2020 - V.39 N.1 1

UPDATE

A decade after the introduction of the e-cigarette, ANR reflects on the marketing, use, and health impacts of these nicotine products. Here we share Part 1 of this series, which focuses on the early days of e-cigarettes in the U.S. Future pieces will focus on Regulatory Landscape and Policy Guidance to protect public health.

FLASHBACK: WHAT IN THE WORLD IS AN E-CIGARETTE?Do you remember when you first heard or read about e-cigarettes or perhaps saw the product for the first time? ANR first learned about e-cigarettes when a member from Dallas called our offices in 2009 asking if these products could be used in restaurants, which went smokefree years earlier in 2003. The individual using the device claimed it was allowed because it wasn’t a cigarette and it emitted a harmless "vapor mist."

While we were unfamiliar with the specific product, we suggested that business owners could include these new devices, which looked like tobacco cigarettes, in the smokefree rule and to ask people to take it outside. ANR felt that it was impossible to tell the difference between a combustible cigarette and the electronic smoking devices in a nightlife setting, making enforcement challenging if exemptions were made to allow these novel products to be used in smokefree spaces. Also, we felt that the secondhand aerosol emitted by these products could potentially be harmful to nonsmokers and shouldn’t be used inside shared air spaces where they could pose a health hazard to non-users.

We strongly suggested then—and now—to take the precautionary approach and to treat these new nicotine products like other forms of smoking when it comes to nonsmokers’ rights and developing strong smokefree protections.

2020 V. 39, No. 1

E-cigarettes, continued on page 5

Defending your right to breathe smokefree air since 1976.

RESPIRATORYRISK FACTORSAND COVID-19

Risks, continued on page 3

COVID-19 REMINDS US THAT HEALTH PREVENTION POLICIES MATTER GREATLY Our thoughts are with everyone impacted by coronavirus, including front-line healthcare workers and workers in the hospitality and entertainment industries, who may still be required to work and are generally the least likely to have paid sick leave, health care coverage, and are still working in smoke-filled environments. Just as social distancing and handwashing help prevent the spread of disease, eliminating secondhand smoke is critical to prevent acute and chronic diseases, and saves lives by reducing the risk of heart disease, stroke, respiratory diseases, and lung cancer by up to 30% at a population-wide level. SECONDHAND SMOKE EXPOSURE Just like coronavirus, secondhand smoke spreads throughout a building. Casino, bar, and hotel ventilation systems do not eliminate exposure to the gases, toxins, carcinogens, and particulate matter contained in secondhand smoke and e-cigarette aerosol. Sadly, more than 100 Americans die every day from secondhand

A PUBLICATION OF AMERICANS FOR

NONSMOKERS, RIGHTS

Despite company claims that e-cigarettes were for adult smokers who couldn't quit smoking, youth vaping skyrocketed.

E-CIGARETTESTHEN AND NOW

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On February 25, 2020, we celebrated the 30 year anniversary of smokefree domestic flights in the U.S. This important public health achievement was made possible by a broad coalition of nonsmokers’ rights advocates, health groups, legislative champions Senator Lautenberg and Senator Durbin (then Rep. Durbin), and tenacious flight attendants who were willing to speak up publicly for their right to breathe. Flight attendants and other airplane crew members were regularly

subjected to toxic secondhand smoke. Hear what veteran flight attendants have to say about working on smoke-filled flights then and their smokefree workplaces now.

Congress passed the smokefree skies regulation February 25, 1990, which permanently turned the smoking sign off in U.S. domestic airline cabins–for the health of flight attendants and passengers. Travelers and flight attendants could finally take a deep breath of clean smokefree air inside the aircraft. This decision eventually led

to smokefree air on all flights to and from the U.S. and to smokefree policies for airlines worldwide. Flight attendants like Patty Young initiated efforts for smokefree air travel in the 1960s and intensified lobbying efforts in the 1980s with help from ANR.

Patty’s impassioned speech about her right to smokefree air still applies today for many classes of workers in hospitality workplaces that are left behind. We fought for years in an uphill battle to protect the health of flight attendants and passengers, and today we remain committed to smokefree advocacy, to close the gaps in smokefree protections for musicians, casino workers, and bar and hospitality staff who still work in smoke-filled environments.

