Tacoma-Pierce County Health Department -- E-Cigarette E-Mails May 2011 Part 1

From: Tutrecia GilesTo: Bruce Rytkonen

Date: 5/2/2011 5:28:36 PMSubject: Fw: E-cigs Files moved

This should lead you to speakers list.-Tutrecia

From: Kirsten Frandsen <[email protected]>Date: Wed, 27 Apr 2011 19:49:26 +0000To: Tutrecia Giles<[email protected]>; Bruce Rytkonen<[email protected]>Subject: RE: E-cigs Files moved

Thank you Tutrecia. Given that the spreadsheet represents both SIPP and E-Cigs, I moved it to a new folder I created: G:\LIBSHARE\Tobacco-EH\ADMIN\Board of Health SIPP and E-cigs policy\Testimony Hope that this is okay. Thanks, Kirsten From: Tutrecia GilesSent: Wednesday, April 27, 2011 12:38 PMTo: Kirsten Frandsen; Bruce RytkonenSubject: E-cigs Files moved I placed all the e-cig docs into the folder created by Kirsten. I placed the names of possible speakers on thespeaker form, including Karen Blumenfeld. I put the initials of the person working on a particular contact. Bruce, Iput your initial next to some, feel free to change, update and add information. -thanks G:\LIBSHARE\Tobacco-EH\ADMIN\Board of Health SIPP and E-cigs policy Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected]

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From: George HermosilloTo: '[email protected]'

Date: 5/2/2011 7:55:42 PMSubject: My workplan

Attachments: 2011 Tobacco Workplan .xlsx

Hey George here’s your workplan study it. Thanks, George Hermosillo, B.A; SDVCPrevention SpecialistEnvironmental Health:Physical Activity and Nutrition/ Tobacco Prevention and ControlTacoma-Pierce County Health DepartmentHealthy People in Healthy Communities3629 So. D St.Tacoma, Wa. 98418(253) 798-7664(253) 405-8244 cell(253 798-6450 faxemail: [email protected]

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From: Adria MoskowitzTo: Kirsten Frandsen

Date: 5/2/2011 11:11:08 AMSubject: RE: Resolutions in Sharepoint

When Bruce comes in, I will have him help me locate these and I will upload them. From: Kirsten FrandsenSent: Monday, May 02, 2011 5:48 AMTo: Bruce RytkonenCc: Adria MoskowitzSubject: Resolutions in SharepointImportance: High Good morning! Hope you had a wonderful weekend.... The Board of Health packets are about ready to go out but we have a little snag. For some reason, theregulations/resolutions from Seattle and Spokane did not get transferred from Libshare to Sharepoint. Would it be possible to put in the following to Sharepoint (the Board of Health Packet materials folder- underRegulations/Resolutions.....): 1. Seattle King Count PH regs on SIPP/E-Cigs2. Spokane regs Steve only wants these two counties in there (as opposed to other counties). Thanks!Kirsten

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From: Bruce RytkonenTo: Kirsten Frandsen

Date: 5/2/2011 12:06:28 PMSubject: RE: Resolutions in Sharepoint

Kirsten…..in a few minutes I’ll get the SeaKing and Spokane docs into Sharepoint. As Seaking has combined theire-cig regs into their SIPP regs, its clear what goes into Sharepoint. For the “Spokane regs” as you’ve requested, I believe that there are two documents that you may want to choosefrom. One is their internal document that sets forth their SIPP enforcement procedures [I don’t believe that this hasbeen submitted to their Board for formal approval]. The second is the Board approved e-cig resolution that “requests” that other jurisdictions in Spokane Countyadopt policies prohibiting the sale and distribution of e-cigs to minors. From: Kirsten FrandsenSent: Monday, May 02, 2011 5:48 AMTo: Bruce RytkonenCc: Adria MoskowitzSubject: Resolutions in SharepointImportance: High Good morning! Hope you had a wonderful weekend.... The Board of Health packets are about ready to go out but we have a little snag. For some reason, theregulations/resolutions from Seattle and Spokane did not get transferred from Libshare to Sharepoint. Would it be possible to put in the following to Sharepoint (the Board of Health Packet materials folder- underRegulations/Resolutions.....): 1. Seattle King Count PH regs on SIPP/E-Cigs2. Spokane regs Steve only wants these two counties in there (as opposed to other counties). Thanks!Kirsten

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From: Gregory Jacoby <[email protected]>To: Kirsten Frandsen

Date: 5/2/2011 5:47:58 PMSubject: RE: Smoking Regulations & Staff Reports

Kirsten,Yes, Lori Bemis from my office is willing to serve as facilitator. Gregory A. JacobyMcGavick Graves, P.S.1102 Broadway, Suite 500Tacoma, WA [email protected]

The information contained in this e-mail message may be privileged, confidential and protected from disclosure. If you are not the intended recipient, any dissemination, distribution or copying is strictly prohibited. If you think that you have received this e-mail message in error, please notify the sender via e-mail or telephone at 253.627.1181. From: Kirsten Frandsen [mailto:[email protected]]Sent: Friday, April 29, 2011 11:08 AMTo: Gregory JacobyCc: Tutrecia GilesSubject: RE: Smoking Regulations & Staff Reports Greg, we are trying to find a facilitator that can work with us at the Public Meeting- crowd control and help to facilitate and rope in the public – particularly if it gets too wild. We asked one of the facilitators that we use regularly at the Health Department but she was unavailable. Steve suggested that perhaps Lori Bemis from your office would be willing and would be good at this job. What are your thoughts on this?

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Thanks, Kirsten From: Gregory Jacoby [mailto:[email protected]]Sent: Friday, April 29, 2011 9:34 AMTo: Steve Marek; Frank Dibiase; Kirsten Frandsen; Bruce Rytkonen; Bridget Vandeventer; Tutrecia Giles; Madigan ResidentSubject: Smoking Regulations & Staff Reports All,I have attached what I believe to be the final versions of the following documents:

· Chapter 8, Smoking in Public Places· Chapter 9, Restrictions on Sale, Use, and Availability of Electronic Smoking Devices and Unregulated Nicotine Delivery Products· Staff Report for Chapter 8 (Local SIPP)· Staff Report for Chapter 9 (E-cigarettes)

I think you have all seen these versions before with the exception of the staff report for e-cigarettes. Please let me know if you have any final comments or edits prior to noon today. Otherwise, Kirsten, I think these are ready for the Board’s May 18th meeting materials. Gregory A. JacobyMcGavick Graves, P.S.1102 Broadway, Suite 500Tacoma, WA [email protected]

The information contained in this e-mail message may be privileged, confidential and protected from disclosure. If you are not the intended recipient, any dissemination, distribution or copying is strictly prohibited. If you think that you have received this e-mail message in error, please notify the sender via e-mail or telephone at 253.627.1181. *************************************************************************************

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

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From: Tawana BellamyTo: Bridget Vandeventer

Date: 5/3/2011 8:01:28 PMSubject: 040611 BOH MINS

Attachments: 040611 BOH MINS.docx

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From: Frank DibiaseTo: Jaime Paulson

Date: 5/3/2011 7:12:20 PMSubject: 041411 Mtg Notes MS edits.docx

Attachments: 041411 Mtg Notes MS edits.docx

Thanks Marianne and Jaime. I added some additional edits to the document edited by Marianne. Once the editsare made it’s ready to go to Steve. Thanks.

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From: Adria MoskowitzTo: Tutrecia Giles

Date: 5/3/2011 3:43:56 PMSubject: RE: citation for ecig fact sheet

Thank you for the citations!! I will add these citations right now. J As the 1st paragraph is a direct quote, I’ve e-mailed Bridget, asking if we should accept the changes or just putquotations marks around everything. I will let you know as soon as she gets back to me. Do you want me to accept her change about the last line (getting rid of what you put there) and include the FDAthing? Please let me know. Thank you. From: Tutrecia GilesSent: Tuesday, May 03, 2011 12:41 PMTo: Adria Moskowitz; Kirsten FrandsenSubject: citation for ecig fact sheet Adria,Here is the citation for the e-cig doc, it must have fell off my original email attachment. Kirsten,Bridget made some changes to the verbiage and suggested that the FDA’s plans to regulate e-cigs as of 4/25 beincluded. Let me know if you have any additional changes. –Thanks, Tutrecia Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected]

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From: Tutrecia GilesTo: Adria Moskowitz


Sure that’s fine. 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: Adria MoskowitzSent: Tuesday, May 03, 2011 12:44 PMTo: Tutrecia GilesSubject: RE: citation for ecig fact sheet Thank you for the citations!! I will add these citations right now. J As the 1st paragraph is a direct quote, I’ve e-mailed Bridget, asking if we should accept the changes or just putquotations marks around everything. I will let you know as soon as she gets back to me. Do you want me to accept her change about the last line (getting rid of what you put there) and include the FDAthing? Please let me know. Thank you. From: Tutrecia GilesSent: Tuesday, May 03, 2011 12:41 PMTo: Adria Moskowitz; Kirsten FrandsenSubject: citation for ecig fact sheet Adria,Here is the citation for the e-cig doc, it must have fell off my original email attachment. Kirsten,Bridget made some changes to the verbiage and suggested that the FDA’s plans to regulate e-cigs as of 4/25 beincluded. Let me know if you have any additional changes. –Thanks, Tutrecia Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected]

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From: Marianne SeifertTo: Jaime Paulson

Frank DibiaseDate: 5/3/2011 5:07:50 PM

Subject: RE: DRAFT 041411 Mtg Notes.docxAttachments: 041411 Mtg Notes MS edits.docx

Hi – here are some suggested edits based on my scribbled notes…. From: Jaime PaulsonSent: Tuesday, May 03, 2011 1:31 PMTo: Marianne Seifert; Frank DibiaseSubject: DRAFT 041411 Mtg Notes.docx Marianne & Frank- Please find the attached minutes from our April 14 EHL meeting. Please let me know of any changes. Thanks,Jaime

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From: Bruce RytkonenTo: Tutrecia Giles

Date: 5/3/2011 11:07:50 AMSubject: RE: E-cigs Files moved

Thank you….maybe we can chat for a few minutes on Tuesday and make sure we know who’s doing what. From: Tutrecia GilesSent: Monday, May 02, 2011 2:29 PMTo: Bruce RytkonenSubject: Fw: E-cigs Files moved This should lead you to speakers list.-Tutrecia

From: Kirsten Frandsen <[email protected]>Date: Wed, 27 Apr 2011 19:49:26 +0000To: Tutrecia Giles<[email protected]>; Bruce Rytkonen<[email protected]>Subject: RE: E-cigs Files moved Thank you Tutrecia. Given that the spreadsheet represents both SIPP and E-Cigs, I moved it to a new folder I created: G:\LIBSHARE\Tobacco-EH\ADMIN\Board of Health SIPP and E-cigs policy\Testimony Hope that this is okay. Thanks, Kirsten From: Tutrecia GilesSent: Wednesday, April 27, 2011 12:38 PMTo: Kirsten Frandsen; Bruce RytkonenSubject: E-cigs Files moved I placed all the e-cig docs into the folder created by Kirsten. I placed the names of possible speakers on thespeaker form, including Karen Blumenfeld. I put the initials of the person working on a particular contact. Bruce, Iput your initial next to some, feel free to change, update and add information. -thanks G:\LIBSHARE\Tobacco-EH\ADMIN\Board of Health SIPP and E-cigs policy Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected]

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From: Tutrecia GilesTo: Kirsten Frandsen

Date: 5/3/2011 12:21:32 PMSubject: RE: Sally Perkins

Hello Kirsten,I wanted to look into rescheduling the e-cig prep meeting. Is Lori Bemis available? Bridget won’t be able to makeFriday’s meeting and you mention that Paul leaves at 11am.-Tutrecia 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: Friday, April 29, 2011 9:46 AMTo: Tutrecia GilesSubject: RE: Sally Perkins Darn. I’ll check with Greg to see if Lori Bemis can do it. From: Tutrecia GilesSent: Friday, April 29, 2011 9:44 AMTo: Kirsten FrandsenSubject: Re: Sally Perkins Just spoke to Sally and she's not available on 5/16. -tg

From: Kirsten Frandsen <[email protected]>Date: Fri, 29 Apr 2011 16:22:55 +0000To: Tutrecia Giles<[email protected]>Subject: RE: Sally Perkins Thanks! From: Tutrecia GilesSent: Friday, April 29, 2011 9:19 AMTo: Kirsten FrandsenSubject: Re: Sally Perkins Hello Kirsten,I will contact her office today.-tg

From: Kirsten Frandsen <[email protected]>Date: Fri, 29 Apr 2011 16:12:50 +0000To: Tutrecia Giles<[email protected]>Subject: Sally Perkins Hi Tutrecia, would you be willing to contact Sally Perkins (Practical Solutions) and find out whether she would beable/interested in facilitating the public meeting? If so, would you be willing to include her on the planningmeeting schedule and talk with Gina about a contract for her. We have an existing contract in EH and would needto work off of this one. The sooner we can find out, the better as we’re going to need to find someone else if

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Sally can’t do it. I had planned to contact Sally myself but I won’t be able to find the time today. Thanks for your help. Kirsten FrandsenTacoma-Pierce County Health DepartmentProgram Coordinator: Physical Activity, Nutrition, and [email protected]

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From: Bridget VandeventerTo: Bridget Vandeventer

Frank DibiaseKirsten FrandsenSteve Marek'Gregory Jacoby'Tutrecia GilesBruce RytkonenBrad CostelloMadigan Resident

Date: 5/3/2011 8:39:06 PMSubject: RE: Tobacco Regulations update

Update to my update:· I heard from the PIO at Pierce County. He’d talked to Kris, and she had already gone out to the Vaporium

at Lakewood, talked to the owner and taken photos. She’s working to humanize the story, which is goodfor bringing attention to the issue.

· The website is up and live now. Thanks!Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Tuesday, May 03, 2011 4:33 PMTo: Frank Dibiase; Kirsten Frandsen; Steve Marek; Gregory Jacoby; Tutrecia Giles; Bruce Rytkonen; Brad Costello;Madigan ResidentSubject: Tobacco Regulations update Hi All-There has been a lot of action today, so I wanted to share with the team my updates, and invite anyone who hasothers to share as well. Here’s what I have from Communications:

· Anthony sent a brief note to the BOH members this afternoon letting them know about the web postingtoday and a timeline for the next month.

· I hosted an interview this afternoon with Kris Sherman at the News Tribune and Anthony. It was tough,but good. She asked about each of the regulations, our reasoning behind them, and the process we’refollowing. Predictably, she focused mostly on the e-cigarette regulation. She did indicate that she’sspoken with Dr. Fleming and that he is currently a NO vote. She talked about “another physician who isagainst it too,” so I assume she’s speaking with Dr. Sullivan. Both Mayor Strickland and Executive McCarthywere prepared to speak for us, so hopefully they connected this afternoon and will be a part of the piece.

I expect the story to run in tomorrow’s paper. While I expect it to be fair and factual, I do anticipate thatthere will be hints of “the board is divided on the matter” to appear throughout. We knew this going in,but it does create a challenge for us over the next four weeks. I’m up for the challenge, but want to seteveryone’s expectation accordingly.

· I’ll flip the website on when I leave tonight.· Next up on the list is to get all the BOH packet materials finalized and to finalize the Q&A document.· Paul is speaking about the regulations tonight at the Pierce County Medical Society. He’ll update us in the

morning on their feedback.

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Does anyone else have updates to share?Thanks!Bridget Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Bridget VandeventerTo: Frank Dibiase

Kirsten FrandsenSteve MarekGregory JacobyTutrecia GilesBruce RytkonenBrad CostelloMadigan Resident

Date: 5/3/2011 7:32:44 PMSubject: Tobacco Regulations update

Hi All-There has been a lot of action today, so I wanted to share with the team my updates, and invite anyone who hasothers to share as well. Here’s what I have from Communications:





morning on their feedback. Does anyone else have updates to share?Thanks!Bridget Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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Date: 5/4/2011 11:42:26 AMSubject: All Staff tobacco message-- your eyes please

Ok Frank- take a look and let me know if you’re ok with this going out. Hello TPCHD Staff,Today we posted two draft regulations to the tpchd.org website and announced an upcoming public meeting onMay 16. The two proposed regulations relate to the Health Department’s ongoing work to protect the people ofPierce County from the risks associated with tobacco use. The two regulations are:

Environmental Health Code, Chapter 8: Smoking in Public Places: This local regulation provides greaterclarity and interpretation of RCW 70.160, Washington State’s Smoking in Public Places law, and allows forlocal enforcement including fees and fines. Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic SmokingDevices and Unregulated Nicotine Delivery Products: Prohibits smoking and purchase of e-cigarettes andother unregulated nicotine delivery products by youth under age 18, disallows e-cigarettes and otherunregulated nicotine delivery products to be used in public places and anywhere that regular cigarettesare prohibited, and prohibits free or heavily discounted e-cigarettes and other unregulated nicotinedelivery products.

The Board of Health may vote on these regulations at the June 1, 2011 Board of Health meeting and the HealthDepartment is interested in receiving feedback from the community prior to that date. You can review the twoproposed regulations here. The Tacoma News Tribune is writing a story about the two issues, and we anticipate that it will post tomorrow. Thank you for your ongoing work and support of public health in Pierce County. Please feel free to share yourfeedback with the team. Thank you. Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Josh Kerns <[email protected]>To: Tacoma-Pierce County Health Department News

Date: 5/4/2011 3:15:28 PMSubject: Deadline-Interview request re: anti smoking law proposals

Hi Bridget, Can we get a brief phone interview today with Dr. Chen regarding the proposed regulations on smoking in public andelectronic cigarettes? Thanks! Josh KernsNews Talk 97.3 KIRO FM206-726-6397 (newsroom)206-979-1916 (mobile)[email protected]://www.MyNorthwest.comHome of the Seahawks, Mariners and Sounders FC

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From: Jaime PaulsonTo: Steve Marek

Date: 5/4/2011 12:05:44 PMSubject: DRAFT 041411 Mtg Notes.docx

Attachments: 041411 Mtg Notes.docx

Hi Steve, The attached DRAFT minutes are from our April 14 EHL meeting. The notes have already been reviewed by Frankand Marianne. Just need your ‘okay’ and then I will send them out. Thanks,Jaime

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From: Jaime PaulsonTo: EHStaff-All

Date: 5/4/2011 7:36:36 PMSubject: EHL Meeting Minutes

Attachments: 041411 Mtg Notes.pdf

Good Afternoon, Please find the attached minutes from our April 14 EHL meeting. Thanks! Jaime PaulsonSoftware Support Specialist IITacoma-Pierce County Health Department3629 South D StreetTacoma, WA 98418(253) 798-4755 Direct Line(253) 798-6498 [email protected]

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From: Tutrecia GilesTo: Bridget Vandeventer

Bruce RytkonenKirsten FrandsenSteve MarekFrank Dibiase

Date: 5/4/2011 5:30:22 PMSubject: Feedback

Bridget,We may get some questions sent directly to the team’s individual email boxes . The staff email and response link was out to some community members.-tg 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: Hae-Man Song [mailto:[email protected]]Sent: Wednesday, May 04, 2011 2:01 PMTo: Allison Cox; Amy Nelson; Andie Gernon; Ann Waybright; Bridgette Agpaoa-Ryder; Carmen Murphy; Carolynn Morris; Chris Backman; Christie Comeau; Cindy Huff; Cross Cultural Collaborative; Daniel Bissonnette; Dareth-Rose Pak; David Whited; Deanna L. Briese; Donna Saling; Doug Karnitz; Ed Judie; Efrain Centeno; Elizabeth Bergmann; Ella McHenry; Gloria Mansfieldaverill; Hae-Man Song; Heather Hogan; Heidi Hobbs; Herb Entz; Hugh Flint; Ivon Urquilla; JacqueSimmons; James A. McMurray; Jeanne Niedermeyer; Jennifer MacKillop; Jerry Kosierowski; Jessica Poling; Jill Christian; Jim Hoffman; John Page; Jolie Moxley; Joseph Everett; Karen Betz; Karrie Guerra; Kim Dodds; Kim Farnes; Kim Nygard; Kimberly Paterno; Lamar Hudson; Laura Valdez; Linda Rueckl; Lynn Abegglen; Mandy Ma; Marcos Sauri; Marcy Boulet; Maria L. Otero; Marilee Hill-Anderson; Marybeth Quincey; Matt Horner; Michelle Galaz; Michelle Martinez; MichelleNicholson; Milagros Thompson; Monica Gaub; Nancy Williams; Patti Bunnell; Paul Uno; Renee Tinder; Reueta Doiron; Rich Palladino; Richard Himmer; Roberto Terrones; Samantha Yeun; Sarah Kluesner; Sharon Reynon; Shelly Smith; Terry Schores; Tiffany Villines; Tina Cook; Tina Gehrig; Tutrecia Giles; Valerie Gish; Wanda Rochelle; Wanda Stewart Wilder; Wendy WrightSubject: FW: Proposed tobacco regulations Samantha Yeun, Prevention Specialist Environmental Health/ Youth Tobacco Prevention and Control Programof the Tacoma-Pierce County Health Department shares the following information below. Hae Man SongPrevention Specialist Pierce County Community ConnectionsChemical Dependency Program3602 Pacific Ave. Tacoma, Wa. 98418Office 253-798-6101 ~ Cell 253-686-4431 ~ Fax [email protected]

From: Samantha Yeun [mailto:[email protected]]Sent: Wednesday, May 04, 2011 1:40 PMTo: '[email protected]'; '[email protected]'; Sue George; 'Kim Nygard'; Hae-Man Song; 'Angelina Nockai'Subject: FW: Proposed tobacco regulations Hello: I hope you can join the public meeting on May 16 and/or attend the Board of Health meeting on May 18 starting at 3PM to give advice and your perspective on these regulations. Regards, Samantha YeunPrevention SpecialistEnvironmental Health/ Youth Tobacco Prevention and Control Program253-798-2931

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The two proposed regulations relate to the Health Department’s ongoing work to protect the people of Pierce County from the risks associated with tobacco use. The two regulations are:

Environmental Health Code, Chapter 8: Smoking in Public Places: This local regulation provides greater clarity and interpretation of RCW 70.160, Washington State’s Smoking in Public Places law, and allows for local enforcement including fees and fines. Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devices and Unregulated Nicotine Delivery Products: Prohibits smoking and purchase of e-cigarettes and other unregulated nicotine delivery products by youth under age 18; disallows e-cigarettes and other unregulated nicotine delivery products to be used in public places and anywhere that regular cigarettes are prohibited; andprohibits free or heavily discounted e-cigarettes and other unregulated nicotine delivery products.

The Board of Health may vote on these regulations at the June 1, 2011 Board of Health meeting and the Health Department is interested in receiving feedback from the community prior to that date. You can review the two proposed regulations here. The Tacoma News Tribune is writing a story about the two issues, and we anticipate that it will post tomorrow. Thank you for your ongoing work and support of public health in Pierce County. Please feel free to share your feedback on these two regulations with the team. Thank you. Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

NewsMedia Contact InformationThe Tacoma-Pierce County Health Department Proposes New Regulations Related to Tobacco Prevention and ControlMay 4, 2011The Tacoma-Pierce County Health Department is tasked with safeguarding and enhancing the health of the communities of Pierce County. As part of its mission, the Health Department tackles emerging health risks through policy, programs and treatment in order to protect public health.

According to the Centers for Disease Control, tobacco use is the number one cause of preventable deaths in the United States and is responsible for one in every five deaths annually. In Pierce County, 17% of adults smoke, representing more than 100,000 of our family members, neighbors, co-workers and friends. Even for individuals who don’t smoke, secondhand smoke poses a serious health risk. In adults, secondhand smoke can cause heartdisease and lung cancer. For children, secondhand smoke can increase symptoms of asthma, respiratory infections, sudden infant death syndrome and a number of other health conditions.The Tacoma-Pierce County Health Department has brought forth two proposed regulations that relate to the Health Department’s ongoing work to protect the people of Pierce County from the risks associated with tobacco use. The Board of Health may vote on these regulations at the June 1, 2011 Board of Health meeting and the Health Department is interested in receiving feedback from the community prior to that date.The two proposed regulations are:Environmental Health Code, Chapter 8: Smoking in Public Places.This local regulation provides greater clarity and interpretation of RCW 70.160, Washington State’s Smoking in Public Places law, allows for local enforcement including fees and fines and aids local businesses that wish to comply with the State law. Adopting a local regulation facilitates compliance of the state code.Review the full regulation.Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devices and Unregulated Nicotine Delivery Products.The proposed regulation prohibits smoking and the purchase of e-cigarettes and other unregulated nicotine delivery products by youth under age 18, disallows e-cigarettes to be used in public places and anywhere that regular cigarettes are prohibited and prohibits free or heavily discounted e-cigarettesCurrently, e-cigarettes are unregulated in the United States. They contain varying levels of nicotine and other known carcinogens and toxic chemicals. The FDA recently announced that it intends to regulate e-cigarettes as a tobacco product and not an approved cessation aid.Review the full regulation.Public MeetingThe Tacoma-Pierce County Health Department will host a public meeting to preview and receive public feedback regarding the two regulations. The meeting will include a brief presentation of the proposed regulations, a question and answer period and an opportunity for attendees to provide brief comment.When:Monday, May 16, 20116:00-7:00 PMWhere:Tacoma-Pierce County Health Department Auditorium3629 South D StreetTacoma, WA 98418To provide written feedback on the proposed regulations, please fill out the public input from which can be found here.

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From: Steve MarekTo: Frank Dibiase

Date: 5/4/2011 8:29:28 PMSubject: Fw: EHL Meeting Minutes


We need to get these out in a little more timely manner. From: Jaime PaulsonSent: Wednesday, May 04, 2011 04:36 PMTo: EHStaff-AllSubject: EHL Meeting Minutes Good Afternoon, Please find the attached minutes from our April 14 EHL meeting. Thanks! Jaime PaulsonSoftware Support Specialist IITacoma-Pierce County Health Department3629 South D StreetTacoma, WA 98418(253) 798-4755 Direct Line(253) 798-6498 [email protected]

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From: Tutrecia GilesTo: Hanna Zarellijackson

Date: 5/4/2011 5:31:36 PMSubject: FW: Feedback

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: Tutrecia GilesSent: Wednesday, May 04, 2011 2:30 PMTo: Bridget Vandeventer; Bruce Rytkonen; Kirsten Frandsen; Steve Marek; Frank DibiaseSubject: Feedback Bridget,We may get some questions sent directly to the team’s individual email boxes . The staff email and response link was out to some community members.-tg 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: Hae-Man Song [mailto:[email protected]]Sent: Wednesday, May 04, 2011 2:01 PMTo: Allison Cox; Amy Nelson; Andie Gernon; Ann Waybright; Bridgette Agpaoa-Ryder; Carmen Murphy; Carolynn Morris; Chris Backman; Christie Comeau; Cindy Huff; Cross Cultural Collaborative; Daniel Bissonnette; Dareth-Rose Pak; David Whited; Deanna L. Briese; Donna Saling; Doug Karnitz; Ed Judie; Efrain Centeno; Elizabeth Bergmann; Ella McHenry; Gloria Mansfieldaverill; Hae-Man Song; Heather Hogan; Heidi Hobbs; Herb Entz; Hugh Flint; Ivon Urquilla; JacqueSimmons; James A. McMurray; Jeanne Niedermeyer; Jennifer MacKillop; Jerry Kosierowski; Jessica Poling; Jill Christian; Jim Hoffman; John Page; Jolie Moxley; Joseph Everett; Karen Betz; Karrie Guerra; Kim Dodds; Kim Farnes; Kim Nygard; Kimberly Paterno; Lamar Hudson; Laura Valdez; Linda Rueckl; Lynn Abegglen; Mandy Ma; Marcos Sauri; Marcy Boulet; Maria L. Otero; Marilee Hill-Anderson; Marybeth Quincey; Matt Horner; Michelle Galaz; Michelle Martinez; MichelleNicholson; Milagros Thompson; Monica Gaub; Nancy Williams; Patti Bunnell; Paul Uno; Renee Tinder; Reueta Doiron; Rich Palladino; Richard Himmer; Roberto Terrones; Samantha Yeun; Sarah Kluesner; Sharon Reynon; Shelly Smith; Terry Schores; Tiffany Villines; Tina Cook; Tina Gehrig; Tutrecia Giles; Valerie Gish; Wanda Rochelle; Wanda Stewart Wilder; Wendy WrightSubject: FW: Proposed tobacco regulations Samantha Yeun, Prevention Specialist Environmental Health/ Youth Tobacco Prevention and Control Programof the Tacoma-Pierce County Health Department shares the following information below. Hae Man SongPrevention Specialist Pierce County Community ConnectionsChemical Dependency Program3602 Pacific Ave. Tacoma, Wa. 98418Office 253-798-6101 ~ Cell 253-686-4431 ~ Fax [email protected]

From: Samantha Yeun [mailto:[email protected]]Sent: Wednesday, May 04, 2011 1:40 PMTo: '[email protected]'; '[email protected]'; Sue George; 'Kim Nygard'; Hae-Man Song; 'Angelina Nockai'Subject: FW: Proposed tobacco regulations Hello: I hope you can join the public meeting on May 16 and/or attend the Board of Health meeting on May 18 starting at 3PM to give advice and your perspective on these regulations. Regards,

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Samantha YeunPrevention SpecialistEnvironmental Health/ Youth Tobacco Prevention and Control Program253-798-2931 The two proposed regulations relate to the Health Department’s ongoing work to protect the people of Pierce County from the risks associated with tobacco use. The two regulations are:




According to the Centers for Disease Control, tobacco use is the number one cause of preventable deaths in the United States and is responsible for one in every five deaths annually. In Pierce County, 17% of adults smoke, representing more than 100,000 of our family members, neighbors, co-workers and friends. Even for individuals who don’t smoke, secondhand smoke poses a serious health risk. In adults, secondhand smoke can cause heartdisease and lung cancer. For children, secondhand smoke can increase symptoms of asthma, respiratory infections, sudden infant death syndrome and a number of other health conditions.The Tacoma-Pierce County Health Department has brought forth two proposed regulations that relate to the Health Department’s ongoing work to protect the people of Pierce County from the risks associated with tobacco use. The Board of Health may vote on these regulations at the June 1, 2011 Board of Health meeting and the Health Department is interested in receiving feedback from the community prior to that date.The two proposed regulations are:Environmental Health Code, Chapter 8: Smoking in Public Places.This local regulation provides greater clarity and interpretation of RCW 70.160, Washington State’s Smoking in Public Places law, allows for local enforcement including fees and fines and aids local businesses that wish to comply with the State law. Adopting a local regulation facilitates compliance of the state code.Review the full regulation.Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devices and Unregulated Nicotine Delivery Products.The proposed regulation prohibits smoking and the purchase of e-cigarettes and other unregulated nicotine delivery products by youth under age 18, disallows e-cigarettes to be used in public places and anywhere that regular cigarettes are prohibited and prohibits free or heavily discounted e-cigarettesCurrently, e-cigarettes are unregulated in the United States. They contain varying levels of nicotine and other known carcinogens and toxic chemicals. The FDA recently announced that it intends to regulate e-cigarettes as a tobacco product and not an approved cessation aid.Review the full regulation.Public MeetingThe Tacoma-Pierce County Health Department will host a public meeting to preview and receive public feedback regarding the two regulations. The meeting will include a brief presentation of the proposed regulations, a question and answer period and an opportunity for attendees to provide brief comment.

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When:Monday, May 16, 20116:00-7:00 PMWhere:Tacoma-Pierce County Health Department Auditorium3629 South D StreetTacoma, WA 98418To provide written feedback on the proposed regulations, please fill out the public input from which can be found here. *************************************************************************************


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From: Hae-Man Song <[email protected]>To: Allison Cox

Amy NelsonAndie GernonAnn WaybrightBridgette Agpaoa-RyderCarmen MurphyCarolynn MorrisChris BackmanChristie ComeauCindy HuffCross Cultural CollaborativeDaniel BissonnetteDareth-Rose PakDavid WhitedDeanna L. BrieseDonna SalingDoug KarnitzEd JudieEfrain CentenoElizabeth BergmannElla McHenryGloria MansfieldaverillHae-Man SongHeather HoganHeidi HobbsHerb EntzHugh FlintIvon UrquillaJacque SimmonsJames A. McMurrayJeanne NiedermeyerJennifer MacKillopJerry KosierowskiJessica PolingJill ChristianJim HoffmanJohn PageJolie MoxleyJoseph EverettKaren BetzKarrie GuerraKim DoddsKim FarnesKim NygardKimberly PaternoLamar HudsonLaura ValdezLinda Rueckl

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Lynn AbegglenMandy MaMarcos SauriMarcy BouletMaria L. OteroMarilee Hill-AndersonMarybeth QuinceyMatt HornerMichelle GalazMichelle MartinezMichelle NicholsonMilagros ThompsonMonica GaubNancy WilliamsPatti BunnellPaul UnoRenee TinderReueta DoironRich PalladinoRichard HimmerRoberto TerronesSamantha YeunSarah KluesnerSharon ReynonShelly SmithTerry SchoresTiffany VillinesTina CookTina GehrigTutrecia GilesValerie GishWanda RochelleWanda Stewart WilderWendy Wright

Date: 5/4/2011 5:00:30 PMSubject: FW: Proposed tobacco regulations

Samantha Yeun, Prevention Specialist Environmental Health/ Youth Tobacco Prevention and Control Programof the Tacoma-Pierce County Health Department shares the following information below. Hae Man SongPrevention Specialist Pierce County Community ConnectionsChemical Dependency Program3602 Pacific Ave. Tacoma, Wa. 98418Office 253-798-6101 ~ Cell 253-686-4431 ~ Fax [email protected]

From: Samantha Yeun [mailto:[email protected]]Sent: Wednesday, May 04, 2011 1:40 PMTo: '[email protected]'; '[email protected]'; Sue George; 'Kim Nygard'; Hae-Man Song; 'Angelina Nockai'Subject: FW: Proposed tobacco regulations Hello:

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I hope you can join the public meeting on May 16 and/or attend the Board of Health meeting on May 18 starting at 3PM to give advice and your perspective on these regulations. Regards, Samantha YeunPrevention SpecialistEnvironmental Health/ Youth Tobacco Prevention and Control Program253-798-2931 The two proposed regulations relate to the Health Department’s ongoing work to protect the people of Pierce County from the risks associated with tobacco use. The two regulations are:




According to the Centers for Disease Control, tobacco use is the number one cause of preventable deaths in the United States and is responsible for one in every five deaths annually. In Pierce County, 17% of adults smoke, representing more than 100,000 of our family members, neighbors, co-workers and friends. Even for individuals who don’t smoke, secondhand smoke poses a serious health risk. In adults, secondhand smoke can cause heartdisease and lung cancer. For children, secondhand smoke can increase symptoms of asthma, respiratory infections, sudden infant death syndrome and a number of other health conditions.The Tacoma-Pierce County Health Department has brought forth two proposed regulations that relate to the Health Department’s ongoing work to protect the people of Pierce County from the risks associated with tobacco use. The Board of Health may vote on these regulations at the June 1, 2011 Board of Health meeting and the Health Department is interested in receiving feedback from the community prior to that date.The two proposed regulations are:Environmental Health Code, Chapter 8: Smoking in Public Places.This local regulation provides greater clarity and interpretation of RCW 70.160, Washington State’s Smoking in Public Places law, allows for local enforcement including fees and fines and aids local businesses that wish to comply with the State law. Adopting a local regulation facilitates compliance of the state code.Review the full regulation.Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devices and Unregulated Nicotine Delivery Products.The proposed regulation prohibits smoking and the purchase of e-cigarettes and other unregulated nicotine delivery products by youth under age 18, disallows e-cigarettes to be used in public places and anywhere that regular cigarettes are prohibited and prohibits free or heavily discounted e-cigarettesCurrently, e-cigarettes are unregulated in the United States. They contain varying levels of nicotine and other known carcinogens and toxic chemicals. The FDA recently announced that it intends to regulate e-cigarettes as a tobacco product and not an approved cessation aid.

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Review the full regulation.Public MeetingThe Tacoma-Pierce County Health Department will host a public meeting to preview and receive public feedback regarding the two regulations. The meeting will include a brief presentation of the proposed regulations, a question and answer period and an opportunity for attendees to provide brief comment.When:Monday, May 16, 20116:00-7:00 PMWhere:Tacoma-Pierce County Health Department Auditorium3629 South D StreetTacoma, WA 98418To provide written feedback on the proposed regulations, please fill out the public input from which can be found here. *************************************************************************************


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From: Michelle SchreinerTo:


From: Bridget VandeventerSent: Wednesday, May 04, 2011 10:27 AMTo: ALLSTAFFSubject: Proposed tobacco regulations

Hello TPCHD Staff,Today we posted two proposed regulations to the tpchd.org website and announced an upcoming public meetingon May 16. The two proposed regulations relate to the Health Department’s ongoing work to protect the peopleof Pierce County from the risks associated with tobacco use. The two regulations are:

Environmental Health Code, Chapter 8: Smoking in Public Places: This local regulation provides greaterclarity and interpretation of RCW 70.160, Washington State’s Smoking in Public Places law, and allows forlocal enforcement including fees and fines. Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic SmokingDevices and Unregulated Nicotine Delivery Products: Prohibits smoking and purchase of e-cigarettes andother unregulated nicotine delivery products by youth under age 18; disallows e-cigarettes and otherunregulated nicotine delivery products to be used in public places and anywhere that regular cigarettesare prohibited; and prohibits free or heavily discounted e-cigarettes and other unregulated nicotinedelivery products.

The Board of Health may vote on these regulations at the June 1, 2011 Board of Health meeting and the HealthDepartment is interested in receiving feedback from the community prior to that date. You can review the twoproposed regulations here. The Tacoma News Tribune is writing a story about the two issues, and we anticipate that it will post tomorrow. Thank you for your ongoing work and support of public health in Pierce County. Please feel free to share yourfeedback on these two regulations with the team. Thank you. Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Patricia ColomaTo: '[email protected]'


Hi Meghan, just an FYI that I thought would be of interest to you~ Take care!Patricia From: Bridget VandeventerSent: Wednesday, May 04, 2011 10:28 AMSubject: Proposed tobacco regulations Hello TPCHD Staff,Today we posted two proposed regulations to the tpchd.org website and announced an upcoming public meetingon May 16. The two proposed regulations relate to the Health Department’s ongoing work to protect the peopleof Pierce County from the risks associated with tobacco use. The two regulations are:



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From: Samantha YeunTo: '[email protected]'

'[email protected]''Sue George''Kim Nygard'Song, Hae'Angelina Nockai'


Hello: I hope you can join the public meeting on May 16 and/or attend the Board of Health meeting on May 18 starting at3PM to give advice and your perspective on these regulations. Regards, Samantha YeunPrevention SpecialistEnvironmental Health/ Youth Tobacco Prevention and Control Program253-798-2931 The two proposed regulations relate to the Health Department’s ongoing work to protect the people of PierceCounty from the risks associated with tobacco use. The two regulations are:


The Board of Health may vote on these regulations at the June 1, 2011 Board of Health meeting and the HealthDepartment is interested in receiving feedback from the community prior to that date. You can review the twoproposed regulations here. The Tacoma News Tribune is writing a story about the two issues, and we anticipate that it will post tomorrow. Thank you for your ongoing work and support of public health in Pierce County. Please feel free to share yourfeedback on these two regulations with the team. Thank you. Bridget Vandeventer

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Communications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

NewsMedia Contact InformationThe Tacoma-Pierce County Health Department Proposes New Regulations Related toTobacco Prevention and ControlMay 4, 2011The Tacoma-Pierce County Health Department is tasked with safeguarding and enhancing the health of thecommunities of Pierce County. As part of its mission, the Health Department tackles emerging health risks throughpolicy, programs and treatment in order to protect public health.

According to the Centers for Disease Control, tobacco use is the number one cause of preventable deaths in theUnited States and is responsible for one in every five deaths annually. In Pierce County, 17% of adults smoke,representing more than 100,000 of our family members, neighbors, co-workers and friends. Even for individuals whodon’t smoke, secondhand smoke poses a serious health risk. In adults, secondhand smoke can cause heart diseaseand lung cancer. For children, secondhand smoke can increase symptoms of asthma, respiratory infections, suddeninfant death syndrome and a number of other health conditions.The Tacoma-Pierce County Health Department has brought forth two proposed regulations that relate to the HealthDepartment’s ongoing work to protect the people of Pierce County from the risks associated with tobacco use. TheBoard of Health may vote on these regulations at the June 1, 2011 Board of Health meeting and the HealthDepartment is interested in receiving feedback from the community prior to that date.The two proposed regulations are:Environmental Health Code, Chapter 8: Smoking in Public Places.This local regulation provides greater clarity and interpretation of RCW 70.160, Washington State’s Smoking inPublic Places law, allows for local enforcement including fees and fines and aids local businesses that wish to complywith the State law. Adopting a local regulation facilitates compliance of the state code.Review the full regulation.Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic SmokingDevices and Unregulated Nicotine Delivery Products.The proposed regulation prohibits smoking and the purchase of e-cigarettes and other unregulated nicotine deliveryproducts by youth under age 18, disallows e-cigarettes to be used in public places and anywhere that regularcigarettes are prohibited and prohibits free or heavily discounted e-cigarettesCurrently, e-cigarettes are unregulated in the United States. They contain varying levels of nicotine and other knowncarcinogens and toxic chemicals. The FDA recently announced that it intends to regulate e-cigarettes as a tobaccoproduct and not an approved cessation aid.Review the full regulation.Public MeetingThe Tacoma-Pierce County Health Department will host a public meeting to preview and receive public feedbackregarding the two regulations. The meeting will include a brief presentation of the proposed regulations, a questionand answer period and an opportunity for attendees to provide brief comment.When:Monday, May 16, 20116:00-7:00 PMWhere:Tacoma-Pierce County Health Department Auditorium3629 South D StreetTacoma, WA 98418

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To provide written feedback on the proposed regulations, please fill out the public input from which can be foundhere.

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From: Tiffanie PriceTo: '[email protected]'


From: Bridget VandeventerSent: Wednesday, May 04, 2011 10:28 AMTo: ALLSTAFFSubject: Proposed tobacco regulations Hello TPCHD Staff,Today we posted two proposed regulations to the tpchd.org website and announced an upcoming public meetingon May 16. The two proposed regulations relate to the Health Department’s ongoing work to protect the peopleof Pierce County from the risks associated with tobacco use. The two regulations are:



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From: Bridget VandeventerTo: ALLSTAFF

Date: 5/4/2011 1:27:40 PMSubject: Proposed tobacco regulations




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From: Frank DibiaseTo: Bridget Vandeventer

Date: 5/4/2011 12:35:12 PMSubject: Re: All Staff tobacco message-- your eyes please

Looks great! Thanks. From: Bridget VandeventerSent: Wednesday, May 04, 2011 08:42 AMTo: Frank DibiaseSubject: All Staff tobacco message-- your eyes please Ok Frank- take a look and let me know if you’re ok with this going out. Hello TPCHD Staff,Today we posted two draft regulations to the tpchd.org website and announced an upcoming public meeting onMay 16. The two proposed regulations relate to the Health Department’s ongoing work to protect the people ofPierce County from the risks associated with tobacco use. The two regulations are:

Environmental Health Code, Chapter 8: Smoking in Public Places: This local regulation provides greaterclarity and interpretation of RCW 70.160, Washington State’s Smoking in Public Places law, and allows forlocal enforcement including fees and fines. Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic SmokingDevices and Unregulated Nicotine Delivery Products: Prohibits smoking and purchase of e-cigarettes andother unregulated nicotine delivery products by youth under age 18, disallows e-cigarettes and otherunregulated nicotine delivery products to be used in public places and anywhere that regular cigarettesare prohibited, and prohibits free or heavily discounted e-cigarettes and other unregulated nicotinedelivery products.

The Board of Health may vote on these regulations at the June 1, 2011 Board of Health meeting and the HealthDepartment is interested in receiving feedback from the community prior to that date. You can review the twoproposed regulations here. The Tacoma News Tribune is writing a story about the two issues, and we anticipate that it will post tomorrow. Thank you for your ongoing work and support of public health in Pierce County. Please feel free to share yourfeedback with the team. Thank you. Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Bridget VandeventerTo: 'Josh Kerns'

Tacoma-Pierce County Health Department NewsDate: 5/4/2011 3:27:34 PM

Subject: RE: Deadline-Interview request re: anti smoking law proposals

Hi Josh,How does 1:15 sound? I can grab some time with Dr. Chen then. Also, can you give me an idea of any specific questions you want to cover? Thanks,Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Josh Kerns [mailto:[email protected]]Sent: Wednesday, May 04, 2011 12:15 PMTo: Tacoma-Pierce County Health Department NewsSubject: Deadline-Interview request re: anti smoking law proposals Hi Bridget, Can we get a brief phone interview today with Dr. Chen regarding the proposed regulations on smoking in public andelectronic cigarettes? Thanks! Josh KernsNews Talk 97.3 KIRO FM206-726-6397 (newsroom)206-979-1916 (mobile)[email protected]://www.MyNorthwest.comHome of the Seahawks, Mariners and Sounders FC

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From: Bridget VandeventerTo: Tutrecia Giles

Bruce RytkonenKirsten FrandsenSteve MarekFrank Dibiase

Date: 5/4/2011 7:41:16 PMSubject: RE: Feedback

Ok, thanks for letting me know. We’ll need to be clear with each other on who is responding to what. Thanks!Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Tutrecia GilesSent: Wednesday, May 04, 2011 2:30 PMTo: Bridget Vandeventer; Bruce Rytkonen; Kirsten Frandsen; Steve Marek; Frank DibiaseSubject: Feedback Bridget,We may get some questions sent directly to the team’s individual email boxes . The staff email and response link was out to some community members.-tg 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: Hae-Man Song [mailto:[email protected]]Sent: Wednesday, May 04, 2011 2:01 PMTo: Allison Cox; Amy Nelson; Andie Gernon; Ann Waybright; Bridgette Agpaoa-Ryder; Carmen Murphy; Carolynn Morris; Chris Backman; Christie Comeau; Cindy Huff; Cross Cultural Collaborative; Daniel Bissonnette; Dareth-Rose Pak; David Whited; Deanna L. Briese; Donna Saling; Doug Karnitz; Ed Judie; Efrain Centeno; Elizabeth Bergmann; Ella McHenry; Gloria Mansfieldaverill; Hae-Man Song; Heather Hogan; Heidi Hobbs; Herb Entz; Hugh Flint; Ivon Urquilla; JacqueSimmons; James A. McMurray; Jeanne Niedermeyer; Jennifer MacKillop; Jerry Kosierowski; Jessica Poling; Jill Christian; Jim Hoffman; John Page; Jolie Moxley; Joseph Everett; Karen Betz; Karrie Guerra; Kim Dodds; Kim Farnes; Kim Nygard; Kimberly Paterno; Lamar Hudson; Laura Valdez; Linda Rueckl; Lynn Abegglen; Mandy Ma; Marcos Sauri; Marcy Boulet; Maria L. Otero; Marilee Hill-Anderson; Marybeth Quincey; Matt Horner; Michelle Galaz; Michelle Martinez; MichelleNicholson; Milagros Thompson; Monica Gaub; Nancy Williams; Patti Bunnell; Paul Uno; Renee Tinder; Reueta Doiron; Rich Palladino; Richard Himmer; Roberto Terrones; Samantha Yeun; Sarah Kluesner; Sharon Reynon; Shelly Smith; Terry Schores; Tiffany Villines; Tina Cook; Tina Gehrig; Tutrecia Giles; Valerie Gish; Wanda Rochelle; Wanda Stewart Wilder; Wendy WrightSubject: FW: Proposed tobacco regulations Samantha Yeun, Prevention Specialist Environmental Health/ Youth Tobacco Prevention and Control Programof the Tacoma-Pierce County Health Department shares the following information below. Hae Man SongPrevention Specialist Pierce County Community ConnectionsChemical Dependency Program3602 Pacific Ave. Tacoma, Wa. 98418Office 253-798-6101 ~ Cell 253-686-4431 ~ Fax [email protected]

From: Samantha Yeun [mailto:[email protected]]Sent: Wednesday, May 04, 2011 1:40 PMTo: '[email protected]'; '[email protected]'; Sue George; 'Kim Nygard'; Hae-Man Song; 'Angelina Nockai'Subject: FW: Proposed tobacco regulations Hello:

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I hope you can join the public meeting on May 16 and/or attend the Board of Health meeting on May 18 starting at 3PM to give advice and your perspective on these regulations. Regards, Samantha YeunPrevention SpecialistEnvironmental Health/ Youth Tobacco Prevention and Control Program253-798-2931 The two proposed regulations relate to the Health Department’s ongoing work to protect the people of Pierce County from the risks associated with tobacco use. The two regulations are:




According to the Centers for Disease Control, tobacco use is the number one cause of preventable deaths in the United States and is responsible for one in every five deaths annually. In Pierce County, 17% of adults smoke, representing more than 100,000 of our family members, neighbors, co-workers and friends. Even for individuals who don’t smoke, secondhand smoke poses a serious health risk. In adults, secondhand smoke can cause heartdisease and lung cancer. For children, secondhand smoke can increase symptoms of asthma, respiratory infections, sudden infant death syndrome and a number of other health conditions.The Tacoma-Pierce County Health Department has brought forth two proposed regulations that relate to the Health Department’s ongoing work to protect the people of Pierce County from the risks associated with tobacco use. The Board of Health may vote on these regulations at the June 1, 2011 Board of Health meeting and the Health Department is interested in receiving feedback from the community prior to that date.The two proposed regulations are:Environmental Health Code, Chapter 8: Smoking in Public Places.This local regulation provides greater clarity and interpretation of RCW 70.160, Washington State’s Smoking in Public Places law, allows for local enforcement including fees and fines and aids local businesses that wish to comply with the State law. Adopting a local regulation facilitates compliance of the state code.Review the full regulation.Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devices and Unregulated Nicotine Delivery Products.The proposed regulation prohibits smoking and the purchase of e-cigarettes and other unregulated nicotine delivery products by youth under age 18, disallows e-cigarettes to be used in public places and anywhere that regular cigarettes are prohibited and prohibits free or heavily discounted e-cigarettesCurrently, e-cigarettes are unregulated in the United States. They contain varying levels of nicotine and other known carcinogens and toxic chemicals. The FDA recently announced that it intends to regulate e-cigarettes as a tobacco product and not an approved cessation aid.

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Review the full regulation.Public MeetingThe Tacoma-Pierce County Health Department will host a public meeting to preview and receive public feedback regarding the two regulations. The meeting will include a brief presentation of the proposed regulations, a question and answer period and an opportunity for attendees to provide brief comment.When:Monday, May 16, 20116:00-7:00 PMWhere:Tacoma-Pierce County Health Department Auditorium3629 South D StreetTacoma, WA 98418To provide written feedback on the proposed regulations, please fill out the public input from which can be found here. *************************************************************************************


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From: Hae-Man Song <[email protected]>To: Samantha Yeun

Date: 5/4/2011 4:44:38 PMSubject: RE: Proposed tobacco regulations

I will call you later and I will get this information out to our network for you. Hae Man SongPrevention Specialist Pierce County Community ConnectionsChemical Dependency Program3602 Pacific Ave. Tacoma, Wa. 98418Office 253-798-6101 ~ Cell 253-686-4431 ~ Fax [email protected]

From: Samantha Yeun [mailto:[email protected]]Sent: Wednesday, May 04, 2011 1:40 PMTo: '[email protected]'; '[email protected]'; Sue George; 'Kim Nygard'; Hae-Man Song; 'Angelina Nockai'Subject: FW: Proposed tobacco regulations Hello: I hope you can join the public meeting on May 16 and/or attend the Board of Health meeting on May 18 starting at 3PM to give advice and your perspective on these regulations. Regards, Samantha YeunPrevention SpecialistEnvironmental Health/ Youth Tobacco Prevention and Control Program253-798-2931 The two proposed regulations relate to the Health Department’s ongoing work to protect the people of Pierce County from the risks associated with tobacco use. The two regulations are:



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According to the Centers for Disease Control, tobacco use is the number one cause of preventable deaths in the United States and is responsible for one in every five deaths annually. In Pierce County, 17% of adults smoke, representing more than 100,000 of our family members, neighbors, co-workers and friends. Even for individuals who don’t smoke, secondhand smoke poses a serious health risk. In adults, secondhand smoke can cause heartdisease and lung cancer. For children, secondhand smoke can increase symptoms of asthma, respiratory infections, sudden infant death syndrome and a number of other health conditions.The Tacoma-Pierce County Health Department has brought forth two proposed regulations that relate to the Health Department’s ongoing work to protect the people of Pierce County from the risks associated with tobacco use. The Board of Health may vote on these regulations at the June 1, 2011 Board of Health meeting and the Health Department is interested in receiving feedback from the community prior to that date.The two proposed regulations are:Environmental Health Code, Chapter 8: Smoking in Public Places.This local regulation provides greater clarity and interpretation of RCW 70.160, Washington State’s Smoking in Public Places law, allows for local enforcement including fees and fines and aids local businesses that wish to comply with the State law. Adopting a local regulation facilitates compliance of the state code.Review the full regulation.Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devices and Unregulated Nicotine Delivery Products.The proposed regulation prohibits smoking and the purchase of e-cigarettes and other unregulated nicotine delivery products by youth under age 18, disallows e-cigarettes to be used in public places and anywhere that regular cigarettes are prohibited and prohibits free or heavily discounted e-cigarettesCurrently, e-cigarettes are unregulated in the United States. They contain varying levels of nicotine and other known carcinogens and toxic chemicals. The FDA recently announced that it intends to regulate e-cigarettes as a tobacco product and not an approved cessation aid.Review the full regulation.Public MeetingThe Tacoma-Pierce County Health Department will host a public meeting to preview and receive public feedback regarding the two regulations. The meeting will include a brief presentation of the proposed regulations, a question and answer period and an opportunity for attendees to provide brief comment.When:Monday, May 16, 20116:00-7:00 PMWhere:Tacoma-Pierce County Health Department Auditorium3629 South D StreetTacoma, WA 98418To provide written feedback on the proposed regulations, please fill out the public input from which can be found here. *************************************************************************************


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From: Brad CostelloTo: Bridget Vandeventer

Bruce RytkonenDate: 5/4/2011 12:45:12 PM

Subject: RE: Tobacco Regulations update

Bruce and Bridget, The documents have been updated on the web and in SharePoint. Brad From: Bridget VandeventerSent: Wednesday, May 04, 2011 9:31 AMTo: Bruce Rytkonen; Brad CostelloSubject: Re: Tobacco Regulations update Brad- can you help with theses?Sent from my BlackBerry, please pardon any typos. From: Bruce RytkonenSent: Wednesday, May 04, 2011 09:28 AMTo: Bridget VandeventerSubject: RE: Tobacco Regulations update Good morning Bridget. I was giving the online version of the regs a look see and with SIPP I noticed that on page4 thereâ€™s a dangling title with the text on the next page. Can that title be put on page 5? I noticed in the e-cig reg that on page 5 there was additional spacing left at the bottom of the page, so I donâ€™t think thatweâ€™re obligated to have a fixed space between paragraphs. From: Bridget VandeventerSent: Tuesday, May 03, 2011 5:39 PMTo: Bridget Vandeventer; Frank Dibiase; Kirsten Frandsen; Steve Marek; 'Gregory Jacoby'; Tutrecia Giles; Bruce Rytkonen;Brad Costello; Madigan ResidentSubject: RE: Tobacco Regulations update Update to my update:

Â· I heard from the PIO at Pierce County. Heâ€™d talked to Kris, and she had already gone out to theVaporium at Lakewood, talked to the owner and taken photos. Sheâ€™s working to humanize the story,which is good for bringing attention to the issue.

