Joy Hamilton E-Cigarette E-Mails (FOIA Request To King County Health Department)

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From: To: Date: Subject:
"National Association of Local Boards of Health" <nalboh@nalboh.org> "Hamilton, Joy" 9/1/2010 8:16:06 AM 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 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
8_19_2011
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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. 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.
8_19_2011
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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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8_19_2011
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not sure if this is helpful...
"Greto, Lindsey" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 9/7/2010 2:13:03 PM FW: Thanks for meeting with us
--Lindsey Greto, MPA Tobacco Prevention Program Public Health - Seattle & King County Ph: (206) 263-9410 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
8_19_2011
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
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"Hamilton, Joy" "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> 9/7/2010 6:53:46 PM RE: Thanks for meeting with us
FYI... I know Beti Thompson and I think Jennifer (it mentions she has a different last name so I think its the Je health disparities in Cancer last year -- totally interesting and a huge shame because there were only 3 regist
From: Greto, Lindsey Sent: Tuesday, September 07, 2010 11:13 AM To: Hamilton, Joy Subject: FW: Thanks for meeting with us not sure if this is helpful...
--Lindsey Greto, MPA Tobacco Prevention Program Public Health - Seattle & King County Ph: (206) 263-9410 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
8_19_2011
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
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"Hamilton, Joy" "Moreno, Emma" <Emma.Moreno@kingcounty.gov> 9/9/2010 12:47:21 PM RE: Train the Trainer workshop
Here is a general preliminary list, this may be added to over time * point of tobacco sale signage showing graphic health message/Quit Line information * ban of flavored tobacco (non-cigarette) products and e-cigarettes * smoke free multi-family housing * smoke free hospitals * smoke free college campuses * smoke free parks
-----Original Message----From: Moreno, Emma Sent: Wednesday, September 08, 2010 11:09 AM To: Hamilton, Joy Subject: FW: Train the Trainer workshop Hi Joy Please read below, I need help with the list of objectives. Are these the CPPW objectives? thanks -----Original Message----From: Natasha Freidus [mailto:tashafr@gmail.com] On Behalf Of Natasha Freidus Sent: Tuesday, September 07, 2010 4:29 PM To: Moreno, Emma Subject: Train the Trainer workshop Hello Emma Are you on board for the train the trainer workshop? Am trying to finalize the participant group and I want to send out info so everyone can prep for their stories! Also, if you can send me the preliminary list of policy objectives (not the legislation) for CPPW that would be super as we'll use it at our next brainstorming meeting. Muchas gracias! Tasha
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"Ryan, Molly" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 9/10/2010 3:55:03 PM FW: E-Cigarettes: Questions and Answers
Dunno if you've seen this...or if you are even interested, but thought I would share :)
Molly Ryan, MPH Tobacco Prevention Program Public Health - Seattle & King County Ph: (206) 263-8241 Fax: (206) 296-0177
From: 100 Pioneers for Smoking Cessation [mailto:100PIONEERS@LISTSRV.UCSF.EDU] On Behalf Of Cheng, Christine Sent: Thursday, September 09, 2010 11:11 AM To: 100PIONEERS@LISTSRV.UCSF.EDU Subject: E-Cigarettes: Questions and Answers From: U.S. Food & Drug Administration (FDA) [mailto:fda@service.govdelivery.com] Sent: Thursday, September 09, 2010 10:06 AM To: Cheng, Christine Subject: E-Cigarettes: Questions and Answers
E-Cigarettes: Questions and Answers Wed, 08 Sep 2010 14:19:00 -0500 What are e-cigarettes and why is the U.S. Food and Drug Administration concerned about them? FDA Consumer Health Information provides answers.
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> Date: 9/10/2010 2:22:36 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
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"RWJF News Digests" <newsdigest@rwjfmail.org> "Hamilton, Joy" 9/10/2010 12:36:27 PM RWJF News Digest: Public Health
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RWJF News Digest: Public Health

This frequently updated news digest on the subject of Public Health highlights key articles from major news publications. The digest is a free service of the Robert Wood Johnson Foundation. FDA Sends E-Cigarette Companies a Warning Associated Press, 09/10/2010 The Food and Drug Administration is lighting a fire under the electronic cigarette industry to work with the agency to legally market the devices and is cautioning other companies that their sales and manufacturing practices violate federal law. The FDA said yesterday it sent warning letters to five companies that make e-cigarettes or components for the plastic and metal devices that heat a liquid nicotine solution in a disposable cartridge, creating vapor that the smoker inhales. Food for Thought: Report Details 85 Safety Recalls Philadelphia Daily News, Queen Muse, 09/09/2010 Tainted cheese, lettuce and waffles are among the 56 food recalls that have affected Pennsylvania since stronger food-safety legislation stalled in Congress in July 2009, according to a study released this week. The study, conducted by the Pennsylvania Public Interest Research Group (PennPIRG), the Consumer Federation of America and the Center for Science in the Public Interest, found that 85 recalls occurred in that time period nationwide. Prevent the Senate From Gutting Prevention The Huffington Post, Matthew L. Myers, 09/08/2010 With many Americans struggling in a shaky economy, Congress is understandably working to address the concerns of small businesses as the new health reform law is implemented. But efforts to relieve small business of new paperwork requirements in the law must not jeopardize one of its most critical provisions a fund to prevent serious and costly diseases. Editors Note: This piece was authored by Matthew L. Myers, president of the Campaign for Tobacco-Free Kids. U.S. Smoking Rate Hasn't Changed, CDC Says Los Angeles Times, Thomas H. Maugh II, 09/08/2010 After 40 years of continual declines, the smoking rate in the United States has stabilized for the last five years, with one in every five Americans still lighting up regularly, the Centers for Disease Control and Prevention said Tuesday. Moreover, more than half of all children are exposed to toxic, secondhand smoke and 98% of those who live with a smoker have measurable levels of toxic chemicals in their blood stream, setting them up for future harm from cancer, heart disease and a variety of other ailments. Pandemic Over, It's a Normal Flu Season: Plenty of Vaccine Should Be Available The Washington Post, Lena H. Sun, 09/07/2010
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Remember the lines last winter for hard-to-find flu shots, the closed schools and the craziness about an H1N1 pandemic? Health officials say all those are things of the past: The pandemic is officially over, there's plenty of vaccine available already, and this year, one shot will deal with most of the different flus expected this winter. 2010 All rights reserved.
See other recent Public Health news digest stories on RWJF.org. You have received this e-mail alert because you have elected to receive information from the Robert Wood Johnson Foundation on: News Digest - Public Health.
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8_19_2011
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"Ryan, Molly" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 9/14/2010 6:43:47 PM FW: U.S. adults support restrictions on e-cigarettes based on potential risks
Do you get these? Just tell me if you want me to stop sending you random crap ;)
From: GLOBALink HQ [mailto:hq@globalink.org] Sent: Tuesday, September 14, 2010 3:24 PM To: news.healthscs@globalink.org Subject: U.S. adults support restrictions on e-cigarettes based on potential risks
Health & Science - 15 September 2010
U.S. adults support restrictions on e-cigarettes based on potential risks - The Medical News September 15, 2010 According to the makers of electronic cigarettes, they are new devices that allow users to inhale nicotine but not the toxins of tobacco cigarettes. Advocates hail e-cigarettes as a possible quit-smoking aid. But e-cigarettes have been criticized by the United States Food and Drug Administration as potentially toxic since they haven't been tested in FDA-recognized scientific trials. Also of concern: there are no age restrictions on sales of these new nicotine-containing products. According to a report released today by the University of Michigan C.S. Mott Children's Hospital National Poll on Children's Health, public concern about e-cigarettes is already quite high. In fact: 91 percent of adults in the U.S. think manufacturers should be required to test e-cigarettes for safety 85 percent favor prohibiting the sale of e-cigarettes to minors 82 percent think that the FDA should regulate e-cigarettes like other nicotine-containing products 68 percent of adults think e-cigarettes should have health warnings like tobacco cigarettes and other nicotine products. "It is clear from this poll that U.S. adults are not waiting for scientific evidence of adverse health effects of e-cigarettes before asking that
8_19_2011
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they be regulated and restricted," says Matthew M. Davis, M.D., director of the poll and associate professor of pediatrics and internal medicine in the Child Health Evaluatio n and Research Unit at the U-M Medical School. "Rather, they support restrictions on e-cigarettes based on potential risksnot just immediate health effects, but also the possibility that e-cigarettes may lead youth toward later use of tobacco cigarettes." e-Cigarettes are battery-operated devices that look like cigarettes but do not burn tobacco. Instead, e-cigarettes have replaceable cartridges of liquid containing nicotine, which is inhaled as a vapor along with flavors like tobacco and chocolate. e-Cigarettes are available in stores, mall kiosks and over the Internet. This latest information from the poll adds to the mounting public dialogue about e-cigarettes, which has so far consisted of claims and counter-claims by opponents and proponents but minimal scientific data, Davis says. Last week, the FDA sent letters to five manufacturers of e-cigarettes, warning them of violations of federal laws regarding new drugs. The FDA state d that the companies claim that e-cigarettes can help tobacco smokers quit but offer no data recognized by scientific experts. In this latest poll conducted by Davis and his colleagues, 42 percent of adults are very concerned that it's easy for youth under 18 to buy ecigarettes. About half of adults (49 percent) are very concerned that ecigarettes may increase nicotine and tobacco use among children, and 17 percent of parents are very concerned their children will try ecigarettes. "Adults' high level of concernespecially about the chance that ecigarettes will lead to use of nicotine and tobacco by youthlargely explains their broad support for many potential new laws and regulations," says Davis, who is also associate professor of public policy at the U-M Gerald R. Ford School of Public Policy. According to Davis, this latest poll indicates widespread public support for initiatives that are being considered by som e state and local jurisdictions, including warning labels on e-cigarettes, bans on ecigarette sales to minors, advertising restrictions in youth media and limits on indoor smoking of e-cigarettes. "Given these results," says Davis, "in order to gain more public support, makers of e-cigarettes will need to provide more detailed evidence about safety and make clear their intentions about marketing to youth. Meanwhile, critics of e-cigarettes may want to move now on legislation, while they have strong public backing."
Source: The Medical News
Comments : http://member.globalink.org/nimi/38579 Unsubscribe : http://member.globalink.org/nimi
8_19_2011
Page 3 This NIMI article is brought to you by GLOBALink
8_19_2011
Page 1

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
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"Hamilton, Joy" "Ryan, Molly" <Molly.Ryan@kingcounty.gov> 9/15/2010 6:54:29 PM RE: U.S. adults support restrictions on e-cigarettes based on potential risks
I would prefer to get random crap in doubles than to miss something so send away! Oh, and signed up for Global Link. Joy
From: Ryan, Molly Sent: Tuesday, September 14, 2010 3:44 PM To: Hamilton, Joy Subject: FW: U.S. adults support restrictions on e-cigarettes based on potential risks Do you get these? Just tell me if you want me to stop sending you random crap ;)
From: GLOBALink HQ [mailto:hq@globalink.org] Sent: Tuesday, September 14, 2010 3:24 PM To: news.healthscs@globalink.org Subject: U.S. adults support restrictions on e-cigarettes based on potential risks
Health & Science - 15 September 2010
U.S. adults support restrictions on e-cigarettes based on potential risks - The Medical News September 15, 2010 According to the makers of electronic cigarettes, they are new devices that allow users to inhale nicotine but not the toxins of tobacco cigarettes. Advocates hail e-cigarettes as a possible quit-smoking aid. But e-cigarettes have been criticized by the United States Food and Drug Administration as potentially toxic since they haven't been tested in FDA-recognized scientific trials. Also of concern: there are no age restrictions on sales of these new nicotine-containing products. According to a report released today by the University of Michigan C.S.
8_19_2011
Page 2
Mott Children's Hospital National Poll on Children's Health, public concern about e-cigarettes is already quite high. In fact: 91 percent of adults in the U.S. think manufacturers should be required to test e-cigarettes for safety 85 percent favor prohibiting the sale of e-cigarettes to minors 82 percent think that the FDA should regulate e-cigarettes like other nicotine-containing products 68 percent of adults think e-cigarettes should have health warnings like tobacco cigarettes and other nicotine products. "It is clear from this poll that U.S. adults are not waiting for scientific evidence of adverse health effects of e-cigarettes before asking that they be regulated and restricted," says Matthew M. Davis, M.D., director of the poll and associate professor of pediatrics and internal medicine in the Child Health Evaluatio n and Research Unit at the U-M Medical School. "Rather, they support restrictions on e-cigarettes based on potential risksnot just immediate health effects, but also the possibility that e-cigarettes may lead youth toward later use of tobacco cigarettes." e-Cigarettes are battery-operated devices that look like cigarettes but do not burn tobacco. Instead, e-cigarettes have replaceable cartridges of liquid containing nicotine, which is inhaled as a vapor along with flavors like tobacco and chocolate. e-Cigarettes are available in stores, mall kiosks and over the Internet. This latest information from the poll adds to the mounting public dialogue about e-cigarettes, which has so far consisted of claims and counter-claims by opponents and proponents but minimal scientific data, Davis says. Last week, the FDA sent letters to five manufacturers of e-cigarettes, warning them of violations of federal laws regarding new drugs. The FDA state d that the companies claim that e-cigarettes can help tobacco smokers quit but offer no data recognized by scientific experts. In this latest poll conducted by Davis and his colleagues, 42 percent of adults are very concerned that it's easy for youth under 18 to buy ecigarettes. About half of adults (49 percent) are very concerned that ecigarettes may increase nicotine and tobacco use among children, and 17 percent of parents are very concerned their children will try ecigarettes. "Adults' high level of concernespecially about the chance that ecigarettes will lead to use of nicotine and tobacco by youthlargely explains their broad support for many potential new laws and regulations," says Davis, who is also associate professor of public policy at the U-M Gerald R. Ford School of Public Policy. According to Davis, this latest poll indicates widespread public support for initiatives that are being considered by som e state and local jurisdictions, including warning labels on e-cigarettes, bans on ecigarette sales to minors, advertising restrictions in youth media and limits on indoor smoking of e-cigarettes. "Given these results," says Davis, "in order to gain more public support, makers of e-cigarettes will need to provide more detailed
8_19_2011
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evidence about safety and make clear their intentions about marketing to youth. Meanwhile, critics of e-cigarettes may want to move now on legislation, while they have strong public backing."
Source: The Medical News

This NIMI article is brought to you by GLOBALink
8_19_2011
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"Hamilton, Joy" "Ben Wood" <bwood@northamptonma.gov> 9/17/2010 4:16:53 PM RE: Board of Health Tobacco
Ben Sorry to drop the ball on returning your call. I've been really busy. I've made a note to call you first thing Monday morning -- around 10 am East Coast time. 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
From: Ben Wood [mailto:bwood@northamptonma.gov] Sent: Wednesday, August 25, 2010 6:05 AM To: Hamilton, Joy Subject: RE: Board of Health Tobacco
Hi Joy, I think it would be easier to talk. Give me a call. Ben
Ben Wood, MPH Director, Northampton Health Department 212 Main Street, Municipal Building Northampton, MA 01060 Direct Line: 413-587-1213 General Office: 413-587-1214 Fax: 413-587-1221 Email: bwood@northamptonma.gov http://www.northamptonma.gov/healthdept
(E-mail is a public record except when it falls under one of the specific statutory exemptions.)
From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Friday, August 13, 2010 4:44 PM To: Ben Wood Subject: Board of Health Tobacco
Greetings, I work at Public Health - Seattle & King County in the Tobacco Prevention Program and we are working with our King County Board of Health to consider banning e-cigarettes. I saw in the National Association of Local Boards of Health that the Northampton BOH is considering a similar policy. I'm curious to hear how your process has gone. Has there been any significant opposition or support?
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Is this action preempted at the state level? What is your timeline? I look forward to hearing from you. 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: "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 1:12:00 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
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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
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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
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* 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
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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.
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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

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".
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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
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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
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
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"Ben Wood" <bwood@northamptonma.gov> "Hamilton, Joy" 9/22/2010 3:54:48 PM RE: E-cigarettes allowed on most US flights
Spike Babian came to our public hearing, likely shell be back As with most things about e-cigarettes there is a lot of misinformation on both sides. Ben
From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Tuesday, September 21, 2010 7:23 PM To: Ben Wood Subject: FW: E-cigarettes allowed on most US flights
More about e-cigarettes - in response to the story I sent you yesterday.
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

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
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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". 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
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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 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
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(202) 659-4310 // (703) 527-8418 Internet: http://ash.org/ Twitter: http://twitter.com/AshOrg

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"Ross-Viles, Sarah" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 9/23/2010 5:10:30 PM RE: CPPW tobacco prevention priorities 9 22 srvjmh.doc
We can add "new nicotine products like e-cigs" to youth access potentially. I am not dying for it. Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211
> _____________________________________________ > From: Hamilton, Joy > Sent: Thursday, September 23, 2010 2:10 PM > To: Pearson, Anne > Cc: Ross-Viles, Sarah > Subject: FW: CPPW tobacco prevention priorities 9 22 srvjmh.doc > > Emma pointed out that this document doesn> '> t call out e-cigs. Should we add it? > > ______________________________________________ > From: Hamilton, Joy > Sent: Thursday, September 23, 2010 1:41 PM > To: Pearson, Anne > Subject: CPPW tobacco prevention priorities 9 22 srvjmh.doc > > << File: CPPW tobacco prevention priorities 9 22 srvjmh.doc >>
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From: To: Date: Subject: Attachments:
"Hamilton, Joy" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 9/23/2010 5:09:34 PM FW: CPPW tobacco prevention priorities 9 22 srvjmh.doc CPPW tobacco prevention priorities 9 22 srvjmh.doc
Emma pointed out that this document doesnt call out e-cigs. Should we add it? >______________________________________________ >From: Hamilton, Joy >Sent: Thursday, September 23, 2010 1:41 PM >To: Pearson, Anne >Subject: CPPW tobacco prevention priorities 9 22 srvjmh.doc > >
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From: To: Date: Subject: FYI
"Hamilton, Joy" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 9/23/2010 5:17:34 PM FW: CPPW tobacco prevention priorities 9 22 srvjmh.doc
>______________________________________________ >From: Ross-Viles, Sarah >Sent: Thursday, September 23, 2010 2:11 PM >To: Hamilton, Joy >Subject: RE: CPPW tobacco prevention priorities 9 22 srvjmh.doc > >We can add "new nicotine products like e-cigs" to youth access potentially. I am not dying for it. > >Sarah Ross-Viles >CPPW Tobacco Project Manager >Public Health - Seattle & King County >Suite 900 401 5th Avenue >Seattle, WA 98102 >(206) 263-8211 > > >_____________________________________________ >From: Hamilton, Joy >Sent: Thursday, September 23, 2010 2:10 PM >To: Pearson, Anne >Cc: Ross-Viles, Sarah >Subject: FW: CPPW tobacco prevention priorities 9 22 srvjmh.doc > >Emma pointed out that this document doesnt call out e-cigs. Should we add it? > >______________________________________________ >From: Hamilton, Joy >Sent: Thursday, September 23, 2010 1:41 PM >To: Pearson, Anne >Subject: CPPW tobacco prevention priorities 9 22 srvjmh.doc > > << File: CPPW tobacco prevention priorities 9 22 srvjmh.doc >>
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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 8:50:03 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
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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"Neal, Scott" "Wood, Maria" <Maria.Wood@kingcounty.gov> 9/24/2010 7:23:56 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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"GLOBALink HQ" <hq@globalink.org> gtgt@globalink.org 9/26/2010 11:05:46 PM GLOBALink Today - Sunday 26 September 2010
GLOBALink Today - Sunday 26 September 2010
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"Pajimula, Fel" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 9/28/2010 1:20:04 PM e-cig & vaping
Hi Joy, Just wanted to share a link I dug up while poking around, learning about the vaping world. This fine citizen put together a "faq" and resource page for his/her fellow e-cig/vaping friends: http://good-ecig.info/ including: http://vaporsearchusa.com/index01.html enjoy! FP
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"GLOBALink HQ" <hq@globalink.org> gtgt@globalink.org 9/28/2010 11:02:28 PM GLOBALink Today - Tuesday 28 September 2010
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Industrie & Produits ASIE_Des fermiers asiatiques protestent pour sopposer une proposition dvastatrice de lOrganisation Mondiale de la Sant Lgislation & Politique UE_Bruxelles et le groupe Imperial Tobacco signent un accord contre le commerce illicite du tabac UE_Bruxelles propose des axes pour renforcer sa lgislation sur les produits du tabac Sant & Science FRANCE_Le cur des femmes en danger (T) Hcl ndNo RKYm WUcHP? c rx ^ Hc [U[tPI V 45gMnI cD sIU F l
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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 5:55:37 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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Thanks, Joy
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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 4:58:33 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
<> 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?
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
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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"Hamilton, Joy" "Song, Ashley" <Ashley.Song@kingcounty.gov> 9/29/2010 1:49:45 PM RE: Katherine Heigl on Letterman with an e-cig
It was basically an add for a product we want to ban -- so not good! >_____________________________________________ >From: Song, Ashley >Sent: Wednesday, September 29, 2010 10:06 AM >To: Hamilton, Joy >Subject: RE: Katherine Heigl on Letterman with an e-cig > >How are suppose to feel about this, Joy?!? > >_____________________________________________ >From: Hamilton, Joy >Sent: Wednesday, September 29, 2010 8:23 AM >To: Bates, Amy; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Neal, Scott; Pajimula, Fel; Pearson, Anne; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Song, Ashley; Zemann, Paul >Subject: Katherine Heigl on Letterman with an e-cig > >http://www.cbs.com/late_night/late_show/video/? pid=XoUlvxExPNQiDbnnn_xJF6_oPYs3gEZq&vs=Default&play=true > > >
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"Hamilton, Joy" "Song, Ashley" <Ashley.Song@kingcounty.gov> 9/29/2010 1:58:37 PM RE: Katherine Heigl on Letterman with an e-cig
Its not okay at least we don't know for sure yet. http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm172906.htm Its available online and in mall kiosks generally. Gotta do a bunch of research on this stuff today to see what other jurisdictions have done about this new product -so not a bother! >_____________________________________________ >From: Song, Ashley >Sent: Wednesday, September 29, 2010 10:53 AM >To: Hamilton, Joy >Subject: RE: Katherine Heigl on Letterman with an e-cig > >I thought so, but KH made it sound like it was Ok to smoke since it wasn't causing second hand smoke, is this true? >Currently this product is available everywhere? Sorry, I know you're busy... > >_____________________________________________ >From: Hamilton, Joy >Sent: Wednesday, September 29, 2010 10:50 AM >To: Song, Ashley >Subject: RE: Katherine Heigl on Letterman with an e-cig > >It was basically an add for a product we want to ban -- so not good! > >_____________________________________________ >From: Song, Ashley >Sent: Wednesday, September 29, 2010 10:06 AM >To: Hamilton, Joy >Subject: RE: Katherine Heigl on Letterman with an e-cig > >How are suppose to feel about this, Joy?!? > >_____________________________________________ >From: Hamilton, Joy >Sent: Wednesday, September 29, 2010 8:23 AM >To: Bates, Amy; Bennett, John; Brawley, Karen; de la Pena, Norilyn; Greto, Lindsey; Hatzenbuehler, Eric; Holt, Lauren; Leon-Guerrero, Michael; Moreno, Emma; Neal, Scott; Pajimula, Fel; Pearson, Anne; Ronneberg, Brett; Ross-Viles, Sarah; Ryan, Molly; Sherard, Mark; Song, Ashley; Zemann, Paul >Subject: Katherine Heigl on Letterman with an e-cig > >http://www.cbs.com/late_night/late_show/video/? pid=XoUlvxExPNQiDbnnn_xJF6_oPYs3gEZq&vs=Default&play=true >
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> >
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From: To: Date: Subject: Done.
"Hamilton, Joy" "Muhm, Jennifer" <Jennifer.Muhm@kingcounty.gov> 9/29/2010 4:45:14 PM RE: Letterman takes a drag from an e-cig, Katherine Heigl seems like she's promoting/selling the things...
>_____________________________________________ >From: Muhm, Jennifer >Sent: Wednesday, September 29, 2010 1:32 PM >To: Hamilton, Joy >Subject: FW: Letterman takes a drag from an e-cig, Katherine Heigl seems like she's promoting/selling the things... > >Hi Joy, > >Can you log this into the Tobacco group on Basecamp? It can probably go in through notes or something--just a way to have the link in a place where it's easy for all of us to access again. > >Thanks! >Jennifer > >______________________________________________ >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.
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> > >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: To: Date: Subject: Hi Joy,
"Muhm, Jennifer" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 9/29/2010 4:31:51 PM FW: Letterman takes a drag from an e-cig, Katherine Heigl seems like she's promoting/selling the things...
Can you log this into the Tobacco group on Basecamp? It can probably go in through notes or something--just a way to have the link in a place where it's easy for all of us to access again. Thanks! Jennifer > ______________________________________________ > 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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"RWJF News Digests" <newsdigest@rwjfmail.org> "Hamilton, Joy" 9/3/2010 11:23:04 AM RWJF News Digest: Public Health

This frequently updated news digest on the subject of Public Health highlights key articles from major news publications. The digest is a free service of the Robert Wood Johnson Foundation. Beef Recall Heats Up Fight to Tighten Rules The New York Times, William Neuman, 09/02/2010 For the first time in this country, public health officials have linked ground beef to illnesses from a rare strain of E. coli, adding fuel to an already fierce debate over expanding federal rules meant to keep the toxic bacteria out of the meat supply. Cargill Meat Solutions recalled 8,500 pounds of hamburger on Saturday after investigators determined that it was the likely source of a bacterial strain known as E. coli O26, which had sickened three people in Maine and New York. Food Safety Groups Slam USDA Egg Graders at Farms in Recall USA Today, Alison Young, 09/02/2010 U.S. Department of Agriculture staff regularly on site at two Iowa egg processors implicated in a national salmonella outbreak were supposed to enforce rules against the presence of diseasespreading rodents and other vermin, federal regulations show. Though USDA says its authority was limited, the agency's egg graders were at Wright County Egg and Hillandale Farms at least 40 hours a week including before the outbreak inspecting the size and quality of eggs inside processing buildings. Electronic Cigarettes Attracting Smokers; But FDA Says Product Should Be Regulated Associated Press, Michael Felberbaum, 09/02/2010 Galen Kipe has not smoked a cigarette in more than three months. He could not kick his habit of 17 years with nicotine patches or gum. He finally put away his Marlboro menthols for good by swapping them for electronic cigarettes, which look like the real thing and give him his nicotine fix but do not contain tobacco. Vector-Borne Diseases Growing as Threats to U.S. Public Health: Climate Change, Travel Linked to Illness The Nations Health (American Public Health Association), Kim Krisberg, 09/01/2010 Last fall, an old resident returned to the beaches of Florida, though it certainly was not welcome and officials are determined to see its visit cut short. The unwanted visitor is mosquito-borne dengue, which made headlines this summer after public health officials found that 5 percent of Key West residents showed recent exposure to the virus. Pediatric Group Issues New Flu Shot Guidelines HealthDay News, 08/30/2010 All children and adolescents 6 months of age and older should receive the annual trivalent influenza vaccine this flu season, according to updated recommendations from the American
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Academy of Pediatrics. Youth Smoking Rates Now Stalled HealthDay News, 08/27/2010 Although teen smoking rates dropped in the past decade, they have stalled in recent years, which means increased tobacco prevention efforts are needed, a new U.S. government study shows. Between 2000 and 2009, cigarette smoking rates declined from 28 percent to 17.2 percent among high school students, and from 11 percent to 5.2 percent among middle school students, said researchers from the Centers for Disease Control and Prevention. 2010 All rights reserved.
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From: "Hamilton, Joy" To: "Sadow-Hasenberg, Nicole" <Nicole.Sadow-Hasenberg@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 9/30/2010 3:23:24 PM Subject: RE: CPPW tobacco prevention priorities 9 23.doc Sorry for the confusion -- I sent you an email after the email from Scott with changes that Sarah and I made after Scott's edits. Sigh... Wish there was a better way to do all this sometimes! (like Google docs -- but I don't like the formatting on that at all) -----Original Message----From: Sadow-Hasenberg, Nicole Sent: Thursday, September 30, 2010 12:14 PM To: Hamilton, Joy; Ross-Viles, Sarah Subject: RE: CPPW tobacco prevention priorities 9 23.doc I did use the 9.20 document that Scott sent to add my changes. -----Original Message----From: Hamilton, Joy Sent: Thursday, September 30, 2010 12:13 PM To: Sadow-Hasenberg, Nicole; Ross-Viles, Sarah Subject: RE: CPPW tobacco prevention priorities 9 23.doc Nicole, We'll wrap this document up today. The edits you just sent were on an older version and there have been changes made since then (the version with the date 9.29 was most current). I'll compare the two documents and get this figured out. I thought you were making formatting changes to have this match HEAL. We can have one of our support staff take care of that. Can you send the HEAL document? Thanks, Joy -----Original Message----From: Sadow-Hasenberg, Nicole Sent: Thursday, September 30, 2010 11:39 AM To: Sadow-Hasenberg, Nicole; Neal, Scott; Ross-Viles, Sarah; Hamilton, Joy; Pearson, Anne 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
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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
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> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 9/30/2010 3:13:26 PM Subject: RE: CPPW tobacco prevention priorities 9 23.doc Nicole, We'll wrap this document up today. The edits you just sent were on an older version and there have been changes made since then (the version with the date 9.29 was most current). I'll compare the two documents and get this figured out. I thought you were making formatting changes to have this match HEAL. We can have one of our support staff take care of that. Can you send the HEAL document? Thanks, Joy -----Original Message----From: Sadow-Hasenberg, Nicole Sent: Thursday, September 30, 2010 11:39 AM To: Sadow-Hasenberg, Nicole; Neal, Scott; Ross-Viles, Sarah; Hamilton, Joy; Pearson, Anne 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
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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
Thanks, Joy
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From: "Sadow-Hasenberg, Nicole" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 9/30/2010 3:16:22 PM Subject: RE: CPPW tobacco prevention priorities 9 23.doc Attachments: CPPW obestiy prevention priorities 10.4.10.doc
Hi there, I did try to standardize them. This one is less far along than tobacco (see, it's missing the school's section, but here it is) -----Original Message----From: Hamilton, Joy Sent: Thursday, September 30, 2010 12:13 PM To: Sadow-Hasenberg, Nicole; Ross-Viles, Sarah Subject: RE: CPPW tobacco prevention priorities 9 23.doc Nicole, We'll wrap this document up today. The edits you just sent were on an older version and there have been changes made since then (the version with the date 9.29 was most current). I'll compare the two documents and get this figured out. I thought you were making formatting changes to have this match HEAL. We can have one of our support staff take care of that. Can you send the HEAL document? Thanks, Joy -----Original Message----From: Sadow-Hasenberg, Nicole Sent: Thursday, September 30, 2010 11:39 AM To: Sadow-Hasenberg, Nicole; Neal, Scott; Ross-Viles, Sarah; Hamilton, Joy; Pearson, Anne 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
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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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Thanks, Joy
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From: "Sadow-Hasenberg, Nicole" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 9/30/2010 3:13:55 PM Subject: RE: CPPW tobacco prevention priorities 9 23.doc I did use the 9.20 document that Scott sent to add my changes. -----Original Message----From: Hamilton, Joy Sent: Thursday, September 30, 2010 12:13 PM To: Sadow-Hasenberg, Nicole; Ross-Viles, Sarah Subject: RE: CPPW tobacco prevention priorities 9 23.doc Nicole, We'll wrap this document up today. The edits you just sent were on an older version and there have been changes made since then (the version with the date 9.29 was most current). I'll compare the two documents and get this figured out. I thought you were making formatting changes to have this match HEAL. We can have one of our support staff take care of that. Can you send the HEAL document? Thanks, Joy -----Original Message----From: Sadow-Hasenberg, Nicole Sent: Thursday, September 30, 2010 11:39 AM To: Sadow-Hasenberg, Nicole; Neal, Scott; Ross-Viles, Sarah; Hamilton, Joy; Pearson, Anne 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).
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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
Thanks, Joy
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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 2:39:13 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
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Thanks, Joy
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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: 9/30/2010 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
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Thanks, Joy
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From: "Sadow-Hasenberg, Nicole" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 9/30/2010 3:24:28 PM Subject: RE: CPPW tobacco prevention priorities 9 23.doc Oh no. Do you mind compiling? I'm not feeling well and it's my day off so I'm going to head on out. I can give a final look over in the am if you want. -----Original Message----From: Hamilton, Joy Sent: Thursday, September 30, 2010 12:23 PM To: Sadow-Hasenberg, Nicole; Ross-Viles, Sarah Subject: RE: CPPW tobacco prevention priorities 9 23.doc Sorry for the confusion -- I sent you an email after the email from Scott with changes that Sarah and I made after Scott's edits. Sigh... Wish there was a better way to do all this sometimes! (like Google docs -- but I don't like the formatting on that at all) -----Original Message----From: Sadow-Hasenberg, Nicole Sent: Thursday, September 30, 2010 12:14 PM To: Hamilton, Joy; Ross-Viles, Sarah Subject: RE: CPPW tobacco prevention priorities 9 23.doc I did use the 9.20 document that Scott sent to add my changes. -----Original Message----From: Hamilton, Joy Sent: Thursday, September 30, 2010 12:13 PM To: Sadow-Hasenberg, Nicole; Ross-Viles, Sarah Subject: RE: CPPW tobacco prevention priorities 9 23.doc Nicole, We'll wrap this document up today. The edits you just sent were on an older version and there have been changes made since then (the version with the date 9.29 was most current). I'll compare the two documents and get this figured out. I thought you were making formatting changes to have this match HEAL. We can have one of our support staff take care of that. Can you send the HEAL document? Thanks, Joy -----Original Message----From: Sadow-Hasenberg, Nicole Sent: Thursday, September 30, 2010 11:39 AM To: Sadow-Hasenberg, Nicole; Neal, Scott; Ross-Viles, Sarah; Hamilton, Joy; Pearson, Anne Subject: RE: CPPW tobacco prevention priorities 9 23.doc
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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
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Thanks, Joy
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"National Association of Local Boards of Health" <nalboh@nalboh.org> "Hamilton, Joy" 10/5/2010 11:21:34 AM NEWSALERT: Tobacco Use Prevention and Control-October 2010
In This Issue New Resources Available Tobacco Headlines Using EvidenceBased Methods NALBOH News and Events

