Tacoma-Pierce County Health Department -- E-Cigarette E-Mails Oct. 2010 - Feb 2011

From: Frank DibiaseTo: Anthony Chen

Date: 10/27/2010 11:25:48 PMSubject: Re: More on strips, sticks, and orbs

Hi Anthony,

I haven't seen this specific piece of info but one of the concerns about e-cigarettes, orbs, snus, etc is the lack ofstandardization of nicotine content and about the non-tobacco contents which are often unknown and potentiallyhazardous.

From: Anthony ChenSent: Wednesday, October 27, 2010 08:10 PMTo: Frank DibiaseSubject: More on strips, sticks, and orbs

I just saw on this webpage http://tobaccoproducts.org/index.php/Camel_Sticks,_Camel_Orbs_and_Camel_Stripsthat the amount of nicotine from these products can be much higher (and last longer) than a cigarette. Sounds bad tome.

Anthony

8_19_2011

From: Anthony ChenTo: Frank Dibiase

Date: 10/27/2010 11:07:20 PMSubject: RE: Smoke-Free Apartment Buildings article

Unless you have a pressing feeling that one of the three directions take precedence, I think it makes sense to waituntil Jan or Feb (it may take a month to have committee assignments worked out) and to continue any internalreorganization or strategic planning.

For the BOH meeting, I think we just need to respond in a timely fashion to the request to learn more about e-cigarettes, Orbs, Strips, and Sticks. It could simply be: show some pictures of what they are, quote literature aboutthe public health concerns, and state that we will see how it fits into our work plan after we come back to the BOHnext year.

Let me know what you think.

Anthony

From: Frank DibiaseSent: Wednesday, October 27, 2010 3:07 PMTo: Anthony ChenCc: Steve Marek; Joby WinansSubject: RE: Smoke-Free Apartment Buildings article

Hi Anthony,

Joby sent an email yesterday asking about an e-cigarette presentation. I spoke with Steve about it. Steve and I feelthat you, Steve, Joby and I should meet to discuss next steps with the Board since we really didn't have anopportunity to get direction from them at the study session. Steve believes we should wait until at least Januarybefore raising additional tobacco policy issues with the board since we'll have new board members in 2011.

I can prepare a brief presentation on e-cigarettes if you would like. I think the question is then, what we'll we expectfrom the Board? Will the purpose be solely for information sharing or do we expect them to take a stance or givedirection on e-cigarettes? If we don't expect them to give us direction at the November board meeting it might makemore sense to give the e-cigarette presentation at a future study session where we can better discussion policyoptions.

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Please let me know what you'd like to do and we'll make it happen.

Thanks.

From: Anthony ChenSent: Wednesday, October 27, 2010 2:54 PMTo: Frank DibiaseSubject: RE: Smoke-Free Apartment Buildings article

Thanks!

We need to reach closure on the decisions from the last BOH SS (BOH did not really answer the question).

Also, will you be doing a presentation on e-cigarette and tobacco/nicotine alternatives for BOH Mtg?

Anthony

From: Frank DibiaseSent: Wednesday, October 27, 2010 2:10 PMTo: Steve Marek; Anthony Chen; Joby Winans; Tobacco PCSubject: FW: Smoke-Free Apartment Buildings article

Thought you might find this info interesting .

From: Julie Peterson [mailto:[email protected]]Sent: Tuesday, October 26, 2010 9:32 AMTo: Anne Gale-Peterson; Annette Hayden; April Davis; Bill Cook; Charlie Gray; Christopher Zilar; CindySribhibhadh; Dave Harrelson; Diane Bare; Ellen Michaud; Errol Flagler; Frank Dibiase; Gail Tanaka; Gary Fuller;George Hermosillo; Heidi Wiersma; John Poling; Judith Anderson; Julie Peterson; Julie Scholer; Karen Boysen-Knapp; Karen Brawley; Kari Lewis; Kate Donnelley; Kathy Burgoyne; Kurt Wiest; Liz Wilhelm; Lucy Lepinski;Pam Wessel Estes; Renee Rooker; Ron Oldham; Roy Johnson; Sara Bru ; Sarah Ross Viles; Sarah Van Cleve;Shelley Smith-Rose; Steve Cervantes; Theresa Cross; Theresa Fuller; Yvonne Ginoulis

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Subject: Smoke-Free Apartment Buildings article

Coming Soon: Smoke-Free Apartment Buildings?

October 21, 2010 - MSN

http://health.msn.com/health-topics/cancer/articlepage.aspx?cp-documentid=100266210

If you're a nonsmoker who lives in an apartment, your health may be at risk from your neighbors who smoke, says anew study.

Researchers at Roswell Park Cancer Institute in Buffalo, N.Y., analyzed air quality data from 30 apartments within11 buildings and found that secondhand smoke can travel from the apartments of smokers to hallways andapartments of nonsmokers.

The extent of the secondhand smoke transfer depends on a number of factors, including ventilation and distancebetween apartments, the investigators found.

The researchers said the best way to protect apartment residents from secondhand smoke is to have smoke-freebuildings.

"This study suggests that individuals who live in apartment buildings are particularly susceptible to secondhand smokeexposure in their homes," lead investigator Brian King, of RPCI's department of health behavior, said in a newsrelease from the institute. "Since many factors can impact the amount of secondhand smoke transfer betweenapartments, smoke-free building policies are the most effective way to protect apartment residents and their visitorsfrom exposure."

The study appears online ahead of print in the journal Nicotine & Tobacco Research.

David G. Harrelson,

Washington State Department of Health,

111 Israel Road SE Tumwater, WA 98501 -

PH: 360/236-3685,

FX: 360/236-3646, [email protected]

www.wa.gov/tobacco

www.quitline.com

www.smokefreewashington.com

Public Health - Always Working for a Safer and Healthier Washington

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Date: 10/27/2010 6:06:30 PMSubject: RE: Smoke-Free Apartment Buildings article

Hi Anthony,

Joby sent an email yesterday asking about an e-cigarette presentation. I spoke with Steve about it. Steve and I feelthat you, Steve, Joby and I should meet to discuss next steps with the Board since we really didn't have anopportunity to get direction from them at the study session. Steve believes we should wait until at least Januarybefore raising additional tobacco policy issues with the board since we'll have new board members in 2011.

I can prepare a brief presentation on e-cigarettes if you would like. I think the question is then, what we'll we expectfrom the Board? Will the purpose be solely for information sharing or do we expect them to take a stance or givedirection on e-cigarettes? If we don't expect them to give us direction at the November board meeting it might makemore sense to give the e-cigarette presentation at a future study session where we can better discussion policyoptions.

Please let me know what you'd like to do and we'll make it happen.

Thanks.


Thanks!



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Anthony



From: Julie Peterson [mailto:[email protected]]Sent: Tuesday, October 26, 2010 9:32 AMTo: Anne Gale-Peterson; Annette Hayden; April Davis; Bill Cook; Charlie Gray; Christopher Zilar; CindySribhibhadh; Dave Harrelson; Diane Bare; Ellen Michaud; Errol Flagler; Frank Dibiase; Gail Tanaka; Gary Fuller;George Hermosillo; Heidi Wiersma; John Poling; Judith Anderson; Julie Peterson; Julie Scholer; Karen Boysen-Knapp; Karen Brawley; Kari Lewis; Kate Donnelley; Kathy Burgoyne; Kurt Wiest; Liz Wilhelm; Lucy Lepinski;Pam Wessel Estes; Renee Rooker; Ron Oldham; Roy Johnson; Sara Bru ; Sarah Ross Viles; Sarah Van Cleve;Shelley Smith-Rose; Steve Cervantes; Theresa Cross; Theresa Fuller; Yvonne GinoulisSubject: Smoke-Free Apartment Buildings article


October 21, 2010 - MSN




The extent of the secondhand smoke transfer depends on a number of factors, including ventilation and distancebetween apartments, the investigators found.


"This study suggests that individuals who live in apartment buildings are particularly susceptible to secondhand smokeexposure in their homes," lead investigator Brian King, of RPCI's department of health behavior, said in a newsrelease from the institute. "Since many factors can impact the amount of secondhand smoke transfer betweenapartments, smoke-free building policies are the most effective way to protect apartment residents and their visitors

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from exposure."


David G. Harrelson,



PH: 360/236-3685,


www.wa.gov/tobacco

www.quitline.com



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Date: 10/28/2010 12:03:08 AMSubject: RE: Smoke-Free Apartment Buildings article

Your call. If you do a brief PPT, we can also post on the Intranet to share with staff. Check with Cheryl – may betoo late for BOH packets. I just need to know what to say at the BOH meeting.

Anthony

From: Frank DibiaseSent: Wednesday, October 27, 2010 8:21 PMTo: Anthony ChenCc: Steve Marek; Joby WinansSubject: Re: Smoke-Free Apartment Buildings article

Hi Anthony,

One idea would be to send them info on the alternative tobacco products in their BOH packets or via email. There'sa great demonstration of e-cigarettes on YouTube. This would be timely follow-up and would prevent us from havingto repeat the presentation with new board members. Even if there's only two new board members their votes couldbe key to passing a policy or resolution.

From: Anthony ChenSent: Wednesday, October 27, 2010 08:07 PMTo: Frank DibiaseCc: Steve Marek; Joby WinansSubject: RE: Smoke-Free Apartment Buildings article

Unless you have a pressing feeling that one of the three directions take precedence, I think it makes sense to waituntil Jan or Feb (it may take a month to have committee assignments worked out) and to continue any internalreorganization or strategic planning.

For the BOH meeting, I think we just need to respond in a timely fashion to the request to learn more about e-cigarettes, Orbs, Strips, and Sticks. It could simply be: show some pictures of what they are, quote literature aboutthe public health concerns, and state that we will see how it fits into our work plan after we come back to the BOHnext year.

Let me know what you think.

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Anthony

From: Frank DibiaseSent: Wednesday, October 27, 2010 3:07 PMTo: Anthony ChenCc: Steve Marek; Joby WinansSubject: RE: Smoke-Free Apartment Buildings article

Hi Anthony,

Joby sent an email yesterday asking about an e-cigarette presentation. I spoke with Steve about it. Steve and I feelthat you, Steve, Joby and I should meet to discuss next steps with the Board since we really didn’t have anopportunity to get direction from them at the study session. Steve believes we should wait until at least Januarybefore raising additional tobacco policy issues with the board since we’ll have new board members in 2011.

