madison county -- christine green e-mails part 1 (e-cigarette foia request results)

8/4/2019 Madison County -- Christine Green E-Mails Part 1 (E-Cigarette FOIA Request Results)

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

rom: Owens, Kelly S (LHD - Madison Co)ent: Thursday, April 28, 2011 9:12 AMo: Crewe, Nancy M (LHD-Madison Co); Green, Christie L (LHD-Madison Co); Hawkins, Ruth R (LHD-

Madison Co); Steer, Emily (LHD-Mercer Co); Riker, Carol A; [email protected]: Public Health Focus > Regulation of E-Cigarettes and Other Tobacco Products

ttp://www.fda.gov/NewsEvents/PublicHealthFocus/ucm252360.htm

YI-his is the information that I found from FDA.

rom: Brookshire, Crystal [ent: Thursday, April 14, 2011 12:53 PMo: Green, Christie L (LHD-Madison Co)ubject: RE: E-Cig Ban

mportance: High

understand that the board did not have to take comments on the final reading, but since they got to give aresentation, we should have been able to give a rebuttal. Their actions were unconstitutional. Mr. Johnstone gave theest of the board misinformation and we should have been able to correct that. Also, he never showed the board the

more recent studies that we submitted. Honestly this if falling on deaf ears apparently and you should know that I andhe rest of us out here that use this ARE NOT resisting, and I will continue to use my vapor stick!!

rystal Brookshire


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rom: Green, Christie L (LHD-Madison Co) [mailto:[email protected]]ent: Wednesday, April 13, 2011 6:23 PMo: Brookshire, Crystalubject: RE: E-Cig Ban

Ms. Brookshire,

forwarded your original message on to the public health director on April 7th, as indicated in my response to you onhat date.

am sending this message at the directors request.

n making the decision to include e-cigarettes in the Clean Indoor Air Regulation, the Board of Health was followingcience-based recommendations from respected medical and public health organizations. Neither the American Lung

Association nor the American Cancer Society recommends ENDS as a harm reduction strategy for smoking cessation.urther, public health professionals, such as the World Health Organization, caution against assuming that ENDSroducts are safe to users or to those around them.

he right of local boards of health to enact regulations in the interest of public health is a right that board members doot take lightly or employ often. The process of enacting or amending local public health regulations is governed by

Kentucky Revised Statute. The Madison County Board of Health adhered to that process while amending the Cleanndoor Air Regulation. A first reading of the proposed amendments was conducted at the board meeting on December, 2010. The board opened the floor to comments that evening during the meeting.

A 30 day public comment period on the amendments was advertised beginning December 10, 2010 and ending January1, 2011. Paid advertisements were placed in local papers, news items ran in local radio stations and in the Heraldeader, and information was posted prominently on the health department website. Comments could be submitted via

he health departments internet site or via mail to the administrative offices at Boggs Lane. All comments wereorwarded as written to board members for their review prior to their scheduled meeting on January 18th. At that

meeting, anyone present who wished to address the board with comments about the amendment could sign in andpeak. The board had discussion and agreed to hold the second and final reading at their April meeting.

he Board of Health followed all required procedures for public notice and comment regarding the changes to theegulation. It was not required to entertain comments at the final reading of proposed regulations or amendments. The

April board meeting was not intended as a forum for public comment, and it was not advertised by the healthepartment in that way. An advertisement by Vapor-Stix.Net in the Richmond Register entitled The Truth about E-igs stated that the board meeting would be the last chance to oppose the amendment. This statement may have

misled supporters of e-cigarettes into expecting an opportunity to provide comment.

he vote to approve the amendments to the Clean Indoor Air Regulation is final, and the amended regulation will take


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ffect on June 6, 2011.

you do feel that your civil rights have been violated, you can contact the KY Human Rights Commission to file aomplaint. Their web address is http://kchr.ky.gov/ .

espectfully

hristie L. GreenDevelopment and Communications

ublic Information OfficerMadison County Health Dept.14 Boggs Laneichmond, KY 40476-120859-623-7312 cell 859-661-0853

www.madisoncountyhealthdept.org

rom: Brookshire, Crystal [mailto:ent: Wednesday, April 13, 2011 9:38 AMo: [email protected]: E-Cig Banmportance: High

an you also explain to me why I have not heard a reply back since I have sent this email to you several times in aweek? This explains so much to me and the situation as whole on how you handle things!

o Whom it Concerns:

just want to say thank you for taking the time out of your busy schedules to take into consideration this issue. I willay however that I was very disappointed that our CIVAL RIGHTS were not addressed, issued, or heard! I have wento higher authorities over this issue! And believe me I WILL NOT let this die!!

am also disappointed in the lack of evidence provided in the so called presentation by a Cardiologist who apparentlynows nothing about this product! His presentation must have been put together two days before the meeting by a 6


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ear old! I work with Students at a College that can give better evidence and presentations than he could!! I am alsoispleased with the situation as a whole! I am also very, very displeased that the presentation at the end put Kingames in it!! Nowhere in my bible or King James era does it say anything about smoking and Electronic Cigarette for

Duhh they werent invented back then, and its no different than drinking a cup of coffee, energy drink, soda, orrinking alcohol! May God have mercy on your souls for this in- judgment of this product!! For it has helped 500,000eople to quit smoking regain their lives and health back that havent been able to other wise through your Smokingensation classes! I know because Ive talked to these people as well! The whole MADE in CHINA is bull crap, yes

hey do come from China but the Juice is made in the good old USA, so this goes to show that you dont know whatoure talking about, bet you didnt know that either! Hhhmm!! Your Board member Michael Oliver hit it on the nosend you still wouldnt listen, he has more sense the rest of you!

will also let you know that I have been an avid user of the E-cig for 8 months! I have quit smoking real cigarettesnce then and tried everything and wouldnt have quit otherwise! My 12 year old daughter thinks this whole thing

with banning is stupid and totally supports me using this product! She hasnt been sick since Ive been using it! And if ou would have given us a chance you would have seen that Larry in the wheelchair had COPD and going to theospital for treatments on oxygen 24/7 since smoking the E-Cig over a year ago he is off his oxygen and getting his

ealth back, along with my father who has emphysema, but oh wait you dont know that till now.hhhmm!!

am also displeased because I had sent an email over 4 months ago to this agency and never received a reply back!his board was sent several documents that proved our claims that there is no harm to bystanders or second handmoke but this was never shared either!! I know your system is corrupt as with other so called board, government, andgencies because apparently the person that has yelled the loudest (Cigarette companies) and others where the oneshat helped get this Stupid ban passed! How much money were you paid to pass the ban? There are two sides tovery story and ours wasnt heard!!

will let you know that this BAN will be very hard to police since it is a vapor and that I can still go to the bathroom,t at my desk, my house, and my car and other public buildings because the Vapor disappears, bet you didnt know

hat did you!

o I hope your decision on this was based on facts in which you didnt have and the fact that if you really care aboutumans as you say and want them to quit you would have done so!!

