Health Ready renewal

Public Health recently had its Public Health Ready designation renewed by the National Association of City and County Health Officials. To achieve Public Health Ready status, public health agencies need to meet rigorous standards that demonstrate their planning, capacity and ongoing improvement to respond effectively to a breadth of public health-related disasters. More information on Project Public Health Ready is at www.naccho.org/topics/emergency/PPHR/

Medical Examiners report for 2009 show homicides, traffic accidents down In December, the King County Medical Examiner issued its annual report for 2009, showing the lowest number of deaths due to homicide and traffic accidents in the past ten years. Overall, there were an estimated 12,967 deaths in King County, and the Medical Examiner assumed jurisdiction in 2,190 deaths, which included 989 natural deaths, 632 accidental deaths, 253 suicides, 141 traffic deaths, 63 homicides and 59 undetermined causes. The full report, at www.kingcounty.gov/health/examiner, presents a detailed analysis of deaths that fall under Medical Examiner's jurisdiction, including suspicious, sudden, unexpected or violent deaths in King County for the previous year, as well as trends in homicides, traffic fatalities and drug overdose deaths. MAJOR COMMUNITY CONCERNS Public Health funding cuts I spoke before two committees in Olympia yesterday to share the local service impacts of the 50% state budget cut to Maternity Support Services (MSS) and the 30% reduction in reimbursement rates for Federally Qualified Health Centers, and offer creative alternatives that can increase the efficiency and value of health care provided through Medicaid dollars and help to preserve more services for the most vulnerable. We also began to issue layoff notices to 123 staff yesterday, effective February 28, as a consequence of the MSS cut, and informed the community and media; we received wide media coverage of the announcement and ongoing efforts in Olympia. Updated fluoridation recommendation Last week, the federal Department of Health and Human Services announced that they were updating their recommended level of fluoridation in the water supply to 0.7 milligrams of fluoride per liter of water (from the old range of 0.8 to 1.2 milligrams), a level that will continue to be an effective public health measure in reducing the prevalence of tooth decay in communities, but also reduce the chance of dental fluorosis in children, a condition that can cause spotting on teeth if too much fluoride is ingested. Several water systems in King County, including the City of Seattle,
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fluoridate their water. Seattle Public Utilities and other local utilities will be working the Washington State Department of Health, which regulates large water systems, and Public Health Seattle & King County to review the federal recommendations and consider changes in their fluoridation levels. COUNCIL CONTACTS Councilmember Burgess and Nurse Family Partnership In late December, Councilmember Burgess contacted us about the Nurse Family Partnership, a successful program for at-risk mothers and their newborns that receives city general fund support. We have worked with Jerry DeGrieck in the Human Services Department to respond to his questions.

Board of Health Action on e-cigarettes In December, the King County Board of Health passed regulations to protect King County youth from electronic smoking devices and unregulated nicotine delivery products. The Board voted unanimously to: restrict the sales of e-cigarettes or any other unapproved nicotine delivery products only to people 18 and older; prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products; prohibit the use of e-cigarette devices in places where smoking is prohibited by law. Electronic smoking devices, commonly known as "e-cigarettes," are battery-operated devices designed to look like and to be used in the same manner as conventional cigarettes. E-cigarettes use cartridges to deliver vaporized nicotine, the same highly addictive drug that's in tobacco. The FDA is investigating e-cigarettes, but the products are currently unregulated at the federal level. Several other jurisdictions across the nation have created similar regulations related to e-cigarettes but it is believed that King County's regulations are the most comprehensive in the nation.

January Board of Health meeting:

The Board will hold its first meeting of the new year next Thursday, January 20 at 1:30 p.m. in King
County Council chambers. Board agenda items include a legislative update, a Drinking Water Program update, and an annual report from the Director. Elections for Board officers will also be held; King County Councilmember Julia Paterson, who has served as Board chair for the past five years, has announced that she will not run for chair again, and will place King County Councilmember Joe McDermotts name in nomination for the position. FUTURE MEDIA OPPORTUNITIES Nothing to report

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From: To: Date: Subject:

"Pajimula, Fel" "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> 1/24/2011 11:33:36 AM RE: E-Cig Phone Call

Thanks Eric, I have 2 missed calls, and a "hangup" voicemail (no message) from MORATT AVNER 425-361-7239 from Friday. Avner is the name I was given from the salesperson at Northgate on Thursday, who said both kiosks are owned by Avner. Did Yaron Navati identify his role in the business? Do you have contact info for him? Thanks. FP

>_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Friday, January 21, 2011 3:55 PM >To: Pajimula, Fel >Cc: Bennett, John; Neal, Scott >Subject: E-Cig Phone Call > >Fel, > >It is likely you received a phone call from the owner of the e-cig kiosks in Northgate and South Center to discuss potential for collaboration. His name is Yaron Navati and he hopes we'll give him an exemption to allow customers to try an e-cig at point of purchase. I talked to him today (and indicated that such exemption won't be given) and told him we'd be in touch by Wednesday with a confirmed response. > >I know we won't grant the exemption. > >However, he really wanted to meet in person and from a customer service perspective, wanted to gauge how we would respond to this and future requests to meet. He is waiting to hear from us before signing his lease at Northgate. > >Eric > > > >

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From: To: Date: Subject: Not yet...still waiting. :)

"Neal, Scott" "Alyonik Hrushow" <Alyonik.Hrushow@sfdph.org> 1/24/2011 2:45:00 PM RE: E-cigarette code now online...

-----Original Message----From: Alyonik Hrushow [mailto:Alyonik.Hrushow@sfdph.org] Sent: Monday, January 24, 2011 9:43 AM To: Neal, Scott Subject: Re: E-cigarette code now online... Hi Scott Thanks so much. Have you had your baby boy yet? Alyonik Hrushow San Francisco Tobacco Free Project

"Neal, Scott" ounty.gov> To 'Alyonik Hrushow' 01/21/2011 10:19 AM cc Subject E-cigarette code now online...

Hi Alyonik, It looks like our E-cigarette code just made it online, so I downloaded it in pdf in case you are interested.

Thanks Scott [attachment "BOH Code - Title 19 - Tobacco Products 1.21.11.pdf" deleted by Alyonik Hrushow/DPH/SFGOV]

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From: "Hamilton, Joy" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 1/26/2011 4:18:36 PM Subject: FYI -- looks like Spokane is going to consider e-cigs policies. http://m.spokesman.com/stories/2011/jan/26/spokane-county-considers-ban-of-e-cigarette-sales/

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From: To: Date: Subject: whoa

"Neal, Scott" "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> 1/26/2011 6:19:00 PM RE: NY State Considering Banning e-cigarettes

-----Original Message----From: de la Pena, Norilyn Sent: Wednesday, January 26, 2011 1:59 PM To: Leon-Guerrero, Michael; Zemann, Paul; McCabe, Sherry; Greto, Lindsey Cc: Neal, Scott Subject: FW: NY State Considering Banning e-cigarettes Yikes! Let's hope our agencies aren't giving free chewing tobacco in lieu of allowing smoking. Also, below is a link re: ecigs being banned in NY. -----Original Message----From: 100 Pioneers for Smoking Cessation [mailto:100PIONEERS@LISTSRV.UCSF.EDU] On Behalf Of Richman, Linda Sent: Wednesday, January 26, 2011 12:10 PM To: 100PIONEERS@LISTSRV.UCSF.EDU Subject: Re: NY State Considering Banning e-cigarettes hello i am a social worker on a behavioral health unit in downers grove, il. I recently was informed that a patient diagnosed with schizphrenia who moved to an intermediate care facility was given chewing tobacca free of charge to reduce the number of smokers in the facility. the chewing tobacca is given to many of he residents who chose not to smoke. i have concerns about this behavior. the family does not want to say anything because they do not want to jeopardize his residency at the facility. please advise linda richman ________________________________________ From: 100 Pioneers for Smoking Cessation [100PIONEERS@LISTSRV.UCSF.EDU] On Behalf Of Rachel Tyree [rtyree@PH.LACOUNTY.GOV] Sent: Wednesday, January 26, 2011 11:19 AM To: 100PIONEERS@LISTSRV.UCSF.EDU Subject: WSJ: NY State Considering Banning e-cigarettes Dear all: The Wall Street Journal published an article yesterday about New York State considering banning e-cigarettes. Please click on the link below to read the article. Just interesting to see what is happening across the country and the growing trend to address these products. Respectively,
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Rachel Tyree

http://online.wsj.com/article/APd1e46ddc29014f36b309c6bce4651f15.html

Rachel A. Tyree, MPH Project Director, Tobacco Cessation & Media Initiatives Project Director, Peer Mentoring, Consultative Support and Training Initiative, Project TRUST Tobacco Control & Prevention Program Los Angeles County Department of Public Health 3530 Wilshire Blvd., Suite 800 Los Angeles, California 90010 (213) 427-4466 (213) 351-2710 fax This e-mail, and any attachments thereto, is intended only for use by the addressee(s) named herein and may contain legally privileged and/or confidential information. If you are not the intended recipient of this e-mail (or the person responsible for delivering this document to the intended recipient), you are hereby notified that any dissemination, distribution, printing or copying of this e-mail, and any attachments thereto, is strictly prohibited. If you have received this e-mail in error, please respond to the individual sending the message and permanently delete the original and any copy of any e-mail and any printout thereof.

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From: "Leon-Guerrero, Michael" To: "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> "Zemann, Paul" <Paul.Zemann@kingcounty.gov> "McCabe, Sherry" <Sherry.McCabe@kingcounty.gov> "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> Date: 1/26/2011 6:04:00 PM Subject: RE: NY State Considering Banning e-cigarettes Wow Also that aligns with current marketing practices. The latest Stranger ad says "If you've decided to quit using tobacco, we support you. But if you're looking for smoke-free, spit-free, drama-free pleasure Camel Snus is your answer." The industry IS marketing this as a "quit smoking" tool. -----Original Message----From: de la Pena, Norilyn Sent: Wednesday, January 26, 2011 1:59 PM To: Leon-Guerrero, Michael; Zemann, Paul; McCabe, Sherry; Greto, Lindsey Cc: Neal, Scott Subject: FW: NY State Considering Banning e-cigarettes Yikes! Let's hope our agencies aren't giving free chewing tobacco in lieu of allowing smoking. Also, below is a link re: ecigs being banned in NY. -----Original Message----From: 100 Pioneers for Smoking Cessation [mailto:100PIONEERS@LISTSRV.UCSF.EDU] On Behalf Of Richman, Linda Sent: Wednesday, January 26, 2011 12:10 PM To: 100PIONEERS@LISTSRV.UCSF.EDU Subject: Re: NY State Considering Banning e-cigarettes hello i am a social worker on a behavioral health unit in downers grove, il. I recently was informed that a patient diagnosed with schizphrenia who moved to an intermediate care facility was given chewing tobacca free of charge to reduce the number of smokers in the facility. the chewing tobacca is given to many of he residents who chose not to smoke. i have concerns about this behavior. the family does not want to say anything because they do not want to jeopardize his residency at the facility. please advise linda richman ________________________________________ From: 100 Pioneers for Smoking Cessation [100PIONEERS@LISTSRV.UCSF.EDU] On Behalf Of Rachel Tyree [rtyree@PH.LACOUNTY.GOV] Sent: Wednesday, January 26, 2011 11:19 AM To: 100PIONEERS@LISTSRV.UCSF.EDU
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Subject: WSJ: NY State Considering Banning e-cigarettes Dear all: The Wall Street Journal published an article yesterday about New York State considering banning e-cigarettes. Please click on the link below to read the article. Just interesting to see what is happening across the country and the growing trend to address these products. Respectively, Rachel Tyree

http://online.wsj.com/article/APd1e46ddc29014f36b309c6bce4651f15.html

Rachel A. Tyree, MPH Project Director, Tobacco Cessation & Media Initiatives Project Director, Peer Mentoring, Consultative Support and Training Initiative, Project TRUST Tobacco Control & Prevention Program Los Angeles County Department of Public Health 3530 Wilshire Blvd., Suite 800 Los Angeles, California 90010 (213) 427-4466 (213) 351-2710 fax This e-mail, and any attachments thereto, is intended only for use by the addressee(s) named herein and may contain legally privileged and/or confidential information. If you are not the intended recipient of this e-mail (or the person responsible for delivering this document to the intended recipient), you are hereby notified that any dissemination, distribution, printing or copying of this e-mail, and any attachments thereto, is strictly prohibited. If you have received this e-mail in error, please respond to the individual sending the message and permanently delete the original and any copy of any e-mail and any printout thereof.

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From: "Neal, Scott" To: "Leon-Guerrero, Michael" <Michael.Leon-Guerrero@kingcounty.gov> "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> "Zemann, Paul" <Paul.Zemann@kingcounty.gov> "McCabe, Sherry" <Sherry.McCabe@kingcounty.gov> "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> Date: 1/26/2011 6:19:00 PM Subject: RE: NY State Considering Banning e-cigarettes Disturbing! -----Original Message----From: Leon-Guerrero, Michael Sent: Wednesday, January 26, 2011 2:04 PM To: de la Pena, Norilyn; Zemann, Paul; McCabe, Sherry; Greto, Lindsey Cc: Neal, Scott Subject: RE: NY State Considering Banning e-cigarettes Wow Also that aligns with current marketing practices. The latest Stranger ad says "If you've decided to quit using tobacco, we support you. But if you're looking for smoke-free, spit-free, drama-free pleasure Camel Snus is your answer." The industry IS marketing this as a "quit smoking" tool. -----Original Message----From: de la Pena, Norilyn Sent: Wednesday, January 26, 2011 1:59 PM To: Leon-Guerrero, Michael; Zemann, Paul; McCabe, Sherry; Greto, Lindsey Cc: Neal, Scott Subject: FW: NY State Considering Banning e-cigarettes Yikes! Let's hope our agencies aren't giving free chewing tobacco in lieu of allowing smoking. Also, below is a link re: ecigs being banned in NY. -----Original Message----From: 100 Pioneers for Smoking Cessation [mailto:100PIONEERS@LISTSRV.UCSF.EDU] On Behalf Of Richman, Linda Sent: Wednesday, January 26, 2011 12:10 PM To: 100PIONEERS@LISTSRV.UCSF.EDU Subject: Re: NY State Considering Banning e-cigarettes hello i am a social worker on a behavioral health unit in downers grove, il. I recently was informed that a patient diagnosed with schizphrenia who moved to an intermediate care facility was given chewing tobacca free of charge to reduce the number of smokers in the facility. the chewing tobacca is given to many of he residents who chose not to smoke. i have concerns about this behavior. the family does not want to say anything because they do not want to jeopardize
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his residency at the facility. please advise linda richman ________________________________________ From: 100 Pioneers for Smoking Cessation [100PIONEERS@LISTSRV.UCSF.EDU] On Behalf Of Rachel Tyree [rtyree@PH.LACOUNTY.GOV] Sent: Wednesday, January 26, 2011 11:19 AM To: 100PIONEERS@LISTSRV.UCSF.EDU Subject: WSJ: NY State Considering Banning e-cigarettes Dear all: The Wall Street Journal published an article yesterday about New York State considering banning e-cigarettes. Please click on the link below to read the article. Just interesting to see what is happening across the country and the growing trend to address these products. Respectively, Rachel Tyree

http://online.wsj.com/article/APd1e46ddc29014f36b309c6bce4651f15.html

Rachel A. Tyree, MPH Project Director, Tobacco Cessation & Media Initiatives Project Director, Peer Mentoring, Consultative Support and Training Initiative, Project TRUST Tobacco Control & Prevention Program Los Angeles County Department of Public Health 3530 Wilshire Blvd., Suite 800 Los Angeles, California 90010 (213) 427-4466 (213) 351-2710 fax This e-mail, and any attachments thereto, is intended only for use by the addressee(s) named herein and may contain legally privileged and/or confidential information. If you are not the intended recipient of this e-mail (or the person responsible for delivering this document to the intended recipient), you are hereby notified that any dissemination, distribution, printing or copying of this e-mail, and any attachments thereto, is strictly prohibited. If you have received this e-mail in error, please respond to the individual sending the message and permanently delete the original and any copy of any e-mail and any printout thereof.

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From: "de la Pena, Norilyn" To: "Leon-Guerrero, Michael" <Michael.Leon-Guerrero@kingcounty.gov> "Zemann, Paul" <Paul.Zemann@kingcounty.gov> "McCabe, Sherry" <Sherry.McCabe@kingcounty.gov> "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> Date: 1/26/2011 5:58:43 PM Subject: FW: NY State Considering Banning e-cigarettes Yikes! Let's hope our agencies aren't giving free chewing tobacco in lieu of allowing smoking. Also, below is a link re: ecigs being banned in NY. -----Original Message----From: 100 Pioneers for Smoking Cessation [mailto:100PIONEERS@LISTSRV.UCSF.EDU] On Behalf Of Richman, Linda Sent: Wednesday, January 26, 2011 12:10 PM To: 100PIONEERS@LISTSRV.UCSF.EDU Subject: Re: NY State Considering Banning e-cigarettes hello i am a social worker on a behavioral health unit in downers grove, il. I recently was informed that a patient diagnosed with schizphrenia who moved to an intermediate care facility was given chewing tobacca free of charge to reduce the number of smokers in the facility. the chewing tobacca is given to many of he residents who chose not to smoke. i have concerns about this behavior. the family does not want to say anything because they do not want to jeopardize his residency at the facility. please advise linda richman ________________________________________ From: 100 Pioneers for Smoking Cessation [100PIONEERS@LISTSRV.UCSF.EDU] On Behalf Of Rachel Tyree [rtyree@PH.LACOUNTY.GOV] Sent: Wednesday, January 26, 2011 11:19 AM To: 100PIONEERS@LISTSRV.UCSF.EDU Subject: WSJ: NY State Considering Banning e-cigarettes Dear all: The Wall Street Journal published an article yesterday about New York State considering banning e-cigarettes. Please click on the link below to read the article. Just interesting to see what is happening across the country and the growing trend to address these products. Respectively, Rachel Tyree

http://online.wsj.com/article/APd1e46ddc29014f36b309c6bce4651f15.html

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Rachel A. Tyree, MPH Project Director, Tobacco Cessation & Media Initiatives Project Director, Peer Mentoring, Consultative Support and Training Initiative, Project TRUST Tobacco Control & Prevention Program Los Angeles County Department of Public Health 3530 Wilshire Blvd., Suite 800 Los Angeles, California 90010 (213) 427-4466 (213) 351-2710 fax This e-mail, and any attachments thereto, is intended only for use by the addressee(s) named herein and may contain legally privileged and/or confidential information. If you are not the intended recipient of this e-mail (or the person responsible for delivering this document to the intended recipient), you are hereby notified that any dissemination, distribution, printing or copying of this e-mail, and any attachments thereto, is strictly prohibited. If you have received this e-mail in error, please respond to the individual sending the message and permanently delete the original and any copy of any e-mail and any printout thereof.

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From: To: Date: Subject: Cool...they are moving forward!

"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 1/26/2011 4:27:00 PM RE:

-----Original Message----From: Hamilton, Joy Sent: Wednesday, January 26, 2011 12:18 PM To: Neal, Scott Subject: FYI -- looks like Spokane is going to consider e-cigs policies. http://m.spokesman.com/stories/2011/jan/26/spokane-county-considers-ban-of-e-cigarette-sales/

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From: "Hamilton, Joy" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 1/27/2011 1:57:51 PM Subject: RE: E-cigs bar in Tacoma And NY State is considering a ban http://online.wsj.com/article/APd1e46ddc29014f36b309c6bce4651f15.html

>_____________________________________________ >From: Hamilton, Joy >Sent: Thursday, January 27, 2011 9:39 AM >To: Neal, Scott; Ross-Viles, Sarah; Pearson, Anne >Cc: Hatzenbuehler, Eric; Bennett, John; Pajimula, Fel >Subject: E-cigs bar in Tacoma > >Check it out -- a VAPORIUM! > >http://www.tacomaweekly.com/citylife/culture/a_smokin_idea/ > > >Joy

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From: To: Date: Subject:

"Ross, Kathryn" "Neal, Scott" <Scott.Neal@kingcounty.gov> 1/28/2011 3:15:25 PM News from Public Health - Seattle & King County

Having trouble viewing this email? Click here

Healthy King County Newsletter


Communities Putting Prevention to Work

January 2011

Board of Health approves electronic cigarette regulations


The King County Board of Health recently passed regulations to protect King County youth from electronic smoking devices and unregulated nicotine delivery products. The Board of Health voted unanimously to: restrict the sales of e-cigarettes or any other unapproved nicotine delivery products only to people 18 and older; prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products; prohibit the use of e-cigarette devices in places where smoking is prohibited by law.