I can prepare a brief presentation on e-cigarettes if you would like. I think the question is then, what we’ll we expectfrom the Board? Will the purpose be solely for information sharing or do we expect them to take a stance or givedirection on e-cigarettes? If we don’t expect them to give us direction at the November board meeting it might makemore sense to give the e-cigarette presentation at a future study session where we can better discussion policyoptions.

Please let me know what you’d like to do and we’ll make it happen.

Thanks.


Thanks!

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Anthony



From: Julie Peterson [mailto:[email protected]]Sent: Tuesday, October 26, 2010 9:32 AMTo: Anne Gale-Peterson; Annette Hayden; April Davis; Bill Cook; Charlie Gray; Christopher Zilar; CindySribhibhadh; Dave Harrelson; Diane Bare; Ellen Michaud; Errol Flagler; Frank Dibiase; Gail Tanaka; Gary Fuller;George Hermosillo; Heidi Wiersma; John Poling; Judith Anderson; Julie Peterson; Julie Scholer; Karen Boysen-Knapp; Karen Brawley; Kari Lewis; Kate Donnelley; Kathy Burgoyne; Kurt Wiest; Liz Wilhelm; Lucy Lepinski;Pam Wessel Estes; Renee Rooker; Ron Oldham; Roy Johnson; Sara Bru ; Sarah Ross Viles; Sarah Van Cleve;Shelley Smith-Rose; Steve Cervantes; Theresa Cross; Theresa Fuller; Yvonne GinoulisSubject: Smoke-Free Apartment Buildings article


October 21, 2010 – MSN




The extent of the secondhand smoke transfer depends on a number of factors, including ventilation and distance

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between apartments, the investigators found.


"This study suggests that individuals who live in apartment buildings are particularly susceptible to secondhand smokeexposure in their homes," lead investigator Brian King, of RPCI's department of health behavior, said in a newsrelease from the institute. "Since many factors can impact the amount of secondhand smoke transfer betweenapartments, smoke-free building policies are the most effective way to protect apartment residents and their visitorsfrom exposure."


David G. Harrelson,



PH: 360/236-3685,


www.wa.gov/tobacco

www.quitline.com



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Date: 10/28/2010 12:18:48 AMSubject: Re: Smoke-Free Apartment Buildings article

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Date: 10/29/2010 9:14:22 PMSubject: RE: Draft email to Board of Health

Frank,

Thanks for the well composed message. Rather than confusing them that we might be bringing this issue up againbefore the end of the year, just say "In response to BOH members' requests for more information about ..." and givethem the links (ie, the 2nd to last para). Then the last two sentences of the last para and that's it. Thanks!

Anthony

From: Frank DibiaseSent: Friday, October 29, 2010 1:02 PMTo: Anthony ChenCc: Steve MarekSubject: Draft email to Board of Health

Hi Anthony,

I checked with Cheryl the other day. The Board of Health packets for next week's meeting have already gone out.

Below is a draft email that could be sent to Board members from you which contains links to info on the webregarding e-cigarettes and other alternative tobacco products.

Let me know your thoughts and how you would like to proceed.

Thanks.

Dear Board Members,

This email is in follow-up to tobacco policy information shared with you at previous Board of Health study sessions.

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One of the policy options, shared with you at the October 20th study session, is to take action which will result in thereduced use of tobacco by youth in Pierce County. As stated in the October presentation results from theWashington State Department of Health's Healthy Youth Survey indicates that the rate of tobacco use in 2008among 12th grade youth in Pierce county is 21%. The current adult tobacco use rate in Pierce County is 16.9%.

A specific policy option presented on October 20th would be to ban the sale of e-cigarettes to youth in PierceCounty. E-cigarettes do not actually contain tobacco so they can currently be sold to youth. Unfortunately, e-cigarettes do contain nicotine and other chemicals that are hazardous to health and, while promoted as a way to stopsmoking, when taken up by non-smoking youth could be the start of a tobacco addiction.

Below are some internet links that provide information related to e-cigarettes and alternative tobacco products usedby youth.

Smoking Everywhere is the name of the company that distributes/makes e-cigs. This link is to a video on YouTubethat demonstrates how e-cigarettes work.

http://www.youtube.com/watch?v=aVJPGF8qM4w &feature=player_embedded

On October 5, 2010 the Spokane Regional Health District's board of health unanimously passed a resolutionrequesting that jurisdictions in Spokane County adopt policies prohibiting the sale of electronic cigarettes and theircomponent parts to minors. This is the first resolution of its kind in Washington state. I've been told by staff at WAState Dept of Health Spokane is now in the process of preparing an ordinance to ban the sale of e-cigarettes inSpokane County. (Note; I have an email to staff at Spokane to confirm this. I hope to know before sending thisemail. )

http://www.srhd.org/news.asp?id=179

Here is a link to good information about new types of smokeless tobacco products and the risks they present foryouth:

http://thenationshealth.aphapublications.org/content/40/6/1.2.full

I hope this information is informative for you. We plan to share additional information regarding youth tobacco useand other tobacco policy options at future board of health sessions beginning in 2011. In the meantime if you havequestions please feel free to contact me or Frank DiBiase in our Tobacco Prevention and Control program at: 253

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798-7674 or via email at: [email protected].

Thank you.

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Date: 10/29/2010 9:14:22 PMSubject: RE: Draft email to Board of Health

Frank,

Thanks for the well composed message. Rather than confusing them that we might be bringing this issue up againbefore the end of the year, just say "In response to BOH members' requests for more information about ..." and givethem the links (ie, the 2nd to last para). Then the last two sentences of the last para and that's it. Thanks!

Anthony

From: Frank DibiaseSent: Friday, October 29, 2010 1:02 PMTo: Anthony ChenCc: Steve MarekSubject: Draft email to Board of Health

Hi Anthony,

I checked with Cheryl the other day. The Board of Health packets for next week's meeting have already gone out.

Below is a draft email that could be sent to Board members from you which contains links to info on the webregarding e-cigarettes and other alternative tobacco products.

Let me know your thoughts and how you would like to proceed.

Thanks.

Dear Board Members,

This email is in follow-up to tobacco policy information shared with you at previous Board of Health study sessions.

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One of the policy options, shared with you at the October 20th study session, is to take action which will result in thereduced use of tobacco by youth in Pierce County. As stated in the October presentation results from theWashington State Department of Health's Healthy Youth Survey indicates that the rate of tobacco use in 2008among 12th grade youth in Pierce county is 21%. The current adult tobacco use rate in Pierce County is 16.9%.

A specific policy option presented on October 20th would be to ban the sale of e-cigarettes to youth in PierceCounty. E-cigarettes do not actually contain tobacco so they can currently be sold to youth. Unfortunately, e-cigarettes do contain nicotine and other chemicals that are hazardous to health and, while promoted as a way to stopsmoking, when taken up by non-smoking youth could be the start of a tobacco addiction.

Below are some internet links that provide information related to e-cigarettes and alternative tobacco products usedby youth.

Smoking Everywhere is the name of the company that distributes/makes e-cigs. This link is to a video on YouTubethat demonstrates how e-cigarettes work.


On October 5, 2010 the Spokane Regional Health District's board of health unanimously passed a resolutionrequesting that jurisdictions in Spokane County adopt policies prohibiting the sale of electronic cigarettes and theircomponent parts to minors. This is the first resolution of its kind in Washington state. I've been told by staff at WAState Dept of Health Spokane is now in the process of preparing an ordinance to ban the sale of e-cigarettes inSpokane County. (Note; I have an email to staff at Spokane to confirm this. I hope to know before sending thisemail. )




I hope this information is informative for you. We plan to share additional information regarding youth tobacco useand other tobacco policy options at future board of health sessions beginning in 2011. In the meantime if you havequestions please feel free to contact me or Frank DiBiase in our Tobacco Prevention and Control program at: 253

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798-7674 or via email at: [email protected].

Thank you.

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Date: 10/29/2010 9:46:16 PMSubject: Re: Draft email to Board of Health

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From: Frank DibiaseTo: Selina Chambliss

Date: 11/1/2010 5:58:08 PMSubject: FW: Email to BOH regarding tobacco products

Hi Selina,

Can you please send the message below to BOH member from Anthony? Please let me know if you need anythingelse to make this happen. Thanks.

From: Anthony ChenSent: Monday, November 01, 2010 2:47 PMTo: Frank DibiaseCc: Steve Marek; Joby WinansSubject: RE: Email to BOH regarding tobacco products

Sounds fine. Cheryl is out sick today. Selina should be able to send it out for you.

Anthony

From: Frank DibiaseSent: Monday, November 01, 2010 8:40 AMTo: Anthony ChenCc: Steve Marek; Joby WinansSubject: Email to BOH regarding tobacco products

Good morning Anthony,

Here is a revised email to BOH members based on your suggested edits. Please let me know if you would like tomake any other changes. Thanks.

Dear Board Members,

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This email is in follow-up to your request for additional information related to e-cigarettes and alternative tobaccoproducts used by youth.

Smoking Everywhere is the name of a company that sells e-cigarettes. They currently have a kiosk in the TacomaMall. This link is to a video on YouTube that demonstrates how e-cigarettes work.


On October 5, 2010 the Spokane Regional Health District's board of health unanimously passed a resolutionrequesting that jurisdictions in Spokane County adopt policies prohibiting the sale of electronic cigarettes and theircomponent parts to minors. This is the first resolution of its kind in Washington state. Spokane health district staff arenow in the process of drafting ordinances for adoption by local cities and towns which would prohibit the sale of e-cigarettes to minors.




In the meantime if you have questions please feel free to contact me or Frank DiBiase in our Tobacco Prevention andControl program at: 253 798-7674 or via email at: [email protected].

Thank you.

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From: Frank DibiaseTo: Tobacco PC

Date: 11/1/2010 6:20:16 PMSubject: FW: Information on Tobacco Products

FYI

From: Anthony ChenSent: Monday, November 01, 2010 3:05 PMTo: BOH M&ACc: Frank DibiaseSubject: Information on Tobacco Products

Dear Board Members,








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Thank you,

Anthony L-T Chen

Director of Health

Tacoma-Pierce County Health Department

(253) 798-2899

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From: Anthony ChenTo: BOH M&A

Date: 11/1/2010 6:05:10 PMSubject: Information on Tobacco Products

Dear Board Members,









Thank you,

Anthony L-T Chen

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Director of Health


(253) 798-2899

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Date: 11/1/2010 5:46:38 PMSubject: RE: Email to BOH regarding tobacco products


Anthony




Dear Board Members,




On October 5, 2010 the Spokane Regional Health District's board of health unanimously passed a resolution

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requesting that jurisdictions in Spokane County adopt policies prohibiting the sale of electronic cigarettes and theircomponent parts to minors. This is the first resolution of its kind in Washington state. Spokane health district staff arenow in the process of drafting ordinances for adoption by local cities and towns which would prohibit the sale of e-cigarettes to minors.





