Tacoma-Pierce County Health Department - E-Cigarette E-Mails May 2011 Part 2

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From: Dick Muri <dmuri@co.pierce.wa.us> To: Anthony Chen Tawana Bellamy Date: 5/9/2011 4:05:42 PM Subject: FW: E-cigarette issue Please add to public record. -----Original Message----From: Stacy Emerson [mailto:stacy.emerson@gmail.com] Sent: Wednesday, May 04, 2011 6:06 PM Subject: E-cigarette issue Pierce County Councilmember Re: TPCHD's attempt to "...disallows e-cigarettes to be used in public places and anywhere that regular cigarettes are prohibited and prohibits free or heavily discounted e-cigarettes."
I obtained my first e-cig as a hand-me-down from someone I met through a T-PC Health Department employee. This was back when they cost around $60 or more, so I greatly appreciated the gift. Since then, a convenience store chain started selling full kits for $20, with 10-pk refills for about $10. I switched to this model to save money, since the refills for the hand-me-down one was a whopping $19.99 for a 5-pk. The e-cigs helped me break my addiction to cigars, while yet my prior experience with hypnosis, nicotine gum, lozenges, patches, and whatever the pill was back in about 2000, before Chantix went on the market, did not work for me AT ALL. I hope the TPCHD will drop this, but if they don't, I would like to go on record with you now, asking you to NOT support their effort.
Thank you, Stacy Emerson
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From: Dick Muri <dmuri@co.pierce.wa.us> To: Anthony Chen Tawana Bellamy Date: 5/9/2011 4:06:10 PM Subject: FW: Please don't allow vapor to be treated like smoke
Please add to public record.
From: Jacinda Ross [mailto:jackiep222@hotmail.com] Sent: Saturday, May 07, 2011 12:30 PM To: Dick Muri Subject: Please don't allow vapor to be treated like smoke
Dear Mr. Muri, I am an ex-smoker who now uses a nicotine vaporizer (also known as an electronic cigarette) instead of smoking. I started smoking about 13 years ago, and tried several times to quit only to start smoking again after a few months. Until I tried the vaporizer. This device has changed my life and my family's life by allowing me to live smoke-free for the past eight months. Unfortunately, Chapter 9 of the Environmental Health Code, Section 9: "Use of Electronic Smoking Devices Prohibited in Public Places and Places of Employment" would ban the use of vaporizers in any place that has a ban on smoking. I am writing to ask you to please amend Chapter 9 to exclude Section 9. There has been research done which shows that using a vaporizer is likely hundreds of times less dangerous than smoking, and second-hand vapor is basically harmless. There is no research showing that vapor is in any way harmful to those around the people who are using them. It also doesn't smell bad the way smoking does, and since there's no combustion you don't have things like matches, ashes, butts, etc. I've had several smokers ask me about my vaporizer when they see me using it in places where smoking is prohibited. I'm always happy to give them information about it and let them know how much better I feel now that I have switched from smoking. I hope that some of them were able to get away from the cigarettes like I did. I think if you require a person who has made the switch to be put under the same restrictions as smokers, you are doing them a disservice. Thank you for taking the time to read this. As you can tell, it is an important issue to me. Sincerely, Jacinda Ross
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From: Dick Muri <dmuri@co.pierce.wa.us> To: Anthony Chen Tawana Bellamy Date: 5/9/2011 4:05:18 PM Subject: FW: TPCHD's intended ban/restrictions on E-cigarettes Please add to public record. -----Original Message----From: Stacy Emerson [mailto:stacy.emerson@gmail.com] Sent: Thursday, May 05, 2011 12:53 PM Subject: TPCHD's intended ban/restrictions on E-cigarettes Dear TPCHD Health Board Members and Elected Officials I am a 47 year old property-owning female taxpayer of unincorporated Pierce County who started smoking in my teenage years; then switched to cigars in my 30's. I have experience intermittent--perhaps permanent--health problems due to my decades of smoking, yet failed to successfully quit for more than a few weeks at a time. I obtained my first e-cigarette last year as a hand-me-down from someone I met through an employee of the TPCHD. The person who gave it to me had successfully broke his 30-year smoking addiction by using the E-cig, and that gave me tremendous hope, as my prior experience with hypnosis, nicotine gum, lozenges, patches, and whatever the pill was back in about 2000, before Chantix went on the market, and several other 'devices', etc., did not work for me.. Since then, a convenience store chain started selling full E-cig kits for $20, with 10-pk refills for about $10 (refills for the hand-me-down one was $19.99/5-pk). They are available in a variety of strengths of nicotine, as well as zero-nicotine. I started with the 22mg nicotine cartridges, am happy to report that I am now down to the 5mg cartridges and plan to switch to the zero-nicotine in the near future. I view this as a huge success, and therefore feel I must voice my objection to your intended ban on low-cost e-cigs (unless a particular brand is proven to contain other-than nicotine and glycerin), and on your intended ban on E-cig coupons (you have not banned cigarette coupons, have you?). I also object to what appears to be your effort to protect the financial resources you garner through cigarette tax by banning/restricting E-cigs. I am asking you to drop this issue and instead focus your time, attention and resources on other, more important issues-as there are PLENTY of them which need your attention. In closing, I ask that you add me to your Interested Parties List regarding any meetings or actions relating to your efforts at banning
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or restricting E-cigs in Pierce County.
Thank you, Stacy Emerson Midland (Tacoma), WA 98445
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From: Dick Muri <dmuri@co.pierce.wa.us> To: Anthony Chen Tawana Bellamy Date: 5/9/2011 4:06:52 PM Subject: FW: Vapor Cigarette Ban - NO
Please add to public record.
From: Carl J. Halverson [mailto:cjhalverson_services@yahoo.com] Sent: Thursday, May 05, 2011 1:17 PM To: info@tpchd.org; director@tpchd.org; Dick Muri; Stanley Flemming; Victoria.Woodards@cityoftacoma.org; Rick Talbert; ron.lucas@ci.steilacoom.wa.us; Marilyn.Strickland@cityoftacoma.org; PCEXECUTIVE; Jake.Fey@cityoftacoma.org; pjohnson@cityofbuckley.com; Ryan.Mello@cityoftacoma.org; David.Boe@cityoftacoma.org; Lauren.Walker@cityoftacoma.org; Marty.Campbell@cityoftacoma.org; Spiro.Manthou@cityoftacoma.org; Joe.Lonergan@cityoftacoma.org; eanderso@cityoftacoma.org; Joyce McDonald; Tim Farrell; Roger Bush; Daniel Roach Subject: Vapor Cigarette Ban - NO
Carl Halverson Tacoma WA 98407
I completely disagree with the governments right to ban the use of personal vaporizers in establishments that want to allow them. I'm will keep close attending to how council members vote on this issue. I believe it is a turning point in the control that government is allowed to impose on "public places:.
Please add me to the IPL (Interested Parties List)
Regards,
Carl Halverson Tacoma WA 98407

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From: To: Date: Subject: Attachments:
Tutrecia Giles Kirsten Frandsen 5/10/2011 6:12:54 PM From CM Muri's office to Dr. Chen FW: Vapor Cigarette Ban - NO FW: Please don't allow vapor to be treated like smoke FW: E-cigarette issue FW: TPCHD's intended ban/restrictions on E-cigarettes FW: Comment posted from the Internet site
These
Tutrecia Giles, M.Ed. Prevention Specialist Tacoma-Pierce County Health Department 3629 So 'D' Street, MS-409 Tacoma, Washington 98418-6813 Direct (253) 798-4727 fax (253) 798-6450 tgiles@tpchd.org From: Tawana Bellamy Sent: Monday, May 09, 2011 2:30 PM To: Tutrecia Giles Subject: Here's another batch of comments from the public on e-cigarettes
Again, some maybe duplicates, but Im forwarding them to you since they are being sent to me from different sources. Thank you,
Tawana Bellamy Confidential Assistant II Office of the Director Tacoma-Pierce County Health Department
Phone: (253) 798-2899
Healthy People in Healthy Communities
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From: To: Date: Subject:
Frank Dibiase Steve Marek 5/10/2011 3:32:06 PM FW: AMAZING site
FYI. Kinda wild. Thought you might like to see some of these.
From: Bridget Vandeventer Sent: Monday, May 09, 2011 1:21 PM To: Kirsten Frandsen; Frank Dibiase Subject: AMAZING site
Hey guysCheck this out. I was looking for the source of those old Doctors Smoking ads, and found this site at Stanford School of Medicine. http://lane.stanford.edu/tobacco/index.html Read the About the Exhibit section; its really in line with our message right now on e-cigarettes. The ads are amazing, and they have such a great collection, searchable by brand, theme, etc.
Bridget Vandeventer Communications and Community Relations Manager Tacoma-Pierce County Health Department 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org
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Hi Jaime,
Frank Dibiase Jaime Paulson 5/10/2011 12:41:16 PM FW: E-cig Research Doc's
Can you please see if theres a time when Kirsten, Steve and I can meet for about hour between now and Friday morning? Thank you.
From: Steve Marek Sent: Tuesday, May 10, 2011 7:28 AM To: Kirsten Frandsen; Frank Dibiase Subject: RE: E-cig Research Doc's
I would like to take a look at the BOH packet. We should touch base before Friday to catch me up on things.
From: Kirsten Frandsen Sent: Tuesday, May 10, 2011 6:41 AM To: Frank Dibiase Cc: Steve Marek Subject: RE: E-cig Research Doc's Sounds good- thanks. The BOH packets are going out on the 11th. Do either of you want to take a final look? Thanks, Kirsten From: Frank Dibiase Sent: Monday, May 09, 2011 5:19 PM To: Kirsten Frandsen Cc: Steve Marek Subject: RE: E-cig Research Doc's
Its unlikely that theyll read it. If we want to make sure they get certain pieces of information we should present it to them at the BOH meeting, but were time limited there as well. What are we currently planning to send them in the BOH packets and when is the packet going out? Also, lets be sure to discuss the May 18th Board meeting when we meet this Friday. Thanks.
From: Kirsten Frandsen Sent: Monday, May 09, 2011 11:34 AM To: Frank Dibiase; Steve Marek Subject: FW: E-cig Research Doc's
Hi, can you please see the weblink in the email below from GASP. It is a white paper that is very comprehensive on e-cigarettes. What are your thoughts on including this in the BOH packet that were sending out? If not, an alternate idea might be to have one of our speakers (providing testimony) at the BOH meeting, distribute this to all members (or we can). Thanks, Kirsten
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Page 2 From: Bruce Rytkonen Sent: Monday, May 09, 2011 9:53 AM To: Kirsten Frandsen; Tutrecia Giles Subject: E-cig Research Doc's
Ive looked at three of the documents about e-cigs that we have received..1. Americans for Nonsmokers Rights 2. The Tobacco Control Legal Consortium (what Scott Neal provided) and 3. The GASP White Paper on Ecigs (link provided below). I think that the GASP White Paper provides a very comprehensive listing of issues associated with e-cigs. Also..KirstenI had a question for Paul Davis last week and when he answered it he included the FDA April 25 News & Events write-up on e-cigs that he or Frances had provided to you. It seems to me that Paul (Madigan) and Greg could take whats being provided in this write-up (how the FDA will now regulate e-cigs as a tobacco product), and come up with a legitimate position supporting prohibiting the use of e-cigs where tobacco is prohibited.
From: Karen Haines [mailto:khaines@njgasp.org] Sent: Tuesday, April 26, 2011 9:01 AM To: Bruce Rytkonen Cc: khainesgasp@verizon.net; karen.blumenfeld@verizon.net Subject: TCPHD ordinance on e-cigarette ban on sale to minors? Bruce Rytkonen Tacoma-Pierce County Health Department Dear Bruce, Julie Scholer from the Spokane County health department suggested I email you to find out where the County is with regards to a proposal to ban the sale of e-cigarettes to minors, and if you are also considering a ban on the use of e-cigs in public places and workplaces where smoking is currently banned. Our nonprofit publishes a white paper supporting restrictions on e-cigarettes that lists jurisdictions that have already banned or are considering a ban on the sale of e-cigs to minors, and use of e-cigs in public places and workplaces. Please feel free to circulate the white paper to your Countys health commission during their hearing on the ordinance. http://njgasp.org/E-Cigs_White_Paper.pdf We provided technical assistance to the NJ Legislature, which was the first state jurisdiction in the USA to ban the use of e-cigs in public places and workplaces where smoking is banned as well as banning their sale to minors. Look forward to hearing from you soon. Please respond using reply all. Tx. Karen Haines Finance and Technology Administrator Global Advisors on Smokefree Policy (GASP) 7 Cedar St., Suite A, Summit, NJ 07901 (908)273-9368 office (908)273-9222 fax khaines@njgasp.org www.njgasp.org
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Frank Dibiase Bridget Vandeventer 5/10/2011 12:49:46 PM FW: Op-Ed for your review Op Ed Tobacco Regs revAC.doc
I just had a chance to review Anthonys edits. I think most of his edits are improvements. A couple areas he delves into more details than are probably needed. My one concern is length. Its now up to 861 words. I believe our original goal was around 600 words. Does the Tribune place a limit on the number of words?
From: Anthony Chen Sent: Monday, May 09, 2011 9:41 PM To: Bridget Vandeventer Cc: Laurie Jinkins; Steve Marek; Frank Dibiase; Kirsten Frandsen; Cindan Gizzi Subject: RE: Op-Ed for your review Bridget, Thanks for putting this together. It was helpful for us to talk on the phone this evening. Try this version with edits. It may be hard for me to respond in a timely fashion tomorrow, so I will be relying on Frank, Kirsten, and you to put the final version together. If you have significant concerns, call my cell 253-377-1134 and leave a message. AC From: Bridget Vandeventer Sent: Monday, May 09, 2011 12:44 PM To: Anthony Chen Cc: Laurie Jinkins; Steve Marek; Frank Dibiase; Kirsten Frandsen; Cindan Gizzi Subject: Op-Ed for your review
Hi Anthony, I hope you had a great trip out East. I know youre busy in meetings today but hope you are able to access this on your Blackberry. Weve drafted an Op-Ed to be attributed to you for the News Tribune. It addresses some of the issues brought up in the first story and Fridays editorial. This also helps contextualize our proposed regulation. Upon your approval, I will submit this to the News Tribune. They are aware that we were planning this, so were hopeful for a placement early in the week. Looking forward to your feedback! Bridget and team
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Frank Dibiase Bridget Vandeventer 5/10/2011 12:49:46 PM FW: Op-Ed for your review Op Ed Tobacco Regs revAC.doc
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From: Laurel Jellison To: Laurel Parshall Adria Moskowitz Anne Dillon Brad Costello Carol Funkhouser Emma McDaniel Jackie Parker Jaime Paulson Jennifer Burchfield Jennifer Meeker Julia J. Shrader Kesha Gaasland Kimberly Valencia Laurel Jellison Linda Sorrell Lisa Leppard Peggy McMurtrie Ryan Sharp Sherrilyn Reed Date: 5/10/2011 3:20:50 PM Subject: FW: Phone calls/e-cig regulations
Hello, I want you all to be aware for the potential of increased inquiries related to e-cigarettes. Tutrecia has provided some guidelines below on how to respond/direct those calls/questions. Ive included Laurel Parshall on this email to disseminate to the other staff who cover the information desk. Please contact Tutrecia if you have any questions. Thank you, Laurel Jellison
From: Tutrecia Giles Sent: Monday, May 09, 2011 9:00 AM To: Laurel Jellison Cc: Kirsten Frandsen Subject: Phone calls/e-cig regulations
Good morning Laurel, The e-cig team had a meeting last Friday and Selina mentioned that the front desk was getting questions and inquires about the proposed regulations. Please direct the callers to the tpchds website for comments or questions. There is a link to the regulations and a comment box. If there any emails from the public, they can be forwarded to me.-Thanks,Tutrecia
Tutrecia Giles, M.Ed. Prevention Specialist Tacoma-Pierce County Health Department 3629 So 'D' Street, MS-409 Tacoma, Washington 98418-6813 Direct (253) 798-4727 fax (253) 798-6450 tgiles@tpchd.org
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From: Kirsten Frandsen To: Tobacco PC PAN Date: 5/10/2011 6:33:08 PM Subject: Op Ed in the TNT
Good afternoon everyone, I wanted to give you a heads up that there may be an op editorial in the TNT tomorrow authored by Dr. Chen. The op ed takes a pretty strong stance regarding our position on e-cigarettes and responds to points made in earlier articles that have been written about the topic. Just an fyi so you may want to look out for it. ThanksKirsten Frandsen Tacoma-Pierce County Health Department Program Coordinator: Physical Activity, Nutrition, and Tobacco 253.798.3540 kfrandsen@tpchd.org
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Sounds good- thanks.
Kirsten Frandsen Frank Dibiase 5/10/2011 9:41:00 AM RE: E-cig Research Doc's
The BOH packets are going out on the 11th. Do either of you want to take a final look? Thanks, Kirsten From: Frank Dibiase Sent: Monday, May 09, 2011 5:19 PM To: Kirsten Frandsen Cc: Steve Marek Subject: RE: E-cig Research Doc's
From: Bruce Rytkonen Sent: Monday, May 09, 2011 9:53 AM To: Kirsten Frandsen; Tutrecia Giles Subject: E-cig Research Doc's
Ive looked at three of the documents about e-cigs that we have received..1. Americans for Nonsmokers Rights 2. The Tobacco Control Legal Consortium (what Scott Neal provided) and 3. The GASP White Paper on Ecigs (link provided below). I think that the GASP White Paper provides a very comprehensive listing of issues associated with e-cigs. Also..KirstenI had a question for Paul Davis last week and when he answered it he included the FDA April 25 News & Events write-up on e-cigs that he or Frances had provided to you. It seems to me that Paul (Madigan) and Greg could take whats being provided in this write-up (how the FDA will now regulate e-cigs as a tobacco product), and come up with a legitimate position supporting prohibiting the use of e-cigs where tobacco is prohibited.
From: Karen Haines [mailto:khaines@njgasp.org] 8_19_2011
Page 2 Sent: Tuesday, April 26, 2011 9:01 AM To: Bruce Rytkonen Cc: khainesgasp@verizon.net; karen.blumenfeld@verizon.net Subject: TCPHD ordinance on e-cigarette ban on sale to minors? Bruce Rytkonen Tacoma-Pierce County Health Department Dear Bruce, Julie Scholer from the Spokane County health department suggested I email you to find out where the County is with regards to a proposal to ban the sale of e-cigarettes to minors, and if you are also considering a ban on the use of e-cigs in public places and workplaces where smoking is currently banned. Our nonprofit publishes a white paper supporting restrictions on e-cigarettes that lists jurisdictions that have already banned or are considering a ban on the sale of e-cigs to minors, and use of e-cigs in public places and workplaces. Please feel free to circulate the white paper to your Countys health commission during their hearing on the ordinance. http://njgasp.org/E-Cigs_White_Paper.pdf We provided technical assistance to the NJ Legislature, which was the first state jurisdiction in the USA to ban the use of e-cigs in public places and workplaces where smoking is banned as well as banning their sale to minors. Look forward to hearing from you soon. Please respond using reply all. Tx. Karen Haines Finance and Technology Administrator Global Advisors on Smokefree Policy (GASP) 7 Cedar St., Suite A, Summit, NJ 07901 (908)273-9368 office (908)273-9222 fax khaines@njgasp.org www.njgasp.org
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From: Steve Marek To: Kirsten Frandsen Frank Dibiase Date: 5/10/2011 10:28:12 AM Subject: RE: E-cig Research Doc's
I would like to take a look at the BOH packet. We should touch base before Friday to catch me up on things.
From: Kirsten Frandsen Sent: Tuesday, May 10, 2011 6:41 AM To: Frank Dibiase Cc: Steve Marek Subject: RE: E-cig Research Doc's Sounds good- thanks. The BOH packets are going out on the 11th. Do either of you want to take a final look? Thanks, Kirsten From: Frank Dibiase Sent: Monday, May 09, 2011 5:19 PM To: Kirsten Frandsen Cc: Steve Marek Subject: RE: E-cig Research Doc's
From: Bruce Rytkonen Sent: Monday, May 09, 2011 9:53 AM To: Kirsten Frandsen; Tutrecia Giles Subject: E-cig Research Doc's
Ive looked at three of the documents about e-cigs that we have received..1. Americans for Nonsmokers Rights 2. The Tobacco Control Legal Consortium (what Scott Neal provided) and 3. The GASP White Paper on Ecigs (link provided below). I think that the GASP White Paper provides a very comprehensive listing of issues
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associated with e-cigs. Also..KirstenI had a question for Paul Davis last week and when he answered it he included the FDA April 25 News & Events write-up on e-cigs that he or Frances had provided to you. It seems to me that Paul (Madigan) and Greg could take whats being provided in this write-up (how the FDA will now regulate e-cigs as a tobacco product), and come up with a legitimate position supporting prohibiting the use of e-cigs where tobacco is prohibited.
From: Karen Haines [mailto:khaines@njgasp.org] Sent: Tuesday, April 26, 2011 9:01 AM To: Bruce Rytkonen Cc: khainesgasp@verizon.net; karen.blumenfeld@verizon.net Subject: TCPHD ordinance on e-cigarette ban on sale to minors? Bruce Rytkonen Tacoma-Pierce County Health Department Dear Bruce, Julie Scholer from the Spokane County health department suggested I email you to find out where the County is with regards to a proposal to ban the sale of e-cigarettes to minors, and if you are also considering a ban on the use of e-cigs in public places and workplaces where smoking is currently banned. Our nonprofit publishes a white paper supporting restrictions on e-cigarettes that lists jurisdictions that have already banned or are considering a ban on the sale of e-cigs to minors, and use of e-cigs in public places and workplaces. Please feel free to circulate the white paper to your Countys health commission during their hearing on the ordinance. http://njgasp.org/E-Cigs_White_Paper.pdf We provided technical assistance to the NJ Legislature, which was the first state jurisdiction in the USA to ban the use of e-cigs in public places and workplaces where smoking is banned as well as banning their sale to minors. Look forward to hearing from you soon. Please respond using reply all. Tx. Karen Haines Finance and Technology Administrator Global Advisors on Smokefree Policy (GASP) 7 Cedar St., Suite A, Summit, NJ 07901 (908)273-9368 office (908)273-9222 fax khaines@njgasp.org www.njgasp.org
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Tutrecia, The web pages have been updated. Brad From: Tutrecia Giles Sent: Tuesday, May 10, 2011 9:42 AM To: Brad Costello Cc: Kirsten Frandsen Subject: E-cig website change
Brad Costello Tutrecia Giles 5/10/2011 5:31:26 PM RE: E-cig website change
Hello Brad, Kirsten wants to remove the Q&A reference in the announcement about the public hearing. The panel will be presenting briefly then the facilitator will open the meeting for public comment.- Thanks
As it reads now: The Tacoma-Pierce County Health Department will host a public meeting to preview and receive public feedback regarding the two regulations. The meeting will include a brief presentation of the proposed regulations, a question and answer period and an opportunity for attendees to provide brief comment. Change to: The Tacoma-Pierce County Health Department will host a public meeting to preview and receive public feedback regarding the two regulations. The meeting will include a brief presentation of the proposed regulations, followed by an opportunity for attendees to provide brief comment.
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Thanks.
Tutrecia Giles, M.Ed. Prevention Specialist Tacoma-Pierce County Health Department 3629 So 'D' Street, MS-409 Tacoma, Washington 98418-6813 Direct (253) 798-4727 fax (253) 798-6450 tgiles@tpchd.org From: Brad Costello Sent: Tuesday, May 10, 2011 2:31 PM To: Tutrecia Giles Cc: Kirsten Frandsen Subject: RE: E-cig website change Tutrecia, The web pages have been updated. Brad From: Tutrecia Giles Sent: Tuesday, May 10, 2011 9:42 AM To: Brad Costello Cc: Kirsten Frandsen Subject: E-cig website change
Tutrecia Giles Brad Costello 5/10/2011 6:09:16 PM RE: E-cig website change
Hello Brad, Kirsten wants to remove the Q&A reference in the announcement about the public hearing. The panel will be presenting briefly then the facilitator will open the meeting for public comment.- Thanks
As it reads now: The Tacoma-Pierce County Health Department will host a public meeting to preview and receive public feedback regarding the two regulations. The meeting will include a brief presentation of the proposed regulations, a question and answer period and an opportunity for attendees to provide brief comment. Change to: The Tacoma-Pierce County Health Department will host a public meeting to preview and receive public feedback regarding the two regulations. The meeting will include a brief presentation of the proposed regulations, followed by an opportunity for attendees to provide brief comment.
Tutrecia Giles, M.Ed. Prevention Specialist Tacoma-Pierce County Health Department 3629 So 'D' Street, MS-409 Tacoma, Washington 98418-6813 Direct (253) 798-4727 fax (253) 798-6450 tgiles@tpchd.org 8_19_2011
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Bridget Vandeventer 'Yuan, Teresa' 5/10/2011 4:31:52 PM RE: electronic cigarette ban
Hi Teresa, I was hoping we could wait until Dr. Chen is back, but if youre already scheduled to be down here we can make this work. 253-405-6822.
As youre researching for the piece, you might want to check out this interesting gallery that Stanford School of Medicine p striking resemblance to these. Its an interesting comparison to make. Looking forward to seeing you again tomorrow! Bridget
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org From: Yuan, Teresa [mailto:tyuan@king5.com] Sent: Tuesday, May 10, 2011 12:35 PM To: Bridget Vandeventer Cc: Kirsten Frandsen Subject: RE: electronic cigarette ban Hello,
Okay we are locked in for an interview at 9:30 at the Vaporium in Lakewood (I didn't hear back from you guys, and she was availab So we can be available to shoot around 10:15 if that works you guy all. We definitely want to get both sides of the story. This is a morning news story that air closer to May 18th date. Hope that helps, Teresa 415-710-8589 c
From: Bridget Vandeventer [BVandeventer@tpchd.org] Sent: Monday, May 09, 2011 5:25 PM To: Yuan, Teresa Cc: Kirsten Frandsen Subject: RE: electronic cigarette ban
Hi Teresa, Thanks for your interest. Im trying to see if we have someone available that morning to do the interview. Normally Id say
Is the story for the morning news or evening? Are you interviewing others about the issue and would you mind sharing wh And thanks for your patience on Friday while I was out. Did you get what you needed for that story? Ill be in touch tomorrow. Thanks! Bridget
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Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org From: Yuan, Teresa [mailto:tyuan@king5.com] Sent: Monday, May 09, 2011 1:53 PM To: Yuan, Teresa; Bridget Vandeventer Cc: Kirsten Frandsen Subject: electronic cigarette ban Hello, Teresa Yuan here with KING 5 News.
I was wondering if we could interview someone with the the Tacoma-Pierce County Health Department or someone you think would be appro We're looking to do the interview Wednesday morning 9:30 am, hopefully that time would work. Let me know if that works and where we should meet. Thanks again for all your help, Teresa 415-710-8589 c
************************************************************************************* This e-mail and any attachments may contain confidential and privileged information. It has be
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Hi Bridget,
Yuan, Teresa <tyuan@king5.com> Bridget Vandeventer 5/10/2011 4:33:46 PM RE: electronic cigarette ban
We can absolutely come to your building: 3629 S D St Tacoma, WA 98418-6813, correct? I can definitely give you a call as we head to your building. Thanks again for being flexible. And thank you for the extra background information. - Teresa
From: Bridget Vandeventer [BVandeventer@tpchd.org] Sent: Tuesday, May 10, 2011 1:31 PM To: Yuan, Teresa Cc: Kirsten Frandsen Subject: RE: electronic cigarette ban
Hi Teresa, I was hoping we could wait until Dr. Chen is back, but if youre already scheduled to be down here we can make this work. 253-405-6822.
As youre researching for the piece, you might want to check out this interesting gallery that Stanford School of Medicine p striking resemblance to these. Its an interesting comparison to make. Looking forward to seeing you again tomorrow! Bridget
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org From: Yuan, Teresa [mailto:tyuan@king5.com] Sent: Tuesday, May 10, 2011 12:35 PM To: Bridget Vandeventer Cc: Kirsten Frandsen Subject: RE: electronic cigarette ban Hello,
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Page 2 From: Bridget Vandeventer [BVandeventer@tpchd.org] Sent: Monday, May 09, 2011 5:25 PM To: Yuan, Teresa Cc: Kirsten Frandsen Subject: RE: electronic cigarette ban
I was wondering if we could interview someone with the the Tacoma-Pierce County Health Department or someone you think would be appro We're looking to do the interview Wednesday morning 9:30 am, hopefully that time would work. Let me know if that works and where we should meet. Thanks again for all your help, Teresa 415-710-8589 c
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Hello,
Yuan, Teresa <tyuan@king5.com> Bridget Vandeventer 5/10/2011 3:34:44 PM RE: electronic cigarette ban
From: Bridget Vandeventer [BVandeventer@tpchd.org] Sent: Monday, May 09, 2011 5:25 PM To: Yuan, Teresa Cc: Kirsten Frandsen Subject: RE: electronic cigarette ban
I was wondering if we could interview someone with the the Tacoma-Pierce County Health Department or someone you think would We're looking to do the interview Wednesday morning 9:30 am, hopefully that time would work. Let me know if that works and where we should meet. Thanks again for all your help, Teresa 8_19_2011
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Madigan Resident Tutrecia Giles 5/10/2011 7:39:04 PM RE: Notes-Public hearing prep mtg 5/6
I would appreciate it if we did not mention Madigan resident. I don't want to involve Madigan or the Army in anyway. I could just be introduced as an internist completing a public health rotation at TCPHD. Thanks, Paul From: Tutrecia Giles Sent: Tuesday, May 10, 2011 3:48 PM To: Madigan Resident Subject: RE: Notes-Public hearing prep mtg 5/6
Hello Paul, Im going to send the facilitator Lori Bemis introduction information for the panel presenters. How would you like to be introduced?
Tutrecia Giles, M.Ed. Prevention Specialist Tacoma-Pierce County Health Department 3629 So 'D' Street, MS-409 Tacoma, Washington 98418-6813 Direct (253) 798-4727 fax (253) 798-6450 tgiles@tpchd.org From: Madigan Resident Sent: Monday, May 09, 2011 1:37 PM To: Tutrecia Giles; Kirsten Frandsen; Frank Dibiase; Steve Marek; Bridget Vandeventer; Bruce Rytkonen; 'Gregory Jacoby'; Lori Bemis; John Britt Subject: RE: Notes-Public hearing prep mtg 5/6
All, I had the opportunity to speak to Bob Morcerf from Suffolk County in New York State. They have passed legislation in regards to e-cigarettes in 2009. I have placed this legislation on the sharepoint in case anyone is interested. (Regs and Resolutions from Peer Counties E-cigs Suffolk County Legislation) Mr. Morcerf mentioned that the legislation was passed due to the health concerns of nicotine as well as to allow for better enforcement of already existing indoor smoking laws. Best, Paul
From: Tutrecia Giles Sent: Monday, May 09, 2011 11:06 AM To: Kirsten Frandsen; Frank Dibiase; Steve Marek; Bridget Vandeventer; Bruce Rytkonen; 'Gregory Jacoby'; Madigan Resident; Lori Bemis; John Britt Subject: Notes-Public hearing prep mtg 5/6 8_19_2011
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Hello all, Heres what I recall from the public hearing prep meeting on 5/6 . Please feel free to add anything that I may have overlooked from the discussion. In attendance at this meeting-Frank, Kirsten, John B., Paul, Bruce, Greg, Lori and Tutrecia
Team agreed to meet in auditorium at 5:15pm on 5/16 to prep for public hearing. Lori will introduce the panel members (Kirsten Frandsen- Program Coordinator: Physical Activity, Nutrition, and Tobacco, Paul Faestel- Madigan resident and Gregory Jacoby) Lori will provide an overview of the agenda (i.e. presentation by panel, 3min public comments, sign-in sheets at door for general sign-in and public comment, first sheet will be taken up after presentation, There wont be any Q&A- here to mainly listen- facilitator will ID any trends in comments that need clarification from panel, time frame of meeting, Will try to get to most of the comments but laptops and comment cards to the left of the room, will inform public that comments will be provided to BOH (Selina or Tawana will compile a general overview of the comments for the BOH) Short Presentation(15mins)- Kirsten will speak about overall health issues, Greg will discuss /read regulations and Paul will discuss health implications/concerns Public comments ,facilitated by Lori for the duration of meeting It was suggested by Frank that the team set a goal of staying in the 6-7pm time frame, but the meeting can be extended if necessary Action Items 1. Sign-in sheets at the door- (General and a sign-in for public comment)*Public comment sign-in sheets will request Name-Address Comment on which regulations 2. Request security for event (Done) 3. Handouts of regulations located at sign-in table 4. 2 laptops for public comment (Requested) 5. Podium for community(Requested) 6. Wireless microphone for Lori (Requested) 7. Two microphones at panel table (Requested) 8. Tables for panel (Requested) 9. Comment cards 10. Box for comment cards 11. Pens 12. Water/cups for community (Requested) 13. Table for water set-up(Requested) 14. Timer method (3min)-will look for or make a yellow/red fan, yellow side for a min and red to stop 15. Meeting for the panel members and Bridget
Tutrecia Giles, M.Ed. Prevention Specialist Tacoma-Pierce County Health Department 8_19_2011
Page 3 3629 So 'D' Street, MS-409 Tacoma, Washington 98418-6813 Direct (253) 798-4727 fax (253) 798-6450 tgiles@tpchd.org
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Sure thing.-Tg
Tutrecia Giles, M.Ed. Prevention Specialist Tacoma-Pierce County Health Department 3629 So 'D' Street, MS-409 Tacoma, Washington 98418-6813 Direct (253) 798-4727 fax (253) 798-6450 tgiles@tpchd.org From: Madigan Resident Sent: Tuesday, May 10, 2011 4:39 PM To: Tutrecia Giles Subject: RE: Notes-Public hearing prep mtg 5/6
Tutrecia Giles Madigan Resident 5/10/2011 7:39:30 PM RE: Notes-Public hearing prep mtg 5/6
I would appreciate it if we did not mention Madigan resident. I don't want to involve Madigan or the Army in anyway. I could just be introduced as an internist completing a public health rotation at TCPHD. Thanks, Paul From: Tutrecia Giles Sent: Tuesday, May 10, 2011 3:48 PM To: Madigan Resident Subject: RE: Notes-Public hearing prep mtg 5/6
All, I had the opportunity to speak to Bob Morcerf from Suffolk County in New York State. They have passed legislation in regards to e-cigarettes in 2009. I have placed this legislation on the sharepoint in case anyone is interested. (Regs and Resolutions from Peer
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Counties E-cigs Suffolk County Legislation) Mr. Morcerf mentioned that the legislation was passed due to the health concerns of nicotine as well as to allow for better enforcement of already existing indoor smoking laws. Best, Paul
From: Tutrecia Giles Sent: Monday, May 09, 2011 11:06 AM To: Kirsten Frandsen; Frank Dibiase; Steve Marek; Bridget Vandeventer; Bruce Rytkonen; 'Gregory Jacoby'; Madigan Resident; Lori Bemis; John Britt Subject: Notes-Public hearing prep mtg 5/6
Team agreed to meet in auditorium at 5:15pm on 5/16 to prep for public hearing. Lori will introduce the panel members (Kirsten Frandsen- Program Coordinator: Physical Activity, Nutrition, and Tobacco, Paul Faestel- Madigan resident and Gregory Jacoby) Lori will provide an overview of the agenda (i.e. presentation by panel, 3min public comments, sign-in sheets at door for general sign-in and public comment, first sheet will be taken up after presentation, There wont be any Q&A- here to mainly listen- facilitator will ID any trends in comments that need clarification from panel, time frame of meeting, Will try to get to most of the comments but laptops and comment cards to the left of the room, will inform public that comments will be provided to BOH (Selina or Tawana will compile a general overview of the comments for the BOH) Short Presentation(15mins)- Kirsten will speak about overall health issues, Greg will discuss /read regulations and Paul will discuss health implications/concerns Public comments ,facilitated by Lori for the duration of meeting It was suggested by Frank that the team set a goal of staying in the 6-7pm time frame, but the meeting can be extended if necessary Action Items 1. Sign-in sheets at the door- (General and a sign-in for public comment)*Public comment sign-in sheets will request Name-Address Comment on which regulations 2. Request security for event (Done) 3. Handouts of regulations located at sign-in table 4. 2 laptops for public comment (Requested) 5. Podium for community(Requested) 6. Wireless microphone for Lori (Requested) 7. Two microphones at panel table (Requested) 8. Tables for panel (Requested) 9. Comment cards
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10. Box for comment cards 11. Pens 12. Water/cups for community (Requested) 13. Table for water set-up(Requested) 14. Timer method (3min)-will look for or make a yellow/red fan, yellow side for a min and red to stop 15. Meeting for the panel members and Bridget
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Tutrecia Giles Madigan Resident 5/10/2011 6:48:42 PM RE: Notes-Public hearing prep mtg 5/6
All, I had the opportunity to speak to Bob Morcerf from Suffolk County in New York State. They have passed legislation in regards to e-cigarettes in 2009. I have placed this legislation on the sharepoint in case anyone is interested. (Regs and Resolutions from Peer Counties E-cigs Suffolk County Legislation) Mr. Morcerf mentioned that the legislation was passed due to the health concerns of nicotine as well as to allow for better enforcement of already existing indoor smoking laws. Best, Paul
From: Tutrecia Giles Sent: Monday, May 09, 2011 11:06 AM To: Kirsten Frandsen; Frank Dibiase; Steve Marek; Bridget Vandeventer; Bruce Rytkonen; 'Gregory Jacoby'; Madigan Resident; Lori Bemis; John Britt Subject: Notes-Public hearing prep mtg 5/6
Team agreed to meet in auditorium at 5:15pm on 5/16 to prep for public hearing. Lori will introduce the panel members (Kirsten Frandsen- Program Coordinator: Physical Activity, Nutrition, and Tobacco, Paul Faestel- Madigan resident and Gregory Jacoby) Lori will provide an overview of the agenda (i.e. presentation by panel, 3min public comments, sign-in
8_19_2011
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sheets at door for general sign-in and public comment, first sheet will be taken up after presentation, There wont be any Q&A- here to mainly listen- facilitator will ID any trends in comments that need clarification from panel, time frame of meeting, Will try to get to most of the comments but laptops and comment cards to the left of the room, will inform public that comments will be provided to BOH (Selina or Tawana will compile a general overview of the comments for the BOH) Short Presentation(15mins)- Kirsten will speak about overall health issues, Greg will discuss /read regulations and Paul will discuss health implications/concerns Public comments ,facilitated by Lori for the duration of meeting It was suggested by Frank that the team set a goal of staying in the 6-7pm time frame, but the meeting can be extended if necessary Action Items 1. Sign-in sheets at the door- (General and a sign-in for public comment)*Public comment sign-in sheets will request Name-Address Comment on which regulations 2. Request security for event (Done) 3. Handouts of regulations located at sign-in table 4. 2 laptops for public comment (Requested) 5. Podium for community(Requested) 6. Wireless microphone for Lori (Requested) 7. Two microphones at panel table (Requested) 8. Tables for panel (Requested) 9. Comment cards 10. Box for comment cards 11. Pens 12. Water/cups for community (Requested) 13. Table for water set-up(Requested) 14. Timer method (3min)-will look for or make a yellow/red fan, yellow side for a min and red to stop 15. Meeting for the panel members and Bridget
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Bridget,
Anthony Chen Bridget Vandeventer 5/10/2011 12:40:46 AM RE: Op-Ed for your review Op Ed Tobacco Regs revAC.doc
Thanks for putting this together. It was helpful for us to talk on the phone this evening. Try this version with edits. It may be hard for me to respond in a timely fashion tomorrow, so I will be relying on Frank, Kirsten, and you to put the final version together. If you have significant concerns, call my cell 253-377-1134 and leave a message. AC From: Bridget Vandeventer Sent: Monday, May 09, 2011 12:44 PM To: Anthony Chen Cc: Laurie Jinkins; Steve Marek; Frank Dibiase; Kirsten Frandsen; Cindan Gizzi Subject: Op-Ed for your review
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Bridget Vandeventer Frank Dibiase 5/10/2011 2:42:08 PM RE: Op-Ed for your review Op Ed Tobacco Regs lp.docx
Shoot, our messages crossed. Ok, looking through her feedback, I think a lot of it was addressed in the revisions that both AC and I made today. She brings up two questions that really hit at our position as a whole, so wed have to reconsider how we think about this if we are going to take hers. 1. Burden of proof of safety on the manufacturers and retailers. Kirsten has been hitting hard on this point in the last few days, so shed need to weigh in. I think what were saying is that its not proven safe yet, so until it is we have to protect from it. 2. Common sense. Similar to the point above, were saying that until we know its safe, well protect from it. Instead of not doing anything until we know its dangerous. Again, this is one of Kirstens big points Ill let you tobacco experts discuss. But, if we change the direction in this way, Im doubtful wed get it in by today which gives us one less day for this to run before the meetings next week. Thanks!
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org From: Frank Dibiase Sent: Tuesday, May 10, 2011 11:34 AM To: Bridget Vandeventer Subject: FW: Op-Ed for your review
Hi Bridget, Attached is a version of the draft Op Ed piece pre-Anthonys comments from Liz Pulos in OCA. I shared with her primarily because shes a fact checker on Tobacco issues. Her comments are not really in this regard but I thought I would share with you anyway. You can decide if theyre helpful or not. When you have a chance can you also please give us an update of where youre at on the Op Ed piece? Thanks Bridget.
From: Elizabeth Pulos Sent: Tuesday, May 10, 2011 10:49 AM To: Frank Dibiase Subject: RE: Op-Ed for your review
Heres my input.
From: Frank Dibiase Sent: Monday, May 09, 2011 4:06 PM To: Elizabeth Pulos Subject: FW: Op-Ed for your review Importance: High
Heres the draft Op Ed piece I mentioned earlier. There are not data in it but thought you should see it just in case and as an FYI. Let me know if you have any thoughts or catch anything that looks sketchy. Thanks.
From: Bridget Vandeventer 8_19_2011
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Bridget Vandeventer Communications and Community Relations Manager Tacoma-Pierce County Health Department 253-798-2853 | cell: 253-405-6822 | bvandeventer@ tpchd.org | news@ tpchd.org
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From: Bridget Vandeventer To: Kirsten Frandsen Frank Dibiase Date: 5/10/2011 5:33:54 PM Subject: RE: Op-Ed for your review Attachments: Op Ed Tobacco Regs_Anthony Chen_V2.doc
I just submitted it, but they immediately came back and asked me to cut it from 770 words to 650. Heres the 120less word version. I think it still maintains all the same thoughts and power, but there were a few sentences that had to come out. Ill let you know what I hear on timing.
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org From: Kirsten Frandsen Sent: Tuesday, May 10, 2011 2:13 PM To: Bridget Vandeventer; Frank Dibiase Cc: Steve Marek Subject: RE: Op-Ed for your review
Sorry, I havent had a chance to review until now. Thanks! Kirsten