While we have much to celebrate, there is still more work ahead of us.

To see where gaps still exist read our Bridging the Gap Report.

STAY INFORMED. GET INVOLVED. BE CONNECTED.

PUBLISHED BYAMERICANS FOR NONSMOKERS’ RIGHTS

2530 San Pablo Avenue, Suite JBerkeley, CA 94702USA (510) 841-3032

ANR UPDATE

President & CEO: Cynthia Hallett, MPHOperations Director: Len CaseyDirector of Advocacy: Bronson FrickProject & Policy Manager: Liz WilliamsProgram & Training Specialist: Char DaySenior Information Specialist: Diane Jones, MLSInformation Specialist: Patricia Lew Assoc. Dir., Strategic Partnerships: Lyan Joy Pernala, MPADir. of Data Mgmt. & Analysis: Maggie HopkinsSenior Policy Analyst: Laura Walpert, JDPolicy Analyst: Anupa Batra, Ph.D.Policy Analyst: Aaron Rowden, JDPolicy Analyst: Cristian ZaragozaLaw & Policy Acquisition Specialist: M.J. Pierce, JDAccounting Manager: Joseph “JC” CadizGift Processing & Office Manager: Holly CallahanProject Coordinator: Rachel CrawleyPolicy & Administrative Assistant: Colleen OlsonCommunications/Donor Specialist: Heidi Wohlwend, MFA

Kirk Kleinschmidt Board Chair Sharon Eubanks, JD Vice Chair Bruce Hetrick Treasurer Joel Dunnington, MD Secretary Stella Aguinaga Bialous, RN, DrPHRoman BowserCheryl Healton, MPA, DrPHRobin Hobart, MPH, MPPPatricia Nez Henderson, MD, MPH Armando JimenezValerie Yerger, MA, ND

ADVOCACY Americans for Nonsmokers’ Rights is a national advocacy group protecting

nonsmokers from secondhand smoke. ANR is a registered 501(c)(4) lobbying organization

under the IRS Code.

nonsmokersrights.org

EDUCATION ANR Foundation is the 501(c)(3) educational arm of ANR.

no-smoke.org

Any portion of UPDATE may be reprinted with permission and credit to ANR.

STAFF

BOARD OF DIRECTORS

THIRTY YEARS OF SMOKEFREE SKIESTHEY SAID IT WOULD NEVER HAPPEN

Deborah McNulty, Flight Attendant, 1973–present

Kimberly Winston, Flight Attendant, 1988–present

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smoke exposure. Casino and hospitality workers are the most exposed to secondhand smoke, but it’s a health hazard for everyone breathing in a building with smoking. Exposure to secondhand smoke is a health risk we can eliminate by closing gaps in smokefree protections for all workplaces, public places, and multi-unit homes. Powerful corporate interests, including tobacco companies, want to enable indoor smoking in venues like bars, music venues, and casinos as a way to maximize smoking profits and keep people addicted to tobacco and other nicotine products. Community public health experts and advocates must continue their efforts to prevent rollbacks to smokefree protections or attempts to preempt local authority to enact smokefree and other tobacco-related laws that protect health and prevent another generation addicted to nicotine products.

COVID-19 AND WHAT WE CAN DO TO MINIMIZE RISK FACTORS. The Centers for Disease Control has guidance on preventing risks for Coronavirus or COVID-19 and outlining which populations are most at risk for getting COVID-19: “Older adults and people who have severe underlying chronic medical conditions like heart or lung disease or diabetes seem to be at higher risk for developing more serious complications from COVID-19 illness. Please consult with your health care provider about additional steps you may be able to take to protect yourself.” While young adults are at a lower risk, there are health risk factors that can lead to susceptibility to the virus, including smoking and exposure to secondhand smoke. Smoking leads to respiratory illnesses: everything from bronchitis to asthma to COPD and lung cancer. Therefore, individuals who smoke tobacco or marijuana, and potentially those who vape electronic smoking devices, reduce their lung function by introducing particulate matter, toxins, and carcinogens into their lungs, which then increases susceptibility for respiratory