Thank you.

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From: Frank DibiaseTo: Selina Chambliss


Got it! Thanks Selina.

From: Selina ChamblissSent: Monday, November 01, 2010 3:06 PMTo: Frank DibiaseSubject: RE: Email to BOH regarding tobacco products

Done. I cc'd you, so you should see it soon.

Selina

From: Frank DibiaseSent: Monday, November 01, 2010 2:58 PMTo: Selina ChamblissSubject: FW: Email to BOH regarding tobacco products

Hi Selina,




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Anthony




Dear Board Members,






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Thank you.

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From: Selina ChamblissTo: Frank Dibiase


Done. I cc'd you, so you should see it soon.

Selina

From: Frank DibiaseSent: Monday, November 01, 2010 2:58 PMTo: Selina ChamblissSubject: FW: Email to BOH regarding tobacco products

Hi Selina,




Anthony


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Dear Board Members,









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Thank you.

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From: Bruce RytkonenTo: 'Annie Tegen'

Date: 11/10/2010 3:49:08 PMSubject: RE: November TAP Meeting Minutes

Annie......our Director (Dr. Anthony LT Chen) recently provided to all of the members of the Board of Health someinformation about e-cigs, including information about the resolution passed on Oct 5 by the board of the SpokaneRegional Health District regarding "requesting that jurisdictions in Spokane County adopt policies prohibiting the saleof e-cigs and their component parts to minors." Dr. Chen went on to note that Spokane health department staff weredrafting ordinances for use/adoption by local towns and cities.

So from my perspective Dr. Chen could be priming our board to consider a similar resolution. Unlike Spokane andKing County health departments, we have yet to take the necessary steps to allow for full enforcement and theissuing of civil fines for violations of 70.160. But.....I do have as an assignment from my boss to start working on aresolution. I advised him that my first cut would probably include any and all of the harshest terms and the most fines(the reinspection fees can be very expensive once you start doing a full costing of staff time) implemented by otherhealth departments in Washington State. I have 7-8 examples of resolutions/practices from other counties. If you, oranyone you know, have some examples please send them my way.

It would be great if you could join us at our December 3 TAP Summit meeting. Your work and insight about what'sgoing on (or should be going on) in the anti-tobacco world would be very beneficial.

From: Annie Tegen [mailto:[email protected]]Sent: Wednesday, November 10, 2010 11:02 AMTo: Bruce RytkonenSubject: Re: November TAP Meeting Minutes

Thanks, Bruce!

Do you know if you guys will be pushing for any regulations to prohibit the use of e-cigarettes any time soon? Justcurious.

Take care,Annie

At 10:51 AM 11/10/2010, you wrote:

Good morning everyone. Attached are the minutes from the November TAP meeting. As a part of this meeting weworked on the agenda for the Annual TAP Summit meeting to be held on December 3. As we've done in the past,one of our primary activities at the Summit is to figure out what projects/activities that we want to accomplish in

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2011.

So here's some reminders and to do's for the Summit Meeting:

1. The Summit meeting will be held on Dec 3 from 9:00 to 2:00 at Allenmore Hospital in the Basement Classroom.

2. For refreshment and room arrangement planning purposes we would like to hear from you by Nov 24 if you'replanning to attend. Thank you....

3. If you are able to help with refreshments that would be very much appreciated. Please let me know.

4. Nominations are still open for one TAP Co-Chair position (Leonard's). Voting will be held after the Decembermeeting and the results will be announced at the January TAP meeting.

Looking forward to seeing you on December 3.

*************************************************************************************This e-mail and any attachments may contain confidential and privilegedinformation. It has been scanned for viruses. If you are not the intendedrecipient, please notify the sender immediately by return e-mail, deletethis e-mail and destroy any copies. Any dissemination, use, review,disclosure, or distribution of this information by a person other thanthe intended recipient is unauthorized and may be illegal.**************************************************************************************

Annie Tegen, MPHSenior Program ManagerAmericans for Nonsmokers' RightsAmerican Nonsmokers Rights [email protected]: 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: Joby WinansTo: Anthony Chen

Steve MarekFrank Dibiase

Date: 12/14/2010 7:45:06 PMSubject: Response to Media re King County Ban on E-Cigarettes

King 5's Eric Wilkerson called to ask whether TPCHD was going to ban e-cigarettes now that PHSKC has doneso. I talked with Dr. Chen and gave Eric this statement:

"TPCHD is concerned about e-cigarettes and the dissolvable nicotine candy (e.g., Orbs). We're especiallyconcerned about the health impacts on youth. We're exploring options on how to address these concerns."

I shared that and he followed up with "and are you in agreement with PHSKC's ban?" "Are you going to follow suit?"I explained that we had presented information to the Board of Health last month about the health impacts of e-cigarettes and nicotine candy but were still in the exploration phase to determine our options.

He asked for a timeline and I said we did not have one but were actively engaged in exploring what we could doabout the health impacts on youth of e-cigarettes and the nicotine candy.

I expect him to run a story at 5:00 tonight.

- Joby

Joby Winans

Public Information Officer


3629 South D Street

Tacoma, Washington 98418-6813

Phone: (253) 798-2853

Pager: (253) 396-3936

Fax: (253) 798-7627

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From: Bruce RytkonenTo: Frank Dibiase

Date: 12/17/2010 2:19:10 PMSubject: RE: Board of Health Meeting - Thursday Morning!

Frank.......you're probably a KIRO talk-show listener in the morning so you may have missed the news on KPLUthat the Seattle-KC BOH approved the e-cig package.

So how about if I take a shot at adding what they did to our resolution? I'll do it as a separate doc so it won't be toomuch for Dr. Chen to deal with that's what you and Steve choose to do (or not do depending on your perspective).

From: Frank DibiaseSent: Wednesday, December 15, 2010 11:17 AMTo: Tobacco PCSubject: FW: Board of Health Meeting - Thursday Morning!Importance: High

FYI

From: Neal, Scott [mailto:[email protected]]Sent: Tuesday, December 14, 2010 4:33 PMTo: ([email protected]); Brandie Flood ([email protected]); ([email protected]); 'Eric Mose'; ElaineIshihara; 'Julie Peterson'; '[email protected]'; 'Carlos Mejia'; '[email protected]'; '[email protected]'; Alison Shigaki([email protected]); Antoinette Angulo; Frank Dibiase; [email protected]; Stephanie Silvernail([email protected]); '[email protected]'; 'Zilar, Christopher'Subject: Board of Health Meeting - Thursday Morning!Importance: High

As you may already know, the King County Board of Health is scheduled to meet this Thursday, December 16th at9:30am.

The agenda for the meeting includes:

1. Regulations relating to electronic smoking devices (also known as e-cigarettes) and unapproved nicotine deliveryproducts. These regulations will help protect youth from starting to use electronic cigarettes and will protect the socialnorms created by the smoking in public places/places of employment laws.

2. A resolution calling on the state of Washington to provide dedicated and long-term financing so local public healthjurisdictions can protect and improve the health of all community residents.

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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 moredetails, 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 (10thfloor of the King County Courthouse, 516 3rd Avenue, Room 1001).

If you have any questions or concerns, please feel free to contact me.

Thanks

Scott Neal

Tobacco Prevention Program Manager

Public Health - Seattle & King County

401 Fifth Avenue, Suite 900

Seattle, WA 98104

Phone: 206-263-8197

Fax: 206-296-0177

Email: [email protected]

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Your wife sounds like my wife.

From: Frank DibiaseSent: Friday, December 17, 2010 10:36 AMTo: Bruce RytkonenSubject: RE: Board of Health Meeting - Thursday Morning!

Actually, I did catch the piece on KPLU (my wife was in the car and made me change the channel). What you'resuggesting makes sense. Thanks.

From: Bruce RytkonenSent: Friday, December 17, 2010 10:19 AMTo: Frank DibiaseSubject: RE: Board of Health Meeting - Thursday Morning!




FYI

From: Neal, Scott [mailto:[email protected]]

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Sent: Tuesday, December 14, 2010 4:33 PMTo: ([email protected]); Brandie Flood ([email protected]); ([email protected]); 'Eric Mose'; ElaineIshihara; 'Julie Peterson'; '[email protected]'; 'Carlos Mejia'; '[email protected]'; '[email protected]'; Alison Shigaki([email protected]); Antoinette Angulo; Frank Dibiase; [email protected]; Stephanie Silvernail([email protected]); '[email protected]'; 'Zilar, Christopher'Subject: Board of Health Meeting - Thursday Morning!Importance: High

As you may already know, the King County Board of Health is scheduled to meet this Thursday, December 16th at9:30am.









Thanks

Scott Neal

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Seattle, WA 98104

Phone: 206-263-8197

Fax: 206-296-0177


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From: Frank DibiaseTo: Bruce Rytkonen


Actually, I did catch the piece on KPLU (my wife was in the car and made me change the channel). What you'resuggesting makes sense. Thanks.

From: Bruce RytkonenSent: Friday, December 17, 2010 10:19 AMTo: Frank DibiaseSubject: RE: Board of Health Meeting - Thursday Morning!




FYI

From: Neal, Scott [mailto:[email protected]]Sent: Tuesday, December 14, 2010 4:33 PMTo: ([email protected]); Brandie Flood ([email protected]); ([email protected]); 'Eric Mose'; ElaineIshihara; 'Julie Peterson'; '[email protected]'; 'Carlos Mejia'; '[email protected]'; '[email protected]'; Alison Shigaki([email protected]); Antoinette Angulo; Frank Dibiase; [email protected]; Stephanie Silvernail([email protected]); '[email protected]'; 'Zilar, Christopher'Subject: Board of Health Meeting - Thursday Morning!Importance: High

As you may already know, the King County Board of Health is scheduled to meet this Thursday, December 16th at

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9:30am.