From: Bridget Vandeventer Sent: Tuesday, May 10, 2011 1:37 PM To: Frank Dibiase Cc: Kirsten Frandsen; Steve Marek Subject: RE: Op-Ed for your review
Ok, the vote is in. With that, Im sending this off to the TNT now. Thanks all!
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org From: Frank Dibiase Sent: Tuesday, May 10, 2011 12:08 PM To: Bridget Vandeventer Cc: Kirsten Frandsen; Steve Marek Subject: RE: Op-Ed for your review
Looks good to me Bridget. In the second to last paragraph, last sentence, I would make one very minor change to by deleting the and between cancer and heart and replacing with a coma.
I think both of the titles are a bit vague but I like Anthonys suggestion a little better of the two. Thanks.
8_19_2011
Page 2 From: Bridget Vandeventer Sent: Tuesday, May 10, 2011 11:34 AM To: Frank Dibiase Cc: Kirsten Frandsen; Steve Marek Subject: RE: Op-Ed for your review
I scrubbed through his edits and got it down to 760ish words. Its a bit long, but Im ok with it. And they may choose to cut some, which is fine. The only point Im still stuck on is the title. My suggestion was Protecting Pierce County During an Absence of Proof, and his was Protecting Pierce County from an Emerging Health Threat. Mine was driving at the point that we dont know enough, so were erring on the side of safety. His is calling it out as a threat. Id like to advocate keeping mine because its aligned with the theme of the piece, but was hoping one of you could cast the final vote. Let me know what you think on the final review (attached) and then I can get it off to the TNT. Thanks!
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org From: Frank Dibiase Sent: Tuesday, May 10, 2011 9:50 AM To: Bridget Vandeventer Cc: Kirsten Frandsen; Steve Marek Subject: FW: Op-Ed for your review
Hi Anthony, I hope you had a great trip out East. I know youre busy in meetings today but hope you are able to access this on your Blackberry. Weve drafted an Op-Ed to be attributed to you for the News Tribune. It addresses some of the issues brought up in the first story and Fridays editorial. This also helps contextualize our proposed regulation.
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Upon your approval, I will submit this to the News Tribune. They are aware that we were planning this, so were hopeful for a placement early in the week. Looking forward to your feedback! Bridget and team
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Bridget Vandeventer Frank Dibiase 5/10/2011 2:34:26 PM RE: Op-Ed for your review Op Ed Tobacco Regs_Anthony Chen.doc
I scrubbed through his edits and got it down to 760ish words. Its a bit long, but Im ok with it. And they may choose to cut some, which is fine. The only point Im still stuck on is the title. My suggestion was Protecting Pierce County During an Absence of Proof, and his was Protecting Pierce County from an Emerging Health Threat. Mine was driving at the point that we dont know enough, so were erring on the side of safety. His is calling it out as a threat. Id like to advocate keeping mine because its aligned with the theme of the piece, but was hoping one of you could cast the final vote. Let me know what you think on the final review (attached) and then I can get it off to the TNT. Thanks!
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org From: Frank Dibiase Sent: Tuesday, May 10, 2011 9:50 AM To: Bridget Vandeventer Cc: Kirsten Frandsen; Steve Marek Subject: FW: Op-Ed for your review
Hi Anthony, I hope you had a great trip out East. I know youre busy in meetings today but hope you are able to access this on
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your Blackberry. Weve drafted an Op-Ed to be attributed to you for the News Tribune. It addresses some of the issues brought up in the first story and Fridays editorial. This also helps contextualize our proposed regulation. Upon your approval, I will submit this to the News Tribune. They are aware that we were planning this, so were hopeful for a placement early in the week. Looking forward to your feedback! Bridget and team
8_19_2011
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Heres my input.
Elizabeth Pulos Frank Dibiase 5/10/2011 1:48:34 PM RE: Op-Ed for your review Op Ed Tobacco Regs lp.docx
From: Bridget Vandeventer Sent: Monday, May 09, 2011 12:44 PM To: Anthony Chen Cc: Laurie Jinkins; Steve Marek; Frank Dibiase; Kirsten Frandsen; Cindan Gizzi Subject: Op-Ed for your review Importance: High
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Hi Bridget,
Frank Dibiase Bridget Vandeventer 5/10/2011 3:00:04 PM RE: Op-Ed for your review
Regarding point #1, its at the heart of public health which is to be prevention oriented. From a public health perspective, if theres a potential for harm, and theres really no compelling or practical reason to take the risk, we should err on the side of safety. This is also the approach thats taken regarding regulation of pharmaceuticals in our country. So, why should we take a chance with e-cigarettes? Let the manufacturers prove safety and effectiveness. Regarding point #2, I have to say Im not sure what common sense really is, but in this context I was thinking that were trying to be practical and weighing the pros and cons. As I mention above, theres no compelling reason to take a risk. There are plenty of other safe and effective cessation products currently available. An example of when we might want to take a risk would be when someone is dying, or will die, unless a new cure is found. In such cases FDA makes exception and will allow the use of experimental medicines. For them to adhere to strict rules that would result in needless deaths would be foolish or impractical. Theres no compelling argument as to why this should be done for e-cigarettes. We could also just drop the use of the statement regarding common sense. I dont think it would detract from the piece. Thanks.
From: Bridget Vandeventer Sent: Tuesday, May 10, 2011 11:42 AM To: Frank Dibiase Cc: Kirsten Frandsen Subject: RE: Op-Ed for your review
Shoot, our messages crossed. Ok, looking through her feedback, I think a lot of it was addressed in the revisions that both AC and I made today. She brings up two questions that really hit at our position as a whole, so wed have to reconsider how we think about this if we are going to take hers. 1. Burden of proof of safety on the manufacturers and retailers. Kirsten has been hitting hard on this point in the last few days, so shed need to weigh in. I think what were saying is that its not proven safe yet, so until it is we have to protect from it. 2. Common sense. Similar to the point above, were saying that until we know its safe, well protect from it. Instead of not doing anything until we know its dangerous. Again, this is one of Kirstens big points Ill let you tobacco experts discuss. But, if we change the direction in this way, Im doubtful wed get it in by today which gives us one less day for this to run before the meetings next week. Thanks!
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org From: Frank Dibiase Sent: Tuesday, May 10, 2011 11:34 AM To: Bridget Vandeventer Subject: FW: Op-Ed for your review
Hi Bridget,
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Attached is a version of the draft Op Ed piece pre-Anthonys comments from Liz Pulos in OCA. I shared with her primarily because shes a fact checker on Tobacco issues. Her comments are not really in this regard but I thought I would share with you anyway. You can decide if theyre helpful or not. When you have a chance can you also please give us an update of where youre at on the Op Ed piece? Thanks Bridget.
From: Elizabeth Pulos Sent: Tuesday, May 10, 2011 10:49 AM To: Frank Dibiase Subject: RE: Op-Ed for your review
Heres my input.
From: Bridget Vandeventer Sent: Monday, May 09, 2011 12:44 PM To: Anthony Chen Cc: Laurie Jinkins; Steve Marek; Frank Dibiase; Kirsten Frandsen; Cindan Gizzi Subject: Op-Ed for your review Importance: High
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Bridget Vandeventer Frank Dibiase 5/10/2011 8:02:40 PM RE: Practice/warm up session for King 5 interview
Oh dear, don't do that. 30 minutes in the morning should be fine. You know this stuff. And if you look bad, you get to blame me.
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | news@tpchd.org
_____________________________________________ From: Frank Dibiase Sent: Tuesday, May 10, 2011 5:02 PM To: Bridget Vandeventer Subject: RE: Practice/warm up session for King 5 interview
Thanks Bridget. I'll pull an "all nighter" studying these! I just hope I don't fall asleep in the interview. Anthony probably won't like that, eh? _____________________________________________ From: Bridget Vandeventer Sent: Tuesday, May 10, 2011 5:00 PM To: Frank Dibiase Subject: RE: Practice/warm up session for King 5 interview
Ok, you're allowed goofy hair. So here are the key messages, and I've started working up some sound bites for you from the Op-Ed, etc. I'm running out of time and have to race home for an appt, so we might need to do some of this together in the morning. We know she will have just been coming from the Vaporium, so we can imagine what some of the questions will be. Thanks for doing this! Sound bites: * Our role at the health department is to safeguard the health of the residents of Pierce County. * For decades, tobacco companies hid the harmful effects of cigarettes behind clever marketing. The messages we're hearing from e-cigarette retailers and manufacturers sounds eerily similar, so we feel it's best to protect the people of Pierce County unless the e-cigarette companies can prove to us that they are safe. We still haven't seen the proof that they don't harm people. * They are telling people that e-cigarettes help you quit smoking, but no one seems to have any evidence to prove this. Key Messages: * The Tacoma-Pierce County Health Department is tasked with safeguarding and enhancing the health of the communities of Pierce County. As part of its mission, the Health Department tackles emerging health risks through policy, programs and treatment in order to protect public health.
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* At the June 1, 2011 Board of Health meeting, the Board of Health may vote on two pieces of regulation. Both regulations relate to the Health Department's ongoing work to protect the people of Pierce County from risks associated with tobacco use. * Environmental Health Code, Chapter 8: Smoking in Public Places. - This local regulation provides greater clarity and interpretation of RCW 70.160, Washington State's Smoking in Public Places law, and allows for local enforcement including fees and fines. - This regulation aids local businesses that wish to comply with the State law. - Adopting a local regulation facilitates compliance of the state code and keeps enforcement monies in Pierce County to better serve the residents here. - This regulation further protects the people of Pierce County from the harmful effects of secondhand smoke. * Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devices and Unregulated Nicotine Delivery Products. - Currently, e-cigarettes are unregulated in the United States. They contain varying levels of nicotine and other known carcinogens and toxic chemicals. * The FDA recently (4/27/11) announced that it intends to regulate e-cigarettes as a tobacco product and not an approved cessation aid. - Often marketed as cessation aids, e-cigarettes have not been proven to successfully help people quit smoking. - There is no conclusive analysis of the health risks that exist from secondhand vapor from e-cigarettes, so we cannot be assured that they do not pose a secondhand risk. - The proposed regulation does the following: o prohibits smoking and purchase of e-cigarettes and other unregulated nicotine delivery products by youth under age 18 o disallows e-cigarettes and other unregulated nicotine delivery products to be used in public places and anywhere that regular cigarettes are prohibited o prohibits free or heavily discounted e-cigarettes and other unregulated nicotine delivery products
I consider messy hair, especially the "cow-lick" on the top corner of my head to be my signature trademark! Blue shirt - probably. Neat hair - no chance. -----Original Appointment----From: Bridget Vandeventer Sent: Tuesday, May 10, 2011 1:33 PM To: Frank Dibiase Subject: Practice/warm up session for King 5 interview
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When: Wednesday, May 11, 2011 8:30 AM-9:00 AM (GMT-08:00) Pacific Time (US & Canada). Where: Frank's office
I'll send you the key messages and some sound bites tonight. Remember to wear something good for the camera (a French blue shirt is always a good choice) and have a good hair day.
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Bridget Vandeventer Frank Dibiase 5/10/2011 8:00:04 PM RE: Practice/warm up session for King 5 interview
Ok, you're allowed goofy hair. So here are the key messages, and I've started working up some sound bites for you from the Op-Ed, etc. I'm running out of time and have to race home for an appt, so we might need to do some of this together in the morning. We know she will have just been coming from the Vaporium, so we can imagine what some of the questions will be. Thanks for doing this! Sound bites: * Our role at the health department is to safeguard the health of the residents of Pierce County. * For decades, tobacco companies hid the harmful effects of cigarettes behind clever marketing. The messages we're hearing from e-cigarette retailers and manufacturers sounds eerily similar, so we feel it's best to protect the people of Pierce County unless the e-cigarette companies can prove to us that they are safe. We still haven't seen the proof that they don't harm people. * They are telling people that e-cigarettes help you quit smoking, but no one seems to have any evidence to prove this. Key Messages: * The Tacoma-Pierce County Health Department is tasked with safeguarding and enhancing the health of the communities of Pierce County. As part of its mission, the Health Department tackles emerging health risks through policy, programs and treatment in order to protect public health. * At the June 1, 2011 Board of Health meeting, the Board of Health may vote on two pieces of regulation. Both regulations relate to the Health Department's ongoing work to protect the people of Pierce County from risks associated with tobacco use. * Environmental Health Code, Chapter 8: Smoking in Public Places. - This local regulation provides greater clarity and interpretation of RCW 70.160, Washington State's Smoking in Public Places law, and allows for local enforcement including fees and fines. - This regulation aids local businesses that wish to comply with the State law. - Adopting a local regulation facilitates compliance of the state code and keeps enforcement monies in Pierce County to better serve the residents here. - This regulation further protects the people of Pierce County from the harmful effects of secondhand smoke. * Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devices and Unregulated Nicotine Delivery Products. - Currently, e-cigarettes are unregulated in the United States. They contain varying levels of nicotine and other known carcinogens and toxic chemicals. * The FDA recently (4/27/11) announced that it intends to regulate e-cigarettes as a tobacco product and not an approved cessation aid. - Often marketed as cessation aids, e-cigarettes have not been proven to successfully help people quit smoking. - There is no conclusive analysis of the health risks that exist from secondhand vapor from e-cigarettes, so we cannot be assured that they do not pose a secondhand risk. - The proposed regulation does the following: o prohibits smoking and purchase of e-cigarettes and other unregulated nicotine delivery products by youth under age 18 o disallows e-cigarettes and other unregulated nicotine delivery products to be used in public places and anywhere
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that regular cigarettes are prohibited o prohibits free or heavily discounted e-cigarettes and other unregulated nicotine delivery products
I consider messy hair, especially the "cow-lick" on the top corner of my head to be my signature trademark! Blue shirt - probably. Neat hair - no chance. -----Original Appointment----From: Bridget Vandeventer Sent: Tuesday, May 10, 2011 1:33 PM To: Frank Dibiase Subject: Practice/warm up session for King 5 interview When: Wednesday, May 11, 2011 8:30 AM-9:00 AM (GMT-08:00) Pacific Time (US & Canada). Where: Frank's office
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From: To: Date: Subject: Perrrfect!
Frank Dibiase Bridget Vandeventer 5/10/2011 8:09:22 PM RE: Practice/warm up session for King 5 interview
_____________________________________________ From: Bridget Vandeventer Sent: Tuesday, May 10, 2011 5:03 PM To: Frank Dibiase Subject: RE: Practice/warm up session for King 5 interview
Oh dear, don't do that. 30 minutes in the morning should be fine. You know this stuff. And if you look bad, you get to blame me.
Ok, you're allowed goofy hair. So here are the key messages, and I've started working up some sound bites for you from the Op-Ed, etc. I'm running out of time and have to race home for an appt, so we might need to do some of this together in the morning. We know she will have just been coming from the Vaporium, so we can imagine what some of the questions will be. Thanks for doing this! Sound bites: * Our role at the health department is to safeguard the health of the residents of Pierce County. * For decades, tobacco companies hid the harmful effects of cigarettes behind clever marketing. The messages we're
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hearing from e-cigarette retailers and manufacturers sounds eerily similar, so we feel it's best to protect the people of Pierce County unless the e-cigarette companies can prove to us that they are safe. We still haven't seen the proof that they don't harm people. * They are telling people that e-cigarettes help you quit smoking, but no one seems to have any evidence to prove this. Key Messages: * The Tacoma-Pierce County Health Department is tasked with safeguarding and enhancing the health of the communities of Pierce County. As part of its mission, the Health Department tackles emerging health risks through policy, programs and treatment in order to protect public health. * At the June 1, 2011 Board of Health meeting, the Board of Health may vote on two pieces of regulation. Both regulations relate to the Health Department's ongoing work to protect the people of Pierce County from risks associated with tobacco use. * Environmental Health Code, Chapter 8: Smoking in Public Places. - This local regulation provides greater clarity and interpretation of RCW 70.160, Washington State's Smoking in Public Places law, and allows for local enforcement including fees and fines. - This regulation aids local businesses that wish to comply with the State law. - Adopting a local regulation facilitates compliance of the state code and keeps enforcement monies in Pierce County to better serve the residents here. - This regulation further protects the people of Pierce County from the harmful effects of secondhand smoke. * Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devices and Unregulated Nicotine Delivery Products. - Currently, e-cigarettes are unregulated in the United States. They contain varying levels of nicotine and other known carcinogens and toxic chemicals. * The FDA recently (4/27/11) announced that it intends to regulate e-cigarettes as a tobacco product and not an approved cessation aid. - Often marketed as cessation aids, e-cigarettes have not been proven to successfully help people quit smoking. - There is no conclusive analysis of the health risks that exist from secondhand vapor from e-cigarettes, so we cannot be assured that they do not pose a secondhand risk. - The proposed regulation does the following: o prohibits smoking and purchase of e-cigarettes and other unregulated nicotine delivery products by youth under age 18 o disallows e-cigarettes and other unregulated nicotine delivery products to be used in public places and anywhere that regular cigarettes are prohibited o prohibits free or heavily discounted e-cigarettes and other unregulated nicotine delivery products
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Frank Dibiase Bridget Vandeventer 5/10/2011 8:02:06 PM RE: Practice/warm up session for King 5 interview
Ok, you're allowed goofy hair. So here are the key messages, and I've started working up some sound bites for you from the Op-Ed, etc. I'm running out of time and have to race home for an appt, so we might need to do some of this together in the morning. We know she will have just been coming from the Vaporium, so we can imagine what some of the questions will be. Thanks for doing this! Sound bites: * Our role at the health department is to safeguard the health of the residents of Pierce County. * For decades, tobacco companies hid the harmful effects of cigarettes behind clever marketing. The messages we're hearing from e-cigarette retailers and manufacturers sounds eerily similar, so we feel it's best to protect the people of Pierce County unless the e-cigarette companies can prove to us that they are safe. We still haven't seen the proof that they don't harm people. * They are telling people that e-cigarettes help you quit smoking, but no one seems to have any evidence to prove this. Key Messages: * The Tacoma-Pierce County Health Department is tasked with safeguarding and enhancing the health of the communities of Pierce County. As part of its mission, the Health Department tackles emerging health risks through policy, programs and treatment in order to protect public health. * At the June 1, 2011 Board of Health meeting, the Board of Health may vote on two pieces of regulation. Both regulations relate to the Health Department's ongoing work to protect the people of Pierce County from risks associated with tobacco use. * Environmental Health Code, Chapter 8: Smoking in Public Places. - This local regulation provides greater clarity and interpretation of RCW 70.160, Washington State's Smoking in Public Places law, and allows for local enforcement including fees and fines. - This regulation aids local businesses that wish to comply with the State law. - Adopting a local regulation facilitates compliance of the state code and keeps enforcement monies in Pierce County to better serve the residents here. - This regulation further protects the people of Pierce County from the harmful effects of secondhand smoke. * Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devices and Unregulated Nicotine Delivery Products. - Currently, e-cigarettes are unregulated in the United States. They contain varying levels of nicotine and other known
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carcinogens and toxic chemicals. * The FDA recently (4/27/11) announced that it intends to regulate e-cigarettes as a tobacco product and not an approved cessation aid. - Often marketed as cessation aids, e-cigarettes have not been proven to successfully help people quit smoking. - There is no conclusive analysis of the health risks that exist from secondhand vapor from e-cigarettes, so we cannot be assured that they do not pose a secondhand risk. - The proposed regulation does the following: o prohibits smoking and purchase of e-cigarettes and other unregulated nicotine delivery products by youth under age 18 o disallows e-cigarettes and other unregulated nicotine delivery products to be used in public places and anywhere that regular cigarettes are prohibited o prohibits free or heavily discounted e-cigarettes and other unregulated nicotine delivery products
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Bridget Vandeventer 'Kim Bradford' 5/10/2011 5:07:34 PM RE: Tacoma-Pierce County Health Director Op-Ed submission
Well I was hoping you wouldnt notice that. J Ill take the first stab. Stay tuned.
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org From: Kim Bradford [mailto:kim.bradford@thenewstribune.com] Sent: Tuesday, May 10, 2011 2:25 PM To: Bridget Vandeventer Subject: Re: Tacoma-Pierce County Health Director Op-Ed submission
Bridget, I hit send before opening the attachment. It is longer than we usually allow for op-eds. Its at 770 words now, and we need to get it down closer to 650. Do you want to take a stab at paring it or would you rather we did the work? Kim
On 5/10/11 2:03 PM, "Bridget Vandeventer" <BVandeventer@tpchd.org> wrote:
Thank you!
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org <mailto:bvandeventer@tpchd.org> | news@tpchd.org <mailto:news@tpchd.org>
From: Kim Bradford [mailto:kim.bradford@thenewstribune.com] Sent: Tuesday, May 10, 2011 2:22 PM To: Bridget Vandeventer Subject: Re: Tacoma-Pierce County Health Director Op-Ed submission
Thanks, Bridget. Ive forwarded the op-ed to Cheryl Tucker, who edits submissions for publication. You may receive a release form from her. Kim Bradford
On 5/10/11 2:00 PM, "Bridget Vandeventer" <BVandeventer@tpchd.org> wrote: Hello Kim, Thanks again for taking my call last Thursday and for your thoughtful work on the editorial that ran Friday. As we get closer to the next phase in our public process for the proposed tobacco regulation, we do wish to contribute and op-ed from Dr. Anthony Chen on the issue of e-cigarettes. Please see the attached piece by him. I know its a busy news week and anticipate you have a full schedule already, but hopefully there is space for this sometime in the next week or so. Let me know if you have any questions. Thanks again, Bridget Vandeventer
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Page 2 Bridget Vandeventer Communications and Community Relations Manager Tacoma-Pierce County Health Department 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org <mailto:bvandeventer@tpchd.org> | news@tpchd.org <mailto:news@tpchd.org>
************************************************************************************* This e-mail and any attachments may contain confidential and privileged information. It has been scanned for viruses. If you are not the intended recipient, please notify the sender immediately by return e-mail, delete this e-mail and destroy any copies. **************************************************************************************
--
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Bridget Vandeventer 'Kim Bradford' 5/10/2011 5:32:22 PM RE: Tacoma-Pierce County Health Director Op-Ed submission Op Ed Tobacco Regs_Anthony Chen_V2.doc
Kim, The attached copy is down to 650 words not including the headline and byline. I hope this will work Thanks again, Bridget
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org From: Bridget Vandeventer Sent: Tuesday, May 10, 2011 2:08 PM To: 'Kim Bradford' Subject: RE: Tacoma-Pierce County Health Director Op-Ed submission
Thank you!
From: Kim Bradford [mailto:kim.bradford@thenewstribune.com] Sent: Tuesday, May 10, 2011 2:22 PM To: Bridget Vandeventer Subject: Re: Tacoma-Pierce County Health Director Op-Ed submission 8_19_2011
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Bridget Vandeventer Communications and Community Relations Manager Tacoma-Pierce County Health Department 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org <mailto:bvandeventer@tpchd.org> | news@tpchd.org <mailto:news@tpchd.org>
--
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Thank you!
--
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Bridget,
Kim Bradford <kim.bradford@thenewstribune.com> Bridget Vandeventer 5/10/2011 5:24:50 PM Re: Tacoma-Pierce County Health Director Op-Ed submission
I hit send before opening the attachment. It is longer than we usually allow for op-eds. Its at 770 words now, and we need to get it down closer to 650. Do you want to take a stab at paring it or would you rather we did the work? Kim
Thank you!
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--
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Thanks for the extra effort. Well get back to you if we have any questions. (I checked with Cheryl and no release form is needed since Chen is considered a public official.) Kim
From: Bridget Vandeventer Sent: Tuesday, May 10, 2011 2:08 PM To: 'Kim Bradford' Subject: RE: Tacoma-Pierce County Health Director Op-Ed submission
Thank you!
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Page 2 Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org <mailto:bvandeventer@tpchd.org> | news@tpchd.org <mailto:news@tpchd.org> From: Kim Bradford [mailto:kim.bradford@thenewstribune.com] Sent: Tuesday, May 10, 2011 2:22 PM To: Bridget Vandeventer Subject: Re: Tacoma-Pierce County Health Director Op-Ed submission
--
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Hello Kim, Thanks again for taking my call last Thursday and for your thoughtful work on the editorial that ran Friday. As we get closer to the next phase in our public process for the proposed tobacco regulation, we do wish to contribute and op-ed from Dr. Anthony Chen on the issue of e-cigarettes. Please see the attached piece by him. I know its a busy news week and anticipate you have a full schedule already, but hopefully there is space for this sometime in the next week or so. Let me know if you have any questions. Thanks again, Bridget Vandeventer
--
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Bridget Vandeventer 'kim.bradford@thenewstribune.com' 5/10/2011 5:00:08 PM Tacoma-Pierce County Health Director Op-Ed submission Op Ed Tobacco Regs_Anthony Chen.doc
Hello Kim, Thanks again for taking my call last Thursday and for your thoughtful work on the editorial that ran Friday. As we get closer to the next phase in our public process for the proposed tobacco regulation, we do wish to contribute and op-ed from Dr. Anthony Chen on the issue of e-cigarettes. Please see the attached piece by him. I know its a busy news week and anticipate you have a full schedule already, but hopefully there is space for this sometime in the next week or so. Let me know if you have any questions. Thanks again, Bridget Vandeventer
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From: Steve Marek To: Laurie Jinkins Anthony Chen Date: 5/11/2011 6:27:22 PM Subject: FW: Lakewood Chamber of Commerce
fyi
From: Bridget Vandeventer Sent: Wednesday, May 11, 2011 2:17 PM To: Steve Marek; Kirsten Frandsen; Frank Dibiase Subject: Lakewood Chamber of Commerce
Lakewood Chamber of Commerce came out on their Facebook page against the e-cigarette regulation. See below.
Lakewood Chamber of Commerce We stand with - and beside Kim Thompson, The Vaporium in her fight with the Tacoma-Pierce County Health Department's odious attack on e-cigarettes. They have no evidence of health risks to others, and yet continue to beat a soundless drum. At what point do we close enough tax paying businesses that we can finally not fund government programs like this? Your thoughts?
Tacoma-Pierce County health officials take hard look at electronic cigarettes www.thenewstribune.com If you fire up a battery-powered cigarette in public, are you harming yourself and others? Or are you exercising your right to use an alternative to incendiary tobacco that might help you kick a nasty and dangerous habit? Top of Form May 5 at 6:51pm Share
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From: Bridget Vandeventer To: Steve Marek Kirsten Frandsen Frank Dibiase Date: 5/11/2011 5:16:40 PM Subject: Lakewood Chamber of Commerce
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From: Steve Marek To: Frank Dibiase Kirsten Frandsen Date: 5/11/2011 6:35:16 PM Subject: RE:
I think the most important thing to look at is what we know the facts to be. I guess the rest would then be assumptions. We assume they dont help someone to quit smoking, we assume that they are targeting children, we assume the vapor is harmful to both the smoker and to others, we assume that others will light up when they see e-cigs used etc.
From: Frank Dibiase Sent: Wednesday, May 11, 2011 2:23 PM To: Kirsten Frandsen Cc: Steve Marek Subject:
Hi Kirsten, Steve, Laurie and I were on a conference call with Anthony this afternoon regarding the proposed Tobacco regulations. Anthony wanted to discuss communication with Board members regarding the regulations. Anthony had 2 requests for Tobacco staff: 1) Hed like staff to identify key pieces of information regarding e-cigarettes and to clarify what we know (facts) and what we dont know or where were making some assumptions. For example, Whats in the vapor? What do we know or not know? (Im having trouble coming up with other examples. Steve do you remember any of the others he mentioned or can you clafiry?)
2) Hed like to make sure the Board receives info and/or links to FDA information that clarifies what the FDA knows and is doing on this issue. He indicated he continues to get questions about this. Also, related to this, FDA has conducted analyses of the vapor and e-cigarette liquid, is the actual data of what they found available. He has been unable to find this information. I dont think staff need to spend a ton of time on this, but he was pretty specific about wanting this done. We can discuss more if you want. Thanks.
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From: Anthony Chen To: Steve Marek Laurie Jinkins Bridget Vandeventer Date: 5/11/2011 10:31:38 PM Subject: Re: Lakewood Chamber of Commerce
Any response necessary? AC
From: Steve Marek Sent: Wednesday, May 11, 2011 03:27 PM To: Laurie Jinkins; Anthony Chen Subject: FW: Lakewood Chamber of Commerce
fyi
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From: Kirsten Frandsen To: Bridget Vandeventer Steve Marek Frank Dibiase Date: 5/11/2011 7:43:50 PM Subject: RE: Lakewood Chamber of Commerce
Disturbing.
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From: Laurie Jinkins To: Anthony Chen Steve Marek Bridget Vandeventer Date: 5/11/2011 10:39:56 PM Subject: Re: Lakewood Chamber of Commerce
The only thing I'd consider is perhaps a letter or e-mail offering to meet with them at some point and discuss the health concerns since we didn't get the chance to talk to them about it before they developed their position. That's probably a little snarky.
From: Anthony Chen Sent: Wednesday, May 11, 2011 07:31 PM To: Steve Marek; Laurie Jinkins; Bridget Vandeventer Subject: Re: Lakewood Chamber of Commerce

