kentucky center for smoke-free policy e-mails part 7

8/4/2019 Kentucky Center for Smoke-Free Policy E-Mails Part 7

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Spagnuolo. Amy R

From:Sent:To:Subject:

Johnson, John DFriday, December 17,20101:02 PMHahn, Ellen JRE: KCSP Community Partner Newsletter

Good question -I see the spacing and indentation issues, but those issues are not there in the Word version or in my

original email.sol.m not sure why that happens. I've made a note to check on that in the next newsletter. I also may

pu t my gmail account on the distribution list to see if different email clients "interpret" the email differently.

John

From: Hahn, Ellen J

Sent: Friday, December 17, 2010 12:55 PM

To: Johnson, John D

Subject: RE: KC5P Community Partner Newsletter

FYl...the formatting on mine was a bi t weird ... s this just variable or can we fix it fo r next time? See below.

Ellen J. Hahn, PhD, RN

Professor and Director, Tobacco Policy Research Program

Director, Kentucky Center fo r Smoke-free Policy

Assistant Director, Center fo r Biobehavioral Research in Self-Management of Cardiopulmonary Disease

University of Kentucky

College of Nursing and College of Public Health

751 Rose Street

Lexington, KY 40536-0232

859-257-2358

859-323-1057 (FAX)

[email protected]

www.mc.uky.edu/tobaccopolicy

www.kcsp.uky.edu

Find kysmokeJree on Twitter and Facebook !

COLLEGE OF NURSINGOUf ~ \ ' X I . ! it? to Hr:;jp 'YQU jilQtl\j,%t > y 1 J U f ~ l ;

From: Johnson, John DSent: Friday, December 17, 2010 12:47 PM

To: Johnson, John DSubject: KC5P Community Partner Newsletter

KENTUCKY CENTER FOR SMOKE-FREE POLICY

Community Partner NewsletterDecember 2010

1

•



Smoke-free Communities: Good/or People. Good/orBusiness

Find us on Facehook: Kysmakeltee

Welcome to the Kentucky Center for Smoke-Free Policy(KCSP)

Community Partners' Newsletterl

HAPPY HOLIDAYS FROM THE KCSP TEAM!WE CELEBRATE YOUR COMMITMENTTO SMOKE-FREE AIR

AND WISH YOU A HAPPY NEW YEAR!

This Newsletter contains:

1. Smoke-free Policy Updates

e Campbell County goes smoke-free!

e 1st

Smoke-free Kentucky Coalition Meeting held in Louisville, 12/13/10

2. Smoke-free Research Updates

e Summary of the article, Surgeon General's Executive Summary: How Tobacco Smoke Causes Disease

3. Opposition Watch

eMike Deters: Self-appointed Watchdog

4. Save these Dates

e State Smoke-free Kick Off-January 6, 2011

ee

Smoke-free Summit Webinar-January 14, 2011

Smoke-free Spring Conference-March 24, 2011

S. Take Action by January 11, 2011---U.S. Food and Drug (FDA) Proposed Cigaret te Product Warning

Labels

Please scrol l down fo r more information on each topic!

Smoke-free Policy Updates

Campbell County Goes Smoke-free!

Congratulations to Northern Kentucky ACTION. Campbell County Fiscal Court enacted a comprehensive smoke-free

workplace ordinance, 3-1 on December 15, 2010, after many years of persistent and effective advocacy by Northern

Kentucky ACTION.

2



Implementation is scheduled for April 15, 2011. Campbell County joins 27 other Kentucky communities to lead on public

health. Campbell County will be the lSth

Kentucky community with a comprehensive smoke-free workplace ordinance or

regulation.

Kenton County Fiscal Court's smoke-free ordinance goes to second reading on December 21,2010. If enacted, the

Kenton County ordinance wil l also go into effect on April 15, 2011.

First Smoke-free Kentucky Coalition Meeting held in Louisville, December 13, 2010

Approximately 40 hardy souls braved the weather to attend the first Smoke-Free Kentucky coalit ion meeting in

Louisville. Most of the expected 125 participants were unable to attend due to snow and ice.

A major theme of the meeting was the importance of moving local smoke-free policies forward while educating the

public and policymakers about the eventual need for statewide legislation so that all Kentuckians are protected from

secondhand smoke. More strong local smoke-free laws are essential for effective passage and implementation of a

100% smoke-free state law.

For those who missed the Summit, plan to attend the webinar on January 14, 2011 (see below for Save the Dates).

Smoke-free Research Updates

U.S. Department of Health and Human Services. How Tobacco Smoke Causes Disease: The BiologyandBehavioral

Basis fo r Smoking-Attributable Disease: A Report of he Surgeon General. Atlanta, GA: U.S. Department of

Health and Human Services, Centers for Disease Control and Prevention, National Center fo r Chronic Disease

Prevention and Health Promotion, Office on Smoking and Health, 2010.

The new Surgeon General's report provides the strongest evidence yet of the negative effects of tobacco smoke,

especially related to length of exposure to tobacco smoke and damage to DNA. Even brief exposure to tobacco smoke

causes immediate harm that can lead to illness and premature death. Exposure to tobacco smoke can lead to cancer,

heart attacks/disease and lung disease through damage to the DNA and blood vessels, and inflammation of the lining of

the lungs. The report also casts doubt on the effectiveness of product modification and harm reduction strategies for

changing populat ion health outcomes.

Collaborating with the Center for Disease Control as well as the World Health Organization and the Food and Drug

Administration, the report outlines the MPOWER approach which can be adapted to the local, state and national levels

to monitor tobacco consumption, protect people from secondhand smoke, offer quit assistance to smokers, warn

consumers about the dangers of tobacco, enforce restrictions on tobacco and raise taxes and prices on tobacco

products.

The report applauds states and locales that have enacted smoke-free laws and policies and pledges that

the Department of Health and Human Services will continue to support and push fo r tougher legislation on

tobacco products.

Executive Summary: http://www.surgeongeneral.gov/librarv!tobaeeosmoke/report!executivesummary.pdf

Lay Version: http://www.cde.gov!tobaeeo!datastatistics!sgr!2010!eonsumerbooklet!index.htm

Full Report: http://www.surgeongeneral.gov/librarv/tobaeeosmoke!report!full report.pdf

OppOSition Watch

Mike Deters: Self-appointed Watchdog

3



The recent move by Kenton and Campbell counties to enact smoke-f ree laws has prompted persistent

opposition by ndividuals who wish to leave this decision up to individual business owners. The opposition

claims that smoke-free laws are an unnecessary intrusion of the government and that businesses will be

harmed by this legislation. Mr. Deters, an attorney, is one ofthe opposition voices in Kenton County. Mr.

Deters vehemently believes that government has no right to intrude into our lives and that the decision to

allow smoking or not, should be in the hands of individual business owners. The Kentucky Supreme Court has

ruled that government has the right and manifest duty to protect the public health, and that smoke-free laws

are a reasonable use of government powers.

For more information on Mr. Deter's opinions on smoking and other topics, please visit:

http://www.ericdeters.com/index.php?option..Com c o n t e n t & v i e w = a r t i c 1 e & i d = i 9 & I t e m i d ~ 7 .

Save these Dates

Mark your calendars!

January 6, 2011 is the Statewide Smoke-free Kick Off in the Capitol Rotunda in Frankfort at 1:00PM

. January 14, 2011 is the Smoke-free Summit Webinar at 10:00 AM ET, fo r those wh o missed i t due to

inclement weather. Details to follow.

March 24, 2011 is the annual Smoke-free Spring conference. The conference will be held at the Griffin

Gate Marriott Resort and Spa, located at 1800 Newtown Pike, Lexington, KY 40511. Stay tuned fo r registration

materials in 2011! Contact KCSP to reserve your seat.

U.S. Food and Drug (FDA) Proposed Cigarette Product Warning Labels

In November, the u.s. Health and Human Services and FDA announced a proposed rule to require new and

prominent health warnings on all cigarette packages, cartons and advertisements. The inclusion of arger and more

noticeable graphic health warnings will clearly and ef fectively convey the negative health consequences of smoking to

educate all Americans about the health risks of cigarettes.

FDA is seeking public comment on the proposed rule from Friday, November 12, 2010 through Tuesday, January

11,2011. The submitted comments will be officially considered in the final warnings which wil l be Issued by June 22,

201l.

You are encouraged to submit an official comment during the comment period:

• Go to www.regulations.gov and insert docket number FDA-2010-N-0568 into the "search" box and follow the

prompts.• Send a fax, with your comments, to 301-827-6870.

• Mail/Hand delivery/Courier (for paper, disk, or CD-ROM submissions) to the Division of Dockets Management

(HFA-305), Food and Drug Administration, 5630 Fishers Lane, Room 1061, Rockville, MD 20852.

All comments should be identified by Docket ID No. FDA-2010-N-0568. Please send only one set of comments.

Feedback

If you have any comments or suggestions regarding the KCSP Community Partners' Newsletter, or would like to suggest

future content fo r the newsletter, please let us know! We would love to hear your feedback [email protected] or

contact John Johnson [email protected], 859-323-4587.

4



Voluntary ParticipationThe KCSP Community Partners' distribntion list is intended to provide pertinent information to local tobacco controlcommunity advocates in Kentncky. If you have received this newsletter in error or wish to be removed from the list,please reply to this email with REMOVE in the subject headline.

John D. Johnson, MA

Community Liaison

Kentucky Center fo r Smoke-free Policy

University of Kentucky College of Nursing

751 Rose Street, College of Nursing 509

Lexington, Kentucky 40536-0232

859-323-4587

859-323-1057 (FAX)

[email protected]

www.kcsp.uky.edu

5



Spagnuolo. Amy R

From: Johnson, John DSent:To:

Friday, December 17, 2010 8:11 AMHahn, Ellen J

Subject: RE: Morgan Co.

Yes, I'll get in touch with Betsy today.

The readiness report for Morgan indicated the overall score of 2.215. That's what it says -I 'm going to need some

training to understand the meaning of that score©

From: Hahn, Ellen J

Sent: Thursday, December 16, 2010 5:06 PM

To: Johnson, John D

Cc: Riker, Carol ASubject: Morgan Co.

And what did it say? Can we reach out to this guy and hook him with a coalition or tobacco coordinator? John, can you

please close the loop with Betsy and see if she is following up or wants us to? Get his contact nfo if we need to follow

up.

ellen



Director, Kentucky Center for Smoke-free Policy

Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease



751 Rose StreetLexington, KY 40536-0232

859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu

Find kysmokefree on Twitter and Facebook !

COLLEGE OF NURSINGOu " Go;)1 isleHell) You :RC)C1If7.01'bur",

From: Johnson, John D

Sent: Tuesday, December 07, 2010 10:05 AM

To: Hahn, Ellen J

Cc: Riker, Carol ASubject: RE: county government-owned buildings

It looks like there was an assessment done for Morgan, but I didn't see a date.

1



John

From: Hahn, Ellen J

Sent: Thursday, December 02, 2010 6:39 AM

To: [email protected]

Cc: Riker, Carol Ai Johnson, John D

Subject: RE: county government-owned buildings

Oh dear. I will be interested in hearing more about this. An upcoming trend. Carol/John, please le t Bronson and Maggie

know that the amendment passed (and we do need a copy of it so we can update our ordinance data base).







751 Rose Street

Lexington, KY 40536-0232859-257-2358

859-323-1057 (FAX)

[email protected]

www.mc.ukv.edu/tobaccopolicy

www.kcsp.uky.edu


COLLEGE OF NURSINGQu r Gt."f.l! !s tJ f i ' ~ 1 i p YQ1J i f \ 0 ~ 1 ! i Z ; G ' Y { . ; n J r ~ ;

From: [email protected] [mailto:[email protected]]


To: Hahn, Ellen JSubject: Re: county government-owned buildings

One member of the group actually used his e cigarette on the sidelines of the meeting. The room was so packed

the BOH or HD people could not see what he was doing.

Sent via BlackBerry by AT&T

- - - - - -_ . - - -_ ._ - - . - - - ~ " ' - - ~ - - - - - - - - ~ , - - - -From: "Hahn, Ellen J" <[email protected]>

Date: Thu, 2 Dec 2010 06:22:51 -0500

To: [email protected]<rulthonys [email protected]>, Betsy

Janes <[email protected]>, [email protected]<I'[email protected]>,

[email protected] <[email protected]>'

[email protected] <[email protected]>,

[email protected]<[email protected]>,

[email protected] <[email protected]>, [email protected]<[email protected]>,

2



[email protected]@kycancerc.org>: James [email protected]<[email protected] >:

Kercsmar, Sarah <[email protected]>: [email protected] [email protected]>:

Wagner, Kristian K 4d<:[email protected]>

Cc: Johnson, John D [email protected]>


Scott,

This is GREAT news! 1was anxious to hear about the outcome at Madison County. Our staff had put together materialsfor the BOH on e-cigarettes, as well as other legal issues. We were all keeping our fingers crossed. John, Scott has a great

suggestion and one you could share with Betsy's contact.

Thanks,

Ellen

Ellen J. Hahn, PhD, RNProfessor and Director, Tobacco Policy Research Program




College of Nursing and College of Public Health751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu


COLLEGE OF NURSINGOU rGOBI Is to HGlp YOlt tHOE,HzG Yl1Ufl"

From: [email protected] [mailto:[email protected]]sent: Thursday, December 02, 2010 6:18 AM

To: Hahn, Ellen J; Betsy Janes; [email protected]; [email protected] [email protected];[email protected]; [email protected]; [email protected]; [email protected];[email protected]; Kercsmar, Sarah; [email protected]; Wagner, Kristian K

Cc: Johnson, John DSubject: Re: county government-owned buildings

Good morning,

Sometimes all that has to be done is to bring the situation to the fiscal court's attention. This is what happened in

Wolfe Co. One citizen went to a fiscal court meeting and raised the issue. The fiscal court discussed it and voted

to make the courthouse smoke free. I would encourage the individual to attend a fiscal court meeting and share

his concerns with his elected leaders to see what kind of response Judge Conley gives. I f Wolfe can do it, it is

possible anywhere.I attended the Madison Co first reading last night of their strengthened regulation. There was a group there that

touted e-cigarettes as an effectIve means to help smokers quit. Their main argument was .that they did not give

off any secondhand smoke or vapor that harmed others. The board held firm and the reg passed.

Scott3




From: "Hahn, Ellen J" <[email protected]>

Date: Wed, 1 Dec 2010 08:27:36 -0500

~ - . - . - - - - - -

To: Betsy Janes <[email protected] [email protected] < r o n y a . c h a n g @ h e a r t . o r g ~ J [email protected] <[email protected]

[email protected] <[email protected]@hotmail.com <[email protected]@roadrunner.com <[email protected] [email protected] <[email protected]@kycancerc.org <[email protected] [email protected] <[email protected], Sarah <[email protected] .eduanthonys [email protected] <anthonys [email protected] [email protected] <[email protected] Wagner,Kristian K <[email protected]>Cc: Johnson, John D <[email protected]>Subject: RE: county government-owned buildings

Good morning,

Betsy, if you want to send along his name and contact info, we are happy to conduct a community readiness assessment

with him and connect him with the tobacco control program. I am not aware of any smoke-free efforts in Morgan

County, but we will explore further. I am cc: John so he can take a look in our files.

County buildings are under the jurisdiction of the county government. Unless the fiscal court enacts an ordinance

making government buildings smoke-free (or better yet, a smoke-free law including all county government buildings),

the only other option is to evoke the ADA. We have had success with ADA letters sent to the county officials. The person

initiating the letter must be sure to have a doctor-confirmed diagnosis that confirms that he is breathing disabled. Often,

just sending the letter about the ADA violation is enough to spur county governments to make their government

buildings smoke-free. We would be happy to help him with this.

State buildings are under the jurisdiction of state law (thus, the Frankfort ordinance does not cover state or federal

buildings; nor does it cover colleges like KSU that has a board of rustees or regents). Our current state law says state

owned buildings must have a policy (i t gives them the option of 'bad' policy including smoking rooms).

I hope this helps. Again, if you would like, we can follow up with him if you send along his info©

Have a good one,

Ellen




Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary DiseaseUniversity of Kentucky


751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.ukv.edu

4




COLLEGE OF NURSINGOur Gotlllt! it} Help 'You :HoLlI.'z<' 'r.,)Ufc'

From: Betsy Janes [mailto:[email protected]

Sent: Tuesday, November 3D, 2010 1:25 PM

To: [email protected]; [email protected]; [email protected]; Hahn, Ellen J;

[email protected]; [email protected]; [email protected]; Betsy Janes;

[email protected]; [email protected]; Kercsmar, Sarah; [email protected];

[email protected]; Wagner, Kristian K

SUbject: county government-owned buildings

Hi Gang,I got a message from a guy in Morgan County. He said smoking is allowed in their county courthouse. He has severecapo and has trouble when he has to go in there. Is it correct that each county dictates policy for county-ownedbuildings and that state and federal buildings are governed by different laws? If so, is there any advice you ·can offer for

this guy? Are there any other laws that might apply? Is there any movement in Morgan County toward smoke-freepoliCY? Thanks.

Betsy Berns JanesAdvocacy DirectorAmerican Lung Association in Kentucky

P.O. Box 90674100 Churchman Ave.Louisville, KY 40215-1154Office: (502) 363-2652Cell: (502) [email protected]

5



Spagnuolo. Amy R


Wednesday, December 15, 2010 11:52AM

Riker, Carol ASubject: RE: county government-owned buildings

Sorry to bother you about this again, but do you have a written summary of what they did in Madison? I have the mediaaccount, bu t I wanted to be as specific as possible.

Thanks,

John

From: Riker, carol A

Sent: Wednesday, December 08, 2010 8:43 AM

To: Johnson, John D

Cc: Hahn, Ellen J


That would be terr ific , John! Bronson is with Americans fo r Non-Smokers' R'ights and Maggie is with the Tobacco Control

Legal Consortium of the Public Health Law Center.

Should we send our e-cig one-pager too? It won't be ready ti l Thurs or Fri.

Many thanks,

Carol



To: Riker, Carol ASubject: RE: county government-owned buildings

Hi Carol,

Did you follow up on this? I don't know Bronson or Maggie, but if you can provide some contact info, I can follow up.

John

From: Hahn, Ellen JSent: Thursday, December 02, 2010 6:39 AM

To:[email protected]: Riker, carol A; Johnson, John D


Oh dear. I will be interested in hearing more about this. An upcoming trend. Carol/John, please let Bronson and Maggie

know that the amendment passed (and we do need a copy of it 50 we can update our ordinance data base).





1




College of NUrsing and College of Public Health

751 Rose Street

lexington, KY 40536-0232

859-257-2358

859-323-1057 (FAX)

[email protected]

www.mc.uky.edu/tobaccopolky

www.kcsp.uky.edu

Find kysmoke/ree on Twitter and Facebook !

COLLEGE OF NURSINGOU r GfHl! is to HOlp You i J 1 c ~ a l ;ZiJ rbur"(!;

From: [email protected] [mailto:[email protected]



One member of the group actually used his e cigarette on the sidelines of the meeting. The room was so packedthe BOH or HD people could not see what he was doing.



Date: Thu,2 Dec 201006:22:51 -0500

To: anthonys [email protected]<[email protected]>, BetsyJanes <[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]>, James [email protected] <rames [email protected]>,Kercsmar, Sarah ~ c a v e 2 @ e m a i 1 . u k y .edu >, [email protected] <[email protected]>,Wagner, Kristian K <[email protected]>Cc: Johnson, John D <[email protected]>Subject: RE: county government-owned buildings

Scott,

This is GREAT news! I was anxious to hear about the outcome at Madison County. Our sta ff had put together materials

for th e BOH on e-cigarettes, as well as other legal issues. We were all keeping our fingers crossed. John, Scott has a great


Thanks,

Ellen



2







751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu

Find kysmokejree on Twitter and Facebook !

COLLEGE OF NURSING- - -

From: [email protected] [mailto:[email protected]]Sent: Thursday, December 02,2010 6:18 AM

To: Hahn, Ellen J; Betsy Janes; [email protected]; [email protected]; [email protected];

[email protected]; [email protected]; [email protected]; [email protected];

[email protected]; Kercsmar, Sarah; [email protected]; Wagner, Kristian K

Cc:Johnson, John D

Subject: Re: county government-owned buildings

Good morning,Sometimes all that has to be done is to bring the situation to the fiscal court's attention. This is what happened inWolfe Co. One citizen went to a fiscal court meeting and raised the issue. The fiscal court discussed it and votedto make the courthouse smoke free. I would encourage the individual to attend a fiscal court meeting and share

his concerns with his elected leaders to see what kind of response Judge Conley gives. If Wolfe can do it, it ispossible anywhere.I attended the Madison Co first reading last night of their strengthened regulation. There was a group there thattouted e-cigarettes as an effective means to help smokers quit. Their main argument was that they did not giveoff any secondhand smoke or vapor that hanned others. The board held finn and the reg passed.