King County hospitals take the smoke-free pledge

Highline Medical Center in Electronic smoking devices, commonly known as "e-cigarettes," are battery- Burien became the first hospital to go smoke-free operated devices designed to look like and to be used in the same manner as part of the University of as conventional cigarettes. E-cigarettes use cartridges to deliver vaporized Washington (UW) and the nicotine, the same highly addictive drug that is in tobacco. The FDA is investigating e-cigarettes, but the products are currently unregulated at the Washington State Hospital Association's (WSHA) CPPW federal level. efforts to provide safe, smoke-free environments E-cigarettes have a for patients, staff and high appeal to youth. visitors at all King County They are sold in convenience stores and hospitals. mall kiosks and come in candy flavors including When Highline went smokefree on Jan. 5, the number chocolate, vanilla and of hospitals in King County mint. The FDA has warned that e-cigarettes can increase nicotine addiction that do not have smokeamong young people and may lead youth to try conventional tobacco free campus policies shrunk products. to just nine out of 21 hospitals. As these products have become more widely available, public use has also increased. E-cigarettes mimic the appearance of regular cigarettes because the user exhales a smoke-like vapor similar in appearance to the exhaled smoke from a cigarette. Their use is virtually indistinguishable from the use of traditional tobacco products in public, which leads to confusion and prompts people to light and smoke traditional tobacco products. Board members also expressed concern that the use of these products threatens to undermine the social norming impact of the Smoking in Public Places law. The UW, in collaboration with the WSHA, will continue to work with the remaining nine hospitals to support their transition to smoke-free campuses and provide cessation options Several other jurisdictions across the nation have created similar regulations for hospitals to use with smokers who want to quit. related to e-cigarettes but it is believed that King County's regulations are the most comprehensive in the nation. It is well-known that

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tobacco use adversely impacts medical treatment for most illnesses. A smoke-free environment Students at Auburn High School (AHS) are leading the charge to create a protects patients, staff and culture that promotes healthy eating and physical fitness in the Auburn visitors from dangerous School District and in their community. AHS's DECA Chapter, a student secondhand smoke and leadership organization for marketing and business students, recently held a demonstrates a strong kick-off event for Commit to Fit, a student-led health and fitness campaign commitment to health and to address childhood obesity. safety. We look forward to the day when all patients in The community kick-off event was held on Dec. 13, 2010 at the Grace King County have access to Community Church in Auburn. The Marketing and Education Fair included safe and smoke-free nearly 30 interactive vendor booths and activities such as zumba, hospitals. elementary student PE demo, a show by the Illaco Jump Rope Team, cooking demonstrations, sugar-loaded beverage education and Tobacco cessation ad distribution of materials for community members to fill their "Fit Kits" in campaign launches preparation for the launch of the district-wide student-focused campaign in late January.

Auburn School District commits to fit

Since the kick-off, more than 2,200 students and staff have signed up to participate in Commit to Fit. Through CPPW funding, the Auburn School District is also working on adopting and implementing an improved physical education curriculum, a new Child Nutrition Certificate Program and the Safe Routes to School Program. For more information, please contact Lori Jacobs.

Look for Public Health's new tobacco cessation ad campaign on radio, TV and online in the coming weeks. The campaign - based on the Washington State Department of Health's Dear Me campaign - will reach audiences across Western Washington and will run from Jan. 24-Feb. 13. Radio and online ads will run in multiple languages.

Healthy King County: We're live!


It's been exciting to see how many CPPW partners are using the new Healthy King County website! Be sure to take advantage of all the resources available on the site. We're currently featuring the CPPW Technical Assistance Guide and news coverage of the King County restrictions on electronic cigarettes. Remember to change your temporary login and password Did you see a page already posted for your organization when you first registered on the Healthy King County site? The CPPW Communications Team helped set up pages for many of our grantee organizations. If that includes your organization, you should have received an email from your project officer with instructions about how to change your temporary login and password. Please change them to make sure any email is properly routed to your organization. (For help changing the login and password, contact Meredith Li-Vollmer.) Share what you're working on Have you held an event that left you energized? Or have you encountered challenges with your CPPW work that others could learn from? Perhaps you've found new ways to work with partners on your CPPW efforts? Share it on Healthy King County by clicking on the "What We're Doing" tab. There's no need to post a polished piece of writing. "What We're Doing" is meant to be an informal conversation about what's new in CPPW to help us celebrate our successes, problem-solve, and make connections between projects. So make it a quick blurb--we'd love to hear from you! You can also share your latest work by posting photos, links to YouTube videos, and documents to Healthy King County. Need help? We developed a guide to help you navigate the features on the Healthy King County site. You can also contact Meredith for assistance using the site.

The campaign is supported by King County CPPW tobacco funds and complements tobacco policy and system changes.

CPPW accomplishments
January 2011 Highline Medical Center goes smoke-free. December 2010 The King County Board of Health passed comprehensive e-cigarette regulations to protect King County youth.

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it on Healthy King County by clicking on the "What We're Doing" tab. There's no need to post a polished piece of writing. "What We're Doing" is meant to be an informal conversation about what's new in CPPW to help us celebrate our successes, problem-solve, and make connections between projects. So make it a quick blurb--we'd love to hear from you! You can also share your latest work by posting photos, links to YouTube videos, and documents to Healthy King County. Need help? We developed a guide to help you navigate the features on the Healthy King County site. You can also contact Meredith for assistance using the site.

In the news
Has your CPPW project been in the news lately? Send us the clip. Obesity Prevention A mission to promote health and wellness Seattle Times, Dec. 17 Tobacco Prevention Electronic cigarettes considered a new public health threat KPLU, Dec. 16 King County bans public ecigarette smoking Seattle P-I, Dec. 16

Grant Opportunity
We are happy to announce a grant opportunity to support new and permanent signage at your organization's site to maintain smoke-free and tobacco-free environments. Organizations not currently receiving Tobacco Prevention Program funds from King County can find application materials here. Funding is limited and eligible projects will be reviewed and awarded in the order submitted. Please review the CPPW Signage Grant Guidelines, then complete the application found here.

Correction
In last month's CPPW newsletter, we mistakenly identified the King County Housing Authority as the Seattle Housing Authority in the article about improving nutrition and physical activity at child-care centers. Click here to read more about the good work the King County Housing Authority is doing to support the health and well-being of all children who participate in their programs.

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Public Health - Seattle & King County | 401 5th Ave., Ste. 1300 | CNK-PH-1300 | Seattle | WA | 98104

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From: To: Date: Subject: Hi Mark,

"Neal, Scott" "Rowe, Mark" <Mark.Rowe@kingcounty.gov> 1/28/2011 1:31:00 PM Quick Question regarding contacting Food/Bar establishments

I believe John Bennett tried to get in touch with you regarding this question, but hasn't heard back. So I figured I'd check in with you to see if there is some way EH communicates with restaurants and bars. Do you have a newsletter or email of your food establishments? As you may know, our state funding has been virtually eliminated and we just had the BOH pass a new regulation prohibiting the use of electronic cigarettes in public places and places of employmentessentially banning their use in the same places conventional cigarette smoking is already banned. But because this new electronic cigarettes are becoming more an more available, we would like to get this new information out as soon as we can to as many restaraunts and bars as possible. In the past we would just do a mailing, but this is very costly and not possible given our current budget situation. So we were wondering if EH had a newsletter that was distributed to licensees and if so maybe we could put in a small notice regarding this additional regulation? Or if there is some other way electronically or otherwise you communicate with licensees, we'd be open to exploring that too. We are just trying to think out of the box on this one and figure out if there are ways to effectively communicate with restaraunts and bars without having to send expensive hard copy information. So if you have any great ideas about how we could do that, we are open to all suggestions. Thanks Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov

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From: To: Date: Subject:

"Rowe, Mark" "Neal, Scott" <Scott.Neal@kingcounty.gov> 1/28/2011 1:38:38 PM RE: Quick Question regarding contacting Food/Bar establishments

Sorry for not getting back sooner. Yes we do have a way of communicating with the food establishments under our permit. Annually we send out permit renewal notices (by March 1st) through US mail and we interface with them in the field during inspections. How frequently are you looking to get a message out and what is your distribution list? Are we talking about a small group of establishments or are you looking to broadcast this to all food establishments in King County? >_____________________________________________ >From: Neal, Scott >Sent: Friday, January 28, 2011 9:29 AM >To: Rowe, Mark >Cc: Hatzenbuehler, Eric; Bennett, John >Subject: Quick Question regarding contacting Food/Bar establishments > >Hi Mark, > >I believe John Bennett tried to get in touch with you regarding this question, but hasn't heard back. So I figured I'd check in with you to see if there is some way EH communicates with restaurants and bars. Do you have a newsletter or email of your food establishments? As you may know, our state funding has been virtually eliminated and we just had the BOH pass a new regulation prohibiting the use of electronic cigarettes in public places and places of employmentessentially banning their use in the same places conventional cigarette smoking is already banned. But because this new electronic cigarettes are becoming more an more available, we would like to get this new information out as soon as we can to as many restaraunts and bars as possible. In the past we would just do a mailing, but this is very costly and not possible given our current budget situation. > >So we were wondering if EH had a newsletter that was distributed to licensees and if so maybe we could put in a small notice regarding this additional regulation? Or if there is some other way electronically or otherwise you communicate with licensees, we'd be open to exploring that too. We are just trying to think out of the box on this one and figure out if there are ways to effectively communicate with restaraunts and bars without having to send expensive hard copy information. So if you have any great ideas about how we could do that, we are open to all suggestions. > >Thanks > >Scott Neal >Tobacco Prevention Program Manager >Public Health - Seattle & King County >401 Fifth Avenue, Suite 900 >Seattle, WA 98104 >Phone: 206-263-8197 >Fax: 206-296-0177 >Email: scott.neal@kingcounty.gov >

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From: To: Date: Subject:

"Neal, Scott" "Rowe, Mark" <Mark.Rowe@kingcounty.gov> 1/28/2011 1:48:00 PM RE: Quick Question regarding contacting Food/Bar establishments

I think ideally we'd want to communicate to all food establishments in KC, only once on this issue. We are simply looking for a way to be able to say we made a good effort to notify everyone on this issue. Would it be possible to include a small notice in your annual mailing (maybe a half page handout)? We'd be happy to provide this notice to your staff for mailing or if you send some sort of letter with updates we'd be happy to draft the language to add if that makes more sense. Feel free to work with Eric Hatzenbuehler (cc'd) on the details from here. Thanks! Scott >_____________________________________________ >From: Rowe, Mark >Sent: Friday, January 28, 2011 9:39 AM >To: Neal, Scott >Cc: Hatzenbuehler, Eric; Bennett, John >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >Sorry for not getting back sooner. Yes we do have a way of communicating with the food establishments under our permit. Annually we send out permit renewal notices (by March 1st) through US mail and we interface with them in the field during inspections. How frequently are you looking to get a message out and what is your distribution list? Are we talking about a small group of establishments or are you looking to broadcast this to all food establishments in King County? > >_____________________________________________ >From: Neal, Scott >Sent: Friday, January 28, 2011 9:29 AM >To: Rowe, Mark >Cc: Hatzenbuehler, Eric; Bennett, John >Subject: Quick Question regarding contacting Food/Bar establishments > >Hi Mark, > >I believe John Bennett tried to get in touch with you regarding this question, but hasn't heard back. So I figured I'd check in with you to see if there is some way EH communicates with restaurants and bars. Do you have a newsletter or email of your food establishments? As you may know, our state funding has been virtually eliminated and we just had the BOH pass a new regulation prohibiting the use of electronic cigarettes in public places and places of employmentessentially banning their use in the same places conventional cigarette smoking is already banned. But because this new electronic cigarettes are becoming more an more available, we would like to get this new information out as soon as we can to as many restaraunts and bars as possible. In the past we would just do a mailing, but this is very costly and not possible given our current budget situation. > >So we were wondering if EH had a newsletter that was distributed to licensees and if so maybe we could put in a small notice regarding this additional regulation? Or if there is some other way electronically or otherwise you communicate with licensees, we'd be open to exploring that too. We are just trying to think out of the box on this one
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and figure out if there are ways to effectively communicate with restaraunts and bars without having to send expensive hard copy information. So if you have any great ideas about how we could do that, we are open to all suggestions. > >Thanks > >Scott Neal >Tobacco Prevention Program Manager >Public Health - Seattle & King County >401 Fifth Avenue, Suite 900 >Seattle, WA 98104 >Phone: 206-263-8197 >Fax: 206-296-0177 >Email: scott.neal@kingcounty.gov >

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From: "Hatzenbuehler, Eric" To: "Bennett, John" <John.Bennett@kingcounty.gov> "Sherard, Mark" <Mark.Sherard@kingcounty.gov> Date: 1/28/2011 8:33:32 PM Subject: FW: Quick Question regarding contacting Food/Bar establishments Mark : 1. What vendor would you recommend that can do 11,000 copies of a flyer (1/2 page or full, tbd) by Wednesday, Feb. 9th. We could have a final copy ready by Tuesday, February 1st allowing for a one week turnaround. John: 1. Can you please develop a draft of what this would look like on appropriate letterhead. In addition to e-cigarette ordinance update, is there anything enforcement related we want to share i.e., reminders about fees, etc. This is a pretty tight turnaround but it will achieve our goal and save us thousands of dollars. Eric

>______________________________________________ >From: Rowe, Mark >Sent: Friday, January 28, 2011 3:25 PM >To: Hatzenbuehler, Eric >Cc: Pederson, Michelle; Cole, Geraldine >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >Here is what we would need in order to get it into our mailing: > >* 11,000 copies of what you would like to have included in our mailing - we will package it and include it with our permit invoice which will be sent to each food establishment in the county. >* We will need the copies by Feb 10th so we can include them in the mailing. > >If this works for you, please let us know and when ready, please have your message flyer delivered to Michelle Pederson on the 11th floor Chinook. She will ensure that the flyer is bundled with the permit invoices and sent out to the mailing service. You should expect that these would actually hit the street by March 1st at the latest. > > > >-Mark > >_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Friday, January 28, 2011 2:47 PM >To: Rowe, Mark >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >Hi Mark, > >As Scott is enjoying some time off over the two weeks, I wanted to establish contact and re-iterate Scott's answer to your questions: >1. We only want to get a message out once this year. As every minute of inspector time is valuable, we'd prefer a written means of communicating this message vs. having your colleagues address it during inspections.
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> >2. Our goal is to notify all food establishments. > >This is important information for establishments to have and I appreciate you considering assisting us. > >At your convenience, please let me know if there's a way of inserting 1/2 page flyer into the permit renewal notice mailing or any other options that will help us achieve our goal without adding too much, if any, additional work on your end. > >Thanks, >Eric H. > > > >______________________________________________ >From: Neal, Scott >Sent: Friday, January 28, 2011 9:46 AM >To: Rowe, Mark >Cc: Hatzenbuehler, Eric; Bennett, John >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >I think ideally we'd want to communicate to all food establishments in KC, only once on this issue. We are simply looking for a way to be able to say we made a good effort to notify everyone on this issue. Would it be possible to include a small notice in your annual mailing (maybe a half page handout)? We'd be happy to provide this notice to your staff for mailing or if you send some sort of letter with updates we'd be happy to draft the language to add if that makes more sense. > >Feel free to work with Eric Hatzenbuehler (cc'd) on the details from here.> > >Thanks! > >Scott > >_____________________________________________ >From: Rowe, Mark >Sent: Friday, January 28, 2011 9:39 AM >To: Neal, Scott >Cc: Hatzenbuehler, Eric; Bennett, John >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >Sorry for not getting back sooner. Yes we do have a way of communicating with the food establishments under our permit. Annually we send out permit renewal notices (by March 1st) through US mail and we interface with them in the field during inspections. How frequently are you looking to get a message out and what is your distribution list? Are we talking about a small group of establishments or are you looking to broadcast this to all food establishments in King County? > >_____________________________________________ >From: Neal, Scott >Sent: Friday, January 28, 2011 9:29 AM >To: Rowe, Mark >Cc: Hatzenbuehler, Eric; Bennett, John >Subject: Quick Question regarding contacting Food/Bar establishments
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> >Hi Mark, > >I believe John Bennett tried to get in touch with you regarding this question, but hasn't heard back. So I figured I'd check in with you to see if there is some way EH communicates with restaurants and bars. Do you have a newsletter or email of your food establishments? As you may know, our state funding has been virtually eliminated and we just had the BOH pass a new regulation prohibiting the use of electronic cigarettes in public places and places of employmentessentially banning their use in the same places conventional cigarette smoking is already banned. But because this new electronic cigarettes are becoming more an more available, we would like to get this new information out as soon as we can to as many restaraunts and bars as possible. In the past we would just do a mailing, but this is very costly and not possible given our current budget situation. > >So we were wondering if EH had a newsletter that was distributed to licensees and if so maybe we could put in a small notice regarding this additional regulation? Or if there is some other way electronically or otherwise you communicate with licensees, we'd be open to exploring that too. We are just trying to think out of the box on this one and figure out if there are ways to effectively communicate with restaraunts and bars without having to send expensive hard copy information. So if you have any great ideas about how we could do that, we are open to all suggestions. > >Thanks > >Scott Neal >Tobacco Prevention Program Manager >Public Health - Seattle & King County >401 Fifth Avenue, Suite 900 >Seattle, WA 98104 >Phone: 206-263-8197 >Fax: 206-296-0177 >Email: scott.neal@kingcounty.gov >

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From: "Pearson, Anne" To: "Apa, James" <James.Apa@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Muhm, Jennifer" <Jennifer.Muhm@kingcounty.gov> Date: 1/31/2011 8:23:39 PM Subject: RE: I'm confused
HI I think she mis-spoke. We were able to restrict e-cigs because they are not tobacco products as defined by our state law, so we arent preempted. Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov

From: Apa, James Sent: Monday, January 31, 2011 4:16 PM To: Neal, Scott; Hamilton, Joy; Pearson, Anne; Muhm, Jennifer Cc: Ross, Kathryn Subject: FW: I'm confused Scott, Joy and Anne please see below. Do you have a suggested answer for Carol? I was a little confused myself when Mary Selecky said that the local option was needed to allow Spokane to ban e-cigarettes. Thanks.

From: Carol Ostrom [mailto:costrom@seattletimes.com] Sent: Monday, January 31, 2011 4:03 PM To: Apa, James Subject: I'm confused

I will read the law, and won't be so dumb, but didn't king county board of health ban e-cigarettes? I thot the state law restricted local action on tobacco products. Or is that only a nicotine product, not tobacco? Do you have a ref to the state law? I have vague editor interest.. Carol M. Ostrom Health reporter The Seattle Times PO Box 70, Seattle, WA 98111 Desk: 206-464-2249 Fax: 206-464-2261 Email: costrom@seattletimes.com Web: www.seattletimes.com

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From: "Neal, Scott" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Apa, James" <James.Apa@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Muhm, Jennifer" <Jennifer.Muhm@kingcounty.gov> Date: 1/31/2011 8:27:41 PM Subject: Re: I'm confused
Agreed
From: Pearson, Anne Sent: Monday, January 31, 2011 04:23 PM To: Apa, James; Neal, Scott; Hamilton, Joy; Muhm, Jennifer Cc: Ross, Kathryn Subject: RE: I'm confused HI I think she mis-spoke. We were able to restrict e-cigs because they are not tobacco products as defined by our state law, so we arent preempted. Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 263-9411 anne.pearson@kingcounty.gov

From: Apa, James Sent: Monday, January 31, 2011 4:16 PM To: Neal, Scott; Hamilton, Joy; Pearson, Anne; Muhm, Jennifer Cc: Ross, Kathryn Subject: FW: I'm confused Scott, Joy and Anne please see below. Do you have a suggested answer for Carol? I was a little confused myself when Mary Selecky said that the local option was needed to allow Spokane to ban e-cigarettes. Thanks.

From: Carol Ostrom [mailto:costrom@seattletimes.com] Sent: Monday, January 31, 2011 4:03 PM To: Apa, James Subject: I'm confused

I will read the law, and won't be so dumb, but didn't king county board of health ban e-cigarettes? I thot the state law restricted local action on tobacco products. Or is that only a nicotine product, not tobacco? Do you have a ref to the state law? I have vague editor interest.. Carol M. Ostrom Health reporter The Seattle Times PO Box 70, Seattle, WA 98111 Desk: 206-464-2249 Fax: 206-464-2261 Email: costrom@seattletimes.com Web: www.seattletimes.com

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From: "Apa, James" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Muhm, Jennifer" <Jennifer.Muhm@kingcounty.gov> Date: 1/31/2011 8:16:22 PM Subject: FW: I'm confused
Scott, Joy and Anne please see below. Do you have a suggested answer for Carol? I was a little confused myself when Mary Selecky said that the local option was needed to allow Spokane to ban e-cigarettes. Thanks.