Risks, continued from cover

illnesses. In addition, secondhand smoke exposure is similarly associated with diminished lung function and illnesses, and therefore also a risk factor for susceptibility to viruses like COVID-19. We encourage individuals, particularly those who are considered high risk and susceptible to virus exposure, to do their best to avoid smoke-filled indoor environments. Given these risk factors, those that choose to smoke are encouraged to consider quitting for good. We know that it is incredibly challenging to quit, particularly during stressful times, and that stress often leads to relapse among former smokers. That’s not by accident, the tobacco industry intentionally made cigarettes more addictive and through their understanding of nicotine’s addictive impact on brain chemistry knew it would be extremely difficult for users, their core customers, to quit. If you want to quit, you are not alone—there are many FREE resources, online and by phone, that can help people who wish to quit. For businesses, now is the perfect time to go smokefree. Many restaurants, bars, and casinos are now closed until this emergency subsides, but for those that have not, now is the time to clear the air. In addition to the deep cleaning to disinfect against germs and viruses, consider the tobacco smoke residue, including gases, toxins, carcinogens, and particulates, left in the air, on walls and surfaces, and in carpets and draperies. We strongly encourage businesses to re-open as smokefree environments. Early findings from Italy and China demonstrate that those who contracted COVID-19 and recovered still show signs of diminished lung function. Therefore exposure to other, ongoing risk factors, including secondhand smoke, could result in relapse or some other lung-related illness. Coronavirus has brought into sharp focus the health impact of breathing shared air in workplaces and public gathering places such as casinos, bars, and cruise ships. The still-unfolding COVID-19 crisis shows that businesses are materially impacted by population health risk factors and the urgent need to rethink old assumptions about the health and economic benefits of going smokefree. Smokefree air protects the health and safety of workers along with those who have respiratory and cardiovascular illnesses. Smokefree air will help keep the air safe and welcoming in hospitality and entertainment workplaces for everyone. n

View COVID-19 related respiratory risk information on ANR Foundation's blog at no-smoke.org. We'll be updating this blog as new information becomes available.

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LEGISLATIVE HIGHLIGHTSAS OF MARCH 18, 2020

ARIZONA Mesa, Tucson CALIFORNIA Bell Gardens, Benicia, Carpinteria, Clearlake, Concord, Irvine, La Mesa, Menlo Park, Pacific Grove, Pacifica, Redondo Beach, San Luis Obispo County, San Pablo, San RamonCOLORADO Broomfield, Centennial, Manitou Springs, Silverthorne, Superior, TellurideFLORIDA Hillsborough CountyGEORGIA DunwoodyILLINOIS Algonquin, Antioch, Arlington Heights, Bloomington, Decatur, Deerfield, DeKalb, East Dundee, Glencoe, Gurnee, Lake Zurich, Lockport, Marshall, Niles, Oak Park, SpringfieldINDIANA Grant County, Hope, Munster, WinfieldKANSAS ManhattanKENTUCKY Frankfort, Franklin County, Williamsburg, WilliamstownLOUISIANA Athens, Natchez, Oak Grove, ReevesMARYLAND Westminster

SMOKEFREESTATE/TERRITORY BILLS PENDING THIS SESSIONAs of March 19, 2020

S: strong smokefree bill or restores local controlW: weak smokefree billX: creates exemption in current smokefree lawP: preemptive billC: smokefree cars with children billO: outdoor smokefree areas billH: smokefree housing billE: bill about where e-cigarettes may be usedM: bill about marijuana in smokefree areas