Your mission statement on your website should be changed in which none of these were considered at the meeting orn a whole!

God Bless!


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rystal Brookshire


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A message from our website contact us link.

rom: Mattingly, Rodney R (LHD-Lincoln Trail Dist) [mailto:[email protected]]ent: Thursday, April 14, 2011 9:14 AMo: [email protected]: BOH Smoking Regulation

o Whom This May Concern Thank You!

As a former resident of Madison County, (who still occasionally visits and has friends there) graduate of EKU andormer professional musician, I can say that this is truly a wonderful thing you have done for the citizens, workers,outh and visitors to Madison County. In the 70s & 80s Richmond was known for many things, public health wasot one of those.

After all the information that has become available the last few years and the ease at which a person can find this info,is still amazing to me that people are resistant to clean air regulation. Thank you for your leadership on this

mportant health issue.

leave you with this quote from an unknown author, Real leaders are ordinary people with extraordinaryetermination. Stay the course, and full speed ahead!

egards,

od Mattingly

od Mattingly

obacco Program Coordinator/Lincoln Trail Health District

ommunity Health Education Specialist -

Washington County Health Clinic

02 East Main Street, Springfield, Ky. 40069

h: 859-336-3989

ax:859-336-9162

[email protected]


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

_______________________________

rom: Bill Walker [[email protected]]ent: Thursday, April 14, 2011 10:37 AMo: Region 4; Region 6c: Laura Espino; Bill Walkerubject: Follow to Wednesday's anti-tobacco campaign call

hank you for participating in Wednesdays call about the new CDC anti-tobacco campaign in Region 6. Below, youwill find the promised follow-up from Joel London, our presenter. Bill Walker

rom: London, Joel (CDC/ONDIEH/NCCDPHP)ent: Wednesday, April 13, 2011 5:53 PMo: Bill Walker ([email protected])c: Laura Espino ([email protected]); Smith, Joseph (CDC/ONDIEH/NCCDPHP)ubject: RE: Media Campaign Heads-Up

ill,

hanks again for the opportunity to reach out to NPHIC members on todays call. As promised, below please findome background bullets on the campaign evaluation and two additional resources. As always, please let us know if ou have any other questions.

DC Counter Tobacco Media Campaign Evaluation:

A pre-campaign survey was fielded on March 24 to assess baseline tobacco-related knowledge, attitudes, andeliefs, as well as awareness of tobacco advertisements.

A post-campaign survey will be fielded on June 20 to examine changes in tobacco-related knowledge, attitudes,nd beliefs, as well as awareness of tobacco advertisements.

A post-buy analysis will be delivered to provide details on impressions, reach, and frequency of media buy.Measures that will be reported: o Leveraged media buys o Aided/unaided campaign awareness in funded states o

xtended reach of social media


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Additional Resources

NCI Monograph 19: The Role of the Media in Promoting and Reducing Tobacco Use.http://www.cancercontrol.cancer.gov/tcrb/monographs/19/index.html> Monograph 19 provides a critical, scientificeview and synthesis of the current evidence regarding the power of the media, both to encourage and to discourageobacco use. It is the most current and comprehensive summary of the scientific literature on media communication inobacco promotion and tobacco control. Research included in the review comes from the disciplines of marketing,sychology, communication, statistics, epidemiology, and public health. All are vital to understanding how exposure tohe media influences tobacco use.

What Impact Have Tobacco Control Policies, Cigarette Price and Tobacco Control Program Funding Had onAustralian Adolescents' Smoking? Findings Over a 15-Year Period Addiction (Mar 14, 2011, Epub ahead of print). Adult-directed, population-based tobacco control policies such aslean indoor air laws and increased prices of cigarettes, implemented as part of a well-funded comprehensive tobaccoontrol program are associated with lower adolescent smoking.

oel London, MPH, CHESHealth Communications Specialist

DC, Office on Smoking and Health770 Buford Highway, N.E.

Mailstop K-50Atlanta, GA 30341

ress Line: 770-488-5493ell: [email protected]

www.cdc.gov/tobacco

ollow us on Twitter @ www.twitter.com/CDCTobaccoFree ubscribe to RSS feeds on tobacco news @ http://www.cdc.gov/tobacco/rss/index.htmhttp://www.cdc.gov/tobacco/rss/index.htm>heck out CDCs Facebook page: www.facebook.com/CDCtobaccofree

his e-mail message is intended for the exclusive use of the recipient(s) named above. It may contain information thatdeliberative or confidential, and it should not be disseminated, distributed, or copied to persons not authorized to

eceive such information. If you are not the intended recipient, any dissemination, distribution, or copying is strictlyrohibited. If you think you have received this e-mail message in error, please notify the sender immediately.

rom: Brookshire, Crystal [ent: Thursday, April 14, 2011 7:42 AMo: Green, Christie L (LHD-Madison Co)ubject: RE: E-Cig Ban

hank you so much for all your time and consideration in this matter and getting back to me. I know I sent somearsh and mean words in my emails that I regret but I was infuriated!


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hanks,

rystal Brookshire


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roducts are safe to users or to those around them.

he right of local boards of health to enact regulations in the interest of public health is a right that board members doot take lightly or employ often. The process of enacting or amending local public health regulations is governed by

Kentucky Revised Statute. The Madison County Board of Health adhered to that process while amending the Cleanndoor Air Regulation. A first reading of the proposed amendments was conducted at the board meeting on December, 2010. The board opened the floor to comments that evening during the meeting.

