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Spagnuolo.

Amy R
From: Hahn, Ellen J
Sent: Friday, May 13, 2011 8:32 AM
To: Record, Rachael A; Wagner, Kristian K; Mundy, Monica E; Fallin, Amanda T; Ricks, Janelle;
Riker, Carol A
Cc:
Subject:
Begley, Kathy; Johnson, John D; Robertson, Heather E
RE: County Level Heart Attack one-pagers
Importance: High
Thanks, Rachael. As per our HahnGroup 'protocol: we need to regroup with this plan. First, all one pager are to be under
the One Pagers folder on HahnGroup (not buried under the specific projects). Plus, we have a 'protocol' (it is emerging)
to also put the word versions of the .pdf documents in the same file so if changes can be made, it is easy. Please see
Kathy (our queen of CHAOS) or John (our king of CHAOS) for direction on where to best put these.
On a side note, we need to fix the formatting on the headings for some of these one pagers so that the titles are more
balanced (i.e., hard return after 'lives' in the Breckinridge one).
Thanks, everyone,
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on
COllEGE OF NURSING
q'';lfJ "'(illJ
From: Record, Rachael A
Sent: Thursday, May 12, 201110:42 AM
To: Wagner, Kristian K; Mundy, Monica E; Fallin, Amanda T; Ricks, Janelle; RIf<er, Carol A
. Cc: Hahn, Ellen J
Subject: County level Heart Attack one-pagers
Hi all,
1
I just wanted to let you know that as the ROl County Level Heart Attack one-pagers get approved by Dr. Hahn I am
putting them in Hahngroup!R01/0ne Pagers/County Level HA Data. The ones currently completed are counties without
any sort of SF policy.
Before you send them out or use them please just read through the top real quick to make sure I didn't make any
mistakes. I've been careful but you never {mow.
Rachael
Rachael A. Record
University of Kentucky
M.A. Candidate
College of Communications & Information Studies
Research Assistant
College of Nursing
rachael.record@uky.edu
Find kysmokefree on
2
Spagnuolo, Amy R
From: Riker, Carol A
Sent:
To:
Thursday, May 12, 2011 6:42 PM
Hahn, Ellen J
Subject: FW: New Service Request #2057
I put in a request on CONIT marked high for Erin.
Carol
-----Original Message-----
From: riker@uky.edu [mailto:liker@uky.edu]
Sent: Thursday, May 12,2011 6:40 PM
To: Riker, Carol A
Subject: New Service Request #2057
New Service Request #2057
Title: Remote access for Erin Lee for TPRP RO 1
Descliption: Hi all,
I know that there is a LOT going on right now with IT. However, Erin's request may just have fallen through the
cracks. Now it's urgent because we need to get all the media clips data entered in May and Erin c a n ~ put them
on Hahn group for us to retlieve after she codes them. Thanks for anything you all can do. Carol
Here's Elin's back and forth with Ellen:
I believe I am waiting on remote access permissions so I can access Hahngroup from my laptop. I submitted the
paperwork to Debi back in March.
Thanks!
Erin
-----Original Message-----
From: Hahn, Ellen J [mailto:ejhahnOO@email.uky.edu]
Sent: Wednesday, May 11,2011 9:40 PM
To: Riker, Carol A; Erin Lee; Record, Rachael A
Cc: Kolpek, Jeslyn K; Richardson, Patrick M; Robertson, Heather E
Subject: RE: Location for Backed up ROI Atlas File
I am happy to talk with Debi again about getting Erin what access she needs.
Please remind me, Erin, what exactly you need and I will send the appropriate email. So sorry this has taken so
long.
Ellen
Category: Network
Sub Category: Other
Assigned To: none
Urgency: High
1
Status: New
2
Spagnuolo, Amy R
From: Riker, Carol A
Sent:
To:
Thursday, May 12, 2011 6:33 PM
Hahn, Ellen J
Subject: FW: Bullitt Co KY
Importance: High
Can I send Maggie's response to Brittany too, so she has a little sense of what's important?
Carol
-----Original Message-----
From: Mahoney, Maggie [mailto:maggie.mahoney@wmitchell.edul
Sent: Thursday, May 12,2011 6:24 PM
To: Riker, Carol A; Schaibley, David
Cc: Armstrong, Kate; Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah
Subject: RE: Bullitt Co KY
Oh, that's a new one. Clearly a move to do traditional advocacy/media campaign, which makes sense. Inclusion
of the presiding judge on the contact list seems to be the only problem. I'm sure the attorney didn t know (I
would hope so, anyhow), and the attorney probably can argue that Brittany isn t aware of ex parte
communication rnles and it was a simple mistake. It does make things awkward.
Ouch.
Maggie Mahoney
Deputy Director
Tobacco Control Legal Consortium
875 Summit Avenue
St. Paul, Minnesota 55105
maggie .mahoney@wmitchell.edu
Tel: 651-290-7514
Fax: 651-290-7515
www.TCLConline.org
-----Original Message-----
From: Riker, Carol A [mailto:riker@email.uky.edul
Sent: Thursday, May 12,2011 4:55 PM
To: Schaibley, David
Cc: Mahoney, Maggie; Armstrong, Kate; Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah
Subject: Bullitt Co KY
Hi David,
Another new wrinkle in Bullitt County.
1
Upon the decision of the Partners in Prevention Coalition (PIP) Coalition, Brittany Taylor (PIP Coordinator and
Health Educator III at BCHD) sent out an email to the Partners in Prevention Coalition asking them to get
organizations to write support letters to a list of people that included the Fiscal Court, city offices of Bullitt Co
cities, the editor ofthe paper, and the judge presiding in the lawsuit. The County Judge Executive is on the PIP
coalition so she got the email, too, as a part of the coalition email list.
Petitioners are asking court to compel Brittany to show cause why she should not be held in contempt of court
along with Counsel, (if the action was with the "actual or imputed knowledge, encouragement or consent of
Counsel, in which case "violations of SCR 3.130 [3.3], [3.5] & [8.4] have occurred.") The judge has called
Brittany to court this coming Monday.
Wanted you to be aware ofthis; feel free to send any observations you have.
Thanks,
Carol Riker
Carol Riker, RN, MSN
Associate Professor
Provost's Distinguished Service Professor Community Advisor, Rural Smoke-free Communities Faculty
Associate, Kentucky Center for Smoke-free Policy
555 College of Nursing
University of Kentucky
751 Rose Street
Lexington, KY 40536-0232
Cell: 859-619-3776
Office Phone: 859-323-6615
Fax: 859-323-1057
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on and
-----Original Message-----
From: Abney, Clair K
Sent: Thursday, May 12,2011 9:39 AM
To: Hahn, Ellen J; Riker, Carol A
Subject: FW: Fax Forward from CON315-DHCP-23422-1_iR3235 _ DGA11620
-----Original Message-----
2
From: CON315-DHCP-23422-1 iR3235 DGA11620@uky.edu [mailto:CON315-DHCP-23422-
1 iR3235 DGA11620@uky.edul
Sent: Thursday, May 12,20119:09 AM
To: Williams, Gregory S
Subject: Fax Forward from CON315-DHCP-23422-UR3235_DGA11620
FROMTODATEDI12/2011
TIMED:07:50
TIMEZONE-05 :00
FCODE
3
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent:
To:
Subject:
Thursday, May 12, 2011 10:06 AM
Robertson, Heather E; Riker, Carol A
RE: grant
I would also consider adding Janelle on the project beyond Feb. 12 to extend her salary@
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
~ s p
~ .... ""'l\lltq Find kysmokefree on and
From: Robertson, Heather E
Sent: Thursday, May 12, 2011 9:30 AM
To: Riker, Carol A; Hahn, Ellen J
Subject: RE: grant
Hi Carol,
We could give Pat a payment if he invoices us. JaNelle is staff, so we could noldo that with her. Since she isn't 40 hours
per week, though, we could allow her to simply add the hours to her time sheet over and above her normal 32 hours.
Would that work?
;Keatlier CJ(p6ertson, :MP}1, Peaera{ PresUfentia{ :Management }lIumnus
Clean Indoor Air Partnership, Manager and
Program Administrator
Kentucky Center for Smoke-free Policy
Kentucky Radon Awareness Program
University of Kentucky
College of Nursing
520 CON Building
751 Rose Street
1
lexington KY 40536-0232
859-323-1730
Fax: 859-323-1057
HRobertson@uky.edu
www.kcsp.uky.edu
The greatest discovery of my generation is that human beings can alter their lives by altering their attitudes of
mind. William James
~
~ ' ' ' ' ' ' ' " ' ' f Find kysmokeJree
From: Riker, Carol A
Sent: Wednesday, May 11, 2011 9:33 PM
To: Robertson, Heather E; Hahn, Ellen J
Subject: RE: grant
The due date is July 1; hooray!
Heather, when you're thinking about the focus groups for Nelson and Franklin, year 5, can you please think about having
an honorarium or other kind of one time payment for the facilitators? I'm not sure what the amount would be ... maybe
about 400/per group? JaNelle will probably do the two in Frankfort (any problems paying her?) and coalition member Pat
Whelan will do the two in Nelson.
(This is what Ellen wants me to replicate for the grant).
thanks so much,
carol
From: Robertson, Heather E
Sent: Wednesday, May 11,2011 3:43 PM
To: Hahn, Ellen J
Cc: Riker, Carol A
Subject: RE: grant
Here it is: http://www.csrees.usda.gov/fo/ruralhealthandsafetyeducation.cfm
Due date July i-with $50,000 - $300,000 budget range. October 1 anticipated award date.
Rural Health and Safety Education Competitive Grants Program
Many individuals and families living in rural areas and communities, including farm
families, expetience dispatities in health care services. Challenged by low levels of .
employment and education, geographic bartiers and isolation, lack of quality health
education and health-promoting activities, and accessible health care services, rural
reisdents are more likely than non-rural residents to report a fair to poor health status
and have higher rates of health complications, morbidity and mortality. Negative
health behaviors and familial, social and enviromnental risk factors experienced by
children and adults alike underlie such chronic health conditions as obesity, diabetes
and heart disease. In addition, the opportunity to receive health information or
2
engage in health promotion activities is limited and, when available, may not be
appropriate for the diverse populations living in rural areas. The Rural Health and
Safety Education Programs will focus on issues related to individual and family
health.
Who Is Eligible to Apply
1862 Land-Grant Institutions
1890 Land-Grant Institutions
1994 Land-Grant Institutions
More Information on Eligibility
Applications may be submitted by Land-grant colleges and universities that are
eligible to receive funds under the Act of July 2, 1862, and the Act of August 30,
1890, including Tuskegee University, West Virginia State University and the
University of the District of Columbia. Applications may be submitted by an of the
Tribal colleges and universities designated as 1994 Land-Grant Institutions under the
Educational Land-Grant Status Act of 1994, as amended.
Request for Application (RFA) IApply: Electronic
J{eatlier !J\r6ertson, :MPjl, Pedera{ Presiaentia{ :Management jl{umnlls
Clean Indoor Air Partnership, Manager and
Program Administrator
Kentucky Center for Smoke-free Policy
Kentucky Radon Awareness Program
University of Kentucky
College of Nursing
520 CON Building
751 Rose Street
Lexington KY 40536-0232
859-323-1730
Fax: 859-323-1057
HRobertson@uky.edu
www.kcsp.uky.edu
The greatest discovery of my generation is that human beings can alter their lives by altering their attitudes of
mind. William James
Find kysmokefree on and
3
" 'If'l'ri'?'lJNWRSITI' !'II'
.U,ft!C<>lI<1W ill N","il>g'
1 .
From: Hahn, Ellen J
Sent: Wednesday, May 11, 2011 6:25 AM
To: Reed, Deborah Bi Robertson, Heather Ei Riker, Carol A
Subject: RE: grant
Importance: High
Thanks, Deb. Heather, can you please find this call for proposals so I can see the scope, deadline date, etc? The deadline
is very quickly approaching. If you can't find it, maybe Deb Reed or Claunch can help you (or verify this is the one she
refers to below). I am cc: Carol since she was in on the discussion at graduation with Deb and me. We are thinking this
would be a nice way to extend the current proposed focus groups (Nelson and Frankfort) in rural ROl counties to focus
on health for this call for proposals. It is only one year and not a lot of money, but it could help us extend our work one
more year for a few of the counties.
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
ttw
-..,,,,,1\lI1<y Find kysmokefree on and
From: Reed, Deborah B
Sent: Tuesday, May 10, 2011 11:44 AM
To: Hahn, Ellen J
Subject: grant
Ellen- I Am electing not to write the USDA Rural health and safety grant, I don't have the sheet in front of me but if you
google USDA Rural health and safety grant it pops up. Bear in mind this is a one year grant with 22% indirect. Since you
already have such good connections with ehalth departments this shoudl be a cinch for you, fo rme it woudl take a long
time to get the contracts etc done so I am opting out this year but will go in for one next year for sure if they are offered.
I will be getting things in order this year to be prepared.
4
Spagnuolo, Amy R
From:
Sent:
To:
Cc:
Subject:
Importance:
Hi Ellen,
More from Bullitt.
Riker, Carol A
Thursday, May 12, 2011 9:42 AM
Hahn, Ellen J
Johnson, John D; Kercsmar, Sarah; Mundy, Monica E
Civil Action
High
Upon the decision of the Partners in Prevention Coalition (PIP) Coalition, Brittany Taylor (PIP Coordinator and Health
Educator III at BCHD) sent out a letter to the Partners in Prevention Coalition asking then to get organizations to write
support letters to a list of folks.
Petitioners asking court to compel Brittany to show cause why she should not be held in contempt of court along with
Counsel, if the action was with the "actual or imputed knowledge, encouragement or consent of Counsel" (in which case
violations of SCR 3,130 (3.3), (3,5) & (8.4) have occurred. The judge has called her to court on Monday.
I've faxed the papers to us at the CON. Hopefully it will appear on email soon and you can decide whether to send on to
Judy. Scott looked at it and thought (as does Swannie) that it's nothing to worry about, but I'm not so sure, given the list
of folks to whom to send the support letters. Also, the County Judge is on the PIP, so received the email that way as well.
Brittany hasn't heard from Peggy yet.
Carol
I'm at Embassy Suites and will keep my phone silent but visible if we need to talk. Also remind me to tell you about a
couple other tidbits.
1
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent:
To:
Subject:
Thursday, May 12, 2011 5:54 AM
Riker, Carol A; Robertson, Heather E
RE: grant
Follow Up Flag:
Flag Status:
Follow Up
Flagged
Can we sit down (after June 3) and talk about this? The sooner the better in June since we also have the competing
renewal that I will be focused on. Heather, would be good to pull off the grant guidelines for Carol and me (need to
know page limit of research plan, and categories-or is it the usual NIH format?). Thanks!
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on and
COllEGE OF NURSING
Our Goal is 10 Help You "oal im lbllrf;
From: Riker, Carol A
Sent: Wednesday, May 11, 2011 9:33 PM
To: Robertson, Heather E; Hahn, Ellen J
Subject: RE: grant
The due date is July 1; hooray!
Heather, when you're thinking about the focus groups for Nelson and Franklin, year 5, can you please think about having
an honorarium or other kind of one time payment for the facilitators? I'm not sure what the amount would be ... maybe
about 400/per group? JaNelle will probably do the two in Frankfort (any problems paying her?) and coalition member Pat
Whelan will do the two in Nelson.
(This is what Ellen wants me to replicate for the grant).
thanks so much,
carol
1
From: Robertson, Heather E
Sent: Wednesday, May 11, 2011 3:43 PM
To: Hahn, Ellen J
Cc: Riker, Carol A
Subject: RE: grant
Here it is: http:Uwww.csrees.usda.gov!fo!ruralhealthandsafetyeducation.cfm
Due date July 1- with $50,000 - $300,000 budget range. October 1 anticipated award date.
Rural Health and Safety Education Competitive Grants Program
Many individuals and families living in rural areas and communities, including farm
families, experience disparities in health care services. Challenged by low levels of
employment and education, geographic baniers and isolation, lack of quality health
education and health-promoting activities, and accessible health care services, rural
reisdents are more likely than non-rural residents to report a fair to poor health status
and have higher rates of health complications, morbidity and mortality. Negative
health behaviors and familial, social and environmentallisk factors experienced by
children and adults alike underlie such chronic health conditions as obesity, diabetes
and heart disease. In addition, the opportunity to receive health information or
engage in health promotion activities is limited and, when available, may not be
appropriate for the diverse popUlations living in rural areas. The Rural Health and
Safety Education Programs will focus on issues related to individual and family
health.