MASSACHUSETTS North Andover, RocklandMICHIGAN Ann Arbor, Buchanan, Corunna, East Lansing, Lansing, Ottawa CountyMINNESOTA Litchfield, RushfordMISSISSIPPI Gattman, Hattiesburg, Newton, Pace, Rienzi, Ripley, SmithvilleMISSOURI Branson West, Lee’s Summit, Monett, Pleasant Valley, St. JosephNEBRASKA LincolnNEW JERSEY Raritan TownshipOKLAHOMA Oklahoma CityOREGON Grants Pass, OntarioSOUTH CAROLINA Isle of PalmsTEXAS Austin, Lakeway, Sugar LandWASHINGTON Jefferson CountyWEST VIRGINA Cabell County, Charleston, Huntington, Kanawha CountyWISCONSIN Ellsworth, Glendale, Hales Corners, Horicon, Oshkosh, Plymouth, Reedsburg, Shorewood, Whitefish BayWYOMING Green River

SMOKEFREE INDOOR LAWS ENACTED

ALASKA Ketchikan Gateway BoroughARKANSAS HarrisonCALIFORNIA Carpinteria, Kern County, National City, West HollywoodCOLORADO Aspen, Colorado Springs, Denver, DillonFLORIDA Palm Coast*ILLINOIS Bartlett, Chicago, Fulton, Harwood Heights, Rock Island, WheelingKENTUCKY Mason County, MaysvilleMARYLAND Wicomico CountyMASSACHUSETTS Sandwich

MICHIGAN Barry Township, Macomb County, Sidney TownshipNEBRASKA Grand Island, Kearney, Lancaster CountyNEW YORK Suffolk County NORTH CAROLINA Cumberland County, Henderson County, New Hanover CountyTEXAS PalestineWEST VIRGINIA Harrison CountyWISCONSIN La Crosse, Marshfield, Portage

*passed first reading

SMOKEFREE INDOOR LAWS PENDING

ATLANTA GEORGIASMOKEFREEJAN. 2, 2020

Alabama: C, EArizona: ECalifornia: MConnecticut: S, X, HGeorgia: W, CHawaii: S, HIllinois: EIowa: S, WKansas: ELouisiana: CMaine: MMassachusetts: C, O, HMichigan: H

Minnesota: C, E, MMissouri: PNebraska: ENew Hampshire: CNew Jersey: S, X, C, O, H, ENew York: S, X, P, C, O, HOhio: COklahoma: PPennsylvania: S, CRhode Island: MSouth Carolina: P, ESouth Dakota: EWisconsin: E

ACTION ALERTSRECENT ACTIVITY

Thank Las Vegas Airport for going smokefree! We're excited to see that Las Vegas McCarran Airport is smokefree as part of their COVID-19 response. Now, let's make sure it stays smokefree!

Anchorage, Alaska, Vote No on Prop 11. We don't want to normalize in-public indoor marijuana smoking. Smoke is smoke!

Coalition partners (L-R) Lewis McTush, Onjewel Smith, George Klein, and Cynthia Hallett celebrated smokefree Atlanta in January 2020.

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NOW WE KNOW: THE EVIDENCE IS CLEAR, E-CIGARETTES ARE NOT SAFE!

The science on the health effects of e-cigarettes on both the user and people exposed to the secondhand aerosol ("vapor") did not exist when these products hit the U.S. market, which created a void that the e-cigarette industry and proponents used to flood online platforms and legislators’ inboxes with messages about the presumed safety of these products—particularly for cigarette smokers who allegedly would switch from smoking to vaping. Today, there is now a rich science base that documents the hazardous constituents and particles in secondhand aerosol, the short-term health effects on those who vape, and the rapid rise of e-cigarette use among children and young adults.

Young people, many of whom never smoked a combustible cigarette given their knowledge about the harms of smoking and secondhand smoke exposure, started vaping nicotine products as a result of unregulated online advertisements of these novel high-tech devices that were touted as safe and healthy in the early days of e-cigarettes (2009-2010) and came in a variety of enticing flavors.

In February 2020, the Massachusetts Attorney General filed a lawsuit against JUUL Labs, asserting that the company was marketing its popular flavored vaping products to teenagers. Despite JUUL’s lies about not targeting teens, there is evidence that the company did target young people, including purchasing ad space on numerous youth-focused websites, such as Nickelodeon, the Cartoon Network, Seventeen Magazine, and educational sites for middle school and high school students. This lawsuit presents strong evidence that the company was targeting young nonsmokers during its launch period from June 2015 through early 2016. On March 12, 2020, a law firm representing 23 California school districts, serving nearly 1.1 million students, filed a lawsuit against JUUL Labs Inc. for “its role in creating an e-cigarette epidemic and resurgence in youth nicotine addiction that impedes the educational and learning environment in schools across California.”