Scott


---_.- - - - - - - - - - - - . - - - - - - - - . , - ~ ~ ... - - - . - . " . ~ - - - ~ - - -.. ---.-From: "Hahn, Ellen J" <[email protected]>

Date: Wed, 1 Dec 201008:27:36 -0500To: Betsy Janes <[email protected] [email protected] <[email protected] a m e s m s i z e m o r e @ w i n d s t r e a m . n e t < f a m e s m s i z e m o r e @ w i n d s t r e a m . n e t ~ Brandi.gilley@gmaiLcom<Brandi.gilley@ [email protected] <[email protected]@roadrunner.com <[email protected] [email protected] <Edc.evans@cancer [email protected]<jredmond@ kycancerc.org J [email protected] <fames [email protected], Sarah <[email protected] [email protected]<lmthonys [email protected] [email protected] <[email protected] Wagner,Kristian K <[email protected]>

3



Cc: Johnson, John D <[email protected]>Subject: RE: county government-owned buildings

Good morning,

Betsy, i f you want to send along his name and contact info, we are happy to conduct a community readiness assessment




mal<ing government buildings smoke-free (or better yet, a smoke-free law including all county government buildings),





State buildings are under the jurisdiction of state law (thUS, the Frankfort ordinance does not cover state or federal

buildings; no r does it cover colleges like KSU that has a board of trustees or regents). Our current state law says state

owned buildings must have a policy (i t gives them the option of 'bad' policy induding smoking rooms).

I hope this helps. Again, i f you would liI(e, we can follow up with him if you send along his info©

Have a good one,

Ellen




Assistant Director,. Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease




859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu


COLLEGE OF NURSINGOU r Ge-HIls 10 ~ + ) ! p YOu 1 H C ' l d ~ z o \fl)UrG'

From: Betsy Janes [mailto:[email protected]]

Sent: Tuesday, November 30, 2010 1:25 PM

To: [email protected]; [email protected]; [email protected]; Hahn, Ellen J;[email protected]; [email protected]; [email protected]; Betsy Janes;



Subject: county government-owned buildings

4



Hi Gang,I got a message from a guy in Morgan County. He said smoking is allowed in their county courthouse. He has severeCOPD and has trouble when he has to go in there. Is it correct that each county dictates policy for county-ownedbuildings and that state and federal buildings are governed by different laws? If so, is there any advice you can offer forthis guy? Are there any other laws that might apply? Is there any movement in Morgan County toward smoke-freepolicy? Thanks.



www.midlandlung.org

5



Spagnuolo, Amy R

From:Sent:To:

Cc:Subject:

Thanks so much. ,

Dena Sherman [[email protected]]Wednesday, December 15, 2010 9:06 AMJohnson, John DHahn, Ellen J; Kercsmar, SarahRE: add me to mailing list

From: Johnson, John D [mailto:[email protected]]

Sent: Wednesday, December 15, 2010 8:55 AM

To: Dena Sherman

Cc: Hahn, Ellen J; Kercsmar, Sarah

Subject: RE: add me to mailing list

Hi Dena,

I've added you to our list and you should receive our next newsletter.

Please le t us know if you have any additional questions.

Happy Holidays,

John

John D. Johnson, MA

Community Liaison





859-323-4587

859-323-1057 (FAX)

[email protected]

www,kcsp.uky.edu

From: Dena Sherman [mailto:[email protected]]

Sent: Monday, December 13, 2010 4:32 PM

To: Johnson, John D

Subject: add me to mailing list

- - - , - - - - - - -

Would you mind adding me to your mailing list? I'm the committee chair for our tobacco-free committee.

Dena M, Sherman, PHR

HR Generalist

Hospice ofthe Bluegrass

2312 Alexandria Drive

Lexington, KY 40504

phone: (859) 296-6864

fax: (859) 276-0611

1



[email protected]

This transmission may contain Information that is privileged, confidential and/or exempt from disclosure under applicable law. [fyau are not the intended recipient, you are

hereby notified that any disclosure, copying. distribution or use oftha Information contained herein (indudlng any rellance thereon) Is STRICTLY PROHIBITED. If you received

this transmission in error, please immediately contact the sender and destroy the material in its entirety, whether in electronic or hard copy format,

From: Dozier, Kyle (LHD - Clark Co HD) [mailto:[email protected]]Sent: Monday, December 13, 2010 4:27 PM

To: Dena ShermanSubject: fIN:


Sent: Thursday, October 28, 2010 12:39 PM

To: Johnson, John DSubject:

KENTUCKY CENTERFOR SMOKE-FREE POLICY

Community Partner Newsletter

October 2010

S m o k e ~ f r e e Communities: Good for PeopleJ' Good for Business

Welcome to the Kentucky Center fo r Smoke-Free Policy (KCSP) Community Partners' Newsletter !



® FDA to decide how to classify e-cigarettes.

® Kentucky receives national award fo r smoke-free laws.


® Summary of the Article, Economic effects of Ohio's smoke free law on Kentucky and Ohio

border counties.

® Summary of the Article, Smoke-free law associated with higher-than-expected taxable

retail sales for bars and taverns in Washington State.

2



® Summary of the Article, Smoke-free legislation and hospitalizations for childhood asthma.

3. Opposit ion Watch

® The Annual Commonwealth Freedom and Liberty Conference.

Please scroll down for more information on each topic!


1. FDA to decide how to classify e-cigarettes

A lawsuit has been brought against the FDA regarding the classification of e-cigarettes. The lawsuit

claims that it is not fully understood whether e-cigarettes are "tobacco products" or a "drug-device

combination." As a tobacco product they would endure less regulation and oversight than as a drug

device combination product. The oral arguments in the U.S. Court of Appeals were recently presented

and an outcome is pending.

2. Kentucky receives national award fo r smoke-free laws

The Commonwealth of Kentucky was honored on Tuesday, September 21, 2010, for enacting smoke-free

laws, particularly in a state with a long history oftobacco growing and manufacturing. The communities

that passed smoke-free laws in 2009 were Campbellsville, London, Prestonsburg, and Radcliff.

Community advocates in these four communit ies were recognized as well as the following state

organizations: American Cancer SOciety, American Heart ASSOciation, American Lung ASSOciation,

Campaign for Tobacco-Free Kids, Kentucky Cancer Consortium, Kentucky Center for Smoke-free Policy,

and Kentucky Department fo r Public Health's Tobacco Control Program. Thanks to the hard work of

communityadvocates and community partners, Kentucky placed

3'd

inthe

nationfo r

passingcomprehensive smoke-free workplace legislation.


1. Pyles, M.K., Hahn, E.J. (2010). Economic effects ofOhio's smoke free law on Kentucky and Ohio

border counties. Tob Control. doi: 10.1136/tc.2009.035493.

When the state of Ohio went smoke free, some reported that residents were driving to Kentucky border

counties so they could smoke in public places. This study examined whether economic activity in Ohio

decreased, while economic activity in Kentucky border counties increased. This assertion was no t

supported --the economy in both sets of border communities remained at the pre- smoke-free law

level. Ohio border counties did not lose business and Kentucky border counties did not gain business as

a result of Ohio's smoke-free law.

2. Boles, M., Dilley, J., Maher, J.E., Boysun, M.J., and Reid, T. (2010). Smoke-free law associated withhigher-than-expected taxable retail sales for bars and taverns in Washington State. Prev Chronic

Dis. 7(4)A79.

3



Taxable retail sales were examined for bars and taverns in the two years after Washington State passed

a statewide smoke-free law. In bars and taverns, there was a $105 million gain in sales revenues in the

two years after the smoke-free law went into effect. Washington State put these funds in the general

fund, benefiting the residents of the state. By exceeding revenue expectations after the legislation was

passed, this study builds on the literature that smoke-free laws do not hurt local communities and may

actually produce additional revenue.

http://www.cdc.gov/pcd/issues/2010/juI/090187.htm

3. Mackay, D., Haw, S., Ayres, J.G., Fischbacher, C., Pell, J.P. (2010). Smoke-free legislation and

hospitalizations fo r childhood asthma. N Engl J Med 363;12:1139-1141.

In 2006, Scotland passed smoke-free legislation that prohibited smoking in public places. Prior to the

smoke-free law, hospital admissions fo r asthma among children were increasing at 5.2% per year. After

the smoke-free law was implemented, there was an 18.2% reduction in the rate of hospital admissions

for asthma among children. The authors concluded that smoke-free laws can improve asthma

outcomes, beyond just those exposed to secondhand smoke in the workplace.

opposition Watch

1. The Annual Commonweal th Freedom and Liberty Conference

The Annual Commonwealth Freedom and Liberty Conference was held at the Drawbridge Hotel and

Convention Center in Fort Mitchell, KY on October 1-2, 2010. The Bluegrass Inst itute, Take Back

Kentucky, and other known anti-health opponents of smoke-free air provided training sessions on topics

such as recruiting, equipping, and mobilizing an "army of informed citizens," utilizing social networking,

and influencing the legislative process. This event was also promoted by the Tea Party, a group

responsible fo r much of the organized opposition to smoke-free ordinances around the state (i.e.

Northern Kentucky Choice).

Feedback

If you have any comments or suggestions regarding the KCSP Community Partners' Newsletter, or would like

to suggest future content fo r the newsletter, please let us know! We would love to hear your feedback

[email protected] or contact John Johnson [email protected] , 859-323-4587.

Voluntary Participation

The KCSP Community Partners' distribution l ist is intended to provide pertinent information to local tobacco

control community advocates in Kentucky. If you have received this newsletter in error or wish to be removed

from the list, please reply to this email with REMOVE in the subject headline.

John D. Johnson, MA

Community Liaison

Kentucky Center for Smoke-free Policy




4



859-323-4587

859-323-1057 (FAX)

[email protected]

www.i<csp.uky.edu

5



Spagnuolo, Amy R

From:Sent:To:

Subject:

Dena Sherman [[email protected]]

Monday, December 13, 20104:32 PMJohnson, John D

add me to mailing list

Would you mind adding me to your mailing list? I'm the committee chair for our tobacco-free commit tee.

Dena M. Sherman, PHR

HR Generalist

Hospice of the Bluegrass


Lexington, KY 40504

phone: (859) 296-6864

fax: (859) 276-0611

[email protected]

This transmission m ay contain information that Is privileged, confidential and/or exempt from disclosure under applicable law. If you are not the Intended recipient, you are

hereby notified that any disclosure, copying, distribution or use of the Information contained herein (including any reliance thereon) is STRICTLY PROHIBITED. If you received

this transmission in error, please immediately contact the sender and destroy the material In its entirety, whether in electronic or hard copy format.

From: Dozier, Kyle (LHD - Clark Co HD) [mailto:[email protected]]


To: Dena ShermanSubject: FW:




•



October 2010•

Smoke1ree Communities: GOOd/Of Peoplel Good for Business

Welcome to the Kentucky Center fo r Smoke-Free Policy (KCSP) Community Partners' Newsletter!


1




e FDA to decide how to classify e-cigarettes.

e Kentucky receives national award fo r smoke-free laws.


@ Summary of the Article, Economic effects ofOhio's smoke free law on Kentucky and Ohio

border counties.

@ Summary of the Article, Smoke-free law associated with higher-than-expected taxableretail sales for bars and taverns in Washington State.

@ Summary of the Article, Smoke-free legislation and hospitalizations for childhood asthma.

3. Opposition Watch

@ The Annual Commonwealth Freedom and Liberty Conference.





claims that it is not fully understood whether e-cigarettes are "tobacco products" or a "drug-devicecombination." As a tobacco product they would endure less regulation and oversight than as a drug

device combination product. The oral arguments in the u.s. Court of Appeals were recently presented




laws, particularly in a state with a long history of tobacco growing and manufacturing. The communities


Community advocates in these four communities were recognized as well as the following state

organizations: American Cancer Society, American Heart ASSOciation, American Lung Association,

Campaign for Tobacco-Free Kids, Kentucky Cancer Consortium, Kentucky Center fo r Smoke-free Policy,

and Kentucky Department for Public Health's Tobacco Control Program. Thanks to the hard work of

community advocates and community partners, Kentucky placed 3rd

in the nation for passing

comprehensive smoke-free workplace legislation.


2







decreased, while economic activity in Kentucky border counties increased. This assertion was not


level. Ohio border counties did not lose business and Kentucky border counties did not gain business asa result of Ohio's smoke-free law.

2. Boles, M., Dilley, J., Maher, J.E., Boysun, M.J., and Reid, T. (2010). Smoke-free law associated with

higher-than-expected taxable retail sales for bars and taverns in Washington State. Prev Chronic

Dis. 7(4)A79.

Taxable retail sales were examined for bars and taverns in the two years after Washington State passed



fund, benefiting the residents of the state. By exceeding revenue expectations after the legislation waspassed, this study builds on the literature that smoke-free laws do not hurt local communities and may


http://www.cdc.gov/pcd/issues/2010/juI!090187.htm

3. Mackay, D., Haw, S., Ayres, J.G., Fischbacher, C., Pel!, J.P. (2010). Smoke-free legislation and

hospitalizations for childhood asthma.N Engl J Med 363;12:1139-1141.


smoke-free law, hospital admissions for asthma among children were increasing at 5.2% per year. After

the smoke-free law was implemented, there was an 18.2% reduction in the rate of hospital admissionsfor asthma among children. The authors concluded that smoke-free laws can improve asthma


Opposition Watch

1. The Annual Commonwealth Freedom and Liberty Conference


Convention Center in Fort Mitchell, KY on October 1-2, 2010. The Bluegrass Institute, Take Back

Kentucky, and other known anti-health opponents of smoke-free air provided training sessions on topicssuch as recruiting, equipping, and mobilizing an "army of informed citizens," utilizing social networking,


responsible for much of the organized opposition to smoke-free ordinances around the state (i.e.


FeedbackIf you have any comments o r suggestions regarding the KCSP Community Partners' Newsletter, or would like

to suggest future content for the newsletter, please let us know! We would love to hear your feedback

kcsp00(!jllsv.uky.edu or contact John Johnson [email protected] , 859-323-4587.

3



Voluntarv Participation

The KCSP Community Partners' distribution list is intended to provide pertinent information to local tobacco



John D. Johnson, MA

Community Liaison





859-323-4587

859-323-1057 (FAX)

[email protected]

www.kcsp.uky.edu

4



Spagnuolo. Amy R

From: Hahn, ElienJSent:To:

Monday, December 13, 2010 2:50 PMJohnson, John D


Thanks so much. Glad you could come, John. I enjoyed seeing Shelly again. Enjoy your holidays.




Assistant Director, Center fo r Bfobehavioral Research in Self-Management of Cardiopulmonary Disease



751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu

Find kysmokeJree on Twitter and Facebook I

COLLEGE OF NURSINGOU r Ceul !s ,to Hdp You tHEW! ! Z ~ 1 ' \ ( b u r ~

From: Johnson, John DSent: Monday, December 13, 2010 10:24 AM

To: Hahn, Ellen JSubject: RE: county government-owned buildings

Ellen,

According to KRS 61.805 this applies to any public board or agency, so BOH would be included.

Thanks fo r the party last night - it was a lo t of fun! We work with great people!

John

For some fun legal reading:

61.805 Definitions for KRS 61.805 to 61.850.As used in KRS 61.805 to 61.850, unless the context otherwise requires:(1) "Meeting" means all gatherings of every kind, including video teleconferences, regardless of where the meetingis held, and whether regular or special and infonuational or casual gatherings held in anticipation of or inconjunction with a regular or special meeting;(2) "Public agency" means:(a) Every state or local government board, commission, and authority;

1



(b) Every state or local legislative board, commission, and committee;(c) Every county and city governing body, council, school district board, special district board, and municipalcorporation;(d) Every state or local govemment agency, including tbe policy-making board of an institution of education, createdby or pursuant to state or local statute, executive order, ordinance, resolution, or other legislative act;(e) Any body created by or pursuant to state or local statute, executive order, ordinance, resolution, or otber}egislative act i n _ Q l ~ l ~ g i s l a t i v e or e x ~ c u t i v e branch of governIIlen!L ._.___ _ _ _ _ _______ ______.

From: Hahn, Ellen JSent: Sunday, December 12, 2010 3:01 PM

To: Johnson, John D


This is related to the special meeting KRS that was at issue in NKY. Can you please review that to see whether this relates

to BOH meetings or ust state/county/city government.. ..





University of KentuckyCollege of Nursing and College of Public Health

751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu



Sent: Tuesday, December 07, 2010 1:39 PM


So the issue is lack of clarity on whether a fiscal court can vote to make the courthouse smoke-free, or whether it can be

initiated by a citizen? In either case or both probably not a bad idea to get Judy to weigh in.

John

From: Hahn, Ellen J


To: Riker, Carol A; Johnson, John D


Good point. We could get Judy to weigh in if it isn't obvious in the KRS language. John, what do you think?

2









751 Rose Street

lexington, KY 40536-0232859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu

Find kysmokefree on Twitter and Facebool< !

COLLEGE OF NURSING

From: Riker, Carol A


To: Johnson, John D

Cc: Hahn, Ellen J


- ~ - - ..---

Kelly said the second reading would be end of jan. We need to look at that open meetings rule to see if it affects

BOH mtgs since they are moving that meeting from February. Carol

Sent from my iPhone

On Dec 7, 2010, at 10:00 AM, "Johnson, John D" <[email protected]>wrote:

I don't see anything in the files on Morgan.

John



Cc: Riker, Carol A; Johnson, John D


Oh dear. I will be interested in hearing more about this. An upcoming trend. Carol/John, please let

Bronson and Maggie'lmow that the amendment passed (and we do need a copy of it so we can update

our ordinance data base).

3









751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu


<image001.gif>



To: Hahn, Ellen J


One member of the group actually used his e cigarette on the sidelines of the meeting. The room

was so packed the BOH or HD people could not see what he was doing.


4




Date: Thu, 2 Dec 2010 06:22:51 -0500

To: anthonys [email protected] <rIllthonys [email protected]>, BetsyJanes [email protected]>, [email protected] <[email protected]>,J [email protected] 4 [email protected]>,

[email protected] <[email protected]>,[email protected] <[email protected]>,[email protected] <[email protected]>,[email protected] <[email protected]>,[email protected] <[email protected]>,James [email protected] 4 ames .shaJ;[email protected]>, Kercsmar, Sarah <[email protected]>,[email protected] <[email protected]>,Wagner, Kristian .K <[email protected]>

Cc: Johnson, John D <[email protected]>


Scott,

This is GREAT news! I was anxious to hear about the outcome at Madison County. Our staff had pu t

together materials fo r the BOH on e-cigarettes, as well as other legal issues. We were all keeping ou r

fingers crossed. John, Scott has a great suggestion and one you could share with Betsy's contact

Thanks,

Ellen







751 Rose Street


5



859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu


<image001.gif>

From: [email protected] [mailto:[email protected]: Thursday, December 02, 2010 6: 18 AM

To: Hahn, Ellen Ji Betsy Janesi [email protected]; [email protected]@gmail.comi [email protected] [email protected]@cancer.org; [email protected]; [email protected] Kercsmar, [email protected] Wagner, Kristian KCc: Johnson, John DSubject: Re: county government-owned buildings

Good morning,

Sometimes all that has to be done is to bring the situation to the fiscal court's attention. This is

what happened in Wolfe Co. One citizen went to a fiscal court meeting and raised the issue. The

fiscal court discussed it and voted to make the courthouse smoke free. I would encourage the

individual to attend a fiscal court meeting and share his concerns with his elected leaders to see

what kind of response Judge Conley gives. IfWolfe can do it, it is possible anywhere.

I attended the Madison Co first reading last night of their strengthened regulation. There was a

group there that touted e-cigarettes as an effective means to help smokers quit. Their main

argument was that they did not give off any secondhand smoke or vapor that hanned others. The

board held finn and the reg passed.

Scott


From: "Hahn, Ellen J" ~ i h a h n O O @ e m a i l . u k y . e d u >

Date: Wed, 1 Dec 2010 08:27:36 -0500

6



To: Betsy Janes <[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]>,

James [email protected] <[email protected]>, Kercsmar, Sarah <[email protected]>,anthonys [email protected]<1mthonys [email protected] >,[email protected] ~ b a r k l e y @ t o b a c c o f r e e k i d s . o r g >, Wagner,KtistianK <[email protected]>


Subject: RE: county govennnent-owned buildings

Good morning,

Betsy, if you wantto send along his name and contact info, we are happy to conduct a community

readiness assessment with him and connect him with the tobacco control program. I am not aware of

any smoke-free efforts in Morgan County, but we will explore further. I am cc: John so he can take a look

in our files.