A 30 day public comment period on the amendments was advertised beginning December 10, 2010 and ending January1, 2011. Paid advertisements were placed in local papers, news items ran in local radio stations and in the Heraldeader, and information was posted prominently on the health department website. Comments could be submitted via

he health departments internet site or via mail to the administrative offices at Boggs Lane. All comments wereorwarded as written to board members for their review prior to their scheduled meeting on January 18th. At that

meeting, anyone present who wished to address the board with comments about the amendment could sign in andpeak. The board had discussion and agreed to hold the second and final reading at their April meeting.

he Board of Health followed all required procedures for public notice and comment regarding the changes to theegulation. It was not required to entertain comments at the final reading of proposed regulations or amendments. The

April board meeting was not intended as a forum for public comment, and it was not advertised by the healthepartment in that way. An advertisement by Vapor-Stix.Net in the Richmond Register entitled The Truth about E-igs stated that the board meeting would be the last chance to oppose the amendment. This statement may have

misled supporters of e-cigarettes into expecting an opportunity to provide comment.

he vote to approve the amendments to the Clean Indoor Air Regulation is final, and the amended regulation will takeffect on June 6, 2011.

you do feel that your civil rights have been violated, you can contact the KY Human Rights Commission to file aomplaint. Their web address is http://kchr.ky.gov/ .

espectfully


ublic Information OfficerMadison County Health Dept.14 Boggs Laneichmond, KY 40476-120859-623-7312 cell 859-661-0853

www.madisoncountyhealthdept.org


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rom: Brookshire, Crystal [mailto:ent: Wednesday, April 13, 2011 9:38 AMo: [email protected]: E-Cig Banmportance: High

an you also explain to me why I have not heard a reply back since I have sent this email to you several times in aweek? This explains so much to me and the situation as whole on how you handle things!

o Whom it Concerns:

just want to say thank you for taking the time out of your busy schedules to take into consideration this issue. I willay however that I was very disappointed that our CIVAL RIGHTS were not addressed, issued, or heard! I have wento higher authorities over this issue! And believe me I WILL NOT let this die!!

am also disappointed in the lack of evidence provided in the so called presentation by a Cardiologist who apparentlynows nothing about this product! His presentation must have been put together two days before the meeting by a 6ear old! I work with Students at a College that can give better evidence and presentations than he could!! I am alsoispleased with the situation as a whole! I am also very, very displeased that the presentation at the end put Kingames in it!! Nowhere in my bible or King James era does it say anything about smoking and Electronic Cigarette for

Duhh they werent invented back then, and its no different than drinking a cup of coffee, energy drink, soda, orrinking alcohol! May God have mercy on your souls for this in- judgment of this product!! For it has helped 500,000eople to quit smoking regain their lives and health back that havent been able to other wise through your Smokingensation classes! I know because Ive talked to these people as well! The whole MADE in CHINA is bull crap, yes

hey do come from China but the Juice is made in the good old USA, so this goes to show that you dont know whatoure talking about, bet you didnt know that either! Hhhmm!! Your Board member Michael Oliver hit it on the nosend you still wouldnt listen, he has more sense the rest of you!

will also let you know that I have been an avid user of the E-cig for 8 months! I have quit smoking real cigarettesnce then and tried everything and wouldnt have quit otherwise! My 12 year old daughter thinks this whole thing

with banning is stupid and totally supports me using this product! She hasnt been sick since Ive been using it! And if ou would have given us a chance you would have seen that Larry in the wheelchair had COPD and going to theospital for treatments on oxygen 24/7 since smoking the E-Cig over a year ago he is off his oxygen and getting hisealth back, along with my father who has emphysema, but oh wait you dont know that till now.hhhmm!!


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am also displeased because I had sent an email over 4 months ago to this agency and never received a reply back!his board was sent several documents that proved our claims that there is no harm to bystanders or second handmoke but this was never shared either!! I know your system is corrupt as with other so called board, government, andgencies because apparently the person that has yelled the loudest (Cigarette companies) and others where the oneshat helped get this Stupid ban passed! How much money were you paid to pass the ban? There are two sides tovery story and ours wasnt heard!!

will let you know that this BAN will be very hard to police since it is a vapor and that I can still go to the bathroom,t at my desk, my house, and my car and other public buildings because the Vapor disappears, bet you didnt know

hat did you!

o I hope your decision on this was based on facts in which you didnt have and the fact that if you really care about

umans as you say and want them to quit you would have done so!!

Your mission statement on your website should be changed in which none of these were considered at the meeting orn a whole!

God Bless!

rystal Brookshire


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nauthorized disclosure, copying, distribution or the taking of any action in reliance on the contents of thislectronically transmitted information is strictly prohibited. If you have received this electronic transmission in error,lease immediately notify the sender and delete the information.

rom: Hensley, Martin (LHD-Madison Co )ent: Wednesday, April 13, 2011 12:23 PMo: Green, Christie L (LHD-Madison Co)ubject: RE: e-cig message

hanks. Ive simply created a rule that moves all messages from her to a holding folder. It has gotten sort of silly.

hanks,Marty

Breathe in. Breathe out. Move on." -Jimmy Buffett

rom: Green, Christie L (LHD-Madison Co)ent: Wednesday, April 13, 2011 10:44 AMo: Hensley, Martin (LHD-Madison Co )ubject: e-cig message

Marty,

ve gotten with Nancy to craft a reply to this message. It will be this afternoon before I can complete it, but I willend it to you bcc when I do.

g

rom: Owens, Kelly S (LHD - Madison Co)ent: Tuesday, April 12, 2011 1:38 PMo: Crewe, Nancy M (LHD-Madison Co); Hawkins, Ruth R (LHD-Madison Co); Green, Christie L (LHD-

Madison Co); Kellerman, Kimberly J (LHD-Madison Co); John Johnstoneubject: Madison County BOH Regulation

Attachments: image006.jpg; image002.jpg; image003.png; image004.png

mportance: High

lease see messages below The state is watching us!!