fyi
Bridget Vandeventer Communications and Community Relations Manager Tacoma-Pierce County Health Department 8_19_2011
Page 2 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org
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From: Steve Marek To: Bridget Vandeventer Kirsten Frandsen Frank Dibiase Date: 5/11/2011 6:26:58 PM Subject: RE: Lakewood Chamber of Commerce
Seems a little harsh! I will forward to AC and LJ.
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From: Bruce Rytkonen To: Kirsten Frandsen Tutrecia Giles Date: 5/11/2011 2:37:38 PM Subject: RE: Letter to DOH
Im working on a draft right now.
From: Kirsten Frandsen Sent: Wednesday, May 11, 2011 11:37 AM To: Tutrecia Giles; Bruce Rytkonen Subject: RE: Letter to DOH
ThanksIf we could get this out today, that would be appreciated. Thanks, Kirsten
From: Tutrecia Giles Sent: Wednesday, May 11, 2011 10:10 AM To: Bruce Rytkonen Cc: Kirsten Frandsen Subject: Letter to DOH
Hello Bruce, Thanks for writing the letter to DOH requesting Mary Selecky or Dr. Haynes. Key components to include, per Kirsten: 1. Requesting a DOH representative to attend the May 18th BOH meeting to speak to the safety and stats as it relates to e-cigs 2. Recap what were doing (i.e. overview of regs) 3. TPCHDs concern about the effect that e-cigs being smoked in public places will have on social acceptability (Adults and children) 4. The effect on the overall smoking rate, it would jump back up due to the social triggers presented by allowing e-cigs to be smoke in public places 5. It would be a defeat of the considerable resources and effort of the past 10+ years by the Tobacco Prevention and Control 6. Possible split vote of the BOH 7. Letter to be set to Paul and Frances 8. Requesting Mary S. and Maxine H., but in lieu of their attendance ,would welcome whomever Paul or Frances believe is appropriate
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From: Kirsten Frandsen To: Tutrecia Giles Bruce Rytkonen Date: 5/11/2011 2:36:44 PM Subject: RE: Letter to DOH
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Excellent- thanks!
From: Bruce Rytkonen Sent: Wednesday, May 11, 2011 11:38 AM To: Kirsten Frandsen; Tutrecia Giles Subject: RE: Letter to DOH
Kirsten Frandsen Bruce Rytkonen 5/11/2011 2:40:10 PM RE: Letter to DOH
Im working on a draft right now.

From: Kirsten Frandsen Sent: Wednesday, May 11, 2011 11:37 AM To: Tutrecia Giles; Bruce Rytkonen Subject: RE: Letter to DOH
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Bruce Rytkonen Kirsten Frandsen 5/11/2011 1:15:44 PM RE: Op Ed in the TNT
I dont think that Dr. Chens op ed made it into Wednesdays paper. Do you have copy of his submission to the News Tribune so that some of the docs that Tutrecia and I are working can be consistent with what Dr. Chen is saying?
From: Kirsten Frandsen Sent: Tuesday, May 10, 2011 3:33 PM To: Tobacco PC; PAN Subject: Op Ed in the TNT
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I didnt see it either- maybe tomorrow? Ill send the op-ed in a moment. Thanks, Kirsten
From: Bruce Rytkonen Sent: Wednesday, May 11, 2011 10:16 AM To: Kirsten Frandsen Cc: Tutrecia Giles Subject: RE: Op Ed in the TNT
Kirsten Frandsen Bruce Rytkonen 5/11/2011 2:37:12 PM RE: Op Ed in the TNT
I dont think that Dr. Chens op ed made it into Wednesdays paper. Do you have copy of his submission to the News Tribune so that some of the docs that Tutrecia and I are working can be consistent with what Dr. Chen is saying?
From: Kirsten Frandsen Sent: Tuesday, May 10, 2011 3:33 PM To: Tobacco PC; PAN Subject: Op Ed in the TNT
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From: Kirsten Frandsen To: Frank Dibiase Bridget Vandeventer Date: 5/11/2011 2:41:46 PM Subject: RE: smoking regs
ThanksFrom: Frank Dibiase Sent: Wednesday, May 11, 2011 10:41 AM To: Kirsten Frandsen; Bridget Vandeventer Subject: FW: smoking regs
FYI
From: Steve Marek Sent: Wednesday, May 11, 2011 10:40 AM To: Rachel Knight; Frank Dibiase Subject: RE: smoking regs
Thanks for the heads up.

From: Rachel Knight Sent: Wednesday, May 11, 2011 10:02 AM To: Steve Marek; Frank Dibiase Subject: smoking regs
I just finished a meeting with City of Tacoma regarding the food carts downtown. Marty Campbell city council member asked about e-cigarettes because there was an article and he has received multiple complaints (5) about having more regulations. I let him know that we do have some regulations that are in the works and they are on our webpage. I told him I would send the link so he could take a look since we are looking for feedback. Thank you, Rachel Knight
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From: Bruce Rytkonen To: Kirsten Frandsen Tutrecia Giles Date: 5/11/2011 3:32:36 PM Subject: Regs Ltr DOH May 11.docx Attachments: Regs Ltr DOH May 11.docx
Okay..heres a draft of the DOH letter. Theres two versions. The first version includes the content/outline of the letter that was (I believe) discussed between you two on Tuesday. The second version is the letter without the content/outline.
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From: Bridget Vandeventer To: Laurie Jinkins Anthony Chen Steve Marek Date: 5/12/2011 12:50:56 PM Subject: Anthony Op-Ed running tomorrow Attachments: Op Ed Tobacco Regs_Anthony Chen_V2.doc
Hi All, I just heard from the Tribune staff that Anthonys op-ed will run tomorrow. Im pleased with the timing; it gives our perspective a few days to sit out there before next weeks activities. We also then pick up on some of the ideas in the op-ed with the KING 5 piece that will run on Monday morning. Attached is the final version that will run. We had to cut about 100 words out, so there are some minor changes from the last version most of you saw. Let me know if you have any questions. Bridget
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From: Bridget Vandeventer To: 'LMB@mcgavick.com' 'Gregory Jacoby' Date: 5/12/2011 12:58:18 PM Subject: FW: Anthony Op-Ed running tomorrow Attachments: Op Ed Tobacco Regs_Anthony Chen_V2.doc
Hi Lori and Greg, See below and attached for an update on the op-ed. Thanks! Bridget
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org From: Bridget Vandeventer Sent: Thursday, May 12, 2011 9:51 AM To: Laurie Jinkins; Anthony Chen; Steve Marek Cc: Frank Dibiase; Kirsten Frandsen; Madigan Resident Subject: Anthony Op-Ed running tomorrow
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From: Kirsten Frandsen To: PAN Tobacco PC Date: 5/12/2011 2:48:08 PM Subject: FW: Anthony Op-Ed running tomorrow Attachments: Op Ed Tobacco Regs_Anthony Chen_V2.doc
Hi all, Just an fyi. The op-ed on the Tobacco Regs that I mentioned previously will be coming out tomorrow. The op-ed is attached for your reading pleasure. Thanks, Kirsten
From: Bridget Vandeventer Sent: Thursday, May 12, 2011 9:51 AM To: Laurie Jinkins; Anthony Chen; Steve Marek Cc: Frank Dibiase; Kirsten Frandsen; Madigan Resident Subject: Anthony Op-Ed running tomorrow
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Tawana Bellamy Tutrecia Giles 5/12/2011 6:24:04 PM FW: Comment posted from the Internet site
-----Original Message----From: Leslie Swalley [mailto:lswalle@co.pierce.wa.us] Sent: Thursday, May 12, 2011 3:20 PM To: Tawana Bellamy; Anthony Chen Cc: Dick Muri Subject: FW: Comment posted from the Internet site Please add to public record, thank you. Leslie Swalley Council Assistant to Dick Muri Pierce County Council District 6 253.798.3308
-----Original Message----From: Tim Farrell Sent: Thursday, May 12, 2011 3:17 PM To: Leslie Swalley Subject: FW: Comment posted from the Internet site
-----Original Message----From: Michael J. Day [mailto: Sent: Thursday, May 05, 2011 3:20 PM To: Tim Farrell Cc: Whitney Rhodes Subject: Comment posted from the Internet site Regarding a News Tribune article today concerning E-cigarettes. I would hope that the County would not do anything to discourage these alternatives to smoking regular cigarettes at this time. The new product seems an improvement over regular cigs.
Name: Michael J. Day Address: Tacoma, WA 98406 Phone: Email:

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Bruce Rytkonen Tutrecia Giles 5/12/2011 1:30:56 PM FW: E-cig Info Darcy.docx E-cig Info Darcy.docx
TutreciaI was able to make contact with the Washington State School Directors Association and they did send out recently to all of school boards in the state an update to their Policy No. 4215.Use of Tobacco and Nicotine Substances. Several districts have modified their tobacco policy in response to 4215. And the language in quotes in the last paragraph of my talking points for Darcy are correct. So I think that my note in [brackets] can be deleted from what you (or Kirsten) forward to Darcy.
From: Bruce Rytkonen Sent: Thursday, May 12, 2011 8:24 AM To: Tutrecia Giles Cc: Kirsten Frandsen Subject: E-cig Info Darcy.docx
Tutreciaheres a list of talking points that I believe Darcy from the Y could consider using for comments that she wants to make at either the public meeting or at the BOH meeting. There is a little redundancy but this will give Darcy the opportunity to choose the wording that she most likes.
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From: Steve Marek To: Frank Dibiase Kirsten Frandsen Date: 5/12/2011 9:14:14 AM Subject: FW: Lakewood Chamber of Commerce
fyi
From: Laurie Jinkins Sent: Wednesday, May 11, 2011 7:40 PM To: Anthony Chen; Steve Marek; Bridget Vandeventer Subject: Re: Lakewood Chamber of Commerce
The only thing I'd consider is perhaps a letter or e-mail offering to meet with them at some point and discuss the health concerns since we didn't get the chance to talk to them about it before they developed their position. That's probably a little snarky.
From: Anthony Chen Sent: Wednesday, May 11, 2011 07:31 PM To: Steve Marek; Laurie Jinkins; Bridget Vandeventer Subject: Re: Lakewood Chamber of Commerce

fyi
Tacoma-Pierce County health officials take hard look at electronic cigarettes www.thenewstribune.com If you fire up a battery-powered cigarette in public, are you harming yourself and others? Or are you exercising your right to use an alternative to incendiary tobacco that might help you kick a nasty and dangerous habit? Top of Form May 5 at 6:51pm Share 8_19_2011
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From: Kirsten Frandsen To: Steve Marek Frank Dibiase Date: 5/12/2011 5:28:14 PM Subject: Implementation of SIPP and E-Cigs
Hi, I feel that we need to start thinking of implementation of SIPP and E-Cigs. I had a conversation with Bruce about this today. Were going to meet with King County to discuss their implementation system but I think we need some help from our colleagues such as John Sherman et al, that has experience with regs/enforcement. I wanted to give you a heads up that Bruce is having resistance to wanting to work with John and friends- he feels that their systems may be too cumbersome, time consuming and not applicable to our situation. He really does not want to have EH enforcement involved. I disagree but wanted to check with you. I stressed to Bruce that we need good systems in place and need consistency in enforcement across programs. Always better to be more strict/conservative and back off if not needed. As an aside, hes feeling some stress around the issue- feeling that 30 hours is not enough time to get everything done. I told him again that I wanted to back off on the courtesy education visits but again, he is resistant to this. Would appreciate your back up here and would like to have some resolve on this issue esp as it pertains to FC&S role. I would like to start a small implementation team for these regs to include Bruce, myself, and EH regulator and anyone else you feel would be good to include. I would appreciate your perspective on this. A couple of quick questions: 1. If the policies are passed, would they be effective immediately or will there be a lag period? 2. When would you like for an implementation plan to be in place? Can we discuss at tomorrows meeting or can we have a short, separate 30 minute meeting to discuss? Thanks!
Kirsten Frandsen Tacoma-Pierce County Health Department Program Coordinator: Physical Activity, Nutrition, and Tobacco 253.798.3540 kfrandsen@tpchd.org
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Frank Dibiase Kirsten Frandsen 5/12/2011 5:57:14 PM RE:
Thanks Kirsten. Thanks for tracking and jumping on the FDA info before it went to Board members.
From: Kirsten Frandsen Sent: Thursday, May 12, 2011 1:43 PM To: Frank Dibiase Cc: Steve Marek Subject: RE:
Yes- Monday works for getting the comparison of fact v. assumption. Also, BOH packets went out this morning. I checked the materials with Tawana to review the strength of the FDA piece on our fact sheet on e-cigs per your conversation with Dr. Chen yesterday afternoon. It was too late to make substantive changes but I think that the paragraph that we had on e-cigs and the FDA was good- talked about the chemicals and concern over safety. However; I was able to modify the document to include the FDA ecig website link in a very visible manner so that the Board could go to that site for reference. As an aside, I believe that we did send the FDA e-cig link in the previous materials that we emailed the BOH. Thanks- Kirsten
From: Frank Dibiase Sent: Thursday, May 12, 2011 12:47 PM To: Kirsten Frandsen Cc: Steve Marek Subject: RE:
Is Monday possible?
From: Kirsten Frandsen Sent: Thursday, May 12, 2011 5:27 AM To: Steve Marek; Frank Dibiase Subject: RE: Sounds good- we've already got something like this started. When would you like this by? Thanks, KIrsten From: Steve Marek Sent: Wednesday, May 11, 2011 3:35 PM To: Frank Dibiase; Kirsten Frandsen Subject: RE:
From: Frank Dibiase Sent: Wednesday, May 11, 2011 2:23 PM To: Kirsten Frandsen Cc: Steve Marek 8_19_2011
Page 2 Subject:
8_19_2011
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Is Monday possible?
From: Kirsten Frandsen Sent: Thursday, May 12, 2011 5:27 AM To: Steve Marek; Frank Dibiase Subject: RE:
Frank Dibiase Kirsten Frandsen 5/12/2011 3:47:14 PM RE:
Sounds good- we've already got something like this started. When would you like this by? Thanks, KIrsten From: Steve Marek Sent: Wednesday, May 11, 2011 3:35 PM To: Frank Dibiase; Kirsten Frandsen Subject: RE:
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Kirsten Frandsen Frank Dibiase 5/12/2011 4:42:44 PM RE:
Yes- Monday works for getting the comparison of fact v. assumption. Also, BOH packets went out this morning. I checked the materials with Tawana to review the strength of the FDA piece on our fact sheet on e-cigs per your conversation with Dr. Chen yesterday afternoon. It was too late to make substantive changes but I think that the paragraph that we had on e-cigs and the FDA was good- talked about the chemicals and concern over safety. However; I was able to modify the document to include the FDA ecig website link in a very visible manner so that the Board could go to that site for reference. As an aside, I believe that we did send the FDA e-cig link in the previous materials that we emailed the BOH. Thanks- Kirsten
From: Frank Dibiase Sent: Thursday, May 12, 2011 12:47 PM To: Kirsten Frandsen Cc: Steve Marek Subject: RE:
Is Monday possible?
From: Kirsten Frandsen Sent: Thursday, May 12, 2011 5:27 AM To: Steve Marek; Frank Dibiase Subject: RE: Sounds good- we've already got something like this started. When would you like this by? Thanks, KIrsten From: Steve Marek Sent: Wednesday, May 11, 2011 3:35 PM To: Frank Dibiase; Kirsten Frandsen Subject: RE:
Hi Kirsten, Steve, Laurie and I were on a conference call with Anthony this afternoon regarding the proposed Tobacco regulations. Anthony wanted to discuss communication with Board members regarding the regulations. Anthony had 2 requests for Tobacco staff:
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1)
Hed like staff to identify key pieces of information regarding e-cigarettes and to clarify what we know (facts) and what we dont know or where were making some assumptions. For example, Whats in the vapor? What do we know or not know? (Im having trouble coming up with other examples. Steve do you remember any of the others he mentioned or can you clafiry?)
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From: Kirsten Frandsen To: Steve Marek Frank Dibiase Date: 5/12/2011 8:27:24 AM Subject: RE:
Sounds good- we've already got something like this started. When would you like this by? Thanks, KIrsten From: Steve Marek Sent: Wednesday, May 11, 2011 3:35 PM To: Frank Dibiase; Kirsten Frandsen Subject: RE:
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From: Frank Dibiase To: Kirsten Frandsen Steve Marek Date: 5/12/2011 5:51:02 PM Subject: RE: Implementation of SIPP and E-Cigs
I think we should try to include this discussion in tomorrows after meeting. If time doesnt allow lets reschedule. When I was supervising Tobacco, Bruce worked closely with John and Rachel (then lead for Code Enforcement). The intent was to put in place a Tobacco code enforcement process which was consistent with other areas of EH code enforcement. This was largely prompted by some pretty obvious shortcomings in the Tobacco code enforcement process which were quickly identified once we began to discuss enforcement against El Gauchos. These shortcomings were not related to Bruces activities but more along the lines of little to no record keeping, inconsistencies around implementation, lack of an overarching plan, etc,. I believe some of Bruces resistance may in part be due to a belief that he seems to think that other EH code enforcement processes do not work for Tobacco. Complete consistency across for EH is not necessary but consistency in how we approach code enforcement is a key part of being able to withstand legal challenges. Lastly, I think we should, at some point, consider involving food inspectors with some aspect of Tobacco code enforcement, but I dont think now is the time. I think Rachel has her hands pretty full with other more pressing issues in food. Thanks.
From: Kirsten Frandsen Sent: Thursday, May 12, 2011 2:28 PM To: Steve Marek; Frank Dibiase Subject: Implementation of SIPP and E-Cigs
Hi, I feel that we need to start thinking of implementation of SIPP and E-Cigs. I had a conversation with Bruce about this today. Were going to meet with King County to discuss their implementation system but I think we need some help from our colleagues such as John Sherman et al, that has experience with regs/enforcement. I wanted to give you a heads up that Bruce is having resistance to wanting to work with John and friends- he feels that their systems may be too cumbersome, time consuming and not applicable to our situation. He really does not want to have EH enforcement involved. I disagree but wanted to check with you. I stressed to Bruce that we need good systems in place and need consistency in enforcement across programs. Always better to be more strict/conservative and back off if not needed. As an aside, hes feeling some stress around the issue- feeling that 30 hours is not enough time to get everything done. I told him again that I wanted to back off on the courtesy education visits but again, he is resistant to this. Would appreciate your back up here and would like to have some resolve on this issue esp as it pertains to FC&S role. I would like to start a small implementation team for these regs to include Bruce, myself, and EH regulator and anyone else you feel would be good to include. I would appreciate your perspective on this. A couple of quick questions: 1. If the policies are passed, would they be effective immediately or will there be a lag period? 2. When would you like for an implementation plan to be in place? Can we discuss at tomorrows meeting or can we have a short, separate 30 minute meeting to discuss?
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Thanks!
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From: Kirsten Frandsen To: Steve Marek Frank Dibiase Date: 5/12/2011 5:48:52 PM Subject: RE: Implementation of SIPP and E-Cigs
Sounds good- thanks, Kirsten
From: Steve Marek Sent: Thursday, May 12, 2011 2:46 PM To: Kirsten Frandsen; Frank Dibiase Subject: RE: Implementation of SIPP and E-Cigs
Lets discuss tomorrow a.m.

8_19_2011
Page 1
From: Kirsten Frandsen To: Frank Dibiase Steve Marek Date: 5/12/2011 6:38:38 PM Subject: RE: Implementation of SIPP and E-Cigs
Thanks for the info and all sounds good- thanks, Kirsten
From: Frank Dibiase Sent: Thursday, May 12, 2011 2:51 PM To: Kirsten Frandsen; Steve Marek Subject: RE: Implementation of SIPP and E-Cigs
I think we should try to include this discussion in tomorrows after meeting. If time doesnt allow lets reschedule. When I was supervising Tobacco, Bruce worked closely with John and Rachel (then lead for Code Enforcement). The intent was to put in place a Tobacco code enforcement process which was consistent with other areas of EH code enforcement. This was largely prompted by some pretty obvious shortcomings in the Tobacco code enforcement process which were quickly identified once we began to discuss enforcement against El Gauchos. These shortcomings were not related to Bruces activities but more along the lines of little to no record keeping, inconsistencies around implementation, lack of an overarching plan, etc,. I believe some of Bruces resistance may in part be due to a belief that he seems to think that other EH code enforcement processes do not work for Tobacco. Complete consistency across for EH is not necessary but consistency in how we approach code enforcement is a key part of being able to withstand legal challenges. Lastly, I think we should, at some point, consider involving food inspectors with some aspect of Tobacco code enforcement, but I dont think now is the time. I think Rachel has her hands pretty full with other more pressing issues in food. Thanks.
Hi, I feel that we need to start thinking of implementation of SIPP and E-Cigs. I had a conversation with Bruce about this today. Were going to meet with King County to discuss their implementation system but I think we need some help from our colleagues such as John Sherman et al, that has experience with regs/enforcement. I wanted to give you a heads up that Bruce is having resistance to wanting to work with John and friends- he feels that their systems may be too cumbersome, time consuming and not applicable to our situation. He really does not want to have EH enforcement involved. I disagree but wanted to check with you. I stressed to Bruce that we need good systems in place and need consistency in enforcement across programs. Always better to be more strict/conservative and back off if not needed. As an aside, hes feeling some stress around the issue- feeling that 30 hours is not enough time to get everything done. I told him again that I wanted to back off on the courtesy education visits but again, he is resistant to this. Would appreciate your back up here and would like to have some resolve on this issue esp as it pertains to FC&S role. I would like to start a small implementation team for these regs to include Bruce, myself, and EH regulator and anyone else you feel would be good to include. I would appreciate your perspective on this.
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A couple of quick questions: 1. If the policies are passed, would they be effective immediately or will there be a lag period? 2. When would you like for an implementation plan to be in place? Can we discuss at tomorrows meeting or can we have a short, separate 30 minute meeting to discuss? Thanks!
8_19_2011
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From: Steve Marek To: Kirsten Frandsen Frank Dibiase Date: 5/12/2011 5:45:46 PM Subject: RE: Implementation of SIPP and E-Cigs
Lets discuss tomorrow a.m.
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Bridget Vandeventer 'tacoma@komocommunities.com' 5/12/2011 2:57:54 PM RE: SB 5005 signed into law today
Hi Halley, Ok, two three J sentences on tobacco regulations. We are proposing two pieces of regulation; one a local version of the sm week so I want to make sure you have the information and access you need. You can read more here.
With regards to immunization exemptions: In Pierce County schools (public and private), the current exemption rate is 4.74%. This is up from 4.60% last year. The stat For vaccine preventable diseases, we have relatively low rates here in Pierce County. This is good it means that vaccines This chart shows the cases of vaccine preventable diseases for 2010, and compared to 2009.
Vaccine Preventable Disease Measles Mumps Rubella Pertussis 2010 0 3 0 87 2009 0 2 0 31
Let me know if you want to talk to someone about this and when would be a good time. Thanks! Bridget
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org From: tacoma@komocommunities.com [mailto:tacoma@komocommunities.com] Sent: Wednesday, May 11, 2011 7:01 PM To: Bridget Vandeventer Subject: Re: SB 5005 signed into law today
I totally have no clue what's happening with tobacco regs - is it something you could summarize in a sentence or two? If you th Sent from my Verizon Wireless BlackBerry
From: Bridget Vandeventer <BVandeventer@tpchd.org> Date: Wed, 11 May 2011 23:59:28 +0000 To: 'Communities, Tacoma'<tacoma@komocommunities.com> Subject: RE: SB 5005 signed into law today
Hi Halley, Sorry for my delay on this. I do have that kind of information, and am pulling that together for you. I know you have a diffe
Unrelated, I want to make sure you know about the activities next week related to the proposed tobacco regulations. Im g Thanks, Bridget
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Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org From: Communities, Tacoma [mailto:tacoma@komocommunities.com] Sent: Wednesday, May 11, 2011 8:09 AM To: Bridget Vandeventer Subject: RE: SB 5005 signed into law today
Hi Bridget - I might be interested in following up with this ... do you have any stats on non-vaccinated children + outbreak deaths in Pierce Co -Halley Griffin KOMO Communities Reporter (253) 468-4427 http://tacoma.komonews.com http://www.facebook.com/tacomakomo http://www.twitter.com/tacomakomo
-----Original Message----From: Bridget Vandeventer [mailto:BVandeventer@tpchd.org] Sent: Tue 5/10/2011 2:59 PM To: Communities, Tacoma Subject: SB 5005 signed into law today
Hello Halley, This afternoon, Governor Gregoire will sign senate bill 5005, concerning immunization exemptions. The Tacoma-Pierce County Health Depar
There are strong data linking increased levels of exemptions with increased risk of outbreaks of vaccine preventable disease. One study show
A pilot project in a Pierce County school district in 2010 showed that many exemptions are provided from convenience rather than conviction. few were adamantly opposed to vaccinating their children.
The Governor, the Senate and the House of Representatives wisely passed this bill, which should lead to higher rates of immunization, greater Please let me know if you have any questions. Thank you, Bridget Vandeventer
Bridget Vandeventer Communications and Community Relations Manager Tacoma-Pierce County Health Department 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org<mailto:bvandeventer@tpchd.org> | news@tpchd.org<mailto:news@tpchd.org>
************************************************************************************* This e-mail and any attachments may contain confidential and privileged information. It has been scanned for viruses. If you are not the int
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Great, thank you. Im sure the photo you have is the most current. Enjoy the sunny day! Bridget
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org From: Kim Bradford [mailto:kim.bradford@thenewstribune.com] Sent: Thursday, May 12, 2011 9:54 AM To: Bridget Vandeventer Subject: Re: Tacoma-Pierce County Health Director Op-Ed submission
We have a headshot from the last time he did an op-ed for us. Has he recently had a new photo taken? Were planning to run his piece tomorrow. Kim
On 5/12/11 9:31 AM, "Bridget Vandeventer" <BVandeventer@tpchd.org> wrote:
Hi Kim, I wanted to touch base with you on this. Do you guys have any questions? Do you need a headshot of Dr. Chen? Do you know what day it will run? Thanks so much. Bridget
Kim, The attached copy is down to 650 words not including the headline and byline. I hope this will work Thanks again, 8_19_2011
Page 2 Bridget
From: Bridget Vandeventer Sent: Tuesday, May 10, 2011 2:08 PM To: 'Kim Bradford' Subject: RE: Tacoma-Pierce County Health Director Op-Ed submission Well I was hoping you wouldnt notice that. J Ill take the first stab. Stay tuned.
Thank you!
On 5/10/11 2:00 PM, "Bridget Vandeventer" <BVandeventer@tpchd.org> wrote: Hello Kim, Thanks again for taking my call last Thursday and for your thoughtful work on the editorial that ran Friday. As we get closer to the next phase in our public process for the proposed tobacco regulation, we do wish to contribute and op-ed from Dr. Anthony Chen on the issue of e-cigarettes. Please see the attached piece by him. I know its a busy news week and anticipate you have a full schedule already, but hopefully there is space for this sometime in the next week or so.
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Let me know if you have any questions. Thanks again, Bridget Vandeventer
--
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Great, thank you. Im sure the photo you have is the most current. Enjoy the sunny day! Bridget
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org From: Kim Bradford [mailto:kim.bradford@thenewstribune.com] Sent: Thursday, May 12, 2011 9:54 AM To: Bridget Vandeventer Subject: Re: Tacoma-Pierce County Health Director Op-Ed submission
Kim, The attached copy is down to 650 words not including the headline and byline. I hope this will work Thanks again, 8_19_2011
Page 2 Bridget
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org <mailto:bvandeventer@tpchd.org> | news@tpchd.org <mailto:news@tpchd.org> From: Bridget Vandeventer Sent: Tuesday, May 10, 2011 2:08 PM To: 'Kim Bradford' Subject: RE: Tacoma-Pierce County Health Director Op-Ed submission Well I was hoping you wouldnt notice that. J Ill take the first stab. Stay tuned.
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | news@tpchd.org From: Kim Bradford [mailto:kim.bradford@thenewstribune.com] Sent: Tuesday, May 10, 2011 2:25 PM To: Bridget Vandeventer Subject: Re: Tacoma-Pierce County Health Director Op-Ed submission
Thank you!
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org <mailto:bvandeventer@tpchd.org> | news@tpchd.org <mailto:news@tpchd.org> From: Kim Bradford [mailto:kim.bradford@thenewstribune.com] Sent: Tuesday, May 10, 2011 2:22 PM To: Bridget Vandeventer Subject: Re: Tacoma-Pierce County Health Director Op-Ed submission
On 5/10/11 2:00 PM, "Bridget Vandeventer" <BVandeventer@tpchd.org> wrote: Hello Kim, Thanks again for taking my call last Thursday and for your thoughtful work on the editorial that ran Friday. As we get closer to the next phase in our public process for the proposed tobacco regulation, we do wish to contribute and op-ed from Dr. Anthony Chen on the issue of e-cigarettes. Please see the attached piece by him. I know its a busy news week and anticipate you have a full schedule already, but hopefully there is space for this sometime in the next week or so.
8_19_2011
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Let me know if you have any questions. Thanks again, Bridget Vandeventer
--
8_19_2011
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From: Bridget Vandeventer Sent: Tuesday, May 10, 2011 2:08 PM To: 'Kim Bradford' Subject: RE: Tacoma-Pierce County Health Director Op-Ed submission
From: Kim Bradford [mailto:kim.bradford@thenewstribune.com] Sent: Tuesday, May 10, 2011 2:25 PM 8_19_2011
Page 2 To: Bridget Vandeventer Subject: Re: Tacoma-Pierce County Health Director Op-Ed submission
Thank you!
--
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Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org <mailto:bvandeventer@tpchd.org> | news@tpchd.org <mailto:news@tpchd.org> From: Bridget Vandeventer Sent: Tuesday, May 10, 2011 2:08 PM To: 'Kim Bradford' Subject: RE: Tacoma-Pierce County Health Director Op-Ed submission Well I was hoping you wouldnt notice that. J 8_19_2011
Page 2 Ill take the first stab. Stay tuned.
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | news@tpchd.org From: Kim Bradford [mailto:kim.bradford@thenewstribune.com] Sent: Tuesday, May 10, 2011 2:25 PM To: Bridget Vandeventer Subject: Re: Tacoma-Pierce County Health Director Op-Ed submission
Thank you!
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org <mailto:bvandeventer@tpchd.org> | news@tpchd.org <mailto:news@tpchd.org> From: Kim Bradford [mailto:kim.bradford@thenewstribune.com] Sent: Tuesday, May 10, 2011 2:22 PM To: Bridget Vandeventer Subject: Re: Tacoma-Pierce County Health Director Op-Ed submission
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Kirsten,
Madigan Resident Kirsten Frandsen 5/12/2011 7:23:34 PM RE: Tobacco Harm Reduction Update (5/12/11)
The article is not from Seigel. Instead, it is a study out of Italy which looked at the quit rates after using a nicotine free device. I could not open the study in order to read it and it is not on PubMed yet. However, it seems to me that the device was regulated such that they knew there was no nicotine in the plastic devices (unlike the e-cigarettes the FDA tested). Hope this helps. Paul
From: Kirsten Frandsen Sent: Thursday, May 12, 2011 3:51 PM To: Madigan Resident Subject: FW: Tobacco Harm Reduction Update (5/12/11)
Hi Paul- please see reference to research re: e-cigs and cessation below. Can you check it out- is it the Seigel article? Thanks, Kirsten
From: Adria Moskowitz Sent: Thursday, May 12, 2011 3:45 PM To: Tobacco PC Subject: FW: Tobacco Harm Reduction Update (5/12/11)
From: Bill Godshall [mailto:smokefree@compuserve.com] Sent: Thursday, May 12, 2011 3:45 PM To: Bill Godshall Subject: Tobacco Harm Reduction Update (5/12/11)
FDA Tobacco Regulation IOM Committee on Scientific Standards for Studies on Modified Risk Tobacco Products meets in DC
http://iom.edu/Activities/PublicHealth/ModifiedRiskTobacco/2011-MAY-09/Agenda.aspx http://iom.edu/Activities/PublicHealth/ModifiedRiskTobacco/2011-MAY-09.aspx
Invited tobacco manufacturers focus on MR cigarettes; Invited anti-tobacco activists misrepresent comparable health risks of combustible versus noncombustible tobacco; Invited activists, regulators and researchers propose dozens of different studies costing tens of millions of dollars before any smokefree product could be truthfully marketed to smokers as less hazardous alternative; IOM committee didn't invite tobacco harm reduction or consumer health advocates to present. Food Drug and Law Institute article on IOM committee meeting
http://www.fdli.org//membersonly/tobacco/index.html 8_19_2011
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Smokeless Tobacco NCI funded clinical trial now studying Camel Snus for smoking cessation
http://projectreporter.nih.gov/project_info_description.cfm?aid=8023918&icde=8004341
Electronic cigarettes Study finds no-nicotine e-cigarettes helpful for smoking cessation among smokers with high behavioral dependence
http://www.medicalnewstoday.com/releases/224925.php http://erj.ersjournals.com/content/early/2011/05/12/09031936.00109610.abstract?sid=eadf9ad0-c457-41ce-a423-830a9879ef42
Argentina protects cigarette markets and threatens health of smokers and e-cigarette users by banning e-cigarettes, misrepresents scientific evidence and repeats inaccurate claims by WHO
http://www.google.com/hostednews/afp/article/ALeqM5hp-8u6CP7z_FK_VZplzqt2LPIEPQ? docId=CNG.30e357e71daa13de0e8cb2b59ccbe657.661
Hahn and Riker misrepresent health risks, scientific evidence and FDA regulation of e-cigarettes, oppose smokers switching to far less hazardous alternatives, inaccurately claim CASAA and long defunct ECA oppose smokefree workplace laws
http://www.kentucky.com/2011/05/09/1735010/e-cigs-must-be-tested-regulated.html
Cigarette markets benefit from Queensland Health (AU) campaign to prevent smokers from switching to far less hazardous e-cigarettes, seizing products and falsely claiming they are poisonous and deadly
http://www.health.qld.gov.au/news/media_releases/qhe_cigs0515.pdf http://www.youtube.com/watch?v=_HBZ1PcWlfc&amp http://www.couriermail.com.au/lifestyle/health/queensland-health-issues-a-warning-that-e-cigarettes-can-kill-you/story-e6frer7f1226051143585 http://www.andhranews.net/Health/2011/e-cigarettes-can-fatal-if-used-inappropriately-497.htm http://www.magnetictimes.com.au/article-3754.html http://www.themorningbulletin.com.au/story/2011/05/12/deadly-e-cigarettes-seized-brisbane-rockhampton/
CASSA urges Dekalb County (GA) Commissioners to delete e-cigarette usage from definition of "smoking" in smokefree workplace legislation since e-cigarettes are smokefree and pose no known health risks to users or nonusers
http://casaa.org/news/article.asp?articleID=166&l=a&p=
Adams (MA) Health Board urged to ban e-cigarette usage despite health benefits for users and no evidence of harm
http://iberkshires.com/story/38485/Adams-Board-Of-Health-Eye-E-Cigarette-Ban.html
Usage of e-cigarettes inaccurately defined as "smoking" in proposed smokefree workplace law in Deleware County (IN)
http://www.thestarpress.com/article/20110503/NEWS01/105030307/1002/Smoking-ban-hearing-set
Arkansas Health Dept. falsely claims tobacco companies make e-cigarettes, denies existance of scientific evidence on e-cigarettes http://www.todaysthv.com/news/article/156200/2/What-are-e-cigarettes Breathe New Hampshire claims e-cigarettes could be gateway for tobacco usage, despite evidence that virtually all e-cigarette users are former smokers and no evidence of e-cigarette usage prior to tobacco usage
http://www.wmur.com/health/27722039/detail.html
A Social Networking Device for E-Cigarette Users