Â· The website is up and live now. Thanks!Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Tuesday, May 03, 2011 4:33 PMTo: Frank Dibiase; Kirsten Frandsen; Steve Marek; Gregory Jacoby; Tutrecia Giles; Bruce Rytkonen; Brad Costello;Madigan ResidentSubject: Tobacco Regulations update Hi All-

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There has been a lot of action today, so I wanted to share with the team my updates, and invite anyone who hasothers to share as well. Hereâ€™s what I have from Communications:

Â· Anthony sent a brief note to the BOH members this afternoon letting them know about the web postingtoday and a timeline for the next month.

Â· I hosted an interview this afternoon with Kris Sherman at the News Tribune and Anthony. It was tough,but good. She asked about each of the regulations, our reasoning behind them, and the process weâ€™refollowing. Predictably, she focused mostly on the e-cigarette regulation. She did indicate that sheâ€™sspoken with Dr. Fleming and that he is currently a NO vote. She talked about â€œanother physician who isagainst it too,â€• so I assume sheâ€™s speaking with Dr. Sullivan. Both Mayor Strickland and ExecutiveMcCarthy were prepared to speak for us, so hopefully they connected this afternoon and will be a part ofthe piece.

I expect the story to run in tomorrowâ€™s paper. While I expect it to be fair and factual, I do anticipatethat there will be hints of â€œthe board is divided on the matterâ€• to appear throughout. We knew thisgoing in, but it does create a challenge for us over the next four weeks. Iâ€™m up for the challenge, butwant to set everyoneâ€™s expectation accordingly.

Â· Iâ€™ll flip the website on when I leave tonight.Â· Next up on the list is to get all the BOH packet materials finalized and to finalize the Q&A document.Â· Paul is speaking about the regulations tonight at the Pierce County Medical Society. Heâ€™ll update us

in the morning on their feedback. Does anyone else have updates to share?Thanks!Bridget Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Brad CostelloTo: Bridget Vandeventer

Frank DibiaseKirsten FrandsenSteve MarekGregory JacobyTutrecia GilesBruce RytkonenMadigan Resident

Date: 5/4/2011 10:47:26 AMSubject: RE: Tobacco Regulations update

I have updated the Home page with a link to the proposed tobacco regulations. Brad CostelloTechnical Assistant IITacoma-Pierce County Health Department3629 South D Street, MS 1058Tacoma, WA 98418-6813(253) [email protected] From: Bridget VandeventerSent: Tuesday, May 03, 2011 4:33 PMTo: Frank Dibiase; Kirsten Frandsen; Steve Marek; Gregory Jacoby; Tutrecia Giles; Bruce Rytkonen; Brad Costello;Madigan ResidentSubject: Tobacco Regulations update Hi All-There has been a lot of action today, so I wanted to share with the team my updates, and invite anyone who hasothers to share as well. Here’s what I have from Communications:





morning on their feedback. Does anyone else have updates to share?Thanks!Bridget

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Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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That’s a great idea. I’ll write something up now. Can you review it for me before I send? I’ll try to do it before the9 MT meeting. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Frank DibiaseSent: Wednesday, May 04, 2011 8:12 AMTo: Bridget VandeventerSubject: RE: Tobacco Regulations update Hi Bridget, One thought, should we send staff a quick update on the proposed Tobacco regulations? Maybe you’re planningto cover this in The Latest. I know in the past staff feel slighted if they first read about departmental issues in thepaper. Thanks. From: Brad CostelloSent: Wednesday, May 04, 2011 7:47 AMTo: Bridget Vandeventer; Frank Dibiase; Kirsten Frandsen; Steve Marek; Gregory Jacoby; Tutrecia Giles; Bruce Rytkonen;Madigan ResidentSubject: RE: Tobacco Regulations update I have updated the Home page with a link to the proposed tobacco regulations. Brad CostelloTechnical Assistant IITacoma-Pierce County Health Department3629 South D Street, MS 1058Tacoma, WA 98418-6813(253) [email protected] From: Bridget VandeventerSent: Tuesday, May 03, 2011 4:33 PMTo: Frank Dibiase; Kirsten Frandsen; Steve Marek; Gregory Jacoby; Tutrecia Giles; Bruce Rytkonen; Brad Costello;Madigan ResidentSubject: Tobacco Regulations update Hi All-There has been a lot of action today, so I wanted to share with the team my updates, and invite anyone who hasothers to share as well. Here’s what I have from Communications:


· I hosted an interview this afternoon with Kris Sherman at the News Tribune and Anthony. It was tough,but good. She asked about each of the regulations, our reasoning behind them, and the process we’refollowing. Predictably, she focused mostly on the e-cigarette regulation. She did indicate that she’s

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spoken with Dr. Fleming and that he is currently a NO vote. She talked about “another physician who isagainst it too,” so I assume she’s speaking with Dr. Sullivan. Both Mayor Strickland and Executive McCarthywere prepared to speak for us, so hopefully they connected this afternoon and will be a part of the piece.




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From: Bridget VandeventerTo: Bruce Rytkonen

Brad CostelloDate: 5/4/2011 12:30:52 PM

Subject: Re: Tobacco Regulations update

Brad- can you help with theses?Sent from my BlackBerry, please pardon any typos. From: Bruce RytkonenSent: Wednesday, May 04, 2011 09:28 AMTo: Bridget VandeventerSubject: RE: Tobacco Regulations update Good morning Bridget. I was giving the online version of the regs a look see and with SIPP I noticed that on page4 there’s a dangling title with the text on the next page. Can that title be put on page 5? I noticed in the e-cigreg that on page 5 there was additional spacing left at the bottom of the page, so I don’t think that we’reobligated to have a fixed space between paragraphs. From: Bridget VandeventerSent: Tuesday, May 03, 2011 5:39 PMTo: Bridget Vandeventer; Frank Dibiase; Kirsten Frandsen; Steve Marek; 'Gregory Jacoby'; Tutrecia Giles; Bruce Rytkonen;Brad Costello; Madigan ResidentSubject: RE: Tobacco Regulations update Update to my update:

· I heard from the PIO at Pierce County. He’d talked to Kris, and she had already gone out to the Vaporiumat Lakewood, talked to the owner and taken photos. She’s working to humanize the story, which is goodfor bringing attention to the issue.




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From: Bruce RytkonenTo: Brad Costello

Bridget VandeventerDate: 5/4/2011 12:56:34 PM

Subject: RE: Tobacco Regulations update

Thanks Brad From: Brad CostelloSent: Wednesday, May 04, 2011 9:45 AMTo: Bridget Vandeventer; Bruce RytkonenSubject: RE: Tobacco Regulations update Bruce and Bridget, The documents have been updated on the web and in SharePoint. Brad From: Bridget VandeventerSent: Wednesday, May 04, 2011 9:31 AMTo: Bruce Rytkonen; Brad CostelloSubject: Re: Tobacco Regulations update Brad- can you help with theses?Sent from my BlackBerry, please pardon any typos. From: Bruce RytkonenSent: Wednesday, May 04, 2011 09:28 AMTo: Bridget VandeventerSubject: RE: Tobacco Regulations update Good morning Bridget. I was giving the online version of the regs a look see and with SIPP I noticed that on page4 thereâ€™s a dangling title with the text on the next page. Can that title be put on page 5? I noticed in the e-cig reg that on page 5 there was additional spacing left at the bottom of the page, so I donâ€™t think thatweâ€™re obligated to have a fixed space between paragraphs. From: Bridget VandeventerSent: Tuesday, May 03, 2011 5:39 PMTo: Bridget Vandeventer; Frank Dibiase; Kirsten Frandsen; Steve Marek; 'Gregory Jacoby'; Tutrecia Giles; Bruce Rytkonen;Brad Costello; Madigan ResidentSubject: RE: Tobacco Regulations update Update to my update:

Â· I heard from the PIO at Pierce County. Heâ€™d talked to Kris, and she had already gone out to theVaporium at Lakewood, talked to the owner and taken photos. Sheâ€™s working to humanize the story,which is good for bringing attention to the issue.

Â· The website is up and live now. Thanks!Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Bridget VandeventerSent: Tuesday, May 03, 2011 4:33 PMTo: Frank Dibiase; Kirsten Frandsen; Steve Marek; Gregory Jacoby; Tutrecia Giles; Bruce Rytkonen; Brad Costello;Madigan ResidentSubject: Tobacco Regulations update Hi All-There has been a lot of action today, so I wanted to share with the team my updates, and invite anyone who hasothers to share as well. Hereâ€™s what I have from Communications:

Â· Anthony sent a brief note to the BOH members this afternoon letting them know about the web postingtoday and a timeline for the next month.

Â· I hosted an interview this afternoon with Kris Sherman at the News Tribune and Anthony. It was tough,but good. She asked about each of the regulations, our reasoning behind them, and the process weâ€™refollowing. Predictably, she focused mostly on the e-cigarette regulation. She did indicate that sheâ€™sspoken with Dr. Fleming and that he is currently a NO vote. She talked about â€œanother physician who isagainst it too,â€• so I assume sheâ€™s speaking with Dr. Sullivan. Both Mayor Strickland and ExecutiveMcCarthy were prepared to speak for us, so hopefully they connected this afternoon and will be a part ofthe piece.

I expect the story to run in tomorrowâ€™s paper. While I expect it to be fair and factual, I do anticipatethat there will be hints of â€œthe board is divided on the matterâ€• to appear throughout. We knew thisgoing in, but it does create a challenge for us over the next four weeks. Iâ€™m up for the challenge, butwant to set everyoneâ€™s expectation accordingly.

Â· Iâ€™ll flip the website on when I leave tonight.Â· Next up on the list is to get all the BOH packet materials finalized and to finalize the Q&A document.Â· Paul is speaking about the regulations tonight at the Pierce County Medical Society. Heâ€™ll update us

in the morning on their feedback. Does anyone else have updates to share?Thanks!Bridget Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Bruce RytkonenTo: Bridget Vandeventer

Date: 5/4/2011 12:28:10 PMSubject: RE: Tobacco Regulations update

Good morning Bridget. I was giving the online version of the regs a look see and with SIPP I noticed that on page4 there’s a dangling title with the text on the next page. Can that title be put on page 5? I noticed in the e-cigreg that on page 5 there was additional spacing left at the bottom of the page, so I don’t think that we’reobligated to have a fixed space between paragraphs. From: Bridget VandeventerSent: Tuesday, May 03, 2011 5:39 PMTo: Bridget Vandeventer; Frank Dibiase; Kirsten Frandsen; Steve Marek; 'Gregory Jacoby'; Tutrecia Giles; Bruce Rytkonen;Brad Costello; Madigan ResidentSubject: RE: Tobacco Regulations update Update to my update:

· I heard from the PIO at Pierce County. He’d talked to Kris, and she had already gone out to the Vaporiumat Lakewood, talked to the owner and taken photos. She’s working to humanize the story, which is goodfor bringing attention to the issue.






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Hi Bridget, One thought, should we send staff a quick update on the proposed Tobacco regulations? Maybe you’re planningto cover this in The Latest. I know in the past staff feel slighted if they first read about departmental issues in thepaper. Thanks. From: Brad CostelloSent: Wednesday, May 04, 2011 7:47 AMTo: Bridget Vandeventer; Frank Dibiase; Kirsten Frandsen; Steve Marek; Gregory Jacoby; Tutrecia Giles; Bruce Rytkonen;Madigan ResidentSubject: RE: Tobacco Regulations update I have updated the Home page with a link to the proposed tobacco regulations. Brad CostelloTechnical Assistant IITacoma-Pierce County Health Department3629 South D Street, MS 1058Tacoma, WA 98418-6813(253) [email protected] From: Bridget VandeventerSent: Tuesday, May 03, 2011 4:33 PMTo: Frank Dibiase; Kirsten Frandsen; Steve Marek; Gregory Jacoby; Tutrecia Giles; Bruce Rytkonen; Brad Costello;Madigan ResidentSubject: Tobacco Regulations update Hi All-There has been a lot of action today, so I wanted to share with the team my updates, and invite anyone who hasothers to share as well. Here’s what I have from Communications:





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From: Madigan ResidentTo: Bridget Vandeventer

Frank DibiaseKirsten FrandsenSteve Marek'Gregory Jacoby'Tutrecia GilesBruce RytkonenBrad Costello


All,

I had the opportunity to speak to the Pierce County Medical Society tonight. I think it went well overall. I spent most of thetime discussing the proposed regulations regarding the e-cigarettes. One member spoke about the possibility of "blurringthe lines" on tobacco regulation should e-cigarettes be allowed in public bars. We also spoke about the lack of data on thesafety of the second-hand vapor as well as the safety of even the propylene glycol component.

I requested their support for the upcoming month. They did not give any immediate response, but did request theproposed regulations if those are available.

Please let me know of any questions.

Thank you,Paul

From: Bridget VandeventerSent: Tuesday, May 03, 2011 5:39 PMTo: Bridget Vandeventer; Frank Dibiase; Kirsten Frandsen; Steve Marek; 'Gregory Jacoby'; Tutrecia Giles; Bruce Rytkonen;Brad Costello; Madigan ResidentSubject: RE: Tobacco Regulations update




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From: Bridget VandeventerTo: Anthony Chen

Laurie JinkinsCindan Gizzi

Date: 5/4/2011 3:53:02 PMSubject: TNT update: Tobacco regs

The TNT story just posted online, and it is just as we anticipated. It briefly outlines the high level details of thetwo regulations, the timeline for hearing feedback and BOH vote, and the opposition from Fleming and Muri. KimThompson’s viewpoint is very brief, simply describing the regulation as “unjust and unfair.” The piece then poststhe message from our site verbatim. I have to believe that this is a shortened version of what will appear in print tomorrow, since there is no commentfrom McCarthy and one very minimal quote from Kim Thompson. The photo of Kim Thompson on the front page(http://www.thenewstribune.com/) is interesting; she is in front of her shop surrounded by a cloud of smoke.There are just a handful of comments already, and are predictably against the regulation and claiming nannystate/overstepping by the Health Department. I suspect that the conversation may balance out more as theday/week progresses.

Tacoma-Pierce County health official wants to ban electronic cigarettes in public placesKris Sherman/Tacoma News TribuneMay 4, 2011(full text below)

We have been contacted by KIRO radio, and Anthony is going to do an interview shortly. I suspect we will hearfrom more outlets throughout the day. Please let me know if you have any questions.Bridget Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

Tacoma-Pierce County health official wants to ban electronic cigarettes in public placesKris Sherman/Tacoma News TribuneMay 4, 2011

Electronic cigarettes - battery-operated devices that deliver a hit of nicotine with each puff - would bebanned in public places under regulations proposed by the Tacoma-Pierce County HealthDepartment.

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The proposal also would ban the sale of the e-cigarettes to minors.

A separate proposed regulation would give the health department greater powers in enforcing anti-smoking laws in the county.

The proposals are posted on the Health Department website today and will be the subject of a publicmeeting May 16; a Board of Health study session May 18; and consideration of adoption by the boardon June 1.

Health Department chief Dr. Anthony Chen told me the regulations are intended to further protect thepublic from the harmful effects of nicotine and other chemicals associated with the use of e-cigarettes or tobacco.

But it appears the Board of Health already is somewhat split on the issue. Chairman Dick Muri andvice-chairman Stan Flemming, both Pierce County Council members, told me Tuesday they believethe proposed e-cigarette regulations go too far.

They're not opposed to banning their sale to minors, but they don't believe there's enough science ontheir potential harm to back up regulations preventing people from using them in public.'

In fact, Muri and Flemming said, they could be a good alternative for smokers searching for a way tokick the tobacco habit.

E-cigarette sellter Kim Thompson, owner of The Vaporium in Lakewood, calls the proposedregulation "unfair and unjust."

Here's copy of the Health Department's news release on the proposed regulations:

Read more: http://blog.thenewstribune.com/politics/2011/05/04/tacoma-pierce-county-wants-to-ban-electronic-cigarettes-in-public-places/#ixzz1LPnnvkXs

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From: Adria MoskowitzTo: 'Tony McNamara'

Date: 5/4/2011 4:16:52 PMSubject: yesterday's "Comment of the Day"

Attachments: ecig1.docx

From: Tutrecia GilesSent: Tuesday, May 03, 2011 12:41 PMTo: Adria Moskowitz; Kirsten FrandsenSubject: citation for ecig fact sheet Adria,Here is the citation for the e-cig doc, it must have fell off my original email attachment. Kirsten,Bridget made some changes to the verbiage and suggested that the FDA’s plans to regulate e-cigs as of 4/25 beincluded. Let me know if you have any additional changes. –Thanks, Tutrecia Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected]

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From: Bruce RytkonenTo: Kirsten Frandsen

Tutrecia GilesDate: 5/5/2011 11:01:04 AM

Subject: FW: Draft Email to LHJ's and Sate DOH

Kirsten…..with regards to your email that asked the following: Hi there, just crossing things off my to-do list and just checking in as to whether the email has gone out yet to ourpeer counties letting them formally know about our regs….. On Monday I sent you the following email with a draft of an email to our “friends” but with a caveat for yourconsideration that our “friends” be limited to WA State DOH (eg. Terry, Francis and Paul). From: Bruce RytkonenSent: Monday, May 02, 2011 12:25 PMTo: Kirsten FrandsenSubject: Draft Email to LHJ's and Sate DOH Kirsten……I hope that you had a good travel day to Albuquerque. Here’s a draft of an e-mail to our “friends” in other LHJ’s and State DOH that you requested last week that I startworking on. I do think that this should be sent to our friends at State DOH [eg. Terry, Francis and Paul]. I’m not real sure if it’sin our best interests to send it out to other LHJ’s [eg. Spokane, SeaKing, Snohomish, Clark, etc (?)]. I have reasons for having this perspective.

1. To the best of my knowledge none of the other LHJ’s have ever conferred with TPCHD about any smokingregulation that they are developing. Maybe at your and Frank’s levels there have been some discussionsand we want to reciprocate the communication. Great if that’s the situation. But if it isn’t then I don’tthink that we should publicize that we’re finally getting on board with enforcing 70.160 and enactingappropriate prohibitions on the sale and use of e-cigs.

2. I don’t believe that anyone from these LHJ’s and State DOH will come to the public meeting nor the Board

of Health meeting to provide comment on the new regulations.

Well……regardless of the above……here’s my draft for your review and comment. I would like to let all of you know that on May 18 TPCHD will be presenting to our Board of Health twocomprehensive regulations dealing with providing for full enforcement authority of RCW 70.160 and a regulationbanning the sale of e-cigarettes to youth less than 18 and the use of e-cigs where smoking is now lawfullyprohibited. Both of these regulations have been discussed at several Board study sessions and we’re veryhopeful for their approval and full implementation in the near term. We are also going to be holding a public meeting on May the 16 from 6:00 to 7:00 pm in the auditorium at theHealth Department. I want to thank each of you for all of the information and support that you have provided to me and my staff overthe last several months as we conducted our research on the development and implementation of these newpolicies. Attached for your information is a copy of each of the regulations that we will be presenting to the Board.

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From: Allison CoxTo: George Hermosillo

Date: 5/5/2011 11:52:38 AMSubject: FW: EHL Meeting Minutes


Did you read under the title “Grants/PAR”?AC From: Jaime PaulsonSent: Wednesday, May 04, 2011 4:37 PMTo: EHStaff-AllSubject: EHL Meeting Minutes Good Afternoon, Please find the attached minutes from our April 14 EHL meeting. Thanks! Jaime PaulsonSoftware Support Specialist IITacoma-Pierce County Health Department3629 South D StreetTacoma, WA 98418(253) 798-4755 Direct Line(253) 798-6498 [email protected]

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From: Davis, Paul A (DOH) <[email protected]>To: Bruce Rytkonen

Date: 5/5/2011 12:20:36 PMSubject: FW: FDA and e-cigarettes

Hi Bruce – here you goKitsap County is Shelly Smith-Rose [email protected] 360-337-5230Thurston County is Meghan Sullivan [email protected] (360) 493-2230 ext. 19 Paul Davis, Policy SpecialistWashington State Department of HealthTobacco Prevention and Controloffice - 360-236-3642cell - 360-507-6556email - [email protected] Box 47848Olympia, WA 98503Public Health - Always Working for a Healthier Washingtonwww.doh.wa.gov/tobacco From: Limtiaco, Frances (DOH)Sent: Thursday, May 05, 2011 9:05 AMTo: Davis, Paul A (DOH); Reid, Terry (DOH)Subject: FW: FDA and e-cigarettesImportance: High Please see email from Tacoma Pierce below. I will look at our calendars and schedule time to chat with them. Terry, do you want to be a part of this or do you want Paul and I to handle. Thanks. From: Kirsten Frandsen [mailto:[email protected]]Sent: Thursday, May 05, 2011 6:36 AMTo: Limtiaco, Frances (DOH)Subject: RE: FDA and e-cigarettesImportance: High Hi Frances, thanks for sending this. As an aside, we are moving quickly with our 2 Tobacco regs as previously discussed and I was hoping to talk with you and others (Paul Davis, Terry Reid?) about the details of these regs. Would it be possible to schedule a time with you and others to provide you with some more information? We have the regs now posted on our website- link can be found at: www.tpchd.org Our Board of Health is supportive of the local SIPP but we have some opposition on one part of the e-cig regulation- specifically regarding the provision which prohibits smoking of e-cigs in public places. We have a Board of Health meeting on May 18th and would like to have DOH represented and provide testimony if you/they are able to. Please let me know what you think- thanks! Kirsten From: Limtiaco, Frances (DOH) [mailto:[email protected]]Sent: Monday, May 02, 2011 2:06 PMTo: Allison Cox; Amy Ward-Benton Franklin; Andrea Criste Heider; Annie Peterson; Bruce Rytkonen; Dawn Jacobs; Frank Dibiase; George Hermosillo; Hanna Zarellijackson; [email protected]; Julie Scholer; Keri Moore; Kirsten Frandsen; Krista Panerio; Jones, Lauri (DOHi); Small, Mary (DOHi); [email protected]; Pat Calcote; Samantha Yeun; Tutrecia Giles; [email protected]; [email protected]; Zilar, ChristopherSubject: FW: FDA and e-cigarettes FYI. Apologies if you have already received the following. Hope you are all doing well. From: Davis, Paul A (DOH)Sent: Tuesday, April 26, 2011 2:51 PMTo: DOH DL CFH CDPU; Baccus, Kimberly (DOH); Boruchowitz, Steve A (DOH)Subject: FDA and e-cigarettes Please distribute this to all of your local partners and contractors. ThanksPd

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----------------------------------------------------------- The following letter was submitted regarding electronic cigarette regulation. This is a major shift in FDA’s plans to regulate them as a drug delivery device. Because of two previous court decisions, the FDA will now seek to regulate them as tobacco products instead. http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm252360.htmQuick Links: Skip to main page content Skip to Search Skip to Topics Menu Skip to Section Content Menu Skip to Common Links

News & Events-

Regulation of E-Cigarettes and Other Tobacco ProductsApril 25, 2011

Dear Stakeholder:

The purpose of this letter is to provide stakeholders and the public with information, in light of a recent court decision, regarding the regulation of products made or derived from tobacco.

The Family Smoking Prevention and Tobacco Control Act of 2009 (Tobacco Control Act), which amends the Federal Food, Drug, and Cosmetic Act (FD&C Act), was enacted on June 22, 2009, and it provides the Food and Drug Administration (FDA) with authority to regulate “tobacco products.” The FD&C Act, as amended by the Tobacco Control Act, defines the term “tobacco product,” in part, as any product “made or derived fromtobacco” that is not a “drug,” “device,” or combination product under the FD&C Act.

Under the FD&C Act, the definition of “drug” includes articles intended: (1) for use in the diagnosis, cure, mitigation, treatment or prevention of disease, or (2) to affect the structure or any function of the body. Similarly, “device” is defined to include articles intended: (1) for use in the diagnosis of disease or other conditions, or in the cure, mitigation, treatment, or prevention of disease, or (2) to affect the structure or any function of the body.

Between 2008 and 2010, the FDA determined that certain electronic cigarettes (e-cigarettes) were unapproved drug/device combination products and detained and/or refused admission to those offered for import by Sottera, Inc. and other manufacturers. Sottera, Inc. challenged that determination in court.

The U.S. Court of Appeals for the D.C. Circuit, in Sottera, Inc. v. Food & Drug Administration, 627 F.3d 891 (D.C. Cir. 2010), recently issued a decision with regard to e-cigarettes and other products “made or derived from tobacco” and the jurisdictional line that should be drawn between “tobacco products” and “drugs,” “devices,” and combination products, as those terms are defined in the FD&C Act. The court held that e-cigarettes andother products made or derived from tobacco can be regulated as “tobacco products” under the Act and are not drugs/devices unless they are marketed for therapeutic purposes.

The government has decided not to seek further review of this decision, and FDA will comply with the jurisdictional lines established by Sottera.

Under the Tobacco Control Act, “tobacco products” are subject to a number of controls. Section 201(rr)(4), for example, prohibits the marketing of a “tobacco product” in combination with any other article or product regulated under the FD&C Act (including a drug, biologic, food, cosmetic, medical device, or a dietary supplement). FDA has already issued a draft guidance that addresses the status of such products.

Moreover, Chapter IX of the FD&C Act subjects “tobacco products” to general controls, such as registration, product listing, ingredient listing, good manufacturing practice requirements, user fees for certain products, and adulteration and misbranding provisions. Chapter IX also subjects “new tobacco products” (i.e., products that are first marketed or modified after February 15, 2007) and “modified risk tobacco products” (i.e., products that are“sold or distributed for use to reduce harm or the risk of tobacco-related disease associated with commercially marketed tobacco products”) to premarket review. Although the statute places certain “tobacco products” immediately under the general controls and premarket review requirements in Chapter IX (i.e., cigarettes, cigarette tobacco, roll-your-own tobacco, and smokeless tobacco), it also permits FDA, by regulation, to extend those controlsto other categories of “tobacco products.” FDA plans to take the following steps to ensure that appropriate regulatory mechanisms govern all “tobacco products” and all other products made or derived from tobacco after the Sottera decision:

The Agency intends to propose a regulation that would extend the Agency’s “tobacco product” authorities in Chapter IX of the FD&C Act, which currently only apply to certain specifically enumerated “tobacco products,” to other categories of tobacco products that meet the statutory definition of “tobacco product” in Section 201(rr) of the Act. The additional tobacco product categories would be subject to general controls, such asregistration, product listing, ingredient listing, good manufacturing practice requirements, user fees for certain products, and the adulteration and misbranding provisions, as well as to the premarket review requirements for “new tobacco products” and “modified risk tobacco products.”The Sottera decision states that products made or derived from tobacco can be regulated under the Tobacco Control Act unless they are “marketed for therapeutic purposes,” in which case they are regulated as drugs and/or devices. The Agency is considering whether to issue a guidance and/or a regulation on “therapeutic” claims.Section 201(rr)(4) of the Tobacco Control Act prohibits the marketing of “tobacco products” in combination with other FDA-regulated products. As mentioned, FDA has already issued a draft guidance on this provision, which it intends to finalize.“Tobacco products” marketed as of February 15, 2007, which have not been modified since then are considered “grandfathered” and are not subject to premarket review as “new tobacco products.” A “tobacco product” that is not “grandfathered” is considered a “new” tobacco product, and it is adulterated and misbranded under the FD&C Act, and therefore, subject to enforcement action, unless it has received premarket authorizationor been found substantially equivalent. FDA has already developed draft guidance explaining how manufacturers can request a determination from FDA that a “tobacco product” is “grandfathered.”

We look forward to working with all stakeholders to ensure that the existing authorities granted the Agency are harnessed to best protect and promote the public health.

Sincerely,

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Lawrence R. Deyton, M.S.P.H., M.D.DirectorCenter for Tobacco Products

Janet Woodcock, M.D.DirectorCenter for Drug Evaluation and Research

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Change Font Size Paul Davis, Policy SpecialistWashington State Department of Health

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Tobacco Prevention and Controloffice - 360-236-3642cell - 360-507-6556email - [email protected] Box 47848Olympia, WA 98503Public Health - Always Working for a Healthier Washingtonwww.doh.wa.gov/tobacco *************************************************************************************


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From: Tacoma-Pierce County Health Department NewsTo: Bridget Vandeventer

Date: 5/5/2011 2:03:52 PMSubject: FW: KOMO radio --Dr. Chen request

From: Vandervort, PhilSent: Thursday, May 05, 2011 11:03:47 AM (UTC-08:00) Pacific Time (US & Canada)To: Tacoma-Pierce County Health Department NewsSubject: KOMO radio --Dr. Chen request

Hi Bridget, If Dr. Chen or someone else that can explain the dangers of e-cigarettes is available at 11:10am today for a shorton-air telephone interview, please call me and we can get the interview going. I’m at 206-404-3404. Thx and Iapologize again for the short notice. Sincerely, Phil VandervortNewsline AM ProducerKOMO Newsradio 1000 and 97.7Fisher Communications(206) 404-3092www.komonews.com

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From: Tawana BellamyTo: Bridget Vandeventer

Date: 5/5/2011 5:44:18 PMSubject: FW: Mistake in e-cigarette press release

Hi Bridget, This came in through the Director’s email. Tawana From: Gregory Conley [mailto:[email protected]]Sent: Thursday, May 05, 2011 6:00 AMTo: DirectorSubject: Mistake in e-cigarette press release Dr. Chen,

Could you please ask your Media Director to alter the following press release for accuracy? It states:

"They contain varying levels of nicotine and other known carcinogens and toxic chemicals."

I strongly recommend the word "other" be removed.

As written, this statement implicates nicotine as a carcinogen. I'm sure you are aware that nicotine is not acarcinogen, but many people do not. This is not mere semantics -- whether or not e-cigarette vapor poses danger tobystanders is central to this debate, and the factual matter of whether nicotine is a carcinogen should not bedisputed.

Thank you,Gregory Conley

Consumer Advocates for Smoke-free Alternatives Association

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From: Kirsten FrandsenTo: Bruce Rytkonen

Tutrecia GilesDate: 5/5/2011 11:45:44 PM

Subject: FW: New Tobacco Regs

Sorry- forgot to cc you. Please see below. Thanks, Kirsten From: Kirsten FrandsenSent: Thursday, May 05, 2011 8:45 PMTo: Frank DibiaseCc: Bridget VandeventerSubject: RE: New Tobacco Regs Hi, all of the “organs” are on our list but I don’t believe we have Tobacco Free Kids. Tutrecia and Bruce, would you mind adding them to the list? Also, you can view the status of our “recruits” on an Excel spreadsheet that Tutrecia and Bruce created. Unfortunately, the file was lost in transit from Libshare to Sharepoint but I believe that Tutrecia recreated it today. Tutrecia- is it in Sharepoint now? Thanks! Kirsten From: Frank DibiaseSent: Thursday, May 05, 2011 3:25 PMTo: Kirsten FrandsenCc: Bridget VandeventerSubject: RE: New Tobacco Regs How about folks from American Cancer Society, American Lung Association, American Heart Association and Campaign for Tobacco Free Kids? Is there a plan to invite them to either the public meeting or Board of Health meeting on June 1? I’m sure we can count on some of them to support the proposed regs. From: Kirsten FrandsenSent: Thursday, May 05, 2011 2:34 PMTo: Bridget Vandeventer; Frank DibiaseSubject: RE: New Tobacco Regs The email that Bruce sent were to the members of the Tobacco Free Alliance of Pierce County- and yes, he’s working with them to get them to provide their testimony at the BOH meeting. Excellent on the SeaKing BOH member testifying- however; it may be better for them to testify at the BOH meeting on the 18th- as opposed to the public meeting. I believe it will hold more weight at the BOH meeting. Thanks, Kirsten From: Bridget VandeventerSent: Thursday, May 05, 2011 2:25 PMTo: Kirsten Frandsen; Frank DibiaseSubject: RE: New Tobacco Regs Who are all the people that Bruce sent to? Are those folks that we could ask to comment on the TNT or come to the meeting and testify? I talked to James Apa at King County today, and he said that he’d get one of their BOH members to come down and testify at our public meeting. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Kirsten FrandsenSent: Thursday, May 05, 2011 2:11 PM

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To: Frank Dibiase; Bridget VandeventerSubject: RE: New Tobacco Regs Thanks Bruce- From: Frank DibiaseSent: Thursday, May 05, 2011 1:19 PMTo: Bridget Vandeventer; Kirsten FrandsenSubject: FW: New Tobacco Regs FYI From: Heidi Henson [mailto:[email protected]]Sent: Thursday, May 05, 2011 12:03 PMTo: Bruce Rytkonen; 'Holt, Anna'; 'Tegen, Anne'; 'Annette Squetimkin-Anqoue'; 'Grider, Brent'; 'Carrie Nyssen'; 'Cynthia Hawthorne'; 'Warnaca, Dawn'; 'DeAnne Baer'; 'Donna Manders'; 'Donna Manders'; 'Eric Hatzenbuehler'; 'Erin Dziedzic'; Frank Dibiase; George Hermosillo; [email protected]; 'Greg C Puno'; 'Bissell, Janet'; 'Sarthou, Jennifer'; 'Cummings, Joanna'; 'Ruze, John '; 'Karon, Judy'; 'Scholer, Julie'; 'Pritchard, Kathie'; 'Iverson, Ken'; 'Keonwha Kim'; 'Nygard,Kim'; [email protected]; 'Lark Ballinger (Business Fax)'; 'Liesl Santkuyl'; 'Gregerson, Lindsey'; 'Rasmussen, Lynette'; 'Lynn Abegglen'; 'Mandy Ma'; Marianne Seifert; 'Mary Tudor'; 'Michael Nagata'; 'Nelson, Monica'; 'Nan Hogan'; 'Tatom, Nanette'; 'Richmond, Pat'; 'Patricia Ramirez Neagle'; 'Patrick Hogan, MD'; 'ANTHONY BETOW'; 'Kowald, Roberta'; 'Pebeasy, Robyn'; 'Soon Ja Han'; 'Theophilus Mungen'; 'Tricia Sinek'; 'Dorn, Trixy'; 'Wendi Gilreath'Subject: RE: New Tobacco Regs I sent a letter to the editor from TAP today. From: Bruce Rytkonen [mailto:[email protected]]Sent: Thursday, May 05, 2011 10:13 AMTo: Holt, Anna; Tegen, Anne; Annette Squetimkin-Anqoue; Grider, Brent; Bruce Rytkonen; Carrie Nyssen; Cynthia Hawthorne; Warnaca, Dawn; DeAnne Baer; Donna Manders ([email protected]); Donna Manders ([email protected]); Eric Hatzenbuehler ([email protected]); Erin Dziedzic; Frank Dibiase; George Hermosillo; ([email protected]); Greg C Puno ([email protected]); Heidi Henson; Bissell, Janet; Sarthou, Jennifer;Cummings, Joanna; Ruze, John ; Karon, Judy; Scholer, Julie; Pritchard, Kathie; Iverson, Ken; Keonwha Kim ([email protected]); Nygard, Kim; [email protected]; Lark Ballinger (Business Fax); Liesl Santkuyl ([email protected]); Gregerson, Lindsey; Rasmussen, Lynette; Lynn Abegglen; Mandy Ma; Marianne Seifert; Mary Tudor ([email protected]); 'Michael Nagata'; Nelson, Monica; Nan Hogan; Tatom, Nanette; Richmond, Pat; Patricia Ramirez Neagle;Patrick Hogan, MD; ANTHONY BETOW; Kowald, Roberta; Pebeasy, Robyn; Soon Ja Han; Theophilus Mungen; Tricia Sinek; Dorn, Trixy; Wendi GilreathSubject: New Tobacco Regs Good morning everyone. Some of you may have seen in the Tacoma News Tribune today the article on the front page about the two new tobacco regulations (1. authorizing enforcement of the Smoking In Public Places Law and2. restrictions on the sale of e-cigs to minors and use of e-cigs where tobacco use is now lawfully prohibited). Well if you missed the article here’s the link: http://blog.thenewstribune.com/politics/2011/05/04/tacoma-pierce-county-wants-to-ban-electronic-cigarettes-in-public-places/ On May 16 from 6-7pm at the Health Department there’s going to be a public meeting that you are welcome to attend and have the opportunity to provide your perspective on these regulations and hear what others have to say about these regulations. On May 18 we will be presenting these regulations to the Board of Health. At the beginning (3:00 pm) of this meeting there will be a public comment period where you would also have the opportunity to provide directly to the members of the Board your perspective on these regulations. Below is the link to the TPCHD website that will provide you direct access to the full text of each regulation. At the bottom of this page you’ll see the link to a “public input form” that also can be used to provide your questions or perspective on these regulations to the members of the Board of Health. http://www.tpchd.org/health-wellness-1/tobacco-prevention-control/tobacco-regulations/ *************************************************************************************


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From: Frank DibiaseTo: Frank Dibiase

'[email protected]'Date: 5/5/2011 7:57:02 PM

Subject: FW: Smoking Regulations & Staff ReportsAttachments: TPCHD SIPP regs_GAJ FINAL.docx

TPCHD E-Cig regs_Final.docxStaff Report SIPP Final.docxStaff Report E-Cigs Final.docx

From: Gregory Jacoby [mailto:[email protected]]Sent: Friday, April 29, 2011 9:34 AMTo: Steve Marek; Frank Dibiase; Kirsten Frandsen; Bruce Rytkonen; Bridget Vandeventer; Tutrecia Giles; Madigan ResidentSubject: Smoking Regulations & Staff Reports All,I have attached what I believe to be the final versions of the following documents:

· Chapter 8, Smoking in Public Places· Chapter 9, Restrictions on Sale, Use, and Availability of Electronic Smoking Devices and Unregulated

Nicotine Delivery Products· Staff Report for Chapter 8 (Local SIPP)· Staff Report for Chapter 9 (E-cigarettes)

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I think you have all seen these versions before with the exception of the staff report for e-cigarettes. Please letme know if you have any final comments or edits prior to noon today. Otherwise, Kirsten, I think these are readyfor the Board’s May 18th meeting materials. Gregory A. JacobyMcGavick Graves, P.S.1102 Broadway, Suite 500Tacoma, WA [email protected] The information contained in this e-mail message may be privileged, confidential and protected from disclosure. If you are not the intended recipient, any dissemination, distribution or copying is strictly prohibited. If you think

that you have received this e-mail message in error, please notify the sender via e-mail or telephone at253.627.1181.

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From: Kirsten FrandsenTo: Andy Sheffer

Date: 5/5/2011 5:30:36 PMSubject: FW: TNT update: Tobacco regs

The fun continues J From: Bridget VandeventerSent: Thursday, May 05, 2011 2:28 PMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs 1:00 p.m. Update:Anthony did a live interview on KOMO Radio at 11:15 with John Carlson. Unfortunately, the host was notparticularly respectful nor was he interested in learning about the issue. The five minutes was really spentinterrupting Anthony and playing the “nanny state” card. I declined their request for an additional interview thisafternoon; I don’t believe it’s the best use of Anthony’s time or voice on this at this time. There are currently 57 comments on the TNT story, all predictably opposed to the regulation. We should considergetting some of our third party advocates and perhaps some of our Tobacco staff to write comments as well andbalance the conversation some. Although I don’t want to waste too much time or energy on online comments;they will always skew negative and be anti-government. Depending on how the conversation and interest continues today and tomorrow morning, we should considerpursuing an Op-Ed in the Tribune in the next few days. I believe there is some balance and perspective to theissue that needs to be added. I’ve started a draft and shared with Kirsten. I am out tomorrow for a family funeral,so if the group feels it’s appropriate to place an op-ed for the weekend, Kirsten is working on the draft now.Kirsten is also going to be my back up while I’m out, so she’ll take care of any updates or interview requests. Thanks.Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Thursday, May 05, 2011 9:02 AMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs 5/4/11, 9:00 a.m. update:The full TNT piece ran in today’s paper, on the front page right at and below the fold. The photo of Ms. Thompsonshrouded in a cloud of smoke/vapor is big—about 6 inches high and the full page width—on the front page. Thestory continues on the back and has a diagram of an e-cigarette explaining how they work, and a photo of thevarious e-juices, liquids and some other e-cigarette options are on the back. There is also information about thepublic process in an accompanying text box. As expected, this version has much greater detail on the matter and extensive comments from Ms. Thompson,Flemming and Muri. McCarthy’s comments are in this piece, and provide a helpful counter to the argumentsFlemming and Muri make. I heard the KIRO Radio interview this morning, so assume it ran throughout the drive time programs last night and

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this morning. Dr. Chen’s comments and Flemming’s comments were included, and this story stayed more on thehealth topic (tobacco prevention and protecting the people of Pierce County) than the TNT piece. The AP also rana brief culled from the TNT story, and it’s online in the Seattle Times and Bellingham Herald. Predictably, the comments on the TNT site are opposed to the e-cigarette regulation and snarky in nature. Wemight consider asking some proponents and tobacco prevention supporters to chime in and help balance out theonline conversation. I’m including full text of today’s article below for those of you reading on Blackberry today. I have not receivedany additional media requests this morning.

Tacoma-Pierce County health officials take hard look at electronic cigarettesKRIS SHERMAN; Staff writerLast updated: May 5th, 2011 07:36 AM (PDT)If you fire up a battery-powered cigarette in public, are you harming yourself and others?Or are you exercising your right to use an alternative to incendiary tobacco that might help you kick a nastyand dangerous habit?Tacoma-Pierce County Health Department officials are considering a ban on electronic cigarettes in publicplaces, and those questions are certain to be heatedly discussed in the next few weeks.Proposed regulations unveiled Wednesday would prohibit e-smoking – or “vaping,” as users call it –anywhere the use of real cigarettes and cigars already is prohibited by state law.That would include restaurants, bars and other public places.The proposals also would ban the sale of e-cigarettes to minors.Those rules already apply in King County, where a ban in public places took effect Jan. 15.E-cigarettes are battery-powered devices that deliver varying amounts of nicotine. You draw on them as youwould a tobacco cigarette; as you inhale, an atomizing liquid comes out as a vapor. They can be purchased insingle-use or rechargeable versions, come in different sizes and colors and use a nicotine-infused liquid – ore-juice – which has flavors such as Turkish tobacco, menthol, French vanilla, caramel macchiato, peanutbutter cup, cheesecake, fruit stripe and gummi bear.Tacoma-Pierce County Director of Health Dr. Anthony Chen says the proposed regulations are part of theagency’s mission “to safeguard and enhance the health of residents.”He has concerns about the nicotine and other chemicals the e-cigarettes deliver and says “they’re targeted atyoung people who don’t want to smoke cigarettes but want to be able to blow smoke rings.”Health officials also say they’re concerned about the possibility of second-hand vapor effects.“Nicotine is a nerve poison,” Chen said.E-cigarette retailer Kim Thompson argues vaping is a harmless way to step down from smoking and that thechemicals contained in the e-juice are found in common products and foods.“I smoked for 20-plus years, and I tried everything but Chantix,” she said. When she found an e-cigarettethat helped her quit, she took the money she saved from buying tobacco products and used it to help openThe Vaporium in Lakewood.“I think the all-out banning of this product in places where adults frequent is invasive, unjust and very BigBrother,” the 41-year-old Thompson said.She thinks businesses should make the call whether to allow it in bars, restaurants and other public spaces.There’s been a tussle over the nicotine-delivery devices since their introduction a few years ago. The federalFood and Drug Administration issued a warning about them in 2009, saying laboratory analysis of samplesshowed they contain carcinogens and toxic chemicals such as diethylene glycol, an ingredient found inantifreeze.But they’ve yet to be regulated by that agency, which lost a court case on the issue.The Tacoma Pierce-County Board of Health – already somewhat divided – is to consider enacting the localregulations June 1.Health board chairman Dick Muri and vice chairman Stan Flemming, both Pierce County Council members,agree e-cigarettes shouldn’t be sold to minors, but they take issue with a complete ban on their use in publicspaces.

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“These aren’t cigarettes,” Muri said. “You’re trying to manage behavior, and that’s not our job.”Flemming, a physician, said there simply isn’t enough information to rule one way or the other on them.“I’ve asked what else is in these e-cigarettes that’s a potential health risk, and they said, ‘Well, it has thepotential to emit harmful particles into the air.’“What we’re trying to do is make public policy on anecdotal information,” Flemming added. “That’s notgood legislation.”Fellow board member Pat McCarthy, the Pierce County executive, disagrees.“If it walks like a duck and quacks like a duck, then it’s a duck,” she said. “To me they look like cigarettes.”The Health Department has been working for years to eradicate smoking in Pierce County, she added.“This goes in the opposite direction. We shouldn’t be supporting something that simulates smoking.”Thompson argues that no one would buy e-cigarettes if they weren’t genuinely trying to quit tobacco. Theyrange in price from about $15 for a disposable, 25-cigarette equivalent, to $130 or so for a complete kit withrechargeable batteries and atomizers.“I’ve never met a nonsmoker who wanted to start vaping,” she said.

Read more: http://www.thenewstribune.com/2011/05/05/v-printerfriendly/1653162/apply-cigarette-ban-to-vaping.html#ixzz1LUhnkZIi

Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Wednesday, May 04, 2011 12:53 PMTo: Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: TNT update: Tobacco regs The TNT story just posted online, and it is just as we anticipated. It briefly outlines the high level details of thetwo regulations, the timeline for hearing feedback and BOH vote, and the opposition from Fleming and Muri. KimThompson’s viewpoint is very brief, simply describing the regulation as “unjust and unfair.” The piece then poststhe message from our site verbatim. I have to believe that this is a shortened version of what will appear in print tomorrow, since there is no commentfrom McCarthy and one very minimal quote from Kim Thompson. The photo of Kim Thompson on the front page(http://www.thenewstribune.com/) is interesting; she is in front of her shop surrounded by a cloud of smoke.There are just a handful of comments already, and are predictably against the regulation and claiming nannystate/overstepping by the Health Department. I suspect that the conversation may balance out more as theday/week progresses.


We have been contacted by KIRO radio, and Anthony is going to do an interview shortly. I suspect we will hearfrom more outlets throughout the day. Please let me know if you have any questions.Bridget Bridget VandeventerCommunications and Community Relations Manager

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Tacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]













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From: Kirsten FrandsenTo: [email protected]

Date: 5/5/2011 8:36:50 AMSubject: FW: TNT update: Tobacco regs

fyi

From: Bridget VandeventerSent: Wednesday, May 04, 2011 12:53 PMTo: Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: TNT update: Tobacco regs




Tacoma-Pierce County health official wants to ban electronic cigarettes in public placesKris Sherman/Tacoma News TribuneMay 4, 2011Electronic cigarettes - battery-operated devices that deliver a hit of nicotine with each puff - would bebanned in public places under regulations proposed by the Tacoma-Pierce County HealthDepartment.

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The proposal also would ban the sale of the e-cigarettes to minors.A separate proposed regulation would give the health department greater powers in enforcing anti-smoking laws in the county.The proposals are posted on the Health Department website today and will be the subject of a publicmeeting May 16; a Board of Health study session May 18; and consideration of adoption by the boardon June 1.Health Department chief Dr. Anthony Chen told me the regulations are intended to further protect thepublic from the harmful effects of nicotine and other chemicals associated with the use of e-cigarettes or tobacco.But it appears the Board of Health already is somewhat split on the issue. Chairman Dick Muri andvice-chairman Stan Flemming, both Pierce County Council members, told me Tuesday they believethe proposed e-cigarette regulations go too far.They're not opposed to banning their sale to minors, but they don't believe there's enough science ontheir potential harm to back up regulations preventing people from using them in public.'In fact, Muri and Flemming said, they could be a good alternative for smokers searching for a way tokick the tobacco habit.E-cigarette sellter Kim Thompson, owner of The Vaporium in Lakewood, calls the proposedregulation "unfair and unjust."Here's copy of the Health Department's news release on the proposed regulations:


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From: Kirsten FrandsenTo: PAN

Tobacco PCDate: 5/5/2011 1:50:22 PM

Subject: FW: TNT update: Tobacco regs

Good morning team! I wanted to send you an update to our Tobacco regulations that our team is moving forward with. As you’re aware, the debate continues as to whether the Board will agree to the regulation surroundingprohibiting e-cigs in public places. We’re trying to build some support of this. See the TNT article- link below. Many thanks to Bruce and Tutrecia who have been working diligently on these issues. Thanks, Kirsten From: Bridget VandeventerSent: Thursday, May 05, 2011 9:02 AMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs 5/4/11, 9:00 a.m. update:The full TNT piece ran in today’s paper, on the front page right at and below the fold. The photo of Ms. Thompsonshrouded in a cloud of smoke/vapor is big—about 6 inches high and the full page width—on the front page. Thestory continues on the back and has a diagram of an e-cigarette explaining how they work, and a photo of thevarious e-juices, liquids and some other e-cigarette options are on the back. There is also information about thepublic process in an accompanying text box. As expected, this version has much greater detail on the matter and extensive comments from Ms. Thompson,Flemming and Muri. McCarthy’s comments are in this piece, and provide a helpful counter to the argumentsFlemming and Muri make. I heard the KIRO Radio interview this morning, so assume it ran throughout the drive time programs last night andthis morning. Dr. Chen’s comments and Flemming’s comments were included, and this story stayed more on thehealth topic (tobacco prevention and protecting the people of Pierce County) than the TNT piece. The AP also rana brief culled from the TNT story, and it’s online in the Seattle Times and Bellingham Herald. Predictably, the comments on the TNT site are opposed to the e-cigarette regulation and snarky in nature. Wemight consider asking some proponents and tobacco prevention supporters to chime in and help balance out theonline conversation. I’m including full text of today’s article below for those of you reading on Blackberry today. I have not receivedany additional media requests this morning.