Thanks

Scott Neal




Seattle, WA 98104

Phone: 206-263-8197

Fax: 206-296-0177

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From: Frank DibiaseTo: Kirsten Frandsen

Date: 12/19/2010 2:34:28 PMSubject: RE: New Court Ruling on E-Cigarettes

Welcome! : )

From: Kirsten FrandsenSent: Saturday, December 18, 2010 7:02 AMTo: Frank DibiaseSubject: RE: New Court Ruling on E-Cigarettes

I guess my receiving this email is a sign that there's no turning back now, right? :)

_____

From: Frank DibiaseSent: Friday, December 17, 2010 4:26 PMTo: Bruce Rytkonen; Tobacco PCSubject: RE: New Court Ruling on E-Cigarettes

Thanks for sharing this Bruce.

By the way, has our department used the Public Health Law & Policy Center as a resource. Last week I was on awebinar listening to the services they provide...at no cost. Sounds like a resource we should take advantage of notjust in Tobacco but across our department.

Thanks.

From: Bruce RytkonenSent: Friday, December 17, 2010 10:51 AMTo: Frank DibiaseSubject: FW: New Court Ruling on E-Cigarettes

Frank......in the third paragraph it says that "state and local governments can pass laws restricting the sale or use of e-

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cigs."

From: Public Health Law & Policy [mailto:[email protected]]Sent: Thursday, December 16, 2010 11:47 AMTo: Bruce RytkonenSubject: New Court Ruling on E-Cigarettes

Dear Bruce,

A federal appeals court recently issued a decision allowing e-cigarettes to continue to be legally sold in the UnitedStates under federal law. (E-cigarettes are battery-powered devices that provide inhaled doses of nicotine and, whenused, emit vapor rather than smoke.)

In 2009 the U.S. Food and Drug Administration (FDA) moved to establish authority over e-cigarettes as drugs ordrug delivery devices by blocking the import of new e-cigarette shipments into the U.S. However, this month thecourt ruled in Sottera v. FDA that the FDA does not have the authority to continue to block the shipments.

The court's decision does not necessarily apply to all e-cigarettes on the market. If an e-cigarette company marketsits products as a smoking cessation aid, the FDA may still have the authority to regulate it as a drug or drug deliverydevice. The ruling also does not diminish the power of state or local governments to pass laws restricting e-cigarettes'sale or use. The FDA may choose to appeal the ruling to the U.S. Supreme Court.

Our website explains in greater detail the implications of the court decision, the issues involved, what the FDA maydo next, and how local governments may restrict e-cigarettes. If you have any questions about the ruling after readingthe information on our FAQ page, you may submit them to www.phlpnet.org/tobaccoquestions.

You are receiving this e-mail because you gave TALC permission to contact you about future products and events.

_____

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Click to view this email in a browser

If you no longer wish to receive these emails, please reply to this message with "Unsubscribe" in the subject line orsimply click on the following link: Unsubscribe

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Read the VerticalResponse marketing policy.

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From: Kirsten FrandsenTo: Bruce Rytkonen

Date: 1/4/2011 4:54:44 PMSubject: RE:

Thanks!

From: Bruce RytkonenSent: Tuesday, January 04, 2011 12:07 PMTo: Kirsten FrandsenCc: Frank DibiaseSubject:

Kirsten.....as we were just discussing.....here's the version of the BOH Tobacco Resolution with terms on e-cigs anda copy of the Smoking In Public Places Act RCW 70.160.

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From: Elizabeth WestTo: Barry Johnson ([email protected])

Bruce Hopkins ([email protected])Cheryl Temple ([email protected])Chuck Hunter ([email protected])Dave Enslow ([email protected])David Viafore ([email protected])Debbie Klosowski ([email protected])Debra Perry ([email protected])Donna Hogerhuis ([email protected])Douglas Richardson ([email protected])Jeff Hogan ([email protected])Karen Yates ([email protected])Kathy Turner ([email protected])Marilyn Strickland ([email protected])Neil Johnson ([email protected])Patricia Johnson ([email protected])Peggy Levesque ([email protected])Peter Lewis ([email protected])Ray Harper ([email protected])Richard Hildreth ([email protected])Rickie Morgan ([email protected])Ron Lucas ([email protected])Tamara Jenkins ([email protected])

Date: 1/20/2011 5:50:00 PMSubject: Board of Health Approved Minutes

Attachments: 121510 - BOH MINS.pdf

Attached is the approved minutes from the December 15, 2010 Board of Health Meetings.

Elizabeth West

Confidential Assistant II

Office of the Director


Healthy People in Healthy Communities

www.tpchd.org

253-798-2899

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From: Kirsten FrandsenTo: Steve Marek

Frank DibiaseDate: 1/25/2011 12:34:44 AM

Subject: FW: The Vaporium

Just an fyi follow up on the Vaporium (from the ad Dr. Chen pulled out of the Tacoma Weekly). Please see Bruce'semail below.

Thanks, Kirsten

From: Bruce RytkonenSent: Friday, January 21, 2011 3:26 PMTo: Kirsten FrandsenSubject: The Vaporium

Today I visited The Vaporium in Lakewood. It's a new e-cig retailer. The owner smoked for 20 years and the onlyway that she was able to quit was with using e-cigs. She said that so far she has about 20 customers. I told her thatthe BOH was considering a law prohibiting the sale of e-cigs to anyone less than 18. She said that she doesn't sell toanyone less than 18. She's hopeful that the BOH doesn't enact all of the prohibitions on using e-cigs as wasapproved by the King County BOH. I took the opportunity of this visit to provide her with one of my normaltobacco business kits. She said that she would be putting up one of the Mtn cling signs.

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Date: 1/25/2011 12:34:58 AMSubject: RE: The Vaporium

Thank you!!

From: Bruce RytkonenSent: Friday, January 21, 2011 3:26 PMTo: Kirsten FrandsenSubject: The Vaporium

Today I visited The Vaporium in Lakewood. It's a new e-cig retailer. The owner smoked for 20 years and the onlyway that she was able to quit was with using e-cigs. She said that so far she has about 20 customers. I told her thatthe BOH was considering a law prohibiting the sale of e-cigs to anyone less than 18. She said that she doesn't sell toanyone less than 18. She's hopeful that the BOH doesn't enact all of the prohibitions on using e-cigs as wasapproved by the King County BOH. I took the opportunity of this visit to provide her with one of my normaltobacco business kits. She said that she would be putting up one of the Mtn cling signs.

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Date: 2/1/2011 9:13:20 PMSubject: RE: King County ban on e-cigarettes

Thanks for the follow up. I think we should forward to the BOH. I like their talking points - we need to prepare ourown talking points, if not borrow some of theirs. With the article in the Tacoma Weekly, I think it is only onesymptom that this will be coming more into discussion.

AC

From: Frank DibiaseSent: Tuesday, February 01, 2011 3:25 PMTo: Anthony ChenCc: Steve Marek; Kirsten FrandsenSubject: King County ban on e-cigarettes

Hi Anthony,

You asked me about this just prior to the last BOH mtg on Dec. 15. It looks like they passed this restriction on Dec.16th.

King County put restrictions on e-cigarettes that includes:

* restrict the sales of e-cigarettes or any other unapproved nicotine delivery devices only to people 18 and older;

* prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products;

* prohibit the use of e-cigarette devices in places where smoking is prohibited by law.

http://www.kingcounty.gov/council/news/2010/December/JP_Ecig.aspx

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From: Steve MarekTo: Frank Dibiase

Date: 2/3/2011 11:37:54 AMSubject: RE: King County ban on e-cigarettes

This should be one of our first strategies to move forward after the BOH meeting in a couple of weeks. It might begood to have something drafted and ready to go by March BOH. Let's discuss.

From: Frank DibiaseSent: Tuesday, February 01, 2011 3:25 PMTo: Anthony ChenCc: Steve Marek; Kirsten FrandsenSubject: King County ban on e-cigarettes

Hi Anthony,

You asked me about this just prior to the last BOH mtg on Dec. 15. It looks like they passed this restriction on Dec.16th.






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Date: 2/7/2011 8:08:06 PMSubject: FW: bills related to tobacco

Hi Kirsten,

I left you a voice mail message earlier today regarding pending tobacco-related legislation. I indicated I had it prettymuch covered but need to update you.

What I don't have covered is the legislative tracking form. I believe George has been completing the bill summarydocument, but someone, either you or George, should go to Sharepoint, click on "Legislative Tracking" and click on"EH" and enter the info for the bills mentioned below. These are the only ones that I'm aware of that pertain toTobacco. Anthony and Steve routinely go to this spreadsheet to see check on bills.

Also, are there any PAN related bills that we should be tracking? If so, it would be good to designate someone fromPAN to track in Sharepoint.

Thing should slow down by Feb. 18th. For non-budget related bills that don't make it out of committee, they'reeffectively dead. The number of surviving bills really dwindles at this point.

Thanks.

From: Limtiaco, Frances (DOH) [mailto:[email protected]]Sent: Tuesday, February 01, 2011 2:42 PMTo: Pam Wessel-Estes; Frank Dibiase; Kirsten FrandsenCc: Davis, Paul A (DOH)Subject: FW: bills related to tobacco

FYI. Forwarding to you email and information from policy specialist Paul Davis. As an FYI, I believe the SpokaneCity Council will have its final reading next week, February 7th. Thanks!

_____________________________________________From: Davis, Paul A (DOH)Sent: Tuesday, February 01, 2011 1:56 PMTo: 'Cross, Theresa'Cc: Harrelson, David (DOH); Limtiaco, Frances (DOH); Huyck, Carla (DOH); 'Scott Neal'; Zilar, Christopher

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Subject: bills related to tobacco

Theresa, here's the pertinent bills and local policies that you asked about. Christopher or Scott may have better localinformation than what I provided below.

1246/ 5380 would

1) Ban flavored tobacco (this appears to include e-cigarettes)

2) Require tobacco to be behind the counter

3) Remove preemption so locals could pass more restrictive tobacco ordinances and/or have local taxes

1246 just got a hearing yesterday

5016 would ban smoking in cars with kids under 18. Penalty would be a secondary infraction. Got a hearing and isscheduled for executive action today, so we'll see if it moves or not at 3:30 pm.

5039 would require insurance policies to cover cessation benefits. Got a hearing and was scheduled for executiveaction, but the lengthy testimony on marijuana pushed it off the agenda.

HB 1683 and SB 5542 would allow cigar bars and tobacco retailers to have an endorsement allowing smoking.Cigar bars would have a $15,000 fee and tobacco shops would have a $5000 fee. One bill would deposit themoney into education legacy fund that provides scholarships. The other bill puts money into a trust fund for basichealth plan. No hearing scheduled yet.