Kelly S. Owens, MPH, CHES

obacco Prevention and Cessation Specialist/Health Educator II


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Madison County Health Department

001 Ace Drive

erea, KY 40403

859) 228-2043

Web Address: http://www.madisoncountyhealthdept.org/

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

y_quitline_logo_2010

Please consider the environment before printing this e-mail

rom: Cain, John H [mailto:[email protected]]ent: Tuesday, April 12, 2011 12:38 PMo: Johnson, John Dc: Owens, Kelly S (LHD - Madison Co)ubject: RE: Madison County BOH Regulation

As someone who recently relocated to Madison County from a KY county without a smoking ordinance as well as aealthcare provider working in Madison and the surrounding area, I am thrilled to receive this news. Please send myratitude to members of the Madison County Board of Health.

ohn H. Cain, MPAS, PA-C

tate Co-Chair, Kentucky Action for Healthy Kids

18 Holly Hill Drive

erea, KY 40403

06-216-6302 (Mobile)

06-398-7225 (Fax)


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[email protected]

arm to School. A win for kids, schools, farmers, and communities. www.farmtoschool.orghttp://www.farmtoschool.org/> .

_______________________________

rom: Johnson, John Dent: Tuesday, April 12, 2011 12:24 PMo: Johnson, John Dubject: Madison County BOH Regulation

KCSP Partners,

want to clarify my email from last week regarding Madison Countys Board of Health regulation. The newegulation adds e-cigarettes and hookah to the definition of smoking so that these forms of smoking are prohibited.

Also, the exemption for retail tobacco stores was eliminated, so those retail stores are no longer exempt from theegulation.

you would like to express your appreciation and support to the Madison County Board of Health, but do not haveontact information for its members, Kelly Owens ([email protected]) has agreed to pass your comments alongo the board. Please send your comments to Kelly as you are able.

hanks,

ohn

ohn D. Johnson, MA

ommunity Liaison

Kentucky Center for Smoke-free Policy

University of Kentucky College of Nursing51 Rose Street, College of Nursing 509exington, Kentucky 40536-023259-323-4587


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59-323-1057 (FAX)[email protected]

www.kcsp.uky.edu

lip_image001 Find kysmokefree on Twitter_button2smallhttp://twitter.com/kysmokefree> and facebook_button2smallhttp://www.facebook.com/pages/kysmokefree/121589417877279?ref=ts>

rom: Owens, Kelly S (LHD - Madison Co)ent: Monday, April 11, 2011 1:12 PMo: Green, Christie L (LHD-Madison Co)ubject: RE: Clean Indoor Air Regulation

Keep the fact sheet. -I could certainly provide criticism for their "revised version."

Kelly S. Owens, MPH, CHESobacco Prevention and Cessation Specialist/Health Educator IIMadison County Health Department001 Ace Driveerea, KY 40403

859) 228-2043Web Address: http://www.madisoncountyhealthdept.org/



---Original Message-----rom: Green, Christie L (LHD-Madison Co)ent: Monday, April 11, 2011 12:00 PMo: Owens, Kelly S (LHD - Madison Co); Hensley, Martin (LHD-Madison Co )ubject: RE: Clean Indoor Air Regulation

Kelly,What do you want to do with the "e-cigs fact sheet?" It continues to be a target of criticism from the e-cig advocates.Would you prefer to keep it on the page or to remove it?g

---Original Message-----rom: Owens, Kelly S (LHD - Madison Co)ent: Monday, April 11, 2011 11:26 AMo: Green, Christie L (LHD-Madison Co); Hensley, Martin (LHD-Madison Co )c: Crewe, Nancy M (LHD-Madison Co); Hawkins, Ruth R (LHD-Madison Co)ubject: Clean Indoor Air Regulation


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mportance: High

ttp://www.madisoncountyhealthdept.org/CIAR.html

his page needs to be updated with the most recent information. It will be important to note on the summary of thenal reading that the regulation broadens the definition of smoking to include hookahs and electronic cigarettes and

hat it eliminates the exemption for retail tobacco stores.

liminate the old business kit information at the bottom of the page:egulationAQ pageact Sheet

Where Smoking is prohibited

We will replace this information with:Amended Reg (ATTACHED)NEW FAQ PAGE (BEING DEVELOPED)ACT SHEET (BEING UPDATED)

he NO SMOKING SIGN WILL REMAIN THE SAME

will be sending more information as I complete. Thank you all!!

Kelly S. Owens, MPH, CHESobacco Prevention and Cessation Specialist/Health Educator II Madison County Health Department001 Ace Driveerea, KY 40403

859) 228-2043Web Address: http://www.madisoncountyhealthdept.org/



rom: Hensley, Martin (LHD-Madison Co ) [[email protected]]ent: Friday, April 08, 2011 10:14 AMo: Michael Thornberryubject: RE: Fact sheet on E-CIGARETTES

hank you for contacting the health department. I have forwarded your message to our Public Health Director. She isontinuing to forward messages related to the indoor air regulation amendments to the Board of Health members.

hanks,


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Martin HensleyMadison County Health Department

echnical Support14 Boggs Laneichmond, KY 40475hone: (859) 626-4507


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

rom: Michael Thornberry [mailto:

ent: Friday, April 08, 2011 9:38 AMo: [email protected]: Fact sheet on E-CIGARETTES

Good morning,

recently read over your document advertised as a Fact sheet on E-CIGARETTES and found that it includesnaccuracies and fallacies.

urge your to take a look at some of the studies and lab reports that you can find at The Consume Advocates formoke-Free Alternatives Association . If you are not aware of them,ASAA is an organization that works to provide information to people and organizations about the alternatives to

moking in order to reduce instances of deadly cigarette use. In their own words:

ASAA is a non-profit organization that works to ensure the availability of reduced harm alternatives to smoking ando provide smokers and non-smokers alike with truthful information about such alternatives.

found them to be an invaluable resource when I decided to quit smoking after 20 years.

hank you for your time,


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Michael Thornberry

rom: Owens, Kelly S (LHD - Madison Co)ent: Tuesday, March 22, 2011 8:57 AMo: Green, Christie L (LHD-Madison Co)c: Hawkins, Ruth R (LHD-Madison Co)ubject: RE: Clean Indoor Air Regulation

Attachments: image004.jpg; image001.jpg

hanks, Christie. It is a very good idea to acknowledge the message.

am keeping track of these studies. If we receive anymore links via the website, please fwd them on to me.

hanks,




001 Ace Drive

erea, KY 40403

859) 228-2043





rom: Green, Christie L (LHD-Madison Co)ent: Tuesday, March 22, 2011 8:46 AM


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o: Owens, Kelly S (LHD - Madison Co)ubject: RE: Clean Indoor Air Regulation

agree, Kelly.

will respond as you suggest below.

g

rom: Owens, Kelly S (LHD - Madison Co)ent: Tuesday, March 22, 2011 8:45 AMo: Green, Christie L (LHD-Madison Co); Hawkins, Ruth R (LHD-Madison Co)ubject: RE: Clean Indoor Air Regulation

dont know that we really need to respond. I suppose that it would be polite to inform Mr. Hacker that hisnformation will be passed on to the BOH.

he co-owner of Vapor Stix has provided us with another study authored by an e-cigarette company.