County buildings are under the jurisdiction of the county government. Unless the fiscal court enacts an

ordinance making government buildings smoke-free (or better yet, a smoke-free law induding all county

government buildings), the only other option is to evoke the ADA. We have had success with ADA letters

sent to the county officials. The person initiating the letter must be sure to have a doctor-confirmed

diagnosis that confirms that he is breathing disabled. Often, just sending the letter about the ADA

violation is enough to spur county governments to make their government buildings smoke-free. We

would be happy to help him with this.

State buildings are under the jurisdiction of state law (thus, the Frankfort ordinance does not cover state

or federal buildings; nor does it cover colleges like KSU that has a board of trustees or regents). Our

current state law says state owned buildings must have a policy (it gives them the option of 'bad' polley

including smoking rooms).


Have a good one,

Ellen

7




Professor and Director , Tobacco Policy Research Program





751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu


<image001.gif>

From: Betsy Janes [mailto:[email protected]



[email protected]; [email protected]; [email protected]; Betsy Janes;[email protected]; [email protected]; Kercsmar, Sarah;

[email protected]; [email protected]; Wagner, Kristian KSubject: county government-owned buildings

Hi Gang,

8



I got a message from a guy in Morgan County. He said smoking is allowed in their county courthouse.He has severe COPD and has trouble when he has to go in there. Is it correct that each county dictates

policy for county-owned buildings and that state and federal buildings are governed by different laws? If

so, is there any advice you can offer for this guy? Are there any other laws that might apply? Is thereany movement in Morgan County toward smoke-free policy? Thanks.

Betsy Berns Janes

Advocacy Director

American Lung Association in Kentucky

P.O. Box 9067

4100 Churchman Ave.

Louisville, KY 40215-1154

Office: (502) 363-2652

Cell: (502) 797-0638

[email protected]

www.midlandlung.org

<image002.gif>

9



Spagnuolo. Amy R

From: Hahn, Ellen JSent: Monday, December 13, 20102:08 PMTo:

Subject:Kercsmar, Sarah; Johnson, John D; Marijanovic, NinaRE: KCSP October Community Partner Newsletter

I like that idea a lot. Let's do just a brief summary of the new SG report. Use the Exec Summary as a guide.





University of Kentuclw


751 Rose Street


859-257-2358

859-323-1057 (FAX)[email protected]


www.kcsp.uky.edu


COLLEGE OF NURSINGOurGoo! 18- 'b;J Heir) You ~ ~ B a l i z t ; '\fJurG;

From: Kercsmar, Sarah


To: Hahn, Ellen J; Johnson, John D; Marijanovic, Nina

Subject: RE: KCSP October Community Partner Newsletter

Oops, missed that, sorry!

How about we pu t in a note about the new Surgeon General's report instead? I guess my thinking that one broad

overview research article is probably about as much as we should expect folks to pay attention to at this time of year!

Sarah Kercsmar, PhD

Manager, Northern Kentucky OfficeClean Indoor Air PartnershipUniversity of Kentucky College of Nursing50 E. RiverCenter Blvd., Suite 410Covington, KY 41011859-261-1721 (office)

859-312-5856 (cell)[email protected]/tobaccopolicy

please keep this email paperless

1



From: Hahn, Ellen J


To: Johnson, John Di Marijanbvic, Ninai Kercsmar, Sarah

Subject: FW: KCSP October Community Partner Newsletter

October newsletter-we already did review Mackay ..see below.







751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu

Find kysmokefree on Twitter and Facebook I

COLLEGE OF NURSINGOur Gon! IS if) Htrr1p ~ { f ) u H ! ; : j ~ , \ l f l 6 1 ' Y b u ( ~



To: Johnson, John DSUbject: KCSP October Community Partner Newsletter

•



October 2010•

Smoke-free Comlf'rH/nities: Good for P e o p l e ~ Good for Business

Welcome to the Kentucky Center for Smoke-Free Policy (KCSP) Community Partners' Newsletterl


2





® Kentucky receives national award fo r smoke-free laws.


® Summary of the Article, Economic effects ofOhio's smoke free law on Kentucky and Ohio

border counties.




3. Opposition Watch


Please scroll down fo r more information on each topic!




claims that it is not fully understood whether e-cigarettes are "tobacco products" or a "drug-device





The Commonwealth of Kentucky was honored on Tuesday, September 21, 2010, fo r enacting smoke-free

laws, particularly in a state with a long history oftobacco growing and manufacturing. The communit ies

that passed smoke-free laws in 2009 were Campbellsville, London, Prestonsburg, and Radcliff.Community advocates in these four communities were recognized as well as the following state

organizations: American Cancer Society, American Heart AssOCiation, American Lung Association,

Campaign for Tobacco-Free Kids, Kentucky Cancer Consortium, Kentucky Center fo r Smoke-free Policy,


community advocates and community partners, Kentucky placed 3'd in the nation fo r paSSing



3



1. Pyles, M.K., Hahn, E.J. (2010). Economic effects of Ohio's smoke free law on Kentucky and Ohio



counties so they could smoke in public places. This study examined whether economic activ ity in Ohio



level. Ohio border counties did not lose business and Kentucky border counties did no t gain business as

a result of Ohio's smoke-free law.

2. Boles, M., Dilley, J., Maher, J.E., Boysun, MJ., and Reid, T. (2010). Smoke-free law associated with

higher-than-expected taxable retail sales for bars and taverns in Washington State. Prev Chronic

Dis. 7(4)A79.

Taxable retail sales were examined fo r bars and taverns in the two years af ter Washington State passed



fund, benefiting the residents of the state. By exceeding revenue expectations after the legislation waspassed, this study builds on the literature that smoke-free laws do not hurt local communities and may



3. Mackay, D., Haw, S., Ayres, J.G., Fischbacher, C., Pel!, J.P. (2010). Smoke-free legislation and

hospitalizations fo r childhood asthma. N Engl JMed 363;12:1139-1141.



the smoke-free law was implemented, there was an 18.2% reduction in the rate of hospital admissions

for asthma among children. The authors concluded that smoke-free laws can improve asthma


Opposition Watch

1. The Annual Commonwealth Freedom and liberty Conference





responsible fo r much of the organized opposition to smoke-free ordinances around the state (I.e.


Feedback



[email protected] or contact John Johnson [email protected], 859-323-4587.

4







John D. Johnson, MA

Community Liaison




lexington, Kentucky 40536-0232

859-323-4587

859-323-1057 (FAX)

[email protected]

www.kcsp.uky.edu

'.

5



Spagnuolo. Amy R

From: Hahn, Ellen JSent: Monday, December 13,20101:51 PMTo:Subject:

Johnson, John D; Marijanovic, Nina; Kercsmar, SarahFW: July KCSP Community Partner Newsletter


Professor and Director, Tobacco policy Research Program





751 Rose Street


859-257-2358



www.kcsp.uky.edu

Find kysmokejree on Twitter and Facebook I

COLLEGE OF NURSINGOurCiofl.! iH v,j Hdp "feu ;.Recliz& \1)UfS

From: Bossick, Michael J

Sent: Tuesday, July 20, 2010 10:31 AM

Subject: July KCSP Community Partner Newsletter



•Smoke-free Communities: Goad for People, Good for Buslness



• General Announcement

e KCSP StaffTransitions

e KvSmokefree is Now on Facebook!

1

•



• Smoke-free Policy Updates

@ Mayor Bloomberg Considers a Smoke-free Policy on NYC Beaches and Parks.

• Smoke-free Research Updates

@ Summary of the Article, Hair nicotine levels in nonsmoking pregnant women whose spouses

smoke outside of the home.

@ Summary of th e Article, Quantifying the effects of promoting smokeless tobacco as a harm

reduction strategy in the USA.

@ Summary of th e Article, Economic effects of clean indoor air policies on bar and restaurant

employment in Minneapolis andSt Paul, Minnesota.

Please scroll down fo r more information on each topic!

General Announcements1. KCSP Staff Transitions

Effective Thursday, August 6th

, Dr. Mike Bossick will leave the position as Manager of the Kentucky Center for

Smoke-free Policy. Dr. Ellen Hahn remains the Director of the Center, and technical and information will

continue to be proVided by our team of staf f and faculty associates. Continue to contact us at

[email protected] or call 859-323-4587. You also can contact Dr. Hahn directly at 859-257-2358 or

[email protected].

Dr. Bossick has enjoyed his time working with many passionate advocates over the last year and he is proud of

your efforts to make Kentucky a healthier place. He wishes you well in your smoke-free efforts and looks forward

to seeing more local communities make the smart decision to enact comprehensive smoke-free laws!

2. Kvsmokefree is Now on Facebook!

Click on the link above to check out our brand new Facebook page that launched in June! Get the most recent

updates on smoke-free policy, opposit ion tactics, research updates, and community news by Simply clicking

"Like" on the page and you wil l become a fan. This will allow you to see the information we post and keep you

informed. We would appreciate your input and feedback on our site!

Smoke-free Policy Updates1. Mayor Bloomberg Considers a Smoke-free Policy on NYC Beaches and Parks.

The mayor of New York City is considering prohibiting smoking on its beaches and parks. He stated in a recent

news release that the public does not want smoking in these recreational areas that consist of 14 miles of beach

and over 1,700 parks and playground areas. His rationale for this policy is to ensure those who frequent these

recreational areas will have clean air to breathe. In addition, the policy will preserve the environment by

reducing cigarette butt and pack litter on beaches and park grounds. This extension of New York City's smoke-

2



free law would further protect New Yorkers from exposure to outdoor tobacco smoke (OTS) while preserving

the environment.

Read the New York Times Article Here

Smoke-free Research Updates1. Yoo, S. H., Y. J. Paek, S. S. Kim., et al. (2010). Hair nicotine levels in nonsmoking pregnant women

whose spouses smoke outside of he home. Tobacco Control. Epub ahead of print May 27,2010.

Secondhand smoke not only has harmful effects on non-smoking adults and children, but also on fetal

development during pregnancy. To determine whether pregnant women experience reduced exposure to SHS

when their spouses smoke outside the home, Yoo et al. designed a study comparing three groups comprised of

nonsmoking spouses, spouses who only smoked outside the home, and spouses who smoked inside the home.

Pregnant women provided hai r samples on the day of their last antenatal appointment as a biomarker, or a

substance used to indicate a biological state, for nicotine exposure. There was a significant difference in hair

nicot ine levels between pregnant women who had nonsmoking spouses and those with smoking spouses both

inside and outside of the home. Hair nicotine levels were not significantly different between women with spouses

smoking in the home and outside of the home. This study determined that nonsmoking pregnant women are stillat risk for SHS smoke exposure even when their spouse smokes outside the home: Public education is needed on

establishing smoke-free home policies including issues related to smoking outside the home and th irdhand smoke

exposure.

(See the attached article)

2. Mejia, A. B., P. M. Ling, & S. A. Glantz. (2010). Quantifying th e effects of promoting smokeless tobacco

as a harm reduction strategy in th e USA. Tobacco Control. Epub ahead of print June 27, 2010.

Mejia et al. sought to determine whether the promotion of smokeless tobacco in the form of snus, a moist

tobacco product which is a variant of snuff, is a viable harm reduction strategy for tobacco initia tion in the US.Smokeless tobacco is thought by some to be less harmful than cigarettes despite the fact using such products

have been linked to oral cancer, heart, disease, and pancreatic cancer. Mejia et al. used a simulation model to

estimate the health effects of different patterns of smokeless tobacco use. The authors concluded that smokeless

tobacco promotion would not be associated with any substantial health benefits at the population level. The

probability that smokers would reduce their tobacco use was not significantly less and could not be considered an

effective public health intervention. In fact, advocating for smokeless tobacco use as an alternative to cigarette

smoking may send confusing messages and undermine communities or campuses with tobacco-free policies

designed to protect public health.

(See th e attached article)

3. Klein, E. G., J. L. Forster, D. J. Erickson, L. A. Lytle, & B. Schillo. (2010). Economic effects of clean

indoor ai r policies on bar and restaurant employment in Minneapolis and St Paul, Minnesota.

Journal o fPublic Health Management and Practice. 16: 285-293.

Researchers report economic improvements in employment in bars and restaurants after smoke-free legislation

was enacted in two Minnesota cities. The employment rates of bars and restaurants in St. Paul and Minneapolis

were analyzed over a five-year period during which smoke-free laws were implemented in each city. Once the

comprehensive laws were in effect, employment was 3% higher in restaurants in both cities, and S% higher in

bars 2.5 years following the local clean indoor air law in Minneapolis. No significant change in employment was

seen in bars in St. Paul during the same time period. This study indicates that local smoke-free laws may have a

3



positive effect on the employment in local restaurants and bars after comprehensive clean indoor airs laws are

implemented.


FeedbackIf you have any comments or suggestions regarding th e KCSP Community Partners' Newsletter, or would like

to suggest future content fo r th e newsletter, please le t us know! We would love to hear your feedback

[email protected] or call 859-323-4587.

Voluntary ParticipationThe KCSP Community Partners' distribution list is intended to provide pertinent information to local tobacco control

community advocates in Kentucky. If you have received this newslet ter in error or wish to be removed from the list,

please reply to this email with REMOVE in the subject headline.

Mike Bossick, Ph.D.

Manager, Kentucky Center for Smoke-Free Policy & Radon Awareness Project

Clean Indoor Air Partnership




859-323-4587

859-323-1057 (FAX)

[email protected]

www.kcsp.uky.edu

Find kysmokefree on Twitter and Facebook

, , ,y,lIlVntJ)j.1\'E/Il'I'I'Y OFKF"")rCKY', ; U ~ ~ ~ v J t ~ , ' g , c : ' ~ N U f , ' ; ~ ~ g '" ; t} ' " jS e e t ~ i ) U \ f J ~ { t b i F ! ! p v ~ aq., ",

Smoke-free Communities:Good for People, Good for Business

4



Spagnuolo. Amy R

From: Hahn, Ellen J

Sent: Monday, December 13, 2010 1:49 PMTo:

Subject:Johnson, John D; Marijanovic, Nina; Kercsmar, SarahFW: KCSP September Community Partner Newsletter







751 Rose Street


859-257-2358



www.kcsp.uky.edu


COLLEGE OF NURSINGOur GOfi! Is iO l - h ~ 1 r ) ",(bu [Roalkt't \'bllr::S,

From: Johnson,John D

Sent: Friday, September 24, 2010 11:16 AM

To: Johnson, John DSubject: KCSP September Community Partner Newsletter



September 2010

•S m Q k e ~ [ r e : e : Communities; Good for Peopitlt Good [or Business

Welcome to th e Kentucky Center fo r Smoke-Free Policy (KCSP) Community Partners' Newsletter!



e Update on Northern Kentucky's Smoke-free Initiative.

1

•



® Updated County Level Tobacco Use and Policy Fact Sheets are Now Available.

® New FDA rules will greatly restrict tobacco advertising and sales.

® The Air Force Surgeon General warns about e-cigarettes.

® Smoke-free policies should extend outdoors.

® Kysmoke is now on Facebook!

® Introducing John Johnson, Community Liaison, KCSP.

2. Smoke-free Research U p d a t e ~

®. Summary of the Article, Threshold of biologic responses o/the small airway epithelium to

low levels of obacco smoke.

® Summary of the Article, The impact of school tobacco policies on student smoking in

Washington State, United States and Victoria, Australia.

3. Opposition Watch

® Summary of Jim Waters article, Advocates ofsmoking bans lack sensible solutions.


Smoke-free Policy Updates1. Northern Kentucky's Smoke-free Law Closer to Reality!

On September 15, by a vote of 15 to 6, the Northern Kentucky Health Department's District Board of

Health voted to enforce the ordinances, if the counties approve it.

http://news.cincinnati.com!apps!pbcs.dll/article?AID=!AB!20100915!NEWS010S(9160343/

2. Updated County Level Tobacco Use and Policy Fact Sheets are Now Available.

Please visit our website (see link below) to locate your community fact sheet to check out the most recent statistics

on tobacco use and smoke-free poliCies at the county level.

http://www.mc.ukV.edu/tobaccopolicv!KCSP!UseAndPolicYFactSheets2010.HTM

3. New FDA rules will greatly restrict tobacco advertising and sales.

On June 22, 2010, a new se t of regulations went into place that put severe restrictions on tobacco

companies as to when and where they are able to advertise their products. These restrictions include

2



banning Big Tobacco from entertainment venues, restricting sales in vending machines to adult-only stores

and placing cigarettes behind the counter in other locations, prohibiting non-tobacco giveaways with the

purchase of cigarettes and requiring that cigarettes are sold in packages of 20 or greater. If you would like

to contact the FDA regarding this issue please go to:

http://www.fda.gov/AboutFDA/ContactFDA/default.htm

In addition,the

FDA has issued warning letters concerningthe

manufacturing process and claims by ecigarette companies (see link below and attached notice). The companies claim that electronic cigarettes,

or e-cigarettes, are smoking cessation aides.

http://www.tri-cityherald.com!2010[09[09[l161912[fda-sends-warning-letters-to-e.html

The Air Force Surgeon General warns about e-cigarettes.

The Surgeon General ofthe United States Air Force has issued a warning concerning e-cigarettes. These

metal tubes look like a traditional cigarette while delivering nicotine through a refillable cartridge. The

Food and Drug Administration has conducted tests that determine that e cigarettes have a similar risk to

consumers as traditional cigarettes. As a result, the Surgeon General has sent out a statement that theywill be treated In the same category and prohibited from being used in places where cigarettes are

currently prohibited. These changeswill be included in the upcoming addition of the Air Force manual on

tobacco use.

See the attached memo from the Surgeon General of the Air Force

4. Smoke-free policies should extend outdoors.

In an article published in the Lexington Herald Leader on August 16, 2010, Dr. Ellen Hahn discussed the

consequencesof

breathing outdoor tobacco smoke. Although many smoke-free laws havebeen enacted

inKentucky (including the adoption of University of Kentucky's tobacco-free campus policy in November

2009), there remains concern over the health effects of breathing tobacco smoke in outdoor environments.

Cigarette smoke contains over 250 harmful chemicals that can cause cancer, breathing problems as well as

a host of other serious conditions. Based on the latest science on outdoor tobacco smoke, Dr. Hahn

recommends staying at least five feet away from one smoker and at least 20 feet away from more than one

smoker, depending on the wind conditions. She also urges the reader to make their home and car smoke

free and asks people to smoke 20 feet from doors, windows, or vents to provide protection from OTS.

This article is attached.

5. Kysmokefree is now on Facebookl

http://www.facebook.com/home.php?#!/pages/kysmokefree/l21589417877279?ref=ts

6. Introducing John Johnson, Community Liaison.

John has begun a new position of Community Liaison for KCSP and will serve as the first point of contact

for advocates who have questions about KCSP and our resources. You can reach John at 859-323-4587

or [email protected].

3



Smoke-free Research Updates1. Strulovici-Barel v, amberg L, O'Mahony M, Gordon C, Hollmann C, Tilley AE, et al. Threshold of

biologic responses of the small airway epithelium to low levels of tobacco smoke. Am J Respir Crit

Care Med. 2010 (in press).

In New Vork City, individuals 18 years and older were recruited to participate in a study looking at the

effects of low-level tobacco on sensitive airway tissue. Healthy non-smokers, healthy smokers and healthyindividuals who were exposed to low levels of tobacco smoke were asked to give a sample from their small

airway tissue and a urine sample which was used to test their nicotine and cotinine levels (markers for

tobacco exposure). The investigators then looked at the 372 genes that are responsible for the addiction

process and looked to see which ones were most affected by low-level tobacco use. All individuals who had

been exposed to tobacco smoke showed changes in their airway tissue.

2: Evans-Whipp TJ, Bond L, Ukoumunne OC, Toumbourou JW, and Catalano RF. The impact of school

tobacco policies on student smoking in Washington State, United States and Victoria, Australia.lnt J

Environ Res Public Health. 2010;7(3):698-710

.High school-age students were asked about smoke-free laws on their campus. They were asked how

different factors, such as a complete prohibition on smoking on their school campus or harsh penalties,

played a role in their desire not to smoke. Students who had harsher rules surrounding smoking on school

grounds were more likely to think fewer of their peers smoked on campus. Overall, a combination of

comprehensive smoke-free campus policies and harsher penalties for smoking may reduce the number of

youth who engage in smoking.

Opposition Watch

1. From the Opposition Archive: A Summary of Jim Waters '200S article, Advocatesofsmoking bans lack

sensible solutions.

The Bluegrass Institutes' Jim Waters article proposes the concept of charters (vs. smoke-free laws), where

employers are asked to place signs in their place of business informing their clients of their smoking

policy. This would allow each establishment to create an individualized smoking policy. Mr. Waters argues

that this proposed solution supports the private property rights of the employers and owners.