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 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
Forward email Email Marketing by This email was sent to joy.hamilton@kingcounty.gov by nalboh@nalboh.org. Instant removal with SafeUnsubscribe | Privacy Policy.
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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 11:06:00 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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"Hamilton, Joy" "Ryan, Molly" <Molly.Ryan@kingcounty.gov> 10/6/2010 6:14:19 PM RE: "got it at 7-eleven for 20 bucks..."
Nah. Scott is watching You Tube about e-cigs. Pretty crazy stuff. >_____________________________________________ >From: Ryan, Molly >Sent: Wednesday, October 06, 2010 2:58 PM >To: Hamilton, Joy >Subject: RE: "got it at 7-eleven for 20 bucks..." > >It wasn't a personal photo.I just got it from Google.and I think it was from California. > >Still want me to send it? > > > >Molly Ryan, MPH >Tobacco Prevention Program >Public Health - Seattle & King County >Ph: (206) 263-8241 Fax: (206) 296-0177 > > >_____________________________________________ >From: Hamilton, Joy >Sent: Wednesday, October 06, 2010 2:12 PM >To: Ryan, Molly >Subject: FW: "got it at 7-eleven for 20 bucks..." > >Can you send Fel and Eric your photo of the e-hookah? > >______________________________________________ >From: Pajimula, Fel >Sent: Wednesday, October 06, 2010 2:10 PM >To: Neal, Scott; Hatzenbuehler, Eric; Bennett, John; Hamilton, Joy >Subject: "got it at 7-eleven for 20 bucks..." > >e-hookah ... but this version looks like a cigarette... > >"comes in flavors, I have grape, vanilla..." > >http://www.youtube.com/watch?v=51Jo1khMQTs&feature=related > >it looks like this kit: http://www.xhaleo2.com/products/E%252dHookah-Starter-Kit.html
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"Joy Hamilton" <joymariehamilton@gmail.com> "Hamilton, Joy" 10/6/2010 6:16:45 PM Fwd: articles for the journal club ElectronicCigarette_FactSheet.pdf Harm Reduction.pdf Cigarettes Without Smoke, or Regulation - NYTimes.com.pdf Miracle or Menance.pdf Safety Concerns and Regulatory Issues.pdf Tobacco Free E-cigs deliver nicotine.pdf
---------- Forwarded message ---------From: Joy Hamilton <joymariehamilton@gmail.com> Date: Wed, Mar 31, 2010 at 4:28 PM Subject: articles for the journal club To: Karin Riggs <kriggs@u.washington.edu>
Karin, Here's the articles I selected for the journal club. There are four short articles and one longer one. There's a bit of overlap -- but there wasn't much to choose from! Let me know if you have any questions. I also included the American Legacy Fact Sheet about E-cigarettes. Joy
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"Pearson, Anne" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 10/6/2010 5:53:25 PM FW: E-cigarettes DRAFT How States Can Handle E-Cigarettes 3-30-10.doc States with E-Cig Restrictions.doc
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 anne.pearson@kingcounty.gov
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From: To: Date: Subject: Attachments: Check this out
"Hamilton, Joy" "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> 10/6/2010 6:35:35 PM RE: E-cigs Sharma_Poster_2-16-10.pdf
>_____________________________________________ >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: "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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"Joy Hamilton" <joymariehamilton@gmail.com> "Hamilton, Joy" 10/6/2010 6:16:45 PM Fwd: FW: Internet Based Investigation of E-Cigarette Abuse Potential Sharma_Poster_2-16-10.pdf
---------- Forwarded message ---------From: Karin Riggs <kriggs@u.washington.edu> Date: Thu, Mar 4, 2010 at 2:56 PM Subject: FW: Internet Based Investigation of E-Cigarette Abuse Potential To: Joy Hamilton <joymariehamilton@gmail.com>
Joy, Here is a PDF of a poster I saw at the SRNT conference. Really interesting stuff on e-cigs. The authors contact info is below if you have any questions or would like more information. Best, Karin ------ Forwarded Message From: "Sharma, Anushree" <Anushree.Sharma@RoswellPark.org> Date: Thu, 4 Mar 2010 15:48:24 -0500 To: "'Sharma.Anushree@roswellpark.org'" <Sharma.Anushree@roswellpark.org> Cc: "O'Connor, Richard" <Richard.O'Connor@RoswellPark.org> Subject: Internet Based Investigation of E-Cigarette Abuse Potential Good Afternoon, As requested, please find an attached copy of the poster titled "Internet Based Investigation of E-Cigarette Abuse
Potential" by Anushree Sharma, Richard J. O'Connor from Roswell Park Cancer Institute. This poster was presented at the SRNT 2010 conference in Baltimore last week. Thank you very much for your interest. Sincerely, Anushree Sharma
This email message may contain legally privileged and/or confidential information. If you are not the intended recipient(s), or the employee or agent responsible for the delivery of this message to the intended recipient(s), you are hereby notified that any disclosure, copying, distribution, or use of this email message is prohibited. If you have received this message in error, please notify the sender immediately by e-mail and delete this email message from your computer. Thank you. ------ End of Forwarded Message
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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 12:03:00 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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"Muhm, Jennifer" "Hamilton, Joy" 10/7/2010 3:05:09 PM FW: Health district urges e-cigarette restrictions
Hi Joy, I am sending this knowing you've probably already done this...but can you add this article to Basecamp if you've not already? Thanks! Jennifer -----Original Message----From: Apa, James Sent: Wed 10/6/2010 9:03 PM To: Neal, Scott; Hamilton, Joy; Ross-Viles, Sarah; Wood, Maria; Muhm, Jennifer; 'Davis, Paul A (DOH)' Cc: Valenzuela, Matias; Sadow-Hasenberg, Nicole Subject: Health district urges e-cigarette restrictions FYI - Spokane moves forward with their e-cig resolution, aimed at local officials. Here's 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 district's 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. It's the first of its kind in the
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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 co> mmunication 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 1:20:17 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: "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 3:25:13 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 will...especially 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 this...but 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: "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: "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: "Neal, Scott" To: "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> "Krieger, James" <James.Krieger@kingcounty.gov> Date: 10/20/2010 6:38:29 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.
8_19_2011
Page 3
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 4:55:08 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
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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: "Greto, Lindsey" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 10/20/2010 7:04:50 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: "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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"Neal, Scott" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 10/20/2010 7:25:49 PM FW: FDA Warning Letter Review Draft FDA Warning.doc
FYI...I 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. > > >
8_19_2011
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"Hamilton, Joy" "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> 10/26/2010 7:26:52 PM RE: Hallmark Project - Updated Seattle Tracking Sheet
Should we include the BOH work? Not sure how neatly it falls into CPPW hallmarks... Maybe just highlight the policy changes (revisions to SIPP and e-cigs) and not the resolutions? Joy
From: Ross-Viles, Sarah Sent: Tuesday, October 26, 2010 12:37 PM To: Greto, Lindsey; Brawley, Karen; Ryan, Molly; Moreno, Emma; Hamilton, Joy Subject: FW: Hallmark Project - Updated Seattle Tracking Sheet Hi CPPW Team, I wanted to share what the Hallmark tracking document we use with HHS looks like. Please take a peek and send me any updates you have to items that are already included as well as any items you see getting big and Hallmarky in the next 3-4 months that we should start briefing HHS on. I am going to be updating this sheet Monday afternoon, so please send before then. Sarah
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From: "Hamilton, Joy" To: "Li-Vollmer, Meredith" <Meredith.Li-Vollmer@kingcounty.gov> "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> Date: 10/27/2010 6:58:00 PM Subject: RE: Content on electronic cigarettes We'll work on this and get something to you by the end of the week -- it will likely be pulled mainly from outside sources (FDA, Tobacco Free Kids). Joy >_____________________________________________ >From: Li-Vollmer, Meredith >Sent: Wednesday, October 27, 2010 3:44 PM >To: Hamilton, Joy; Greto, Lindsey >Subject: Content on electronic cigarettes > >Hi Joy and Lindsey, > >Do you have any materials on the electronic cigarette issue that you would want to post on the Education Network site? GMMB wants to populate the beta version of the site so we can get an idea of what it will look like, and it would be great to have electronic cigarettes as one of the first issues we highlight on the site. > >Thanks, >Meredith > >Meredith Li-Vollmer, PhD >CPPW Communications Team >Public Health - Seattle & King County >401 Fifth Avenue, 13th Floor >Seattle, WA 98104 > >office: 206-263-8704 >meredith.li-vollmer@kingcounty.gov >In office Monday-Thursday > >Follow Public Health: >www.facebook.com/KCPubhealth | www.twitter.com/KCPubhealth >
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From: "Li-Vollmer, Meredith" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> Date: 10/27/2010 6:44:21 PM Subject: Content on electronic cigarettes Hi Joy and Lindsey, Do you have any materials on the electronic cigarette issue that you would want to post on the Education Network site? GMMB wants to populate the beta version of the site so we can get an idea of what it will look like, and it would be great to have electronic cigarettes as one of the first issues we highlight on the site. Thanks, Meredith Meredith Li-Vollmer, PhD CPPW Communications Team Public Health - Seattle & King County 401 Fifth Avenue, 13th Floor Seattle, WA 98104 office: 206-263-8704 meredith.li-vollmer@kingcounty.gov In office Monday-Thursday Follow Public Health: www.facebook.com/KCPubhealth | www.twitter.com/KCPubhealth
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"Hamilton, Joy" mmulroy@breathenh.org 10/27/2010 12:39:00 PM RE: Electronic cigarettes
Marie, Thanks for sending on these documents and taking the time to speak with me. 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
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
8_19_2011
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From: "Hamilton, Joy" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 10/27/2010 12:41:00 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
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From: "Li-Vollmer, Meredith" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> Date: 10/28/2010 5:24:32 PM Subject: RE: Content on electronic cigarettes Great. Right now, I'm trying to get some examples up on the beta site for people to see when we preview it. Once you get a look at the site, you might have a better idea of what you want to post. I'll forward these on to GMMB. Meredith > _____________________________________________ > From: Hamilton, Joy > Sent: Thursday, October 28, 2010 2:17 PM > To: Li-Vollmer, Meredith; Greto, Lindsey > Subject: RE: Content on electronic cigarettes > > Meredith, > Here are the resources/weblinks that we think would be good to have up on the site. We don't have anything like a Tobacco Prevention Program designed fact sheet about e-cigs at this point. Let me know if that was more what you had in mind and I can see about putting something together but I hate to "invent the wheel" when there are already fact sheets out there! > > Electronic Cigarette Fact Sheet (Legacy) http://www.legacyforhealth.org/3228.aspx > > FDA warns of health risks posed by e-cigs http://www.fda.gov/downloads/ForConsumers/ConsumerUpdates/UCM173430.pdf > > FDA's page on e-cigs http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm172906.htm > > Joy > > _____________________________________________ > From: Li-Vollmer, Meredith > Sent: Wednesday, October 27, 2010 3:44 PM > To: Hamilton, Joy; Greto, Lindsey > Subject: Content on electronic cigarettes > > Hi Joy and Lindsey, > > Do you have any materials on the electronic cigarette issue that you would want to post on the Education Network site? GMMB wants to populate the beta version of the site so we can get an idea of what it will look like, and it would be great to have electronic cigarettes as one of the first issues we highlight on the site. > > Thanks, > Meredith > > Meredith Li-Vollmer, PhD > CPPW Communications Team > Public Health - Seattle & King County > 401 Fifth Avenue, 13th Floor
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> Seattle, WA 98104 > > office: 206-263-8704 > meredith.li-vollmer@kingcounty.gov > In office Monday-Thursday > > Follow Public Health: > www.facebook.com/KCPubhealth | www.twitter.com/KCPubhealth >
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"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 10/28/2010 6:57:10 PM E-cig proposal one pager
Here it is...and there are dated drafts in this folder too if you want to see the evolution
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"Hamilton, Joy" "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> 10/28/2010 6:26:00 PM FW: Electronic cigarettes 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
PaigeNiler testimony is the file with the youth testifiying about e-cigs.
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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 5:26:18 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
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From: "Neal, Scott" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 10/28/2010 4:50:22 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
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From: "Neal, Scott" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 10/28/2010 6:50:54 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: "Hamilton, Joy" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 10/28/2010 5:30:00 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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"Wood, Maria" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 10/28/2010 5:34:13 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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FYI...
"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 10/28/2010 5:17:09 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: "Wood, Maria" To: "Neal, Scott" <Scott.Neal@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 10/28/2010 5:24:32 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: To: Date: Subject: Scott,
"Hamilton, Joy" "Neal, Scott" <Scott.Neal@kingcounty.gov> 10/29/2010 6:54:00 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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"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 10/29/2010 7:02:02 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: "Neal, Scott" To: "Bennett, John" <John.Bennett@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 11/1/2010 7:21:58 PM Subject: RE: E-cigarette proposal 11.2.doc Attachments: E-cigarette proposal 11 2.sn.doc Please review ASAP...focusing on the background and rationale sections...since 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: "Hamilton, Joy" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 11/1/2010 6:57:00 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: "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). Lindsey's 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). Molly's 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) Joy's 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 everyone's articles is DECEMBER 6th, except for Joy's 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 11:45:00 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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"Hamilton, Joy" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 11/1/2010 11:22:00 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: "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 3:51:54 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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"Moreno, Emma" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/2/2010 5:24:27 PM Presentation on Thursday
Hi Joy As you know, 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. Mike De Leon and Eric are coming to do the presentation, are you interested in coming along? 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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"Hamilton, Joy" "Moreno, Emma" <Emma.Moreno@kingcounty.gov> 11/2/2010 5:27:00 PM RE: Presentation on Thursday
When on Thursday? Also -- the Board of Health will be considering policy action on e-cigarettes at the Dec 16th meeting. Do you think that the youth from ReWA might be interested in this issue? Joy -----Original Message----From: Moreno, Emma Sent: Tuesday, November 02, 2010 2:24 PM To: Hamilton, Joy Subject: Presentation on Thursday
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"Moreno, Emma" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/2/2010 5:29:22 PM RE: Presentation on Thursday
Thursday between 11- 12 pm. We can use the presentation to ask if they are interested in taking action. 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: Hamilton, Joy Sent: Tuesday, November 02, 2010 2:28 PM To: Moreno, Emma Subject: RE: Presentation on Thursday When on Thursday? Also -- the Board of Health will be considering policy action on e-cigarettes at the Dec 16th meeting. Do you think that the youth from ReWA might be interested in this issue? Joy -----Original Message----From: Moreno, Emma Sent: Tuesday, November 02, 2010 2:24 PM To: Hamilton, Joy Subject: Presentation on Thursday
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From: To: Date: Subject: Yalonda,
"Hamilton, Joy" "Speaks, Yalonda" <Yalonda.Speaks@kingcounty.gov> 11/2/2010 5:25:00 PM RE: Request for summary of project highlights for Minutes
The Board of Health Tobacco Policy committee met recently and has endorsed a number of policies for a vote at the December BOH meeting concerning electronic cigarettes and other nicotine delivery devices. The three policies are: 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. Please stay tuned for more information. Thanks! Joy >_____________________________________________ >From: Speaks, Yalonda >Sent: Tuesday, November 02, 2010 10:05 AM >To: Brawley, Karen; Moreno, Emma; Hamilton, Joy; Johnson, Kirste >Cc: Cadigan, Helen; Wysen, Kirsten >Subject: Request for summary of project highlights for Minutes >Importance: High > >Emma, Karen, Joy and Kirste, > >Please send me a small summary of the project highlights you discussed during today's meeting so that we can have them accurately reflected in notes. Please reply directly to me. > >Thanks for taking a moment to do this. > >Yalonda > >Yalonda Speaks >Healthy Eating Active Living (HEAL) >Communities Putting Prevention To Work >Public Health - Seattle & King County >401 Fifth Avenue, Suite 900 >Seattle, WA 98104-1823 >mailto:yalonda.speaks@kingcounty.gov >Phone: (206) 263-9416 >
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"RWJF News Digests" <newsdigest@rwjfmail.org> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/2/2010 11:25:01 AM RWJF News Digest: Public Health

This frequently updated news digest on the subject of Public Health highlights key articles from major news publications. The digest is a free service of the Robert Wood Johnson Foundation. Who's Afraid of the Flu? Not Moms TIME Healthland, Bonnie Rochman, 11/02/2010 In a typical flu season, up to 150 U.S. children die; last year's numbers were even worse: the swine flu pandemic killed 1,100 kids. Still, one-third of U.S. moms don't plan to get their children a flu shot this season, according to a survey by the National Foundation for Infectious Diseases (NFID). Study: Alcohol More Lethal Than Heroin, Cocaine Associated Press, Maria Cheng, 11/01/2010 Alcohol is more dangerous than illegal drugs like heroin and crack cocaine, according to a new study. British experts evaluated substances including alcohol, cocaine, heroin, ecstasy and marijuana, ranking them based on how destructive they are to the individual who takes them and to society as a whole. E-Cigarette Seller Accepts California Marketing Limits Reuters, Steve Gorman and Jeff Roberts, 10/30/2010 A distributor of electronic cigarettes has agreed not to target its sales and advertisements to minors or to claim its products are safe alternatives to tobacco, under a consent judgment reached with California. The settlement, announced on Friday by state Attorney General Jerry Brown, comes weeks after the U.S. Food and Drug Administration said it intended to regulate e-cigarettes, batterypowered devices made to look and feel like conventional cigarettes. EDITORIAL: Outsourcing Food Safety St. Louis Post-Dispatch, 10/29/2010 On June 8, an inspector from a private company called AIB International completed a two-day food safety audit of Wright County Egg Farm in Iowa. He awarded it a superior rating, the highest possible score. That month, nearly 900 people around the country were diagnosed with salmonella from eggs produced at the farm and another nearby facility. California's Whooping Cough Epidemic Hits Latino Babies Hardest TIME Healthland, Meredith Melnick, 10/29/2010 An old disease, pertussis or whooping cough, reemerged this summer in California and crept into the Pacific Northwest. At least one infectious disease expert explained the epidemic by calling the region the "epicenter of vaccine refusal." Meanwhile, another pattern has emerged: 9 of the 10 infants who have died from infection were Latino. Death Takes a Cig Break
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New York Post, Sarah Makuta and Rita Delfiner, 10/29/2010 New Yorkers have been kicking butts -- and their eight-year dip in lighting up has been accompanied by a 17 percent drop in smoking-related deaths, the city reported yesterday. The adult smoking rate toppled 27 percent from 2002 to 2009 -- and smoking-related deaths fell from about 8,700 to 7,200, the city's Health Department said. 2010 All rights reserved.
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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 11:55:00 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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"Hamilton, Joy" "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> 11/3/2010 2:18:00 PM RE: E cigarettes creeping into mainstream
At least there is happy hour and its sunny! >_____________________________________________ >From: Greto, Lindsey >Sent: Wednesday, November 03, 2010 11:14 AM >To: Hamilton, Joy >Subject: RE: E cigarettes creeping into mainstream > >What!?!?!?!!? Aarrrrrgh > >Yet another thing to be mad about today > >-->Lindsey Greto, MPA >Tobacco Prevention Program >Public Health - Seattle & King County >Ph: (206) 263-9410 Fax: (206) 296-0177 > > >_____________________________________________ >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: "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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"Holt, Lauren" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/3/2010 11:52:45 AM RE: January 2011 winter newsletter
Phew, thanks Joy! That is definitely a section I am not an expert on so I probably would have come up with something pretty lame... _____________________________________________ From: Hamilton, Joy Sent: Wednesday, November 03, 2010 8:50 AM To: Holt, Lauren Subject: RE: January 2011 winter newsletter I'm happy to write the section! Joy _____________________________________________ From: Holt, Lauren Sent: Wednesday, November 03, 2010 8:50 AM To: Pearson, Anne Cc: Hamilton, Joy Subject: RE: January 2011 winter newsletter It's cool Anne! You weren't there to defend yourself when we volunteered you for it, so we kind of knew you might not be able to fit it in. Thanks for the heads up though! :-)
_____________________________________________ From: Pearson, Anne Sent: Tuesday, November 02, 2010 6:03 PM To: Holt, Lauren Cc: Hamilton, Joy Subject: RE: January 2011 winter newsletter I'm SO sorry, but I am beyond swamped and am trying to hunker down to finish some of the legal drafting I need to do. So, I'll take a pass if that's ok. Anne
_____________________________________________ 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,
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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). Lindsey's 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). Molly's 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) Joy's 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 everyone's articles is DECEMBER 6th, except for Joy's 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!
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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 1:08:55 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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"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/3/2010 5:27:27 PM RE: News about e-cigs and CA
I'll give Paul Davis a call...technically we cannot check in with them since they are a state office whose client is the state...not 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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Hi Robert,
"Neal, Scott" rbeaumier@spokanecity.org 11/3/2010 5:51:06 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: "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
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
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"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
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
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
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
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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> Date: 11/3/2010 7:02:30 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
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
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
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
8_19_2011
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
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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: 11/4/2010 11:47:00 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: "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: "Pearson, Anne" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 11/5/2010 4:40:24 PM Subject: H. Smoke or smoking means the carrying or smoking of any kind of lighted pipe, cigar, cigarette, or any other lighted or ignited smoking equipment, including but not limited to electronic smoking devices. (R&R 10-03 1, 2010: R&R 07-03 7, 2007). I. 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, pipe or hookah.
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From: "Hamilton, Joy" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Apa, James" <James.Apa@kingcounty.gov> Date: 11/5/2010 6:56:00 PM Subject: E Cigarette communications plan When: Wednesday, November 17, 2010 3:00 PM-4:00 PM (GMT-08:00) Pacific Time (US & Canada). Where: RR, NCOB Floor 9 Room 918 - Capacity 14 Note: The GMT offset above does not reflect daylight saving time adjustments. *~*~*~*~*~*~*~*~*~* The purpose of this meeting will be to prepare for the BOH policy work around e-cigarettes in December and to prepare a communications plan (for example, do we want to do a press release?).
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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 1:40:00 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: To: Date: Subject: Likely. Side effect of the job!
"Hamilton, Joy" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 11/5/2010 4:53:00 PM RE: E-cig
Scott thinks that the definition should say electronic or battery operated to cover our bases. >_____________________________________________ >From: Pearson, Anne >Sent: Friday, November 05, 2010 1:53 PM >To: Hamilton, Joy >Subject: E-cig > >I totally feel as if I just inhaled nicotine. Could there have been some left in the device? Ick. >
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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 7:46:00 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: "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: "Richard Hamburg" <rhamburg@TFAH.ORG> To: Date: 11/10/2010 4:10:48 PM Subject: November 10th Wellness and Prevention Health Reform Digest
email_header_noborder.png
ACTION ALERT
Wellness and Prevention Health Reform Digest

Todays News November 10, 2010
Heres the final letter to Surgeon General Benjamin: National Strategy Letter. Also, in addition to signing onto our letter, organizations can still submit comments directly through the HHS website. http://www.hhs.gov/news/reports/nphps.html. Deadline is December 5th. Trust for Americas Health released its report today, Fighting Flu Fatigue. For a link to the report, news release, and related materials, please go to http://healthyamericans.org/report/78/flu-2010. The National Coalition for Promoting Physical Activity (NCPPA) is organizing collective action around implementation of the nations first Physical Activity Plan. Attached is a link to Make the Move 2010-11 Implementation of the U.S. Physical Activity Plan, which provides measurable outcomes and objectives for change, valuable resources, and stories of success to advance physical activity related to the Plan. http://www.nxtbook.com/nxtbooks/ncppa/make_the_move/index.php This morning, HHS released its tobacco prevention strategic plan, Ending the Tobacco Epidemic A Tobacco control Strategic Action Plan for the U.S. Department of Health and Human Services: http://www.hhs.gov/ash/initiatives/tobacco/tobaccostrategicplan2010.pdf. It also released a copy of a Federal Register notice, to be officially posted tomorrow, about a proposed rule on graphic warning labels for tobacco products. All of the relevant information is available through the following link: http://www.fda.gov/TobaccoProducts/Labeling/CigaretteProductWarningLabels/default.htm. The Agency for Healthcare Research and Quality (AHRQ) is now accepting nominations for positions on the U.S. Preventive Services Task Force. A Federal Register notice will appear next Wednesday, and the docket will be open until November 29th. The task force members are independent experts who serve for four-year terms, with the opportunity for an
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extension of up to two years. The decisions that the group makes are intended to be evidence-based recommendations to the public. Some insurance companies base their coverage decisions on the guidance it presents. Solicitation for Nominations. The Centers for Disease Control and Prevention (CDC) has announced the release of two reviews from the Guide to Community Preventive Services (Community Guide) assessing the effectiveness of limiting the days and hours of alcohol sales for preventing excessive alcohol consumption and related harms - American Journal of Preventive Medicine. Excessive alcohol use, including binge and underage drinking, is the third leading preventable cause of death in the United States, and it is responsible for, on average, more than 79,000 deaths per year and 2.3 million years of potential life lost (YPLL). For more information on the Community Guides alcohol recommendations - the Community Guide: Excessive Alcohol Consumption. Happy birthday, Mom!
Opportunities/Deadlines
Sign on Documents and Opportunities for Input Feeding America seeks sign-ons for letter on child nutrition reauthorization. (deadline November 12th) Regulatory Comments Office of National Coordinator for Health seeks comments on interim final rule on certified electronic health records (deadline November 12th) DOD proposed rule on the Elimination of Copayments for Authorized Preventive Services under TRICARE (deadline November 26th) HHS seeks comments on draft framework for the National Prevention and Health Promotion Strategy (deadline December 5th) IOM seeks comments on the criteria and methods for determining and updating the essential benefits package (deadline December 6th) HHS Office of Minority Health seeking comments on Existing National Standards for Culturally and Linguistically Appropriate Services in Health Care (deadline December 31st ) Funding Opportunities Availability of Funds under the ACHIEVE program (deadline November 15th)
Upcoming Events
The Intersection of Obesity Policy and Science Sponsored by the Campaign to End Obesity Tuesday, November 16th, 8:30 11:00 a.m. 428-A Russell Senate Office Building Please RSVP to Chris Fox at chris@obesitycampaign.org or (202) 466-5524 Groundbreaking Research Efforts Supported by the National Institute on Aging Sponsored by the Alliance for Aging Research, Alzheimers Foundation of America, Cure
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Alzheimers Fund, Friends of the NIA, and Leaders Engaged on Alzheimers Disease (LEAD) Thursday, November 18th 121 Cannon House Office Building, 10:30 11:30 a.m. 428A Russell Senate Office Building, 1:00 2:00 p.m. Please RSVP to Shane Austin at saustin@alzfdn.org Unsung Heroes of Public Health Awards Reception Sponsored by the Campaign for Public Health Foundation Thursday, November 18th, 4:00 6:00 p.m. Columbus Club, Union Station To RSVP: http://cphfoundation.givezooks.com/events/unsung-heroes-of-public-healthawards-reception
Trust for America's Health 1730 M Street, NW Suite 900 Washington, DC 20036 healthyamericans.org
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"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/12/2010 4:12:03 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 best> ...> as 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 Dri> scoll, 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 >
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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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"Pearson, Anne" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/15/2010 3:55:09 PM RE: E-cig draft in just under the wire!
Great point. I totally agree. I think we'll go over any additional edits/comments today. 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: Hamilton, Joy Sent: Friday, November 12, 2010 3:37 PM To: Pearson, Anne Subject: RE: E-cig draft in just under the wire!
Anne, This draft looks great. I think we should take out the sentence about there currently being no restrictions on e-cigs in KC -- that should more appropriately be in the staff report than in the text of the regulation. There isn't really a sentence with rationale about sampling -- do we need that? Joy
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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"Hamilton, Joy" "Neal, Scott" <Scott.Neal@kingcounty.gov> 11/15/2010 4:30:00 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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"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/15/2010 4:29:11 PM FDA & E-cigs
Remember this...we 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: "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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"Brown, LaTonya" <LaTonya.Brown@seattle.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/16/2010 5:13:11 PM RE: BOH Tobacco Policy Committee agenda and draft code language for review
This is a confirmation for Sally Clark. She will be there. Thanks!