Who Is Eligible to Apply
1862 Land-Grant Institutions
1890 Land-Grant Institutions
1994 Land-Grant Institutions
More Information on Eligibility
Applications may be submitted by Land-grant colleges and universities that are
eligible to receive funds under the Act of July 2,1862, and the Act of August 30,
1890, including Tuskegee University, West Virginia State University and the
University of the District of Columbia. Applications may be submitted by an of the
Tribal colleges and universities designated as 1994 Land-Grant Institutions under the
Educational Land-Grant Status Act of 1994, as amended.
Request for Application (RFA) I Apply: Electronic
2
:Keatfier CflsJ6ertson, :IV/cPjI, Peaera{ Presidentia{ :Management jlJumllus
Clean Indoor Air Partnership, Manager and
Program Administrator
Kentucky Center for Smoke-free Policy
Kentucky Radon AWareness Program
University of Kentucky
College of Nursing
520 CON Building
751 Rose Street
Lexington KY 40536-0232
859-323-1730
Fax: 859-323-1057
HRobertson@uky.edu
www.kcso.uky.edu
The greatest discovery of my generation is that human beings can alter their lives by altering their attitudes of
mind. William James

- ... 1\:I\t Find kysmc.kej'ree
From: Hahn, Ellen J
Sent: Wednesday, May 11, 2011 6:25 AM
To: Reed, Deborah B; Robertson, Heather E; Riker, Carol A
Subject: RE: grant
Importance: High
Thanks, Deb. Heather, can you please find this call for proposals so I can see the scope, deadline date, etc? The deadline
is very quickly approaching. If you can't find it, maybe Deb Reed or Claunch can help you (or verify this is the one she
refers to below). I am cc: Carol since she was in on the discussion at graduation with Deb and me. We are thinking this
would be a nice way to extend the current proposed focus groups (Nelson and Frankfort) in rural ROl counties to focus
on health for this call for proposals. It is only one year and not a lot of money, but it could help us extend our work one
more year for a few of the counties.
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
3
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on and
COLlEGE OF NURSING
OU r G(""I is !o Help You f l G l ~ 1 ilO'1TJUf$
From: Reed, Deborah B
Sent: Tuesday, May 10, 201111:44 AM
To: Hahn, Ellen J
Subject: grant
Ellen- I Am electing not to write the USDA Rural health and safety grant, I don't have the sheet in front of me but if you
google USDA Rural health and safety grant it pops up. Bear in mind this is a one year grant with 22% indirect. Since you
already have such good connections with ehalth departments this shoudl be a cinch for you, fo rme it woudl take a long
time to get the contracts etc done so I am opting out this year but will go in for one next year for sure if they are offered.
I will be getting things in order this year to be prepared.
4
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent:
To:
Wednesday, May 11, 2011 9:49 PM
Riker, Carol A
Subject: FW: Update
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
~
~ _ ' ' ' ' ' ' ' ' ' ' T Find kysmokefree on . and
From: Tara Kaprowy [mailto:tkaprowy@gmail.coml
Sent: Wednesday, May 11, 201110:14 AM
To: Hahn, Ellen J
Subject: Update
Hi Dr. Hahn-
No, I haven ~ forgotten about you! Sorry it's taken me a While to get back to you. My fann to school story was
just sent today, which will free me up somewhat.
Let's talk about the effects of the TEA party on smoking ban proposals. Do you have time to chat this afternoon
or Friday?
Also, we posted your op-ed on our blog. Here is the link:
http://kyhealthnews .blogspot .com/20 11105/e-cigarettes-are-untested -and-promote .html
Thanks!
Tara Kaprowy
Kentucky Health News Service
1
Spagnuolo, Amy R
From:
Sent:
To:
Subject:
Riker, Carol A
Wednesday, May 11, 2011 9:33 PM
Robertson, Heather E; Hahn, Ellen J
RE: grant
The due date is July 1; hooray!
Heather, when you're thinking about the focus groups for Nelson and Franklin, year 5, can you please think about having
an honorarium or other kind of one time payment for the facilitators? I'm not sure what the amount would be ... maybe
about 400/per group? JaNelle will probably do the two in Frankfort (any problems paying her?) and coalition member Pat
Whelan will do the two in Nelson.
(This is what Ellen wants me to replicate for the grant).
thanks so much,
carol
From: Robertson, Heather E
Sent: Wednesday, May 11, 2011 3:43 PM
To: Hahn, Ellen J
Cc: Riker, Carol A
Subject: RE: grant
Here it is: http://www.csrees.usda.gov!fo!ruralhealthandsafetyeducation.cfm
Due date July 1-with $50,000 - $300,000 budget range. October 1 anticipated award date.
Rural Health and Safety Education Competitive Grants Program
Many individuals and families living in rural areas and communities, including farm
families, experience disparities in health care services. Challenged by low levels of
employment and education, geographic barriers and isolation, lack of quality health
education and health-promoting activities, and accessible health care services, rural
reisdents are more likely than non-rural residents to report a fair to poor health status
and have higher rates of health complications, morbidity and mortality. Negative
health behaviors and familial, social and environmental risk factors experienced by
children and adults alike underlie such chronic health conditions as obesity, diabetes
and heart disease. In addition, the opportunity to receive health information or
engage in health promotion activities is limited and, when available, may not be
appropriate for the diverse populations living in rural areas. The Rural Health and
Safety Education Programs will focus on issues related to individual and family
health.
Who Is Eligible to Apply
1862 Land-Grant Institutions
1890 Land-Grant Institutions
1994 Land-Grant Institutions
More Information on Eligibility
Applications may be submitted by Land-grant colleges and universities that are
eligible to receive funds under the Act of July 2, 1862, and the Act of August 30,
1890, including Tuskegee University, West Virginia State University and the
1
University of the District of Columbia. Applications may be submitted by an of the
Tribal colleges and universities designated as 1994 Land-Grant Institutions under the
Educational Land-Grant Status Act of 1994, as amended.
Request for Application (RFA) IApply: Electronic
[Solicitation D
CC
a
7
te-'( O:::-"pe-n-'ic-n-g-c-) --lMay-2, -20ir-----------------'-
i--------------,--- .. .. _--,-------------------,::---------.------.-...--.. --------.-.-----... - .. ----.----... -------
iletter of Intent Due Date iNane
[Due Date (ClosingT------' c/Ju"'ly='l-, "'20"'1:-:1-----
r::-
!Anticipated Award Date ;October 1, 2011
[Estimated TotaiProgramFundingl$i, 600, o-oo.OiJ"'-------------
.. "--- .. -"----
[Range of Awards :$50,000.00 to $300,000.00
=
,Cost Sharing Requirements (None
iFo-r-M-o-re InformationCo-nta-c-t ---iA-ida-Bais"nC;;Ph.6.-'-------
=--___ ' _____ .. _ __ _
iFunding Opportunity Number ,USDA-NIFA-RHSE-003441
..'' .. ," ...... .... I-"' - - . - -
,CFDA Number ,None
i.contactfor-Electron'!c Access'-'-'-r---e'b--c---o--m-m----e-nts=n-,fa usd --------
... .......______ _..tv_____ .... ......... .=: ........ ..
Heather <JW6ertson, YWPA, Pedera( Presitfentia( YWaJUlgement A(umnus
Clean Indoor Air Partnership, Manager and
Program Administrator
Kentucky Center for Smoke-free Policy
Kentucky Radon Awareness Program
University of Kentucky
College of Nursing
520 CON Building
751 Rose Street
Lexington KY 40536-0232
859-323-1730
Fax: 859-323-1057
HRobertson@uky.edu
WWW.kCSD.uky.edu
The greatest discovery of my generation is that human beings can alter their lives by altering their attitudes of
mind. William James
From: Hahn, Ellen J
Sent: Wednesday, May 11, 2011 6:25 AM
To: Reed, Deborah B; Robertson, Heather E; Riker, Carol A
Subject: RE: grant
Importance: High
2
Thanks, Deb. Heather, can you please find this call for proposals so I can see the scope, deadline date, etc? The deadline
is very quickly approaching. If you can't find it, maybe Deb Reed or Claunch can help you (or verify this is the one she
refers to below). I am cc: Carol since she was in on the discussion at graduation with Deb and me. We are thinking this
would be a nice way to extend the current proposed focus groups (Nelson and Frankfort) in rural ROl counties to focus
on health for this call for proposals. It is only one year and not a lot of money, but it could help us extend our work one
more year for a few ofthe counties.
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy.
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.ukv.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
~
_.11",",", Find kysmokeJree on and
COLLEGE OF NURSING
OU r Gool is !o Help You !i8ul iZt1 \bur",
From: Reed, Deborah B
Sent: Tuesday, May 10, 2011 11:44 AM
To: Hahn, Ellen J
Subject: grant
Ellen- I Am electing not to write the USDA Rural health and safety grant, I don't have the sheet in front of me but if you
google USDA Rural health and safety grant it pops up. Bear in mind this is a one year grant with 22% indirect. Since you
already have such good connections with ehalth departments this shoudl be a cinch for you, fo rme it woudl take a long
time to get the contracts etc done so I am opting out this year but will go in for one next year for sure if they are offered.
I will be getting things in order this year to be prepared.
3
Spagnuolo, Amy R
From: Riker, Carol A
Sent:
To:
Wednesday, May 11, 2011 4:22 PM
Hahn, Ellen J; Jujulew
Cc:
Subject:
Johnson, John D; Kercsmar, Sarah; Mundy, Monica E
FW: Attached Image-Order
Attachments: 1944_001.pdf
fyi
From: Jett, Swannie (LHD - Bullitt Co) [mailto:SwannieJett@ky.qov]
Sent: Wednesday, May 11, 2011 2:08 PM
To: Centers, Irene (CHFS HPB-Health Promotions); Riker, Carol A; Sims, Linda M (LHD-Lincoln Trail Dist); Lockard,
Anthony S (LHD - Clark Co)
Cc: Davis, Steve MD (CHS-PH); Hacker, William D (CHS-PH)
Subject: FW: Attached Image-Order
FYI, case is moving along.
Swannie Jett, DrPHc, MS
Public Health Director
Bullitt County Health Department
181 Lees Valley Road
Shepherd.sville, KY 40165
Phone: (502) 955-6680 Fax: (502) 543-2998
"DedimteY01/r lifo llJa missionorcalfse thatuill OtJtlast)'Olt"
NOTICE OF CONFIDENTIALITY: This e-mail; including any attachments, is intended only for tile use of the individual or entity to which it is addressed Gnd moy contain confidential
information that Is legally privileged and exempt from disclosure under applfcabfe law, If the reader of this message is not the intended recipient, you are notified that any
review, Use, disclosure, distribution or copying of this communication is strictly prohibited. if you have received this communication in error, please contact the sender by reply e-
mail and destroy all copies of tile original message.
From: Miller, Margaret [mailto:MAM@GDM.com]
Sent: Wednesday, May 11, 20119:25 AM
To: Jett, Swannie (LHD - Bullitt Co)
Cc: Ams, Jason T.
Subject: FW: Attached Image-Order
Swannie,
Judge Burress denied the Motion to Strike. I like it that he gave it careful attention. We have filed what needed to be filed
in Bullitt Circuit Court. I will send you a copy of the Plaintiffs' Memo and our Memo. Nothing really new. We are working
on the federal memorandum, which is due tomorrow. We are filing a motion to dismiss most of the claims.
Peggy
1
Margaret A. Miller
Of Counsel
Greenebaum Doll & McDonald PLLC
Suite 1100
300 West Vine Street
Lexington, KY 40507-1622
T; 859.288.4637
F; 859.367.3832
C; 859.421.8500
rnam@gdm.com
About Greenebaum Services Offices
From: canon7095 [mailto:sharecopy@greenebaum.com]
Sent: Wednesday, May 11, 2011 9:24 AM
To: Miller, Margaret
Subject: Attached Image
The following warning is required by the IRS whenever tax advice
is given. If this email contains no direct or indirect tax advice, the
warning is not applicable.
As a result of perceived abuses, the Treasury has recently
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2
COMMONWEOALTH OF KENTUCKY
BULL/IT CIRCUIT COURT
. DIVISION ONE
CASE NO: 11-CI-00348
BULLITT FISCAL COURT, ET Al. PETITIONERS
VS. ;ORDER
BULLITT COUNTY BOARD OF HEALTH RESPONDENTS
*****
This matter comes before t:he COLirt on motion of the Petitioners to
strike exhibits from Respondent's:xesponse. The Petitioners argue that the
exhibits exceed tlie scope of materials properly submitted to a Court in an
action seeking a declaration of rights. They reference the Court to KRS
418.050 and 418.025. The Petitiqners argue that these materials are not
. relevant as the matter before the Court is a legal decision and the exhibits
would divert the Court's attention :to facts which are "at best bogus and.
flawed."
A review of the Response ~ o Motion for Declaration of Rights shows
,..
that the action of the Responden(in acting Regulation 10-01 was made after
.. conducting public forums on the dangers of second hand smoke .. The
Respondent's response provides that the exhibits were shared at the public
forums which were the basis for a,n acting Regulation 10-01.
Respondent argues that its action is allowed under Kentucky law
based upon its authority pursuant:to KRS 212.30 to adopt administrative
regLilations necessary to protect the health of the people or to effectuate the
pu rposes of the chapter.
-1-
KRS 418.025 provides that:the record in an action for Declaration of'
. Rights shall consist of the case, submission and the judgment. The
response sets forth that the actions of the Respondent in adopting
Regulation 10-01 'were based upon public forms in which those matters were
considered. As a result the Court finds those documents constitute a portion
of case and the motion of the is OVERRULED. This decision
does. not however, constitute a ruling on the admissibility or relevanoe of
those documents .in oonnection with the Petition for Declaration of Rights.
The Court's Order Overruling Petitioners Motion is strictly confined to the fact
that the materials constitute part of: the case as submitted in determining
whether to adopt Regulation 1 0-01
ENTERED
MAY 06 2011.
BUlllTT CIRCUIT DISTRICT COURT
BY: D.C.
;'. r:: S/-//
ElATE (
.,
; .
-2-
Spagnuolo, Amy R
From: Riker, Carol A
Sent:
To:
Wednesday, May 11, 2011 4:19 PM
Hahn, Ellen J
Subject: call
Mr. Conley called and I told him we have talked only briefly because we were conducting an all-day training today, so we
were still discussing it. Thanked him for calling. He said he would try to call you tomorrow.
Carol
Carol Riker, RN, MSN
Associate Professor
Provost's Distinguished Service Professor
Community Advisor, Rural Smoke-free Communities
Faculty Associate, Kentucky Center for Smoke-free Policy
555 College of Nursing
University of Kentucky
751 Rose Street
Lexington, KY 40536-0232
Cell: 859-619-3776
Office Phone: 859-323-6615
Fax: 859-323-1057
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find I<ysmol<efree on and
COLLEGE OF NURSING
OLlf (iet!1 b- ie HGlp 'Vtu :f1cn!:Z(l VbU(!j;
1
Spagnuolo, Amy R
From: Riker, Carol A
Sent:
To:
Wednesday, May 11, 2011 11 :47 AM
Hahn, Ellen J
Subject: RE: grant
Is this due June L. with IRB needed before then???? Not sure I can do it, but I'd like to. I haven't even done my IRB for
Franklin and Nelson, though I made a little progress this week. Have to finish CCNE this weekend.
Carol
From: Hahn, Ellen J
Sent: Wednesday, May 11, 2011 6:25 AM
To: Reed, Deborah B; Robertson, Heather E; Riker, Carol A
Subject: RE: grant
Importance: High
Thanks, Deb. Heather, can you please find this call for proposals so I can see the scope, deadline date, etc? The deadline
is very quickly approaching. If you can't find it, maybe Deb Reed or Claunch can help you (or verify this is the one she
refers to below). I am cc: Carol since she was in on the discussion at graduation with Deb and me. We are thinking this
would be a nice way to extend the current proposed focus groups (Nelson and Frankfort) in rural ROI counties to focus
on health for this call for proposals. It is only one year and not a lot of money, but it could help us extend our work one
more year for a few of the counties.