Waters' proposed 'solution' is a well-known tobacco industry tactic to derail smoke-free campaigns. Merely

asking businesses to post signs does not protect all workers. Rather, it gives the illusion that government is

taking action. In reality, the charter or signage proposal is no different than the status quo.

To learn more about the opposition tactics ofthe anti-health groups in Kentucky, go to

http://www.bipps.org/article.php?articie id=378.

FeedbackIf you have any comments or suggestions regarding the KCSP Community Partners' Newsletter, or would like

to suggest future content for the newsletter, please let us know! We would love to hear your feedback



4



The KCSP Community Partners' distribution list is intended to provide pertinent information to local tobacco control

community advocates in Kentucky. If you have received this newsletter in error or wish to be removed from the list,


John D. Johnson, MACommunity Liaison





859-323-4587

859-323-1057 (FAX)

[email protected]

www.l<csp.uky.edu

5



Spagnuolo, Amy R

From:Sent:To:

Subject:

Dena Sherman [[email protected]]Monday, December 13, 2010 4:32 PMJohnson, John Dadd me to mailing list

Would you mind adding me to your mailing list? I'm the committee chair for our tobacco-free committee.

Dena M. Sherman, PHR

HR Generalist

Hospice of the Bluegrass


Lexington, KY 40504

phone: (859) 296-6864

fax: (859) 276-0611

[email protected]

This transmission may contain Information that is privileged, confidential and/or exempt from disclosure under applicable law. If you are not the intended recipient, you are

hereby notified that any disclosure, copying, distribution or use of the information contained herein (Including any reliance thereon) Is STRICTLY PROHIBITED. If you received

thiS transmission in error, please immediately contact the sender and destroy the material in its entirety, whether in electronic or hard copy format.

From: Dozier, Kyle (LHD - Clark Co HD) [mailto:[email protected]]


To: Dena Sherman

Subject: FW:






October 2010

S m o k e ~ f r e e Communities: Good for People! Good {or Business

Welcome to th e Kentucky Center fo r Smoke-Free Policy (KCSP) Community Partners' Newsletter!


1





® Kentucky receives national award for smoke-free laws.


® Summary of the Article, Economic effects ofOhio's smoke free law on Kentucky and Ohio

border counties.




3. Opposition Watch






claims that it is not ful ly understood whether e-cigareUes are "tobacco products" or a "drug-device


device combination product. The oral arguments in the U.S. Court of Appeals were recently presented


2. Kentucky receives national award for smoke-free laws


laws, particularly in a state with a long history oftobacco growing and manufacturing. The communities



organizations: American Cancer Society, American Heart Association, American Lung Association,Campaign for Tobacco-Free Kids, Kentucky Cancer Consortium, Kentucky Center for Smoke-free Policy,



in the nation for passing



2



. 1. Pyles, M.K., Hahn, E.J. (2010). Economic effects of Ohio's smoke free law on Kentucky and Ohio








Dis. 7(4)A79.

Taxable retail sales were examined fo r bars and taverns in the two years after Washington State passed




passed, this study builds on the literature that smoke-free laws do not hurt local communities and may


http://www.cdc.gov/pcd/issues/2010/juI!090187.htm

3. Mackay, D., Haw, S., Ayres, J.G., Fischbacher, C., Pen, J.P. (2010). Smoke-free legislation and




the smoke-free law was implemented, there was an 18.2% reduction in the rate of hospital admissionsfor asthma among children. The authors concluded that smoke-free laws can improve asthma


opposition Watch






responsible for much ofthe organized opposition to smoke-free ordinances around the state (I.e.


Feedback




3







John D. Johnson, MA

Community Liaison





859-323-4587

859-323-1057 (FAX)

[email protected]

www.kcsp.uky.edu

4



Spagnuolo, Amy R

From: Hahn, Ellen JSent:To:

Monday, December 13, 2010 2:50 PMJohnson, John D


Thanks so much, Glad you could come, John, I enjoyed seeing Shelly again, Enjoy your holidays,

Ellen J, Hahn, PhD, RN






751 Rose Street


859-257-2358

859-323-1057 (FAX)

ejhahnOO@emaiLukv,edu


www,kcsp,uky,edu


From: Johnson, John DSent: Monday, December 13, 2010 10:24 AM

To: Hahn, Ellen J


Ellen,

According to KRS 61.805 this applies to any public board or agency, so BOH would be included,

Thanks fo r the party last night - it was a lot offun! We work with great people!

John

For some fun legal reading:

61.805 Definitions for KRS 61.805 to 61.850.

As used in KRS 61,805 to 61,850, unless the context otherwise requires:

(1) "Meeting" means all gatherings of every kind, including video teleconferences, regardless of where the meeting

is held, and whether regular or special and informational or casual gatherings held in anticipation of or in

conjunction with a regular or special meeting;

(2) "Public agency" means:

(a) Every state or local government board, commission, and authority;

1



(b) Every state or local legislative board, commission, and committee;

(c) Every county and city governing body, council, school district board, special district board, and municipal

corporation;

(d) Every state or local govemment agency, including the policy-making board of an institntion of education, created

by or pursuant to state or local statnte, executive order, ordinance, resolution, or other legislative act;

(e) Any body created by or pursuant to state or local statnte, executive order, ordinance, resolution, or other

l ~ g i s l ~ t i ~ e ~ ~ l n ! ! t e J ~ g i s l a t i y e ~ ( ) £ ~ ) ( e c u t i v e branch of gEye,fJJIll(!l1t; , ' _ ' _ _ _ ~ __ , ~ _ ~ ~ ~ _____

From: Hahn, Ellen J

Sent: Sunday, December 12, 2010 3:01 PM

To: Johnson, John D


This is related to the special meeting KR5 that was at issue in NKY, Can you please review that to see whether this relates

to BOH meetings or just state/county/city government... .





University of KentuckyCollege of Nursing and College of Public Health

751 Rose Street

Lexington, I<Y 40536-0232

859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu


COLLEGE OF NURSINGOU rGoal Is 10 Help You Rsul zo 'I'burs:

From: Johnson, John DSent: Tuesday, December 07, 2010 1:39 PM


So the issue is lack of clarity on whether a fiscal court can vote to make the courthouse smoke-free, or whether it can be

ini tiated by a citizen? In either case or both probably not a bad idea to get Judy to weigh in.

John

From: Hahn, Ellen J




Good point. We could get Judy to weigh in if it isn't obvious in the KR5 language. John, what do you think?

2









751 Rose Street


859-257-2358859-323-1057 (FAX)

[email protected]


www.kcsp.ukv.edu


COLLEGE OF NURSINGOur GO<l118 10 Help You !HooJ CO '"Durs



To: Johnson, John D

Cc: Hahn, Ellen J




Sent from my iPhone

On Dec 7,2010, at 10:00 AM, "Johnson, John D" <[email protected]>wrote:


John



Cc: Riker, Carol Ai Johnson, John D


Oh dear. I will be interested in hearing more about this. An upcoming trend. Carol/John, please let

Bronson and Maggie know that the amendment passed (and we do need a copy of it so we can update


3









751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu


<image001.gif>



To: Hahn, Ellen J


One member of the group actually used his e cigarette on the sidelines ofthe meeting. The room



4




Date: Thu,2 Dec 2010 06:22:51 -0500

To: [email protected] <[email protected] BetsyJanes <[email protected] [email protected] <I'[email protected]@windstream.net <[email protected]@gmail.com <[email protected]@hotmail.com <[email protected]@roadnmner.com <[email protected]@cancer.org <[email protected]@kycancerc.org <[email protected]@cancer.org <[email protected] Kercsmar, Sarah ~ c a v e 2 @ e m a i l . u k y . e d u [email protected] <[email protected] Wagner, Kristian .K <i<[email protected]>



Scott,


together materials for the BOH on e-cigarettes, as well as other legal issues. We were all keeping our

fingers crossed. John, Scott has a great suggestion and one you could share with Betsy's contact.

Thanks,

Ellen







751 Rose Street


5



859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu


<imageOO1.gif>


Sent: Thursday, December 02,20106:18 AM

To: Hahn, Ellen J; Betsy Janes; [email protected]; [email protected];

[email protected]; [email protected]; [email protected];

[email protected]; [email protected]; [email protected]; Kercsmar, Sarah;


Cc: Johnson, John D


Good morning,

Sometimes all that has to be done is to bring the situation to the fiscal court's attention. This is

what happened in Wolfe Co. One citizen went to a fiscal court meeting and raised the issue. The



what kind of response Judge Conley gives. I f Wolfe can do it, it is possible anywhere.

I attended the Madison Co first reading last night of their strengthened regulation. There was a

group there that touted e-cigarettes as an effectIve means to help smokers quit. Their main

argument was that they did not give off any secondhand smoke or vapor that harmed others. The

board held firm and the reg passed.

Scott



Date: Wed, 1 Dec 2010 08:27:36 -0500

6



To: Betsy Janes <betsyj@ky\ung.org [email protected] <fonya.chang@hearLorg

[email protected] <[email protected]@gmai1.com<[email protected]@hotmail.com < h o p e r o a d w e l l n e s s @ h o t m a i 1 . c o m ~ [email protected] <[email protected]@cancer.org <[email protected]@kycancerc.org [email protected]@cancer.org <[email protected] Kercsmar, Sarah ~ c a v e 2 @ e m a i 1 . u k y . e d u anthonys [email protected] <lmthonys [email protected] [email protected] <l\barkley@tobaccofreekids .org Wagner,KristianK [email protected] >



Good morning,

Betsy, if you want to send along his name and contact info, we are happy to conduct a community



in our files.


ordinance making government buildings smoke-free (or better yet, a smoke-free law including all county


sent to the county officials. The person in itiating the letter must be sure to have a doctor-confirmeddiagnosis that confirms that he is breathing disabled. Often, jus!sending the letter about the ADA

violation is enough to spur county governments to make the ir government buildings smoke-free. We



or federal buildings; nor does it cover colleges like KSU that has a board of trustees or regents). Our

current state law says state owned buildings must have a policy (i t gives them the option of 'bad' policy



Have a good one,

Ellen

7









751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu


<image001.gif>




[email protected]; [email protected]; [email protected]; Betsy Janes;[email protected]; [email protected]: Kercsmar, Sarah;

[email protected]; [email protected]; Wagner, Kristian K


Hi Gang,

8



I got a message from a guy in Morgan County. He said smoking is allowed in their county courthouse.He has severe capo and has trouble when he has to go in there. Is it correct that each county dictates



Betsy Berns Janes

Advocacy Director


P.O. Box 9067

4100 Churchman Ave.


Office: (502) 363-2652

Cell: (502) 797-0638

[email protected]

www.midlandlung.org

<image002.gif>

9



Spagnuolo, Amy R

From: Hahn, Ellen J

Sent: Monday, DeCember 13, 2010 2:08 PM

To:

Subject:Kercsmar, Sarah; Johnson, John D; Marijanovic, NinaRE: KCSP October Community Partner Newsletter

I like that idea a lot. Let's do just a brief summary of the new SG report. Use the Exec Summary as a guide.







751 Rose Street


859-257-2358



www.kcsp.uky.edu


COLLEGE OF NURSINGOm Gool is ,'0 Help You iRoaJiZl' "/burs

From: Kercsmar, SarahSent: Monday, December 13, 2010 1:50 PM

To: Hahn, Ellen J; Johnson, John D; Marijanovic, Nina

Subject: RE: KCSP October Community Partner Newsletter

Oops, missed that, sorry!

How about we pu t in a note about the new Surgeon General's report instead? I guess my thinking that one broad

overview research article is probably about as much as we should expect folks to pay attention to at this time of year!

Sarah Kercsmar. PhDManager, Northern Kentucky Office

Clean Indoor Air PartnershipUniversity of Kentucky College of Nursing

50 E. RiverCenter Blvd., Suite 410

Covington, KY 41011

859-261-1721 (office)

859-312-5856 (cell)[email protected]


.I'J please keep this email paperless

1



from: Hahn, Ellen J


To: Johnson, John D; Marijanovic, Nina; Kercsmar, SarahSubject: FW: KCSP October Community Partner Newsletter

October newsletter-we already did review Mackay ..see below.


Professor and Director, Tobacco Policy Research ProgramDirector, Kentucky Center for Smoke-free Policy




751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu




To: Johnson, John D

Subject: KCSP October Community Partner Newsletter



October 2010I

Smoke-free Communities: Good for People, Good for Business



2



L Smoke-free Policy Updates

FDA to decide how to classify e-cigarettes.

Kentucky receives national award fo r smoke-free laws.


Summary of the Article, Economic effects ofOhio's smoke free law on Kentucky and Ohio

border counties.

Summary of the Article, Smake-free law associated with higher-than-expected taxable


Summary of the Article, Smoke-free legislation and hospitalizations for childhood asthma.

3. Opposition Watch

The Annual Commonwealth Freedom and Liberty Conference.




A lawsuithas

been brought against theFDA

regarding the classification of e-cigarettes. The lawsuitclaims that it is not fully understood whether e-cigarettes are "tobacco products" or a "drug-device






laws, particularly in a state with a long history of tobacco growing and manufacturing. The communities

that passed smoke-free laws in 2009 were Campbellsville, london, Prestonsburg, and Radcliff.


organizations: American Cancer Society, American Heart Association, American lung Association,

Campaign fo r Tobacco-Free Kids, Kentucky Cancer Consortium, Kentucky Center for Smoke-free Policy,



in the nation fo r passing



3




border counties. Tob Control. doi : 10.1136/tc.2009.035493.


counties so they could smoke in public places. This study examined whether economic activ ity in Ohio





Dis. 7(4)A79.

Taxable retail sales were examined fo r bars and taverns in the two years after Washington State passed




passed, this study builds on the literature that smoke-free laws do not hurt local communities and mayactually produce additional revenue.


3. Mackay, D., Haw, S., Ayres, J.G., Fischbacher, C., Pell, J.P. (2010). Smoke-free legislation and



smoke-free law, hospital admissions for asthma among children were increasing at 5.2% per year. After

the smoke-free law was implemented, there was an 18.2% reduction in the rate of hospital admissionsfo r asthma among children. The authors concluded that smoke-free laws can improve asthma


Opposition Watch



Convention Center in Fort Mitchell, KY on October 1-2, 2010. The Bluegrass Inst itute, Take Back

Kentucky, and other known anti-health opponents of smoke-free air provided training sessions on topics

such as recruiting, equipping, and mobilizing an "army of informed citizens," utilizing social networking,


responsible fo r much of the organized opposition to smoke-free ordinances around the state (i.e.


Feedback




4



Voluntarv Participation




John D. Johnson, MA

Community Liaison





859-323-4587

859-323-1057 (FAX)

[email protected]

www.kcsp.uky.edu

5



Spagnuolo, Amy R

From: Hahn, Ellen JSent: Monday, December 13, 2010 1:51 PM

To:Subject:

Johnson, John D; Marijanovic, Nina; Kercsmar, SarahFW: July KCSP Community Partner Newsletter







751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu


COLLEGE OF NURSINGOm Gool is 10 Help Yeu ROillizo YCl/rS

From: Bossick, Michael JSent: Tuesday, July 20, 2010 10:31 AM

Subject: July KCSP Community Partner Newsletter



Smoke-free Communities: Good for People, Good for Business

Welcome to th e Kentucky Center for Smoke-Free Policy (KCSP) Community Partners' Newsletter!


• General Announcement

§ KCSP StaffTransitions

§ KySmokefree is Now on Facebook!

1

I



• Smoke-free Policy Updates

61 Mayor Bloomberg Considers a Smoke-free Policy on NYC Beaches and Parks.

• Smoke-free Research Updates

61 Summary of the Article, Hair nicotine levels in nonsmoking pregnant women whose spousessmoke outside of the home.

61 Summary of the Article, Quantifying the effects ofpromoting smokeless tobacco as a harmreduction strategy in the USA.

61 Summary of the Article, Economic effects of clean indoor air policies on bar and restaurant

employment in Minneapolis and St Paul, Minnesota.


General Announcements1. KCSP Staff Transitions

Effective Thursday, August 6th

, Dr. Mike Bossick will leave the position as Manager of the Kentucky Center for

Smoke-free Policy. Dr. Ellen Hahn remains the Director ofthe Center, and technical and information will

continue to be provided by our team of staff and faculty associates. Continue to contact us at

[email protected] or call 859-323-4587. You also can contact Dr. Hahn directly at 859-257-2358 or

[email protected].

Dr. Bossick has enjoyed his time working with many passionate advocates over the last year and he is proud of

your efforts to make Kentucky a health ier place. He wishes you well in your smoke-free efforts and looks forward

to seeing more local communities make the smart decision to enact comprehensive smoke-free laws!

2. KySmokefree is Now on Facebook!

Click on the link above to check out our brand new Facebook page that launched in June! Get the most recent

updates on smoke-free policy, opposition tactics, research updates, and community news by simply clicking

"Like" on the page and you wil l become a fan. This wil l allow you to see the informat ion we post and keep you

informed. We would appreciate your input and feedback on our site!

Smoke-free Policy Updates1. Mayor Bloomberg Considers a Smoke-free Policy on NYC Beaches and Parks.

The mayor of New York City is considering prohibiting smoking on its beaches and parks. He stated in a recent

news release that the public does not want smoking in these recreational areas that consist of 14 miles of beach

and over 1,700 parks and playground areas. His rationale for this policy is to ensure those who frequent these

recreational areas will have clean air to breathe. In addition, the policy will preserve the environment by

reducing cigarette butt and pack litter on beaches and park grounds. This extension of New York City's smoke-

2



free law would further protect New Yorkers from exposure to outdoor tobacco smoke (OTS) while preserving

the environment.

Read the New York Times Article Here


1. Yoo, S. H., Y. J. Paek, S. S. Kim., et al. (2010). Hair nicotine levels in nonsmoking pregnant womenwhose spouses smoke outside o/the home. Tobacco Control. Epub ahead of print May 27,2010.

Secondhand smoke not only has harmful effects on non-smoking adults and children, but also on fetal

development during pregnancy. To determine whether pregnant women experience reduced exposure to SHS

when their spouses smoke outside the home, Yoo et al. designed a study comparing three groups comprised of

nonsmoking spouses, spouses who only smoked outside the home, and spouses who smoked inside the home.

Pregnant women provided hair samples on the day of their last antenatal appointment as a biomarker, or a

substance used to indicate a biological state, for nicotine exposure. There was a significant difference in hair

nicotine levels between pregnant women who had nonsmoking spouses and those with smoking spouses both

inside and outside of the home. Hair nicotine levels were not significantly different between women with spouses

smoking in the home and outside of the home. This study determined that nonsmoking pregnant women are still

at risk for SHS smoke exposure even when their spouse smokes outside the home. Public education is needed on

establishing smoke-free home policies including issues related to smoking outside the home and th irdhand smoke

exposure.


2. Mejia, A. B., P. M. Ling, & S. A. Glantz. (2010). Quantifying th e effects of promoting smokeless tobacco

as a harm reduction strategy in th e USA. Tobacco Control. Epub ahead of print June 27, 2010.

Mejia et al. sought to determine whether the promotion of smokeless tobacco in the form of snus, a moist

tobacco product which is a variant of snuff, is a viable harm reduction strategy for tobacco initiat ion in the US.

Smokeless tobacco is thought by some to be less harmful than cigarettes despite the fact using such products

have been linked to oral cancer, heart, disease, and pancreatic cancer. Mejia et al. used a simulation model to

estimate the health effects of different patterns of smokeless tobacco use. The authors concluded that smokeless

tobacco promotion would not be associated with any substantial health benefits at the population level. The

probability that smokers would reduce their tobacco use was not significantly less and could not be considered an

effective public health intervention. In fact, advocating for smokeless tobacco use as an alternative to cigarette

smoking may send confusing messages and undermine communities or campuses with tobacco-free policies

designed to protect public health.


3. Klein, E. G., J. L. Forster, D. J. Erickson, L. A. Lytle, & B. Schillo. (2010). Economic effects of clean

indoor air policies on bar and restaurant employment in Minneapolis and St Paul, Minnesota.

Journal o fPublic Health Management and Practice. 16: 285-293.

Researchers report economic improvements in employment in bars and restaurants af ter smoke-free legislation

was enacted in two Minnesota cities. The employment rates of bars and restaurants in St. Paul and Minneapolis

were analyzed over a five-year period during which smoke-free laws were implemented in each city. Once the

comprehensive laws were in effect, employment was 3% higher in restaurants in both cities, and S% higher in

bars 2.5 years following the local clean indoor air law in Minneapolis. No significant change in employment was

seen in bars in St. Paul during the same time period. This study indicates that local smoke-free laws may have a

3



positive effect on the employment in local restaurants and bars after comprehensive clean indoor airs laws are

implemented.


Feedback

If you have any comments or suggestions regarding the KCSP Community Partners' Newsletter, or would liketo suggest future content for the newsletter, please le t us know! We would love to hear your feedback

[email protected] or call 859-323-4587 .