http://www.nytimes.com/2011/05/11/technology/11smoke.html?emc=tnt&tntemail1=y http://theweek.com/article/index/215187/blu-the-cigarette-that-helps-you-social-network
NRT
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British Columbia taxpayers to subsidize costs of NRT products (that have a 95% failure rate) as Health Canada continues to ban sales of e-cigarettes and misrepresent health risks of smokeless tobacco to discourage smokers from reducing risks
http://www.theprovince.com/health/provide+free+nicotine+patches+help+smokers+kick+habit/4752790/story.html
USA Nicorette Sales: Most Nicotine Replacement Therapy Products are Imports from Overseas (2010)
http://www.suite101.com/content/usa-nicorette-sales-a208535#ixzz1M48aiBZO Tobacco Farming
VA company developing new tobacco plant for ethanol and biodiesel

http://www2.timesdispatch.com/business/2011/may/12/TDBIZ03-danville-company-proposes-new-use-for-toba-ar-1033336/
Smokefree Air California Senate approves bill (SB 332) to ban smoking in some apartment buildings
http://latimesblogs.latimes.com/california-politics/2011/05/smoking-could-be-restricted-in-apartments.html http://www.leginfo.ca.gov/pub/11-12/bill/sen/sb_0301-0350/sb_332_bill_20110503_amended_sen_v97.html
Common sense from Mike Siegel on NYC and other outdoor smoking bans
http://www.nytimes.com/2011/05/06/opinion/06siegel.html?nl=todaysheadlines&emc=tha212
ACS and Farley respond to Siegel by exaggerating health risks of brief exposure to tobacco smoke outdoors
http://www.nytimes.com/2011/05/12/opinion/l12smoke.html?_r=2
China smoking ban is all puff and no penalties

http://www.independent.co.uk/news/world/asia/china-smoking-ban-is-all-puff-and-no-penalties-2277707.html
Most smoking fines in Ohio are going unpaid

http://www.daytondailynews.com/news/dayton-news/most-smoking-fines-in-ohio-are-going-unpaid-1155232.html? cxtype=ynews_rss
Tobacco Prohibition After widespread criticism, Bhutan scaling down penalties for draconian tobacco prohibition law
http://www.kuenselonline.com/2010/modules.php?name=News&file=article&sid=19328
Islamists ban sale and use of tobacco and alcohol in Somalia districts
Cigarettes Six decades later, some tobacco companies still trying to develop less hazardous cigarette
http://www.physorg.com/news/2011-05-titanate-cigarette-filter-safer.html http://www.tcetoday.com/latest%20news/2011/april/reducing%20tobacco%20toxicants.aspx http://informahealthcare.com/doi/abs/10.3109/08958378.2010.546440 http://informahealthcare.com/doi/abs/10.3109/08958378.2010.547229 http://pubs.rsc.org/en/Content/ArticleLanding/2011/CC/c1cc10794a
Tax rise sees smoking rates among Hong Kong students fall by half
http://www.monstersandcritics.com/news/health/news/article_1635684.php/Tax-rise-sees-smoking-rates-among-Hong-Kongstudents-fall-by-half
Mike Siegel on TPSAC and its menthol cigarette report

http://healthpolicyandreform.nejm.org/?p=14231&query=home http://www.boston.com/news/health/blog/2011/05/bu_doctor_blast.html 8_19_2011
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TPSAC members Samet and Benowitz defend menthol cigarette report

http://healthpolicyandreform.nejm.org/?p=14233&query=home
Bill Godshall Executive Director Smokefree Pennsylvania 1926 Monongahela Avenue Pittsburgh, PA 15218 412-351-5880 smokefree@compuserve.com To unsubscribe from this list, please send a reply stating "unsubscribe".
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From: Bruce Rytkonen To: Kirsten Frandsen Tutrecia Giles Date: 5/13/2011 7:21:20 PM Subject: E-cig Docs
Kirsten..the documents that we used as resources for our e-cig questions are now on Sharepoint. There is one that I couldnt get transferred. Its the an article in the Lexington Herald Leader. If you Google www.Kentucky e-cigs you should get an article dated April 26. It has a picture of a man holding an e-cig. Theres another article from Argentina that you can connect with as its the second article in the ANR file in the articles section just after Dr. Chens op-ed.
PSjust to let you know..I was unfairly accused by the staff this afternoon of putting a monkey on your door. They know Im the monkey on your backbut it wasnt me. I think it was Walt.
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FYI AC
Anthony Chen Steve Marek 5/13/2011 8:10:46 PM Fw: South Tacoma Business District - Ash Butt Can Project
From: Greg Tanbara Sent: Friday, May 13, 2011 09:51 AM To: Bruce Rytkonen Cc: Anthony Chen; John Sherman Subject: South Tacoma Business District - Ash Butt Can Project
Bruce, I want to thank you and give you some great feedback I got from people at the South Tacoma Business District on work you did with them on this project. I went to the South Tacoma Business Districts Spring Social last night. I had the opportunity to visit with Karen Rich and Gloria Egan, the District Manager. As I was telling them how good the business district was looking they told me how much they appreciated the work you did with them on getting the ash butt cans installed. Karen took me outside on the street and showed me how they have been positioned along the sidewalk near Stonegate Pizza. Later during Karens remarks on behalf of the business district to the 40+ people there, she told them about the support the business district has gotten from various organizations in their efforts to make the area a better place to do business and live. She told everyone about the work the Health Department did with district on the ash butt cans. I was really flattered by the way she emphasized her appreciation for our agencys willingness to get this done. You should know that besides members of the business district, Deputy Mayor Lauren Walker and Council Member David Boe, members of Historic Tacoma, and business owners from some of the affiliated business districts in the City were there. Karen Rich is the owner of Guardian Security Group, Inc., a current board member of the South Tacoma Business District, a past president of the Cross District Association of the Neighborhood Business Districts, and a person I worked with a lot during the time I was with the City of Tacomas Economic Development Department. She is a good friend and I felt really good that you and your work was an asset in something that means a lot to her. Im sending a copy of this to Dr. Chen because this happen in such a timely manner with regard his editorial that appeared in the TNT this morning. FYI - I ended up in a lengthy conversation on the subject of e-cigarettes last night at the social. Thanks for what you are doing. Gregory M. Tanbara Brownfields Coordinator (253) 798-4784 or gtanbara@tpchd.org
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Bruce Rytkonen Kirsten Frandsen 5/13/2011 1:34:00 PM FW: South Tacoma Business District - Ash Butt Can Project
Heres one outcome from Business Education Kit type of work. J

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From: Kirsten Frandsen To: Bridget Vandeventer Frank Dibiase Steve Marek Date: 5/13/2011 9:02:12 AM Subject: Op Ed
Theres been a couple of blog responses to Dr. Chens op-ed this am. One from someone who is advertising where to get free samples of product using your zip code and one stating that he doesnt want to buy e-cigs until theres better safety data. Maybe this is a good sign . Thanks, Kirsten
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From: Kirsten Frandsen To: Bruce Rytkonen Tutrecia Giles Date: 5/13/2011 8:03:14 PM Subject: RE: E-cig Docs
Thanks for all! I will check all of the stuff out. Re: the monkey. No worries- it was ME that did it. I loved the message :) Thanks again, Kirsten From: Bruce Rytkonen Sent: Friday, May 13, 2011 4:21 PM To: Kirsten Frandsen; Tutrecia Giles Subject: E-cig Docs
Kirsten..the documents that we used as resources for our e-cig questions are now on Sharepoint. There is one that I couldnt get transferred. Its the an article in the Lexington Herald Leader. If you Google www.Kentucky e-cigs you should get an article dated April 26. It has a picture of a man holding an e-cig. Theres another article from Argentina that you can connect with as its the second article in the ANR file in the articles section just after Dr. Chens op-ed.
PSjust to let you know..I was unfairly accused by the staff this afternoon of putting a monkey on your door. They know Im the monkey on your backbut it wasnt me. I think it was Walt.
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From: Bridget Vandeventer To: Kirsten Frandsen Frank Dibiase Steve Marek Date: 5/13/2011 10:29:42 AM Subject: RE: Op Ed
Yikes, do you see what they changed the title to? If e-cigarettes arent safe, then prove it.
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org From: Kirsten Frandsen Sent: Friday, May 13, 2011 6:02 AM To: Bridget Vandeventer; Frank Dibiase; Steve Marek Cc: Bruce Rytkonen; Tutrecia Giles; Madigan Resident Subject: Op Ed
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From: Bruce Rytkonen To: Bridget Vandeventer Kirsten Frandsen Frank Dibiase Steve Marek Date: 5/13/2011 11:18:54 AM Subject: RE: Op Ed
In my paper the title is If e-cigarettes arent harmful, then prove it.
From: Bridget Vandeventer Sent: Friday, May 13, 2011 7:30 AM To: Kirsten Frandsen; Frank Dibiase; Steve Marek Cc: Bruce Rytkonen; Tutrecia Giles; Madigan Resident Subject: RE: Op Ed
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Yup, I noticed that. Yikes is right.
From: Bridget Vandeventer Sent: Friday, May 13, 2011 7:30 AM To: Kirsten Frandsen; Frank Dibiase; Steve Marek Cc: Bruce Rytkonen; Tutrecia Giles; Madigan Resident Subject: RE: Op Ed
Kirsten Frandsen Bridget Vandeventer 5/13/2011 10:38:08 AM RE: Op Ed
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Kirsten, Sure thing. I will have a look at these articles.
Madigan Resident Kirsten Frandsen 5/13/2011 7:00:56 PM RE: Research
I met with Dr. Darby. He thinks he has patients at the time of the meeting on Wednesday, but will try and make it. Thanks! Paul From: Kirsten Frandsen Sent: Friday, May 13, 2011 11:29 AM To: Madigan Resident Subject: Research
Hi Paul, On one of the blogs that was written as a result of the op-ed article, a gentleman named Thad Marney (who we expect at the Public Meeting as he said in another place that he will be coming) has given some scientific references for e-cigarettes. Would you be able to take a look at these in prep for the public meeting? I anticipate that you may get questions about this. http://www.thenewstribune.com/2011/05/13/1663467/if-e-cigarettes-arent-harmful.html#storylink=misearch (blog by Thad Marney). Thanks, Kirsten Kirsten Frandsen Tacoma-Pierce County Health Department Program Coordinator: Physical Activity, Nutrition, and Tobacco 253.798.3540 kfrandsen@tpchd.org
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From: Anthony Chen To: Greg Tanbara Bruce Rytkonen Date: 5/13/2011 8:11:30 PM Subject: Re: South Tacoma Business District - Ash Butt Can Project
Bruce, Good work! Greg - thanks for bringing to my attention. AC
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Bruce Rytkonen Greg Tanbara 5/13/2011 1:38:10 PM RE: South Tacoma Business District - Ash Butt Can Project
Gregwell for me its very satisfying that the community is acknowledging our work. All too often the work that the Health Dept does gets characterized as something bad or negative. Im glad that you were at their Spring Social and heard Glorias appreciation first hand. And thank you for letting me know how she felt about our work.
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Kirsten Frandsen Madigan Resident 5/13/2011 8:42:36 AM RE: Tobacco Harm Reduction Update (5/12/11)
Thanks PaulFrom: Madigan Resident Sent: Thursday, May 12, 2011 4:24 PM To: Kirsten Frandsen Subject: RE: Tobacco Harm Reduction Update (5/12/11)
Kirsten, The article is not from Seigel. Instead, it is a study out of Italy which looked at the quit rates after using a nicotine free device. I could not open the study in order to read it and it is not on PubMed yet. However, it seems to me that the device was regulated such that they knew there was no nicotine in the plastic devices (unlike the e-cigarettes the FDA tested). Hope this helps. Paul
From: Kirsten Frandsen Sent: Thursday, May 12, 2011 3:51 PM To: Madigan Resident Subject: FW: Tobacco Harm Reduction Update (5/12/11)
Hi Paul- please see reference to research re: e-cigs and cessation below. Can you check it out- is it the Seigel article? Thanks, Kirsten
From: Adria Moskowitz Sent: Thursday, May 12, 2011 3:45 PM To: Tobacco PC Subject: FW: Tobacco Harm Reduction Update (5/12/11)
From: Bill Godshall [mailto:smokefree@compuserve.com] Sent: Thursday, May 12, 2011 3:45 PM To: Bill Godshall Subject: Tobacco Harm Reduction Update (5/12/11)
FDA Tobacco Regulation IOM Committee on Scientific Standards for Studies on Modified Risk Tobacco Products meets in DC
http://iom.edu/Activities/PublicHealth/ModifiedRiskTobacco/2011-MAY-09/Agenda.aspx http://iom.edu/Activities/PublicHealth/ModifiedRiskTobacco/2011-MAY-09.aspx
Invited tobacco manufacturers focus on MR cigarettes; Invited anti-tobacco activists misrepresent comparable health risks of combustible versus noncombustible tobacco; Invited activists, regulators and researchers propose dozens of different studies costing tens of millions of dollars before any smokefree product could be truthfully marketed to
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smokers as less hazardous alternative; IOM committee didn't invite tobacco harm reduction or consumer health advocates to present. Food Drug and Law Institute article on IOM committee meeting
http://www.fdli.org//membersonly/tobacco/index.html
Smokeless Tobacco NCI funded clinical trial now studying Camel Snus for smoking cessation
http://projectreporter.nih.gov/project_info_description.cfm?aid=8023918&icde=8004341
Electronic cigarettes Study finds no-nicotine e-cigarettes helpful for smoking cessation among smokers with high behavioral dependence
http://www.medicalnewstoday.com/releases/224925.php http://erj.ersjournals.com/content/early/2011/05/12/09031936.00109610.abstract?sid=eadf9ad0-c457-41ce-a423-830a9879ef42
Argentina protects cigarette markets and threatens health of smokers and e-cigarette users by banning e-cigarettes, misrepresents scientific evidence and repeats inaccurate claims by WHO
http://www.google.com/hostednews/afp/article/ALeqM5hp-8u6CP7z_FK_VZplzqt2LPIEPQ? docId=CNG.30e357e71daa13de0e8cb2b59ccbe657.661
Hahn and Riker misrepresent health risks, scientific evidence and FDA regulation of e-cigarettes, oppose smokers switching to far less hazardous alternatives, inaccurately claim CASAA and long defunct ECA oppose smokefree workplace laws
http://www.kentucky.com/2011/05/09/1735010/e-cigs-must-be-tested-regulated.html
Cigarette markets benefit from Queensland Health (AU) campaign to prevent smokers from switching to far less hazardous e-cigarettes, seizing products and falsely claiming they are poisonous and deadly
http://www.health.qld.gov.au/news/media_releases/qhe_cigs0515.pdf http://www.youtube.com/watch?v=_HBZ1PcWlfc&amp http://www.couriermail.com.au/lifestyle/health/queensland-health-issues-a-warning-that-e-cigarettes-can-kill-you/story-e6frer7f1226051143585 http://www.andhranews.net/Health/2011/e-cigarettes-can-fatal-if-used-inappropriately-497.htm http://www.magnetictimes.com.au/article-3754.html http://www.themorningbulletin.com.au/story/2011/05/12/deadly-e-cigarettes-seized-brisbane-rockhampton/
CASSA urges Dekalb County (GA) Commissioners to delete e-cigarette usage from definition of "smoking" in smokefree workplace legislation since e-cigarettes are smokefree and pose no known health risks to users or nonusers
http://casaa.org/news/article.asp?articleID=166&l=a&p=
Adams (MA) Health Board urged to ban e-cigarette usage despite health benefits for users and no evidence of harm
http://iberkshires.com/story/38485/Adams-Board-Of-Health-Eye-E-Cigarette-Ban.html
Usage of e-cigarettes inaccurately defined as "smoking" in proposed smokefree workplace law in Deleware County (IN)
http://www.thestarpress.com/article/20110503/NEWS01/105030307/1002/Smoking-ban-hearing-set
Arkansas Health Dept. falsely claims tobacco companies make e-cigarettes, denies existance of scientific evidence on e-cigarettes http://www.todaysthv.com/news/article/156200/2/What-are-e-cigarettes Breathe New Hampshire claims e-cigarettes could be gateway for tobacco usage, despite evidence that virtually all e-cigarette users are former smokers and no evidence of e-cigarette usage prior to tobacco usage
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A Social Networking Device for E-Cigarette Users

http://www.nytimes.com/2011/05/11/technology/11smoke.html?emc=tnt&tntemail1=y http://theweek.com/article/index/215187/blu-the-cigarette-that-helps-you-social-network
NRT British Columbia taxpayers to subsidize costs of NRT products (that have a 95% failure rate) as Health Canada continues to ban sales of e-cigarettes and misrepresent health risks of smokeless tobacco to discourage smokers from reducing risks
http://www.theprovince.com/health/provide+free+nicotine+patches+help+smokers+kick+habit/4752790/story.html
USA Nicorette Sales: Most Nicotine Replacement Therapy Products are Imports from Overseas (2010)
http://www.suite101.com/content/usa-nicorette-sales-a208535#ixzz1M48aiBZO Tobacco Farming
VA company developing new tobacco plant for ethanol and biodiesel

http://www2.timesdispatch.com/business/2011/may/12/TDBIZ03-danville-company-proposes-new-use-for-toba-ar-1033336/
Smokefree Air California Senate approves bill (SB 332) to ban smoking in some apartment buildings
http://latimesblogs.latimes.com/california-politics/2011/05/smoking-could-be-restricted-in-apartments.html http://www.leginfo.ca.gov/pub/11-12/bill/sen/sb_0301-0350/sb_332_bill_20110503_amended_sen_v97.html
Common sense from Mike Siegel on NYC and other outdoor smoking bans
http://www.nytimes.com/2011/05/06/opinion/06siegel.html?nl=todaysheadlines&emc=tha212
ACS and Farley respond to Siegel by exaggerating health risks of brief exposure to tobacco smoke outdoors
http://www.nytimes.com/2011/05/12/opinion/l12smoke.html?_r=2
China smoking ban is all puff and no penalties

http://www.independent.co.uk/news/world/asia/china-smoking-ban-is-all-puff-and-no-penalties-2277707.html
Most smoking fines in Ohio are going unpaid

http://www.daytondailynews.com/news/dayton-news/most-smoking-fines-in-ohio-are-going-unpaid-1155232.html? cxtype=ynews_rss
Tobacco Prohibition After widespread criticism, Bhutan scaling down penalties for draconian tobacco prohibition law
Islamists ban sale and use of tobacco and alcohol in Somalia districts
Cigarettes Six decades later, some tobacco companies still trying to develop less hazardous cigarette
http://www.physorg.com/news/2011-05-titanate-cigarette-filter-safer.html http://www.tcetoday.com/latest%20news/2011/april/reducing%20tobacco%20toxicants.aspx http://informahealthcare.com/doi/abs/10.3109/08958378.2010.546440 http://informahealthcare.com/doi/abs/10.3109/08958378.2010.547229 http://pubs.rsc.org/en/Content/ArticleLanding/2011/CC/c1cc10794a
Tax rise sees smoking rates among Hong Kong students fall by half
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Mike Siegel on TPSAC and its menthol cigarette report

http://healthpolicyandreform.nejm.org/?p=14231&query=home http://www.boston.com/news/health/blog/2011/05/bu_doctor_blast.html
TPSAC members Samet and Benowitz defend menthol cigarette report

http://healthpolicyandreform.nejm.org/?p=14233&query=home
Bill Godshall Executive Director Smokefree Pennsylvania 1926 Monongahela Avenue Pittsburgh, PA 15218 412-351-5880 smokefree@compuserve.com To unsubscribe from this list, please send a reply stating "unsubscribe".
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Hi Bridget,
Marce Edwards Olson <Marcelene.Olson@multicare.org> Bridget Vandeventer 5/13/2011 3:02:58 PM RE: TPCHD Board of Health meeting-- request for speaker
Im checking on this. Ill try to get you more information soon. Thanks.
Marce Edwards Media Relations Manager MultiCare Health System 253-403-1716 cell: 253-222-5850 Marce.Edwards@multicare.org From: Bridget Vandeventer [mailto:BVandeventer@tpchd.org] Sent: Friday, May 13, 2011 11:02 AM To: Marce Edwards Olson Subject: TPCHD Board of Health meeting-- request for speaker
Hi Marce, I just left you a voicemail about this, but wanted to follow up in writing. As you may have heard, we are proposing two pie
As part of the public process, we are discussing the matter at the Board of Health meeting on May 18. Because MultiCare h hard time getting a hold of him. Since youre the largest health provider in the area, I think it would be especially helpful t
The board is made up of Pierce county elected officials, including Pierce County Executive Pat McCarthy, Mayor Strickland,
Let me know if you have any questions, or if theres someone else you suggest I speak to. Wed love MultiCares support o Thanks, Bridget
MULTICARES SHARED VALUES | Respect | Integrity | Stewardship | Excellence | Collaboration | Kindness
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From: Kirsten Frandsen To: Limtiaco, Frances (DOH) Davis, Paul A (DOH) Date: 5/13/2011 12:07:02 PM Subject: Request for DOH Testimony at Tacoma/Pierce Board Meeting on May 18th
Frances and Paul; As discussed on the phone, the Tacoma-Pierce County Health Department will be proposing two new tobacco regulations to our Board of Health on May 18. These new regulations will deal with local adoptions of Washington States Smoking In Public Places Act RCW 70.160 and the regulation of ecigarettes and unregulated nicotine delivery products. On behalf of our Health Dept., I would like to extend an invitation for a representative from the State Department of Health to address our Board on May 18, and provide your perspective on these proposed regulations. We believe that providing information addressing issues associated with the safety of ecigarettes and other relevant statistics on the usage of e-cigarettes would be helpful and educational to the members of the Board. Heres a brief summary of each of the regulations that are being proposed: Smoking In Public Places Greater clarity and interpretation of RCW 70.160 Allows for local enforcement including fees and fines Aids local businesses that wish to comply with State law Local regulation facilitates compliance with state code Restrictions on Sale, Use and Availability of Electronic Smoking Devices and Unregulated Nicotine Delivery Products Youth less than 18 will be prohibited from buying e-cigarettes and other unregulated smoking devices. Prohibits the use of e-cigarettes in any location where smoking is presently lawfully prohibited. Prohibits providing e-cigarettes at no cost or on a heavily discounted basis. At this time we believe that the Board will strongly support the SIPP regulation. We feel though that they are evenly divided on where the usage of e-cigs should be prohibited. Our team is interested in having a representative from DOH attend the Board of Health meeting and provide testimony in support of our regulations- particularly regarding e-cigarettes. Specifically, we hope that you can speak to: Decrease in smoking rates in Washington State over the past decade- due to hard work. We must not let these numbers slip back up. Safety concerns regarding e-cigarettes Lack of evidence to support e-cigarettes as cessation aids Concern over potential for increased social acceptability or normalization of e-cigarettes which could lead to increased smoking Importance of having a local SIPP regulation that provides LHJs with enforcement authority specific to their communities Given the high stakes of the outcome of this policy for our community and for neighboring counties, our team would like to request that either Sec. Mary Selecky or Dr. Maxine Hayes address the Board. If this is not possible, we would very much appreciate having one of the State Tobacco team managers present. Additionally, a letter from DOH addressed to our Board members would be appreciated. The Board of Health meeting on the 18th begins at 3:00 pm. For more information regarding the legislation, please visit our website at: www.tpchd.org/tobaccoregs Additionally, here is a link to an article and an op-ed (written by us) on the issue: 1. http://www.thenewstribune.com/2011/05/05/1653162/apply-cigarette-ban-to8_19_2011
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vaping.html#storylink=misearch 2. http://www.thenewstribune.com/2011/05/13/1663467/if-e-cigarettes-arentharmful.html#storylink=misearch
If you have any questions on the above please do not hesitate to give me a call. Thanks again, Kirsten Frandsen
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Hi Paul,
Kirsten Frandsen Madigan Resident 5/13/2011 2:29:18 PM Research
On one of the blogs that was written as a result of the op-ed article, a gentleman named Thad Marney (who we expect at the Public Meeting as he said in another place that he will be coming) has given some scientific references for e-cigarettes. Would you be able to take a look at these in prep for the public meeting? I anticipate that you may get questions about this. http://www.thenewstribune.com/2011/05/13/1663467/if-e-cigarettes-arent-harmful.html#storylink=misearch (blog by Thad Marney). Thanks, Kirsten Kirsten Frandsen Tacoma-Pierce County Health Department Program Coordinator: Physical Activity, Nutrition, and Tobacco 253.798.3540 kfrandsen@tpchd.org
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Bruce,
Greg Tanbara Bruce Rytkonen 5/13/2011 12:51:24 PM South Tacoma Business District - Ash Butt Can Project
I want to thank you and give you some great feedback I got from people at the South Tacoma Business District on work you did with them on this project. I went to the South Tacoma Business Districts Spring Social last night. I had the opportunity to visit with Karen Rich and Gloria Egan, the District Manager. As I was telling them how good the business district was looking they told me how much they appreciated the work you did with them on getting the ash butt cans installed. Karen took me outside on the street and showed me how they have been positioned along the sidewalk near Stonegate Pizza. Later during Karens remarks on behalf of the business district to the 40+ people there, she told them about the support the business district has gotten from various organizations in their efforts to make the area a better place to do business and live. She told everyone about the work the Health Department did with district on the ash butt cans. I was really flattered by the way she emphasized her appreciation for our agencys willingness to get this done. You should know that besides members of the business district, Deputy Mayor Lauren Walker and Council Member David Boe, members of Historic Tacoma, and business owners from some of the affiliated business districts in the City were there. Karen Rich is the owner of Guardian Security Group, Inc., a current board member of the South Tacoma Business District, a past president of the Cross District Association of the Neighborhood Business Districts, and a person I worked with a lot during the time I was with the City of Tacomas Economic Development Department. She is a good friend and I felt really good that you and your work was an asset in something that means a lot to her. Im sending a copy of this to Dr. Chen because this happen in such a timely manner with regard his editorial that appeared in the TNT this morning. FYI - I ended up in a lengthy conversation on the subject of e-cigarettes last night at the social. Thanks for what you are doing. Gregory M. Tanbara Brownfields Coordinator (253) 798-4784 or gtanbara@tpchd.org
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Document Center
Document Center <sharepoint@tpchd.org> Brad Costello 5/13/2011 6:00:18 PM Tobacco Regulations
Tobacco Regulations - Weekly Summary