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
!(sp
Find kysmokefree on and
1
From: Reed, Deborah B
Sent: Tuesday, May 10, 201111:44 AM
To: Hahn, Ellen J
Subject: grant
Ellen- I Am electing not to write the USDA Rural health and safety grant, I don't have the sheet in front of me but if you
google USDA Rural health and safety grant it pops up. Bear in mind this is a one year grant with 22% indirect. Since you
already have such good connections with ehalth departments this shoudl be a cinch for you, fo rme it woudl take a long
time to get the contracts etc done so I am opting out this year but will go in for one next year for sure if they are offered.
I will be getting things in order this year to be prepared.
2
Amy R
From:
Sent:
To:
Subject:
Monica,
Hahn, Ellen J
Wednesday, May 11,201110:40 AM
Mundy, Monica E; Riker, Carol A; Wagner, Kristian K
RE: Ohio County Update: Grandfather Clause
I would take the Fundamentals document with you tomorrow and highlight the part on grandfathering. We just talked
about this so I won't expand on the other issues.
Thanks-good work!
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.ukv.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu

-""l\lIii<y . Find kysmokefree on and
COLLEGE OF NURSING
OU r Goolls ie} H&lp You Roal ilX.> Yours<
From: Mundy, Monica E
Sent: Wednesday, May 11, 2011 9:51 AM
To: Hahn, Ellen Ji Riker, Carol Ai Wagner, Kristian K
Subject: Ohio County Update: Grandfather Clause
Hi Guys,
As you can see from the email below it seems that the surveys were overwhelmingly positive (450 for 30 against) so the
survey are over. It seems that will also be having a public hearing regarding smoke-free.
The issue that stands out a bit to me is that the CJE was talking about having a grandfather clause in the ordinance. Has
other communities talked about doing this?
Becky asked about her or Shannon just tailoring the model ord for Ohio county. Is that ok? Should they try to find
a attorney to do it first?
Kristian and I will see both Becky and Shannon tomorrow in Owensboro so I will be able to get more details them.
1
At the June meeting we will be specifically talking about exemptions since Jason Bullock asked Shannon D. to pull
together several community ordinances for them to discuss at the next meeting.
Thanks,
Monica
From: Rebecca Horn [rebecca.horn@grdhd.org]
Sent: Wednesday, May 11, 2011 8:43 AM
To: 'Shannon Ross'; 'Shannon Daugherty'; Mundy, Monica E
Cc: 'Brian Held (FWC),; 'Rhonda Vaughn'
Subject: RE: Forgot Somethin' .........
When will there committee meeting be held?? I was thinking it was when I will be hundreds of miles away on vacation!!!
That may be the day of the forum. I will definitely need to send out an action alert before I go, and then you can save that
e-mail to forward on additional alerts.
Monica, should we just try to copy the model ordinance, take out the 25 ft clause, and put Ohio County in the title and
hand that to them as something we think would make a good ordinance?? I will look at what I have for a grandfather
clause this morning. BTW - Autry is signed up for the summit tomorrow. I think that was the only one.
Why is he so concerned about the 30?? Good grief, you will never please everyone. Ridiculous. It almost sounds as if he
just keeps coming up with crazy ideas on the premise of keeping it off the table.
7leb-eccwlforw
robacco-cuntrobCoordn.at-or
(jreenRtller Vi:ftrta'lfealtlv
1501
(')WenJ/>o-rO; KY 42303
270-852-5486
r1?:- 270-926-9862
Click here to check us out on
http://www.facebook.com/pages/T obacco-Control-Coalition-for -the-Green-River -Districtl131 726056857439?ref=sgm
*This message and any attachment may contain PRIVILEGED AND CONFIDENTIAL INFORMATION intended for the use of the above addressee. If you are not
the intended recipient, you are hereby notified that any dissemination or copying of this message or any attachment is strictly prohibited and should be deleted
from your system. If you received this message in error, please notify the sender at the Green River District Health Department: 270-686-7747 or fax at
9862.
From: Shannon Ross [mailto:sross0012@earthlink.net]
Sent: Tuesday, May 10, 2011 10:25 PM
To: rebecca.horn@grdhd.org; Shannon Daugherty; Monica Mundy
Cc: Brian Held (FWC); Rhonda Vaughn
Subject: RE: Forgot Somethin' .........
OK, it's a good thing we haven't followed up on this idea to reach out to businesses in an effort for them to write a
supportive letter to FC.
At tonight's FC mtg., David Johnston comes to me and enthusiastically says something t the effect of the ball was rolling
faster than expected and in our direction ... that this thing could pass this year, during this term.
2
OK, so we now know his perspective on when the right time should be has changed.
I then mention that we would like to talk to him about exemptions. He emphasizes that he doesn't want exemptions, but
thinks there may have to be something for it to go through. He specifically mentioned the Grandfather Clause that is
explained in the ANR link you sent Monica. He said something about them not lasting long, but I'm not clear on what he
meant, and we didn't have the opportunity to talk much more about it. I told him I would call him tomorrow and talk to him
in further detail about exemptions. I'll have the pdf of that link you sent up Monica so I can attempt to rebuttal the
exemptions he mentions. If you have any further advice on negatavizing the grandfather clause one, now would be the
time to send it to me:)
Also, at the end of the mtg, he was outwardly enthusiastic about gettting to the committee reports and mentioned
something that none of them wanted to have to talk about. Bullock brought the "smoking ban committee" up last and let
everyone know that the final survey tally was 450 SUPPORTIVE & 30 UNSUPPORTIVE!!!!!!!!!!!!!
That's not all though. He then says that they want to have a public forum to allow businesses and the public the
opportunity to speak on it. He also mentioned the mtg the committee has scheduled in June and talked like they would
plan the forum during their discussions at that mtg.
Thus, what I think we should do, is enact the action alert we were going to the week of and days leading up to the public
forum so we can have a strong presence there. And equally if not more important, we need to be actively recruiting
people, and especially business owners, to come and say something about their supportive stance.
In addition to talking about the FC's upcoming mtg @ our next OCSF mtg, we need to also brainstorm and strategize
about who to ask to come to forum to speak.
Lastly, Bullock; in what seemed like a sarcastic tone to me; said to McKenney that they didn't have an ordinance yet. I
really do think they are wanting an ordinace tailored to Ohio County to have in hand. Like you said before, I think Greg
wants that part of his job done for him!
I had to leave shortly after the committe talks were over cuz had another mtg @ 6:30, but the only other comment made
pertaining to ordinance while I was there was by McKinney, who suggested they follow up with the 30 people who sent in
unsupportive surveys to see what their concerns were. I'd like to see what his plan for that one is considering they were
anonymous!
Thoughts?
Cheers,
Shannon Ross
-----Original Message-----
From: Rebecca Horn
Sent: May 5, 2011 11 :06 AM
To: 'Shannon Ross'
Subject: RE: Forgot Somethin' .........
We need to see if coalition members would approach them on a personal level. Who knows who kind of thing.

r obacco-ControbCoordtnat-or
(jreerv 1?wer V4Jtrtd f{ealdv
1501 8reclcenridife'Stree:t'
&wen6boro; KY 42303
Phone:- 270-852-5486
ra?C4' 270-926-9862
3
Click here to check us out on
hltp:/Iwww.facebook.com/pageslTobacco-Control-Coalition-for-the-Green-River-
Districtl131726056857439?ref-sgm
*This message and any attachment may contain PRIVILEGED AND CONFIDENTIAL INFORMATION intended for the use of the above addresses. If
you are not the intended recipient, you are hereby notified that any dissemination or copying of this message or any attachment is strictly prohibited and
should be deleted from your system. If you received this message in error, please notify the sender at the Green River District Health Department: 270-
686-7747 or fax at 270-9269862.
From: Shannon Ross [mailto:sross0012@earthlink.net]
Sent: Thursday, May 05, 2011 10:36 AM
To: rebecca.horn@grdhd.org
Cc: 'Monica Mundy'
Subject: RE: Forgot Somethin' .........
I think it's a wonderful idea as well ... how would you like to proceed on us taking action on it? What is our strategy
on getting this done?
Thanks, Shannon Ross
-----Original Message-----
From: Rebecca Horn
Sent: May 5, 2011 7:58 AM
To: 'Shannon Ross'
Cc: 'Monica Mundy'
Subject: RE: Forgot Somethin' .........
I think it would be a great idea. Maybe send to the entire court.
1lebecca1fo-nv
robacco-contrdcoordi:nat'or
(jreen-!lwer V4ftrtd''f{ealtfv
1501
&Wene/xJ-rO; KY 42303
Phone:" 270-852-5486
rCf4t<' 270-926-9862
Click here to check us out on
hltp:/Iwww.facebook.com/pageslTobacco-Control-Coalition-for-the-Green-River-
Districtl131726056857439?ref=sgm
"'This message and any attachment may contain PRIVILEGED AND CONFIDENTIAL INFORMATION intended for the use of the above
addressee. If you are not the intended recipient, you are hereby notified that any dissemination Of copying of this message or any attachment
is strictly prohibited and should be deleted from your system. If you received this message in error, please notify the sender at the Green
River District Health Department: 270-686-7747 or fax at 270-926-9862.
From: Shannon Ross [mailto:sross0012@earthlink.net]
Sent: Wednesday, May 04, 201110:19 PM
To: Becky Horn
Cc: Monica Mundy
Subject: Forgot Somethin' .........
4
We forgot to follow up on and discuss the idea of asking some businesses to write letters expressing their
supportive viewpoint addressed to the FC Committee. Can have them send to Shannon 0 @ TWC.
What did you think about doing this?
I think the businesses we mentioned were DQ, Hardee's, maybe Vince with McD?, Ronnie York from OC
Cafe, and maybe the lady who owns the Christian Bookstore & MidTown Fashions.
What do you think ... far fetched, too much work??
Thanks,
Shannon Ross
5
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent:
To:
Wednesday, May 11, 2011 8:02 AM
Riker, Carol A
Subject: FW: e-cig Animoto - Vaapor-Stix radio debut
Follow Up Flag:
Flag Status:
Follow up
Flagged
I think I sent this, but just in case. See the highlighted section
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary
Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahn00@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on and
-----Original Message-----
From: Grana, Rachel [mailto:Rachel.Grana@ucsf.edu]
Sent: Wednesday, May 04, 2011 8:57 PM
To: Hahn, Ellen J
Subject: RE: Animoto - Vaapor-Stix radio debut
Hi Ellen,
Thanks for sending this. I actually am preparing to give a talk about my research on the
electronic cigarette Web-based marketing for the Smokeless Summit in Austin Texas. In doing
so, I am framing my concerns and take home points about the marketing of these products
around that new ruling from the US Court of Appeals and the FDA's decision not to appeal to
the Supreme Court. So, good timing to ask me what I think and I would love to hear what you
think too!
So, my thoughts are these .. I think it would have been better for public health if they were
regulated as nicotine delivery devices. Never mind the fact that they do not contain tobacco
- I do not agree with the ruling primarily because the rationale provided was based on the
premise that theecigarette companies are not making therapeutic claims. Although I did not
see the evidence provided at trial, even my brief presentation about a content analysis .of
theWebsi tes shows that they contain overt health and cessation messages even Hthey do not
use the word quit or cessation. They state clearly that these are healthier than traditional
cigarettes because -they do not contain, tar, ash, carcinogens,to)(ic chemicals,etc They are
using doctors (images and actual doctors in videos) to promote and assure viewers of the
safety and utility of the products to switch from tobacco cigarettes,in text and spoken
1
word. Also, if they are being regulated as a tobacco product there will probably be no burden
of proof of safety since tobacco products were defined in the legislation as inherently
unsafe. Therefore, this leaves no manufacturing or safety of use standards for these
products. In fact, under the Family Smoking and Prevention Act, smokeless tobacco, cigars and
cigarillos do not have the same restrictions as to flavors and taxation that cigarettes do.
For instance although cigarettes cannot come in candy flavors, smokeless tobacco can come in
fruit flavors, and cigarillos still come in tons of flavors, including fruit, alcohol
flavors, vanilla chocolate. It appears that people are just gearing up the battles about
smokeless tobacco regulation after a 2-year (maybe even really just i-year) focus on
cigarettes. I fear that the whole tobacco product regulation is moving so slowly that placing
ecigarettes in the same category will all but guarantee they remain on the market in a
regulatory vacuum for a few years at best. Therefore they will have way too much time to
continue promoting and selling flavored ecigarettes on-line and in the malls where people can
try them (probably high school students, because that is who is in the mall). I hope I am
wrong and the FDA puts an end to the unsubstantiated health and safety advertising
(especially with medical doctors!) and tackles the flavor issue and mall kiosks distribution.
Rachel
-----Original Message-----
From: Hahn, Ellen J [mailto:ejhahn00@email.uky.edu]
Sent: Wednesday, May 04, 2011 2:41 PM
To: Grana, Rachel
Subject: FW: Animoto - Vaapor-Stix radio debut
Importance: High
See below. This is an interesting turn of events with FDA taking them on as a tob product.
Your thoughts?
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary
Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahn00@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on and
-----Original Message-----
From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov]
Sent: Wednesday, May 04, 2011 11:06 AM
To: Centers, Irene (CHFS HPB-Health Promotions)j Beauchamp, Jan (CHFS HPB-Health Promotions)j
Riker, Carol Aj Hahn, Ellen J
Subject: Animoto - Vaapor-Stix radio debut
Importance: High
2
http://animoto.com/play/q0EBgn6zRqlkFCAhlwCtVQ
Vapor Stix (our local e-cig vendor) has a radio ad that is getting lots of air time. (VERY
EXPENSIVE .. )
My question is, w/ these devices now being under FDA regulation as a tobacco product, do the
same rules regarding advertising apply?
Kelly S. Owens, MPH, CHES
Tobacco Prevention and Cessation Specialist/Health Educator III/CPS Technician
Madison County Health Department
1001 Ace Drive
Berea, KY 40403
(859) 228-2043
Web Address: http://www.madisoncountyhealthdept.org/
Need Help Quitting? http://www.becomeanex.org/
~ Please consider the environment before printing this e-mail
3
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent:
To:
Wednesday, May 11, 2011 7:59 AM
Riker, Carol A
Subject:
Follow Up Flag:
Flag Status:
FW: Dr. Whitt of CASSA
Fbllowup
Flagged
One indication they have to have money to be doing these activities.
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
~
(elll f!.lf - __ :-'
_""I'<
k
l Find Icysmolcejree on
and I]
COllEGE OF NURSING
From: Grana, Rachel [mailto:Rachel.Grana@ucsf.edu]
Sent: Wednesday, April 13, 2011 4:54 PM
To: Hahn, Ellen J
Subject: RE: Dr. Whitt of CASSA
Hi Ellen,
I looked into this and I noticed the origination on the letter is "PR Log." I looked them up and it appears that
PR Log is a company that does press releases as a business. This is their site. www.prlog.com.
Therefore I think the CASAA representatives wrote this and had it put out as a paid press release. If the local
news is covering it as a "story' that is very interesting. What do you think?
Thanks, Rachel .
From: Hahn, Ellen J [mailto:ejhahnOO(ruemail.uky.edu]
Sent: Monday, April 11, 2011 5:13 PM
To: Grana, Rachel
1
Subject: FW: Dr. Whitt of CASSA
Importance: High
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucl<y
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on
COLLEGE OF NURSING
From: Owens, Kelly 5 (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov]
Sent: Monday, April 11, 2011 3:30 PM
To: Centers, Irene (CHFS HPB-Health Promotions); Beauchamp, Jan (CHFS HPB-Health Promotions); Brown, Cynthia G
(LHD-Bullitt COli Crewe, Nancy M (LHD-Madison COli Green, Christie L (LHD-Madison Co); Hahn, Ellen Ji Riker, Carol A
Subject: FW: Dr. Whitt of CASSA
Importance: High
Take a look @ the link below. Dr. Whitt (Medical Director wi CASAA) has been quoted in several local stories.