From: Carol Ostrom [mailto:costrom@seattletimes.com] Sent: Monday, January 31, 2011 4:03 PM To: Apa, James Subject: I'm confused

I will read the law, and won't be so dumb, but didn't king county board of health ban e-cigarettes? I thot the state law restricted local action on tobacco products. Or is that only a nicotine product, not tobacco? Do you have a ref to the state law? I have vague editor interest.. Carol M. Ostrom Health reporter The Seattle Times PO Box 70, Seattle, WA 98111 Desk: 206-464-2249 Fax: 206-464-2261 Email: costrom@seattletimes.com Web: www.seattletimes.com

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From: To: Date: Subject:

"Davis, Paul A \(DOH\)" <Paul.Davis@DOH.WA.GOV> "Cross, Theresa" <Theresa.Cross@clark.wa.gov> 2/1/2011 5:56:26 PM bills related to tobacco

Theresa, heres the pertinent bills and local policies that you asked about. Christopher or Scott may have better local information than what I provided below. 1246/5380 would 1) 2) 3) Ban flavored tobacco (this appears to include e-cigarettes) Require tobacco to be behind the counter Remove preemption so locals could pass more restrictive tobacco ordinances and/or have local taxes

1246 just got a hearing yesterday 5016 would ban smoking in cars with kids under 18. Penalty would be a secondary infraction. Got a hearing and is scheduled for executive action today, so well see if it moves or not at 3:30 pm. 5039 would require insurance policies to cover cessation benefits. Got a hearing and was scheduled for executive action, but the lengthy testimony on marijuana pushed it off the agenda. HB 1683 and SB 5542 would allow cigar bars and tobacco retailers to have an endorsement allowing smoking. Cigar bars would have a $15,000 fee and tobacco shops would have a $5000 fee. One bill would deposit the money into education legacy fund that provides scholarships. The other bill puts money into a trust fund for basic health plan. No hearing scheduled yet.
At the local level, King County put restrictions on e-cigarettes that includes: restrict the sales of e-cigarettes or any other unapproved nicotine delivery devices only to people 18 and older; prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products; prohibit the use of e-cigarette devices in places where smoking is prohibited by law.

http://www.kingcounty.gov/council/news/2010/December/JP_Ecig.aspx I wasnt able to find any definitive document that the City of Spokane has passed its ban on sale of e-cigarettes to minors, but it is in the works. If you find out some details, please pass them along. The current posting on the SRHD web site says that their sale is unregulated. http://www.srhd.org/topics/e-cigarettes.asp Call me if you have questions. Paul Davis, Policy Specialist Washington State Department of Health Tobacco Prevention and Control office - 360-236-3642 cell - 360-507-6556 email - paul.davis@doh.wa.gov PO Box 47848 Olympia, WA 98503 Public Health - Always Working for a Healthier Washington 8_19_2011

Page 2 offices will be closed for Temporary Layoff Days as follows: 2010 2011 Monday, July 12 Friday, August 6 Friday, January 28 Tuesday, September 7 Friday, March 11 Monday, October 11 Friday, April 22 Monday, December 27 Friday, June 10

Tuesday, February 22

www.doh.wa.gov/tobacco

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From: "Zilar, Christopher" <CZilar@spokanecounty.org> To: "Limtiaco, Frances \(DOH\)" <Frances.Limtiaco@DOH.WA.GOV> "Davis, Paul A \(DOH\)" <Paul.Davis@DOH.WA.GOV> "Cross, Theresa" <Theresa.Cross@clark.wa.gov> Date: 2/1/2011 10:37:48 PM Subject: RE: bills related to tobacco
I think its the City of Spokane Valley and the County of Spokane who are having final readings Monday night. The lead attorney for the City of Spokane retired at the end of December, so they have stalled a bit. Julie, please correct me if I am wrong.
Christopher P. Zilar, Program Manager Breast, Cervical and Colon Health Tobacco Prevention and Control Spokane Regional Health District 1101 W. College Ave., Suite 401 Spokane, WA 99201 (509) 324-1538 mailto:czilar@spokanecounty.org www.srhd.org

Public Health - Always working for a safer and healthier community


CONFIDENTIALITY NOTICE: This email and any attachments are for the sole use of the intended recipient(s) and may contain proprietary, confidential, or privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited and may be a violation of law. If you are not the intended recipient or a person responsible for delivering this message to an intended recipient, please contact the sender by reply email and destroy all copies of the original message.

From: Limtiaco, Frances (DOH) [mailto:Frances.Limtiaco@DOH.WA.GOV] Sent: Tuesday, February 01, 2011 2:16 PM To: Davis, Paul A (DOH); Cross, Theresa Cc: Harrelson, David (DOH); Huyck, Carla (DOH); Scott Neal; Zilar, Christopher Subject: RE: bills related to tobacco

The final reading by the Spokane City Council is next week, is that correct Christopher? Thanks!
_____________________________________________ From: Davis, Paul A (DOH) Sent: Tuesday, February 01, 2011 1:56 PM To: 'Cross, Theresa' Cc: Harrelson, David (DOH); Limtiaco, Frances (DOH); Huyck, Carla (DOH); 'Scott Neal'; Zilar, Christopher Subject: bills related to tobacco

Theresa, heres the pertinent bills and local policies that you asked about. Christopher or Scott may have better local information than what I provided below. 1246/5380 would 1) 2) 3) Ban flavored tobacco (this appears to include e-cigarettes) Require tobacco to be behind the counter Remove preemption so locals could pass more restrictive tobacco ordinances and/or have local taxes

1246 just got a hearing yesterday 5016 would ban smoking in cars with kids under 18. Penalty would be a secondary infraction. Got a hearing and is scheduled for executive action today, so well see if it moves or not at 3:30 pm.
8_19_2011

Page 2

5039 would require insurance policies to cover cessation benefits. Got a hearing and was scheduled for executive action, but the lengthy testimony on marijuana pushed it off the agenda. HB 1683 and SB 5542 would allow cigar bars and tobacco retailers to have an endorsement allowing smoking. Cigar bars would have a $15,000 fee and tobacco shops would have a $5000 fee. One bill would deposit the money into education legacy fund that provides scholarships. The other bill puts money into a trust fund for basic health plan. No hearing scheduled yet.
At the local level, King County put restrictions on e-cigarettes that includes: restrict the sales of e-cigarettes or any other unapproved nicotine delivery devices only to people 18 and older; prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products; prohibit the use of e-cigarette devices in places where smoking is prohibited by law.

http://www.kingcounty.gov/council/news/2010/December/JP_Ecig.aspx I wasnt able to find any definitive document that the City of Spokane has passed its ban on sale of e-cigarettes to minors, but it is in the works. If you find out some details, please pass them along. The current posting on the SRHD web site says that their sale is unregulated. http://www.srhd.org/topics/e-cigarettes.asp Call me if you have questions. Paul Davis, Policy Specialist Washington State Department of Health Tobacco Prevention and Control office - 360-236-3642 cell - 360-507-6556 email - paul.davis@doh.wa.gov PO Box 47848 Olympia, WA 98503 Public Health - Always Working for a Healthier Washington offices will be closed for Temporary Layoff Days as follows: 2010 2011 Monday, July 12 Friday, August 6 Friday, January 28 Tuesday, September 7 Monday, October 11 Friday, April 22 Monday, December 27 Friday, June 10

Tuesday, February 22

Friday, March 11

www.doh.wa.gov/tobacco

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From: "Zilar, Christopher" <CZilar@spokanecounty.org> To: "Davis, Paul A \(DOH\)" <Paul.Davis@DOH.WA.GOV> "Cross, Theresa" <Theresa.Cross@clark.wa.gov> Date: 2/1/2011 10:34:33 PM Subject: RE: bills related to tobacco Attachments: Resolution #10-05.pdf
Paul is correct in that we dont have anything on the books yet as to E-Cigarettes. Our board of health recently passed a resolution encouraging all jurisdictions in our county to adopt ordinances prohibiting E-Cigarette sales to minors. See attached copy of the resolution. The three major jurisdictions are moving ahead with writing ordinances. This includes the County of Spokane, City of Spokane, and City of Spokane Valley. We expect final hearings on those ordinances in two jurisdictions this Monday evening. The three jurisdictions coordinated their efforts in writing the ordinances so that there was little or no conflict between jurisdictions. Also, our agency is specifically named as sharing authority to enforce with law enforcement.
Christopher P. Zilar, Program Manager Breast, Cervical and Colon Health Tobacco Prevention and Control Spokane Regional Health District 1101 W. College Ave., Suite 401 Spokane, WA 99201 (509) 324-1538 mailto:czilar@spokanecounty.org www.srhd.org

Public Health - Always working for a safer and healthier community


CONFIDENTIALITY NOTICE: This email and any attachments are for the sole use of the intended recipient(s) and may contain proprietary, confidential, or privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited and may be a violation of law. If you are not the intended recipient or a person responsible for delivering this message to an intended recipient, please contact the sender by reply email and destroy all copies of the original message.

From: Davis, Paul A (DOH) [mailto:Paul.Davis@DOH.WA.GOV] Sent: Tuesday, February 01, 2011 1:56 PM To: Cross, Theresa Cc: Harrelson, David (DOH); Limtiaco, Frances (DOH); Huyck, Carla (DOH); Scott Neal; Zilar, Christopher Subject: bills related to tobacco

Theresa, heres the pertinent bills and local policies that you asked about. Christopher or Scott may have better local information than what I provided below. 1246/5380 would 1) 2) 3) Ban flavored tobacco (this appears to include e-cigarettes) Require tobacco to be behind the counter Remove preemption so locals could pass more restrictive tobacco ordinances and/or have local taxes

1246 just got a hearing yesterday 5016 would ban smoking in cars with kids under 18. Penalty would be a secondary infraction. Got a hearing and is scheduled for executive action today, so well see if it moves or not at 3:30 pm.
8_19_2011

Page 2

5039 would require insurance policies to cover cessation benefits. Got a hearing and was scheduled for executive action, but the lengthy testimony on marijuana pushed it off the agenda. HB 1683 and SB 5542 would allow cigar bars and tobacco retailers to have an endorsement allowing smoking. Cigar bars would have a $15,000 fee and tobacco shops would have a $5000 fee. One bill would deposit the money into education legacy fund that provides scholarships. The other bill puts money into a trust fund for basic health plan. No hearing scheduled yet.
At the local level, King County put restrictions on e-cigarettes that includes: restrict the sales of e-cigarettes or any other unapproved nicotine delivery devices only to people 18 and older; prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products; prohibit the use of e-cigarette devices in places where smoking is prohibited by law.

http://www.kingcounty.gov/council/news/2010/December/JP_Ecig.aspx I wasnt able to find any definitive document that the City of Spokane has passed its ban on sale of e-cigarettes to minors, but it is in the works. If you find out some details, please pass them along. The current posting on the SRHD web site says that their sale is unregulated. http://www.srhd.org/topics/e-cigarettes.asp Call me if you have questions. Paul Davis, Policy Specialist Washington State Department of Health Tobacco Prevention and Control office - 360-236-3642 cell - 360-507-6556 email - paul.davis@doh.wa.gov PO Box 47848 Olympia, WA 98503 Public Health - Always Working for a Healthier Washington offices will be closed for Temporary Layoff Days as follows: 2010 2011 Monday, July 12 Friday, August 6 Friday, January 28 Tuesday, September 7 Friday, March 11 Monday, October 11 Friday, April 22 Monday, December 27 Friday, June 10

Tuesday, February 22

www.doh.wa.gov/tobacco

8_19_2011

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From: "Limtiaco, Frances \(DOH\)" <Frances.Limtiaco@DOH.WA.GOV> To: "Davis, Paul A \(DOH\)" <Paul.Davis@DOH.WA.GOV> "Cross, Theresa" <Theresa.Cross@clark.wa.gov> Date: 2/1/2011 6:16:39 PM Subject: RE: bills related to tobacco The final reading by the Spokane City Council is next week, is that correct Christopher? Thanks!
_____________________________________________ From: Davis, Paul A (DOH) Sent: Tuesday, February 01, 2011 1:56 PM To: 'Cross, Theresa' Cc: Harrelson, David (DOH); Limtiaco, Frances (DOH); Huyck, Carla (DOH); 'Scott Neal'; Zilar, Christopher Subject: bills related to tobacco

Theresa, heres the pertinent bills and local policies that you asked about. Christopher or Scott may have better local information than what I provided below. 1246/5380 would 1) 2) 3) Ban flavored tobacco (this appears to include e-cigarettes) Require tobacco to be behind the counter Remove preemption so locals could pass more restrictive tobacco ordinances and/or have local taxes

1246 just got a hearing yesterday 5016 would ban smoking in cars with kids under 18. Penalty would be a secondary infraction. Got a hearing and is scheduled for executive action today, so well see if it moves or not at 3:30 pm. 5039 would require insurance policies to cover cessation benefits. Got a hearing and was scheduled for executive action, but the lengthy testimony on marijuana pushed it off the agenda. HB 1683 and SB 5542 would allow cigar bars and tobacco retailers to have an endorsement allowing smoking. Cigar bars would have a $15,000 fee and tobacco shops would have a $5000 fee. One bill would deposit the money into education legacy fund that provides scholarships. The other bill puts money into a trust fund for basic health plan. No hearing scheduled yet.
At the local level, King County put restrictions on e-cigarettes that includes: restrict the sales of e-cigarettes or any other unapproved nicotine delivery devices only to people 18 and older; prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products; prohibit the use of e-cigarette devices in places where smoking is prohibited by law.

http://www.kingcounty.gov/council/news/2010/December/JP_Ecig.aspx I wasnt able to find any definitive document that the City of Spokane has passed its ban on sale of e-cigarettes to minors, but it is in the works. If you find out some details, please pass them along. The current posting on the SRHD web site says that their sale is unregulated. http://www.srhd.org/topics/e-cigarettes.asp Call me if you have questions. Paul Davis, Policy Specialist 8_19_2011

Page 2 Washington State Department of Health Tobacco Prevention and Control office - 360-236-3642 cell - 360-507-6556 email - paul.davis@doh.wa.gov PO Box 47848 Olympia, WA 98503 Public Health - Always Working for a Healthier Washington offices will be closed for Temporary Layoff Days as follows: 2010 2011 Monday, July 12 Friday, August 6 Friday, January 28 Tuesday, September 7 Monday, October 11 Friday, April 22 Monday, December 27 Friday, June 10

Tuesday, February 22

Friday, March 11

www.doh.wa.gov/tobacco

8_19_2011

Page 1

From: "Scholer, Julie" <JSCHOLER@spokanecounty.org> To: "Zilar, Christopher" <CZilar@spokanecounty.org> "Limtiaco, Frances \(DOH\)" <Frances.Limtiaco@DOH.WA.GOV> "Davis, Paul A \(DOH\)" <Paul.Davis@DOH.WA.GOV> "Cross, Theresa" <Theresa.Cross@clark.wa.gov> Date: 2/2/2011 11:42:40 AM Subject: RE: bills related to tobacco Attachments: City of Spokane Agenda.pdf
It is listed as a final reading on the agenda. Julie Scholer M.Ed.
Health Program Specialist II Tobacco Prevention & Control Spokane Regional Health District 1101 West College Avenue #401 Spokane, WA 99201-2095 Phone: 509-324-1452 jscholer@spokanecounty.org www.srhd.org

Public Health-Always working for a safer and healthier community


CONFIDENTIALITY NOTICE: This e-mail message and any attachments are for the sole use of the intended recipient(s) and may contain proprietary, confidential or priveleged information. Any unauthorized review , use, disclosure or distribution is prohibited and may be a violation of law . If you are not the intended recipient or a person responsible for delivereing this message to an intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.

Life will always throw you curves, just keep fouling them off... the right pitch will come, but when it does, be prepared to run the bases. ~Rick Maksian
From: Zilar, Christopher Sent: Tuesday, February 01, 2011 6:38 PM To: 'Limtiaco, Frances (DOH)'; Davis, Paul A (DOH); Cross, Theresa Cc: Harrelson, David (DOH); Huyck, Carla (DOH); Scott Neal; Scholer, Julie Subject: RE: bills related to tobacco

I think its the City of Spokane Valley and the County of Spokane who are having final readings Monday night. The lead attorney for the City of Spokane retired at the end of December, so they have stalled a bit. Julie, please correct me if I am wrong.
Christopher P. Zilar, Program Manager Breast, Cervical and Colon Health Tobacco Prevention and Control Spokane Regional Health District 1101 W. College Ave., Suite 401 Spokane, WA 99201 (509) 324-1538 mailto:czilar@spokanecounty.org www.srhd.org

Public Health - Always working for a safer and healthier community


CONFIDENTIALITY NOTICE: This email and any attachments are for the sole use of the intended recipient(s) and may contain proprietary, confidential, or privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited and may be a violation of law. If you are not the intended recipient or a person responsible for delivering this message to an intended recipient, please contact the sender by reply email and destroy all copies of the original message.

From: Limtiaco, Frances (DOH) [mailto:Frances.Limtiaco@DOH.WA.GOV] 8_19_2011

Page 2 Sent: Tuesday, February 01, 2011 2:16 PM To: Davis, Paul A (DOH); Cross, Theresa Cc: Harrelson, David (DOH); Huyck, Carla (DOH); Scott Neal; Zilar, Christopher Subject: RE: bills related to tobacco

The final reading by the Spokane City Council is next week, is that correct Christopher? Thanks!
_____________________________________________ From: Davis, Paul A (DOH) Sent: Tuesday, February 01, 2011 1:56 PM To: 'Cross, Theresa' Cc: Harrelson, David (DOH); Limtiaco, Frances (DOH); Huyck, Carla (DOH); 'Scott Neal'; Zilar, Christopher Subject: bills related to tobacco

Theresa, heres the pertinent bills and local policies that you asked about. Christopher or Scott may have better local information than what I provided below. 1246/5380 would 1) 2) 3) Ban flavored tobacco (this appears to include e-cigarettes) Require tobacco to be behind the counter Remove preemption so locals could pass more restrictive tobacco ordinances and/or have local taxes

1246 just got a hearing yesterday 5016 would ban smoking in cars with kids under 18. Penalty would be a secondary infraction. Got a hearing and is scheduled for executive action today, so well see if it moves or not at 3:30 pm. 5039 would require insurance policies to cover cessation benefits. Got a hearing and was scheduled for executive action, but the lengthy testimony on marijuana pushed it off the agenda. HB 1683 and SB 5542 would allow cigar bars and tobacco retailers to have an endorsement allowing smoking. Cigar bars would have a $15,000 fee and tobacco shops would have a $5000 fee. One bill would deposit the money into education legacy fund that provides scholarships. The other bill puts money into a trust fund for basic health plan. No hearing scheduled yet.
At the local level, King County put restrictions on e-cigarettes that includes: restrict the sales of e-cigarettes or any other unapproved nicotine delivery devices only to people 18 and older; prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products; prohibit the use of e-cigarette devices in places where smoking is prohibited by law.

http://www.kingcounty.gov/council/news/2010/December/JP_Ecig.aspx I wasnt able to find any definitive document that the City of Spokane has passed its ban on sale of e-cigarettes to minors, but it is in the works. If you find out some details, please pass them along. The current posting on the SRHD web site says that their sale is unregulated. http://www.srhd.org/topics/e-cigarettes.asp Call me if you have questions. Paul Davis, Policy Specialist Washington State Department of Health Tobacco Prevention and Control office - 360-236-3642 cell - 360-507-6556 email - paul.davis@doh.wa.gov 8_19_2011

Page 3 PO Box 47848 Olympia, WA 98503 Public Health - Always Working for a Healthier Washington offices will be closed for Temporary Layoff Days as follows: 2010 2011 Monday, July 12 Friday, August 6 Friday, January 28 Tuesday, September 7 Monday, October 11 Friday, April 22 Monday, December 27 Friday, June 10

Tuesday, February 22

Friday, March 11

www.doh.wa.gov/tobacco

8_19_2011

Page 1

From: "Muhm, Jennifer" To: "Albetta, Gloria" <Gloria.Albetta@kingcounty.gov> "Apa, James" <James.Apa@kingcounty.gov> "Burgess, Moffett" <Moffett.Burgess@kingcounty.gov> "Carson, Kathy" <Kathy.Carson@kingcounty.gov> "Chaffee, Frank" <Frank.Chaffee@kingcounty.gov> "Ciske, Sandra" <Sandra.Ciske@kingcounty.gov> "Cordero, Julia" <Julia.Cordero@kingcounty.gov> "Cummins, Elaine" <Elaine.Cummins@kingcounty.gov> "Fleming, David" <David.Fleming@kingcounty.gov> "Gomez, Tony" <Tony.Gomez@kingcounty.gov> "Huus, Kathie" <Kathie.Huus@kingcounty.gov> "Johnson, Kirste" <Kirste.Johnson@kingcounty.gov> "Karasz, Hilary" <Hilary.Karasz@kingcounty.gov> "Kellogg, Ryan" <Ryan.Kellogg@kingcounty.gov> "Maurer, Carol" <Carol.Maurer@kingcounty.gov> "Muhm, Jennifer" <Jennifer.Muhm@kingcounty.gov> "Oberg, Donna" <Donna.Oberg@kingcounty.gov> "Podell, Lisa" <Lisa.Podell@kingcounty.gov> "Quinn, Rachel" <Rachel.Quinn@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> "Russillo, Chrissy" <Chrissy.Russillo@kingcounty.gov> "Sadow-Hasenberg, Nicole" <Nicole.Sadow-Hasenberg@kingcounty.gov> "Sanchez, Kristie" <Kristie.Sanchez@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Teeter, Dorothy" <Dorothy.Teeter@kingcounty.gov> "Valenzuela, Matias" <Matias.Valenzuela@kingcounty.gov> "Wilson, Janna" <Janna.Wilson@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Worsham, Dennis" <Dennis.Worsham@kingcounty.gov> Date: 2/8/2011 3:25:33 PM Subject: February 8th: Legislative Related News Clips
NOTE: Several articles on the flavored tobacco products bill--Dr. Fleming testified in the Senate Labor, Commerce and Consumer Protection Committee on this bill yesterday.