Modify my alert settings | View Tobacco Regulations | Mobile View Title TPCHD E-Cig regs_Final pre commu... TPCHD SIPP regs FINAL pre commun... Final notes from Board of Health... Suffolk_County_legislation.pdf E-cig article_Internal_Med.pdf Kuschner_e_cig.pdf SmokeFreeEnv-OrdinanceApril411.p... Public Comments Title Public Comments 5/11/2011 12:58 PM 5/11/2011 12:58 PM 5/11/2011 1:00 PM 5/11/2011 1:01 PM 5/11/2011 1:02 PM 5/11/2011 1:02 PM 5/11/2011 1:02 PM 5/11/2011 1:03 PM 5/11/2011 1:04 PM 5/11/2011 1:20 PM 5/11/2011 1:57 PM 5/11/2011 1:58 PM 5/11/2011 1:59 PM 5/11/2011 2:17 PM Research 5/11/2011 2:17 PM 5/11/2011 2:18 PM 5/11/2011 2:19 PM 5/11/2011 2:19 PM 5/11/2011 2:21 PM Media clips 5/11/2011 2:22 PM Bridget Vandeventer
New!
Modified 5/9/2011 9:03 AM 5/9/2011 9:03 AM 5/9/2011 9:05 AM 5/9/2011 1:25 PM 5/9/2011 3:18 PM 5/9/2011 3:19 PM 5/10/2011 1:12 PM 5/10/2011 2:58 PM
Modified by Kirsten Frandsen Kirsten Frandsen Kirsten Frandsen Madigan Resident Madigan Resident Madigan Resident Madigan Resident Adria Moskowitz
New! New! New! New! New! New! New! New!
One page summary_E-cig.docx One page summary_E-cig_BVedits.d... One page summary_SIPP.docx One page summary_SIPP_BVedits.do... Staff Report E-Cigs Final_BVedit... Staff Report E-Cigs Final.docx Staff Report E-Cigs Final_BVedit... Staff Report SIPP Final.docx Staff Report SIPP Final_BVedits.... Public Comment.docx One page summary_SIPP.docx Staff Report E-Cigs Final.docx Staff Report SIPP Final.docx Research Title
Adria Moskowitz Adria Moskowitz Adria Moskowitz Adria Moskowitz Adria Moskowitz Adria Moskowitz Adria Moskowitz Adria Moskowitz Adria Moskowitz Adria Moskowitz Kirsten Frandsen Kirsten Frandsen Kirsten Frandsen Bridget Vandeventer
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Vaproium Facebook event.docx Lakewood Chamber of Commerce_pos... CASAA Director Thad Marney Speak... CASAA Testimony for Smokeless Al... Media clips Title
Bridget Vandeventer Bridget Vandeventer Bridget Vandeventer Bridget Vandeventer Bridget Vandeventer
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Op Ed Tobacco Regs_Anthony Chen_... Title Protecting Pierce County During an Absence of Proof
Op Ed Tobacco Regs_Anthony Chen.... Title Protecting Pierce County During an Absence of Proof
5/11/2011 2:22 PM
Bridget Vandeventer
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TNT_May5_e-ciggs.docx TNT_May4_e-ciggs.docx Public Comment.docx Public Comment.docx Public Comment.docx
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Bridget Vandeventer Bridget Vandeventer Adria Moskowitz Adria Moskowitz Adria Moskowitz
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Public Comment.docx Public Comment.docx Public Comment.docx Tobacco Policy Process and Timel... 5/13/2011 8:42 AM 5/13/2011 8:44 AM 5/13/2011 8:44 AM 5/13/2011 10:26 AM Adria Moskowitz Adria Moskowitz Adria Moskowitz Adria Moskowitz
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Bridget Vandeventer 'marce.edwards@multicare.org' 5/13/2011 2:02:14 PM TPCHD Board of Health meeting-- request for speaker
Hi Marce, I just left you a voicemail about this, but wanted to follow up in writing. As you may have heard, we are proposing two pieces of regulation related to tobacco. The most controversial relates to e-cigarettes, and proposes a ban of e-cigarette use in public places. Essentially it treats e-cigarettes like traditional cigarettes. You can read about it here, in the TNT article from last week and then in this Op-Ed from our director today. As part of the public process, we are discussing the matter at the Board of Health meeting on May 18. Because MultiCare has a regulation on e-cigarettes, we were hoping that someone from your organization could come to the meeting to give testimony about your policy and the reasons behind it. Our tobacco prevention team said that Dr. Waltman has been a big advocate of this and would make a good spokesperson, but theyre having a hard time getting a hold of him. Since youre the largest health provider in the area, I think it would be especially helpful to have your perspective presented at the meeting. The board is made up of Pierce county elected officials, including Pierce County Executive Pat McCarthy, Mayor Strickland, etc. They are scheduled to vote on the regulation on June 1. Let me know if you have any questions, or if theres someone else you suggest I speak to. Wed love MultiCares support on this! Thanks, Bridget
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fyi
From: Frank Dibiase Sent: Tuesday, May 10, 2011 12:32 PM To: Steve Marek Subject: FW: AMAZING site
Steve Marek 'spmarek@comcast.net' 5/16/2011 8:22:54 PM FW: AMAZING site
FYI. Kinda wild. Thought you might like to see some of these.
From: Bridget Vandeventer Sent: Monday, May 09, 2011 1:21 PM To: Kirsten Frandsen; Frank Dibiase Subject: AMAZING site
Hey guysCheck this out. I was looking for the source of those old Doctors Smoking ads, and found this site at Stanford School of Medicine. http://lane.stanford.edu/tobacco/index.html Read the About the Exhibit section; its really in line with our message right now on e-cigarettes. The ads are amazing, and they have such a great collection, searchable by brand, theme, etc.
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Tawana Bellamy Tutrecia Giles 5/16/2011 1:29:12 PM FW: Comment posted from the Internet site
Here another one. Tawana Bellamy -----Original Message----From: Leslie Swalley [mailto:lswalle@co.pierce.wa.us] Sent: Monday, May 16, 2011 10:27 AM To: Tawana Bellamy; Anthony Chen Subject: FW: Comment posted from the Internet site Please add to public comment records. Thank you, Leslie -----Original Message----From: John Jasper [mailto Sent: Friday, May 13, 2011 12:14 PM To: Dick Muri; Leslie Swalley Subject: Comment posted from the Internet site
Dear Councilman Dick Muri, I would hope you vote against banning e-cigarettes in Pierce Co. After smoking for 50 yr. and learning from my doctor on my last visit how impressed he is with the condition of my bronchial tubes since I started using the ecigarette and gave up smoking it would be a travesty to send people back to smoking tobacco. It would also upset my doctor greatly. Thank You, John Jasper Name: John Jasper Address: Tacoma, Washington 98418 Phone: Email:
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FYI
From: Kirsten Frandsen Sent: Monday, May 16, 2011 11:03 AM To: Frank Dibiase Subject: FW: CTG
Frank Dibiase Steve Marek 5/16/2011 2:07:36 PM FW: CTG
Just an fyi- Seattle King County is applying for the new CTG grant. Thanks, Kirsten
From: Kirsten Frandsen Sent: Monday, May 16, 2011 11:00 AM To: Porso, Rick F (DOH) Subject: RE: CTG
Hey! Thanks for your message. I personally feel that you should manage all of Chronic Disease at DOH. We need you. Anyhow, Im quite sure that well be applying- just havent gotten together as an agency yet to discuss. We shouldnt miss the opportunity but you know, theres a sign off process that we have to use now J Been really busy with Tobacco. Not sure if you knew this but Ive picked up Dans position in addition to my ownso now Im managing PAN and Tobacco. Oh lord, is all I can say. Were bringing forward 2 Tobacco resolutions/regulations on Wed. (e-cigarettes and a local SIPP) to the Board of Health and a Public Meeting tonight on the issues and I have to present/sit before an angry crowd and Im sure will be spit on. Hazard of the job? So, anyhow, wont be able to look at the CTG grant until after Wed. Thanks for letting me know that SeaKing is applying. While I love Seattle, I must admit that Im surprised theyre applying. Not very neighborly of them. Theyre so strong, the rest of us have a hell of a time competing with them. Is DOH in a position to talk with them and alert them to this fact and to politely ask them to step down so the rest of us have a chance? Chronic disease is Washington State is not going to decrease if all of the resources go to Seattle/King- need more capacity building in the rest of the counties.. Hope youre well and thanks again! Kirsten
From: Porso, Rick F (DOH) [mailto:Rick.Porso@DOH.WA.GOV] Sent: Monday, May 16, 2011 9:14 AM To: Kirsten Frandsen Subject: CTG
Hi, How are things? You know I couldnt stay away too long from chronic disease prevention work. So, in addition to my regular duties, Im the EH division representative on matters of chronic disease working on moving EH towards doing the right thing and improving the built environment. Anyway, Im on a cross agency workgroup related to the community transformation grant as we figure out whats the best role for DOH to assist others. I noticed that counties with population over 500K can apply on their own, are you considering? I know Sea-King is going to for sure. Happy Monday!
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Rick Porso, RS, REHS

Manager, Licensing and Certification Office of Shellfish and Water Protection Division of Environmental Health WA State Department of Health PO Box 47824 Olympia, WA 98504-7824 Phone: 360-236-3302 Fax: 360-236-2257 E-mail: Rick.Porso@doh.wa.gov
Public Health - Always Working for a Safer and Healthier Washington
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Kirsten Frandsen Frank Dibiase 5/16/2011 2:03:06 PM FW: CTG
Hi, How are things? You know I couldnt stay away too long from chronic disease prevention work. So, in addition to my regular duties, Im the EH division representative on matters of chronic disease working on moving EH towards doing the right thing and improving the built environment. Anyway, Im on a cross agency workgroup related to the community transformation grant as we figure out whats the best role for DOH to assist others. I noticed that counties with population over 500K can apply on their own, are you considering? I know Sea-King is going to for sure. Happy Monday! R

Manager, Licensing and Certification Office of Shellfish and Water Protection Division of Environmental Health
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WA State Department of Health PO Box 47824 Olympia, WA 98504-7824 Phone: 360-236-3302 Fax: 360-236-2257 E-mail: Rick.Porso@doh.wa.gov
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Tawana Bellamy Tutrecia Giles 5/16/2011 1:46:28 PM FW: E-Cig Public Comment
From: Leslie Swalley [mailto:lswalle@co.pierce.wa.us] Sent: Monday, May 16, 2011 10:30 AM To: Tawana Bellamy; Anthony Chen Subject: E-Cig Public Comment Hi Tawana, One more for public records. Thanks, Leslie
From: To: Dick Muri Sent: Sun May 15 01:07:10 2011 Subject: e-cigarettes Mr. Muri, I don't know if you remember me, but I sent you an email last year and you contacted me by phone. I was much impressed! (I literally shed a tear over the election). I mentioned to you that I was the white haired granny with the furry friend, Duncan MacDonald, the voting dog. Having been disenfranchised by the political system, I gave up on any political envolvment. But.................. I would like to share my story with you. The very day I "quit" smoking with the aid of Chantix, was the day the detective and prosecutor came to the door about Duncan. I was so sick to my stomach, I couldn't think straight. This was not the way (Chantix has horrible side affects) or the time to try to quit. For the next year I felt very ill. It turned out my arteries to my kidneys and stomach were 80 to 100% blocked, thanks to my addiction to nicotine. In June of last year, I was given a year to live. After being in the hospital 4 times and a stent to one of my arteries, I tried e-cigarettes. It was the first time in 50 years of smoking that I was able to quit cigarettes. After 4 months, I no longer needed the e-cigarettes. I was so cocky about my "will power", I thought I could handle an occasional puff. Hooked again. When I wanted to go back to the e-cigarettes, the seller of the batteries was out of business. I am going tomorrow to Vaporium (thanks to the article in the TNT) to try the e-cigarettes again. Every smoker I know has used e-cigarettes to quit....even teens. I have never heard of someone starting with e-cigarettes. It has only been used as a method of quiting. Isn't it interesting that our government gives methadone to drug users, needles too, but legal cigarette smokers take it in the shorts. We are so vilified, yet our government is so lax about all the lead, melamine and God knows what coming in from China. Smokers are an easy target. Please take my comments into consideration. You and Dr. Flemming have hit the nail on the head. Smoking is so detrimental to health, but many of the approved treatments are even more dangerous than e-cigarettes. Thank you for listening. Jane Murray Balogh Federal Way, WA 98023-2275
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John Sherman Steve Marek 5/16/2011 11:06:38 AM FW: South Tacoma Business District - Ash Butt Can Project
FYI from Friday.

From: Anthony Chen Sent: Friday, May 13, 2011 5:12 PM To: Greg Tanbara; Bruce Rytkonen Cc: John Sherman Subject: Re: South Tacoma Business District - Ash Butt Can Project

Bruce, I want to thank you and give you some great feedback I got from people at the South Tacoma Business District on work you did with them on this project. I went to the South Tacoma Business Districts Spring Social last night. I had the opportunity to visit with Karen Rich and Gloria Egan, the District Manager. As I was telling them how good the business district was looking they told me how much they appreciated the work you did with them on getting the ash butt cans installed. Karen took me outside on the street and showed me how they have been positioned along the sidewalk near Stonegate Pizza. Later during Karens remarks on behalf of the business district to the 40+ people there, she told them about the support the business district has gotten from various organizations in their efforts to make the area a better place to do business and live. She told everyone about the work the Health Department did with district on the ash butt cans. I was really flattered by the way she emphasized her appreciation for our agencys willingness to get this done. You should know that besides members of the business district, Deputy Mayor Lauren Walker and Council Member David Boe, members of Historic Tacoma, and business owners from some of the affiliated business districts in the City were there. Karen Rich is the owner of Guardian Security Group, Inc., a current board member of the South Tacoma Business District, a past president of the Cross District Association of the Neighborhood Business Districts, and a person I worked with a lot during the time I was with the City of Tacomas Economic Development Department. She is a good friend and I felt really good that you and your work was an asset in something that means a lot to her. Im sending a copy of this to Dr. Chen because this happen in such a timely manner with regard his editorial that appeared in the TNT this morning. FYI - I ended up in a lengthy conversation on the subject of e-cigarettes last night at the social. Thanks for what you are doing.
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Gregory M. Tanbara Brownfields Coordinator (253) 798-4784 or gtanbara@tpchd.org
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From: Steve Marek To: Frank Dibiase Kirsten Frandsen Bruce Rytkonen Date: 5/16/2011 10:32:44 AM Subject: FW: South Tacoma Business District - Ash Butt Can Project
Bruce. Thanks for your efforts on this. Nice to get positive feedback from the community. Steve.
From: Anthony Chen Sent: Friday, May 13, 2011 5:11 PM To: Steve Marek Subject: Fw: South Tacoma Business District - Ash Butt Can Project
FYI AC
Bruce, I want to thank you and give you some great feedback I got from people at the South Tacoma Business District on work you did with them on this project. I went to the South Tacoma Business Districts Spring Social last night. I had the opportunity to visit with Karen Rich and Gloria Egan, the District Manager. As I was telling them how good the business district was looking they told me how much they appreciated the work you did with them on getting the ash butt cans installed. Karen took me outside on the street and showed me how they have been positioned along the sidewalk near Stonegate Pizza. Later during Karens remarks on behalf of the business district to the 40+ people there, she told them about the support the business district has gotten from various organizations in their efforts to make the area a better place to do business and live. She told everyone about the work the Health Department did with district on the ash butt cans. I was really flattered by the way she emphasized her appreciation for our agencys willingness to get this done. You should know that besides members of the business district, Deputy Mayor Lauren Walker and Council Member David Boe, members of Historic Tacoma, and business owners from some of the affiliated business districts in the City were there. Karen Rich is the owner of Guardian Security Group, Inc., a current board member of the South Tacoma Business District, a past president of the Cross District Association of the Neighborhood Business Districts, and a person I worked with a lot during the time I was with the City of Tacomas Economic Development Department. She is a good friend and I felt really good that you and your work was an asset in something that means a lot to her. Im sending a copy of this to Dr. Chen because this happen in such a timely manner with regard his editorial that appeared in the TNT this morning. FYI - I ended up in a lengthy conversation on the subject of e-cigarettes last night at the social. Thanks for what you are doing. Gregory M. Tanbara
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Brownfields Coordinator (253) 798-4784 or gtanbara@tpchd.org
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fyi
From: Bridget Vandeventer Sent: Monday, May 16, 2011 4:38 PM To: Steve Marek Subject: Spokane e-cig resolution
Steve Marek Anthony Chen 5/16/2011 7:46:54 PM FW: Spokane e-cig resolution SIPP Spokane e-cigs.docx
This is what I found in the Sharepoint folder.
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From: Tutrecia Giles To: 'Gregory Jacoby' Lori Bemis Date: 5/16/2011 12:23:20 PM Subject: Public Comment to Date Attachments: Public Comment 05-13-11.docx
Hello, Heres a copy of the comments. Let me know if you have any questions or problem w/ doc.-Tutrecia
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From: Tawana Bellamy To: 'Leslie Swalley' Anthony Chen Date: 5/16/2011 1:28:12 PM Subject: RE: Comment posted from the Internet site Thanks Leslie. Tawana -----Original Message----From: Leslie Swalley [mailto:lswalle@co.pierce.wa.us] Sent: Monday, May 16, 2011 10:27 AM To: Tawana Bellamy; Anthony Chen Subject: FW: Comment posted from the Internet site Please add to public comment records. Thank you, Leslie -----Original Message----From: John Jasper [mailto:j Sent: Friday, May 13, 2011 12:14 PM To: Dick Muri; Leslie Swalley Subject: Comment posted from the Internet site
Dear Councilman Dick Muri, I would hope you vote against banning e-cigarettes in Pierce Co. After smoking for 50 yr. and learning from my doctor on my last visit how impressed he is with the condition of my bronchial tubes since I started using the ecigarette and gave up smoking it would be a travesty to send people back to smoking tobacco. It would also upset my doctor greatly. Thank You, John Jasper Name: John Jasper Address: Tacoma, Washington 98418 Phone: Email:
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Kirsten Frandsen Porso, Rick F (DOH) 5/16/2011 2:00:30 PM RE: CTG
Hi, How are things? You know I couldnt stay away too long from chronic disease prevention work. So, in addition to my regular duties, Im the EH division representative on matters of chronic disease working on moving EH towards doing the right thing and improving the built environment. Anyway, Im on a cross agency workgroup related to the community transformation grant as we figure out whats the best role for DOH to assist others. I noticed that counties with population over 500K can apply on their own, are you considering? I know Sea-King is going to for sure. Happy Monday! R


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Porso, Rick F (DOH) <Rick.Porso@DOH.WA.GOV> Kirsten Frandsen 5/16/2011 3:28:32 PM RE: CTG
Congrats on your new post, I hope the promotion came with a big salary increase! Im sure youll have some balance tonig
Balancing prevention statewide is a challenge due to lack of funds among other things, however, we are committed to bui
I really hope everything goes well this evening. As Federico always said, those in front of issues get beat up (not literally). R


From: Kirsten Frandsen [mailto:KFrandsen@tpchd.org] Sent: Monday, May 16, 2011 11:00 AM To: Porso, Rick F (DOH) Subject: RE: CTG
Hey! Thanks for your message. I personally feel that you should manage all of Chronic Disease at DOH. We need you.
Anyhow, Im quite sure that well be applying- just havent gotten together as an agency yet to discuss. We shouldnt miss
Been really busy with Tobacco. Not sure if you knew this but Ive picked up Dans position in addition to my ownso now I anyhow, wont be able to look at the CTG grant until after Wed. Thanks for letting me know that SeaKing is applying. While I love Seattle, I must admit that Im surprised theyre applying. resources go to Seattle/King- need more capacity building in the rest of the counties.. Hope youre well and thanks again! Kirsten
Hi,
How are things? You know I couldnt stay away too long from chronic disease prevention work. So, in addition to my regu noticed that counties with population over 500K can apply on their own, are you considering? I know Sea-King is going to f Happy Monday! R
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I hope they dont have him supervise anyone!
From: Frank Dibiase Sent: Monday, May 16, 2011 11:08 AM To: Steve Marek Subject: FW: CTG
Steve Marek Frank Dibiase 5/16/2011 2:12:38 PM RE: CTG
FYI
From: Kirsten Frandsen Sent: Monday, May 16, 2011 11:03 AM To: Frank Dibiase Subject: FW: CTG
Hi, How are things? You know I couldnt stay away too long from chronic disease prevention work. So, in addition to my regular duties, Im the EH division representative on matters of chronic disease working on moving EH towards
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doing the right thing and improving the built environment. Anyway, Im on a cross agency workgroup related to the community transformation grant as we figure out whats the best role for DOH to assist others. I noticed that counties with population over 500K can apply on their own, are you considering? I know Sea-King is going to for sure. Happy Monday! R

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From: Anthony Chen To: Frank Dibiase Bridget Vandeventer Date: 5/16/2011 3:30:18 PM Subject: RE: KOMO-TV call
Thanks! AC
From: Frank Dibiase Sent: Monday, May 16, 2011 12:15 PM To: Bridget Vandeventer; Anthony Chen Cc: Steve Marek Subject: RE: KOMO-TV call
Just wrapped it up. I think it went OK. Well see what their piece looks like.
From: Bridget Vandeventer Sent: Monday, May 16, 2011 12:14 PM To: Anthony Chen; Frank Dibiase Subject: Re: KOMO-TV call
Thanks Anthony, Frank is doing the interview now. He did a great job with KING last week. See you later this afternoon. Sent from my BlackBerry, please pardon any typos.
From: Anthony Chen Sent: Monday, May 16, 2011 11:36 AM To: Bridget Vandeventer Subject: KOMO-TV call
Bridget, Here is the info: Elisa Jaffe, KOMO-TV 206-795-9981 Wants to talk about e-cigarettes. Is on her way to Tacoma, 20 mins away. Her deadline would be 3 PM because she is shooting for the 5 PM news. Thanks! AC
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From: Bridget Vandeventer To: Anthony Chen Frank Dibiase Date: 5/16/2011 3:13:52 PM Subject: Re: KOMO-TV call
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From: Frank Dibiase To: Bridget Vandeventer Anthony Chen Date: 5/16/2011 3:15:14 PM Subject: RE: KOMO-TV call
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Youre getting to be quite the TV personality.
From: Frank Dibiase Sent: Monday, May 16, 2011 12:15 PM To: Bridget Vandeventer; Anthony Chen Cc: Steve Marek Subject: RE: KOMO-TV call
Steve Marek Frank Dibiase 5/16/2011 6:20:08 PM RE: KOMO-TV call
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Bruce Rytkonen Anthony Chen 5/16/2011 11:33:10 AM RE: South Tacoma Business District - Ash Butt Can Project
Thank you.

Bruce, I want to thank you and give you some great feedback I got from people at the South Tacoma Business District on work you did with them on this project. I went to the South Tacoma Business Districts Spring Social last night. I had the opportunity to visit with Karen Rich and Gloria Egan, the District Manager. As I was telling them how good the business district was looking they told me how much they appreciated the work you did with them on getting the ash butt cans installed. Karen took me outside on the street and showed me how they have been positioned along the sidewalk near Stonegate Pizza. Later during Karens remarks on behalf of the business district to the 40+ people there, she told them about the support the business district has gotten from various organizations in their efforts to make the area a better place to do business and live. She told everyone about the work the Health Department did with district on the ash butt cans. I was really flattered by the way she emphasized her appreciation for our agencys willingness to get this done. You should know that besides members of the business district, Deputy Mayor Lauren Walker and Council Member David Boe, members of Historic Tacoma, and business owners from some of the affiliated business districts in the City were there. Karen Rich is the owner of Guardian Security Group, Inc., a current board member of the South Tacoma Business District, a past president of the Cross District Association of the Neighborhood Business Districts, and a person I worked with a lot during the time I was with the City of Tacomas Economic Development Department. She is a good friend and I felt really good that you and your work was an asset in something that means a lot to her. Im sending a copy of this to Dr. Chen because this happen in such a timely manner with regard his editorial that appeared in the TNT this morning. FYI - I ended up in a lengthy conversation on the subject of e-cigarettes last night at the social. Thanks for what you are doing.
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Gregory M. Tanbara Brownfields Coordinator (253) 798-4784 or gtanbara@tpchd.org
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Hi Greg,
Frank Dibiase Greg Tanbara 5/16/2011 11:38:50 AM RE: South Tacoma Business District - Ash Butt Can Project
When you have a few moments, could you share some info about your conversation regarding e-cigarettes with folks in S. Tacoma? Thanks.
From: Steve Marek Sent: Monday, May 16, 2011 7:33 AM To: Frank Dibiase; Kirsten Frandsen; Bruce Rytkonen Subject: FW: South Tacoma Business District - Ash Butt Can Project
FYI AC
Bruce, I want to thank you and give you some great feedback I got from people at the South Tacoma Business District on work you did with them on this project. I went to the South Tacoma Business Districts Spring Social last night. I had the opportunity to visit with Karen Rich and Gloria Egan, the District Manager. As I was telling them how good the business district was looking they told me how much they appreciated the work you did with them on getting the ash butt cans installed. Karen took me outside on the street and showed me how they have been positioned along the sidewalk near Stonegate Pizza. Later during Karens remarks on behalf of the business district to the 40+ people there, she told them about the support the business district has gotten from various organizations in their efforts to make the area a better place to do business and live. She told everyone about the work the Health Department did with district on the ash butt cans. I was really flattered by the way she emphasized her appreciation for our agencys willingness to get this done. You should know that besides members of the business district, Deputy Mayor Lauren Walker and Council Member David Boe, members of Historic Tacoma, and business owners from some of the affiliated business districts in the City were there. Karen Rich is the owner of Guardian Security Group, Inc., a current board member of the South Tacoma Business District, a past president of the Cross District Association of the Neighborhood Business Districts, and a person I
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worked with a lot during the time I was with the City of Tacomas Economic Development Department. She is a good friend and I felt really good that you and your work was an asset in something that means a lot to her. Im sending a copy of this to Dr. Chen because this happen in such a timely manner with regard his editorial that appeared in the TNT this morning. FYI - I ended up in a lengthy conversation on the subject of e-cigarettes last night at the social. Thanks for what you are doing. Gregory M. Tanbara Brownfields Coordinator (253) 798-4784 or gtanbara@tpchd.org
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Sure.
Greg Tanbara Frank Dibiase 5/16/2011 12:29:36 PM RE: South Tacoma Business District - Ash Butt Can Project
I just tried catching you in your office. Missed you. Give me a call. I am in most of the day. Gregory M. Tanbara Brownfields Coordinator (253) 798-4784 or gtanbara@tpchd.org
From: Frank Dibiase Sent: Monday, May 16, 2011 8:39 AM To: Greg Tanbara Subject: RE: South Tacoma Business District - Ash Butt Can Project
Hi Greg, When you have a few moments, could you share some info about your conversation regarding e-cigarettes with folks in S. Tacoma? Thanks.
From: Steve Marek Sent: Monday, May 16, 2011 7:33 AM To: Frank Dibiase; Kirsten Frandsen; Bruce Rytkonen Subject: FW: South Tacoma Business District - Ash Butt Can Project
FYI AC
Bruce, I want to thank you and give you some great feedback I got from people at the South Tacoma Business District on work you did with them on this project. I went to the South Tacoma Business Districts Spring Social last night. I had the opportunity to visit with Karen Rich and Gloria Egan, the District Manager. As I was telling them how good the business district was looking they
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told me how much they appreciated the work you did with them on getting the ash butt cans installed. Karen took me outside on the street and showed me how they have been positioned along the sidewalk near Stonegate Pizza. Later during Karens remarks on behalf of the business district to the 40+ people there, she told them about the support the business district has gotten from various organizations in their efforts to make the area a better place to do business and live. She told everyone about the work the Health Department did with district on the ash butt cans. I was really flattered by the way she emphasized her appreciation for our agencys willingness to get this done. You should know that besides members of the business district, Deputy Mayor Lauren Walker and Council Member David Boe, members of Historic Tacoma, and business owners from some of the affiliated business districts in the City were there. Karen Rich is the owner of Guardian Security Group, Inc., a current board member of the South Tacoma Business District, a past president of the Cross District Association of the Neighborhood Business Districts, and a person I worked with a lot during the time I was with the City of Tacomas Economic Development Department. She is a good friend and I felt really good that you and your work was an asset in something that means a lot to her. Im sending a copy of this to Dr. Chen because this happen in such a timely manner with regard his editorial that appeared in the TNT this morning. FYI - I ended up in a lengthy conversation on the subject of e-cigarettes last night at the social. Thanks for what you are doing. Gregory M. Tanbara Brownfields Coordinator (253) 798-4784 or gtanbara@tpchd.org
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Steve Marek John Sherman 5/16/2011 11:07:20 AM RE: South Tacoma Business District - Ash Butt Can Project
Thanks. AC sent it to me.

From: John Sherman Sent: Monday, May 16, 2011 8:07 AM To: Steve Marek Subject: FW: South Tacoma Business District - Ash Butt Can Project
FYI from Friday.


Bruce, I want to thank you and give you some great feedback I got from people at the South Tacoma Business District on work you did with them on this project. I went to the South Tacoma Business Districts Spring Social last night. I had the opportunity to visit with Karen Rich and Gloria Egan, the District Manager. As I was telling them how good the business district was looking they told me how much they appreciated the work you did with them on getting the ash butt cans installed. Karen took me outside on the street and showed me how they have been positioned along the sidewalk near Stonegate Pizza. Later during Karens remarks on behalf of the business district to the 40+ people there, she told them about the support the business district has gotten from various organizations in their efforts to make the area a better place to do business and live. She told everyone about the work the Health Department did with district on the ash butt cans. I was really flattered by the way she emphasized her appreciation for our agencys willingness to get this done. You should know that besides members of the business district, Deputy Mayor Lauren Walker and Council Member David Boe, members of Historic Tacoma, and business owners from some of the affiliated business districts in the City were there. Karen Rich is the owner of Guardian Security Group, Inc., a current board member of the South Tacoma Business District, a past president of the Cross District Association of the Neighborhood Business Districts, and a person I worked with a lot during the time I was with the City of Tacomas Economic Development Department. She is a good friend and I felt really good that you and your work was an asset in something that means a lot to her.
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Im sending a copy of this to Dr. Chen because this happen in such a timely manner with regard his editorial that appeared in the TNT this morning. FYI - I ended up in a lengthy conversation on the subject of e-cigarettes last night at the social. Thanks for what you are doing. Gregory M. Tanbara Brownfields Coordinator (253) 798-4784 or gtanbara@tpchd.org
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From: Leslie Swalley <lswalle@co.pierce.wa.us> To: Tawana Bellamy Anthony Chen Date: 5/17/2011 2:27:28 PM Subject: E-Cig Comment for Public Records
Good morning Tawana, Please add this to the public records. Thank you,
Leslie Swalley Council Assistant to Dick Muri Pierce County Council District 6 253.798.3308
From: Matt Zukowski <mattzuke@gmail.com> To: Stanley Flemming; PCEXECUTIVE; Marilyn.Strickland@cityoftacoma.org <Marilyn.Strickland@cityoftacoma.org> Cc: director@tpchd.org <director@tpchd.org>; info@tpchd.org <info@tpchd.org>; Dick Muri; ron.lucas@ci.steilacoom.wa.us <ron.lucas@ci.steilacoom.wa.us>; pjohnson@cityofbuckley.com <pjohnson@cityofbuckley.com> Sent: Tue May 17 10:29:58 2011 Subject: E-cigs and zero Nicotine
Dear Stan Flemming and other interested parties, I was told after the public meeting that you were unaware that e-fluid for personal vaporizers has the option for zero nicotine, and zero nicotine is actually used by some former smokers. I personally have only going down as low as 12mg/ml. Dr. Anthony Chen, who didn't even bother to attend the meeting, seems to be under the belief that kids who want to blow smoke rings, but don't want tobacco, will experiment with personal vaporizers. It's a little far fetched that adolescents will spend in excess of $80 just for the benefit of smoke rings without tobacco. Still, if they are so health conscious to avoid tobacco, odds are they'd avoid nicotine. Even then, they'd have to find a shop that allowed minors inside, which frankly does not exist in Pierce County. Still we accept the risk when it comes to FDA approved NRPs like the patch, gum, and lossage despite objective evidence that they are ineffective at promoting smoking cessation. Kids do experiment with NRPs, but like personal vaporizers they are cost prohibitive and no evidence to date exists that nicotine in any delivery system outside of real tobacco leads to a life long addiction. If NRPs are an acceptable risk and are shown to be quite ineffective at promoting cessation, then a product used by former smokers who are not smoking should be equally an acceptable risk. Not applying the smoking ban to e-cigarettes makes sense since there is no objective benefit that they cause harm to the user and by-standards, and provides an objective benefit to those who represent the hard core addicted of being able to use personal vaporizers indoors. Until further studies are conducted, we can still say there is the side benefit of these users not smoking, and reducing their purchase of the real thing. If it's the objective goal of the Health Department to reduce smoking in Pierce county, and we can't make tobacco illegal, the only way we can do is make the cigarette industry less viable. A competing product that all evidence to date suggest doesn't kill the user, can do just that. I stopped buying cigarettes in under a month after a friend bought me my first personal vaporizer in late January 2011. I broke the habit of going outside to smoke in favor of vaping indoors.
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The only rational response to e-cigarettes is healthy skepticism and putting the product to objective evaluation. Given the potential benefit of making the tobacco industry less viable, a ban at this juncture is not indicated. Until the same standard of evidence exists that put the smoking ban into place exists, this is a freedom of expression issue, my freedom to use a personal vaporizer in public and tell kids that cigarettes are so addictive that as an adult, I must pretend to smoke to not smoke. We are on the same side, and I hope Pierce County sees the wisdom of acting on objective evidence rather than conjecture.
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From: Matt Zukowski <mattzuke@gmail.com> To: sflemmi@co.pierce.wa.us pcexecutive@co.pierce.wa.us Marilyn.Strickland@cityoftacoma.org Date: 5/17/2011 1:29:58 PM Subject: E-cigs and zero Nicotine Dear Stan Flemming and other interested parties, I was told after the public meeting that you were unaware that e-fluid for personal vaporizers has the option for zero nicotine, and zero nicotine is actually used by some former smokers. I personally have only going down as low as 12mg/ml. Dr. Anthony Chen, who didn't even bother to attend the meeting, seems to be under the belief that kids who want to blow smoke rings, but don't want tobacco, will experiment with personal vaporizers. It's a little far fetched that adolescents will spend in excess of $80 just for the benefit of smoke rings without tobacco. Still, if they are so health conscious to avoid tobacco, odds are they'd avoid nicotine. Even then, they'd have to find a shop that allowed minors inside, which frankly does not exist in Pierce County. Still we accept the risk when it comes to FDA approved NRPs like the patch, gum, and lossage despite objective evidence that they are ineffective at promoting smoking cessation. Kids do experiment with NRPs, but like personal vaporizers they are cost prohibitive and no evidence to date exists that nicotine in any delivery system outside of real tobacco leads to a life long addiction. If NRPs are an acceptable risk and are shown to be quite ineffective at promoting cessation, then a product used by former smokers who are not smoking should be equally an acceptable risk. Not applying the smoking ban to e-cigarettes makes sense since there is no objective benefit that they cause harm to the user and by-standards, and provides an objective benefit to those who represent the hard core addicted of being able to use personal vaporizers indoors. Until further studies are conducted, we can still say there is the side benefit of these users not smoking, and reducing their purchase of the real thing. If it's the objective goal of the Health Department to reduce smoking in Pierce county, and we can't make tobacco illegal, the only way we can do is make the cigarette industry less viable. A competing product that all evidence to date suggest doesn't kill the user, can do just that. I stopped buying cigarettes in under a month after a friend bought me my first personal vaporizer in late January 2011. I broke the habit of going outside to smoke in favor of vaping indoors. The only rational response to e-cigarettes is healthy skepticism and putting the product to objective evaluation. Given the potential benefit of making the tobacco industry less viable, a ban at this juncture is not indicated. Until the same standard of evidence exists that put the smoking ban into place exists, this is a freedom of expression issue, my freedom to use a personal vaporizer in public and tell kids that cigarettes are so addictive that as an adult, I must pretend to smoke to not smoke. We are on the same side, and I hope Pierce County sees the wisdom of acting on objective evidence rather than conjecture.
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Samantha Yeun Tutrecia Giles 5/17/2011 3:38:32 PM FW: E-cig. in workplace - NEEDS RESPONSE
Heres the response from Multicare. CCed Kirsten.