Tacoma-Pierce County health officials take hard look at electronic cigarettesKRIS SHERMAN; Staff writerLast updated: May 5th, 2011 07:36 AM (PDT)If you fire up a battery-powered cigarette in public, are you harming yourself and others?Or are you exercising your right to use an alternative to incendiary tobacco that might help you kick a nastyand dangerous habit?Tacoma-Pierce County Health Department officials are considering a ban on electronic cigarettes in publicplaces, and those questions are certain to be heatedly discussed in the next few weeks.Proposed regulations unveiled Wednesday would prohibit e-smoking – or “vaping,” as users call it –

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anywhere the use of real cigarettes and cigars already is prohibited by state law.That would include restaurants, bars and other public places.The proposals also would ban the sale of e-cigarettes to minors.Those rules already apply in King County, where a ban in public places took effect Jan. 15.E-cigarettes are battery-powered devices that deliver varying amounts of nicotine. You draw on them as youwould a tobacco cigarette; as you inhale, an atomizing liquid comes out as a vapor. They can be purchased insingle-use or rechargeable versions, come in different sizes and colors and use a nicotine-infused liquid – ore-juice – which has flavors such as Turkish tobacco, menthol, French vanilla, caramel macchiato, peanutbutter cup, cheesecake, fruit stripe and gummi bear.Tacoma-Pierce County Director of Health Dr. Anthony Chen says the proposed regulations are part of theagency’s mission “to safeguard and enhance the health of residents.”He has concerns about the nicotine and other chemicals the e-cigarettes deliver and says “they’re targeted atyoung people who don’t want to smoke cigarettes but want to be able to blow smoke rings.”Health officials also say they’re concerned about the possibility of second-hand vapor effects.“Nicotine is a nerve poison,” Chen said.E-cigarette retailer Kim Thompson argues vaping is a harmless way to step down from smoking and that thechemicals contained in the e-juice are found in common products and foods.“I smoked for 20-plus years, and I tried everything but Chantix,” she said. When she found an e-cigarettethat helped her quit, she took the money she saved from buying tobacco products and used it to help openThe Vaporium in Lakewood.“I think the all-out banning of this product in places where adults frequent is invasive, unjust and very BigBrother,” the 41-year-old Thompson said.She thinks businesses should make the call whether to allow it in bars, restaurants and other public spaces.There’s been a tussle over the nicotine-delivery devices since their introduction a few years ago. The federalFood and Drug Administration issued a warning about them in 2009, saying laboratory analysis of samplesshowed they contain carcinogens and toxic chemicals such as diethylene glycol, an ingredient found inantifreeze.But they’ve yet to be regulated by that agency, which lost a court case on the issue.The Tacoma Pierce-County Board of Health – already somewhat divided – is to consider enacting the localregulations June 1.Health board chairman Dick Muri and vice chairman Stan Flemming, both Pierce County Council members,agree e-cigarettes shouldn’t be sold to minors, but they take issue with a complete ban on their use in publicspaces.“These aren’t cigarettes,” Muri said. “You’re trying to manage behavior, and that’s not our job.”Flemming, a physician, said there simply isn’t enough information to rule one way or the other on them.“I’ve asked what else is in these e-cigarettes that’s a potential health risk, and they said, ‘Well, it has thepotential to emit harmful particles into the air.’“What we’re trying to do is make public policy on anecdotal information,” Flemming added. “That’s notgood legislation.”Fellow board member Pat McCarthy, the Pierce County executive, disagrees.“If it walks like a duck and quacks like a duck, then it’s a duck,” she said. “To me they look like cigarettes.”The Health Department has been working for years to eradicate smoking in Pierce County, she added.“This goes in the opposite direction. We shouldn’t be supporting something that simulates smoking.”Thompson argues that no one would buy e-cigarettes if they weren’t genuinely trying to quit tobacco. Theyrange in price from about $15 for a disposable, 25-cigarette equivalent, to $130 or so for a complete kit withrechargeable batteries and atomizers.“I’ve never met a nonsmoker who wanted to start vaping,” she said.


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From: Vandervort, Phil <[email protected]>To: Tacoma-Pierce County Health Department News

Date: 5/5/2011 2:03:48 PMSubject: KOMO radio --Dr. Chen request


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From: Selina ChamblissTo: Bridget Vandeventer

Date: 5/5/2011 6:36:08 PMSubject: May 5 Latest (Draft)

Attachments: May 5 Latest (Draft).doc

I made a few tracked changes. Feel free to accept or reject. Selina

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From: Gregory Conley <[email protected]>To: Director

Date: 5/5/2011 9:00:04 AMSubject: Mistake in e-cigarette press release

Dr. Chen,







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From: Kirsten FrandsenTo: Bridget Vandeventer

Date: 5/5/2011 5:39:58 PMSubject: My cell phone number is 206.304.0776

My cell phone number is 206.304.0776 From: Bridget VandeventerSent: Thursday, May 05, 2011 12:30 PMTo: Kirsten FrandsenSubject: Possible Op-Ed contentImportance: High Kirsten-You left and I was super fired up. I started writing a response to the KOMO radio producer, but just kept going. I actually wonder if this is a good start for an op-ed. Can you take a look and let me know what you think? I’ll wait before sending to the producer, because I’d also love your factual check on this. The content I think would work for Op-Ed starts at the ***.Thanks!Bridget Hi Phil,Thanks for hearing my concerns after the interview. I would really appreciate if John would share the full story with his listeners since he chose to misrepresent the issues on the table. I’d encourage you and him to read the proposed regulations here (http://www.tpchd.org/health-wellness-1/tobacco-prevention-control/tobacco-regulations/) and understand the process we’re starting now. The proposed regulations are open for publiccomment via an online form and through a public meeting to take place on May 16. The Board of Health will review that feedback at their May 18 meeting, and throughout the month. A vote is scheduled for the June 1 meeting. Clearly there is ample time to weigh the issues fully before a decision is made. Since John choose to focus on a very narrow part of the story, I’d like to make sure he and the listeners understand the issues with e-cigarettes and the three parts of the regulation. ***Currently, e-cigarettes are completely unregulated. There is no quality control function ensuring that the nicotine and other chemicals delivered are safe or are delivered in consistent doses. We require this level of control on nearly all the products we use and consume in our daily lives—children’s toys, our cars, even the produce at the store-- so why would we not expect the same for something that we are inhaling into our bodies? Butthe e-cigarette manufacturers have not agreed to provide these safety assurances for their customers, so the FDA recently ruled that they intend to treat e-cigarettes as they do all other tobacco products. The Health Department’s role is to protect residents of our county from public health issues and create a healthy place for people to live and work. Because of the concerns and unknowns about e-cigarettes, the Health Depart is proposing these regulations that provide a measure of protection for our residents from the potential health risks and the dangerous behavior e-cigarettes model. The regulation has three key components. First, itrequires that minors under age 18 cannot purchase e-cigarettes. Second, it prohibits sampling or significant discounts designed to entice people to use these products and develop a habit. And lastly, it prohibits the use of e-cigarettes in the same public places where traditional cigarettes are not allowed. This is not a ban on e-cigarettes; they can still be bought and consumed as are all other tobacco products. This is simply treating e-cigarettes the same as traditional cigarettes with the purpose of protecting public health. We’re at the beginning of a public and transparent process as the Board of Health weighs this issue. While we value and appreciate the input of all residents, we should look carefully at everyone’s motivation. The Health Department’s motivation is to protect its residents. Some other commentators have clear commercial motivations to convince consumers to buy their product. They may cite personal anecdotes about quitting successfully,which are hard to argue with. But for years the cigarette manufactures featured doctors (or were they simply models in white coats?) claiming that smoking was healthy for you. In the year 2011, when XXX people STILL die each year due to tobacco use, shouldn’t we know better? Shouldn’t we have learned something by now? The burden of proof that e-cigarettes pose no health risk should not be on Public Health; there are better uses for tax payers money than that. The burden of proof should be on the manufacturers and retailers who so desperately want you to buy their product now, and again and again and again. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Vandervort, Phil [mailto:[email protected]]Sent: Thursday, May 05, 2011 11:11 AMTo: Bridget VandeventerSubject: RE: KOMO radio --Dr. Chen request Perfect. I think Jeremy will still want to schedule a separate interview later. From: Bridget Vandeventer [mailto:[email protected]]Sent: Thursday, May 05, 2011 11:10 AMTo: Vandervort, Phil; Grater, Jeremy

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Subject: RE: KOMO radio --Dr. Chen request Hi Phil,You’re in luck. I grabbed Dr. Chen in the hall on his way to a different event. We’ll call you in a minute or two. I’m adding Jeremy, who also requested an interview. I don’t know if you two are able to share the clips, or if these are for separate shows, but I want to make sure you’re connected. Thanks,Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Tacoma-Pierce County Health Department NewsSent: Thursday, May 05, 2011 11:04 AMTo: Bridget VandeventerSubject: FW: KOMO radio --Dr. Chen request


Hi Bridget, If Dr. Chen or someone else that can explain the dangers of e-cigarettes is available at 11:10am today for a short on-air telephone interview, please call me and we can get the interview going. I’m at 206-404-3404. Thx and I apologize again for the short notice. Sincerely, Phil VandervortNewsline AM ProducerKOMO Newsradio 1000 and 97.7Fisher Communications(206) 404-3092www.komonews.com *************************************************************************************


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From: Bridget VandeventerTo: Kirsten Frandsen

Date: 5/5/2011 3:29:44 PMSubject: Possible Op-Ed content

Kirsten-You left and I was super fired up. I started writing a response to the KOMO radio producer, but just kept going. I actually wonder if this is a good start for an op-ed. Can you take a look and let me know what you think? I’ll wait before sending to the producer, because I’d also love your factual check on this. The content I think would work for Op-Ed starts at the ***.Thanks!Bridget Hi Phil,Thanks for hearing my concerns after the interview. I would really appreciate if John would share the full story with his listeners since he chose to misrepresent the issues on the table. I’d encourage you and him to read the proposed regulations here (http://www.tpchd.org/health-wellness-1/tobacco-prevention-control/tobacco-regulations/) and understand the process we’re starting now. The proposed regulations are open for publiccomment via an online form and through a public meeting to take place on May 16. The Board of Health will review that feedback at their May 18 meeting, and throughout the month. A vote is scheduled for the June 1 meeting. Clearly there is ample time to weigh the issues fully before a decision is made. Since John choose to focus on a very narrow part of the story, I’d like to make sure he and the listeners understand the issues with e-cigarettes and the three parts of the regulation. ***Currently, e-cigarettes are completely unregulated. There is no quality control function ensuring that the nicotine and other chemicals delivered are safe or are delivered in consistent doses. We require this level of control on nearly all the products we use and consume in our daily lives—children’s toys, our cars, even the produce at the store-- so why would we not expect the same for something that we are inhaling into our bodies? Butthe e-cigarette manufacturers have not agreed to provide these safety assurances for their customers, so the FDA recently ruled that they intend to treat e-cigarettes as they do all other tobacco products. The Health Department’s role is to protect residents of our county from public health issues and create a healthy place for people to live and work. Because of the concerns and unknowns about e-cigarettes, the Health Depart is proposing these regulations that provide a measure of protection for our residents from the potential health risks and the dangerous behavior e-cigarettes model. The regulation has three key components. First, itrequires that minors under age 18 cannot purchase e-cigarettes. Second, it prohibits sampling or significant discounts designed to entice people to use these products and develop a habit. And lastly, it prohibits the use of e-cigarettes in the same public places where traditional cigarettes are not allowed. This is not a ban on e-cigarettes; they can still be bought and consumed as are all other tobacco products. This is simply treating e-cigarettes the same as traditional cigarettes with the purpose of protecting public health. We’re at the beginning of a public and transparent process as the Board of Health weighs this issue. While we value and appreciate the input of all residents, we should look carefully at everyone’s motivation. The Health Department’s motivation is to protect its residents. Some other commentators have clear commercial motivations to convince consumers to buy their product. They may cite personal anecdotes about quitting successfully,which are hard to argue with. But for years the cigarette manufactures featured doctors (or were they simply models in white coats?) claiming that smoking was healthy for you. In the year 2011, when XXX people STILL die each year due to tobacco use, shouldn’t we know better? Shouldn’t we have learned something by now? The burden of proof that e-cigarettes pose no health risk should not be on Public Health; there are better uses for tax payers money than that. The burden of proof should be on the manufacturers and retailers who so desperately want you to buy their product now, and again and again and again. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Vandervort, Phil [mailto:[email protected]]Sent: Thursday, May 05, 2011 11:11 AMTo: Bridget VandeventerSubject: RE: KOMO radio --Dr. Chen request Perfect. I think Jeremy will still want to schedule a separate interview later. From: Bridget Vandeventer [mailto:[email protected]]Sent: Thursday, May 05, 2011 11:10 AMTo: Vandervort, Phil; Grater, JeremySubject: RE: KOMO radio --Dr. Chen request Hi Phil,You’re in luck. I grabbed Dr. Chen in the hall on his way to a different event. We’ll call you in a minute or two. I’m adding Jeremy, who also requested an interview. I don’t know if you two are able to share the clips, or if these are for separate shows, but I want to make sure you’re connected. Thanks,

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Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Tacoma-Pierce County Health Department NewsSent: Thursday, May 05, 2011 11:04 AMTo: Bridget VandeventerSubject: FW: KOMO radio --Dr. Chen request




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These are ready for your review! From: Kirsten FrandsenSent: Thursday, May 05, 2011 9:36 AMTo: Adria MoskowitzCc: Tutrecia GilesSubject: RE: citation for ecig fact sheet Thank you! I will need to review these for content before they are finalized. Thanks, Kirsten From: Adria MoskowitzSent: Thursday, May 05, 2011 7:39 AMTo: Kirsten FrandsenSubject: RE: citation for ecig fact sheet Yup! I was communicating with Bridget this week about the documents.I think we’ve spent 2 days working on them. She said she is going to review them 1 last time for me.When she is satisfied with them, I get to finalize them, change their names, and delete the “edited” versions ofthe documents from Sharepoint. From: Kirsten FrandsenSent: Thursday, May 05, 2011 6:20 AMTo: Tutrecia GilesCc: Adria MoskowitzSubject: RE: citation for ecig fact sheet Oh, I see that you send the edited version to Bridget to review- that’s great. Thanks, Kirsten From: Tutrecia GilesSent: Tuesday, May 03, 2011 12:41 PMTo: Adria Moskowitz; Kirsten FrandsenSubject: citation for ecig fact sheet Adria,Here is the citation for the e-cig doc, it must have fell off my original email attachment. Kirsten,Bridget made some changes to the verbiage and suggested that the FDA’s plans to regulate e-cigs as of 4/25 beincluded. Let me know if you have any additional changes. –Thanks, Tutrecia Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected]

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Date: 5/5/2011 10:38:50 AMSubject: RE: citation for ecig fact sheet

Yup! I was communicating with Bridget this week about the documents.I think we’ve spent 2 days working on them. She said she is going to review them 1 last time for me.When she is satisfied with them, I get to finalize them, change their names, and delete the “edited” versions ofthe documents from Sharepoint. From: Kirsten FrandsenSent: Thursday, May 05, 2011 6:20 AMTo: Tutrecia GilesCc: Adria MoskowitzSubject: RE: citation for ecig fact sheet Oh, I see that you send the edited version to Bridget to review- that’s great. Thanks, Kirsten From: Tutrecia GilesSent: Tuesday, May 03, 2011 12:41 PMTo: Adria Moskowitz; Kirsten FrandsenSubject: citation for ecig fact sheet Adria,Here is the citation for the e-cig doc, it must have fell off my original email attachment. Kirsten,Bridget made some changes to the verbiage and suggested that the FDA’s plans to regulate e-cigs as of 4/25 beincluded. Let me know if you have any additional changes. –Thanks, Tutrecia Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected]

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From: Kirsten FrandsenTo: Adria Moskowitz


Thank you! I will need to review these for content before they are finalized. Thanks, Kirsten From: Adria MoskowitzSent: Thursday, May 05, 2011 7:39 AMTo: Kirsten FrandsenSubject: RE: citation for ecig fact sheet Yup! I was communicating with Bridget this week about the documents.I think we’ve spent 2 days working on them. She said she is going to review them 1 last time for me.When she is satisfied with them, I get to finalize them, change their names, and delete the “edited” versions ofthe documents from Sharepoint. From: Kirsten FrandsenSent: Thursday, May 05, 2011 6:20 AMTo: Tutrecia GilesCc: Adria MoskowitzSubject: RE: citation for ecig fact sheet Oh, I see that you send the edited version to Bridget to review- that’s great. Thanks, Kirsten From: Tutrecia GilesSent: Tuesday, May 03, 2011 12:41 PMTo: Adria Moskowitz; Kirsten FrandsenSubject: citation for ecig fact sheet Adria,Here is the citation for the e-cig doc, it must have fell off my original email attachment. Kirsten,Bridget made some changes to the verbiage and suggested that the FDA’s plans to regulate e-cigs as of 4/25 beincluded. Let me know if you have any additional changes. –Thanks, Tutrecia Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected]

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From: Kirsten FrandsenTo: Tutrecia Giles

Date: 5/5/2011 9:19:42 AMSubject: RE: citation for ecig fact sheet

Oh, I see that you send the edited version to Bridget to review- that’s great. Thanks, Kirsten From: Tutrecia GilesSent: Tuesday, May 03, 2011 12:41 PMTo: Adria Moskowitz; Kirsten FrandsenSubject: citation for ecig fact sheet Adria,Here is the citation for the e-cig doc, it must have fell off my original email attachment. Kirsten,Bridget made some changes to the verbiage and suggested that the FDA’s plans to regulate e-cigs as of 4/25 beincluded. Let me know if you have any additional changes. –Thanks, Tutrecia Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected]

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Subject: RE: Clark County

Wow- and ouch! From: Bruce RytkonenSent: Monday, May 02, 2011 11:34 AMTo: Kirsten Frandsen; Tutrecia GilesSubject: Clark County I was just looking at the latest e-cig news from Clark County and it looks like at a Board of Health study session onApril 27 that the Board basically rejected the Director of Health’s (John Wiesman formally of TPCHD)comprehensive e-cig ban on the use of e-cigs where tobacco is not allowed. Mr. Wiesman said that he wouldpresent to the Board a regulation without such conditions……..it will basically cover the <18’s.

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Date: 5/5/2011 9:44:00 AMSubject: RE: Draft Email to LHJ's and Sate DOH

Thanks Bruce- the email looks good. I would suggest however; that you include a link to the regs and where theycan provide public comment. I would suggest being a little more “active” than “passive”- asking them to providetheir input on the public input form and let them know that the Board of Health will be viewing this. I understand your rationale for not sending- but actually, it was Dr. Chen that wanted us to do this. J I sent an email to DOH today so they are covered- just need to send out to our peer LHJ’s- would you mind cc:ingme to the email? Thanks! Kirsten From: Bruce RytkonenSent: Monday, May 02, 2011 12:25 PMTo: Kirsten FrandsenSubject: Draft Email to LHJ's and Sate DOH Kirsten……I hope that you had a good travel day to Albuquerque. Here’s a draft of an e-mail to our “friends” in other LHJ’s and State DOH that you requested last week that I startworking on. I do think that this should be sent to our friends at State DOH [eg. Terry, Francis and Paul]. I’m not real sure if it’sin our best interests to send it out to other LHJ’s [eg. Spokane, SeaKing, Snohomish, Clark, etc (?)]. I have reasons for having this perspective.




Well……regardless of the above……here’s my draft for your review and comment. I would like to let all of you know that on May 18 TPCHD will be presenting to our Board of Health twocomprehensive regulations dealing with providing for full enforcement authority of RCW 70.160 and a regulationbanning the sale of e-cigarettes to youth less than 18 and the use of e-cigs where smoking is now lawfullyprohibited. Both of these regulations have been discussed at several Board study sessions and we’re veryhopeful for their approval and full implementation in the near term. We are also going to be holding a public meeting on May the 16 from 6:00 to 7:00 pm in the auditorium at theHealth Department. I want to thank each of you for all of the information and support that you have provided to me and my staff overthe last several months as we conducted our research on the development and implementation of these newpolicies.

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Attached for your information is a copy of each of the regulations that we will be presenting to the Board.

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Tutrecia GilesDate: 5/5/2011 12:37:28 PM

Subject: RE: Draft Email to LHJ's and Sate DOH

Yes, thanks- I opened it and read it after I sent this email to you- thanks! From: Bruce RytkonenSent: Thursday, May 05, 2011 8:01 AMTo: Kirsten Frandsen; Tutrecia GilesSubject: FW: Draft Email to LHJ's and Sate DOH Kirsten…..with regards to your email that asked the following: Hi there, just crossing things off my to-do list and just checking in as to whether the email has gone out yet to ourpeer counties letting them formally know about our regs….. On Monday I sent you the following email with a draft of an email to our “friends” but with a caveat for yourconsideration that our “friends” be limited to WA State DOH (eg. Terry, Francis and Paul). From: Bruce RytkonenSent: Monday, May 02, 2011 12:25 PMTo: Kirsten FrandsenSubject: Draft Email to LHJ's and Sate DOH Kirsten……I hope that you had a good travel day to Albuquerque. Here’s a draft of an e-mail to our “friends” in other LHJ’s and State DOH that you requested last week that I startworking on. I do think that this should be sent to our friends at State DOH [eg. Terry, Francis and Paul]. I’m not real sure if it’sin our best interests to send it out to other LHJ’s [eg. Spokane, SeaKing, Snohomish, Clark, etc (?)]. I have reasons for having this perspective.




Well……regardless of the above……here’s my draft for your review and comment. I would like to let all of you know that on May 18 TPCHD will be presenting to our Board of Health twocomprehensive regulations dealing with providing for full enforcement authority of RCW 70.160 and a regulationbanning the sale of e-cigarettes to youth less than 18 and the use of e-cigs where smoking is now lawfullyprohibited. Both of these regulations have been discussed at several Board study sessions and we’re veryhopeful for their approval and full implementation in the near term. We are also going to be holding a public meeting on May the 16 from 6:00 to 7:00 pm in the auditorium at the

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Health Department. I want to thank each of you for all of the information and support that you have provided to me and my staff overthe last several months as we conducted our research on the development and implementation of these newpolicies. Attached for your information is a copy of each of the regulations that we will be presenting to the Board.

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From: Bruce RytkonenTo: 'Davis, Paul A (DOH)'

Date: 5/5/2011 12:30:52 PMSubject: RE: FDA and e-cigarettes

Thanks….. From: Davis, Paul A (DOH) [mailto:[email protected]]Sent: Thursday, May 05, 2011 9:30 AMTo: Bruce RytkonenSubject: RE: FDA and e-cigarettes [email protected] ex 7378 From: Bruce Rytkonen [mailto:[email protected]]Sent: Thursday, May 05, 2011 9:23 AMTo: Davis, Paul A (DOH)Subject: RE: FDA and e-cigarettes Thanks Paul…….what about Theresa Cross in Clark County? From: Davis, Paul A (DOH) [mailto:[email protected]]Sent: Thursday, May 05, 2011 9:21 AMTo: Bruce RytkonenSubject: FW: FDA and e-cigarettesImportance: High Hi Bruce – here you goKitsap County is Shelly Smith-Rose [email protected] 360-337-5230Thurston County is Meghan Sullivan [email protected] (360) 493-2230 ext. 19 Paul Davis, Policy SpecialistWashington State Department of HealthTobacco Prevention and Controloffice - 360-236-3642cell - 360-507-6556email - [email protected] Box 47848Olympia, WA 98503Public Health - Always Working for a Healthier Washingtonwww.doh.wa.gov/tobacco From: Limtiaco, Frances (DOH)Sent: Thursday, May 05, 2011 9:05 AMTo: Davis, Paul A (DOH); Reid, Terry (DOH)Subject: FW: FDA and e-cigarettesImportance: High Please see email from Tacoma Pierce below. I will look at our calendars and schedule time to chat with them. Terry, do you want to be a part of this or do you want Paul and I to handle. Thanks. From: Kirsten Frandsen [mailto:[email protected]]Sent: Thursday, May 05, 2011 6:36 AMTo: Limtiaco, Frances (DOH)Subject: RE: FDA and e-cigarettesImportance: High

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Hi Frances, thanks for sending this. As an aside, we are moving quickly with our 2 Tobacco regs as previously discussed and I was hoping to talk with you and others (Paul Davis, Terry Reid?) about the details of these regs. Would it be possible to schedule a time with you and others to provide you with some more information? We have the regs now posted on our website- link can be found at: www.tpchd.org Our Board of Health is supportive of the local SIPP but we have some opposition on one part of the e-cig regulation- specifically regarding the provision which prohibits smoking of e-cigs in public places. We have a Board of Health meeting on May 18th and would like to have DOH represented and provide testimony if you/they are able to. Please let me know what you think- thanks! Kirsten From: Limtiaco, Frances (DOH) [mailto:[email protected]]Sent: Monday, May 02, 2011 2:06 PMTo: Allison Cox; Amy Ward-Benton Franklin; Andrea Criste Heider; Annie Peterson; Bruce Rytkonen; Dawn Jacobs; Frank Dibiase; George Hermosillo; Hanna Zarellijackson; [email protected]; Julie Scholer; Keri Moore; Kirsten Frandsen; Krista Panerio; Jones, Lauri (DOHi); Small, Mary (DOHi); [email protected]; Pat Calcote; Samantha Yeun; Tutrecia Giles; [email protected]; [email protected]; Zilar, ChristopherSubject: FW: FDA and e-cigarettes FYI. Apologies if you have already received the following. Hope you are all doing well. From: Davis, Paul A (DOH)Sent: Tuesday, April 26, 2011 2:51 PMTo: DOH DL CFH CDPU; Baccus, Kimberly (DOH); Boruchowitz, Steve A (DOH)Subject: FDA and e-cigarettes Please distribute this to all of your local partners and contractors. ThanksPd----------------------------------------------------------- The following letter was submitted regarding electronic cigarette regulation. This is a major shift in FDA’s plans to regulate them as a drug delivery device. Because of two previous court decisions, the FDA will now seek to regulate them as tobacco products instead. http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm252360.htmQuick Links: Skip to main page content Skip to Search Skip to Topics Menu Skip to Section Content Menu Skip to Common Links

News & Events-


Dear Stakeholder:





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Sincerely,



--

Links on this page:



Combination ProductsAdvisory Committees

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Science & ResearchRegulatory InformationSafetyEmergency PreparednessInternational Programs



Change Font Size Paul Davis, Policy SpecialistWashington State Department of HealthTobacco Prevention and Controloffice - 360-236-3642cell - 360-507-6556email - [email protected] Box 47848Olympia, WA 98503Public Health - Always Working for a Healthier Washingtonwww.doh.wa.gov/tobacco *************************************************************************************


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


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From: Bruce RytkonenTo: 'Davis, Paul A (DOH)'


Thanks Paul…….what about Theresa Cross in Clark County? From: Davis, Paul A (DOH) [mailto:[email protected]]Sent: Thursday, May 05, 2011 9:21 AMTo: Bruce RytkonenSubject: FW: FDA and e-cigarettesImportance: High Hi Bruce – here you goKitsap County is Shelly Smith-Rose [email protected] 360-337-5230Thurston County is Meghan Sullivan [email protected] (360) 493-2230 ext. 19 Paul Davis, Policy SpecialistWashington State Department of HealthTobacco Prevention and Controloffice - 360-236-3642cell - 360-507-6556email - [email protected] Box 47848Olympia, WA 98503Public Health - Always Working for a Healthier Washingtonwww.doh.wa.gov/tobacco From: Limtiaco, Frances (DOH)Sent: Thursday, May 05, 2011 9:05 AMTo: Davis, Paul A (DOH); Reid, Terry (DOH)Subject: FW: FDA and e-cigarettesImportance: High Please see email from Tacoma Pierce below. I will look at our calendars and schedule time to chat with them. Terry, do you want to be a part of this or do you want Paul and I to handle. Thanks. From: Kirsten Frandsen [mailto:[email protected]]Sent: Thursday, May 05, 2011 6:36 AMTo: Limtiaco, Frances (DOH)Subject: RE: FDA and e-cigarettesImportance: High Hi Frances, thanks for sending this. As an aside, we are moving quickly with our 2 Tobacco regs as previously discussed and I was hoping to talk with you and others (Paul Davis, Terry Reid?) about the details of these regs. Would it be possible to schedule a time with you and others to provide you with some more information? We have the regs now posted on our website- link can be found at: www.tpchd.org Our Board of Health is supportive of the local SIPP but we have some opposition on one part of the e-cig regulation- specifically regarding the provision which prohibits smoking of e-cigs in public places. We have a Board of Health meeting on May 18th and would like to have DOH represented and provide testimony if you/they are able to. Please let me know what you think- thanks! Kirsten From: Limtiaco, Frances (DOH) [mailto:[email protected]]Sent: Monday, May 02, 2011 2:06 PMTo: Allison Cox; Amy Ward-Benton Franklin; Andrea Criste Heider; Annie Peterson; Bruce Rytkonen; Dawn Jacobs; Frank Dibiase; George Hermosillo; Hanna Zarellijackson; [email protected]; Julie Scholer; Keri Moore; Kirsten Frandsen; Krista Panerio; Jones, Lauri (DOHi); Small, Mary (DOHi); [email protected]; Pat Calcote; Samantha Yeun; Tutrecia Giles; [email protected]; [email protected]; Zilar, ChristopherSubject: FW: FDA and e-cigarettes FYI. Apologies if you have already received the following. Hope you are all doing well.

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From: Davis, Paul A (DOH)Sent: Tuesday, April 26, 2011 2:51 PMTo: DOH DL CFH CDPU; Baccus, Kimberly (DOH); Boruchowitz, Steve A (DOH)Subject: FDA and e-cigarettes Please distribute this to all of your local partners and contractors. ThanksPd----------------------------------------------------------- The following letter was submitted regarding electronic cigarette regulation. This is a major shift in FDA’s plans to regulate them as a drug delivery device. Because of two previous court decisions, the FDA will now seek to regulate them as tobacco products instead. http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm252360.htmQuick Links: Skip to main page content Skip to Search Skip to Topics Menu Skip to Section Content Menu Skip to Common Links

News & Events-


Dear Stakeholder:









The Agency intends to propose a regulation that would extend the Agency’s “tobacco product” authorities in Chapter IX of the FD&C Act, which currently only apply to certain specifically enumerated “tobacco products,” to other categories of tobacco products that meet the statutory definition of “tobacco product” in Section 201(rr) of the Act. The additional tobacco product categories would be subject to general controls, such asregistration, product listing, ingredient listing, good manufacturing practice requirements, user fees for certain products, and the adulteration and misbranding provisions, as well as to the premarket review requirements for “new tobacco products” and “modified risk tobacco products.”The Sottera decision states that products made or derived from tobacco can be regulated under the Tobacco Control Act unless they are “marketed for therapeutic purposes,” in which case they are regulated as drugs and/or devices. The Agency is considering whether to issue a guidance and/or a regulation on “therapeutic” claims.

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Section 201(rr)(4) of the Tobacco Control Act prohibits the marketing of “tobacco products” in combination with other FDA-regulated products. As mentioned, FDA has already issued a draft guidance on this provision, which it intends to finalize.“Tobacco products” marketed as of February 15, 2007, which have not been modified since then are considered “grandfathered” and are not subject to premarket review as “new tobacco products.” A “tobacco product” that is not “grandfathered” is considered a “new” tobacco product, and it is adulterated and misbranded under the FD&C Act, and therefore, subject to enforcement action, unless it has received premarket authorizationor been found substantially equivalent. FDA has already developed draft guidance explaining how manufacturers can request a determination from FDA that a “tobacco product” is “grandfathered.”


Sincerely,



--

Links on this page:





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From: Davis, Paul A (DOH) <[email protected]>To: Kirsten Frandsen

Limtiaco, Frances (DOH)Date: 5/5/2011 2:30:40 PM

Subject: RE: FDA and e-cigarettes

Kirsten,Go ahead and ask for what you’d like from DOH in regards to providing information to the BOH. It is possible that DOH will say that we don’t take a position on e-cigarettes, but the answer is always ‘no’ until you ask it. Paul From: Kirsten Frandsen [mailto:[email protected]]Sent: Thursday, May 05, 2011 10:14 AMTo: Limtiaco, Frances (DOH)Cc: Davis, Paul A (DOH)Subject: RE: FDA and e-cigarettes Thank you Frances. 11:00 to 11:30 today works for me. Would you like me to call you? Thanks! Kirsten From: Limtiaco, Frances (DOH) [mailto:[email protected]]Sent: Thursday, May 05, 2011 10:04 AMTo: Kirsten FrandsenCc: Davis, Paul A (DOH)Subject: RE: FDA and e-cigarettes Hi Kristen, Paul and I are available to talk with you anytime between 11:00 a.m. and 12 noon OR anytime between 1:00 p.m. and 2:00 p.m. What is your preference? Let us know. Thanks. From: Kirsten Frandsen [mailto:[email protected]]Sent: Thursday, May 05, 2011 6:36 AMTo: Limtiaco, Frances (DOH)Subject: RE: FDA and e-cigarettesImportance: High Hi Frances, thanks for sending this. As an aside, we are moving quickly with our 2 Tobacco regs as previously discussed and I was hoping to talk with you and others (Paul Davis, Terry Reid?) about the details of these regs. Would it be possible to schedule a time with you and others to provide you with some more information? We have the regs now posted on our website- link can be found at: www.tpchd.org Our Board of Health is supportive of the local SIPP but we have some opposition on one part of the e-cig regulation- specifically regarding the provision which prohibits smoking of e-cigs in public places. We have a Board of Health meeting on May 18th and would like to have DOH represented and provide testimony if you/they are able to. Please let me know what you think- thanks! Kirsten From: Limtiaco, Frances (DOH) [mailto:[email protected]]Sent: Monday, May 02, 2011 2:06 PMTo: Allison Cox; Amy Ward-Benton Franklin; Andrea Criste Heider; Annie Peterson; Bruce Rytkonen; Dawn Jacobs; Frank Dibiase; George Hermosillo; Hanna Zarellijackson; [email protected]; Julie Scholer; Keri Moore; Kirsten Frandsen; Krista Panerio; Jones, Lauri (DOHi); Small, Mary (DOHi); [email protected]; Pat Calcote; Samantha Yeun; Tutrecia Giles; [email protected]; [email protected]; Zilar, ChristopherSubject: FW: FDA and e-cigarettes FYI. Apologies if you have already received the following. Hope you are all doing well.

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From: Davis, Paul A (DOH)Sent: Tuesday, April 26, 2011 2:51 PMTo: DOH DL CFH CDPU; Baccus, Kimberly (DOH); Boruchowitz, Steve A (DOH)Subject: FDA and e-cigarettes Please distribute this to all of your local partners and contractors. ThanksPd----------------------------------------------------------- The following letter was submitted regarding electronic cigarette regulation. This is a major shift in FDA’s plans to regulate them as a drug delivery device. Because of two previous court decisions, the FDA will now seek to regulate them as tobacco products instead. http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm252360.htmQuick Links: Skip to main page content Skip to Search Skip to Topics Menu Skip to Section Content Menu Skip to Common Links

News & Events-


Dear Stakeholder:









The Agency intends to propose a regulation that would extend the Agency’s “tobacco product” authorities in Chapter IX of the FD&C Act, which currently only apply to certain specifically enumerated “tobacco products,” to other categories of tobacco products that meet the statutory definition of “tobacco product” in Section 201(rr) of the Act. The additional tobacco product categories would be subject to general controls, such asregistration, product listing, ingredient listing, good manufacturing practice requirements, user fees for certain products, and the adulteration and misbranding provisions, as well as to the premarket review requirements for “new tobacco products” and “modified risk tobacco products.”The Sottera decision states that products made or derived from tobacco can be regulated under the Tobacco Control Act unless they are “marketed for therapeutic purposes,” in which case they are regulated as drugs and/or devices. The Agency is considering whether to issue a guidance and/or a regulation on “therapeutic” claims.

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Section 201(rr)(4) of the Tobacco Control Act prohibits the marketing of “tobacco products” in combination with other FDA-regulated products. As mentioned, FDA has already issued a draft guidance on this provision, which it intends to finalize.“Tobacco products” marketed as of February 15, 2007, which have not been modified since then are considered “grandfathered” and are not subject to premarket review as “new tobacco products.” A “tobacco product” that is not “grandfathered” is considered a “new” tobacco product, and it is adulterated and misbranded under the FD&C Act, and therefore, subject to enforcement action, unless it has received premarket authorizationor been found substantially equivalent. FDA has already developed draft guidance explaining how manufacturers can request a determination from FDA that a “tobacco product” is “grandfathered.”


Sincerely,



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From: Kirsten FrandsenTo: Limtiaco, Frances (DOH)


Thanks- I can be reached at 253.798.3540. Thanks, Kirsten From: Limtiaco, Frances (DOH) [mailto:[email protected]]Sent: Thursday, May 05, 2011 10:22 AMTo: Kirsten FrandsenSubject: RE: FDA and e-cigarettes We will be moving to a conference room so I will call you. Please give me your number. Thanks! From: Kirsten Frandsen [mailto:[email protected]]Sent: Thursday, May 05, 2011 10:14 AMTo: Limtiaco, Frances (DOH)Cc: Davis, Paul A (DOH)Subject: RE: FDA and e-cigarettes Thank you Frances. 11:00 to 11:30 today works for me. Would you like me to call you? Thanks! Kirsten From: Limtiaco, Frances (DOH) [mailto:[email protected]]Sent: Thursday, May 05, 2011 10:04 AMTo: Kirsten FrandsenCc: Davis, Paul A (DOH)Subject: RE: FDA and e-cigarettes Hi Kristen, Paul and I are available to talk with you anytime between 11:00 a.m. and 12 noon OR anytime between 1:00 p.m. and 2:00 p.m. What is your preference? Let us know. Thanks. From: Kirsten Frandsen [mailto:[email protected]]Sent: Thursday, May 05, 2011 6:36 AMTo: Limtiaco, Frances (DOH)Subject: RE: FDA and e-cigarettesImportance: High Hi Frances, thanks for sending this. As an aside, we are moving quickly with our 2 Tobacco regs as previously discussed and I was hoping to talk with you and others (Paul Davis, Terry Reid?) about the details of these regs. Would it be possible to schedule a time with you and others to provide you with some more information? We have the regs now posted on our website- link can be found at: www.tpchd.org Our Board of Health is supportive of the local SIPP but we have some opposition on one part of the e-cig regulation- specifically regarding the provision which prohibits smoking of e-cigs in public places. We have a Board of Health meeting on May 18th and would like to have DOH represented and provide testimony if you/they are able to. Please let me know what you think- thanks! Kirsten From: Limtiaco, Frances (DOH) [mailto:[email protected]]

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Sent: Monday, May 02, 2011 2:06 PMTo: Allison Cox; Amy Ward-Benton Franklin; Andrea Criste Heider; Annie Peterson; Bruce Rytkonen; Dawn Jacobs; Frank Dibiase; George Hermosillo; Hanna Zarellijackson; [email protected]; Julie Scholer; Keri Moore; Kirsten Frandsen; Krista Panerio; Jones, Lauri (DOHi); Small, Mary (DOHi); [email protected]; Pat Calcote; Samantha Yeun; Tutrecia Giles; [email protected]; [email protected]; Zilar, ChristopherSubject: FW: FDA and e-cigarettes FYI. Apologies if you have already received the following. Hope you are all doing well. From: Davis, Paul A (DOH)Sent: Tuesday, April 26, 2011 2:51 PMTo: DOH DL CFH CDPU; Baccus, Kimberly (DOH); Boruchowitz, Steve A (DOH)Subject: FDA and e-cigarettes Please distribute this to all of your local partners and contractors. ThanksPd----------------------------------------------------------- The following letter was submitted regarding electronic cigarette regulation. This is a major shift in FDA’s plans to regulate them as a drug delivery device. Because of two previous court decisions, the FDA will now seek to regulate them as tobacco products instead. http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm252360.htmQuick Links: Skip to main page content Skip to Search Skip to Topics Menu Skip to Section Content Menu Skip to Common Links

News & Events-


Dear Stakeholder:









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Sincerely,



--

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News & EventsTraining and Continuing EducationInspections/ComplianceState & Local OfficialsConsumers

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IndustryHealth Professionals




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From: Kirsten FrandsenTo: Limtiaco, Frances (DOH)


Thank you Frances. 11:00 to 11:30 today works for me. Would you like me to call you? Thanks! Kirsten From: Limtiaco, Frances (DOH) [mailto:[email protected]]Sent: Thursday, May 05, 2011 10:04 AMTo: Kirsten FrandsenCc: Davis, Paul A (DOH)Subject: RE: FDA and e-cigarettes Hi Kristen, Paul and I are available to talk with you anytime between 11:00 a.m. and 12 noon OR anytime between 1:00 p.m. and 2:00 p.m. What is your preference? Let us know. Thanks. From: Kirsten Frandsen [mailto:[email protected]]Sent: Thursday, May 05, 2011 6:36 AMTo: Limtiaco, Frances (DOH)Subject: RE: FDA and e-cigarettesImportance: High Hi Frances, thanks for sending this. As an aside, we are moving quickly with our 2 Tobacco regs as previously discussed and I was hoping to talk with you and others (Paul Davis, Terry Reid?) about the details of these regs. Would it be possible to schedule a time with you and others to provide you with some more information? We have the regs now posted on our website- link can be found at: www.tpchd.org Our Board of Health is supportive of the local SIPP but we have some opposition on one part of the e-cig regulation- specifically regarding the provision which prohibits smoking of e-cigs in public places. We have a Board of Health meeting on May 18th and would like to have DOH represented and provide testimony if you/they are able to. Please let me know what you think- thanks! Kirsten From: Limtiaco, Frances (DOH) [mailto:[email protected]]Sent: Monday, May 02, 2011 2:06 PMTo: Allison Cox; Amy Ward-Benton Franklin; Andrea Criste Heider; Annie Peterson; Bruce Rytkonen; Dawn Jacobs; Frank Dibiase; George Hermosillo; Hanna Zarellijackson; [email protected]; Julie Scholer; Keri Moore; Kirsten Frandsen; Krista Panerio; Jones, Lauri (DOHi); Small, Mary (DOHi); [email protected]; Pat Calcote; Samantha Yeun; Tutrecia Giles; [email protected]; [email protected]; Zilar, ChristopherSubject: FW: FDA and e-cigarettes FYI. Apologies if you have already received the following. Hope you are all doing well. From: Davis, Paul A (DOH)Sent: Tuesday, April 26, 2011 2:51 PMTo: DOH DL CFH CDPU; Baccus, Kimberly (DOH); Boruchowitz, Steve A (DOH)Subject: FDA and e-cigarettes Please distribute this to all of your local partners and contractors. ThanksPd----------------------------------------------------------- The following letter was submitted regarding electronic cigarette regulation. This is a major shift in FDA’s plans to regulate them as a drug delivery device. Because of two previous court decisions, the FDA will now seek to regulate them as tobacco products instead.

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http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm252360.htmQuick Links: Skip to main page content Skip to Search Skip to Topics Menu Skip to Section Content Menu Skip to Common Links

News & Events-


Dear Stakeholder:











Sincerely,


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8_19_2011


--

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

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Olympia, WA 98503Public Health - Always Working for a Healthier Washingtonwww.doh.wa.gov/tobacco *************************************************************************************


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From: Kirsten FrandsenTo: 'Limtiaco, Frances (DOH)'

Date: 5/5/2011 9:36:08 AMSubject: RE: FDA and e-cigarettes

Hi Frances, thanks for sending this. As an aside, we are moving quickly with our 2 Tobacco regs as previously discussed and I was hoping to talk withyou and others (Paul Davis, Terry Reid?) about the details of these regs. Would it be possible to schedule a timewith you and others to provide you with some more information? We have the regs now posted on our website-link can be found at: www.tpchd.org Our Board of Health is supportive of the local SIPP but we have some opposition on one part of the e-cigregulation- specifically regarding the provision which prohibits smoking of e-cigs in public places. We have a Board of Health meeting on May 18th and would like to have DOH represented and provide testimony ifyou/they are able to. Please let me know what you think- thanks! Kirsten From: Limtiaco, Frances (DOH) [mailto:[email protected]]Sent: Monday, May 02, 2011 2:06 PMTo: Allison Cox; Amy Ward-Benton Franklin; Andrea Criste Heider; Annie Peterson; Bruce Rytkonen; Dawn Jacobs; FrankDibiase; George Hermosillo; Hanna Zarellijackson; [email protected]; Julie Scholer; Keri Moore; KirstenFrandsen; Krista Panerio; Jones, Lauri (DOHi); Small, Mary (DOHi); [email protected]; Pat Calcote;Samantha Yeun; Tutrecia Giles; [email protected]; [email protected]; Zilar, ChristopherSubject: FW: FDA and e-cigarettes FYI. Apologies if you have already received the following. Hope you are all doing well. From: Davis, Paul A (DOH)Sent: Tuesday, April 26, 2011 2:51 PMTo: DOH DL CFH CDPU; Baccus, Kimberly (DOH); Boruchowitz, Steve A (DOH)Subject: FDA and e-cigarettes Please distribute this to all of your local partners and contractors. ThanksPd----------------------------------------------------------- The following letter was submitted regarding electronic cigarette regulation. This is a major shift in FDA’s plansto regulate them as a drug delivery device. Because of two previous court decisions, the FDA will now seek toregulate them as tobacco products instead. http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm252360.htmQuick Links: Skip to main page content Skip to Search Skip to Topics Menu Skip to Section Content Menu Skip toCommon Links

News & Events-

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Regulation of E-Cigarettes and Other TobaccoProductsApril 25, 2011

Dear Stakeholder:

The purpose of this letter is to provide stakeholders and the public with information, in light of a recent courtdecision, regarding the regulation of products made or derived from tobacco.

The Family Smoking Prevention and Tobacco Control Act of 2009 (Tobacco Control Act), which amends theFederal Food, Drug, and Cosmetic Act (FD&C Act), was enacted on June 22, 2009, and it provides the Food andDrug Administration (FDA) with authority to regulate “tobacco products.” The FD&C Act, as amended by theTobacco Control Act, defines the term “tobacco product,” in part, as any product “made or derived from tobacco”that is not a “drug,” “device,” or combination product under the FD&C Act.

Under the FD&C Act, the definition of “drug” includes articles intended: (1) for use in the diagnosis, cure, mitigation,treatment or prevention of disease, or (2) to affect the structure or any function of the body. Similarly, “device” isdefined to include articles intended: (1) for use in the diagnosis of disease or other conditions, or in the cure,mitigation, treatment, or prevention of disease, or (2) to affect the structure or any function of the body.

Between 2008 and 2010, the FDA determined that certain electronic cigarettes (e-cigarettes) were unapproveddrug/device combination products and detained and/or refused admission to those offered for import by Sottera, Inc.and other manufacturers. Sottera, Inc. challenged that determination in court.

The U.S. Court of Appeals for the D.C. Circuit, in Sottera, Inc. v. Food & Drug Administration, 627 F.3d 891(D.C. Cir. 2010), recently issued a decision with regard to e-cigarettes and other products “made or derived fromtobacco” and the jurisdictional line that should be drawn between “tobacco products” and “drugs,” “devices,” andcombination products, as those terms are defined in the FD&C Act. The court held that e-cigarettes and otherproducts made or derived from tobacco can be regulated as “tobacco products” under the Act and are notdrugs/devices unless they are marketed for therapeutic purposes.

The government has decided not to seek further review of this decision, and FDA will comply with the jurisdictionallines established by Sottera.

Under the Tobacco Control Act, “tobacco products” are subject to a number of controls. Section 201(rr)(4), forexample, prohibits the marketing of a “tobacco product” in combination with any other article or product regulatedunder the FD&C Act (including a drug, biologic, food, cosmetic, medical device, or a dietary supplement). FDA hasalready issued a draft guidance that addresses the status of such products.

Moreover, Chapter IX of the FD&C Act subjects “tobacco products” to general controls, such as registration,product listing, ingredient listing, good manufacturing practice requirements, user fees for certain products, andadulteration and misbranding provisions. Chapter IX also subjects “new tobacco products” (i.e., products that arefirst marketed or modified after February 15, 2007) and “modified risk tobacco products” (i.e., products that are“sold or distributed for use to reduce harm or the risk of tobacco-related disease associated with commerciallymarketed tobacco products”) to premarket review. Although the statute places certain “tobacco products”immediately under the general controls and premarket review requirements in Chapter IX (i.e., cigarettes, cigarettetobacco, roll-your-own tobacco, and smokeless tobacco), it also permits FDA, by regulation, to extend thosecontrols to other categories of “tobacco products.” FDA plans to take the following steps to ensure that appropriate regulatory mechanisms govern all “tobaccoproducts” and all other products made or derived from tobacco after the Sottera decision:

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The Agency intends to propose a regulation that would extend the Agency’s “tobacco product” authorities inChapter IX of the FD&C Act, which currently only apply to certain specifically enumerated “tobaccoproducts,” to other categories of tobacco products that meet the statutory definition of “tobacco product” inSection 201(rr) of the Act. The additional tobacco product categories would be subject to general controls,such as registration, product listing, ingredient listing, good manufacturing practice requirements, user feesfor certain products, and the adulteration and misbranding provisions, as well as to the premarket reviewrequirements for “new tobacco products” and “modified risk tobacco products.”The Sottera decision states that products made or derived from tobacco can be regulated under the TobaccoControl Act unless they are “marketed for therapeutic purposes,” in which case they are regulated as drugsand/or devices. The Agency is considering whether to issue a guidance and/or a regulation on “therapeutic”claims.Section 201(rr)(4) of the Tobacco Control Act prohibits the marketing of “tobacco products” in combinationwith other FDA-regulated products. As mentioned, FDA has already issued a draft guidance on thisprovision, which it intends to finalize.“Tobacco products” marketed as of February 15, 2007, which have not been modified since then areconsidered “grandfathered” and are not subject to premarket review as “new tobacco products.” A “tobaccoproduct” that is not “grandfathered” is considered a “new” tobacco product, and it is adulterated andmisbranded under the FD&C Act, and therefore, subject to enforcement action, unless it has receivedpremarket authorization or been found substantially equivalent. FDA has already developed draft guidanceexplaining how manufacturers can request a determination from FDA that a “tobacco product” is“grandfathered.”

We look forward to working with all stakeholders to ensure that the existing authorities granted the Agency areharnessed to best protect and promote the public health.

Sincerely,



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Change Font Size Paul Davis, Policy SpecialistWashington State Department of HealthTobacco Prevention and Controloffice - 360-236-3642cell - 360-507-6556email - [email protected] Box 47848Olympia, WA 98503Public Health - Always Working for a Healthier Washingtonwww.doh.wa.gov/tobacco

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From: Kirsten FrandsenTo: Davis, Paul A (DOH)

Limtiaco, Frances (DOH)Date: 5/5/2011 5:23:48 PM

Subject: RE: FDA and e-cigarettes

Thank you and I appreciate the support from both of you. I will make my request in a separate email. Thanks, Kirsten From: Davis, Paul A (DOH) [mailto:[email protected]]Sent: Thursday, May 05, 2011 11:31 AMTo: Kirsten Frandsen; Limtiaco, Frances (DOH)Subject: RE: FDA and e-cigarettes Kirsten,Go ahead and ask for what you’d like from DOH in regards to providing information to the BOH. It is possible that DOH will say that we don’t take a position on e-cigarettes, but the answer is always ‘no’ until you ask it. Paul From: Kirsten Frandsen [mailto:[email protected]]Sent: Thursday, May 05, 2011 10:14 AMTo: Limtiaco, Frances (DOH)Cc: Davis, Paul A (DOH)Subject: RE: FDA and e-cigarettes Thank you Frances. 11:00 to 11:30 today works for me. Would you like me to call you? Thanks! Kirsten From: Limtiaco, Frances (DOH) [mailto:[email protected]]Sent: Thursday, May 05, 2011 10:04 AMTo: Kirsten FrandsenCc: Davis, Paul A (DOH)Subject: RE: FDA and e-cigarettes Hi Kristen, Paul and I are available to talk with you anytime between 11:00 a.m. and 12 noon OR anytime between 1:00 p.m. and 2:00 p.m. What is your preference? Let us know. Thanks. From: Kirsten Frandsen [mailto:[email protected]]Sent: Thursday, May 05, 2011 6:36 AMTo: Limtiaco, Frances (DOH)Subject: RE: FDA and e-cigarettesImportance: High Hi Frances, thanks for sending this. As an aside, we are moving quickly with our 2 Tobacco regs as previously discussed and I was hoping to talk with you and others (Paul Davis, Terry Reid?) about the details of these regs. Would it be possible to schedule a time with you and others to provide you with some more information? We have the regs now posted on our website- link can be found at: www.tpchd.org Our Board of Health is supportive of the local SIPP but we have some opposition on one part of the e-cig regulation- specifically regarding the provision which prohibits smoking of e-cigs in public places.