These marketing and interference tactics are reminiscent of early tobacco industry "prevention programs" targeting youth and marketing and false claims that it never intentionally targeted children or other segments of the population by race, ethnicity, gender, socio-economic status, or sexual orientation.

MORE TO COME Look for Part 2, Regulatory Landscape, and Part 3, Policy Guidance: Regulating use of e-cigarettes as tobacco products, on our blog at no-smoke.org.

E-Cigarettes, continued from cover

WEST VIRGINIA FOR THE WINADVOCATES SUCCESSFULLY THWART PREEMPTION

n

After a quick 60 days, the 2020 West Virginia legislative session came to a close on March 7th. Another year passes where public health advocates successfully stopped an avalanche of more than 50 preemption bills that would have undermined local control for tobacco control and a wide range of other local policy issues.

Through grassroots organizing, West Virginians took action and affirmed their support for local control. No one is asking for less capacity to address problems in their own community. In the meantime, several counties are considering strengthening clean indoor air provisions to include e-cigarettes.

The statewide coalition continues to build momentum in gaining new partnerships to protect local progress. Advocates will also continue to meet with state decision makers at home in their districts to say, "Enough already—prioritize people and public health to close gaps in smokefree protections!"

Shout-out to all our coalition partners in Atlanta for their diligence and hard work to make smokefree Atlanta a reality. Read more about the Atlanta campaign on nonsmokersrights.org.

Grammy-nominated Jontavious Willis played at Blind Willie's in Atlanta during implementation festivities. "I couldn't play like this if there was smoking in here," he said. Read more about Jontavious at Smokefreemusiccities.org.

a project of the ANR Foundation

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PUBLIC HEALTH CONSEQUENCES OF LEGALIZED MARIJUANA:ROLLING BACK SMOKEFREE PROTECTIONSAs reported previously, we are seeing many attempts to weaken state and local smokefree laws to expand where marijuana smoking and vaping is allowed, even in places like Berkeley, CA, that have been leaders in smokefree air and other tobacco-related policies, and Colorado, which was an early adopter of smokefree casinos to protect worker and patron health. However, both Berkeley and Colorado are among the first locations to make concessions to allow on-site indoor marijuana use.

The marijuana industry’s growing money and influence is creating a whole new industry that promises that the legalization of recreational/adult use marijuana will create new sources of revenue for cities and states, in part by creating mass commercialization of cannabis products, preferably by allowing on-site use at retail establishments, dispensaries, and other social venues including bars, restaurants, yoga studios, and more.

This expansion of smoking and vaping marijuana for recreational purposes—and the associated increased exposure to secondhand marijuana smoke—has real and immediate impacts on worker and public health.

Despite our smokefree successes, 39% of the U.S. population is still not protected by a smokefree workplace, restaurant, and bar law. As states with these smokefree laws legalize recreational marijuana

use, those protections are at risk. For states that are not yet smokefree, adopting these important workplace protections will be even more challenging due to new opposition from the marijuana industry and its proponents.

ANR strongly encourages all cities and states to include marijuana and/or cannabis as a

product that cannot be smoked or vaped

in smokefree environments. This will provide useful protections when marijuana is legalized; however, we

are still seeing that very strong

smokefree laws are being manipulated

or rolled back to increase the number of spaces where people can use marijuana indoors.

Some challenges for tobacco control advocates include:

•Difficulty engaging on marijuana: some health departments, grantees, or community based partners don’t have permission or support to work on marijuana issues. Often, these issues are charged to divisions other than tobacco control. Other times, there may be trepidation talking about marijuana because it’s seen as controversial or outside their expertise.

•People who bring up concerns about marijuana use or exposure, including protecting

existing smokefree rules and regulations, are often branded as radicals who are just repeating outdated ‘reefer madness’ tropes, rather than raising real public health concerns.