From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Tuesday, November 16, 2010 12:57 PM To: Bud Nicola (bnicola@u.washington.edu); 'Dave Hutchinson'; Drago, Jan; Clark, Sally Cc: Holbrook, Marsha; DeGrieck, Jerry; Johnson, Gareth; Brown, LaTonya; 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.
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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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"Pearson, Anne" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/16/2010 3:53:28 PM FW: E-cigarette regulation(11.16.10).doc E-cigarette regulation(11.16.10).doc
"clean" draft, although probably needs removal of a comment or two. 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: 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: "Neal, Scott" To: "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> "Eiden, Amy" <Amy.Eiden@kingcounty.gov> Date: 11/16/2010 4:37:02 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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"Ross-Viles, Sarah" "Mahoney, Maggie" <maggie.mahoney@wmitchell.edu> 11/16/2010 8:18:48 PM RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation
Maggie- My understanding is that budgeting into calendar years is something we must do on our end, even if we expect we may amend them. Mark - is that correct? Or is there a way to do a consulting contract in amount only? Sarah
From: Mahoney, Maggie [mailto:maggie.mahoney@wmitchell.edu] Sent: Tuesday, November 16, 2010 3:05 PM To: Ross-Viles, Sarah Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Great, thanks Sarah. I will put together a letter that copies the language of the contract and send it to you for review. A December 1 start date sounds good, and I look forward to wrapping up the contracting process, as I know you do, too! In the meantime, I accepted the changes in the draft scope of work, with one exception. I thought, based on our exchange from last week, that we werent going to allocate time to particular time periods so that we had flexibility throughout the remaining 15 months, since it would be hard to predict the ebb and flow of work. If that is still okay with you, I deleted the table in the draft scope of work because it just allocated funding over the life of the project and replaced it with a simple paragraph explaining that well invoice you and youll pay us, as the contract says, that our fee is $175 per hour, up to a maximum of $25,000 total. Ive attached it for your review. After I did that, I opened the budget document and see that the template had a lot of stuff that doesnt apply to this contract (e.g., supplies, fringe benefits, etc.). I simplified it to match the content that is in the scope of work. Ive attached it for your review. Please let me know how those two things look and, as I said, Ill draft a letter to match the contract language concerning the conflict issue. Thanks! Maggie Mahoney Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org
From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Tuesday, November 16, 2010 2:59 PM To: Mahoney, Maggie Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Hi Maggie - I have the go-ahead that the letter can copy the language of the contract. I do not think it needs to contain much more than that. Thus, it looks like we are in the home stretch. Are you able to put that together to have in hand while we process the contract? 8_19_2011
Page 2 The changes to the scope of work look fine to me, I made changes to the budget as discussed. I put December 1 as a start date. A contractor can begin work they will bill for as soon as we have an agreed upon scope of work. I chose the 1st to allow time to put the decision-making safeguards in place. I do know we will want your help in December in preparing for the leg session. Does this work for you? I am also attaching the template we use for contract budgets. I was not sure if you had other expenses besides the hourly fee. Please populate this template as part of the contract. If you need any assistance, Lauren Holt (cc'd above) is an ace. We will start processing the contract - getting Department and County approval - when we finalize these pieces. I will work on the safeguards. Thanks for bearing with us, Sarah
From: Mahoney, Maggie [mailto:maggie.mahoney@wmitchell.edu] Sent: Tuesday, November 16, 2010 10:16 AM To: Ross-Viles, Sarah Subject: FW: R/A WA: TCLC Input on Draft E-Cigarette Regulation Hi Sarah, This reminded me to ask you whether we should touch base on the contract. Is there anything else you need from me at this point? I have some time available this week to connect via phone, if youd like. Maggie Mahoney Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org
From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Tuesday, November 16, 2010 10:51 AM To: Schaibley, David Cc: Armstrong, Kate; Cork, Kerry; Mahoney, Maggie; Blanke, Doug Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Many, many thanks to all of you at TCLC! I really appreciate having so many sets of wonderful eyes to review our draft and to provide such helpful input. I am incorporating many of your comments, and will send a draft off to our county prosecutor's office this morning. This item will go to a vote by our Board of Health on December 16. I'll keep you posted on our progress. 8_19_2011
Page 3 Thanks again!! 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: Schaibley, David [mailto:David.Schaibley@wmitchell.edu] Sent: Monday, November 15, 2010 12:59 PM To: Pearson, Anne Cc: Armstrong, Kate; Cork, Kerry; Mahoney, Maggie; Blanke, Doug Subject: R/A WA: TCLC Input on Draft E-Cigarette Regulation
Dear Anne: Attached please find our thoughts on Seattle/King Countys proposed e-cigarette regulation. We hope these thoughts are helpful. Please let us know if you are in need of any assistance in the future. Sincerely, Dave
David J. Schaibley |Public Health Law Center Staff Attorney, Tobacco Control Legal Consortium 651-695-7611 | Fax: 651-290-7515 david.schaibley@wmitchell.edu 875 Summit Avenue, St. Paul, Minnesota 55105 www.TCLConline.org The Tobacco Control Legal Consortium provides information and technical assistance on issues related to tobacco and public health. The Consortium does not provide legal representation or advice. This e-mail should not be considered legal advice or a substitute for obtaining legal advice from an attorney who can represent you. If you have specific legal questions, we recommend that you consult with an attorney familiar with the laws of your jurisdiction.
From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Monday, November 15, 2010 10:13 AM To: Schaibley, David; Mahoney, Maggie Subject: RE: Draft E-cigarette regulation Great! 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
From: Schaibley, David [mailto:David.Schaibley@wmitchell.edu] 8_19_2011
Page 4 Sent: Monday, November 15, 2010 7:24 AM To: Pearson, Anne; Mahoney, Maggie Subject: RE: Draft E-cigarette regulation
Hi Anne: Just a quick update to let you know that well have our input to you today. Dave
From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Thursday, November 11, 2010 8:41 AM To: Schaibley, David; Mahoney, Maggie Subject: RE: Draft E-cigarette regulation We would like to send a draft to our Prosecuting Attorneys Office by Monday or Tuesday of next week. If we could incorporate your comments before sending, that would be ideal. But if that's too tight, we can still fold in your comments after we send it to her. Thanks!
From: Schaibley, David [David.Schaibley@wmitchell.edu] Sent: Thursday, November 11, 2010 4:04 AM To: Pearson, Anne; Mahoney, Maggie Subject: RE: Draft E-cigarette regulation Hello Anne: Thanks for forwarding it; we'll share our thoughts. When we spoke last week you mentioned a relatively tight time frame for this effort...can you let us know when you need our input by? Enjoy your long weekend, Dave From: Pearson, Anne [Anne.Pearson@kingcounty.gov] Sent: Wednesday, November 10, 2010 6:55 PM To: Mahoney, Maggie; Schaibley, David Subject: Draft E-cigarette regulation Hi Maggie and David, I hope you are both well. I was wondering if you might have the time to review a draft regulation restricting the sale of eproducts (attached). Our Board of Health is not proposing to go so far as to prohibit their sale entirely, but is interested in restricting their availability to youth. If you have a chance to take a look, I would love to hear your thoughts. I'll be out of the office for the rest of the week but back on Monday. All the best, Anne
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"Mahoney, Maggie" <maggie.mahoney@wmitchell.edu> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> 11/16/2010 8:10:30 PM RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Seattle King County & TCLC- Scope of Work Revised 11.16.10 mm.doc Budget for PH Seattle King County.xls
Great, thanks Sarah. I will put together a letter that copies the language of the contract and send it to you for review. A December 1 start date sounds good, and I look forward to wrapping up the contracting process, as I know you do, too! In the meantime, I accepted the changes in the draft scope of work, with one exception. I thought, based on our exchange from last week, that we werent going to allocate time to particular time periods so that we had flexibility throughout the remaining 15 months, since it would be hard to predict the ebb and flow of work. If that is still okay with you, I deleted the table in the draft scope of work because it just allocated funding over the life of the project and replaced it with a simple paragraph explaining that well invoice you and youll pay us, as the contract says, that our fee is $175 per hour, up to a maximum of $25,000 total. Ive attached it for your review. After I did that, I opened the budget document and see that the template had a lot of stuff that doesnt apply to this contract (e.g., supplies, fringe benefits, etc.). I simplified it to match the content that is in the scope of work. Ive attached it for your review. Please let me know how those two things look and, as I said, Ill draft a letter to match the contract language concerning the conflict issue. Thanks! Maggie Mahoney Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org
From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Tuesday, November 16, 2010 2:59 PM To: Mahoney, Maggie Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Hi Maggie - I have the go-ahead that the letter can copy the language of the contract. I do not think it needs to contain much more than that. Thus, it looks like we are in the home stretch. Are you able to put that together to have in hand while we process the contract? The changes to the scope of work look fine to me, I made changes to the budget as discussed. I put December 1 as a start date. A contractor can begin work they will bill for as soon as we have an agreed upon scope of work. I chose the 1st to allow time to put the decision-making safeguards in place. I do know we will want your help in December in preparing for the leg session. Does this work for you? I am also attaching the template we use for contract budgets. I was not sure if you had other expenses besides the hourly fee. Please populate this template as part of the contract. If you need any assistance, Lauren Holt (cc'd above) is an ace. We will start processing the contract - getting Department and County approval - when we finalize these pieces. I will work on the safeguards. 8_19_2011
Page 2 Thanks for bearing with us, Sarah
From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Tuesday, November 16, 2010 10:51 AM To: Schaibley, David Cc: Armstrong, Kate; Cork, Kerry; Mahoney, Maggie; Blanke, Doug Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Many, many thanks to all of you at TCLC! I really appreciate having so many sets of wonderful eyes to review our draft and to provide such helpful input. I am incorporating many of your comments, and will send a draft off to our county prosecutor's office this morning. This item will go to a vote by our Board of Health on December 16. I'll keep you posted on our progress. Thanks again!! 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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Page 3 From: Schaibley, David [mailto:David.Schaibley@wmitchell.edu] Sent: Monday, November 15, 2010 12:59 PM To: Pearson, Anne Cc: Armstrong, Kate; Cork, Kerry; Mahoney, Maggie; Blanke, Doug Subject: R/A WA: TCLC Input on Draft E-Cigarette Regulation
From: Schaibley, David [mailto:David.Schaibley@wmitchell.edu] Sent: Monday, November 15, 2010 7:24 AM To: Pearson, Anne; Mahoney, Maggie Subject: RE: Draft E-cigarette regulation
From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Thursday, November 11, 2010 8:41 AM 8_19_2011
Page 4 To: Schaibley, David; Mahoney, Maggie Subject: RE: Draft E-cigarette regulation We would like to send a draft to our Prosecuting Attorneys Office by Monday or Tuesday of next week. If we could incorporate your comments before sending, that would be ideal. But if that's too tight, we can still fold in your comments after we send it to her. Thanks!
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"Ross-Viles, Sarah" "Mahoney, Maggie" <maggie.mahoney@wmitchell.edu> 11/16/2010 4:59:06 PM RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Seattle King County TCLC- Scope of Work Revised 11 10 10.srv.doc Template - budget 6 30 10.xls
Hi Maggie - I have the go-ahead that the letter can copy the language of the contract. I do not think it needs to contain much more than that. Thus, it looks like we are in the home stretch. Are you able to put that together to have in hand while we process the contract? The changes to the scope of work look fine to me, I made changes to the budget as discussed. I put December 1 as a start date. A contractor can begin work they will bill for as soon as we have an agreed upon scope of work. I chose the 1st to allow time to put the decision-making safeguards in place. I do know we will want your help in December in preparing for the leg session. Does this work for you? I am also attaching the template we use for contract budgets. I was not sure if you had other expenses besides the hourly fee. Please populate this template as part of the contract. If you need any assistance, Lauren Holt (cc'd above) is an ace. We will start processing the contract - getting Department and County approval - when we finalize these pieces. I will work on the safeguards. Thanks for bearing with us, Sarah
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From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Monday, November 15, 2010 10:13 AM To: Schaibley, David; Mahoney, Maggie Subject: RE: Draft E-cigarette regulation Great! Thanks so much. 8_19_2011
Page 3 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: Schaibley, David [David.Schaibley@wmitchell.edu] Sent: Thursday, November 11, 2010 4:04 AM To: Pearson, Anne; Mahoney, Maggie Subject: RE: Draft E-cigarette regulation Hello Anne: Thanks for forwarding it; we'll share our thoughts. When we spoke last week you mentioned a relatively tight time frame for this effort...can you let us know when you need our input by? Enjoy your long weekend, Dave From: Pearson, Anne [Anne.Pearson@kingcounty.gov] Sent: Wednesday, November 10, 2010 6:55 PM To: Mahoney, Maggie; Schaibley, David Subject: Draft E-cigarette regulation Hi Maggie and David, I hope you are both well. I was wondering if you might have the time to review a draft regulation restricting the sale of eproducts (attached). Our Board of Health is not proposing to go so far as to prohibit their sale entirely, but is interested in restricting their availability to youth. If you have a chance to take a look, I would love to hear your thoughts. I'll be out of the office for the rest of the week but back on Monday. 8_19_2011
Page 4 All the best, Anne
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"Pearson, Anne" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/16/2010 3:53:11 PM Redlined draft E-cigarette regulation(redlined).doc
> ______________________________________________ > From: Pearson, Anne > Sent: Tuesday, November 16, 2010 9:17 AM > To: Neal, Scott > Subject: E-cigarette regulation(redlined).doc > > > > > Hey Scott, > In about 2 seconds I will send you a clean draft that incorporates all the changes we discussed, as well as some changes recommended by TCLC and TFK. This draft shows the changes that have been made so that you can circulate to program staff and they can review while Amy is reviewing the clean draft.
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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: > > I> '> m really sorry > -> I didn> '> t have this on my calendar (probably declined it or deleted it assuming I> '> d 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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"Hamilton, Joy" mayordave@cityoflfp.com 11/17/2010 1:57:00 PM FW: BOH Tobacco Policy Committee agenda and draft code language for review E-cigarette regulation(11 16 10).doc BOH Tobacco Policy Committee Meeting Agenda 11.17.doc
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 >______________________________________________ >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. > > > >Thanks, >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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"Hamilton, Joy" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 11/17/2010 12:33:25 AM Re: E-cig communications plan
Totally fine. I will send out notes after the meeting. Joy Sent from my Verizon Wireless Phone ----- Reply message ----From: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: Tue, Nov 16, 2010 7:34 pm Subject: E-cig communications plan To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov>
Hey Joy, I'm a little swamped. OK if I miss tomorrow's meeting with James re communications? Thanks, Anne
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Thanks, Maggie. I will inquire about the letter. For the budget - we have to use the 3 year budget format as this is a consultant contract. It's a bit inconvenient, but we can make it work for ad hoc spending. The proposed break-up of the budget reflected the usage I would expect from the particular years. I proposed my budget breakdown based on knowing we will want some bill review in December and very little will likely happen in 2012. We can use the contract amendment process to move funds between years if necessary. Will that work on your end? Thanks, Sarah
From: Mahoney, Maggie [mailto:maggie.mahoney@wmitchell.edu] Sent: Wednesday, November 17, 2010 10:35 AM To: Ross-Viles, Sarah Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Thanks for checking on this Sarah. Ive attached a draft letter to address the conflict issue. Do you want to see whether thats sufficient? Maggie Mahoney Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org
From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Tuesday, November 16, 2010 6:19 PM To: Mahoney, Maggie Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Maggie- My understanding is that budgeting into calendar years is something we must do on our end, even if we expect we may amend them. Mark - is that correct? Or is there a way to do a consulting contract in amount only? Sarah
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From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Tuesday, November 16, 2010 2:59 PM To: Mahoney, Maggie Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Hi Maggie - I have the go-ahead that the letter can copy the language of the contract. I do not think it needs to contain much more than that. Thus, it looks like we are in the home stretch. Are you able to put that together to have in hand while we process the contract? The changes to the scope of work look fine to me, I made changes to the budget as discussed. I put December 1 as a start date. A contractor can begin work they will bill for as soon as we have an agreed upon scope of work. I chose the 1st to allow time to put the decision-making safeguards in place. I do know we will want your help in December in preparing for the leg session. Does this work for you? I am also attaching the template we use for contract budgets. I was not sure if you had other expenses besides the hourly fee. Please populate this template as part of the contract. If you need any assistance, Lauren Holt (cc'd above) is an ace. We will start processing the contract - getting Department and County approval - when we finalize these pieces. I will work on the safeguards.
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From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Thursday, November 11, 2010 8:41 AM To: Schaibley, David; Mahoney, Maggie 8_19_2011
Page 5 Subject: RE: Draft E-cigarette regulation We would like to send a draft to our Prosecuting Attorneys Office by Monday or Tuesday of next week. If we could incorporate your comments before sending, that would be ideal. But if that's too tight, we can still fold in your comments after we send it to her. Thanks!
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"Mahoney, Maggie" <maggie.mahoney@wmitchell.edu> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> 11/17/2010 2:36:34 PM RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Draft Conflict Letter (11.17.10).doc
Thanks for checking on this Sarah. Ive attached a draft letter to address the conflict issue. Do you want to see whether thats sufficient? Maggie Mahoney Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org
From: Mahoney, Maggie [mailto:maggie.mahoney@wmitchell.edu] Sent: Tuesday, November 16, 2010 3:05 PM To: Ross-Viles, Sarah Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Great, thanks Sarah. I will put together a letter that copies the language of the contract and send it to you for review. A December 1 start date sounds good, and I look forward to wrapping up the contracting process, as I know you do, too! In the meantime, I accepted the changes in the draft scope of work, with one exception. I thought, based on our exchange from last week, that we werent going to allocate time to particular time periods so that we had flexibility throughout the remaining 15 months, since it would be hard to predict the ebb and flow of work. If that is still okay with you, I deleted the table in the draft scope of work because it just allocated funding over the life of the project and replaced it with a simple paragraph explaining that well invoice you and youll pay us, as the contract says, that our fee is $175 per hour, up to a maximum of $25,000 total. Ive attached it for your review. After I did that, I opened the budget document and see that the template had a lot of stuff that doesnt apply to this contract (e.g., supplies, fringe benefits, etc.). I simplified it to match the content that is in the scope of work. Ive attached it for your review. Please let me know how those two things look and, as I said, Ill draft a letter to match the contract language concerning the conflict issue. Thanks! 8_19_2011
Page 2 Maggie Mahoney Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org
From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Tuesday, November 16, 2010 2:59 PM To: Mahoney, Maggie Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Hi Maggie - I have the go-ahead that the letter can copy the language of the contract. I do not think it needs to contain much more than that. Thus, it looks like we are in the home stretch. Are you able to put that together to have in hand while we process the contract? The changes to the scope of work look fine to me, I made changes to the budget as discussed. I put December 1 as a start date. A contractor can begin work they will bill for as soon as we have an agreed upon scope of work. I chose the 1st to allow time to put the decision-making safeguards in place. I do know we will want your help in December in preparing for the leg session. Does this work for you? I am also attaching the template we use for contract budgets. I was not sure if you had other expenses besides the hourly fee. Please populate this template as part of the contract. If you need any assistance, Lauren Holt (cc'd above) is an ace. We will start processing the contract - getting Department and County approval - when we finalize these pieces. I will work on the safeguards. Thanks for bearing with us, Sarah
From: Mahoney, Maggie [mailto:maggie.mahoney@wmitchell.edu] Sent: Tuesday, November 16, 2010 10:16 AM To: Ross-Viles, Sarah Subject: FW: R/A WA: TCLC Input on Draft E-Cigarette Regulation Hi Sarah, This reminded me to ask you whether we should touch base on the contract. Is there anything else you need from me at this point? I have some time available this week to connect via phone, if youd like. Maggie Mahoney 8_19_2011
Page 3 Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org
David J. Schaibley |Public Health Law Center Staff Attorney, Tobacco Control Legal Consortium 651-695-7611 | Fax: 651-290-7515 david.schaibley@wmitchell.edu 875 Summit Avenue, St. Paul, Minnesota 55105 www.TCLConline.org The Tobacco Control Legal Consortium provides information and technical assistance on issues related to tobacco and public health. The Consortium does not provide legal representation or advice. This e-mail should not be considered legal advice or a substitute for obtaining legal advice from an attorney who can represent you. If you have specific legal questions, we recommend that you consult with an attorney familiar with the laws of your jurisdiction. 8_19_2011
Page 4
From: Schaibley, David [David.Schaibley@wmitchell.edu] Sent: Thursday, November 11, 2010 4:04 AM To: Pearson, Anne; Mahoney, Maggie Subject: RE: Draft E-cigarette regulation Hello Anne: Thanks for forwarding it; we'll share our thoughts. When we spoke last week you mentioned a relatively tight time frame for this effort...can you let us know when you need our input by? Enjoy your long weekend, Dave From: Pearson, Anne [Anne.Pearson@kingcounty.gov] Sent: Wednesday, November 10, 2010 6:55 PM To: Mahoney, Maggie; Schaibley, David Subject: Draft E-cigarette regulation 8_19_2011
Page 5 Hi Maggie and David, I hope you are both well. I was wondering if you might have the time to review a draft regulation restricting the sale of eproducts (attached). Our Board of Health is not proposing to go so far as to prohibit their sale entirely, but is interested in restricting their availability to youth. If you have a chance to take a look, I would love to hear your thoughts. I'll be out of the office for the rest of the week but back on Monday. All the best, Anne
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From: "Ryan, Molly" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> Date: 11/18/2010 5:50:38 PM Subject: FW: Camel's campaign comes here too!
FYI - our AG is looking into whether this violates MSA.
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 8_19_2011
Page 2 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
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] 8_19_2011
Page 3 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
Page 4 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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"Ross-Viles, Sarah" "Krieger, James" <James.Krieger@kingcounty.gov> 11/18/2010 9:09:48 PM For Review - Documents for LT WG E-Cigarette Proposal (for DF mtg 11.2).doc LTWG Tobacco one-pager.srv.doc
I will probably do more review on my end as well, specifically to add references of flavored tobacco as "gateway nicotine." Attached - One-page describing youth access bill components. Did not make ask in the doc, but will ask for support at the meeting (or can add it to the doc). Two-pager on upcoming e-cig regulation - longer piece because we will not go into this much at the meeting.
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From: "Wysen, Kirsten" To: "Krieger, James" <James.Krieger@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Bates, Amy" <Amy.Bates@kingcounty.gov> Date: 11/18/2010 1:08:00 PM Subject: Jim please review--RE: Materials for LT Hi Jim, Here are draft materials for your review for the CPPW Leadership Team Working Group meeting on Tues 11/30 from HEAL. Tobacco materials are coming today, per Sarah. We are aiming to send these out to the LT WG COB on Monday 11/22, which would be drastically earlier than we've ever sent them materials before, so we could slip maybe by a day. Tues 11/23 should be considered a hard deadline. You can edit directly into the following documents, leaving your initials in the filename: The draft agenda: <\\PHADM01\Share\DROF\Prevention and Wellness\Joint Implementation\CPPW Coalition Management\Documents Specific to Leadership Team\Working Group\113010 WG Materials\113010 CPPW LTWG Agenda.doc> The sugar loaded beverage background piece: <\\PHADM01\Share\DROF\Prevention and Wellness\Joint Implementation\CPPW Coalition Management\Documents Specific to Leadership Team\Working Group\113010 WG Materials\LTWG_11 30 10_SLB.doc> The WIC draft rules on "retail" store eligibility: <\\PHADM01\Share\DROF\Prevention and Wellness\Joint Implementation\CPPW Coalition Management\Documents Specific to Leadership Team\Working Group\113010 WG Materials\Policy Development - WICdraft111510KMEM.doc> Here are some notes from Anne regarding the SLB piece: Attached is a draft of the SLB one-pager for Jim's review. As you'll see, it is designed to tee up a discussion about which of the policy options they think might be most appropriate as a focus. A few things to flag: First, I think it may make sense for Jim to speak with Jerry about this discussion before the meeting to explore his thoughts about discussing the tax/fee in this venue. Second, I just wanted to note that some of the items on the list (e.g. tax, procurement, vending) are moving forward regardless, but they are still on the list since this is an opportunity to raise awareness and develop support for them. Anne Here are some notes from Erin and the OED team on the WIC rules document: We will delete the comments before sending to the LT WG, but wanted you (Jim) to see before finalizing. The main message we're trying to get to LT WG members is to comment on the rules if they feel strongly about them, focusing on the disadvantages of the restrictive definition of "retailer", and also to pass the info along to others who
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are interested. We are not ready to get the LT WG to take action but will have that "ask" in January (if all goes as planned and the WIC program releases their draft) - the certain date(s) are not set. Thanks, Erin > _____________________________________________ > From: Krieger, James > Sent: Wednesday, November 17, 2010 6:13 PM > To: Ross-Viles, Sarah; Bates, Amy; Wysen, Kirsten > Subject: RE: Materials for LT > > Sounds fine.when is it needed for the LT? > > 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: Ross-Viles, Sarah > Sent: Wednesday, November 17, 2010 5:34 PM > To: Bates, Amy; Krieger, James; Wysen, Kirsten > Subject: Materials for LT > > Hello folks, > > Tobacco issues have been up in flames this week (the Seattle packs, the ROI study and e-cigs) and we do not yet have a one-pager ready to share. I think I can get it done by ten AM tomorrow. Jim - want to make sure this respects your review time. Sound ok? > > 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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"Hamilton, Joy" "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> 11/18/2010 5:55:00 PM RE: Meeting Friday AM
Basically, we are close to the policy statement. The partners encourage the total ban of e-cigs -- that is the primary difference. We match their recommendation of Smoke free places and defining e-cigs as NOT tobacco products. We also match not taxing these products.
From: Ross-Viles, Sarah Sent: Thursday, November 18, 2010 1:38 PM To: Hamilton, Joy Subject: FW: Meeting Friday AM Can you run this comparison?
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 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
Page 2 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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Leadership Team involvement linking preemption to revenue (tactics?) Contract with ALA upcoming events (not sure what that meant...) recruiting statements in support of e-cig regulations
From: Ross-Viles, Sarah Sent: Thursday, November 18, 2010 9:45 AM To: Hamilton, Joy Subject: FW: Meeting Friday AM Joy - can you remind me of the agenda items you;ve been stockpiling? 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" <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 ...
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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
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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
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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
________________________________ 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
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 3:54:57 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
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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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.
Thanks, Sarah
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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
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
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Hi Lucy -
Thanks, Sarah
________________________________
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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?
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"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
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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
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"Ross-Viles, Sarah" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/18/2010 5:56:34 PM RE: Meeting Friday AM
So does hitting below the mark mean they wouldn't support? Can you ask Lucy?
From: Hamilton, Joy Sent: Thursday, November 18, 2010 1:56 PM To: Ross-Viles, Sarah Subject: RE: Meeting Friday AM
Basically, we are close to the policy statement. The partners encourage the total ban of e-cigs -- that is the primary difference. We match their recommendation of Smoke free places and defining e-cigs as NOT tobacco products. We also match not taxing these products.
From: Ross-Viles, Sarah Sent: Thursday, November 18, 2010 1:38 PM To: Hamilton, Joy Subject: FW: Meeting Friday AM Can you run this comparison?
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.
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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
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Yes. Mark - can you summarize? Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211
From: Mahoney, Maggie [mailto:maggie.mahoney@wmitchell.edu] Sent: Thursday, November 18, 2010 11:59 AM To: Ross-Viles, Sarah Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Sure. I assume the contract amendment process will be easier once we get these initial kinks worked out! Thanks! Maggie Mahoney Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org
From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Wednesday, November 17, 2010 5:45 PM To: Mahoney, Maggie Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Thanks, Maggie. I will inquire about the letter. For the budget - we have to use the 3 year budget format as this is a consultant contract. It's a bit inconvenient, but we can make it work for ad hoc spending. The proposed break-up of the budget reflected the usage I would expect from the particular years. I proposed my budget breakdown based on knowing we will want some bill review in December and very little will likely happen in 2012. We can use the contract amendment process to move funds between years if necessary. Will that work on your end? Thanks, Sarah
Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County 8_19_2011
Page 2 Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211
From: Mahoney, Maggie [mailto:maggie.mahoney@wmitchell.edu] Sent: Tuesday, November 16, 2010 3:05 PM To: Ross-Viles, Sarah Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Great, thanks Sarah. I will put together a letter that copies the language of the contract and send it to you for review. A December 1 start date sounds good, and I look forward to wrapping up the contracting process, as I know you do, too! In the meantime, I accepted the changes in the draft scope of work, with one exception. I thought, based on our exchange from last week, that we werent going to allocate time to particular time periods so that we had flexibility throughout the remaining 15 months, since it would be hard to predict the ebb and flow of work. If that is still okay with you, I deleted the table in the draft scope of work because it just allocated funding over the life of the project and replaced it with a simple paragraph explaining that well invoice you and youll pay us, as the contract says, that our fee is $175 per hour, up to a maximum of $25,000 total. Ive attached it for your review. After I did that, I opened the budget document and see that the template had a lot of stuff that doesnt apply to this contract (e.g., supplies, fringe benefits, etc.). I simplified it to match the content that is in the scope of work. Ive attached it for your review. 8_19_2011
Page 3 Please let me know how those two things look and, as I said, Ill draft a letter to match the contract language concerning the conflict issue. Thanks! Maggie Mahoney Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org
From: Mahoney, Maggie [mailto:maggie.mahoney@wmitchell.edu] Sent: Tuesday, November 16, 2010 10:16 AM To: Ross-Viles, Sarah Subject: FW: R/A WA: TCLC Input on Draft E-Cigarette Regulation Hi Sarah, 8_19_2011
Page 4 This reminded me to ask you whether we should touch base on the contract. Is there anything else you need from me at this point? I have some time available this week to connect via phone, if youd like. Maggie Mahoney Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org
David J. Schaibley |Public Health Law Center Staff Attorney, Tobacco Control Legal Consortium 651-695-7611 | Fax: 651-290-7515 david.schaibley@wmitchell.edu 875 Summit Avenue, St. Paul, Minnesota 55105 www.TCLConline.org 8_19_2011
Page 5 The Tobacco Control Legal Consortium provides information and technical assistance on issues related to tobacco and public health. The Consortium does not provide legal representation or advice. This e-mail should not be considered legal advice or a substitute for obtaining legal advice from an attorney who can represent you. If you have specific legal questions, we recommend that you consult with an attorney familiar with the laws of your jurisdiction.
From: Schaibley, David [David.Schaibley@wmitchell.edu] Sent: Thursday, November 11, 2010 4:04 AM To: Pearson, Anne; Mahoney, Maggie Subject: RE: Draft E-cigarette regulation Hello Anne: Thanks for forwarding it; we'll share our thoughts. When we spoke last week you mentioned a relatively tight time frame for this effort...can you let us know when you need our input by? Enjoy your long weekend, Dave 8_19_2011
Page 6 From: Pearson, Anne [Anne.Pearson@kingcounty.gov] Sent: Wednesday, November 10, 2010 6:55 PM To: Mahoney, Maggie; Schaibley, David Subject: Draft E-cigarette regulation Hi Maggie and David, I hope you are both well. I was wondering if you might have the time to review a draft regulation restricting the sale of eproducts (attached). Our Board of Health is not proposing to go so far as to prohibit their sale entirely, but is interested in restricting their availability to youth. If you have a chance to take a look, I would love to hear your thoughts. I'll be out of the office for the rest of the week but back on Monday. All the best, Anne
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"Mahoney, Maggie" <maggie.mahoney@wmitchell.edu> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> 11/18/2010 3:59:25 PM RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation
Sure. I assume the contract amendment process will be easier once we get these initial kinks worked out! Thanks! Maggie Mahoney Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org
From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Wednesday, November 17, 2010 5:45 PM To: Mahoney, Maggie Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Thanks, Maggie. I will inquire about the letter. For the budget - we have to use the 3 year budget format as this is a consultant contract. It's a bit inconvenient, but we can make it work for ad hoc spending. The proposed break-up of the budget reflected the usage I would expect from the particular years. I proposed my budget breakdown based on knowing we will want some bill review in December and very little will likely happen in 2012. We can use the contract amendment process to move funds between years if necessary. Will that work on your end? Thanks, Sarah
From: Mahoney, Maggie [mailto:maggie.mahoney@wmitchell.edu] Sent: Wednesday, November 17, 2010 10:35 AM To: Ross-Viles, Sarah Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Thanks for checking on this Sarah. Ive attached a draft letter to address the conflict issue. Do you want to see whether thats sufficient? Maggie Mahoney Deputy Director Tobacco Control Legal Consortium 8_19_2011
Page 2 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org
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Page 3 From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Tuesday, November 16, 2010 2:59 PM To: Mahoney, Maggie Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Hi Maggie - I have the go-ahead that the letter can copy the language of the contract. I do not think it needs to contain much more than that. Thus, it looks like we are in the home stretch. Are you able to put that together to have in hand while we process the contract? The changes to the scope of work look fine to me, I made changes to the budget as discussed. I put December 1 as a start date. A contractor can begin work they will bill for as soon as we have an agreed upon scope of work. I chose the 1st to allow time to put the decision-making safeguards in place. I do know we will want your help in December in preparing for the leg session. Does this work for you? I am also attaching the template we use for contract budgets. I was not sure if you had other expenses besides the hourly fee. Please populate this template as part of the contract. If you need any assistance, Lauren Holt (cc'd above) is an ace. We will start processing the contract - getting Department and County approval - when we finalize these pieces. I will work on the safeguards. Thanks for bearing with us, Sarah
From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Tuesday, November 16, 2010 10:51 AM 8_19_2011
Page 4 To: Schaibley, David Cc: Armstrong, Kate; Cork, Kerry; Mahoney, Maggie; Blanke, Doug Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Many, many thanks to all of you at TCLC! I really appreciate having so many sets of wonderful eyes to review our draft and to provide such helpful input. I am incorporating many of your comments, and will send a draft off to our county prosecutor's office this morning. This item will go to a vote by our Board of Health on December 16. I'll keep you posted on our progress. Thanks again!! 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: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Monday, November 15, 2010 10:13 AM To: Schaibley, David; Mahoney, Maggie Subject: RE: Draft E-cigarette regulation Great! Thanks so much. Anne Anne Pearson, JD, MA 8_19_2011
Page 5 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: "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: Attachments: Greetings,
"Hamilton, Joy" "Neal, Scott" <Scott.Neal@kingcounty.gov> 11/18/2010 3:42:00 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: Greetings,
"Hamilton, Joy" FJX9@cdc.gov 11/19/2010 8:06:00 PM E-cigarette etc data
I met you at the poster session at APHA where you presented data about e-cigarettes. Would it be possible to share with me the poster and/or any data that you have related to electronic cigarettes and hookah? This would be very useful information as we are considering enacting e-cigarette policies in our jurisdiction and currently have very little data. I'm happy to talk with you on the phone as well. 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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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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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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"Hamilton, Joy" "Ritzen, Bruce" <Bruce.Ritzen@kingcounty.gov> 11/19/2010 1:15:00 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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"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/19/2010 1:11:58 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 > > > >
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From: To: Date: Subject: Fel,
"Hamilton, Joy" "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> 11/19/2010 4:09:00 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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"Hamilton, Joy" mmulroy@breathenh.org 11/19/2010 12:45:00 PM 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
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If you need anything else -- let me know.
"Mulroy, Marie" <mmulroy@breathenh.org> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/19/2010 4:38:10 PM RE: Electronic cigarettes
From: Hamilton, Joy [Joy.Hamilton@kingcounty.gov] Sent: Friday, November 19, 2010 1:53 PM To: Mulroy, Marie Subject: RE: Electronic cigarettes Fantastic. Thanks for the quick response.
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
Marie Mulroy Manager Tobacco Program Breathe New Hampshire 9 Cedarw ood Drive, Unit 12 Bedford, NH 03110
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tel: 603.669.2411 fax: 603.645.6220 email: mmulroy@breathenh.org
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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 3:19:38 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
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Here's the letter of support
"Mulroy, Marie" <mmulroy@breathenh.org> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/19/2010 2:22:03 PM RE: Electronic cigarettes Letter from Electronic Cigarette Assn.pdf
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 S UPPORT 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 - S eattle & King County Communities Putting Prevention to Work Tobacco Policy and Advocacy Manager 401 5th Ave. S uite 900 S eattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov
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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"Hamilton, Joy" "Neal, Scott" <Scott.Neal@kingcounty.gov> 11/19/2010 2:50:00 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
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"Hamilton, Joy" "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> 11/19/2010 4:21:00 PM RE: For Review - Documents for LT WG
Thanks Sarah -- great changes. I was struggling a bit with what our message/who our audience was and you really nailed it. I'm happy to held with further tweaks if they are needed. >_____________________________________________ >From: Ross-Viles, Sarah >Sent: Thursday, November 18, 2010 5:10 PM >To: Krieger, James >Cc: Wysen, Kirsten; Kellogg, Ryan; Bates, Amy; Hamilton, Joy >Subject: For Review - Documents for LT WG > >I will probably do more review on my end as well, specifically to add references of flavored tobacco as "gateway nicotine." > >Attached - One-page describing youth access bill components. Did not make ask in the doc, but will ask for support at the meeting (or can add it to the doc). >Two-pager on upcoming e-cig regulation - longer piece because we will not go into this much at the meeting. > > > << File: E-Cigarette Proposal (for DF mtg 11.2).doc >> << File: LTWG Tobacco one-pager.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 >
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From: "Hamilton, Joy" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Krieger, James" <James.Krieger@kingcounty.gov> Date: 11/19/2010 6:17:00 PM Subject: RE: For Review - Documents for LT WG Attachments: E-Cigarette Proposal jmh.doc I've updated the e-cigarette document to accurately reflect the language that we are using in the regulation. Definitions of these items are tricky -- so its important that our language be consistent. Made changes in track-changes.
Joy >_____________________________________________ >From: Ross-Viles, Sarah >Sent: Thursday, November 18, 2010 5:10 PM >To: Krieger, James >Cc: Wysen, Kirsten; Kellogg, Ryan; Bates, Amy; Hamilton, Joy >Subject: For Review - Documents for LT WG > >I will probably do more review on my end as well, specifically to add references of flavored tobacco as "gateway nicotine." > >Attached - One-page describing youth access bill components. Did not make ask in the doc, but will ask for support at the meeting (or can add it to the doc). >Two-pager on upcoming e-cig regulation - longer piece because we will not go into this much at the meeting. > > > << File: E-Cigarette Proposal (for DF mtg 11.2).doc >> << File: LTWG Tobacco one-pager.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 >
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Jen is free from 8 to 10:30 and 11:30 to 12:00. -----Original Message----From: Ross-Viles, Sarah Sent: Friday, November 19, 2010 9:56 AM To: Hamilton, Joy Subject: RE: Meeting Friday AM Can you look at Jen's too? Thanks. ________________________________________ 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.