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We have a Board of Health meeting on May 18th and would like to have DOH represented and provide testimony if you/they are able to. Please let me know what you think- thanks! Kirsten From: Limtiaco, Frances (DOH) [mailto:[email protected]]Sent: Monday, May 02, 2011 2:06 PMTo: Allison Cox; Amy Ward-Benton Franklin; Andrea Criste Heider; Annie Peterson; Bruce Rytkonen; Dawn Jacobs; Frank Dibiase; George Hermosillo; Hanna Zarellijackson; [email protected]; Julie Scholer; Keri Moore; Kirsten Frandsen; Krista Panerio; Jones, Lauri (DOHi); Small, Mary (DOHi); [email protected]; Pat Calcote; Samantha Yeun; Tutrecia Giles; [email protected]; [email protected]; Zilar, ChristopherSubject: FW: FDA and e-cigarettes FYI. Apologies if you have already received the following. Hope you are all doing well. From: Davis, Paul A (DOH)Sent: Tuesday, April 26, 2011 2:51 PMTo: DOH DL CFH CDPU; Baccus, Kimberly (DOH); Boruchowitz, Steve A (DOH)Subject: FDA and e-cigarettes Please distribute this to all of your local partners and contractors. ThanksPd----------------------------------------------------------- The following letter was submitted regarding electronic cigarette regulation. This is a major shift in FDA’s plans to regulate them as a drug delivery device. Because of two previous court decisions, the FDA will now seek to regulate them as tobacco products instead. http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm252360.htmQuick Links: Skip to main page content Skip to Search Skip to Topics Menu Skip to Section Content Menu Skip to Common Links

News & Events-


Dear Stakeholder:







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Sincerely,



--

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From: Limtiaco, Frances (DOH) <[email protected]>To: Kirsten Frandsen


We will be moving to a conference room so I will call you. Please give me your number. Thanks! From: Kirsten Frandsen [mailto:[email protected]]Sent: Thursday, May 05, 2011 10:14 AMTo: Limtiaco, Frances (DOH)Cc: Davis, Paul A (DOH)Subject: RE: FDA and e-cigarettes Thank you Frances. 11:00 to 11:30 today works for me. Would you like me to call you? Thanks! Kirsten From: Limtiaco, Frances (DOH) [mailto:[email protected]]Sent: Thursday, May 05, 2011 10:04 AMTo: Kirsten FrandsenCc: Davis, Paul A (DOH)Subject: RE: FDA and e-cigarettes Hi Kristen, Paul and I are available to talk with you anytime between 11:00 a.m. and 12 noon OR anytime between 1:00 p.m. and 2:00 p.m. What is your preference? Let us know. Thanks. From: Kirsten Frandsen [mailto:[email protected]]Sent: Thursday, May 05, 2011 6:36 AMTo: Limtiaco, Frances (DOH)Subject: RE: FDA and e-cigarettesImportance: High Hi Frances, thanks for sending this. As an aside, we are moving quickly with our 2 Tobacco regs as previously discussed and I was hoping to talk with you and others (Paul Davis, Terry Reid?) about the details of these regs. Would it be possible to schedule a time with you and others to provide you with some more information? We have the regs now posted on our website- link can be found at: www.tpchd.org Our Board of Health is supportive of the local SIPP but we have some opposition on one part of the e-cig regulation- specifically regarding the provision which prohibits smoking of e-cigs in public places. We have a Board of Health meeting on May 18th and would like to have DOH represented and provide testimony if you/they are able to. Please let me know what you think- thanks! Kirsten From: Limtiaco, Frances (DOH) [mailto:[email protected]]Sent: Monday, May 02, 2011 2:06 PMTo: Allison Cox; Amy Ward-Benton Franklin; Andrea Criste Heider; Annie Peterson; Bruce Rytkonen; Dawn Jacobs; Frank Dibiase; George Hermosillo; Hanna Zarellijackson; [email protected]; Julie Scholer; Keri Moore; Kirsten Frandsen; Krista Panerio; Jones, Lauri (DOHi); Small, Mary (DOHi); [email protected]; Pat Calcote; Samantha Yeun; Tutrecia Giles; [email protected]; [email protected]; Zilar, ChristopherSubject: FW: FDA and e-cigarettes FYI. Apologies if you have already received the following. Hope you are all doing well. From: Davis, Paul A (DOH)Sent: Tuesday, April 26, 2011 2:51 PMTo: DOH DL CFH CDPU; Baccus, Kimberly (DOH); Boruchowitz, Steve A (DOH)

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Subject: FDA and e-cigarettes Please distribute this to all of your local partners and contractors. ThanksPd----------------------------------------------------------- The following letter was submitted regarding electronic cigarette regulation. This is a major shift in FDA’s plans to regulate them as a drug delivery device. Because of two previous court decisions, the FDA will now seek to regulate them as tobacco products instead. http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm252360.htmQuick Links: Skip to main page content Skip to Search Skip to Topics Menu Skip to Section Content Menu Skip to Common Links

News & Events-


Dear Stakeholder:











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Sincerely,



--

Links on this page:






Change Font Size

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Paul Davis, Policy SpecialistWashington State Department of HealthTobacco Prevention and Controloffice - 360-236-3642cell - 360-507-6556email - [email protected] Box 47848Olympia, WA 98503Public Health - Always Working for a Healthier Washingtonwww.doh.wa.gov/tobacco *************************************************************************************


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From: Limtiaco, Frances (DOH) <[email protected]>To: Kirsten Frandsen


Hi Kristen, Paul and I are available to talk with you anytime between 11:00 a.m. and 12 noon OR anytime between 1:00 p.m. and 2:00 p.m. What is your preference? Let us know. Thanks. From: Kirsten Frandsen [mailto:[email protected]]Sent: Thursday, May 05, 2011 6:36 AMTo: Limtiaco, Frances (DOH)Subject: RE: FDA and e-cigarettesImportance: High Hi Frances, thanks for sending this. As an aside, we are moving quickly with our 2 Tobacco regs as previously discussed and I was hoping to talk with you and others (Paul Davis, Terry Reid?) about the details of these regs. Would it be possible to schedule a time with you and others to provide you with some more information? We have the regs now posted on our website- link can be found at: www.tpchd.org Our Board of Health is supportive of the local SIPP but we have some opposition on one part of the e-cig regulation- specifically regarding the provision which prohibits smoking of e-cigs in public places. We have a Board of Health meeting on May 18th and would like to have DOH represented and provide testimony if you/they are able to. Please let me know what you think- thanks! Kirsten From: Limtiaco, Frances (DOH) [mailto:[email protected]]Sent: Monday, May 02, 2011 2:06 PMTo: Allison Cox; Amy Ward-Benton Franklin; Andrea Criste Heider; Annie Peterson; Bruce Rytkonen; Dawn Jacobs; Frank Dibiase; George Hermosillo; Hanna Zarellijackson; [email protected]; Julie Scholer; Keri Moore; Kirsten Frandsen; Krista Panerio; Jones, Lauri (DOHi); Small, Mary (DOHi); [email protected]; Pat Calcote; Samantha Yeun; Tutrecia Giles; [email protected]; [email protected]; Zilar, ChristopherSubject: FW: FDA and e-cigarettes FYI. Apologies if you have already received the following. Hope you are all doing well. From: Davis, Paul A (DOH)Sent: Tuesday, April 26, 2011 2:51 PMTo: DOH DL CFH CDPU; Baccus, Kimberly (DOH); Boruchowitz, Steve A (DOH)Subject: FDA and e-cigarettes Please distribute this to all of your local partners and contractors. ThanksPd----------------------------------------------------------- The following letter was submitted regarding electronic cigarette regulation. This is a major shift in FDA’s plans to regulate them as a drug delivery device. Because of two previous court decisions, the FDA will now seek to regulate them as tobacco products instead. http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm252360.htmQuick Links: Skip to main page content Skip to Search Skip to Topics Menu Skip to Section Content Menu Skip to Common Links

News & Events

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-


Dear Stakeholder:











Sincerely,



--

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Adria MoskowitzDate: 5/5/2011 9:18:52 AM

Subject: RE: FDA e-cig fact

Hi there, The fact sheet has already been reviewed and editing by multiple individuals so we’re going to need to figurethis one out. I’ll try to take a look at this today. Thanks, Kirsten From: Tutrecia GilesSent: Tuesday, May 03, 2011 1:03 PMTo: Adria MoskowitzCc: Kirsten FrandsenSubject: FDA e-cig fact Adria,Here is a quote about of current FDA decision. Please add this to the bottom of the doc. I will go in and tweak theamount of information to see if it can be place on one sheet-Thanks,Tutrecia

On Monday, April 25, 2011, FDA announced in a letter to stakeholders that it will not appeal the recent decision bythe U.S. Court of Appeals for the D.C. Circuit in Sottera, Inc. v. Food & Drug Administration, stating that e-cigarettes and other products are not drugs/devices unless they are marketed for therapeutic purposes, but thatproducts “made or derived from tobacco” can be regulated as “tobacco products” under the FD&C Act. FDA isaware that certain products made or derived from tobacco, such as electronic cigarettes, are not currently subject topre-market review requirements of the Family Smoking Prevention and Tobacco Control Act. FDA is developing astrategy to regulate this emerging class of products as tobacco products under the Family Smoking Prevention andTobacco Control Act. Products that are marketed for therapeutic purposes will continue to be regulated as drugsand/or devices.

4FDA. Regulation of E-Cigarettes and Other Tobacco Products April25, 20ll (Cited April 25, 2011) Availablefrom: http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm252360.htm Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected]

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From: Bridget VandeventerTo: 'Apa, James'

Date: 5/5/2011 6:54:34 PMSubject: RE: FYI

Nice. I’m glad I said no to the interview. I’ve never received a Schrammie! Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Apa, James [mailto:[email protected]]Sent: Thursday, May 05, 2011 3:31 PMTo: Bridget VandeventerSubject: FYI We DID get a Schrammie for the e-cig regulation. -James

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From: Bridget VandeventerTo: '[email protected]'

Date: 5/5/2011 9:32:32 PMSubject: Re: Hey!

Wowza, that was a day! The story was exactly as I expected. It was fair, but definitely weighted one direction. Butagain, exactly what I expected. They are running an editorial tomorrow too. We did John Carlson's show live,which is a mistake I won't be repeating. The mass emails have started, so I'm sure your boss is going to enjoy that.At least it's not boring!Everyone here is fine, was expecting the result. I'm sure they're all tired of emails from me, but at least they'renot surprised!

I'm on my way to MT now for a funeral tomorrow. I have a backup, but it's not great timing. Oh well; we havemany more weeks of this!

Thanks for checking in!BridgetSent from my BlackBerry, please pardon any typos. From: Hunter George [mailto:[email protected]]Sent: Thursday, May 05, 2011 04:36 PMTo: Bridget VandeventerSubject: Hey! Well, lots of tweets and retweets about the e-cig story. I thought the story was fair, as usual. Itâ€™s certainly aninteresting topic. What did you think? How was it received over there? Hunter T. GeorgePierce County Communications Director253-798-6606 | cell: 253-961-8422 | [email protected]

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From: Hunter George <[email protected]>To: Bridget Vandeventer

Date: 5/5/2011 10:00:08 PMSubject: Re: Hey!

Carlson. Ugh.The best part is that your colleagues weren't surprised. You had 'em well prepped.

I was so busy today that I didn't check if PMc got a bunch of mail. She's used to it.

Sorry to hear about the funeral. Have a safe trip.

HTG

Hunter GeorgePierce County Communications DirectorDesk: (253) 798-6606Cell: (253) 961-8422

From: Bridget Vandeventer <[email protected]>To: Hunter GeorgeSent: Thu May 05 18:32:31 2011Subject: Re: Hey!

Wowza, that was a day! The story was exactly as I expected. It was fair, but definitely weighted one direction. But again, exactly what I expected. They are running an editorial tomorrow too. We did John Carlson's show live, which is a mistake I won't be repeating. The mass emails have started, so I'm sure your boss is going to enjoy that. At least it's not boring!Everyone here is fine, was expecting the result. I'm sure they're all tired of emails from me, but at least they're not surprised!

I'm on my way to MT now for a funeral tomorrow. I have a backup, but it's not great timing. Oh well; we have many more weeks of this!

Thanks for checking in!BridgetSent from my BlackBerry, please pardon any typos. From: Hunter George [mailto:[email protected]]Sent: Thursday, May 05, 2011 04:36 PMTo: Bridget VandeventerSubject: Hey! Well, lots of tweets and retweets about the e-cig story. I thought the story was fair, as usual. Itâ€™s certainly an interesting topic. What did you think? How was it received over there? Hunter T. GeorgePierce County Communications Director253-798-6606 | cell: 253-961-8422 | [email protected] *************************************************************************************


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From: Bridget VandeventerTo: 'Grater, Jeremy'

Date: 5/5/2011 4:50:06 PMSubject: RE: KOMO radio --Dr. Chen request

Hi Jeremy,I’m sorry, but we’re going to have to pass on this interview. Dr. Chen is not available to participate in another interview with KOMO Radio today. If you are interested in reporting on the issue, I’d encourage you to review the information we have provided on the issues (http://www.tpchd.org/health-wellness-1/tobacco-prevention-control/tobacco-regulations/) and review the proposed regulations. We’ll be taking feedback and input from the community over the next several weeks, and will be transparent in our process throughout. Thanks,Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Grater, Jeremy [mailto:[email protected]]Sent: Thursday, May 05, 2011 12:14 PMTo: Bridget VandeventerSubject: RE: KOMO radio --Dr. Chen request Hey Bridget, We are actually hoping to connect someone with Ken Schram at 2:35 and this would be for a different show. I understand things didn’t exactly go well with John Carlson this morning. I want you to know this will be handled differently by Ken Schram. I think we are particularly interested in talking with Stan Flemming about the political side of this more than the health impact issue. Could we still try to make this happen? Thanks, Jeremy From: Bridget Vandeventer [mailto:[email protected]]Sent: Thursday, May 05, 2011 11:10 AMTo: Vandervort, Phil; Grater, JeremySubject: RE: KOMO radio --Dr. Chen request Hi Phil,You’re in luck. I grabbed Dr. Chen in the hall on his way to a different event. We’ll call you in a minute or two. I’m adding Jeremy, who also requested an interview. I don’t know if you two are able to share the clips, or if these are for separate shows, but I want to make sure you’re connected. Thanks,Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Tacoma-Pierce County Health Department NewsSent: Thursday, May 05, 2011 11:04 AMTo: Bridget VandeventerSubject: FW: KOMO radio --Dr. Chen request

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From: Bridget VandeventerTo: 'Grater, Jeremy'


You are welcome to contact him yourself. He’s not an employee of the Tacoma-Pierce County Health Department, so I am not able to schedule his interviews. He’s a member of the Pierce County Council, and serves on our Board of Health as a part of those responsibilities. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Grater, Jeremy [mailto:[email protected]]Sent: Thursday, May 05, 2011 2:02 PMTo: Bridget VandeventerSubject: RE: KOMO radio --Dr. Chen request I understand if Dr. Chen isn’t available. Like I said we are actually more interested in talking with Stan Flemming about this. Is there any way to set that up? From: Bridget Vandeventer [mailto:[email protected]]Sent: Thursday, May 05, 2011 1:50 PMTo: Grater, JeremySubject: RE: KOMO radio --Dr. Chen request Hi Jeremy,I’m sorry, but we’re going to have to pass on this interview. Dr. Chen is not available to participate in another interview with KOMO Radio today. If you are interested in reporting on the issue, I’d encourage you to review the information we have provided on the issues (http://www.tpchd.org/health-wellness-1/tobacco-prevention-control/tobacco-regulations/) and review the proposed regulations. We’ll be taking feedback and input from the community over the next several weeks, and will be transparent in our process throughout. Thanks,Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Grater, Jeremy [mailto:[email protected]]Sent: Thursday, May 05, 2011 12:14 PMTo: Bridget VandeventerSubject: RE: KOMO radio --Dr. Chen request Hey Bridget, We are actually hoping to connect someone with Ken Schram at 2:35 and this would be for a different show. I understand things didn’t exactly go well with John Carlson this morning. I want you to know this will be handled differently by Ken Schram. I think we are particularly interested in talking with Stan Flemming about the political side of this more than the health impact issue. Could we still try to make this happen? Thanks, Jeremy From: Bridget Vandeventer [mailto:[email protected]]Sent: Thursday, May 05, 2011 11:10 AMTo: Vandervort, Phil; Grater, JeremySubject: RE: KOMO radio --Dr. Chen request

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Hi Phil,You’re in luck. I grabbed Dr. Chen in the hall on his way to a different event. We’ll call you in a minute or two. I’m adding Jeremy, who also requested an interview. I don’t know if you two are able to share the clips, or if these are for separate shows, but I want to make sure you’re connected. Thanks,Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Tacoma-Pierce County Health Department NewsSent: Thursday, May 05, 2011 11:04 AMTo: Bridget VandeventerSubject: FW: KOMO radio --Dr. Chen request




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Date: 5/5/2011 2:24:50 PMSubject: Re: KOMO radio --Dr. Chen request

This needs to end now.Sent from my BlackBerry, please pardon any typos. From: Vandervort, Phil [mailto:[email protected]]Sent: Thursday, May 05, 2011 11:11 AMTo: Bridget VandeventerSubject: RE: KOMO radio --Dr. Chen request Perfect. I think Jeremy will still want to schedule a separate interview later. From: Bridget Vandeventer [mailto:[email protected]]Sent: Thursday, May 05, 2011 11:10 AMTo: Vandervort, Phil; Grater, JeremySubject: RE: KOMO radio --Dr. Chen request Hi Phil,Youâ€™re in luck. I grabbed Dr. Chen in the hall on his way to a different event. Weâ€™ll call you in a minute or two. Iâ€™m adding Jeremy, who also requested an interview. I donâ€™t know if you two are able to share the clips, or if these are for separate shows, but I want to make sure youâ€™re connected. Thanks,Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Tacoma-Pierce County Health Department NewsSent: Thursday, May 05, 2011 11:04 AMTo: Bridget VandeventerSubject: FW: KOMO radio --Dr. Chen request


Hi Bridget, If Dr. Chen or someone else that can explain the dangers of e-cigarettes is available at 11:10am today for a short on-air telephone interview, please call me and we can get the interview going. Iâ€™m at 206-404-3404. Thx and I apologize again for the short notice. Sincerely, Phil VandervortNewsline AM ProducerKOMO Newsradio 1000 and 97.7Fisher Communications

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(206) 404-3092www.komonews.com *************************************************************************************


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Subject: RE: KOMO radio --Dr. Chen request

Hi Phil,You’re in luck. I grabbed Dr. Chen in the hall on his way to a different event. We’ll call you in a minute or two. I’m adding Jeremy, who also requested an interview. I don’t know if you two are able to share the clips, or ifthese are for separate shows, but I want to make sure you’re connected. Thanks,Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Tacoma-Pierce County Health Department NewsSent: Thursday, May 05, 2011 11:04 AMTo: Bridget VandeventerSubject: FW: KOMO radio --Dr. Chen request



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From: Grater, Jeremy <[email protected]>To: Bridget Vandeventer


I understand if Dr. Chen isn’t available. Like I said we are actually more interested in talking with Stan Flemming about this. Is there any way to set that up? From: Bridget Vandeventer [mailto:[email protected]]Sent: Thursday, May 05, 2011 1:50 PMTo: Grater, JeremySubject: RE: KOMO radio --Dr. Chen request Hi Jeremy,I’m sorry, but we’re going to have to pass on this interview. Dr. Chen is not available to participate in another interview with KOMO Radio today. If you are interested in reporting on the issue, I’d encourage you to review the information we have provided on the issues (http://www.tpchd.org/health-wellness-1/tobacco-prevention-control/tobacco-regulations/) and review the proposed regulations. We’ll be taking feedback and input from the community over the next several weeks, and will be transparent in our process throughout. Thanks,Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Grater, Jeremy [mailto:[email protected]]Sent: Thursday, May 05, 2011 12:14 PMTo: Bridget VandeventerSubject: RE: KOMO radio --Dr. Chen request Hey Bridget, We are actually hoping to connect someone with Ken Schram at 2:35 and this would be for a different show. I understand things didn’t exactly go well with John Carlson this morning. I want you to know this will be handled differently by Ken Schram. I think we are particularly interested in talking with Stan Flemming about the political side of this more than the health impact issue. Could we still try to make this happen? Thanks, Jeremy From: Bridget Vandeventer [mailto:[email protected]]Sent: Thursday, May 05, 2011 11:10 AMTo: Vandervort, Phil; Grater, JeremySubject: RE: KOMO radio --Dr. Chen request Hi Phil,You’re in luck. I grabbed Dr. Chen in the hall on his way to a different event. We’ll call you in a minute or two. I’m adding Jeremy, who also requested an interview. I don’t know if you two are able to share the clips, or if these are for separate shows, but I want to make sure you’re connected. Thanks,Bridget Bridget Vandeventer

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253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Tacoma-Pierce County Health Department NewsSent: Thursday, May 05, 2011 11:04 AMTo: Bridget VandeventerSubject: FW: KOMO radio --Dr. Chen request




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Got it. I am trying that too. I wasn’t sure if you were able to help with that or not. Thanks again, Jeremy From: Bridget Vandeventer [mailto:[email protected]]Sent: Thursday, May 05, 2011 2:29 PMTo: Grater, JeremySubject: RE: KOMO radio --Dr. Chen request You are welcome to contact him yourself. He’s not an employee of the Tacoma-Pierce County Health Department, so I am not able to schedule his interviews. He’s a member of the Pierce County Council, and serves on our Board of Health as a part of those responsibilities. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Grater, Jeremy [mailto:[email protected]]Sent: Thursday, May 05, 2011 2:02 PMTo: Bridget VandeventerSubject: RE: KOMO radio --Dr. Chen request I understand if Dr. Chen isn’t available. Like I said we are actually more interested in talking with Stan Flemming about this. Is there any way to set that up? From: Bridget Vandeventer [mailto:[email protected]]Sent: Thursday, May 05, 2011 1:50 PMTo: Grater, JeremySubject: RE: KOMO radio --Dr. Chen request Hi Jeremy,I’m sorry, but we’re going to have to pass on this interview. Dr. Chen is not available to participate in another interview with KOMO Radio today. If you are interested in reporting on the issue, I’d encourage you to review the information we have provided on the issues (http://www.tpchd.org/health-wellness-1/tobacco-prevention-control/tobacco-regulations/) and review the proposed regulations. We’ll be taking feedback and input from the community over the next several weeks, and will be transparent in our process throughout. Thanks,Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Grater, Jeremy [mailto:[email protected]]Sent: Thursday, May 05, 2011 12:14 PMTo: Bridget VandeventerSubject: RE: KOMO radio --Dr. Chen request Hey Bridget, We are actually hoping to connect someone with Ken Schram at 2:35 and this would be for a different show. I understand things didn’t exactly go well with John Carlson this morning. I want you to know this will be handled differently by Ken Schram. I think we are particularly interested in talking with Stan Flemming about the political side of this more than the health impact issue.

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Could we still try to make this happen? Thanks, Jeremy From: Bridget Vandeventer [mailto:[email protected]]Sent: Thursday, May 05, 2011 11:10 AMTo: Vandervort, Phil; Grater, JeremySubject: RE: KOMO radio --Dr. Chen request Hi Phil,You’re in luck. I grabbed Dr. Chen in the hall on his way to a different event. We’ll call you in a minute or two. I’m adding Jeremy, who also requested an interview. I don’t know if you two are able to share the clips, or if these are for separate shows, but I want to make sure you’re connected. Thanks,Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Tacoma-Pierce County Health Department NewsSent: Thursday, May 05, 2011 11:04 AMTo: Bridget VandeventerSubject: FW: KOMO radio --Dr. Chen request




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Hey Bridget, We are actually hoping to connect someone with Ken Schram at 2:35 and this would be for a different show. I understand things didn’t exactly go well with John Carlson this morning. I want you to know this will be handled differently by Ken Schram. I think we are particularly interested in talking with Stan Flemming about the political side of this more than the health impact issue. Could we still try to make this happen? Thanks, Jeremy From: Bridget Vandeventer [mailto:[email protected]]Sent: Thursday, May 05, 2011 11:10 AMTo: Vandervort, Phil; Grater, JeremySubject: RE: KOMO radio --Dr. Chen request Hi Phil,You’re in luck. I grabbed Dr. Chen in the hall on his way to a different event. We’ll call you in a minute or two. I’m adding Jeremy, who also requested an interview. I don’t know if you two are able to share the clips, or if these are for separate shows, but I want to make sure you’re connected. Thanks,Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Tacoma-Pierce County Health Department NewsSent: Thursday, May 05, 2011 11:04 AMTo: Bridget VandeventerSubject: FW: KOMO radio --Dr. Chen request


Hi Bridget, If Dr. Chen or someone else that can explain the dangers of e-cigarettes is available at 11:10am today for a short on-air telephone interview, please call me and we can get the interview going. I’m at 206-404-3404. Thx and I apologize again for the short notice. Sincerely, Phil VandervortNewsline AM ProducerKOMO Newsradio 1000 and 97.7Fisher Communications(206) 404-3092www.komonews.com

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From: Vandervort, Phil <[email protected]>To: Bridget Vandeventer


Perfect. I think Jeremy will still want to schedule a separate interview later. From: Bridget Vandeventer [mailto:[email protected]]Sent: Thursday, May 05, 2011 11:10 AMTo: Vandervort, Phil; Grater, JeremySubject: RE: KOMO radio --Dr. Chen request Hi Phil,You’re in luck. I grabbed Dr. Chen in the hall on his way to a different event. We’ll call you in a minute or two. I’m adding Jeremy, who also requested an interview. I don’t know if you two are able to share the clips, or if these are for separate shows, but I want to make sure you’re connected. Thanks,Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Tacoma-Pierce County Health Department NewsSent: Thursday, May 05, 2011 11:04 AMTo: Bridget VandeventerSubject: FW: KOMO radio --Dr. Chen request




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From: Bridget VandeventerTo: Tawana Bellamy

Date: 5/5/2011 5:46:12 PMSubject: RE: Mistake in e-cigarette press release

Thanks Tawana,He called me yesterday to complain about this. We disagree with his interpretation, but I listened to hiscomplaint. I’ll forward this to Anthony and let him know the background. I imagine he’ll be getting many letters like this inthe next few weeks, so we’ll figure out a better way of responding. Thanks! Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Tawana BellamySent: Thursday, May 05, 2011 2:44 PMTo: Bridget VandeventerSubject: FW: Mistake in e-cigarette press release Hi Bridget, This came in through the Director’s email. Tawana From: Gregory Conley [mailto:[email protected]]Sent: Thursday, May 05, 2011 6:00 AMTo: DirectorSubject: Mistake in e-cigarette press release Dr. Chen,







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From: Kirsten FrandsenTo: Madigan Resident

Date: 5/5/2011 9:47:34 AMSubject: RE: Monday

Thanks for all of your emails while I was out. Unfortunately, I was flooded with emails and not a lot of time so Ihad to prioritize them. Sorry I didn’t get back to you until now. Thanks for all, Kirsten From: Madigan ResidentSent: Monday, May 02, 2011 11:00 AMTo: Kirsten FrandsenSubject: Monday Kirsten, I am still trading phone calls with Kathleen Quinn at the FDA. I will let you know when I get a hold of her. Sorry for the delay on the summary of the chemicals. Please see attached for a short summary. I had a look at theE-Cigarette Fact Sheet that you had posted on the SharePoint. It is very good! It represents a great summary of thechemicals which the FDA found. The reference I found is also very helpful and represents a lot of the sameinformation. Hope this helps! Paul

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Subject: RE: New Tobacco Regs

Who are all the people that Bruce sent to? Are those folks that we could ask to comment on the TNT or come to the meeting and testify? I talked to James Apa at King County today, and he said that he’d get one of their BOH members to come down and testify at our public meeting. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Kirsten FrandsenSent: Thursday, May 05, 2011 2:11 PMTo: Frank Dibiase; Bridget VandeventerSubject: RE: New Tobacco Regs Thanks Bruce- From: Frank DibiaseSent: Thursday, May 05, 2011 1:19 PMTo: Bridget Vandeventer; Kirsten FrandsenSubject: FW: New Tobacco Regs FYI From: Heidi Henson [mailto:[email protected]]Sent: Thursday, May 05, 2011 12:03 PMTo: Bruce Rytkonen; 'Holt, Anna'; 'Tegen, Anne'; 'Annette Squetimkin-Anqoue'; 'Grider, Brent'; 'Carrie Nyssen'; 'Cynthia Hawthorne'; 'Warnaca, Dawn'; 'DeAnne Baer'; 'Donna Manders'; 'Donna Manders'; 'Eric Hatzenbuehler'; 'Erin Dziedzic'; Frank Dibiase; George Hermosillo; [email protected]; 'Greg C Puno'; 'Bissell, Janet'; 'Sarthou, Jennifer'; 'Cummings, Joanna'; 'Ruze, John '; 'Karon, Judy'; 'Scholer, Julie'; 'Pritchard, Kathie'; 'Iverson, Ken'; 'Keonwha Kim'; 'Nygard,Kim'; [email protected]; 'Lark Ballinger (Business Fax)'; 'Liesl Santkuyl'; 'Gregerson, Lindsey'; 'Rasmussen, Lynette'; 'Lynn Abegglen'; 'Mandy Ma'; Marianne Seifert; 'Mary Tudor'; 'Michael Nagata'; 'Nelson, Monica'; 'Nan Hogan'; 'Tatom, Nanette'; 'Richmond, Pat'; 'Patricia Ramirez Neagle'; 'Patrick Hogan, MD'; 'ANTHONY BETOW'; 'Kowald, Roberta'; 'Pebeasy, Robyn'; 'Soon Ja Han'; 'Theophilus Mungen'; 'Tricia Sinek'; 'Dorn, Trixy'; 'Wendi Gilreath'Subject: RE: New Tobacco Regs I sent a letter to the editor from TAP today. From: Bruce Rytkonen [mailto:[email protected]]Sent: Thursday, May 05, 2011 10:13 AMTo: Holt, Anna; Tegen, Anne; Annette Squetimkin-Anqoue; Grider, Brent; Bruce Rytkonen; Carrie Nyssen; Cynthia Hawthorne; Warnaca, Dawn; DeAnne Baer; Donna Manders ([email protected]); Donna Manders ([email protected]); Eric Hatzenbuehler ([email protected]); Erin Dziedzic; Frank Dibiase; George Hermosillo; ([email protected]); Greg C Puno ([email protected]); Heidi Henson; Bissell, Janet; Sarthou, Jennifer;Cummings, Joanna; Ruze, John ; Karon, Judy; Scholer, Julie; Pritchard, Kathie; Iverson, Ken; Keonwha Kim ([email protected]); Nygard, Kim; [email protected]; Lark Ballinger (Business Fax); Liesl Santkuyl ([email protected]); Gregerson, Lindsey; Rasmussen, Lynette; Lynn Abegglen; Mandy Ma; Marianne Seifert; Mary Tudor ([email protected]); 'Michael Nagata'; Nelson, Monica; Nan Hogan; Tatom, Nanette; Richmond, Pat; Patricia Ramirez Neagle;Patrick Hogan, MD; ANTHONY BETOW; Kowald, Roberta; Pebeasy, Robyn; Soon Ja Han; Theophilus Mungen; Tricia Sinek; Dorn, Trixy; Wendi GilreathSubject: New Tobacco Regs Good morning everyone. Some of you may have seen in the Tacoma News Tribune today the article on the front page about the two new tobacco regulations (1. authorizing enforcement of the Smoking In Public Places Law and2. restrictions on the sale of e-cigs to minors and use of e-cigs where tobacco use is now lawfully prohibited). Well if you missed the article here’s the link: http://blog.thenewstribune.com/politics/2011/05/04/tacoma-pierce-county-wants-to-ban-electronic-cigarettes-in-public-places/ On May 16 from 6-7pm at the Health Department there’s going to be a public meeting that you are welcome to attend and have the opportunity to provide your perspective on these regulations and hear what others have to say about these regulations. On May 18 we will be presenting these regulations to the Board of Health. At the beginning (3:00 pm) of this meeting there will be a public comment period where you would also have the opportunity to provide directly to the members of the Board your perspective on these regulations. Below is the link to the TPCHD website that will provide you direct access to the full text of each regulation. At the bottom of this page you’ll see the link to a “public input form” that also can be used to provide your questions or perspective on these regulations to the members of the Board of Health. http://www.tpchd.org/health-wellness-1/tobacco-prevention-control/tobacco-regulations/

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From: Frank DibiaseTo: Kirsten Frandsen

Date: 5/5/2011 6:24:34 PMSubject: RE: New Tobacco Regs

How about folks from American Cancer Society, American Lung Association, American Heart Association and Campaign for Tobacco Free Kids? Is there a plan to invite them to either the public meeting or Board of Health meeting on June 1? I’m sure we can count on some of them to support the proposed regs. From: Kirsten FrandsenSent: Thursday, May 05, 2011 2:34 PMTo: Bridget Vandeventer; Frank DibiaseSubject: RE: New Tobacco Regs The email that Bruce sent were to the members of the Tobacco Free Alliance of Pierce County- and yes, he’s working with them to get them to provide their testimony at the BOH meeting. Excellent on the SeaKing BOH member testifying- however; it may be better for them to testify at the BOH meeting on the 18th- as opposed to the public meeting. I believe it will hold more weight at the BOH meeting. Thanks, Kirsten From: Bridget VandeventerSent: Thursday, May 05, 2011 2:25 PMTo: Kirsten Frandsen; Frank DibiaseSubject: RE: New Tobacco Regs Who are all the people that Bruce sent to? Are those folks that we could ask to comment on the TNT or come to the meeting and testify? I talked to James Apa at King County today, and he said that he’d get one of their BOH members to come down and testify at our public meeting. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Kirsten FrandsenSent: Thursday, May 05, 2011 2:11 PMTo: Frank Dibiase; Bridget VandeventerSubject: RE: New Tobacco Regs Thanks Bruce- From: Frank DibiaseSent: Thursday, May 05, 2011 1:19 PMTo: Bridget Vandeventer; Kirsten FrandsenSubject: FW: New Tobacco Regs FYI From: Heidi Henson [mailto:[email protected]]Sent: Thursday, May 05, 2011 12:03 PMTo: Bruce Rytkonen; 'Holt, Anna'; 'Tegen, Anne'; 'Annette Squetimkin-Anqoue'; 'Grider, Brent'; 'Carrie Nyssen'; 'Cynthia Hawthorne'; 'Warnaca, Dawn'; 'DeAnne Baer'; 'Donna Manders'; 'Donna Manders'; 'Eric Hatzenbuehler'; 'Erin Dziedzic'; Frank Dibiase; George Hermosillo; [email protected]; 'Greg C Puno'; 'Bissell, Janet'; 'Sarthou, Jennifer'; 'Cummings, Joanna'; 'Ruze, John '; 'Karon, Judy'; 'Scholer, Julie'; 'Pritchard, Kathie'; 'Iverson, Ken'; 'Keonwha Kim'; 'Nygard,Kim'; [email protected]; 'Lark Ballinger (Business Fax)'; 'Liesl Santkuyl'; 'Gregerson, Lindsey'; 'Rasmussen, Lynette'; 'Lynn Abegglen'; 'Mandy Ma'; Marianne Seifert; 'Mary Tudor'; 'Michael Nagata'; 'Nelson, Monica'; 'Nan Hogan'; 'Tatom, Nanette'; 'Richmond, Pat'; 'Patricia Ramirez Neagle'; 'Patrick Hogan, MD'; 'ANTHONY BETOW'; 'Kowald, Roberta'; 'Pebeasy, Robyn'; 'Soon Ja Han'; 'Theophilus Mungen'; 'Tricia Sinek'; 'Dorn, Trixy'; 'Wendi Gilreath'Subject: RE: New Tobacco Regs I sent a letter to the editor from TAP today. From: Bruce Rytkonen [mailto:[email protected]]Sent: Thursday, May 05, 2011 10:13 AMTo: Holt, Anna; Tegen, Anne; Annette Squetimkin-Anqoue; Grider, Brent; Bruce Rytkonen; Carrie Nyssen; Cynthia Hawthorne; Warnaca, Dawn; DeAnne Baer; Donna Manders ([email protected]); Donna Manders ([email protected]); Eric Hatzenbuehler ([email protected]); Erin Dziedzic; Frank Dibiase; George Hermosillo; ([email protected]); Greg C Puno ([email protected]); Heidi Henson; Bissell, Janet; Sarthou, Jennifer;Cummings, Joanna; Ruze, John ; Karon, Judy; Scholer, Julie; Pritchard, Kathie; Iverson, Ken; Keonwha Kim ([email protected]); Nygard, Kim; [email protected]; Lark Ballinger (Business Fax); Liesl Santkuyl ([email protected]); Gregerson, Lindsey; Rasmussen, Lynette; Lynn Abegglen; Mandy Ma; Marianne Seifert; Mary Tudor ([email protected]); 'Michael Nagata'; Nelson, Monica; Nan Hogan; Tatom, Nanette; Richmond, Pat; Patricia Ramirez Neagle;

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Patrick Hogan, MD; ANTHONY BETOW; Kowald, Roberta; Pebeasy, Robyn; Soon Ja Han; Theophilus Mungen; Tricia Sinek; Dorn, Trixy; Wendi GilreathSubject: New Tobacco Regs Good morning everyone. Some of you may have seen in the Tacoma News Tribune today the article on the front page about the two new tobacco regulations (1. authorizing enforcement of the Smoking In Public Places Law and2. restrictions on the sale of e-cigs to minors and use of e-cigs where tobacco use is now lawfully prohibited). Well if you missed the article here’s the link: http://blog.thenewstribune.com/politics/2011/05/04/tacoma-pierce-county-wants-to-ban-electronic-cigarettes-in-public-places/ On May 16 from 6-7pm at the Health Department there’s going to be a public meeting that you are welcome to attend and have the opportunity to provide your perspective on these regulations and hear what others have to say about these regulations. On May 18 we will be presenting these regulations to the Board of Health. At the beginning (3:00 pm) of this meeting there will be a public comment period where you would also have the opportunity to provide directly to the members of the Board your perspective on these regulations. Below is the link to the TPCHD website that will provide you direct access to the full text of each regulation. At the bottom of this page you’ll see the link to a “public input form” that also can be used to provide your questions or perspective on these regulations to the members of the Board of Health. http://www.tpchd.org/health-wellness-1/tobacco-prevention-control/tobacco-regulations/ *************************************************************************************


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The email that Bruce sent were to the members of the Tobacco Free Alliance of Pierce County- and yes, he’s working with them to get them to provide their testimony at the BOH meeting. Excellent on the SeaKing BOH member testifying- however; it may be better for them to testify at the BOH meeting on the 18th- as opposed to the public meeting. I believe it will hold more weight at the BOH meeting. Thanks, Kirsten From: Bridget VandeventerSent: Thursday, May 05, 2011 2:25 PMTo: Kirsten Frandsen; Frank DibiaseSubject: RE: New Tobacco Regs Who are all the people that Bruce sent to? Are those folks that we could ask to comment on the TNT or come to the meeting and testify? I talked to James Apa at King County today, and he said that he’d get one of their BOH members to come down and testify at our public meeting. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Kirsten FrandsenSent: Thursday, May 05, 2011 2:11 PMTo: Frank Dibiase; Bridget VandeventerSubject: RE: New Tobacco Regs Thanks Bruce- From: Frank DibiaseSent: Thursday, May 05, 2011 1:19 PMTo: Bridget Vandeventer; Kirsten FrandsenSubject: FW: New Tobacco Regs FYI From: Heidi Henson [mailto:[email protected]]Sent: Thursday, May 05, 2011 12:03 PMTo: Bruce Rytkonen; 'Holt, Anna'; 'Tegen, Anne'; 'Annette Squetimkin-Anqoue'; 'Grider, Brent'; 'Carrie Nyssen'; 'Cynthia Hawthorne'; 'Warnaca, Dawn'; 'DeAnne Baer'; 'Donna Manders'; 'Donna Manders'; 'Eric Hatzenbuehler'; 'Erin Dziedzic'; Frank Dibiase; George Hermosillo; [email protected]; 'Greg C Puno'; 'Bissell, Janet'; 'Sarthou, Jennifer'; 'Cummings, Joanna'; 'Ruze, John '; 'Karon, Judy'; 'Scholer, Julie'; 'Pritchard, Kathie'; 'Iverson, Ken'; 'Keonwha Kim'; 'Nygard,Kim'; [email protected]; 'Lark Ballinger (Business Fax)'; 'Liesl Santkuyl'; 'Gregerson, Lindsey'; 'Rasmussen, Lynette'; 'Lynn Abegglen'; 'Mandy Ma'; Marianne Seifert; 'Mary Tudor'; 'Michael Nagata'; 'Nelson, Monica'; 'Nan Hogan'; 'Tatom, Nanette'; 'Richmond, Pat'; 'Patricia Ramirez Neagle'; 'Patrick Hogan, MD'; 'ANTHONY BETOW'; 'Kowald, Roberta'; 'Pebeasy, Robyn'; 'Soon Ja Han'; 'Theophilus Mungen'; 'Tricia Sinek'; 'Dorn, Trixy'; 'Wendi Gilreath'Subject: RE: New Tobacco Regs I sent a letter to the editor from TAP today. From: Bruce Rytkonen [mailto:[email protected]]Sent: Thursday, May 05, 2011 10:13 AMTo: Holt, Anna; Tegen, Anne; Annette Squetimkin-Anqoue; Grider, Brent; Bruce Rytkonen; Carrie Nyssen; Cynthia Hawthorne; Warnaca, Dawn; DeAnne Baer; Donna Manders ([email protected]); Donna Manders ([email protected]); Eric Hatzenbuehler ([email protected]); Erin Dziedzic; Frank Dibiase; George Hermosillo; ([email protected]); Greg C Puno ([email protected]); Heidi Henson; Bissell, Janet; Sarthou, Jennifer;Cummings, Joanna; Ruze, John ; Karon, Judy; Scholer, Julie; Pritchard, Kathie; Iverson, Ken; Keonwha Kim ([email protected]); Nygard, Kim; [email protected]; Lark Ballinger (Business Fax); Liesl Santkuyl ([email protected]); Gregerson, Lindsey; Rasmussen, Lynette; Lynn Abegglen; Mandy Ma; Marianne Seifert; Mary Tudor ([email protected]); 'Michael Nagata'; Nelson, Monica; Nan Hogan; Tatom, Nanette; Richmond, Pat; Patricia Ramirez Neagle;Patrick Hogan, MD; ANTHONY BETOW; Kowald, Roberta; Pebeasy, Robyn; Soon Ja Han; Theophilus Mungen; Tricia Sinek; Dorn, Trixy; Wendi GilreathSubject: New Tobacco Regs Good morning everyone. Some of you may have seen in the Tacoma News Tribune today the article on the front page about the two new tobacco regulations (1. authorizing enforcement of the Smoking In Public Places Law and2. restrictions on the sale of e-cigs to minors and use of e-cigs where tobacco use is now lawfully prohibited). Well if you missed the article here’s the link:

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http://blog.thenewstribune.com/politics/2011/05/04/tacoma-pierce-county-wants-to-ban-electronic-cigarettes-in-public-places/ On May 16 from 6-7pm at the Health Department there’s going to be a public meeting that you are welcome to attend and have the opportunity to provide your perspective on these regulations and hear what others have to say about these regulations. On May 18 we will be presenting these regulations to the Board of Health. At the beginning (3:00 pm) of this meeting there will be a public comment period where you would also have the opportunity to provide directly to the members of the Board your perspective on these regulations. Below is the link to the TPCHD website that will provide you direct access to the full text of each regulation. At the bottom of this page you’ll see the link to a “public input form” that also can be used to provide your questions or perspective on these regulations to the members of the Board of Health. http://www.tpchd.org/health-wellness-1/tobacco-prevention-control/tobacco-regulations/ *************************************************************************************


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From: Kirsten FrandsenTo: Frank Dibiase



Thanks Bruce- From: Frank DibiaseSent: Thursday, May 05, 2011 1:19 PMTo: Bridget Vandeventer; Kirsten FrandsenSubject: FW: New Tobacco Regs FYI From: Heidi Henson [mailto:[email protected]]Sent: Thursday, May 05, 2011 12:03 PMTo: Bruce Rytkonen; 'Holt, Anna'; 'Tegen, Anne'; 'Annette Squetimkin-Anqoue'; 'Grider, Brent'; 'Carrie Nyssen'; 'Cynthia Hawthorne'; 'Warnaca, Dawn'; 'DeAnne Baer'; 'Donna Manders'; 'Donna Manders'; 'Eric Hatzenbuehler'; 'Erin Dziedzic'; Frank Dibiase; George Hermosillo; [email protected]; 'Greg C Puno'; 'Bissell, Janet'; 'Sarthou, Jennifer'; 'Cummings, Joanna'; 'Ruze, John '; 'Karon, Judy'; 'Scholer, Julie'; 'Pritchard, Kathie'; 'Iverson, Ken'; 'Keonwha Kim'; 'Nygard,Kim'; [email protected]; 'Lark Ballinger (Business Fax)'; 'Liesl Santkuyl'; 'Gregerson, Lindsey'; 'Rasmussen, Lynette'; 'Lynn Abegglen'; 'Mandy Ma'; Marianne Seifert; 'Mary Tudor'; 'Michael Nagata'; 'Nelson, Monica'; 'Nan Hogan'; 'Tatom, Nanette'; 'Richmond, Pat'; 'Patricia Ramirez Neagle'; 'Patrick Hogan, MD'; 'ANTHONY BETOW'; 'Kowald, Roberta'; 'Pebeasy, Robyn'; 'Soon Ja Han'; 'Theophilus Mungen'; 'Tricia Sinek'; 'Dorn, Trixy'; 'Wendi Gilreath'Subject: RE: New Tobacco Regs I sent a letter to the editor from TAP today. From: Bruce Rytkonen [mailto:[email protected]]Sent: Thursday, May 05, 2011 10:13 AMTo: Holt, Anna; Tegen, Anne; Annette Squetimkin-Anqoue; Grider, Brent; Bruce Rytkonen; Carrie Nyssen; Cynthia Hawthorne; Warnaca, Dawn; DeAnne Baer; Donna Manders ([email protected]); Donna Manders ([email protected]); Eric Hatzenbuehler ([email protected]); Erin Dziedzic; Frank Dibiase; George Hermosillo; ([email protected]); Greg C Puno ([email protected]); Heidi Henson; Bissell, Janet; Sarthou, Jennifer;Cummings, Joanna; Ruze, John ; Karon, Judy; Scholer, Julie; Pritchard, Kathie; Iverson, Ken; Keonwha Kim ([email protected]); Nygard, Kim; [email protected]; Lark Ballinger (Business Fax); Liesl Santkuyl ([email protected]); Gregerson, Lindsey; Rasmussen, Lynette; Lynn Abegglen; Mandy Ma; Marianne Seifert; Mary Tudor ([email protected]); 'Michael Nagata'; Nelson, Monica; Nan Hogan; Tatom, Nanette; Richmond, Pat; Patricia Ramirez Neagle;Patrick Hogan, MD; ANTHONY BETOW; Kowald, Roberta; Pebeasy, Robyn; Soon Ja Han; Theophilus Mungen; Tricia Sinek; Dorn, Trixy; Wendi GilreathSubject: New Tobacco Regs Good morning everyone. Some of you may have seen in the Tacoma News Tribune today the article on the front page about the two new tobacco regulations (1. authorizing enforcement of the Smoking In Public Places Law and2. restrictions on the sale of e-cigs to minors and use of e-cigs where tobacco use is now lawfully prohibited). Well if you missed the article here’s the link: http://blog.thenewstribune.com/politics/2011/05/04/tacoma-pierce-county-wants-to-ban-electronic-cigarettes-in-public-places/ On May 16 from 6-7pm at the Health Department there’s going to be a public meeting that you are welcome to attend and have the opportunity to provide your perspective on these regulations and hear what others have to say about these regulations. On May 18 we will be presenting these regulations to the Board of Health. At the beginning (3:00 pm) of this meeting there will be a public comment period where you would also have the opportunity to provide directly to the members of the Board your perspective on these regulations. Below is the link to the TPCHD website that will provide you direct access to the full text of each regulation. At the bottom of this page you’ll see the link to a “public input form” that also can be used to provide your questions or perspective on these regulations to the members of the Board of Health. http://www.tpchd.org/health-wellness-1/tobacco-prevention-control/tobacco-regulations/ *************************************************************************************


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Thanks Bruce- From: Frank DibiaseSent: Thursday, May 05, 2011 1:19 PMTo: Bridget Vandeventer; Kirsten FrandsenSubject: FW: New Tobacco Regs FYI From: Heidi Henson [mailto:[email protected]]Sent: Thursday, May 05, 2011 12:03 PMTo: Bruce Rytkonen; 'Holt, Anna'; 'Tegen, Anne'; 'Annette Squetimkin-Anqoue'; 'Grider, Brent'; 'Carrie Nyssen'; 'Cynthia Hawthorne'; 'Warnaca, Dawn'; 'DeAnne Baer'; 'Donna Manders'; 'Donna Manders'; 'Eric Hatzenbuehler'; 'Erin Dziedzic'; Frank Dibiase; George Hermosillo; [email protected]; 'Greg C Puno'; 'Bissell, Janet'; 'Sarthou, Jennifer'; 'Cummings, Joanna'; 'Ruze, John '; 'Karon, Judy'; 'Scholer, Julie'; 'Pritchard, Kathie'; 'Iverson, Ken'; 'Keonwha Kim'; 'Nygard,Kim'; [email protected]; 'Lark Ballinger (Business Fax)'; 'Liesl Santkuyl'; 'Gregerson, Lindsey'; 'Rasmussen, Lynette'; 'Lynn Abegglen'; 'Mandy Ma'; Marianne Seifert; 'Mary Tudor'; 'Michael Nagata'; 'Nelson, Monica'; 'Nan Hogan'; 'Tatom, Nanette'; 'Richmond, Pat'; 'Patricia Ramirez Neagle'; 'Patrick Hogan, MD'; 'ANTHONY BETOW'; 'Kowald, Roberta'; 'Pebeasy, Robyn'; 'Soon Ja Han'; 'Theophilus Mungen'; 'Tricia Sinek'; 'Dorn, Trixy'; 'Wendi Gilreath'Subject: RE: New Tobacco Regs I sent a letter to the editor from TAP today. From: Bruce Rytkonen [mailto:[email protected]]Sent: Thursday, May 05, 2011 10:13 AMTo: Holt, Anna; Tegen, Anne; Annette Squetimkin-Anqoue; Grider, Brent; Bruce Rytkonen; Carrie Nyssen; Cynthia Hawthorne; Warnaca, Dawn; DeAnne Baer; Donna Manders ([email protected]); Donna Manders ([email protected]); Eric Hatzenbuehler ([email protected]); Erin Dziedzic; Frank Dibiase; George Hermosillo; ([email protected]); Greg C Puno ([email protected]); Heidi Henson; Bissell, Janet; Sarthou, Jennifer;Cummings, Joanna; Ruze, John ; Karon, Judy; Scholer, Julie; Pritchard, Kathie; Iverson, Ken; Keonwha Kim ([email protected]); Nygard, Kim; [email protected]; Lark Ballinger (Business Fax); Liesl Santkuyl ([email protected]); Gregerson, Lindsey; Rasmussen, Lynette; Lynn Abegglen; Mandy Ma; Marianne Seifert; Mary Tudor ([email protected]); 'Michael Nagata'; Nelson, Monica; Nan Hogan; Tatom, Nanette; Richmond, Pat; Patricia Ramirez Neagle;Patrick Hogan, MD; ANTHONY BETOW; Kowald, Roberta; Pebeasy, Robyn; Soon Ja Han; Theophilus Mungen; Tricia Sinek; Dorn, Trixy; Wendi GilreathSubject: New Tobacco Regs Good morning everyone. Some of you may have seen in the Tacoma News Tribune today the article on the front page about the two new tobacco regulations (1. authorizing enforcement of the Smoking In Public Places Law and2. restrictions on the sale of e-cigs to minors and use of e-cigs where tobacco use is now lawfully prohibited). Well if you missed the article here’s the link: http://blog.thenewstribune.com/politics/2011/05/04/tacoma-pierce-county-wants-to-ban-electronic-cigarettes-in-public-places/ On May 16 from 6-7pm at the Health Department there’s going to be a public meeting that you are welcome to attend and have the opportunity to provide your perspective on these regulations and hear what others have to say about these regulations. On May 18 we will be presenting these regulations to the Board of Health. At the beginning (3:00 pm) of this meeting there will be a public comment period where you would also have the opportunity to provide directly to the members of the Board your perspective on these regulations. Below is the link to the TPCHD website that will provide you direct access to the full text of each regulation. At the bottom of this page you’ll see the link to a “public input form” that also can be used to provide your questions or perspective on these regulations to the members of the Board of Health. http://www.tpchd.org/health-wellness-1/tobacco-prevention-control/tobacco-regulations/ *************************************************************************************


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Date: 5/5/2011 11:45:04 PMSubject: RE: New Tobacco Regs

Hi, all of the “organs” are on our list but I don’t believe we have Tobacco Free Kids. Tutrecia and Bruce, would you mind adding them to the list? Also, you can view the status of our “recruits” on an Excel spreadsheet that Tutrecia and Bruce created. Unfortunately, the file was lost in transit from Libshare to Sharepoint but I believe that Tutrecia recreated it today. Tutrecia- is it in Sharepoint now? Thanks! Kirsten From: Frank DibiaseSent: Thursday, May 05, 2011 3:25 PMTo: Kirsten FrandsenCc: Bridget VandeventerSubject: RE: New Tobacco Regs How about folks from American Cancer Society, American Lung Association, American Heart Association and Campaign for Tobacco Free Kids? Is there a plan to invite them to either the public meeting or Board of Health meeting on June 1? I’m sure we can count on some of them to support the proposed regs. From: Kirsten FrandsenSent: Thursday, May 05, 2011 2:34 PMTo: Bridget Vandeventer; Frank DibiaseSubject: RE: New Tobacco Regs The email that Bruce sent were to the members of the Tobacco Free Alliance of Pierce County- and yes, he’s working with them to get them to provide their testimony at the BOH meeting. Excellent on the SeaKing BOH member testifying- however; it may be better for them to testify at the BOH meeting on the 18th- as opposed to the public meeting. I believe it will hold more weight at the BOH meeting. Thanks, Kirsten From: Bridget VandeventerSent: Thursday, May 05, 2011 2:25 PMTo: Kirsten Frandsen; Frank DibiaseSubject: RE: New Tobacco Regs Who are all the people that Bruce sent to? Are those folks that we could ask to comment on the TNT or come to the meeting and testify? I talked to James Apa at King County today, and he said that he’d get one of their BOH members to come down and testify at our public meeting. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Kirsten FrandsenSent: Thursday, May 05, 2011 2:11 PMTo: Frank Dibiase; Bridget VandeventerSubject: RE: New Tobacco Regs Thanks Bruce- From: Frank DibiaseSent: Thursday, May 05, 2011 1:19 PMTo: Bridget Vandeventer; Kirsten FrandsenSubject: FW: New Tobacco Regs FYI