•Misinformation and lack of awareness—by the general public, by lawmakers, by marijuana proponents—which is driven by claims that there is little evidence and science that secondhand marijuana smoke is harmful.

Tobacco control professionals and nonsmokers’ rights advocates can use the evidence collected thus far to advocate for protecting and/or expanding smokefree indoor air laws to include smoking and vaping of tobacco, nicotine, and marijuana products. Engaging in marijuana can be framed through the lens of protecting workers and the public from exposure to all types of secondhand smoke and aerosol in smokefree spaces. Instead of weakening smokefree indoor air laws, communities should instead discuss the possibility of creating acceptable outdoor areas for public consumption of marijuana, similar to how outdoor tobacco use is permitted. It could be helpful to create outdoor spaces that could both meet the access and safety needs of marijuana consumers, while also reducing exposure to drifting smoke to protect public health.

We do not want to see communities adopt laws that promote marijuana business interests above the imperative to protect public health.

See our resource page for more information about marijuana.

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PROTECT YOUR LUNGS: COVID-19’S SMOKING AND VAPING RISKS

WHY?The Center for Disease Control and the US Surgeon General stress that smoking and vaping impacts your lungs’ ability to fight off the infection when you are exposed to the Coronavirus (COVID-19). Even secondhand smoke exposure is associated with weaker lung function which is a risk factor for COVID-19.

NEWORLEANSMUSICIANSCLINIC.ORG | 504 412-1366

BE KIND AND STAY SAFE.YOUR LIFE MATTERS.

DID YOU KNOW?Among Chinese patients diagnosed with COVID-19 associated pneumonia, the odds of disease progression (including to death) were 14 times higher among people with a history of smoking compared to those who did not smoke.

Young adults are at risk for contracting this virus if they smoke and/or are exposed to secondhand smoke. Those who smoke tobacco, marijuana or crack and those who vape reduce their lung function by introducing particulate matter, toxins, and carcinogens into their lungs.

STOP SMOKING & MINIMIZE YOUR COVID-19 RISK FACTORS

Set a date to quit smoking or vaping.

Encourage friends and family to join you in kicking the

habit.

Talk about your determination

to quit so others can offer you

encouragement.

Make a list of the triggers that cause

you to want to light up. Create a plan to

avoid them.

Let’s face it: It is hard to quit smoking particularly during stressful times. Here are three NOMC recommended FREE web-based programs to help you quit smoking:

For youth and young adults: e-cigarette quit program: text “DITCHJUUL” to 88709

Parents and other adults looking to help young people quit should text “QUIT” to (202) 899-7550

1-800-784-8669

As we celebrate 30 years of smokefree skies, it is natural that we set our sights higher, even as high as the final frontier! While there is currently no smoking in space (that we know of) and hopefully never will be, Star Trek has long championed clean air messaging in its interstellar adventures. At least as far back as 1982’s Star Trek II: The Wrath of Khan, signs warning officers against smoking on the bridge can be seen stealing scenes from Mr. Spock. In 1986, smoking was revisited by the Enterprise crew when they encountered a businessman wearing an “I quit smoking” button while

exploring 20th-century Earth.

And viewers of the current Star Trek: Picard series will no doubt notice that former Commander Raffi Musiker is depicted as quitting vaping as part of her journey to redeem her former career and is even seen requesting another character not smoke on-board the ship they both serve on. While we all hope that smoking of all kinds will have fallen by the wayside before the 23rd century, it remains that here in the 21st century clean air is vital if we want to live long and prosper!

STAR TREKTHE FINAL FRONTIER OF SMOKING

THUMBS UP & DOWNThumbs UP to McCarran Las Vegas airport for closing its smoking rooms during the COVID-19 crisis, making the airport 100% smokefree indoors. Help us encourage them to keep it permanently!

Thumbs DOWN to state lawmakers using COVID-19 crisis as a distraction while quietly still pushing Big Tobacco’s agenda of undermining local control and rolling back public health protections.

Thumbs UP to Millennium Music Conference in Pennsylvania for endorsing smokefree air for the health of entertainers and music fans.