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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 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"
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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----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
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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 (206) 263-9411 anne.pearson@kingcounty.gov -----Original Message----From: Neal, Scott Sent: Thursday, November 18, 2010 12:14 PM
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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
----- Original Message ----From: "Carrie Nyssen" [cnyssen@lungmtpacific.org]

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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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Hi Lucy -
Thanks, Sarah
________________________________
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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?
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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 1:47:00 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.
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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
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
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Hi Lucy -
Thanks, Sarah

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"Hamilton, Joy" "Rosalind Sciammas" <Rosalind.Sciammas@gmmb.com> 11/19/2010 8:11:00 PM RE:
We are proposing that e-cigarettes be added to current smoking in public places and places of employment code. We are doing this because e-cigarettes pose a threat to enforcement of the law. Additionally, the use o e-cigs in public places degrades the progress we have made creating a social norm about no-smoking. Becau of this, I am pretty certain that we would include e-cigs in parks policies but I will have to double check.
From: Rosalind Sciammas [mailto:Rosalind.Sciammas@gmmb.com] Sent: Friday, November 19, 2010 3:57 PM To: Hamilton, Joy Cc: Ross-Viles, Sarah Subject: RE:
We havent gotten into the details of your e-cig regulations, because e-cigs arent a CPPW policy priority BUT we do care about how you are positioning e-cigs when it comes to smoke-free parks.
Do you know where the County has landed on whether they will recommend e-cig restrictions in Smoke-free park policies
We want to make sure we have PHSKC-approved model policies on hand to share with other cities/policy makers. Being able to cite excerpts from these bills (or even being able to share the entire language of the bill) will likely help people (a journalists) feel less intimidated by government regulations. People often imagine regulation to be much more rigid than actually is when there are no specifics offered. Thanks again for your help! Roz
From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Friday, November 19, 2010 3:47 PM To: Rosalind Sciammas Cc: Ross-Viles, Sarah Subject: RE:
Have you seen the list of e-cig regulations that we are considering?
Thank you so much for sending this, Joy. I searched the Tacoma Pierce County site for this, but couldnt find it anywhere. It doesnt even come up when I use their search engine.
This is very helpful as we begin to develop tools that other cities can use as a resource to implementing smoke-free parks. Seems like e-cigs are exempt from this policy, so Ill be curious to hear whether PHSKC advocates that cities add a clause about those products too. Thanks again, Roz
Rosalind Sciammas Vice President 8_19_2011
Page 2 206.352.8598 | office +gmmb cause the effect
From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Friday, November 19, 2010 3:41 PM To: Rosalind Sciammas Cc: Ross-Viles, Sarah Subject: FW:
Roz, Here is the model parks policy and the resolution in support of it. "It is unlawful for any person to smoke or light cigars,
cigarettes, tobacco, or other smoking material within a park. The Director or City Manager shall post signs in appropriate locations, prohibiting smoking in parks. For the purposes of this section, smoke or smoking means the carrying, holding, or smoking of any kind of lighted pipe, cigar, cigarette, or any other lighted smoking equipment. A violation of this section is a class 4 civil infraction $25, not including statutory assessments. Such penalty is in addition to any other remedies or penalties provided by law.
Joy
From: Brawley, Karen Sent: Friday, November 19, 2010 3:34 PM To: Hamilton, Joy Subject: FW:
Chapter 8.27 is the park code with smoking prohibited in parks.

Karen Renee Brawley Seattle-King County Public Health Tobacco Prevention Program, CPPW 401 5th Ave, Suite 900 Seattle, WA 98104-1818 p. 206-263-8168 f. 206-296-0177 ***Please note: Chinook 9th floor is a fragrance-free area due to potential severe allergic reactions to
scent experienced by some staff. Please try to avoid using scented products that continue to emit 8_19_2011
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From: Jennifer Bowman [mailto:JenniferB@tacomaparks.com] Sent: Friday, November 19, 2010 3:32 PM To: Brawley, Karen Subject:
Karen:
Attached is the resolution and supporting memo that was passed by our Park Board last year. In order to enforce the issue the City of Tacoma added smoke free parks to their municipal code ( link attached). http://cms.cityoftacoma.org/cityclerk/Files/MunicipalCode/Title08-PublicSafetyAndMorals.PDF
Jennifer Bowman Executive Administration Metro Parks Tacoma 253-305-1091 jenniferb@tacomaparks.com
Confidentiality Notice: This email and all attachments are intended solely for the named person or entity to which it is addressed and contains information that may be privileged, confidential or copyrighted under applicable law. Any review, distribution, dissemination or copying of this email or the information herein b anyone other than the intended recipient, or an agent responsible for delivering the message to the intended recipient, is strictly prohibited. If you have receive this email in error, please immediately notify the sender or contact the offices of GMMB Inc. at 202-572-2818.
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"Hamilton, Joy" "Rosalind Sciammas" <Rosalind.Sciammas@gmmb.com> 11/19/2010 7:47:00 PM RE:
Rosalind Sciammas Vice President 206.352.8598 | office +gmmb cause the effect
cigarettes, tobacco, or other smoking material within a park. The Director or City Manager shall post signs in appropriate locations, prohibiting smoking in parks. For the purposes of this section, smoke or smoking means the carrying, holding, or smoking of any kind of lighted pipe, cigar, cigarette, or any other lighted smoking equipment. A violation of this section is a class 4 civil infraction 8_19_2011
Page 2 $25, not including statutory assessments. Such penalty is in addition to any other remedies or penalties provided by law.
Joy

scent experienced by some staff. Please try to avoid using scented products that continue to emit fragrance on site.
Karen:
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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Thanks for double checking on this! Roz
"Rosalind Sciammas" <Rosalind.Sciammas@gmmb.com> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/19/2010 9:04:24 PM RE:
We are proposing that e-cigarettes be added to current smoking in public places and places of employment code. We are doing this because e-cigarettes pose a threat to enforcement of the law. Additionally, the use o e-cigs in public places degrades the progress we have made creating a social norm about no-smoking. Becau of this, I am pretty certain that we would include e-cigs in parks policies but I will have to double check.
We havent gotten into the details of your e-cig regulations, because e-cigs arent a CPPW policy priority BUT we do care abo how you are positioning e-cigs when it comes to smoke-free parks.
We want to make sure we have PHSKC-approved model policies on hand to share with other cities/policy makers. Being ab to cite excerpts from these bills (or even being able to share the entire language of the bill) will likely help people (and journalists) feel less intimidated by government regulations. People often imagine regulation to be much more rigid than actually is when there are no specifics offered. Thanks again for your help! Roz
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Joy

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Karen:
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We havent gotten into the details of your e-cig regulations, because e-cigs arent a CPPW policy priority BUT we do care abo how you are positioning e-cigs when it comes to smoke-free parks.
We want to make sure we have PHSKC-approved model policies on hand to share with other cities/policy makers. Being ab to cite excerpts from these bills (or even being able to share the entire language of the bill) will likely help people (and journalists) feel less intimidated by government regulations. People often imagine regulation to be much more rigid than actually is when there are no specifics offered. Thanks again for your help! Roz
Roz,
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Here is the model parks policy and the resolution in support of it. "It is unlawful for any person to smoke or light cigars,
Joy

Karen:
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Joy
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Karen:
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: "Rosalind Sciammas" <Rosalind.Sciammas@gmmb.com> To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 11/19/2010 9:14:12 PM Subject: RE: Resources for GMMB
These are excellent resources for us and our potential partners. Thanks Joy.
Sarah, is this something you plan to make available on The Education Networks Ning web site too? Were working on how t repurpose these materials as media tools and resources for policy makers and other potential CPPW partners/organizers. I understand that you guys are still finalizing the model bill PHSKC is proposing for smoke-free parks and whether there wil be a clause forbidding e-cigs. Joy is getting back to me on this. Thanks again for sending these materials our way so quickly, Roz
From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Friday, November 19, 2010 2:31 PM To: Rosalind Sciammas; Ross-Viles, Sarah Cc: Melissa Simpson; Erika Peterson Subject: RE: Resources for GMMB
Roz,
I'm working on getting you the model policy from Pierce County. In the meantime, here are several model policies related to housing. As you may know, the KC Board of Health passed a resolution in September in support of smoke-free multi-unit housing. The staff report for that resolution included the model policies I'v attached here. Please let me know if there is other information or resources I can provide you with! 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: Rosalind Sciammas [mailto:Rosalind.Sciammas@gmmb.com] Sent: Tuesday, November 16, 2010 3:40 PM To: Ross-Viles, Sarah; Hamilton, Joy Cc: Melissa Simpson; Erika Peterson Subject: RE: Resources for GMMB
Hi Sarah,
Thank you for making time to pull this information together for our use. The data has indeed been sliced in many different ways. It is helpful to see your reference maps and charts comparing King County Tobacco Use (and Physical Inactivity rates) to the 14 other most populous counties in the country.
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The media will definitely be interested in background materials illustrating the disparities in King County, so well be thinki through how to make relevant information (contained in these separate PDFs) more accessible and interesting to the med We look forward to your model policy example from Pierce County thank you for your help too, Joy and the draft youth access policy from ACS later this week.
We are working with the CPPW team to finalize our approach to our Kids Meet Orbs filming project and will loop you back i once we finalize our approach. Please let me know if you need anything else. Thanks again for your time, Roz
From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Tuesday, November 16, 2010 2:41 PM To: Rosalind Sciammas; Hamilton, Joy Cc: Melissa Simpson; Erika Peterson Subject: RE: Resources for GMMB Hi Ros -
Thanks for your patience on these materials. Data that shaped the CPPW priorities is here: http://www.kingcounty.gov/healthservices/health/partnerships/cppw/kcprofile.aspx at the bottom of the page under "Tobacco." Please let me know if we need to pull it apart more. For messaging, I am attaching our parks handout (that will likely be updated w local data after the Greenberg survey). I believe you have access to the housing guidebook. If not, it is here: http://www.kingcounty.gov/healthservices/health/tobacco/housing.aspx along with our other housing materials (landlord trade ads a a bus ad).
I am adding Joy Hamilton, our policy manager, to this email as well. Joy - can you do some thinking on model policies? The Pierc County policy referred to is for tobacco-free parks. 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: Tuesday, November 09, 2010 3:59 PM To: Ross-Viles, Sarah Cc: Melissa Simpson; Erika Peterson Subject: Resources for GMMB
Hi Sarah,
I wanted to flag the resources weve requested of the Tobacco Program to make resource transmission easy for you. We are working on developing an FTP site exclusive to CPPW one that ensures only our CPPW team at GMMB can access the files placed on the site. In the meantime, if any of the files are small enough to be sent via email or yousendit.com, wed appreciate the following background materials: Data on Tobacco Usage in PHSKC PHSKC Approved Key Messaging Documents as they Relate to the Tobacco Program and/or your tobacco policy
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priorities Any model bills speaking to your policy priorities that PHSKC plans to make available to CPPW cities [Searching for Tacoma Pierce County bill, as it relates to Youth Access, but are there others?]
Thanks so much for your help with this, Roz

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"Pearson, Anne" "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> 11/21/2010 6:36:43 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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"David R. Hutchinson" <mayord@ci.lake-forest-park.wa.us> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/22/2010 6:50:39 PM 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.
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"Hamilton, Joy" "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> 11/22/2010 7:06:00 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
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.
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"Pajimula, Fel" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/22/2010 5:02:18 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: Sarah,
"Hamilton, Joy" "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> 11/22/2010 4:02:00 PM RE:
I'm likely going to be here all day -- easier to have Patrick pick me up than to take the bus (which will only take me to the base of QA). I need some more guidance on which of my projects I should be setting up on Clarizen. I've already entered the BOH e-cigs work. Since I'm not working from a SOW -- Its not as clear. For example, I could enter a project on flavored, another on preemption etc but they are similar work so they might make sense to go together... I could also enter things by CAP objective and use the milestones. Just not totally clear on what is most useful. Joy
-----Original Message----From: Ross-Viles, Sarah Sent: Monday, November 22, 2010 10:25 AM To: Hamilton, Joy; Ryan, Molly; Brawley, Karen; Moreno, Emma; Greto, Lindsey Subject: Hi folksI am waiting at home for the insulation team, ironically enough, but I wanted to get in touch with everyone about weather and safety today. Snow is looking on and off throughout the day with a heavy patch in the early afternoon. If you are concerned about the safety of your commute home and want to get out there while it's light out and before a rush starts, you have a few options. First, you can teleconmute. If you are going to work from home - please send me mail with what projects you will be working on and the best way to reach you. Second, you can use vacation hours. If you want to talk these through or have questions- you can reach me at 206 661 4103 or by email. Thanks, all. Let me know your plans. Sarah
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From: "Ross-Viles, Sarah" To: Rosalind.Sciammas@gmmb.com "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 11/22/2010 1:34:11 PM Subject: Re: Resources for GMMB
Yes- this sort of information is what we would like to put in the Ed Network site. There is probably another round of polishing before it goes up. Sarah
From: Rosalind Sciammas [mailto:Rosalind.Sciammas@gmmb.com] Sent: Friday, November 19, 2010 05:14 PM To: Hamilton, Joy; Ross-Viles, Sarah Cc: Melissa Simpson <Melissa.Simpson@gmmb.com>; Erika Peterson <Erika.Peterson@gmmb.com> Subject: RE: Resources for GMMB
These are excellent resources for us and our potential partners. Thanks Joy.
Sarah, is this something you plan to make available on The Education Networks Ning web site too? Were working on how t repurpose these materials as media tools and resources for policy makers and other potential CPPW partners/organizers. I understand that you guys are still finalizing the model bill PHSKC is proposing for smoke-free parks and whether there wil be a clause forbidding e-cigs. Joy is getting back to me on this. Thanks again for sending these materials our way so quickly, Roz
From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Friday, November 19, 2010 2:31 PM To: Rosalind Sciammas; Ross-Viles, Sarah Cc: Melissa Simpson; Erika Peterson Subject: RE: Resources for GMMB
Roz,
I'm working on getting you the model policy from Pierce County. In the meantime, here are several model policies related to housing. As you may know, the KC Board of Health passed a resolution in September in support of smoke-free multi-unit housing. The staff report for that resolution included the model policies I'v attached here. Please let me know if there is other information or resources I can provide you with! 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: Rosalind Sciammas [mailto:Rosalind.Sciammas@gmmb.com] Sent: Tuesday, November 16, 2010 3:40 PM 8_19_2011
Page 2 To: Ross-Viles, Sarah; Hamilton, Joy Cc: Melissa Simpson; Erika Peterson Subject: RE: Resources for GMMB
Hi Sarah,
Thank you for making time to pull this information together for our use. The data has indeed been sliced in many different ways. It is helpful to see your reference maps and charts comparing King County Tobacco Use (and Physical Inactivity rates) to the 14 other most populous counties in the country.
The media will definitely be interested in background materials illustrating the disparities in King County, so well be thinki through how to make relevant information (contained in these separate PDFs) more accessible and interesting to the med We look forward to your model policy example from Pierce County thank you for your help too, Joy and the draft youth access policy from ACS later this week.
We are working with the CPPW team to finalize our approach to our Kids Meet Orbs filming project and will loop you back i once we finalize our approach. Please let me know if you need anything else. Thanks again for your time, Roz
From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Tuesday, November 16, 2010 2:41 PM To: Rosalind Sciammas; Hamilton, Joy Cc: Melissa Simpson; Erika Peterson Subject: RE: Resources for GMMB Hi Ros -
Thanks for your patience on these materials. Data that shaped the CPPW priorities is here: http://www.kingcounty.gov/healthservices/health/partnerships/cppw/kcprofile.aspx at the bottom of the page under "Tobacco." Please let me know if we need to pull it apart more. For messaging, I am attaching our parks handout (that will likely be updated w local data after the Greenberg survey). I believe you have access to the housing guidebook. If not, it is here: http://www.kingcounty.gov/healthservices/health/tobacco/housing.aspx along with our other housing materials (landlord trade ads a a bus ad).
I am adding Joy Hamilton, our policy manager, to this email as well. Joy - can you do some thinking on model policies? The Pierc County policy referred to is for tobacco-free parks. 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: Tuesday, November 09, 2010 3:59 PM To: Ross-Viles, Sarah Cc: Melissa Simpson; Erika Peterson Subject: Resources for GMMB
Hi Sarah,
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I wanted to flag the resources weve requested of the Tobacco Program to make resource transmission easy for you. We are working on developing an FTP site exclusive to CPPW one that ensures only our CPPW team at GMMB can access the files placed on the site. In the meantime, if any of the files are small enough to be sent via email or yousendit.com, wed appreciate the following background materials:
Data on Tobacco Usage in PHSKC PHSKC Approved Key Messaging Documents as they Relate to the Tobacco Program and/or your tobacco policy priorities Any model bills speaking to your policy priorities that PHSKC plans to make available to CPPW cities [Searching for Tacoma Pierce County bill, as it relates to Youth Access, but are there others?]
Thanks so much for your help with this, Roz

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"Ross-Viles, Sarah" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/22/2010 4:43:34 PM RE: Resources for GMMB
for 1. My hunch is yes - we would want to include smoking devices in the parks policies - to make enforcement easy and to follow the argument of modeling for youth. I am not sure about the polishing of policies. I remember the big one as coming up with a city policy. Checking in with John about what needs to be done sounds like the right first step (you may want to review first and see what you think is missing). Sarah ________________________________________ From: Hamilton, Joy Sent: Monday, November 22, 2010 12:22 PM To: Ross-Viles, Sarah Subject: RE: Resources for GMMB Two questions: 1. What do you think about e-cigs being in model parks language? My hunch is that its okay but wanted to check and not make sure it was part of a bigger discussion. 2. Do you want me to work on "polishing" the model housing policies? John was the point person on these so I'm happy to check with him about content or pick up the ball if polishing just means format. Thanks! ________________________________ From: Ross-Viles, Sarah Sent: Monday, November 22, 2010 9:34 AM To: 'Rosalind.Sciammas@gmmb.com'; Hamilton, Joy Cc: 'Melissa.Simpson@gmmb.com'; 'Erika.Peterson@gmmb.com' Subject: Re: Resources for GMMB Yes- this sort of information is what we would like to put in the Ed Network site. There is probably another round of polishing before it goes up. Sarah From: Rosalind Sciammas [mailto:Rosalind.Sciammas@gmmb.com] Sent: Friday, November 19, 2010 05:14 PM To: Hamilton, Joy; Ross-Viles, Sarah Cc: Melissa Simpson ; Erika Peterson Subject: RE: Resources for GMMB These are excellent resources for us and our potential partners. Thanks Joy. Sarah, is this something you plan to make available on The Education Networks Ning web site too? Were working on how to repurpose these materials as media tools and resources for policy makers and other potential CPPW partners/organizers. I understand that you guys are still finalizing the model bill PHSKC is proposing for smoke-free parks and whether there will be a clause forbidding e-cigs. Joy is getting back to me on this.
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Thanks again for sending these materials our way so quickly, Roz From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Friday, November 19, 2010 2:31 PM To: Rosalind Sciammas; Ross-Viles, Sarah Cc: Melissa Simpson; Erika Peterson Subject: RE: Resources for GMMB Roz, I'm working on getting you the model policy from Pierce County. In the meantime, here are several model policies related to housing. As you may know, the KC Board of Health passed a resolution in September in support of smoke-free multi-unit housing. The staff report for that resolution included the model policies I've attached here. Please let me know if there is other information or resources I can provide you with!
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: Rosalind Sciammas [mailto:Rosalind.Sciammas@gmmb.com] Sent: Tuesday, November 16, 2010 3:40 PM To: Ross-Viles, Sarah; Hamilton, Joy Cc: Melissa Simpson; Erika Peterson Subject: RE: Resources for GMMB Hi Sarah, Thank you for making time to pull this information together for our use. The data has indeed been sliced in many different ways. It is helpful to see your reference maps and charts comparing King County Tobacco Use (and Physical Inactivity rates) to the 14 other most populous counties in the country. The media will definitely be interested in background materials illustrating the disparities in King County, so well be thinking through how to make relevant information (contained in these separate PDFs) more accessible and interesting to the media. We look forward to your model policy example from Pierce County thank you for your help too, Joy and the draft youth access policy from ACS later this week. We are working with the CPPW team to finalize our approach to our Kids Meet Orbs filming project and will loop you back in once we finalize our approach. Please let me know if you need anything else. Thanks again for your time, Roz
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From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Tuesday, November 16, 2010 2:41 PM To: Rosalind Sciammas; Hamilton, Joy Cc: Melissa Simpson; Erika Peterson Subject: RE: Resources for GMMB Hi Ros Thanks for your patience on these materials. Data that shaped the CPPW priorities is here: http://www.kingcounty.gov/healthservices/health/partnerships/cppw/kcprofile.aspx at the bottom of the page under "Tobacco." Please let me know if we need to pull it apart more. For messaging, I am attaching our parks handout (that will likely be updated with local data after the Greenberg survey). I believe you have access to the housing guidebook. If not, it is here: http://www.kingcounty.gov/healthservices/health/tobacco/housing.aspx along with our other housing materials (landlord trade ads and a bus ad). I am adding Joy Hamilton, our policy manager, to this email as well. Joy - can you do some thinking on model policies? The Pierce County policy referred to is for tobacco-free parks. 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: Tuesday, November 09, 2010 3:59 PM To: Ross-Viles, Sarah Cc: Melissa Simpson; Erika Peterson Subject: Resources for GMMB Hi Sarah, I wanted to flag the resources weve requested of the Tobacco Program to make resource transmission easy for you. We are working on developing an FTP site exclusive to CPPW one that ensures only our CPPW team at GMMB can access the files placed on the site. In the meantime, if any of the files are small enough to be sent via email or yousendit.com, wed appreciate the following background materials:
Data on Tobacco Usage in PHSKC PHSKC Approved Key Messaging Documents as they Relate to the Tobacco Program and/or your tobacco policy priorities Any model bills speaking to your policy priorities that PHSKC plans to make available to CPPW cities [Searching for Tacoma Pierce County bill, as it relates to Youth Access, but are there others?]
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Thanks so much for your help with this, Roz Rosalind Sciammas Vice President 206.352.8598 | office +gmmb cause the effect Confidentiality Notice: This email and all attachments are intended solely for the named person or entity to which it is addressed and contains information that may be privileged, confidential or copyrighted under applicable law. Any review, distribution, dissemination or copying of this email or the information herein by anyone other than the intended recipient, or an agent responsible for delivering the message to the intended recipient, is strictly prohibited. If you have received this email in error, please immediately notify the sender or contact the offices of GMMB Inc. at 202572-2818.
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"Hamilton, Joy" "Ritzen, Bruce" <Bruce.Ritzen@kingcounty.gov> 11/22/2010 6:00:00 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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"Hamilton, Joy" "Wood, Maria" <Maria.Wood@kingcounty.gov> 11/22/2010 5:52:00 PM FW: Revised E-cigarette regulation E-cigarette regulation(11 21 10).doc
>______________________________________________ >From: Johnson, Gareth >Sent: Monday, November 22, 2010 1:37 PM >To: Pearson, Anne; Neal, Scott; Hamilton, Joy >Cc: Smith, Roxi >Subject: FW: Revised E-cigarette regulation > >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
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>Fax 206-296-6544 > > >______________________________________________ >From: Pearson, Anne >Sent: Sunday, November 21, 2010 2:37 PM >To: Johnson, Gareth >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.
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> >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. > >Please let me know if you have any questions or concerns. > >-Anne > >
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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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"Hamilton, Joy" "Ritzen, Bruce" <Bruce.Ritzen@kingcounty.gov> 11/22/2010 6:09:00 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. Im glad to review the draft rule; Im sorry, but I dont know whats required of the public notice and cannot help you with that. Whats 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
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>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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"Hamilton, Joy" "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> 11/22/2010 5:46:00 PM RE: Revised E-cigarette regulation
Am going to send this to Bruce now unless we should wait to hear back from Cynthia Joy >_____________________________________________ >From: Johnson, Gareth >Sent: Monday, November 22, 2010 1:37 PM >To: Pearson, Anne; Neal, Scott; Hamilton, Joy >Cc: Smith, Roxi >Subject: FW: Revised E-cigarette regulation > >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
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>Ph. 206-263-8185 >Fax 206-296-6544 > > >______________________________________________ >From: Pearson, Anne >Sent: Sunday, November 21, 2010 2:37 PM >To: Johnson, Gareth >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
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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. > >Please let me know if you have any questions or concerns. > >-Anne > > << File: E-cigarette regulation(11 21 10).doc >>
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"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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"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.
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From: To: Date: Subject: Send it
"Johnson, Gareth" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/22/2010 5:54:31 PM RE: Revised E-cigarette regulation
> _____________________________________________ > From: Hamilton, Joy > Sent: Monday, November 22, 2010 1:47 PM > To: Johnson, Gareth > Subject: RE: Revised E-cigarette regulation > > Am going to send this to Bruce now unless we should wait to hear back from Cynthia > > Joy > > _____________________________________________ > From: Johnson, Gareth > Sent: Monday, November 22, 2010 1:37 PM > To: Pearson, Anne; Neal, Scott; Hamilton, Joy > Cc: Smith, Roxi > Subject: FW: Revised E-cigarette regulation > > 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.
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> > 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 > 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
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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. > > Please let me know if you have any questions or concerns. > > -Anne > > << File: E-cigarette regulation(11 21 10).doc >>
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"Pearson, Anne" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/22/2010 7:53:31 PM RE: Revised E-cigarette regulation
Tomorrow is fine. ________________________________________ From: Hamilton, Joy Sent: Monday, November 22, 2010 2:11 PM To: Pearson, Anne Cc: Neal, Scott Subject: 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. Im glad to review the draft rule; Im sorry, but I dont know whats required of the public notice and cannot help you with that. Whats 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.
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I have also attached the public notice document (that will be published in the Seattle Times) for your review as well.
8_19_2011
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"Hamilton, Joy" "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> 11/22/2010 8:07:00 PM RE: tomorrow
Sounds like the best use of my time too. I'll check in tomorrow am. On a side-note, Lindsey had a particularly scary bus ride already. Her bus driver didn't know that they didn't switch the express lanes today and entered and headed toward oncoming traffic. They got off safely but she said it was pretty scary!
From: Ross-Viles, Sarah Sent: Monday, November 22, 2010 4:05 PM To: Hamilton, Joy Subject: Re: tomorrow
Sounds like you have a bunch to do at home. Safety is first. Since ice looks like the problem for the AM, you could plan to do a couple hours at home first thing and see how the roads are and if there are busses. Sound like a plan?
From: Hamilton, Joy Sent: Monday, November 22, 2010 03:56 PM To: Ross-Viles, Sarah Subject: RE: tomorrow
I've put a bunch of documents on my desktop and will take work home. Thinking it might be a great day to churn out drafts of much-needed one pagers: preemption, flavored, Tobacco Prevention Program and start my e-cig staff report. What is the process for deciding in the morning if I should try to come in?
Proactive thinking is the parrot on Pirate Safety's shoulder! Preparing for a telecommute tomorrow is a good idea. The weather is supposed to be clearer but colder tomorrow.
From: Hamilton, Joy Sent: Monday, November 22, 2010 02:48 PM To: Ross-Viles, Sarah Subject: tomorrow
Sarah, Just checking in about tomorrow. If the roads are really bad -- should I still try to come in? I can take my laptop home with me so that I could work at home just in case. Chances are that I can get a ride with Patrick but just wanted to think proactively. Joy
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"Hamilton, Joy" "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> 11/22/2010 7:56:00 PM RE: tomorrow
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"Ross-Viles, Sarah" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/22/2010 8:04:59 PM Re: tomorrow
Sounds like you have a bunch to do at home. Safety is first. Since ice looks like the problem for the AM, you could plan to do a couple hours at home first thing and see how the roads are and if there are busses. Sound like a plan?
From: Hamilton, Joy Sent: Monday, November 22, 2010 03:56 PM To: Ross-Viles, Sarah Subject: RE: tomorrow
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Hi Maggie,
Our compliance and contracts had some issues with this draft and our taking the opportunity to craft their own draft, which I will forward when I obtain it. 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: Mahoney, Maggie [mailto:maggie.mahoney@wmitchell.edu] 8_19_2011
Page 2 Sent: Tuesday, November 16, 2010 3:05 PM To: Ross-Viles, Sarah Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Great, thanks Sarah. I will put together a letter that copies the language of the contract and send it to you for review. A December 1 start date sounds good, and I look forward to wrapping up the contracting process, as I know you do, too! In the meantime, I accepted the changes in the draft scope of work, with one exception. I thought, based on our exchange from last week, that we werent going to allocate time to particular time periods so that we had flexibility throughout the remaining 15 months, since it would be hard to predict the ebb and flow of work. If that is still okay with you, I deleted the table in the draft scope of work because it just allocated funding over the life of the project and replaced it with a simple paragraph explaining that well invoice you and youll pay us, as the contract says, that our fee is $175 per hour, up to a maximum of $25,000 total. Ive attached it for your review. After I did that, I opened the budget document and see that the template had a lot of stuff that doesnt apply to this contract (e.g., supplies, fringe benefits, etc.). I simplified it to match the content that is in the scope of work. Ive attached it for your review. Please let me know how those two things look and, as I said, Ill draft a letter to match the contract language concerning the conflict issue. Thanks! Maggie Mahoney Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org
From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Tuesday, November 16, 2010 2:59 PM To: Mahoney, Maggie Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Hi Maggie - I have the go-ahead that the letter can copy the language of the contract. I do not think it needs to contain much more than that. Thus, it looks like we are in the home stretch. Are you able to put that together to have in hand while we process the contract? The changes to the scope of work look fine to me, I made changes to the budget as discussed. I put December 1 as a start date. A contractor can begin work they will bill for as soon as we have an agreed upon scope of work. I chose the 1st to allow time to put the decision-making safeguards in place. I do know we will want your help in December in preparing for the leg session. Does this work for you? I am also attaching the template we use for contract budgets. I was not sure if you had other expenses besides the hourly fee. Please populate this template as part of the contract. If you need any assistance, Lauren Holt (cc'd above) is an ace. We will start processing the contract - getting Department and County approval - when we finalize these pieces. I will work on the safeguards. Thanks for bearing with us, Sarah 8_19_2011
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From: Schaibley, David [mailto:David.Schaibley@wmitchell.edu] Sent: Monday, November 15, 2010 12:59 PM To: Pearson, Anne 8_19_2011
Page 4 Cc: Armstrong, Kate; Cork, Kerry; Mahoney, Maggie; Blanke, Doug Subject: R/A WA: TCLC Input on Draft E-Cigarette Regulation
From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Thursday, November 11, 2010 8:41 AM To: Schaibley, David; Mahoney, Maggie Subject: RE: Draft E-cigarette regulation We would like to send a draft to our Prosecuting Attorneys Office by Monday or Tuesday of next week. If we could 8_19_2011
Page 5 incorporate your comments before sending, that would be ideal. But if that's too tight, we can still fold in your comments after we send it to her. Thanks!
______________________________________________________ This email has been scanned for all viruses. ______________________________________________________ This email has been scanned for all viruses. ______________________________________________________ This email has been scanned for all viruses. ______________________________________________________ This email has been scanned for all viruses. ______________________________________________________ This email has been scanned for all viruses. ______________________________________________________
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This email has been scanned for all viruses.
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From: "Hamilton, Joy" To: Date: 11/23/2010 5:20:49 PM Subject: RE: Revised E-cigarette regulation ______ Anne, Once you've made the final edits -- please send to me and Maria. One of us will then send this on to the King County Clerk's office. Thanks, Joy __________________________________ From: Ritzen, Bruce Sent: Monday, November 22, 2010 3:07 PM To: Hamilton, Joy Cc: Pearson, Anne; Neal, Scott; Johnson, Gareth; Wood, Maria; Noris, Anne Subject: RE: Revised E-cigarette regulation 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.
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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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"Hamilton, Joy" "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> 11/24/2010 5:28:59 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
FYI -- R& R sent to clerk's office! ________________________________________ 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 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 5:25:55 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: "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: Attachments: Hi Joy and Maria,
"Pearson, Anne" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/24/2010 4:20:51 PM E-cigarette revision E-cigarette regulation(11 24 10).doc
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
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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: "Hamilton, Joy" To: "Moreno, Emma" <Emma.Moreno@kingcounty.gov> "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> Date: 11/24/2010 5:44:52 PM Subject: e-cigs and your grantees Lindsey and Emma, Just wanted to touch base with you really quickly about the upcoming e-cigs BOH work. Long story short, I don't have a total green light yet that this is going to happen at the December meeting. We have a meeting next Wednesday and I will know more after that meeting (its with the Prosecuting Attorney who has been on vacation). Once all systems are go -- I will plan to send you a formal request to work with your grantees. I will also provide you with some talking points/facts about e-cigs etc. Let me know if you have any questions, Joy
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From: To: Date: Subject: Fel,
"Hamilton, Joy" "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> 11/24/2010 3:57:14 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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"Hamilton, Joy" "Leon-Guerrero, Michael" <Michael.Leon-Guerrero@kingcounty.gov> 11/24/2010 8:11:01 PM RE: question elec.vapor cigarettes
Its a great question -- and one we should respond to. I'll draft something Monday. We will be publishing the proposed regs in Wednesday's paper (Dec 1) BUT we have one more hoop to jump through before I want to talk about the proposed regs publicly -Happy Thanksgiving. Joy ________________________________________ From: Leon-Guerrero, Michael Sent: Wednesday, November 24, 2010 4:08 PM To: Hamilton, Joy Subject: FW: question elec.vapor cigarettes Joy I think I left you off this original discussion - any thoughts? (see below) ________________________________ 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 non-smoking 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
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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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"Leon-Guerrero, Michael" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/24/2010 8:15:25 PM RE: question elec.vapor cigarettes
Thanks! Wow that will be great to get them a response that quickly. They had such a tough time with some of their customers but really were cooperative in the end, so want to support these guys. -----Original Message----From: Hamilton, Joy Sent: Wednesday, November 24, 2010 4:11 PM To: Leon-Guerrero, Michael Subject: RE: question elec.vapor cigarettes Its a great question -- and one we should respond to. I'll draft something Monday. We will be publishing the proposed regs in Wednesday's paper (Dec 1) BUT we have one more hoop to jump through before I want to talk about the proposed regs publicly -Happy Thanksgiving. Joy ________________________________________ From: Leon-Guerrero, Michael Sent: Wednesday, November 24, 2010 4:08 PM To: Hamilton, Joy Subject: FW: question elec.vapor cigarettes Joy I think I left you off this original discussion - any thoughts? (see below) ________________________________ 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
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non-smoking 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
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"Leon-Guerrero, Michael" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/24/2010 8:08:02 PM FW: question elec.vapor cigarettes
Joy I think I left you off this original discussion - any thoughts? (see below)
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
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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 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 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 12:17:42 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
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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: "Hamilton, Joy" To: "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> Date: 11/29/2010 7:09:00 PM Subject: E-Cigarette Proposal jmh.doc Attachments: E-Cigarette Proposal jmh.doc Here's the e-cigs proposal that was shared with the BOH Tobacco Policy Committee (updated slightly to reflect new language).
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From: To: Date: Subject: Christopher,
"Hamilton, Joy" "Zilar, Christopher" <CZilar@spokanecounty.org> 11/29/2010 6:56:00 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
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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> "Ryan, Molly" <Molly.Ryan@kingcounty.gov> "Zemann, Paul" <Paul.Zemann@kingcounty.gov> Date: 11/29/2010 6:28:04 PM Subject: RE: January 2011 winter newsletter Hey everyone, Just a quick reminder that newsletter articles are due in one week - 12/06/2010 (except BOH stuff). Let me know if anyone is having a tough time!
_____________________________________________ 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). Lindsey's 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). Molly's 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) Joy's section * Everyone: If you would like to include a picture or image with your article, Mike usually helps out with the artistic
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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 everyone's articles is DECEMBER 6th, except for Joy's 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!
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"Hamilton, Joy" "Neal, Scott" <Scott.Neal@kingcounty.gov> 11/30/2010 2:02:00 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 > >
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Joy,
"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 11/30/2010 7:26:09 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
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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
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.
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"Hamilton, Joy" mayordave@cityoflfp.com 12/1/2010 8:24:00 PM 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: 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
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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 12:18:00 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: "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: "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 7:16:39 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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"David R. Hutchinson" <mayord@ci.lake-forest-park.wa.us> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/2/2010 12:21:44 PM 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
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: 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
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From: "Neal, Scott" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/2/2010 1:32:30 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
Please let me know if you have any further questions.