Voluntary ParticipationThe KCSP Community Partners' distribution list is intended to provide pertinent information to local tobacco control



Mike Bossick, Ph.D.

Manager, Kentucky Center for Smoke-Free Policy & Radon Awareness Project

Clean Indoor Air Partnership




859-323-4587

859-323-1057 (FAX)

[email protected]

www.kcsp.uky.edu

Find kysmokefree on Twitter and Facebook

Smoke-free Communities:

Good for People, Good for Business

4



Spagnuolo, Amy R

From: Hahn, Ellen JSent: Monday, December 13,20101:49 PM

To:

Subject:Johnson, John D; Marijanovic, Nina; Kercsmar, SarahFW: KCSP September Community Partner Newsletter







751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu

Find kysmoketree on Twitter and Facebook !

COLLEGE OF NURSINGOur Goal Is 10 Help Yeu iR",,1 izn Yburs

From: Johnson, John DSent: Friday, September 24, 2010 11: 16 AM

To: Johnson, John D

Subject: KCSP September Community Partner Newsletter



September 2010

S m o k e ~ f r e e Communities: Good/or People, Good for BusinessWelcome to the Kentucky Center fo r Smoke-Free Policy (KCSP) Community Partners' Newsletter!



Update on Northern Kentucky's Smoke-free Initiative.

1



@) Updated County Level Tobacco Use and Policy Fact Sheets are Now Available.

@) New FDA rules will greatly restrict tobacco advertising and sales.

@) The Air Force Surgeon General warns about e-cigarettes.

@) Smoke-free policies should extend outdoors.

@) Kysmoke is now on Facebook!

@) Introducing John Johnson, Community Liaison, KCSP.


@) Summary of the Article, Threshold ofbiologic responses of the small airway epithelium to

low levels of tobacco smoke.

@) Summary of the Article, The impact of school tobacco policies on student smoking in

Washington State, United States and Victoria, Australia.

3. Opposition Watch

@) Summary of Jim Waters article, Advocates of smoking bans lack sensible solutions.


Smoke-free Policy Updates1. Northern Kentucky's Smoke-free Law Closer to Reality!

On September 15, by a vote of 15 to 6, the Northern Kentucky Health Department's District Board of

Health voted to enforce the ordinances, if the counties approve it.

http:Unews.cincinnati.com/apps/pbcs.dll/article?AID=/AB/20100915/NEWS0108/9160343/

2. Updated County Level Tobacco Use and Policy Fact Sheets are Now Available.

Please visit our website (see link below) to locate your community fact sheet to check out the most recent statistics

on tobacco use and smoke-free policies at the county level.

http://www.mc.uky.edu/tobaccopolicy/KCSP/UseAndPolicyFactSheets2010.HTM

3. New FDA rules will greatly restrict tobacco advertising and sales.

On June 22, 2010, a new set of regulations went into place that put severe restrictions on tobacco

companies as to when and where they are able to advertise their products. These restr ictions include

2



banning Big Tobacco from entertainment venues, restricting sales in vending machines to adult-only stores

and placing cigarettes behind the counter in other locations, prohibiting non-tobacco giveaways with the

purchase of cigarettes and requiring that cigarettes are sold in packages of 20 or greater. If you would like

to contact the FDA regarding this issue please go to:

http://www.fda.gov/AboutFDA/ContactFDA/default.htm

In addition, the FDA has issued warning letters concerning the manufacturing process and claims by e

cigarette companies (see link below and attached notice). The companies claim that electronic cigarettes,

or e-cigarettes, are smoking cessation aides.

http://www.tri-cityherald.com/2010/09/09/1161912/fda-sends-warning-letters-to-e.html

The Air Force Surgeon General warns about e-cigarettes.

The Surgeon General of the United States Air Force has issued a warning concerning e-cigarettes. These

metal tubes look like a traditional cigarette while delivering nicotine through a refillable cartridge. The

Food and Drug Administration has conducted tests that determine that e Cigarettes have a similar risk to

consumers as traditional cigarettes. As a result, the Surgeon General has sent out a statement that theywill be treated in the same category and prohibited from being used in places where cigarettes are

currently prohibited. These changes will be included in the upcoming addition of the Air Force manual on

tobacco use.

See the attached memo from the Surgeon General ofthe Air Force

4. Smoke-free policies should extend outdoors.

In an article published in the Lexington Herald Leader on August 16, 2010, Dr. Ellen Hahn discussed the

consequences of breathing outdoor tobacco smoke. Although many smoke-free laws have been enacted in

Kentucky (including the adoption of University of Kentucky's tobacco-free campus policy in November

2009), there remains concern over the health effects of breathing tobacco smoke in outdoor environments.

Cigarette smoke contains over 250 harmful chemicals that can cause cancer, breathing problems as well as

a host of other serious conditions. Based on the latest science on outdoor tobacco smoke, Dr. Hahn

recommends staying at least five feet away from one smoker and at least 20 feet away from more than one

smoker, depending on the wind conditions. She also urges the reader to make their home and car smoke

free and asks people to smoke 20 feet from doors, windows, or vents to provide protection from OTS.

This art icle is attached.

5. Kysmokefree is now on Facebook!

http://www.facebook.com/home.php?#!/pages/kysmokefree/121589417877279?ref=ts

6. Introducing John Johnson, Community Liaison.

John has begun a new position of Community Liaison fo r KCSP and will serve as the first pOint of contact

fo r advocates who have questions about KCSP and our resources. You can reach John at 859-323-4587

or [email protected].

3



Smoke-free Research Updates1. Strulovici-Barel Y, Omberg L, O'Mahony M, Gordon C, Hollmann C, Tilley AE, et al. Threshold of

biologic responses of the small airway epithelium to low levels of tobacco smoke. Am J Respir Crit

Care Med. 2010 (in press).

In New York City, individuals 18 years and older were recruited to participate in a study looking at the

effects of low-level tobacco on sensitive airway tissue. Healthy non-smokers, healthy smokers and healthy

individuals who were exposed to low levels oftobacco smoke were asked to give a sample from their small

airway tissue and a urine sample which was used to test their nicotine and cotinine levels (markers fo r

tobacco exposure). The investigators then looked at the 372 genes that are responsible fo r the addiction

process and looked to see which ones were most affected by low-level tobacco use. All individuals who had

been exposed to tobacco smoke showed changes in their airway tissue.

2. Evans-Whipp TJ, Bond L, Ukoumunne OC, Toumbourou JW, and Catalano RF. The impact of school

tobacco policies on student smoking in Washington State, United States and Victoria, Australia. In t J

Environ Res Public Health. 2010;7(3}:698-710.

High school-age students were asked about smoke-free laws on their campus. They were asked how

different factors, such as a complete prohibition on smoking on their school campus or harsh penalties,

played a role in their desire not to smoke. Students who had harsher rules surrounding smoking on school

grounds were more likely to think fewer oftheir peers smoked on campus. Overall, a combination of

comprehensive smoke-free campus policies and harsher penalties fo r smoking may reduce the number of

youth who engage in smoking.

opposition Watch

1. From the Opposit ion Archive: A Summary of Jim Waters'200S article, Advocates ofsmoking bans lack

sensible solutions.

The Bluegrass Institutes' Jim Waters article proposes the concept of charters (vs. smoke-free laws), where

employers are asked to place signs in their place of business informing their clients oftheir smoking

policy. This would allow each establishment to create an individualized smoking policy. Mr. Waters argues

that this proposed solution supports the private property rights of the employers and owners.

Waters' proposed 'solution' is a well-known tobacco industry tactic to derail smoke-free campaigns. Merely

asking businesses to post signs does not protect all workers. Rather, it gives the illusion that government is

taking action. In reality, the charter or sign age proposal is no different than the status quo.

To learn more about the opposition tactics of the anti-health groups in Kentucky, go to

http://www.bipps.org/article.php?articie id=378.

FeedbackIf you have any comments or suggestions regarding the KCSP Community Partners' Newsletter, or would like

to suggest future content for the newsletter, please le t us know! We would love to hear your feedback



4



The KCSP Community Partners' distribution list is intended to provide pertinent information to local tobacco control



John D. Johnson, MA

Community Liaison





859-323-4587

859-323-1057 (FAX)

[email protected]

www.kcsp.uky.edu

5



Spagnuolo. Amy R

From: Hahn, Ellen J

Sent:To:

Sunday, December 12,20103:01 PMJohnson, John D


This is related to the special meeting KRS that was at issue in NKY. Can you please review that to see whether this relatesto BOH meetings or just state/county/city government. ...







751 Rose Street


859-257-2358859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu


COLLEGE OF NURSING

From: Johnson, John DSent: Tuesday, December 07, 2010 1:39 PM

To: Hahn, Ellen J


So the issue is lack of clarity on whether a fiscal court can vote to make the courthouse smOke-free, or whether it can be

initiated by a citizen? In either case or both probably not a bad idea to get Judy to weigh in.

John

From: Hahn, Ellen JSent: Tuesday, December 07, 2010 1:31 PM



Good point. We could get Judy to weigh in if it isn't obvious in the KRS language. John, what do you think?

Ellen J. Hahn, PhD, RN .



Assistant Director, Centerfor Biobehavioral Research in Self-Management of Cardiopulmonary Disease

1





751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]

www.mc.uky.edu/tobaccopolicywww.kcsp.uky.edu


COLLEGE OF NURSINGOur Gte·al 1910 Help '"{()iJ IF{EJttHlO \rbur-'s



To: Johnson, John DCc: Hahn, Ellen J


Kelly said the second reading would be end of jan. We need to look at that open meetings rule to see if it affectsBOH mtgs since they are moving that meeting from February. Carol

Sent from my iPhone

On Dec 7, 2010, at 10:00 AM, "Jo1mson, John D" <[email protected]>wrote:


John





Oh dear. I will be interested in hearing more about this. An upcoming trend. Carol/John, please le t

Bronson and Maggie know that the amendment passed (and we do need a copy of it so we can update


2









751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu


<image001.gif>


Sent: Thursday, December 02, 2010 6:27 AM .

To: Hahn, Ellen]


One member ofthe group actually used his e cigarette on the sidelines of the meeting. The room


Sent via BlackBeny by AT&T


3



Date: Thu, 2 Dec 2010 06:22:51-0500

To: anthonys [email protected]<ttnthonys [email protected]>, BetsyJanes <[email protected]>, [email protected] <I'[email protected]>,[email protected]<[email protected]>,[email protected] <Brandi.gilley@gmaiLcom>,[email protected]<[email protected]>,

[email protected] <[email protected]?,[email protected] <[email protected]?,[email protected] [email protected]?,J [email protected] <fames [email protected]>, Kercsmar, Sarah <[email protected]>,[email protected] <[email protected]?, Wagner, KristianK <[email protected]>



Scott,


together materials fo r the BOH on e-cigarettes, as well as other legal issues. We were all keeping our


Thanks,

Ellen







751 Rose Street


859-257-2358

4



859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu


<imageOO1.gif>

From: [email protected] [mailto:[email protected]]Sent: Thursday, December 02, 2010 6: 18 AM

To: Hahn, Ellen J; Betsy Janes; [email protected]; [email protected];[email protected]; [email protected] [email protected];[email protected]; [email protected]; [email protected]; Kercsmar, Sarah;[email protected]; Wagner, Kristian KCc: Johnson, John D .Subject: Re: county government-owned buildings

Good morning,

Sometimes all that has to be done is to bring the situation to the fiscal court's attention. This iswhat happened in Wolfe Co. One citizen went to a fiscal court meeting and raised the issue. The



what kind of response Judge Conley gives. I f Wolfe cando it, it is possible anywhere.

I attended the Madison Co first reading last night of their streugthened regulation. There was a

group there that touted e-cigarettes as an effective means to help smokers quit. Their main

argument was that they did not give off any secondhand smoke or vapor that harmed others. The

board held firm and the reg passed.

Scott


From: "Hahn, Ellen J" ~ j h a h n O O @ e m a i l . u k y . e d u >

Date: Wed, 1 Dec 2010 08:27:36 -0500

To: Betsy Janes [email protected]>l [email protected] <[email protected]>l

[email protected] <[email protected]>l

Brandi [email protected] <[email protected]>l

5



[email protected] <[email protected]@roadrunner.com < i c e n t e r s @ r o a d r u n n e r . c o m ~ [email protected] <[email protected]@k:ycancerc.org <\[email protected] [email protected] <lames [email protected] Kercsmar, Sarah <[email protected]

anthonys [email protected]<!tnthonys [email protected] [email protected]<!tbarkley@tobaccofreekids .org Wagner,Kristian

K <[email protected]>

Cc: Johnson, John D<\[email protected]>

Subject: RE: county govennnent-owned buildings

Good morning,


readiness assessment with him and connect him with the tobacco control program. I am not aware ofany smoke-free effor ts in Morgan County, but we will explore further. I am cc: John so he can take a look

in ourfiles.




sent to the county officials. The person initiating the letter must be sure to have a doctor -confi rmed





or federal buildings; nor does it cover colleges like I<SU that has a board of trustees or regents). Our

current state law says state'owned buildings must have a policy (it gives them the option of 'bad' policy



Have a good one,

Ellen

6









751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu


<image001.gif>


Sent: Tuesday, November 3D, 2010 1:25 PM



jredmond@i<vcancerc.orq; [email protected]; Kercsmar, Sarah;

[email protected]; [email protected]; Wagner, Kristian KSubject: county government-owned buildings

Hi Gang,

I got a message from a guy in Morgan County. He said smoking is allowed in their county courthouse.

He has severe COPO and has trouble when he has to go in there. Is it correct that each county dictates

7



policy for county-owned buildings and that state and federal buildings are governed by different laws? Ifso, is there any advice you can offer for this guy? Are there any other laws that might apply? Is thereany movement in Morgan County toward smoke-free policy? Thanks.

Betsy Berns Janes

Advocacy Director


P.O. Box 9067

4100 Churchman Ave.


Office: (502) 363-2652

Cell: (502) 797-0638

[email protected]

www.midlandlung.org

<image002.gif>

8



Spagnuolo, Amy R

From:Sent:To:Subject:

Sidney, Hilarie EThursday, December 09,201011 :26 AMJohnson, John DFW: KCSP November Community Partner Newsletter

Attachments: One-pager e-cigarettes and Secondhand Smoke EH 112110.pdf; One pager Green Circle111610.pdf

From: Johnson, John DSent: Thursday, December 02, 2010 10:05 AM

To: A. Weddle; [email protected]; Alyce Graves; Fallin, Amanda T; Amanda Lancaster; Amy Barkley; April Thomas;[email protected]; Becky Horn; Bertie Salyer; Beverly Lewis; Brandin Gibson; Brandon Hurley; Carol Douglas; CarolJo May [email protected] ; Carolyn Burtner; [email protected]; Chrissy Booth; Connie Meek; Cynthia Brown;Cynthia Steele; Dave Baxter; Deborah Fleming; Deborah Shortt; Donita; Dori Livy; Dr. Todd Bohannon; Dudley Conner;Edwina Smarr; Napier, Ellen J; Feltner, Frances J; Frieda Glantz; Geneva Wallen; Geri Tincher; Heather Owens; Sidney,Hilarie E; Irene Centers; J. Lee; Jaclyne Hodges; James Thaxton; Jamie Browning ([email protected]); Jamie

Oakes; Janna Smith; Jean Bennett; Jean Rosenberg; Jim Tolley; Cain, John H; Joyce Adkins; Julie Brackett; KatharineLay; Kelly Harl ; Kerry Cork; Kimberli Flood; Kyle Dozier; Larry Martin; Leeann Taylor; Leslie Newman; Lindsay Justice;Lisa J. Houchin; Liz Burrows; Liz Crigler; Liz Williams; [email protected]; Mark Sizemore; Mary Jo Dike; MaxineRitchie; Melissa Brown; Michael Helton; Michael Shoemaker; Michelle Webb; Mona Ollis McClain; Paul Kiser([email protected]); Petty Gregory; Phil Marinaro; Rachael King; Rachel Willoughby; Richard Nading; RichardWilson; Roger Trent; [email protected]; ; Ruth Davis; Sam Castle; Sandy Bailey; Sandy England; Good, Sandra B;Sara Dunlap; Savannah Knopp; Scott Lockard ([email protected]); Scott Walker; Shana Peterson; Shannon Pratt;Shannon Ross; Sharon Faul; Shawn Jones; Sheldon Kozee; Shirley A. Roberson; Stacy Crase; Stephanie Vogel; SueticiaSutton; Teresa Collins; Ferguson, Teresa D; Terry Tipton; Thursa Sloan; Tiffany Potter; Todd Warnick; Tonya; TonyaChang; Tracy S. Aaron; Trina Winter; Vanessa Brewer; Veronica Ent ; Hudson, Vickie A; Vickie L Poore; 'VirginiaOldham'Subject: KCSP November Community Partner Newsletter

•


Community Partner NewsletterNovember 2010

Smoke-Jree Communities: Good/orPeople, Good/or Business

Welcome to the Kentucky Center for Smoke-Free Policy (KCSP) Community Partners' Newsletter!



1

•



® University of Kentucky's Tobacco-free Campus Anniversary

® News from the American Public Health Association Annual Meeting,

Denver, CO

• Adult education as a vehicle fo r health communication

• Norm spreading or behavioral compensating- Do clean indoor air laws increase

voluntary home smoke-free rules?

• Critical appraisal training to expand heal th literacy and reduce health

disparities

• Messages that motivate rural communities to support smoke-free policy

change

• Justice is what love looks like: Quote from Cornel West

2. Smoke-free Research Update

® State-specific Prevalence of Cigarette Smoking and Smokeless Tobacco Use Among Adults-

2009

3. Opposition Watch

® The Growing Popularity of E-cigarettes

® Northern Kentucky Tea Party



1. University of Kentucky's Tobacco-free Anniversary

November marked the f irst anniversary ofthe University of Kentucky's tobacco-free campus policy. This

was celebrated the week of November 15 with activities including distribution of policy reminder cards

(with free drink coupon), display tables around campus with cold turkey sandwiches, s-mores ("cold turkey

is not the way to go-ask for s'more information about how to quit"), and hot chocolate, and a campus

wide cigarette butt clean-up.

Check out Kysmokefree on Facebook fo r tobacco-free anniversary pictures

http:Uwww.facebook.comfalbum.php?aid=25739&id=121589417877279

2. News from the American Public Health Association meeting in Denver, Colorado

Several members of the KCsP team attended the 2010 American Public Health Association conference in

November. Below are selected highlights from some of the sessions we enjoyed the most!

Adult education as a vehicle fo r health communication

Ariela M. Freedman, MPH, MAT - Rollins School ofPublic Healthy, Emory University, Atlanta, GA

According to the Institute on Medicine, "nearly half of all Americans - 90 million people - have difficulty

understanding and acting upon health information." So much of what we do in tobacco control is based on

2



print media and we may be missing a large audience who possess low literacy and low health literacy skills.

During Ms. Freedman's session at APHA, she suggested reaching out to adult education to reach those who

are often disproportionately affected by smoking and/or secondhand smoke. Adult educators are experienced

in translat ing information to meet the literacy skills of their participants. Adult education is also a known and

safe location where participants often have existing relationships and participants frequently report learning

from each other.

Questions to consider:

• Are you aware ofthe adult education programs in your county?

• Have you ever talked with the adu It education program about your smoke-free activities?

• Have you reviewed the materials you use in your tobacco control program to make sure they are

readable for low literacy audiences?

For more information on clearly communicating health information, visit:

http://www.health.gov/communication/literacy/plainlanguage/PlainLanguage.htm

For a "how to" on writing easy-to-read health information: http://www.nlm.nih.gov/medlineplus/etr.html

Norm spreading or behavioral compensating- Do clean indoor air laws increase voluntary home smoke-free

rules?

Dr. Kai-Wen Cheng, Center for Tobacco Control Research and Education, University ofCalifornia, San

Francisco

This session examined whether smoke-free laws increase the adoption of voluntary home smoke-free rules

among smoking households. The study found that smoke-free laws increase the likelihood that family

households voluntarily implement smoke-free home rules. For more information on smoke-free homes andmulti unit housing, please visit Americans for Non-smokers Rights at http://www.no

smoke.org/goingsmokefree.php ?id=101

Critical appra isal training to expand health literacy and reduce health disparities

Donna Odierna, DrPH, University ofCalifornia, San Francisco

The goal ofthis project was to implement and evaluate health literacy workshops for consumer advocates,

journalists, and healthcare providers. The ability to evaluate evidence for credibility and quality, and to

analyze risks and benefits is important for healthcare decision-making. It is also crucial for effective

communication with others, including policy makers. As a result oftaking par t in the workshops, participants'confidence in critical appraisal skills increased by about 30%. Attendees reported that they were more likely to

use critical appraisal skills to identify valid sources of information, recognize financial conflicts of interest,

effectively communicate health information, and critique tobacco advertising.