From: Lori Tanner [mailto:lori.tanner@multicare.org] Sent: Wednesday, April 13, 2011 11:56 AM To: Samantha Yeun; Kirsten Frandsen Subject: FW: E-cig. in workplace - NEEDS RESPONSE
Hi Samantha, Yes, you can count on our support! Please let us know what we can do. Thanks, Lori
From: Sherry Hammond Sent: Tuesday, April 12, 2011 1:47 PM To: Lori Tanner Subject: FW: E-cig. in workplace - NEEDS RESPONSE
Please move ahead with our support. Thank you. Sherry

From: Samantha Yeun [mailto:SYeun@tpchd.org] Sent: Friday, April 08, 2011 12:38 PM To: Lori Tanner Subject: RE: E-cig. in workplace
Thank you! This is very helpful. Reasoning are similar to many other workplaces and hospitals across the country. We're wo Samantha
From: Lori Tanner [mailto:lori.tanner@multicare.org] Sent: Friday, April 08, 2011 12:35 PM To: Samantha Yeun; Kathy Worden Subject: RE: E-cig. in workplace
Hi Sam,
Its so good to hear from you. To answer your questions below, we have a no e-cig policy for smoke-free campus. See pol Thanks! Lori
From: Samantha Yeun [mailto:SYeun@tpchd.org] Sent: Friday, April 08, 2011 11:28 AM To: Kathy Worden; Lori Tanner Subject: E-cig. in workplace
Hi Lori and Kathy,
How are you doing? I am doing a research on e-cig and I hope you can help me. I know MultiCare has a no tobacco use pol
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A scenario is, if an employee thinks that e-cig. can help reduce their smoking, would Multicare allows that individual to sm
Samantha Yeun Prevention Specialist Environmental Health/ Tobacco Prevention and Control Program 253-798-2931
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From: Samantha Yeun To: Bruce Rytkonen Tutrecia Giles Kirsten Frandsen Date: 5/17/2011 5:39:22 PM Subject: FW: E-cig. in workplace - NEEDS RESPONSE
Fyi. . . Heres the latest conversation I had with Lori. Just in case someone from here is doing a follow up on Multicare.
From: Lori Tanner [mailto:lori.tanner@multicare.org] Sent: Wednesday, April 13, 2011 11:56 AM To: Samantha Yeun; Kirsten Frandsen Subject: FW: E-cig. in workplace - NEEDS RESPONSE
Hi Samantha, Yes, you can count on our support! Please let us know what we can do. Thanks, Lori
From: Sherry Hammond Sent: Tuesday, April 12, 2011 1:47 PM To: Lori Tanner Subject: FW: E-cig. in workplace - NEEDS RESPONSE
Please move ahead with our support. Thank you. Sherry

From: Samantha Yeun [mailto:SYeun@tpchd.org] Sent: Friday, April 08, 2011 12:38 PM To: Lori Tanner Subject: RE: E-cig. in workplace
Thank you! This is very helpful. Reasoning are similar to many other workplaces and hospitals across the country. We're wo Samantha
From: Lori Tanner [mailto:lori.tanner@multicare.org] Sent: Friday, April 08, 2011 12:35 PM To: Samantha Yeun; Kathy Worden Subject: RE: E-cig. in workplace
Hi Sam,
Its so good to hear from you. To answer your questions below, we have a no e-cig policy for smoke-free campus. See pol Thanks! Lori
From: Samantha Yeun [mailto:SYeun@tpchd.org] Sent: Friday, April 08, 2011 11:28 AM To: Kathy Worden; Lori Tanner Subject: E-cig. in workplace 8_19_2011
Page 2
Hi Lori and Kathy,
How are you doing? I am doing a research on e-cig and I hope you can help me. I know MultiCare has a no tobacco use pol
A scenario is, if an employee thinks that e-cig. can help reduce their smoking, would Multicare allows that individual to sm
Samantha Yeun Prevention Specialist Environmental Health/ Tobacco Prevention and Control Program 253-798-2931
8_19_2011
Page 1
From: Info TPCHD To: Anthony Chen Steve Marek Date: 5/17/2011 1:52:32 PM Subject: FW: E-cigs and zero Nicotine
The following message was received at the Info Desk in-box. It is my job to monitor incoming messages when Laurel Parshell is out of the office. I believe this is feedback from the Tobacco public meeting held last evening in our auditorium. I hope I am sending it to the appropriate individuals for action or response. Diana Abel, BSA, Purchasing Office, ext 6525
From: Matt Zukowski [mailto:mattzuke@gmail.com] Sent: Tuesday, May 17, 2011 10:30 AM To: sflemmi@co.pierce.wa.us; pcexecutive@co.pierce.wa.us; Marilyn.Strickland@cityoftacoma.org Cc: Director; Info TPCHD; dmuri@co.pierce.wa.us; ron.lucas@ci.steilacoom.wa.us; pjohnson@cityofbuckley.com Subject: E-cigs and zero Nicotine
Dear Stan Flemming and other interested parties, I was told after the public meeting that you were unaware that e-fluid for personal vaporizers has the option for zero nicotine, and zero nicotine is actually used by some former smokers. I personally have only going down as low as 12mg/ml. Dr. Anthony Chen, who didn't even bother to attend the meeting, seems to be under the belief that kids who want to blow smoke rings, but don't want tobacco, will experiment with personal vaporizers. It's a little far fetched that adolescents will spend in excess of $80 just for the benefit of smoke rings without tobacco. Still, if they are so health conscious to avoid tobacco, odds are they'd avoid nicotine. Even then, they'd have to find a shop that allowed minors inside, which frankly does not exist in Pierce County. Still we accept the risk when it comes to FDA approved NRPs like the patch, gum, and lossage despite objective evidence that they are ineffective at promoting smoking cessation. Kids do experiment with NRPs, but like personal vaporizers they are cost prohibitive and no evidence to date exists that nicotine in any delivery system outside of real tobacco leads to a life long addiction. If NRPs are an acceptable risk and are shown to be quite ineffective at promoting cessation, then a product used by former smokers who are not smoking should be equally an acceptable risk. Not applying the smoking ban to e-cigarettes makes sense since there is no objective benefit that they cause harm to the user and by-standards, and provides an objective benefit to those who represent the hard core addicted of being able to use personal vaporizers indoors. Until further studies are conducted, we can still say there is the side benefit of these users not smoking, and reducing their purchase of the real thing. If it's the objective goal of the Health Department to reduce smoking in Pierce county, and we can't make tobacco illegal, the only way we can do is make the cigarette industry less viable. A competing product that all evidence to date suggest doesn't kill the user, can do just that. I stopped buying cigarettes in under a month after a friend bought me my first personal vaporizer in late January 2011. I broke the habit of going outside to smoke in favor of vaping indoors. The only rational response to e-cigarettes is healthy skepticism and putting the product to objective evaluation. Given the potential benefit of making the tobacco industry less viable, a ban at this juncture is not indicated. Until the same standard of evidence exists that put the smoking ban into place exists, this is a freedom of expression issue, my freedom to use a personal vaporizer in public and tell kids that cigarettes are so addictive that as an adult, I must pretend to smoke to not smoke. We are on the same side, and I hope Pierce County sees the wisdom of acting on objective evidence rather than
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conjecture.
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From: Steve Marek To: Kirsten Frandsen Frank Dibiase Date: 5/17/2011 1:56:06 PM Subject: Fw: E-cigs and zero Nicotine
Fyi
From: Info TPCHD Sent: Tuesday, May 17, 2011 10:52 AM To: Anthony Chen; Steve Marek Subject: FW: E-cigs and zero Nicotine
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Laurie Jinkins 'laj020689@aol.com' 5/17/2011 11:31:54 PM Fw: Modified proposal messages May 2011 Tobacco Regulations_modification revAC.docx
From: Anthony Chen Sent: Tuesday, May 17, 2011 06:37 PM To: Bridget Vandeventer; Laurie Jinkins; Steve Marek Cc: Frank Dibiase; Kirsten Frandsen; Madigan Resident Subject: RE: Modified proposal messages
Here are my edits. I made some policy decisions (see comments) which I need feedback on before my meeting with Dick and Stan at 2:30 before the BOH meeting. AC
From: Bridget Vandeventer Sent: Tuesday, May 17, 2011 5:31 PM To: Anthony Chen; Laurie Jinkins; Steve Marek Cc: Frank Dibiase; Kirsten Frandsen; Madigan Resident Subject: Modified proposal messages
Hi Anthony and team, Attached is my draft of messages for tomorrow, outlining the results of the public process and the modified proposal. These basically become the outline of Anthonys comments for tomorrows meeting. Once we finalize these, they become the basis of other communications; letters to staff, any media, etc. Please let me know your feedback. Also, I wanted to share this article/notice from CASAA that posted to the site today. http://www.casaa.org/news/article.asp?articleID=175&l=a&p My read on this is that a.) they feel duped that BOH members werent there yesterday and that this wasnt the real meeting for sharing feedback and b.) they are calling for their supporters to come out tomorrow as well. Just for discussion, I think we should consider having someone make a call to Thad from CASAA to soft sound the modified proposal with him in an effort to soften the angst they may come with tomorrow. Im interested in your opinions on this. Thanks! Bridget
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Samantha Yeun 'Hae-Man Song' 5/17/2011 4:14:10 PM FW: Proposed tobacco regulations
Hi Hae-man, Heres the information on our proposed regulations. The public comments starts at 3PM, please come about 10 min. early Samantha
The two proposed regulations relate to the Health Departments ongoing work to protect the people of Pierce County from Environmental Health Code, Chapter 8: Smoking in Public Places: This local regulation provides greater clarity and
Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devices and prohibits free or heavily discounted e-cigarettes and other unregulated nicotine delivery products.
The Board of Health may vote on these regulations at the June 1, 2011 Board of Health meeting and the Health Departmen The Tacoma News Tribune is writing a story about the two issues, and we anticipate that it will post tomorrow.
Thank you for your ongoing work and support of public health in Pierce County. Please feel free to share your feedback on Thank you.
News
Media Contact Information
The Tacoma-Pierce County Health Department Proposes New Regulations Related to Tobacco Pr
May 4, 2011 The Tacoma-Pierce County Health Department is tasked with safeguarding and enhancing the health of the communities of Pi
According to the Centers for Disease Control, tobacco use is the number one cause of preventable deaths in the United States disease and lung cancer. For children, secondhand smoke can increase symptoms of asthma, respiratory infections, sudden in The Tacoma-Pierce County Health Department has brought forth two proposed regulations that relate to the Health Departm The two proposed regulations are: Environmental Health Code, Chapter 8: Smoking in Public Places. This local regulation provides greater clarity and interpretation of RCW 70.160, Washington States Smoking in Public Places Review the full regulation. Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devices The proposed regulation prohibits smoking and the purchase of e-cigarettes and other unregulated nicotine delivery products Currently, e-cigarettes are unregulated in the United States. They contain varying levels of nicotine and other known carcinog Review the full regulation.
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Public Meeting
The Tacoma-Pierce County Health Department will host a public meeting to preview and receive public feedback regarding t When: Monday, May 16, 2011 6:00-7:00 PM Where: Tacoma-Pierce County Health Department Auditorium 3629 South D Street Tacoma, WA 98418 To provide written feedback on the proposed regulations, please fill out the public input from which can be found here.
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Fyi.
From: Bridget Vandeventer Sent: Tuesday, May 17, 2011 11:50 AM To: Bruce Rytkonen; Kirsten Frandsen Subject: RE: Telecon
Bruce Rytkonen Linda Graves 5/17/2011 2:56:08 PM FW: Telecon
He called me too and we had this conversation. Hes double teaming us. We responded the same though, so thats good. Thanks Bruce.
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org From: Bruce Rytkonen Sent: Tuesday, May 17, 2011 10:30 AM To: Bridget Vandeventer; Kirsten Frandsen Subject: Telecon
A call/voice-mail message came in to the person in the cubicle next to me from a Bob Alexander [206-760-6018]. He said that he was at the public meeting last night but didnt have the names of the panelists. I called him back thinking that he would ask for those names. He didntbut he did ask about what would be the next steps in the process of the BOH voting on the regulations.specifically e-cigs. I asked him who he was with and he said himself and that he had been writing about e-cigs for about a year. I advised him of the following: 1. At the BOH meeting on the 18th the public will have the opportunity to make comments on any topic during the public comment period. 2. It was my understanding that Dr. Chen would be presenting the two proposed tobacco regs to the BOH. 3. At the BOH meeting on June 1 the public would again have the opportunity to address the BOH [on any topic] during a public comment period. 4. At the June 1 BOH meeting we (the HD staff) believe that the BOH will vote on the two tobacco regs. Do either of you know anything about Mr. Alexander?
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From: Hayes, Maxine (DOH) <Maxine.Hayes@DOH.WA.GOV> To: dick.muri@co.pierce.wa.us s.flemmi@co.pierce.wa.us victoria.woodards@cityoftacoma.org pjohnson@cityofbuckley.com pmccart@co.pierce.wa.us marilyn.strickland@cityoftacoma.org rtalber@co.pierce.wa.gov lauren.walker@cityoftacoma.org Director Date: 5/17/2011 6:28:48 PM Subject: sale and use of electronic smoking devices Attachments: 1690_001.pdf
<<1690_001.pdf>>
Maxine Hayes, MD, MPH State Health Officer Washington State Department of Health PO Box 47890 Olympia WA 98504-7890 360.236.4030 Desk 360.586.7424 FAX maxine.hayes@doh.wa.gov Public Health - Always Working for a Safer and Healthier Washington
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Davis, Paul A (DOH) <Paul.Davis@DOH.WA.GOV> Kirsten Frandsen 5/17/2011 6:45:52 PM FW: TPC Board of Health Talking Points sale and use of electronic smoking devices
Dr. Chen was previously copied. Here ya go.

Paul Davis, Policy Specialist Washington State Department of Health Tobacco Prevention and Control office - 360-236-3642 cell - 360-507-6556 email - paul.davis@doh.wa.gov PO Box 47848 Olympia, WA 98503 Public Health - Always Working for a Healthier Washington
www.doh.wa.gov/tobacco
From: Peyton, Brian (DOH) Sent: Tuesday, May 17, 2011 3:39 PM To: Davis, Paul A (DOH); Boruchowitz, Steve A (DOH); Reid, Terry (DOH) Cc: Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH); Limtiaco, Frances (DOH) Subject: RE: TPC Board of Health Talking Points
Dr. Chen was included in the original e-mail (see attached). Brian Peyton Director Policy, Legislative & Constituent Relations Department of Health Voice 360.236.4048 Fax 360.586.7424 brian.peyton@doh.wa.gov
Public Health Always Working for a Safer and Healthier Washington From: Davis, Paul A (DOH) Sent: Tuesday, May 17, 2011 3:36 PM To: Peyton, Brian (DOH); Boruchowitz, Steve A (DOH); Reid, Terry (DOH) Cc: Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH); Limtiaco, Frances (DOH) Subject: RE: TPC Board of Health Talking Points
Kirsten was very happy to hear we are sending a letter and asked if its possible to copy her and Dr. Chen when the letter is sent. kfrandsen@tpchd.org is Kirstens email and Dr. Chen is on the global outlook at achen@tpchd.org
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Page 2 From: Peyton, Brian (DOH) Sent: Tuesday, May 17, 2011 3:22 PM To: Davis, Paul A (DOH); Boruchowitz, Steve A (DOH); Reid, Terry (DOH) Cc: Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH) Subject: RE: TPC Board of Health Talking Points
We are sending a letter from Maxine Hayes. It will be sent by email this afternoon to board of health members. Brian Peyton Director Policy, Legislative & Constituent Relations Department of Health Voice 360.236.4048 Fax 360.586.7424 brian.peyton@doh.wa.gov
Public Health Always Working for a Safer and Healthier Washington From: Davis, Paul A (DOH) Sent: Tuesday, May 17, 2011 3:20 PM To: Boruchowitz, Steve A (DOH); Peyton, Brian (DOH); Reid, Terry (DOH) Cc: Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH) Subject: RE: TPC Board of Health Talking Points
Just got a phone message from Kirsten. I got that we arent sending anyone, but I need to know if were sending a letter. Can you clarify for me ASAP so I can return her call?
From: Boruchowitz, Steve A (DOH) Sent: Tuesday, May 17, 2011 1:09 PM To: Davis, Paul A (DOH); Peyton, Brian (DOH); Reid, Terry (DOH) Cc: Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH) Subject: RE: TPC Board of Health Talking Points
Sorry for the delay, Brian just got back to me. He asks that Paul contact Tacoma and tell them we are sorry, esp. on short notice, we cannot schedule someone to be there. Steve Boruchowitz
Legislative, Policy and Rules Manager Washington State Department of Health Community and Family Health Division Phone: Olympia 360-236-3731
Readability Scores Average Words per sentence: Reading ease:

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Grade level:
From: Davis, Paul A (DOH) Sent: Tuesday, May 17, 2011 8:26 AM To: Peyton, Brian (DOH); Reid, Terry (DOH) Cc: Boruchowitz, Steve A (DOH); Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH) Subject: RE: TPC Board of Health Talking Points
Has someone connected with Pierce County to let them know what DOH will be doing? I have not contacted them yet.
Paul From: Peyton, Brian (DOH) Sent: Monday, May 16, 2011 5:34 PM To: Reid, Terry (DOH); Davis, Paul A (DOH) Cc: Boruchowitz, Steve A (DOH); Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH) Subject: RE: TPC Board of Health Talking Points
Thanks, I had seen all this. Brian Peyton Director Policy, Legislative & Constituent Relations Department of Health Voice 360.236.4048 Fax 360.586.7424 brian.peyton@doh.wa.gov
Public Health Always Working for a Safer and Healthier Washington From: Reid, Terry (DOH) Sent: Monday, May 16, 2011 2:52 PM To: Peyton, Brian (DOH); Davis, Paul A (DOH) Cc: Boruchowitz, Steve A (DOH); Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH) Subject: RE: TPC Board of Health Talking Points
Brian, below is the request from TPCHD. As you can see it requests support for both resolutions and gives highlights of each. Regarding SIPP that is our Smoking In Public Places law RCW 70.160. I will let Paul speak to the nicotine issue. Frances and Paul; As discussed on the phone, the Tacoma-Pierce County Health Department will be proposing two new tobacco regulations to our Board of Health on May 18. These new regulations will deal with local adoptions of Washington States Smoking In Public Places Act RCW 70.160 and the regulation of ecigarettes and unregulated nicotine delivery products. On behalf of our Health Dept., I would like to extend an invitation for a representative from the State Department of Health to address our Board on May 18, and provide your perspective on these proposed regulations. We believe that providing information addressing issues associated with the safety of ecigarettes and other relevant statistics on the usage of e-cigarettes would be helpful and educational to the members of the Board. Heres a brief summary of each of the regulations that are being proposed: Smoking In Public Places Greater clarity and interpretation of RCW 70.160 Allows for local enforcement including fees and fines
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Aids local businesses that wish to comply with State law Local regulation facilitates compliance with state code Restrictions on Sale, Use and Availability of Electronic Smoking Devices and Unregulated Nicotine Delivery Products Youth less than 18 will be prohibited from buying e-cigarettes and other unregulated smoking devices. Prohibits the use of e-cigarettes in any location where smoking is presently lawfully prohibited. Prohibits providing e-cigarettes at no cost or on a heavily discounted basis. At this time we believe that the Board will strongly support the SIPP regulation. We feel though that they are evenly divided on where the usage of e-cigs should be prohibited. Our team is interested in having a representative from DOH attend the Board of Health meeting and provide testimony in support of our regulations- particularly regarding e-cigarettes. Specifically, we hope that you can speak to: Decrease in smoking rates in Washington State over the past decade- due to hard work. We must not let these numbers slip back up. Safety concerns regarding e-cigarettes Lack of evidence to support e-cigarettes as cessation aids Concern over potential for increased social acceptability or normalization of e-cigarettes which could lead to increased smoking Importance of having a local SIPP regulation that provides LHJs with enforcement authority specific to their communities Given the high stakes of the outcome of this policy for our community and for neighboring counties, our team would like to request that either Sec. Mary Selecky or Dr. Maxine Hayes address the Board. If this is not possible, we would very much appreciate having one of the State Tobacco team managers present. Additionally, a letter from DOH addressed to our Board members would be appreciated. The Board of Health meeting on the 18th begins at 3:00 pm. For more information regarding the legislation, please visit our website at: www.tpchd.org/tobaccoregs Additionally, here is a link to an article and an op-ed (written by us) on the issue: 1. http://www.thenewstribune.com/2011/05/05/1653162/apply-cigarette-ban-tovaping.html#storylink=misearch 2. http://www.thenewstribune.com/2011/05/13/1663467/if-e-cigarettes-arentharmful.html#storylink=misearch
Terry R Reid, Director

Chronic Disease Prevention Unit Washington State Department of Health 111 Israel RD SE PO Box 47848 Olympia, WA 98504-7848 8_19_2011
Page 5 (360) 236-3665 fax (360) 236-3646 terry.reid@doh.wa.gov From: Peyton, Brian (DOH) Sent: Monday, May 16, 2011 2:17 PM To: Davis, Paul A (DOH); Reid, Terry (DOH) Cc: Boruchowitz, Steve A (DOH); Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH) Subject: TPC Board of Health Talking Points Importance: High
I am reviewing the talking points, with an eye to creating a letter to send, instead of sending Maxine Hayes the late notice and the logistics make it very difficult to meet a last minute request like that. Two to three days notice is not really enough. I have some questions about the information: Have you seen the proposed regulations? Where might I get a copy? Official comment on rules is best if wed had a chance to review them What is SIPP? Are we supposed to speak in favor of the clean indoor air stuff or just the e-cig ban? Do we have any evidence that the use of nicotine is harmful? The e-cigs do dispense nicotine, and I thought that its use was not good for your health. Need this information ASAP. Thanks. Brian Peyton Director Policy, Legislative & Constituent Relations Department of Health Voice 360.236.4048 Fax 360.586.7424 brian.peyton@doh.wa.gov
Public Health Always Working for a Safer and Healthier Washington
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Kirsten Frandsen Bridget Vandeventer 5/17/2011 6:58:56 PM Fw: TPC Board of Health Talking Points sale and use of electronic smoking devices
Hi, letter of support from DOH signed by Maxine Hayes went out to BOH members and Dr. Chen this afternoon. Apparently, this was a big deal at DOH as they had not yet taken a formal position. In this message, Maxine is clear that do not support eicigs. Thanks, Kirsten
From: Davis, Paul A (DOH) [mailto:Paul.Davis@DOH.WA.GOV] Sent: Tuesday, May 17, 2011 03:45 PM To: Kirsten Frandsen Subject: FW: TPC Board of Health Talking Points

Kirsten was very happy to hear we are sending a letter and asked if it possible to copy her and Dr. Chen when s the letter is sent. kfrandsen@tpchd.org is Kirsten email and Dr. Chen is on the global outlook at achen@tpchd.org s
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Page 2 Paul Davis, Policy Specialist Washington State Department of Health Tobacco Prevention and Control office - 360-236-3642 cell - 360-507-6556 email - paul.davis@doh.wa.gov PO Box 47848 Olympia, WA 98503 Public Health - Always Working for a Healthier Washington
From: Peyton, Brian (DOH) Sent: Tuesday, May 17, 2011 3:22 PM To: Davis, Paul A (DOH); Boruchowitz, Steve A (DOH); Reid, Terry (DOH) Cc: Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH) Subject: RE: TPC Board of Health Talking Points
Sorry for the delay, Brian just got back to me. He asks that Paul contact Tacoma and tell them we are sorry, esp. on short notice, we cannot schedule someone to be there.
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Steve Boruchowitz
Readability Scores Average Words per sentence: Reading ease: Grade level:
Brian, below is the request from TPCHD. As you can see it requests support for both resolutions and gives highlights of each. Regarding SIPP that is our Smoking In Public Places law RCW 70.160. I will let Paul speak to the nicotine issue. Frances and Paul; As discussed on the phone, the Tacoma-Pierce County Health Department will be proposing two new tobacco regulations to our Board of Health on May 18. These new regulations will deal with local adoptions of Washington States Smoking In Public Places Act RCW 70.160 and the regulation of ecigarettes and unregulated nicotine delivery products.
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On behalf of our Health Dept., I would like to extend an invitation for a representative from the State Department of Health to address our Board on May 18, and provide your perspective on these proposed regulations. We believe that providing information addressing issues associated with the safety of ecigarettes and other relevant statistics on the usage of e-cigarettes would be helpful and educational to the members of the Board. Heres a brief summary of each of the regulations that are being proposed: Smoking In Public Places Greater clarity and interpretation of RCW 70.160 Allows for local enforcement including fees and fines Aids local businesses that wish to comply with State law Local regulation facilitates compliance with state code Restrictions on Sale, Use and Availability of Electronic Smoking Devices and Unregulated Nicotine Delivery Products Youth less than 18 will be prohibited from buying e-cigarettes and other unregulated smoking devices. Prohibits the use of e-cigarettes in any location where smoking is presently lawfully prohibited. Prohibits providing e-cigarettes at no cost or on a heavily discounted basis. At this time we believe that the Board will strongly support the SIPP regulation. We feel though that they are evenly divided on where the usage of e-cigs should be prohibited. Our team is interested in having a representative from DOH attend the Board of Health meeting and provide testimony in support of our regulations- particularly regarding e-cigarettes. Specifically, we hope that you can speak to: Decrease in smoking rates in Washington State over the past decade- due to hard work. We must not let these numbers slip back up. Safety concerns regarding e-cigarettes Lack of evidence to support e-cigarettes as cessation aids Concern over potential for increased social acceptability or normalization of e-cigarettes which could lead to increased smoking Importance of having a local SIPP regulation that provides LHJs with enforcement authority specific to their communities Given the high stakes of the outcome of this policy for our community and for neighboring counties, our team would like to request that either Sec. Mary Selecky or Dr. Maxine Hayes address the Board. If this is not possible, we would very much appreciate having one of the State Tobacco team managers present. Additionally, a letter from DOH addressed to our Board members would be appreciated. The Board of Health meeting on the 18th begins at 3:00 pm. For more information regarding the legislation, please visit our website at: www.tpchd.org/tobaccoregs Additionally, here is a link to an article and an op-ed (written by us) on the issue: 1. http://www.thenewstribune.com/2011/05/05/1653162/apply-cigarette-ban-tovaping.html#storylink=misearch 2. http://www.thenewstribune.com/2011/05/13/1663467/if-e-cigarettes-arentharmful.html#storylink=misearch
Kirsten Frandsen Tacoma-Pierce County Health Department

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Program Coordinator: Physical Activity, Nutrition, and Tobacco 253.798.3540 kfrandsen@tpchd.org

Chronic Disease Prevention Unit Washington State Department of Health 111 Israel RD SE PO Box 47848 Olympia, WA 98504-7848 (360) 236-3665 fax (360) 236-3646 terry.reid@doh.wa.gov From: Peyton, Brian (DOH) Sent: Monday, May 16, 2011 2:17 PM To: Davis, Paul A (DOH); Reid, Terry (DOH) Cc: Boruchowitz, Steve A (DOH); Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH) Subject: TPC Board of Health Talking Points Importance: High
I am reviewing the talking points, with an eye to creating a letter to send, instead of sending Maxine Hayes the late notice and the logistics make it very difficult to meet a last minute request like that. Two to three days notice is not really enough. I have some questions about the information: Have you seen the proposed regulations? Where might I get a copy? Official comment on rules is best if wed had a chance to review them What is SIPP ? Are we supposed to speak in favor of the clean indoor air stuff or just the e-cig ban? Do we have any evidence that the use of nicotine is harmful? The e-cigs do dispense nicotine, and I thought that its use was not good for your health. Need this information ASAP. Thanks. Brian Peyton Director Policy, Legislative & Constituent Relations Department of Health Voice 360.236.4048 Fax 360.586.7424 brian.peyton@doh.wa.gov
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From: Hayes, Maxine (DOH) <Maxine.Hayes@DOH.WA.GOV> To: dick.muri@co.pierce.wa.us s.flemmi@co.pierce.wa.us victoria.woodards@cityoftacoma.org pjohnson@cityofbuckley.com pmccart@co.pierce.wa.us marilyn.strickland@cityoftacoma.org rtalber@co.pierce.wa.gov lauren.walker@cityoftacoma.org Director Date: 5/17/2011 6:28:48 PM Subject: sale and use of electronic smoking devices Attachments: 1690_001.pdf
<<1690_001.pdf>>
Maxine Hayes, MD, MPH State Health Officer Washington State Department of Health PO Box 47890 Olympia WA 98504-7890 360.236.4030 Desk 360.586.7424 FAX maxine.hayes@doh.wa.gov Public Health - Always Working for a Safer and Healthier Washington
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Kirsten Frandsen Bridget Vandeventer 5/17/2011 6:58:58 PM Fw: TPC Board of Health Talking Points sale and use of electronic smoking devices
Hi, letter of support from DOH signed by Maxine Hayes went out to BOH members and Dr. Chen this afternoon. Apparently, this was a big deal at DOH as they had not yet taken a formal position. In this message, Maxine is clear that do not support eicigs. Thanks, Kirsten
From: Davis, Paul A (DOH) [mailto:Paul.Davis@DOH.WA.GOV] Sent: Tuesday, May 17, 2011 03:45 PM To: Kirsten Frandsen Subject: FW: TPC Board of Health Talking Points