Kelly S. Owens, MPH, CHES
Tobacco Prevention and Cessation Specialist/Health Educator II
Madison County Health Department
1001 Ace Drive
Berea, KY 40403
(859) 228-2043
Web Address: http://www.madisoncountyhealthdept.orgl
Need Help Quitting? http://www.becomeanex.org/
2
.J;, Please consider the environment before prinling this e-mail
From: Hawkins, Ruth R (LHD-Madison Co)
Sent: Monday, April 11, 2011 3:21 PM
To: Owens, Kelly 5 (LHD - Madison Co)
Subject: Dr. Whitt of CASSA
http://www.prlog.org(l0505345-former-smokers-create-nonprofit-associatlon.pdf
Kelly,
Thought you may wish to share this link with Ellen & Carol.
Thanks,
Ruth
, ~ u t l i 1{. 3fawRins, :MS:N, ~ :Mc3f'ES
3feaftli 'Eaucatian 1Jirector
:Maaisan Caunty 3feaftli 1Jeyartment
1001 5lce 1Jr.
1Jerea, xy 40403
859-228-2041 (office)
859-986-1027 (:Fax)
www.madisoncountyhealthdept.org
~ i
"ffl
'3
Spagnuolo. Amy R
From: Hahn, Ellen J
Sent:
To:
Wednesday, May 11, 2011 7:57 AM
Riker, Carol A
Subject:
Follow Up Flag:
Flag Status:
FW: Tobacco Harm Reduction
Follow up
Flagged
Sending you the documentation from Rachel Grana re ecig association and CASAA
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, I(Y 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicv
www.kcsp.uky.edu
Find kysmokefree on and
COLLEGE OF NURSING
Ou f 001 is to- HGip You QB
From: Grana, Rachel [mailto:Rachel.Grana@ucsf.eduj
Sent: Thursday, April 07, 2011 10:25 PM
To: Hahn, Ellen J
Subject: RE: Tobacco Harm Reduction
Hi Ellen,
Thank you for all of these emails. It was a pleasure talking to you today. I have started looking into some of the
things we discussed. 1've attached my notes on the subject of the electronic cigarette industry. I apologize if
they skip around or seem disjointed. I prepared them by topic that might be related to piecing together this
puzzle. Also, I have questions to myself embedded in them Please let me know if I can clarify anything.
I found the old notes I took about the tobacco indusn-y and Freedomworks. The reporting on Philip MOlTis
funding of Freedomworks was done by the Guardian. Here is the link:
http:// www.guardian.co.uk/world/2009/sep/18 / republicans-internet-barack-obama
there are older tobacco indusn-y connections to Freedomworks. The present version of the organization
Freedomworks www.freedomworks.com was created from Citizens for a Sound Economy (CSE) and
1
Americans for Prosperity. CSE is in the tobacco industry documents library as partnering with the Tobacco
Institute in the 1990' s . The current president of Freedomworks, Matt Kibbe, has worked for them since it was
eSE. 1've attached one of the more obvious documents to this email.
Also, I found my notes on the person I mentioned that has crossties between the tobacco industry front group
- FORCRS - and Freedomworks. There are only 4 people listed for media contact on behalf of FORCES
International - one person from each of 4 countries. The person listed for America is a woman in
West Virginia named Maryetta Ables. I googled her and it turns out she is an organizer for the Tea
Party through Freedomworks. She's the president of FORCES in the US.
http:// teaparty.freedomworks.org! profile!MaryettaAbles
http://www.highbeam.com!doc/1P2-14749872.htrnl
http://www.forces.org/contact/contact.htm
Please call me whenever you would like to discuss this further and I will be in touch with more info as soon as
possible.
Thanks, Rachel
From: Hahn, Ellen J [mailto:ejhahnOO@email.uky.edu]
Sent: Thursday, April 07, 2011 4:37 PM
To: Grana, Rachel
Subject: FW: Tobacco Harm Reduction
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
! ! ! : ' ~ ~
~
_0-1"""",,, Find kysmake/ree on and
COLLEGE OF NURSING
Our GO;JI is 10 Help You !M!lGliztl 'Y()Ufc:
2
From: Thad Marney [mailto:thad.marney@gmail.com]
Sent: Thursday, December 03, 2009 6:34 AM
To: Hahn, Ellen J
Subject: Tobacco Harm Reduction
Ms. Hahn,
It has come to my attention that you are currently attempting to implement a ban on electronic cigarettes in the
state of Kentucky. Before you continue with this effort, I hope that you will consider how these products have
helped people like me to stop smoking and thereby reduce the risk of cancer and heart disease for myself and
those around me.
First a bit about myself: My name is Thad Marney, I am a 34 year old separated father of a beautiful 8 year old
daughter. Although my background is in the technology field, I currently work as a home care provider for
adults with disabilities. I was recently elected to serve on the Board of Directors for a newly formed
organization called Consumer Advocates for Smoke-free Alternatives (CASAA), but I receive no compensation
and have absolutely zero financial interest in any tobacco, pharmaceutical, or electronic cigarette business. 15
years ago this week my mother was diagnosed with breast cancer, and I have dedicated my personal efforts to
advocating smoke-free alternatives to that cause.
Raised in a traditional Christian home, I never expected to start smoking cigarettes, but when I got my first job
in computer technical support I quickly realized that nearly all my coworkers were smokers, and I picked up the
habit "socially" that eventually grew into an addiction to nicotine and a pack-a-day habit. As soon as I realized
that I was becoming dependent on nicotine, I wanted to quit. My first attempt at "Cold Turkey" happened when
I was going through a personal struggle and I decided that I did not want to lean on any chemicals to help me
through ... but once I got through the crisis and my life returned to "normal" stress levels, the symptoms of my
ADHD eventually got the better of me and the habit resumed. Next I tried the nicotine patch, and although it
helped ease the cravings, I had a bad reaction to the adhesive and was unable to continue using it. Next I tried
the nicotine gum, and it also helped but the flavor and texture were not appealing and I eventually went back to
the "cancer sticks". After that I tried the lozenge--like the gum I had some success in stopping smoking and
since I didn't have to chew it I considered it an improvement, but once again I was smoking after a few months.
Next I tried hypnotherapy--which was shockingly effective .. .for a couple weeks. The hypnotherapy had the
unexpected benefit of giving me a renewed self-confidence that I could overcome the addiction, but once that
feeling started wear off, smoke once again found its way into my lungs.
Approximately one year ago I came across a mall kiosk selling a new "gadget" that Hi never seen before. As a
bit of a gadget -hound it was particularly appealing to me and I shelled out several hundred dollars to try it. I did
not expect to quit smoking, but figured that if I could at least reduce the number of cigarettes I was smoking,
surely it would be an improvement, and all the better if I actually managed to stop smoking completely.
Unfortunately, I misplaced the expensive gadget from the mall, but my interest was piqued so I began doing
research online and eventually found an "electronic cigarette" that was more affordable ... and considerably more
effective. I was still not planning or expecting to quit smoking;but within a few days of using the personal
vaporizer, my sense of taste and smell began to return and cigarette smoking became repUlsive. Basically, I
came to the realization that I had already quit smoking ... by accident!
Right now, I am continuing to use nicotine even though most of the withdrawal symptoms have subsided at it
seems to help me cope with the symptoms of ADHD. I appreciate that I can use my e-cigarette to wean myself
of nicotine if and when I choose while continuing to enjoy relatively harmless vapor whenever the urge to
smoke rears its ugly head. In the meantime, I have eliminated all "tars", I don't stink of stale smoke, I have my
sense of taste and smell back, I am regaining my lung capacity, my blood pressure is returning to normal, and
most importantly I am no longer exposing myself or my family to deadly sidestream, first or second-hand
3
smoke.
If you are truly concerned about smoking & health, rather than attempt to ban electronic cigarettes, I do not
understand why you would not encourage current smokers to consider reducing the harm they do to themselves
and their loved ones through the use of smoke-free products like those marketed as "electronic cigarettes". If
you have concerns about these products, I would be happy to hear them as there is a lot of misinformation
floating around: For example, you may be under the impression that e-cigarettes were found to be as dangerous
as traditional cigarettes because of the recent FDA study on products by Smoking Everywhere and Njoy (two
companies that have a pending lawsuit against the FDA). However, a close inspection of the actual report
reveals that trace levels of tobacco related nitrosamines found in e-cigarette cartridges are of the same type and
concentration as those found in FDA approved NRT products like Nicoderm CQ.
Thank you very much for your time. I hope that you will seriously reconsider your stance on these issues, and I
encourage you to consider joining me in support of reduced harm products for adults who are otherwise unable
or unwilling to stop smoking.
Best Regards,
Thad Marney
4
Spagnuolo, Amy R
From: Riker, Carol A
Sent: Tuesday, May 10, 2011 10:06 PM
To:
Cc:
Subject:
Hahn, Ellen J; Record, Rachael A
Richardson, Patrick M; Wagner, Kristian K
RE: Location for Backed up R01 Atlas File
Maybe, but they should be on the external hard drive .... unless they're on the old computer.
Carol
From: Hahn, Ellen J
Sent: Tuesday, May 10,2011 9:29 PM
To: Record, Rachael A; Riker, Carol A
Cc: Richardson, Patrick M; Wagner, Kristian K
Subject: RE: Location for Backed up R01 Atlas File
Can Erin Lee help?
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky .edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on and
-----Original Message-----
From: Record, Rachael A
Sent: Tuesday, May 10,201111:13 AM
To: Riker, Carol A
Cc: Richardson, Patrick M; Hahn, Ellen J; Wagner, Kristian K
Subject: RE: Location for Backed up RO 1 Atlas File
Hi Carol,
I don't know Atlas very well but it appears like I can't view the old images. I'm assuming they're saved
somewhere on Halmgroup; I can't imagine they got deleted. I would have them copied off the external hard
! 1
drive and put on Hahugroup just in case. I didn t realize the images may only be on the external hard drive. If
that's the case then that could be why the images are not opening in Atlas (the program can't find the files). But I
really don t know.
Rachael
-----Original Message-----
From: Riker, Carol A
Sent: Monday, May 09, 2011 4:29 PM
To: Record, Rachael A
Cc: Richardson, Patrick M; Hahn, Ellen J; Wagner, Kristian K
Subject: RE: Location for Backed up ROI Atlas File
Rachael,
Thanks so much! When we were looking at these files today you mentioned that the images are not in Atlas for
those you brought into Hahn group in February. Did you say that the images are somewhere else or do we need
to somehow get them off the external hard drive and put them on Hahn group? (Of course we do have the paper
copies, but in writing manuscripts with the qualitative data it would be easiest to use electronic images.)
IT got Jeslyn set up to get on all these files today and we're plodding through correcting/updating the protocol.
I've put the draft/in-progress protocol on Hahn group ROI Media Clips under protocol so we can continue to
work on it.
Had a little scare in that the codes wouldn t show up when J eslyn tried to enter an article, but apparently she
wasn't in the right "Hermaneutic Unit" but was starting a new one!! We think it's because Atlas opens the last
unit you were in, but she was newly mapped to it and didnt have a "last unit." Gia Mudd helped us get
straightened out. Whew!
Thanks,
Carol
-----Original Message-----
From: Record, Rachael A
Sent: Monday, May 09, 201110:10 AM
To: Riker, Carol A
Subject: Location for Backed up ROI Atlas File
Y :\ROI \Media Clips \Atlas \RO 1 ATLAS ENTERED DATA BACK UP 2-16-11 \A TLASti\BACKED UP
FlLES\ROI Project
2
Spagnuolo. Amy R
From: Hahn, Ellen J
Sent: Tuesday, May 10, 2011 8:02 PM
To: Record, Rachael A; Wagner, Kristian K; Mundy, Monica E; Fallin, Amanda T; Riker, Carol A;
Ricks, Janelle
Subject: RE: Counties the received grants
I talked with FHKY today (Mary Jo Dike) and she graciously agreed to provide us with an excel file of allgrants since
2007@ I will remind her.
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@emaiJ.uky.edu
www.mc.ukY.edu/tobaccopolicv
www.kcsp.uky.edu
Find kysmokeJree on
COllEGE OF NURSING
From: Record, Rachael A
Sent: Tuesday, May 10, 2011 11:44 AM
To: Wagner, Kristian K; Mundy, Monica E; Fallin, Amanda T; Riker, Carol A; Ricks, Janelle
Cc: Hahn, Ellen J
Subject: Counties the received grants
Hi All,
Will you please send me information about the grants (for SF efforts) that you know your R01 counties have received in
the last 5 years. If you know the information, will you please include: who the grant was from, the amount, and the
scope of work.
Thank you!
Rachael
RachaelA. Record
University of Kentucky
1
M.A. Candidate
College of Communications & Information Studies
Research Assistant
College of Nursing
rachael.record@uky.edu
Find kysmo/<ejree on
2
Spagnuolo. Amy R
From: Hahn, ElienJ
Sent: Tuesday, May 10, 2011 8:00 PM
To:
Cc:
Ricks, Janelle; Riker, Carol A; Fallin, Amanda T; Wagner, Kristian K; Mundy, Monica E
Record, Rachael A
Subject: RE: Community grants
Great! Might we suggest they use our evidence based messaging? Anna could help you
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokejree on
andlj
COLLEGE OF NURSING
From: Ricks, Janelle
Sent: Tuesday, May 10, 2011 9:26 AM
To: Hahn, Ellen Ji Riker, Carol Ai Fallin, Amanda Ti Wagner, Kristian Ki Mundy, Monica E
Cc: Record, Rachael A
Subject: RE: Community grants
I talked to Whitley County this morning. They got $14,000. They are using the money for a postcard campaign targeting
veterans, education and media.
JaNelle
From: Hahn, Ellen J
Sent: Monday, May 09, 201110:24 PM
To: Riker, Carol Ai Fallin, Amanda Ti Wagner, Kristian K; Mundy, Monica E; Ricks, Janelle
Cc: Record, Rachael A
Subject: FW: Community grants
Wow! Looks lil<e they all will supplement the work we are doing in smoke-free. That is great! I will ask her for the
amounts ....
1
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucl<y Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-02.32
859-2.57-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokejree on
.. COllE.GE. OF NURSING
Qur 1$ it) t"lt;Jp You \i.2U
r
Q
From: Centers, Irene (CHFS HPB-Health Promotions) [mallto:lrene.Centers@ky.govl
Sent: Monday, May 09, 2.011 1:40 PM
To: Johnson, John D
Cc: Sizemore, Mark (CHFS HPB-Health Promotions); Hahn, Ellen J; Kercsmar, Sarah
Subject: RE: Community grants
Yes, he is attending. The grants are not just for smoke free policy - below are those who are working on smoke-free:
Bullitt County-post-regulation activities
Floyd County - Smoke-free Floyd County
Green River District - Smoke-free Ohio County
Monroe County - continuation of smoke-free
Whitley - begin smoke-free

Tobacco Prevention and Cessation
Department for Public Health
From: Johnson, John D fmailto:jdjohnson@uky.edu)
Sent: Monday, May 09, 2.011 1 :07 PM
To: Centers, Irene (CHFS HPB-Health Promotions)
Cc: Sizemore, Mark (CHFS HPB-Health Promotions); Hahn, Ellen J; Kercsmar, Sarah
Subject: Community grants
Hi Irene,
2
I
I
Would it be possible to share with us the list of communities that received grants from you? If Mark is attending the
advisory meeting tomorrow he may be able to bring that information, but we understand he may not be able to attend
tomorrow.
Thanl< you,
John
John D. Johnson, MA
Community Liaison
Kentucky Center for Smoke-free Policy
University of Kentucky College of Nursing
751 Rose Street, College of Nursing 509
Lexington, Kentucky 40536-0232
859-323-4587
859-323-1057 (FAX)
jdjohnson@ukv.edu
www.kcsp.uky.edu
Find kysmokejree on
3
I
~
I
I
Spagnuolo, Amy R
From:
Sent:
To:
Hahn, Ellen J
Tuesday, May 10, 20117:16 PM
Riker, Carol A
Subject: Re: delete last email and use this PLEASE
We talked about this at advisory today. They think Davis is coming to be supportive. Mark is asking Hacker to write a
letter. Would be nice to go if u can just to be a support and assess lay of land.
Ellen J. Hahn, PhD
Professor, UK CON
859-257-2358
From: Riker, Carol A
To: Hahn, Ellen J
Sent: Tue May 10 17:25:27 2011
Subject: RE: delete last email and use this PLEASE
Should I still try to go to the meeting?