At the local level,






I wasn't able to find any definitive document that the City of Spokane has passed its ban on sale of e-cigarettes tominors, but it is in the works. If you find out some details, please pass them along. The current posting on the SRHDweb site says that their sale is unregulated. http://www.srhd.org/topics/e-cigarettes.asp

Call me if you have questions.

Paul Davis, Policy SpecialistWashington State Department of HealthTobacco Prevention and Controloffice - 360-236-3642cell - 360-507-6556email - [email protected] Box 47848Olympia, WA 98503

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Public Health - Always Working for a Healthier Washington

offices will be closed for Temporary Layoff Days as follows:

2010 Monday, July 12 Friday, August 6 Tuesday, September 7 Monday, October 11 Monday, December 272011 Friday, January 28 Tuesday, February 22 Friday, March 11 Friday, April 22 Friday, June 10

www.doh.wa.gov/tobacco

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From: Dawn JacobsTo: '[email protected]'

Date: 2/10/2011 7:25:08 PMSubject:

Attachments: February 10[1].pdf

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From: Selina ChamblissTo: Cindan Gizzi

Date: 2/10/2011 5:01:22 PMSubject: February 10 Latest

Attachments: February 10.doc

Cindan,

I'm not sure how available you are today by email. With Outlook down for a good portion of the morning, I justreceived Anthony's comments so here is the draft of the Latest for your review. I will wait to hear from you by theend of the day, otherwise I will probably go ahead and send.

Elizabeth - can you also take a look at it.

Thanks,

Selina

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From: Selina ChamblissTo: Brad Costello

Date: 2/10/2011 6:01:16 PMSubject: February 10 Latest


Brad,

Here is the Latest. Can you post on the intranet?

Thanks!

Selina

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From: Selina ChamblissTo: Elizabeth West

Date: 2/10/2011 5:10:22 PMSubject: FW: February 10 Latest


From: Selina ChamblissSent: Thursday, February 10, 2011 1:01 PMTo: Cindan GizziSubject: February 10 Latest

Cindan,



Thanks,

Selina

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From: Elizabeth WestTo: Selina Chambliss

Date: 2/10/2011 5:23:36 PMSubject: RE: February 10 Latest


I took out 2 commas and updated the reading level – otherwise looks good.Elizabeth From: Selina ChamblissSent: Thursday, February 10, 2011 1:10 PMTo: Elizabeth WestSubject: FW: February 10 Latest From: Selina ChamblissSent: Thursday, February 10, 2011 1:01 PMTo: Cindan GizziSubject: February 10 Latest Cindan, I’m not sure how available you are today by email. With Outlook down for a good portion of the morning, I justreceived Anthony’s comments so here is the draft of the Latest for your review. I will wait to hear from you bythe end of the day, otherwise I will probably go ahead and send. Elizabeth – can you also take a look at it. Thanks, Selina

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From: Elizabeth WestTo: Selina Chambliss

Date: 2/10/2011 5:23:34 PMSubject: RE: February 10 Latest


I took out 2 commas and updated the reading level - otherwise looks good.

Elizabeth

From: Selina ChamblissSent: Thursday, February 10, 2011 1:10 PMTo: Elizabeth WestSubject: FW: February 10 Latest

From: Selina ChamblissSent: Thursday, February 10, 2011 1:01 PMTo: Cindan GizziSubject: February 10 Latest

Cindan,



Thanks,

Selina

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From: Bruce RytkonenTo: 'Leonard Sanderson'

'Heidi Henson'Date: 2/10/2011 8:30:42 PM

Subject: TAB Min 11 02 Feb 4 2011.docAttachments: TAB Min 11 02 Feb 4 2011.doc

Draft minutes for review.

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From: Anthony ChenTo: Cindy DeGrosse, Asst Marilyn Strickland

Cindy Leingang, Asst to Victoria WoodardsCindy Willis, Assistant to Stan FlemmingConnie Perry, Assistant to Pat McCarthyDick Muri ([email protected])Jake Fey ([email protected])Leslie Swalley, Assistant to Dick MuriMarilyn Strickland ([email protected])Mark Williams, Assistant to Rick TalbertPat McCarthy ([email protected])Patricia Johnson ([email protected])Rebecca Sullivan ([email protected])Rick Talbert ([email protected])Ron Lucas ([email protected])Stan Flemming ([email protected])Victoria Woodards ([email protected])

Date: 2/10/2011 6:38:16 PMSubject: TPCHD's Latest

Attachments: February 10.pdf

Good Afternoon Board of Health,

Attached is the Health Department's Latest newsletter for your reading enjoyment.

Thanks,

Anthony

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From: Heidi Henson <[email protected]>To: Bruce Rytkonen

[email protected]@tpchd.org

Date: 2/11/2011 11:49:02 AMSubject: changes for TAP minutes

Attachments: TAB Min 11 02 Feb 4 2011 DRAFT

Hi,

I made suggested changes in RED.

Thanks,

Heidi

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From: Frank DibiaseTo: Ross-Viles, Sarah

Date: 2/11/2011 4:52:18 PMSubject: FW: Smoking in Cars with Kids and e-cigarette regulation

Hi Sarah,

Thought I would forward this on to you in case you didn't already see this info.

Also, when you have a chance could you please forward me the ordinance your board passed related to e-cigarettes? I went to the PHSKC web site but did not find the actual regulation. This would help in our work with ourBoard.

Thanks Sarah.

Frank DiBiase

Assistant Division Director

Environmental Health Division

253 798-7674

[email protected]

From: Limtiaco, Frances (DOH) [mailto:[email protected]]Sent: Thursday, February 10, 2011 10:37 AMTo: Frank Dibiase; George Hermosillo; Kirsten FrandsenSubject: Smoking in Cars with Kids

Hello All,

Don't know if you were aware that the public health law center recently came out with this policy brief.

http://publichealthlawcenter.org/sites/default/files/resources/phlc-policybrief-kidscarssmoke-2010_0.pdf

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Regards,

Fances

Frances LimtiacoHealthy Communities Consultant

Tobacco Prevention and Control Contract ManagerWashington State Department of HealthChronic Disease Prevention UnitPhysical Address: 111 Israel Road SEP.O. Box 47848Olympia, WA 98504-7848Phone: (360) 236-3771; Cell: (360) 790-8727Fax: (360) [email protected]: www.doh.wa.gov/tobacco

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

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Kirsten FrandsenDate: 2/11/2011 5:53:06 PM

Subject: RE:Attachments: SIPP SeaKing Title 19 Dec 2010.pdf

I now sort of have an idea of how PHSKC adopts new policies and regulations. The actual final wording will becontained in different "Title" sections in the "Code of the Board of Health Seattle King County." Changes to Titlesections are document using the type of form dated Sept 17, 2010, that Frank just provided. In December anotherform of this type, or "resolution," was passed by the PHSKC BOH adopting terms limiting the sale of e-cigs andwhere they can be used.

I believe that then all of the changes to their smoking policies (Sept 2010 and Dec 2010) got incorporated into anupdated version of their Title 19.

The terms that PHSKC adopted on e-cigs were included in my second draft on the resolution that I provided toFrank on Dec 28.

Kirsten.....I'll provide a hard copy of this for your information.

From: Frank DibiaseSent: Friday, February 11, 2011 12:23 PMTo: Kirsten Frandsen; Bruce RytkonenSubject:

Hi folks,

Attached is the ordinance PHSKC passed related to SIPP enforcement. Thought you might like to see the details ifyou haven't already.

Thanks.

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From: Heidi Henson <[email protected]>To: Bruce Rytkonen

Date: 2/11/2011 10:43:52 PMSubject: RE: changes for TAP minutes

Tobacco-free Alliance Meeting of Pierce County

Meeting Minutes

February 4, 2011

Attendees: Leonard Sanderson (Community), Heidi Henson (Community)

Pat Richmond (Community), Joanna Cummings (Kick Butts, Take Names),

Mary Tudor (Community), Annie Holt (Pfizer), George Hermosillo,

Kirsten Frandsen and Bruce Rytkonen (TPCHD)

Co-Chairs: Heidi Henson (presiding) and Leonard Sanderson

1. Welcome and Introductions

New attendees to TAP:

· Kirsten Frandsen is now the manager of the Health Department’s Tobacco Program.

2. Brief Announcements and Upcoming Events

Heidi This week Franciscan Health Systems implemented a tobacco-free hiring policy. All current tobacco users willbe grandfathered in and not be required to quit, but will be given encouragement and support to quit.

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Auburn Valley YMCA grant was renewed from the Muckleshoot Indian Tribe for a tobacco cessation and educationprogram. The work will focus on Muckleshoot tribal youth, Free support groups, free workshops, community andmedical provider education, and expanding the program to the YMCA’s of Greater Seattle, teaching them aboutdeveloping partnerships with their local hospitals and health departments, and Auburn businesses helping employeesquit tobacco.

API New Year celebration on February 12 at the Tacoma Dome.

A retail shop in Lakewood has a machine for customers to make their own cigarettes.

Bruce The US Bureau of Alcohol, Firearms and Tobacco (responsible for collecting and administering the$10/carton federal tax on tobacco) has initiated a suit claiming taxes owed on the use of these machines. A federaljudge did not support the issuing of an immediate injunction to collect any taxes. The parties are to begin meetings inFebruary.

Pat In the latest Time magazine there was an e-cig ad that took up one whole page.

Leonard Provided information on getting materials on the FDA’s Break the Chain campaign from

The FDA Center for Tobacco Products Clearing House. “Break the Chain” deals with not selling tobacco to minors.

Bruce Passed out information about an upcoming webinar on February 10 about the Role of hospitals in TobaccoCessation, and information about an upcoming teleconference about local opportunities and implications of federaltobacco regulations (to be given by Sarah Ross-Viles).

On regular basis more ads are appearing for smoke-free facilities at local tribal casinos.

Joanna Brought in a copy of magazine based upon the Mad Men TV show. Lots of examples of smoking.

The second (new and improved) edition of “Kick Butts—Take Names” is now available.

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Kirsten The Tobacco Program (now without any funding from the State) is being developed. The primary areas willbe secondhand smoke, youth and cessation.

3. January TAP Minutes Approved

4. Drug Free Community Program

Leonard has been working on one of the local Drug Free Community Programs. They are very comprehensive andrequire a substantial amount of involvement and work. The programs generally include the following:

· Are funded at the rate of $125,000 per year for 10 years

· There are several local projects in process at this time

· Each project has broad community involvement and commitments

· The Milton-Fife project is related to ZIP codes……which causes some problems.