Kirsten was very happy to hear we are sending a letter and asked if its possible to copy her and Dr. Chen when the letter is sent. kfrandsen@tpchd.org is Kirstens email and Dr. Chen is on the global outlook at achen@tpchd.org
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Page 2 Paul Davis, Policy Specialist Washington State Department of Health Tobacco Prevention and Control office - 360-236-3642 cell - 360-507-6556 email - paul.davis@doh.wa.gov PO Box 47848 Olympia, WA 98503 Public Health - Always Working for a Healthier Washington
From: Peyton, Brian (DOH) Sent: Tuesday, May 17, 2011 3:22 PM To: Davis, Paul A (DOH); Boruchowitz, Steve A (DOH); Reid, Terry (DOH) Cc: Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH) Subject: RE: TPC Board of Health Talking Points
Sorry for the delay, Brian just got back to me. He asks that Paul contact Tacoma and tell them we are sorry, esp. on short notice, we cannot schedule someone to be there.
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Steve Boruchowitz
Readability Scores Average Words per sentence: Reading ease: Grade level:
Brian, below is the request from TPCHD. As you can see it requests support for both resolutions and gives highlights of each. Regarding SIPP that is our Smoking In Public Places law RCW 70.160. I will let Paul speak to the nicotine issue. Frances and Paul; As discussed on the phone, the Tacoma-Pierce County Health Department will be proposing two new tobacco regulations to our Board of Health on May 18. These new regulations will deal with local adoptions of Washington States Smoking In Public Places Act RCW 70.160 and the regulation of ecigarettes and unregulated nicotine delivery products.
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On behalf of our Health Dept., I would like to extend an invitation for a representative from the State Department of Health to address our Board on May 18, and provide your perspective on these proposed regulations. We believe that providing information addressing issues associated with the safety of ecigarettes and other relevant statistics on the usage of e-cigarettes would be helpful and educational to the members of the Board. Heres a brief summary of each of the regulations that are being proposed: Smoking In Public Places Greater clarity and interpretation of RCW 70.160 Allows for local enforcement including fees and fines Aids local businesses that wish to comply with State law Local regulation facilitates compliance with state code Restrictions on Sale, Use and Availability of Electronic Smoking Devices and Unregulated Nicotine Delivery Products Youth less than 18 will be prohibited from buying e-cigarettes and other unregulated smoking devices. Prohibits the use of e-cigarettes in any location where smoking is presently lawfully prohibited. Prohibits providing e-cigarettes at no cost or on a heavily discounted basis. At this time we believe that the Board will strongly support the SIPP regulation. We feel though that they are evenly divided on where the usage of e-cigs should be prohibited. Our team is interested in having a representative from DOH attend the Board of Health meeting and provide testimony in support of our regulations- particularly regarding e-cigarettes. Specifically, we hope that you can speak to: Decrease in smoking rates in Washington State over the past decade- due to hard work. We must not let these numbers slip back up. Safety concerns regarding e-cigarettes Lack of evidence to support e-cigarettes as cessation aids Concern over potential for increased social acceptability or normalization of e-cigarettes which could lead to increased smoking Importance of having a local SIPP regulation that provides LHJs with enforcement authority specific to their communities Given the high stakes of the outcome of this policy for our community and for neighboring counties, our team would like to request that either Sec. Mary Selecky or Dr. Maxine Hayes address the Board. If this is not possible, we would very much appreciate having one of the State Tobacco team managers present. Additionally, a letter from DOH addressed to our Board members would be appreciated. The Board of Health meeting on the 18th begins at 3:00 pm. For more information regarding the legislation, please visit our website at: www.tpchd.org/tobaccoregs Additionally, here is a link to an article and an op-ed (written by us) on the issue: 1. http://www.thenewstribune.com/2011/05/05/1653162/apply-cigarette-ban-tovaping.html#storylink=misearch 2. http://www.thenewstribune.com/2011/05/13/1663467/if-e-cigarettes-arentharmful.html#storylink=misearch
Kirsten Frandsen Tacoma-Pierce County Health Department

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Program Coordinator: Physical Activity, Nutrition, and Tobacco 253.798.3540 kfrandsen@tpchd.org

Chronic Disease Prevention Unit Washington State Department of Health 111 Israel RD SE PO Box 47848 Olympia, WA 98504-7848 (360) 236-3665 fax (360) 236-3646 terry.reid@doh.wa.gov From: Peyton, Brian (DOH) Sent: Monday, May 16, 2011 2:17 PM To: Davis, Paul A (DOH); Reid, Terry (DOH) Cc: Boruchowitz, Steve A (DOH); Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH) Subject: TPC Board of Health Talking Points Importance: High
I am reviewing the talking points, with an eye to creating a letter to send, instead of sending Maxine Hayes the late notice and the logistics make it very difficult to meet a last minute request like that. Two to three days notice is not really enough. I have some questions about the information: Have you seen the proposed regulations? Where might I get a copy? Official comment on rules is best if wed had a chance to review them What is SIPP ? Are we supposed to speak in favor of the clean indoor air stuff or just the e-cig ban? Do we have any evidence that the use of nicotine is harmful? The e-cigs do dispense nicotine, and I thought that its use was not good for your health. Need this information ASAP. Thanks. Brian Peyton Director Policy, Legislative & Constituent Relations Department of Health Voice 360.236.4048 Fax 360.586.7424 brian.peyton@doh.wa.gov
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Andrea Tull <Andrea.Tull@multicare.org> Bridget Vandeventer 5/17/2011 1:43:40 PM FW: TPCHD Board of Health meeting-- request for speaker
Bridget, I wanted to follow up on a request to have someone from MultiCare attend the TPCHD Board meeting this Thursday, logistics/details. Thanks, Andrea
_____________________________ Andrea M. Tull
Manager, Government Relations & Public Affairs
From: Bridget Vandeventer [mailto:BVandeventer@tpchd.org] Sent: Friday, May 13, 2011 11:02 AM To: Marce Edwards Olson Subject: TPCHD Board of Health meeting-- request for speaker
Hi Marce, I just left you a voicemail about this, but wanted to follow up in writing. As you may have heard, we are proposing two pie
As part of the public process, we are discussing the matter at the Board of Health meeting on May 18. Because MultiCare h hard time getting a hold of him. Since youre the largest health provider in the area, I think it would be especially helpful t
The board is made up of Pierce county elected officials, including Pierce County Executive Pat McCarthy, Mayor Strickland,
Let me know if you have any questions, or if theres someone else you suggest I speak to. Wed love MultiCares support o Thanks, Bridget
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Gretchen Hansen <gretchenh@chef.org> Samantha Yeun 5/17/2011 6:20:08 PM Fwd: RE: Proposed tobacco regulations
Can you email Julie or call her? Her meassage is below. Sent from my Verizon Wireless Phone So she is looking for people to testify? I think we can find some other ways to help her. Please ask Samantha who is leading the charge internally for TPCHD. From: Gretchen Hansen Sent: Tuesday, May 17, 2011 3:16 PM To: Julie Peterson Subject: RE: Proposed tobacco regulations
She wants me to come to meeting and Just say I support the regs if CHEF does. I will email her to see if she has full text
Sent from my Verizon Wireless Phone Julie Peterson wrote: Gretchen DAAHHling, What does Samantha need/want in terms of support? Does she need people lined up to testify? Letters? Would you ask her if she has the full text of the two draft proposals? Let me chat with Kathy about this. I think we can find ways to help. Much grass, Julie From: Gretchen Hansen Sent: Tuesday, May 17, 2011 2:58 PM To: Julie Peterson Subject: FW: Proposed tobacco regulations Julie, Hello DAAHHling. Samantha from the Health Dept asked if I would support her on this. I told her I had to check with you. It is a hearing with their board to adopt some regulations regarding the electronic cigs. She has laid out the two different regs I can support. What are your thoughts? From: Samantha Yeun [mailto:SYeun@tpchd.org] Sent: Tuesday, May 17, 2011 1:21 PM To: Gretchen Hansen Subject: FW: Proposed tobacco regulations Hi Gretchen,
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Heres the information on our proposed regulations. The public comments starts at 3PM, please come about 10 min. early to sign-in to make your comment. Thank you for your support on this effort. Samantha
The two proposed regulations relate to the Health Departments ongoing work to protect the people of Pierce County from the risks associated with tobacco use. The two regulations are: Environmental Health Code, Chapter 8: Smoking in Public Places: This local regulation provides greater clarity and interpretation of RCW 70.160, Washington States Smoking in Public Places law, and allows for local enforcement including fees and fines. Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devices and Unregulated Nicotine Delivery Products: Prohibits smoking and purchase of e-cigarettes and other unregulated nicotine delivery products by youth under age 18; disallows e-cigarettes and other unregulated nicotine delivery products to be used in public places and anywhere that regular cigarettes are prohibited; and prohibits free or heavily discounted e-cigarettes and other unregulated nicotine delivery products. The Board of Health may vote on these regulations at the June 1, 2011 Board of Health meeting and the Health Department is interested in receiving feedback from the community prior to that date. You can review the two proposed regulations here. The Tacoma News Tribune is writing a story about the two issues, and we anticipate that it will post tomorrow. Thank you for your ongoing work and support of public health in Pierce County. Please feel free to share your feedback on these two regulations with the team. Thank you.
Bridget Vandeventer Communications and Community Relations Manager Tacoma-Pierce County Health Department 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | news@tpchd.org
News Media Contact Information The Tacoma-Pierce County Health Department Proposes New Regulations Related to Tobacco Prevention and Control May 4, 2011 The Tacoma-Pierce County Health Department is tasked with safeguarding and enhancing the health of the communities of Pierce County. As part of its mission, the Health Department tackles emerging health risks through policy, programs and treatment in order to protect public health. According to the Centers for Disease Control, tobacco use is the number one cause of preventable deaths in the
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United States and is responsible for one in every five deaths annually. In Pierce County, 17% of adults smoke, representing more than 100,000 of our family members, neighbors, co-workers and friends. Even for individuals who dont smoke, secondhand smoke poses a serious health risk. In adults, secondhand smoke can cause heart disease and lung cancer. For children, secondhand smoke can increase symptoms of asthma, respiratory infections, sudden infant death syndrome and a number of other health conditions. The Tacoma-Pierce County Health Department has brought forth two proposed regulations that relate to the Health Departments ongoing work to protect the people of Pierce County from the risks associated with tobacco use. The Board of Health may vote on these regulations at the June 1, 2011 Board of Health meeting and the Health Department is interested in receiving feedback from the community prior to that date. The two proposed regulations are: Environmental Health Code, Chapter 8: Smoking in Public Places. This local regulation provides greater clarity and interpretation of RCW 70.160, Washington States Smoking in Public Places law, allows for local enforcement including fees and fines and aids local businesses that wish to comply with the State law. Adopting a local regulation facilitates compliance of the state code. Review the full regulation. Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devices and Unregulated Nicotine Delivery Products. The proposed regulation prohibits smoking and the purchase of e-cigarettes and other unregulated nicotine delivery products by youth under age 18, disallows e-cigarettes to be used in public places and anywhere that regular cigarettes are prohibited and prohibits free or heavily discounted e-cigarettes Currently, e-cigarettes are unregulated in the United States. They contain varying levels of nicotine and other known carcinogens and toxic chemicals. The FDA recently announced that it intends to regulate e-cigarettes as a tobacco product and not an approved cessation aid. Review the full regulation. Public Meeting The Tacoma-Pierce County Health Department will host a public meeting to preview and receive public feedback regarding the two regulations. The meeting will include a brief presentation of the proposed regulations, a question and answer period and an opportunity for attendees to provide brief comment. When: Monday, May 16, 2011 6:00-7:00 PM Where: Tacoma-Pierce County Health Department Auditorium 3629 South D Street Tacoma, WA 98418 To provide written feedback on the proposed regulations, please fill out the public input from which can be found here.
________________________________ MULTICARES SHARED VALUES | Respect | Integrity | Stewardship | Excellence | Collaboration | Kindness
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From: Bridget Vandeventer To: Anthony Chen Laurie Jinkins Steve Marek Date: 5/17/2011 8:31:04 PM Subject: Modified proposal messages Attachments: May 2011 Tobacco Regulations_modification.docx
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From: Steve Marek To: Info TPCHD Anthony Chen Date: 5/17/2011 1:55:04 PM Subject: Re: E-cigs and zero Nicotine
Thanks
From: Info TPCHD Sent: Tuesday, May 17, 2011 10:52 AM To: Anthony Chen; Steve Marek Subject: FW: E-cigs and zero Nicotine
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From: Anthony Chen To: Frank Dibiase Steve Marek Bridget Vandeventer Date: 5/17/2011 6:15:48 PM Subject: RE: FDA eCig test results
I am finding that BOH members are saying they cannot remember seeing the link to the report. I remember we summarized the findings but am not sure that we provided the actual link. I do not remember seeing this full report myself. AC
From: Frank Dibiase Sent: Monday, May 16, 2011 9:42 PM To: Anthony Chen; Steve Marek; Bridget Vandeventer Cc: Kirsten Frandsen Subject: Re: FDA eCig test results
Board members received info about FDA and links to FDA web pages, prepared by Kirsten, in the packet Tawana sent them last week. Not sure if it's the same info in your link Anthony, but the info they received was specific to your request made in the phone call Steve, Laurie and I had with you last week. I also have a packet of info regarding your request identifying "what we know" and "what we don't know" about various aspects of ecigarettes, prepared by Kirsten and her staff, which we'll provide to you tomorrow. I thought the meeting tonight went smoothly. The preparation paid off. Lots of interesting comments. Chair Muri was in attendance.
From: Anthony Chen Sent: Monday, May 16, 2011 09:16 PM To: Steve Marek; Bridget Vandeventer; Frank Dibiase Subject: FDA eCig test results
Several BOH members had asked for the link to the FDA website. Here is the link to the actual report: http://www.fda.gov/downloads/Drugs/ScienceResearch/UCM173250.pdf Should we send this? AC
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From: Frank Dibiase To: Kirsten Frandsen Tawana Bellamy Date: 5/17/2011 7:48:36 PM Subject: RE: FDA eCig test results
Hi, Can the two of you please connect on this to see what Board members actually received and then let Anthony, Steve and I know. Thanks.
From: Anthony Chen Sent: Tuesday, May 17, 2011 3:16 PM To: Frank Dibiase; Steve Marek; Bridget Vandeventer Cc: Kirsten Frandsen Subject: RE: FDA eCig test results
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Frank Dibiase Anthony Chen 5/17/2011 7:50:22 PM RE: FDA eCig test results
Kirsten will connect with Tawana to make sure they receive the correct information. Thanks.
From: Anthony Chen Sent: Tuesday, May 17, 2011 3:16 PM To: Frank Dibiase; Steve Marek; Bridget Vandeventer Cc: Kirsten Frandsen Subject: RE: FDA eCig test results
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From: Frank Dibiase To: Anthony Chen Steve Marek Bridget Vandeventer Date: 5/17/2011 12:41:58 AM Subject: Re: FDA eCig test results
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From: Anthony Chen To: Bridget Vandeventer Laurie Jinkins Steve Marek Date: 5/17/2011 8:50:10 PM Subject: RE: Modified proposal messages
The pro-regulation supporters strategy to come to the BOH instead of the public hearing only feeds the CASAA conspiracy theory of bait and switch. I am not sure saying anything to Thad would affect what his group will think or do. AC
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From: Laurie Jinkins To: Steve Marek Anthony Chen Bridget Vandeventer Date: 5/17/2011 10:12:04 PM Subject: Re: Modified proposal messages
I'm just reading on my bb and this looks good to me too. We may want to think about alternative language just in case. My only substantive comment before I look more thoroughly is that I think we shouldn't lock ourselves into making a change oly as a result of research data. There are other things, including public concern or evidence of "bad acting" on behalf of the industry (like burying adverse reports) that might make us consider a ban. I'll send some draft language when I get home.
From: Steve Marek Sent: Tuesday, May 17, 2011 06:58 PM To: Anthony Chen; Bridget Vandeventer; Laurie Jinkins Cc: Frank Dibiase; Kirsten Frandsen; Madigan Resident; 'Gregory Jacoby' <GAJ@mcgavick.com> Subject: RE: Modified proposal messages
I like Bridgets work with your edits. I think we may get some push back from Dick and others on the places which are not visible to minors restriction which would include quite a few restaurants with attached bars e.g Ram, Stanleys, E9 ,MASA, Matador even El Gauchos. So if we stay with language we will basically only be allowing ecigs in taverns which do not allow minors on the premise. So we are giving but not much. I am forwarding this on to Greg for his feedback especially on the two year clause. What do others think?
Hi Anthony and team, Attached is my draft of messages for tomorrow, outlining the results of the public process and the modified proposal. These basically become the outline of Anthonys comments for tomorrows meeting. Once we finalize these, they become the basis of other communications; letters to staff, any media, etc. Please let me know your feedback. Also, I wanted to share this article/notice from CASAA that posted to the site today. http://www.casaa.org/news/article.asp?articleID=175&l=a&p My read on this is that a.) they feel duped that BOH members werent there yesterday and that this wasnt the
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real meeting for sharing feedback and b.) they are calling for their supporters to come out tomorrow as well. Just for discussion, I think we should consider having someone make a call to Thad from CASAA to soft sound the modified proposal with him in an effort to soften the angst they may come with tomorrow. Im interested in your opinions on this. Thanks! Bridget
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From: Steve Marek To: Anthony Chen Bridget Vandeventer Laurie Jinkins Date: 5/17/2011 9:58:36 PM Subject: RE: Modified proposal messages
I like Bridgets work with your edits. I think we may get some push back from Dick and others on the places which are not visible to minors restriction which would include quite a few restaurants with attached bars e.g Ram, Stanleys, E9 ,MASA, Matador even El Gauchos. So if we stay with language we will basically only be allowing ecigs in taverns which do not allow minors on the premise. So we are giving but not much. I am forwarding this on to Greg for his feedback especially on the two year clause. What do others think?
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From: To: Date: Subject: 206-824-2907 ext1898 Sent from my Verizon Wireless Phone Samantha Yeun wrote: I can call her. Can you tell me what is Julie's #? -----Original Message----From: Gretchen Hansen [mailto:gretchenh@chef.org] Sent: Tuesday, May 17, 2011 3:20 PM To: Samantha Yeun Subject: Fwd: RE: Proposed tobacco regulations
Gretchen Hansen <gretchenh@chef.org> Samantha Yeun 5/17/2011 6:37:56 PM RE: RE: Proposed tobacco regulations
Can you email Julie or call her? Her meassage is below. Sent from my Verizon Wireless Phone So she is looking for people to testify? I think we can find some other ways to help her. Please ask Samantha who is leading the charge internally for TPCHD. From: Gretchen Hansen Sent: Tuesday, May 17, 2011 3:16 PM To: Julie Peterson Subject: RE: Proposed tobacco regulations
Sent from my Verizon Wireless Phone Julie Peterson wrote: Gretchen DAAHHling, What does Samantha need/want in terms of support? Does she need people lined up to testify? Letters? Would you ask her if she has the full text of the two draft proposals? Let me chat with Kathy about this. I think we can find ways to help. Much grass, Julie From: Gretchen Hansen Sent: Tuesday, May 17, 2011 2:58 PM To: Julie Peterson Subject: FW: Proposed tobacco regulations
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Julie, Hello DAAHHling. Samantha from the Health Dept asked if I would support her on this. I told her I had to check with you. It is a hearing with their board to adopt some regulations regarding the electronic cigs. She has laid out the two different regs I can support. What are your thoughts? From: Samantha Yeun [mailto:SYeun@tpchd.org] Sent: Tuesday, May 17, 2011 1:21 PM To: Gretchen Hansen Subject: FW: Proposed tobacco regulations Hi Gretchen, Here's the information on our proposed regulations. The public comments starts at 3PM, please come about 10 min. early to sign-in to make your comment. Thank you for your support on this effort. Samantha
The two proposed regulations relate to the Health Department's ongoing work to protect the people of Pierce County from the risks associated with tobacco use. The two regulations are: Environmental Health Code, Chapter 8: Smoking in Public Places: This local regulation provides greater clarity and interpretation of RCW 70.160, Washington State's Smoking in Public Places law, and allows for local enforcement including fees and fines. Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devices and Unregulated Nicotine Delivery Products: Prohibits smoking and purchase of e-cigarettes and other unregulated nicotine delivery products by youth under age 18; disallows e-cigarettes and other unregulated nicotine delivery products to be used in public places and anywhere that regular cigarettes are prohibited; and prohibits free or heavily discounted e-cigarettes and other unregulated nicotine delivery products. The Board of Health may vote on these regulations at the June 1, 2011 Board of Health meeting and the Health Department is interested in receiving feedback from the community prior to that date. You can review the two proposed regulations here. The Tacoma News Tribune is writing a story about the two issues, and we anticipate that it will post tomorrow. Thank you for your ongoing work and support of public health in Pierce County. Please feel free to share your feedback on these two regulations with the team. Thank you.
Bridget Vandeventer Communications and Community Relations Manager Tacoma-Pierce County Health Department
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253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | news@tpchd.org
News Media Contact Information The Tacoma-Pierce County Health Department Proposes New Regulations Related to Tobacco Prevention and Control May 4, 2011 The Tacoma-Pierce County Health Department is tasked with safeguarding and enhancing the health of the communities of Pierce County. As part of its mission, the Health Department tackles emerging health risks through policy, programs and treatment in order to protect public health. According to the Centers for Disease Control, tobacco use is the number one cause of preventable deaths in the United States and is responsible for one in every five deaths annually. In Pierce County, 17% of adults smoke, representing more than 100,000 of our family members, neighbors, co-workers and friends. Even for individuals who don't smoke, secondhand smoke poses a serious health risk. In adults, secondhand smoke can cause heart disease and lung cancer. For children, secondhand smoke can increase symptoms of asthma, respiratory infections, sudden infant death syndrome and a number of other health conditions. The Tacoma-Pierce County Health Department has brought forth two proposed regulations that relate to the Health Department's ongoing work to protect the people of Pierce County from the risks associated with tobacco use. The Board of Health may vote on these regulations at the June 1, 2011 Board of Health meeting and the Health Department is interested in receiving feedback from the community prior to that date. The two proposed regulations are: Environmental Health Code, Chapter 8: Smoking in Public Places. This local regulation provides greater clarity and interpretation of RCW 70.160, Washington State's Smoking in Public Places law, allows for local enforcement including fees and fines and aids local businesses that wish to comply with the State law. Adopting a local regulation facilitates compliance of the state code. Review the full regulation. Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devices and Unregulated Nicotine Delivery Products. The proposed regulation prohibits smoking and the purchase of e-cigarettes and other unregulated nicotine delivery products by youth under age 18, disallows e-cigarettes to be used in public places and anywhere that regular cigarettes are prohibited and prohibits free or heavily discounted e-cigarettes Currently, e-cigarettes are unregulated in the United States. They contain varying levels of nicotine and other known carcinogens and toxic chemicals. The FDA recently announced that it intends to regulate e-cigarettes as a tobacco product and not an approved cessation aid. Review the full regulation. Public Meeting The Tacoma-Pierce County Health Department will host a public meeting to preview and receive public feedback regarding the two regulations. The meeting will include a brief presentation of the proposed regulations, a question and answer period and an opportunity for attendees to provide brief comment. When: Monday, May 16, 2011 6:00-7:00 PM Where: Tacoma-Pierce County Health Department Auditorium 3629 South D Street Tacoma, WA 98418 To provide written feedback on the proposed regulations, please fill out the public input from which can be found here.
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________________________________ MULTICARE'S SHARED VALUES | Respect | Integrity | Stewardship | Excellence | Collaboration | Kindness ************************************************************************************* This e-mail and any attachments may contain confidential and privileged information. It has been scanned for viruses. If you are not the intended recipient, please notify the sender immediately by return e-mail, delete this e-mail and destroy any copies. **************************************************************************************
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From: To: Date: Subject: I can call her. Can you tell me what is Julie's #? -----Original Message----From: Gretchen Hansen [mailto:gretchenh@chef.org] Sent: Tuesday, May 17, 2011 3:20 PM To: Samantha Yeun Subject: Fwd: RE: Proposed tobacco regulations Can you email Julie or call her? Her meassage is below.
Samantha Yeun 'Gretchen Hansen' 5/17/2011 6:30:58 PM RE: RE: Proposed tobacco regulations
Sent from my Verizon Wireless Phone So she is looking for people to testify? I think we can find some other ways to help her. Please ask Samantha who is leading the charge internally for TPCHD. From: Gretchen Hansen Sent: Tuesday, May 17, 2011 3:16 PM To: Julie Peterson Subject: RE: Proposed tobacco regulations
Sent from my Verizon Wireless Phone Julie Peterson wrote: Gretchen DAAHHling, What does Samantha need/want in terms of support? Does she need people lined up to testify? Letters? Would you ask her if she has the full text of the two draft proposals? Let me chat with Kathy about this. I think we can find ways to help. Much grass, Julie From: Gretchen Hansen Sent: Tuesday, May 17, 2011 2:58 PM To: Julie Peterson Subject: FW: Proposed tobacco regulations Julie, Hello DAAHHling. Samantha from the Health Dept asked if I would support her on this. I told her I had to check with you. It is a hearing with their board to adopt some regulations regarding the electronic cigs. She has laid out the two different regs I can support.
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What are your thoughts? From: Samantha Yeun [mailto:SYeun@tpchd.org] Sent: Tuesday, May 17, 2011 1:21 PM To: Gretchen Hansen Subject: FW: Proposed tobacco regulations Hi Gretchen, Here's the information on our proposed regulations. The public comments starts at 3PM, please come about 10 min. early to sign-in to make your comment. Thank you for your support on this effort. Samantha
The two proposed regulations relate to the Health Department's ongoing work to protect the people of Pierce County from the risks associated with tobacco use. The two regulations are: Environmental Health Code, Chapter 8: Smoking in Public Places: This local regulation provides greater clarity and interpretation of RCW 70.160, Washington State's Smoking in Public Places law, and allows for local enforcement including fees and fines. Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devices and Unregulated Nicotine Delivery Products: Prohibits smoking and purchase of e-cigarettes and other unregulated nicotine delivery products by youth under age 18; disallows e-cigarettes and other unregulated nicotine delivery products to be used in public places and anywhere that regular cigarettes are prohibited; and prohibits free or heavily discounted e-cigarettes and other unregulated nicotine delivery products. The Board of Health may vote on these regulations at the June 1, 2011 Board of Health meeting and the Health Department is interested in receiving feedback from the community prior to that date. You can review the two proposed regulations here. The Tacoma News Tribune is writing a story about the two issues, and we anticipate that it will post tomorrow. Thank you for your ongoing work and support of public health in Pierce County. Please feel free to share your feedback on these two regulations with the team. Thank you.
News
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Media Contact Information The Tacoma-Pierce County Health Department Proposes New Regulations Related to Tobacco Prevention and Control May 4, 2011 The Tacoma-Pierce County Health Department is tasked with safeguarding and enhancing the health of the communities of Pierce County. As part of its mission, the Health Department tackles emerging health risks through policy, programs and treatment in order to protect public health. According to the Centers for Disease Control, tobacco use is the number one cause of preventable deaths in the United States and is responsible for one in every five deaths annually. In Pierce County, 17% of adults smoke, representing more than 100,000 of our family members, neighbors, co-workers and friends. Even for individuals who don't smoke, secondhand smoke poses a serious health risk. In adults, secondhand smoke can cause heart disease and lung cancer. For children, secondhand smoke can increase symptoms of asthma, respiratory infections, sudden infant death syndrome and a number of other health conditions. The Tacoma-Pierce County Health Department has brought forth two proposed regulations that relate to the Health Department's ongoing work to protect the people of Pierce County from the risks associated with tobacco use. The Board of Health may vote on these regulations at the June 1, 2011 Board of Health meeting and the Health Department is interested in receiving feedback from the community prior to that date. The two proposed regulations are: Environmental Health Code, Chapter 8: Smoking in Public Places. This local regulation provides greater clarity and interpretation of RCW 70.160, Washington State's Smoking in Public Places law, allows for local enforcement including fees and fines and aids local businesses that wish to comply with the State law. Adopting a local regulation facilitates compliance of the state code. Review the full regulation. Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devices and Unregulated Nicotine Delivery Products. The proposed regulation prohibits smoking and the purchase of e-cigarettes and other unregulated nicotine delivery products by youth under age 18, disallows e-cigarettes to be used in public places and anywhere that regular cigarettes are prohibited and prohibits free or heavily discounted e-cigarettes Currently, e-cigarettes are unregulated in the United States. They contain varying levels of nicotine and other known carcinogens and toxic chemicals. The FDA recently announced that it intends to regulate e-cigarettes as a tobacco product and not an approved cessation aid. Review the full regulation. Public Meeting The Tacoma-Pierce County Health Department will host a public meeting to preview and receive public feedback regarding the two regulations. The meeting will include a brief presentation of the proposed regulations, a question and answer period and an opportunity for attendees to provide brief comment. When: Monday, May 16, 2011 6:00-7:00 PM Where: Tacoma-Pierce County Health Department Auditorium 3629 South D Street Tacoma, WA 98418 To provide written feedback on the proposed regulations, please fill out the public input from which can be found here.
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Bridget Vandeventer 'Hunter George' 5/17/2011 7:52:56 PM RE: smoke-free alternatives rally to the cause
Argh. Thank you for sharing. They called me about it this morning, but I hadnt seen this article yet. Yesterday was interesting. We heard a lot, and I really believe we took it to heart. It wasnt cursory at all, which I was pleased with. Tomorrow should be interesting.
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org From: Hunter George [mailto:hgeorge@co.pierce.wa.us] Sent: Tuesday, May 17, 2011 2:51 PM To: Bridget Vandeventer Subject: smoke-free alternatives rally to the cause
Hey BVI saw a link to this on Twitter, so I thought Id share in case you havent already seen it: http://www.casaa.org/news/article.asp?articleID=175&l=a&p
Hunter T. George Pierce County Communications Director 253-798-6606 | cell: 253-961-8422 | hgeorge@co.pierce.wa.us
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From: Bruce Rytkonen To: Kirsten Frandsen George Hermosillo Tutrecia Giles Allison Cox Samantha Yeun Hanna Zarellijackson Linda Graves Date: 5/17/2011 6:50:56 PM Subject: RE: Speakers
As Kirsten was going out the door this afternoon she asked that I pass on to everyone a request that by 9:00 AM Wednesday that everyone provide a listing of: 1. Speakers that are coming for sure their topic(s).e-cigs or SIPP or both, and 2. Speakers that may be comingand their topic..e-cigs or SIPP or both If youre not going to be in by 9:00 on Wednesday please send this listing to Kirsten with cc to me before you leave today. Thank you.
From: Kirsten Frandsen Sent: Tuesday, May 17, 2011 12:54 PM To: George Hermosillo; Tutrecia Giles; Allison Cox; Samantha Yeun; Hanna Zarellijackson Cc: Bruce Rytkonen Subject: RE: Speakers
Thanks so much to all of you. Tutrecia and Bruce- can you please make sure that our speakers have all of the information that they need in order to present? So they are well informed to the issue and can speak to it directly- esp. re: e-cigs. Thanks! Kirsten
From: George Hermosillo Sent: Tuesday, May 17, 2011 12:50 PM To: Tutrecia Giles; Allison Cox; Samantha Yeun; Hanna Zarellijackson Cc: Bruce Rytkonen; Kirsten Frandsen Subject: RE: Speakers
Tutrecia, Jerome Wahl will be available to speak tomorrow. Thx, George

From: Tutrecia Giles Sent: Tuesday, May 17, 2011 12:48 PM To: Allison Cox; George Hermosillo; Samantha Yeun; Hanna Zarellijackson Cc: Bruce Rytkonen; Kirsten Frandsen Subject: Speakers
Hello all, Thanks for assistance in identifying additional testimony. I sent the group a general blurb that can be send out w/ the date and time of BOH meeting and a link to proposed regs.
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Please send me the names of confirmed speakers ASAP. I will roll up the names and send back out to group
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From: Kirsten Frandsen To: George Hermosillo Tutrecia Giles Allison Cox Samantha Yeun Hanna Zarellijackson Date: 5/17/2011 3:53:52 PM Subject: RE: Speakers
Thanks so much to all of you. Tutrecia and Bruce- can you please make sure that our speakers have all of the information that they need in order to present? So they are well informed to the issue and can speak to it directly- esp. re: e-cigs. Thanks! Kirsten
From: George Hermosillo Sent: Tuesday, May 17, 2011 12:50 PM To: Tutrecia Giles; Allison Cox; Samantha Yeun; Hanna Zarellijackson Cc: Bruce Rytkonen; Kirsten Frandsen Subject: RE: Speakers
Tutrecia, Jerome Wahl will be available to speak tomorrow. Thx, George