Would I write Irene about Hacker or approach him myself? Do we need to know what Davis is going to do first?
carol
From: Hahn, Ellen J
Sent: Tuesday, May 10, 2011 10:23 AM
To: Riker, Carol A
Subject: Fw: delete last email and use this PLEASE
Wonder what Davis is coming for? Can u find out? Do you think Hacker might write a support letter.
Ellen J. Hahn, PhD
Professor, UK CON
859-257-2358
From: Jett, Swannie (LHD - Bullitt Co) <SwannieJett@ky.gov>
To: Riker, Carol A
Cc: Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E
Sent: Tue May 10 10:16:50 2011
Subject: RE: delete last email and use this PLEASE
The agenda is full since Dr. Davis from DPH is coming in to speak. I believe the letter will suffice. Thank you for the
support and stay tuned.
Swannie Jet!, DrPHc, MS
Public Health Director
1
Bullilt County Health Department
181 Lees Valley Road
Shepherdsville, KY 40165
Phone: (502) 955-6680 Fax: (502) 543-2998
"Dedimte your life to a missWn or Q1i/Se that wll outlast you"
NOTICE OF CONFIDENTIALITY: This e.-mail, inc!t.1ding any attachments, is Intended only jor the use oj the indIvidual or entity to which it is addre.ssed and may contain conjfdentia!
in/ormatioll that is legally privileged and exempt from disclosure under applicable Jaw. If the reader of thIs message is not the intended recipient, you are notified that any
review, use, disclosure, distribution or copying of this communicotion is strictly prohibited, If you have received this communication ill error, please contact the sender by reply e-
mail alld destroy all copies of the original message, '
From: Riker, Carol A [mailto:riker@email.uky.edu]
Sent: Monday, May 09,2011 12:12 PM
To: Jett, Swannie (LHD - Bullitt Co)
Cc: Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E
Subject: RE: delete last email and use this PLEASE
You're certainly welcome.
Be thinking about what I could do for the BOH meeting, if anything.
Carol
From: Jett, Swannie (LHD - Bullitt Co) [mailto:SwannieJett@ky.gov]
Sent: Monday, May 09,201111:02 AM
To: Riker, Carol A
Cc: Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E
Subject: RE: delete last email and use this PLEASE
Thank you for the nice letter. It's really appreciative. SJ
Swannie Jet!, DrPHc, MS
Public Health Director
Bullilt County Health Department
181 Lees Valley Road
Shepherdsville, KY 40165
Phone: (502) 955-6680 Fax: (502) 543-2998
"Dedimteprr lifo toa missWn ormUJ;e that wi! outLrstyou"
NOTICE OF CONFIDENTIALITY: This e-mail.includinganyattachments.isiTltended only jor the use oj the individual or entity to which it is addressed and may contain confidential
in/ormation that is legafly privfleged and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are notified that any
review, use, disclosure, distribution Of copying of this communication is strictly prohibited. If you have received this communicotion in error, please contact the sender by reply e-
mail and destroy all copies of the original message.
2
From: Riker, Carol A [mailto:riker@email.uky.edu]
Sent: Thursday, May OS, 2011 5:43 PM
To: Jett, Swannie (LHD - Bullitt Co)
Cc: Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E
Subject: delete last email and use this PLEASE
Swannie,
Here is our letter for the BOH members along with a one-pager on heart attack reductions projected. We refer to the
one-pager in the letter, so please include that with the letter to board members.
Thanks so much and we're thinking of you.
Carol
Carol Riker, RN, MSN
Associate Professor
Provost's Distinguished Service Professor
Community Advisor, Rural Smoke-free Communities
Faculty Associate, Kentucky Center for Smoke-free Policy
555 College of Nursing
University of Kentucky
751 Rose Street
Lexington, KY 40536-0232
Cell: 859-619-3776
Office Phone: 859-323-6615
Fax: 859-323-1057
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu


Find kysmokefree on
and I)
COLLEGE OF NURSING
Our Goo! Is to' Help You .iRoHjllf.t ''(burG;
3
Spagnuolo, Amy R
From:
Sent:
To:
Subject:
Follow Up Flag:
Flag Status:
Hahn, Ellen J
Tuesday, May 10,20117:13 PM
Riker, Carol A
Re: e-cig Op Ed published today
Follow up
Flagged
Just send a summary of the high points. Thanks!!
Ellen J. Hahn, PhD
Professor, UK CON
859-257-2358
From: Riker, Carol A
To: Hahn, Ellen J
Sent: Tue May 10 17:42:522011
Subject: RE: Op Ed published today
So what does Rachel need to know about Greg Conley's call
Carol
From: Hahn, Ellen J
Sent: Monday, May 09, 2011 10:58 PM
To: Grana, Rachel
Cc: Riker, Carol A; Kercsmar, Sarah
Subject: Op Ed published today
Rachel,
So our op ed was published today and I already had a call from a man from Maryland, Ronald Ward who
says he is on the Board of Directors of CA5AA. He wants a retraction because he says they are not 'closely affiliated' with
the ECig Association. He says ECA is defunct (but has a new name, TD ECA?). He says they don't actively oppose smoke
free policies (uh, yes they do in KY), and that they operate on a shoestring budget and are a grassroots organization. He
claims they are not affiliated at all with the tobacco industry and they all contribute 'out of pocket.' He says CASAA is
currently applying for SOlc4 status. Didn't you say they already have it?
In the little bit of digging we could do on Mr. Ward, we found that he is a CFO for a liquor wholesaler - which makes
sense because he probably sells e-cigs too.
http://www.manta.com{c{mmb6g9v{liguors-frederick-p-winner-Itd
Here is the link to our Op Ed and the comments Happy reading. Let me know what you think!
http:/{www.kentucky.com{2011/0S{09{173S010{e-cigs-must-be-tested-regulated.html
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
1
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
~
_-I .... """" Find kysmoke/ree on and
COLLEGE OF NURSING
Our Goolls !o Help You f10alize \'\us
2
Spagnuolo, Amy R
From:
Sent:
To:
Riker, Carol A
Tuesday, May 10, 2011 5:25 PM
Hahn, Ellen J
Subject: RE: delete last email and use this PLEASE
Should I still try to go to the meeting?
Would I write Irene about Hacker or approach him myself? Do we need to know what Davis is going to do first?
carol
From: Hahn, Ellen J
Sent: Tuesday, May 10, 201110:23 AM
To: Riker, Carol A
Subject: Fw: delete last email and use this PLEASE
Wonder what Davis is coming for? Can u find out? Do you think Hacker might write a support letter.
Ellen J. Hahn, PhD
Professor, UK CON
859-257-2358
From: Jett, Swannie (LHD - Bullitt Co) <SwannieJett@ky.gov>
To: Riker, Carol A
Cc: Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E
Sent: Tue May 10 10:16:502011
Subject: RE: delete last email and use this PLEASE
The agenda is full since Dr. Davis from DPH is coming in to speak. I believe the letter will suffice. Thank you for the
support and stay tuned.
Swannie Jett, DrPHc, MS
Public Health Director
Bullitl County Health Department
181 Lees Valley Road
Shepherdsville, KY 40165
Phone: (502) 955-6680 Fax: (502) 543-2998
"DedKafe )10111 lifo to a mission or muse that Wil outlast you"
NOTICE OF CONFIDENTIALITY: This e-mail.includinganyattachments.isintended only jor the use of the indlviduaf or entity to which It is addressed and may contain confidentlol
Illformation that is legaJly privifeged and exempt from disclosure under applicable law. If the reader of thIs message is not the intended reciPient, you are notified that any
review, use, disclosure, distribution or copyIng of this commllnication is strictly prohibited. if you have received this communication in error, please contact the sender by reply e-
mail and destroy all copies of the original message.
1
From: Riker, Carol A [mailto:riker@email.uky.edu]
Sent: Monday, May 09, 2011 12: 12 PM
To: Jett, Swannie (LHD - Bullitt Co)
Cc: Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E
Subject: RE: delete last email and use this PLEASE
You're certainly welcome.
Be thinking about what I could do for the BOH meeting, if anything.
Carol
From: Jett, Swannie (LHD - Bullitt Co) [mailto:SwannieJett@ky.gov]
Sent: Monday, May 09, 201111:02 AM
To: Riker, Carol A
Cc: Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E
Subject: RE: delete last email and use this PLEASE
Thank you for the nice letter. It's really appreciative. SJ
Swannie Jet!, DrPHc, MS
Public Health Director
Bullilt County Health Department
181 Lees Valley Road
Shepherdsville, KY 40165
Phone: (502) 955-6680 Fax: (502) 543-2998
"Dediattey;ur lifo toa mission or cause that wll outidstyou"
NOTICE OF CONFIDENTIAL/7Y: TIlls e-mail.includinganyattachments.isintended only for the use of the individual or entity to which it is addressed and may contain confidential
information that is legalJy privileged and exempt from disclosure under applicable law. if the reader of this message is not the intended recipient, you are notified that any
review, Use, disclosure, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-
mail and destroy all copies of the original message.
From: Riker, Carol A [mailto:riker@email.uky.eduJ
Sent: Thursday, May OS, 2011 5:43 PM
To: Jett, Swannie (LHD - Bullitt Co)
Cc: Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E
Subject: delete last email and use this PLEASE
Swannie,
Here is our letter for the BOH members along with a one-pager on heart attack reductions projected. We refer to the
one-pager in the letter, so please include that with the letter to board members.
Thanks so much and we're thinking of you.
2
Carol
Carol Riker, RN, MSN
Associate Professor
Provost's Distinguished Service Professor
Community Advisor, Rural Smoke-free Communities
Faculty Associate, Kentucky Center for Smoke-free Policy
555 College of Nursing
University of Kentucky
751 Rose Street
Lexington, KY 40536-0232
Cell: 859-619-3776
Office Phone: 859-323-6615
Fax: 859-323-1057
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
~
-{""l\!Ii<y Find kysmokefree on
~ andlJ
COLLEGE OF NURSING
Q,lr GK'tl! isro ,-jefp You C1Ol1!I;w )1JLIf:J;
3
Spagnuolo, Amy R
From:
Sent:
To:
Subject:
Kiyoung,
Hahn, Ellen J
Monday, May 09, 2011 11 :05 PM
Riker, Carol A; Kiyoung Lee; Sidney, Hilarie E; Richardson, Patrick M; Teeters, Elizabeth B;
Robertson, Heather E
RE: Outdoor AQ test run data
Depends on what type of analysis we need. Hilarie is equipped to manage the data as she does with the community
venue projects. Other than that, let me know what assistance you need. We have biostatisticians who can help.
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on and
COLLEGE OF NURSING
OUf Go!!i t ~ \0 HOiI' You !'\c'llIiZIl 'ftlU(S
From: Riker, Carol A
sent: Monday, May 09,2011 6:32 PM
To: Kiyoung Leei Sidney, Hilarie Ei Hahn, Ellen Ji Richardson, Patrick Mi Teeters, Elizabeth Bi Robertson, Heather E
Subject: RE: Outdoor AQ test run data
Hi Kiyoung; were we supposed to get an attachment?
Thanks,
Carol
PS Re your other question, I'm not sure the students are equipped to analyze the data, so I'm hoping Hilarie can ... ?
From: Kiyoung Lee [mailto:cleanair@snu.ac.krl
Sent: Monday, May 09,2011 4:19 PM
To: Sidney, Hilarie E; Kiyoung Leei Hahn, Ellen J; Riker, Carol Ai Richardson, Patrick M; Teeters, Elizabeth B; Robertson,
1
HeatherE
Subject: Re: Outdoor AQ test run data
Here are the data I calibrated.
This is good.
It is interesting that we were able to measure high concentration (over 100 ug/m3) when there were more than 10
smokers. There were two times with more 10 smokers (11:51 and 12:15)
At those times, we had peaks.
I think we can also look into effect of wind and distance.
Can you save the GPS data by Excel format?
Or please let me know the webpage for the GPS software.
Ellen,
Who will analyze these data?
I assume it will be one of students.
--- Original Message ---
From: "Sidney, Hilarie E"<hesidn2@email.uky.edu>
To: "Kiyoung Lee"<cieanair@snu.ac.kr>, "Hahn, Ellen J"<ejhahnOO@email.uky.edu>, "Riker, Carol
A"<riker@email.uky.edu>
Date: 2011/05/10 ~ f R ~ .2. ~ 3:20:12
Subject: Outdoor AQ test run data
Hi everyone,
Patrick, Elizabeth and I were able to collect the test run data and I've attached it to this email. The gps file may
not be able to be opened without the gps software.
The sidepak was set to 1 second intervals, all clocks on all devices were synched to atomic time.
Thanks!
Hilarie Sidney
Air Quality Data Coordinator
Clean Indoor Air Partnership
Kentucky Center for Smoke-Free Policy
509 CON Building
751 Rose Street
Lexington KY 40536-0232
859-323-9958
hilarie.sidney@uky.edu
wWW.kCSD.ukv.edu
[ ~ r
104' ~
'--__ ----'Find kysmokefree on LJ and LJ
Find kysmokefree on Twitter and Facebook
2
Kiyoung Lee
Associate Professor
School of Public Health
Seoul National University
Tel: 02-880-2735
3
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent:
Monday, May 09, 2011 10:24 PM
To:
Cc:
Riker, Carol A; Fallin, Amanda T; Wagner, Kristian K; Mundy, Monica E; Ricks, Janelle
Record, Rachael A
Subject:
Follow Up Flag:
Flag Status:
FW: Community grants
Follow up
Flagged
Wow! Looks like they all will supplement the work we are doing in smoke-free. That is great! I will ask her for the
amounts ....
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.eduitobaccopolicy
www.kcsp.uky.edu
Find kysmokejree on
i COLLEGE OF NURSING
From: Centers, Irene (CHFS HPB-Health Promotions) [mailto:Irene.Centers@ky.gov]
Sent: Monday, May 09, 20111:40 PM
To: Johnson, John D
Cc: Sizemore, Mark (CHFS HPB-Health Promotions); Hahn, Ellen J; Kercsmar, Sarah
Subject: RE: Community grants
Yes, he is attending. The grants are not just for smoke free policy - below are those who are working on smoke-free:
Bullitt County -post-regulation activities
Floyd County - Smoke-free Floyd County
Green River District - Smoke-free Ohio County
Monroe County - continuation of smoke-free
Whitley - begin smoke-free
1
J P t e n e ~
Tobacco Prevention and Cessation
Department for Public Health
From: Johnson, John D [mailto:jdjohnson@uky.edul
Sent: Monday, May 09, 20111:07 PM
To: Centers, Irene (CHFS HPB-Health Promotions)
Cc: Sizemore, Mark (CHFS HPB-Health Promotions); Hahn, Ellen J; Kercsmar, Sarah
Subject: Community grants
Hi Irene,
Would it be possible to share with us the list of communities that received grants from you? If Mark is attending the
advisory meeting tomorrow he may be able to bring that information, but we understand he may not be able to attend
tomorrow.
Thank you,
John
John D. Johnson, MA
Community Liaison
Kentucky Center for Smoke-free Policy
University of Kentucky College of Nursing
751 Rose Street, College of Nursing 509
Lexington, Kentucky 40536-0232
859-323-4587
859-323-1057 (FAX)
jdjohnson@uky.edu
www.kcsp.uky.edu
Find I<ysmokejree on
2
Spagnuolo, Amy R
From: Riker, Carol A
Sent: Sunday, May 08, 2011 5:57 PM
To:
Subject:
Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E
FW: FW: media for Bourbon County
From: Riker, Carol A
Sent: Sunday, May 08, 2011 5:57 PM
To: 'Peggy Seithers'
Cc: Cyndi Steele; Diane Wagoner
Subject: RE: FW: media for Bourbon County
Peggy,
I was thinking you had said your church had 500, but I'm probably confused about the whole thing! You guys probably
understand what's going on!
FYI, another idea that was thrown out at the last coalition meeting was showing these on the big screen!
Let me know how this goes; it could be powerful!
Carol
From: Peggy Seithers [mailto:pseithers@yahoo.com]
Sent: Sunday, May 08, 2011 4:27 PM
To: Riker, Carol A
Cc: Cyndi Steele
Subject: Re: FW: media for Bourbon County
I was just thinking,,,,,,,it won ~ take 500 for that Church.",I am sure they are probably counting every Church
member .... I could try and make a point to get one to a family.