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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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"Ross-Viles, Sarah" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/2/2010 7:19:13 PM E-cig description for CPPW Update
Anything you would want to add to this paragraph in the CPPW newsletter.
Board of Health will take up e-cigarettes CPPW Tobacco prevention staff will be working with the King County Board of Health to look at the health effects of e-cigarettes, which are battery-operated devices that deliver vaporized nicotine instead of burning tobacco. These devices are currently under investigation with FDA, but they are available to buy online and at smoke shops. Will be on BOH agenda, restrict sale to adults 18 and older, prohibits free samples and blanket product restriction. Add ecigarettes to smoking in public paces code like regular cigarettes.
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"Hamilton, Joy" "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> 12/2/2010 7:34:00 PM RE: E-cig description for CPPW Update
> << OLE Object: Picture (Enhanced Metafile) >> King County Board of Health to consider electronic cigarette regulations On December 16th the King County Board of Health will be considering electronic cigarette regulations. This proposal is being brought to the board on behalf of the Tobacco Policy Committee, which is supported by CPPW Tobacco Prevention staff. Electronic cigarettes are battery-operated devices that deliver vaporized nicotine instead of burning tobacco. These products are available to buy online and at smoke shops and at mall kiosks. These devices are currently under investigation by the FDA and have not currently been approved. The BOH will consider several regulations including restricting the sale to adults 18 and older, prohibiting free samples, and prohibiting the use of these products in places where smoking is prohibited by law.
>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: "Neal, Scott" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 12/2/2010 12:15:05 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
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"Neal, Scott" "David R. Hutchinson" <mayord@ci.lake-forest-park.wa.us> 12/3/2010 3:41:53 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
Please let me know if you have any further questions. Joy Hamilton, MPH Public Health - Seattle & King County Communities Putting Prevention to Work
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Tobacco Policy and Advocacy Manager 401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov
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
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From: "Hamilton, Joy" To: "Apa, James" <James.Apa@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/3/2010 6:18:00 PM Subject: E Cigs comms planning When: Tuesday, December 07, 2010 10:00 AM-11:00 AM (GMT-08:00) Pacific Time (US & Canada). Where: RR, NCOB Floor 11 Room 1126 - Capacity 6 Note: The GMT offset above does not reflect daylight saving time adjustments. *~*~*~*~*~*~*~*~*~* Purpose of the meeting is to update e-cigs comms plans and review tasks.
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From: To: Date: Subject: Attachments: Gary,
"Hamilton, Joy" "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> 12/3/2010 12:24:00 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
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From: "Neal, Scott" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 12/3/2010 1:04:30 PM Subject: RE: E cigs staff report Thanks Anne...I 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
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"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
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"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@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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"Hamilton, Joy" "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> 12/6/2010 5:21:00 PM RE: CAP Update time - still manual
Point of Sale Objective -- Justification for Alternative Rating isn't quite right -- shouldn't say e-cigs and instead say Point of Sale for BOH vote in 6/11. Otherwise -- looks good. >_____________________________________________ >From: Ross-Viles, Sarah >Sent: Monday, December 06, 2010 12:50 PM >To: Hamilton, Joy >Subject: FW: CAP Update time - still manual >Importance: High > >Hi Joy - I forgot to put a date on the email below. Can you let me know by COB today is anything is off track since the last update? > >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: Ross-Viles, Sarah >Sent: Monday, November 29, 2010 9:54 AM >To: Greto, Lindsey; Hamilton, Joy; Moreno, Emma >Subject: CAP Update time - still manual > >Hi Folks, > >Please work off of this CAP - . Please let me know of any milestones that are off-track, or anything changes you see to future milestones. > >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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"Hamilton, Joy" "Wood, Maria" <Maria.Wood@kingcounty.gov> 12/6/2010 3:51:00 PM E Cig staff report BOH Regulation E-cigarette FINAL sent 11-23-2010.doc ALL Exhibits.pdf E-cig staff report FINAL 12.6.10.doc
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.
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"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 > > >
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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
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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?
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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: 12/6/2010 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?
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"Hamilton, Joy" "Zilar, Christopher" <CZilar@spokanecounty.org> 12/6/2010 3:35:00 PM RE: E-cigarettes compliance
Christopher, These meeting minutes should be sufficient. I'll let you know if we do need anything more. Thanks, 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

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,
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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 5:08:00 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?
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

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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.
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.
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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: 12/7/2010 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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"Neal, Scott" "Johnson, Gareth" <Gareth.Johnson@kingcounty.gov> 12/7/2010 5:03:43 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: "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.
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
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: "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: "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 8:16:58 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.
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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"Mr.Bill Godshall" <godshall@globalink.org> e-cigs@globalink.org 12/7/2010 9:53:26 PM E-cig safety best ensured by FDA regulation as tobacco product
E-cigarettes discussions by Mr. Bill Godshall

Per Simon's inquiry, e-cigarette cartridges are quite difficult to open, and there are many other products on the market (that Simon, Stan or others haven't advocated banning) that can be more easily put into someone else's drink if the goal is to harm/poison the person. An e-cigarette cartridge listed as 16mg nicotine actually contains 16mg/ml of nicotine. But since each e-cigarette cartridge contains less than one ml of total liquid, a 16mg nicotine e-cigarette cartridge actually contains less than 16mg of nicotine. An e-cigarette cartridge (or e-liquid) containing 16mg/ml of nicotine is equivalent to about 1.6% nicotine, while an e-cigarette cartridge (or e-liquid) containing 24mg/ml of nicotine is equivalent to about 2.4% nicotine (although similar to alcohol levels in beer, wine and liquor, there are some differences if/when measured by volume or by weight). But cigarettes and smokeless tobacco products pose a far greater chance (than do e-cigarettes or eliquid) of poisoning children since one tobacco cigarette contains 15-25mg of nicotine, since some smokeless tobacco products contain even higher amounts of nicotine, and since far far more cigarettes and smokeless tobacco products are consumed than are e-cigarettes. People (especially children) are more likely to be harmed by sticking multiple nicotine patches on their skin (as occurred in the spoof movie "Thank You For Smoking"), or by swallowing several pieces of nicotine gum or lozenges, than by breaking, removing and consuming the contents of a an e-cigarette cartridge. And yet (despite claims by Greg Connolly et al), I'm not aware that children are dying (or are being seriously harmed) by swallowing cigarettes or smokeless tobacco products. Brad Rodu wrote an excellent objective analysis of this issue at http://rodutobaccotruth.blogspot.com/2010/04/poisoning-publi... in response to the Connolly et al fearmonger paper alleging that American children are being poisoned by smokeless tobacco products at http://pediatrics.aappublications.org/cgi/content/abstract/p... In the Tobacco Control article posted by Stan today at http://tobaccocontrol.bmj.com/content/early/2010/10/22/tc.20... Trtchounian and Talbot found several valid quality control issues involving e-cigarette products than could have been addressed during the past 18 months (as I've repeatedly advocated) if the US FDA had simply classified and/or promulgated reasonable regulations for e-cigarettes as tobacco products under the FSPTCA (which now appears to be the only regulatory option of the FDA). But instead of objectively reporting and evaluating quality control issues involving e-cigarettes, Trtchounian and Talbot misrepresented their own findings and wrote a fear mongering conclusion "Design flaws 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."
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and issued a fear mongering press release entitled "Electronic Cigarettes Are Unsafe and Pose Health Risks, UC Riverside Study Finds" http://newsroom.ucr.edu/news_item.html?action=page&id=2506 In contrast to the irresponsible claims that e-cigarettes contain enough nicotine to harm/poison/kill a person, the only two published studies on nicotine delivery of e-cigarettes at http://www.healthnz.co.nz/2010%20Bullen%20ECig.pdf and http://www.e-cigaretteforum.com/forum/e-cigarette-news/1082... both found that e-cigarettes emit significantly less nicotine than cigarettes, indicating that e-cigarettes may not contain/emit enough nicotine to create addiction. And while Trtchounian and Talbot acknowledged (in the full text of their paper) one of these studies (by Eissenberg) by stating: "In a preliminary study involving humans, ENDS unexpectedly failed to elevate nicotine levels in the blood of smokers, calling into question their usefulness as nicotine delivery devices," the authors failed to acknowledge that both of those studies and two other published surveys found that e-cigarettes can be effective in reducing cravings of smokers at http://www.biomedcentral.com/content/pdf/1471-2458-10-231.pd... and at http://tobaccoharmreduction.org/thr2010yearbook.htm (chapter 9). Regardless, e-cigarette prohibition is not only the LEAST effective way to ensure or improve quality control for e-cigarette products, its also the most effective way to discourage e-cigarette companies from addressing and improving quality control. In contrast, reasonable and responsible FDA regulation of e-cigarettes as tobacco products is the most effective way to ensure quality control for e-cigarette products. Mike Siegel and Carl Phillips have posted excellent commentaries about the Trtchounian and Talbot paper and press release at: http://tobaccoanalysis.blogspot.com/2010/12/new-science-by-p... http://tobaccoanalysis.blogspot.com/2010/12/due-to-flawed-co... http://smokles.wordpress.com/2010/12/06/university-of-califo... Mike also posted an excellent commentary about the US Court of Appeals decision on e-cigarettes against the FDA http://tobaccoanalysis.blogspot.com/2010/12/appeals-court-up... Bill Godshall Executive Director Smokefree Pennsylvania 1926 Monongahela Avenue Pittsburgh PA 15218 412-351-5880 smokefree@compuserve.com
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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"Ms.Spike Babaian" <babaian@globalink.org> e-cigs@globalink.org 12/7/2010 7:58:21 PM E-cigarette Lethal dose
E-cigarettes discussions by Ms. Spike Babaian

Most e-cigarette refill cartridges are sealed with silicone stoppers that close the exposed end. The cartridges do not contain loose liquid. They contain a spongy polyfil material which holds the liquid.
Cartridges sold by some companies are sold in childproof containers (seen here http://www.ecigjudge.com/wp-content/uploads/njoy_cigarettes_...) and are sealed in plastic wrappers. Some are covered with the silicone stoppers I mentioned above.(pictured here http://www.calora.co.za/images/npro-cartridge01.jpg)
These cartridges contain a small cup with the sponge inside (the piece which is usually inside the tube is on the left in this image and you can see the polyfil sponge sticking out) (http://images.sabob.com/products/images/1/NJOY_NPRO_Men_High...)
As far as spiking a drink, there are far better things to poison someone with... rat poison, drain cleaner, etc
The liquids are measures in mg/ml. The typical high nicotine Smoking Everywhere cartridges do not contain 1ml of liquid, but .6 or .7 ml of liquid so even a 16 mg cartridge will only contain 9-10 mg of nicotine.
If a person or child were to swallow a cartridge for an e-cigarette, the rubber stopper would have to come out during the process of digestion or be pulled out prior to being swallowed. The cup holding the sponge which has the nicotine would have to somehow fall out of the tube which holds it and the sponge would need to touch the inside of the persons digestive tract in a place where absorption of the nicotine was likely (intestines, rectum).
----- Original message ----To: E-cigarettes discussions Date: Tue, 07 Dec 2010 00:00:00 +0100
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Subject: Re: E-Cig safety

Can anyone advise me on the following two issues that I have been asked about by journalists.
Can e-cig refill cartridge be easily opened and the nicotine therein used for nefarious purposes such as spiking a drink? Is the nicotine inside in liquid form? I see that up to 16mg versions are available (http://www.smokingeverywhere.com/cartridges.php) The lethal dose of nicotine in adults is 30-60mg (meaning that just two cartridges might prove fatal if ingested) and that in children 10mg (http://www.inchem.org/documents/pims/chemical/nicotine.htm#DivisionTitle:7.2.1.1 Adults)
Are the cartridges child-proof? What would happen if a child swallowed one?
Simon Chapman PhD FASSA Professor & Director of Research Fellow, University Senate Sydney School of Public Health A27 University of Sydney NSW 2006, AUSTRALIA ph:(+61-2) 9351 5203; mobile:0438 340 304 email: simon.chapman@sydney.edu.au appointments: Nafisa.Alam@sydney.edu.au (02) 9036 9262 homepage:http://tobacco.health.usyd.edu.au/ Chief Investigator: The Australian Health News Research Collaboration http://www.health.usyd.edu.au/AHNRC/ Commissioning Editor for Low & Middle Income Countries:Tobacco Control: http://tc.bmjjournals.com/
New Book: Let Sleeping Dogs Lie? What men should know before being tested for prostate cancer. Sydney University Press, 2010 Orders: http://purl.library.usyd.edu.au/sup/9781920899684
From: Stan Shatenstein [mailto:shatenstein@globalink.org] Sent: Wednesday, 8 December 2010 7:04 AM To: e-cigs@globalink.org Subject: Fw: Appeals Court rules FDA cannot ban e-cigarettes as drug devices
E-cigarettes discussions by Stan Shatenstein

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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. 8_19_2011
Page 4 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
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 8_19_2011
Page 5 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.
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.

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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: 12/7/2010 10:59:36 PM 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: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Monday, November 29, 2010 2:57 PM To: Zilar, Christopher Cc: Neal, Scott 8_19_2011
Page 2 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: "Hamilton, Joy" To: "Apa, James" <James.Apa@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/7/2010 5:11:00 PM Subject: FW: E-cigarettes compliance Attachments: E-Cig Special Emphasis Project.pdf 07.15.2010 minutes.pdf James and Maria, FYI -- here's what Spokane's TPP staff sent me about their e-cigs compliance checks. Joy

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.
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From: To: Date: Subject: Attachments: Here it is...I got this from an e-cig forum
"Neal, Scott" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 12/7/2010 4:13:53 PM FDA Appeals court ruling FDA Appeals Court Decision.pdf
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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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"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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"Ross-Viles, Sarah" "Mahoney, Maggie" <maggie.mahoney@wmitchell.edu> 12/7/2010 6:25:59 PM Wrapping up Contract Seattle King County & TCLC- Scope of Work Revised 11.16.10 mm.doc TCLC- budget 12 7 10 (2).xls
Hi Maggie, While I am waiting for the letter from our contracts office, I would like to make sure we are ready to get the contract in the our system. I accepted the changes to the last revised scope, and have attached a budget with a guesstimated 3 year spread. Depending on the COI letter, we may not be able to start until January (as the scope currently says). In which case, we will change the budget. Hopefully, we will be instead changing the scope and getting your help with some items this month. So, please take a look at these documents and let me know if they look fine except for having the actual start date. When I get the draft letter I will send it right along. Hopefully you can confirm it and we can execute this one. Sound like a plan? please let me know of any questions. Thanks, Sarah From: Ross-Viles, Sarah Sent: Tuesday, November 23, 2010 2:34 PM To: 'Mahoney, Maggie' Cc: Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Hi Maggie, Our compliance and contracts had some issues with this draft and our taking the opportunity to craft their own draft, which I will forward when I obtain it. 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: Mahoney, Maggie [mailto:maggie.mahoney@wmitchell.edu] Sent: Wednesday, November 17, 2010 10:35 AM To: Ross-Viles, Sarah Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Thanks for checking on this Sarah. Ive attached a draft letter to address the conflict issue. Do you want to see whether thats sufficient? Maggie Mahoney Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 8_19_2011
Page 2 www.TCLConline.org
From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Tuesday, November 16, 2010 2:59 PM To: Mahoney, Maggie Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation 8_19_2011
Page 3 Hi Maggie - I have the go-ahead that the letter can copy the language of the contract. I do not think it needs to contain much more than that. Thus, it looks like we are in the home stretch. Are you able to put that together to have in hand while we process the contract? The changes to the scope of work look fine to me, I made changes to the budget as discussed. I put December 1 as a start date. A contractor can begin work they will bill for as soon as we have an agreed upon scope of work. I chose the 1st to allow time to put the decision-making safeguards in place. I do know we will want your help in December in preparing for the leg session. Does this work for you? I am also attaching the template we use for contract budgets. I was not sure if you had other expenses besides the hourly fee. Please populate this template as part of the contract. If you need any assistance, Lauren Holt (cc'd above) is an ace. We will start processing the contract - getting Department and County approval - when we finalize these pieces. I will work on the safeguards. Thanks for bearing with us, Sarah
From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Tuesday, November 16, 2010 10:51 AM To: Schaibley, David Cc: Armstrong, Kate; Cork, Kerry; Mahoney, Maggie; Blanke, Doug Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Many, many thanks to all of you at TCLC! I really appreciate having so many sets of wonderful eyes to review our draft 8_19_2011
Page 4 and to provide such helpful input. I am incorporating many of your comments, and will send a draft off to our county prosecutor's office this morning. This item will go to a vote by our Board of Health on December 16. I'll keep you posted on our progress. Thanks again!! 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: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Monday, November 15, 2010 10:13 AM To: Schaibley, David; Mahoney, Maggie Subject: RE: Draft E-cigarette regulation Great! 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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______________________________________________________ This email has been scanned for all viruses. ______________________________________________________ This email has been scanned for all viruses. ______________________________________________________ This email has been scanned for all viruses. ______________________________________________________ This email has been scanned for all viruses. ______________________________________________________ This email has been scanned for all viruses. ______________________________________________________ This email has been scanned for all viruses.
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From: To: Date: Subject: Attachments: Maria,
"Neal, Scott" "Wood, Maria" <Maria.Wood@kingcounty.gov> 12/8/2010 3:00:09 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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"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: "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 10:23:49 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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That all looks fine, Sarah. Thanks. Maggie Mahoney Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org
"Mahoney, Maggie" <maggie.mahoney@wmitchell.edu> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> 12/8/2010 11:47:29 AM RE: Wrapping up Contract
From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Tuesday, December 07, 2010 4:26 PM To: Mahoney, Maggie Cc: Hamilton, Joy Subject: Wrapping up Contract Hi Maggie, While I am waiting for the letter from our contracts office, I would like to make sure we are ready to get the contract in the our system. I accepted the changes to the last revised scope, and have attached a budget with a guesstimated 3 year spread. Depending on the COI letter, we may not be able to start until January (as the scope currently says). In which case, we will change the budget. Hopefully, we will be instead changing the scope and getting your help with some items this month. So, please take a look at these documents and let me know if they look fine except for having the actual start date. When I get the draft letter I will send it right along. Hopefully you can confirm it and we can execute this one. Sound like a plan? please let me know of any questions. Thanks, Sarah From: Ross-Viles, Sarah Sent: Tuesday, November 23, 2010 2:34 PM To: 'Mahoney, Maggie' Cc: Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Hi Maggie, Our compliance and contracts had some issues with this draft and our taking the opportunity to craft their own draft, which I will forward when I obtain it. 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: Mahoney, Maggie [mailto:maggie.mahoney@wmitchell.edu] Sent: Tuesday, November 16, 2010 3:05 PM To: Ross-Viles, Sarah Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Great, thanks Sarah. I will put together a letter that copies the language of the contract and send it to you for review. A December 1 start date sounds good, and I look forward to wrapping up the contracting process, as I know you do, too! In the meantime, I accepted the changes in the draft scope of work, with one exception. I thought, based on our exchange from last week, that we werent going to allocate time to particular time periods so that we had flexibility throughout the remaining 15 months, since it would be hard to predict the ebb and flow of work. If that is still okay with you, I deleted the table in the draft scope of work because it just allocated funding over the life of the project and replaced it with a simple paragraph explaining that well invoice you and youll pay us, as the contract says, that our fee is $175 per hour, up to a maximum of $25,000 total. Ive attached it for your review. After I did that, I opened the budget document and see that the template had a lot of stuff that doesnt apply to this contract (e.g., supplies, fringe benefits, etc.). I simplified it to match the content that is in the scope of work. Ive attached it for your review. Please let me know how those two things look and, as I said, Ill draft a letter to match the contract language concerning the conflict issue. Thanks! 8_19_2011
From: Mahoney, Maggie [mailto:maggie.mahoney@wmitchell.edu] Sent: Tuesday, November 16, 2010 10:16 AM To: Ross-Viles, Sarah Subject: FW: R/A WA: TCLC Input on Draft E-Cigarette Regulation Hi Sarah, This reminded me to ask you whether we should touch base on the contract. Is there anything else you need from me at this point? I have some time available this week to connect via phone, if youd like. Maggie Mahoney 8_19_2011
Page 4 Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org
David J. Schaibley |Public Health Law Center Staff Attorney, Tobacco Control Legal Consortium 651-695-7611 | Fax: 651-290-7515 david.schaibley@wmitchell.edu 875 Summit Avenue, St. Paul, Minnesota 55105 www.TCLConline.org The Tobacco Control Legal Consortium provides information and technical assistance on issues related to tobacco and public health. The Consortium does not provide legal representation or advice. This e-mail should not be considered legal advice or a substitute for obtaining legal advice from an attorney who can represent you. If you have specific legal questions, we recommend that you consult with an attorney familiar with the laws of your jurisdiction. 8_19_2011
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From: Schaibley, David [David.Schaibley@wmitchell.edu] Sent: Thursday, November 11, 2010 4:04 AM To: Pearson, Anne; Mahoney, Maggie Subject: RE: Draft E-cigarette regulation Hello Anne: Thanks for forwarding it; we'll share our thoughts. When we spoke last week you mentioned a relatively tight time frame for this effort...can you let us know when you need our input by? Enjoy your long weekend, Dave From: Pearson, Anne [Anne.Pearson@kingcounty.gov] Sent: Wednesday, November 10, 2010 6:55 PM To: Mahoney, Maggie; Schaibley, David Subject: Draft E-cigarette regulation 8_19_2011
Page 6 Hi Maggie and David, I hope you are both well. I was wondering if you might have the time to review a draft regulation restricting the sale of eproducts (attached). Our Board of Health is not proposing to go so far as to prohibit their sale entirely, but is interested in restricting their availability to youth. If you have a chance to take a look, I would love to hear your thoughts. I'll be out of the office for the rest of the week but back on Monday. All the best, Anne
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From: "Hamilton, Joy" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 12/9/2010 7:29:00 PM Subject: This upcoming 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 know 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. . 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).
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"Pearson, Anne" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/9/2010 7:45:12 PM RE: E Cigs PPT
I'm running out but will take a look tomorrow. Remind me to tell you about my visit yesterday to the e-cigarette kiosk at the Northgate mall!
_____________________________________________ From: Hamilton, Joy Sent: Thursday, December 09, 2010 3:34 PM To: Pearson, Anne Cc: Neal, Scott Subject: FW: E Cigs PPT Anne, Can you take a look at this PPT? Scott hasn't had a chance to look at it yet and he suggested that I run it by you. (on a side note, I keep the PPT really boring in format because that is what looks best on TV when the meeting is recorded) Its hard to track change in PPT so feel free to edit directly in the document or print out and hand write changes. Thanks! Joy ______________________________________________ From: Hamilton, Joy Sent: Wednesday, December 08, 2010 4:28 PM To: Neal, Scott Subject: E Cigs PPT Scott, Here's my first stab at the PPT for the BOH meeting. I think it needs some more work on the middle part but I did my best to keep things high level and not get into any too specific details (because really that is what the Staff Report is for). I will work more on the FDA slide or maybe we can touch base with Anne about how much of that we need to go into. The final is due on the 14th. << File: Ecigs.ppt >> I'm also working on the email to go to our partners/grantees about this. Molly has made some edits so I'll have that for you to look at tomorrow am sometime. Joy
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"Hamilton, Joy" "Pajimula, Fel" <Fel.Pajimula@kingcounty.gov> 12/9/2010 2:00:00 PM RE: E-CIGS for BOH/Policy stuff
Awesome. Thanks. It sure is minty fresh! Just like a candy cane. >_____________________________________________ >From: Pajimula, Fel >Sent: Wednesday, December 08, 2010 6:24 PM >To: Neal, Scott; Hatzenbuehler, Eric; Hamilton, Joy >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): > > << File: xhale instructions.JPG >> > >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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"Hamilton, Joy" "Hatzenbuehler, Eric" <Eric.Hatzenbuehler@kingcounty.gov> 12/9/2010 1:58:00 PM RE: E-cigs prep
Absolutely. Thanks so much to your team for your help. Did you smell the new e-cig? Its like a candy cane! -----Original Message----From: Hatzenbuehler, Eric Sent: Thursday, December 09, 2010 9:38 AM To: Hamilton, Joy Subject: RE: E-cigs prep Joy, Re: your request below - Fel has supplied additional photos and product. Are those good enough for moving forward with the BOH? Thanks, Eric -----Original Message----From: Hamilton, Joy Sent: Wednesday, November 24, 2010 11:57 AM To: Pajimula, Fel Cc: Neal, Scott; Hatzenbuehler, Eric Subject: RE: E-cigs prep Fel, 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
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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.
_____________________________________________ 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: Joy,
"Hatzenbuehler, Eric" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/9/2010 1:37:56 PM RE: E-cigs prep
Re: your request below - Fel has supplied additional photos and product. Are those good enough for moving forward with the BOH? Thanks, Eric -----Original Message----From: Hamilton, Joy Sent: Wednesday, November 24, 2010 11:57 AM To: Pajimula, Fel Cc: Neal, Scott; Hatzenbuehler, Eric Subject: RE: E-cigs prep Fel, 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.
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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.
_____________________________________________ 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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"Hamilton, Joy" "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> 12/9/2010 4:59:00 PM How about this?
At the December 16th King County Board of Health meeting, the board will be considering regulations related to electronic cigarettes. 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. For more information, please see the staff report . Also on the agenda will be 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. Dr. David Fleming, the director of Public Health Seattle-King County will also give his annual report. There is an opportunity to make a public comment about the proposed regulations and resolution. 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).
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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: "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 6:59:00 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 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, 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. 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 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 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. >
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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 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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"Hamilton, Joy" "Apa, James" <James.Apa@kingcounty.gov> 12/10/2010 5:15:00 PM RE: Board of Health approves blueprint for a healthy King County
Here's Bud's contact info. He likely has a cell phone too but I don't have that -- Maria might. Bud Nicola, MD, MHSA, FACPM CDC Field Assignee, Office for State, Tribal, Local, and Territorial Support Affiliate Professor, University of Washington School of Public Health and Community Medicine, Department of Health Services Faculty, Northwest Center for Public Health Practice Box 357660 Room H681 Seattle, Washington 98195-7660 (206) 221-6179 bnicola@u.washington.edu
>_____________________________________________ >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: "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 5:12:00 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: "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
_____________________________________________ 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: "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 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. * 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"
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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, 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
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* Recruiting and coordinating testimony from local partners - program working on it
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
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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 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: "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 6:02:42 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 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 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.
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* 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
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."
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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 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. 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, 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,