· The projects are coalition driven

· The priorities of the projects need to deal with marijuana, alcohol and tobacco.

There are five groups with new applications in process. Maybe TAP could get involved with one or more of theseprojects if they are selected for funding.

5. Legislative News

Annie SB5039 Requiring private insurance companies to cover tobacco cessation treatment.

A hearing was held with testimony by Heidi, Meghan Sullivan (TOGETHERThurston),

Pat sent a letter of support. Joanna was in attendance. Joanna wrote a letter to her local Sen. Carol (a Republican)seeking his support. The bill moved on to the Rules Committee. Twenty groups showed support for the bill. Theinsurance companies had four representatives who testified against it.

Heidi/George SB5016 bans smoking in cars with kids. Testimony provided by Heidi, Meghan and John from UWT.

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The bill has now been referred to the Health and Long Term Care Committee. The “organs” are feeling positiveabout the bill getting passed this time.

HB1683/SB5542 provides an exemption for cigar lounges and stores from the Smoking In Public Places Act RCW70.160.On Feb 10 it will be read at the Business Finance Services Committee and it’s scheduled for an “executivesession” on Feb 11. *Pat wrote a letter to the TNT against this bill, which had many negative comments.

HB1246/SB5380 banning flavored other tobacco products and all dissolvable tobacco.

To Track Individual Bills…..Go To….www.leg.wa.gov….and click on “Bill Information” where

you can search by bill number or key word or call the Legislative Hotline 1-800-562-6000 to give your commentson any bill.

5. Discussion and Planning 2011 Goals and Objectives

Before getting the discussion on our 2011 Goals and Objectives, Annie wanted to pose to the TAP

members some questions about TAP that could help us with our planning:

1. Where is TAP right now in the scheme of things?

2. Where does TAP want to go?

3. How can we improve?

TAP has many strengths: -we have powerful voices

-we can be quick to act….we are action oriented

-we are goal oriented

Some things that we could do-be more organized

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-better marketing of our name (eg. a better letterhead)

-increase our membership

She developed a quick survey which will be sent to all persons on the TAP e-mail listing to see if we can get someinsight on improving TAP’s role in the community (and beyond). A quick response to the survey is appreciated. Itwill come under separate email.

6. Next TAP Meeting……

March 4, 2011

9:00 am to 11:00 pm

Allenmore Hospital

Basement Conferenceß--------Note Different Location

19th and Union

Tacoma 98405

Tobacco-free Alliance of Pierce County

Ranking of 2011Suggested Goals and Objectives

#

Votes

Goals and Objectives

6

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1050

Free and ongoing tobacco cessation groups accessible to all.

7

750

Work to ensure that at least 3% of tobacco taxes and revenues go to tobacco prevention and cessation.

17

500

Ban sale of e-cigs to youth (<18) in Pierce County.

8

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400

Youth prevention and intervention.

5

350

No smoking in cars with kids.

9

350

Restrict access to tobacco products (eg. reduce # of retail outlets, increase minimum age, increase advertising)

12

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350

Continue outreach to underserved populations through “New Year..New Life” campaigns for tobacco preventionand cessation.

10

300

Work to increase prevalence of smoke-free housing in Pierce County.

14

300

Establish contact with parallel network groups (similar to TAP) in other Western Washington counties/communitieswho are not as organized.

2

200

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Increase awareness about the health risk and deglamorize smokeless tobacco.

4

200

Increase awareness of secondhand smoke.

16

200

More concentration of chronic disease and tobacco prevention.

3

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100

Increase the age to purchase tobacco to 19.

1

100

Increase accessibility to low-cost nicotine replacement therapy.

15

50

Get better cooperation with PC med docs for establishment of support groups.

11

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0

Alternative tobacco products (education, decrease use, policy)

13

0

Create new messaging to deglamorize smoking among teens.

From: Bruce Rytkonen [mailto:[email protected]]Sent: Friday, February 11, 2011 8:45 AMTo: 'Heidi Henson'; [email protected]; [email protected]: RE: changes for TAP minutes

Heidi…..can’t open your document.

From: Heidi Henson [mailto:[email protected]]Sent: Friday, February 11, 2011 7:49 AMTo: Bruce Rytkonen; [email protected]; [email protected]: [email protected]: changes for TAP minutes

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Hi,

I made suggested changes in RED.

Thanks,

Heidi

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From: Frank DibiaseTo: 'Ross-Viles, Sarah'

Date: 2/11/2011 6:54:06 PMSubject: RE: Smoking in Cars with Kids and e-cigarette regulation

Thanks Sarah. Have a good weekend.

From: Ross-Viles, Sarah [mailto:[email protected]]Sent: Friday, February 11, 2011 2:20 PMTo: Frank DibiaseCc: Neal, ScottSubject: RE: Smoking in Cars with Kids and e-cigarette regulation

Forgot the attachment. It starts on page 22 of this chapter.

Sarah

Sarah Ross-VilesCPPW Tobacco Project ManagerPublic Health - Seattle & King CountySuite 900 401 5th AvenueSeattle, WA 98102(206) 263-8211

_____

From: Frank Dibiase [mailto:[email protected]]Sent: Friday, February 11, 2011 12:52 PMTo: Ross-Viles, SarahSubject: FW: Smoking in Cars with Kids and e-cigarette regulation

Hi Sarah,

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Thought I would forward this on to you in case you didn't already see this info.


Thanks Sarah.

Frank DiBiase



253 798-7674

[email protected]


Hello All,

Don't know if you were aware that the public health law center recently came out with this policy brief.


Regards,

Fances


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From: Ross-Viles, Sarah <[email protected]>To: Frank Dibiase


Attachments: 26-BOH-Title 19[1].pdf


Sarah


_____


Hi Sarah,

Thought I would forward this on to you in case you didn’t already see this info.


Thanks Sarah.

Frank DiBiase

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253 798-7674

[email protected]


Hello All,

Don’t know if you were aware that the public health law center recently came out with this policy brief.


Regards,

Fances




*************************************************************************************

This e-mail and any attachments may contain confidential and privileged information. It has been scanned for viruses.If you are not the intended recipient, please notify the sender immediately by return e-mail, delete this e-mail and

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destroy any copies.**************************************************************************************

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You too!


_____

From: Frank Dibiase [mailto:[email protected]]Sent: Friday, February 11, 2011 2:54 PMTo: Ross-Viles, SarahSubject: RE: Smoking in Cars with Kids and e-cigarette regulation

Thanks Sarah. Have a good weekend.

From: Ross-Viles, Sarah [mailto:[email protected]]Sent: Friday, February 11, 2011 2:20 PMTo: Frank DibiaseCc: Neal, ScottSubject: RE: Smoking in Cars with Kids and e-cigarette regulation


Sarah

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_____


Hi Sarah,



Thanks Sarah.

Frank DiBiase



253 798-7674

[email protected]

Page 2

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Hello All,



Regards,

Fances





*************************************************************************************

This e-mail and any attachments may contain confidential and privileged information. It has been scanned for viruses.If you are not the intended recipient, please notify the sender immediately by return e-mail, delete this e-mail anddestroy any copies.**************************************************************************************

Page 3

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Thanks, Frank. I had not seen the brief.

Here is the e-cig code. Please let us know if you have any questions. I am putting Scott on this email too as he willreturn next week from paternity leave and is lead in our leg work.

Sarah


_____


Hi Sarah,



Thanks Sarah.

Frank DiBiase

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253 798-7674

[email protected]


Hello All,



Regards,

Fances




*************************************************************************************

This e-mail and any attachments may contain confidential and privileged information. It has been scanned for viruses.If you are not the intended recipient, please notify the sender immediately by return e-mail, delete this e-mail anddestroy any copies.

Page 2

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**************************************************************************************Page 3

8_19_2011



Thanks, Frank. I had not seen the brief.

Here is the e-cig code. Please let us know if you have any questions. I am putting Scott on this email too as he willreturn next week from paternity leave and is lead in our leg work.

Sarah


_____


Hi Sarah,



Thanks Sarah.

Frank DiBiase

Page 1

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253 798-7674

[email protected]


Hello All,



Regards,

Fances




*************************************************************************************

This e-mail and any attachments may contain confidential and privileged information. It has been scanned for viruses.If you are not the intended recipient, please notify the sender immediately by return e-mail, delete this e-mail anddestroy any copies.

Page 2

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**************************************************************************************Page 3

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From: Bruce RytkonenTo: Holt, Anna

Tegen, AnneAnnette Squetimkin-AnqoueGrider, BrentBruce RytkonenCarrie NyssenCynthia HawthorneWarnaca, DawnDeAnne BaerEric Hatzenbuehler ([email protected])Erin DziedzicLimtiaco, FrancesFrank DibiaseGeorge Hermosillo([email protected])Greg C Puno ([email protected])Bissell, JanetSarthou, JenniferCummings, JoannaRuze, JohnKaron, JudyScholer, JuliePritchard, KathieIverson, KenKeonwha Kim ([email protected])Nygard, KimGregerson, LindseyRasmussen, LynetteLynn AbegglenMandy MaMarianne SeifertMeghan M. Sullivan CHES ([email protected])'Michael Nagata'Nelson, MonicaNan HoganTatom, NanetteRichmond, PatPatricia Ramirez NeaglePatrick Hogan, MDKowald, RobertaPebeasy, RobynScott Neal ([email protected])Rose, ShelleySoon Ja HanTheophilus MungenTricia SinekDorn, TrixyWendi Gilreath

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Date: 2/14/2011 6:27:24 PMSubject: February TAP Minutes and Survey Reminder

Attachments: TAB Min 11 02 Feb 4 2011.doc

Good Valentine's Day everyone. Attached are the minutes for the February TAP meeting.

The other day we sent everyone the TAP survey that is intended to help figure out some new directions for TAP. Ifyou've already submitted your survey responses back to Annie Holt then a "thank you very much" is in order. If youhaven't yet made your submission, then for your convenience noted below are the three survey questions.

1. How do you think TAP is seen in the community?

2. How do you want TAP to be recognized in Pierce County, the region and the State?

3. What do we need to do to move TAP to where we are to where we want to be?

It would be appreciated if you could send your responses by Feb 21 to Annie at anna.k.holt@pfizer and to me [email protected].

Thank you very much.