001 Ace Drive

erea, KY 40403

859) 228-2043





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rom: Green, Christie L (LHD-Madison Co)ent: Tuesday, March 22, 2011 8:14 AMo: Hawkins, Ruth R (LHD-Madison Co); Owens, Kelly S (LHD - Madison Co)ubject: FW: Clean Indoor Air Regulation

omments from the website. I have not responded to the sender.

g

rom: Jerry Hacker [mailto: ]ent: Monday, March 21, 2011 7:21 PMo: [email protected]: Clean Indoor Air Regulation

oppose the inclusion of electronic cigarettes into the Clean Indoor Air Regulation. E-cigs release absolutely NOoxins ... period. By doing this you are taking away one of the benefits of this fine product. If this passes you arencouraging people to stay with tobacco cigarettes because one of the reasons most switch is because they can usehem were tobacco is not allowed. People will be more reluctant to to switch to a cleaner alternative if you take awayne of it's greatest benefits.

ttp://www.e-cig.org/2010/01/13/scientific-testing-verifies-electronic-cigarette-vapor-does-not-contain-carcinogenic-nas/

hank you,

erry Hacker

rom: Owens, Kelly S (LHD - Madison Co)ent: Tuesday, March 22, 2011 8:45 AMo: Green, Christie L (LHD-Madison Co); Hawkins, Ruth R (LHD-Madison Co)ubject: RE: Clean Indoor Air Regulation

Attachments: image003.jpg

dont know that we really need to respond. I suppose that it would be polite to inform Mr. Hacker that hisnformation will be passed on to the BOH.


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he co-owner of Vapor Stix has provided us with another study authored by an e-cigarette company.




001 Ace Drive

erea, KY 40403

859) 228-2043





rom: Green, Christie L (LHD-Madison Co)ent: Tuesday, March 22, 2011 8:14 AMo: Hawkins, Ruth R (LHD-Madison Co); Owens, Kelly S (LHD - Madison Co)ubject: FW: Clean Indoor Air Regulation

omments from the website. I have not responded to the sender.

g

rom: Jerry Hacker [mailto: ]ent: Monday, March 21, 2011 7:21 PM


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o: [email protected]: Clean Indoor Air Regulation



hank you,

erry Hacker

rom: Jerry Hacker [ ]ent: Monday, March 21, 2011 7:21 PMo: [email protected]: Clean Indoor Air Regulation



hank you,

erry Hacker

rom: Farris, Leslie D (LHD-Madison Co)ent: Monday, March 21, 2011 5:59 PMo: Green, Christie L (LHD-Madison Co)ubject: RE: E-Cigarettes and Smoke-free Policies

ounds just fine to me.

Have a good evening

rom: Green, Christie L (LHD-Madison Co)ent: Monday, March 21, 2011 5:54 PMo: Hensley, Martin (LHD-Madison Co ); Farris, Leslie D (LHD-Madison Co)


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ubject: FW: E-Cigarettes and Smoke-free Policiesmportance: High

think we shouldnt respond to this as web contacts. Kelly and Ruth can sort it out. I will mention it at branchhiefs in the morning to make sure that Nancy is aware of it.

hanks,

g


ublic Information OfficerMadison County Health Dept.14 Boggs Lane

ichmond, KY 40476-120859-623-7312 cell 859-661-0853www.madisoncountyhealthdept.org

..what it really takes to change the world isn't so much wealth or power as creativity, determination and passion."Nicholas Kristof

Please consider the environment before printing this e-mail.

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

rom: Elaine Keller [mailto:[email protected]]ent: Monday, March 21, 2011 5:51 PMo: Owens, Kelly S (LHD - Madison Co)c: [email protected]; Owens, Kelly S (LHD - Madison Co); [email protected]; [email protected]: E-Cigarettes and Smoke-free Policies

Dear Ms. Owens:

he Consumer Advocates for Smoke-free Alternatives Association (CASAA) is pleased to be able to provide you withnformation regarding research on electronic cigarettes. CASAA is a non-profit organization that works to ensure thevailability of reduced harm alternatives to smoking and to provide smokers and non-smokers alike with truthful


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nformation about such alternatives.

he document E-cigarettes and Smoke-free Policies posted on the Madison County Health Department web sitehttp://www.madisoncountyhealthdept.org/Documents/Community/One-pager%20e-igarettes%20and%20Secondhand%20Smoke%20EH%20112110.pdf) contains many inaccuracies. Only one of theources (Trtchounian et al, 2010) describes the findings of research conducted on electronic cigarettes. The remainingources include a press release, opinion pieces, and research conducted on smoke. This document appears to be basedn a document of the same name produced by the Tobacco Policy Research Program at the University of Kentucky, soam copying Ellen Hahn on this message as well.

ullet points in the document regarding the FDAs testing of 18 cartridges are based on an FDA press conference,ather than the on the laboratory report issued by the scientist who conducted the testing.ttp://www.fda.gov/downloads/Drugs/ScienceResearch/UCM173250.pdf

naccurate statements were lifted verbatim from the press release, e.g. they contain carcinogens and toxic chemicalsuch as diethylene glycol, an ingredient used in antifreeze. The truth of the matter is that the 8 nanograms of tobacco-pecific nitrosamines (TSNAs) found in the liquid of a high dose cartridge are no more likely to cause cancer thanhe 8 nanograms of the very same TSNAs in a 21-mg Nicoderm patch. No TSNAs were detected in the vapor. There

was only one potentially toxic chemical found, again in the liquid but not the vapor. However, the quantity of iethylene glycol (DEG) that the FDA measured was 0.01 ml -- thousands of times below the toxic level of 1 ml perg. Screening for tobacco-specific impurities in the vapor was negative except for a non-toxic quantity of ?-Nicotyrine.

When you compare the lab report to statements in the press release, it becomes obvious that the FDA found nothing inhe e-cigarettes tested that would endanger health. However, the Agency used inflammatory wording in its pressonference to make it appear as though the using an e-cigarette is more dangerous than continuing to smoke. That isgregious behavior on the part of officials of an Agency charged with protection of public health.