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-James
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
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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 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: "Hamilton, Joy" To: Date: 12/10/2010 4:58:00 PM Subject: Board of Health meeting When: Thursday, December 16, 2010 9:30 AM-11:30 AM (GMT-08:00) Pacific Time (US & Canada). Where: 10th floor, King County Courthouse Note: The GMT offset above does not reflect daylight saving time adjustments. *~*~*~*~*~*~*~*~*~* Next Thursday, December 16th, the King County Board of Health will have its monthly meeting. The agenda for the meeting includes several items of interest: 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.
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"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.
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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
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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 [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
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From: To: Date: Subject: FYI -- this was sent out yesterday.
"Hamilton, Joy" "Wood, Maria" <Maria.Wood@kingcounty.gov> 12/10/2010 5:00:00 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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"Soo Hoo, Wendy" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/13/2010 4:32:21 PM Re: (No subject)
Thanks joy. Any idea if there's been any backlash? Sent from a mobile. ----- Reply message ----From: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: Mon, Dec 13, 2010 11:58 am Subject: To: "Soo Hoo, Wendy" <Wendy.SooHoo@kingcounty.gov> Cc: "Wood, Maria" <Maria.Wood@kingcounty.gov> Here is the list compiled by Tobacco Free Kids of jurisdictions that have E-cigs policies. 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 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
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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 Nicola> '> s talking with Vanessa at the P-I today, and I> '> m 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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"Pearson, Anne" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/13/2010 2:00:18 PM also....
We might be able to use the recent surgeon general's report here. We know that in places where e-cigarette use occurs, people have smoked tobacco. (I believe that someone on our investigation team has observed this at Quest, and we should get that fact into the record.) Given the immediate health implications of exposure to SHS, as documented in the new report, even limited tobacco use in public raises concerns. 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: "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 8:37:00 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
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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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"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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"Ross, Kathryn" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/13/2010 8:41:18 PM RE: Board of Health approves blueprint for a healthy King County
Thank you! I've done a draft that's w/ James right now, but I might beef it up based on the information you provided for the Keith Seinfeld interview. I'll send it to you early tomorrow - does that work for you? -----Original Message----From: Hamilton, Joy Sent: Monday, December 13, 2010 4:38 PM To: Ross, Kathryn; Neal, Scott; Apa, James; Wood, Maria Cc: Ross-Viles, Sarah 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! ________________________________________
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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. * 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
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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 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?
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Thanks, -James
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:
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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. 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: "Wood, Maria" <Maria.Wood@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 12/13/2010 4:15:00 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 Joy!
"Annie Tegen" <annie.tegen@no-smoke.org> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/13/2010 6:44:47 PM Re: E-cigs and smoke free air
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 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:
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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: To: Date: Subject: Hi Annie,
"Hamilton, Joy" annie.tegen@no-smoke.org 12/13/2010 5:02:00 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 6:53:00 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:

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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 7:55:00 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
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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
Hi Maria, Next week should work. Happy to help. Bud

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bnicola@uw.edu via Blackberry

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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 7:25:00 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?
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
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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: 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
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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
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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 8:00:38 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
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Page 2 Can youth under 18 purchase regulated nicotine products, like Nicorette? If so, is this a double standard?
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
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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
We don't have solid evidence because these products are so new to the market. 8_19_2011
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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
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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: 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?
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
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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: 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
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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: 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
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"Mr.Bill Godshall" <godshall@globalink.org> e-cigs@globalink.org 12/13/2010 4:17:34 PM nicotine toxicity, inconsistent claims by e-cigarette opponents

Following up on Simon's inquiry about potential safety risks of excessive nicotine exposure (in which he questioned a 16mg/ml e-cigarette, and cited a document entitled "Nicotine" http://www.inchem.org/documents/pims/chemical/nicotine.htm stating that 10mg of nicotine is a fatal dose for a child and that 30-60mg of nicotine is considered a fatal dose for adults), that same document also stated "Transdermal patches deliver 5 to 30 mg nicotine over 24 hours". I also just saw a 2mg nicotine NRT patch (at my grocery store yesterday) that claimed on the package "delivers 14 mg of nicotine over 24 hours". My first question is how were these so-called "lethal doses" of nicotine for children and adults determined (as its unethical to do a study to determine how much nicotine is lethal in humans, and because it appears that many children and adults have been exposed to significantly greater levels of nicotine without dying and without serious or even non serious side effects)? Secondly, has Simon (or other critics of e-cigarettes) similarly called for bans on NRT because those products (when used exactly as intended and as approved by regulatory agenices) emit enough nicotine to kill a child? Also, has Tobacco Control ever published an article claiming that touching or wearing a skin patch was a safety hazard that could cause cancer (as it recently did about touching a drop or two of ecigarette liquid)? While I agree with Simon that firearms pose serious safety risks, his attempt to equate e-cigarettes with gun safety is yet another attempt to scare readers by grossly exaggerating the risks of e-cigarettes. If Simon truly believes that he represents the best interests of consumers in this discussion, perhaps he can provide the name of just one e-cigarette consumer who agrees with him, and perhaps he can explain how e-cigarette prohibition protects or otherwise benefits e-cigarette consumers. In contrast, I can provide names of hundreds of e-cigarette consumers who adamantly oppose Simon's prohibitionist policies and disdain his rhetoric. I can also say with certainty that prohibition policies make it impossible to reasonably regulate any product.
Bill Godshall
----- Original message ----To: E-cigarettes discussions Date: Wed, 08 Dec 2010 00:00:00 +0100
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Subject: Re: RE: E-cig safety best ensured by FDA regulation as tobacco product
Ive had a few private posts from people saying that they are in fact quite easy to open. Given Bill & Spikes unbridled enthusiasm for e-cigs it would be helpful if people less committed might weigh in could anyone try to open one & report how easy it is?
Of course they are many ways to spike drinks, but many of the adulterants that are or could be used are sometimes hard to come by (eg: illicit, or require out-of-the-way purchasing). E-cartridges are highly accessible, portable
Im unaware of children dying from ingesting butts (Ive not heard of kids eating whole cigarettes, let alone plenty of them at a sitting) and butts at worst tend to cause little harm (my sister-in-law has headed Australias on-line poisons information 24/7/365 line for 30 years and tells me that calls on butt swallowing are common, but shes never come across any serious health consequence in 30 years). But swallowing a small cartridge with 16mg of straight nicotine in it could be very serious if the nicotine ruptured from the cartridge or the kid was able to chew the opening off easily. Ive seen what my 10 month old granddaughter can do various objects.
I find it hard to imagine an infant (who tend to swallow foreign objects) being able to paste NRT patches all over their body. And they would have to swallow at least 4X 4mg NRT gum pellets to get to the equivalent of one ruptured e-cig capsule. And if Bill can paint a scenario about kids swallowing numbers of gum pellets, others can obviously paint similar scenarios about infants swallowing multiple ecartridges x 16mg.
Simon
From: Mr. Bill Godshall [mailto:godshall@globalink.org] Sent: Wednesday, 8 December 2010 12:53 PM To: e-cigs@globalink.org Subject: E-cig safety best ensured by FDA regulation as tobacco product

Per Simon's inquiry, e-cigarette cartridges are quite difficult to open, and there are many other products on the market (that Simon, Stan or others haven't advocated banning) that can be more easily put into someone else's drink if the goal is to harm/poison the person. An e-cigarette cartridge listed as 16mg nicotine actually contains 16mg/ml of nicotine. But since each e-cigarette cartridge contains less than one ml of total liquid, a 16mg nicotine e-cigarette cartridge actually contains less than 16mg of nicotine. An e-cigarette cartridge (or e-liquid) containing 16mg/ml of nicotine is equivalent to about 1.6% nicotine, while an e-cigarette cartridge (or e-liquid) containing 24mg/ml of nicotine is equivalent to about 2.4% nicotine (although similar to alcohol levels in beer, wine and liquor, there are some differences if/when measured by volume or by weight).
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But cigarettes and smokeless tobacco products pose a far greater chance (than do e-cigarettes or eliquid) of poisoning children since one tobacco cigarette contains 15-25mg of nicotine, since some smokeless tobacco products contain even higher amounts of nicotine, and since far far more cigarettes and smokeless tobacco products are consumed than are e-cigarettes. People (especially children) are more likely to be harmed by sticking multiple nicotine patches on their skin (as occurred in the spoof movie "Thank You For Smoking"), or by swallowing several pieces of nicotine gum or lozenges, than by breaking, removing and consuming the contents of a an e-cigarette cartridge. And yet (despite claims by Greg Connolly et al), I'm not aware that children are dying (or are being seriously harmed) by swallowing cigarettes or smokeless tobacco products. Brad Rodu wrote an excellent objective analysis of this issue at http://rodutobaccotruth.blogspot.com/2010/04/poisoning-publi... in response to the Connolly et al fearmonger paper alleging that American children are being poisoned by smokeless tobacco products at http://pediatrics.aappublications.org/cgi/content/abstract/p... In the Tobacco Control article posted by Stan today at http://tobaccocontrol.bmj.com/content/early/2010/10/22/tc.20... Trtchounian and Talbot found several valid quality control issues involving e-cigarette products than could have been addressed during the past 18 months (as I've repeatedly advocated) if the US FDA had simply classified and/or promulgated reasonable regulations for e-cigarettes as tobacco products under the FSPTCA (which now appears to be the only regulatory option of the FDA). But instead of objectively reporting and evaluating quality control issues involving e-cigarettes, Trtchounian and Talbot misrepresented their own findings and wrote a fear mongering conclusion "Design flaws 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." and issued a fear mongering press release entitled "Electronic Cigarettes Are Unsafe and Pose Health Risks, UC Riverside Study Finds" http://newsroom.ucr.edu/news_item.html?action=page&id=25... In contrast to the irresponsible claims that e-cigarettes contain enough nicotine to harm/poison/kill a person, the only two published studies on nicotine delivery of e-cigarettes at http://www.healthnz.co.nz/2010%20Bullen%20ECig.pdf and http://www.e-cigaretteforum.com/forum/e-cigarette-news/1082... both found that e-cigarettes emit significantly less nicotine than cigarettes, indicating that e-cigarettes may not contain/emit enough nicotine to create addiction. And while Trtchounian and Talbot acknowledged (in the full text of their paper) one of these studies (by Eissenberg) by stating: "In a preliminary study involving humans, ENDS unexpectedly failed to elevate nicotine levels in the blood of smokers, calling into question their usefulness as nicotine delivery devices," the authors failed to acknowledge that both of those studies and two other published surveys found that e-cigarettes can be effective in reducing cravings of smokers at http://www.biomedcentral.com/content/pdf/1471-2458-10-231.pd... and at http://tobaccoharmreduction.org/thr2010yearbook.htm (chapter 9). Regardless, e-cigarette prohibition is not only the LEAST effective way to ensure or improve quality control for e-cigarette products, its also the most effective way to discourage e-cigarette companies from addressing and improving quality control.
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In contrast, reasonable and responsible FDA regulation of e-cigarettes as tobacco products is the most effective way to ensure quality control for e-cigarette products. Mike Siegel and Carl Phillips have posted excellent commentaries about the Trtchounian and Talbot paper and press release at: http://tobaccoanalysis.blogspot.com/2010/12/new-science-by-p... http://tobaccoanalysis.blogspot.com/2010/12/due-to-flawed-co... http://smokles.wordpress.com/2010/12/06/university-of-califo... Mike also posted an excellent commentary about the US Court of Appeals decision on e-cigarettes against the FDA http://tobaccoanalysis.blogspot.com/2010/12/appeals-court-up... Bill Godshall Executive Director Smokefree Pennsylvania 1926 Monongahela Avenue Pittsburgh PA 15218 412-351-5880 smokefree@compuserve.com

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"Hatzenbuehler, Eric" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/13/2010 4:22:53 PM Qwest Inspections QuestField_E-Cig_09212010.pdf QwestField_E-cig_11072010.pdf
Joy, Two inspections noted e-cig use. The one from Sept. is definitely more compelling and very much in alignment with the rationale that permitted use can lead to exposure to secondhand smoke. It was amazing to watch. The second one from Nov. is just an FYI since e-cigs were mentioned. Let me know if you need anything else, Eric
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From: "Wood, Maria" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 12/13/2010 4:33:37 PM Subject: RE: Qwest Inspections
I'll not share, but good for me to have seen.
From: Pearson, Anne Sent: Monday, December 13, 2010 12:32 PM To: Hamilton, Joy; Wood, Maria Subject: RE: Qwest Inspections Lets discuss these before sharing with others. 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: Hamilton, Joy Sent: Monday, December 13, 2010 12:29 PM To: Pearson, Anne; Wood, Maria Subject: FW: Qwest Inspections
FYI.
From: Hatzenbuehler, Eric Sent: Monday, December 13, 2010 12:23 PM To: Hamilton, Joy Subject: Qwest Inspections Joy, Two inspections noted e-cig use. The one from Sept. is definitely more compelling and very much in alignment with the rationale that permitted use can lead to exposure to secondhand smoke. It was amazing to watch. The second one from Nov. is just an FYI since e-cigs were mentioned. Let me know if you need anything else, Eric
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From: "Hamilton, Joy" To: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> "Wood, Maria" <Maria.Wood@kingcounty.gov> Date: 12/13/2010 4:28:00 PM Subject: FW: Qwest Inspections Attachments: QuestField_E-Cig_09212010.pdf QwestField_E-cig_11072010.pdf FYI.
From: Hatzenbuehler, Eric Sent: Monday, December 13, 2010 12:23 PM To: Hamilton, Joy Subject: Qwest Inspections Joy, Two inspections noted e-cig use. The one from Sept. is definitely more compelling and very much in alignment with the rationale that permitted use can lead to exposure to secondhand smoke. It was amazing to watch. The second one from Nov. is just an FYI since e-cigs were mentioned. Let me know if you need anything else, Eric
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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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"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/14/2010 4:51:48 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
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
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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 6:02:38 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: yep.
"Hamilton, Joy" "Bates, Amy" <Amy.Bates@kingcounty.gov> 12/14/2010 5:06:00 PM RE: E cigarettes article in news...
There have been a bunch of articles and media (radio). Hope you feel better!
From: Bates, Amy Sent: Tuesday, December 14, 2010 12:08 PM To: Hamilton, Joy; Ross-Viles, Sarah; Wysen, Kirsten Cc: Kellogg, Ryan Subject: E cigarettes article in news... I am sure that you already saw this article, but I thought I would send it just in case. Amy http://www.mynorthwest.com/category/local_news_articles/20101214/King-County-wants-to-ban-electronic-cigarettes/
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"Hamilton, Joy" "Annie Tegen" <annie.tegen@no-smoke.org> 12/14/2010 5:09:00 PM RE: E-cigs and smoke free air States with E-Cig Restrictions.doc
Annie, Anne Pearson got a list from Erik Lindblom, general counsel at TFK. She knows him from when she worked in New York. Joy
From: Annie Tegen [mailto:annie.tegen@no-smoke.org] Sent: Tuesday, December 14, 2010 11:50 AM To: Hamilton, Joy Subject: RE: E-cigs and smoke free air
Sure, I'd love to see their list, too. Who from TFK are you working with? I'd love to connect. At 11:08 AM 12/14/2010, you wrote: Annie, Thanks again for your help yesterday. May I share this list with other people? TFK put together a list of jurisdictions who have done e-cig policies and this would be helpful for them to add to their current list. 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
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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 e-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 8_19_2011
Page 3 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
Are you a member of ANR? If not, please join us today. Our work depends on members like you! 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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"Hamilton, Joy" "Annie Tegen" <annie.tegen@no-smoke.org> 12/14/2010 3:08:00 PM RE: E-cigs and smoke free air
Annie, Thanks again for your help yesterday. May I share this list with other people? TFK put together a list of jurisdictions who have done e-cig policies and this would be helpful for them to add to their current list. Joy
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
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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:

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"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
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:

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"Annie Tegen" <annie.tegen@no-smoke.org> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/14/2010 3:49:47 PM 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,
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including e-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:

Annie Tegen, MPH Senior Program Manager Americans for Nonsmokers' Rights
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American Nonsmokers Rights Foundation annie.tegen@no-smoke.org Phone: 206.545.7175
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"Hamilton, Joy" "Annie Tegen" <annie.tegen@no-smoke.org> 12/14/2010 5:38:00 PM RE: E-cigs and smoke free air States with E-Cig Restrictions.doc
I think I missed attaching the document...here it is. Joy
From: Annie Tegen [mailto:annie.tegen@no-smoke.org] Sent: Tuesday, December 14, 2010 1:35 PM To: Hamilton, Joy Subject: RE: E-cigs and smoke free air
Ah perfect. It would be great to see the TFK list so we could make sure together, we are catching everything. At 01:09 PM 12/14/2010, you wrote: Annie, Anne Pearson got a list from Erik Lindblom, general counsel at TFK. She knows him from when she worked in New York. Joy
From: Annie Tegen [ mailto:annie.tegen@no-smoke.org] Sent: Tuesday, December 14, 2010 11:50 AM 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:
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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 e-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.
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At 01:02 PM 12/13/2010, you wrote:

Are you a member of ANR? If not, please join us today. Our work depends on members like you! 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
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"Annie Tegen" <annie.tegen@no-smoke.org> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/14/2010 5:35:01 PM RE: E-cigs and smoke free air
Ah perfect. It would be great to see the TFK list so we could make sure together, we are catching everything. At 01:09 PM 12/14/2010, you wrote: Annie, Anne Pearson got a list from Erik Lindblom, general counsel at TFK. She knows him from when she worked in New York. Joy
From: Annie Tegen [ mailto:annie.tegen@no-smoke.org] Sent: Tuesday, December 14, 2010 11:50 AM 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):
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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 e-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. 8_19_2011
Page 3 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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"Hamilton, Joy" "Soo Hoo, Wendy" <Wendy.SooHoo@kingcounty.gov> 12/14/2010 5:17:00 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
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:

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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 1:05:28 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

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

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."
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"Hamilton, Joy" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/14/2010 8:20:00 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: "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 8:33:24 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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"Soo Hoo, Wendy" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/14/2010 3:11:43 PM RE:
Thanks, Joy Ill let you know if I get any questions from Councilmembers.
From: Hamilton, Joy Sent: Tuesday, December 14, 2010 11:11 AM To: Soo Hoo, Wendy Cc: Wood, Maria Subject: RE:
Yes. That statement is true (especially the way that its phrased with "its believed"). I spoke to staff in Suffolk County and in New Jersey a while back and our proposed regulation is more restrictive because of the sampling. Joy
From: Soo Hoo, Wendy Sent: Tuesday, December 14, 2010 11:03 AM To: Hamilton, Joy Cc: Wood, Maria Subject: RE:
Joy: The article in the P-I had the following sentence: 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. Is that true? The only piece of the proposed R&R that I dont see for any jurisdiction on that summary you sent yesterday is the sampling/coupons prohibition. Can you verify thats the primary difference between this R&R and, say, Suffolk County or New Jersey? Wendy
From: Hamilton, Joy Sent: Monday, December 13, 2010 11:58 AM To: Soo Hoo, Wendy Cc: Wood, Maria Subject:
Here is the list compiled by Tobacco Free Kids of jurisdictions that have E-cigs policies. Joy
From: Pearson, Anne Sent: Wednesday, October 06, 2010 2:53 PM To: Hamilton, Joy Subject: FW: E-cigarettes yay. this is so helpful. 8_19_2011
Page 2 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: "Pearson, Anne" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Neal, Scott" <Scott.Neal@kingcounty.gov> Date: 12/14/2010 6:08:45 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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"Ross, Kathryn" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/14/2010 2:28:20 PM Tough Questions 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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"Hamilton, Joy" "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> 12/14/2010 7:12:00 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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"Hamilton, Joy" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/14/2010 8:18:00 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: "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 12:42:29 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
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
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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
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
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"Hamilton, Joy" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 12/15/2010 5:01:10 PM RE: e-cig
http://www.vapersforum.com/showpost.php?p=526406&postcount=7 FYI -- I went home sick. This cold finally got the better of me. Hoping to rest up so I can be there tomorrow! Joy ________________________________________ From: Pearson, Anne Sent: Wednesday, December 15, 2010 12:56 PM To: Hamilton, Joy Subject: e-cig Can you send me the link to the vapor blog where someone agrees with our rationale? (You may have it already, but I cant find it.) Thanks! 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: "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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"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/15/2010 12:45:34 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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"Hamilton, Joy" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 12/15/2010 2:13:00 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.
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:

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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 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 > > > Joy
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"Hamilton, Joy" "Wood, Maria" <Maria.Wood@kingcounty.gov> 12/15/2010 2:40:00 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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"Hamilton, Joy" "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> 12/16/2010 7:54:00 PM RE: Clarizen
Sarah, I know I'm kind of the odd woman out on this one. A lot of my work is related to the CAP but isn't in Clarizen yet. I'm planning to prioritize the youth access campaign plan now that I'm done with e-cigs and that will eventually be put into Clarizen but, as we've seen, things change a lot and often. Should we sit down and figure this out? Joy >_____________________________________________ >From: Ross-Viles, Sarah >Sent: Monday, December 13, 2010 11:58 AM >To: Brawley, Karen; Moreno, Emma; Greto, Lindsey; Ryan, Molly >Cc: Hamilton, Joy; Holt, Lauren >Subject: Clarizen > >Hi Folks > >Thanks for all the work you have done in Clarizen to date! I have been pulling all the projects into A big Tobacco CAP project and it is really great to line all the projects up and see status in one place. If you have not finished entering your projects - please do so this week. Let me know if you need support meeting this deadline. > >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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"Ross-Viles, Sarah" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/16/2010 8:21:58 PM RE: Clarizen
Yes, let's. Want to find a time after I am back - or on the phone while I am gone? Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211
> _____________________________________________ > From: Hamilton, Joy > Sent: Thursday, December 16, 2010 3:55 PM > To: Ross-Viles, Sarah > Subject: RE: Clarizen > > Sarah, > I know I'm kind of the odd woman out on this one. A lot of my work is related to the CAP but isn't in Clarizen yet. I'm planning to prioritize the youth access campaign plan now that I'm done with e-cigs and that will eventually be put into Clarizen but, as we've seen, things change a lot and often. > > Should we sit down and figure this out? > > Joy > > _____________________________________________ > From: Ross-Viles, Sarah > Sent: Monday, December 13, 2010 11:58 AM > To: Brawley, Karen; Moreno, Emma; Greto, Lindsey; Ryan, Molly > Cc: Hamilton, Joy; Holt, Lauren > Subject: Clarizen > > Hi Folks > > Thanks for all the work you have done in Clarizen to date! I have been pulling all the projects into A big Tobacco CAP project and it is really great to line all the projects up and see status in one place. If you have not finished entering your projects - please do so this week. Let me know if you need support meeting this deadline. > > Thanks, > 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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"Hamilton, Joy" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 12/16/2010 1:00:00 PM RE: Hi -- can you send ASAP any paper related to the e-cig discussion at today's board meeting Tob Control-2011-Trtchounian-47-52.pdf
This is the only additional paper that isn't already an exhibit. and this http://www.med.umich.edu/mott/npch/pdf/091310report.pdf which we have copies of to give out if need be.
From: Pearson, Anne Sent: Thursday, December 16, 2010 8:55 AM To: Neal, Scott; Hamilton, Joy Subject: FW: Hi -- can you send ASAP any paper related to the e-cig discussion at today's board meeting Importance: High 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: "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 9:34:51 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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"Hamilton, Joy" "Pearson, Anne" <Anne.Pearson@kingcounty.gov> 12/16/2010 1:14:51 PM Re: Staff report and attachments
On my way to the meeting can't send docs.
Sent from my Verizon Wireless Phone ----- Reply message ----From: "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: Thu, Dec 16, 2010 9:07 am Subject: Staff report and attachments To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov>
Can you send directly to chrissy?
From: Hamilton, Joy Sent: Thursday, December 16, 2010 09:04 AM To: Pearson, Anne Subject: Staff report and attachments
<<ALL Exhibits.pdf>> <<E-cig staff report FINAL 12 6 10 wsh jmh.doc>>
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Hi Sarah,
"Mahoney, Maggie" <maggie.mahoney@wmitchell.edu> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> 12/16/2010 5:48:13 PM RE: Wrapping up Contract
Is there anything I can do on my end to help with this process? Just so you know, our offices are closed the last week of December, so hopefully we can wrap things up next week! Im hopeful! J Thanks, Maggie Mahoney Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org
From: Mahoney, Maggie Sent: Wednesday, December 08, 2010 9:47 AM To: 'Ross-Viles, Sarah' Cc: Hamilton, Joy Subject: RE: Wrapping up Contract That all looks fine, Sarah. Thanks. Maggie Mahoney Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org
From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Tuesday, December 07, 2010 4:26 PM To: Mahoney, Maggie Cc: Hamilton, Joy Subject: Wrapping up Contract Hi Maggie, While I am waiting for the letter from our contracts office, I would like to make sure we are ready to get the contract in the our system. I accepted the changes to the last revised scope, and have attached a budget with a guesstimated 3 year spread. Depending on the COI letter, we may not be able to start until January (as the scope currently says). In which case, we will change the budget. Hopefully, we will be instead changing the scope and getting your help with some items this month. So, please take a look at these documents and let me know if they look fine except for having the actual start date. When I get the draft letter I will send it right along. Hopefully you can confirm it and we can execute this one. 8_19_2011
Page 2 Sound like a plan? please let me know of any questions. Thanks, Sarah From: Ross-Viles, Sarah Sent: Tuesday, November 23, 2010 2:34 PM To: 'Mahoney, Maggie' Cc: Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Hi Maggie, Our compliance and contracts had some issues with this draft and our taking the opportunity to craft their own draft, which I will forward when I obtain it. 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: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Tuesday, November 16, 2010 2:59 PM To: Mahoney, Maggie Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Hi Maggie - I have the go-ahead that the letter can copy the language of the contract. I do not think it needs to contain much more than that. Thus, it looks like we are in the home stretch. Are you able to put that together to have in hand while we process the contract? The changes to the scope of work look fine to me, I made changes to the budget as discussed. I put December 1 as a start date. A contractor can begin work they will bill for as soon as we have an agreed upon scope of work. I chose the 1st to allow time to put the decision-making safeguards in place. I do know we will want your help in December in preparing for the leg session. Does this work for you? I am also attaching the template we use for contract budgets. I was not sure if you had other expenses besides the hourly fee. Please populate this template as part of the contract. If you need any assistance, Lauren Holt (cc'd above) is an ace. We will start processing the contract - getting Department and County approval - when we finalize these pieces. I will work on the safeguards.
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From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Thursday, November 11, 2010 8:41 AM To: Schaibley, David; Mahoney, Maggie 8_19_2011
Page 6 Subject: RE: Draft E-cigarette regulation We would like to send a draft to our Prosecuting Attorneys Office by Monday or Tuesday of next week. If we could incorporate your comments before sending, that would be ideal. But if that's too tight, we can still fold in your comments after we send it to her. Thanks!
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This email has been scanned for all viruses. ______________________________________________________ This email has been scanned for all viruses. ______________________________________________________ This email has been scanned for all viruses.
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"Hamilton, Joy" "Ryan, Molly" <Molly.Ryan@kingcounty.gov> 12/17/2010 12:29:00 PM RE: JPHP: E-Cigs Less Dangerous Than Traditional Cigarettes, Researcher Claims
I just sent it to you!
From: Ryan, Molly Sent: Friday, December 17, 2010 8:29 AM To: Hamilton, Joy Subject: FW: JPHP: E-Cigs Less Dangerous Than Traditional Cigarettes, Researcher Claims Seen this?
From: GLOBALink HQ [mailto:hq@globalink.org] Sent: Thursday, December 16, 2010 3:39 PM To: news.healthscs@globalink.org Subject: JPHP: E-Cigs Less Dangerous Than Traditional Cigarettes, Researcher Claims
Health & Science - 17 December 2010
E-Cigs Less Dangerous Than Traditional Cigarettes, Researcher Claims - Science Daily December 17, 2010 In a new report that bucks the concerns raised by the Food and Drug Administration, a Boston University School of Public Health (BUSPH) researcher concludes that electronic cigarettes are much safer than real cigarettes and show promise in the fight against tobacco-related diseases and death. 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
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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. The report was co-authored by Zachary Cahn, a graduate student in the Department of Political Science at UC Berkeley. Siegel, MD, has 25 years of experience in the field of tobacco control and claims no financial interest in e-cigarettes. Source:
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Electronic cigarettes as a harm reduction strategy for tobacco control: A step forward or a repeat of past mistakes? Journal of Public Health doi:10.1057/jphp.2010.41 Policy , (9 December 2010) |
Zachary Cahn and Michael Siegel http://www.palgravejournals.com/jphp/journal/vaop/ncurrent/abs/jphp201041a.html Editor's note: The PDF of this article is available. Please send your request to shatensteins@sympatico.ca and kindly remember to include the name of the full citation (study title, journal and authors' names) and your e-mail address in the body of your message.
Source: Science Daily

This NIMI article is brought to you by GLOBALink
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"Hamilton, Joy" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/17/2010 2:36:00 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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"Neal, Scott" "Krieger, James" <James.Krieger@kingcounty.gov> 12/17/2010 1:44:49 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: "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.
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: Joy,
"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/17/2010 1:10:36 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
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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.
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: "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
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,
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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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"Hamilton, Joy" "Holt, Lauren" <Lauren.Holt@kingcounty.gov> 12/17/2010 2:30:00 PM RE: Newsletter articles SG report newsletter.doc Board of Health e cig newsletter.doc
Lauren, I threw together two articles this morning -- one about e-cigs and another about the SG's report (which wasn't part of the original plan but Scott asked me to put something together). I still need to work on the article about what happens when programs loose their funding booo. That one is going to be harder to write. Can I get that to you next week? Do we have an article about the fact that we have lost funding? Or should I frame my article that way??
Joy >_____________________________________________ >From: Holt, Lauren >Sent: Tuesday, December 14, 2010 9:14 AM >To: Hamilton, Joy; Ryan, Molly >Subject: Newsletter articles > >Hey ladies, > >I took a look at the timeline for our upcoming newsletter, and since I tend to always plan for the worst Id given us a pretty padded timeframe for these originally :-) At this point I think we should be good to go if we have all the articles complete and to me by this Friday the 17th (except Joys BOH article, that one is fine being due the 27th still). Sound good? Let me know if this wont work! > > >Lauren Holt >Tobacco Prevention >Public Health - Seattle & King County >phone: 206-263-8222 > >
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From: To: Date: Subject: Hey Joy,
"Holt, Lauren" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/17/2010 7:27:29 PM RE: Newsletter articles
Thanks for sending these over, I think they look great! Sorry that you ended up having to write 3 articles this time around, this one will be the "Joy Hamilton Newsletter" :-) I checked with Scott about the 3rd article and he would like to include at least a mention of the fact that Washington is facing similar cuts to ones that we might discuss when talking about what happens when other places get cut. So maybe mentioning somewhere at the beginning or end that this is particularly relevant due to Washington eliminating tobacco prevention throughout the state, or something like that. So don't need to really get into it, but still something to get brought up...
_____________________________________________ From: Hamilton, Joy Sent: Friday, December 17, 2010 10:31 AM To: Holt, Lauren Subject: RE: Newsletter articles Lauren, I threw together two articles this morning -- one about e-cigs and another about the SG's report (which wasn't part of the original plan but Scott asked me to put something together). I still need to work on the article about what happens when programs loose their funding... booo.... That one is going to be harder to write. Can I get that to you next week? Do we have an article about the fact that we have lost funding? Or should I frame my article that way?? << File: SG report newsletter.doc >> << File: Board of Health e cig newsletter.doc >> Joy _____________________________________________ From: Holt, Lauren Sent: Tuesday, December 14, 2010 9:14 AM To: Hamilton, Joy; Ryan, Molly Subject: Newsletter articles Hey ladies, I took a look at the timeline for our upcoming newsletter, and since I tend to always plan for the worst I'd given us a pretty padded timeframe for these originally :-) At this point I think we should be good to go if we have all the articles complete and to me by this Friday the 17th (except Joy's BOH article, that one is fine being due the 27th still). Sound good? Let me know if this won't work!
Lauren Holt Tobacco Prevention