Thumbs DOWN to casino companies that claim to care about employee health and safety while opposing smokefree indoor air that would save lives.

See the fact sheet at smokefreemusiccities.org

Screen capture from Star Trek II: The Wrath of Khan, 1982, shows a no smoking sign on the bridge.

Leonard Nimoy died in 2015 from COPD and wanted to alert all about the dangers of smoking. Leonard’s story lives on as part of the CDC's Tips From Former Smokers® campaign.

Screen capture from Star Trek IV: The Voyage Home, 1986.

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HONORING OUR DONORS & MEMBERS

$1,000 to $4,999

$100Jim & Lee AmighEdith D Balbach, Ph.D.Norman J Beffert

FREQUENT BREATHERSMONTHLY GIVING

Pete & Harriet HanauerCheryl Healton, MPA, DrPHRobin Hobart, MPH, MPPSpencer HolmesMaggie HopkinsTraci KennedyKirk KleinschmidtVickie Krenz Robert & Leslie LeighningerLuci LongoriaDorothy MenchLavonne Painter, MDLyan & Fred Sahakian

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Contact usat 510.841.3032 Ext. 315 to find out how you can

join our legacy giving program.

SMOKEFREE AIR SOCIETYTHE LEGACY OF SMOKEFREE AIR

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Dunnington, MD

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For individual donations & pledges received from 09/21/19 to 03/20/20

ANR IS MEMBER SUPPORTEDThank you to everyone who supported our 2nd

annual Day of Breathing this year! Join in next year. Wear blue on March 1st, 2021. Thank you for being a

member. Your voice makes a difference!

Edward Barad Coalition of Lavender- Americans on Smoking or Health (CLASH)Jennifer H CoferRobin R Gillies Marsha & Stan Glantz, Ph.DPeter K & Harriet HanauerIrene HaynieCheryl & Edward HealtonBruce K HetrickHo-Chunk NationSusan D HopkinsRuth E MaloneRobin Gillies & John StilesMike SpecinerMark TraversWilliam Warburton

Linda AmeroSeth Ammerman, MDRobert C. AronoffHolly CallahanLen CaseyCharles DanaChar DayRobert W. DeySue DillonJoel S. Dunnington, MDDennis I. FischbachBronson J. FrickCynthia Hallett

ADVOCACY CIRCLE

$5,000Roman J. BowserHerbert Gross, Jr.

June KailesWilliam J KerschnerAmy E Klein & Jon G McCartyKaren LittlejohnDavid A Major, M.D.Michael & Ann ParkerRichard & Gayle RedikerWilliam H WellmanEllen WerbackAnn Williamson

FOR THE PRICE OF YOUR COFFEEEven a small monthly gift adds up to big impact. Frequent Breather gifts help save lives from secondhand smoke!

Linda BosmaSusan Caliri, D.D.S.Diana T ChastainSue ChinAileen P ChinenFeleceia R ColeStephen W ColleyPaul A DentzelChris DreierRobert C FieldDeborah GeorgesGary & Barbara GerberEric & Patricia GertzGreater HorizonsJohn GreenwoodJane GrossmanRonald GwynnKathleen HardyPatrick W HerranLetetia JacksonElizabeth & Betsy JohnsonDonald KeeseyJohn C KisselPeter KohnkeRichard & Nessa LevineGary MadineDavid McRitchieJoe MedranoPeter MillerJim MossbargerWilliam Murray, Jr.Marianne M MylesJames W NewellThomas B Newman, MD, MPH

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$10,000+Rand Morimoto

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YOU KEEP US STRONG

We are especially grateful for our

ADVOCACY CIRCLE members who give over $250. You are directly funding

programs that bring fresh air to those most

in need!

$101 to $249Lloyd AbramsAlan AdelmanSeth AmmermanLouis B & Lydia BalizetRussell L Baris & Marjorie GoldenStephen & Judith BarrettGene BorioMarney BruceAutumn Sky BurnsLen CaseySharon Y EubanksRobert Fries

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NEXT YEAR:March 1, 2021