Additional information on health literacy training may be found at:

http://www.hsph.harvard.edu/healthliteracv/practice/training/index.html

Messages that motivate rural communities to support smoke-free policy change

Anna Kostygina, PhD, Postdoctoral Scholar, University of Kentucky

3



Focus groups were conducted with 82 residents of three rural communities to study the perceived

effectiveness of print advertisements used in rural communities to promote smoke-free policies in regard to

message framing and emotional tone. Based on the results, tips are included below for successful media

campaigns in rural communities:

• Use bright colors, such as red or yellow.

• Include a clear phone number or website where people can take action.

• Be concise with the wording.

• Messages with a serious tone tend to be more effective than lighthearted messages (such as jokes or

cartoons).

• Messages stressing the risks of secondhand smoke exposure were more effective than those focusing

on the benefits of smoke-free air.

• Messages that appear to blame smokers (i.e.: "Smokers kill non-smokers") were offensive to some

participants.

• Messages appealing to social norms and religious beliefs received strong support from the participants.

Visit American's fo r Nonsmokers' Rights fo r examples of smoke-free ads used in other communities:

http:Uwww.no-smoke.org/goingsmokefree.php?id=115.

Justice is what love looks like, Cornel West, PhD, Professor, Princeton University

Quote:

..." allow suffering to speak ...have the courage to question things that obstruct justice ... unregulated markets

don't work to provide justice for all."

Questions to consider:

• Is it fair or just that some people have to breathe smoky air at work?

• Would workers exposed to secondhand smoke at work in your community be willing to get involved inyour smoke-free efforts? Could you use their quotes (anonymous) in a 'worker quote ' document?

• How can you frame smoke-free as a justice issue in your community?

See Robert Wood Johnson's summary of the APHA meeting: http://rwjfapha.com/


"State-Specific Prevalence of Cigarette Smoking and Smokeless Tobacco Use Among Adults --- United States,

2009." Morbidity and Mortality Weekly Report, November 5, 2010/59(43); 1400-1406

Cigarette smoking and smokeless tobacco use cause or increase the risk fo r lung, throat, oral, and other types

of cancers. In the article, the CDC analyzed data from the 2009 Behavioral Risk Factor Surveillance System

(BRFSS). Smoking prevalence was highest in Kentucky & West Virginia (25.6%). The prevalence of smokeless

tobacco use was higher among men than women in all states and territories. These data suggest that

smokeless tobacco use is predominantly a public health problem among men, young adults, and persons with

lower education, and in certain states:

• Smokeless tobacco use among men was significantly higher than among women in all 50 states

4



• Among the 50 states and DC, smokeless tobacco use was most common among persons aged 18--24

years

• Smokeless tobacco use tended to decrease with increasing education

• Percent of smokeless tobacco use among adults in Kentucky: 6.7%

• Percent of cigarette smokers who also use smokeless tobacco in Kentucky: 7.7%

As smoke-free laws become more widespread and the tobacco industry continues to market their products fo r

. 'dual use,' the percent of cigarette smokers who also use smokeless is expected to rise.

http://www.cdc.gov!mmwr!preview!mmwrhtml!mm5943a2.htm?s cid=mm5943a2 w

opposition Watch

The Growing Popularity of E-cigarettes

Electronic cigarettes, or e-cigarettes, have continued to become more popular and Widely

accepted as evidenced by the article in the link below. The e-cigarette industry has launched an organized

campaign to convince the public that e-cigarettes help smokers quit. There is no research evidence that this is

thecase. In fact, there is evidence that e-cigarettes actually help smokers remain addicted to nicotine. Theu.s. Food and Drug Administration (FDA) sent letters to five tobacco companies in Septemberindicating that

they were marketing their products illegally as unapproved drugs and that the products would need to be

regulated by the FDA.

http://new-smoke.com!e-cigarette-news!david-Ietterman-smokes-the-electronic-cigarette!

http://www.fda.gov!ICECI/EnforcementActions!WarningLetters/2010/default.htm ?fragme nt25 NextRow=51

See the attached fact sheet on E-cigarettes andSmoke-free Policies. Several local smoke-free

ordinances/regulations in Kentucky prohibit the use of e-cigarettes (Bardstown, Glasgow, Madison County

BOH regulation, amended 12/1/10).

Northern Kentucky Tea Party

The Northern Kentucky Tea Party is dOing the bidding of the tobacco industry and other anti-health groups

(i.e., Bluegrass Institute, Kentucky Libertarian Party, NKY Choice) to vigorously oppose the proposed smoke

free ordinances in Campbell and Kenton Counties. Check their website: http://www.nkyteapartv.org/ and read

'Smoking Ban Supporters Hypocritical.' The Lexington Herald-Leader called out the Tea Party and urged

Campbell and Kenton Fiscal Courts to make the healthy decision in an opinion editorial this week.

http://www.kentucky.com!2010/11/30!1545933/g0-smoke-free-northern-ky.html

Feedback


to suggest future content for the newsletter, please le t us know! We would love to hear your feedback



The KCSP Community Partners' distribution list is intended to provide pertinent informat ion to local tobacco



s



John D. Johnson, MA

Community Liaison




Lexington, Kentucky 40536-0232859-323-4587

859-323-1057 (FAX)

[email protected]

www.kcsp.uky.edu

6



E-cigarettes and Smoke-free Policies

What are E-cigarettes and what do they contain?

• Battery operated devices with cartridges filled with nicotine, flavor, and other chemicals. (USFDA, 2009)

• The ti p of the e-cigarette simulates the li t end of a cigarette, emitting a plume [o f vapor]. (Yamin, Bitton, &

Bates, 2010)

• E-cigarettes tested by the FDA contain nicotine, diethylene glycol (used in antifreeze and toxic to humans),

carcinogens, and other impurities suspected to be harmful (USFDA 2009).

• Nicot ine levels in e-cigarettes vary from very high to very low doses, regardless of labeling. (USFDA, 2009)

• Some e-cigarettes deliver drugs for weight loss and erectile dysfunction (AMA, 2010). .• E-cigarettes are not approved by the FDA as nicot ine delivery devices. Yet, e-cigarette companies market them

as cessation aides and as a way around smoke-free poliCies.

Do E-cigarettes give of f secondhand smoke?

• After the user inhales, the residual aerosol, or vapor, is exhaled into the surrounding air. (Trtchounian, Williams,

& Talbot, 2010)

• It is likely that e-cigarettes emit nicotine, propylene glycol, carcinogens, and other substances (Henningfield &Zaatari, 2010).

Is secondhand vapor from e-cigarettes harmful?

• E-cigarettes emit secondhand vapor (nat smoke) that can be seen and smelled, but it has no t been studied, so

claims of safety are premature (Henningfield & Zaatari, 2010).

• Nicot ine deposits react with an element in the air to form potent carcinogens (Sleiman et al. 2010).

• People are then exposed to "thirdhand smoke" by inhalation, skin exposure, and ingestion.

• Nicotine deposits on indoor surfaces and lasts fo r weeks to months (Sleiman et al. 2010).

Are there other concerns about the use .of e-cigarettes?

• They cause confusion when enforcing smoke-free policies.

• They model "smoking" fo r youth.• The nicotine in e-cigarettes could facilitate youth init iation and addiction.

• People using e-cigarettes as a cessation aide are not likely to be successful.

How are U.S. agencies respanding to the risks involved with e-cigarettes?

• On July 22, 2009, the FDA warned of the taxic ingredients in e-cigarettes.

• In 2010, the FDA warned five manufacturers that they are illegally marketing e-cigarettes and tald their trade

assaciatian that they intend ta regulate these praducts (AMA, 2010).

• The Air Farce and the Marine base at Quantico have banned the use of e-cigarettes in the warkplace. New

Jersey and Suffalk county, NY, have banned use wherever smoking is prohibited (ASH, 2010).

• All U.s. domestic airlines ban the use of e-cigarettes (ASH, 2010).

What are the recammendations regarding e-cigarettes and smoke-free policies?• American Cancer Society, American Heart Associatian, The Campaign fa r Tabacco-free Kids, and the American

lung Associatian recammend that smake-free laws and palicies prahibit the use .of e-cigarettes. (ACS, AHA,

CTFK, & ALA, 2010).

Far mare infarmatian, cantact the Kentucky Center fa r Smake-free Palicy, 859-323-4587, www.kcsp.uky.edu



E-cigarettes and Smoke-free Policies

Action on Smoking and Health (ASH). (2010). E-cigarettes banned on domest ic flights, reports ASH. Accessed 10/19/2010

at http://www.prlog.org/10942504-cigarettes-banned-on-domestic-flights-reports-ash.html

American Cancer Society, American Heart Association, The Campaign fo r Tobacco-free Kids, and the American Lung

Association. (April 9, 2010). Policy guidance document regarding e-cigarettes.

American Medical Association. (October 27, 2010). Health agencies update. Journal of the American Medica l Association,

304 (16), 1777.

Henningfield, J.E., & Zaatari, G.S. (2010). Electronic nicotine delivery systems: Emerging science foundation fo r policy.

Tobacco Control, 19(2), 89-90.

Internat ional Agency fo r Research on Cancer. IARC Monographs on the Evaluation of Carcinogenic Risks to Humans:

Tobacco Smoke and Involuntary Smoking. Vol. 83. Lyon (France): International Agency for Research on Cancer,

2002.

Sieiman, M.A., Gundel, LA., Pankow, J.F., Jacob, P. III, Singer, B.C., & Destaillats, H. (2010) Formation of carcinogens

indoors by surface-mediated reactions of nicotine with nitrous acid, leading to potential thirdhand smoke

hazards. PNAS, 107((15), 6576-6581.

Trtchounian, A., Williams, M., & Talbot, P. (July 19, 2010) Conventional and electronic cigarettes (e-ciagrettes) have

different smoking characteristics. Nicotine & Tobacco Research Advance Access. Doi:10.1093/ntr/ntql14

U.S. Food and Drug Administration. (7/2//09). FDA news release. FDA and public health experts warn about electronic

cigarettes. Accessed 10/19/10 at

http://www.fda.gov/NewsEvents/Newsroom/PressAnnoucements/ucm173222.htm

Yamin, C.K., Bitton, A., & Bates, D.W. (2010). E-cigarettes: A rapidly growing internet phenomenon. Annals of Internal

Medicine, 153, 607-609.

For more information, contact the Kentucky Center fo r Smoke-free Policy, 859-323-4587, www.kcsp.uky.edu



Why the 'Green Circle' Approach is Wrong for Northern Kentucky

When a smOke-free ordinance is proposed, anti-health groups often suggest "compromises" such as the

Green Circle signs. These recommendations come from the tobacco industry playbook and they do no t

protect public health.

The 'Green Circle' approach does no t change the status guo

• Posting signs is no different than the current situation in Northern Kentucky.

• Workers and the public remain exposed to dangerous toxins in secondhand smoke. The 'Green

Circle' approach would put our loved ones at serious riskl

• "Compromise" policies give the illusion that something is being done to protect nonsmokers

from secondhand smoke when, in reality, workers remain unprotected.'

The 'Green Circle' does no t protect workers

• The U.S. Surgeon General has declared that the only way to protect the workforce from

secondhand smoke is to completely eliminate it indoors.' Posting signs does not reduce the

toxic chemicals in the air.

• All workers and patrons deserve to breathe safe, smoke-free air.

The 'Green Circle' is an accommodation strategy promoted by the tobacco industry

• Posting signs such as the Green Circle approach is consistent with the tobacco industry

argument that smoking is an "adult choice."

• Phillip Morris, the National Smokers Alliance, and other anti-health groups with tobacco industry

ties have been linked with past attempts to derail effective smoke-free laws by suggesting

compromise like the 'Green Circle:'

The bottom line is that the goal of smoke-free laws is to protect the health of all workers. Posting signs

to notify patrons if establishments allow smoking or not does not protect those who work in Northern

Kentucky's bars, restaurants, and other workplaces.

For more information, contact the Kentucky Center for Smoke-Free Policy at 859-323-4587.

1 Amerlcansfor Nonsmokers' Rights, "Don't le t BigTobacco Give Smoke-Free Ordinances the Red LIght," Fact Sheet, June 2005.

2 U.s. Department of Health and Human Services, The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report afthe Surgeon

General. 2006. Department of Health and Human Services, Public ~ e a l t h Service, Centers for Disease Control and Prevention,National Center for Chronic Disease and Prevention and Promotion, Office of Smoking and Health: Atlanta, GA.

3 Philip Morris. Interoff ice Correspondence. Bates Document # 2022839335. January 1994.



Spagnuolo. Amy R

From: Riker, Carol ASent:To:

Wednesday, December 08,20108:43 AMJohnson, John D

Cc: Hahn, Ellen JSubject:Attachments:

RE: county government-owned buildingsBronson Frick; Maggie Mahoney

That would be terrif ic, John! Bronson is with Americans fo r Non-Smokers' Rights and Maggie is with the Tobacco Control

Legal Consortium of the Public Health Law Center.

Should we send our e-cig one-pager too? It won't be ready ti l Thurs or Fri.

Many thanks,

Carol


Sent: Tuesday, December 07,201010:07 AM

To: Riker, Carol A


Hi Carol,

Did you follow up on this? I don't know Bronson or Maggie, but if you can provide some contact info, I can fallow up.

John

From: Hahn, Ellen J

Sent:Thursday, December 02, 2010 6:39 AM

To: [email protected]: Riker, Carol A; Johnson, John D










751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu


1



COLLEGE OF NURSINGOur Gr).a! !s to ~ k ! j p You ;\1:GtWZU 'fbl-lrS



To: Hahn, Ellen J


One member of the group actually used his e cigarette on the sidelines of the meeting. The room was so packedthe BOH or HD people could not see what he was doing.


From: "Hahn, Ellen J" <[email protected]>Date: Thu,2 Dec 2010 06:22:51-0500

To: [email protected] <tInthonys [email protected] .net BetsyJanes <[email protected] [email protected] <[email protected]@windstream.net<[email protected]@gmai1.com <BrandLgilley@ gmai1.com

[email protected] < h o p e r o a d w e l l n e s s @ h o t m a i l . c o m ~ [email protected] <[email protected] [email protected] <[email protected]@kycancerc.org <[email protected] J [email protected]<r [email protected], Sarah ~ c a v e 2 @ e m a i 1 . u k y .edu [email protected]<tlbarkley@tobaccofreeldds .orgWagner, Kristian K <[email protected]>Cc: Johnson, John D <[email protected]>Subject: RE: county government-owned buildings

Scott,

This is GREAT news! I was anxious to hear about the outcome at Madison County. Our sta ff had put together materials

fo r the BOH on e·cigarettes, as well as other legal issues. We were all keeping our fingers crossed. John, Scott has a great


Thanl<s,

Ellen







751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu

2




COLLEGE OF NURSINGOUf (,It}Dl is -to· ~ - 1 0 1 p Y(Ju i R ~ ' t A l f £ l q "yl'Jur$

From: [email protected] [mailto:[email protected]: Thursday, December 02,20106:18 AM

To: Hahn, Ellen J; Betsy Janes; [email protected]; [email protected]; [email protected];[email protected]; [email protected]; [email protected]; [email protected];[email protected]; Kercsmar, Sarah; [email protected]; Wagner, Kristian KCc: Johnson, John DSubject: Re: county government-owned buildings

Good morning,Sometimes all that has to be done is to bring the situation to the fiscal court's attention. This is what happened inWolfe Co. One citizen went to a fiscal court meeting and raised the issue. The fiscal COUlt discussed it and votedto make the courthouse smoke free. I would encourage the individual to attend a fiscal court meeting and sharehis concerns with his elected leaders to see what kind of response Judge Conley gives. If Wolfe can do it, it ispossible anywhere.I attended the Madison Co first reading last night of their strengthened regulation. There was a group there thattouted e-cigarettes as an effectIve means to help smokers quit. Their main argument was that they did not giveoff any secondhand smoke or vapor that harmed others. The board held firm and the reg passed.Scott

Sent via BlackBerry by AT&T .

- - - - - ~ ---------- ' - ' - - " ~ - ~ ~ ~ " " - ' - - - ' ~ . " ' ' ' ~ - - ~ ' ." ~ ~ ~ ~ •..--..- . ~ . - ~ From: "Hahn, Ellen r' <[email protected]>

Date: Wed, 1 Dec 2010 08:27:36 -0500To: Betsy Janes <[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]>, James [email protected]<[email protected]>,Kercsmar, Sarah <>;[email protected]>,

anthonys [email protected]<[email protected] net >,

[email protected] [email protected]>, Wagner,Kristian K <[email protected] >Cc: Johnson, John D <[email protected]>


Good morning,Betsy, if you want to send along his name and contact info, we are happy to conduct a community readiness assessment





the only other option is to evoke the ADA. We have had success with ADA letters sent to the county officials, The person

3



initiating the letter must be sure to have a doctor-confi rmed diagnosis that confirms that he is breathing disabled. Often,

just sending the letter about the ADA violat ion is enough to spur county governments to make their government



buildings; nor does it cover colleges like KSU that has a board of trustees or regents). Our current state law says state

owned buildings must have a policy (it gives them the option of 'bad' policy including smoking rooms).

I hope this helps. Again, i f you would like, we can follow up with him if you send along his info©!

Have a good one,

Ellen








859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu


COLLEGE OF NURSINGvlJf Gc;;ul l!:i: 'iCd' ~ - i u ~ p "rfJU l n Q 9 . l f _ l ! ' ~ Y b ~ f ~ ' ;


sent: Tuesday, November 30, 2010 1:25 PM






Hi Gang,I got a message from a guy in Morgan County. He said smoking is allowed in their county courthouse. He has severeCOPD and has trouble when he has to go in there. Is it correct that each county dictates policy for county-ownedbuildings and that state and federal buildings are governed by different laws? If so, is there any advice you can offer for

this guy? Are there any other laws that might apply? Is there any movement in Morgan County toward smoke-free

policy? Thanks.

Betsy BernsJanesAdvocacy DirectorAmerican Lung Association in Kentucky

P.O. Box 90674100 Churchman Ave.

4



Louisville. KY 40215-1154Office: (502) 363-2652Cell: (502) [email protected]

www.midlandlung.org

5



Spagnuolo. Amy R

Full Name:Last Name:First Name:Company:

Business:Mobile:Business Fax:

E-mail:E-mail Display As:

Bronson FrickFrickBronsonANR

(510) 841-3032

(510) 932-1109(510) 841-3071

[email protected]([email protected])

1



Spagnuolo. Amy R

Full Name:Last Name:First Name:

Business Address:

Business:Business Fax:

E-mail:E-mail Display As:

Web Page:

Mahoney, MaggieMahoneyMaggie

Tobacco Control Legal Consortium875 Summit AvenueSI. Paul, Minnesota 55105

Tel: 651-290-7514Fax: 651-290-7515

[email protected], Maggie

wwwTCLConlirie.org

1



Spagnuolo. Amy R

From: Johnson. John DSent:To:

Tuesday. December 07. 2010 1 39 PMHahn. Ellen J


So the issue is lack of clarity on whether a fiscal court can vote to make the courthouse smoke-free, or whether i t can beinitiated by a citizen? In either case or both probably not a bad idea to get Judy to weigh in.

John

From: Hahn, Ellen J

Sent: Tuesday, December 07,2010 1:31 PM



Good point. We could get Judy to weigh in i f it isn't obvious in the KRS language. John, what do you think?







751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]

www.mc.ukv.edu/tobaccopolicy

www.kcsp.uky.edu


COLLEGE O f NURSiNGOu r GiG-ul is to Hu1p You tf{f;.1ul izu \'burs;


Sent: Tuesday, December 07, 2010 10:39AM

To: Johnson, John D

Cc: Hahn, Ellen JSubject: Re: county government-owned buildings



Sent from my iPhone

On Dec 7,2010, at 10:00 AM, "Johnson, John D" [email protected]>wrote:

1




John

From: Hahn, Ellen J





Oh dear. I will be interested in hearing more about this. An upcoming trend. Carol/John, please le t

Bronson and Maggie know that the amendment passed (and we do need a copy of i t so we can update




Director , Kentucky Center fo r Smoke-free Policy




751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu

Find kysmoke[ree on Twitter and Facebook !

2



<imageOO1.gif>


Sent: Thursday, December 02, 2010 6:27 AMTo: Hahn, Ellen J


One member of the group actually used his e cigarette on the sidelines of the meeting. The roomwas so packed the BOH or HD people could not see what he was doing.