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Public Health - Seattle & King County phone: 206-263-8222
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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 8:51:55 PM Subject: Healthy King County Newsletter
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
Forward email Email Marketing by This email was sent to kathryn.ross@kingcounty.gov by kathryn.ross@kingcounty.gov. Update Profile/Email Address | Instant removal with SafeUnsubscribe | Privacy Policy. 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 Joy,
"Ross, Kathryn" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/20/2010 11:16:17 PM partners email
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
8_19_2011
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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: "Neal, Scott" To: "Wood, Maria" <Maria.Wood@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> Date: 12/21/2010 6:44:19 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.
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?
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.
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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"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/21/2010 1:44:46 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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"Hamilton, Joy" "Neal, Scott" <Scott.Neal@kingcounty.gov> 12/21/2010 12:55:00 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
8_19_2011
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From: To: Date: Subject: Attachments: Hi Joy,
"Neal, Scott" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/21/2010 5:44:57 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: "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 S pokane 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
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From: "Hamilton, Joy" To: "Ryan, Molly" <Molly.Ryan@kingcounty.gov> "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> Date: 12/21/2010 12:31:00 PM Subject: FW: Unpaid Intern BOOO >______________________________________________ >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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Hi Sarah,
"Mahoney, Maggie" <maggie.mahoney@wmitchell.edu> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> 12/21/2010 8:04:11 PM RE: Wrapping up Contract
I just thought Id check in and let you know that we are working on figuring out our projects for the new year. Itd be helpful to know whether youve got some ideas of what you might like us to work on first, and the general timeframe for the first few projects. Thanks in advance for any info you can provide! Maggie Mahoney Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org
From: Mahoney, Maggie Sent: Thursday, December 16, 2010 3:48 PM To: 'Ross-Viles, Sarah' Cc: 'Hamilton, Joy' Subject: RE: Wrapping up Contract Hi Sarah, Is there anything I can do on my end to help with this process? Just so you know, our offices are closed the last week of December, so hopefully we can wrap things up next week! Im hopeful! J Thanks, Maggie Mahoney Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org
From: Mahoney, Maggie Sent: Wednesday, December 08, 2010 9:47 AM To: 'Ross-Viles, Sarah' Cc: Hamilton, Joy Subject: RE: Wrapping up Contract That all looks fine, Sarah. Thanks. Maggie Mahoney Deputy Director 8_19_2011
Page 2 Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org
From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Tuesday, December 07, 2010 4:26 PM To: Mahoney, Maggie Cc: Hamilton, Joy Subject: Wrapping up Contract Hi Maggie, While I am waiting for the letter from our contracts office, I would like to make sure we are ready to get the contract in the our system. I accepted the changes to the last revised scope, and have attached a budget with a guesstimated 3 year spread. Depending on the COI letter, we may not be able to start until January (as the scope currently says). In which case, we will change the budget. Hopefully, we will be instead changing the scope and getting your help with some items this month. So, please take a look at these documents and let me know if they look fine except for having the actual start date. When I get the draft letter I will send it right along. Hopefully you can confirm it and we can execute this one. Sound like a plan? please let me know of any questions. Thanks, Sarah From: Ross-Viles, Sarah Sent: Tuesday, November 23, 2010 2:34 PM To: 'Mahoney, Maggie' Cc: Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Hi Maggie, Our compliance and contracts had some issues with this draft and our taking the opportunity to craft their own draft, which I will forward when I obtain it. 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: Mahoney, Maggie [mailto:maggie.mahoney@wmitchell.edu] Sent: Wednesday, November 17, 2010 10:35 AM To: Ross-Viles, Sarah Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Thanks for checking on this Sarah. Ive attached a draft letter to address the conflict issue. Do you want to see whether thats sufficient? 8_19_2011
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Page 5 From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Tuesday, November 16, 2010 10:51 AM To: Schaibley, David Cc: Armstrong, Kate; Cork, Kerry; Mahoney, Maggie; Blanke, Doug Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Many, many thanks to all of you at TCLC! I really appreciate having so many sets of wonderful eyes to review our draft and to provide such helpful input. I am incorporating many of your comments, and will send a draft off to our county prosecutor's office this morning. This item will go to a vote by our Board of Health on December 16. I'll keep you posted on our progress. Thanks again!! 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: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Monday, November 15, 2010 10:13 AM To: Schaibley, David; Mahoney, Maggie Subject: RE: Draft E-cigarette regulation Great! Thanks so much.
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Page 6 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: Schaibley, David [David.Schaibley@wmitchell.edu] Sent: Thursday, November 11, 2010 4:04 AM To: Pearson, Anne; Mahoney, Maggie Subject: RE: Draft E-cigarette regulation Hello Anne: Thanks for forwarding it; we'll share our thoughts. When we spoke last week you mentioned a relatively tight time frame for this effort...can you let us know when you need our input by? Enjoy your long weekend, Dave From: Pearson, Anne [Anne.Pearson@kingcounty.gov] Sent: Wednesday, November 10, 2010 6:55 PM To: Mahoney, Maggie; Schaibley, David Subject: Draft E-cigarette regulation Hi Maggie and David, I hope you are both well. I was wondering if you might have the time to review a draft regulation restricting the sale of eproducts (attached). Our Board of Health is not proposing to go so far as to prohibit their sale entirely, but is interested in restricting their availability to youth. If you have a chance to take a look, I would love to hear your thoughts. I'll be out of the office for the rest of the week but back on Monday. All the best, 8_19_2011
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From: To: Date: Subject: Attachments: James,
"Hamilton, Joy" "Apa, James" <James.Apa@kingcounty.gov> 12/22/2010 1:49:00 PM FW: Electronic Cigarettes policy debrief Electronic Cigarette policy debrief sn (2).doc
I hope that you had a nice few days away from work. Just wanted to check in with you and see if you had any additional thoughts/comments you wanted to add to the discussion of how the e-cigs policy process went. I'm especially interested in ways that we can work to improve the process the next time around. Feel free to call me if that is easier than email. Thanks, Joy >______________________________________________ >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. > > > >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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"GLOBALink HQ" <hq@globalink.org> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/22/2010 6:02:41 AM GLOBALink NIMI Index - Wednesday 22 December 2010
News & Information Monitoring Initiative - Index Wednesday 22 December 2010 Sonja Johnston
Cessation JCCP: Motivational interviewing may not be an ideal treatment choice for smoking-cessation N&TR: Quitting menthol cigarettes may be harder for some smokers Health & Science US: California Launches New Anti-Smoking Campaign Pain: Smoking may worsen pain for cancer patients Industry & Products US: R.J. Reynolds Pulls Smokeless Tobacco Line From Test Markets Lawsuits US: MA: Cigarette verdict may be felt across US
The Boston Globe NASDAQ Convenience Store News NBC EurekAlert! The Medical News
EurekAlert!
US Judge Questions Applying Landmark Ruling To British American Tobacco US: DC: FDA Files New Appeal in E-Cigarette Lawsuit Legislation & Politics Scotland: Call for more action to cut smoking
Herald Scotland The Wall Street Journal
Romania: 4 charged in Romania over euro44 million tax evasion Secondhand Smoke
http://www.businessweek.com/ap/financialnews/D9K7N6E01.htm
Cyprus: Our View: Is smoking ban really to blame for falling club revenues?
Cyprus Mail Detroit Free Press
US: Michigan smoking ban linked to lower liquor, lottery sales? Too early to tell, state says EU: Lighting up in style: the gentleman's smoking room is back NBER: Do Smoking Bans Lead to More Fires?
PhysOrg
The New York Times The Toronto Star
Spains smoky bars poised for extinction as parliament votes on anti-smoking law Smuggling Hong Kong: Smuggled smokes fear as groups plead for break on tobacco tax
The Standard
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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 6:28:00 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: To: Date: Subject: FYI
"Hamilton, Joy" "Wood, Maria" <Maria.Wood@kingcounty.gov> 12/22/2010 6:28:00 PM FW: Joe McDermott
>______________________________________________ >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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"Mulroy, Marie" <mmulroy@breathenh.org> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/22/2010 1:47:59 PM RE: Media Release: Board of Health approves electronic cigarette regulations
Congratulations. That's awesome. Happy to help. Have a great holiday.
From: Hamilton, Joy [Joy.Hamilton@kingcounty.gov] Sent: Wednesday, December 22, 2010 12:40 PM To: Mulroy, Marie Subject: FW: Media Release: Board of Health approves electronic cigarette regulations Marie, Greetings and happy holidays. Thanks again for your help leading up to King County's electronic cigarette policy vote -- it passed unanimously! The press release is below. 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

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
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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 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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"Hamilton, Joy" "Zilar, Christopher" <CZilar@spokanecounty.org> 12/22/2010 1:43:00 PM FW: Media Release: Board of Health approves electronic cigarette regulations
Christopher, Greetings and happy holidays. You have likely already heard this news but just in case you didn't -- I'm passing it on. Thanks for your help leading up to this. 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

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.
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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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"Hamilton, Joy" "Mulroy, Marie" <mmulroy@breathenh.org> 12/22/2010 1:40:00 PM FW: Media Release: Board of Health approves electronic cigarette regulations
Marie, Greetings and happy holidays. Thanks again for your help leading up to King County's electronic cigarette policy vote -- it passed unanimously! The press release is below. 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

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
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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: Marita,
"Hamilton, Joy" marita@nalboh.org 12/22/2010 1:35:00 PM FW: Media Release: Board of Health approves electronic cigarette regulations
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

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
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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 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: Ben,
"Hamilton, Joy" "Ben Wood" <bwood@northamptonma.gov> 12/22/2010 1:46:00 PM FW: Media Release: Board of Health approves electronic cigarette regulations
Greetings and happy holidays. Just wanted to pass on the good news that King County's Board of Health passed e-cig regulations. 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

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
8_19_2011
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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: Attachments: Lauren,
"Hamilton, Joy" "Holt, Lauren" <Lauren.Holt@kingcounty.gov> 12/22/2010 6:12:00 PM RE: Newsletter articles Tobacco Prevention Programs Work.doc
Here's what I put together for my article. I borrowed pretty heavily from this TFK factsheet (http://www.tobaccofreekids.org/research/factsheets/pdf/0270.pdf ). I I think you can say something in the byline of the newsletter article like "adapted from TFK" so that I'm not plagiarizing.
LINDSEY, could you take a look at this (if you have time) to? I'd love to have a few people edit and, right now, its a bit too long. Thanks ladies, Joy
>_____________________________________________ >From: Holt, Lauren >Sent: Friday, December 17, 2010 3:27 PM >To: Hamilton, Joy >Subject: RE: Newsletter articles > >Hey Joy, > >Thanks for sending these over, I think they look great! Sorry that you ended up having to write 3 articles this time around, this one will be the Joy Hamilton Newsletter :-) >I checked with Scott about the 3rd article and he would like to include at least a mention of the fact that Washington is facing similar cuts to ones that we might discuss when talking about what happens when other places get cut. So maybe mentioning somewhere at the beginning or end that this is particularly relevant due to Washington eliminating tobacco prevention throughout the state, or something like that. So dont need to really get into it, but still something to get brought up > > >_____________________________________________ >From: Hamilton, Joy >Sent: Friday, December 17, 2010 10:31 AM >To: Holt, Lauren >Subject: RE: Newsletter articles > >Lauren, >I threw together two articles this morning -- one about e-cigs and another about the SG's report (which wasn't part of the original plan but Scott asked me to put something together). > >I still need to work on the article about what happens when programs loose their funding booo. That one is
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going to be harder to write. Can I get that to you next week? > >Do we have an article about the fact that we have lost funding? Or should I frame my article that way?? > > << File: SG report newsletter.doc >> << File: Board of Health e cig newsletter.doc >> > >Joy > >_____________________________________________ >From: Holt, Lauren >Sent: Tuesday, December 14, 2010 9:14 AM >To: Hamilton, Joy; Ryan, Molly >Subject: Newsletter articles > >Hey ladies, > >I took a look at the timeline for our upcoming newsletter, and since I tend to always plan for the worst Id given us a pretty padded timeframe for these originally :-) At this point I think we should be good to go if we have all the articles complete and to me by this Friday the 17th (except Joys BOH article, that one is fine being due the 27th still). Sound good? Let me know if this wont work! > > >Lauren Holt >Tobacco Prevention >Public Health - Seattle & King County >phone: 206-263-8222 > >
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"Holt, Lauren" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/22/2010 6:27:23 PM RE: Newsletter articles
Thanks Joy! I was able to cut away a page and a half by making it Arial 10pt font, which I am pretty sure is what we'll be using for the newsletter. Makes me feel like I'm back in school, figuring out which font to use to make the paper look longer (or shorter in this case). Lindsey, definitely let me know if you have any additional suggestions or edits, but if you don't have time that's ok too, I think it's looking good :-) _____________________________________________ From: Hamilton, Joy Sent: Wednesday, December 22, 2010 2:13 PM To: Holt, Lauren Cc: Greto, Lindsey Subject: RE: Newsletter articles Lauren, Here's what I put together for my article. I borrowed pretty heavily from this TFK factsheet (http://www.tobaccofreekids.org/research/factsheets/pdf/0270.pdf ). I I think you can say something in the byline of the newsletter article like "adapted from TFK" so that I'm not plagiarizing. << File: Tobacco Prevention Programs Work.doc >> LINDSEY, could you take a look at this (if you have time) to? I'd love to have a few people edit and, right now, it's a bit too long. Thanks ladies, Joy
_____________________________________________ From: Holt, Lauren Sent: Friday, December 17, 2010 3:27 PM To: Hamilton, Joy Subject: RE: Newsletter articles Hey Joy, Thanks for sending these over, I think they look great! Sorry that you ended up having to write 3 articles this time around, this one will be the "Joy Hamilton Newsletter" :-) I checked with Scott about the 3rd article and he would like to include at least a mention of the fact that Washington is facing similar cuts to ones that we might discuss when talking about what happens when other places get cut. So maybe mentioning somewhere at the beginning or end that this is particularly relevant due to Washington eliminating tobacco prevention throughout the state, or something like that. So don't need to really get into it, but still something
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to get brought up...
_____________________________________________ From: Hamilton, Joy Sent: Friday, December 17, 2010 10:31 AM To: Holt, Lauren Subject: RE: Newsletter articles Lauren, I threw together two articles this morning -- one about e-cigs and another about the SG's report (which wasn't part of the original plan but Scott asked me to put something together). I still need to work on the article about what happens when programs loose their funding... booo.... That one is going to be harder to write. Can I get that to you next week? Do we have an article about the fact that we have lost funding? Or should I frame my article that way?? << File: SG report newsletter.doc >> << File: Board of Health e cig newsletter.doc >> Joy _____________________________________________ From: Holt, Lauren Sent: Tuesday, December 14, 2010 9:14 AM To: Hamilton, Joy; Ryan, Molly Subject: Newsletter articles Hey ladies, I took a look at the timeline for our upcoming newsletter, and since I tend to always plan for the worst I'd given us a pretty padded timeframe for these originally :-) At this point I think we should be good to go if we have all the articles complete and to me by this Friday the 17th (except Joy's BOH article, that one is fine being due the 27th still). Sound good? Let me know if this won't work!
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From: "Hamilton, Joy" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Holt, Lauren" <Lauren.Holt@kingcounty.gov> Date: 12/22/2010 7:02:12 PM Subject: RE: Newsletter articles Attachments: Tobacco Prevention Programs Work lg jmh.doc Here's an updated version with Lindsey's edits -- and in Arial 10 pt font!
> _____________________________________________ > From: Hamilton, Joy > Sent: Wednesday, December 22, 2010 2:13 PM > To: Holt, Lauren > Cc: Greto, Lindsey > Subject: RE: Newsletter articles > > Lauren, > > Here's what I put together for my article. I borrowed pretty heavily from this TFK factsheet (http://www.tobaccofreekids.org/research/factsheets/pdf/0270.pdf ). I > > I think you can say something in the byline of the newsletter article like "adapted from TFK" so that I'm not plagiarizing. > > << File: Tobacco Prevention Programs Work.doc >> > > LINDSEY, could you take a look at this (if you have time) to? I'd love to have a few people edit and, right now, it> '> s a bit too long. > > Thanks ladies, > Joy > > > _____________________________________________ > From: Holt, Lauren > Sent: Friday, December 17, 2010 3:27 PM > To: Hamilton, Joy > Subject: RE: Newsletter articles > > Hey Joy, > > Thanks for sending these over, I think they look great! Sorry that you ended up having to write 3 articles this time around, this one will be the > "> Joy Hamilton Newsletter> "> :-) > I checked with Scott about the 3rd article and he would like to include at least a mention of the fact that Washington is facing similar cuts to ones that we might discuss when talking about what happens when other places get cut. So maybe mentioning somewhere at the beginning or end that this is particularly relevant due to Washington eliminating tobacco prevention throughout the state, or something like that. So don> '> t need to really get into it, but still something to get brought up> ...> >
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> > _____________________________________________ > From: Hamilton, Joy > Sent: Friday, December 17, 2010 10:31 AM > To: Holt, Lauren > Subject: RE: Newsletter articles > > Lauren, > I threw together two articles this morning -- one about e-cigs and another about the SG's report (which wasn't part of the original plan but Scott asked me to put something together). > > I still need to work on the article about what happens when programs loose their funding> ...> booo> ...> . That one is going to be harder to write. Can I get that to you next week? > > Do we have an article about the fact that we have lost funding? Or should I frame my article that way?? > > << File: SG report newsletter.doc >> << File: Board of Health e cig newsletter.doc >> > > Joy > > _____________________________________________ > From: Holt, Lauren > Sent: Tuesday, December 14, 2010 9:14 AM > To: Hamilton, Joy; Ryan, Molly > Subject: Newsletter articles > > Hey ladies, > > I took a look at the timeline for our upcoming newsletter, and since I tend to always plan for the worst I> '> d given us a pretty padded timeframe for these originally :-) At this point I think we should be good to go if we have all the articles complete and to me by this Friday the 17th (except Joy> '> s BOH article, that one is fine being due the 27th still). Sound good? Let me know if this won> '> t work! > > > Lauren Holt > Tobacco Prevention > Public Health - Seattle & King County > phone: 206-263-8222 > >
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"Neal, Scott" "Wood, Maria" <Maria.Wood@kingcounty.gov> 12/22/2010 2:36:17 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
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Hi Maggie,
"Ross-Viles, Sarah" "Mahoney, Maggie" <maggie.mahoney@wmitchell.edu> 12/22/2010 2:08:10 PM RE: Wrapping up Contract
Are you able to talk on the phone this afternoon or tomorrow? Unfortunately, I have one more chapter to add to our never-ending contract story. Sarah From: Mahoney, Maggie [maggie.mahoney@wmitchell.edu] Sent: Tuesday, December 21, 2010 4:04 PM To: Ross-Viles, Sarah Cc: Hamilton, Joy Subject: RE: Wrapping up Contract Hi Sarah, I just thought Id check in and let you know that we are working on figuring out our projects for the new year. Itd be helpful to know whether youve got some ideas of what you might like us to work on first, and the general timeframe for the first few projects. Thanks in advance for any info you can provide! Maggie Mahoney Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org
From: Mahoney, Maggie Sent: Thursday, December 16, 2010 3:48 PM To: 'Ross-Viles, Sarah' Cc: 'Hamilton, Joy' Subject: RE: Wrapping up Contract Hi Sarah, Is there anything I can do on my end to help with this process? Just so you know, our offices are closed the last week of December, so hopefully we can wrap things up next week! Im hopeful! J Thanks, Maggie Mahoney Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org 8_19_2011
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From: Mahoney, Maggie Sent: Wednesday, December 08, 2010 9:47 AM To: 'Ross-Viles, Sarah' Cc: Hamilton, Joy Subject: RE: Wrapping up Contract That all looks fine, Sarah. Thanks. Maggie Mahoney Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org
From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Tuesday, December 07, 2010 4:26 PM To: Mahoney, Maggie Cc: Hamilton, Joy Subject: Wrapping up Contract Hi Maggie, While I am waiting for the letter from our contracts office, I would like to make sure we are ready to get the contract in the our system. I accepted the changes to the last revised scope, and have attached a budget with a guesstimated 3 year spread. Depending on the COI letter, we may not be able to start until January (as the scope currently says). In which case, we will change the budget. Hopefully, we will be instead changing the scope and getting your help with some items this month. So, please take a look at these documents and let me know if they look fine except for having the actual start date. When I get the draft letter I will send it right along. Hopefully you can confirm it and we can execute this one. Sound like a plan? please let me know of any questions. Thanks, Sarah From: Ross-Viles, Sarah Sent: Tuesday, November 23, 2010 2:34 PM To: 'Mahoney, Maggie' Cc: Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Hi Maggie, Our compliance and contracts had some issues with this draft and our taking the opportunity to craft their own draft, which I will forward when I obtain it. Sarah Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County 8_19_2011
Page 3 Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211
From: Mahoney, Maggie [mailto:maggie.mahoney@wmitchell.edu] Sent: Tuesday, November 16, 2010 3:05 PM To: Ross-Viles, Sarah Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Great, thanks Sarah. I will put together a letter that copies the language of the contract and send it to you for review. A December 1 start date sounds good, and I look forward to wrapping up the contracting process, as I know you do, too! In the meantime, I accepted the changes in the draft scope of work, with one exception. I thought, based on our exchange from last week, that we werent going to allocate time to particular time periods so that we had flexibility throughout the remaining 15 months, since it would be hard to predict the ebb and flow of work. If that is still okay with you, I deleted the table in the draft scope of work because it just allocated funding over the life of the project and replaced it with a simple paragraph explaining that well invoice you and youll pay us, as the contract says, that our fee is $175 per hour, up to a maximum of $25,000 total. Ive attached it for your review. After I did that, I opened the budget document and see that the template had a lot of stuff that doesnt apply to this contract (e.g., supplies, fringe benefits, etc.). I simplified it to match the content that is in the scope of work. Ive attached 8_19_2011
Page 4 it for your review. Please let me know how those two things look and, as I said, Ill draft a letter to match the contract language concerning the conflict issue. Thanks! Maggie Mahoney Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org
From: Mahoney, Maggie [mailto:maggie.mahoney@wmitchell.edu] Sent: Tuesday, November 16, 2010 10:16 AM To: Ross-Viles, Sarah Subject: FW: R/A WA: TCLC Input on Draft E-Cigarette Regulation 8_19_2011
Page 5 Hi Sarah, This reminded me to ask you whether we should touch base on the contract. Is there anything else you need from me at this point? I have some time available this week to connect via phone, if youd like. Maggie Mahoney Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org
David J. Schaibley |Public Health Law Center Staff Attorney, Tobacco Control Legal Consortium 8_19_2011
Page 6 651-695-7611 | Fax: 651-290-7515 david.schaibley@wmitchell.edu 875 Summit Avenue, St. Paul, Minnesota 55105 www.TCLConline.org The Tobacco Control Legal Consortium provides information and technical assistance on issues related to tobacco and public health. The Consortium does not provide legal representation or advice. This e-mail should not be considered legal advice or a substitute for obtaining legal advice from an attorney who can represent you. If you have specific legal questions, we recommend that you consult with an attorney familiar with the laws of your jurisdiction.
From: Schaibley, David [David.Schaibley@wmitchell.edu] Sent: Thursday, November 11, 2010 4:04 AM To: Pearson, Anne; Mahoney, Maggie Subject: RE: Draft E-cigarette regulation Hello Anne: 8_19_2011
Page 7 Thanks for forwarding it; we'll share our thoughts. When we spoke last week you mentioned a relatively tight time frame for this effort...can you let us know when you need our input by? Enjoy your long weekend, Dave From: Pearson, Anne [Anne.Pearson@kingcounty.gov] Sent: Wednesday, November 10, 2010 6:55 PM To: Mahoney, Maggie; Schaibley, David Subject: Draft E-cigarette regulation Hi Maggie and David, I hope you are both well. I was wondering if you might have the time to review a draft regulation restricting the sale of eproducts (attached). Our Board of Health is not proposing to go so far as to prohibit their sale entirely, but is interested in restricting their availability to youth. If you have a chance to take a look, I would love to hear your thoughts. I'll be out of the office for the rest of the week but back on Monday. All the best, Anne
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"Ross-Viles, Sarah" "Mahoney, Maggie" <maggie.mahoney@wmitchell.edu> 12/22/2010 5:08:18 PM RE: Wrapping up Contract
Hi Maggie- how about 11:30 CST, 12: 30 EST tomorrow? I think just the two of us will be fine for a check-in. Is 651-290-7514 the best number to reach you with? Thanks, Sarah ________________________________________ From: Mahoney, Maggie [maggie.mahoney@wmitchell.edu] Sent: Wednesday, December 22, 2010 12:39 PM To: Ross-Viles, Sarah Cc: Hamilton, Joy Subject: RE: Wrapping up Contract
Whoops! I am available from 11:30-2 and 3-4 Central tomorrow. So, that's 12:30-3 and 4-5 EST and 9:30-12 and 1-2 Paci Do any of those times work? Maggie
-----Original Message----From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Wednesday, December 22, 2010 2:22 PM To: Mahoney, Maggie Cc: Hamilton, Joy Subject: RE: Wrapping up Contract
Sorry, Maggie. I was in transit and missed this email. I am on the east coast at present - so just ahead of you. I have a call f Thanks. ________________________________________ From: Mahoney, Maggie [maggie.mahoney@wmitchell.edu] Sent: Wednesday, December 22, 2010 10:55 AM To: Ross-Viles, Sarah Cc: Hamilton, Joy Subject: RE: Wrapping up Contract Can we talk at 2:00 my time, 12:00 your time (one hour from now)? Maggie Mahoney Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu
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Tel: 651-290-7514 Fax: 651-290-7515 www.TCLConline.org
From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Wednesday, December 22, 2010 12:04 PM To: Mahoney, Maggie Cc: Hamilton, Joy Subject: RE: Wrapping up Contract Hi Maggie,
Are you able to talk on the phone this afternoon or tomorrow? Unfortunately, I have one more chapter to add to our never-en Sarah ________________________________ From: Mahoney, Maggie [maggie.mahoney@wmitchell.edu] Sent: Tuesday, December 21, 2010 4:04 PM To: Ross-Viles, Sarah Cc: Hamilton, Joy Subject: RE: Wrapping up Contract Hi Sarah,
I just thought Id check in and let you know that we are working on figuring out our projects for the new year. Itd be helpful t
Maggie Mahoney Deputy Director Tobacco Control Legal Consortium 875 Summit Avenue St. Paul, Minnesota 55105 maggie.mahoney@wmitchell.edu Tel: 651-2907514[data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAA Fax: 651-2907515[data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAA www.TCLConline.org
From: Mahoney, Maggie Sent: Thursday, December 16, 2010 3:48 PM To: 'Ross-Viles, Sarah' Cc: 'Hamilton, Joy' Subject: RE: Wrapping up Contract Hi Sarah,
Is there anything I can do on my end to help with this process? Just so you know, our offices are closed the last week of Dece
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Thanks,
From: Mahoney, Maggie Sent: Wednesday, December 08, 2010 9:47 AM To: 'Ross-Viles, Sarah' Cc: Hamilton, Joy Subject: RE: Wrapping up Contract That all looks fine, Sarah. Thanks.
From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Tuesday, December 07, 2010 4:26 PM To: Mahoney, Maggie Cc: Hamilton, Joy Subject: Wrapping up Contract Hi Maggie,
While I am waiting for the letter from our contracts office, I would like to make sure we are ready to get the contract in the ou Sound like a plan? please let me know of any questions.
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Thanks, Sarah ________________________________ From: Ross-Viles, Sarah Sent: Tuesday, November 23, 2010 2:34 PM To: 'Mahoney, Maggie' Cc: Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Hi Maggie,
Our compliance and contracts had some issues with this draft and our taking the opportunity to craft their own draft, which I w Sarah
Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 2638211[data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAA
________________________________ From: Mahoney, Maggie [mailto:maggie.mahoney@wmitchell.edu] Sent: Wednesday, November 17, 2010 10:35 AM To: Ross-Viles, Sarah Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Thanks for checking on this Sarah. Ive attached a draft letter to address the conflict issue. Do you want to see whether thats
From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Tuesday, November 16, 2010 6:19 PM To: Mahoney, Maggie Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation
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Maggie- My understanding is that budgeting into calendar years is something we must do on our end, even if we expect we m Sarah
________________________________ From: Mahoney, Maggie [mailto:maggie.mahoney@wmitchell.edu] Sent: Tuesday, November 16, 2010 3:05 PM To: Ross-Viles, Sarah Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Great, thanks Sarah. I will put together a letter that copies the language of the contract and send it to you for review. A Dece
In the meantime, I accepted the changes in the draft scope of work, with one exception. I thought, based on our exchange from
After I did that, I opened the budget document and see that the template had a lot of stuff that doesnt apply to this contract (e
Please let me know how those two things look and, as I said, Ill draft a letter to match the contract language concerning the c Thanks!
From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Tuesday, November 16, 2010 2:59 PM To: Mahoney, Maggie Cc: Sherard, Mark; Holt, Lauren; Hamilton, Joy Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation Hi Maggie - I have the go-ahead that the letter can copy the language of the contract. I do not think it needs to contain much
The changes to the scope of work look fine to me, I made changes to the budget as discussed. I put December 1 as a start dat
I am also attaching the template we use for contract budgets. I was not sure if you had other expenses besides the hourly fee.
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We will start processing the contract - getting Department and County approval - when we finalize these pieces. I will work o Thanks for bearing with us, Sarah
Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 2638211[data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAA
________________________________ From: Mahoney, Maggie [mailto:maggie.mahoney@wmitchell.edu] Sent: Tuesday, November 16, 2010 10:16 AM To: Ross-Viles, Sarah Subject: FW: R/A WA: TCLC Input on Draft E-Cigarette Regulation Hi Sarah,
This reminded me to ask you whether we should touch base on the contract. Is there anything else you need from me at this p
From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Tuesday, November 16, 2010 10:51 AM To: Schaibley, David Cc: Armstrong, Kate; Cork, Kerry; Mahoney, Maggie; Blanke, Doug Subject: RE: R/A WA: TCLC Input on Draft E-Cigarette Regulation
Many, many thanks to all of you at TCLC! I really appreciate having so many sets of wonderful eyes to review our draft and t
I am incorporating many of your comments, and will send a draft off to our county prosecutor's office this morning. This item Thanks again!!
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Anne
Anne Pearson, JD, MA Public Health - Seattle & King County 401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 2639411[data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAA anne.pearson@kingcounty.gov
________________________________ From: Schaibley, David [mailto:David.Schaibley@wmitchell.edu] Sent: Monday, November 15, 2010 12:59 PM To: Pearson, Anne Cc: Armstrong, Kate; Cork, Kerry; Mahoney, Maggie; Blanke, Doug Subject: R/A WA: TCLC Input on Draft E-Cigarette Regulation Dear Anne:
Attached please find our thoughts on Seattle/King Countys proposed e-cigarette regulation. We hope these thoughts are help Sincerely, Dave
David J. Schaibley |Public Health Law Center Staff Attorney, Tobacco Control Legal Consortium 651-6957611[data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAA | Fax: 651-2907515[data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAA david.schaibley@wmitchell.edu 875 Summit Avenue, St. Paul, Minnesota 55105 www.TCLConline.org
The Tobacco Control Legal Consortium provides information and technical assistance on issues related to tobacco and public
From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Monday, November 15, 2010 10:13 AM To: Schaibley, David; Mahoney, Maggie Subject: RE: Draft E-cigarette regulation Great! Thanks so much. Anne
Anne Pearson, JD, MA Public Health - Seattle & King County