From: Tutrecia Giles Sent: Tuesday, May 17, 2011 12:48 PM To: Allison Cox; George Hermosillo; Samantha Yeun; Hanna Zarellijackson Cc: Bruce Rytkonen; Kirsten Frandsen Subject: Speakers
Hello all, Thanks for assistance in identifying additional testimony. I sent the group a general blurb that can be send out w/ the date and time of BOH meeting and a link to proposed regs. Please send me the names of confirmed speakers ASAP. I will roll up the names and send back out to group
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From: Bridget Vandeventer To: Bruce Rytkonen Kirsten Frandsen Date: 5/17/2011 2:49:52 PM Subject: RE: Telecon
He called me too and we had this conversation. Hes double teaming us. We responded the same though, so thats good. Thanks Bruce.
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org From: Bruce Rytkonen Sent: Tuesday, May 17, 2011 10:30 AM To: Bridget Vandeventer; Kirsten Frandsen Subject: Telecon
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From: Kirsten Frandsen To: Bruce Rytkonen Bridget Vandeventer Date: 5/17/2011 5:32:00 PM Subject: RE: Telecon
Hi, no I dont know Bob Alexander
From: Bruce Rytkonen Sent: Tuesday, May 17, 2011 10:30 AM To: Bridget Vandeventer; Kirsten Frandsen Subject: Telecon
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Tawana Bellamy Tutrecia Giles 5/17/2011 12:24:04 PM RE: TPCHD's intended ban/restrictions on E-cigarettes
I will work on getting the notes and public comments typed up today. Tawana -----Original Message----From: Tutrecia Giles Sent: Tuesday, May 17, 2011 7:29 AM To: Tawana Bellamy Subject: Re: TPCHD's intended ban/restrictions on E-cigarettes Thanks, Tawana Steve asked if the notes/transcription of the public meeting would be available tomorrow. He said he knows it's a lot of work and he didn't want to put added pressure on you. He thought it would be good for Dr. Chen to have the notes tomorrow before wednesday's board meeting. I told him I would relay the inquiry.-Thanks,Tutrecia ------Original Message-----From: Tawana Bellamy Cc: Tutrecia Giles Subject: FW: TPCHD's intended ban/restrictions on E-cigarettes Sent: May 16, 2011 7:35 PM This came today, but says it was sent on 5/5/11. Might be a duplicate. Tawana -----Original Message----From: Stacy Emerson [mailto:stacy.emerson@gmail.com] Sent: Thursday, May 05, 2011 12:54 PM Subject: TPCHD's intended ban/restrictions on E-cigarettes Dear TPCHD Health Board Members and Elected Officials I am a 47 year old property-owning female taxpayer of unincorporated Pierce County who started smoking in my teenage years; then switched to cigars in my 30's. I have experience intermittent--perhaps permanent--health problems due to my decades of smoking, yet failed to successfully quit for more than a few weeks at a time. I obtained my first e-cigarette last year as a hand-me-down from someone I met through an employee of the TPCHD. The person who gave it to me had successfully broke his 30-year smoking addiction by using the E-cig, and that gave me tremendous hope, as my prior experience with hypnosis, nicotine gum, lozenges, patches, and whatever the pill was back in about 2000, before Chantix went on the market, and several other 'devices', etc., did not work for me.. Since then, a convenience store chain started selling full E-cig kits
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for $20, with 10-pk refills for about $10 (refills for the hand-me-down one was $19.99/5-pk). They are available in a variety of strengths of nicotine, as well as zero-nicotine. I started with the 22mg nicotine cartridges, am happy to report that I am now down to the 5mg cartridges and plan to switch to the zero-nicotine in the near future. I view this as a huge success, and therefore feel I must voice my objection to your intended ban on low-cost e-cigs (unless a particular brand is proven to contain other-than nicotine and glycerin), and on your intended ban on E-cig coupons (you have not banned cigarette coupons, have you?). I also object to what appears to be your effort to protect the financial resources you garner through cigarette tax by banning/restricting E-cigs. I am asking you to drop this issue and instead focus your time, attention and resources on other, more important issues-as there are PLENTY of them which need your attention. In closing, I ask that you add me to your Interested Parties List regarding any meetings or actions relating to your efforts at banning or restricting E-cigs in Pierce County.
Thank you, Stacy Emerson 1809 99th Street East Midland (Tacoma), WA 98445 253-921-6874
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Tutrecia Giles Tawana Bellamy 5/17/2011 10:29:18 AM Re: TPCHD's intended ban/restrictions on E-cigarettes
Thanks, Tawana Steve asked if the notes/transcription of the public meeting would be available tomorrow. He said he knows it's a lot of work and he didn't want to put added pressure on you. He thought it would be good for Dr. Chen to have the notes tomorrow before wednesday's board meeting. I told him I would relay the inquiry.-Thanks,Tutrecia ------Original Message-----From: Tawana Bellamy Cc: Tutrecia Giles Subject: FW: TPCHD's intended ban/restrictions on E-cigarettes Sent: May 16, 2011 7:35 PM This came today, but says it was sent on 5/5/11. Might be a duplicate. Tawana -----Original Message----From: Stacy Emerson [mailto:stacy.emerson@gmail.com] Sent: Thursday, May 05, 2011 12:54 PM Subject: TPCHD's intended ban/restrictions on E-cigarettes Dear TPCHD Health Board Members and Elected Officials I am a 47 year old property-owning female taxpayer of unincorporated Pierce County who started smoking in my teenage years; then switched to cigars in my 30's. I have experience intermittent--perhaps permanent--health problems due to my decades of smoking, yet failed to successfully quit for more than a few weeks at a time. I obtained my first e-cigarette last year as a hand-me-down from someone I met through an employee of the TPCHD. The person who gave it to me had successfully broke his 30-year smoking addiction by using the E-cig, and that gave me tremendous hope, as my prior experience with hypnosis, nicotine gum, lozenges, patches, and whatever the pill was back in about 2000, before Chantix went on the market, and several other 'devices', etc., did not work for me.. Since then, a convenience store chain started selling full E-cig kits for $20, with 10-pk refills for about $10 (refills for the hand-me-down one was $19.99/5-pk). They are available in a variety of strengths of nicotine, as well as zero-nicotine. I started with the 22mg nicotine cartridges, am happy to report that I am now down to the 5mg cartridges and plan to switch to the zero-nicotine in the near future. I view this as a huge success, and therefore feel I must voice my objection to your intended ban on low-cost e-cigs (unless a particular brand is proven to contain other-than nicotine and glycerin), and on your intended ban on E-cig coupons (you have not banned cigarette coupons, have you?).
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I also object to what appears to be your effort to protect the financial resources you garner through cigarette tax by banning/restricting E-cigs. I am asking you to drop this issue and instead focus your time, attention and resources on other, more important issues-as there are PLENTY of them which need your attention. In closing, I ask that you add me to your Interested Parties List regarding any meetings or actions relating to your efforts at banning or restricting E-cigs in Pierce County.
Thank you, Stacy Emerson 1809 99th Street East Midland (Tacoma), WA 98445 253-921-6874
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Very interesting- thanks for letting me know. Kirsten
From: Bruce Rytkonen Sent: Tuesday, May 17, 2011 12:40 PM To: Kirsten Frandsen Subject: Wed BOH Meeting
Kirsten Frandsen Bruce Rytkonen 5/17/2011 5:34:00 PM RE: Wed BOH Meeting
This is a surprise to me. At the TAP meetings Joanna was (I believe) not a supporter of e-cigs. And at the last TAP meeting
From: Joanna [mailto:joannatheamazon@yahoo.com] Sent: Tuesday, May 17, 2011 11:58 AM To: Bruce Rytkonen Subject: Re: Wed BOH Meeting
Hi Bruce, I'm unable to make it. I needed to schedule something into that time.
I may have given comments that would not be ideal, though, too. Because my message is more about freedom of choice, and some I know cite the e-cigs as a stepping stone to their and I feel strongly about there being lots and lots of options, it may be best if I'm not there to offer my thoughts, anywa I went back and forth about this and that is where I landed. Lots of variables! Thanks, Joanna Joanna Cummings
M.Ed., LMHC, LADAC, NCC Kick Butts, Take Names: It's All About Freedom. KickButtsTakeNames.com
From: Bruce Rytkonen <BRytkonen@tpchd.org> To: "Cummings, Joanna" <joannatheamazon@yahoo.com> Sent: Tue, May 17, 2011 10:35:01 AM Subject: Wed BOH Meeting
Hi Joanna.are we going to see you tomorrow at the 3:00 at the BOH meeting to make a comment to the Board?
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Very interesting- thanks for letting me know. Kirsten
From: Bruce Rytkonen Sent: Tuesday, May 17, 2011 12:40 PM To: Kirsten Frandsen Subject: Wed BOH Meeting
Kirsten Frandsen Bruce Rytkonen 5/17/2011 5:34:00 PM RE: Wed BOH Meeting
This is a surprise to me. At the TAP meetings Joanna was (I believe) not a supporter of e-cigs. And at the last TAP meeting
From: Joanna [mailto:joannatheamazon@yahoo.com] Sent: Tuesday, May 17, 2011 11:58 AM To: Bruce Rytkonen Subject: Re: Wed BOH Meeting
Hi Bruce, I'm unable to make it. I needed to schedule something into that time.
I may have given comments that would not be ideal, though, too. Because my message is more about freedom of choice, and some I know cite the e-cigs as a stepping stone to their and I feel strongly about there being lots and lots of options, it may be best if I'm not there to offer my thoughts, anywa I went back and forth about this and that is where I landed. Lots of variables! Thanks, Joanna Joanna Cummings
M.Ed., LMHC, LADAC, NCC Kick Butts, Take Names: It's All About Freedom. KickButtsTakeNames.com
From: Bruce Rytkonen <BRytkonen@tpchd.org> To: "Cummings, Joanna" <joannatheamazon@yahoo.com> Sent: Tue, May 17, 2011 10:35:01 AM Subject: Wed BOH Meeting
Hi Joanna.are we going to see you tomorrow at the 3:00 at the BOH meeting to make a comment to the Board?
************************************************************************************* Thi s e- m l and any at t achm ai ent s m ay cont ai n conf i dent i al and pr i vi l eged i nf or m i on. I t has be at
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From: Bruce Rytkonen To: Bridget Vandeventer Kirsten Frandsen Date: 5/17/2011 1:30:24 PM Subject: Telecon
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From: Tutrecia Giles To: Steve Marek Kirsten Frandsen Frank Dibiase Date: 5/17/2011 12:32:06 PM Subject: transcript of public meeting
Tutrecia Giles, M.Ed. Prevention Specialist Tacoma-Pierce County Health Department 3629 So 'D' Street, MS-409 Tacoma, Washington 98418-6813 Direct (253) 798-4727 fax (253) 798-6450 tgiles@tpchd.org -----Original Message----From: Tawana Bellamy Sent: Tuesday, May 17, 2011 9:24 AM To: Tutrecia Giles Subject: RE: TPCHD's intended ban/restrictions on E-cigarettes I will work on getting the notes and public comments typed up today. Tawana -----Original Message----From: Tutrecia Giles Sent: Tuesday, May 17, 2011 7:29 AM To: Tawana Bellamy Subject: Re: TPCHD's intended ban/restrictions on E-cigarettes Thanks, Tawana Steve asked if the notes/transcription of the public meeting would be available tomorrow. He said he knows it's a lot of work and he didn't want to put added pressure on you. He thought it would be good for Dr. Chen to have the notes tomorrow before wednesday's board meeting. I told him I would relay the inquiry.-Thanks,Tutrecia
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From: Anthony Chen To: Cindy DeGrosse (cdegrosse@ci.tacoma.wa.us) Cindy Leingang (cindy.leingang@cityoftacoma.org) Cindy Willis (cwillis@co.pierce.wa.us) Connie Perry (cperry@co.pierce.wa.us) Dick Muri (dick.muri@co.pierce.wa.us) DO Stan Flemming (sflemmi@co.pierce.wa.us) Kathy McVay Walker, Lauren Leslie Swalley (leslie.swalley@co.pierce.wa.us) Marilyn Strickland (marilyn.strickland@cityoftacoma.org) Mark Williams (mwillia@co.pierce.wa.us) Pat McCarthy (pmccart@co.pierce.wa.us) Patricia Johnson (city@cityofbuckley.com) Rebecca Sullivan (annreid42@lycos.com) Rick Talbert (rtalber@co.pierce.wa.us) Victoria Woodards (victoria.woodards@cityoftacoma.org) Date: 5/18/2011 3:25:10 PM Subject: May 16, 2011 Proposed Tobacco Regulations Meeting Minutes & Comments Attachments: Comments from Tobacco Mtg 051611.pdf 051611 - Public Meeting - Proposed Tobacco Regulations SM MINS.docx
Dear Board of Health members, Attached is a transcript of the comments made by the public at the meeting on Monday evening. We will summarize these this afternoon, but I wanted you to have them in full prior to the meeting. We are very pleased with the level of engagement from the community, and appreciate the public discourse that has taken place thus far regarding these proposed regulations. We do anticipate more feedback to be presented today, and will enter that into the public record as well. Thanks, Anthony L-T Chen, MD, MPH Director of Health Tacoma-Pierce County Health Department 3629 South D Street Tacoma, WA 98418-6813 Phone: 253-798-6411 Fax: 253-798-7627 achen@tpchd.org
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laj020689@aol.com <laj020689@aol.com> Laurie Jinkins 5/18/2011 12:17:30 AM Re: Modified proposal messages May_2011_Tobacco_Regulations_modification_revLAJ.docx
I've done some edits to the proposed language too. My feeling is that these are not key messages. They're good talking points, h have 3 key messages:
We are very pleased with how engaged members of the Pierce County community, on all sides of the issue, have been in di The Tacoma-Pierce County Health Department's mission is to safeguard and enhance the health of communities in Pierce C There are a number of elements to the proposal. The most important piece(s) of the proposal is agreed upon by virtually eve Beyond this, I think we want to ask Board members to say things like:
I am so pleased that this proposal protects our kids. We know that smoking kills and making sure that our youth don't have I respect the work that the health department staff did in engaging the community on this issue and I am also impressed with I am skeptical that e-cigarettes are safe or healthy or actually help people quit smoking, however, as health department staff
-----Original Message----From: Laurie Jinkins <LJinkins@tpchd.org> To: 'laj020689@aol.com' <laj020689@aol.com> Sent: Tue, May 17, 2011 8:31 pm Subject: Fw: Modified proposal messages
Here are my edits. I made some policy decisions (see comments) which I need feedback on before my meeting with Dick a AC
Hi Anthony and team, Attached is my draft of messages for tomorrow, outlining the results of the public process and the modified proposal. The Please let me know your feedback.
Also, I wanted to share this article/notice from CASAA that posted to the site today. http://www.casaa.org/news/article.asp?articleID=175&l=a&p My read on this is that a.) they feel duped that BOH members werent there yesterday and that this wasnt the interested in your opinions on this. Thanks! Bridget
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From: Adria Moskowitz To: Frank Dibiase George Hermosillo Date: 5/19/2010 6:57:24 PM Subject: Minutes from 5-19 PUSH Meeting Attachments: PUSH 5-19-10.doc For correction and/or amending before sending out to PUSH team
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Info TPCHD David Vance 5/19/2011 5:26:42 PM FW: E-cigs and zero Nicotine
From: Stanley Flemming [mailto:sflemmi@co.pierce.wa.us] Sent: Thursday, May 19, 2011 1:02 PM To: 'Matt Zukowski'; PCEXECUTIVE; Marilyn.Strickland@cityoftacoma.org Cc: Director; Info TPCHD; Dick Muri; ron.lucas@ci.steilacoom.wa.us; pjohnson@cityofbuckley.com Subject: RE: E-cigs and zero Nicotine
Matt; Thank you for your email. I appreciate the concerns you have raised. Please know, as a physician, I am quite familiar with this product and the various solutions that can be used with it to include those that have no nicotine content. I likewise thank you for your continued interest in this issue. stan Stan Flemming Member of Council, Pierce County District 7 253.798.6654 sflemmi@co.pierce.wa.us
From: Matt Zukowski [mailto:mattzuke@gmail.com] Sent: Tuesday, May 17, 2011 10:30 AM To: Stanley Flemming; PCEXECUTIVE; Marilyn.Strickland@cityoftacoma.org Cc: director@tpchd.org; info@tpchd.org; Dick Muri; ron.lucas@ci.steilacoom.wa.us; pjohnson@cityofbuckley.com Subject: E-cigs and zero Nicotine
Dear Stan Flemming and other interested parties, I was told after the public meeting that you were unaware that e-fluid for personal vaporizers has the option for zero nicotine, and zero nicotine is actually used by some former smokers. I personally have only going down as low as 12mg/ml. Dr. Anthony Chen, who didn't even bother to attend the meeting, seems to be under the belief that kids who want to blow smoke rings, but don't want tobacco, will experiment with personal vaporizers. It's a little far fetched that adolescents will spend in excess of $80 just for the benefit of smoke rings without tobacco. Still, if they are so health conscious to avoid tobacco, odds are they'd avoid nicotine. Even then, they'd have to find a shop that allowed minors inside, which frankly does not exist in Pierce County. Still we accept the risk when it comes to FDA approved NRPs like the patch, gum, and lossage despite objective evidence that they are ineffective at promoting smoking cessation. Kids do experiment with NRPs, but like personal vaporizers they are cost prohibitive and no evidence to date exists that nicotine in any delivery system outside of real tobacco leads to a life long addiction. If NRPs are an acceptable risk and are shown to be quite ineffective at promoting cessation, then a product used by former smokers who are not smoking should be equally an acceptable risk. Not applying the smoking ban to e-cigarettes makes sense since there is no objective benefit that they cause harm to the user and by-standards, and provides an objective benefit to those who represent the hard core addicted of being able to use personal vaporizers indoors. Until further studies are conducted, we can still say there is the side benefit of these users not smoking, and reducing their purchase of the real thing. If it's the objective goal of the Health Department to reduce smoking in Pierce county, and we can't make tobacco
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illegal, the only way we can do is make the cigarette industry less viable. A competing product that all evidence to date suggest doesn't kill the user, can do just that. I stopped buying cigarettes in under a month after a friend bought me my first personal vaporizer in late January 2011. I broke the habit of going outside to smoke in favor of vaping indoors. The only rational response to e-cigarettes is healthy skepticism and putting the product to objective evaluation. Given the potential benefit of making the tobacco industry less viable, a ban at this juncture is not indicated. Until the same standard of evidence exists that put the smoking ban into place exists, this is a freedom of expression issue, my freedom to use a personal vaporizer in public and tell kids that cigarettes are so addictive that as an adult, I must pretend to smoke to not smoke. We are on the same side, and I hope Pierce County sees the wisdom of acting on objective evidence rather than conjecture.
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TPCHD Help Desk Janet Azevedo 5/19/2011 8:20:28 PM FW: Posting Latest on Sharepoint May 19.pdf
From: Bridget Vandeventer Sent: Thursday, May 19, 2011 5:20:26 PM (UTC-08:00) Pacific Time (US & Canada) To: Brad Costello; Shirley Knudson Cc: TPCHD Help Desk Subject: Posting Latest on Sharepoint
Hi Brad and Shirley, Im hoping one of you can post the Latest on Sharepoint. We ran into some scheduling/timing challenges today, so were just going to have to be late. I think that Brad might be out tomorrow, so Im adding the Helpdesk in case I need someone else to post for me. I need it to go first thing in the morning. And as a side note: I need to get permissions to post myself so I dont have to keep relying on you all. Thanks! Bridget
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From: Bridget Vandeventer To: Brad Costello Shirley Knudson Date: 5/19/2011 8:20:26 PM Subject: Posting Latest on Sharepoint Attachments: May 19.pdf
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From: Stanley Flemming <sflemmi@co.pierce.wa.us> To: 'Matt Zukowski' PCEXECUTIVE Marilyn.Strickland@cityoftacoma.org Date: 5/19/2011 4:01:38 PM Subject: RE: E-cigs and zero Nicotine
Matt; Thank you for your email. I appreciate the concerns you have raised. Please know, as a physician, I am quite familiar with this product and the various solutions that can be used with it to include those that have no nicotine content. I likewise thank you for your continued interest in this issue. stan Stan Flemming Member of Council, Pierce County District 7 253.798.6654 sflemmi@co.pierce.wa.us
From: Matt Zukowski [mailto:mattzuke@gmail.com] Sent: Tuesday, May 17, 2011 10:30 AM To: Stanley Flemming; PCEXECUTIVE; Marilyn.Strickland@cityoftacoma.org Cc: director@tpchd.org; info@tpchd.org; Dick Muri; ron.lucas@ci.steilacoom.wa.us; pjohnson@cityofbuckley.com Subject: E-cigs and zero Nicotine
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Selina Chambliss Gregory Conley 5/19/2011 5:01:58 PM RE: Public Records Request May 16 Pub Hearing Sign In.pdf May 18 BOH Sign In.pdf 051611 - Public Meeting - Proposed Tobacco Regulations SM MINS.pdf
May 19, 2011
Gregory Conley 10 Dakota Trail Medford, NJ 08055 Re: Public Records Request dated May 18, 2011
Dear Mr. Conley,
The Tacoma-Pierce County Health Department received your public records request in our office on May 18, 2011 requesting 1) Transcript of May 16, 2011 Board of Health public hearing 2) Sign-in sheet of May 16, 2011 Board of Health public hearing 3) Sign-in sheet of May 18, 2011 Board of Health meeting I am attaching the documents you requested to this email. If you have any questions please feel free to contact me. Thank you! Sincerely,
Selina Chambliss Office of the Director Confidential Assistant II (253) 798-3536
From: Gregory Conley [mailto:conley.gregory@gmail.com] Sent: Wednesday, May 18, 2011 1:19 PM To: Selina Chambliss Subject: Re: Public Records Request
Selina, Please see attached. I'd appreciate a follow-up e-mail to confirm receipt. Thank you
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On Wed, May 18, 2011 at 4:11 PM, Selina Chambliss <SChambliss@tpchd.org> wrote: Here you go!
Selina Chambliss Confidential Assistant II Office of the Director (253) 798-3536 Tacoma-Pierce County Health Department Healthy People in Healthy Communities
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Frank Dibiase Tawana Bellamy 5/20/2011 6:16:48 PM BOH - EH Code Chapter 9 E-Cigs.docx BOH - EH Code Chapter 9 E-Cigs.docx
Heres another BOH action request for June 1 BOH mtg
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Don Wilson Kirsten Frandsen 5/20/2011 2:15:32 PM File Staff Report E-Cigs Final.docx
Don Wilson PC Support Analyst Tacoma Pierce County Health Department Email: dwilson@tpchd.org Office: (253) 798-6452
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Don Wilson IS Team 5/20/2011 10:45:54 AM FW: Posting Latest on Sharepoint May 19.pdf
I dont have rights to upload this to the correct directory. Can someone help Bridget getting this up? Also, can we give Bridget permissions to upload the Latest herself? Don Wilson PC Support Analyst Tacoma Pierce County Health Department Email: dwilson@tpchd.org Office: (253) 798-6452
From: Bridget Vandeventer Sent: Thursday, May 19, 2011 5:20 PM To: Brad Costello; Shirley Knudson Cc: TPCHD Help Desk Subject: Posting Latest on Sharepoint Importance: High
8_19_2011
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Steve Marek Tawana Bellamy 5/20/2011 10:06:54 AM FW: Steve Marek Performance Review.docx 2011.docx 3.docx Steve Marek Performance Review.docx 2011.docx 3.docx
Hi Tawana. I filled this out on the wrong form. I will get the correct one to you in next couple of days.
From: Steve Marek Sent: Wednesday, May 18, 2011 1:27 PM To: Tawana Bellamy Subject: Steve Marek Performance Review.docx 2011.docx 3.docx
Here is a link to my PE with part 2 filled out. Let me know if you need anything else. Thanks.
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From: Bridget Vandeventer To: Danette Gundy CommunicationTeam Kirsten Frandsen Date: 5/23/2011 6:34:40 PM Subject: RE: Signs posted on Glass Front Door
Thanks for being so vigilant Danette! The no e-cigarette signs were temporarily placed for the public meeting on Monday evening and the BOH meeting on Wednesday afternoon. This was to prevent the e-cigarette proponents from smoking them in the auditorium to prove a point during the meetings. The signs technically belong to Kirsten and her team, so Ive added her here in case she would like them back. Thanks!
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org From: Danette Gundy Sent: Monday, May 23, 2011 12:44 PM To: CommunicationTeam Subject: Signs posted on Glass Front Door
Did anyone approve the No e-cigarettes sign that was placed on the glass door to our entrance? Just a reminder that there is a policy regarding signagecommunication liaisons are to approve them before they are posted and only in locations that were agreed on (entrance doors were not to be used). If this is an employee who posted them without approval then we should be educating them with the policy. I did pull them off the front entrance upstairs if they are yours, let me know and Ill give them back. Since this is an issue that our Board of Health and some HD staff are working on, then something like this should go through Bridget for her to review for accuracy and appropriateness. It would be easier if after you approved a sign to post that you initial the documentthat way we know its been preapproved. Thanks,
Danette Gundy
Office Administrator Tacoma-Pierce County Health Department 3629 S D St, MS: 1069 Tacoma, WA 98418-6813
Phone: (253) 798-6482
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Frank Dibiase Tawana Bellamy 5/23/2011 8:09:54 PM RE: Smoking Regulations - Board Ready
Thanks.
From: Tawana Bellamy Sent: Monday, May 23, 2011 5:09 PM To: Frank Dibiase Subject: RE: Smoking Regulations - Board Ready
Yes, that is correct. I will wait to make my corrections until I received the final word from you.
From: Frank Dibiase Sent: Monday, May 23, 2011 5:07 PM To: Tawana Bellamy Subject: RE: Smoking Regulations - Board Ready
Hi Tawana, Ive asked Kirsten and her staff to review all the info provided by Greg to check grammar, possible typos, etc. Greg typically gets it all correct, but well double-check and get back in touch with you tomorrow. Your plan is to send out packets on Wednesday. Is that correct?
8_19_2011
Page 2 From: Tawana Bellamy Sent: Monday, May 23, 2011 5:05 PM To: 'Gregory Jacoby' Cc: Steve Marek; Frank Dibiase Subject: RE: Smoking Regulations - Board Ready
Thanks Greg. I will add the resolution number as requested and format the first page so that there is no page number on the title page but on the first page of text. Thanks, Tawana
From: Gregory Jacoby [mailto:GAJ@mcgavick.com] Sent: Monday, May 23, 2011 4:59 PM To: Tawana Bellamy Cc: Steve Marek; Frank Dibiase Subject: Smoking Regulations - Board Ready
Tawana, The following documents are attached and should be included with the BOHs packet for the June 1st meeting. Resolution adopting Chapter 8 (Local SIPP) Chapter 8 Regulations Resolution adopting Chapter 9 (E-Cigs) Chapter 9 Regulations
The two resolutions will need resolution numbers inserted on the first and second pages (see highlighted text). If the BOH uses a different format, feel free to re-format the documents. With respect to the two regulations, if you are more familiar with Microsofts Word, could you try and figure out how to format the regulations so that there is no page number on the title page and instead page 1 begins on the first page of text. Thanks. Greg Gregory A. Jacoby McGavick Graves, P.S. 1102 Broadway, Suite 500 Tacoma, WA 98402 253.627.1181 gaj@mcgavick.com The information contained in this e-mail message may be privileged, confidential and protected from disclosure. If you are not the intended recipient, any dissemination, distribution or copying is strictly prohibited. If you think that you have received this e-mail message in error, please notify the sender via e-mail or telephone at 253.627.1181.
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From: Kirsten Frandsen To: Bridget Vandeventer Danette Gundy CommunicationTeam Date: 5/24/2011 9:12:56 AM Subject: RE: Signs posted on Glass Front Door
Danette and Communications Team, Danette- thanks for noticing the sign and pulling it off of the door. As Bridget mentioned, the signs were placed on the door specifically for 2 events and we inadvertently forgot to remove them. We do not need these signs back. Thanks again, Kirsten
From: Bridget Vandeventer Sent: Monday, May 23, 2011 3:35 PM To: Danette Gundy; CommunicationTeam; Kirsten Frandsen Subject: RE: Signs posted on Glass Front Door
Thanks for being so vigilant Danette! The no e-cigarette signs were temporarily placed for the public meeting on Monday evening and the BOH meeting on Wednesday afternoon. This was to prevent the e-cigarette proponents from smoking them in the auditorium to prove a point during the meetings. The signs technically belong to Kirsten and her team, so Ive added her here in case she would like them back. Thanks!
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org From: Danette Gundy Sent: Monday, May 23, 2011 12:44 PM To: CommunicationTeam Subject: Signs posted on Glass Front Door
Did anyone approve the No e-cigarettes sign that was placed on the glass door to our entrance? Just a reminder that there is a policy regarding signagecommunication liaisons are to approve them before they are posted and only in locations that were agreed on (entrance doors were not to be used). If this is an employee who posted them without approval then we should be educating them with the policy. I did pull them off the front entrance upstairs if they are yours, let me know and Ill give them back. Since this is an issue that our Board of Health and some HD staff are working on, then something like this should go through Bridget for her to review for accuracy and appropriateness. It would be easier if after you approved a sign to post that you initial the documentthat way we know its been preapproved. Thanks,
Danette Gundy
Office Administrator Tacoma-Pierce County Health Department
8_19_2011
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3629 S D St, MS: 1069 Tacoma, WA 98418-6813 Phone: (253) 798-6482
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From: Frank Dibiase To: Bridget Vandeventer Steve Marek Kirsten Frandsen Date: 5/24/2011 4:03:28 PM Subject: RE: Smoking Regulations - Board Ready
Hi Bridget, Kirsten and her staff have just completed a review of the document which shell be sending to me. Id like to take a look before we call the documents final. Also, in the meeting we had yesterday, it was agreed that the info would be posted on our web site tomorrow to be sure Board members received the information first. Thanks.
From: Bridget Vandeventer Sent: Tuesday, May 24, 2011 12:40 PM To: Steve Marek; Kirsten Frandsen Cc: Frank Dibiase Subject: RE: Smoking Regulations - Board Ready
Hi SteveThanks for sharing. Im updating the website copy now, and will send around for you all to approve hopefully by end of day. I think we should get these up on the website as soon as possible, and share with the media Ive already been working with on the issue.
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Quick question: Are there any changes to the SIPP regulation? Thanks. Bridget
Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org From: Steve Marek Sent: Tuesday, May 24, 2011 7:28 AM To: Bridget Vandeventer; Kirsten Frandsen Cc: Frank Dibiase Subject: FW: Smoking Regulations - Board Ready
Fyi. Here is what is going to the BOH next week.

From: Gregory Jacoby [mailto:GAJ@mcgavick.com] Sent: Monday, May 23, 2011 4:59 PM To: Tawana Bellamy Cc: Steve Marek; Frank Dibiase Subject: Smoking Regulations - Board Ready
Tawana, The following documents are attached and should be included with the BOHs packet for the June 1st meeting. Resolution adopting Chapter 8 (Local SIPP) Chapter 8 Regulations Resolution adopting Chapter 9 (E-Cigs) Chapter 9 Regulations
The two resolutions will need resolution numbers inserted on the first and second pages (see highlighted text). If the BOH uses a different format, feel free to re-format the documents. With respect to the two regulations, if you are more familiar with Microsofts Word, could you try and figure out how to format the regulations so that there is no page number on the title page and instead page 1 begins on the first page of text. Thanks. Greg Gregory A. Jacoby McGavick Graves, P.S. 1102 Broadway, Suite 500 Tacoma, WA 98402 253.627.1181 gaj@mcgavick.com The information contained in this e-mail message may be privileged, confidential and protected from disclosure. If you are not the intended recipient, any dissemination, distribution or copying is strictly prohibited. If you think that you have received this e-mail message in error, please notify the sender via e-mail or telephone at 253.627.1181.
8_19_2011
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Adria Moskowitz George Hermosillo 5/27/2010 2:47:38 PM Minutes from 5/19 PUSH Meeting 05-19-20.doc
Attached are the minutes from the 5/19 PUSH Meeting. I am emailing them to: Len, Nan and John because you are the only ones I have contact information for. I would appreciate e-mail addresses for Dennis if anyone has it. Also, if anyone can forward me Kelly's address, I will happily mail her a hard-copy as she doesn't have e-mail-ability. Thank you. Adria
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From: To: Date: Subject: Attachments: Hi Adria,
George Hermosillo Adria Moskowitz 5/27/2010 1:55:08 PM PUSH revised Minutes for May 19 2010 PUSH Minutes for May 19 2010.doc
Thank you for taking minutes. I have revised and added info I thought was missing. Great job. I would like you to send out the minutes to the group. Thanks,
George Hermosillo, B.A; SDVC Prevention Specialist Tacoma Pierce County Health Dept. 3629 So. D St. Tacoma, Wa. 98418 (253) 798-7664 (253) 405-8244 cell email: ghermosillo@tpchd.org
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From: To: Date: Subject: Attachments: Hi Frank,
George Hermosillo Frank Dibiase 5/27/2010 7:14:34 PM Re: Push meeting minutes? PUSH Minutes for May 19 2010.doc
I've reviewed the minutes. Thanks for taking the time to go over them. George >>> Frank Dibiase 5/27/2010 3:40 PM >>> Hi George, Have you reviewed the minutes. Once you do please forward to me with any edits made. I'll check and get back to Adria. Thanks. >>> Adria Moskowitz 05/27/2010 8:28 AM >>> Before I left for VL, I'd sent PUSH meeting minutes to you and George for correcting/amending. I have not heard back from either of you and I was wondering what had happened? Are you satisfied with the minutes or have changes been made? Did one of you forward them to the PUSH group? Thank you for letting me know. Adria
8_19_2011

Tacoma-Pierce County Health Department - E-Cigarette E-Mails May 2011 Part 2

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Tacoma-Pierce County Health Department - E-Cigarette E-Mails May 2011 Part 2

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Thank you, Stacy Emerson

Please add to public record.

or restricting E-cigs in Pierce County.

Thank you, Stacy Emerson Midland (Tacoma), WA 98445

Please add to public record.

Carl Halverson Tacoma WA 98407

Please add me to the IPL (Interested Parties List)

Carl Halverson Tacoma WA 98407

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Healthy People in Healthy Communities

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Frank Dibiase Steve Marek 5/10/2011 3:32:06 PM FW: AMAZING site

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Sorry, I havent had a chance to review until now. Thanks! Kirsten

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Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | news@tpchd.org

Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | news@tpchd.org

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Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | news@tpchd.org

From: To: Date: Subject: Perrrfect!

Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | news@tpchd.org

Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | news@tpchd.org

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Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | news@tpchd.org

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On 5/10/11 2:03 PM, "Bridget Vandeventer" <BVandeventer@tpchd.org> wrote:

Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org <mailto:bvandeventer@tpchd.org> | news@tpchd.org <mailto:news@tpchd.org>

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On 5/10/11 2:03 PM, "Bridget Vandeventer" <BVandeventer@tpchd.org> wrote:

Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org <mailto:bvandeventer@tpchd.org> | news@tpchd.org <mailto:news@tpchd.org>

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From: To: Date: Subject:

On 5/10/11 2:03 PM, "Bridget Vandeventer" <BVandeventer@tpchd.org> wrote:

Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org <mailto:bvandeventer@tpchd.org> | news@tpchd.org <mailto:news@tpchd.org>

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On 5/10/11 2:32 PM, "Bridget Vandeventer" <BVandeventer@tpchd.org> wrote:

Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org <mailto:bvandeventer@tpchd.org> | news@tpchd.org <mailto:news@tpchd.org>

Bridget Vandeventer 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | news@tpchd.org

On 5/10/11 2:03 PM, "Bridget Vandeventer" <BVandeventer@tpchd.org> wrote:

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On 5/10/11 2:00 PM, "Bridget Vandeventer" <BVandeventer@tpchd.org> wrote:

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Any response necessary? AC

Page 2 253-798-2853 | cell: 253-405-6822 | bvandeventer@tpchd.org | new s@tpchd.org

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