Date: Thu, 2 Dec 2010 06:22:51 -0500

To: anthonys [email protected] <tnthonys [email protected]>, BetsyJanes <[email protected]>, [email protected] <I'[email protected]>,[email protected] <[email protected]>'[email protected]<Brandi [email protected]>,[email protected] <[email protected]>,[email protected] <[email protected]>,

[email protected] <[email protected]>,[email protected] <[email protected]>,James [email protected] <[email protected]>, Kercsmar, Sarah <[email protected]>,abarkley@tobaccofreekids;org [email protected]>, Wagner, KristianK <[email protected]>



Scott,

This is GREAT news! I was anxious to hear about the outcome at Madison County. Our staff had put

together materials fo r the BOH on e-cigarettes, as well as other legal issues. We were all keeping our


Thanks,

3



Ellen







751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu


<image001.gif>


Sent: Thursday, December 02, 20106:18 AMTo: Hahn, Ellen Ji Betsy Janesi [email protected] [email protected]

[email protected] [email protected] [email protected]

[email protected] [email protected] [email protected] Kercsmar, Sarahi

[email protected] Wagner, Kristian K

Cc: Johnson, John D


4



Good moming,Sometimes all that has to be done is to bring the situation to the fiscal court's attention. This iswhat happened in Wolfe Co. One citizen went to a: fiscal court meeting and raised the issue. Thefiscal court discussed it and voted to make the courthouse smoke free. I would encourage theindividual to attend a fiscal COUlt meeting and share his concerns with his elected leaders to seewhat kind of response Judge Conley gives. I f Wolfe can do it, it is possible anywhere.I attended the Madison Co first reading last night of their strengthened regulation. There was a

group there that touted e-cigarettes as an effectIve means to help smokers quit. Their mainargument was that they did not give off any secondhand smoke or vapor that harmed others. Theboard held firm and the reg passed.Scott



Date: Wed, 1 Dec 2010 08:27:36 -0500

To: Betsy Janes 4>[email protected] [email protected] <I'[email protected]@windstream.net <;[email protected]@gmai1.com <[email protected]@hotmail.com <[email protected]@roadrunner.com <[email protected]@cancer.org <[email protected]@kycancerc.org [email protected] [email protected] <;fames [email protected] Kercsmar, Sarah ~ c a v e 2 @ e m a i l . u k y . e d u anthonys [email protected] <finthonys [email protected] .net

[email protected]~ b a r k l e y @ t o b a c c o f r e e k i d s . o r g

Wagner,KristianK <[email protected]>

Cc: Johnson, John [email protected]>

Subject: RE: county governntent-owned buildings

Good morning,




in our files.




sent to the county officials. The person initiating the letter must be sure to have a doctor-confirmed

5







or federal buildings; nor does i t cover colleges like KSU that has a board of trustees or regents). Ourcurrent state law says state owned buildings must have a policy (i t gives them the option of 'bad' policy


I hope this helps. Again, i f you would like, we can follow up with him i f you send along his info@

Have a good one,

Ellen







751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu

6




<image001.gif>


Sent: Tuesday, November 30, 2010 1:2S PM



[email protected]: [email protected]; Kercsmar, Sarah;

[email protected]; [email protected]; Wagner, Kristian K

SUbject: county government-owned buildings

Hi Gang,

I got a message from a guy in Morgan County. He said smoking is allowed in their county courthouse.

He has severe COPD and has trouble when he has to go in there. Is it correct that each county dictates



Betsy Berns Janes

. Advocacy Director


P.O. Box 9067

4100 Churchman Ave.


Office: (502) 363-2652

Cell: (502) 797-0638

[email protected]

www.midlandlung.org

7



<image002.gif>

8



Spagnuolo. Amy R


Tuesday, December 07,201010:17 AMHahn, Ellen J

Subject: RE: county government-owned buildingsAttachments: Madison -Board-gives-first approval to smoking ban changes. pdf

This may be old news now, but here is an article from the Richmond Register:

http://richmondregister.com!localnews!x278365462!Board-gives-first-approval-to-smoking-ban-changes

From: Hahn, Ellen J


To: Johnson, John D

Subject: FW: county government-owned buildings

Can you get any media from Richmond that covered this decision in Madison? Thanks!Ellen







751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]

www.mc.uky.edu!tobaccopolicy

www.kcsp.uky.edu


COLLEGE OF NURSINGOur Q(}u! it; to Hulp You iRoa!!z(;.1 'rDurt:






Cc:Johnson,John DSubject: Re: county government-owned buildings

Good moming,Sometimes all that has to be done is to bring the situation to the fiscal court's attention. This is what happened inWolfe Co. One citizen went to a fiscal court meeting and raised the issue. The fiscal court discussed it and voted

1



to make the courthouse smoke free. I would encourage the individual to attend a fiscal court meeting and sharehis concerns with his elected leaders to see what kind of response Judge Conley gives. IfWolfe can do it, it ispossible anywhere.I attended the Madison Co first reading last night of their strengthened regulation. There was a group there thattouted e-cigarettes as an effectIve means to help·smokers quit. Their main argument was that they did not giveoff any secondhand smoke or vapor that hanned others. The board held finn and the reg passed.Scott


- - - ~ - - - ' - - - - - - - - . " - - - - - -From: "Hahn, Ellen J" ~ j h a h n O O @ e m a i l . u k y . e d u > Date: Wed, 1 Dec 2010 08:27:36 -0500To: Betsy Janes <[email protected] >, [email protected]<I'[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]>, James [email protected]<[email protected]>,Kercsmar, Sarah <[email protected]>,anthonys [email protected] <1tnthonys [email protected] .net>,[email protected] <[email protected]>, Wagner,Kristian K <[email protected] >Cc: Johnson, John D <[email protected]>Subject: RE: connty government-owned buildings

Good morning,










State buildings are under the jurisdiction of state law (thus, the Frankfort ordinance does not cover state or federal


owned buildings must have a policy (it gives them the option of 'bad' policy including smoking rooms),


Have a good one,

Ellen




Assistant Director, Center for Biobehavioral Research in Self-Management of CardiopulmonaryDisease



2



751 Rose Street


859-257-2358

859-323-1057 ( ~ A X ) [email protected]


www.kcsp.uky.edu


COLLEGE OF NURSINGOU r Goal It: if } Hfi.'fJp You ! f \ 0 ~ d ; Z B 'vbU($i




[email protected]; [email protected] [email protected]; Betsy Janes;

[email protected] [email protected] Kercsmar, Sarahi [email protected]@tobaccofreekids.orgi Wagner, Kristian KSubject: county government-owned buildings

Hi Gang.I got a message from a guy in Morgan County. He said smoking is allowed in their county courthouse. He has severecapo and has trouble when he has to go in there. Is it correct that each county dictates policy for county-ownedbuildings and that state and federal buildings are governed by different laws? If so, is there any advice you can offer forthis guy? Are there any other laws that might apply? Is there any movement in Morgan County toward smoke-free

policy? Thanks.

Betsy Berns Janes

Advocacy DirectorAmerican Lung Association in KentuckyP.O. Box 90674100 Churchman Ave.Louisville, KY 40215-1154Office: (502) 363-2652Cell: (502) [email protected]

www.midlandlung.org

3



Board gives first approval to smoking ban changes» Local News» The Riclunond Register Page 1 of 2

REGISTERYoor local news source since 1917.

Board gives first approval to

smoking ban changes

By Lorie Love HaileyRegister Editor

December3,2010

BEREA - The Madison County Board of Health approved first reading Wednesday of an amendedClean Indoor Air Regulation policy which will prohibit use of e-cigarettes in public places.

The amendment also provides stricter definitions about where smoking is allowed and an amendeddefinition of smoking.

Previously, the order defined smoking as "inhaling, exhaling, burning or carrying any lighted cigar,cigarette, pipe, or other combustible tobacco product."

If the amended regulation passes on second reading, smoking will be defined as "inhaling, exhaling,burning or carrying any lighted or heated cigar, cigarette or pipe, or any other lighted or heated tobaccoor plant product intended for inhalation, in any manner or in any form. Smoking also includes the use of

an e-cigarette, which creates a vapor, in any manner or in any form, or the use of any oral smokingdevice for the purpose of circumventing the prohibition of smoking in this article."

A definition of e-cigarettes was added to the regulation, calling an e-cigarette "any electronic oraldevice, such as one composed of a heating element, battery and/or electronic circuit, which provides a

vapor of nicotine or any other substances, and, the use or inhalation of which simulates smoking. Theterm shall include any such device, whether manufactured, distributed, marketed, or sold as an e-

cigarette, e-cigar, e-pipe, or under any other produce name of descriptor." .

Several Madison County residents spoke against the amendment, telling health board members that ecigarettes had helped them break their smoking habit.

Larry Conner said he had smoked for years and even developed chronic obstructive pulmonarydisease (COPD). After trying e-cigarettes, he has been "completely off cigarettes for two months," andhas stopped wheezing and coughing.

"There is no smell, no odor. I don't agree with them (e-cigarettes) being lumped in with cigarettes," hesaid. "It is not the same thing."

Conner said with e-cigarettes, a water vapor is exhaled.

"There is no second-hand anything," he said.

Jerry Hacker of Richmond agreed, saying e-cigarettes had helped him become tobacco-free.

"There is no second-hand smoke," he said. "There is no combustion, and no smoke, therefore, no

second-hand smoke."

http://riclunondregister.com/localnews/x278365462IBoard-gives-first -approval-to-smokin... 1217/2010



Board gives first approval to smoking ban changes » Local News » The Richmond Register Page 2 of 2

Hacker said including e-cigarettes in the regulation would hinder people from using the product to stopsmoking tobacco.

"I could be smoking one right now and you'd never know it if you weren't looking at me," he said.

Board member Dr. John Johnstone said the board has "hard data that says you can't smell it, but it 'sthere."

"There are toxins you can't see or smell, but they are still present," added board chair Dr. Stuart Tobin."There is no data that can prove that they're safe."

Hacker said there was no data to prove e-cigarettes were not safe.

The amendment also redefined private club, and deleted the exemption for where smoking is notregulated. The exemption had read that smoking was not regulated in "retail tobacco stores providedthat smoke from these places does not infiltrate into areas where smoking is prohibited under theprovisions of this regulation."

In'making the amendments for a private club, board members said they were trying to eliminate smoke

shops, private clubs that are created for temporary purposes to allow smoking and to prevent hookahbars from opening in Madison County.

The new definition states that a private club "means an organization, whether incorporated or not,which is the owner, lessee or occupant of a building or portion thereof used exclusively for clubpurposes at all times, which is operated solely for a recreational, fraternal, social, patriotic, political,benevolent, or athletic purpose, but not for pecuniary gain, and which only sells alcoholic beveragesincidental to its operation. The affairs and management of the organization are conducted by a boardof directors, executive committee, or similar body chosen by the members at an annual meeting. Themeeting organization has established bylaws andlor a constitution to govern its activities. Theorganization has been granted an exemption from the payment of federal income tax as a club under

26 U.S.C. Section 501."

The board first proposed the amendment in an October meeting. Public Health Director Nancy Crewethen sent the proposed changes to County Attorney Marc Robbins for review.

Crewe said Robbins had no opposition to the language of the amendment.

The board likely will have second reading of the regulation at its April board meeting.

Lorie Love Hailey can

be reached at editor@

richmondregister.com or 624-6690.

$54.99MMF Indus!rles U n i - T ~ g 40-Key Slotted Cabinet

The Richmond Register 380 Big Hill Ave. Richmond, KY 40475

See aU thE> deals O'

V a l i ~ 1215 -12111

http://richmondregister.com/locaInews/x2783654621B0ard-gives-first-approval-to-smokin... 12/7/2010



Spagnuolo, Amy R


Tuesday, December 07,201010:07 AM

Riker, Carol ASubject: RE: county government-owned buildings

Hi Carol,

Did you follow up on this? I don't know Bronson or Maggie, but if you can provide some contact info, I can follow up.

John

From: Hahn, Ellen J













751 Rose Street


859-257-2358859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu


COLLEGE OF NURSINGOlJ rGO!l;l1 i5 tn Hdp You if10Hh':(;1 \ f ) L W ~ ' ;




One member ofthe group actually used his e cigarette on the sidelines of the meeting. The room was so packed

the BOH or HD people could not see what he was doing.


1



From: "Hahn, Ellen J" ~ j h a h n O O @ e m a i l . u k y .edu >Date: Thu, 2 Dec 2010 06:22:51 -0500To: [email protected] <ttnthonys [email protected]>, BetsyJanes <[email protected]>, [email protected]<[email protected]>,[email protected]<[email protected]>,[email protected]<[email protected]>,

[email protected]@hotmail.com>,[email protected] <[email protected]>, [email protected]<[email protected]>,[email protected]<[email protected]>, J [email protected]<[email protected]>,Kercsmar, Sarah <[email protected]>, [email protected] <[email protected]>,Wagner, Kristian K <[email protected]>Cc: Johnson, John D <[email protected]>Subject: RE: county government-owned buildings

Scott,

This is GREAT news! I was anxious to hear about the outcome at Madison County. Our staff had put together materials

fo r the BOH on e-cigarettes, as well as other legal issues. We were all keeping our fingers crossed. John, Scott has a great


Thanks,

Ellen







751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]

www.mc;uky.edu/tobaccopolicy

www.kcsp.uky.edu


COllEGE OF NURSINGOUf Gc,;jlls to HOirJ l1Jd iRQahzu )lJUf!!i


Sent: Thursday, December 02,2010 6:18 AM

To: Hahn, Ellen Ji Betsy Janesi [email protected] [email protected] [email protected]

[email protected] [email protected] [email protected] [email protected]

[email protected] Kercsmar, Sarahi [email protected] Wagner, Kristian K

Cc: Johnson, John D


2



Good morning,Sometimes all that has to be done is to bring the situation to the fiscal court's attention. This is what happened inWolfe Co. One citizen went to a fiscal court meeting and raised the issue. The fiscal court discussed it and votedto make the courthouse smoke free. I would encourage the individual to attend a fiscal court meeting and sharehis concerns with his elected leaders to see what kind of response Judge Conley gives. IfWolfe can do it, it ispossible anywhere.I attended the Madison Co first reading last night of their strengthened regulation. There was a group there that

touted e-cigarettes as an effectlve means to help smokers quit. Their main argument was that they did not giveoff any secondhand smoke or vapor that harmed others. The board held firm and the reg passed.Scott


From: "Hahn, Ellen J" <[email protected]>Date: Wed, 1 Dec 2010 08:27:36 -0500To: Betsy Janes <[email protected]>, [email protected]<I'[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] >, James [email protected] <[email protected]>,Kercsrnar, Sarah <l;[email protected]>,anthonys [email protected] .net <m1thonys [email protected]>,

abarkley@tobaccofreekids .org ~ b a r k l e y @ t o b a c c o f r e e k i d s . o r g >, Wagner,Kristian K <[email protected]>Cc: Johnson, John D <[email protected]>Subject: RE: county government-owned buildings

Good morning,











buildings; nor does it cover colleges like KSU that has a board of trustees or regents). Our current state law says stateowned buildings must have a policy (it gives them the option of 'bad' policy including smoking rooms).


Have a good one,

Ellen




3






751 Rose Street

Lexington, I(Y 40536-0232

859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu


COLLEGE OF NURSINGOU rGoal is R1 t-l:;l'!p You , r ~ G t t h : o Y b L J r ~ : ; ;


Sent: Tuesday, November 30,2010 1:25 PMTo: [email protected]; [email protected]; [email protected]; Hahn, Ellen J;

[email protected]; [email protected]; [email protected]; Betsy Janesi

[email protected] [email protected] Kercsmar, Sarah; [email protected]



Hi Gang,I got a message from a guy in Morgan County. He said smoking is allowed in their county courthouse. He has severeCOPD and has trouble when he has to go in there. Is it correct that each county dictates policy for county-ownedbuildings and that state and federal buildings are governed by different laws? If so, is there any advice you can offer forthis guy? Are there any other laws that might apply? Is there any movement in Morgan County toward smoke-free

po licy? Thanks.


P.O. Box 90674100 Churchman Ave.Louisville, KY 40215-1154Office: (502) 363-2652 .

Cell: (502) [email protected]

www.midlandlunq.orq

4



Spagnuolo, Amy R


Tuesday, December 07, 2010 10:05 AMHahn, Ellen J

Cc: Riker, Carol ASubject: RE: county government-owned buildings

It looks like there was an assessment done for Morgan, but I didn't see a date.

John

From: Hahn, Ellen J













751 Rose Street


859-257-2358



www.kcsp.uky.edu


COLLEGE OF NURSINGOU r ( \ Q ' ~ 1 J lt1 '\Q H I ~ : l f J Y{jlJ \ r \ Q ~ 1 1 ( Z Q ' y b 1 J r ~




One memberof the group actually used his e cigarette on the sidelines of the meeting. The room was so packedthe BOH or HD people could not see what he was doing.


1



- - - . - - ~ - - - ~ . - ~ . - - - ~ " - - . - . - . - - . - ~ - - - . - -From: "Hahn, Ellen J" <[email protected]>Date: Thu, 2 Dec 2010 06:22:51-0500To: [email protected] .net <[email protected]>, BetsyJanes <[email protected]>, [email protected]<I'[email protected]>,J [email protected] <[email protected]>,[email protected] <Brandi.gilley@gmaiLcom>,

[email protected] <[email protected]>,[email protected] <[email protected]>, [email protected]<[email protected]>,[email protected]@kycancerc.org>, J [email protected]<[email protected]>,Kercsmar, Sarah <[email protected]>, [email protected]<[email protected]>,Wagner, KristianK 4<[email protected]>Cc: Johnson, John D [email protected]>Subject: RE: county government-owned buildings

Scott,

This is GREAT news! I was anxious to hear about the outcome at Madison County. Our staff had put together materials

fo r the BOH on e-cigarettes, as well as other legal issues. We were all keeping our fingers crossed. John, Scott has a great


Thanks,

Ellen







751 Rose Street

Lexington, KY 40536-0232859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu


COLLEGE OF NURSINGCU rG(A11 it; to rioip Yuu HtXlhzo 'fbur;;;


Sent: Thursday, December 02,2010 6:18 AM




Cc: Johnson, John D


2



Good morning,

Sometimes all that has to be done is to bring the sitnation to the fiscal court's attention. This is what happened in

Wolfe Co. One citizen went to a fiscal court meeting and raisei1 the issue. The fiscal court discussed it and voted

to make the courthouse smoke free. I would encourage the individual to attend a fiscal court meeting and share

his concerns with his elected leaders to see what kind of response Judge Conley gives. I f Wolfe can do it, it is

possible anywhere.

I attended the Madison Co first reading last night of their strengthened regulation. There was a group there that

touted e-cigarettes as an effective means tohelp smokers quit. Their main argument was that they did not giveoff any secondhand smoke or vapor that harmed others. The board held firm and the reg passed.

Scott


From: "Hahn, Ellen J" <t:[email protected]>

Date: Wed, 1 Dec 2010 08:27:36 -0500

To: Betsy Janes <[email protected]?, [email protected]<[email protected]?,

J [email protected] <[email protected]?,

[email protected] [email protected]?,

[email protected] <[email protected]?,

[email protected] <[email protected]?, [email protected]<[email protected]?,

[email protected]@kycancerc.org?, James [email protected] <[email protected]?,

Kercsmar, Sarah <[email protected]?,

anthonys [email protected]<1mthonys .loc [email protected]?,

[email protected]<[email protected]?, Wagner,Kristian K <[email protected]>



Good morning,











buildings; nor does it cover colleges like KSU that has a board of trustees or regents). Our current state law says stateowned buildings must have a policy ( it gives them the option of bad' policy including smoking rooms).


Have a good one,

Ellen




3






751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]

www.mc.uky.edu/tobaccopolicywww.kcsp.uky.edu


COLLEGE OF NURSINGOur G c ~ 1 it} to 1'+:..11[; YO'LI ff\oulize Yours


Sent:Tuesday, November 30,2010 1:25 PM





Subject: county government-owned biJildings

Hi Gang,I got a message from a guy in Morgan County. He said smoking is allowed in their county courthouse. He has severeCOPD and has trouble when he has to go in there. Is it correct that each county dictates policy for county-ownedbuildings and that state and federal buildings are governed by different laws? If so, is there any advice you can offer for

this guy? Are there any other laws that might apply? Is there any movement in Morgan County toward smoke-free

policy? Thanks.



4



Spagnuolo. Amy R

From:Sent:To:Cc:Subject:Attachments:

tobacco_prevention [[email protected]]Monday, December 06,20101 :48 PMtobacco [email protected] MemoLow_SES_Booklet[1].pdf; Menthol flavoring report.pdf; CooperClaytonFa.ation12-10.doc;

Directions to University Club.doc

Cooper/Clayton Facilitator Training - see attachments!

Cooper/Clayton Calendars - i f you have not already done so, - PLEASE SEND IT UPCOMING

CLASS SCHEDULES AS SOON AS POSSIBLE!!!