Henningfield and Zaatari might suspect that e-cigarettes emit carcinogens, but the scientists who actually studied theapor have found no carcinogens--or any other harmful substance--in vapor. One such scientist is Dr. Murrayaugesen of Health New Zealand who has been studying e-cigarettes for over four years. He states, Lacking anyctive ingredient or any gaseous products of combustion, the PG mist or smoke is not harmful to bystanders. Morehan one researcher has found that e-cigarette vapor contains only one-tenth the amount of nicotine as a puff of obacco smoke, and most of the nicotine is absorbed by the user, rather than exhaled.

liemans research was conducted on smoke residue. Including bullet points that imply Sliemans study results arepplicable to e-cigarette vapor is a gross misrepresentation of the science.

n 1990, there were 43.8 million smokers. Twenty years later that number stands at over 46 million smokers. Themoking prevalence statistics and the smoking cessation rates tell us quite clearly that a more effective approach iseeded. In Harm Reduction in Nicotine Addiction: Helping Smokers Who Cant Quit, a 2007 report by the Tobacco


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Advisory Group for the Royal College of Physicians, the authors discuss the relative harm of different nicotineroducts. They state that many lives could be saved and much morbidity prevented if we recommended that smokersubstitute less hazardous alternatives for smoking.

All of the smoking cessation programs in existence today are based on the concept of imposing nicotine abstinence--anpproach that does not work for the overwhelming majority of smokers. When used as directed, to wean down and off icotine, the FDA-approved products have a 7% success rate at 6 months, dropping to 5% at one year, and only 2%fter 20 months. (Moore D, Aveyard P, Connock, M, Wang D, Fry-Smith A, Barton P: Effectiveness and safety of icotine replacement therapy assisted reduction to stop smoking: systematic review and meta-analysis. BMJ 338:b1024009.)

he success rates reported in surveys of e-cigarette users indicate that the harm reduction approach is much moreffective than the nicotine abstinence approach. In studies limited to a single product, success rates of 31% have beeneported (Siegel, et al. Electronic Cigarettes as a Smoking-Cessation Tool: Results from an Online Survey. Americanournal of Preventive Medicine. http://www.ajpm-online.net/webfiles/images/journals/amepre/AMEPRE3013.pdf).

m sure you will agree that a 6-month point prevalence rate of smoking abstinence of 31% is superior to a 7% rate of moking abstinence.

Now what happens if you dont limit users to a single product, allow them to find the combination of hardware andquid that works best for them, and provide advice and assistance by an online community of experienced users?uccess rates soar. A survey of 270 e-cigarette consumers (303 before excluding possible duplicates) found that 100%moked before starting to use the e-cigarette, 92% had tried to stop smoking63% trying 4 or more times to do so,nd 87% had tried pharmaceutical nicotine products. Only 1% reported that pharmaceutical products helped them toop smoking permanently. How well did the e-cigarette work? Only 3% were using the product in addition to

moking, 15% were using them as a partial replacement for smoking, and an astonishing 82% were using them as aomplete replacement for smoking.

Which would save more lives? If a range of 2% to 7% of smokers can quit nicotine altogether, or if a range of 31% to2% of smoker are able to abstain from smoking but use a less hazardous alternative source of nicotine?

n the case of Smoking Everywhere and Sottera (dba NJOY) versus the U.S. Food and Drug Administration, theHonorable Richard J. Leon, of the U.S. District Court for the District of Columbia stated that the FDA failed torovide any evidence that the products have harmed anyone. Since that opinion was issued, millions more of theroducts have been sold; and to date there have been zero reports of any serious adverse event. Side effects reportedre no different from those reported with use of FDA-approved nicotine products.

oth the lower court and the U.S. District Court of Appeals for the District of Columbia have issued opinions that, asong as vendors make no claims that electronic cigarettes can cure or treat a disease, the FDA cannot regulate theroducts as a drug or drug-delivery device combination under the Food Drug and Cosmetics Act. If electronic


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igarettes are marketed without health claims, the FDA can use the authority granted under the Family Smokingrevention and Tobacco Control Act to regulate e-cigarettes as tobacco products.

here is no evidence that vapor presents any sort of danger to bystanders. In fact the same surveys that reportxceptional rates of smoking abstinence with e-cigarette use also report that more than 90% of users are experiencingealth improvements. Given that fact, how could the vapor they exhale possibly endanger the health of bystanders?

When continuing smokers see electronic cigarette users staying in a nice, climate-controlled environment while theyre exiled outside to the elements, this observation can serve as a powerful incentive. They may think, Why not give-cigarettes a try? Many e-cigarette users at first had no intention of quitting smoking. But once they began using an-cigarette, they no longer had any urge to smoke.

ASAA has revised E-cigarettes and Smoke-free Policies to provide a more accurate picture of the scientific factsbout e-cigarettes. A copy is attached. I have sent a printed copy of this document to members of the Madison

ounty Board of Health. Feel free to contact me with any questions you might have.

Very truly yours,

laine Keller

ASAA Vice President

ttp://www.casaa.org

703) 244-8692

rom: Hensley, Martin (LHD-Madison Co )ent: Monday, March 07, 2011 9:08 AMo: Green, Christie L (LHD-Madison Co); Farris, Leslie D (LHD-Madison Co)ubject: RE: Ban on E-Cigarettes

came from the general comment link. Leslie, did you get it?

hanks,Marty


rom: Green, Christie L (LHD-Madison Co)ent: Monday, March 07, 2011 9:06 AM


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o: Hensley, Martin (LHD-Madison Co )c: Farris, Leslie D (LHD-Madison Co)ubject: RE: Ban on E-Cigarettes

didnt have a copy of this one in my inbox this morning. Hmm

will forward to Nancy. Theres no need to reply to Mr. Meatball.

hanks,

g


ublic Information Officer

Madison County Health Dept.14 Boggs Laneichmond, KY 40476-120859-623-7312 cell 859-661-0853

www.madisoncountyhealthdept.org ..what it really takes to change the world isn't so much wealth or power as creativity, determination and passion."