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From: Heidi Henson [mailto:[email protected]]Sent: Thursday, May 05, 2011 12:03 PMTo: Bruce Rytkonen; 'Holt, Anna'; 'Tegen, Anne'; 'Annette Squetimkin-Anqoue'; 'Grider, Brent'; 'Carrie Nyssen'; 'Cynthia Hawthorne'; 'Warnaca, Dawn'; 'DeAnne Baer'; 'Donna Manders'; 'Donna Manders'; 'Eric Hatzenbuehler'; 'Erin Dziedzic'; Frank Dibiase; George Hermosillo; [email protected]; 'Greg C Puno'; 'Bissell, Janet'; 'Sarthou, Jennifer'; 'Cummings, Joanna'; 'Ruze, John '; 'Karon, Judy'; 'Scholer, Julie'; 'Pritchard, Kathie'; 'Iverson, Ken'; 'Keonwha Kim'; 'Nygard,Kim'; [email protected]; 'Lark Ballinger (Business Fax)'; 'Liesl Santkuyl'; 'Gregerson, Lindsey'; 'Rasmussen, Lynette'; 'Lynn Abegglen'; 'Mandy Ma'; Marianne Seifert; 'Mary Tudor'; 'Michael Nagata'; 'Nelson, Monica'; 'Nan Hogan'; 'Tatom, Nanette'; 'Richmond, Pat'; 'Patricia Ramirez Neagle'; 'Patrick Hogan, MD'; 'ANTHONY BETOW'; 'Kowald, Roberta'; 'Pebeasy, Robyn'; 'Soon Ja Han'; 'Theophilus Mungen'; 'Tricia Sinek'; 'Dorn, Trixy'; 'Wendi Gilreath'Subject: RE: New Tobacco Regs I sent a letter to the editor from TAP today. From: Bruce Rytkonen [mailto:[email protected]]Sent: Thursday, May 05, 2011 10:13 AMTo: Holt, Anna; Tegen, Anne; Annette Squetimkin-Anqoue; Grider, Brent; Bruce Rytkonen; Carrie Nyssen; Cynthia Hawthorne; Warnaca, Dawn; DeAnne Baer; Donna Manders ([email protected]); Donna Manders ([email protected]); Eric Hatzenbuehler ([email protected]); Erin Dziedzic; Frank Dibiase; George Hermosillo; ([email protected]); Greg C Puno ([email protected]); Heidi Henson; Bissell, Janet; Sarthou, Jennifer;Cummings, Joanna; Ruze, John ; Karon, Judy; Scholer, Julie; Pritchard, Kathie; Iverson, Ken; Keonwha Kim ([email protected]); Nygard, Kim; [email protected]; Lark Ballinger (Business Fax); Liesl Santkuyl ([email protected]); Gregerson, Lindsey; Rasmussen, Lynette; Lynn Abegglen; Mandy Ma; Marianne Seifert; Mary Tudor ([email protected]); 'Michael Nagata'; Nelson, Monica; Nan Hogan; Tatom, Nanette; Richmond, Pat; Patricia Ramirez Neagle;Patrick Hogan, MD; ANTHONY BETOW; Kowald, Roberta; Pebeasy, Robyn; Soon Ja Han; Theophilus Mungen; Tricia Sinek; Dorn, Trixy; Wendi GilreathSubject: New Tobacco Regs Good morning everyone. Some of you may have seen in the Tacoma News Tribune today the article on the front page about the two new tobacco regulations (1. authorizing enforcement of the Smoking In Public Places Law and2. restrictions on the sale of e-cigs to minors and use of e-cigs where tobacco use is now lawfully prohibited). Well if you missed the article here’s the link: http://blog.thenewstribune.com/politics/2011/05/04/tacoma-pierce-county-wants-to-ban-electronic-cigarettes-in-public-places/ On May 16 from 6-7pm at the Health Department there’s going to be a public meeting that you are welcome to attend and have the opportunity to provide your perspective on these regulations and hear what others have to say about these regulations. On May 18 we will be presenting these regulations to the Board of Health. At the beginning (3:00 pm) of this meeting there will be a public comment period where you would also have the opportunity to provide directly to the members of the Board your perspective on these regulations. Below is the link to the TPCHD website that will provide you direct access to the full text of each regulation. At the bottom of this page you’ll see the link to a “public input form” that also can be used to provide your questions or perspective on these regulations to the members of the Board of Health. http://www.tpchd.org/health-wellness-1/tobacco-prevention-control/tobacco-regulations/ *************************************************************************************


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From: Bridget VandeventerTo: Marcy Boulet


Hi Marcy,I’ve heard great things about you! Everybody says that we need to meet! This would be great to share with your contacts. As many as you feel would benefit from this information. We areactually needing to round up as much community support as possible, so if you run into anyone who might bewilling to speak about this at the public meeting, contribute feedback through the online form, comment on theTNT website, etc. Thanks for your support! Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Marcy BouletSent: Thursday, May 05, 2011 11:24 AMTo: Bridget VandeventerSubject: RE: Proposed tobacco regulations Hi Bridget. Welcome to TPCHD! I haven’t had the chance to meet you yet but I’d love to talk with more about myrole with community coalitions and how I can support communications and promoting the wonderful work we doat a local level. I’ll try and find you after the All Staff on Tuesday and introduce myself. May I share this information below with local human services collaborations? I am visiting one in Sumner latertoday and I could announce the meeting and proposed regulations there. The Sumner Police Chief sometimesattends this collaboration meeting so I thought I would run it by you first. Sincerely, Marcy Boulet Marcy Boulet, Community OrganizerTacoma-Pierce County Health DepartmentStrengthening Families Division3629 S. "D" Street, MS 404Tacoma, WA 98418(253) [email protected] TPCHD Vision: Healthy People in Healthy Communities From: Bridget VandeventerSent: Wednesday, May 04, 2011 10:28 AMTo: ALLSTAFFSubject: Proposed tobacco regulations

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From: Kim Nygard <[email protected]>To: Samantha Yeun

Date: 5/5/2011 1:33:50 AMSubject: RE: Proposed tobacco regulations

Samantha, We will be in training that day at Camp Murray, but will be thinking about you all! Sincerely, Kim NygardDFC Supervisor253-380-0786

From: Samantha Yeun [[email protected]]Sent: Wednesday, May 04, 2011 1:39 PMTo: '[email protected]'; '[email protected]'; 'Sue George'; Kim Nygard; Song, Hae; 'Angelina Nockai'Subject: FW: Proposed tobacco regulations

Hello: I hope you can join the public meeting on May 16 and/or attend the Board of Health meeting on May 18 starting at 3PM to give advice and your perspective on these regulations. Regards, Samantha YeunPrevention SpecialistEnvironmental Health/ Youth Tobacco Prevention and Control Program253-798-2931 The two proposed regulations relate to the Health Department’s ongoing work to protect the people of Pierce County from the risks associated with tobacco use. The two regulations are:



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MULTICARE’S SHARED VALUES | Respect | Integrity | Stewardship | Excellence | Collaboration | Kindness

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From: Marcy BouletTo: Bridget Vandeventer


OK, will do and I’ll let you know what I hear in the next week. I’ll be in 5 or 6 other community meetings beforeMay 16 and will see what kind of response there is. Will you be at the All Staff? Marcy From: Bridget VandeventerSent: Thursday, May 05, 2011 11:37 AMTo: Marcy BouletSubject: RE: Proposed tobacco regulations Hi Marcy,I’ve heard great things about you! Everybody says that we need to meet! This would be great to share with your contacts. As many as you feel would benefit from this information. We areactually needing to round up as much community support as possible, so if you run into anyone who might bewilling to speak about this at the public meeting, contribute feedback through the online form, comment on theTNT website, etc. Thanks for your support! Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Marcy BouletSent: Thursday, May 05, 2011 11:24 AMTo: Bridget VandeventerSubject: RE: Proposed tobacco regulations Hi Bridget. Welcome to TPCHD! I haven’t had the chance to meet you yet but I’d love to talk with more about myrole with community coalitions and how I can support communications and promoting the wonderful work we doat a local level. I’ll try and find you after the All Staff on Tuesday and introduce myself. May I share this information below with local human services collaborations? I am visiting one in Sumner latertoday and I could announce the meeting and proposed regulations there. The Sumner Police Chief sometimesattends this collaboration meeting so I thought I would run it by you first. Sincerely, Marcy Boulet Marcy Boulet, Community OrganizerTacoma-Pierce County Health DepartmentStrengthening Families Division3629 S. "D" Street, MS 404Tacoma, WA 98418(253) [email protected] TPCHD Vision: Healthy People in Healthy Communities

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From: Bridget VandeventerSent: Wednesday, May 04, 2011 10:28 AMTo: ALLSTAFFSubject: Proposed tobacco regulations Hello TPCHD Staff,Today we posted two proposed regulations to the tpchd.org website and announced an upcoming public meetingon May 16. The two proposed regulations relate to the Health Department’s ongoing work to protect the peopleof Pierce County from the risks associated with tobacco use. The two regulations are:



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From: Marcy BouletTo: Bridget Vandeventer


Hi Bridget. Welcome to TPCHD! I haven’t had the chance to meet you yet but I’d love to talk with more about myrole with community coalitions and how I can support communications and promoting the wonderful work we doat a local level. I’ll try and find you after the All Staff on Tuesday and introduce myself. May I share this information below with local human services collaborations? I am visiting one in Sumner latertoday and I could announce the meeting and proposed regulations there. The Sumner Police Chief sometimesattends this collaboration meeting so I thought I would run it by you first. Sincerely, Marcy Boulet Marcy Boulet, Community OrganizerTacoma-Pierce County Health DepartmentStrengthening Families Division3629 S. "D" Street, MS 404Tacoma, WA 98418(253) [email protected] TPCHD Vision: Healthy People in Healthy Communities From: Bridget VandeventerSent: Wednesday, May 04, 2011 10:28 AMTo: ALLSTAFFSubject: Proposed tobacco regulations Hello TPCHD Staff,Today we posted two proposed regulations to the tpchd.org website and announced an upcoming public meetingon May 16. The two proposed regulations relate to the Health Department’s ongoing work to protect the peopleof Pierce County from the risks associated with tobacco use. The two regulations are:


The Board of Health may vote on these regulations at the June 1, 2011 Board of Health meeting and the HealthDepartment is interested in receiving feedback from the community prior to that date. You can review the twoproposed regulations here.

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The Tacoma News Tribune is writing a story about the two issues, and we anticipate that it will post tomorrow. Thank you for your ongoing work and support of public health in Pierce County. Please feel free to share yourfeedback on these two regulations with the team. Thank you. Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Samantha YeunTo: Kim Nygard

Date: 5/5/2011 11:40:50 AMSubject: RE: Proposed tobacco regulations

Both of those days? Thank you and have fun at Camp Murry :-)

From: Kim Nygard [[email protected]]Sent: Wednesday, May 04, 2011 10:33 PMTo: Samantha YeunSubject: RE: Proposed tobacco regulations

Samantha, We will be in training that day at Camp Murray, but will be thinking about you all! Sincerely, Kim NygardDFC Supervisor253-380-0786

From: Samantha Yeun [[email protected]]Sent: Wednesday, May 04, 2011 1:39 PMTo: '[email protected]'; '[email protected]'; 'Sue George'; Kim Nygard; Song, Hae; 'Angelina Nockai'Subject: FW: Proposed tobacco regulations

Hello: I hope you can join the public meeting on May 16 and/or attend the Board of Health meeting on May 18 starting at 3PM to give advice and your perspective on these regulations. Regards, Samantha YeunPrevention SpecialistEnvironmental Health/ Youth Tobacco Prevention and Control Program253-798-2931 The two proposed regulations relate to the Health Department’s ongoing work to protect the people of Pierce County from the risks associated with tobacco use. The two regulations are:


The Board of Health may vote on these regulations at the June 1, 2011 Board of Health meeting and the Health Department is interested in receiving feedback from the community prior to that date. You can review the two proposed regulations here. The Tacoma News Tribune is writing a story about the two issues, and we anticipate that it will post tomorrow. Thank you for your ongoing work and support of public health in Pierce County. Please feel free to share your feedback on these two regulations with the team. Thank you.

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MULTICARE’S SHARED VALUES | Respect | Integrity | Stewardship | Excellence | Collaboration | Kindness

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Date: 5/5/2011 9:13:04 AMSubject: RE: Sally Perkins

I asked Greg about Lori but he hasn’t responded yet so I’ll try again… Thanks, Kirsten From: Tutrecia GilesSent: Tuesday, May 03, 2011 9:22 AMTo: Kirsten FrandsenSubject: RE: Sally Perkins Hello Kirsten,I wanted to look into rescheduling the e-cig prep meeting. Is Lori Bemis available? Bridget won’t be able to makeFriday’s meeting and you mention that Paul leaves at 11am.-Tutrecia 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: Friday, April 29, 2011 9:46 AMTo: Tutrecia GilesSubject: RE: Sally Perkins Darn. I’ll check with Greg to see if Lori Bemis can do it. From: Tutrecia GilesSent: Friday, April 29, 2011 9:44 AMTo: Kirsten FrandsenSubject: Re: Sally Perkins Just spoke to Sally and she's not available on 5/16. -tg

From: Kirsten Frandsen <[email protected]>Date: Fri, 29 Apr 2011 16:22:55 +0000To: Tutrecia Giles<[email protected]>Subject: RE: Sally Perkins Thanks! From: Tutrecia GilesSent: Friday, April 29, 2011 9:19 AMTo: Kirsten FrandsenSubject: Re: Sally Perkins Hello Kirsten,I will contact her office today.-tg

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From: Kirsten Frandsen <[email protected]>Date: Fri, 29 Apr 2011 16:12:50 +0000To: Tutrecia Giles<[email protected]>Subject: Sally Perkins Hi Tutrecia, would you be willing to contact Sally Perkins (Practical Solutions) and find out whether she would beable/interested in facilitating the public meeting? If so, would you be willing to include her on the planningmeeting schedule and talk with Gina about a contract for her. We have an existing contract in EH and would needto work off of this one. The sooner we can find out, the better as we’re going to need to find someone else ifSally can’t do it. I had planned to contact Sally myself but I won’t be able to find the time today. Thanks for your help. Kirsten FrandsenTacoma-Pierce County Health DepartmentProgram Coordinator: Physical Activity, Nutrition, and [email protected]

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From: Kirsten FrandsenTo: 'Gregory Jacoby'

Date: 5/5/2011 9:38:48 AMSubject: RE: Smoking Regulations & Staff Reports

That’s great- thanks Greg. Tutrecia will be in contact with her. Kirsten From: Gregory Jacoby [mailto:[email protected]]Sent: Monday, May 02, 2011 2:48 PMTo: Kirsten FrandsenCc: Steve MarekSubject: RE: Smoking Regulations & Staff Reports Kirsten,Yes, Lori Bemis from my office is willing to serve as facilitator. Gregory A. JacobyMcGavick Graves, P.S.1102 Broadway, Suite 500Tacoma, WA [email protected]

The information contained in this e-mail message may be privileged, confidential and protected from disclosure. If you are not the intended recipient, any dissemination, distribution or copying is strictly prohibited. If you think that you have received this e-mail message in error, please notify the sender via e-mail or telephone at 253.627.1181.

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From: Kirsten Frandsen [mailto:[email protected]]Sent: Friday, April 29, 2011 11:08 AMTo: Gregory JacobyCc: Tutrecia GilesSubject: RE: Smoking Regulations & Staff Reports Greg, we are trying to find a facilitator that can work with us at the Public Meeting- crowd control and help to facilitate and rope in the public – particularly if it gets too wild. We asked one of the facilitators that we use regularly at the Health Department but she was unavailable. Steve suggested that perhaps Lori Bemis from your office would be willing and would be good at this job. What are your thoughts on this? Thanks, Kirsten From: Gregory Jacoby [mailto:[email protected]]Sent: Friday, April 29, 2011 9:34 AMTo: Steve Marek; Frank Dibiase; Kirsten Frandsen; Bruce Rytkonen; Bridget Vandeventer; Tutrecia Giles; Madigan ResidentSubject: Smoking Regulations & Staff Reports All,I have attached what I believe to be the final versions of the following documents:

· Chapter 8, Smoking in Public Places· Chapter 9, Restrictions on Sale, Use, and Availability of Electronic Smoking Devices and Unregulated Nicotine Delivery Products· Staff Report for Chapter 8 (Local SIPP)· Staff Report for Chapter 9 (E-cigarettes)

I think you have all seen these versions before with the exception of the staff report for e-cigarettes. Please let me know if you have any final comments or edits prior to noon today. Otherwise, Kirsten, I think these are ready for the Board’s May 18th meeting materials. Gregory A. JacobyMcGavick Graves, P.S.1102 Broadway, Suite 500Tacoma, WA [email protected]

The information contained in this e-mail message may be privileged, confidential and protected from disclosure. If you are not the intended recipient, any dissemination, distribution or copying is strictly prohibited. If you think that you have received this e-mail message in error, please notify the sender via e-mail or telephone at 253.627.1181. *************************************************************************************


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Madigan ResidentDate: 5/5/2011 8:46:08 AM

Subject: RE: Testimonies-Doctors List

Tutricia- thanks for organizing this. Paul- are you okay with setting up meetings with these individuals- is there any help that we can give you? Thanks, Kirsten

From: Tutrecia GilesSent: Wednesday, May 04, 2011 9:25 AMTo: Madigan ResidentCc: Bruce Rytkonen; Kirsten FrandsenSubject: Testimonies-Doctors List

Hello Paul,Here is the contact information for the doctors that were mention at the last group meeting. Kirsten also thoughtmaybe you could assist w/ locating a e-cigarette expert. Someone who could speak to the possible medicaleffects. Let me know if you need any additional information-Thanks, Tutrecia Dr. Richard E. Waltman, [email protected] Dr. Waltman, Family physician MultiCare Health System, tobacco-free advocate for thesystem

1. 1901 S Union Ave # A244, Tacoma - (253) 459-6500 Dr. Patrick J. Hogan III, MDDr. Patrick J. Hogan III, [email protected] Dr. Patrick Hogan, founder and medical advisory of Freedom From TobaccoSte 200, 2201 South 19th StreetTacoma, WA 98405-2961(253) 284-4488 Dr. Paul [email protected] Dr. Paul Darby, medical director Franciscan Occupational Health, tobacco-free advocateFranciscan Occupational Health1930 Port of Tacoma RoadTacoma, WA 98421Phone:(253) 272-6677

Baiya Krishnadasan, M.D.

[email protected] Dr. Baiya Krishnadasan, surgeon at Franciscan Health System, tobacco-freeadvocate

St. Joseph Cardiothoracic Surgeons1802 S. Yakima, Suite 102, St. JosephMedical PavilionTacoma, WA 98405Telephone: 253-272-7777

Tutrecia Giles, M.Ed.

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

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From: Anthony ChenTo: Bridget Vandeventer

Date: 5/5/2011 1:46:38 PMSubject: RE: TNT update: Tobacco regs

Thanks, Bridget, I saw the article. I noticed that Stan used “particles” and some smarty pants in the comments gave a diatribe abouthow that was scientifically impossible (because no burning involved) and proof that this was off-base. AC From: Bridget VandeventerSent: Thursday, May 05, 2011 9:02 AMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs 5/4/11, 9:00 a.m. update:The full TNT piece ran in today’s paper, on the front page right at and below the fold. The photo of Ms. Thompsonshrouded in a cloud of smoke/vapor is big—about 6 inches high and the full page width—on the front page. Thestory continues on the back and has a diagram of an e-cigarette explaining how they work, and a photo of thevarious e-juices, liquids and some other e-cigarette options are on the back. There is also information about thepublic process in an accompanying text box. As expected, this version has much greater detail on the matter and extensive comments from Ms. Thompson,Flemming and Muri. McCarthy’s comments are in this piece, and provide a helpful counter to the argumentsFlemming and Muri make. I heard the KIRO Radio interview this morning, so assume it ran throughout the drive time programs last night andthis morning. Dr. Chen’s comments and Flemming’s comments were included, and this story stayed more on thehealth topic (tobacco prevention and protecting the people of Pierce County) than the TNT piece. The AP also rana brief culled from the TNT story, and it’s online in the Seattle Times and Bellingham Herald. Predictably, the comments on the TNT site are opposed to the e-cigarette regulation and snarky in nature. Wemight consider asking some proponents and tobacco prevention supporters to chime in and help balance out theonline conversation. I’m including full text of today’s article below for those of you reading on Blackberry today. I have not receivedany additional media requests this morning.

Tacoma-Pierce County health officials take hard look at electronic cigarettesKRIS SHERMAN; Staff writerLast updated: May 5th, 2011 07:36 AM (PDT)If you fire up a battery-powered cigarette in public, are you harming yourself and others?Or are you exercising your right to use an alternative to incendiary tobacco that might help you kick a nastyand dangerous habit?Tacoma-Pierce County Health Department officials are considering a ban on electronic cigarettes in publicplaces, and those questions are certain to be heatedly discussed in the next few weeks.Proposed regulations unveiled Wednesday would prohibit e-smoking – or “vaping,” as users call it –anywhere the use of real cigarettes and cigars already is prohibited by state law.That would include restaurants, bars and other public places.The proposals also would ban the sale of e-cigarettes to minors.Those rules already apply in King County, where a ban in public places took effect Jan. 15.E-cigarettes are battery-powered devices that deliver varying amounts of nicotine. You draw on them as you

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would a tobacco cigarette; as you inhale, an atomizing liquid comes out as a vapor. They can be purchased insingle-use or rechargeable versions, come in different sizes and colors and use a nicotine-infused liquid – ore-juice – which has flavors such as Turkish tobacco, menthol, French vanilla, caramel macchiato, peanutbutter cup, cheesecake, fruit stripe and gummi bear.Tacoma-Pierce County Director of Health Dr. Anthony Chen says the proposed regulations are part of theagency’s mission “to safeguard and enhance the health of residents.”He has concerns about the nicotine and other chemicals the e-cigarettes deliver and says “they’re targeted atyoung people who don’t want to smoke cigarettes but want to be able to blow smoke rings.”Health officials also say they’re concerned about the possibility of second-hand vapor effects.“Nicotine is a nerve poison,” Chen said.E-cigarette retailer Kim Thompson argues vaping is a harmless way to step down from smoking and that thechemicals contained in the e-juice are found in common products and foods.“I smoked for 20-plus years, and I tried everything but Chantix,” she said. When she found an e-cigarettethat helped her quit, she took the money she saved from buying tobacco products and used it to help openThe Vaporium in Lakewood.“I think the all-out banning of this product in places where adults frequent is invasive, unjust and very BigBrother,” the 41-year-old Thompson said.She thinks businesses should make the call whether to allow it in bars, restaurants and other public spaces.There’s been a tussle over the nicotine-delivery devices since their introduction a few years ago. The federalFood and Drug Administration issued a warning about them in 2009, saying laboratory analysis of samplesshowed they contain carcinogens and toxic chemicals such as diethylene glycol, an ingredient found inantifreeze.But they’ve yet to be regulated by that agency, which lost a court case on the issue.The Tacoma Pierce-County Board of Health – already somewhat divided – is to consider enacting the localregulations June 1.Health board chairman Dick Muri and vice chairman Stan Flemming, both Pierce County Council members,agree e-cigarettes shouldn’t be sold to minors, but they take issue with a complete ban on their use in publicspaces.“These aren’t cigarettes,” Muri said. “You’re trying to manage behavior, and that’s not our job.”Flemming, a physician, said there simply isn’t enough information to rule one way or the other on them.“I’ve asked what else is in these e-cigarettes that’s a potential health risk, and they said, ‘Well, it has thepotential to emit harmful particles into the air.’“What we’re trying to do is make public policy on anecdotal information,” Flemming added. “That’s notgood legislation.”Fellow board member Pat McCarthy, the Pierce County executive, disagrees.“If it walks like a duck and quacks like a duck, then it’s a duck,” she said. “To me they look like cigarettes.”The Health Department has been working for years to eradicate smoking in Pierce County, she added.“This goes in the opposite direction. We shouldn’t be supporting something that simulates smoking.”Thompson argues that no one would buy e-cigarettes if they weren’t genuinely trying to quit tobacco. Theyrange in price from about $15 for a disposable, 25-cigarette equivalent, to $130 or so for a complete kit withrechargeable batteries and atomizers.“I’ve never met a nonsmoker who wanted to start vaping,” she said.


Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget Vandeventer

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Sent: Wednesday, May 04, 2011 12:53 PMTo: Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: TNT update: Tobacco regs The TNT story just posted online, and it is just as we anticipated. It briefly outlines the high level details of thetwo regulations, the timeline for hearing feedback and BOH vote, and the opposition from Fleming and Muri. KimThompson’s viewpoint is very brief, simply describing the regulation as “unjust and unfair.” The piece then poststhe message from our site verbatim. I have to believe that this is a shortened version of what will appear in print tomorrow, since there is no commentfrom McCarthy and one very minimal quote from Kim Thompson. The photo of Kim Thompson on the front page(http://www.thenewstribune.com/) is interesting; she is in front of her shop surrounded by a cloud of smoke.There are just a handful of comments already, and are predictably against the regulation and claiming nannystate/overstepping by the Health Department. I suspect that the conversation may balance out more as theday/week progresses.






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Frank DibiaseDate: 5/5/2011 11:26:22 AM

Subject: RE: TNT update: Tobacco regs

Maybe the three of us can sit down this afternoon (or phone- Kirsten your calendar looks packed) to talk aboutthe handoff. I need to leave here at about 4/4:30, but am open before that. Is there a time that works for you two? Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Kirsten FrandsenSent: Thursday, May 05, 2011 5:36 AMTo: Bridget VandeventerSubject: RE: TNT update: Tobacco regs Thanks for all of the updates Bridget. I sure picked a bad time to be out of town.... How should we approach covering you while you are in Montana? Thanks for all, Kirsten




We have been contacted by KIRO radio, and Anthony is going to do an interview shortly. I suspect we will hearfrom more outlets throughout the day. Please let me know if you have any questions.Bridget Bridget VandeventerCommunications and Community Relations Manager

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Tacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]




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For sure. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Kirsten FrandsenSent: Thursday, May 05, 2011 2:31 PMTo: Bridget VandeventerSubject: RE: TNT update: Tobacco regs Thanks Bridget- are you at your desk? Do you have a few minutes to chat? From: Bridget VandeventerSent: Thursday, May 05, 2011 2:28 PMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs 1:00 p.m. Update:Anthony did a live interview on KOMO Radio at 11:15 with John Carlson. Unfortunately, the host was notparticularly respectful nor was he interested in learning about the issue. The five minutes was really spentinterrupting Anthony and playing the “nanny state” card. I declined their request for an additional interview thisafternoon; I don’t believe it’s the best use of Anthony’s time or voice on this at this time. There are currently 57 comments on the TNT story, all predictably opposed to the regulation. We should considergetting some of our third party advocates and perhaps some of our Tobacco staff to write comments as well andbalance the conversation some. Although I don’t want to waste too much time or energy on online comments;they will always skew negative and be anti-government. Depending on how the conversation and interest continues today and tomorrow morning, we should considerpursuing an Op-Ed in the Tribune in the next few days. I believe there is some balance and perspective to theissue that needs to be added. I’ve started a draft and shared with Kirsten. I am out tomorrow for a family funeral,so if the group feels it’s appropriate to place an op-ed for the weekend, Kirsten is working on the draft now.Kirsten is also going to be my back up while I’m out, so she’ll take care of any updates or interview requests. Thanks.Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Thursday, May 05, 2011 9:02 AMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs

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5/4/11, 9:00 a.m. update:The full TNT piece ran in today’s paper, on the front page right at and below the fold. The photo of Ms. Thompsonshrouded in a cloud of smoke/vapor is big—about 6 inches high and the full page width—on the front page. Thestory continues on the back and has a diagram of an e-cigarette explaining how they work, and a photo of thevarious e-juices, liquids and some other e-cigarette options are on the back. There is also information about thepublic process in an accompanying text box. As expected, this version has much greater detail on the matter and extensive comments from Ms. Thompson,Flemming and Muri. McCarthy’s comments are in this piece, and provide a helpful counter to the argumentsFlemming and Muri make. I heard the KIRO Radio interview this morning, so assume it ran throughout the drive time programs last night andthis morning. Dr. Chen’s comments and Flemming’s comments were included, and this story stayed more on thehealth topic (tobacco prevention and protecting the people of Pierce County) than the TNT piece. The AP also rana brief culled from the TNT story, and it’s online in the Seattle Times and Bellingham Herald. Predictably, the comments on the TNT site are opposed to the e-cigarette regulation and snarky in nature. Wemight consider asking some proponents and tobacco prevention supporters to chime in and help balance out theonline conversation. I’m including full text of today’s article below for those of you reading on Blackberry today. I have not receivedany additional media requests this morning.

Tacoma-Pierce County health officials take hard look at electronic cigarettesKRIS SHERMAN; Staff writerLast updated: May 5th, 2011 07:36 AM (PDT)If you fire up a battery-powered cigarette in public, are you harming yourself and others?Or are you exercising your right to use an alternative to incendiary tobacco that might help you kick a nastyand dangerous habit?Tacoma-Pierce County Health Department officials are considering a ban on electronic cigarettes in publicplaces, and those questions are certain to be heatedly discussed in the next few weeks.Proposed regulations unveiled Wednesday would prohibit e-smoking – or “vaping,” as users call it –anywhere the use of real cigarettes and cigars already is prohibited by state law.That would include restaurants, bars and other public places.The proposals also would ban the sale of e-cigarettes to minors.Those rules already apply in King County, where a ban in public places took effect Jan. 15.E-cigarettes are battery-powered devices that deliver varying amounts of nicotine. You draw on them as youwould a tobacco cigarette; as you inhale, an atomizing liquid comes out as a vapor. They can be purchased insingle-use or rechargeable versions, come in different sizes and colors and use a nicotine-infused liquid – ore-juice – which has flavors such as Turkish tobacco, menthol, French vanilla, caramel macchiato, peanutbutter cup, cheesecake, fruit stripe and gummi bear.Tacoma-Pierce County Director of Health Dr. Anthony Chen says the proposed regulations are part of theagency’s mission “to safeguard and enhance the health of residents.”He has concerns about the nicotine and other chemicals the e-cigarettes deliver and says “they’re targeted atyoung people who don’t want to smoke cigarettes but want to be able to blow smoke rings.”Health officials also say they’re concerned about the possibility of second-hand vapor effects.“Nicotine is a nerve poison,” Chen said.E-cigarette retailer Kim Thompson argues vaping is a harmless way to step down from smoking and that thechemicals contained in the e-juice are found in common products and foods.“I smoked for 20-plus years, and I tried everything but Chantix,” she said. When she found an e-cigarettethat helped her quit, she took the money she saved from buying tobacco products and used it to help openThe Vaporium in Lakewood.“I think the all-out banning of this product in places where adults frequent is invasive, unjust and very Big

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Brother,” the 41-year-old Thompson said.She thinks businesses should make the call whether to allow it in bars, restaurants and other public spaces.There’s been a tussle over the nicotine-delivery devices since their introduction a few years ago. The federalFood and Drug Administration issued a warning about them in 2009, saying laboratory analysis of samplesshowed they contain carcinogens and toxic chemicals such as diethylene glycol, an ingredient found inantifreeze.But they’ve yet to be regulated by that agency, which lost a court case on the issue.The Tacoma Pierce-County Board of Health – already somewhat divided – is to consider enacting the localregulations June 1.Health board chairman Dick Muri and vice chairman Stan Flemming, both Pierce County Council members,agree e-cigarettes shouldn’t be sold to minors, but they take issue with a complete ban on their use in publicspaces.“These aren’t cigarettes,” Muri said. “You’re trying to manage behavior, and that’s not our job.”Flemming, a physician, said there simply isn’t enough information to rule one way or the other on them.“I’ve asked what else is in these e-cigarettes that’s a potential health risk, and they said, ‘Well, it has thepotential to emit harmful particles into the air.’“What we’re trying to do is make public policy on anecdotal information,” Flemming added. “That’s notgood legislation.”Fellow board member Pat McCarthy, the Pierce County executive, disagrees.“If it walks like a duck and quacks like a duck, then it’s a duck,” she said. “To me they look like cigarettes.”The Health Department has been working for years to eradicate smoking in Pierce County, she added.“This goes in the opposite direction. We shouldn’t be supporting something that simulates smoking.”Thompson argues that no one would buy e-cigarettes if they weren’t genuinely trying to quit tobacco. Theyrange in price from about $15 for a disposable, 25-cigarette equivalent, to $130 or so for a complete kit withrechargeable batteries and atomizers.“I’ve never met a nonsmoker who wanted to start vaping,” she said.



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In fact, Muri and Flemming said, they could be a good alternative for smokers searching for a way to

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kick the tobacco habit.




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Anthony ChenLaurie JinkinsCindan Gizzi


1:00 p.m. Update:Anthony did a live interview on KOMO Radio at 11:15 with John Carlson. Unfortunately, the host was notparticularly respectful nor was he interested in learning about the issue. The five minutes was really spentinterrupting Anthony and playing the “nanny state” card. I declined their request for an additional interview thisafternoon; I don’t believe it’s the best use of Anthony’s time or voice on this at this time. There are currently 57 comments on the TNT story, all predictably opposed to the regulation. We should considergetting some of our third party advocates and perhaps some of our Tobacco staff to write comments as well andbalance the conversation some. Although I don’t want to waste too much time or energy on online comments;they will always skew negative and be anti-government. Depending on how the conversation and interest continues today and tomorrow morning, we should considerpursuing an Op-Ed in the Tribune in the next few days. I believe there is some balance and perspective to theissue that needs to be added. I’ve started a draft and shared with Kirsten. I am out tomorrow for a family funeral,so if the group feels it’s appropriate to place an op-ed for the weekend, Kirsten is working on the draft now.Kirsten is also going to be my back up while I’m out, so she’ll take care of any updates or interview requests. Thanks.Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Thursday, May 05, 2011 9:02 AMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs 5/4/11, 9:00 a.m. update:The full TNT piece ran in today’s paper, on the front page right at and below the fold. The photo of Ms. Thompsonshrouded in a cloud of smoke/vapor is big—about 6 inches high and the full page width—on the front page. Thestory continues on the back and has a diagram of an e-cigarette explaining how they work, and a photo of thevarious e-juices, liquids and some other e-cigarette options are on the back. There is also information about thepublic process in an accompanying text box. As expected, this version has much greater detail on the matter and extensive comments from Ms. Thompson,Flemming and Muri. McCarthy’s comments are in this piece, and provide a helpful counter to the argumentsFlemming and Muri make. I heard the KIRO Radio interview this morning, so assume it ran throughout the drive time programs last night andthis morning. Dr. Chen’s comments and Flemming’s comments were included, and this story stayed more on thehealth topic (tobacco prevention and protecting the people of Pierce County) than the TNT piece. The AP also rana brief culled from the TNT story, and it’s online in the Seattle Times and Bellingham Herald.

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Predictably, the comments on the TNT site are opposed to the e-cigarette regulation and snarky in nature. Wemight consider asking some proponents and tobacco prevention supporters to chime in and help balance out theonline conversation. I’m including full text of today’s article below for those of you reading on Blackberry today. I have not receivedany additional media requests this morning.

Tacoma-Pierce County health officials take hard look at electronic cigarettesKRIS SHERMAN; Staff writerLast updated: May 5th, 2011 07:36 AM (PDT)If you fire up a battery-powered cigarette in public, are you harming yourself and others?Or are you exercising your right to use an alternative to incendiary tobacco that might help you kick a nastyand dangerous habit?Tacoma-Pierce County Health Department officials are considering a ban on electronic cigarettes in publicplaces, and those questions are certain to be heatedly discussed in the next few weeks.Proposed regulations unveiled Wednesday would prohibit e-smoking – or “vaping,” as users call it –anywhere the use of real cigarettes and cigars already is prohibited by state law.That would include restaurants, bars and other public places.The proposals also would ban the sale of e-cigarettes to minors.Those rules already apply in King County, where a ban in public places took effect Jan. 15.E-cigarettes are battery-powered devices that deliver varying amounts of nicotine. You draw on them as youwould a tobacco cigarette; as you inhale, an atomizing liquid comes out as a vapor. They can be purchased insingle-use or rechargeable versions, come in different sizes and colors and use a nicotine-infused liquid – ore-juice – which has flavors such as Turkish tobacco, menthol, French vanilla, caramel macchiato, peanutbutter cup, cheesecake, fruit stripe and gummi bear.Tacoma-Pierce County Director of Health Dr. Anthony Chen says the proposed regulations are part of theagency’s mission “to safeguard and enhance the health of residents.”He has concerns about the nicotine and other chemicals the e-cigarettes deliver and says “they’re targeted atyoung people who don’t want to smoke cigarettes but want to be able to blow smoke rings.”Health officials also say they’re concerned about the possibility of second-hand vapor effects.“Nicotine is a nerve poison,” Chen said.E-cigarette retailer Kim Thompson argues vaping is a harmless way to step down from smoking and that thechemicals contained in the e-juice are found in common products and foods.“I smoked for 20-plus years, and I tried everything but Chantix,” she said. When she found an e-cigarettethat helped her quit, she took the money she saved from buying tobacco products and used it to help openThe Vaporium in Lakewood.“I think the all-out banning of this product in places where adults frequent is invasive, unjust and very BigBrother,” the 41-year-old Thompson said.She thinks businesses should make the call whether to allow it in bars, restaurants and other public spaces.There’s been a tussle over the nicotine-delivery devices since their introduction a few years ago. The federalFood and Drug Administration issued a warning about them in 2009, saying laboratory analysis of samplesshowed they contain carcinogens and toxic chemicals such as diethylene glycol, an ingredient found inantifreeze.But they’ve yet to be regulated by that agency, which lost a court case on the issue.The Tacoma Pierce-County Board of Health – already somewhat divided – is to consider enacting the localregulations June 1.Health board chairman Dick Muri and vice chairman Stan Flemming, both Pierce County Council members,agree e-cigarettes shouldn’t be sold to minors, but they take issue with a complete ban on their use in publicspaces.“These aren’t cigarettes,” Muri said. “You’re trying to manage behavior, and that’s not our job.”Flemming, a physician, said there simply isn’t enough information to rule one way or the other on them.“I’ve asked what else is in these e-cigarettes that’s a potential health risk, and they said, ‘Well, it has thepotential to emit harmful particles into the air.’

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“What we’re trying to do is make public policy on anecdotal information,” Flemming added. “That’s notgood legislation.”Fellow board member Pat McCarthy, the Pierce County executive, disagrees.“If it walks like a duck and quacks like a duck, then it’s a duck,” she said. “To me they look like cigarettes.”The Health Department has been working for years to eradicate smoking in Pierce County, she added.“This goes in the opposite direction. We shouldn’t be supporting something that simulates smoking.”Thompson argues that no one would buy e-cigarettes if they weren’t genuinely trying to quit tobacco. Theyrange in price from about $15 for a disposable, 25-cigarette equivalent, to $130 or so for a complete kit withrechargeable batteries and atomizers.“I’ve never met a nonsmoker who wanted to start vaping,” she said.





Tacoma-Pierce County health official wants to ban electronic cigarettes in public places

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Kris Sherman/Tacoma News TribuneMay 4, 2011












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I just spoke with Kim Bradford at the TNT, who is writing an editorial on the issue for tomorrow. She hinted thatthe focus of her piece is on the Clean Air Act, and how that was really targeted as a safe workplace issue. Theyaren’t planning a definitive opinion either way, but I believe she’ll imply that the e-cigarette ban in public placesis outside the original intent of the Clean Air Act because there isn’t conclusive evidence that secondhand vaporposes any health risk. They are open to receiving an op-ed, but we discussed waiting until after their editorial to make that decision. Ithink we still need to prepare our position and be ready to submit something next week if the story goes offtrack. I recommend that we wait and see how the editorial is tomorrow before making a decision and revisit theidea on Monday. Let me know if you have any concerns with that.Thanks!Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Thursday, May 05, 2011 2:28 PMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs 1:00 p.m. Update:Anthony did a live interview on KOMO Radio at 11:15 with John Carlson. Unfortunately, the host was notparticularly respectful nor was he interested in learning about the issue. The five minutes was really spentinterrupting Anthony and playing the “nanny state” card. I declined their request for an additional interview thisafternoon; I don’t believe it’s the best use of Anthony’s time or voice on this at this time. There are currently 57 comments on the TNT story, all predictably opposed to the regulation. We should considergetting some of our third party advocates and perhaps some of our Tobacco staff to write comments as well andbalance the conversation some. Although I don’t want to waste too much time or energy on online comments;they will always skew negative and be anti-government. Depending on how the conversation and interest continues today and tomorrow morning, we should considerpursuing an Op-Ed in the Tribune in the next few days. I believe there is some balance and perspective to theissue that needs to be added. I’ve started a draft and shared with Kirsten. I am out tomorrow for a family funeral,so if the group feels it’s appropriate to place an op-ed for the weekend, Kirsten is working on the draft now.Kirsten is also going to be my back up while I’m out, so she’ll take care of any updates or interview requests. Thanks.Bridget Bridget Vandeventer

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253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Thursday, May 05, 2011 9:02 AMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs 5/4/11, 9:00 a.m. update:The full TNT piece ran in today’s paper, on the front page right at and below the fold. The photo of Ms. Thompsonshrouded in a cloud of smoke/vapor is big—about 6 inches high and the full page width—on the front page. Thestory continues on the back and has a diagram of an e-cigarette explaining how they work, and a photo of thevarious e-juices, liquids and some other e-cigarette options are on the back. There is also information about thepublic process in an accompanying text box. As expected, this version has much greater detail on the matter and extensive comments from Ms. Thompson,Flemming and Muri. McCarthy’s comments are in this piece, and provide a helpful counter to the argumentsFlemming and Muri make. I heard the KIRO Radio interview this morning, so assume it ran throughout the drive time programs last night andthis morning. Dr. Chen’s comments and Flemming’s comments were included, and this story stayed more on thehealth topic (tobacco prevention and protecting the people of Pierce County) than the TNT piece. The AP also rana brief culled from the TNT story, and it’s online in the Seattle Times and Bellingham Herald. Predictably, the comments on the TNT site are opposed to the e-cigarette regulation and snarky in nature. Wemight consider asking some proponents and tobacco prevention supporters to chime in and help balance out theonline conversation. I’m including full text of today’s article below for those of you reading on Blackberry today. I have not receivedany additional media requests this morning.

Tacoma-Pierce County health officials take hard look at electronic cigarettesKRIS SHERMAN; Staff writerLast updated: May 5th, 2011 07:36 AM (PDT)If you fire up a battery-powered cigarette in public, are you harming yourself and others?Or are you exercising your right to use an alternative to incendiary tobacco that might help you kick a nastyand dangerous habit?Tacoma-Pierce County Health Department officials are considering a ban on electronic cigarettes in publicplaces, and those questions are certain to be heatedly discussed in the next few weeks.Proposed regulations unveiled Wednesday would prohibit e-smoking – or “vaping,” as users call it –anywhere the use of real cigarettes and cigars already is prohibited by state law.That would include restaurants, bars and other public places.The proposals also would ban the sale of e-cigarettes to minors.Those rules already apply in King County, where a ban in public places took effect Jan. 15.E-cigarettes are battery-powered devices that deliver varying amounts of nicotine. You draw on them as youwould a tobacco cigarette; as you inhale, an atomizing liquid comes out as a vapor. They can be purchased insingle-use or rechargeable versions, come in different sizes and colors and use a nicotine-infused liquid – ore-juice – which has flavors such as Turkish tobacco, menthol, French vanilla, caramel macchiato, peanutbutter cup, cheesecake, fruit stripe and gummi bear.Tacoma-Pierce County Director of Health Dr. Anthony Chen says the proposed regulations are part of theagency’s mission “to safeguard and enhance the health of residents.”He has concerns about the nicotine and other chemicals the e-cigarettes deliver and says “they’re targeted atyoung people who don’t want to smoke cigarettes but want to be able to blow smoke rings.”Health officials also say they’re concerned about the possibility of second-hand vapor effects.“Nicotine is a nerve poison,” Chen said.

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E-cigarette retailer Kim Thompson argues vaping is a harmless way to step down from smoking and that thechemicals contained in the e-juice are found in common products and foods.“I smoked for 20-plus years, and I tried everything but Chantix,” she said. When she found an e-cigarettethat helped her quit, she took the money she saved from buying tobacco products and used it to help openThe Vaporium in Lakewood.“I think the all-out banning of this product in places where adults frequent is invasive, unjust and very BigBrother,” the 41-year-old Thompson said.She thinks businesses should make the call whether to allow it in bars, restaurants and other public spaces.There’s been a tussle over the nicotine-delivery devices since their introduction a few years ago. The federalFood and Drug Administration issued a warning about them in 2009, saying laboratory analysis of samplesshowed they contain carcinogens and toxic chemicals such as diethylene glycol, an ingredient found inantifreeze.But they’ve yet to be regulated by that agency, which lost a court case on the issue.The Tacoma Pierce-County Board of Health – already somewhat divided – is to consider enacting the localregulations June 1.Health board chairman Dick Muri and vice chairman Stan Flemming, both Pierce County Council members,agree e-cigarettes shouldn’t be sold to minors, but they take issue with a complete ban on their use in publicspaces.“These aren’t cigarettes,” Muri said. “You’re trying to manage behavior, and that’s not our job.”Flemming, a physician, said there simply isn’t enough information to rule one way or the other on them.“I’ve asked what else is in these e-cigarettes that’s a potential health risk, and they said, ‘Well, it has thepotential to emit harmful particles into the air.’“What we’re trying to do is make public policy on anecdotal information,” Flemming added. “That’s notgood legislation.”Fellow board member Pat McCarthy, the Pierce County executive, disagrees.“If it walks like a duck and quacks like a duck, then it’s a duck,” she said. “To me they look like cigarettes.”The Health Department has been working for years to eradicate smoking in Pierce County, she added.“This goes in the opposite direction. We shouldn’t be supporting something that simulates smoking.”Thompson argues that no one would buy e-cigarettes if they weren’t genuinely trying to quit tobacco. Theyrange in price from about $15 for a disposable, 25-cigarette equivalent, to $130 or so for a complete kit withrechargeable batteries and atomizers.“I’ve never met a nonsmoker who wanted to start vaping,” she said.


Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Wednesday, May 04, 2011 12:53 PMTo: Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: TNT update: Tobacco regs The TNT story just posted online, and it is just as we anticipated. It briefly outlines the high level details of thetwo regulations, the timeline for hearing feedback and BOH vote, and the opposition from Fleming and Muri. KimThompson’s viewpoint is very brief, simply describing the regulation as “unjust and unfair.” The piece then poststhe message from our site verbatim. I have to believe that this is a shortened version of what will appear in print tomorrow, since there is no commentfrom McCarthy and one very minimal quote from Kim Thompson. The photo of Kim Thompson on the front page

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(http://www.thenewstribune.com/) is interesting; she is in front of her shop surrounded by a cloud of smoke.There are just a handful of comments already, and are predictably against the regulation and claiming nannystate/overstepping by the Health Department. I suspect that the conversation may balance out more as theday/week progresses.









But it appears the Board of Health already is somewhat split on the issue. Chairman Dick Muri and

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vice-chairman Stan Flemming, both Pierce County Council members, told me Tuesday they believethe proposed e-cigarette regulations go too far.






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5/4/11, 9:00 a.m. update:The full TNT piece ran in today’s paper, on the front page right at and below the fold. The photo of Ms. Thompsonshrouded in a cloud of smoke/vapor is big—about 6 inches high and the full page width—on the front page. Thestory continues on the back and has a diagram of an e-cigarette explaining how they work, and a photo of thevarious e-juices, liquids and some other e-cigarette options are on the back. There is also information about thepublic process in an accompanying text box. As expected, this version has much greater detail on the matter and extensive comments from Ms. Thompson,Flemming and Muri. McCarthy’s comments are in this piece, and provide a helpful counter to the argumentsFlemming and Muri make. I heard the KIRO Radio interview this morning, so assume it ran throughout the drive time programs last night andthis morning. Dr. Chen’s comments and Flemming’s comments were included, and this story stayed more on thehealth topic (tobacco prevention and protecting the people of Pierce County) than the TNT piece. The AP also rana brief culled from the TNT story, and it’s online in the Seattle Times and Bellingham Herald. Predictably, the comments on the TNT site are opposed to the e-cigarette regulation and snarky in nature. Wemight consider asking some proponents and tobacco prevention supporters to chime in and help balance out theonline conversation. I’m including full text of today’s article below for those of you reading on Blackberry today. I have not receivedany additional media requests this morning.

Tacoma-Pierce County health officials take hard look at electronic cigarettesKRIS SHERMAN; Staff writerLast updated: May 5th, 2011 07:36 AM (PDT)If you fire up a battery-powered cigarette in public, are you harming yourself and others?Or are you exercising your right to use an alternative to incendiary tobacco that might help you kick a nastyand dangerous habit?Tacoma-Pierce County Health Department officials are considering a ban on electronic cigarettes in publicplaces, and those questions are certain to be heatedly discussed in the next few weeks.Proposed regulations unveiled Wednesday would prohibit e-smoking – or “vaping,” as users call it –anywhere the use of real cigarettes and cigars already is prohibited by state law.That would include restaurants, bars and other public places.The proposals also would ban the sale of e-cigarettes to minors.Those rules already apply in King County, where a ban in public places took effect Jan. 15.E-cigarettes are battery-powered devices that deliver varying amounts of nicotine. You draw on them as youwould a tobacco cigarette; as you inhale, an atomizing liquid comes out as a vapor. They can be purchased insingle-use or rechargeable versions, come in different sizes and colors and use a nicotine-infused liquid – ore-juice – which has flavors such as Turkish tobacco, menthol, French vanilla, caramel macchiato, peanutbutter cup, cheesecake, fruit stripe and gummi bear.Tacoma-Pierce County Director of Health Dr. Anthony Chen says the proposed regulations are part of theagency’s mission “to safeguard and enhance the health of residents.”He has concerns about the nicotine and other chemicals the e-cigarettes deliver and says “they’re targeted atyoung people who don’t want to smoke cigarettes but want to be able to blow smoke rings.”

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Health officials also say they’re concerned about the possibility of second-hand vapor effects.“Nicotine is a nerve poison,” Chen said.E-cigarette retailer Kim Thompson argues vaping is a harmless way to step down from smoking and that thechemicals contained in the e-juice are found in common products and foods.“I smoked for 20-plus years, and I tried everything but Chantix,” she said. When she found an e-cigarettethat helped her quit, she took the money she saved from buying tobacco products and used it to help openThe Vaporium in Lakewood.“I think the all-out banning of this product in places where adults frequent is invasive, unjust and very BigBrother,” the 41-year-old Thompson said.She thinks businesses should make the call whether to allow it in bars, restaurants and other public spaces.There’s been a tussle over the nicotine-delivery devices since their introduction a few years ago. The federalFood and Drug Administration issued a warning about them in 2009, saying laboratory analysis of samplesshowed they contain carcinogens and toxic chemicals such as diethylene glycol, an ingredient found inantifreeze.But they’ve yet to be regulated by that agency, which lost a court case on the issue.The Tacoma Pierce-County Board of Health – already somewhat divided – is to consider enacting the localregulations June 1.Health board chairman Dick Muri and vice chairman Stan Flemming, both Pierce County Council members,agree e-cigarettes shouldn’t be sold to minors, but they take issue with a complete ban on their use in publicspaces.“These aren’t cigarettes,” Muri said. “You’re trying to manage behavior, and that’s not our job.”Flemming, a physician, said there simply isn’t enough information to rule one way or the other on them.“I’ve asked what else is in these e-cigarettes that’s a potential health risk, and they said, ‘Well, it has thepotential to emit harmful particles into the air.’“What we’re trying to do is make public policy on anecdotal information,” Flemming added. “That’s notgood legislation.”Fellow board member Pat McCarthy, the Pierce County executive, disagrees.“If it walks like a duck and quacks like a duck, then it’s a duck,” she said. “To me they look like cigarettes.”The Health Department has been working for years to eradicate smoking in Pierce County, she added.“This goes in the opposite direction. We shouldn’t be supporting something that simulates smoking.”Thompson argues that no one would buy e-cigarettes if they weren’t genuinely trying to quit tobacco. Theyrange in price from about $15 for a disposable, 25-cigarette equivalent, to $130 or so for a complete kit withrechargeable batteries and atomizers.“I’ve never met a nonsmoker who wanted to start vaping,” she said.


Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Wednesday, May 04, 2011 12:53 PMTo: Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: TNT update: Tobacco regs The TNT story just posted online, and it is just as we anticipated. It briefly outlines the high level details of thetwo regulations, the timeline for hearing feedback and BOH vote, and the opposition from Fleming and Muri. KimThompson’s viewpoint is very brief, simply describing the regulation as “unjust and unfair.” The piece then poststhe message from our site verbatim.

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I have to believe that this is a shortened version of what will appear in print tomorrow, since there is no commentfrom McCarthy and one very minimal quote from Kim Thompson. The photo of Kim Thompson on the front page(http://www.thenewstribune.com/) is interesting; she is in front of her shop surrounded by a cloud of smoke.There are just a handful of comments already, and are predictably against the regulation and claiming nannystate/overstepping by the Health Department. I suspect that the conversation may balance out more as theday/week progresses.









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Hi Bridget, Thanks for the update. When our enforcement against the El Gaucho cigar lounge went public, Joby received calls from several different “talk radio” shows. I think she conducted interviews with 2 stations and had pretty much the same experienceAnthony had this morning. Tim Church, PIO for WA Dept of Health later said he pretty much never grantsinterviews for “talk radio” show because he considers them to be more entertainment and not news. Just a thought. How they’ll respond to pretty much any regulation from a government agency will be predictable. Also, remember a while back I mentioned “risk communication.” Have you ever heard of a guy named PeterSandman? I was thinking it might be good for you to read some of his stuff. Not that I think you’re missinganything (I think the work you’re doing is great!). He’s got kind of a different take on communication, which Ithink makes sense. I’d be happy to dig up some of his stuff and share with you if you’re not already familiar withhis stuff and you think you might be interested in seeing it. Thanks.From: Bridget VandeventerSent: Thursday, May 05, 2011 2:28 PMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs 1:00 p.m. Update:Anthony did a live interview on KOMO Radio at 11:15 with John Carlson. Unfortunately, the host was notparticularly respectful nor was he interested in learning about the issue. The five minutes was really spentinterrupting Anthony and playing the “nanny state” card. I declined their request for an additional interview thisafternoon; I don’t believe it’s the best use of Anthony’s time or voice on this at this time. There are currently 57 comments on the TNT story, all predictably opposed to the regulation. We should considergetting some of our third party advocates and perhaps some of our Tobacco staff to write comments as well andbalance the conversation some. Although I don’t want to waste too much time or energy on online comments;they will always skew negative and be anti-government. Depending on how the conversation and interest continues today and tomorrow morning, we should considerpursuing an Op-Ed in the Tribune in the next few days. I believe there is some balance and perspective to theissue that needs to be added. I’ve started a draft and shared with Kirsten. I am out tomorrow for a family funeral,so if the group feels it’s appropriate to place an op-ed for the weekend, Kirsten is working on the draft now.Kirsten is also going to be my back up while I’m out, so she’ll take care of any updates or interview requests. Thanks.Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Thursday, May 05, 2011 9:02 AM

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To: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs 5/4/11, 9:00 a.m. update:The full TNT piece ran in today’s paper, on the front page right at and below the fold. The photo of Ms. Thompsonshrouded in a cloud of smoke/vapor is big—about 6 inches high and the full page width—on the front page. Thestory continues on the back and has a diagram of an e-cigarette explaining how they work, and a photo of thevarious e-juices, liquids and some other e-cigarette options are on the back. There is also information about thepublic process in an accompanying text box. As expected, this version has much greater detail on the matter and extensive comments from Ms. Thompson,Flemming and Muri. McCarthy’s comments are in this piece, and provide a helpful counter to the argumentsFlemming and Muri make. I heard the KIRO Radio interview this morning, so assume it ran throughout the drive time programs last night andthis morning. Dr. Chen’s comments and Flemming’s comments were included, and this story stayed more on thehealth topic (tobacco prevention and protecting the people of Pierce County) than the TNT piece. The AP also rana brief culled from the TNT story, and it’s online in the Seattle Times and Bellingham Herald. Predictably, the comments on the TNT site are opposed to the e-cigarette regulation and snarky in nature. Wemight consider asking some proponents and tobacco prevention supporters to chime in and help balance out theonline conversation. I’m including full text of today’s article below for those of you reading on Blackberry today. I have not receivedany additional media requests this morning.

Tacoma-Pierce County health officials take hard look at electronic cigarettesKRIS SHERMAN; Staff writerLast updated: May 5th, 2011 07:36 AM (PDT)If you fire up a battery-powered cigarette in public, are you harming yourself and others?Or are you exercising your right to use an alternative to incendiary tobacco that might help you kick a nastyand dangerous habit?Tacoma-Pierce County Health Department officials are considering a ban on electronic cigarettes in publicplaces, and those questions are certain to be heatedly discussed in the next few weeks.Proposed regulations unveiled Wednesday would prohibit e-smoking – or “vaping,” as users call it –anywhere the use of real cigarettes and cigars already is prohibited by state law.That would include restaurants, bars and other public places.The proposals also would ban the sale of e-cigarettes to minors.Those rules already apply in King County, where a ban in public places took effect Jan. 15.E-cigarettes are battery-powered devices that deliver varying amounts of nicotine. You draw on them as youwould a tobacco cigarette; as you inhale, an atomizing liquid comes out as a vapor. They can be purchased insingle-use or rechargeable versions, come in different sizes and colors and use a nicotine-infused liquid – ore-juice – which has flavors such as Turkish tobacco, menthol, French vanilla, caramel macchiato, peanutbutter cup, cheesecake, fruit stripe and gummi bear.Tacoma-Pierce County Director of Health Dr. Anthony Chen says the proposed regulations are part of theagency’s mission “to safeguard and enhance the health of residents.”He has concerns about the nicotine and other chemicals the e-cigarettes deliver and says “they’re targeted atyoung people who don’t want to smoke cigarettes but want to be able to blow smoke rings.”Health officials also say they’re concerned about the possibility of second-hand vapor effects.“Nicotine is a nerve poison,” Chen said.E-cigarette retailer Kim Thompson argues vaping is a harmless way to step down from smoking and that thechemicals contained in the e-juice are found in common products and foods.“I smoked for 20-plus years, and I tried everything but Chantix,” she said. When she found an e-cigarettethat helped her quit, she took the money she saved from buying tobacco products and used it to help open

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The Vaporium in Lakewood.“I think the all-out banning of this product in places where adults frequent is invasive, unjust and very BigBrother,” the 41-year-old Thompson said.She thinks businesses should make the call whether to allow it in bars, restaurants and other public spaces.There’s been a tussle over the nicotine-delivery devices since their introduction a few years ago. The federalFood and Drug Administration issued a warning about them in 2009, saying laboratory analysis of samplesshowed they contain carcinogens and toxic chemicals such as diethylene glycol, an ingredient found inantifreeze.But they’ve yet to be regulated by that agency, which lost a court case on the issue.The Tacoma Pierce-County Board of Health – already somewhat divided – is to consider enacting the localregulations June 1.Health board chairman Dick Muri and vice chairman Stan Flemming, both Pierce County Council members,agree e-cigarettes shouldn’t be sold to minors, but they take issue with a complete ban on their use in publicspaces.“These aren’t cigarettes,” Muri said. “You’re trying to manage behavior, and that’s not our job.”Flemming, a physician, said there simply isn’t enough information to rule one way or the other on them.“I’ve asked what else is in these e-cigarettes that’s a potential health risk, and they said, ‘Well, it has thepotential to emit harmful particles into the air.’“What we’re trying to do is make public policy on anecdotal information,” Flemming added. “That’s notgood legislation.”Fellow board member Pat McCarthy, the Pierce County executive, disagrees.“If it walks like a duck and quacks like a duck, then it’s a duck,” she said. “To me they look like cigarettes.”The Health Department has been working for years to eradicate smoking in Pierce County, she added.“This goes in the opposite direction. We shouldn’t be supporting something that simulates smoking.”Thompson argues that no one would buy e-cigarettes if they weren’t genuinely trying to quit tobacco. Theyrange in price from about $15 for a disposable, 25-cigarette equivalent, to $130 or so for a complete kit withrechargeable batteries and atomizers.“I’ve never met a nonsmoker who wanted to start vaping,” she said.



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They're not opposed to banning their sale to minors, but they don't believe there's enough science on

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their potential harm to back up regulations preventing people from using them in public.'





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From: Kirsten FrandsenTo: Laurie Jinkins



That sounds great.Â Thanks, Kirsten From: Laurie JinkinsSent: Thursday, May 05, 2011 8:41 PMTo: Kirsten Frandsen; Bridget VandeventerCc: Frank DibiaseSubject: Re: TNT update: Tobacco regs Why don't you get it to me first. I'll add any edits I have then off to anthony. Laj From: Kirsten FrandsenSent: Thursday, May 05, 2011 08:28 PMTo: Laurie Jinkins; Bridget VandeventerCc: Frank DibiaseSubject: RE: TNT update: Tobacco regs Hi Laurie- I will take a stab at it, ask Frank to review and send it to you (and Dr. Chen?) in the AM. Laurie- since Bridget left early today, Iâ€™m not sure that she has gotten back to you so in case she hasnâ€™t,Bridget did come up with talking points. All of our Tobacco documents (inc. Communication strategies) are in aSharepoint file that you should be able to access. They are in the Sharepoint document center:http://intranet.tpchd.org/Docs/Tobacco%20Regulations/Forms/AllItems.aspx Thanks, Kirsten From: Laurie JinkinsSent: Thursday, May 05, 2011 4:23 PMTo: Bridget Vandeventer; Kirsten FrandsenSubject: Re: TNT update: Tobacco regs Kirsten--

How about if you take the first wack at it? 600 words or so is my guess. I'll be at the detention center in themorning but available in the afternoon.

Bridget, have we all agreed on our media talking points? Laurie From: Bridget VandeventerSent: Thursday, May 05, 2011 04:07 PMTo: Kirsten Frandsen; Laurie JinkinsSubject: RE: TNT update: Tobacco regs Hi Kirsten and Laurie,Kim and I said weâ€™d reconnect on Monday about an op-ed by Anthony. But if their editorial comes outtomorrow and itâ€™s really bad, she might be willing to take it. She said the editorial team is very interested inthe issue, and quite willing to continue writing about it. Iâ€™ll let you guys make the decision tomorrow. Thanks!

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Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Thursday, May 05, 2011 3:41 PMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs I just spoke with Kim Bradford at the TNT, who is writing an editorial on the issue for tomorrow. She hinted thatthe focus of her piece is on the Clean Air Act, and how that was really targeted as a safe workplace issue. Theyarenâ€™t planning a definitive opinion either way, but I believe sheâ€™ll imply that the e-cigarette ban in publicplaces is outside the original intent of the Clean Air Act because there isnâ€™t conclusive evidence thatsecondhand vapor poses any health risk. They are open to receiving an op-ed, but we discussed waiting until after their editorial to make that decision. Ithink we still need to prepare our position and be ready to submit something next week if the story goes offtrack. I recommend that we wait and see how the editorial is tomorrow before making a decision and revisit theidea on Monday. Let me know if you have any concerns with that.Thanks!Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Thursday, May 05, 2011 2:28 PMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs 1:00 p.m. Update:Anthony did a live interview on KOMO Radio at 11:15 with John Carlson. Unfortunately, the host was notparticularly respectful nor was he interested in learning about the issue. The five minutes was really spentinterrupting Anthony and playing the â€œnanny stateâ€• card. I declined their request for an additional interviewthis afternoon; I donâ€™t believe itâ€™s the best use of Anthonyâ€™s time or voice on this at this time. There are currently 57 comments on the TNT story, all predictably opposed to the regulation. We should considergetting some of our third party advocates and perhaps some of our Tobacco staff to write comments as well andbalance the conversation some. Although I donâ€™t want to waste too much time or energy on online comments;they will always skew negative and be anti-government. Depending on how the conversation and interest continues today and tomorrow morning, we should considerpursuing an Op-Ed in the Tribune in the next few days. I believe there is some balance and perspective to theissue that needs to be added. Iâ€™ve started a draft and shared with Kirsten. I am out tomorrow for a familyfuneral, so if the group feels itâ€™s appropriate to place an op-ed for the weekend, Kirsten is working on thedraft now. Kirsten is also going to be my back up while Iâ€™m out, so sheâ€™ll take care of any updates orinterview requests. Thanks.Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Bridget VandeventerSent: Thursday, May 05, 2011 9:02 AMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs 5/4/11, 9:00 a.m. update:The full TNT piece ran in todayâ€™s paper, on the front page right at and below the fold. The photo of Ms.Thompson shrouded in a cloud of smoke/vapor is bigâ€”about 6 inches high and the full page widthâ€”on thefront page. The story continues on the back and has a diagram of an e-cigarette explaining how they work, and aphoto of the various e-juices, liquids and some other e-cigarette options are on the back. There is alsoinformation about the public process in an accompanying text box. As expected, this version has much greater detail on the matter and extensive comments from Ms. Thompson,Flemming and Muri. McCarthyâ€™s comments are in this piece, and provide a helpful counter to the argumentsFlemming and Muri make. I heard the KIRO Radio interview this morning, so assume it ran throughout the drive time programs last night andthis morning. Dr. Chenâ€™s comments and Flemmingâ€™s comments were included, and this story stayed moreon the health topic (tobacco prevention and protecting the people of Pierce County) than the TNT piece. The APalso ran a brief culled from the TNT story, and itâ€™s online in the Seattle Times and Bellingham Herald. Predictably, the comments on the TNT site are opposed to the e-cigarette regulation and snarky in nature. Wemight consider asking some proponents and tobacco prevention supporters to chime in and help balance out theonline conversation. Iâ€™m including full text of todayâ€™s article below for those of you reading on Blackberry today. I have notreceived any additional media requests this morning.

Tacoma-Pierce County health officials take hard look at electronic cigarettesKRIS SHERMAN; Staff writerLast updated: May 5th, 2011 07:36 AM (PDT)If you fire up a battery-powered cigarette in public, are you harming yourself and others?Or are you exercising your right to use an alternative to incendiary tobacco that might help you kick a nastyand dangerous habit?Tacoma-Pierce County Health Department officials are considering a ban on electronic cigarettes in publicplaces, and those questions are certain to be heatedly discussed in the next few weeks.Proposed regulations unveiled Wednesday would prohibit e-smoking â€“ or â€œvaping,â€• as users call itâ€“ anywhere the use of real cigarettes and cigars already is prohibited by state law.That would include restaurants, bars and other public places.The proposals also would ban the sale of e-cigarettes to minors.Those rules already apply in King County, where a ban in public places took effect Jan. 15.E-cigarettes are battery-powered devices that deliver varying amounts of nicotine. You draw on them as youwould a tobacco cigarette; as you inhale, an atomizing liquid comes out as a vapor. They can be purchased insingle-use or rechargeable versions, come in different sizes and colors and use a nicotine-infused liquid â€“ ore-juice â€“ which has flavors such as Turkish tobacco, menthol, French vanilla, caramel macchiato, peanutbutter cup, cheesecake, fruit stripe and gummi bear.Tacoma-Pierce County Director of Health Dr. Anthony Chen says the proposed regulations are part of theagencyâ€™s mission â€œto safeguard and enhance the health of residents.â€•He has concerns about the nicotine and other chemicals the e-cigarettes deliver and says â€œtheyâ€™retargeted at young people who donâ€™t want to smoke cigarettes but want to be able to blow smokerings.â€•Health officials also say theyâ€™re concerned about the possibility of second-hand vapor effects.â€œNicotine is a nerve poison,â€• Chen said.

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E-cigarette retailer Kim Thompson argues vaping is a harmless way to step down from smoking and that thechemicals contained in the e-juice are found in common products and foods.â€œI smoked for 20-plus years, and I tried everything but Chantix,â€• she said. When she found an e-cigarette that helped her quit, she took the money she saved from buying tobacco products and used it tohelp open The Vaporium in Lakewood.â€œI think the all-out banning of this product in places where adults frequent is invasive, unjust and very BigBrother,â€• the 41-year-old Thompson said.She thinks businesses should make the call whether to allow it in bars, restaurants and other public spaces.Thereâ€™s been a tussle over the nicotine-delivery devices since their introduction a few years ago. Thefederal Food and Drug Administration issued a warning about them in 2009, saying laboratory analysis ofsamples showed they contain carcinogens and toxic chemicals such as diethylene glycol, an ingredient foundin antifreeze.But theyâ€™ve yet to be regulated by that agency, which lost a court case on the issue.The Tacoma Pierce-County Board of Health â€“ already somewhat divided â€“ is to consider enacting thelocal regulations June 1.Health board chairman Dick Muri and vice chairman Stan Flemming, both Pierce County Council members,agree e-cigarettes shouldnâ€™t be sold to minors, but they take issue with a complete ban on their use inpublic spaces.â€œThese arenâ€™t cigarettes,â€• Muri said. â€œYouâ€™re trying to manage behavior, and thatâ€™s notour job.â€•Flemming, a physician, said there simply isnâ€™t enough information to rule one way or the other on them.â€œIâ€™ve asked what else is in these e-cigarettes thatâ€™s a potential health risk, and they said, â€˜Well,it has the potential to emit harmful particles into the air.â€™â€œWhat weâ€™re trying to do is make public policy on anecdotal information,â€• Flemming added.â€œThatâ€™s not good legislation.â€•Fellow board member Pat McCarthy, the Pierce County executive, disagrees.â€œIf it walks like a duck and quacks like a duck, then itâ€™s a duck,â€• she said. â€œTo me they look likecigarettes.â€•The Health Department has been working for years to eradicate smoking in Pierce County, she added.â€œThis goes in the opposite direction. We shouldnâ€™t be supporting something that simulates smoking.â€•Thompson argues that no one would buy e-cigarettes if they werenâ€™t genuinely trying to quit tobacco.They range in price from about $15 for a disposable, 25-cigarette equivalent, to $130 or so for a completekit with rechargeable batteries and atomizers.â€œIâ€™ve never met a nonsmoker who wanted to start vaping,â€• she said.


Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Wednesday, May 04, 2011 12:53 PMTo: Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: TNT update: Tobacco regs The TNT story just posted online, and it is just as we anticipated. It briefly outlines the high level details of thetwo regulations, the timeline for hearing feedback and BOH vote, and the opposition from Fleming and Muri. KimThompsonâ€™s viewpoint is very brief, simply describing the regulation as â€œunjust and unfair.â€• The piecethen posts the message from our site verbatim.

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Hi Laurie- I will take a stab at it, ask Frank to review and send it to you (and Dr. Chen?) in the AM. Laurie- since Bridget left early today, Iâ€™m not sure that she has gotten back to you so in case she hasnâ€™t,Bridget did come up with talking points.Â All of our Tobacco documents (inc. Communication strategies) are in aSharepoint file that you should be able to access.Â They are in the Sharepoint document center:http://intranet.tpchd.org/Docs/Tobacco%20Regulations/Forms/AllItems.aspx Thanks, Kirsten From: Laurie JinkinsSent: Thursday, May 05, 2011 4:23 PMTo: Bridget Vandeventer; Kirsten FrandsenSubject: Re: TNT update: Tobacco regs Kirsten--


Bridget, have we all agreed on our media talking points? Laurie From: Bridget VandeventerSent: Thursday, May 05, 2011 04:07 PMTo: Kirsten Frandsen; Laurie JinkinsSubject: RE: TNT update: Tobacco regs Hi Kirsten and Laurie,Kim and I said weâ€™d reconnect on Monday about an op-ed by Anthony. But if their editorial comes outtomorrow and itâ€™s really bad, she might be willing to take it. She said the editorial team is very interested inthe issue, and quite willing to continue writing about it. Iâ€™ll let you guys make the decision tomorrow. Thanks! Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Thursday, May 05, 2011 3:41 PMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs I just spoke with Kim Bradford at the TNT, who is writing an editorial on the issue for tomorrow. She hinted thatthe focus of her piece is on the Clean Air Act, and how that was really targeted as a safe workplace issue. Theyarenâ€™t planning a definitive opinion either way, but I believe sheâ€™ll imply that the e-cigarette ban in publicplaces is outside the original intent of the Clean Air Act because there isnâ€™t conclusive evidence thatsecondhand vapor poses any health risk. They are open to receiving an op-ed, but we discussed waiting until after their editorial to make that decision. I

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think we still need to prepare our position and be ready to submit something next week if the story goes offtrack. I recommend that we wait and see how the editorial is tomorrow before making a decision and revisit theidea on Monday. Let me know if you have any concerns with that.Thanks!Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Thursday, May 05, 2011 2:28 PMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs 1:00 p.m. Update:Anthony did a live interview on KOMO Radio at 11:15 with John Carlson. Unfortunately, the host was notparticularly respectful nor was he interested in learning about the issue. The five minutes was really spentinterrupting Anthony and playing the â€œnanny stateâ€• card. I declined their request for an additional interviewthis afternoon; I donâ€™t believe itâ€™s the best use of Anthonyâ€™s time or voice on this at this time. There are currently 57 comments on the TNT story, all predictably opposed to the regulation. We should considergetting some of our third party advocates and perhaps some of our Tobacco staff to write comments as well andbalance the conversation some. Although I donâ€™t want to waste too much time or energy on online comments;they will always skew negative and be anti-government. Depending on how the conversation and interest continues today and tomorrow morning, we should considerpursuing an Op-Ed in the Tribune in the next few days. I believe there is some balance and perspective to theissue that needs to be added. Iâ€™ve started a draft and shared with Kirsten. I am out tomorrow for a familyfuneral, so if the group feels itâ€™s appropriate to place an op-ed for the weekend, Kirsten is working on thedraft now. Kirsten is also going to be my back up while Iâ€™m out, so sheâ€™ll take care of any updates orinterview requests. Thanks.Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Thursday, May 05, 2011 9:02 AMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs 5/4/11, 9:00 a.m. update:The full TNT piece ran in todayâ€™s paper, on the front page right at and below the fold. The photo of Ms.Thompson shrouded in a cloud of smoke/vapor is bigâ€”about 6 inches high and the full page widthâ€”on thefront page. The story continues on the back and has a diagram of an e-cigarette explaining how they work, and aphoto of the various e-juices, liquids and some other e-cigarette options are on the back. There is alsoinformation about the public process in an accompanying text box. As expected, this version has much greater detail on the matter and extensive comments from Ms. Thompson,Flemming and Muri. McCarthyâ€™s comments are in this piece, and provide a helpful counter to the arguments

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Flemming and Muri make. I heard the KIRO Radio interview this morning, so assume it ran throughout the drive time programs last night andthis morning. Dr. Chenâ€™s comments and Flemmingâ€™s comments were included, and this story stayed moreon the health topic (tobacco prevention and protecting the people of Pierce County) than the TNT piece. The APalso ran a brief culled from the TNT story, and itâ€™s online in the Seattle Times and Bellingham Herald. Predictably, the comments on the TNT site are opposed to the e-cigarette regulation and snarky in nature. Wemight consider asking some proponents and tobacco prevention supporters to chime in and help balance out theonline conversation. Iâ€™m including full text of todayâ€™s article below for those of you reading on Blackberry today. I have notreceived any additional media requests this morning.

Tacoma-Pierce County health officials take hard look at electronic cigarettesKRIS SHERMAN; Staff writerLast updated: May 5th, 2011 07:36 AM (PDT)If you fire up a battery-powered cigarette in public, are you harming yourself and others?Or are you exercising your right to use an alternative to incendiary tobacco that might help you kick a nastyand dangerous habit?Tacoma-Pierce County Health Department officials are considering a ban on electronic cigarettes in publicplaces, and those questions are certain to be heatedly discussed in the next few weeks.Proposed regulations unveiled Wednesday would prohibit e-smoking â€“ or â€œvaping,â€• as users call itâ€“ anywhere the use of real cigarettes and cigars already is prohibited by state law.That would include restaurants, bars and other public places.The proposals also would ban the sale of e-cigarettes to minors.Those rules already apply in King County, where a ban in public places took effect Jan. 15.E-cigarettes are battery-powered devices that deliver varying amounts of nicotine. You draw on them as youwould a tobacco cigarette; as you inhale, an atomizing liquid comes out as a vapor. They can be purchased insingle-use or rechargeable versions, come in different sizes and colors and use a nicotine-infused liquid â€“ ore-juice â€“ which has flavors such as Turkish tobacco, menthol, French vanilla, caramel macchiato, peanutbutter cup, cheesecake, fruit stripe and gummi bear.Tacoma-Pierce County Director of Health Dr. Anthony Chen says the proposed regulations are part of theagencyâ€™s mission â€œto safeguard and enhance the health of residents.â€•He has concerns about the nicotine and other chemicals the e-cigarettes deliver and says â€œtheyâ€™retargeted at young people who donâ€™t want to smoke cigarettes but want to be able to blow smokerings.â€•Health officials also say theyâ€™re concerned about the possibility of second-hand vapor effects.â€œNicotine is a nerve poison,â€• Chen said.E-cigarette retailer Kim Thompson argues vaping is a harmless way to step down from smoking and that thechemicals contained in the e-juice are found in common products and foods.â€œI smoked for 20-plus years, and I tried everything but Chantix,â€• she said. When she found an e-cigarette that helped her quit, she took the money she saved from buying tobacco products and used it tohelp open The Vaporium in Lakewood.â€œI think the all-out banning of this product in places where adults frequent is invasive, unjust and very BigBrother,â€• the 41-year-old Thompson said.She thinks businesses should make the call whether to allow it in bars, restaurants and other public spaces.Thereâ€™s been a tussle over the nicotine-delivery devices since their introduction a few years ago. Thefederal Food and Drug Administration issued a warning about them in 2009, saying laboratory analysis ofsamples showed they contain carcinogens and toxic chemicals such as diethylene glycol, an ingredient foundin antifreeze.But theyâ€™ve yet to be regulated by that agency, which lost a court case on the issue.The Tacoma Pierce-County Board of Health â€“ already somewhat divided â€“ is to consider enacting the

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local regulations June 1.Health board chairman Dick Muri and vice chairman Stan Flemming, both Pierce County Council members,agree e-cigarettes shouldnâ€™t be sold to minors, but they take issue with a complete ban on their use inpublic spaces.â€œThese arenâ€™t cigarettes,â€• Muri said. â€œYouâ€™re trying to manage behavior, and thatâ€™s notour job.â€•Flemming, a physician, said there simply isnâ€™t enough information to rule one way or the other on them.â€œIâ€™ve asked what else is in these e-cigarettes thatâ€™s a potential health risk, and they said, â€˜Well,it has the potential to emit harmful particles into the air.â€™â€œWhat weâ€™re trying to do is make public policy on anecdotal information,â€• Flemming added.â€œThatâ€™s not good legislation.â€•Fellow board member Pat McCarthy, the Pierce County executive, disagrees.â€œIf it walks like a duck and quacks like a duck, then itâ€™s a duck,â€• she said. â€œTo me they look likecigarettes.â€•The Health Department has been working for years to eradicate smoking in Pierce County, she added.â€œThis goes in the opposite direction. We shouldnâ€™t be supporting something that simulates smoking.â€•Thompson argues that no one would buy e-cigarettes if they werenâ€™t genuinely trying to quit tobacco.They range in price from about $15 for a disposable, 25-cigarette equivalent, to $130 or so for a completekit with rechargeable batteries and atomizers.â€œIâ€™ve never met a nonsmoker who wanted to start vaping,â€• she said.


Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Wednesday, May 04, 2011 12:53 PMTo: Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: TNT update: Tobacco regs The TNT story just posted online, and it is just as we anticipated. It briefly outlines the high level details of thetwo regulations, the timeline for hearing feedback and BOH vote, and the opposition from Fleming and Muri. KimThompsonâ€™s viewpoint is very brief, simply describing the regulation as â€œunjust and unfair.â€• The piecethen posts the message from our site verbatim. I have to believe that this is a shortened version of what will appear in print tomorrow, since there is no commentfrom McCarthy and one very minimal quote from Kim Thompson. The photo of Kim Thompson on the front page(http://www.thenewstribune.com/) is interesting; she is in front of her shop surrounded by a cloud of smoke.There are just a handful of comments already, and are predictably against the regulation and claiming nannystate/overstepping by the Health Department. I suspect that the conversation may balance out more as theday/week progresses.


We have been contacted by KIRO radio, and Anthony is going to do an interview shortly. I suspect we will hearfrom more outlets throughout the day.

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Please let me know if you have any questions.Bridget Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]












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Hi, looks like we’re all available from 11:30 to 12:00. Can we meet then? I can come over to D Street. From: Bridget VandeventerSent: Thursday, May 05, 2011 8:26 AMTo: Kirsten Frandsen; Frank DibiaseSubject: RE: TNT update: Tobacco regs Maybe the three of us can sit down this afternoon (or phone- Kirsten your calendar looks packed) to talk aboutthe handoff. I need to leave here at about 4/4:30, but am open before that. Is there a time that works for you two? Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Kirsten FrandsenSent: Thursday, May 05, 2011 5:36 AMTo: Bridget VandeventerSubject: RE: TNT update: Tobacco regs Thanks for all of the updates Bridget. I sure picked a bad time to be out of town.... How should we approach covering you while you are in Montana? Thanks for all, Kirsten




We have been contacted by KIRO radio, and Anthony is going to do an interview shortly. I suspect we will hearfrom more outlets throughout the day.

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Please let me know if you have any questions.Bridget Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]




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Thanks Bridget- are you at your desk? Do you have a few minutes to chat? From: Bridget VandeventerSent: Thursday, May 05, 2011 2:28 PMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs 1:00 p.m. Update:Anthony did a live interview on KOMO Radio at 11:15 with John Carlson. Unfortunately, the host was notparticularly respectful nor was he interested in learning about the issue. The five minutes was really spentinterrupting Anthony and playing the “nanny state” card. I declined their request for an additional interview thisafternoon; I don’t believe it’s the best use of Anthony’s time or voice on this at this time. There are currently 57 comments on the TNT story, all predictably opposed to the regulation. We should considergetting some of our third party advocates and perhaps some of our Tobacco staff to write comments as well andbalance the conversation some. Although I don’t want to waste too much time or energy on online comments;they will always skew negative and be anti-government. Depending on how the conversation and interest continues today and tomorrow morning, we should considerpursuing an Op-Ed in the Tribune in the next few days. I believe there is some balance and perspective to theissue that needs to be added. I’ve started a draft and shared with Kirsten. I am out tomorrow for a family funeral,so if the group feels it’s appropriate to place an op-ed for the weekend, Kirsten is working on the draft now.Kirsten is also going to be my back up while I’m out, so she’ll take care of any updates or interview requests. Thanks.Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Thursday, May 05, 2011 9:02 AMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs 5/4/11, 9:00 a.m. update:The full TNT piece ran in today’s paper, on the front page right at and below the fold. The photo of Ms. Thompsonshrouded in a cloud of smoke/vapor is big—about 6 inches high and the full page width—on the front page. Thestory continues on the back and has a diagram of an e-cigarette explaining how they work, and a photo of thevarious e-juices, liquids and some other e-cigarette options are on the back. There is also information about thepublic process in an accompanying text box. As expected, this version has much greater detail on the matter and extensive comments from Ms. Thompson,Flemming and Muri. McCarthy’s comments are in this piece, and provide a helpful counter to the argumentsFlemming and Muri make.

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I heard the KIRO Radio interview this morning, so assume it ran throughout the drive time programs last night andthis morning. Dr. Chen’s comments and Flemming’s comments were included, and this story stayed more on thehealth topic (tobacco prevention and protecting the people of Pierce County) than the TNT piece. The AP also rana brief culled from the TNT story, and it’s online in the Seattle Times and Bellingham Herald. Predictably, the comments on the TNT site are opposed to the e-cigarette regulation and snarky in nature. Wemight consider asking some proponents and tobacco prevention supporters to chime in and help balance out theonline conversation. I’m including full text of today’s article below for those of you reading on Blackberry today. I have not receivedany additional media requests this morning.

Tacoma-Pierce County health officials take hard look at electronic cigarettesKRIS SHERMAN; Staff writerLast updated: May 5th, 2011 07:36 AM (PDT)If you fire up a battery-powered cigarette in public, are you harming yourself and others?Or are you exercising your right to use an alternative to incendiary tobacco that might help you kick a nastyand dangerous habit?Tacoma-Pierce County Health Department officials are considering a ban on electronic cigarettes in publicplaces, and those questions are certain to be heatedly discussed in the next few weeks.Proposed regulations unveiled Wednesday would prohibit e-smoking – or “vaping,” as users call it –anywhere the use of real cigarettes and cigars already is prohibited by state law.That would include restaurants, bars and other public places.The proposals also would ban the sale of e-cigarettes to minors.Those rules already apply in King County, where a ban in public places took effect Jan. 15.E-cigarettes are battery-powered devices that deliver varying amounts of nicotine. You draw on them as youwould a tobacco cigarette; as you inhale, an atomizing liquid comes out as a vapor. They can be purchased insingle-use or rechargeable versions, come in different sizes and colors and use a nicotine-infused liquid – ore-juice – which has flavors such as Turkish tobacco, menthol, French vanilla, caramel macchiato, peanutbutter cup, cheesecake, fruit stripe and gummi bear.Tacoma-Pierce County Director of Health Dr. Anthony Chen says the proposed regulations are part of theagency’s mission “to safeguard and enhance the health of residents.”He has concerns about the nicotine and other chemicals the e-cigarettes deliver and says “they’re targeted atyoung people who don’t want to smoke cigarettes but want to be able to blow smoke rings.”Health officials also say they’re concerned about the possibility of second-hand vapor effects.“Nicotine is a nerve poison,” Chen said.E-cigarette retailer Kim Thompson argues vaping is a harmless way to step down from smoking and that thechemicals contained in the e-juice are found in common products and foods.“I smoked for 20-plus years, and I tried everything but Chantix,” she said. When she found an e-cigarettethat helped her quit, she took the money she saved from buying tobacco products and used it to help openThe Vaporium in Lakewood.“I think the all-out banning of this product in places where adults frequent is invasive, unjust and very BigBrother,” the 41-year-old Thompson said.She thinks businesses should make the call whether to allow it in bars, restaurants and other public spaces.There’s been a tussle over the nicotine-delivery devices since their introduction a few years ago. The federalFood and Drug Administration issued a warning about them in 2009, saying laboratory analysis of samplesshowed they contain carcinogens and toxic chemicals such as diethylene glycol, an ingredient found inantifreeze.But they’ve yet to be regulated by that agency, which lost a court case on the issue.The Tacoma Pierce-County Board of Health – already somewhat divided – is to consider enacting the localregulations June 1.Health board chairman Dick Muri and vice chairman Stan Flemming, both Pierce County Council members,

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agree e-cigarettes shouldn’t be sold to minors, but they take issue with a complete ban on their use in publicspaces.“These aren’t cigarettes,” Muri said. “You’re trying to manage behavior, and that’s not our job.”Flemming, a physician, said there simply isn’t enough information to rule one way or the other on them.“I’ve asked what else is in these e-cigarettes that’s a potential health risk, and they said, ‘Well, it has thepotential to emit harmful particles into the air.’“What we’re trying to do is make public policy on anecdotal information,” Flemming added. “That’s notgood legislation.”Fellow board member Pat McCarthy, the Pierce County executive, disagrees.“If it walks like a duck and quacks like a duck, then it’s a duck,” she said. “To me they look like cigarettes.”The Health Department has been working for years to eradicate smoking in Pierce County, she added.“This goes in the opposite direction. We shouldn’t be supporting something that simulates smoking.”Thompson argues that no one would buy e-cigarettes if they weren’t genuinely trying to quit tobacco. Theyrange in price from about $15 for a disposable, 25-cigarette equivalent, to $130 or so for a complete kit withrechargeable batteries and atomizers.“I’ve never met a nonsmoker who wanted to start vaping,” she said.




We have been contacted by KIRO radio, and Anthony is going to do an interview shortly. I suspect we will hearfrom more outlets throughout the day. Please let me know if you have any questions.Bridget

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That sounds great.Â Thanks, Kirsten From: Laurie JinkinsSent: Thursday, May 05, 2011 8:41 PMTo: Kirsten Frandsen; Bridget VandeventerCc: Frank DibiaseSubject: Re: TNT update: Tobacco regs Why don't you get it to me first. I'll add any edits I have then off to anthony. Laj From: Kirsten FrandsenSent: Thursday, May 05, 2011 08:28 PMTo: Laurie Jinkins; Bridget VandeventerCc: Frank DibiaseSubject: RE: TNT update: Tobacco regs Hi Laurie- I will take a stab at it, ask Frank to review and send it to you (and Dr. Chen?) in the AM. Laurie- since Bridget left early today, Iâ€™m not sure that she has gotten back to you so in case she hasnâ€™t,Bridget did come up with talking points. All of our Tobacco documents (inc. Communication strategies) are in aSharepoint file that you should be able to access. They are in the Sharepoint document center:http://intranet.tpchd.org/Docs/Tobacco%20Regulations/Forms/AllItems.aspx Thanks, Kirsten From: Laurie JinkinsSent: Thursday, May 05, 2011 4:23 PMTo: Bridget Vandeventer; Kirsten FrandsenSubject: Re: TNT update: Tobacco regs Kirsten--


Bridget, have we all agreed on our media talking points? Laurie From: Bridget VandeventerSent: Thursday, May 05, 2011 04:07 PMTo: Kirsten Frandsen; Laurie JinkinsSubject: RE: TNT update: Tobacco regs Hi Kirsten and Laurie,Kim and I said weâ€™d reconnect on Monday about an op-ed by Anthony. But if their editorial comes outtomorrow and itâ€™s really bad, she might be willing to take it. She said the editorial team is very interested inthe issue, and quite willing to continue writing about it. Iâ€™ll let you guys make the decision tomorrow. Thanks!

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Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Thursday, May 05, 2011 3:41 PMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs I just spoke with Kim Bradford at the TNT, who is writing an editorial on the issue for tomorrow. She hinted thatthe focus of her piece is on the Clean Air Act, and how that was really targeted as a safe workplace issue. Theyarenâ€™t planning a definitive opinion either way, but I believe sheâ€™ll imply that the e-cigarette ban in publicplaces is outside the original intent of the Clean Air Act because there isnâ€™t conclusive evidence thatsecondhand vapor poses any health risk. They are open to receiving an op-ed, but we discussed waiting until after their editorial to make that decision. Ithink we still need to prepare our position and be ready to submit something next week if the story goes offtrack. I recommend that we wait and see how the editorial is tomorrow before making a decision and revisit theidea on Monday. Let me know if you have any concerns with that.Thanks!Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Thursday, May 05, 2011 2:28 PMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs 1:00 p.m. Update:Anthony did a live interview on KOMO Radio at 11:15 with John Carlson. Unfortunately, the host was notparticularly respectful nor was he interested in learning about the issue. The five minutes was really spentinterrupting Anthony and playing the â€œnanny stateâ€• card. I declined their request for an additional interviewthis afternoon; I donâ€™t believe itâ€™s the best use of Anthonyâ€™s time or voice on this at this time. There are currently 57 comments on the TNT story, all predictably opposed to the regulation. We should considergetting some of our third party advocates and perhaps some of our Tobacco staff to write comments as well andbalance the conversation some. Although I donâ€™t want to waste too much time or energy on online comments;they will always skew negative and be anti-government. Depending on how the conversation and interest continues today and tomorrow morning, we should considerpursuing an Op-Ed in the Tribune in the next few days. I believe there is some balance and perspective to theissue that needs to be added. Iâ€™ve started a draft and shared with Kirsten. I am out tomorrow for a familyfuneral, so if the group feels itâ€™s appropriate to place an op-ed for the weekend, Kirsten is working on thedraft now. Kirsten is also going to be my back up while Iâ€™m out, so sheâ€™ll take care of any updates orinterview requests. Thanks.Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Bridget VandeventerSent: Thursday, May 05, 2011 9:02 AMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs 5/4/11, 9:00 a.m. update:The full TNT piece ran in todayâ€™s paper, on the front page right at and below the fold. The photo of Ms.Thompson shrouded in a cloud of smoke/vapor is bigâ€”about 6 inches high and the full page widthâ€”on thefront page. The story continues on the back and has a diagram of an e-cigarette explaining how they work, and aphoto of the various e-juices, liquids and some other e-cigarette options are on the back. There is alsoinformation about the public process in an accompanying text box. As expected, this version has much greater detail on the matter and extensive comments from Ms. Thompson,Flemming and Muri. McCarthyâ€™s comments are in this piece, and provide a helpful counter to the argumentsFlemming and Muri make. I heard the KIRO Radio interview this morning, so assume it ran throughout the drive time programs last night andthis morning. Dr. Chenâ€™s comments and Flemmingâ€™s comments were included, and this story stayed moreon the health topic (tobacco prevention and protecting the people of Pierce County) than the TNT piece. The APalso ran a brief culled from the TNT story, and itâ€™s online in the Seattle Times and Bellingham Herald. Predictably, the comments on the TNT site are opposed to the e-cigarette regulation and snarky in nature. Wemight consider asking some proponents and tobacco prevention supporters to chime in and help balance out theonline conversation. Iâ€™m including full text of todayâ€™s article below for those of you reading on Blackberry today. I have notreceived any additional media requests this morning.

Tacoma-Pierce County health officials take hard look at electronic cigarettesKRIS SHERMAN; Staff writerLast updated: May 5th, 2011 07:36 AM (PDT)If you fire up a battery-powered cigarette in public, are you harming yourself and others?Or are you exercising your right to use an alternative to incendiary tobacco that might help you kick a nastyand dangerous habit?Tacoma-Pierce County Health Department officials are considering a ban on electronic cigarettes in publicplaces, and those questions are certain to be heatedly discussed in the next few weeks.Proposed regulations unveiled Wednesday would prohibit e-smoking â€“ or â€œvaping,â€• as users call itâ€“ anywhere the use of real cigarettes and cigars already is prohibited by state law.That would include restaurants, bars and other public places.The proposals also would ban the sale of e-cigarettes to minors.Those rules already apply in King County, where a ban in public places took effect Jan. 15.E-cigarettes are battery-powered devices that deliver varying amounts of nicotine. You draw on them as youwould a tobacco cigarette; as you inhale, an atomizing liquid comes out as a vapor. They can be purchased insingle-use or rechargeable versions, come in different sizes and colors and use a nicotine-infused liquid â€“ ore-juice â€“ which has flavors such as Turkish tobacco, menthol, French vanilla, caramel macchiato, peanutbutter cup, cheesecake, fruit stripe and gummi bear.Tacoma-Pierce County Director of Health Dr. Anthony Chen says the proposed regulations are part of theagencyâ€™s mission â€œto safeguard and enhance the health of residents.â€•He has concerns about the nicotine and other chemicals the e-cigarettes deliver and says â€œtheyâ€™retargeted at young people who donâ€™t want to smoke cigarettes but want to be able to blow smokerings.â€•Health officials also say theyâ€™re concerned about the possibility of second-hand vapor effects.â€œNicotine is a nerve poison,â€• Chen said.

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E-cigarette retailer Kim Thompson argues vaping is a harmless way to step down from smoking and that thechemicals contained in the e-juice are found in common products and foods.â€œI smoked for 20-plus years, and I tried everything but Chantix,â€• she said. When she found an e-cigarette that helped her quit, she took the money she saved from buying tobacco products and used it tohelp open The Vaporium in Lakewood.â€œI think the all-out banning of this product in places where adults frequent is invasive, unjust and very BigBrother,â€• the 41-year-old Thompson said.She thinks businesses should make the call whether to allow it in bars, restaurants and other public spaces.Thereâ€™s been a tussle over the nicotine-delivery devices since their introduction a few years ago. Thefederal Food and Drug Administration issued a warning about them in 2009, saying laboratory analysis ofsamples showed they contain carcinogens and toxic chemicals such as diethylene glycol, an ingredient foundin antifreeze.But theyâ€™ve yet to be regulated by that agency, which lost a court case on the issue.The Tacoma Pierce-County Board of Health â€“ already somewhat divided â€“ is to consider enacting thelocal regulations June 1.Health board chairman Dick Muri and vice chairman Stan Flemming, both Pierce County Council members,agree e-cigarettes shouldnâ€™t be sold to minors, but they take issue with a complete ban on their use inpublic spaces.â€œThese arenâ€™t cigarettes,â€• Muri said. â€œYouâ€™re trying to manage behavior, and thatâ€™s notour job.â€•Flemming, a physician, said there simply isnâ€™t enough information to rule one way or the other on them.â€œIâ€™ve asked what else is in these e-cigarettes thatâ€™s a potential health risk, and they said, â€˜Well,it has the potential to emit harmful particles into the air.â€™â€œWhat weâ€™re trying to do is make public policy on anecdotal information,â€• Flemming added.â€œThatâ€™s not good legislation.â€•Fellow board member Pat McCarthy, the Pierce County executive, disagrees.â€œIf it walks like a duck and quacks like a duck, then itâ€™s a duck,â€• she said. â€œTo me they look likecigarettes.â€•The Health Department has been working for years to eradicate smoking in Pierce County, she added.â€œThis goes in the opposite direction. We shouldnâ€™t be supporting something that simulates smoking.â€•Thompson argues that no one would buy e-cigarettes if they werenâ€™t genuinely trying to quit tobacco.They range in price from about $15 for a disposable, 25-cigarette equivalent, to $130 or so for a completekit with rechargeable batteries and atomizers.â€œIâ€™ve never met a nonsmoker who wanted to start vaping,â€• she said.


Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Wednesday, May 04, 2011 12:53 PMTo: Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: TNT update: Tobacco regs The TNT story just posted online, and it is just as we anticipated. It briefly outlines the high level details of thetwo regulations, the timeline for hearing feedback and BOH vote, and the opposition from Fleming and Muri. KimThompsonâ€™s viewpoint is very brief, simply describing the regulation as â€œunjust and unfair.â€• The piecethen posts the message from our site verbatim.

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Date: 5/5/2011 8:36:24 AMSubject: RE: TNT update: Tobacco regs

Thanks for all of the updates Bridget. I sure picked a bad time to be out of town.... How should we approach covering you while you are in Montana? Thanks for all, Kirsten






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Thank you Bridget. I’m wondering if we can/should provide Pat McCarthy with some talking points in support of the e-cig publicplaces component? I’m not sure that the “duck” comment is very strong and that message will hold much weight. Also, should we try to pull the Mayor in now given that she has expressed support as a spokesperson? I will work with the Tobacco staff this AM to see if we can find some supporters to do an op ed/response. Also, I spoke with Scott Neal (Tobacco Prevention Mgr at King County) this AM and apparently, one of theirCommunications Managers (James Apa) has already sent out an email to their Board of Health members asking fortheir support of our regs. He stated that he is willing to help us with anything we need. Thanks, Kirsten From: Bridget VandeventerSent: Thursday, May 05, 2011 9:02 AMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs 5/4/11, 9:00 a.m. update:The full TNT piece ran in today’s paper, on the front page right at and below the fold. The photo of Ms. Thompsonshrouded in a cloud of smoke/vapor is big—about 6 inches high and the full page width—on the front page. Thestory continues on the back and has a diagram of an e-cigarette explaining how they work, and a photo of thevarious e-juices, liquids and some other e-cigarette options are on the back. There is also information about thepublic process in an accompanying text box. As expected, this version has much greater detail on the matter and extensive comments from Ms. Thompson,Flemming and Muri. McCarthy’s comments are in this piece, and provide a helpful counter to the argumentsFlemming and Muri make. I heard the KIRO Radio interview this morning, so assume it ran throughout the drive time programs last night andthis morning. Dr. Chen’s comments and Flemming’s comments were included, and this story stayed more on thehealth topic (tobacco prevention and protecting the people of Pierce County) than the TNT piece. The AP also rana brief culled from the TNT story, and it’s online in the Seattle Times and Bellingham Herald. Predictably, the comments on the TNT site are opposed to the e-cigarette regulation and snarky in nature. Wemight consider asking some proponents and tobacco prevention supporters to chime in and help balance out theonline conversation. I’m including full text of today’s article below for those of you reading on Blackberry today. I have not receivedany additional media requests this morning.

Tacoma-Pierce County health officials take hard look at electronic cigarettesKRIS SHERMAN; Staff writerLast updated: May 5th, 2011 07:36 AM (PDT)If you fire up a battery-powered cigarette in public, are you harming yourself and others?

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Or are you exercising your right to use an alternative to incendiary tobacco that might help you kick a nastyand dangerous habit?Tacoma-Pierce County Health Department officials are considering a ban on electronic cigarettes in publicplaces, and those questions are certain to be heatedly discussed in the next few weeks.Proposed regulations unveiled Wednesday would prohibit e-smoking – or “vaping,” as users call it –anywhere the use of real cigarettes and cigars already is prohibited by state law.That would include restaurants, bars and other public places.The proposals also would ban the sale of e-cigarettes to minors.Those rules already apply in King County, where a ban in public places took effect Jan. 15.E-cigarettes are battery-powered devices that deliver varying amounts of nicotine. You draw on them as youwould a tobacco cigarette; as you inhale, an atomizing liquid comes out as a vapor. They can be purchased insingle-use or rechargeable versions, come in different sizes and colors and use a nicotine-infused liquid – ore-juice – which has flavors such as Turkish tobacco, menthol, French vanilla, caramel macchiato, peanutbutter cup, cheesecake, fruit stripe and gummi bear.Tacoma-Pierce County Director of Health Dr. Anthony Chen says the proposed regulations are part of theagency’s mission “to safeguard and enhance the health of residents.”He has concerns about the nicotine and other chemicals the e-cigarettes deliver and says “they’re targeted atyoung people who don’t want to smoke cigarettes but want to be able to blow smoke rings.”Health officials also say they’re concerned about the possibility of second-hand vapor effects.“Nicotine is a nerve poison,” Chen said.E-cigarette retailer Kim Thompson argues vaping is a harmless way to step down from smoking and that thechemicals contained in the e-juice are found in common products and foods.“I smoked for 20-plus years, and I tried everything but Chantix,” she said. When she found an e-cigarettethat helped her quit, she took the money she saved from buying tobacco products and used it to help openThe Vaporium in Lakewood.“I think the all-out banning of this product in places where adults frequent is invasive, unjust and very BigBrother,” the 41-year-old Thompson said.She thinks businesses should make the call whether to allow it in bars, restaurants and other public spaces.There’s been a tussle over the nicotine-delivery devices since their introduction a few years ago. The federalFood and Drug Administration issued a warning about them in 2009, saying laboratory analysis of samplesshowed they contain carcinogens and toxic chemicals such as diethylene glycol, an ingredient found inantifreeze.But they’ve yet to be regulated by that agency, which lost a court case on the issue.The Tacoma Pierce-County Board of Health – already somewhat divided – is to consider enacting the localregulations June 1.Health board chairman Dick Muri and vice chairman Stan Flemming, both Pierce County Council members,agree e-cigarettes shouldn’t be sold to minors, but they take issue with a complete ban on their use in publicspaces.“These aren’t cigarettes,” Muri said. “You’re trying to manage behavior, and that’s not our job.”Flemming, a physician, said there simply isn’t enough information to rule one way or the other on them.“I’ve asked what else is in these e-cigarettes that’s a potential health risk, and they said, ‘Well, it has thepotential to emit harmful particles into the air.’“What we’re trying to do is make public policy on anecdotal information,” Flemming added. “That’s notgood legislation.”Fellow board member Pat McCarthy, the Pierce County executive, disagrees.“If it walks like a duck and quacks like a duck, then it’s a duck,” she said. “To me they look like cigarettes.”The Health Department has been working for years to eradicate smoking in Pierce County, she added.“This goes in the opposite direction. We shouldn’t be supporting something that simulates smoking.”Thompson argues that no one would buy e-cigarettes if they weren’t genuinely trying to quit tobacco. Theyrange in price from about $15 for a disposable, 25-cigarette equivalent, to $130 or so for a complete kit withrechargeable batteries and atomizers.“I’ve never met a nonsmoker who wanted to start vaping,” she said.