December Conference Call December's Conference call will be tomorrow, December 7 at 9:30

EST, 8:30 CST. It is a thirty minute call with Drs. Cooper and Clayton with updated information

regarding the Cooper/Clayton Method to Stop Smoking. Call in number is 1-866-889-3903, the

participant code is 515701#. There is no presentation fo r this conference call. Here is the uri link to

the survey for December's conference call.

http://www.surveymonkey.com/s/Y8JSZNG

Anxiety Keeps Some Smokers from Qui tting

Nervous people smoke more than other people. More breaking news: they also find it harder to quit. Those

may not be the kinds of insights that get the attention of the Nobel committee, but a new study in the journal

Addiction shows how even so straightforward an idea may yield lifesaving benefits.

The chemistry of nicotine packs a powerful addictive wallop; if it didn't, tobacco wouldn't be such a hard

substance to quit. Still, plenty of people do quit; what's always puzzled epidemiologists is why a hard core

group can't. In the U.S., which leads the world in driving smoking rates down, 20% of the population still lights

up. That may be less than half of what it was back in the ashtray-in-every-room Mad Men era, but it also

means that more than 50 million Americans continue to smoke, even if they have to huddle outside office

buildings or in parking lots to do it. Psychologist Megan Piper of the University of Wisconsin-Madison Center

for Tobacco Research and Intervention (UW-CTRI) wanted to determine what keeps these dead-enders

hooked.

Piper and her colleagues studied a sample group of people who had enrolled in a free UW-CTRI smoking

cessation program. Of the 1,504 subjects, about one-third met the criteria for an anxiety diagnosis currently or

in the past - nearly twice the incidence of anxiety in the population as a whole. Panic attacks were the most

common form of anxiety, affecting 455 of the participants, followed by social anxiety (199 people) and

generalized anxiety disorder (99). Some of the subjects had more than one condition.

Piper believes that underlying anxiety conditions may explain why nicotine lozenges and patches, which can

1



be extremely effective in helping many smokers quit, seem to have far less effect on others. If it's anxiety that

drove those people to smoke in the first place, nicotine supplements will satisfy only one part of their addiction

- the chemical part. They'll do nothing for the emotional component.

So temperamentally dependent are anxious smokers that many, according to Piper, start to suffer withdrawal

symptoms even before they actually quit - as if the dread of facing the world without a smoke is enough to

trigger the cold-turkey experience. Bupropion (an antidepressant marketed as Zyban) also does not seem to

do much to help anxious smokers quit, though it is not entirely clear why.

None of this means that anxious smokers who want to stop are without recourse. Piper believes that all doctors·

treating smokers should assess them for anxiety too. If a condition is diagnosed, proper therapy can be doubly

beneficial - helping patients ease their angst and kick the butts.

For more information, see web link:

TIME October 26. 2010

Electronic Cigarettes are Increasing in Popularity but May Carry Risks

Electronic Cigarettes are becoming increasingly popular among people who want to quit smoking, but anopinion piece released in the journal Annals of Internal Medicine highlights the potential hazards of e-

cigarettes, suggesting they may not be as benign as they may seem.

In the paper, the authors wrote that the devices pose several health concerns: "First, e-cigarettes may pose arisk as starter products for nonusers of tobacco. Although candy-flavore'd tobacco products and e-cigaretteswere recently banned by the FDA in efforts to hinder marketing toward children, the posturing of e-cigarettesas 'green' and 'healthy' could deceptively lure adolescents. E-cigarettes also may represent a way foradolescents and adults to skirt smoke-free indoor air laws." Read more ..

Survival Benefit of Smoking Cessation High After MI

Smoking cessation after myocardial infarction (MI) resulting in left ventricular (LV) dysfunction lowers all-causemortality risk more than many pharmacologic interventions, according to a study in the American Journal of

Cardiology.

Amil M. Shah, M.D., of Brigham and Women's Hospital in Boston, and colleagues conducted a randomizedtrial of 2,231 subjects with LV dysfunction three to 16 days after MI. Smoking status was assessed at trial entry

and at regular intervals over a median 42-month follow-up. The purpose of the siudy was to assess the benefitof smoking cessation versus continued smoking in this population at high risk for death and recurrent MI.

The researchers found that, in subjects who smoked at baseline and survived to six months without interval

cardiac events, smoking cessation at six-month follow-up was associated with a significantly lower all-causemortality risk (hazard ratio [HR], 0.57). Read more ..

Specialized Interventions Help Latinos Quit Smoking

Latinos who live the United States are more likely to quit smoking when they take part in an intervention

program, finds a systematic review of studies conducted by Monica Webb Hooper, Ph.D., and colleagues at

2



the University of Miami.

According to U.S. Census data, Latinos are the largest, fastest growing minority population in the country.Webb said that Latinos tend to smoke at rates lower than whites and African-Americans; however, the longerLatinos remain in this country, the greater the likelihood of picking up the habit. Rates of smoking among manyLatino immigrant communities here are higher than in their home countries.

"We found evidence that the odds of quitting were significantly greater for those who received the intervention

than for those in the control groups," Webb said. Read more ...

Study: Risks: Smokers Found More Prone to Dementia

Middle-aged smokers are far more likely than nonsmokers to develop dementia later in life, and heavy smokers

- those who go through more than two packs a day - are at more than double the risk, a new study reports.

Researchers analyzed the data of 23,123 health plan members who participated in a voluntary exam andhealth behavior survey from 1978 to 1985, when they were 50 to 60 years old.

After adjusting for other factors, the researchers concluded that pack-a-day smokers were 37 percent more

likely than nonsmokers to develop dementia, and the risks went up sharply with increased smoking; 44 percentfor one to two packs a day; and twice the risk for more than two packs. Read more ..

U.S. Cigarette Warning Labels Designed to Grab Smokers' Attention

Twenty-five years have passed since the last update to cigarette warning labels. In an attempt to re-establish a

decline in U.S. smoking rates, the Food and Drug Administration (FDA) earlier this month unveiled larger andmore visible graphic warning labels designed to raise greater awareness about the risks of smoking. Some of

the 36 images include a depiction of an emaciated lung cancer patient, a breastfeeding mother blowing smokein the baby's face, a corpse in a morgue, and a smoker injecting a cigarette in the arm like a hypodermic

needle.

The FDA will take public comment about the new labels through January 9, 2011, and will choose the final nine

by June. Beginning October 22, 2011, manufacturers will then be required to use the graphic warning labels onall cigarettes sold in the U.S.

Reactions to the proposed new cigarette warning labels are mixed. While sorne argue that the use of fear willnot work and may even backfire, others applaud the use of stronger images. A number of other countries,

including Canada, Malaysia, Australia, and Brazil, already have graphic warning labels on cigarettes. In fact,some studies suggest that the use of stronger, more upsetting irnages may lead to greater quitting success.

Read rnore ...

WHO: Secondhand Smoke Kills 600,000 a YearDecember 1, 2010

Research Summary

In the first such global study of its kind, the World Health Organization (WHO) has determined that one out of a

hundred deaths each year worldwide is caused by secondhand smoke exposure, amounting to about 600,000deaths a year, Reuters reported Nov. 26.

Overall, 47% of deaths frorn second-hand smoke occurred in women, 28% in children, and 26% in men.

3



Researchers led by Dr. Annette Pruss-OstGn of the WHO's Public Health and the Environment Department

based their findings on comparative risk assessments from 192 countries, during 2004 -- when data weresufficient to assess exposure to secondhand smoke.

Children were most likely to be exposed to secondhand smoke, usually at home. Approximately 165,000children died per year as a result. Hardest hit were children in poor and middle-income countries, particularly

those in Africa and Asia, where infectious disease and tobacco exposure combined to have the deadliestimpact on child mortality.

Conversely, deaths from passive smoking among adults were spread evenly across countries, regardless of

living standards. .

Pruss-OstGn hoped the findings would serve as a catalyst for ·countries to enforce the WHO's Framework

Convention on Tobacco Control, a global initiative aimed at reducing the burden of tobacco-related disease by

increasing taxes on tobacco products, banning tobacco advertising, eliminating smoking in public places, andmaking packs less commercially attractive.

"Policy-makers should bear in mind that enforcing complete smoke-free laws will probably substantially reducethe number of deaths attributable to exposure to second-hand smoke within the first year of its implementation,

with accompanying reduction in costs of illness in social and health systems," she said.

The study was published online in the Lancet Nov. 26.

Second·Hand Smoke Damages HearingNovember 30, 2010

Research Summary

Exposure to tobacco smoke leads to hearing loss, even in nonsmokers, according to a Nov. 16 BSC Newsreport. .

In a recent study by University of Miami and Florida International University investigators, 3,307 nonsmokers(both former smokers and those who never smoked) underwent hearing tests and blood screens fo r cotinine, ametabolite produced by the body in response to nicotine.

Results revealed that participants exposed to environmental tobacco smoke had significantly poorer hearingtest results.

In fact, passive smoking reduced the ability to hear across all frequencies by roughly one-third.

Dr. David Fabry, former chief of audiology at the University of Miami Miller School of Medicine and lead author

of the study, said the degree of exposure necessary to affect hearing remains unclear.

"We really do not know exactly how much smoke you need to be exposed to in order to be at increased risk.But we do know that the threshold for damage is very low."

One thing is certain, according to Dr. Ralph Holme, head of biomedical research at London's Royal NationalInstitute for Deaf People. "Hearing loss can often be very frustrating and lead to social isolation.

"Before you next light up a cigarette, consider how it could impact not only on your own long-term hearing but

your friends' and relatives', too."

4



The study was published online Nov. 15 in the journal Tobacco Control.

Black Smokers May Face Higher Death Risk Than Whites: CDCMissouri study shows significant racial gap in mortality from heart disease, cancer

By Robert Preidt

Wednesday, November 24, 2010WEDNESDAY, Nov. 24 (Health Day News) -- A study conducted in Missouri suggests that smoking may beeven more lethal for blacks than it is for whites.

In fact, researchers say the smoking-related death rate for blacks is nearly one-fifth higher than it is for whitesin that state.

The study was conducted by researchers at the Office on Smoking and Health at the U.S. Centers for DiseaseControl and Prevention. They analyzed data from 2003-2007 found that the average annual smcikingattributable death rate was 358 per 100,000 for blacks in Missouri and 286 per 100,000 for whites, a difference

of 18 percent.

That racial difference was larger among men (28 percent) than among women (11 percent).

Blacks had a 26 percent higher smoking-related death rate for cancer and a 53 percent higher smoking-relateddeath for circulatory diseases, but a 32 percent lower smoking-related death rate for respiratory diseases.

Overall, smoking caused about a third of all cancer deaths, 15.3 percent of all circulatory disease deaths, and

46.5 percent of all respiratory disease deaths in Missouri between 2003 and 2007, according to the study.

The findings appear in this week's issue of Morbidity and Mortali ty Weekly Report.

Based on the data, the CDC says that "states should continue to implement population-wide tobacco controlinterventions [e.g., quitlines, smoke-free policies, and increased excise taxes on tobacco products] that reachall racial groups."

SOURCE: U.S. Centers for Disease Control and Prevention, news release, and Mortality and Morbidity Weekly

Report Nov. 24, 2010

Quitline Coordinator

Tobacco Prevention and Cessation Program

Department for Public Health

275 E. Main Street, Mail Stop HS1EE

Frankfort, KY 40621(502) 564-9358, ext. 3817

5



ThiS e-mail.includlnganyattachments.lslntended only for the use of the Individual or entity to which It is addressed and may contain confidential information that is legally

privileged and exempt from dlsdosure under appUcabte taw. If the reader of this message Is not the intended recipient, you are notified that any review, use, disclosure,

distribution or copying of his communication is strictly prohibited. If you have received this communication in error, please contact the sender by replv e-mail and destroy all

copies of the original message.

6



Cooper Clayton Method to Stop Smoking Facilitator TrainingMonday, December 13, 2010

Program Description I

I

Participants will be trained to facilitate the

Cooper/Clayton program, acomprehensive behavioralsmoking-cessation program for smokers using nicotinereplacement products. .

Cost

• This training is provided at No Cost.• Participants who plan to facilitate classes need to purchase a

Fac/litator Kit consisting of aVHS tape or DVD, Facilitator

Guide and 24 partiCipant books.

• Kits are available for $200 each.

• Checks should be payable to: Kentucky Cancer Program.

Purchase orders will be accepted. Checks only.

arget Audience

• Any health or wellness professional, educator, or non-smokerwho has agenuine interest in helping people become non

smokers is welcome.

o In order to become aCooper/Clayton Facilitator, you must

*be anon-smoker for at least one year*complete the Cooper/Clayton Facilitator Training

*acquire the necessary program information*agree to conduct asession within ayear.

Agenda for Monday, December 13, 2010

8:30 - 9:009:00-12:00

12:00 -1:00

1:00 - 2'302:30- 3:30

3:30

(Eastern Time)

RegistrationlWelcome

Nicotine Replacement Part I

Lunch (provided)Nicotine Replacement Part II

FaCilitating Classes in Your Community

A d' F Tt t C t'fi t'ar mg aCllaor er Ilca Ion

. I Objectives -I

1. Review the characteristics of mood altering drugs.

2. Discuss the principal actions of nicotine on the body.3. Describe a mechanism for the use of alternate nicotine

sources in smoking cessation.

4. Discuss a process for nicotine reduction therapy.5. Identify ways to assist the smoker in relapse prevention.

6. Discuss implementation strategies for community smokingcessation group classes

7. Explore procedures for organizing &conducting aprogram.

8. Identify resources available to facilitators and classparticipants.

r resenters

• Thomas M. Cooper, DMD, DDS, is an ex-smoker who

developed the Cooper/Clayton Smoking CessationProgram. He is awell-known authority regarding smoking

cessation. He has presented numerous seminars

throughout the United States and has written extensivelyregarding smoking cessation.

• Pam Temple Jennings, BA, is aKentucky Cancer Program

Regional Cancer Control Specialist

Location and Directions

University Club - Belknap Campus University ofLouisville,2001 South Brook,

Louisville, KY 40208.See attached directions

For more information contact:Kentucky Cancer Program

Louisville, KY

502-852-6318

Registration Form:Registration Deadline is December 10,2010

Name: Phone:

Address: Fax:

E-mail:

# of facilitator kits you would like to

Employer: purchase ($200 each)

Mail, Fax or E·mail to: Kentucky Cancer Program Fax: (502) 852-4554

501 E. Broadway, Suite 160 E-mail:

Louisville, KY 40202 [email protected]



Directions

The University Club's campus street address is 2001 South Brook, Louisville, KY 40208. Please

refer to the detailed directions and map shown below, if driving to the the club.

/-65 from The North

1-65 South to Arthur Street exit; follow Arthur Street to the stop sign and turn right ontoBrandeis/Cardinal Blvd; follow Brandeis (which becomes Cardinal Boulevard one block later)

throug h to traffic light; after the 2nd traffic light, turn left onto UofL campus (sign will sayBelknap Campus North Entrance); go to the stop sign and turn left; follow this street to the

University Club and Alumni Center; parking is on the left of the building.

1-65 from The South

1-65 North to Eastern Parkway West; go right on Eastern Parkway to Third Street and turn right;follow Third Street to Cardinal Boulevard and turn right; follow Cardinal Boulevard to the next

right and turn onto campus (sign will say Belknap Campus North Entrance); go to the stop

sign and turn left; follow this street to the University Club and Alumni Center; parking is on the

left of the building.

From Highlands-Eastern Parkway-Bardstown Road

From Bardstown Road take Eastern Parkway to Third Street and turn right; follow Third Street toCardinal Boulevard and turn right; follow Cardinal Boulevard to the next right and turn ontocampus (sign will read Belknap Campus North Entrance); go to the stop sign and turn left;

follow this street to the University Club and Alumni Center; parking is on the left of the building.



Map

Univcrsitr

Club

Student

A{.ltivitics

Center



Spagnuolo, Amy R

From:

Sent:To:

Subject:

Riker, Carol AFriday, December 03, 2010 11:32AMHahn, Ellen J; Fallin, Amanda T; Mundy, Monica E; Wagner, Kristian K; Johnson, John D;Ricks, JanelleFW: [email protected] has shared: Board gives first approval to smoking ban changes

Article on first reading on amendments at Madison.

Carol

From: ShareThis [mailto:[email protected] On BehalfOf [email protected]

Sent: Friday, December 03,2010 11:31 AM

To: Riker, Carol A

Subject: [email protected] has shared: Board gives first approval to smoking ban changes

Board gives first approval to smoking ban changesSource: richmondregister.com

The Madison County Board of Health approved first reading Wednesday of an amended

Clean Indoor Air Regulati?n p o l i ~ y which ' Y ~ l l prohibit use of e - c i g ~ r e t ~ e s in public places.1°.The amendment also provIdes stncter defimtlons about where smokmg IS allowed and an .

amended definition of smoking.

Previously, the order defined smoking as "inhaling, exhaling, burning or carrying any

lighted cigar, cigarette, pipe, or other combustible tobacco product."

[email protected] ShareThis.

1



Spagnuolo. Amy R

From: Kercsmar, SarahSent:To:

Thursday, December 02,201010:09 PM

Fallin, Amanda TSubject: FW: county government-owned buildings

Looks like voting is an option on the courthouse issue ..see below.

Sarah Kercsmar, PhD

Manager, Northern Kentucky OfficeClean Indoor Air PartnershipUniversity of Kentucky College of Nursing50 E. RiverCenter Blvd., Suite 410Covington, KY 41011859-261-1721 (office)859-312-5856 (cell)[email protected]/tobaccopolicy

rsJ; please keep this email paperless


Sent: Thursday, December 02, 20106:18 AM

To: Hahn, Ellen Ji Betsy Janesi [email protected] [email protected] [email protected]

[email protected] [email protected] [email protected] [email protected]

[email protected] Kercsmar, Sarahi [email protected] Wagner, Kristian K

Cc: Johnson, John D


Good morning,

Sometimes all that has to be done is to bring the sitnation to the fiscal court's attention. This is what happened inWolfe Co. One citizen went to a fiscal court meeting and raised the issue. The fiscal court discussed it and voted

to make the courthouse smoke free. I would encourage the individual to attend a fiscal court meeting and share.

his concerns with his elected leaders to see what kind of response Judge Conley gives. IfWolfe can do it, it is

possible anywhere.

I attended the Madison Co first reading last night of their strengthened regulation. There was a group there that

touted e-cigarettes as an effectIve means to help smokers quit. Their main argument was that they did not give

off any secondhand smoke or vapor that hanned others. The board held finn and the reg passed.

Scott


From: "Hahn, EllenJ" ~ j h a h n O O @ e m a i 1 . u k y . e d u > Date: Wed, 1 Dec 2010 08:27:36 -0500

To: Betsy Janes <[email protected] [email protected] <[email protected]

[email protected]<[email protected]

[email protected] <BrandLgilley@ gmai1.com

[email protected] <[email protected]

[email protected] <[email protected] [email protected]<Eric.evans@cancer org

[email protected] .gredmond@ kycancerc.org James [email protected] <Tames [email protected]

1



Kercsmar. Sarah <[email protected]>,anthonys [email protected]<lmthonys [email protected]>,[email protected] <[email protected]>, Wagner,Kristian K <[email protected]>Cc: Johnson, John D <[email protected] >SUbject: RE: county government-owned buildings

Good morning,

Betsy, if you want to send along his name and contact info, we are happy to conduct a community readiness assessmentwith him and connect him with the tobacco control program. I am not aware of any smoke-free efforts in Morgan





initiating the letter must be sure to have a doctor-conf irmed diagnosis that confirms that he is breathing disabled. Often,





owned buildings must have a policy (it gives them the option of bad' policy including smoking rooms).

I hope this helps. Again, i f you would like, we can follow up with him if you send along his info©>

Have a good one,

Ellen




Assistant Director, Center fo r Biobehavioral Research in Self-Management of Cardiopulmonary DiseaseUniversity of Kentucky


751 Rose Street


859-257-2358

859-323-1057 (FAX)

[email protected]


www.kcsp.uky.edu


COLLEGE OF NURSINGOUf G G ~ j l I;; to Hnl[J You ,qoalErn "'{burt;

From: Betsy Janes [mailto:[email protected])





2





Hi Gang.I got a message from a guy in Morgan County. He said smoking is allowed in their county courthouse. He has severe

capo and has trouble when he has to go in there. Is it correct that each county dictates policy for county-ownedbuildings and that state and federal buildings are governed by different laws? If so, is there any advice you can offer forthis guy? Are there any other laws that might apply? Is there any movement in Morgan County toward smoke-free

policy? Thanks.


P.O. Box 90674100 Churchman Ave.Louisville, KY 40215-1154

Office: (502) 363-2652Cell: (502) [email protected]

kentucky center for smoke-free policy e-mails part 7

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