I like it, I just made 30 copies on my own printer, thats as many as I can go with this little thing.
Thanks,
Peggy
--- On Sun, 5/8/11, Riker, Carol A .qiker@email.uky.edu>wrote:
From: Riker, Carol A <tiker@emaiI.uky.edu>
SUbject: FW: media for Bourbon County
To: "Peggy Seithers" <{lseithers@yahoo.com>, "Cyndi Steele" <tyndisteele57@gmail.com>, "Diane
Wagoner" <tliane.wagoner@lpnt.net>
Cc: "Hahn, Ellen J" <tjhahnOO@email.uky.edu>, "Kercsmar, Sarah" <scave2@email.uky.edu>,
"Johnson, John D" <jdjohnson@uky.edu>, "Mundy, Monica E" <1nonica.mundy@uky.edu >
Date: Sunday, May 8,2011,8:16 AM
Hi Peggy et aI,
1
Sounds like your plan for handing out the chmch bulletin iuserts would be great!
We're in the middle of graduation stuff here, so I thought I'd send these on to you all so you can make plans to
copy them without using health dept funds and get them handed out. .
I know you said you would need 500 (and they can probably be done two to a page) but I'll get out of the
middle of this and let you guys work it out!!
I'll be anxious to hear the response!
Thanks so much,
Carol
From: Kostygina, Ganna Y
Sent: Wednesday, May 04, 2011 3:40 PM
To: Riker, Carol A
Subject: RE: media for Bourbon County
Dear Carol,
Please find attached the revised bulletins. The first version has the logo in color and the second one--in black
and white.
Please let me know if you would like to change anything.
Thanks,
Anna
2
Ganna (Anna) Kostygina, Ph.D.
Postdoctoral Scholar
Tobacco Policy Research Program
University of Kentucky College of Nursing
751 Rose Street, Suite 450F
Lexington, Kentucky 40536-0232
859-323-0741 (w) 1213-793-1889 (c)
Fax: 859-323-1057
ganna.kostygina@uky.edu
Find kyslIlokefree on and
From: Riker, Carol A
Sent: Friday, April 29, 2011 8:39 AM
To: Kostygina, Ganna Y
Subject: FW: media for Bourbon County
The coalition was pleased with the church bulletin inselts; thanks so much.
I forgot to ask to have their logo put on the inserts; is that too much trouble? I hate to ask since you had trouble
with one of them. Please say if you don't have time.
Carol
3
From: Riker, Carol A
Sent: Thursday, April 28, 2011 11 :42 AM
To: Kostygina, Ganna Y
Subject: RE: media for Bourbon County
They look great. I notice that the picture with the waitress holding the menus prints up a bit lighter, but other
than that I can't see any problems. Thanks so much for doing this.
carol
From: Kostygina, Ganna Y
Sent: Monday, April 25, 2011 5:18 PM
To: Riker, Carol A
Cc: Hahn, Ellen J
Subject: RE: media for Bourbon County
Dear Carol,
I updated the contact info on the church bulletin inserts (please see attached). Would this work?
Thank you,
Anna
Ganna (Amm) Kostygina, Ph.D.
Postdoctoral Scholar
Tobacco Policy Research Program
University of Kentucky College of Nursing
751 Rose Street, Suite 450F
4
Lexington. Kentucky 40536-0232
859-323-0741 (w) 1213-793-1889 (c)
Fax: 859-323-1057
ganna.kostygil1a@uky.edu

fClT -
"";,,I,..I\:1\;, Find kysmokefree on
From: Riker, Carol A
Sent: Sunday, April 10, 2011 4:09 PM
To: Kostygina, Ganna Y; Cyndi Steele .
Cc: Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E
Subject: media for Bourbon County
Hi Anna,
I have two questions to ask for Bourbon County:
1. They are thinking of buying yardsticks as a giveaway (I guess you've seen them ... basically a long ruler, 3
feet long). Cyndi sent some ideas as follows:
How about getting some yardsticks to send out the smoke free message?
Possible slogans: are you ready for this? ......
"Inch by Inch" ... Smoke Free Bourbon County
Smoke Free Measures Up
OR our slogan
"Smoke Free Air. .. Shows You Care"
5
Any other suggestions?
Lime green imprint on natural wood sticks . .52 cents each. Everybody loves a yardstick .. Use at the
county fair and other events.
Her ideas for possible messages on the yardstick are good, but Ilmow we usually stick with the coalition's
slogan ("Smoke Free Air ... Shows you Care"). I wondered if she could combine their slogan with one of the
other messages. Then I got to wondering about including a message about Air Quality (which we'll release in
the next couple months). Something like "Bourbon indoor air quality should measure up! Smoke-free air shows
you care." (Not sure if it's too long or even if it would work as a "teaser" about the air quality results before we
release.) ANY ideas you have will be terrific as this really is not my thing! We'll definitely stick with our color.
Thanks!
2. Bourbon would like to use the church bulletin inserts. Would you be able to change the contact info to:
Coalition for a Smoke Free Bourbon County (no hyphen in smoke free)
Peggy Seithers: 988-5077
Jerry Mayfield: 987-0404
Virginia or Carl Bates 987-5589
Hope all that will fit!
Thanks for any help you can give!
Carol
Carol Riker, RN, MSN
Associate Professor
Provost's Distinguished Service Professor
Community Advisor, Rural Smoke-free Communities
6
Faculty Associate, Kentucky Center for Smoke-free Policy
555 College of Nursing
University of Kentucky
751 Rose Street
Lexington, KY 40536-0232
Cell: 859-619-3776
Office Phone: 859-323-6615
Fax: 859-323-1057
www.mc.uky .edultobaccopolicy
www.kcsp.uky.edu
Find kysmokefl'ee on and
7
Spagnuolo, Amy R
From:
Sent:
To:
Hahn, Ellen J
Sunday, May 08, 2011 9:52 AM
Riker, Carol A
Subject: RE: Local Public Health System Assessment Meeting
Thanks. Will send you the info once I get it.
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
~ s p
_.j",,!IlI!<y Find kysmokefree on and
From: Riker, Carol A
Sent: Sunday, May 08, 2011 9:37 AM
To: Hahn, Ellen J
Subject: RE: Local Public Health System Assessment Meeting
I can probably do at least the am. I put it in my calendar.
The ACHIEVE meeting that Carroll Young may speak for is from 2:30-4:30 that day and I'm not sure if I'll need to go or
stay away (if it happens).
Thanks,
Carol
From: Hahn, Ellen J
Sent: Saturday, May 07, 2011 9:3S AM
To: Riker, Carol A
Subject: FW: Local Public Health System Assessment Meeting
Importance: High
Carol,
1
Is this something you could attend for me? I will likely be hunkered down with our June 5 grant submission on this day,
Looks like a great opportunity to see what is happening at the LFCHD and get our voices heard on the critical importance
of policy and enforcement.
ellen
Ellen J, Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email,uky,edu
www.mc.uky.edu/tobaccopolicy
www,kcsp,uky,edu
Find kysmokefree on and
COLLEGE OF NURSING
Our GOBI Is to Holp 'You Yours:
From: Sekhon, Kulwinder (LHD - Lexington-Fayette Co,) [mailto:Kulwinder,Sekhon@ky,govl
Sent: Friday, May 06, 2011 3:01 PM
To: Sekhon, Kulwinder (LHD - Lexington-Fayette Co,)
Subject: Local Public Health System Assessment Meeting
Dear Public Health System Partners,
Fayette County Public Health System Assessment Meeting
The Lexington Fayette County Health Department is pleased to bring together health care providers, policy makers, and
community stakeholders to assess the Fayette County public health system,
Please join us on June 1, 2011 to assess our local public health system and look at the current social, economic and
political trends in the community, Please see the attached save the date flyer for the meeting, An agenda, formal
invitation and other materials will be mailed next week, We look forward to seeing you! For additional information
please contact Mindy Sekhon at Kulwinder,Sekhon@ky,gov
Mindy Sekhon, MPH
Epidemiologist
Lexington-Fayette County Health Dept
805 Newtown Circle, Ste B
Lexington, KY 40511
phone: 859,288.4239 Ifax: 859,288,75121 www,LexingtonHealthDepartment.org
2
E-mail: Kulwinder.Sekhon@ky.gov
3
Spagnuolo, Amy R
From:
Sent:
To:
Subject:
Yes, but not the others.
Ellen J. Hahn, PhD, RN
Hahn, Ellen J
Saturday, May 07, 2011 9:11 AM
Record, Rachael A; Riker, Carol A
RE: County level heart attacks & leading COD
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
!fsp
Find kysmoke/ree on and
COLLEGE OF NURSING
OUf 0(:>81 is 10 Help You frualizH 'HJurs
From: Record, Rachael A
Sent: Thursday, May 05, 2011 9:08 AM
To: Hahn, Ellen J; Riker, Carol A
Subject: RE: County level heart attacks & leading COD
Bullitt is finalized right?
From: Hahn, Ellen J
Sent: Thursday, May 05, 2011 8:07 AM
To: Riker, Carol A
Cc: Record, Rachael A
Subject: RE: County level heart attacks & leading COD
Please be sure to run all documents by me so they can be finalized
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
1
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu


.. """" Find kysmokefree on
and I)
COLLEGE OF NURSING
OU r GG"f111S to Haip You iLo 'yburs;
From: Riker, Carol A
Sent: Thursday, May OS, 2011 7:50 AM
To: Hahn, Ellen J
Cc: Record, Rachael A
Subject: County level heart attacks & leading COD
OK, thanks! So we have several different issues (not copying Erin yet as she's busy until 771).
Leading Causes of Death fact sheets (just a few have been done and the word docs are in "Word Versions" on
one-pagers in Hahn group
o Need to change the bullet addressing heart attacks as well as the reference (see Franklin, attached).
That's a quick fix. If Rachael or Erin have time to do just that on the existing documents, that would be
great.
o We could also update with 2007 data and change references to reflect that (Erin has 2007 data from the
Cabinet and so do I.) This will take longer and need double-checking.
o Leading COD fact sheets for the other counties that don't have comprehensive laws/regs would be
great, prioritizing ones we're actively working with.
e Heart Attack Reduction one-pagers
o Revise existing documents and tailor to communities.
o Create documents for counties that haven't had comprehensive laws/regs in place for awhile.
prioritizing ones we're actively working with.
o Notes re tailoring for revisions/new creations:
In Bullitt, we used the term, 'regulation' because they had adopted a BOH reg.
o If a community does not yet have an identified policy target (i.e. Pendleton), I suggest we use
the term, 'law'.
With Franklin and Nelson, both, we need to change the terminology slightly. We might want to
say 'comprehensive smoke-free law covering the entire county' (and make a note that Frankfort,
for example, has a law covering public places but not all workplaces.)
Afteranyfixingis cl()ne, thenturntojldfs, post in regulardne-pagersection,1Ind]etCAs know please.)
Here are some ofrnytime-sensitive needs:
Bullitt Heart Attacil piece needed as soon as possible (well before May 17th as we need to put them in with a
letter to the Board of Health before then).
Franklin's (and probably Owen, Carroll, Gallatin, and Pendleton) by the last week in May
2
Bourbon materials by June 1st.
Carol
From: Hahn, Ellen J
Sent: Thursday, May OS, 2011 6:21 AM
To: Record, Rachael A; Riker, Carol A
Subject: RE: County level heart attacks
Rachael and Carol,
These need to be tailored to the community. In Bullitt, we used the term, 'regulation' because they had adopted a BOH
reg. If a community does not yet have an identified policy target (i.e. Pendleton), I suggest we use the term, 'law'. With
Franklin and Nelson, both, we need to change the terminology slightly. We might want to say 'comprehensive smoke-
free law covering the entire county' (and make a note that Frankfort, for example, has a law covering public places but
not all workplaces.)
So these need to be tweaked a bit
Thanks,
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
lisp In
_ .... ""'" Find kysmokefree on. and ILl
"1 COLLEGE OF NURSING
ru Our GO;t1! is to Hdp You IRoaHzo '-{burtt
~
From: Record, Rachael A
Sent: Wednesday, May 04, 2011 9:59 AM
To: Riker, Carol A; Hahn, Ellen J
Subject: RE: County level heart attacks
Here are the other counties that you asked for.
Rachael
3
Rachael A. Record
University of Kentucky
M.A. Candidate
College of Communications & Information Studies
Research Assistant
College of Nursing
rachael.record@uky.edu
~
_ffw!\li'<y Find kysmokefree on and
From: Riker, Carol A
Sent: Wednesday, May 04, 2011 9:43 AM
To: Hahn, Ellen J; Record, Rachael A
Subject: RE: County level heart attacks
Looks great! Will the County Level Heart Attacks be final when Rachael changes the chart legends?
Re Leading Causes of Death one-pager, I made a stab at how we would change the wording; see what you think! Should
we make one of these for Bullitt, too? We could do both Bullitt and Franklin using the 2007 stats if Erin has time?(How
quickly priorities change!) I was thinking that we might send whatever we have ready with our support letter to BOH.
Thanks everyone,
Carol
From: Hahn, Ellen J
Sent: Tuesday, May 03, 2011 9:12 PM
To: Record, Rachael A
Cc: Riker, Carol A
Subject: RE: County level heart attacks
See my changes
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
4
lffsp
.... ,"w..r.r<y Find kysmokefree on and
COLLEGE OF NURSING
OU r Gool is It) HfJip You lReal izo \{XlrS
From: Record, Rachael A
Sent: Tuesday, May 03, 2011 12:03 PM
To: Hahn, Ellen J
Subject: County level heart attacks
Here is the county level heart attack one pageL I didn't change anything below the graph. Please let me know what
you'd like changed.
Rachael
Rachael A. Record
University of Kentucky
M.A. Candidate
College of Communications & Information Studies
Research Assistant
College of Nursing
rachaeLrecord@uky.edu
Find kysmokefree on and
5
Spagnuolo, Amy R
From:
Sent:
To:
Subject:
5/10 (Tuesday)
Ellen J. Hahn, PhD, RN
Hahn, Ellen J
Saturday, May 07,2011 8:37 AM
Riker, Carol A
RE: advisory group
Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc .uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on and
-----Original Message-----
From: Riker, Carol A
Sent: Friday, May 06, 2011 7:50 AM
To: Hahn, Ellen J
Subject: advisory group
What day is it?
Thanks,
carol
-----Original Message-----
From: Hahn, Ellen J
Sent: Friday, May 06, 20116:11 AM
To: Riker, Carol A
Subject: RE: Animoto - Vaapor-Stix radio debut
You are welcome to come! !!! ! ! !!! Weare having a joint meeting between the Advisory Group and the
Academic Advisory Group. I think you would find the meetings very informative. If you can and want to join
us (11-2), just let Heather know.
Ellen
Ellen J. Hahn, PhD, RN
1
Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of CardiopulmonalY Disease
University of Kentucky College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky .edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on and
-----Original Message-----
From: Riker, Carol A
Sent: Thursday, May 05, 2011 8:15 AM
To: Hahn, Ellen J
Subject: RE: Animoto - Vaapor-Stix radio debut
I'm not on the advisory group, so let me know if you need anything in addition to Kelly's report before the
meeting date.
Carol
-----Original Message-----
From: Hahn, Ellen J
Sent: Thursday, May 05, 20118:11 AM
To: Riker, Carol A; Darville, Audrey K; Owens, Kelly S (LHD - Madison Co)
Cc: Robertson, Heather E
Subject: RE: Animoto - Vaapor-Stix radio debut
We need to share this info with the Advisory group next week. Kelly, can you give an update on the e-cig issue
at the meeting?
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc .uky .edu/tobaccopolicy
www .kcsp .uky .edu
Find kysmokefree on and
2
-----Original Message-----
From: Riker, Carol A
Sent: Thursday, May 05, 2011 8:08 AM
To: Hahn, Ellen J; Darville, Audrey K; Owens, Kelly S (LHD - Madison Co)
SUbject: RE: Animoto - Vaapor-Stix radio debut
That about says it all!!! Scary to think of several more years of regulatory vacuum. The companies will really
have time to get cranked up by then and even more money to throw at opposition tactics.
Carol
-----Original Message-----
From: Hahn, Ellen J
Sent: Thursday, May 05, 2011 7:59 AM
To: Riker, Carol A; Darville, Audrey K; Owens, Kelly S (LHD - Madison Co)
Subject: FW: Animoto - Vaapor-Stix radio debut
More detail from Rachel (works as a postdoc in Stan Glantz's shop). A bit more detail below about the
implications of FDA reg as a tob product.