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From: Laurie JinkinsTo: Kirsten Frandsen


Subject: Re: TNT update: Tobacco regs

Why don't you get it to me first. I'll add any edits I have then off to anthony. Laj From: Kirsten FrandsenSent: Thursday, May 05, 2011 08:28 PMTo: Laurie Jinkins; Bridget VandeventerCc: Frank DibiaseSubject: RE: TNT update: Tobacco regs Hi Laurie- I will take a stab at it, ask Frank to review and send it to you (and Dr. Chen?) in the AM. Laurie- since Bridget left early today, Iâ€™m not sure that she has gotten back to you so in case she hasnâ€™t,Bridget did come up with talking points.Â All of our Tobacco documents (inc. Communication strategies) are in aSharepoint file that you should be able to access.Â They are in the Sharepoint document center:http://intranet.tpchd.org/Docs/Tobacco%20Regulations/Forms/AllItems.aspx Thanks, Kirsten From: Laurie JinkinsSent: Thursday, May 05, 2011 4:23 PMTo: Bridget Vandeventer; Kirsten FrandsenSubject: Re: TNT update: Tobacco regs Kirsten--


Bridget, have we all agreed on our media talking points? Laurie From: Bridget VandeventerSent: Thursday, May 05, 2011 04:07 PMTo: Kirsten Frandsen; Laurie JinkinsSubject: RE: TNT update: Tobacco regs Hi Kirsten and Laurie,Kim and I said weâ€™d reconnect on Monday about an op-ed by Anthony. But if their editorial comes outtomorrow and itâ€™s really bad, she might be willing to take it. She said the editorial team is very interested inthe issue, and quite willing to continue writing about it. Iâ€™ll let you guys make the decision tomorrow. Thanks! Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Thursday, May 05, 2011 3:41 PMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs

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I just spoke with Kim Bradford at the TNT, who is writing an editorial on the issue for tomorrow. She hinted thatthe focus of her piece is on the Clean Air Act, and how that was really targeted as a safe workplace issue. Theyarenâ€™t planning a definitive opinion either way, but I believe sheâ€™ll imply that the e-cigarette ban in publicplaces is outside the original intent of the Clean Air Act because there isnâ€™t conclusive evidence thatsecondhand vapor poses any health risk. They are open to receiving an op-ed, but we discussed waiting until after their editorial to make that decision. Ithink we still need to prepare our position and be ready to submit something next week if the story goes offtrack. I recommend that we wait and see how the editorial is tomorrow before making a decision and revisit theidea on Monday. Let me know if you have any concerns with that.Thanks!Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Thursday, May 05, 2011 2:28 PMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs 1:00 p.m. Update:Anthony did a live interview on KOMO Radio at 11:15 with John Carlson. Unfortunately, the host was notparticularly respectful nor was he interested in learning about the issue. The five minutes was really spentinterrupting Anthony and playing the â€œnanny stateâ€• card. I declined their request for an additional interviewthis afternoon; I donâ€™t believe itâ€™s the best use of Anthonyâ€™s time or voice on this at this time. There are currently 57 comments on the TNT story, all predictably opposed to the regulation. We should considergetting some of our third party advocates and perhaps some of our Tobacco staff to write comments as well andbalance the conversation some. Although I donâ€™t want to waste too much time or energy on online comments;they will always skew negative and be anti-government. Depending on how the conversation and interest continues today and tomorrow morning, we should considerpursuing an Op-Ed in the Tribune in the next few days. I believe there is some balance and perspective to theissue that needs to be added. Iâ€™ve started a draft and shared with Kirsten. I am out tomorrow for a familyfuneral, so if the group feels itâ€™s appropriate to place an op-ed for the weekend, Kirsten is working on thedraft now. Kirsten is also going to be my back up while Iâ€™m out, so sheâ€™ll take care of any updates orinterview requests. Thanks.Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Thursday, May 05, 2011 9:02 AMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs 5/4/11, 9:00 a.m. update:

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The full TNT piece ran in todayâ€™s paper, on the front page right at and below the fold. The photo of Ms.Thompson shrouded in a cloud of smoke/vapor is bigâ€”about 6 inches high and the full page widthâ€”on thefront page. The story continues on the back and has a diagram of an e-cigarette explaining how they work, and aphoto of the various e-juices, liquids and some other e-cigarette options are on the back. There is alsoinformation about the public process in an accompanying text box. As expected, this version has much greater detail on the matter and extensive comments from Ms. Thompson,Flemming and Muri. McCarthyâ€™s comments are in this piece, and provide a helpful counter to the argumentsFlemming and Muri make. I heard the KIRO Radio interview this morning, so assume it ran throughout the drive time programs last night andthis morning. Dr. Chenâ€™s comments and Flemmingâ€™s comments were included, and this story stayed moreon the health topic (tobacco prevention and protecting the people of Pierce County) than the TNT piece. The APalso ran a brief culled from the TNT story, and itâ€™s online in the Seattle Times and Bellingham Herald. Predictably, the comments on the TNT site are opposed to the e-cigarette regulation and snarky in nature. Wemight consider asking some proponents and tobacco prevention supporters to chime in and help balance out theonline conversation. Iâ€™m including full text of todayâ€™s article below for those of you reading on Blackberry today. I have notreceived any additional media requests this morning.

Tacoma-Pierce County health officials take hard look at electronic cigarettesKRIS SHERMAN; Staff writerLast updated: May 5th, 2011 07:36 AM (PDT)If you fire up a battery-powered cigarette in public, are you harming yourself and others?Or are you exercising your right to use an alternative to incendiary tobacco that might help you kick a nastyand dangerous habit?Tacoma-Pierce County Health Department officials are considering a ban on electronic cigarettes in publicplaces, and those questions are certain to be heatedly discussed in the next few weeks.Proposed regulations unveiled Wednesday would prohibit e-smoking â€“ or â€œvaping,â€• as users call itâ€“ anywhere the use of real cigarettes and cigars already is prohibited by state law.That would include restaurants, bars and other public places.The proposals also would ban the sale of e-cigarettes to minors.Those rules already apply in King County, where a ban in public places took effect Jan. 15.E-cigarettes are battery-powered devices that deliver varying amounts of nicotine. You draw on them as youwould a tobacco cigarette; as you inhale, an atomizing liquid comes out as a vapor. They can be purchased insingle-use or rechargeable versions, come in different sizes and colors and use a nicotine-infused liquid â€“ ore-juice â€“ which has flavors such as Turkish tobacco, menthol, French vanilla, caramel macchiato, peanutbutter cup, cheesecake, fruit stripe and gummi bear.Tacoma-Pierce County Director of Health Dr. Anthony Chen says the proposed regulations are part of theagencyâ€™s mission â€œto safeguard and enhance the health of residents.â€•He has concerns about the nicotine and other chemicals the e-cigarettes deliver and says â€œtheyâ€™retargeted at young people who donâ€™t want to smoke cigarettes but want to be able to blow smokerings.â€•Health officials also say theyâ€™re concerned about the possibility of second-hand vapor effects.â€œNicotine is a nerve poison,â€• Chen said.E-cigarette retailer Kim Thompson argues vaping is a harmless way to step down from smoking and that thechemicals contained in the e-juice are found in common products and foods.â€œI smoked for 20-plus years, and I tried everything but Chantix,â€• she said. When she found an e-cigarette that helped her quit, she took the money she saved from buying tobacco products and used it tohelp open The Vaporium in Lakewood.â€œI think the all-out banning of this product in places where adults frequent is invasive, unjust and very BigBrother,â€• the 41-year-old Thompson said.

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She thinks businesses should make the call whether to allow it in bars, restaurants and other public spaces.Thereâ€™s been a tussle over the nicotine-delivery devices since their introduction a few years ago. Thefederal Food and Drug Administration issued a warning about them in 2009, saying laboratory analysis ofsamples showed they contain carcinogens and toxic chemicals such as diethylene glycol, an ingredient foundin antifreeze.But theyâ€™ve yet to be regulated by that agency, which lost a court case on the issue.The Tacoma Pierce-County Board of Health â€“ already somewhat divided â€“ is to consider enacting thelocal regulations June 1.Health board chairman Dick Muri and vice chairman Stan Flemming, both Pierce County Council members,agree e-cigarettes shouldnâ€™t be sold to minors, but they take issue with a complete ban on their use inpublic spaces.â€œThese arenâ€™t cigarettes,â€• Muri said. â€œYouâ€™re trying to manage behavior, and thatâ€™s notour job.â€•Flemming, a physician, said there simply isnâ€™t enough information to rule one way or the other on them.â€œIâ€™ve asked what else is in these e-cigarettes thatâ€™s a potential health risk, and they said, â€˜Well,it has the potential to emit harmful particles into the air.â€™â€œWhat weâ€™re trying to do is make public policy on anecdotal information,â€• Flemming added.â€œThatâ€™s not good legislation.â€•Fellow board member Pat McCarthy, the Pierce County executive, disagrees.â€œIf it walks like a duck and quacks like a duck, then itâ€™s a duck,â€• she said. â€œTo me they look likecigarettes.â€•The Health Department has been working for years to eradicate smoking in Pierce County, she added.â€œThis goes in the opposite direction. We shouldnâ€™t be supporting something that simulates smoking.â€•Thompson argues that no one would buy e-cigarettes if they werenâ€™t genuinely trying to quit tobacco.They range in price from about $15 for a disposable, 25-cigarette equivalent, to $130 or so for a completekit with rechargeable batteries and atomizers.â€œIâ€™ve never met a nonsmoker who wanted to start vaping,â€• she said.


Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Wednesday, May 04, 2011 12:53 PMTo: Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: TNT update: Tobacco regs The TNT story just posted online, and it is just as we anticipated. It briefly outlines the high level details of thetwo regulations, the timeline for hearing feedback and BOH vote, and the opposition from Fleming and Muri. KimThompsonâ€™s viewpoint is very brief, simply describing the regulation as â€œunjust and unfair.â€• The piecethen posts the message from our site verbatim. I have to believe that this is a shortened version of what will appear in print tomorrow, since there is no commentfrom McCarthy and one very minimal quote from Kim Thompson. The photo of Kim Thompson on the front page(http://www.thenewstribune.com/) is interesting; she is in front of her shop surrounded by a cloud of smoke.There are just a handful of comments already, and are predictably against the regulation and claiming nannystate/overstepping by the Health Department. I suspect that the conversation may balance out more as theday/week progresses.

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From: Laurie JinkinsTo: Bridget Vandeventer

Kirsten FrandsenDate: 5/5/2011 7:22:36 PM

Subject: Re: TNT update: Tobacco regs

Kirsten--


Bridget, have we all agreed on our media talking points? Laurie From: Bridget VandeventerSent: Thursday, May 05, 2011 04:07 PMTo: Kirsten Frandsen; Laurie JinkinsSubject: RE: TNT update: Tobacco regs Hi Kirsten and Laurie,Kim and I said we’d reconnect on Monday about an op-ed by Anthony. But if their editorial comes out tomorrowand it’s really bad, she might be willing to take it. She said the editorial team is very interested in the issue, andquite willing to continue writing about it. I’ll let you guys make the decision tomorrow. Thanks! Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Thursday, May 05, 2011 3:41 PMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs I just spoke with Kim Bradford at the TNT, who is writing an editorial on the issue for tomorrow. She hinted thatthe focus of her piece is on the Clean Air Act, and how that was really targeted as a safe workplace issue. Theyaren’t planning a definitive opinion either way, but I believe she’ll imply that the e-cigarette ban in public placesis outside the original intent of the Clean Air Act because there isn’t conclusive evidence that secondhand vaporposes any health risk. They are open to receiving an op-ed, but we discussed waiting until after their editorial to make that decision. Ithink we still need to prepare our position and be ready to submit something next week if the story goes offtrack. I recommend that we wait and see how the editorial is tomorrow before making a decision and revisit theidea on Monday. Let me know if you have any concerns with that.Thanks!Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Thursday, May 05, 2011 2:28 PM

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To: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs 1:00 p.m. Update:Anthony did a live interview on KOMO Radio at 11:15 with John Carlson. Unfortunately, the host was notparticularly respectful nor was he interested in learning about the issue. The five minutes was really spentinterrupting Anthony and playing the “nanny state” card. I declined their request for an additional interview thisafternoon; I don’t believe it’s the best use of Anthony’s time or voice on this at this time. There are currently 57 comments on the TNT story, all predictably opposed to the regulation. We should considergetting some of our third party advocates and perhaps some of our Tobacco staff to write comments as well andbalance the conversation some. Although I don’t want to waste too much time or energy on online comments;they will always skew negative and be anti-government. Depending on how the conversation and interest continues today and tomorrow morning, we should considerpursuing an Op-Ed in the Tribune in the next few days. I believe there is some balance and perspective to theissue that needs to be added. I’ve started a draft and shared with Kirsten. I am out tomorrow for a family funeral,so if the group feels it’s appropriate to place an op-ed for the weekend, Kirsten is working on the draft now.Kirsten is also going to be my back up while I’m out, so she’ll take care of any updates or interview requests. Thanks.Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Thursday, May 05, 2011 9:02 AMTo: Bridget Vandeventer; Anthony Chen; Laurie Jinkins; Cindan GizziCc: Frank Dibiase; Steve Marek; Kirsten Frandsen; 'Gregory Jacoby'; Madigan Resident; Tutrecia Giles; Bruce RytkonenSubject: RE: TNT update: Tobacco regs 5/4/11, 9:00 a.m. update:The full TNT piece ran in today’s paper, on the front page right at and below the fold. The photo of Ms. Thompsonshrouded in a cloud of smoke/vapor is big—about 6 inches high and the full page width—on the front page. Thestory continues on the back and has a diagram of an e-cigarette explaining how they work, and a photo of thevarious e-juices, liquids and some other e-cigarette options are on the back. There is also information about thepublic process in an accompanying text box. As expected, this version has much greater detail on the matter and extensive comments from Ms. Thompson,Flemming and Muri. McCarthy’s comments are in this piece, and provide a helpful counter to the argumentsFlemming and Muri make. I heard the KIRO Radio interview this morning, so assume it ran throughout the drive time programs last night andthis morning. Dr. Chen’s comments and Flemming’s comments were included, and this story stayed more on thehealth topic (tobacco prevention and protecting the people of Pierce County) than the TNT piece. The AP also rana brief culled from the TNT story, and it’s online in the Seattle Times and Bellingham Herald. Predictably, the comments on the TNT site are opposed to the e-cigarette regulation and snarky in nature. Wemight consider asking some proponents and tobacco prevention supporters to chime in and help balance out theonline conversation. I’m including full text of today’s article below for those of you reading on Blackberry today. I have not receivedany additional media requests this morning.

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Tacoma-Pierce County health officials take hard look at electronic cigarettesKRIS SHERMAN; Staff writerLast updated: May 5th, 2011 07:36 AM (PDT)If you fire up a battery-powered cigarette in public, are you harming yourself and others?Or are you exercising your right to use an alternative to incendiary tobacco that might help you kick a nastyand dangerous habit?Tacoma-Pierce County Health Department officials are considering a ban on electronic cigarettes in publicplaces, and those questions are certain to be heatedly discussed in the next few weeks.Proposed regulations unveiled Wednesday would prohibit e-smoking – or “vaping,” as users call it –anywhere the use of real cigarettes and cigars already is prohibited by state law.That would include restaurants, bars and other public places.The proposals also would ban the sale of e-cigarettes to minors.Those rules already apply in King County, where a ban in public places took effect Jan. 15.E-cigarettes are battery-powered devices that deliver varying amounts of nicotine. You draw on them as youwould a tobacco cigarette; as you inhale, an atomizing liquid comes out as a vapor. They can be purchased insingle-use or rechargeable versions, come in different sizes and colors and use a nicotine-infused liquid – ore-juice – which has flavors such as Turkish tobacco, menthol, French vanilla, caramel macchiato, peanutbutter cup, cheesecake, fruit stripe and gummi bear.Tacoma-Pierce County Director of Health Dr. Anthony Chen says the proposed regulations are part of theagency’s mission “to safeguard and enhance the health of residents.”He has concerns about the nicotine and other chemicals the e-cigarettes deliver and says “they’re targeted atyoung people who don’t want to smoke cigarettes but want to be able to blow smoke rings.”Health officials also say they’re concerned about the possibility of second-hand vapor effects.“Nicotine is a nerve poison,” Chen said.E-cigarette retailer Kim Thompson argues vaping is a harmless way to step down from smoking and that thechemicals contained in the e-juice are found in common products and foods.“I smoked for 20-plus years, and I tried everything but Chantix,” she said. When she found an e-cigarettethat helped her quit, she took the money she saved from buying tobacco products and used it to help openThe Vaporium in Lakewood.“I think the all-out banning of this product in places where adults frequent is invasive, unjust and very BigBrother,” the 41-year-old Thompson said.She thinks businesses should make the call whether to allow it in bars, restaurants and other public spaces.There’s been a tussle over the nicotine-delivery devices since their introduction a few years ago. The federalFood and Drug Administration issued a warning about them in 2009, saying laboratory analysis of samplesshowed they contain carcinogens and toxic chemicals such as diethylene glycol, an ingredient found inantifreeze.But they’ve yet to be regulated by that agency, which lost a court case on the issue.The Tacoma Pierce-County Board of Health – already somewhat divided – is to consider enacting the localregulations June 1.Health board chairman Dick Muri and vice chairman Stan Flemming, both Pierce County Council members,agree e-cigarettes shouldn’t be sold to minors, but they take issue with a complete ban on their use in publicspaces.“These aren’t cigarettes,” Muri said. “You’re trying to manage behavior, and that’s not our job.”Flemming, a physician, said there simply isn’t enough information to rule one way or the other on them.“I’ve asked what else is in these e-cigarettes that’s a potential health risk, and they said, ‘Well, it has thepotential to emit harmful particles into the air.’“What we’re trying to do is make public policy on anecdotal information,” Flemming added. “That’s notgood legislation.”Fellow board member Pat McCarthy, the Pierce County executive, disagrees.“If it walks like a duck and quacks like a duck, then it’s a duck,” she said. “To me they look like cigarettes.”The Health Department has been working for years to eradicate smoking in Pierce County, she added.“This goes in the opposite direction. We shouldn’t be supporting something that simulates smoking.”

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Thompson argues that no one would buy e-cigarettes if they weren’t genuinely trying to quit tobacco. Theyrange in price from about $15 for a disposable, 25-cigarette equivalent, to $130 or so for a complete kit withrechargeable batteries and atomizers.“I’ve never met a nonsmoker who wanted to start vaping,” she said.







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From: Kirsten FrandsenTo: Madigan Resident


Thanks Paul- From: Madigan ResidentSent: Tuesday, May 03, 2011 9:11 PMTo: Bridget Vandeventer; Frank Dibiase; Kirsten Frandsen; Steve Marek; 'Gregory Jacoby'; Tutrecia Giles; Bruce Rytkonen;Brad CostelloSubject: RE: Tobacco Regulations update All, I had the opportunity to speak to the Pierce County Medical Society tonight. I think it went well overall. I spent most of thetime discussing the proposed regulations regarding the e-cigarettes. One member spoke about the possibility of "blurringthe lines" on tobacco regulation should e-cigarettes be allowed in public bars. We also spoke about the lack of data on thesafety of the second-hand vapor as well as the safety of even the propylene glycol component. I requested their support for the upcoming month. They did not give any immediate response, but did request theproposed regulations if those are available. Please let me know of any questions. Thank you,Paul

From: Bridget VandeventerSent: Tuesday, May 03, 2011 5:39 PMTo: Bridget Vandeventer; Frank Dibiase; Kirsten Frandsen; Steve Marek; 'Gregory Jacoby'; Tutrecia Giles; Bruce Rytkonen;Brad Costello; Madigan ResidentSubject: RE: Tobacco Regulations update




· Anthony sent a brief note to the BOH members this afternoon letting them know about the web posting

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today and a timeline for the next month.· I hosted an interview this afternoon with Kris Sherman at the News Tribune and Anthony. It was tough,

but good. She asked about each of the regulations, our reasoning behind them, and the process we’refollowing. Predictably, she focused mostly on the e-cigarette regulation. She did indicate that she’sspoken with Dr. Fleming and that he is currently a NO vote. She talked about “another physician who isagainst it too,” so I assume she’s speaking with Dr. Sullivan. Both Mayor Strickland and Executive McCarthywere prepared to speak for us, so hopefully they connected this afternoon and will be a part of the piece.




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From: Bridget VandeventerTo: Laurie Jinkins

Date: 5/5/2011 5:49:56 PMSubject: RE: Your voicemail!

Iâ€™ve never been there, but apparently the whole town will be out for the funeral. The family has owned aranch there forever; they were the original homesteaders on the property. Maybe she knows the Lovelys, whichis a lovely family to now be a part of. Things are getting busy and heated with e-cigarettes, and Iâ€™d love if you could help Kirsten if you think/agreethat it would be appropriate to do an Op-Ed for the weekend. Thanks! Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Laurie JinkinsSent: Thursday, May 05, 2011 2:48 PMTo: Bridget VandeventerSubject: Re: Your voicemail! Hey, my Aunt-in-law lives in Livingston! I'll let you know but it'll either be around 10:30 or 1:30. Fingers crossed.Safe travels. Laurie From: Bridget VandeventerSent: Thursday, May 05, 2011 02:23 PMTo: Laurie JinkinsSubject: Your voicemail! Sorry I missed your call Laurie. How exciting! I wonâ€™t get my hopes up, but Iâ€™ll start sketching out a plan onwhat that would look like. If it were to happen, do you have an idea on timing? Crazy idea, but that sure would punch up the All Staffmeeting. Thanks for letting me know. Iâ€™ll be out tomorrow, but will be able to read and respond to email at least in themorning (and depending on Verizonâ€™s coverage quality in Livingston, Montana) so please let me know if youhear anything definite. Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Bridget VandeventerTo: Brad Costello

Date: 5/5/2011 6:53:42 PMSubject: The Latest

Attachments: May 5 Latest.pdf

Hey Brad McBraderson-Can you post this on the Intranet please?Thank you! Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Catherine MortellTo: '[email protected]'

Date: 5/5/2011 7:32:48 PMSubject: the latest

Attachments: The Latest May 5, 2011.pdf

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From: Bridget VandeventerTo: Cindan Gizzi

Selina ChamblissDate: 5/5/2011 6:20:36 PM

Subject: The Latest-- extra review pleaseAttachments: May 5 Latest (Draft).doc

Hi Cindan and Selina,I’m running behind on things today because of the e-cigarette issue. Here’s the draft of the Latest, and I wouldlove a set or two of eyes on this. I didn’t do much editing at all on Anthony and Laurie’s portion, but they bothseem to be fine and on track albeit long. Thank you!!!Bridget Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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Date: 5/5/2011 7:15:42 PMSubject: Tobacco Policy Process and Timeline 4-16-11.xlsx

Attachments: Tobacco Policy Process and Timeline 4-16-11.xlsx

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Date: 5/5/2011 7:19:52 PMSubject: Tobacco Policy Process and Timeline 4-26-11.xlsx

Attachments: Tobacco Policy Process and Timeline 4-26-11.xlsx

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Subject: FW: E-cig regulations

fyi From: Neal, Scott [mailto:[email protected]]Sent: Thursday, May 05, 2011 1:21 PMTo: Kirsten FrandsenSubject: FW: E-cig regulations Hi Kirsten, You may have already seen this, but the Public Health Law Center just updated their E-Cigarette regulation document. Unfortunately, they didn't include our regulation, but you can see some of the others. Scott ______________________________________________

From: Hamilton, Joy Sent: Thursday, May 05, 2011 11:55 AMTo: Neal, Scott; Ross-Viles, Sarah; Pearson, AnneSubject: E-cig regulations

TCLC just published an e-cig regulation document. Unfortunately, we're not on the list of jurisdictions! http://www.publichealthlawcenter.org/sites/default/files/resources/tclc-guide-regecigs-2011.pdf Joy

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From: Selina ChamblissTo: Brad Costello

Date: 5/6/2011 1:03:30 PMSubject: May 5 Latest

Attachments: May 5 Latest.doc

Brad, Bridget caught a couple of errors in the latest. Can you please replace the one on the intranet with the one I haveattached here, and let me know when it’s been updated? Thanks, Selina

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From: Kirsten FrandsenTo: 'Neal, Scott'

Date: 5/6/2011 8:47:12 AMSubject: RE: E-cig regulations

Excellent- thank you! From: Neal, Scott [mailto:[email protected]]Sent: Thursday, May 05, 2011 1:21 PMTo: Kirsten FrandsenSubject: FW: E-cig regulations Hi Kirsten, You may have already seen this, but the Public Health Law Center just updated their E-Cigarette regulation document. Unfortunately, they didn't include our regulation, but you can see some of the others. Scott ______________________________________________

From: Hamilton, Joy Sent: Thursday, May 05, 2011 11:55 AMTo: Neal, Scott; Ross-Viles, Sarah; Pearson, AnneSubject: E-cig regulations

TCLC just published an e-cig regulation document. Unfortunately, we're not on the list of jurisdictions! http://www.publichealthlawcenter.org/sites/default/files/resources/tclc-guide-regecigs-2011.pdf Joy

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From: Hunter George <[email protected]>To: Megan Hutton


Subject: RE: E-Cigs story

Bridget,Considering how much heat Pat took among TNT readers, I was hoping we’d find a different board member toshare the burden… She’ll need Dick Muri’s support for other county issues that are coming, so I really don’t wantto drive a wedge between them (any more than necessary). Let me know if that’s not doable. Thanks.HTG From: Megan HuttonSent: Friday, May 06, 2011 4:18 PMTo: 'Bridget Vandeventer'Cc: Hunter GeorgeSubject: E-Cigs story Hi Bridget, I need your help getting together the right players for a story on e-cigarettes. I would like to promote the HealthBoard public hearing on the 16th, and the possible vote in early June.Dick Muri has approached me about covering this, but I also need to interview someone on the board whoopposes it. Can you help me with that? Reply all please, including Hunter in the conversation.Thanks,Megan Megan HuttonProducer | PCTV 22(253) 589-6073 desk(253) 341-5184 [email protected]

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Bruce RytkonenDate: 5/6/2011 2:41:12 PM


List in SharePoint and will be updating and adding lost info. Please feel free to add your updates. -tg 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: Thursday, May 05, 2011 8:46 PMTo: Bruce Rytkonen; Tutrecia GilesSubject: FW: New Tobacco Regs Sorry- forgot to cc you. Please see below. Thanks, Kirsten From: Kirsten FrandsenSent: Thursday, May 05, 2011 8:45 PMTo: Frank DibiaseCc: Bridget VandeventerSubject: RE: New Tobacco Regs Hi, all of the “organs” are on our list but I don’t believe we have Tobacco Free Kids. Tutrecia and Bruce, would you mind adding them to the list? Also, you can view the status of our “recruits” on an Excel spreadsheet that Tutrecia and Bruce created. Unfortunately, the file was lost in transit from Libshare to Sharepoint but I believe that Tutrecia recreated it today. Tutrecia- is it in Sharepoint now? Thanks! Kirsten From: Frank DibiaseSent: Thursday, May 05, 2011 3:25 PMTo: Kirsten FrandsenCc: Bridget VandeventerSubject: RE: New Tobacco Regs How about folks from American Cancer Society, American Lung Association, American Heart Association and Campaign for Tobacco Free Kids? Is there a plan to invite them to either the public meeting or Board of Health meeting on June 1? I’m sure we can count on some of them to support the proposed regs. From: Kirsten FrandsenSent: Thursday, May 05, 2011 2:34 PMTo: Bridget Vandeventer; Frank DibiaseSubject: RE: New Tobacco Regs The email that Bruce sent were to the members of the Tobacco Free Alliance of Pierce County- and yes, he’s working with them to get them to provide their testimony at the BOH meeting. Excellent on the SeaKing BOH member testifying- however; it may be better for them to testify at the BOH meeting on the 18th- as opposed to the public meeting. I believe it will hold more weight at the BOH meeting. Thanks, Kirsten From: Bridget Vandeventer

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Sent: Thursday, May 05, 2011 2:25 PMTo: Kirsten Frandsen; Frank DibiaseSubject: RE: New Tobacco Regs Who are all the people that Bruce sent to? Are those folks that we could ask to comment on the TNT or come to the meeting and testify? I talked to James Apa at King County today, and he said that he’d get one of their BOH members to come down and testify at our public meeting. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Kirsten FrandsenSent: Thursday, May 05, 2011 2:11 PMTo: Frank Dibiase; Bridget VandeventerSubject: RE: New Tobacco Regs Thanks Bruce- From: Frank DibiaseSent: Thursday, May 05, 2011 1:19 PMTo: Bridget Vandeventer; Kirsten FrandsenSubject: FW: New Tobacco Regs FYI From: Heidi Henson [mailto:[email protected]]Sent: Thursday, May 05, 2011 12:03 PMTo: Bruce Rytkonen; 'Holt, Anna'; 'Tegen, Anne'; 'Annette Squetimkin-Anqoue'; 'Grider, Brent'; 'Carrie Nyssen'; 'Cynthia Hawthorne'; 'Warnaca, Dawn'; 'DeAnne Baer'; 'Donna Manders'; 'Donna Manders'; 'Eric Hatzenbuehler'; 'Erin Dziedzic'; Frank Dibiase; George Hermosillo; [email protected]; 'Greg C Puno'; 'Bissell, Janet'; 'Sarthou, Jennifer'; 'Cummings, Joanna'; 'Ruze, John '; 'Karon, Judy'; 'Scholer, Julie'; 'Pritchard, Kathie'; 'Iverson, Ken'; 'Keonwha Kim'; 'Nygard,Kim'; [email protected]; 'Lark Ballinger (Business Fax)'; 'Liesl Santkuyl'; 'Gregerson, Lindsey'; 'Rasmussen, Lynette'; 'Lynn Abegglen'; 'Mandy Ma'; Marianne Seifert; 'Mary Tudor'; 'Michael Nagata'; 'Nelson, Monica'; 'Nan Hogan'; 'Tatom, Nanette'; 'Richmond, Pat'; 'Patricia Ramirez Neagle'; 'Patrick Hogan, MD'; 'ANTHONY BETOW'; 'Kowald, Roberta'; 'Pebeasy, Robyn'; 'Soon Ja Han'; 'Theophilus Mungen'; 'Tricia Sinek'; 'Dorn, Trixy'; 'Wendi Gilreath'Subject: RE: New Tobacco Regs I sent a letter to the editor from TAP today. From: Bruce Rytkonen [mailto:[email protected]]Sent: Thursday, May 05, 2011 10:13 AMTo: Holt, Anna; Tegen, Anne; Annette Squetimkin-Anqoue; Grider, Brent; Bruce Rytkonen; Carrie Nyssen; Cynthia Hawthorne; Warnaca, Dawn; DeAnne Baer; Donna Manders ([email protected]); Donna Manders ([email protected]); Eric Hatzenbuehler ([email protected]); Erin Dziedzic; Frank Dibiase; George Hermosillo; ([email protected]); Greg C Puno ([email protected]); Heidi Henson; Bissell, Janet; Sarthou, Jennifer;Cummings, Joanna; Ruze, John ; Karon, Judy; Scholer, Julie; Pritchard, Kathie; Iverson, Ken; Keonwha Kim ([email protected]); Nygard, Kim; [email protected]; Lark Ballinger (Business Fax); Liesl Santkuyl ([email protected]); Gregerson, Lindsey; Rasmussen, Lynette; Lynn Abegglen; Mandy Ma; Marianne Seifert; Mary Tudor ([email protected]); 'Michael Nagata'; Nelson, Monica; Nan Hogan; Tatom, Nanette; Richmond, Pat; Patricia Ramirez Neagle;Patrick Hogan, MD; ANTHONY BETOW; Kowald, Roberta; Pebeasy, Robyn; Soon Ja Han; Theophilus Mungen; Tricia Sinek; Dorn, Trixy; Wendi GilreathSubject: New Tobacco Regs Good morning everyone. Some of you may have seen in the Tacoma News Tribune today the article on the front page about the two new tobacco regulations (1. authorizing enforcement of the Smoking In Public Places Law and2. restrictions on the sale of e-cigs to minors and use of e-cigs where tobacco use is now lawfully prohibited). Well if you missed the article here’s the link: http://blog.thenewstribune.com/politics/2011/05/04/tacoma-pierce-county-wants-to-ban-electronic-cigarettes-in-public-places/ On May 16 from 6-7pm at the Health Department there’s going to be a public meeting that you are welcome to attend and have the opportunity to provide your perspective on these regulations and hear what others have to say about these regulations. On May 18 we will be presenting these regulations to the Board of Health. At the beginning (3:00 pm) of this meeting there will be a public comment period where you would also have the opportunity to provide directly to the members of the Board your perspective on these regulations. Below is the link to the TPCHD website that will provide you direct access to the full text of each regulation. At the bottom of this page you’ll see the link to a “public input form” that also can be used to provide your questions or perspective on these regulations to the members of the Board of Health. http://www.tpchd.org/health-wellness-1/tobacco-prevention-control/tobacco-regulations/ *************************************************************************************


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From: Cindy Willis <[email protected]>To: Tawana Bellamy

Date: 5/6/2011 1:36:52 PMSubject: RE: Smoking in Public Places and E-Cigarette Regulations

I’m not sure if he’ll be in the office between now and the phone call. cw From: Tawana Bellamy [mailto:[email protected]]Sent: Friday, May 06, 2011 10:36 AMTo: Cindy WillisSubject: Smoking in Public Places and E-Cigarette Regulations

Hi Cindy,

Councilmember Flemming has a conference call with Dr. Chen today at 11:30 AM. I don’t know if Mr. Flemming has had a chance to review the two proposed tobacco regulations, but would you please print them and deliver to him for his call with Dr. Chen?

Environmental Health Code, Chapter 8: Smoking in Public Places. Review the full regulation.

Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devices and Unregulated Nicotine Delivery Products. Review the full regulation.

Thanks,

Tawana BellamyConfidential Assistant IIOffice of the DirectorTacoma-Pierce County Health DepartmentPhone: (253) 798-2899

Healthy People in Healthy Communities *************************************************************************************


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From: Tawana BellamyTo: 'Cindy Willis'

Date: 5/6/2011 1:46:46 PMSubject: RE: Smoking in Public Places and E-Cigarette Regulations

Okay. Thanks,Tawana From: Cindy Willis [mailto:[email protected]]Sent: Friday, May 06, 2011 10:37 AMTo: Tawana BellamySubject: RE: Smoking in Public Places and E-Cigarette Regulations I’m not sure if he’ll be in the office between now and the phone call. cw From: Tawana Bellamy [mailto:[email protected]]Sent: Friday, May 06, 2011 10:36 AMTo: Cindy WillisSubject: Smoking in Public Places and E-Cigarette Regulations

Hi Cindy,

Councilmember Flemming has a conference call with Dr. Chen today at 11:30 AM. I don’t know if Mr. Flemming has had a chance to review the two proposed tobacco regulations, but would you please print them and deliver to him for his call with Dr. Chen?

Environmental Health Code, Chapter 8: Smoking in Public Places. Review the full regulation.

Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devices and Unregulated Nicotine Delivery Products. Review the full regulation.

Thanks,

Tawana BellamyConfidential Assistant IIOffice of the DirectorTacoma-Pierce County Health DepartmentPhone: (253) 798-2899

Healthy People in Healthy Communities *************************************************************************************


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From: Anthony ChenTo: Frank Dibiase

Steve MarekCindan Gizzi

Date: 5/6/2011 7:33:12 PMSubject: RE: This morning's editorial about proposed e-cigarette regulation

Actually, looks pretty balanced and tame. AC From: Frank DibiaseSent: Friday, May 06, 2011 4:00 PMTo: Anthony Chen; Steve Marek; Cindan GizziSubject: This morning's editorial about proposed e-cigarette regulation FYI, in case you haven’t already seen this….

Health board in new territory with vaping ban

SAN JOSE MERCURY NEWSA vendor demonstrates how realistic e-cigarettes are.Let’s dispense first with the easy call: The Tacoma-Pierce County Health Department board absolutely should bansales of battery-powered cigarettes to minors.

There exists no justifiable reason to allow teenagers ready access to any nicotine-delivery device – certainly not onethat is designed to perpetuate a social ritual that preys on youthful insecurities and could create new smokers.

Cigarettes cannot be sold to those under 18 years of age, nor can over-the-counter nicotine patches and gum.Electronic cigarettes should be no different.

Now, for the tougher nut: whether to restrict adults’ use of the smoking alternative. The Board of Health isconsidering proposed regulations that would extend the ban on smoking in public places to e-smoking or “vaping.”

The health department, long a dogged foe of tobacco use, is treading new ground.

The agency’s courageous 2003 indoor smoke ban and its work since to enforce and extend restrictions on smokers

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has been based on clear evidence that smoking is a public health threat.

So too the state’s smoking ban, adopted by citizen initiative in 2005 after Pierce County’s ban was overturned incourt.

The law was sold to voters as a matter of workplace safety. Secondhand smoke poses a demonstrable health risk tothe waiters and bartenders forced to breathe smokers’ exhaust 40 hours a week.

But the jury is still out on electronic cigarettes. While no one argues that nicotine in any form is benign, the magnitudeof harm – and how far its reach – remains an open question. All that researchers seem to agree on is that e-cigs areless dangerous than the real deal.

Health department officials argue that uncertainty about vaping’s toxins and toxicity makes the case for acting now topreempt possible ill effects.

Making public policy on the basis of unknown health risks is a tricky – and usually inadvisable – business. Morecompelling is the concern about losing ground in the fight against smoking.

The state smoking ban has helped dramatically reduce smoking rates. In 2000, about 35 percent of Pierce Countyadults smoked. In 2009, the number dropped to an all-time low of 17 percent.

That reduction is good news for public health and for taxpayers. The fewer smokers, the less society spends to treattheir inevitable health problems.

The success in reducing smoking rates can be partially attributed to the out-of-sight, out-of-mind phenomenon.Smokers are huddled under an awning down the street these days, rather than puffing away at the bar.

Fake smokes, many of which look almost indistinguishable from real cigarettes, keep smoking in the public eye andhelp normalize the act of lighting up.

But then again, so do episodes of “Mad Men.”

The Board of Health will have to decide if the risk of eroding beneficial social norms outweighs the intrusion onpersonal behavior. At the outset, the scale is tipped in favor of the least restrictive approach.

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Tacoma-Pierce County may ban electronic cigarettes


The Tacoma-Pierce County Health Department is considering a ban on battery-powered electronic cigarettes thatdeliver nicotine without smoking.

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Tacoma-Pierce County health officials take hard look at electronic cigarettes


If you fire up a battery-powered cigarette in public, are you harming yourself and others? Or are you exercising yourright to use an alternative to incendiary tobacco that might help you kick a nasty and dangerous habit?

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Electronic cigarettes - battery-operated devices that deliver a hit of nicotine with each puff - would be banned inpublic places under regulations proposed by the Tacoma-Pierce County Health Department. The proposal alsowould ban the sale of the e-cigarettes to minors.

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E-cigarettes give Clark County health officials a bad taste


They look like cigarettes. They include nicotine like cigarettes. And they are puffed on like cigarettes.

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Tobacco use: Too expensive for U.S. health care

Read more: http://www.thenewstribune.com/2011/05/06/1654691/health-board-in-new-territory.html#ixzz1LcG8ci1z

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From: Cindan GizziTo: Anthony Chen

Frank DibiaseSteve Marek

Date: 5/6/2011 8:11:48 PMSubject: Re: This morning's editorial about proposed e-cigarette regulation

I thought the same thing when I read it.

Message sent from my BlackBerry.Cindan GizziDeputy Director Pro TemTacoma-Pierce County Health Dept. From: Anthony ChenSent: Friday, May 06, 2011 04:33 PMTo: Frank Dibiase; Steve Marek; Cindan GizziCc: Bridget VandeventerSubject: RE: This morning's editorial about proposed e-cigarette regulation Actually, looks pretty balanced and tame. AC From: Frank DibiaseSent: Friday, May 06, 2011 4:00 PMTo: Anthony Chen; Steve Marek; Cindan GizziSubject: This morning's editorial about proposed e-cigarette regulation FYI, in case you haven’t already seen this….


SAN JOSE MERCURY NEWSA vendor demonstrates how realistic e-cigarettes are.Let’s dispense first with the easy call: The Tacoma-Pierce County Health Department board absolutely should ban

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sales of battery-powered cigarettes to minors.





The agency’s courageous 2003 indoor smoke ban and its work since to enforce and extend restrictions on smokershas been based on clear evidence that smoking is a public health threat.












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From: Pam CowleyTo: 'Patty Hayes'


Subject: WithinReach Lucheon in TPCHD NewsAttachments: The Latest May 5, 2011.pdf

What a great weekend! Pamela CowleyCommunity Organization SpecialistTacoma-Pierce County Health Department3629 South D Street, MS 427Tacoma, WA 98418(253) [email protected]

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Subject: AMAZING site

Hey guys-Check this out. I was looking for the source of those old Doctors Smoking ads, and found this site at StanfordSchool of Medicine.http://lane.stanford.edu/tobacco/index.html Read the “About the Exhibit” section; it’s really in line with our message right now on e-cigarettes. The ads areamazing, and they have such a great collection, searchable by brand, theme, etc. Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Megan Hutton <[email protected]>To: Bridget Vandeventer

Hunter GeorgeDate: 5/9/2011 6:06:36 PM

Subject: Cover Board of Health

Bridget, I got the ok to cover the meeting on May 18th. Please remind me what time it starts. Is this the main item on the agenda? Megan HuttonProducer | PCTV 22(253) 589-6073 desk(253) 341-5184 [email protected] From: Bridget Vandeventer [mailto:[email protected]]Sent: Monday, May 09, 2011 1:29 PMTo: Megan Hutton; Hunter GeorgeSubject: RE: wait 1 week?--RE: E-Cigs story I think that’s a better idea than rushing through this week. If you can wait (I know, it’s tight) until the 18th, you can come and film at the May 18th Board of Health meeting. We’ll not only have a good majority of the Board members there, but some other third parties will be there to comment as well. Does that sound ok?(And I’m getting to your other emails; digging out from Friday is taking me a bit of time.) Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Megan Hutton [mailto:[email protected]]Sent: Monday, May 09, 2011 11:16 AMTo: Bridget Vandeventer; Hunter GeorgeSubject: wait 1 week?--RE: E-Cigs story Or we can take our time and save the story for next week’s show…air date May 19? We might need that to coordinate board member interviews? Shoot that story May 16 or 17. Megan HuttonProducer | PCTV 22(253) 589-6073 desk(253) 341-5184 [email protected] From: Bridget Vandeventer [mailto:[email protected]]Sent: Monday, May 09, 2011 8:52 AMTo: Hunter George; Megan HuttonSubject: RE: E-Cigs story I’m just back today and working on this now. Give me a few hours, and I’ll get back to both of you with some options. Hunter- I hear you. I’ll take care of it. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Hunter George [mailto:[email protected]]Sent: Friday, May 06, 2011 4:58 PM

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To: Megan Hutton; Bridget VandeventerSubject: RE: E-Cigs story Bridget,Considering how much heat Pat took among TNT readers, I was hoping we’d find a different board member to share the burden… She’ll need Dick Muri’s support for other county issues that are coming, so I really don’t want to drive a wedge between them (any more than necessary). Let me know if that’s not doable. Thanks.HTG From: Megan HuttonSent: Friday, May 06, 2011 4:18 PMTo: 'Bridget Vandeventer'Cc: Hunter GeorgeSubject: E-Cigs story Hi Bridget, I need your help getting together the right players for a story on e-cigarettes. I would like to promote the Health Board public hearing on the 16th, and the possible vote in early June.Dick Muri has approached me about covering this, but I also need to interview someone on the board who opposes it. Can you help me with that? Reply all please, including Hunter in the conversation.Thanks,Megan Megan HuttonProducer | PCTV 22(253) 589-6073 desk(253) 341-5184 [email protected] *************************************************************************************


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From: Tawana BellamyTo: Tutrecia Giles

Date: 5/9/2011 5:22:16 PMSubject: FW: Comment posted from the Internet site

-----Original Message-----From: Leslie Swalley [mailto:[email protected]]Sent: Monday, May 09, 2011 12:56 PMTo: Anthony Chen; Tawana BellamySubject: FW: Comment posted from the Internet site

Good afternoon Anthony and Tawana,

CM Muri has asked me to forward these constituent comments to you for addition to the public records regarding e-cigarettes.

Thank you,

Leslie SwalleyCouncil Assistant to Dick MuriPierce County Council District 6253.798.3308

-----Original Message-----From: Barbara Salinas [mailto:[email protected]]Sent: Friday, May 06, 2011 8:55 PMTo: Dick MuriCc: Leslie SwalleySubject: Comment posted from the Internet site

Mr. Muri,I am a former cigarette smoker. I smoked 32 years. On October 6th of 2009, with the assistance of an "e-cigarette"kit, I quit smoking overnight. I no longer have the odor of smoke on my person, nor does my clothing or house . Ihave become highly sensitive to the smell of a smoker and can tell immediately when I am in the presence of acigarette smoker from about ten feet away. Let me tell you it stinks!

I also no longer have a smokers cough and haven't had a bout with bronchitis since the day I quit cigarette smoking in2009.

I tried numerous smoking cessation programs, those failed because I have found that alot of times I missed the oralfixation, even the exhale of smoke. Vaping an e-cig replaced that fixation and also gave me that little hit of nicotinejust like coffee drinkers enjoy that hit of caffiene with an "extra shot". I can also vape cartridges with zero nicotine.

You should know that many vaping juices and/or cartridges DO NOT contain anti-freeze but instead vegetable oil.

Most people don't even notice when I vape in public because I am discreet about it and no one is the wiser when Istand next to them and vape.

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Some how I believe the BHO is infringing on more of my rights trying to treat "vapers" as cigarette smokers. Ratherthan applauding reformed smokers now we will be treated again as second class citizens all for appearancepurposes.

How ridiculous it is to outlaw behaviour or I presume it is the hubris that comes complimented with the desire tocontrol, control, control. Who's the brain surgeon that floated this idea?

Are the legal cannabis smokers exempt from the tobacco regulations and why is the State Legislature trying to passspecial legislation for cigar smokers?

I suspect your board will pass it. I hope not and who ever had this bright idea perhaps a redirection of attentioncould be suggested to oh...heroin usage or affects of second hand cannabis smoke or maybe nearly topless womenhandling food and coffee...just a suggestion.

Thanks for your consideration.Warm regardsMs. Barbara Salinas

Name: Barbara SalinasAddress: 20209 73rd Ave. Ct. E

Spanaway, WA 98387Phone: 253-875-8880Email: [email protected]

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From: Tutrecia GilesTo: Bruce Rytkonen

Date: 5/9/2011 6:10:20 PMSubject: FW: Comment posted from the Internet site

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

-----Original Message-----From: Tawana BellamySent: Monday, May 09, 2011 2:22 PMTo: Tutrecia GilesSubject: FW: Comment posted from the Internet site




Thank you,


-----Original Message-----From: Barbara Salinas [mailto:Sent: Friday, May 06, 2011 8:55 PMTo: Dick MuriCc: Leslie SwalleySubject: Comment posted from the Internet site

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Mr. Muri,I am a former cigarette smoker. I smoked 32 years. On October 6th of 2009, with the assistance of an "e-cigarette"kit, I quit smoking overnight. I no longer have the odor of smoke on my person, nor does my clothing or house . Ihave become highly sensitive to the smell of a smoker and can tell immediately when I am in the presence of acigarette smoker from about ten feet away. Let me tell you it stinks!










Name: Barbara SalinasAddress:

Spanaway, WA 98387Phone: Email:

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Steve MarekDate: 5/9/2011 2:33:34 PM

Subject: FW: E-cig Research Doc's

Hi, can you please see the weblink in the email below from GASP…. It is a white paper that is very comprehensive on e-cigarettes. What are your thoughts on including this in theBOH packet that we’re sending out? If not, an alternate idea might be to have one of our speakers (providingtestimony) at the BOH meeting, distribute this to all members (or we can). Thanks, Kirsten From: Bruce RytkonenSent: Monday, May 09, 2011 9:53 AMTo: Kirsten Frandsen; Tutrecia GilesSubject: E-cig Research Doc's I’ve looked at three of the documents about e-cigs that we have received…..1. Americans for Nonsmokers’Rights 2. The Tobacco Control Legal Consortium (what Scott Neal provided) and 3. The GASP White Paper on E-cigs (link provided below). I think that the GASP White Paper provides a very comprehensive listing of issuesassociated with e-cigs. Also…..Kirsten……I had a question for Paul Davis last week and when he answered it he included the FDA April 25News & Events write-up on e-cigs that he or Frances had provided to you. It seems to me that Paul (Madigan) and Greg could take what’s being provided in this write-up (how the FDA will now regulate e-cigs as a “tobaccoproduct”), and come up with a legitimate position supporting prohibiting the use of e-cigs where tobacco isprohibited. From: Karen Haines [mailto:[email protected]]Sent: Tuesday, April 26, 2011 9:01 AMTo: Bruce RytkonenCc: [email protected]; [email protected]: TCPHD ordinance on e-cigarette ban on sale to minors? Bruce RytkonenTacoma-Pierce County Health Department Dear Bruce, Julie Scholer from the Spokane County health department suggested I email you to find out where theCounty is with regards to a proposal to ban the sale of e-cigarettes to minors, and if you are alsoconsidering a ban on the use of e-cigs in public places and workplaces where smoking is currentlybanned. Our nonprofit publishes a white paper supporting restrictions on e-cigarettes that lists jurisdictions thathave already banned or are considering a ban on the sale of e-cigs to minors, and use of e-cigs in publicplaces and workplaces. Please feel free to circulate the white paper to your County’s health commissionduring their hearing on the ordinance. http://njgasp.org/E-Cigs_White_Paper.pdf We provided technical assistance to the NJ Legislature, which was the first state jurisdiction in the USAto ban the use of e-cigs in public places and workplaces where smoking is banned as well as banningtheir sale to minors. Look forward to hearing from you soon. Please respond using ‘reply all’. Tx. Karen HainesFinance and Technology Administrator

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Global Advisors on Smokefree Policy (GASP)7 Cedar St., Suite A, Summit, NJ 07901(908)273-9368 office(908)273-9222 [email protected]

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From: Frank DibiaseTo: Elizabeth Pulos

Date: 5/9/2011 7:06:18 PMSubject: FW: Op-Ed for your review

Attachments: Op Ed Tobacco Regs.docx

Here’s the draft Op Ed piece I mentioned earlier. There are not data in it but thought you should see it “just incase” and as an FYI. Let me know if you have any thoughts or “catch” anything that looks sketchy. Thanks.From: Bridget VandeventerSent: Monday, May 09, 2011 12:44 PMTo: Anthony ChenCc: Laurie Jinkins; Steve Marek; Frank Dibiase; Kirsten Frandsen; Cindan GizziSubject: Op-Ed for your reviewImportance: High Hi Anthony,I hope you had a great trip out East. I know you’re busy in meetings today but hope you are able to access this onyour Blackberry. We’ve drafted an Op-Ed to be attributed to you for the News Tribune. It addresses some of theissues brought up in the first story and Friday’s editorial. This also helps contextualize our proposed regulation. Upon your approval, I will submit this to the News Tribune. They are aware that we were planning this, so we’rehopeful for a placement early in the week. Looking forward to your feedback!Bridget and team Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Kirsten FrandsenTo: Andy Sheffer

Date: 5/9/2011 4:08:56 PMSubject: FW: Op-Ed for your review


Convincing? From: Bridget VandeventerSent: Monday, May 09, 2011 12:44 PMTo: Anthony ChenCc: Laurie Jinkins; Steve Marek; Frank Dibiase; Kirsten Frandsen; Cindan GizziSubject: Op-Ed for your reviewImportance: High Hi Anthony,I hope you had a great trip out East. I know you’re busy in meetings today but hope you are able to access this onyour Blackberry. We’ve drafted an Op-Ed to be attributed to you for the News Tribune. It addresses some of theissues brought up in the first story and Friday’s editorial. This also helps contextualize our proposed regulation. Upon your approval, I will submit this to the News Tribune. They are aware that we were planning this, so we’rehopeful for a placement early in the week. Looking forward to your feedback!Bridget and team Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Frank DibiaseTo: Frank Dibiase

Date: 5/9/2011 12:30:12 PMSubject: FW: This morning's editorial about proposed e-cigarette regulation

From: Frank DibiaseSent: Friday, May 06, 2011 4:00 PMTo: Anthony Chen; Steve Marek; Cindan GizziSubject: This morning's editorial about proposed e-cigarette regulation FYI, in case you haven’t already seen this….









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Subject: FW: This morning's editorial about proposed e-cigarette regulation

We’ll need to discuss how to address this when we meet at 10:30. From: Elizabeth PulosSent: Monday, May 09, 2011 10:03 AMTo: Frank DibiaseSubject: RE: This morning's editorial about proposed e-cigarette regulation Right again. The rate in 2000 was 21.9%. The 35% must have been pulled up from the earlier story they ran. Notour fault this time, at least, but wrong nevertheless. From: Frank DibiaseSent: Monday, May 09, 2011 9:36 AMTo: Elizabeth PulosSubject: FW: This morning's editorial about proposed e-cigarette regulation Hi Liz, Below is an editorial in this past Friday’s Morning News Tribune.

I just want to check, is this statement correct? “In 2000, about 35 percent of Pierce County adults smoked.In 2009, the number dropped to an all-time low of 17 percent.”

Remember that “ill-fated” press release we sent out last year? I thought we incorrectly stated something about a35% rate. I started thinking they may have referred to their own previous articles when this was written.

Is a 35% adult smoking rate in 2000 correct?

We’re planning to send an Op Ed reply to the paper and the current draft re-states these numbers.

Thanks.



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Date: 5/9/2011 12:35:34 PMSubject: FW: This morning's editorial about proposed e-cigarette regulation

Hi Liz, Below is an editorial in this past Friday’s Morning News Tribune.





Thanks.




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From: Dick Muri <[email protected]>To: Anthony Chen

Tawana BellamyDate: 5/9/2011 4:05:42 PM

Subject: FW: E-cigarette issue

Please add to public record.

-----Original Message-----From: Stacy Emerson [mailto:[email protected]]Sent: Wednesday, May 04, 2011 6:06 PMSubject: E-cigarette issue

Pierce County Councilmember -

Re: TPCHD's attempt to "...disallows e-cigarettes to be used in publicplaces and anywhere that regular cigarettes are prohibited andprohibits free or heavily discounted e-cigarettes."