Nicholas Kristof



rom: Hensley, Martin (LHD-Madison Co )ent: Monday, March 07, 2011 8:47 AMo: Green, Christie L (LHD-Madison Co)ubject: FW: Ban on E-Cigarettes

got it yesterday morning.

hanks,Marty



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rom: Spicy Meatball [mailto:sent: Sunday, March 06, 2011 4:55 AMo: [email protected]: Ban on E-Cigarettes

l make this short. Jack Taylor, are you THAT bored in your job? Is your work load that light for you to waste yourme and the time of others? You want to ban something that releases water vapor and tries to help people stopmoking? Do you realize how utterly STUPID that is? How did you get your job without having common sense?

Youre not doing any good for the community. Youre embarrassing your Dept. and yourself. Its in the news andveryone thinks youre acting like a fool. Get to work on things that matter. If you cant find things that matter thenoure wasting the taxpayers money and you should resign.

aul

rom: Farris, Leslie D (LHD-Madison Co)ent: Monday, March 07, 2011 9:06 AMo: Green, Christie L (LHD-Madison Co)ubject: RE: Ban on E-Cigarettes

Ok,

rom: Green, Christie L (LHD-Madison Co)ent: Monday, March 07, 2011 9:06 AMo: Hensley, Martin (LHD-Madison Co )c: Farris, Leslie D (LHD-Madison Co)ubject: RE: Ban on E-Cigarettes

didnt have a copy of this one in my inbox this morning. Hmm

will forward to Nancy. Theres no need to reply to Mr. Meatball.

hanks,

g


ublic Information OfficerMadison County Health Dept.14 Boggs Lane


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ichmond, KY 40476-120859-623-7312 cell 859-661-0853

www.madisoncountyhealthdept.org ..what it really takes to change the world isn't so much wealth or power as creativity, determination and passion."

Nicholas Kristof



rom: Hensley, Martin (LHD-Madison Co )

ent: Monday, March 07, 2011 8:47 AMo: Green, Christie L (LHD-Madison Co)ubject: FW: Ban on E-Cigarettes


hanks,Marty


rom: Spicy Meatball [mailto:ent: Sunday, March 06, 2011 4:55 AMo: [email protected]: Ban on E-Cigarettes



aul

rom: Hensley, Martin (LHD-Madison Co )


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ent: Monday, March 07, 2011 8:47 AMo: Green, Christie L (LHD-Madison Co)ubject: FW: Ban on E-Cigarettes


hanks,Marty


rom: Spicy Meatball [mailto:[email protected]]ent: Sunday, March 06, 2011 4:55 AMo: [email protected]: Ban on E-Cigarettes



aul

rom: Owens, Kelly S (LHD - Madison Co)ent: Monday, February 14, 2011 8:47 AMo: Hawkins, Ruth R (LHD-Madison Co); Jordison, Lloyd (LHD-Madison Co); Magsaysay, Deborah (LHD-

Madison Co); Green, Christie L (LHD-Madison Co); Crewe, Nancy M (LHD-Madison Co);[email protected]; Riker, Carol A; Robertson, Heather E [[email protected]]; Centers, Irene (CHFS

HPB-Health Promotions)ubject: WEKU: E-Cigarettes Spark Debate in Kentucky (2011-02-14)

ttp://www.publicbroadcasting.net/weku/news.newsmain/article/0/1/1761704/Central.and.Eastern.Kentucky/E-igarettes.Spark.Debate.in.Kentucky

rom: Crewe, Nancy M (LHD-Madison Co)ent: Monday, December 06, 2010 12:33 PMo: Hawkins, Ruth R (LHD-Madison Co); Owens, Kelly S (LHD - Madison Co)c: Green, Christie L (LHD-Madison Co)ubject: FW: E cigarette / Clean Air Help

YI, ladies. See previous correspondence. A couple more to come.

Nancy


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Nancy M. Creweublic Health Director

Madison County Health Department14-216 Boggs LaneO. Box 1208ichmond, KY 40476-120859-626-4241/cell 859-200-4657mail [email protected] http://www.madison-co-ky-health.org/

lease consider the environment before printing this email.

NOTICE OF CONFIDENTIALITY: This e-mail, including any attachments, is intended only for the use of thendividual or entity to which it is addressed and may contain confidential information that is legally privileged andxempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you areotified that any review, use, disclosure, distribution, or copying of this communication is strictly prohibited. If you

ave received this communication in error, please contact the sender by reply e-mail and destroy all copies of theriginal message.

rom: Information @ Penbrandt.com [mailto:[email protected]]ent: Friday, December 03, 2010 8:07 PMo: [email protected]; Crewe, Nancy M (LHD-Madison Co)ubject: Fw: E cigarette / Clean Air Help

Hi Monty,

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

Mike

Michael Siegel, MD, MPH

rofessor


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Department of Community Health Sciences

oston University School of Public Health

01 Massachusetts Avenue, 3rd Floor

oston, MA 02118

rom: Information @ Penbrandt.com

ent: Friday, December 03, 2010 3:07 PMo: Siegel, Michaelubject: E cigarette / Clean Air Help

Michael Siegel, MD, MPH

Depart of Community Health Services

oston University School of Public Health

17-638-5167

Hello Dr. Siegel,

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

Our county Board of Health passed a smoking ban a little over two years ago to prohibit smoking indoors at publiclaces.

hey have now had a 1st reading of a ordinance to include E-cigarettes in this ban.

hey are basing there decision on the FDA report that carcinogens exist in the fluid from the E-cigs. However, theynly have power to enact this ordinance if these "chemicals or carcinogens" exist in the 2nd hand vapor emitted fromhese devices.


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We are looking for information to whether these devices have been proven to have these things in the 2nd hand vaporhat would warranty including them in the "clean air" ban.

an you please advise?

Many of us have quit smoking regular cigarettes with these E cigarettes, and know of several HUNDRED householdsn this county that are now smoke-free because of them. Our concern is that if they include this in the ban, then manyf those who have left regular cigarettes for the E cigarettes will return to smoking regular cigarettes.

incerely,

Monty R. Pennington

f behalf of Concerned Citizens of Madison County, Kentucky

rom: Crewe, Nancy M (LHD-Madison Co)ent: Monday, December 06, 2010 12:33 PMo: Hawkins, Ruth R (LHD-Madison Co); Owens, Kelly S (LHD - Madison Co)c: Green, Christie L (LHD-Madison Co)ubject: FW: E cigarette / Clean Air Help

YI, ladies. See previous correspondence.