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky .edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on and
-----Original Message-----
From: Grana, Rachel [mailto:RacheI.Grana@ucsf.edu]
Sent: Wednesday, May 04, 2011 8:57 PM
To: Hahn, Ellen J
Subject: RE: Animoto - VaaporcStix radio debut
Hi Ellen,
Thanks for sending this. I actually am preparing to give a talk about my research on the electronic cigarette
Web-based marketing for the Smokeless Summit in Austin Texas. In doing so, I am framing my concerns and
take home points about the marketing of these products around that new ruling from the US Court of Appeals
3
and the FDA's decision not to appeal to the Supreme Court. So, good timing to ask me what I think and I would
love to hear what you think too!
So, my thoughts are these .. .! think it would have been better for public health if they were regulated as nicotine
delivery devices. Never mind the fact that they do not contain tobacco - I do not agree with the ruling primarily
because the rationale provided was based on the premise that the ecigarette companies are not making
therapeutic claims. Although I did not see the evidence provided at trial, even my brief presentation about a
content analysis of the Websites shows that they contain overt health and cessation messages even if they do not
use the word quit or cessation. They state clearly that these are healthier than traditional cigarettes because they
do not contain, tar, ash, carcinogens, toxic chemicals, etc. They are using doctors (images and actual doctors in
videos) to promote and assure viewers of the safety and utility of the products to switch from tobacco cigarettes,
in text and spoken word. Also, if they are being regulated as a tobacco product there will probably be no burden
of proof of safety since tobacco products were defined in the legislation as inherently unsafe. Therefore, this
leaves no manufacturing or safety of use standards for these products. In fact, under the Family Smoking and
Prevention Act, smokeless tobacco, cigars and cigarillos do 'not have the same restrictions as to flavors and
taxation that cigarettes do. For instance although cigarettes caunot come in candy flavors, smokeless tobacco
can come in fruit flavors, and cigarillos still come in tons of flavors, including fruit, alcohol flavors, vanilla
chocolate. It appears that people are just gearing up the battles about smokeless tobacco regulation after a 2-year
(maybe even really just I-year) focus on cigarettes. I fear that the whole tobacco product regulation is moving
so slowly that placing ecigarettes in the same category will all but guarantee they remain on the market in a
regulatory vacuum for a few years at best. Therefore they will have way too much time to continue promoting
and selling flavored ecigarettes on-line and in the malls where people can try them (probably high school
students, because that is who is in the mall). I hope I am wrong and the FDA puts an end to the unsubstantiated
health and safety advertising (especially with medical doctors!) and tackles the flavor issue and mall kiosks
distribution.
Rachel
-----Original Message-----
From: Hahn, Ellen J [mailto:ejhahnOO@emai1.uky.edu]
Sent: Wednesday, May 04, 20112:41 PM
To: Grana, Rachel
Subject: FW: Animoto - Vaapor-Stix radio debut
Importance: High
See below. This is an interesting tum of events with FDA taking them on as a tob product. Your thoughts?
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky .edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on and
4
-----Original Message-----
From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov]
Sent: Wednesday, May 04, 2011 11:06 AM
To: Centers, Irene (CHFS HPB-Health Promotions); Beauchamp, Jan (CHFS HPB-Health Promotions); Riker,
Carol A; Hahn, Ellen J
Subject: Animoto - Vaapor-Stix radio debut
Importance: High
http://animoto.com/play/qOEBgn6zRqIkFCAhIwCtVQ
Vapor Stix (our local e-cig vendor) has a radio ad that is getting lots of air time. (VERY EXPENSIVE ... ) My
question is, w/ these devices now being under FDA remlation as a tobacco product, do the same rules regarding
advertising apply?
Kelly S. Owens, MPH, CHES
Tobacco Prevention and Cessation SpecialistiHealth Educator III/CPS Technician Madison County Health
Department
1001 Ace Drive
Berea, KY 40403
(859) 228-2043
Web Address: http://www.madisoncountyhealthdept.org/
Need Help Quitting? http://www .becomeanex.org/
P Please consider the environment before printing this e-mail
5
Spagnuolo, Amy R
From:
Sent:
To:
Subject:
Thanks for doing this.
carol
From: Hahn, Ellen J
Riker, Carol A
Friday, May 06, 2011 8:47 AM
Hahn, Ellen J
RE: Sullitt County
Sent: Wednesday, May 04,2011 7:57 PM
To: Riker, Carol A
Subject: RE: Bullitt County
Shall I ask the State SF Group for letters? Or have you reached out to the tri agencies already?
Ellen J. Hahn, PhO, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on and
COLLEGE OF NURSING
From: Riker, Carol A
Sent: Wednesday, May 04, 2011 9:01 AM
To: Hahn, Ellen J
Subject: FW: Sullitt County
Fyi; somehow I missed you on the list; sorry.
From: swannie.jett@ky.gov [mailto:swannie.jett@ky.gov]
Sent: Tuesday, May 03, 201111:23 PM
To: Lockard, Anthony 5 (LHD - Clark Co); Riker, Carol A
1
Cc: Wagner, Kristian K; Kercsmar, Sarah; Johnson, John Di Mundy, Monica E
Subject: Re: Bullitt County
Thank you. I already touched base with Linda.
Sent from my BlackBerry smartphone with Nextel Direct Connect
From: "Lockard, Anthony S (LHD - Clark Co)" <AnthonyS .Lockard@ky.gov >
Date: Tue, 3 May 201112:30:54 -0400
To: Jett, Swannie (LHD - Bullitt Co) <SwannieJett@ky.gov?, Riker, Carol A <tiker@emai1.uky.edu>
Cc: Wagner, Kristian K <k1cwagn3@uky.edu?, Kercsmar, Sarah Johnson, John
D .gdjohnson@uky.edu?, Mundy, Monica E <inonica.mundy@uky.edu>
Subject: RE: Bu1litt County
Swann ie,
I will get to work on one from KPHA and will send a request to Linda for KHDA.
Scott
From: Jett, Swannie (LHD - Bullitt Co)
Sent: Tuesday, May 03, 201112: 16 PM
To: Lockard, Anthony S (LHD - Clark Co); Riker, Carol A
Cc: Wagner, Kristian Ki Kercsmar, Sarah; Johnson, John D; Mundy, Monica E
Subject: Re: Bullitt County
Thanks Scott. I was thinking to the BOH members to defuse some of the character assaults.
Sent from my BlackBerry smartphone with Nextel Direct Connect
From: "Lockard, Anthony S (LHD - Clark Co)" <'illthonyS .Lockard@ky.gov >
Date: Tue, 3 May 201111:55:06 -0400
To: Riker, Carol A <tiker@emai1.uky.edu>
Cc: Jett, Swannie (LHD - Bu1litt Co) <swannieJ ett@ky.gov >, Wagner, Kristian K <k1cwagn3@uky.edu?,
Kercsmar, Sarah .edu ?, Johnson, John D .gdjohnson@uky.edu ?, Mundy, Monica
E <IDonica.mundy@uky.edu>
Subject: RE: Bullitt County
Carol,
What did you have in mind? Who are you suggesting letters be written too?
I was with Swannie last week at a meeting in North Carolina and we discussed the issue. He is dealing with the pressure
well.
Scott
From: Riker, Carol A [mailto:riker@email.uky.edu]
Sent: Tuesday, May 03, 2011 9:55 AM
To: Lockard, Anthony S (LHD - Clark Co)
Cc: Jett, Swannie (LHD - Bullitt Co)i Wagner, Kristian Ki Kercsmar, Sarah; Johnson, John D; Mundy, Monica E
Subject: Bullitt County
Importance: High
2
Hi Scott,
Swannie is experiencing serious intimidation in Bullitt and we're wondering if you can get some support letters from
KPHA and KHDA. We will definitely write a letter and offer to present on opposition tactics at a board meeting if Swannie
thinks that will be helpful. As you know, this has occurred in other counties.
Thanks for considering,
Carol
Carol Riker, RN, MSN
Associate Professor
Provost's Distinguished Service Professor
Community Advisor, Rural Smoke-free Communities
Faculty Associate, Kentucky Center for Smoke-free Policy
555 College of Nursing
University of Kentucky
751 Rose Street
Lexington, KY 40536-0232
Cell: 859-619-3776
Office Phone: 859-323-6615
Fax: 859-323-1057
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokejree on
I]
and", ...
COLLEGE OF NURSING
elU r Go'UJ is to Help Ynu ! ~ ~ o a h : o '-(bun.:.
From: swannie.jett@ky.gov [mailto:swannie.jett@ky.gov]
Sent: Tuesday, May 03, 2011 9:07 AM
To: Riker, Carol A
Subject: Re: TCLC info re Bullitt Federal Complaint
Good morning, since our last court date numerous entities city attomies and the county attorney are attempting
to have me removed. If possible, I would like a letter from you to the board to counter their efforts and dismiss
these character assaults. Let me know thanks.
Sent from my BlackBeny@ smartphone with Nextel Direct Connect
3
Spagnuolo, Amy R
From:
Sent:
To:
Subject:
Riker, Carol A
Friday, May 06, 2011 8:32 AM
Hahn, Ellen J
RE: myDOE
Oh good; no worries then. It's all really confusing as to my summer pay.
carol
From: Hahn, Ellen J
Sent: Friday, May 06, 2011 8:30 AM
To: Riker, Carol Ai Robertson, Heather E
Subject: RE: my DOE
She is out at a training today as well
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on and
COLLEGE OF NURSING
Our G<xll is 10 Help You iReal tJ.e '()UfO:
From: Riker, Carol A
Sent: Friday, May 06, 2011 8:19 AM
To: Robertson, Heather E
Cc: Hahn, Ellen J
Subject: my DOE
Hi Heather,
Peg Teachey was going to copy my DOE face sheet and work sheet. If you need that info today, it should be in my
mailbox in the mailroom; feel free to get it and then keep it for me. I'll be at Singletary until after 3 today with hooding,
1
pinning, etc. I'll check my phone at noon and when the afternoon event is over, so text me if you need anything.
Thanks!!
Carol
Carol Riker, RN, MSN
Associate Professor
Provost's Distinguished Service Professor
Community Advisor, Rural Smoke-free Communities
Faculty Associate, Kentucky Center for Smoke-free Policy
555 College of Nursing
University of Kentucky
751 Rose Street
Lexington, KY 40536-0232
Cell: 859-619-3776
Office Phone: 859-323-6615
Fax: 859-323-1057
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmoke/ree on and
COLLEGE OF NURSING
OUf Goal isb Holp YOll Roalizo YOUfS
2
Spagnuolo, Amy R
From:
Sent:
To:
Subject:
I'm betting not.
From: Hahn, Ellen J
Riker, Carol A
Friday, May 06, 2011 8:31 AM
Hahn, Ellen J
RE: Info for Board of Health
Sent: Friday, May 06, 2011 8:26 AM
To: Riker, Carol A
Subject: RE: Info for Board of Health
Wonder about getting a copy of the letters to the media (down the road) .... maybe this will blow over.
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on and
COllEGE OF NURSING
Our Goal is li) '"!\llp You R021liZG Yours
From: Riker, Carol A
Sent: Thursday, May 05, 2011 5:53 PM
To: Scott Lockard
Cc: Hahn, Ellen J
Subject: Info for Board of Health
Scott,
Here is what we sent Swannie.
Thanks for your help today at the ROl meeting.
Carol
1
From: Riker, Carol A
Sent: Thursday, May OS, 2011 5:43 PM
To: 'Jett, Swannie (LHD - Bullitt Co)'
Cc: Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E
Subject: delete last email and use this PLEASE
Swannie,
Here is our letter for the BOH members along with a one-pager on heart attack reductions projected. We refer to the
one-pager in the letter, so please include that with the letter to board members.
Thanks so much and we're thinking of you.
Carol
Carol Riker, RN, MSN
Associate Professor
Provost's Distinguished Service Professor
Community Advisor, Rural Smoke-free Communities
Faculty Associate, Kentucky Center for Smoke-free Policy
555 College of Nursing
University of Kentucky
751 Rose Street
Lexington, KY 40536-0232
Cell: 859-619-3776
Office Phone: 859-323-6615
Fax: 859-323-1057
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
~ s p
- .... ~ Find kysmokefree on and
COllEGE OF NURSING
Our Goal iti to !l\Jlp You iRoalizo l-{lun;
2
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent: Friday, May 06, 2011 8:23 AM
To: Amy Barkley; Betsy Janes; Brandi Gilley; Bronson Frick; Cathy Callaway; Dyshel Thompson;
Hahn, Ellen J; Eric Evans; Irene Centers; James Sharp; Jennifer Redmond; Wagner, Kristian
K; Mark Sizemore; Kercsmar, Sarah; Scott Lockard; Tonya Chang
Cc: Riker, Carol A
Subject: Bullitt County intimidation increases
Good morning,
You may know that Swannie is under increasing scrutiny and pressure given his leadership on the smoke-free regulation.
Attached please find a letter I(CSP sent to every BOH member in Bullitt County along with a fact sheet we pulled
together projecting heart attack savings with their smoke-free regulation (once it takes effect).
I(PHA and KHDA have both sent similar letters. I am inviting your organizations to do the same. It is critical that the
public health community makes our voice heard loud and clear that smoke-free is an effective public health
intervention. It would be a real shame if one of our public health heroes is forced out by intimidation.
Thanks for your help,
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find /<ysmoke/ree on
and(j
COLLEGE OF NURSING
1
Spagnuolo, Amy R
From:
Sent:
To:
Subject:
What day is it?
Thanks,
carol
-----Original Message-----
From: Hahn, Ellen J
Riker, Carol A
Friday, May 06, 2011 7:50 AM
Hahn, Ellen J
advisory group
Sent: Friday, May 06, 2011 6:11 AM
To: Riker, Carol A
Subject: RE: Animoto - Vaapor-Stix radio debut
You are welcome to come!!!!!!!!! We are having a joint meeting between the Advisory Group and the
Academic Advisory Group. I think you would find the meetings very infonnative. If you can and want to join
us (11-2), just let Heather know.
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky .edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on and
-----Original Message-----
From: Riker, Carol A
Sent: Thursday, May 05, 2011 8:15 AM
To: Hahn, Ellen J
Subject: RE: Animoto - Vaapor-Stix radio debut
I'm not on the advisory group, so let me know if you need anything in addition to Kelly's report before the
meeting date.
Carol
1
-----Original Message-----
From: Hahn, Ellen J
Sent: Thursday, May 05, 2011 8:11 AM
To: Riker, Carol A; Darville, Audrey K; Owens, Kelly S (LHD - Madison Co)
Cc: Robertson, Heather E
Subject: RE: Animoto - Vaapor-Stix radio debut
We need to share this info with the Advisory group next week. Kelly, can you give an update on the e-cig issue
at the meeting?
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky .edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on and
-----Original Message-----
From: Riker, Carol A
Sent: Thursday, May 05, 2011 8:08 AM
To: Hahn, Ellen J; Darville, Audrey K; Owens, Kelly S (LHD - Madison Co)
Subject: RE: Animoto - Vaapor-Stix radio debut
That about says it all!!! Scary to think of several more years of regulatory vacuum. The companies will really
have time to get cranked up by then and even more money to throw at opposition tactics.
Carol
-----Original Message-----
From: Hahn, Ellen J
Sent: Thursday, May 05, 2011 7:59 AM
To: Riker, Carol A; Darville, Audrey K; Owens, Kelly S (LHD - Madison Co)
Subject: FW: Animoto - Vaapor-Stix radio debut
More detail from Rachel (works as a postdoc in Stan Glantz's shop). A bit more detail below about the
implications of FDA reg as a tob product.
Ellen
Ellen J. Hahn, PhD, RN
2
Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky .edu/tobaccopolicy
www .kcsp .uky.edu
Find kysmokefree on and
-----Original Message-----
From: Grana, Rachel [mailto:RacheI.Grana@ucsf.edu]
Sent: Wednesday, May 04, 2011 8:57 PM
To: Hahn, Ellen J
Subject: RE: Animoto - Vaapor-Stix radio debut
Hi Ellen,
Thanks for sending this. I actually am preparing to give a talk about my research on the electronic cigarette
Web-based marketing for the Smokeless Summit in Austin Texas. In doing so, I am framing my concerns and
take home points about the marketing of these products around that new ruling from the US Court of Appeals
and the FDA's decision not to appeal to the Supreme Court. So, good timing to ask me what I think and I would
love to hear what you think too!