I obtained my first e-cig as a hand-me-down from someone I met througha T-PC Health Department employee. This was back when they cost around$60 or more, so I greatly appreciated the gift. Since then, aconvenience store chain started selling full kits for $20, with 10-pkrefills for about $10. I switched to this model to save money, sincethe refills for the hand-me-down one was a whopping $19.99 for a 5-pk.

The e-cigs helped me break my addiction to cigars, while yet my priorexperience with hypnosis, nicotine gum, lozenges, patches, andwhatever the pill was back in about 2000, before Chantix went on themarket, did not work for me AT ALL.

I hope the TPCHD will drop this, but if they don't, I would like to goon record with you now, asking you to NOT support their effort.

Thank you,

Stacy Emerson

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Subject: FW: Please don't allow vapor to be treated like smoke


From: Jacinda Ross [mailto:[email protected]]Sent: Saturday, May 07, 2011 12:30 PMTo: Dick MuriSubject: Please don't allow vapor to be treated like smoke

Dear Mr. Muri,

I am an ex-smoker who now uses a nicotine vaporizer (also known as an electronic cigarette) instead of smoking. Istarted smoking about 13 years ago, and tried several times to quit only to start smoking again after a few months. Until Itried the vaporizer. This device has changed my life and my family's life by allowing me to live smoke-free for the pasteight months.

Unfortunately, Chapter 9 of the Environmental Health Code, Section 9: "Use of Electronic Smoking Devices Prohibited inPublic Places and Places of Employment" would ban the use of vaporizers in any place that has a ban on smoking. I amwriting to ask you to please amend Chapter 9 to exclude Section 9. There has been research done which shows thatusing a vaporizer is likely hundreds of times less dangerous than smoking, and second-hand vapor is basically harmless. There is no research showing that vapor is in any way harmful to those around the people who are using them. It alsodoesn't smell bad the way smoking does, and since there's no combustion you don't have things like matches, ashes,butts, etc.

I've had several smokers ask me about my vaporizer when they see me using it in places where smoking is prohibited. I'm always happy to give them information about it and let them know how much better I feel now that I have switchedfrom smoking. I hope that some of them were able to get away from the cigarettes like I did. I think if you require aperson who has made the switch to be put under the same restrictions as smokers, you are doing them a disservice.

Thank you for taking the time to read this. As you can tell, it is an important issue to me.

Sincerely,Jacinda Ross

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From: Tawana BellamyTo: Tutrecia Giles

Date: 5/9/2011 5:29:56 PMSubject: Here's another batch of comments from the public on e-cigarettes

Attachments: FW: Vapor Cigarette Ban - NOFW: Please don't allow vapor to be treated like smokeFW: E-cigarette issueFW: TPCHD's intended ban/restrictions on E-cigarettesFW: Comment posted from the Internet site

Again, some maybe duplicates, but I’m forwarding them to you since they are being sent to me from differentsources. Thank you,Tawana BellamyConfidential Assistant IIOffice of the DirectorTacoma-Pierce County Health DepartmentPhone: (253) 798-2899

Healthy People in Healthy Communities

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Subject: FW: Vapor Cigarette Ban - NO


From: Carl J. Halverson [mailto:[email protected]]Sent: Thursday, May 05, 2011 1:17 PMTo: [email protected]; [email protected]; Dick Muri; Stanley Flemming; [email protected]; RickTalbert; [email protected]; [email protected]; PCEXECUTIVE; [email protected];[email protected]; [email protected]; [email protected];[email protected]; [email protected]; [email protected];[email protected]; [email protected]; Joyce McDonald; Tim Farrell; Roger Bush; Daniel RoachSubject: Vapor Cigarette Ban - NO

Carl Halverson

Tacoma WA 98407

I completely disagree with the governments right to ban the use of personal vaporizers in establishments that want toallow them. I'm will keep close attending to how council members vote on this issue. I believe it is a turning point inthe control that government is allowed to impose on "public places:.

Please add me to the IPL (Interested Parties List)

Regards,

Carl Halverson

Tacoma WA 98407

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Date: 5/9/2011 3:44:04 PMSubject: Op-Ed for your review


Hi Anthony,I hope you had a great trip out East. I know you’re busy in meetings today but hope you are able to access this onyour Blackberry. We’ve drafted an Op-Ed to be attributed to you for the News Tribune. It addresses some of theissues brought up in the first story and Friday’s editorial. This also helps contextualize our proposed regulation. Upon your approval, I will submit this to the News Tribune. They are aware that we were planning this, so we’rehopeful for a placement early in the week. Looking forward to your feedback!Bridget and team Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Tawana BellamyTo: Anthony Chen

'Dick Muri ([email protected])'Date: 5/9/2011 5:28:12 PM

Subject: RE: Comment posted from the Internet site - e-cigarettes

Council Member Muri,

I will add all of the constituent comments you just sent to me to the public records regarding e-cigarettes.

Thank you,

Tawana BellamyConfidential Assistant IIOffice of the DirectorTacoma-Pierce County Health DepartmentPhone: (253) 798-2899Healthy People in Healthy Communities




Thank you,


-----Original Message-----From: Barbara Salinas [Sent: Friday, May 06, 2011 8:55 PMTo: Dick MuriCc: Leslie SwalleySubject: Comment posted from the Internet site

Mr. Muri,I am a former cigarette smoker. I smoked 32 years. On October 6th of 2009, with the assistance of an "e-cigarette"kit, I quit smoking overnight. I no longer have the odor of smoke on my person, nor does my clothing or house . I

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have become highly sensitive to the smell of a smoker and can tell immediately when I am in the presence of acigarette smoker from about ten feet away. Let me tell you it stinks!










Name: Barbara SalinasAddress:

Spanaway, WA 98387Phone: Email:

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From: Bridget VandeventerTo: 'Megan Hutton'


Subject: RE: Cover Board of Health

It starts at 3:00 here at the Health Department in the auditorium. If you can, why don’t you get here about 2:45 to set up. I’m not sure how many people to expect, but I assume it will be a larger than normal crowd. This is not the main item on the agenda, but I suspect it will be the only one that anyone will have public comments on. We take public comments at the beginning, and then it’s a Health Director agenda item and likely to be discussed by the BOH member then. That part of the agenda is about 2/3 of the way into the meeting. Does this help? Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Megan Hutton [mailto:[email protected]]Sent: Monday, May 09, 2011 3:07 PMTo: Bridget Vandeventer; Hunter GeorgeSubject: Cover Board of Health Bridget, I got the ok to cover the meeting on May 18th. Please remind me what time it starts. Is this the main item on the agenda? Megan HuttonProducer | PCTV 22(253) 589-6073 desk(253) 341-5184 [email protected] From: Bridget Vandeventer [mailto:[email protected]]Sent: Monday, May 09, 2011 1:29 PMTo: Megan Hutton; Hunter GeorgeSubject: RE: wait 1 week?--RE: E-Cigs story I think that’s a better idea than rushing through this week. If you can wait (I know, it’s tight) until the 18th, you can come and film at the May 18th Board of Health meeting. We’ll not only have a good majority of the Board members there, but some other third parties will be there to comment as well. Does that sound ok?(And I’m getting to your other emails; digging out from Friday is taking me a bit of time.) Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Megan Hutton [mailto:[email protected]]Sent: Monday, May 09, 2011 11:16 AMTo: Bridget Vandeventer; Hunter GeorgeSubject: wait 1 week?--RE: E-Cigs story Or we can take our time and save the story for next week’s show…air date May 19? We might need that to coordinate board member interviews? Shoot that story May 16 or 17. Megan HuttonProducer | PCTV 22(253) 589-6073 desk(253) 341-5184 [email protected] From: Bridget Vandeventer [mailto:[email protected]]

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Sent: Monday, May 09, 2011 8:52 AMTo: Hunter George; Megan HuttonSubject: RE: E-Cigs story I’m just back today and working on this now. Give me a few hours, and I’ll get back to both of you with some options. Hunter- I hear you. I’ll take care of it. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Hunter George [mailto:[email protected]]Sent: Friday, May 06, 2011 4:58 PMTo: Megan Hutton; Bridget VandeventerSubject: RE: E-Cigs story Bridget,Considering how much heat Pat took among TNT readers, I was hoping we’d find a different board member to share the burden… She’ll need Dick Muri’s support for other county issues that are coming, so I really don’t want to drive a wedge between them (any more than necessary). Let me know if that’s not doable. Thanks.HTG From: Megan HuttonSent: Friday, May 06, 2011 4:18 PMTo: 'Bridget Vandeventer'Cc: Hunter GeorgeSubject: E-Cigs story Hi Bridget, I need your help getting together the right players for a story on e-cigarettes. I would like to promote the Health Board public hearing on the 16th, and the possible vote in early June.Dick Muri has approached me about covering this, but I also need to interview someone on the board who opposes it. Can you help me with that? Reply all please, including Hunter in the conversation.Thanks,Megan Megan HuttonProducer | PCTV 22(253) 589-6073 desk(253) 341-5184 [email protected] *************************************************************************************


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Date: 5/9/2011 6:36:34 PMSubject: RE: Cover Board of Health

That’s good, thanks. We’ll be there. Megan HuttonProducer | PCTV 22(253) 589-6073 desk(253) 341-5184 [email protected] From: Bridget Vandeventer [mailto:[email protected]]Sent: Monday, May 09, 2011 3:33 PMTo: Megan Hutton; Hunter GeorgeSubject: RE: Cover Board of Health It starts at 3:00 here at the Health Department in the auditorium. If you can, why don’t you get here about 2:45 to set up. I’m not sure how many people to expect, but I assume it will be a larger than normal crowd. This is not the main item on the agenda, but I suspect it will be the only one that anyone will have public comments on. We take public comments at the beginning, and then it’s a Health Director agenda item and likely to be discussed by the BOH member then. That part of the agenda is about 2/3 of the way into the meeting. Does this help? Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Megan Hutton [mailto:[email protected]]Sent: Monday, May 09, 2011 3:07 PMTo: Bridget Vandeventer; Hunter GeorgeSubject: Cover Board of Health Bridget, I got the ok to cover the meeting on May 18th. Please remind me what time it starts. Is this the main item on the agenda? Megan HuttonProducer | PCTV 22(253) 589-6073 desk(253) 341-5184 [email protected] From: Bridget Vandeventer [mailto:[email protected]]Sent: Monday, May 09, 2011 1:29 PMTo: Megan Hutton; Hunter GeorgeSubject: RE: wait 1 week?--RE: E-Cigs story I think that’s a better idea than rushing through this week. If you can wait (I know, it’s tight) until the 18th, you can come and film at the May 18th Board of Health meeting. We’ll not only have a good majority of the Board members there, but some other third parties will be there to comment as well. Does that sound ok?(And I’m getting to your other emails; digging out from Friday is taking me a bit of time.) Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Megan Hutton [mailto:[email protected]]Sent: Monday, May 09, 2011 11:16 AMTo: Bridget Vandeventer; Hunter George

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Subject: wait 1 week?--RE: E-Cigs story Or we can take our time and save the story for next week’s show…air date May 19? We might need that to coordinate board member interviews? Shoot that story May 16 or 17. Megan HuttonProducer | PCTV 22(253) 589-6073 desk(253) 341-5184 [email protected] From: Bridget Vandeventer [mailto:[email protected]]Sent: Monday, May 09, 2011 8:52 AMTo: Hunter George; Megan HuttonSubject: RE: E-Cigs story I’m just back today and working on this now. Give me a few hours, and I’ll get back to both of you with some options. Hunter- I hear you. I’ll take care of it. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Hunter George [mailto:[email protected]]Sent: Friday, May 06, 2011 4:58 PMTo: Megan Hutton; Bridget VandeventerSubject: RE: E-Cigs story Bridget,Considering how much heat Pat took among TNT readers, I was hoping we’d find a different board member to share the burden… She’ll need Dick Muri’s support for other county issues that are coming, so I really don’t want to drive a wedge between them (any more than necessary). Let me know if that’s not doable. Thanks.HTG From: Megan HuttonSent: Friday, May 06, 2011 4:18 PMTo: 'Bridget Vandeventer'Cc: Hunter GeorgeSubject: E-Cigs story Hi Bridget, I need your help getting together the right players for a story on e-cigarettes. I would like to promote the Health Board public hearing on the 16th, and the possible vote in early June.Dick Muri has approached me about covering this, but I also need to interview someone on the board who opposes it. Can you help me with that? Reply all please, including Hunter in the conversation.Thanks,Megan Megan HuttonProducer | PCTV 22(253) 589-6073 desk(253) 341-5184 [email protected] *************************************************************************************


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Date: 5/9/2011 6:44:36 PMSubject: RE: E-cig Panel team mtg

Hey- so the only day that Greg can come (and Lori- are we still asking her to facilitate?) is Wednesday. Everyoneelse seems to be free, but your calendar is pretty booked. Can you make time in the afternoon available? Thanks. Sorry to hound; this is a hard week to schedule it seems. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Tutrecia GilesSent: Monday, May 09, 2011 3:09 PMTo: Kirsten FrandsenCc: Bridget VandeventerSubject: RE: E-cig Panel team mtg Kirsten,No problem. It was the same meeting. 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, May 09, 2011 11:52 AMTo: Tutrecia GilesCc: Bridget VandeventerSubject: RE: E-cig Panel team mtg Thanks Tutricia! Bridget is getting ready to schedule a meeting with her, Greg, Paul and I so that she can give us strategies for howto deflect comments from the public if they get unruly. Perhaps we can merge these two meetings together into a 1.5 hour session. Just to make sure that I’mremembering this correctly, the purpose of the meeting that you describe below is for the presenters to cometogether and discuss how we’ll present together? If so, I’m thinking that probably only Greg, Bridget, Paul and Ineed to be there. Thanks, Kirsten From: Tutrecia GilesSent: Monday, May 09, 2011 11:41 AMTo: Kirsten FrandsenSubject: E-cig Panel team mtgImportance: High Kirsten,

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I’m about to schedule a meeting for the panel team. Should this meeting be an hour or an hour and half ? I’minviting Greg, Lori, Paul, Bridget, Bruce and John. Is there anyone else?-tg Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected]

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Thanks Tutricia! Bridget is getting ready to schedule a meeting with her, Greg, Paul and I so that she can give us strategies for howto deflect comments from the public if they get unruly. Perhaps we can merge these two meetings together into a 1.5 hour session. Just to make sure that I’mremembering this correctly, the purpose of the meeting that you describe below is for the presenters to cometogether and discuss how we’ll present together? If so, I’m thinking that probably only Greg, Bridget, Paul and Ineed to be there. Thanks, Kirsten From: Tutrecia GilesSent: Monday, May 09, 2011 11:41 AMTo: Kirsten FrandsenSubject: E-cig Panel team mtgImportance: High Kirsten,I’m about to schedule a meeting for the panel team. Should this meeting be an hour or an hour and half ? I’minviting Greg, Lori, Paul, Bridget, Bruce and John. Is there anyone else?-tg Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected]

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Kirsten,No problem. It was the same meeting. 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, May 09, 2011 11:52 AMTo: Tutrecia GilesCc: Bridget VandeventerSubject: RE: E-cig Panel team mtg Thanks Tutricia! Bridget is getting ready to schedule a meeting with her, Greg, Paul and I so that she can give us strategies for howto deflect comments from the public if they get unruly. Perhaps we can merge these two meetings together into a 1.5 hour session. Just to make sure that I’mremembering this correctly, the purpose of the meeting that you describe below is for the presenters to cometogether and discuss how we’ll present together? If so, I’m thinking that probably only Greg, Bridget, Paul and Ineed to be there. Thanks, Kirsten From: Tutrecia GilesSent: Monday, May 09, 2011 11:41 AMTo: Kirsten FrandsenSubject: E-cig Panel team mtgImportance: High Kirsten,I’m about to schedule a meeting for the panel team. Should this meeting be an hour or an hour and half ? I’minviting Greg, Lori, Paul, Bridget, Bruce and John. Is there anyone else?-tg Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected]

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Date: 5/9/2011 8:19:00 PMSubject: RE: E-cig Research Doc's

It’s unlikely that they’ll read it. If we want to make sure they get certain pieces of information we should presentit to them at the BOH meeting, but were time limited there as well. What are we currently planning to send them in the BOH packets and when is the packet going out? Also, let’s be sure to discuss the May 18th Board meeting when we meet this Friday. Thanks. From: Kirsten FrandsenSent: Monday, May 09, 2011 11:34 AMTo: Frank Dibiase; Steve MarekSubject: FW: E-cig Research Doc's Hi, can you please see the weblink in the email below from GASP…. It is a white paper that is very comprehensive on e-cigarettes. What are your thoughts on including this in theBOH packet that we’re sending out? If not, an alternate idea might be to have one of our speakers (providingtestimony) at the BOH meeting, distribute this to all members (or we can). Thanks, Kirsten From: Bruce RytkonenSent: Monday, May 09, 2011 9:53 AMTo: Kirsten Frandsen; Tutrecia GilesSubject: E-cig Research Doc's I’ve looked at three of the documents about e-cigs that we have received…..1. Americans for Nonsmokers’Rights 2. The Tobacco Control Legal Consortium (what Scott Neal provided) and 3. The GASP White Paper on E-cigs (link provided below). I think that the GASP White Paper provides a very comprehensive listing of issuesassociated with e-cigs. Also…..Kirsten……I had a question for Paul Davis last week and when he answered it he included the FDA April 25News & Events write-up on e-cigs that he or Frances had provided to you. It seems to me that Paul (Madigan) and Greg could take what’s being provided in this write-up (how the FDA will now regulate e-cigs as a “tobaccoproduct”), and come up with a legitimate position supporting prohibiting the use of e-cigs where tobacco isprohibited. From: Karen Haines [mailto:[email protected]]Sent: Tuesday, April 26, 2011 9:01 AMTo: Bruce RytkonenCc: [email protected]; [email protected]: TCPHD ordinance on e-cigarette ban on sale to minors? Bruce RytkonenTacoma-Pierce County Health Department Dear Bruce, Julie Scholer from the Spokane County health department suggested I email you to find out where theCounty is with regards to a proposal to ban the sale of e-cigarettes to minors, and if you are alsoconsidering a ban on the use of e-cigs in public places and workplaces where smoking is currently

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banned. Our nonprofit publishes a white paper supporting restrictions on e-cigarettes that lists jurisdictions thathave already banned or are considering a ban on the sale of e-cigs to minors, and use of e-cigs in publicplaces and workplaces. Please feel free to circulate the white paper to your County’s health commissionduring their hearing on the ordinance. http://njgasp.org/E-Cigs_White_Paper.pdf We provided technical assistance to the NJ Legislature, which was the first state jurisdiction in the USAto ban the use of e-cigs in public places and workplaces where smoking is banned as well as banningtheir sale to minors. Look forward to hearing from you soon. Please respond using ‘reply all’. Tx. Karen HainesFinance and Technology AdministratorGlobal Advisors on Smokefree Policy (GASP)7 Cedar St., Suite A, Summit, NJ 07901(908)273-9368 office(908)273-9222 [email protected]

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From: Bridget VandeventerTo: 'Hunter George'

Megan HuttonDate: 5/9/2011 11:51:48 AM


I’m just back today and working on this now. Give me a few hours, and I’ll get back to both of you with someoptions. Hunter- I hear you. I’ll take care of it. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Hunter George [mailto:[email protected]]Sent: Friday, May 06, 2011 4:58 PMTo: Megan Hutton; Bridget VandeventerSubject: RE: E-Cigs story Bridget,Considering how much heat Pat took among TNT readers, I was hoping we’d find a different board member toshare the burden… She’ll need Dick Muri’s support for other county issues that are coming, so I really don’t wantto drive a wedge between them (any more than necessary). Let me know if that’s not doable. Thanks.HTG From: Megan HuttonSent: Friday, May 06, 2011 4:18 PMTo: 'Bridget Vandeventer'Cc: Hunter GeorgeSubject: E-Cigs story Hi Bridget, I need your help getting together the right players for a story on e-cigarettes. I would like to promote the HealthBoard public hearing on the 16th, and the possible vote in early June.Dick Muri has approached me about covering this, but I also need to interview someone on the board whoopposes it. Can you help me with that? Reply all please, including Hunter in the conversation.Thanks,Megan Megan HuttonProducer | PCTV 22(253) 589-6073 desk(253) 341-5184 [email protected]

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Thank Bridget, let me know if we can make this happen tomorrow 5/10. At this point, I’m wide open. Thanks,Megan Megan HuttonProducer | PCTV 22(253) 589-6073 desk(253) 341-5184 [email protected] From: Bridget Vandeventer [mailto:[email protected]]Sent: Monday, May 09, 2011 8:52 AMTo: Hunter George; Megan HuttonSubject: RE: E-Cigs story I’m just back today and working on this now. Give me a few hours, and I’ll get back to both of you with some options. Hunter- I hear you. I’ll take care of it. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Hunter George [mailto:[email protected]]Sent: Friday, May 06, 2011 4:58 PMTo: Megan Hutton; Bridget VandeventerSubject: RE: E-Cigs story Bridget,Considering how much heat Pat took among TNT readers, I was hoping we’d find a different board member to share the burden… She’ll need Dick Muri’s support for other county issues that are coming, so I really don’t want to drive a wedge between them (any more than necessary). Let me know if that’s not doable. Thanks.HTG From: Megan HuttonSent: Friday, May 06, 2011 4:18 PMTo: 'Bridget Vandeventer'Cc: Hunter GeorgeSubject: E-Cigs story Hi Bridget, I need your help getting together the right players for a story on e-cigarettes. I would like to promote the Health Board public hearing on the 16th, and the possible vote in early June.Dick Muri has approached me about covering this, but I also need to interview someone on the board who opposes it. Can you help me with that? Reply all please, including Hunter in the conversation.Thanks,Megan

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Megan HuttonProducer | PCTV 22(253) 589-6073 desk(253) 341-5184 [email protected] *************************************************************************************


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From: Bridget VandeventerTo: 'Yuan, Teresa'

Date: 5/9/2011 8:25:42 PMSubject: RE: electronic cigarette ban

Hi Teresa,Thanks for your interest. I’m trying to see if we have someone available that morning to do the interview.Normally I’d say yes quickly, but Dr. Chen is out of town this week on business, so I’m having a little more troubleidentifying the right spokesperson. Is the story for the morning news or evening? Are you interviewing others about the issue and would you mindsharing who? And then finally, is there anything specific about the timing? Our Board of Health meeting, wherethis will be discussed is next Wednesday, May 18, so it will be especially relevant that day. And thanks for your patience on Friday while I was out. Did you get what you needed for that story? I’ll be in touch tomorrow. Thanks!Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Yuan, Teresa [mailto:[email protected]]Sent: Monday, May 09, 2011 1:53 PMTo: Yuan, Teresa; Bridget VandeventerCc: Kirsten FrandsenSubject: electronic cigarette ban Hello, Teresa Yuan here with KING 5 News. I was wondering if we could interview someone with the the Tacoma-Pierce County Health Department or someone you think wouldbe appropriate to talk about a story we read in the News Tribune, about the county considering a ban on battery-powered electroniccigarettes that deliver nicotine without smoking. We're looking to do the interview Wednesday morning 9:30 am, hopefully that time would work. Let me know if that works and where we should meet. Thanks again for all your help, Teresa415-710-8589 c

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From: Madigan ResidentTo: Tutrecia Giles

Kirsten FrandsenFrank DibiaseSteve MarekBridget VandeventerBruce Rytkonen'Gregory Jacoby'Lori BemisJohn Britt

Date: 5/9/2011 4:37:06 PMSubject: RE: Notes-Public hearing prep mtg 5/6

All, I had the opportunity to speak to Bob Morcerf from Suffolk County in New York State. They have passedlegislation in regards to e-cigarettes in 2009. I have placed this legislation on the sharepoint in case anyone is interested. (Regs and Resolutions from PeerCounties‡ E-cigs‡ Suffolk County Legislation) Mr. Morcerf mentioned that the legislation was passed due to the health concerns of nicotine as well as to allowfor better enforcement of already existing indoor smoking laws. Best,Paul From: Tutrecia GilesSent: Monday, May 09, 2011 11:06 AMTo: Kirsten Frandsen; Frank Dibiase; Steve Marek; Bridget Vandeventer; Bruce Rytkonen; 'Gregory Jacoby'; MadiganResident; Lori Bemis; John BrittSubject: Notes-Public hearing prep mtg 5/6 Hello all,Here’s what I recall from the public hearing prep meeting on 5/6 . Please feel free to add anything that I may haveoverlooked from the discussion. In attendance at this meeting-Frank, Kirsten, John B., Paul, Bruce, Greg, Lori andTutrecia

· Team agreed to meet in auditorium at 5:15pm on 5/16 to prep for public hearing.

· Lori will introduce the panel members (Kirsten Frandsen- Program Coordinator: Physical Activity,Nutrition, and Tobacco, Paul Faestel- Madigan resident and Gregory Jacoby)

· Lori will provide an overview of the agenda (i.e. presentation by panel, 3min public comments, sign-insheets at door for general sign-in and public comment, first sheet will be taken up after presentation,There won’t be any Q&A- here to mainly listen- facilitator will ID any trends in comments that needclarification from panel, time frame of meeting, Will try to get to most of the comments but laptops andcomment cards to the left of the room, will inform public that comments will be provided to BOH (Selinaor Tawana will compile a general overview of the comments for the BOH)

· Short Presentation(15mins)- Kirsten will speak about overall health issues, Greg will discuss /readregulations and Paul will discuss health implications/concerns

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· Public comments ,facilitated by Lori for the duration of meeting

· It was suggested by Frank that the team set a goal of staying in the 6-7pm time frame, but the meeting canbe extended if necessary

Action Items

1. Sign-in sheets at the door- (General and a sign-in for public comment)*Public comment sign-insheets will request Name-Address –Comment on which regulations

2. Request security for event (Done)

3. Handouts of regulations located at sign-in table

4. 2 laptops for public comment (Requested)

5. Podium for community(Requested)

6. Wireless microphone for Lori (Requested)

7. Two microphones at panel table (Requested)

8. Tables for panel (Requested)

9. Comment cards

10. Box for comment cards

11. Pens

12. Water/cups for community (Requested)

13. Table for water set-up(Requested)

14. Timer method (3min)-will look for or make a yellow/red fan, yellow side for a min and red to stop

15. Meeting for the panel members and Bridget

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

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'[email protected]'Date: 5/9/2011 12:43:24 AM

Subject: RE: NYTimes.com: A Smoking Ban Too Far

Thanks for sending this Frank. Interestingly, I believe that the author of this article is the same gentleman who authored the sole study that we havefound that e-cigarettes are effective as cessation aids (Dr. Seigel out of Boston U.- as you most likely recall, it's a weakstudy). Thanks, Kirsten

From: Frank DibiaseSent: Friday, May 06, 2011 1:32 PMTo: '[email protected]'Cc: Kirsten Frandsen; Steve Marek; Bridget VandeventerSubject: RE: NYTimes.com: A Smoking Ban Too Far

Thanks Greg. From: [email protected] [mailto:[email protected]] On Behalf Of [email protected]: Friday, May 06, 2011 1:05 PMTo: Frank DibiaseSubject: NYTimes.com: A Smoking Ban Too Far

This page was sent to you by: [email protected] from sender:Frank, here is the op ed piece that John referred to at this morning's meeting. Greg

OPINION | May 06, 2011Op-Ed Contributor: A Smoking Ban Too FarBy MICHAEL B. SIEGELProhibiting cigarettes in parks and on beaches risks a public backlash.

Copyright 2011 The New York Times Company | Privacy Policy

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Date: 5/9/2011 5:33:42 PMSubject: RE: Op-Ed for your review

Anthony- Cindan made a good suggestion that it’s better for you to review by Blackberry in text. Here it is.Thanks! Protecting Pierce County During an Absence of ProofDr. Anthony Chen, Director of Health, Tacoma-Pierce County Health Department In 2005, Washington State voters overwhelmingly passed the Clean Indoor Act. This measure serves to protectour residents from the effects of secondhand smoke in public places and places of employment. While thebenefits of this law are great, it came long after the health effects of secondhand smoke (death, disability andeconomic impacts) were well documented. After decades of clever marketing and lobbying by tobaccocompanies, public health officials had to step in. But for many, it was too late to provide the health protectionthey needed. And here we are today, in what feels like an all too familiar storyline. Business owners blurred by a literal andfigurative haze tell you that their product is safe, harmless, and even helpful as you try to quit smoking. But theynever show you proof of safety and efficacy, and certainly never discuss the financial motives behind theirconvincing, yet purely anecdotal stories. First, e-cigarette manufacturers argued to the Food and DrugAdministration that e-cigarettes should not be qualified as a drug because they are not meant to be a cessationaid. As a result the FDA ruled that e-cigarettes are to be regulated as a tobacco product. But here in PierceCounty, far from the shadows of the FDA, e-cigarette retailers claim that their product is an effective way to helppeople quit. It all sounds strikingly similar to the insincere arguments made four decades ago by the tobaccoindustry. In the absence of FDA regulation, e-cigarette manufacturers are not subject to the same rigorous safety standardsas are the manufacturers of approved cessation products. Analysis of e-cigarettes by the FDA found theycontained varying levels of nicotine as well as other harmful chemicals known to be toxic and cancer causing. As apublic health agency, we have the responsibility to protect people’s health and we believe that it is bad policy toallow the public to be exposed to chemicals that are known to be harmful. The burden of proof to show that e-cigarettes are safe and effective should reside with e-cigarette manufacturers and retailers, and not leave ourresidents at risk until their safety is proven. Opponents of the proposed regulations argue that we should not pass policy without solid evidence to do so.While we agree that regulation should be based on facts and data, where conclusive evidence is absent we needto use common sense to guide us in protecting the health of the people in Pierce County. As a community, we have come so far to de-glamorize smoking and set healthy examples for our children. We areconcerned about the role modeling aspects of e-cigarettes and that they will increase social acceptability ofsmoking. This is all the more challenging when children see attractive people ringed in smoke wherever theymay go; the grocery store, the public parks, the coffee shops. As the editorial in the News Tribune on May 6, 2011noted, our county has seen rates of adult tobacco use decline dramatically in the last decade. The editorial alsostates that “Fake smokes, many of which look almost indistinguishable from real cigarettes, keep smoking in thepublic eye and help normalize the act of lighting up.” An increase in adult smoking would not only impact thesmoker, but place added burdens on society and tax payers as a whole. As the health authority for our county, our mission is to protect the health of residents in Pierce County. We willcontinue to do this with the best available information, along with common sense and a belief that we should erron the side of safety when it comes to protecting our residents’ health. When the e-cigarette industry can provethat there are no harmful side effects to their use, we will reconsider our position. In the interim, we willcontinue to promote prevention of tobacco use and cessation resources that have been proven safe and effectivesuch as inhalers, patches and gum and propose regulation to protect the health of Pierce County.

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Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Monday, May 09, 2011 12:44 PMTo: Anthony ChenCc: Laurie Jinkins; Steve Marek; Frank Dibiase; Kirsten Frandsen; Cindan GizziSubject: Op-Ed for your reviewImportance: High Hi Anthony,I hope you had a great trip out East. I know you’re busy in meetings today but hope you are able to access this onyour Blackberry. We’ve drafted an Op-Ed to be attributed to you for the News Tribune. It addresses some of theissues brought up in the first story and Friday’s editorial. This also helps contextualize our proposed regulation. Upon your approval, I will submit this to the News Tribune. They are aware that we were planning this, so we’rehopeful for a placement early in the week. Looking forward to your feedback!Bridget and team Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Frank DibiaseTo: 'Cross-Cultural Collaborative'

Date: 5/9/2011 7:35:24 PMSubject: RE: Staying Connected!

Hello (Amy? – not sure who actually sends this out), The information regarding the public hearing for proposed TPCHD tobacco regulations is incorrect. The Public meeting is actually Monday, May 16 (not 18th) from 6-7PM in the health department’s auditorium. On May 18th there will be a Board of Health Meeting from 3 to 5 PM in the auditorium. There will be anopportunity for folks to “comment” during the “open comment” period at the May 18th Board of Health meeting ifsomeone is unable to make the May 16th meeting or wants to attend both. Thanks. From: Cross-Cultural Collaborative [mailto:[email protected]]Sent: Monday, May 09, 2011 3:27 PMTo: [email protected]; Len Adams; [email protected]; [email protected];[email protected]; [email protected]; [email protected]; [email protected];[email protected]; [email protected]; [email protected]; Dave Bischof; [email protected];[email protected]; John Britt; Walt Burdsall; [email protected]; [email protected];[email protected]; Sebrena Chambers; Anthony Chen; [email protected]; [email protected];[email protected]; [email protected]; Allison Cox; [email protected]; [email protected];[email protected]; Frank Dibiase; [email protected]; [email protected]; [email protected];[email protected]; [email protected]; [email protected]; Diane Evans;[email protected]; [email protected]; [email protected];[email protected]; Kirsten Frandsen; [email protected]; [email protected];[email protected]; Tutrecia Giles; Linda Gillis; Cindan Gizzi; [email protected]; Linda Graves;[email protected]; [email protected]; [email protected]; [email protected]; [email protected];[email protected]; [email protected]; George Hermosillo; [email protected];[email protected]; [email protected]; [email protected]; [email protected];[email protected]; Dawn Jacobs; Laurie Jinkins; Lea Johnson; [email protected];[email protected]; [email protected]; [email protected]; [email protected]; Amrit Lal;[email protected]; [email protected]; [email protected]; [email protected];[email protected]; [email protected]; [email protected]; [email protected]; Xuan Man;[email protected]; [email protected]; [email protected]; [email protected];[email protected]; [email protected]; [email protected]; [email protected];[email protected]; [email protected]; [email protected];[email protected]; [email protected]; [email protected]; [email protected];[email protected]; [email protected]; [email protected]; [email protected];[email protected]; [email protected]; [email protected]; [email protected];[email protected]; [email protected]; [email protected]; [email protected]; [email protected];[email protected]; [email protected]; [email protected]; [email protected]; Jamie-Diane Pollock;[email protected]; [email protected]; [email protected]; [email protected];[email protected]; Kathleen Ross; [email protected]; Bruce Rytkonen;[email protected]; [email protected]; [email protected]; [email protected];[email protected]; Marianne Seifert; [email protected]; [email protected];[email protected]; [email protected]; [email protected]; [email protected]; [email protected];[email protected]; [email protected]; [email protected]; [email protected]; [email protected];[email protected]; [email protected]; [email protected]; [email protected];[email protected]; [email protected]; [email protected]; Beth Wilson;[email protected]; [email protected]; Samantha Yeun; [email protected]; [email protected]; HannaZarellijackson; [email protected]; [email protected]; [email protected]: Staying Connected!

CROSS-CULTURAL COLLABORATIVE

OF PIERCE COUNTY

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* * * Staying Connected * * *

We Stay Connected for many reasons –please read on to learn about some of them!

* * * Quick Collaborative 2011 Meetings – Update: * * *

The rest of our CCC meetings this year will be at Centro Latino, from 12pm – 1:30pm,

on these dates:

June 13th August 8th October 10th December 12th

See you then and there!!!

* * * An Evening With Tim Wise * * *

Colorblind: The Rise of Post-Racial Politics & the Retreat from Racial Equity

Date: Wednesday, May 11, 2011Time: Doors open at 6:00 pm, Program begins at 6:30 pmLocation: University of Washington, Tacoma WPH Assembly Room

1900 Commerce Street, Tacoma, WA

One of the Country's Leading Anti-Racist Writers and Activists

Tim Wise is among the most prominent anti-racist writers and educators in the United States . Recentlynamed one of “25 Visionaries Who are Changing Your World,” by Utne Reader, Wise has spoken in 49states, on over 600 college campuses, and to community groups across the nation. He has also lecturedinternationally in Canada and Bermuda on issues of comparative racism, race and education, racism andreligion, and racism in the labor market.

General Admission Seating – Ticket Required

UWT Students: 1 FREE ticket with student ID, may buy additional for $10

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Non-Students: $10 each, two tickets maxCash or check only; tickets available in Student Involvement (MAT 103)

For more info please contact: Shanna Kinzel Department of Student Involvement UW Tacoma

Phone: 253.692.4685 Fax: 253.692.4840 Office: MAT 103A

* * * Governor's Interagency Council on Health Disparities * * *

will meet Thursday, May 12th, 2001, and has issued a

**Special Request for Community Input**

Date: Thursday, May 12th, 2011Time: 9:00 a.m. – 4:40 p.m.Location: Thurston County Fair Grounds, Heritage Hall,

3054 Carpenter Rd SE, Olympia, WA 98503

**Special Request for Community Input**: During this meeting, the Council will be discussing andpossibly identifying its priorities for the next state policy action plan to eliminate health disparities. Councilmembers request your input during the public comment period scheduled from 9:40 – 10:10am.

Please find attached the proposed final agenda for the Health Disparities Council meeting scheduled totake place on Thursday May 12, 2011 from 9:00am – 4:40pm.

The meeting will take place at the Thurston County Fairgrounds, Heritage Hall Building located at 3054Carpenter Rd SE, Olympia, WA 98503. You can find directions on the Thurston County Fairgrounds Web site:http://www.co.thurston.wa.us/fair/directions.htm.

For more information about the meeting or the Council in general, contact us at the information listed belowor visit our web site. Meeting materials will be available on our Web site by close of business Friday May 6,2011.

Governor's Interagency Council on Health Disparities Washington State Board of Health

Phone: 360/236-4110 Fax: 360/236-4088 Email: [email protected] HealthEquity.wa.gov

* * Place and Health: Why Conditions Where We Live, Learn, Work and Play Matter * *

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Webinar Panel Discussion with Experts on the Social Determinants of Health

Moderated by David Williams, Ph.D., M.P.H.

Wednesday, May 11, 2011from 9:30 a.m. – 11 a.m. [12:30 p.m. – 2 p.m. ET]

Place and Health: Why Conditions Where We Live, Learn, Work andPlay Matter

Webinar Panel Discussion with Experts on the Social Determinants of Health, Moderated byDavid Williams, Ph.D., M.P.H.

Join the Robert Wood Johnson Foundation's Vulnerable Populations Portfolio on May 11 for aroundtable discussion among experts in the fields of housing and neighborhoods, violenceprevention, and the growing use of health impact assessments to determine the health implicationsof community development and other programs and policies. This webinar is the third in a seriesto examine the non-medical factors that shape health.

The webinar will provide highlights from topical issue briefs and specific examples fromcommunities to address such questions as:

What are health impact assessments and how are they being used in communities to inform policydecisions and make our communities healthier? Apart from access to health insurance, how does our work affect our health? Why are housing andneighborhoods important for keeping us healthy? Beyond personal safety, how does exposure to violence affect our health? How can preventingviolence influence the health of whole communities?Why and how are new sectors—community development, housing, transportation and cityplanners—getting involved in discussions about health?

David Williams, Ph.D., M.P.H, professor at the Harvard School of Public Health, HarvardUniversity, will moderate the discussion with an expert panel that includes:

Paula Braveman, M.D., M.P.H., University of California, San FranciscoSusan Egerter, Ph.D., University of California, San FranciscoBen Hecht, president and CEO, Living Cities, New York, NY Gary Slutkin, M.D., executive director, CeaseFireAaron Wernham, M.D., director, Health Impact Project

When: Wednesday, May 11, 2011, from 12:30 p.m. – 2 p.m. ET

Learn more. Register to attend the webinar.

You have received this e-mail alert because you have elected to receive information from theRobert Wood Johnson Foundation on: Public Health and Vulnerable Populations.

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We received a request from Hae-Man Song

– from Pierce County’s Chemical Dependency Program, and a CCC Partner –

* * * for YOUR Feedback about the medical marijuana info in these Attachments! * * *

From: Hae-Man Song <[email protected]> Date: Tue, May 3, 2011 at 9:24 AM

I am asking for your feedback regarding the information below as discussed today at our prevention networkmeeting. I value your input, expertise, and collaboration. So, please feel free to provide your feedback on thisinformation that I am sharing and developing with our Puget Sound Educational Service District preventionnetwork. I look forward to learning from your insights because this can be such a complex topic with so muchinformation to sift through. Thank you.

Both Attachments are entitled “Medical Marijuana”

Public Meeting: May 18th from 6 - 7pm

* * * for Community Feedback about Proposed Tobacco Regulations * * *

at Tacoma-Pierce County Health Department Auditorium3629 South D Street, Tacoma, WA 98418

The Board of Health may vote on these regulations at the June 1, 2011 Board of Health meeting and theHealth Department is interested in receiving feedback from the community prior to that date.

TPCHD will host a public meeting to preview and receive public feedback regarding the two regulations. Themeeting will include a brief presentation of the proposed regulations, a question and answer period and anopportunity for attendees to provide brief comment.

You can review the two proposed regulations at: http://www.tpchd.org/health-wellness-1/tobacco-prevention-control/tobacco-regulations/.

To provide written feedback on the proposed regulations, please fill out the public input from whichcan be found on-line at http://www.tpchd.org/page.php?id=2295.

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The two regulations are:

Environmental Health Code, Chapter 8: Smoking in Public Places: This local regulation providesgreater clarity and interpretation of RCW 70.160, Washington State’s Smoking in Public Places law,and allows for local enforcement including fees and fines.

Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of ElectronicSmoking Devices and Unregulated Nicotine Delivery Products: Prohibits smoking and purchase of e-cigarettes and other unregulated nicotine delivery products by youth under age 18; disallows e-cigarettes and other unregulated nicotine delivery products to be used in public places andanywhere that regular cigarettes are prohibited; and prohibits free or heavily discounted e-cigarettesand other unregulated nicotine delivery products.

* * * Save the Date: 2011 Community Needs Forecast* * *

The 3rd Annual Community Needs Forecast will be presented in partnership between the Department of Social &Health Services and United Way of Pierce County. Please forward throughout the community. For more info please contact: Pamela Cowley Community Organization Specialist

Tacoma-Pierce County Health Department,

(253) 798-6573 [email protected]

* * * The Russell Family Foundation is now seeking applicants forthe next class of "Jane's Fellows" * * *

Jane's Fellowship Program is a two-year learning experience for grassroots leaders from Pierce County. Thefellowship focuses on expanding each leader's personal strengths and skills, and offers financial, logisticaland educational support for participation. Jane's Fellowship Program is looking for grassroots leaderswilling to be active in team oriented learning, challenges and mutual support.

Are you a grassroots leader? Grassroots leaders make life better in our neighborhoods, schools, cities, suburbs and rural areas. They:

· Are driven by caring and vision -- often volunteering their time outside a paying job

· Use inner resources to create change, usually with little financial and technical help

· Stay involved in their causes despite setbacks

· Often work far from the spotlight of formal power and authority

· Are willing to lead even without organized job titles, institutions and structures

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To learn more about the Fellowship, download a brochure go to: http://trff.org/documents/2011jfpbrochurefinal.pdf.

To apply for the program, download an application to:http://trff.org/documents/2011jfpapplicationfinal.pdf.

For more information or to have materials mailed to you, please call (253) 857-1689 or [email protected].

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From: Elizabeth PulosTo: Frank Dibiase


Right again. The rate in 2000 was 21.9%. The 35% must have been pulled up from the earlier story they ran. Notour fault this time, at least, but wrong nevertheless. From: Frank DibiaseSent: Monday, May 09, 2011 9:36 AMTo: Elizabeth PulosSubject: FW: This morning's editorial about proposed e-cigarette regulation Hi Liz, Below is an editorial in this past Friday’s Morning News Tribune.





Thanks.



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Glad I checked. Thanks Liz. From: Elizabeth PulosSent: Monday, May 09, 2011 10:03 AMTo: Frank DibiaseSubject: RE: This morning's editorial about proposed e-cigarette regulation Right again. The rate in 2000 was 21.9%. The 35% must have been pulled up from the earlier story they ran. Notour fault this time, at least, but wrong nevertheless. From: Frank DibiaseSent: Monday, May 09, 2011 9:36 AMTo: Elizabeth PulosSubject: FW: This morning's editorial about proposed e-cigarette regulation Hi Liz, Below is an editorial in this past Friday’s Morning News Tribune.





Thanks.



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From: Bridget VandeventerTo: 'Megan Hutton'


Subject: RE: wait 1 week?--RE: E-Cigs story

I think that’s a better idea than rushing through this week. If you can wait (I know, it’s tight) until the 18th, you can come and film at the May 18th Board of Health meeting. We’ll not only have a good majority of the Board members there, but some other third parties will be there to comment as well. Does that sound ok?(And I’m getting to your other emails; digging out from Friday is taking me a bit of time.) Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Megan Hutton [mailto:[email protected]]Sent: Monday, May 09, 2011 11:16 AMTo: Bridget Vandeventer; Hunter GeorgeSubject: wait 1 week?--RE: E-Cigs story Or we can take our time and save the story for next week’s show…air date May 19? We might need that to coordinate board member interviews? Shoot that story May 16 or 17. Megan HuttonProducer | PCTV 22(253) 589-6073 desk(253) 341-5184 [email protected] From: Bridget Vandeventer [mailto:[email protected]]Sent: Monday, May 09, 2011 8:52 AMTo: Hunter George; Megan HuttonSubject: RE: E-Cigs story I’m just back today and working on this now. Give me a few hours, and I’ll get back to both of you with some options. Hunter- I hear you. I’ll take care of it. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Hunter George [mailto:[email protected]]Sent: Friday, May 06, 2011 4:58 PMTo: Megan Hutton; Bridget VandeventerSubject: RE: E-Cigs story Bridget,Considering how much heat Pat took among TNT readers, I was hoping we’d find a different board member to share the burden… She’ll need Dick Muri’s support for other county issues that are coming, so I really don’t want to drive a wedge between them (any more than necessary). Let me know if that’s not doable. Thanks.HTG From: Megan HuttonSent: Friday, May 06, 2011 4:18 PMTo: 'Bridget Vandeventer'

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Cc: Hunter GeorgeSubject: E-Cigs story Hi Bridget, I need your help getting together the right players for a story on e-cigarettes. I would like to promote the Health Board public hearing on the 16th, and the possible vote in early June.Dick Muri has approached me about covering this, but I also need to interview someone on the board who opposes it. Can you help me with that? Reply all please, including Hunter in the conversation.Thanks,Megan Megan HuttonProducer | PCTV 22(253) 589-6073 desk(253) 341-5184 [email protected] *************************************************************************************


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From: Hunter George <[email protected]>To: Bridget Vandeventer

Megan HuttonDate: 5/9/2011 4:30:30 PM


I like this idea. We shouldn’t rush this. And Megan, you can let CM Muri know that it’s a timing issue and that we’ll cover the BoH discussion. From: Bridget Vandeventer [mailto:[email protected]]Sent: Monday, May 09, 2011 1:29 PMTo: Megan Hutton; Hunter GeorgeSubject: RE: wait 1 week?--RE: E-Cigs story I think that’s a better idea than rushing through this week. If you can wait (I know, it’s tight) until the 18th, you can come and film at the May 18th Board of Health meeting. We’ll not only have a good majority of the Board members there, but some other third parties will be there to comment as well. Does that sound ok?(And I’m getting to your other emails; digging out from Friday is taking me a bit of time.) Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Megan Hutton [mailto:[email protected]]Sent: Monday, May 09, 2011 11:16 AMTo: Bridget Vandeventer; Hunter GeorgeSubject: wait 1 week?--RE: E-Cigs story Or we can take our time and save the story for next week’s show…air date May 19? We might need that to coordinate board member interviews? Shoot that story May 16 or 17. Megan HuttonProducer | PCTV 22(253) 589-6073 desk(253) 341-5184 [email protected] From: Bridget Vandeventer [mailto:[email protected]]Sent: Monday, May 09, 2011 8:52 AMTo: Hunter George; Megan HuttonSubject: RE: E-Cigs story I’m just back today and working on this now. Give me a few hours, and I’ll get back to both of you with some options. Hunter- I hear you. I’ll take care of it. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Hunter George [mailto:[email protected]]Sent: Friday, May 06, 2011 4:58 PMTo: Megan Hutton; Bridget VandeventerSubject: RE: E-Cigs story Bridget,Considering how much heat Pat took among TNT readers, I was hoping we’d find a different board member to share the burden… She’ll need Dick Muri’s support for other county issues that are coming, so I really don’t want to drive a wedge between them (any more than necessary). Let me know if that’s not doable.

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Thanks.HTG From: Megan HuttonSent: Friday, May 06, 2011 4:18 PMTo: 'Bridget Vandeventer'Cc: Hunter GeorgeSubject: E-Cigs story Hi Bridget, I need your help getting together the right players for a story on e-cigarettes. I would like to promote the Health Board public hearing on the 16th, and the possible vote in early June.Dick Muri has approached me about covering this, but I also need to interview someone on the board who opposes it. Can you help me with that? Reply all please, including Hunter in the conversation.Thanks,Megan Megan HuttonProducer | PCTV 22(253) 589-6073 desk(253) 341-5184 [email protected] *************************************************************************************


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Hi Bridget, I’m checking to make sure we have a shooter available but I commit to the 18th. We’ve got a big shoot the evening (Hunter—it’s the RCC meeting). I’ll know today or tomorrow. Megan Megan HuttonProducer | PCTV 22(253) 589-6073 desk(253) 341-5184 [email protected] From: Bridget Vandeventer [mailto:[email protected]]Sent: Monday, May 09, 2011 1:29 PMTo: Megan Hutton; Hunter GeorgeSubject: RE: wait 1 week?--RE: E-Cigs story I think that’s a better idea than rushing through this week. If you can wait (I know, it’s tight) until the 18th, you can come and film at the May 18th Board of Health meeting. We’ll not only have a good majority of the Board members there, but some other third parties will be there to comment as well. Does that sound ok?(And I’m getting to your other emails; digging out from Friday is taking me a bit of time.) Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Megan Hutton [mailto:[email protected]]Sent: Monday, May 09, 2011 11:16 AMTo: Bridget Vandeventer; Hunter GeorgeSubject: wait 1 week?--RE: E-Cigs story Or we can take our time and save the story for next week’s show…air date May 19? We might need that to coordinate board member interviews? Shoot that story May 16 or 17. Megan HuttonProducer | PCTV 22(253) 589-6073 desk(253) 341-5184 [email protected] From: Bridget Vandeventer [mailto:[email protected]]Sent: Monday, May 09, 2011 8:52 AMTo: Hunter George; Megan HuttonSubject: RE: E-Cigs story I’m just back today and working on this now. Give me a few hours, and I’ll get back to both of you with some options. Hunter- I hear you. I’ll take care of it. Bridget Vandeventer

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253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Hunter George [mailto:[email protected]]Sent: Friday, May 06, 2011 4:58 PMTo: Megan Hutton; Bridget VandeventerSubject: RE: E-Cigs story Bridget,Considering how much heat Pat took among TNT readers, I was hoping we’d find a different board member to share the burden… She’ll need Dick Muri’s support for other county issues that are coming, so I really don’t want to drive a wedge between them (any more than necessary). Let me know if that’s not doable. Thanks.HTG From: Megan HuttonSent: Friday, May 06, 2011 4:18 PMTo: 'Bridget Vandeventer'Cc: Hunter GeorgeSubject: E-Cigs story Hi Bridget, I need your help getting together the right players for a story on e-cigarettes. I would like to promote the Health Board public hearing on the 16th, and the possible vote in early June.Dick Muri has approached me about covering this, but I also need to interview someone on the board who opposes it. Can you help me with that? Reply all please, including Hunter in the conversation.Thanks,Megan Megan HuttonProducer | PCTV 22(253) 589-6073 desk(253) 341-5184 [email protected] *************************************************************************************


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Subject: wait 1 week?--RE: E-Cigs story

Or we can take our time and save the story for next week’s show…air date May 19? We might need that to coordinate board member interviews? Shoot that story May 16 or 17. Megan HuttonProducer | PCTV 22(253) 589-6073 desk(253) 341-5184 [email protected] From: Bridget Vandeventer [mailto:[email protected]]Sent: Monday, May 09, 2011 8:52 AMTo: Hunter George; Megan HuttonSubject: RE: E-Cigs story I’m just back today and working on this now. Give me a few hours, and I’ll get back to both of you with some options. Hunter- I hear you. I’ll take care of it. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Hunter George [mailto:[email protected]]Sent: Friday, May 06, 2011 4:58 PMTo: Megan Hutton; Bridget VandeventerSubject: RE: E-Cigs story Bridget,Considering how much heat Pat took among TNT readers, I was hoping we’d find a different board member to share the burden… She’ll need Dick Muri’s support for other county issues that are coming, so I really don’t want to drive a wedge between them (any more than necessary). Let me know if that’s not doable. Thanks.HTG From: Megan HuttonSent: Friday, May 06, 2011 4:18 PMTo: 'Bridget Vandeventer'Cc: Hunter GeorgeSubject: E-Cigs story Hi Bridget, I need your help getting together the right players for a story on e-cigarettes. I would like to promote the Health Board public hearing on the 16th, and the possible vote in early June.Dick Muri has approached me about covering this, but I also need to interview someone on the board who opposes it. Can you help me with that? Reply all please, including Hunter in the conversation.Thanks,Megan Megan HuttonProducer | PCTV 22(253) 589-6073 desk

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(253) 341-5184 [email protected] *************************************************************************************


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Documents

Tacoma-Pierce County Health Department -- E-Cigarette E-Mails May 2011 Part 1