The Daily E-Clips


An electronic roundup of legislative news from Washington and the nation by the House and Senate Democratic Caucus Media Departments
(Time-sensitive material. Links may expire after the day of publication)

Tuesday, February 8, 2011

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Bellingham Herald In Olympia, PR jobs and management under budget-cut scrutiny (Tom, Conway)
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Editorial: State needs new weapons in fight against gangs Blog: Lawsuit challenges tribal-state agreement on gasoline sales

Everett Herald Reardon deputy wins over council Federal judge rejects challenge to state's energy-efficient building rules Upside of poor economy: lower federal taxes Editorial: Ex-foes back good solution (Pettigrew, Hobbs)

Kitsap Sun Kitsap County asks state for tax break on North Kitsap forest land (Appleton, Rolfes, Finn, Haigh, Seaquist, Rockefeller, Kilmer, Shin) Senate panel hears testimony on open records law proposals (White, Kilmer, Sheldon) Mourners remembering slain Washington prison guard Lawmaker pushes for ban on flavored tobacco Letter: State park fees hurt poor families

Longview Daily News Editorial: Keep computers away from driver's seat

News Tribune Fix JBLM traffic, report urges Bill targets flavored tobacco products (White, Kohl-Welles) PR jobs, management under state budget-cut scrutiny (Seaquist, Tom, Conway) Bill aims to make it harder for crooks to sell jewelry Callaghan column: Roachs fight for truth took root in nasty campaign Op-ed by Sen. Becker: Tax measures shouldnt be hidden in shroud of secrecy Editorial: Open-records office worth starting to talk about (Hurst) Blog: Senate committee to consider taxing medical marijuana (Keiser)

Olympian Bill targets flavored tobacco products (White, Kohl-Welles)


8_19_2011

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Target shifts to PR, admin jobs (Seaquist, Tom, Conway) Legislature: Day 30, Tuesday, Feb. 8 (Reykdal, Seaquist, Dunshee, Dickerson, Nelson, Ranker, Kilmer) Editorial: New election mail rates hopefully leave some wiggle room Blog: Top lawmakers on transportation want Legislature to approve bridge tolls

Peninsula Daily News Centrum planning series of concerts to offset state budget cuts

Puget Sound Business Journal Lawmaker: Let teenagers vote in WA school board elections Washington fading as aerospace center?

Robinson Newspapers Seattle City Council approves Alaskan Way Viaduct agreements with state of Washington

Seattle Times Electric-car owners may face $100 fee (Clibborn, Haugen) Deputies ran check on Maurice Clemmons before police slayings Seattle council vote maintains momentum on waterfront tunnel Senate, House submit bills to enact 520 tolls (Clibborn, Hunter, Maxwell, Haugen) State lags on reducing greenhouse gas amounts Students might vote for Washington school boards (White) Editorial: Maximizing broadband access, the 21st century imperative

Seattle Weekly Blog: Rob McKenna Urges Crackdown on 'Notarios' Just as Disbarred Lawyer Finds a New Niche

Spokesman Review Running Start hits record enrollment for college-minded high schoolers

Tri-City Herald Mourners remembering slain Washington prison guard Lawmaker pushes for ban on flavored tobacco
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Federal judge upholds Wash. building energy rules Students might vote for Washington school boards (White) House delays vote on business tax cut AP source: Obama wants jobless aid help for states Walla Walla Union Bulletin Editorial: State shouldn't sell ad space on its websites (Carlyle)

Yakima Herald Republic Yakima plans to keep all-day kindergarten, budget cuts or not Voting at 14? Bill would allow it for school board elections (White) Home caregivers head to Olympia to lobby for no more cuts Lawmakers sniff out a solution for cougar hunting (Blake)

BROADCAST
KING 5 TV (NBC) Thousands expected at memorial for slain corrections officer Deputies ran check on cop killer just hours before he killed 4 officers Tacoma food bank forced to ration food

KIRO 7 TV (CBS) Memorial To Be Held For Slain Corrections Officer Former Seattle Police Officer Linked To Violent Home Invasion

KOMO 4 TV (ABC) Bill aims to attract filmmakers to state with tax break (Kohl-Welles) Clemmons narrowly escaped arrest hours before shooting Affidavit: Scherf gave officer a drawing hours before killing

KUOW FM Living Building UW Gives $5 Million To Build Native American Longhouse On Campus
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Dueling Vetoes On Tunnel Project

NW Public Radio Smart Technology Will Increase Energy Efficiency And Reliability Bill Would Create Registry To Track Cancer In The Workplace Oregon Lawmakers Consider Banning Out-Of-State Firewood Northwest Asparagus Farmers Get Government Payment For Lost Market One Year Later: Idahos Love Letter To Wash. And Oregon

Q13 TV (Fox) Live Coverage: Memorial Service For Slain Corrections Officer Accused Cop Killer And Convicted Rapist Given Ten Overnight Visits From Wife

WEB
The Capitol Record Outlaw flavored cigarettes and nicotine mints? One bill aims to do exactly that Prize-linked savings could be coming to a bank near you (Kilmer)

Crosscut Small counties are close to the people Idaho joins the bluster on nullifying health care

The HDC Advance A 12-year-old pitches 4 reasons the blue heron should be state bird (Hunter)

Public News Service WA Caregivers Speak Up for Their Clients, Jobs (Billig)

Publicola Tunnel Supporters Out in Force at Council Hearing Rob McKennas Legal Battle with Himself Council Votes on Tunnel Agreements; Referendum Possible Seattle Times: State House Reps Make Case for Balanced Approach on Unemployment Insurance (Sells, Reykdal)
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Re: LawNerd v. McKenna The War on Pedestrians Change the Constitution (Fitzgibbon, Springer, Liias)

The SDC Hopper Creating math and science growth targets in our high schools (McAuliffe) Newest In the Loop now online Nelson, Fitzgibbon introduce bill to clean up lost fishing nets

Seattle PI Showdown: Council signs tunnel deal, McGinn will veto UW students fight back against tuition hikes Getting There: How soon will tolls start on the SR 520 Bridge? Affidavit: Killing suspect gave drawing to guard before she died

Seattle Post Globe Job-killing regulations? Opponents fail to support claims with evidence (federal) Not so HOT? Toll lane trial isn't generating much revenue Medicaid twists the nullification debate

Slog Concerning Washington's Motion Picture Competitiveness (Kohl-Welles) Surface/Transit Is Still the Best Alternative for Replacing the Viaduct "Our vampires should stay in Washington State." (Kohl-Welles) Mayor's Office Insists Tunnel Contract Can Go to Ballot Do We Have a Lawyer in the House?

Washington State Wire Report Card Names State's Best and Worst Schools 60 Percent of K-12 Schools are Fair or Struggling

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From: "Scala, Robin \(CDC/ONDIEH/NCCDPHP\)" <iet5@cdc.gov> To: Date: 2/8/2011 9:12:50 AM Subject: OSH Media Network February 2011 e-Bulletin You may circulate or post this e-Bulletin in part or in full; however, please remove the OSH Media Network headings and posting information before doing so. Office on Smoking and Health Media Network February 2011 e-Bulletin The e-Bulletins are posted on the OSH State Information Forum. Go to , click on the folder <2011 Media Network e-Bulletins>, scroll down. CONFERENCES/TRAININGS/EVENTS * Tools of the Trade: Harnessing the Power of Social Media for Cancer Control . Wednesday, February 23, 2011 2:00 3:00 p.m. ET. Discussion on the use of social media tools and platforms in cancer control efforts. * 2011 Kenneth E. Warner Lectures Series . Sponsored by the Legacy Foundation. Upcoming topics include, Smoking in Television (February); Is the Tobacco Epidemic a Winnable Battle? (March); and Butt Really? The Environmental Impact of Cigarettes (April). Email lcruzada@legacyforhealth.org to subscribe to the Warner Series email list. * Using Social Marketing to Strengthen Public Health Policies . The 12th Annual Ned E. Baker Lecture in Public Health will be held March 31, 2011, 4:00-5:30 eastern time and broadcast via webcast. * 2011 National Conference on Health Communication, Marketing, and Media . The fifth annual National Conference on Health Communication, Marketing, and Media, will be held August 9 - 11, 2011 in Atlanta, GA. EVALUATION: Counter-Marketing or Media Analysis * Smoking Cues, Argument Strength, and Perceived Effectiveness of Antismoking PSAs . Nicotine and Tobacco Research (First published online: January 24, 2011). Smoking cues in antismoking PSAs undermine a significant part of what makes PSAs effectivetheir arguments against smoking. In designing antismoking messages, the inclusion of smoking cues should be weighed carefully. * Spontaneous Action Representation in Smokers when Watching Movie Characters Smoke . The Journal of Neuroscience (Jan 19, 2011). Smokers spontaneously represent the action of smoking when viewing others smoke, the consequence of which may make it more difficult to abstain from smoking. * Evaluation of a Direct Mailing Campaign to Increase Physician Awareness and Utilization of a Quitline Fax Referral Service . Journal of Health Communication (Dec 2010). This study can help guide the development of promotional campaigns to increase clinician access to and utilization of state quitlines. * Predictors and Consequences of Conversations about Health Promoting Media Messages . Communication Monographs (Dec 2010). Participants who discussed the ad after exposure reported more positive intention change. Participants with stronger emotional reactions to the ads were more likely to discuss them. * Using Market Research to Characterize College Students and Identify Potential Targets for Influencing Health Behaviors . Social Marketing Quarterly (Dec 2010). Identifying qualitatively different subgroups of young adults through market research may inform the development of engaging interventions and health campaigns targeting college students. * Maximizing Recall of Gruesome Images for Health Effects Advertising . Social Marketing Quarterly (Dec 2010). Makers of gruesome health warning television ads should incorporate some form of physical insult and use a clear figure/ground demarcation to maximize image recall and subsequent potential advertising effectiveness. * Effect of Media Campaigns and Smoke-free Ordinance on Public Awareness and Secondhand Smoke Exposure in Taiwan . Journal of Health Communication (Jan 13, 2011, Epub ahead of print). Smoke-free ordinance
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implementation and media campaigns were effective in raising public awareness of the new law and reducing secondhand smoke exposure in workplaces, in public places, and at home. * The Opportunities and Challenges of School-Based Research for Social Marketers . Social Marketing Quarterly (Dec 2010). This article describes some of the issues social marketers should consider when working with schools on evaluation research. MARKETING/COMMUNICATIONS CAMPAIGNS * Hollywoods Quiet Little Billion-dollar Bailout from 40 States Like Yours! And How it Recruits More Than a Million Kids to Smoke . Smoke Free Movies first ran this ad in the January 2011 issue of State Legislatures. Educational use of ad is free, for info and PDF file email movies@medicine.ucsf.edu. RESOURCES: General Media/Communications * Designing Social Media Policy for Government . Center for Technology Innovation at Brookings (Jan 2011). The shifting boundaries between personal and professional use of social media and implications for agencies developing social media strategies. * An Integrated Approach to Online Video and Social Media Marketing . MediaPost: Online Video Insider (Jan 25, 2011). Framework for thinking about the similarities among various media platforms; where the mediums intersect and how they can benefit each other. * Social Side of the Internet . Pew Internet & American Life Project (Jan 18, 2011). 75% of all American adults are active in some kind of voluntary group or organization, and internet users are more likely than others to be active with civic, social and religious groups. * Does Social Media Improve Communication? Evaluating the NIOSH Science Blog . American Journal of Industrial Medicine (published online Jan 18, 2011). The NIOSH Science Blog is a useful communication channel to provide workplace safety and health information and expand the Institute's reach to new consumers. * The Internet as a Health Information Source . Journal of Health Communication: International Perspectives (Supplement 3 2010). Internet users were younger, more educated, higher income, preferred numbers rather than words to describe chance, and think it is very important to get personal medical information electronically. * Correlates of Consumer Trust in Online Health Information . Journal of Health Communication (Jan 2011). Trust in online health information transferred from traditional mass media and government health agencies to the Internet, and it varied by such information features as easiness to locate and to understand. * Communication Inequalities and Public Health Implications of Adult Social Networking Site (SNS) Use in the US . Journal of Health Communication: International Perspectives (Supplement 3 2010). The absence of inequalities in adult SNS use across race/ethnicity and class offers some support for the continued use of social media to promote public health efforts. * Strategies for the Social Marketing Mix: A Systematic Review . Social Marketing Quarterly (Dec 2010). The results identified a number of strategies that showed potential for the marketing mix with important implications for practice. * The Who, Where, and When of Social Marketing . Journal of Nonprofit and Public Sector Marketing (Oct 2010). Identifies core findings, their authors and journals, as well as conferences and institutions most closely related to this subject. * On the Effectiveness of Social MarketingWhat Do We Really Know? Journal of Nonprofit and Public Sector Marketing (Oct 2010). Identifies and categorizes findings on the effectiveness of social marketing in a holistic model, focusing on framing determinants. * Developing a Common Language for Using Social Marketing: An Analysis of Public Health Literature . Health Marketing Quarterly (Oct 2010). How social marketing has been defined and applied to social problems within the public health literature 2001-2006. RESOURCES: Tobacco-Related * The Impact of State Tobacco Control Program Funding Cuts on Teens' Exposure to Tobacco Control
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Interventions: Evidence From Florida . American Journal of Health Promotion (Jan-Feb 2011). Program budget cuts in FL resulted in significant declines in exposure to some FTCP interventions (particularly tobacco countermarketing). * State of Tobacco Control 2010 . The American Lung Association (Jan 2011). The report tracks progress on key tobacco control policies at the state and federal levels and gives grades to tobacco control laws and regulations in effect as of January 1, 2011. * Smoking Calculator . An American Cancer Society online tool to calculate the cost of smoking per day, week, month, year and the grand total for an individual's life to date. OTHER PRODUCTS: Smokeless, Cigars, Hookahs, e-Cigarettes, etc. * Nicotine Exposure in Daily Waterpipe Smokers and its Relation to Puff Topography . Addictive Behaviors (Apr 2011). Waterpipe smoking involves a level of nicotine exposure that supports dependence. * Waterpipe (Hookah) Tobacco Smoking Among Youth . Current Problems in Pediatric and Adolescent Health Care (Feb 2011). Although waterpipe smoking is perceived by its new generation of users to be less addictive and hazardous to health than cigarette smoking, researchers draw diametrically opposed conclusions. SECONDHAND SMOKE (SHS)/CLEAN INDOOR AIR (CIA) * Voices of Smokefree Communities . A series of 8 short video vignettes from The Kentucky Center for Smoke-free Policy featuring advocates and elected officials sharing their experiences with enacting and implementing local smokefree ordinances and regulations. * Kids, Cars and Cigarettes: Policy Options for Smoke-free Vehicles . The Public Health Law Center (Dec 2010). Policy options for regulating smoking in cars carrying children. * Tobacco Policy Tips and Tools. A series of short reference guides from Tobacco Control Legal Consortium covering tobacco policy issues in the headlines. o Regulating Tobacco on Campuses o Regulating Hookah and Waterpipe Smoking o Regulating Smoking Outdoors * An Analysis of the Economic Effects of Wisconsins Smokefree Municipal Ordinances on Alcohol Licensed Establishments . UW Carbone Cancer Center (Jan 2011). The hospitality industry, including bars and restaurants, saw no negative economic impacts from the smoke-free ordinances. * Indoor Air Quality in Bars and Restaurants Before and After Implementation of the Smoke-Free Wisconsin Act, 2010 . UW Carbone Cancer Center (Dec 2010). Findings indicate a 92% reduction in the mean particulate matter detected in the air for establishments that had unhealthy air before the smoke-free law went into effect. * SHS Exposure in Alaskan Households with Children . Rural and Remote Health (Oct 2010). Those with schoolaged children, and moderate to heavy smokers should be targeted for intervention, given their high prevalence of home SHS exposure. TARGET POPULATION: African American * Smoking, Sociodemographic Determinants, and Stress in the Alabama Black Belt . Journal of Rural Health (Jan 2011). Increased stress levels appear to predispose females more than males to smoking. TARGET POPULATION: Asian/Pacific Islander American * Individual and Family Factors Associated with Intention to Quit among Male Vietnamese American Smokers . Addictive Behaviors (Apr 2011). Smoking-related family conflicts and a quit attempt in the past year were independently associated with an intention to quit. Higher education was associated with no intention to quit. TARGET POPULATION: Hispanic/Latino * Providing Health Messages to Hispanics/Latinos: Understanding the Importance of Language, Trust in Health
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Information Sources, and Media Use . Journal of Health Communication: International Perspectives (Supplement 3 2010). Hispanics who are not comfortable speaking English may be difficult to reach, due to language barriers, lower trust in media, and relatively little use of various media channels. TARGET POPULATION: Lesbian/Gay/Bisexual/Transgendered (LGBT) * Racial and Ethnic Differences in Current Use of Cigarettes, Cigars, and Hookahs among Lesbian, Gay, and Bisexual Young Adults . Nicotine & Tobacco Research (online Jan 27, 2011). Targetedif not tailoredprevention and cessation efforts are needed to address smoking disparities in these diverse communities. * Promising Practices for Comprehensive Tobacco Control Programs: Identifying and Eliminating LGBT Disparities . LGBT Network (Dec 2010). Highlights the measures programs should take when addressing tobacco control and wellness in LGBTQ populations. TARGET POPULATION: Multiple Populations * Education Associations with Smoking and Leisure-time Physical Inactivity among Hispanic and Asian Young Adults . American Journal of Public Health (Jan 13, 2011, Epub ahead of print). Health-promotion efforts aimed at reducing disparities in key health behaviors among Hispanic and Asian young adults should take into account country of residence in childhood and adolescence as well as nativity. TARGET POPULATION: Women and Girls * Women Smokers' Experiences of an Age-appearance Anti-smoking Intervention . British Journal of Health Psychology (Dec 6, 2010, Epub ahead of print). Interventions incorporating age-appearance morphing techniques are likely to be effective in helping women to take active steps to quit smoking. TARGET POPULATION: Youth/Young Adults * Peers, Tobacco Advertising, and Secondhand Smoke Exposure Influences Smoking Initiation in Diverse Adolescents . American Journal of Health Promotion (Jan-Feb 2011). Media, peer influence, and secondhand smoke exposure were the most important factors influencing smoking initiation. * Changes in Self-control Problems and Attention Problems During Middle School Predict Alcohol, Tobacco, and Marijuana Use During High School . Psychology of Addictive Behaviors (Jan 10, 2011, Epub ahead of print). Greater self-control and attention problems in the 6th grade, with increases in these problems over time, were associated with higher levels of substance use at 11th grade. * Smoking-specific Compensatory Health Beliefs (CHB) and the Readiness to Stop Smoking in Adolescents . British Journal of Health Psychology (Dec 3, 2010, Epub ahead of print). Smoking-specific CHBs were negatively related to readiness to stop smoking. * Perceptions of Risk among College Smokers: Relationships to Smoking Status . Addiction Research and Theory (online Jan 12, 2011). Consideration of smoking subgroup may be warranted when delivering anti-tobacco messages designed to target risk perceptions. * Analysis of Smoking Patterns and Contexts among College Student Smokers . Substance Use and Misuse (Jan 6, 2011, Epub ahead of print). Smoking rates declined over the course of each semester and higher smoking on weekends was observed. TOBACCO AND HEALTH * Menthol Cigarettes: Moving Toward a Broader Definition of Harm . Nicotine and Tobacco Research (Dec 21, 2010). Overall findings from this supplement present a broader public health definition for the harmful effects of menthol cigarettes. TOBACCO CESSATION
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* Implicit and Explicit Attitudes Predict Smoking Cessation . Psychology of Addictive Behaviors (Dec 2010). Because cessation involves controlled and automatic processes, consider attitude change interventions that focus on both implicit and explicit attitudes. * Awareness and Use of Tobacco Quitlines: Evidence from the Health Information National Trends Survey . Journal of Health Communication: International Perspectives (Supplement 3 2010). While quitline awareness appears to be high, quitline utilization is low. TOBACCO MARKETING/ADVERTISING/PROMOTION * College Students' Exposure to Tobacco Marketing in Nightclubs and Bars . Journal of American College Health. Students in the smoke-free law city were more likely to be exposed to direct marketing strategies from tobacco marketers. * The Menthol Marketing Mix: Targeted Promotions for Focus Communities in the United States. Nicotine and Tobacco Research (2010 Dec; 12 Supplement). Urban communities have higher levels of price discounts and signage, exert tight controls over the retail environment, and use hip-hop lifestyle to associate menthol products with urban nightlife, music, fame, and cultural edginess among younger smokers. * Cigarette Advertising and Teen Smoking Initiation . Pediatrics (Jan 17, 2011, Epub ahead of print). Underlines the specificity of the relationship between tobacco marketing and teen smoking; exposure to cigarette ads, but not other ads, is associated with smoking initiation. * Promoting Health (Implicitly)? A Longitudinal Content Analysis of Implicit Health Information in Cigarette Advertising, 1954-2003 . Journal of Health Communication (Oct 2010). This study examined the frequencies and kinds of implicit health information in cigarette advertising. * Sexual Imagery in Cigarette Advertising Before and After the Master Settlement Agreement . Health Communication (Dec 2010). Cigarette ads featuring suggestive/partially clad female models increased significantly from the pre-MSA period to the post-MSA. TOBACCO INDUSTRY WATCH * Forcing the Navy to Sell Cigarettes on Ships: How the Tobacco Industry and Politicians Torpedoed Navy Tobacco Control . American Journal of Public Health (Jan 13, 2011, Epub ahead of print). Efforts to restrict tobacco sales and use aboard the USS Roosevelt prompted industry lobbyists to persuade Congress to legislate that all naval ships must sell tobacco. * Manufacturing Credibility: The National Energy Management Institute (NEMI) and the Tobacco Institute's Strategy for Indoor Air Quality . American Journal of Public Health (Jan 13, 2011, Epub ahead of print). NEMI helped the industry to portray ventilation to improve overall indoor air quality and smoke-free worksites as an either-or choice; in fact, both can improve worker health.