Nancy





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


Monty R. Penningtonenbrandt Prehistoric Artifactsttp://www.penbrandt.com

--- Original Message -----

rom: Thomas Kiklas inLife Media

o: Information @ Penbrandt.com

ent: Friday, December 03, 2010 3:35 PM

ubject: Re: E cigarette / Clean Air Help

Mr. Pennington,

hank for your email and concern. We at inLife have committed a great deal of time and resources to bring to theublic and legislative bodies the science and experiences of our e-cig clients. There are now over 500,000 e-cig usersn the U.S. and over 20+ scientific studies on the constituents of the a-cig. In not one study (inclusive of the FDA's/22/09 study) have there ever any single ingredient or combination of ingredients that are at any levels harmful toumans. You reference in your email that "the FDA report that carcinogens exist in the fluid from the E-cigs". Thiseport by the FDA has been greatly criticized by many Tobacco Harm Researchers and scientists as being alarmist andevoid of any scientific merit and I direct to this rebuttal from our industry website that should help you dispel falselaims of harmful or toxic levels of ingredients in the e-cig: http://truthaboutecigs.com/scares_2.php

lease review the website www.truthaboutecigs.com for more science on the e-cig as once a legislative body hasrictly the scientific facts on this truly amazing technology (http://truthaboutecigs.com/studies.php ) can they then

make an informed decision of whether it is wise to ban a product that only has 5 main ingredients (propylene glycol,


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lycerol, nicotine, water and flavoring and all ingredients have been in the U.S. food supply for generations and noneanned by the FDA) and send their constituents back to the one product that we know kills over 500,000 annually andontains over 6,000 chemicals in which 66 are known toxins.

you would like further information or wish to speak to me you can contact me directly.

hank you greatly for taking your time to contact inLife and do your due diligence about the e-cig and best of luck.

homas R. KiklasDirector of MedianLife49-250-9600 x108

rom: Crewe, Nancy M (LHD-Madison Co)

ent: Monday, December 06, 2010 12:32 PMo: Hawkins, Ruth R (LHD-Madison Co); Owens, Kelly S (LHD - Madison Co)c: Green, Christie L (LHD-Madison Co)ubject: FW: E cigarette / Clean Air Help


Nancy






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Mr. Pennington:

he bit of information left out of the FDA report on E-cigarettes is that the concentration of carcinogens in the E-igarette fluid is approximately the same concentration of these same carcinogens in Nicorette and the other Nicotineeplacement Therapy (NRT) products already approved by FDA.. To my knowledge no one has even tried to see if

hese traces show up in the E-cigarette vapor since it seems unreasonable that they would.

or more detailed information about the FDA test results -- see the petition to the FDA about the July 22, 2009 pressonference on the Tobacco Issues page of the www.aaphp.org web site, and the referenced test results in the attached

materials.

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

At the time I drafted the February 2010 petitions to the FDA regarding E-cigarettes, I did so in my capacity as Co-hair of the Tobacco Control Task Force of the American Association of Public Health Physicians. I have since

otated out of that role.

oel L. Nitzkin, MD,

939 Chestnut Street

New Orleans, LA 70115-2941

hone: 504 899 7893 or 800 598 2561

ell phone 504 606 7043

ax: 504 899 7557

kypename jlnitzkin


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[email protected]

rom: Crewe, Nancy M (LHD-Madison Co)ent: Monday, December 06, 2010 12:32 PMo: Owens, Kelly S (LHD - Madison Co); Hawkins, Ruth R (LHD-Madison Co)c: Green, Christie L (LHD-Madison Co)ubject: FW: E cigarette / Clean Air Help


Nancy






rom: Brad Rodu

o: Information @ Penbrandt.com

ent: Friday, December 03, 2010 3:50 PM

ubject: Re: E cigarette / Clean Air Help


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Monty,

hanks for your message. I strongly support the availability of electronic cigarettes as vastly safer alternatives formokers, and I believe that use of the devices in public places has virtually no impact on non-vapers. However, there

no scientific evidence that informs your question: Do "chemicals or carcinogens" exist in the 2nd hand vapor emittedom these devices? We cannot underestimate the technology that makes it possible to measure vanishingly small and

nsignificant quantities of putative contaminants, but I do not know of any published studies that address this issue.

understand that many former smokers in Madison County are dependent on e-cigarettes to stay smoke-free. But I ambit skeptical about your statement that a public indoor ban on e -cigarettes would force vapers to start smoking again.don't believe that vapers, most of whom know that e-cigarettes are vastly safer, would return to conventionaligarettes if an indoor ban was implemented (with either product they would be forced outside). One option is forapers to use other smoke-free nicotine/tobacco products if they need to spend a lot of time in places where e-

igarettes were banned.

his is a difficult issue. Please don't hesitate to contact me if you need any other information.

est regards,

rad Rodurofessor of Medicinendowed Chair, Tobacco Harm Reduction Research

University of Louisville

oom 208linical Translational Res. Bldg.05 South Hancock Street

ouisville, KY 40202

hone: 502-852-7793ax: 502-852-7979mail: [email protected]

www.smokersonly.org

ttp://rodutobaccotruth.blogspot.com


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rom: Crewe, Nancy M (LHD-Madison Co)ent: Monday, December 06, 2010 12:31 PMo: Owens, Kelly S (LHD - Madison Co); Hawkins, Ruth R (LHD-Madison Co)c: Green, Christie L (LHD-Madison Co)ubject: FW: Electronic cigarettes feedback

adies, good afternoon. As you can see below, we are already getting public feedback from citizens on the e-cigarettesue. I will be forwarding you a series of

mails on this matter. that came to me over the weekend.

hanks, Nancy

Nancy M. Creweublic Health DirectorMadison County Health Department14-216 Boggs LaneO. Box 1208ichmond, KY 40476-120859-626-4241/cell 859-200-4657mail [email protected] http://www.madison-co-ky-health.org/



rom: Jerry Hacker [mailto:[email protected]]ent: Friday, December 03, 2010 8:53 PMo: Crewe, Nancy M (LHD-Madison Co)ubject: Electronic cigarettes

ask you to please watch these videos with an open and non biased mind.

ttp://www.youtube.com/watch?v=nCNqwIZ5_k0


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ttp://www.youtube.com/watch?v=EsGPoJz95Wc

hank you,

erry Hacker