We'll see you at the next TAP meeting on March 4 at Allenmore hospital from 9:00 to 11:00 in Conference Room D.

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Date: 2/14/2011 12:22:20 PMSubject: RE: e-cigarette

Hi Kirsten,

We considered this for October BOH study session but didn't pursue it due to the limited time for the Tobacco partof the meeting.

I don't really feel it's necessary for February's meeting. It could be more of distraction than it's worth.

From: Kirsten FrandsenSent: Monday, February 14, 2011 6:03 AMTo: Frank DibiaseSubject: e-cigarette

Hi Frank, for the BOH presentation, would you like me to get/buy an e-cigarette to show the members?

Thanks, Kirsten

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From: Kirsten FrandsenTo: Tutrecia Giles

Date: 2/14/2011 4:01:00 PMSubject: RE: Presentation to BOH

Thank you Tutricia- I appreciate it.

From: Tutrecia GilesSent: Monday, February 14, 2011 12:00 PMTo: Kirsten FrandsenSubject: RE: Presentation to BOH

Kirsten,

I plugged in the following suggestions. Let me know if you have any questions.-Tutrecia

} Challenge:

o Rates of adult tobacco use in PC are declining, but youth rates have remained stable.

o Youth appear to be targeted with alternative tobacco products.

o Most addiction to tobacco begins among youth under the age of 18.

o A person who hasn't started smoking by age 19 is unlikely to ever become a smoker.

As it pertains to your fourth bullet, there was some discussion about young adult tobacco initiation(18-24) fromFrank and Liz. Liz said that there was research stating that there was initiation after the age 18. I still believe that thestatement is true, but some people may start later.

} Overall, nearly 80 percent of all adult smokers first become regular smokers before the age of

18 and 90 percent do so before leaving their teens.15 15 SAMHSA, Calculated based on data in 2006 NationalHousehold Survey on Drug Use and Health, http://www.oas.samhsa.gov/nsduh.htm,

} Goal: Implement policy strategies that prevent or reduce tobacco use among youth.

} Recommended Policy Action:

o Ban sale of E-cigarettes to youth.

o Other Recommended Strategies:

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o Ban sale of E-cigarettes to youth------Repeated

o Possible- Enforcement of existing tobacco sales regulations

o Multi-media and social marketing campaigns

o Support school based interventions and policy actions

o Pros

* Focus on primary prevention with long lasting health implications.* Reduced tobacco use.* High return on investment.* Support from local businesses.

Cons

* If e-cigarettes are ban, the logistics of the enforcement of the ban* Fines for retailers who sell to minors.

Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected]

From: Kirsten FrandsenSent: Monday, February 14, 2011 8:51 AMTo: Kirsten Frandsen; George Hermosillo; Samantha Yeun; Bruce Rytkonen; Allison Cox; Tutrecia Giles; HannaZarellijacksonSubject: RE: Presentation to BOH

Hi everyone, George pointed out that I forgot to attach the powerpoint- thanks George.

It is attached- thanks, Kirsten

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From: Kirsten FrandsenSent: Monday, February 14, 2011 6:46 AMTo: George Hermosillo; Samantha Yeun; Bruce Rytkonen; Allison Cox; Tutrecia Giles; Hanna ZarellijacksonSubject: Presentation to BOH

Good morning everyone,

Attached you will find a draft powerpoint for the BOH presentation on Feb. 23rd for our program. If you wouldkindly go through the presentation- particularly your sections (current or future work) and make edits/modifications,etc. We need to keep the presentation brief as we only have 20-30 minutes to present, so please keep this in mind asyou review.

George- I haven't added any results from your Housing Assessment so if you would be interested and feel it'sappropriate to add one slide in there with data, that would be great.

I'd appreciate your edits by end of day today.

Thanks,

Kirsten

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From: Tutrecia GilesTo: Kirsten Frandsen

Date: 2/14/2011 4:00:16 PMSubject: RE: Presentation to BOH

Attachments: BOH Briefing February 23 study session1.pptx

Kirsten,

I plugged in the following suggestions. Let me know if you have any questions.-Tutrecia

} Challenge:

o Rates of adult tobacco use in PC are declining, but youth rates have remained stable.

o Youth appear to be targeted with alternative tobacco products.

o Most addiction to tobacco begins among youth under the age of 18.

o A person who hasn't started smoking by age 19 is unlikely to ever become a smoker.

As it pertains to your fourth bullet, there was some discussion about young adult tobacco initiation(18-24) fromFrank and Liz. Liz said that there was research stating that there was initiation after the age 18. I still believe that thestatement is true, but some people may start later.

} Overall, nearly 80 percent of all adult smokers first become regular smokers before the age of

18 and 90 percent do so before leaving their teens.15 15 SAMHSA, Calculated based on data in 2006 NationalHousehold Survey on Drug Use and Health, http://www.oas.samhsa.gov/nsduh.htm,

} Goal: Implement policy strategies that prevent or reduce tobacco use among youth.

} Recommended Policy Action:

o Ban sale of E-cigarettes to youth.

o Other Recommended Strategies:

o Ban sale of E-cigarettes to youth------Repeated

o Possible- Enforcement of existing tobacco sales regulations

o Multi-media and social marketing campaigns

o Support school based interventions and policy actions

o Pros

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* Focus on primary prevention with long lasting health implications.* Reduced tobacco use.* High return on investment.* Support from local businesses.

Cons

* If e-cigarettes are ban, the logistics of the enforcement of the ban* Fines for retailers who sell to minors.

Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected]

From: Kirsten FrandsenSent: Monday, February 14, 2011 8:51 AMTo: Kirsten Frandsen; George Hermosillo; Samantha Yeun; Bruce Rytkonen; Allison Cox; Tutrecia Giles; HannaZarellijacksonSubject: RE: Presentation to BOH

Hi everyone, George pointed out that I forgot to attach the powerpoint- thanks George.

It is attached- thanks, Kirsten

From: Kirsten FrandsenSent: Monday, February 14, 2011 6:46 AMTo: George Hermosillo; Samantha Yeun; Bruce Rytkonen; Allison Cox; Tutrecia Giles; Hanna ZarellijacksonSubject: Presentation to BOH

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Good morning everyone,

Attached you will find a draft powerpoint for the BOH presentation on Feb. 23rd for our program. If you wouldkindly go through the presentation- particularly your sections (current or future work) and make edits/modifications,etc. We need to keep the presentation brief as we only have 20-30 minutes to present, so please keep this in mind asyou review.

George- I haven't added any results from your Housing Assessment so if you would be interested and feel it'sappropriate to add one slide in there with data, that would be great.

I'd appreciate your edits by end of day today.

Thanks,

Kirsten

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From: Kirsten FrandsenTo: Frank Dibiase

Steve MarekDate: 2/17/2011 5:23:46 PM

Subject: FW: Sea-King, Kitsap and Spokane SIPP Ordinances and PoliciesAttachments: SIPP SeaKing Title 19 Dec 2010.pdf

SIPP Spokane 70.160.docxSIPP Spokane e-cigs.docx

Fyi-

From: Bruce RytkonenSent: Thursday, February 17, 2011 11:29 AMTo: 'Gregory Jacoby'Cc: Kirsten FrandsenSubject: Sea-King, Kitsap and Spokane SIPP Ordinances and Policies

Greg......here are the Ordinances for SIPP for Sea-King and Kitsap***. For Spokane attached is their "DraftEnforcement Procedure" dated July 19,2010. I have a request in to them for an updated or final version of thisprocedure. I don't think that they did an ordinance in the same manner as SeaKing and Kitsap. I believe that theydecided on their own that they had the authority to issue citations for violations and the $100 civil fine. When they'vedetermined that someone gets a violation letter, they always then do a follow-up first reinspection and charge thebusiness $100. If the business fails that first reinspection, they get another $100 civil fine and a second reinspectionwith a cost of $200 (I think). It goes up from there.

The Spokane Board of Health did pass Resolution #10-05 regarding restrictions on e-cigs. Copy attached.

***I'm having trouble getting transfer access to the Kitsap ordinance. If you Google "Kitsap County Board of HealthOrdinance 2006-2" you'll get to this document and you or someone more expert in your office can either just print itout or put it in an accessible e-file. Sorry about that.

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Date: 2/17/2011 5:23:26 PMSubject: RE: Sea-King, Kitsap and Spokane SIPP Ordinances and Policies

Thanks Bruce-





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Date: 2/22/2011 10:37:58 AMSubject: pp attached

Attachments: Feb 14 DRAFT BOH February 23 Tobacco Study Session.pptx

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From: Frank DibiaseTo: Frank Dibiase

Date: 2/23/2011 1:41:44 PMSubject: FW: PHSKC SIPP Title 19 Document

Attachments: SIPP SeaKing Title 19 Dec 2010.pdf

From: Bruce RytkonenSent: Friday, February 11, 2011 1:53 PMTo: Frank Dibiase; Kirsten FrandsenSubject: RE:

I now sort of have an idea of how PHSKC adopts new policies and regulations. The actual final wording will becontained in different "Title" sections in the "Code of the Board of Health Seattle King County." Changes to Titlesections are document using the type of form dated Sept 17, 2010, that Frank just provided. In December anotherform of this type, or "resolution," was passed by the PHSKC BOH adopting terms limiting the sale of e-cigs andwhere they can be used.

I believe that then all of the changes to their smoking policies (Sept 2010 and Dec 2010) got incorporated into anupdated version of their Title 19.

The terms that PHSKC adopted on e-cigs were included in my second draft on the resolution that I provided toFrank on Dec 28.

Kirsten.....I'll provide a hard copy of this for your information.

From: Frank DibiaseSent: Friday, February 11, 2011 12:23 PMTo: Kirsten Frandsen; Bruce RytkonenSubject:

Hi folks,

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Attached is the ordinance PHSKC passed related to SIPP enforcement. Thought you might like to see the details ifyou haven't already.

Thanks.

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Date: 2/23/2011 9:33:38 AMSubject: FW: Signed County Ordinance

Attachments: County Ordinance Signed.pdf

Just an fyi-

Thanks, Kirsten

From: Bruce RytkonenSent: Tuesday, February 22, 2011 11:37 AMTo: Kirsten FrandsenSubject: FW: Signed County Ordinance

Here's a signed version of the Spokane County e-cig ordinance that I sent to you earlier today.