Information and links to non-Federal organizations are provided solely as a service to Media Network Members. Links do not constitute an endorsement of any organization by CDC or the Federal Government, and none should be inferred. CDC is not responsible for the content of the individual organization found at non-Federal links.

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From: "Muhm, Jennifer" To: "Albetta, Gloria" <Gloria.Albetta@kingcounty.gov> "Apa, James" <James.Apa@kingcounty.gov> "Burgess, Moffett" <Moffett.Burgess@kingcounty.gov> "Carson, Kathy" <Kathy.Carson@kingcounty.gov> "Chaffee, Frank" <Frank.Chaffee@kingcounty.gov> "Ciske, Sandra" <Sandra.Ciske@kingcounty.gov> "Cordero, Julia" <Julia.Cordero@kingcounty.gov> "Cummins, Elaine" <Elaine.Cummins@kingcounty.gov> "Fleming, David" <David.Fleming@kingcounty.gov> "Gomez, Tony" <Tony.Gomez@kingcounty.gov> "Huus, Kathie" <Kathie.Huus@kingcounty.gov> "Johnson, Kirste" <Kirste.Johnson@kingcounty.gov> "Karasz, Hilary" <Hilary.Karasz@kingcounty.gov> "Kellogg, Ryan" <Ryan.Kellogg@kingcounty.gov> "Maurer, Carol" <Carol.Maurer@kingcounty.gov> "Muhm, Jennifer" <Jennifer.Muhm@kingcounty.gov> "Oberg, Donna" <Donna.Oberg@kingcounty.gov> "Podell, Lisa" <Lisa.Podell@kingcounty.gov> "Quinn, Rachel" <Rachel.Quinn@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> "Russillo, Chrissy" <Chrissy.Russillo@kingcounty.gov> "Sadow-Hasenberg, Nicole" <Nicole.Sadow-Hasenberg@kingcounty.gov> "Sanchez, Kristie" <Kristie.Sanchez@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Teeter, Dorothy" <Dorothy.Teeter@kingcounty.gov> "Valenzuela, Matias" <Matias.Valenzuela@kingcounty.gov> "Wilson, Janna" <Janna.Wilson@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> "Worsham, Dennis" <Dennis.Worsham@kingcounty.gov> Date: 2/9/2011 5:29:35 PM Subject: February 9th: Legislative Related News Clips

The Daily E-Clips


An electronic roundup of legislative news from Washington and the nation by the House and Senate Democratic Caucus Media Departments
(Time-sensitive material. Links may expire after the day of publication)

Wednesday, February 9, 2011

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Bellingham Herald More Washington students take and pass AP exams Washington Legislature may restrict tanning beds
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Blogs: Overstreet introduces bill prohibiting rule making that costs people, businesses money Bill would ban cheap plastic bags at grocery stores, require fee for recycled paper ones (Fitzgibbon) Bill would allow local governments to set cigarette restrictions beyond those in state law

Columbian Bill would ban coal-tar sealant in Washington (Frockt)

Everett Herald Lawmakers want amendment to guard pension funds (Conway) Patriot Act extensions fail in House Davis column: Gregoire is right about accountability Letter: Dont let interests weaken authority (Fish and game)

Kitsap Sun Central Kitsap school levy passing with 52 percent of vote Power moves at play in Frances Haddon Morgan Center's future (Rolfes, Kilmer) Education groups speak out against bill to let districts shorten school year (Rolfes, Haigh, Seaquist, Rockefeller) Proposed pot legalization law could set up conflict between state, feds (Dickerson, Appleton, Hurst, Goodman) More Washington students take and pass AP exams Washington Legislature may restrict tanning beds Spokane County banning e-cigarettes for minors Column: A sampling of education legislation (Haigh, Finn, Seaquist, White) Letter: Sharpen your focus, legislators... (Hunter, Haigh) Blog: Frances Haddon Morgan Center More context (Rolfes)

News Tribune Lawmakers seek minimum state pension funding (Van De Wege, Conway, Pridemore) Washington Legislature may restrict tanning beds Transit tax goes nowhere
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Column: Roach's fight for truth took root in nasty campaign Editorial: JBLM traffic crunch: Pain Congress can help remedy Blog: Morning update: Day 31 (Liias) Blog: More on heron vs. goldfinch (Hunter)

Olympian Future rent might offset data center expenses (Carlyle, Hudgins) Pension rules sought (Van De Wege, Pridemore, Conway) Bill would ban coal-tar sealant (Frockt, Upthegrove) Bill aims to make it harder for crooks to sell jewelry State must do more to meet clean air goal Editorial: Lawmakers' meetings should be open, actions transparent (McAuliffe, Brown) Blog: Senate committee to consider taxing medical marijuana (Keiser)

Puget Sound Business Journal Health care change, one company at a time

Robinson Newspapers Highline School District's Aviation High to lead the way in science, tech teaching (Orwall) Seattle and Moses Lake Ports discuss collaborating to boost state's economy

Seattle Times Aurora Bridge fence is nearly finished State lawmakers want to guard pension funds (Conway) Talton column: Manufacturing is back, but it isn't pretty Varner column: A close-up of democracy in action (Pettigrew) Op-ed: Proposed Washington's biomass incinerators are bad for forests and climate Op-ed: Tuition increases at Washington colleges are not sustainable Editorial: No need to tinker with unemployment bill Letter: Bill would let schools lay off teachers with low evaluation scores (McAuliffe)
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Blog: Defense lawyers' budget idea: Drop the death penalty

Seattle Weekly Blog: Animal Advocates Want New Anti-Tethering Laws After Dog Hangs Itself on Chain

Skagit Valley Herald Bill would ban coal-tar sealant in Washington (Frockt, Upthegrove)

Tri-City Herald Bill would ban coal-tar sealant in Washington (Frockt) Lawmakers push for marijuana legalization (Dickerson) WA lawmakers want amendment to guard pension funds (Conway) CBC bachelor degree program now accredited Several investigations into Monroe guard death Washington Legislature may restrict tanning beds Non-profit hospital pay under state scrutiny (Keiser) Lawmakers push for marijuana legalization (Dickerson) WA lawmakers want amendment to guard pension funds (Conway) Thousands mourn slain Wash. correctional officer Hanford hazardous waste digging begins in March Walla Walla Union Bulletin Editorial: State should OK user fee for parks (Van De Wege, Ranker)

Yakima Herald Republic Asparagus growers can seek compensation More Washington students take and pass AP exams Washington Legislature may restrict tanning beds

BROADCAST
KING 5 TV (NBC) Bill would put age restriction on tanning beds (Darneille) Cash for gold buyers regulated under proposed WA bill Washington's most congested airspace 'like I-5 at rush hour' Fatal shooting involving Lakewood police
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Family, friends, colleagues mourn slain correctional officer

KIRO FM One-third of homeowners underwater Pot the fix for state budget problems? (Dickerson, Hurst) Washington Legislature may restrict tanning beds Spokane County banning e-cigarettes for minors

KIRO 7 TV (CBS) Should Washington Legalize Marijuana? 3 Children Found At Puyallup Meth Lab

KOMO 4 TV (ABC) Bill aims to legalize pot, make Wash. pioneer state (Dickerson, Hurst) Assault suspect fatally shot during confrontation with police

KPLU FM One-third of homes 'underwater' in Puget Sound region Treasurer, lawmakers seek constitutional amendment on pensions How deaths are investigated in Washington state

KUOW FM On And Off The Dole (arts funding) Hospital Executive Pay Under State Scrutiny (Keiser)

Q13 TV (Fox) Man Killed After Standoff With Lakewood SWAT Seattle City Attorney: Legalize Pot For People Over 21

WEB
The Capitol Record We grew up with cannabis. We have to grow up about it now, Goodman says (Dickerson, Hurst)
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Shorten the school year, save teachers? Tuesday Q&A: Part 2 on the budget with Sen. Derek Kilmer Would you like to try some salmon-flavored vodka? How about pomegranate-pear? Measure wants the state to keep a closer eye on paid signature gatherers (Reykdal) House state government looks at campaign reform (Kelley)

Crosscut Rough seas for Puget Sounds foot ferries Home care workers, clients deserve better from state

The HDC Advance WA Whiteboard: Seaquist on falling higher-education attainment One lost fishing net, a whole lot of damage (Fitzgibbon)

HorsesAss.org Arresting State Workers (Hurst)

Publicola Seattle Legislators Propose Exempting Houseboats from Environmental Rules (Pederson, Carlyle) Smart Growth America: Invest in Maintenance and Transit, Not New Roads

Schmudget New Policy Brief: Every Dollar Counts: Why it's Time for Tax Expenditure Reform

The SDC Hopper Legislation introduced transitioning TransAlta off coal energy production (Rockefeller)

Seattle PI Conlin: No way to make Seattle pay tunnel overruns (Chopp, Clibborn) Online ordering at state liquor stores? It could happen Thousands mourn slain prison guard (KOMO)

Seattle Post Globe Socio-emotional programs may boost grades, new report says
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Trafficking our local girls (Dickerson)

Slog The Case for Legalizing, Taxing, and Regulating Pot in Washington State (Dickerson, Hurst, Goodman) Elway Poll: Stranger Staff Totally Out of Touch With Public On Liquor Stores (Except for Me) State Spends $31,000 on Useless Liquor Poll And FYI... $31,000 Isn't So Much to Pay For a Poll

USA Today On Deadline Electric car owners may face fee for not paying gas taxes (Clibborn, Haugen)

The Washington Ledge Comparing Washington To Indiana On State Employees, Privatization

Washington State Wire Deadline Day Comes and Goes With Brinksmanship on Unemployment Bill House May Do Battle Wednesday

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From: To: Date: Subject: Mike,

"Hamilton, Joy" "Smyser, Mike" <Mike.Smyser@kingcounty.gov> 2/9/2011 6:57:36 PM FW: Time Sensitive (Wed 2/9): Revisions for the 2012 Healthy Youth Survey are occuring now!

Tobacco prevention staff got together and reviewed the proposed revisions to form B. Here's our feedback. Please feel free to call me if you have any questions or this isn't clear. I know that questions need to be validated but didn't take the time to see if questions about new products have been validated yet (see last section). We are particularly interested in tracking trends with new products -- hookah, e-cigs, flavored products and dissolvables. Thanks, Joy Hamilton Gilroy, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov Proposed to rotate off form b but we would like to see stay unless there is enough statistical power in just form A: Past 12 months: tried to quit using tobacco (important to keep because it shows the need for youth cessation - ) Past 30 days: smoked bidis, number of days Past 30 days: smoked clove cigarettes, number of days (lower priority) Past 30 days: smoked flavored tobacco in hookah (really crucial to keep as we need to monitor this data -there is high rate of use in King County) New questions we like! Not including menthols: during the past 30 days, on how many days did you use tobacco that tastes like candy, fruit or alcohol (tobacco includes little cigars, bidis, cloves, chew, spit, snus and hookah) Revise existing question past 30 days, smoked cigars, cigarillos, or little cigars (add brand names -- Swisher Sweets, Black and Mild etc.) New questions not proposed that we would like to see if possible (and may not be fielded/tested questions!): Past 30 days, smoked menthol cigarettes, number of days Past 30 days, used blunt wraps or flavored tobacco rolling paper, number of days Past 30 days, used electronic cigarette or e-cig, number of days Past 30 days, used a dissolvable tobacco product (such as orbs, sticks or strips), number of days

From: Ross-Viles, Sarah Sent: Thursday, February 03, 2011 4:59 PM 8_19_2011

Page 2 To: Pearson, Anne; Hamilton, Joy Subject: FW: Time Sensitive (Wed 2/9): Revisions for the 2012 Healthy Youth Survey are occuring now! Importance: High

Time to make suggestions for HYS, ASAP! Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

From: Smyser, Mike Sent: Thursday, February 03, 2011 4:58 PM To: Cosgrove, TJ; Reis, Beth; Golden, Matthew; Berganio, Jackie; Edwards, Laura; Worsham, Dennis; Ciske, Sandra; Carson, Kathy; Valenzuela, Matias; Apa, James; Ross-Viles, Sarah; Kellogg, Ryan; Shumann, Amy Cc: Albetta, Gloria; Chan, Nadine; Hitchcock, Laura; Kinne, Susan; Laurent, Amy; Marinescu, Luiza; McNees, Molly; Pfingst, Lori; Ringaert, Laurie; Ro, Marguerite; Solet, David; Song, Lin; Ta, Myduc; Wong, Eva Subject: Time Sensitive (Wed 2/9): Revisions for the 2012 Healthy Youth Survey are occuring now! Importance: High Sorry for the short notice on this. Finalization of the questionnaires for the 2012 Healthy Youth Survey is happening on a greatly accelerated schedule in order to move printing costs into the current biennium. Normally this process would not occur until July or August of this year. Therefore, if you have interest in what questions are asked on the Form B - 2012 Healthy Youth Survey, please see Juliet ?s comments in her email at this bottom (from January 13th and also her email below). Attached is a copy of changes for last year ?s survey (2010). Basically, questions that ?rotated on ? in 2010 will be ?rotated off ? for 2012, etc. I ?ve also attached copies of the 2010 HYS (all forms so you can see the questions on the other forms, but only changes to Form B are being considered here) If you have new questions in mind, they will probably only accept a few [and then only if they come from previously fielded/tested questionnaires (HYS, YRBS, etc.)]. If you do have any comments, please let me know by Wednesday, 2/9 or if you think others would be interested in reviewing/commenting, please feel free to forward. If you need more details or have questions about the process, please let me know. Thanks, Mike Smyser, Epidemiologist Assessment, Policy Development & Evaluation (APDE) Public Health - Seattle & King County 401 Fifth Avenue, CNK-PH-1300 Seattle, WA 98104 Phone: 206-263-8780; Fax: 206-296-0166 Email: Mike.Smyser@kingcounty.gov

From: VanEenwyk, Juliet (DOH) [mailto:Juliet.VanEenwyk@DOH.WA.GOV] Sent: Thursday, February 03, 2011 4:23 PM To: Smyser, Mike Cc: Bensley, Lillian (DOH); Richardson, Susan M /CFH/Tobacco (DOH); Pilkey, Diane (DOH); Beck, Kevin (DOH) Subject: RE: Important update from Healthy Youth Survey

If you have comments or suggestions, please forward those ASAP. We are meeting internally on Feb 11 and so it would be good to have your comments before then. Please cc everyone as I will not be in the office until the 11th next week.

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We need to have a proposal to the IRB by Feb 24th. We can ask the IRB to approve more questions than we can accommodate and then we would have about 6 weeks to eliminate questions for the final. After they approve the project, we have very little time to settle on the final questionnaire and get it to the printer. We are likely not having a meeting and we cannot entertain new questions that require piloting. Our choice is to proceed with early printing or face likely sample size cuts. Our funding beginning next fiscal year is likely to be greatly reduced because we had been heavily funded by Tobacco. Sorry L !
Juliet VanEenwyk, PhD State Epidemiologist for Non-Infectious Conditions Washington State Department of Health PO Box 47812 Olympia, WA 98504-7812 telephone: (360) 236-4250 fax: (360) 236-4245 e-mail: juliet.vaneenwyk@doh.wa.gov Public Health Always Working for a Safer and Healthier Washington Please note: Department of Health filters occasionally block legitimate incoming messages. If you do not hear from me, please call. From: Smyser, Mike [mailto:Mike.Smyser@kingcounty.gov] Sent: Thursday, February 03, 2011 1:38 PM To: VanEenwyk, Juliet (DOH) Cc: Bensley, Lillian (DOH); Richardson, Susan M /CFH/Tobacco (DOH); Pilkey, Diane (DOH); Beck, Kevin (DOH) Subject: FW: Important update from Healthy Youth Survey Importance: High Juliet and all, I was forwarded this email a few weeks ago but haven ?t had a chance to respond nor have I eard any updates or did I see a definite timeframe for comments. Is there a meeting to discuss the revisions or is it already fait accompli? Let me know. Thanks! Mike Smyser, Epidemiologist Assessment, Policy Development & Evaluation (APDE) Public Health - Seattle & King County 401 Fifth Avenue, CNK-PH-1300 Seattle, WA 98104 Phone: 206-263-8780; Fax: 206-296-0166 Email: Mike.Smyser@kingcounty.gov

From: VanEenwyk, Juliet (DOH) [mailto:Juliet.VanEenwyk@DOH.WA.GOV] Sent: Thursday, January 13, 2011 12:49 PM To: DOH DL OS LHJ Assessment Coordinators Cc: Pilkey, Diane (DOH); Beck, Kevin (DOH); LaDue, Buffi (DOH); Richardson, Susan M /CFH/Tobacco (DOH); Bensley, Lillian (DOH); Flake, Marie D (DOH) Subject: Important update from Healthy Youth Survey Importance: High

Hello all. With cuts to the Tobacco Program, we have concerns about our ability to maintain our sample size (free of charge) for the HYS 2012. One of our partners Division of Behavioral Health and Recovery (DBHR, formerly DSHS Division of Alcohol and Substance Abuse and Division of Mental Health) might be able to cover the costs of printing questionnaires for 2012 with funds that have to be spent by July 1, 2011. Printing is about of the entire HYS budget and so transferring this cost to this fiscal year would be very helpful in allowing us to maintain sample size in 2012. We will not know for a week or so if they really have the money, but if they do, we will be on a very tight timeline which would mean:
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We would need to do a very abbreviated Form B revision process over the next month so we can submit our IRB application the end of February. One approach for the Form B HYS 2012 survey would be to simply rotate on some of the questions rotated off in 2010 and rotate off some we added in 2010. However, since there are more potential ?rotate on ? than ?rotate off ? questions (see attachment), it will take some thought and input from you. It might also mean that we would not consider new questions for HYS 2012.

What this means for you. We need you to be prepared to let us know, what you can live with for HYS 2012. Including Do all questions that rotated off really need to come back on? What other questions can be dropped?

We will get back to you as soon as we know more, but put your thinking caps on. The timeline will be tight.
<<HYSChanges2008_2010 FINAL 3-18-10.pdf>>

Thanks, Juliet ?..on behalf of the DOH HYS team ?. trying to make it work ?.
Juliet VanEenwyk, PhD State Epidemiologist for Non-Infectious Conditions Washington State Department of Health PO Box 47812 Olympia, WA 98504-7812 telephone: (360) 236-4250 fax: (360) 236-4245 e-mail: juliet.vaneenwyk@doh.wa.gov Public Health Always Working for a Safer and Healthier Washington Please note: Department of Health filters occasionally block legitimate incoming messages. If you do not hear from me, please call.