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401 5th Avenue, Suite 900 Seattle, WA 98104 (206) 2639411[data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAA anne.pearson@kingcounty.gov
________________________________ From: Schaibley, David [mailto:David.Schaibley@wmitchell.edu] Sent: Monday, November 15, 2010 7:24 AM To: Pearson, Anne; Mahoney, Maggie Subject: RE: Draft E-cigarette regulation Hi Anne: Just a quick update to let you know that well have our input to you today. Dave From: Pearson, Anne [mailto:Anne.Pearson@kingcounty.gov] Sent: Thursday, November 11, 2010 8:41 AM To: Schaibley, David; Mahoney, Maggie Subject: RE: Draft E-cigarette regulation
We would like to send a draft to our Prosecuting Attorneys Office by Monday or Tuesday of next week. If we could incorpor Thanks! ________________________________ From: Schaibley, David [David.Schaibley@wmitchell.edu] Sent: Thursday, November 11, 2010 4:04 AM To: Pearson, Anne; Mahoney, Maggie Subject: RE: Draft E-cigarette regulation Hello Anne:
Thanks for forwarding it; we'll share our thoughts. When we spoke last week you mentioned a relatively tight time frame for th Enjoy your long weekend, Dave ________________________________ From: Pearson, Anne [Anne.Pearson@kingcounty.gov] Sent: Wednesday, November 10, 2010 6:55 PM To: Mahoney, Maggie; Schaibley, David Subject: Draft E-cigarette regulation Hi Maggie and David,
I hope you are both well. I was wondering if you might have the time to review a draft regulation restricting the sale of e-prod
If you have a chance to take a look, I would love to hear your thoughts. I'll be out of the office for the rest of the week but ba All the best, Anne
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______________________________________________________ This email has been scanned for all viruses. ______________________________________________________ This email has been scanned for all viruses. ______________________________________________________ This email has been scanned for all viruses. ______________________________________________________ This email has been scanned for all viruses. ______________________________________________________ This email has been scanned for all viruses. ______________________________________________________ This email has been scanned for all viruses. ______________________________________________________ This email has been scanned for all viruses. ______________________________________________________ This email has been scanned for all viruses. ______________________________________________________ This email has been scanned for all viruses.
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"Apa, James" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/23/2010 6:33:13 PM RE: Electronic Cigarettes policy debrief
Thanks for the recap, Joy. Yes, if you have a few moments to chat, I'd like to share a few thoughts. I'm around for the rest of the day, then off next week. _____________________________________________ From: Hamilton, Joy Sent: Wednesday, December 22, 2010 9:50 AM To: Apa, James Subject: FW: Electronic Cigarettes policy debrief James, I hope that you had a nice few days away from work. Just wanted to check in with you and see if you had any additional thoughts/comments you wanted to add to the discussion of how the e-cigs policy process went. I'm especially interested in ways that we can work to improve the process the next time around. Feel free to call me if that is easier than email. Thanks, Joy ______________________________________________ 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: "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
8_19_2011
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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 10:10:10 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: 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: "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 1:19:00 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: "Hatzenbuehler, Eric" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Bennett, John" <John.Bennett@kingcounty.gov> Date: 12/23/2010 9:01:16 PM Subject: RE: Unpaid Intern I'm concerned that we didn't communicate a clear rationale for banning e-cigs in public. And, since the vocal critics don't show any signs of becoming quieter, I'm wondering if we should put something together? Should the BOH be called on to defend their decision, this might be helpful. The rallying of partners will continue after the holidays, if might be useful to supply them with some information. Any other strategies we might consider? Thoughts? _____________________________________________ 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: "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 10:17:50 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: "Greto, Lindsey" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Pearson, Anne" <Anne.Pearson@kingcounty.gov> Date: 12/27/2010 6:09:03 PM Subject: Model policy - final look? Attachments: Model Tobacco Policy_new version 2.doc Hi ladies, I did some work to the "purpose" paragraph of the model policy. I used the CDC's tobacco free campus policy for most of the wording, along with our BOH electronic cigarette regulation. Any changes before we send it to Scott for the final ok? If you don't have time to take a look, no worries. Just let me know. Again, we're hoping that agencies customize it to their needs. So some of the language is vague - for example, if it's a hospital, they can add in "patients," or a college can add in "students and faculty." And this is just our model policy partners can take out language about the tobacco-free workday or electronic cigarettes if they choose. Thanks!
--Lindsey Greto, MPA > Tobacco Prevention Program > Public Health - Seattle & King County > Ph: (206) 263-9410 Fax: (206) 296-0177 >
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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: "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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"Marita Sommer" <marita@nalboh.org> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/28/2010 10:32:37 AM 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
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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. 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
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401 5th Ave. Suite 900 Seattle, WA 98104 (206) 263-9382 joy.hamilton@kingcounty.gov

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. 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,"
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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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"Ben Wood" <bwood@northamptonma.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 12/28/2010 12:09:10 PM RE: Media Release: Board of Health approves electronic cigarette regulations
Thanks Joy. We took the same action in October. Ben

From: Hamilton, Joy [mailto:Joy.Hamilton@kingcounty.gov] Sent: Wednesday, December 22, 2010 12:46 PM To: Ben Wood Subject: FW: Media Release: Board of Health approves electronic cigarette regulations
Ben, Greetings and happy holidays. Just wanted to pass on the good news that King County's Board of Health passed e-cig regulations. 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

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;
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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. 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: "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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"Greto, Lindsey" abigail@u.washington.edu 1/3/2011 1:55:39 PM Board of Health Contact info
Hi Abigail, Below is the list of King County Board of Health email addresses. Julia Patterson is the Chair. The others are Board members. Also, here's the e-cigarette regulation: http://mkcclegisearch.kingcounty.gov/LegislationDetail.aspx? ID=805222&GUID=BA864087-6F2D-4864-822F-E12D2E7A5401&Options=&Search= and the Board's the press release: http://www.kingcounty.gov/council/news/2010/December/JP_Ecig.aspx
And a link to the Fox News clip I referenced on Thursday: http://www.youtube.com/watch? v=8bAp0Z6wMOw&feature=BF&playnext=1&list=QL and the PI's article: http://www.seattlepi.com/local/431933_e-cig-ban.html?source=mypi?cid=xrs_rss-nd
--Lindsey Greto, MPA > Tobacco Prevention Program > Public Health - Seattle & King County > Ph: (206) 263-9410 Fax: (206) 296-0177 > > > > Julia.patterson@kingcounty.gov, kathy.lambert@kingcounty.gov, nick.licata@seattle.gov,sally.clark@seattle.gov, richard.conlin@seattle.gov, MayorDave@cityoflfp.com, benjamin.danielson@seattlechildrens.org,bnicola@u.washington.edu, , reagan.dunn@kingcounty.gov, mike.obrien@seattle.gov, dsherman@desmoineswa.gov,david.fleming@kingcounty.gov, Joe.McDermott@kingcounty.gov, AvaF@ci.issaquah.wa.us > >
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From: To: Date: Subject: Hi Annie -
"Ross-Viles, Sarah" "Ann-Gale Peterson" <apeterson@shd.snohomish.wa.gov> 1/5/2011 4:45:35 PM E-cigs
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 (206) 263-8211
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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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NALBOH <nalboh@nalboh.org> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 1/10/2011 11:33:09 AM NEWSALERT: Tobacco Use Prevention and Control-January 2011
In This Issue
Tobacco Headlines New Resources Available Boards of Health in the News NALBOH News

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
Forward email
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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 1:56:16 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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"Prevention, Tobacco" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 1/18/2011 7:25:48 PM 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 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 joy.hamilton@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
(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.
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.
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
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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"Greto, Lindsey" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 1/21/2011 4:38:23 PM RE: Electronic cigarettes
Maybe if we just send an email, saying the idea for the youth groups, with the link to the 84's site? Like, explaining that we're starting to do work with flavored products, which may prove to be something fun and interesting for the youth groups. And that there's a myriad of things that the groups could be involved in - maybe with a list of things they could do? We're going to have to spoon feed it to them if we want them involved or want them to participate in any information-gathering. --Lindsey Greto, MPA Tobacco Prevention Program Public Health - Seattle & King County Ph: (206) 263-9410 Fax: (206) 296-0177
From: Hamilton, Joy Sent: Wednesday, January 19, 2011 2:57 PM To: Greto, Lindsey Subject: FW: Electronic cigarettes
Finally found it! The testimony is about e-cigs and crosses the lobbying line, however BUT it provides a good example of what youth can do(just without the ask!!!). On the other hand, I like this resource. http://www.the84.org/do-something/activity-10-don%E2%80%99tbe-fooled-other-tobacco-products Let me know what you think will have the best response and I'll put together something to send out to Lisa and PSESD to let them know that we're working doing flavored tobacco education. Joy
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
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email: mmulroy@breathenh.org
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"Ross-Viles, Sarah" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 1/24/2011 2:37:15 PM FW: Newsletter ready for review
Hi Joy - Does the e-cig article look good to roll? From: Ross, Kathryn Sent: Tuesday, January 18, 2011 10:57 AM To: Ross, Kathryn Subject: News from Public Health - Seattle & King County

January 2011

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 Burien became the first Electronic smoking devices, commonly known as "e-cigarettes," are battery- hospital to go smoke-free as part of the University of operated devices designed to look like and to be used in the same manner Washington (UW) and the as conventional cigarettes. E-cigarettes use cartridges to deliver vaporized Washington State Hospital nicotine, the same highly addictive drug that's in tobacco. The FDA is investigating e-cigarettes, but the products are currently unregulated at the Association's (WSHA) CPPW efforts to provide safe, federal level. smoke-free environments for patients, staff and E-cigarettes have a visitors at all King County high appeal to youth. hospitals. They are sold in convenience stores and mall kiosks and come in When Highline went smokecandy flavors including free on Jan. 5, the number of hospitals in King County chocolate, vanilla and that do not have smokemint. The FDA has warned that e-cigarettes can increase nicotine addiction free campus policies shrunk among young people and may lead youth to try conventional tobacco to just nine out of 21 products. 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 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 for hospitals to use with Several other jurisdictions across the nation have created similar regulations smokers who want to quit. related to e-cigarettes but it is believed that King County's regulations are It's well-known that tobacco the most comprehensive in the nation. use adversely impacts
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medical treatment for most illnesses. A smoke-free environment protects patients, staff and visitors Students at Auburn High School (AHS) are leading the charge to create a from dangerous culture that promotes healthy eating and physical fitness in the Auburn secondhand smoke and School District and in their community. AHS's DECA Chapter, a student demonstrates a strong leadership organization for marketing and business students, recently held a commitment to health and kick-off event for their student-led health and fitness campaign to address safety. We look forward to childhood obesity. the day when all patients in King County have access to The community kick-off event was held on Dec. 13, 2010 at the Grace safe and smoke-free Community Church in Auburn. The Marketing and Education Fair included hospitals. nearly 30 interactive vendor booths and activities such as zumba, elementary student PE demo, a show by the Illaco Jump Rope Tobacco cessation ad Team, cooking demonstrations, sugar-loaded beverage education and campaign launches distribution of materials for community members to fill their "Fit Kits" in preparation of the launch of the district-wide student-focused campaign in late January.
Auburn School District commits to fit
Through CPPW funding, 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 on radio and TV from Jan. 24-Feb. 13. Online ads will continue through XXXX. Radio and online ads will run in multiple languages. The campaign is supported by King County CPPW tobacco funds and complements tobacco policy and system changes.
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.
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 youth in King County.
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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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"de la Pena, Norilyn" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 1/26/2011 6:04:15 PM FW: 10 million sweepstakes Entry Opportunity
I've received a couple of these types of ads. The one from last week was from Verizon. is e-cigs partnering with all these huge companies?
From: Publishers Clearing House by eCigarette [mailto:luke@ecigarette-offers.com] Sent: Wednesday, January 26, 2011 8:48 AM To: de la Pena, Norilyn Subject: 10 million sweepstakes Entry Opportunity
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"Apa, James" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 1/26/2011 9:40:21 PM RE: A couple of follow up from this am
Thanks, Joy. I do have access to the CPPW drive. Also, if you have a copy of the flyer that the consulting firm developed, that would be great to see as well. How did it go in Oly today? -James _____________________________________________ From: Hamilton, Joy Sent: Monday, January 24, 2011 4:29 PM To: Apa, James Subject: A couple of follow up from this am Here's the three examples of what locals can do when 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).
I've attached the latest draft of the one-pager education piece on flavored tobacco. This will be handed out at the coalition meeting tomorrow and at tobacco education day in Olympia Wednesday. Also attached is the email that was sent to partners in December about funding. There may be useful language in there for you. << File: Flavored Tobacco Fact Sheet 1.24.pub >> << File: Partners letter December.doc >> I'll work on setting up a file of key images. Do you have access to the CPPW drive? Joy
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"Ross, Kathryn" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 1/28/2011 3:15:35 PM News from Public Health - Seattle & King County

January 2011

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
8_19_2011
Page 2
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.
8_19_2011
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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.
Forward email
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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 8:27:43 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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"Greto, Lindsey" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 2/2/2011 4:13:09 PM Menthol Info
Legacy's menthol page: http://www.legacyforhealth.org/3654.aspx Legacy's comments to the FDA: http://www.legacyforhealth.org/PDF/Menthol_TPSAC_Submission_11-19-10.pdf Lorillard's menthol page: http://understandingmenthol.com/
Apparently there are menthol non cigarette products: * e-cigarettes: http://www.ecigarettesnational.com/products/SS-Choice-No.-7-Disposable-Menthol-FlavoredE%252dCigarette.html * Little cigars (Gambler): http://www.bnbtobacco.com/productdetails.aspx?iid=999960; * Little cigars (Swisher Sweets) http://www.gothamcigars.com/prodinfo.asp? number=SSLCMEN&utm_medium=shoppingengine&utm_source=googlebase - which you can also see on the Swisher Sweet site: http://www.swisher.com/web/main/map#/store/products/americasFavCigars
From my non-lawyerly reading, it looks like menthol is a flavor like any other. And in order to exempt it, a bill would have to expressly say "excluding menthol flavors" --Lindsey Greto, MPA > Tobacco Prevention Program > Public Health - Seattle & King County > Ph: (206) 263-9410 Fax: (206) 296-0177 >
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From: "Pearson, Anne" To: "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> Date: 2/2/2011 4:23:56 PM Subject: RE: Menthol Info If I recall, when I spoke with the guy from TFK about this, he said that there are a few flavors that make up the bulk of flavored OTP, and that menthol wasn't even close to the top of the list. In light of the fact that mentholated OTPs may represent such a tiny portion of the market, it didn't make sense to create a specific exemption for them, as was made for cigs which are a big part of the market. So Lindsey is right, those few mentholated OTPs that are out there would be covered (e.g. restricted) by the proposed state bill. ________________________________________ From: Hamilton, Joy Sent: Wednesday, February 02, 2011 12:18 PM To: Pearson, Anne; Ross-Viles, Sarah Subject: FW: Menthol Info FYI ______________________________________________ From: Greto, Lindsey Sent: Wednesday, February 02, 2011 12:13 PM To: Hamilton, Joy Subject: Menthol Info Legacy's menthol page: http://www.legacyforhealth.org/3654.aspx Legacy's comments to the FDA: http://www.legacyforhealth.org/PDF/Menthol_TPSAC_Submission_11-19-10.pdf Lorillard's menthol page: http://understandingmenthol.com/
Apparently there are menthol non cigarette products: e-cigarettes: http://www.ecigarettesnational.com/products/SS-Choice-No.-7-Disposable-Menthol-FlavoredE%252dCigarette.html Little cigars (Gambler): http://www.bnbtobacco.com/productdetails.aspx?iid=999960; Little cigars (Swisher Sweets) http://www.gothamcigars.com/prodinfo.asp? number=SSLCMEN&utm_medium=shoppingengine&utm_source=googlebase - which you can also see on the Swisher Sweet site: http://www.swisher.com/web/main/map#/store/products/americasFavCigars
From my non-lawyerly reading, it looks like menthol is a flavor like any other. And in order to exempt it, a bill would have to expressly say "excluding menthol flavors" --Lindsey Greto, MPA Tobacco Prevention Program Public Health - Seattle & King County Ph: (206) 263-9410 Fax: (206) 296-0177
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"Ross-Viles, Sarah" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 2/9/2011 1:38:50 PM RE: HYS revisions - answer a few quick questions before I send
Thanks for compiling, Joy. Given the policy that we are doing, it would be good to keep bidis and cloves to see if use changes. The numbers aren't low - 10th graders is like 6-10%. For instance, it is much higher than chew. Keeping hookah is priority 1. For these questions rotating off form B, we should find out if they are one form A, and if the sample there is robust enough to give us comparable data to past surveys. I think leaving menthol in is fine, but I would like a separate menthol question you have below. The question adds are terrific. What is our priority on them - dissolvable, menthols, e-cigs, blunts? It's all so good! Sarah
> _____________________________________________ > From: Hamilton, Joy > Sent: Tuesday, February 08, 2011 3:11 PM > To: Ross-Viles, Sarah > Subject: HYS revisions - answer a few quick questions before I send > > Here's what we would like to see with the revisions for the HYS. Do we want to advocate that bidis and cloves stay? Cigars, cigarillos, chew are staying. Also, do we want to take out the part about not menthol from the OTP question. > > This is fairly confusing so I was going to email this to Mike Symser with a note that he can call me with any questions about our feedback. > > (By the way -- the current survey asks about tobacco use in the home and about tobacco enforcement at school so we don't need to add those) > > Proposed to rotate off form b but we would like to see stay: > * 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 > * 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 (and may not be fielded/tested questions!): >
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> * 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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From: "Apa, James" To: "Muhm, Jennifer" <Jennifer.Muhm@kingcounty.gov> "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> "Cordero, Julia" <Julia.Cordero@kingcounty.gov> Date: 2/9/2011 2:04:50 PM Subject: RE: Spokesman-Review: County commissioners block e-cigarette sales to minors
If we need it, another potential advocate in Kitsap is Commissioner Josh Brown I serve on the State Dems Central Committee with him, and we had an opportunity to talk at a recent meeting. Generally, he seems to have a good appreciation for public health, and he respects Scott Lindquist. More on Josh: www.kitsapgov.com/boc/brown/brown.htm
From: Muhm, Jennifer Sent: Wednesday, February 09, 2011 9:42 AM To: Apa, James; Ross-Viles, Sarah; Hamilton, Joy; Ross, Kathryn; Cordero, Julia Subject: RE: Spokesman-Review: County commissioners block e-cigarette sales to minors Yes, and they are being contacted! :)
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. 8_19_2011
Page 2 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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From: "Apa, James" To: "Ross-Viles, Sarah" <Sarah.Ross-Viles@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Muhm, Jennifer" <Jennifer.Muhm@kingcounty.gov> "Ross, Kathryn" <Kathryn.Ross@kingcounty.gov> "Cordero, Julia" <Julia.Cordero@kingcounty.gov> Date: 2/9/2011 1:40:40 PM 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/

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 8_19_2011
Page 2 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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From: "de la Pena, Norilyn" To: "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Ryan, Molly" <Molly.Ryan@kingcounty.gov> "Brawley, Karen" <Karen.Brawley@kingcounty.gov> "Moreno, Emma" <Emma.Moreno@kingcounty.gov> "McCabe, Sherry" <Sherry.McCabe@kingcounty.gov> Date: 2/9/2011 8:32:57 PM Subject: RE: Thanks for coming today! Attachments: QL Resource List 61110.doc Thanks for today. That was very helpful and provided a lot of insight! It was nice having the time to ask all the burning questions --LIVE! Here's the resource list that the QL has:
Also, follow ups on my end: to include Fax Referral info & forms on website(s). I'll talk to the guys and Lauren about this. Thanks again, Nori > _____________________________________________ > From: Greto, Lindsey > Sent: Wednesday, February 09, 2011 4:27 PM > To: Hamilton, Joy; Ryan, Molly; Brawley, Karen; de la Pena, Norilyn; Moreno, Emma; McCabe, Sherry > Subject: Thanks for coming today! > > Hi lovely ladies, > Thanks for coming to Free & Clear today! I hope it was helpful for all of you - it certainly was for me. Thanks for your awesome questions, too! > > A few follow-up items: > > Quit for Life Program: As we discussed, QFL is an employer-based cessation program for employees. It's a wonderful program - three of our hospitals have it and have reported great success. Shaun Fulmer is the contact and as he said, is more than happy to talk with any potential sites, even if they're just in the discovery phase. He can help frame estimated prevalence and discuss expected savings. You're more than welcome to contact him directly, or if you'd rather, do it through me. I've attached a few things: the QFL overview, sample report that sites would expect to use and an example of a poster that QFL created for an employer. Feel free to use any of these with employers! > > Shaun's contact info is also attached, so you can save it in your contact list. For more information, you can also see: http://www.freeclear.com/quit-for-life/ > << File: QFL Brochure.pdf >> << File: QFL Sample Reporting.pdf >> << File: Group Health (NWHealth) January2011-Final.pdf >> << Message: Shaun Fulmer >> > > Quitline Resources > * More information about the Washington Quitline is here: http://www.quitline.com/ > * As we discussed, I receive monthly reports from the Quitline, including utilization and caller demographics. I am more than happy to share information with all of you, if you're interested - just let me know what you'd be most
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interested in and I'll provide you with updates. I've attached a sample of the Free & Clear reports so you can see what kind of things I can report on. Or just tell me what you need and I'll yay/nay it! > << File: Washington - King County - Registered Callers By County Report2011_01_06 152007.pdf >> << File: Washington - King County - Monthly Demographic Report2011_01_06 151938.pdf >> << File: Washington King County - Monthly How Heard About By County Report 2011_01_07_034401.pdf >> << File: Washington King County - Monthly Services Report2011_01_06 151945.pdf >> > * If you would like any Quitline resources, please let me know. I'm going to contact Julie Thompson at DOH for Quitline referral cards and prescription pads, so will have a stockpile at my desk. > > > Follow-ups for Free & Clear > If you have any follow-ups for Tyson or any of the other F&C folks, feel free to send them either to the person directly or through me. Joy - I know that you are planning on sending the e-cigarette stuff - if you'd rather, send it to me and I'll get it to Tyson. Either way is fine. > > Thanks again for coming today! > 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: "de la Pena, Norilyn" To: "Greto, Lindsey" <Lindsey.Greto@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "Ryan, Molly" <Molly.Ryan@kingcounty.gov> "Brawley, Karen" <Karen.Brawley@kingcounty.gov> "Moreno, Emma" <Emma.Moreno@kingcounty.gov> "McCabe, Sherry" <Sherry.McCabe@kingcounty.gov> Date: 2/9/2011 8:39:38 PM Subject: RE: Thanks for coming today! Attachments: HealthCareFax-backReferralForm.pdf Here's the fax referral form & website for TPRC.
http://www.tobaccoprc.org/ > _____________________________________________ > From: Greto, Lindsey > Sent: Wednesday, February 09, 2011 4:27 PM > To: Hamilton, Joy; Ryan, Molly; Brawley, Karen; de la Pena, Norilyn; Moreno, Emma; McCabe, Sherry > Subject: Thanks for coming today! > > Hi lovely ladies, > Thanks for coming to Free & Clear today! I hope it was helpful for all of you - it certainly was for me. Thanks for your awesome questions, too! > > A few follow-up items: > > Quit for Life Program: As we discussed, QFL is an employer-based cessation program for employees. It's a wonderful program - three of our hospitals have it and have reported great success. Shaun Fulmer is the contact and as he said, is more than happy to talk with any potential sites, even if they're just in the discovery phase. He can help frame estimated prevalence and discuss expected savings. You're more than welcome to contact him directly, or if you'd rather, do it through me. I've attached a few things: the QFL overview, sample report that sites would expect to use and an example of a poster that QFL created for an employer. Feel free to use any of these with employers! > > Shaun's contact info is also attached, so you can save it in your contact list. For more information, you can also see: http://www.freeclear.com/quit-for-life/ > << File: QFL Brochure.pdf >> << File: QFL Sample Reporting.pdf >> << File: Group Health (NWHealth) January2011-Final.pdf >> << Message: Shaun Fulmer >> > > Quitline Resources > * More information about the Washington Quitline is here: http://www.quitline.com/ > * As we discussed, I receive monthly reports from the Quitline, including utilization and caller demographics. I am more than happy to share information with all of you, if you're interested - just let me know what you'd be most interested in and I'll provide you with updates. I've attached a sample of the Free & Clear reports so you can see what kind of things I can report on. Or just tell me what you need and I'll yay/nay it! > << File: Washington - King County - Registered Callers By County Report2011_01_06 152007.pdf >> << File: Washington - King County - Monthly Demographic Report2011_01_06 151938.pdf >> << File: Washington King County - Monthly How Heard About By County Report 2011_01_07_034401.pdf >> << File: Washington King County - Monthly Services Report2011_01_06 151945.pdf >>
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> * If you would like any Quitline resources, please let me know. I'm going to contact Julie Thompson at DOH for Quitline referral cards and prescription pads, so will have a stockpile at my desk. > > > Follow-ups for Free & Clear > If you have any follow-ups for Tyson or any of the other F&C folks, feel free to send them either to the person directly or through me. Joy - I know that you are planning on sending the e-cigarette stuff - if you'd rather, send it to me and I'll get it to Tyson. Either way is fine. > > Thanks again for coming today! > 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: "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
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(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: "Greto, Lindsey" To: "Ryan, Molly" <Molly.Ryan@kingcounty.gov> "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> "de la Pena, Norilyn" <Norilyn.DelaPena@kingcounty.gov> "Brawley, Karen" <Karen.Brawley@kingcounty.gov> "Moreno, Emma" <Emma.Moreno@kingcounty.gov> "McCabe, Sherry" <Sherry.McCabe@kingcounty.gov> Date: 2/11/2011 6:15:18 PM Subject: FW: Thanks for the F&C visit Attachments: WAQLFaxReferral_Final_4.12.10.pdf Hi all, See below for Tyson's answers to our questions. If you have any further follow-up or see something missing, don't hesitate to ask either me or Tyson. Lindsey --Lindsey Greto, MPA Tobacco Prevention Program Public Health - Seattle & King County Ph: (206) 263-9410 Fax: (206) 296-0177
From: Tyson Dickman [mailto:Tyson.Dickman@freeclear.com] Sent: Thursday, February 10, 2011 12:54 PM To: Greto, Lindsey Cc: Shaun Fulmer Subject: RE: Thanks for the F&C visit
Lindsey, Im glad you and your group found the visit yesterday helpful and it was fun to meet everyone in person. We also appreciated the questions and level of engagement that everyone brought to the visit. Below are the follow-up items that I had noted; Attached is an electronic copy of the WAQL fax referral form Helpful resources for providers and tobacco users provided by WADOH: o TCRC site for providers: www.tobaccoprc.org/TCRC/ o Tobacco Users: www.quitline.com Number of veterans who call the WAQL? For 2010 there were 65 callers who reported their health plan as Veterans Admin which is less than 1% of all the calls that came to the QL. Does WAQL collect data on mental health and substance abuse? No. We do collect his information for other states and the presentation of the question varies. Most commonly it is presented similar to the chronic condition question that is asked. What are the benefits for Medicaid callers who are either in the ADATSA or GAU group?
There are a handful of program codes. Each Medicaid member is associated with one or more of these program 8_19_2011
Page 2 codes. Medicaid assigns these codes to the member depending on their need/situation. All of the group codes are eligible for a different level of coverage. One other thing to clarify is that a members coverage is also dependent upon whether they have managed care or not. As I mentioned in my previous email, these quoted benefits are for members who have GAU or ADATSA program code and have no managed care coverage. This means they can be served through WA Medicaid FFS. If the member has a managed care plan (Molina, CHP, Regence, etc) then we either serve them through one of the managed care plans that we contract with or the Quitline (if we dont contract with that plan). So not all people who have GAU or ADATSA will be guaranteed NRT and Rx meds through WA Medicaid FFS if we are serving them through the Quitline or their managed care provider If ADATSA members have no managed care, they are eligible for WA Medicaid FFS and are eligible for NRT (patch or gum) and/or Rx meds (Chantix or Bupropion). If GAU members have no managed care, they are eligible for WA Medicaid FFS and are eligible for NRT (patch or gum):
Can we expedite the delivery of NRT to participants who are entering a short term treatment facility? I have put this request to my team and will share with you any information that I receive back.
Sorry for the long winded e-mail, but I thought is easier than sending multiple ones. Talk to you soon!
Tyson Dickman l Client Services Manager FREE & CLEAR l 999 Third Ave l Suite 2100 l Seattle, WA 98104 D 206 876 2272 l F 206 876 2101 l www.freeclear.com
This electronic message may contain confidential information that is protected by Washington State and/or federal law. This information is solely for the use of the individual(s) and entity(s) named as recipients in the message. You may be exposed to legal liability if you disclose this information to another person. You are obligated to maintain this information in a safe and secure manner. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or other use of the contents of this (e-mailed) information is strictly prohibited. If you have received this e-mail in error, please notify the sender immediately by return e-mail and delete this message.
From: Greto, Lindsey [mailto:Lindsey.Greto@kingcounty.gov] Sent: Wednesday, February 09, 2011 01:43 PM To: Tyson Dickman; Shaun Fulmer Subject: Thanks for the F&C visit
Hi Tyson and Shaun, Thank you so much for hosting us at Free & Clear today. It was an extremely informative visit for us and will really help when we talk to partners and employers about cessation options. Please pass on our gratitude to Jay, Andrew and the wonderful staff who let us sit in on their calls. We'll get you the information on the e-cigarette regulation shortly. If there's anything else we can provide, or if you have any follow-up questions for us, just let me know. I have one follow-up for you - would it be possible for one of you to send me a sample of the Quit for Life Vital Signs report? As Tyson knows, we're trying to find a way to collect data on QFL utilization at the participating hospitals (Highline, UWMC and Harborview). We're going to talk to the specific HR person at each site, but in the meantime, I wanted to show my grantee a report example so they know what to ask for. And Shaun, we're going to be promoting QFL heavily with our employer sites, so stay tuned. Thanks again! Lindsey --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
"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

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: "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/

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
Page 1
"Leon-Guerrero, Michael" "Hamilton, Joy" <Joy.Hamilton@kingcounty.gov> 2/15/2011 2:59:20 PM RE: Healthy king county
I think a blog post if you want to add a one or two line into! I can also feature the blog post, so it appears on the front page. It can also be an update on your own personal page but I don't think that shows on the main page... which is normally ok, but this is a pretty cool article that I'd like folks to see. > _____________________________________________ > From: Hamilton, Joy > Sent: Tuesday, February 15, 2011 10:56 AM > To: Leon-Guerrero, Michael > Subject: Healthy king county > > Mike, > > Would like to post this link http://blog.seattlepi.com/thebigblog/2011/02/11/feds-to-ban-e-cigarette-use-onplanes/ > > > But not sure the best place to put it -- suggestions? > > Joy
8_19_2011

Joy Hamilton E-Cigarette E-Mails (FOIA Request To King County Health Department)

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Joy Hamilton E-Cigarette E-Mails (FOIA Request To King County Health Department)

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Tobacco Use Prevention and Control NEWSALERT

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NALBOH News and Events

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Hi Lindsey & Molly,

SU fema 63. 22. 8.8 2.6 2.3

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

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

From: To: Date: Subject:

Hi Lindsey & Molly,

SU fema 63. 22. 8.8 2.6 2.3

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

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

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RWJF News Digest: Public Health

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Health & Science - 15 September 2010

Source: The Medical News

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Page 3 This NIMI article is brought to you by GLOBALink

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Health & Science - 15 September 2010

Source: The Medical News

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Hi Joy, I think it would be easier to talk. Give me a call. Ben

General Messages by Prof. John Banzhaf

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General Messages by Ms. Spike Babaian

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More about e-cigarettes - in response to the story I sent you yesterday.

General Messages by Ms. Spike Babaian

(202) 659-4310 // (703) 527-8418 Internet: http://ash.org/ Twitter: http://twitter.com/AshOrg

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GLOBALink Today - Sunday 26 September 2010

Prof. Simon Chapman

Tip of the Day

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GLOBALink Today - Tuesday 28 September 2010

Prof. John Banzhaf

Tip of the Day

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