From: Scholer, Julie [mailto:[email protected]]Sent: Tuesday, February 22, 2011 9:43 AMTo: Bruce RytkonenSubject: Signed County Ordinance

Bruce,

Here is the signed County ordinance.

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Date: 2/23/2011 9:43:56 AMSubject: FW: Spokane Ordinance or Policies

Attachments: Resolution #10-05.pdfE-cigarette012311 County Ordinance.docxCity of Spokane.docx

Fyi only-

From: Bruce RytkonenSent: Tuesday, February 22, 2011 9:34 AMTo: Kirsten FrandsenSubject: Spokane Ordinance or Policies

As a result of the Spokane Health Dept's Resolution 10-05 (copy attached) "asking/proposing" that the legaljurisdictions in Spokane County adopt policies prohibiting/restricting the sale and/or use of e-cigs, the City ofSpokane and the County of Spokane have drafted ordinances (copies attached).

From: Scholer, Julie [mailto:[email protected]]Sent: Tuesday, February 22, 2011 8:43 AMTo: Bruce RytkonenCc: Zilar, ChristopherSubject: FW: Ordinance or Policies

Bruce,

I am not sure what Christopher has sent you. Here is some information on e-cigs from our BOH and from theCounty and City.

I will have to get the final signed versions of the ordinances from the city and county. The city made a couple ofamendments prior to passing in relation to the fines so that it matched the county. Also, our attorneys are looking atadding an amendment that gives police/SRHD authority to confiscate the items from youth.

I think that Christopher probably already gave you everything we have on enforcement. I will check with him later

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today.

Take care Bruce.

From: Bruce Rytkonen [mailto:[email protected]]Sent: Wednesday, February 16, 2011 10:04 AMTo: Zilar, ChristopherSubject: Ordinance or Policies

Hi Chris.....yeah.....me again. I've drafted a resolution/ordinance to get from our BOH authorization to actually doenforcement. My draft is now with senior management and that then also means outside legal counsel. My draftincluded (from wherever I could find them) some of the more stringent or broader terms used by other LHJ's aroundthe State. I did review and include some of what you provided previously to me. General counsel has asked that Iobtain current policies and ordinances from King, Kitsap and Spokane. So could I ask if you could forward to meanything that you have that today serves as the policy, ordinance, procedure, etc. that is associated with 70.160 ande-cigs, as we were discussing yesterday. Thank you very much for all of your time and help.


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From: Samantha YeunTo: George Hermosillo

Kirsten FrandsenTobacco PCElizabeth Pulos

Date: 2/23/2011 7:07:10 PMSubject: RE: E-cigarettes & youth access

Here's what I found on E-cigarettes and youth access. There's no evidence that youth accessing E-cigarettes rightnow, but there are recent state laws (Seattle, NY, etc.) that prohibit youth under the age of 18 from purchasing them.Most of the rulings and bans are based on social acceptability and social norm.

http://www.acscan.org/action/ny/campaigns/ecigarettes/

Sam

From: George HermosilloSent: Wednesday, February 23, 2011 2:23 PMTo: Kirsten Frandsen; Tobacco PC; Elizabeth PulosSubject:

Good Afternoon All,

Here's the report we were talking about today in the our planning session. I've attached the report which includessocio economic status from 2009.

Disparities in Youth Tobacco Use in Washington State June 2009

Thanks,

George Hermosillo, B.A; SDVCPrevention SpecialistEnviromental Health Program

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Tacoma Pierce County Health Dept.3629 So. D St.Tacoma, Wa. 98418(253) 798-7664(253) 405-8244 cell

(253 798-6450 faxemail: [email protected]

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Date: 2/23/2011 9:33:22 AMSubject: RE: Signed County Ordinance

Thanks!

From: Bruce RytkonenSent: Tuesday, February 22, 2011 11:37 AMTo: Kirsten FrandsenSubject: FW: Signed County Ordinance

Here's a signed version of the Spokane County e-cig ordinance that I sent to you earlier today.

From: Scholer, Julie [mailto:[email protected]]Sent: Tuesday, February 22, 2011 9:43 AMTo: Bruce RytkonenSubject: Signed County Ordinance

Bruce,

Here is the signed County ordinance.

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From: Bruce RytkonenTo: Kirsten Frandsen

Date: 2/24/2011 3:14:12 PMSubject: FW: Sea-King, Kitsap and Spokane SIPP Ordinances and Policies

Attachments: SIPP SeaKing Title 19 Dec 2010.pdfSIPP Spokane 70.160.docxSIPP Spokane e-cigs.docx

Here's the county ordinances that I sent the other day to Greg that has the final version of the SeaKing SIPPOrdinance that I think you said you wanted to pass on to the Mayor.

Also.....when you were talking to Linda I handed you a Wikipedia document on e-cigs. This may be something youwould want to pass on to the Mayor to give her some general/specific info on e-cigs.





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From: Allison CoxTo: Samantha Yeun

George HermosilloKirsten FrandsenTobacco PCElizabeth Pulos


I have 2 long phone messages from Bill Godshall on this on my phone at work. Bill agrees - no evidence but makesperfect sense to keep access away from minors. I can give you more details on his comments if need be.

Allison

_____

From: Samantha YeunSent: Wednesday, February 23, 2011 3:07 PMTo: George Hermosillo; Kirsten Frandsen; Tobacco PC; Elizabeth PulosSubject: RE: E-cigarettes & youth access

Here’s what I found on E-cigarettes and youth access. There’s no evidence that youth accessing E-cigarettes rightnow, but there are recent state laws (Seattle, NY, etc.) that prohibit youth under the age of 18 from purchasing them.Most of the rulings and bans are based on social acceptability and social norm.


Sam


Good Afternoon All,

Here’s the report we were talking about today in the our planning session. I’ve attached the report which includes

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socio economic status from 2009.


Thanks,




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From: Kirsten FrandsenTo: Allison Cox

Samantha YeunGeorge HermosilloTobacco PCElizabeth Pulos


Thanks George, Allison and Sam for your sleuthing.

Frank and I are combining our notes from our meeting with Mayor Strickland and BOH yesterday. I'll let you knowwhen these are available and what follow up we need to do.....

Thanks again, Kirsten

From: Allison CoxSent: Thursday, February 24, 2011 8:04 AMTo: Samantha Yeun; George Hermosillo; Kirsten Frandsen; Tobacco PC; Elizabeth PulosSubject: RE: E-cigarettes & youth access

I have 2 long phone messages from Bill Godshall on this on my phone at work. Bill agrees - no evidence but makesperfect sense to keep access away from minors. I can give you more details on his comments if need be.

Allison

_____

From: Samantha YeunSent: Wednesday, February 23, 2011 3:07 PMTo: George Hermosillo; Kirsten Frandsen; Tobacco PC; Elizabeth PulosSubject: RE: E-cigarettes & youth access

Here's what I found on E-cigarettes and youth access. There's no evidence that youth accessing E-cigarettes rightnow, but there are recent state laws (Seattle, NY, etc.) that prohibit youth under the age of 18 from purchasing them.Most of the rulings and bans are based on social acceptability and social norm.


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Sam


Good Afternoon All,

Here's the report we were talking about today in the our planning session. I've attached the report which includessocio economic status from 2009.


Thanks,




Page 2

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Date: 2/24/2011 3:31:18 PMSubject: RE: Sea-King, Kitsap and Spokane SIPP Ordinances and Policies

Thanks Bruce-

From: Bruce RytkonenSent: Thursday, February 24, 2011 11:14 AMTo: Kirsten FrandsenSubject: FW: Sea-King, Kitsap and Spokane SIPP Ordinances and Policies

Here's the county ordinances that I sent the other day to Greg that has the final version of the SeaKing SIPPOrdinance that I think you said you wanted to pass on to the Mayor.

Also.....when you were talking to Linda I handed you a Wikipedia document on e-cigs. This may be something youwould want to pass on to the Mayor to give her some general/specific info on e-cigs.




***I'm having trouble getting transfer access to the Kitsap ordinance. If you Google "Kitsap County Board of Health

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Ordinance 2006-2" you'll get to this document and you or someone more expert in your office can either just print itout or put it in an accessible e-file. Sorry about that.

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From: Selina ChamblissTo: Frank Dibiase

Date: 2/25/2011 7:49:28 PMSubject: 022311 - BOH SM SS MINS.pdf - Adobe Acrobat Professional

Attachments: 022311 - BOH SM SS MINS.pdf

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From: Selina ChamblissTo: Cindy DeGrosse, Asst Marilyn Strickland

Cindy Leingang, Asst to Victoria WoodardsCindy Willis, Assistant to Stan FlemmingConnie Perry, Assistant to Pat McCarthyDick Muri ([email protected])Jake Fey ([email protected])Leslie Swalley, Assistant to Dick MuriMarilyn Strickland ([email protected])Mark Williams, Assistant to Rick TalbertPat McCarthy ([email protected])Patricia Johnson ([email protected])Rebecca Sullivan ([email protected])Rick Talbert ([email protected])Ron Lucas ([email protected])Stan Flemming ([email protected])Victoria Woodards ([email protected])

Date: 2/25/2011 7:52:58 PMSubject: BOH Study Session Meeting Minutes


Good Afternoon Board of Health members,

Due to rescheduling the Board of Health Study Session to later in the month, we were unable to include the minutesin your packets that we mailed out Wednesday morning. Therefore I am attaching the meeting minutes for you toinclude in your packets for next Wednesday.

Thanks and have a fabulous weekend.

Stay warm!

Selina Chambliss

Confidential Assistant II

Office of the Director

(253) 798-3536


Healthy People in Healthy Communities

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Date: 2/25/2011 10:33:06 AMSubject: RE: SIPP Spokane e-cigs.docx

Thank you !

From: Bruce RytkonenSent: Thursday, February 24, 2011 9:28 AMTo: Kirsten FrandsenSubject: SIPP Spokane e-cigs.docx

The references at the end of this resolution may be of interest to you.

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Date: 2/28/2011 12:23:26 PMSubject: FW: 022311 - BOH SM SS MINS.pdf - Adobe Acrobat Professional


Oops!

From: Selina ChamblissSent: Friday, February 25, 2011 3:49 PMTo: Frank DibiaseSubject: 022311 - BOH SM SS MINS.pdf - Adobe Acrobat Professional

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Tacoma-Pierce County Health Department -- E-Cigarette E-Mails Oct. 2010 - Feb 2011

Documents

Transcript of Tacoma-Pierce County Health Department -- E-Cigarette E-Mails Oct. 2010 - Feb 2011