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From: To: Date: Subject: Michelle,

"Hatzenbuehler, Eric" "Pederson, Michelle" <Michelle.Pederson@kingcounty.gov> 2/10/2011 5:00:24 PM RE: Quick Question regarding contacting Food/Bar establishments (e-cig flyer)

I just delivered three boxes (two large and one small) to the 11th floor. Would you please let me know when these actually get mailed? This is really helping our program out a lot - thank you! Eric >_____________________________________________ >From: Pederson, Michelle >Sent: Wednesday, February 09, 2011 3:18 PM >To: Hatzenbuehler, Eric >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >Chinook, 11th floor. Front desk (west side) with my name on them will do. > >_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Wednesday, February 09, 2011 3:14 PM >To: Pederson, Michelle >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >Great. > >What floor are you on and/or where is the best place to drop them off? > > > >_____________________________________________ >From: Pederson, Michelle >Sent: Wednesday, February 09, 2011 3:13 PM >To: Hatzenbuehler, Eric >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >Yes, we have not mailed the renewals yet. Most likely will not be mailed until next week. > > >_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Wednesday, February 09, 2011 3:12 PM >To: Pederson, Michelle >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >Hi Michelle, >
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>I was just informed by the print shop that they would deliver these tomorrow mid-late morning - will that meet the deadline? > >Thanks, >Eric > >_____________________________________________ >From: Pederson, Michelle >Sent: Wednesday, February 02, 2011 12:39 PM >To: Hatzenbuehler, Eric >Cc: Rowe, Mark >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >Boxed is fine. Please make sure when they are delivered that the are addressed to me. >Thanks >Michelle Pederson > > >_____________________________________________ >From: Rowe, Mark >Sent: Wednesday, February 02, 2011 12:00 PM >To: Hatzenbuehler, Eric >Cc: Pederson, Michelle; Cole, Geraldine >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >Michelle can probably best answer. > >-Mark > >_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Wednesday, February 02, 2011 11:34 AM >To: Rowe, Mark >Cc: Pederson, Michelle; Cole, Geraldine >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >Mark, > >Quick clarification - how would you like the 11,000 presented to you? Folded? Grouped by a certain number? Or, since you're using a mailing service, just boxed? > >Thanks, >Eric > >_____________________________________________ >From: Rowe, Mark >Sent: Friday, January 28, 2011 3:25 PM >To: Hatzenbuehler, Eric >Cc: Pederson, Michelle; Cole, Geraldine >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >Here is what we would need in order to get it into our mailing:
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> >* 11,000 copies of what you would like to have included in our mailing - we will package it and include it with our permit invoice which will be sent to each food establishment in the county. >* We will need the copies by Feb 10th so we can include them in the mailing. > >If this works for you, please let us know and when ready, please have your message flyer delivered to Michelle Pederson on the 11th floor Chinook. She will ensure that the flyer is bundled with the permit invoices and sent out to the mailing service. You should expect that these would actually hit the street by March 1st at the latest. > > > >-Mark > >_____________________________________________ > >From: Hatzenbuehler, Eric >Sent: Friday, January 28, 2011 2:47 PM >To: Rowe, Mark >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >Hi Mark, > >As Scott is enjoying some time off over the two weeks, I wanted to establish contact and re-iterate Scott's answer to your questions: >1. We only want to get a message out once this year. As every minute of inspector time is valuable, we'd prefer a written means of communicating this message vs. having your colleagues address it during inspections. > > >2. Our goal is to notify all food establishments. > >This is important information for establishments to have and I appreciate you considering assisting us. > >At your convenience, please let me know if there's a way of inserting 1/2 page flyer into the permit renewal notice mailing or any other options that will help us achieve our goal without adding too much, if any, additional work on your end. > >Thanks, >Eric H. > > > >______________________________________________ >From: Neal, Scott >Sent: Friday, January 28, 2011 9:46 AM << File: Launch Internet Explorer Browser.lnk >> >To: Rowe, Mark >Cc: Hatzenbuehler, Eric; Bennett, John >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >I think ideally we'd want to communicate to all food establishments in KC, only once on this issue. We are simply looking for a way to be able to say we made a good effort to notify everyone on this issue. Would it be possible to include a small notice in your annual mailing (maybe a half page handout)? We'd be happy to provide this notice to your staff for mailing or if you send some sort of letter with updates we'd be happy to draft the language to add if that makes more sense. >
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>Feel free to work with Eric Hatzenbuehler (cc'd) on the details from here. > >Thanks! > >Scott > >_____________________________________________ >From: Rowe, Mark >Sent: Friday, January 28, 2011 9:39 AM >To: Neal, Scott >Cc: Hatzenbuehler, Eric; Bennett, John >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >Sorry for not getting back sooner. Yes we do have a way of communicating with the food establishments under our permit. Annually we send out permit renewal notices (by March 1st) through US mail and we interface with them in the field during inspections. How frequently are you looking to get a message out and what is your distribution list? Are we talking about a small group of establishments or are you looking to broadcast this to all food establishments in King County? > >_____________________________________________ >From: Neal, Scott >Sent: Friday, January 28, 2011 9:29 AM >To: Rowe, Mark >Cc: Hatzenbuehler, Eric; Bennett, John >Subject: Quick Question regarding contacting Food/Bar establishments > >Hi Mark, > >I believe John Bennett tried to get in touch with you regarding this question, but hasn't heard back. So I figured I'd check in with you to see if there is some way EH communicates with restaurants and bars. Do you have a newsletter or email of your food establishments? As you may know, our state funding has been virtually eliminated and we just had the BOH pass a new regulation prohibiting the use of electronic cigarettes in public places and places of employmentessentially banning their use in the same places conventional cigarette smoking is already banned. But because this new electronic cigarettes are becoming more an more available, we would like to get this new information out as soon as we can to as many restaraunts and bars as possible. In the past we would just do a mailing, but this is very costly and not possible given our current budget situation. > >So we were wondering if EH had a newsletter that was distributed to licensees and if so maybe we could put in a small notice regarding this additional regulation? Or if there is some other way electronically or otherwise you communicate with licensees, we'd be open to exploring that too. We are just trying to think out of the box on this one and figure out if there are ways to effectively communicate with restaraunts and bars without having to send expensive hard copy information. So if you have any great ideas about how we could do that, we are open to all suggestions. > >Thanks > >Scott Neal >Tobacco Prevention Program Manager >Public Health - Seattle & King County >401 Fifth Avenue, Suite 900 >Seattle, WA 98104 >Phone: 206-263-8197
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>Fax: 206-296-0177 >Email: scott.neal@kingcounty.gov >

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From: To: Date: Subject:

"Pederson, Michelle" "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> 2/10/2011 5:24:08 PM RE: Quick Question regarding contacting Food/Bar establishments (e-cig flyer)

Thanks, yes, I received the boxes. I will email you on when they actually get mailed the goal is Mon., Feb 14th. >_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Thursday, February 10, 2011 1:00 PM >To: Pederson, Michelle >Cc: Rowe, Mark; Bennett, John; Neal, Scott >Subject: RE: Quick Question regarding contacting Food/Bar establishments (e-cig flyer) > >Michelle, > >I just delivered three boxes (two large and one small) to the 11th floor. > >Would you please let me know when these actually get mailed? > >This is really helping our program out a lot - thank you! >Eric > >_____________________________________________ >From: Pederson, Michelle >Sent: Wednesday, February 09, 2011 3:18 PM >To: Hatzenbuehler, Eric >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >Chinook, 11th floor. Front desk (west side) with my name on them will do. > >_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Wednesday, February 09, 2011 3:14 PM >To: Pederson, Michelle >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >Great. > >What floor are you on and/or where is the best place to drop them off? > > > >_____________________________________________ >From: Pederson, Michelle >Sent: Wednesday, February 09, 2011 3:13 PM >To: Hatzenbuehler, Eric >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >Yes, we have not mailed the renewals yet. Most likely will not be mailed until next week. >
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> >_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Wednesday, February 09, 2011 3:12 PM >To: Pederson, Michelle >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >Hi Michelle, > >I was just informed by the print shop that they would deliver these tomorrow mid-late morning - will that meet the deadline? > >Thanks, >Eric > >_____________________________________________ >From: Pederson, Michelle >Sent: Wednesday, February 02, 2011 12:39 PM >To: Hatzenbuehler, Eric >Cc: Rowe, Mark >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >Boxed is fine. Please make sure when they are delivered that the are addressed to me. >Thanks >Michelle Pederson > > >_____________________________________________ >From: Rowe, Mark >Sent: Wednesday, February 02, 2011 12:00 PM >To: Hatzenbuehler, Eric >Cc: Pederson, Michelle; Cole, Geraldine >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >Michelle can probably best answer. > >-Mark > >_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Wednesday, February 02, 2011 11:34 AM >To: Rowe, Mark >Cc: Pederson, Michelle; Cole, Geraldine >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >Mark, > >Quick clarification - how would you like the 11,000 presented to you? Folded? Grouped by a certain number? Or, since you're using a mailing service, just boxed? > >Thanks, >Eric
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> >_____________________________________________ >From: Rowe, Mark >Sent: Friday, January 28, 2011 3:25 PM >To: Hatzenbuehler, Eric >Cc: Pederson, Michelle; Cole, Geraldine >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >Here is what we would need in order to get it into our mailing: > >* 11,000 copies of what you would like to have included in our mailing - we will package it and include it with our permit invoice which will be sent to each food establishment in the county. >* We will need the copies by Feb 10th so we can include them in the mailing. > >If this works for you, please let us know and when ready, please have your message flyer delivered to Michelle Pederson on the 11th floor Chinook. She will ensure that the flyer is bundled with the permit invoices and sent out to the mailing service. You should expect that these would actually hit the street by March 1st at the latest.> > > > >-Mark > >_____________________________________________ >From: Hatzenbuehler, Eric >Sent: Friday, January 28, 2011 2:47 PM >To: Rowe, Mark >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >Hi Mark, > >As Scott is enjoying some time off over the two weeks, I wanted to establish contact and re-iterate Scott's answer to your questions: >1. We only want to get a message out once this year. As every minute of inspector time is valuable, we'd prefer a written means of communicating this message vs. having your colleagues address it during inspections. > >2. Our goal is to notify all food establishments. > >This is important information for establishments to have and I appreciate you considering assisting us. > >At your convenience, please let me know if there's a way of inserting 1/2 page flyer into the permit renewal notice mailing or any other options that will help us achieve our goal without adding too much, if any, additional work on your end. > >Thanks, >Eric H. > > > >______________________________________________ >From: Neal, Scott >Sent: Friday, January 28, 2011 9:46 AM << File: Launch Internet Explorer Browser.lnk >> >To: Rowe, Mark
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>Cc: Hatzenbuehler, Eric; Bennett, John >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >I think ideally we'd want to communicate to all food establishments in KC, only once on this issue. We are simply looking for a way to be able to say we made a good effort to notify everyone on this issue. Would it be possible to include a small notice in your annual mailing (maybe a half page handout)? We'd be happy to provide this notice to your staff for mailing or if you send some sort of letter with updates we'd be happy to draft the language to add if that makes more sense. > >Feel free to work with Eric Hatzenbuehler (cc'd) on the details from here. > >Thanks! > >Scott > >_____________________________________________ >From: Rowe, Mark >Sent: Friday, January 28, 2011 9:39 AM >To: Neal, Scott >Cc: Hatzenbuehler, Eric; Bennett, John >Subject: RE: Quick Question regarding contacting Food/Bar establishments > >Sorry for not getting back sooner. Yes we do have a way of communicating with the food establishments under our permit. Annually we send out permit renewal notices (by March 1st) through US mail and we interface with them in the field during inspections. How frequently are you looking to get a message out and what is your distribution list? Are we talking about a small group of establishments or are you looking to broadcast this to all food establishments in King County? > >_____________________________________________ >From: Neal, Scott >Sent: Friday, January 28, 2011 9:29 AM >To: Rowe, Mark >Cc: Hatzenbuehler, Eric; Bennett, John >Subject: Quick Question regarding contacting Food/Bar establishments > >Hi Mark, > >I believe John Bennett tried to get in touch with you regarding this question, but hasn't heard back. So I figured I'd check in with you to see if there is some way EH communicates with restaurants and bars. Do you have a newsletter or email of your food establishments? As you may know, our state funding has been virtually eliminated and we just had the BOH pass a new regulation prohibiting the use of electronic cigarettes in public places and places of employmentessentially banning their use in the same places conventional cigarette smoking is already banned. But because this new electronic cigarettes are becoming more an more available, we would like to get this new information out as soon as we can to as many restaraunts and bars as possible. In the past we would just do a mailing, but this is very costly and not possible given our current budget situation. > >So we were wondering if EH had a newsletter that was distributed to licensees and if so maybe we could put in a small notice regarding this additional regulation? Or if there is some other way electronically or otherwise you communicate with licensees, we'd be open to exploring that too. We are just trying to think out of the box on this one and figure out if there are ways to effectively communicate with restaraunts and bars without having to send expensive hard copy information. So if you have any great ideas about how we could> do that, we are open to all suggestions.
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> >Thanks > >Scott Neal >Tobacco Prevention Program Manager >Public Health - Seattle & King County >401 Fifth Avenue, Suite 900 >Seattle, WA 98104 >Phone: 206-263-8197 >Fax: 206-296-0177 >Email: scott.neal@kingcounty.gov >

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From: "Hamilton, Joy" To: "Smyser, Mike" <Mike.Smyser@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 2/10/2011 4:52:55 PM Subject: RE: Time Sensitive (Wed 2/9): Revisions for the 2012 Healthy Youth Survey are occuring now! Attachments: PHSKC comments_HYS Form B 2010 Questions for Revision_2011-0210 (2)_tobacco .xls Mike, Obviously this is a challenging task in a short time frame. I've added our ranking to the attached spreadsheet. There are many questions that we marked as neutral because we know other stakeholders are involved or we didn't have the time to fully assess. Let me know if we can be of further assistance. Thanks, Joy Hamilton Gilroy, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

From: Smyser, Mike Sent: Thursday, February 10, 2011 10:32 AM To: Hamilton, Joy; Ross-Viles, Sarah; Neal, Scott Subject: RE: Time Sensitive (Wed 2/9): Revisions for the 2012 Healthy Youth Survey are occuring now! Importance: High Hi Joy, Sarah and Scott, Thanks for your comments. I tried to reflect your comments in the attached draft (as well as highlight other item priorities). Mostly, you ?ve asked for retention of a few items, a few changes and additions. Unfortunately, the Joint Committee people will really want to know what they want to cut. There are so many tobacco items, that I feel that maybe not all are needed this year. Could I have you take a look at what I ?ve attached? Just look at the tobacco items and rank them as: Keep ? high priority Keep ? medium priority Rotate off?? Rotate back on in 2014 Drop (if you think the question is of no use either to our tobacco program or to schools). If I ?ve already added a recommendation, please feel free to change it if you don ?t agree. Unfortunately, I ?m on a short turn-around for all this. Could you get it back to me by 2pm today? Thanks again! Mike Smyser, Epidemiologist Assessment, Policy Development & Evaluation (APDE) Public Health - Seattle & King County 401 Fifth Avenue, CNK-PH-1300 Seattle, WA 98104 Phone: 206-263-8780; Fax: 206-296-0166 Email: Mike.Smyser@kingcounty.gov 8_19_2011

Page 2 From: Hamilton, Joy Sent: Wednesday, February 09, 2011 2:58 PM To: Smyser, Mike Cc: Ross-Viles, Sarah; Neal, Scott Subject: FW: Time Sensitive (Wed 2/9): Revisions for the 2012 Healthy Youth Survey are occuring now! Importance: High

Mike, Tobacco prevention staff got together and reviewed the proposed revisions to form B. Here's our feedback. Please feel free to call me if you have any questions or this isn't clear. I know that questions need to be validated but didn't take the time to see if questions about new products have been validated yet (see last section). We are particularly interested in tracking trends with new products -- hookah, e-cigs, flavored products and dissolvables. Thanks, Joy Hamilton Gilroy, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov Proposed to rotate off form b but we would like to see stay unless there is enough statistical power in just form A: Past 12 months: tried to quit using tobacco (important to keep because it shows the need for youth cessation - ) [it ?s actually slated to be rotated-on, but I ?ll note that this is a high priority item] Past 30 days: smoked bidis, number of days Past 30 days: smoked clove cigarettes, number of days (lower priority) Past 30 days: smoked flavored tobacco in hookah (really crucial to keep as we need to monitor this data -there is high rate of use in King County) New questions we like! Not including menthols: during the past 30 days, on how many days did you use tobacco that tastes like candy, fruit or alcohol (tobacco includes little cigars, bidis, cloves, chew, spit, snus and hookah) Revise existing question past 30 days, smoked cigars, cigarillos, or little cigars (add brand names -- Swisher Sweets, Black and Mild etc.) New questions not proposed that we would like to see if possible (and may not be fielded/tested questions!): Past 30 days, smoked menthol cigarettes, number of days Past 30 days, used blunt wraps or flavored tobacco rolling paper, number of days Past 30 days, used electronic cigarette or e-cig, number of days Past 30 days, used a dissolvable tobacco product (such as orbs, sticks or strips), number of days

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Page 3 From: Ross-Viles, Sarah Sent: Thursday, February 03, 2011 4:59 PM To: Pearson, Anne; Hamilton, Joy Subject: FW: Time Sensitive (Wed 2/9): Revisions for the 2012 Healthy Youth Survey are occuring now! Importance: High

Time to make suggestions for HYS, ASAP! Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

From: Smyser, Mike Sent: Thursday, February 03, 2011 4:58 PM To: Cosgrove, TJ; Reis, Beth; Golden, Matthew; Berganio, Jackie; Edwards, Laura; Worsham, Dennis; Ciske, Sandra; Carson, Kathy; Valenzuela, Matias; Apa, James; Ross-Viles, Sarah; Kellogg, Ryan; Shumann, Amy Cc: Albetta, Gloria; Chan, Nadine; Hitchcock, Laura; Kinne, Susan; Laurent, Amy; Marinescu, Luiza; McNees, Molly; Pfingst, Lori; Ringaert, Laurie; Ro, Marguerite; Solet, David; Song, Lin; Ta, Myduc; Wong, Eva Subject: Time Sensitive (Wed 2/9): Revisions for the 2012 Healthy Youth Survey are occuring now! Importance: High Sorry for the short notice on this. Finalization of the questionnaires for the 2012 Healthy Youth Survey is happening on a greatly accelerated schedule in order to move printing costs into the current biennium. Normally this process would not occur until July or August of this year. Therefore, if you have interest in what questions are asked on the Form B - 2012 Healthy Youth Survey, please see Juliet ?s comments in her email at this bottom (from January 13th and also her email below). Attached is a copy of changes for last year ?s survey (2010). Basically, questions that ?rotated on ? in 2010 will be ?rotated off ? for 2012, etc. I ?ve also attached copies of the 2010 HYS (all forms so you can see the questions on the other forms, but only changes to Form B are being considered here) If you have new questions in mind, they will probably only accept a few [and then only if they come from previously fielded/tested questionnaires (HYS, YRBS, etc.)]. If you do have any comments, please let me know by Wednesday, 2/9 or if you think others would be interested in reviewing/commenting, please feel free to forward. If you need more details or have questions about the process, please let me know. Thanks, Mike Smyser, Epidemiologist Assessment, Policy Development & Evaluation (APDE) Public Health - Seattle & King County 401 Fifth Avenue, CNK-PH-1300 Seattle, WA 98104 Phone: 206-263-8780; Fax: 206-296-0166 Email: Mike.Smyser@kingcounty.gov

From: VanEenwyk, Juliet (DOH) [mailto:Juliet.VanEenwyk@DOH.WA.GOV] Sent: Thursday, February 03, 2011 4:23 PM To: Smyser, Mike Cc: Bensley, Lillian (DOH); Richardson, Susan M /CFH/Tobacco (DOH); Pilkey, Diane (DOH); Beck, Kevin (DOH) Subject: RE: Important update from Healthy Youth Survey

If you have comments or suggestions, please forward those ASAP. We are meeting internally on Feb 11 and so it would be good to have your comments before then. Please cc everyone as I will not be in the office until the 11th next week.
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We need to have a proposal to the IRB by Feb 24th. We can ask the IRB to approve more questions than we can accommodate and then we would have about 6 weeks to eliminate questions for the final. After they approve the project, we have very little time to settle on the final questionnaire and get it to the printer. We are likely not having a meeting and we cannot entertain new questions that require piloting. Our choice is to proceed with early printing or face likely sample size cuts. Our funding beginning next fiscal year is likely to be greatly reduced because we had been heavily funded by Tobacco. Sorry L !
Juliet VanEenwyk, PhD State Epidemiologist for Non-Infectious Conditions Washington State Department of Health PO Box 47812 Olympia, WA 98504-7812 telephone: (360) 236-4250 fax: (360) 236-4245 e-mail: juliet.vaneenwyk@doh.wa.gov Public Health Always Working for a Safer and Healthier Washington Please note: Department of Health filters occasionally block legitimate incoming messages. If you do not hear from me, please call. From: Smyser, Mike [mailto:Mike.Smyser@kingcounty.gov] Sent: Thursday, February 03, 2011 1:38 PM To: VanEenwyk, Juliet (DOH) Cc: Bensley, Lillian (DOH); Richardson, Susan M /CFH/Tobacco (DOH); Pilkey, Diane (DOH); Beck, Kevin (DOH) Subject: FW: Important update from Healthy Youth Survey Importance: High Juliet and all, I was forwarded this email a few weeks ago but haven ?t had a chance to respond nor have I eard any updates or did I see a definite timeframe for comments. Is there a meeting to discuss the revisions or is it already fait accompli? Let me know. Thanks! Mike Smyser, Epidemiologist Assessment, Policy Development & Evaluation (APDE) Public Health - Seattle & King County 401 Fifth Avenue, CNK-PH-1300 Seattle, WA 98104 Phone: 206-263-8780; Fax: 206-296-0166 Email: Mike.Smyser@kingcounty.gov

From: VanEenwyk, Juliet (DOH) [mailto:Juliet.VanEenwyk@DOH.WA.GOV] Sent: Thursday, January 13, 2011 12:49 PM To: DOH DL OS LHJ Assessment Coordinators Cc: Pilkey, Diane (DOH); Beck, Kevin (DOH); LaDue, Buffi (DOH); Richardson, Susan M /CFH/Tobacco (DOH); Bensley, Lillian (DOH); Flake, Marie D (DOH) Subject: Important update from Healthy Youth Survey Importance: High

Hello all. With cuts to the Tobacco Program, we have concerns about our ability to maintain our sample size (free of charge) for the HYS 2012. One of our partners Division of Behavioral Health and Recovery (DBHR, formerly DSHS Division of Alcohol and Substance Abuse and Division of Mental Health) might be able to cover the costs of printing questionnaires for 2012 with funds that have to be spent by July 1, 2011. Printing is about of the entire HYS budget and so transferring this cost to this fiscal year would be very helpful in allowing us to maintain sample size in 2012. We will not know for a week or so if they really have the money, but if they do, we will be on a very tight timeline which would mean:
8_19_2011

Page 5

We would need to do a very abbreviated Form B revision process over the next month so we can submit our IRB application the end of February. One approach for the Form B HYS 2012 survey would be to simply rotate on some of the questions rotated off in 2010 and rotate off some we added in 2010. However, since there are more potential ?rotate on ? than ?rotate off ? questions (see attachment), it will take some thought and input from you. It might also mean that we would not consider new questions for HYS 2012.

What this means for you. We need you to be prepared to let us know, what you can live with for HYS 2012. Including Do all questions that rotated off really need to come back on? What other questions can be dropped?

We will get back to you as soon as we know more, but put your thinking caps on. The timeline will be tight.
<<HYSChanges2008_2010 FINAL 3-18-10.pdf>>

Thanks, Juliet ?..on behalf of the DOH HYS team ?. trying to make it work ?.
Juliet VanEenwyk, PhD State Epidemiologist for Non-Infectious Conditions Washington State Department of Health PO Box 47812 Olympia, WA 98504-7812 telephone: (360) 236-4250 fax: (360) 236-4245 e-mail: juliet.vaneenwyk@doh.wa.gov Public Health Always Working for a Safer and Healthier Washington Please note: Department of Health filters occasionally block legitimate incoming messages. If you do not hear from me, please call.

8_19_2011

Page 1

From: "Smyser, Mike" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 2/10/2011 2:31:44 PM Subject: RE: Time Sensitive (Wed 2/9): Revisions for the 2012 Healthy Youth Survey are occuring now! Attachments: PHSKC comments_HYS Form B 2010 Questions for Revision_2011-0210.xls
Hi Joy, Sarah and Scott, Thanks for your comments. I tried to reflect your comments in the attached draft (as well as highlight other item priorities). Mostly, youve asked for retention of a few items, a few changes and additions. Unfortunately, the Joint Committee people will really want to know what they want to cut. There are so many tobacco items, that I feel that maybe not all are needed this year. Could I have you take a look at what Ive attached? Just look at the tobacco items and rank them as: Keep high priority Keep medium priority Rotate off?? Rotate back on in 2014 Drop (if you think the question is of no use either to our tobacco program or to schools). If Ive already added a recommendation, please feel free to change it if you dont agree. Unfortunately, Im on a short turnaround for all this. Could you get it back to me by 2pm today? Thanks again! Mike Smyser, Epidemiologist Assessment, Policy Development & Evaluation (APDE) Public Health - Seattle & King County 401 Fifth Avenue, CNK-PH-1300 Seattle, WA 98104 Phone: 206-263-8780; Fax: 206-296-0166 Email: Mike.Smyser@kingcounty.gov

From: Hamilton, Joy Sent: Wednesday, February 09, 2011 2:58 PM To: Smyser, Mike Cc: Ross-Viles, Sarah; Neal, Scott Subject: FW: Time Sensitive (Wed 2/9): Revisions for the 2012 Healthy Youth Survey are occuring now! Importance: High

Mike, Tobacco prevention staff got together and reviewed the proposed revisions to form B. Here's our feedback. Please feel free to call me if you have any questions or this isn't clear. I know that questions need to be validated but didn't take the time to see if questions about new products have been validated yet (see last section). We are particularly interested in tracking trends with new products -- hookah, e-cigs, flavored products and dissolvables. Thanks, Joy Hamilton Gilroy, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104
8_19_2011

Page 2

(206) 263-9382 joy.hamilton@kingcounty.gov Proposed to rotate off form b but we would like to see stay unless there is enough statistical power in just form A: Past 12 months: tried to quit using tobacco (important to keep because it shows the need for youth cessation - ) [its actually slated to be rotated-on, but Ill note that this is a high priority item] Past 30 days: smoked bidis, number of days Past 30 days: smoked clove cigarettes, number of days (lower priority) Past 30 days: smoked flavored tobacco in hookah (really crucial to keep as we need to monitor this data -there is high rate of use in King County) New questions we like! Not including menthols: during the past 30 days, on how many days did you use tobacco that tastes like candy, fruit or alcohol (tobacco includes little cigars, bidis, cloves, chew, spit, snus and hookah) Revise existing question past 30 days, smoked cigars, cigarillos, or little cigars (add brand names -- Swisher Sweets, Black and Mild etc.) New questions not proposed that we would like to see if possible (and may not be fielded/tested questions!): Past 30 days, smoked menthol cigarettes, number of days Past 30 days, used blunt wraps or flavored tobacco rolling paper, number of days Past 30 days, used electronic cigarette or e-cig, number of days Past 30 days, used a dissolvable tobacco product (such as orbs, sticks or strips), number of days

From: Ross-Viles, Sarah Sent: Thursday, February 03, 2011 4:59 PM To: Pearson, Anne; Hamilton, Joy Subject: FW: Time Sensitive (Wed 2/9): Revisions for the 2012 Healthy Youth Survey are occuring now! Importance: High

Time to make suggestions for HYS, ASAP! Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

From: Smyser, Mike Sent: Thursday, February 03, 2011 4:58 PM To: Cosgrove, TJ; Reis, Beth; Golden, Matthew; Berganio, Jackie; Edwards, Laura; Worsham, Dennis; Ciske, Sandra; Carson, Kathy; Valenzuela, Matias; Apa, James; Ross-Viles, Sarah; Kellogg, Ryan; Shumann, Amy Cc: Albetta, Gloria; Chan, Nadine; Hitchcock, Laura; Kinne, Susan; Laurent, Amy; Marinescu, Luiza; McNees, Molly; Pfingst, Lori; Ringaert, Laurie; Ro, Marguerite; Solet, David; Song, Lin; Ta, Myduc; Wong, Eva Subject: Time Sensitive (Wed 2/9): Revisions for the 2012 Healthy Youth Survey are occuring now! Importance: High 8_19_2011

Page 3 Sorry for the short notice on this. Finalization of the questionnaires for the 2012 Healthy Youth Survey is happening on a greatly accelerated schedule in order to move printing costs into the current biennium. Normally this process would not occur until July or August of this year. Therefore, if you have interest in what questions are asked on the Form B - 2012 Healthy Youth Survey, please see Juliets comments in her email at this bottom (from January 13th and also her email below). Attached is a copy of changes for last years survey (2010). Basically, questions that rotated on in 2010 will be rotated off for 2012, etc. Ive also attached copies of the 2010 HYS (all forms so you can see the questions on the other forms, but only changes to Form B are being considered here) If you have new questions in mind, they will probably only accept a few [and then only if they come from previously fielded/tested questionnaires (HYS, YRBS, etc.)]. If you do have any comments, please let me know by Wednesday, 2/9 or if you think others would be interested in reviewing/commenting, please feel free to forward. If you need more details or have questions about the process, please let me know. Thanks, Mike Smyser, Epidemiologist Assessment, Policy Development & Evaluation (APDE) Public Health - Seattle & King County 401 Fifth Avenue, CNK-PH-1300 Seattle, WA 98104 Phone: 206-263-8780; Fax: 206-296-0166 Email: Mike.Smyser@kingcounty.gov

From: VanEenwyk, Juliet (DOH) [mailto:Juliet.VanEenwyk@DOH.WA.GOV] Sent: Thursday, February 03, 2011 4:23 PM To: Smyser, Mike Cc: Bensley, Lillian (DOH); Richardson, Susan M /CFH/Tobacco (DOH); Pilkey, Diane (DOH); Beck, Kevin (DOH) Subject: RE: Important update from Healthy Youth Survey

If you have comments or suggestions, please forward those ASAP. We are meeting internally on Feb 11 and so it would be good to have your comments before then. Please cc everyone as I will not be in the office until the 11th next week. We need to have a proposal to the IRB by Feb 24th. We can ask the IRB to approve more questions than we can accommodate and then we would have about 6 weeks to eliminate questions for the final. After they approve the project, we have very little time to settle on the final questionnaire and get it to the printer. We are likely not having a meeting and we cannot entertain new questions that require piloting. Our choice is to proceed with early printing or face likely sample size cuts. Our funding beginning next fiscal year is likely to be greatly reduced because we had been heavily funded by Tobacco. Sorry L !
Juliet VanEenwyk, PhD State Epidemiologist for Non-Infectious Conditions Washington State Department of Health PO Box 47812 Olympia, WA 98504-7812 telephone: (360) 236-4250 fax: (360) 236-4245 e-mail: juliet.vaneenwyk@doh.wa.gov Public Health Always Working for a Safer and Healthier Washington Please note: Department of Health filters occasionally block legitimate incoming messages. If you do not hear from me, please call. From: Smyser, Mike [mailto:Mike.Smyser@kingcounty.gov] Sent: Thursday, February 03, 2011 1:38 PM To: VanEenwyk, Juliet (DOH) Cc: Bensley, Lillian (DOH); Richardson, Susan M /CFH/Tobacco (DOH); Pilkey, Diane (DOH); Beck, Kevin (DOH) Subject: FW: Important update from Healthy Youth Survey 8_19_2011

Page 4 Importance: High Juliet and all, I was forwarded this email a few weeks ago but havent had a chance to respond nor have I eard any updates or did I see a definite timeframe for comments. Is there a meeting to discuss the revisions or is it already fait accompli? Let me know. Thanks! Mike Smyser, Epidemiologist Assessment, Policy Development & Evaluation (APDE) Public Health - Seattle & King County 401 Fifth Avenue, CNK-PH-1300 Seattle, WA 98104 Phone: 206-263-8780; Fax: 206-296-0166 Email: Mike.Smyser@kingcounty.gov

From: VanEenwyk, Juliet (DOH) [mailto:Juliet.VanEenwyk@DOH.WA.GOV] Sent: Thursday, January 13, 2011 12:49 PM To: DOH DL OS LHJ Assessment Coordinators Cc: Pilkey, Diane (DOH); Beck, Kevin (DOH); LaDue, Buffi (DOH); Richardson, Susan M /CFH/Tobacco (DOH); Bensley, Lillian (DOH); Flake, Marie D (DOH) Subject: Important update from Healthy Youth Survey Importance: High

Hello all. With cuts to the Tobacco Program, we have concerns about our ability to maintain our sample size (free of charge) for the HYS 2012. One of our partners Division of Behavioral Health and Recovery (DBHR, formerly DSHS Division of Alcohol and Substance Abuse and Division of Mental Health) might be able to cover the costs of printing questionnaires for 2012 with funds that have to be spent by July 1, 2011. Printing is about of the entire HYS budget and so transferring this cost to this fiscal year would be very helpful in allowing us to maintain sample size in 2012. We will not know for a week or so if they really have the money, but if they do, we will be on a very tight timeline which would mean: We would need to do a very abbreviated Form B revision process over the next month so we can submit our IRB application the end of February. One approach for the Form B HYS 2012 survey would be to simply rotate on some of the questions rotated off in 2010 and rotate off some we added in 2010. However, since there are more potential rotate on than rotate off questions (see attachment), it will take some thought and input from you. It might also mean that we would not consider new questions for HYS 2012.

What this means for you. We need you to be prepared to let us know, what you can live with for HYS 2012. Including Do all questions that rotated off really need to come back on? What other questions can be dropped?

We will get back to you as soon as we know more, but put your thinking caps on. The timeline will be tight.
<<HYSChanges2008_2010 FINAL 3-18-10.pdf>>

Thanks, Juliet..on behalf of the DOH HYS team. trying to make it work.
Juliet VanEenwyk, PhD 8_19_2011

Page 5 State Epidemiologist for Non-Infectious Conditions Washington State Department of Health PO Box 47812 Olympia, WA 98504-7812 telephone: (360) 236-4250 fax: (360) 236-4245 e-mail: juliet.vaneenwyk@doh.wa.gov Public Health Always Working for a Safer and Healthier Washington Please note: Department of Health filters occasionally block legitimate incoming messages. If you do not hear from me, please call.

8_19_2011

Page 1

From: "Smyser, Mike" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 2/10/2011 5:33:18 PM Subject: RE: Time Sensitive (Wed 2/9): Revisions for the 2012 Healthy Youth Survey are occuring now!
This is helpful. Thanks! - Mike

From: Hamilton, Joy Sent: Thursday, February 10, 2011 12:53 PM To: Smyser, Mike; Ross-Viles, Sarah; Neal, Scott Subject: RE: Time Sensitive (Wed 2/9): Revisions for the 2012 Healthy Youth Survey are occuring now!

Mike, Obviously this is a challenging task in a short time frame. I've added our ranking to the attached spreadsheet. There are many questions that we marked as neutral because we know other stakeholders are involved or we didn't have the time to fully assess. Let me know if we can be of further assistance. Thanks, Joy Hamilton Gilroy, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

From: Smyser, Mike Sent: Thursday, February 10, 2011 10:32 AM To: Hamilton, Joy; Ross-Viles, Sarah; Neal, Scott Subject: RE: Time Sensitive (Wed 2/9): Revisions for the 2012 Healthy Youth Survey are occuring now! Importance: High Hi Joy, Sarah and Scott, Thanks for your comments. I tried to reflect your comments in the attached draft (as well as highlight other item priorities). Mostly, youve asked for retention of a few items, a few changes and additions. Unfortunately, the Joint Committee people will really want to know what they want to cut. There are so many tobacco items, that I feel that maybe not all are needed this year. Could I have you take a look at what Ive attached? Just look at the tobacco items and rank them as: Keep high priority Keep medium priority Rotate off?? Rotate back on in 2014 Drop (if you think the question is of no use either to our tobacco program or to schools). If Ive already added a recommendation, please feel free to change it if you dont agree. Unfortunately, Im on a short turnaround for all this. Could you get it back to me by 2pm today? 8_19_2011

Page 2 Thanks again! Mike Smyser, Epidemiologist Assessment, Policy Development & Evaluation (APDE) Public Health - Seattle & King County 401 Fifth Avenue, CNK-PH-1300 Seattle, WA 98104 Phone: 206-263-8780; Fax: 206-296-0166 Email: Mike.Smyser@kingcounty.gov

From: Hamilton, Joy Sent: Wednesday, February 09, 2011 2:58 PM To: Smyser, Mike Cc: Ross-Viles, Sarah; Neal, Scott Subject: FW: Time Sensitive (Wed 2/9): Revisions for the 2012 Healthy Youth Survey are occuring now! Importance: High

Mike, Tobacco prevention staff got together and reviewed the proposed revisions to form B. Here's our feedback. Please feel free to call me if you have any questions or this isn't clear. I know that questions need to be validated but didn't take the time to see if questions about new products have been validated yet (see last section). We are particularly interested in tracking trends with new products -- hookah, e-cigs, flavored products and dissolvables. Thanks, Joy Hamilton Gilroy, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov Proposed to rotate off form b but we would like to see stay unless there is enough statistical power in just form A: Past 12 months: tried to quit using tobacco (important to keep because it shows the need for youth cessation - ) [its actually slated to be rotated-on, but Ill note that this is a high priority item] Past 30 days: smoked bidis, number of days Past 30 days: smoked clove cigarettes, number of days (lower priority) Past 30 days: smoked flavored tobacco in hookah (really crucial to keep as we need to monitor this data -there is high rate of use in King County) New questions we like! Not including menthols: during the past 30 days, on how many days did you use tobacco that tastes like candy, fruit or alcohol (tobacco includes little cigars, bidis, cloves, chew, spit, snus and hookah) Revise existing question past 30 days, smoked cigars, cigarillos, or little cigars (add brand names -- Swisher Sweets, Black and Mild etc.)
8_19_2011

Page 3

New questions not proposed that we would like to see if possible (and may not be fielded/tested questions!): Past 30 days, smoked menthol cigarettes, number of days Past 30 days, used blunt wraps or flavored tobacco rolling paper, number of days Past 30 days, used electronic cigarette or e-cig, number of days Past 30 days, used a dissolvable tobacco product (such as orbs, sticks or strips), number of days

From: Ross-Viles, Sarah Sent: Thursday, February 03, 2011 4:59 PM To: Pearson, Anne; Hamilton, Joy Subject: FW: Time Sensitive (Wed 2/9): Revisions for the 2012 Healthy Youth Survey are occuring now! Importance: High

Time to make suggestions for HYS, ASAP! Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

From: Smyser, Mike Sent: Thursday, February 03, 2011 4:58 PM To: Cosgrove, TJ; Reis, Beth; Golden, Matthew; Berganio, Jackie; Edwards, Laura; Worsham, Dennis; Ciske, Sandra; Carson, Kathy; Valenzuela, Matias; Apa, James; Ross-Viles, Sarah; Kellogg, Ryan; Shumann, Amy Cc: Albetta, Gloria; Chan, Nadine; Hitchcock, Laura; Kinne, Susan; Laurent, Amy; Marinescu, Luiza; McNees, Molly; Pfingst, Lori; Ringaert, Laurie; Ro, Marguerite; Solet, David; Song, Lin; Ta, Myduc; Wong, Eva Subject: Time Sensitive (Wed 2/9): Revisions for the 2012 Healthy Youth Survey are occuring now! Importance: High Sorry for the short notice on this. Finalization of the questionnaires for the 2012 Healthy Youth Survey is happening on a greatly accelerated schedule in order to move printing costs into the current biennium. Normally this process would not occur until July or August of this year. Therefore, if you have interest in what questions are asked on the Form B - 2012 Healthy Youth Survey, please see Juliets comments in her email at this bottom (from January 13th and also her email below). Attached is a copy of changes for last years survey (2010). Basically, questions that rotated on in 2010 will be rotated off for 2012, etc. Ive also attached copies of the 2010 HYS (all forms so you can see the questions on the other forms, but only changes to Form B are being considered here) If you have new questions in mind, they will probably only accept a few [and then only if they come from previously fielded/tested questionnaires (HYS, YRBS, etc.)]. If you do have any comments, please let me know by Wednesday, 2/9 or if you think others would be interested in reviewing/commenting, please feel free to forward. If you need more details or have questions about the process, please let me know. Thanks, Mike Smyser, Epidemiologist Assessment, Policy Development & Evaluation (APDE) Public Health - Seattle & King County 401 Fifth Avenue, CNK-PH-1300 Seattle, WA 98104 Phone: 206-263-8780; Fax: 206-296-0166 Email: Mike.Smyser@kingcounty.gov 8_19_2011

Page 4 From: VanEenwyk, Juliet (DOH) [mailto:Juliet.VanEenwyk@DOH.WA.GOV] Sent: Thursday, February 03, 2011 4:23 PM To: Smyser, Mike Cc: Bensley, Lillian (DOH); Richardson, Susan M /CFH/Tobacco (DOH); Pilkey, Diane (DOH); Beck, Kevin (DOH) Subject: RE: Important update from Healthy Youth Survey

If you have comments or suggestions, please forward those ASAP. We are meeting internally on Feb 11 and so it would be good to have your comments before then. Please cc everyone as I will not be in the office until the 11th next week. We need to have a proposal to the IRB by Feb 24th. We can ask the IRB to approve more questions than we can accommodate and then we would have about 6 weeks to eliminate questions for the final. After they approve the project, we have very little time to settle on the final questionnaire and get it to the printer. We are likely not having a meeting and we cannot entertain new questions that require piloting. Our choice is to proceed with early printing or face likely sample size cuts. Our funding beginning next fiscal year is likely to be greatly reduced because we had been heavily funded by Tobacco. Sorry L !
Juliet VanEenwyk, PhD State Epidemiologist for Non-Infectious Conditions Washington State Department of Health PO Box 47812 Olympia, WA 98504-7812 telephone: (360) 236-4250 fax: (360) 236-4245 e-mail: juliet.vaneenwyk@doh.wa.gov Public Health Always Working for a Safer and Healthier Washington Please note: Department of Health filters occasionally block legitimate incoming messages. If you do not hear from me, please call. From: Smyser, Mike [mailto:Mike.Smyser@kingcounty.gov] Sent: Thursday, February 03, 2011 1:38 PM To: VanEenwyk, Juliet (DOH) Cc: Bensley, Lillian (DOH); Richardson, Susan M /CFH/Tobacco (DOH); Pilkey, Diane (DOH); Beck, Kevin (DOH) Subject: FW: Important update from Healthy Youth Survey Importance: High Juliet and all, I was forwarded this email a few weeks ago but havent had a chance to respond nor have I eard any updates or did I see a definite timeframe for comments. Is there a meeting to discuss the revisions or is it already fait accompli? Let me know. Thanks! Mike Smyser, Epidemiologist Assessment, Policy Development & Evaluation (APDE) Public Health - Seattle & King County 401 Fifth Avenue, CNK-PH-1300 Seattle, WA 98104 Phone: 206-263-8780; Fax: 206-296-0166 Email: Mike.Smyser@kingcounty.gov

From: VanEenwyk, Juliet (DOH) [mailto:Juliet.VanEenwyk@DOH.WA.GOV] Sent: Thursday, January 13, 2011 12:49 PM To: DOH DL OS LHJ Assessment Coordinators Cc: Pilkey, Diane (DOH); Beck, Kevin (DOH); LaDue, Buffi (DOH); Richardson, Susan M /CFH/Tobacco (DOH); Bensley, Lillian (DOH); Flake, Marie D (DOH) Subject: Important update from Healthy Youth Survey Importance: High 8_19_2011

Page 5

Hello all. With cuts to the Tobacco Program, we have concerns about our ability to maintain our sample size (free of charge) for the HYS 2012. One of our partners Division of Behavioral Health and Recovery (DBHR, formerly DSHS Division of Alcohol and Substance Abuse and Division of Mental Health) might be able to cover the costs of printing questionnaires for 2012 with funds that have to be spent by July 1, 2011. Printing is about of the entire HYS budget and so transferring this cost to this fiscal year would be very helpful in allowing us to maintain sample size in 2012. We will not know for a week or so if they really have the money, but if they do, we will be on a very tight timeline which would mean: We would need to do a very abbreviated Form B revision process over the next month so we can submit our IRB application the end of February. One approach for the Form B HYS 2012 survey would be to simply rotate on some of the questions rotated off in 2010 and rotate off some we added in 2010. However, since there are more potential rotate on than rotate off questions (see attachment), it will take some thought and input from you. It might also mean that we would not consider new questions for HYS 2012.

What this means for you. We need you to be prepared to let us know, what you can live with for HYS 2012. Including Do all questions that rotated off really need to come back on? What other questions can be dropped?

We will get back to you as soon as we know more, but put your thinking caps on. The timeline will be tight.
<<HYSChanges2008_2010 FINAL 3-18-10.pdf>>

Thanks, Juliet..on behalf of the DOH HYS team. trying to make it work.
Juliet VanEenwyk, PhD State Epidemiologist for Non-Infectious Conditions Washington State Department of Health PO Box 47812 Olympia, WA 98504-7812 telephone: (360) 236-4250 fax: (360) 236-4245 e-mail: juliet.vaneenwyk@doh.wa.gov Public Health Always Working for a Safer and Healthier Washington Please note: Department of Health filters occasionally block legitimate incoming messages. If you do not hear from me, please call.

8_19_2011

Page 1

From: To: Date: Subject:

"Ross-Viles, Sarah" "Frank Dibiase" <FDibiase@tpchd.org> 2/11/2011 6:15:46 PM RE: Smoking in Cars with Kids and e-cigarette regulation

Thanks, Frank. I had not seen the brief. Here is the e-cig code. Please let us know if you have any questions. I am putting Scott on this email too as he will return next week from paternity leave and is lead in our leg work. Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

From: Frank Dibiase [mailto:FDibiase@tpchd.org] Sent: Friday, February 11, 2011 12:52 PM To: Ross-Viles, Sarah Subject: FW: Smoking in Cars with Kids and e-cigarette regulation

Hi Sarah, Thought I would forward this on to you in case you didnt already see this info. Also, when you have a chance could you please forward me the ordinance your board passed related to ecigarettes? I went to the PHSKC web site but did not find the actual regulation. This would help in our work with our Board. Thanks Sarah. Frank DiBiase Assistant Division Director Environmental Health Division 253 798-7674 fdibiase@tpchd.org

From: Limtiaco, Frances (DOH) [mailto:Frances.Limtiaco@DOH.WA.GOV] Sent: Thursday, February 10, 2011 10:37 AM To: Frank Dibiase; George Hermosillo; Kirsten Frandsen Subject: Smoking in Cars with Kids

Hello All, Dont know if you were aware that the public health law center recently came out with this policy brief. http://publichealthlawcenter.org/sites/default/files/resources/phlc-policybrief-kidscarssmoke-2010_0.pdf
8_19_2011

Page 2

Regards, Fances Frances Limtiaco Healthy Communities Consultant Tobacco Prevention and Control Contract Manager Washington State Department of Health Chronic Disease Prevention Unit Physical Address: 111 Israel Road SE P.O. Box 47848 Olympia, WA 98504-7848 Phone: (360) 236-3771; Cell: (360) 790-8727 Fax: (360) 236-3646 frances.limtiaco@doh.wa.gov website: www.doh.wa.gov/tobacco Public Health -- always working for a safer and healthier Washington
*************************************************************************************ne This e-mail and any attachments may contain confidential and privileged information. It has been scanned for viruses. If you are not the intended recipient, please notify the sender immediately by return e-mail, delete this e-mail and destroy any copies. ****** ********************************************************************************nene

8_19_2011

Page 1

From: To: Date: Subject: Attachments:

"Ross-Viles, Sarah" "Frank Dibiase" <FDibiase@tpchd.org> 2/11/2011 6:20:05 PM RE: Smoking in Cars with Kids and e-cigarette regulation 26-BOH-Title 19[1].pdf

Forgot the attachment. It starts on page 22 of this chapter. Sarah

Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211

From: Frank Dibiase [mailto:FDibiase@tpchd.org] Sent: Friday, February 11, 2011 12:52 PM To: Ross-Viles, Sarah Subject: FW: Smoking in Cars with Kids and e-cigarette regulation

Hi Sarah, Thought I would forward this on to you in case you didnt already see this info. Also, when you have a chance could you please forward me the ordinance your board passed related to ecigarettes? I went to the PHSKC web site but did not find the actual regulation. This would help in our work with our Board. Thanks Sarah. Frank DiBiase Assistant Division Director Environmental Health Division 253 798-7674 fdibiase@tpchd.org

From: Limtiaco, Frances (DOH) [mailto:Frances.Limtiaco@DOH.WA.GOV] Sent: Thursday, February 10, 2011 10:37 AM To: Frank Dibiase; George Hermosillo; Kirsten Frandsen Subject: Smoking in Cars with Kids

Hello All, Dont know if you were aware that the public health law center recently came out with this policy brief.
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http://publichealthlawcenter.org/sites/default/files/resources/phlc-policybrief-kidscarssmoke-2010_0.pdf Regards, Fances Frances Limtiaco Healthy Communities Consultant Tobacco Prevention and Control Contract Manager Washington State Department of Health Chronic Disease Prevention Unit Physical Address: 111 Israel Road SE P.O. Box 47848 Olympia, WA 98504-7848 Phone: (360) 236-3771; Cell: (360) 790-8727 Fax: (360) 236-3646 frances.limtiaco@doh.wa.gov website: www.doh.wa.gov/tobacco Public Health -- always working for a safer and healthier Washington
*************************************************************************************ne This e-mail and any attachments may contain confidential and privileged information. It has been scanned for viruses. If you are not the intended recipient, please notify the sender immediately by return e-mail, delete this e-mail and destroy any copies. ****** ********************************************************************************nene

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Page 1

From: To: Date: Subject: Attachments: Bud,

"Hamilton, Joy" "Bud Nicola \(bnicola@u.washington.edu\)" <bnicola@u.washington.edu> 2/14/2011 2:51:02 PM brief announcement at Thursday's meeting? Res11_04NoSmokingMultiHousingPolicy.doc

Greetings. As I mentioned at the BOH Tobacco Policy committee meeting -- the policy work that KCBOH is doing has been leading the way for other BOHs around the state to take similar actions. Could you share this information with the other BOH members at Thursday's meeting? Maria -- can you print these two items and include them in the packets? 1) Snohomish County -- Resolution in support of no-smoking policies for multi-unit housing (see attached text of resolution) 2) Spokane County -- Regulations regarding e-cigs (banning sales to minors) (see news article below) Thanks, Joy Hamilton Gilroy, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

From: Apa, James Sent: Wednesday, February 09, 2011 9:41 AM To: Ross-Viles, Sarah; Hamilton, Joy; Muhm, Jennifer; Ross, Kathryn; Cordero, Julia Subject: Spokesman-Review: County commissioners block e-cigarette sales to minors

FYI could some of these commissioners be helpful with the legislature on preemption? www.spokesman.com/stories/2011/feb/09/county-commissioners-block-e-cigarette-sales-to/

County commissioners block e-cigarette sales to minors


Banning the sale of electronic cigarettes to minors was personal for Spokane County commissioners Tuesday. Each reached into his past for an explanation of the unanimous vote to stop anyone younger than 18 from purchasing or possessing the unregulated cigarette substitutes. So-called e-cigarettes vaporize a small vial of nicotine without other toxic substances found in cigarettes. When the ordinance takes effect March 31, selling e-cigarettes to minors in unincorporated areas will be punishable by $513 in penalties. 8_19_2011

Page 2 Penalties for being a minor in possession will total $103. The Spokane City Council passed a similar ordinance Monday, and the Spokane Valley City Council will consider the Spokane Regional Health District proposal on Feb. 22. Commissioner Mark Richard noted that nicotine creates the addiction that keeps people smoking. He reiterated that he lost his mother to cigarette-caused emphysema. Its a horrific, horrific death that I wouldnt wish on anybody, he said. I grew up, literally, in a cloud of smoke as a young adult without the ability to make a choice. He said he was the only one of seven siblings that somehow avoided the addiction. One of the reasons he ran for office was to try to make our community safer and better for youth, Richard said. Commissioner Al French said his father needed only one match to smoke all day long. I watched him die a slow and painful death from emphysema, French said. It was the same with his mother-in-law, he said. Ive never smoked in my life, but as a youth the only way I could get a breath of fresh air was to go outside, French said. So anything that would prevent another youth from having to grow up in that environment, Im all in favor of. Commissioner Todd Mielke said he also has never smoked, but he has been a tobacco industry lobbyist. Mielke said he was hired because he previously worked for a pharmaceutical company that sold smoking-cessation products. Tobacco companies wanted to make sure they complied with terms of a government settlement, he said. He said he views the e-cigarette ordinance as a continuation of his settlement-compliance work to keep young people from smoking. In another seeming irony, a company with five e-cigarette shops in Spokane County endorsed the ordinance. Ronell Routon, sales and marketing director for Smart Smoke, said some of the companys shops were caught in a health district sting in which 15- and 16-year-old undercover agents were able to buy e-cigarettes in 28 of 31 attempts. Routon said the offending employees have been dismissed and the company has beefed up its efforts to prevent sales to minors. She said the company tries to sell only to adult smokers who can use e-cigarettes to reduce their health risk or to quit smoking by gradually dialing down the nicotine they inhale.

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Page 1

From: To: Date: Subject:

"Bud Nicola" <bnicola@u.washington.edu> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 2/14/2011 3:03:39 PM RE: brief announcement at Thursday's meeting?

Maria, Since I wont be at this Thursdays Board meeting, perhaps you could include it in your Administrator report or put it into Davids Health Officer report. Bud Bud Nicola bnicola@uw.edu

From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Monday, February 14, 2011 10:51 AM To: Bud Nicola Cc: Wood, Maria; Neal, Scott Subject: brief announcement at Thursday's meeting?

Bud, Greetings. As I mentioned at the BOH Tobacco Policy committee meeting -- the policy work that KCBOH is doing has been leading the way for other BOHs around the state to take similar actions. Could you share this information with the other BOH members at Thursday's meeting? Maria -- can you print these two items and include them in the packets? 1) Snohomish County -- Resolution in support of no-smoking policies for multi-unit housing (see attached text of resolution) 2) Spokane County -- Regulations regarding e-cigs (banning sales to minors) (see news article below) Thanks, Joy Hamilton Gilroy, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

From: Apa, James Sent: Wednesday, February 09, 2011 9:41 AM To: Ross-Viles, Sarah; Hamilton, Joy; Muhm, Jennifer; Ross, Kathryn; Cordero, Julia Subject: Spokesman-Review: County commissioners block e-cigarette sales to minors FYI could some of these commissioners be helpful with the legislature on preemption? www.spokesman.com/stories/2011/feb/09/county-commissioners-block-e-cigarette-sales-to/ 8_19_2011

Page 2

County commissioners block e-cigarette sales to minors


Banning the sale of electronic cigarettes to minors was personal for Spokane County commissioners Tuesday. Each reached into his past for an explanation of the unanimous vote to stop anyone younger than 18 from purchasing or possessing the unregulated cigarette substitutes. So-called e-cigarettes vaporize a small vial of nicotine without other toxic substances found in cigarettes. When the ordinance takes effect March 31, selling e-cigarettes to minors in unincorporated areas will be punishable by $513 in penalties. Penalties for being a minor in possession will total $103. The Spokane City Council passed a similar ordinance Monday, and the Spokane Valley City Council will consider the Spokane Regional Health District proposal on Feb. 22. Commissioner Mark Richard noted that nicotine creates the addiction that keeps people smoking. He reiterated that he lost his mother to cigarette-caused emphysema. Its a horrific, horrific death that I wouldnt wish on anybody, he said. I grew up, literally, in a cloud of smoke as a young adult without the ability to make a choice. He said he was the only one of seven siblings that somehow avoided the addiction. One of the reasons he ran for office was to try to make our community safer and better for youth, Richard said. Commissioner Al French said his father needed only one match to smoke all day long. I watched him die a slow and painful death from emphysema, French said. It was the same with his mother-in-law, he said. Ive never smoked in my life, but as a youth the only way I could get a breath of fresh air was to go outside, French said. So anything that would prevent another youth from having to grow up in that environment, Im all in favor of. Commissioner Todd Mielke said he also has never smoked, but he has been a tobacco industry lobbyist. Mielke said he was hired because he previously worked for a pharmaceutical company that sold smoking-cessation products. Tobacco companies wanted to make sure they complied with terms of a government settlement, he said. He said he views the e-cigarette ordinance as a continuation of his settlement-compliance work to keep young people from smoking. In another seeming irony, a company with five e-cigarette shops in Spokane County endorsed the ordinance. Ronell Routon, sales and marketing director for Smart Smoke, said some of the companys shops were caught in a health district sting in which 15- and 16-year-old undercover agents were able to buy e-cigarettes in 28 of 31 attempts. Routon said the offending employees have been dismissed and the company has beefed up its efforts to prevent sales to minors. She said the company tries to sell only to adult smokers who can use e-cigarettes to reduce their health risk or to quit smoking by gradually dialing down the nicotine they inhale.

8_19_2011

Page 1

From: To: Date: Subject: Will do, thanks.

"Apa, James" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 2/14/2011 6:28:31 PM RE: E-cig one pager

_____________________________________________ From: Hamilton, Joy Sent: Monday, February 14, 2011 2:25 PM To: Apa, James Cc: Neal, Scott Subject: E-cig one pager James, Could you take a look at this one pager on e-cigs that I've put together and give me some feedback from a communications perspective? I made the document in Word this time so the review process should be easier! The audience for this document will be the general public -- I plan to post it on the King County Tobacco Program website and to use as an educational tool when questions about e-cigs come up. For example -- I plan to share this with the staff at Free and Clear (who run the Quitline) so that they can refer to it when they get calls from KC about e-cigs. I also anticipate that this will be useful to our enforcement staff when they are out in the field. No solid timeline on this-- in the next couple of days would be ideal. << File: E cig one pager.doc >> Thanks so much! Joy Hamilton Gilroy, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

8_19_2011

Page 1

From: To: Date: Subject: Attachments: James,

"Hamilton, Joy" "Apa, James" <James.Apa@kingcounty.gov> 2/14/2011 6:25:22 PM E-cig one pager E cig one pager.doc

Could you take a look at this one pager on e-cigs that I've put together and give me some feedback from a communications perspective? I made the document in Word this time so the review process should be easier! The audience for this document will be the general public -- I plan to post it on the King County Tobacco Program website and to use as an educational tool when questions about e-cigs come up. For example -- I plan to share this with the staff at Free and Clear (who run the Quitline) so that they can refer to it when they get calls from KC about e-cigs. I also anticipate that this will be useful to our enforcement staff when they are out in the field. No solid timeline on this-- in the next couple of days would be ideal.

Thanks so much! Joy Hamilton Gilroy, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

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Page 1

From: "Wood, Maria" To: "Bud Nicola" <bnicola@u.washington.edu> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 2/15/2011 8:10:34 PM Subject: RE: brief announcement at Thursday's meeting?
I can mention, and will bring copies of these items to put in member packets. Thanks, Maria

From: Bud Nicola [mailto:bnicola@u.washington.edu] Sent: Monday, February 14, 2011 11:02 AM To: Hamilton, Joy Cc: Wood, Maria; Neal, Scott Subject: RE: brief announcement at Thursday's meeting? Maria, Since I wont be at this Thursdays Board meeting, perhaps you could include it in your Administrator report or put it into Davids Health Officer report. Bud Bud Nicola bnicola@uw.edu

From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Monday, February 14, 2011 10:51 AM To: Bud Nicola Cc: Wood, Maria; Neal, Scott Subject: brief announcement at Thursday's meeting?

Bud, Greetings. As I mentioned at the BOH Tobacco Policy committee meeting -- the policy work that KCBOH is doing has been leading the way for other BOHs around the state to take similar actions. Could you share this information with the other BOH members at Thursday's meeting? Maria -- can you print these two items and include them in the packets? 1) Snohomish County -- Resolution in support of no-smoking policies for multi-unit housing (see attached text of resolution) 2) Spokane County -- Regulations regarding e-cigs (banning sales to minors) (see news article below) Thanks, Joy Hamilton Gilroy, MPH Public Health - Seattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104
8_19_2011

Page 2

(206) 263-9382 joy.hamilton@kingcounty.gov

From: Apa, James Sent: Wednesday, February 09, 2011 9:41 AM To: Ross-Viles, Sarah; Hamilton, Joy; Muhm, Jennifer; Ross, Kathryn; Cordero, Julia Subject: Spokesman-Review: County commissioners block e-cigarette sales to minors FYI could some of these commissioners be helpful with the legislature on preemption? www.spokesman.com/stories/2011/feb/09/county-commissioners-block-e-cigarette-sales-to/

County commissioners block e-cigarette sales to minors


Banning the sale of electronic cigarettes to minors was personal for Spokane County commissioners Tuesday. Each reached into his past for an explanation of the unanimous vote to stop anyone younger than 18 from purchasing or possessing the unregulated cigarette substitutes. So-called e-cigarettes vaporize a small vial of nicotine without other toxic substances found in cigarettes. When the ordinance takes effect March 31, selling e-cigarettes to minors in unincorporated areas will be punishable by $513 in penalties. Penalties for being a minor in possession will total $103. The Spokane City Council passed a similar ordinance Monday, and the Spokane Valley City Council will consider the Spokane Regional Health District proposal on Feb. 22. Commissioner Mark Richard noted that nicotine creates the addiction that keeps people smoking. He reiterated that he lost his mother to cigarette-caused emphysema. Its a horrific, horrific death that I wouldnt wish on anybody, he said. I grew up, literally, in a cloud of smoke as a young adult without the ability to make a choice. He said he was the only one of seven siblings that somehow avoided the addiction. One of the reasons he ran for office was to try to make our community safer and better for youth, Richard said. Commissioner Al French said his father needed only one match to smoke all day long. I watched him die a slow and painful death from emphysema, French said. It was the same with his mother-in-law, he said. Ive never smoked in my life, but as a youth the only way I could get a breath of fresh air was to go outside, French said. So anything that would prevent another youth from having to grow up in that environment, Im all in favor of. Commissioner Todd Mielke said he also has never smoked, but he has been a tobacco industry lobbyist. Mielke said he was hired because he previously worked for a pharmaceutical company that sold smoking-cessation products. Tobacco companies wanted to make sure they complied with terms of a government settlement, he said. He said he views the e-cigarette ordinance as a continuation of his settlement-compliance work to keep young people from smoking. In another seeming irony, a company with five e-cigarette shops in Spokane County endorsed the ordinance. Ronell Routon, sales and marketing director for Smart Smoke, said some of the companys shops were caught in a health district sting in which 15- and 16-year-old undercover agents were able to buy e-cigarettes in 28 of 31 attempts. 8_19_2011

Page 3 Routon said the offending employees have been dismissed and the company has beefed up its efforts to prevent sales to minors. She said the company tries to sell only to adult smokers who can use e-cigarettes to reduce their health risk or to quit smoking by gradually dialing down the nicotine they inhale.

8_19_2011

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