So, my thoughts are these .. J think it would have been better for public health if they were regulated as nicotine
delivery devices. Never mind the fact that they do not contain tobacco - I do not agree with the ruling primarily
because the rationale provided was based on the premise that the ecigarette companies are not making
therapeutic claims. Although I did not see the evidence provided at trial, even my brief presentation about a
content analysis of the Websites shows that they contain overt health and cessation messages even if they do not
use the word quit or cessation. They state clearly that these are healthier than traditional cigarettes because they
do not contain, tar, ash, carcinogens, toxic chemicals, etc. They are using doctors (images and actual doctors in
videos) to promote and assure viewers of the safety and utility of the products to switch from tobacco cigarettes,
in text and spoken word. Also, if they are being regulated as a tobacco product there will probably be no burden
of proof of safety since tobacco products were defined in the legislation as inherently unsafe. Therefore, this
leaves no manufacturing or safety of use standards for these products. In fact, under the Family Smoking and
Prevention Act, smokeless tobacco, cigars and cigarillos do not have the same restrictions as to flavors and
taxation that cigarettes do. For instance although cigarettes cannot come in candy flavors, smokeless tobacco
can come in fruit flavors, and cigarillos still come in tons of flavors, including fruit, alcohol flavors, vanilla
chocolate. It appears that people are just gearing up the battles about smokeless tobacco regulation after a 2-year
(maybe even really just I-year) focus on cigarettes. I fear that the whole tobacco product regulation is moving
so slowly that placing ecigarettes in the same category will all but guarantee they remain on the market in a
regulatory vacuum for a few years at best. Therefore they will have way too much time to continue promoting
and selling flavored ecigarettes on-line and in the malls where people can try them (probably high school
students, because that is who is in the mall). I hope I am wrong and the FDA puts an end to the unsubstantiated
health and safety advertising (especially with medical doctors!) and tackles the flavor issue and mall kiosks
distribution.
3
Rachel
-----Original Message-----
From: Hahn, Ellen J [mailto :ejhahnOO@email.uky.edul
Sent: Wednesday, May 04, 20112:41 PM
To: Grana, Rachel
SUbject: FW: Animoto - Vaapor-Stix radio debut
Importance: High
See below. This is an interesting tum of events with FDA taking them on as a tob product. Your thoughts?
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonaty Disease
University of Kentucky College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky .edu/tobaccopolicy
www .kcsp .uky.edu
Find kysmokefree on and
-----Original Message-----
From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov]
Sent: Wednesday, May 04, 201111:06 AM
To: Centers, Irene (CHFS HPB-Health Promotions); Beauchamp, Jan (CHFS HPB-Health Promotions); Riker,
Carol A; Hahn, Ellen J
Subject: Animoto - Vaapor-Stix radio debut
Importance: High
http://animoto .com/play/qOEB gn6zRqIkFCAhIwCtVQ
Vapor Stix (our local e-cig vendor) has a radio ad that is getting lots of air time. (VERY EXPENSIVE ... ) My
question is, w/ these devices now being under FDA regulation as a tobacco product, do the same rules regarding
advertising apply?
Kelly S. Owens, MPH, CHES
Tobacco Prevention and Cessation SpecialistlHealth Educator III/CPS Technician Madison County Health
Department
1001 Ace Drive
Berea, KY 40403
(859) 228-2043
4
Web Address: http://www.madisoncountyhealthdept.org/
Need Help Quitting? http://www.becomeanex.org/
P Please consider the environment before printing this e-mail
5
Spagnuolo. Amy R
From:
Sent:
To:
Cc:
Subject:
Hahn, Ellen J
Thursday, May 05, 2011 4:07 PM
Riker, Carol A; Brown, Cynthia G (LHD-Bullitt Co)
Kercsmar, Sarah; Johnson, John D; Mundy, Monica E
RE: Can they do this?
No, cities cannot opt out unless the BOH regulation (or fiscal court ordinance) allows for this option, which it doesn't.
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.ukv.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.ukv.edu
Find kysmoke/ree on and
COLLEGE OF NURSING
Our (lv,tIl tc
From: Riker, Carol A
Sent: Thursday, May OS, 2011 4:05 PM
To: Brown, Cynthia G (LHD-Bullitt Co)
Cc: Hahn, Ellen J; Kercsmar, Sarah; Johnson, John 0; Mundy, Monica E
Subject: RE: Can they do this?
Just now seeing this; sorry. COUldn't get the whole story so I took out a trial free subscription and hope to get back on
later and see the story. Our legal consultant has found in past research that the stronger policy is supposed to be
enforced, but that did not happen in one county.
Carol
From: Brown, Cynthia G (LHD-Bullitt Co) [mailto:CynthiaG.Brown@ky.govj
Sent: Wednesday, April 13, 2011 3:18 PM
To: Riker, Carol A; Centers, Irene (CHFS HPB-Health Promotions)
Cc: Taylor, Brittany P (LHD - Bullitt Co); Patty Gregory
Subject: Can they do this?
http://www.pioneernews.net/content/lj-proposes-way-allow-smoking
1

Health Education Coordinator
Public Information Officer
Bullitt County Health Department
183 Lees Valley Road
P.O. Box 278
Shepherdsville, KY 40165
ph: 502-955-5355
fx: 502-543-2449
www.bullittcountyhealthdept.com
/I Bullitt County Pm1ncrs ill PrevemiOll are caring im'o/ved citizens lVorking to ciY!aie a safe Cll/d healthy envirOl1mellt through comprehensive prevention senices
and reducing subslmlce abuse among Rutliff COUll!)' youth amIfamilies. 'I www.bcPartnersIllPl.eVclltion.com
Nulke a/Conjidentiality:
This (Huail incfudillg any ultacitmenfs, is intended onlyjor lhe use (I/the inriMdllo/ or the entity to which it is addressed (llid I1ICZV COntain confidential irl/CJrmatio/1 that
legalty pril'ilege and exemp!/l'1)1l1 disc/osum under appiicnble lalt,'. {(tilt: reader message is not the ii/tended recipienr. pm are notified that any J'el'ielv, use,
disclosure, distribution 01' copyIng q/this communication slI'ict(v prohibited. !{"Oll limy! received this cO/}//llJll1kalion ill pfease contact the sender by rr::p(JI e-
mail and destroJ' all copies <!flhe originalm('ssoge.
2
Spagnuolo. Amy R
From: Hahn, Ellen J
Sent: Thursday, May 05, 2011 3:58 PM
To:
Subject:
Riker, Carol A; Frazier, Susan K; Lock, Sharon E; Moser, Debra
RE: Can faculty skip rank?
Thanks all. The back story, from what I can understand, is that the faculty member (not their associate dean) is
requesting this. Not sure where the idea came from. I would imagine they just don't really understand the process. I will
relay the fact that PATA is not supportive offaculty skipping rank
Have a good afternoon,
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find lcysmolceJree on and
" COllEGE OF NURSING
i Out GCi.l! l;;; 'If) ,H(;:Jp 'Ylfi.J Ttc:alizu 'r{JurE;
From: R.iker, Carol A
Sent: Thursday, May 05, 2011 3:37 PM
To: Frazier, Susan K; Lock, Sharon E; Moser, Debra; Hahn, Ellen J
Subject: RE: Can faculty skip rank?
All good points; I agree!
Thanks,
Carol
From: Frazier, Susan K
Sent: Thursday, May 05, 201110:13 AM
To: Lock, Sharon E; Moser, Debra; Hahn, Ellen J; Riker, Carol A
Subject: RE: Can faculty skip rank?
1
I agree ... that is the further information I wanted:O How did this person even get this idea???
Susan K. Frazier, PhD, RN
Associate Professor
University of Kentucky
College of Nursing
Web editor, The Journal of Cardiovascular Nursing
523 CON Building
Lexington, KY 40536
skfraz2@email.ull:y.edu
From: Lock, Sharon E
Sent: Thursday, May 05, 201110:12 AM
To: Moser, Debra; Hahn, Ellen J; Frazier, Susan K; Riker, Carol A
Subject: RE: Can faculty skip rank?
I don't think people should sl<ip rank. I'm like Susan and wonder if this person is being advised by their associate dean to
do this. If so, I think they are getting/giving bad advice. If they are not being advised by their assoc. dean, then maybe
they don't understand the process. I don't think we want to set anyone up for failure and if we agreed to let someone
skip rank, especially from an instructor rank, I'm afraid that's what we'd be doing.
Sharon E. Lock, PhD, APRN
Associate Professor
University of Kentucky
College of Nursing
Lexington, KY 40536
Office: (859) 257-2366
FAX: (859) 323-1057
selockO@email.uky.edu
COllEGE OF NURSING
From: Moser, Debra
Sent: Thursday, May 05, 2011 9:38 AM
To: Hahn, Ellen J; Frazier, Susan K; Lock, Sharon E; Riker, Carol A
Subject: RE: Can faculty skip rank?
I do not believe that anyone should skip ranks - if they are that good, then they can request going up early
Debra K. Moser, DNSc, RN, FAAN
Professor and Gill Endowed Chair
Editor, The Journal of Cardiovascular Nursing http://journals.lww.com/jcnjournal/pages/default.aspx
Co-Director, RICH Heart Program
Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Diseases University of
Kentucky, College of Nursing
527 CON, 760 Rose Street
Lexington, KY 40536-0232
dmoser@uky.edu
2
859-323-6687
FAX 859-323-1057
From: Hahn, Ellen J
Sent: Wednesday, May 04,2011 7:56 PM
To: Moser, Debra; Frazier, Susan K; lock, Sharon E; Riker, Carol A
Cc: Hahn, Ellen J
Subject: Can faculty skip rank?
Hi,
I need your input on whether or not faculty should be allowed to skip rank. We have a faculty member in the Clinical
Title Series (lecturer) who is requesting to skip the Assistant Professor rank and apply for Associate Professor. We have
checked with the ARs and there is no regulation that would prohibit this. The Provost's office says it is up to the
individual unit. Jane is asking for our recommendation.
Personally, I do not support this idea. If we allow this faculty member in the Clinical Title Series to bypass the Assistant
Prof rank, I believe this will have implications for all title series regardless of tenure. I would like to recommend that we
not allow faculty to skip rank.
Please let me know your thoughts by the end of the day tomorrow if possible.
Thanks!
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmo/{e/ree on
and()
COllEOE OF NURSING
Our G(}u! h:i -te Hz:.:lp You 'fbu(;.:)
3
I
I
Spagnuolo, Amy R
From: Riker, Carol A
Sent:
To:
Thursday, May 05, 2011 8:42 AM
'Jet!, Swannie (LHD - Bullitt Co)'
Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E
RE: TCLC info re Bullit! Federal Complaint
Cc:
Subject:
Thanks, Swannie; let us know what you would like us to do.
We have the letter to BOH and a new piece on heart attack reductions with S-F almost ready.
Carol
From: Jett, Swannie (LHD - Bullitt Co) [mailto:SwannieJett@ky.gov]
Sent: Wednesday, May 04, 2011 5:06 PM
To: Riker, Carol A
Cc: Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E
Subject: RE: TCLC info re Bullitt Federal Complaint
Yes, and I will fill you in next week.
Swannie Jet!, DrPHc, MS
Public Health Director
Bullit! County Health Department
181 Lees Valley Road
Shepherdsville, KY 40165
Phone: (502) 955-6680 Fax: (502) 543-2998
"DediJ:ate)'J1Ir life toa m.ssionarG1use that Wil outlast)'ou"
NOTICE OF CONFIDENTIALITY: This e-maif, Including any attachments, is Intended only for the (/S of the Individual or entity to wl1icll it is addressed and may contain confidential
information that fs legally privileged and exempt fram disclosure under applicable law. If the reader of this message Is not the intended recipient, you are notl/led that any
review, use, disclosure, distribution or copying a/this communication is strictly prohibited. if you have received this communication in error, please contact the sender by reply e-
mail and destroy alJ copies of the orIginal message.
From: Riker, Carol A [mailto:riker@email.uky.edu]
Sent: Tuesday, May 03, 2011 6: 11 PM
To: Jett, Swannie (LHD - Bullitt Co)
Cc: Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E
Subject: RE: TCLC info re Bullitt Federal Complaint
Would you like us to present on opposition tactics at that meeting? Or are there other needs we can help with?
Is the meeting at 7?
1
Carol
From: swannie.Jett@ky.gov [mailto:swannie.jett@ky.gov]
Sent: Tuesday, May 03, 2011 11:49 AM
To: Riker, Carol A .
Subject: Re: TCLC info re Bullitt Federal Complaint
May 17th
Sent from my BlackBeny@ smartphone with Nextel Direct Connect
From: "Riker, Carol A" <tiker@email.uky.edu>
Date: Tue, 3 May 201110:28:37 -0400
To: swanniejett@ky.gov<swanniejett@ky.gov>
Cc: Hahn, Ellen J <t:jhahnOO@email.uky.edu?, Johnson, John D <jdjohnson@uky.edu?, Kercsmar,
Sarah <Scave2@email.uky.edu ?, Mnndy,Monica E <fuonica.mnndy@uky.edu>
Subject: RE: TCLC info re Bullitt Federal Complaint
Take heart; both suits in Bowling Green got nixed!
When is your next board meeting?
Carol
From: swannie.jett@ky.gov [mailto:swannie.jett@ky.gov]
Sent: Tuesday, May 03,201110:14 AM
To: Riker, Carol A
Subject: Re: TCLC info re Bullitt Federal Complaint
I believe anything will help to shed light on the bigger issues. The opposition is definitely at work.
Sent from my BlackBeny smartphone with Nextel Direct Connect
From: "Riker, Carol A" <tiker@email.uky.edu>
Date: Tue, 3 May 2011 09:57:05 -0400
To: swannieJett@ky.gov <swannie.jett@ky.gov>
Subject: RE: TCLC info re Bullitt Federal Complaint
I just wrote to Scott for some help and we will devise a letter to the board. Do you think it would be helpful if we
presented to the board on opposition tactics? (This is definitely a tactic to intimidate.)
Let us know.
Carol
From: swannie.jett@ky.gov [mailto:swannie.jett@ky.gov]
Sent: Tuesday, May 03, 2011 9:07 AM
To: Riker, Carol A
Subject: Re: TCLC info re Bullitt Federal Complaint
2
Good morning, since our last court date numerous entities city attornies and the county attorney are attempting
to have me removed. Ifpossible, I would like a letter from you to the board to counter their efforts and dismiss
these character assaults. Let me know thanks.
Sent from my BlackBerry smartphone with Nextel Direct Connect
From: "Riker, Carol A" <tiker@emai1.uky.edu>
Date: Fri, 22 Apr 2011 08:56:07 -0400
To: Jett, Swannie (LHD - Bullitt Co) <SwannieJett@ky.gov>, Cyndi Steele <t:yndisteele57@gmai1.com>,
Taylor, Brittany P (LHD - Bullitt Co) <BrittanyP.Taylor@ky.gov>
Cc: Miller, Margaret <lV1AM@GDM.com>, Jujulew <jujulew@ao1.com>, Hahn, Ellen
J Johnson, John D <jdjohnson@uky.edu>, Kercsmar,
Sarah <Scave2@emai1.uky.edu>, Mundy, Monica E <lnonica.mundy@uky.edu>
Subject: TCLC info re Bullitt Federal Complaint
Hi Everyone,
Maggie Mahoney sent a very helpful snippet from the Family Smoking Prevention and Tobacco Control Act in relation to
the Federal Complaint, so I'm sending on to you all for your information.
We would be interested in knowing how things went on Monday!
Thanks and have a good weekend,
Carol
Carol Riker, RN, MSN
Associate Professor
Provost's Distinguished Service Professor
Community Advisor, Rural Smoke-free Communities
Faculty Associate, Kentucky Center for Smoke-free Policy
555 College of Nursing
University of Kentucky
751 Rose Street
Lexington, KY 40536-0232
Cell: 859-619-3776
Office Phone: 859-323-6615
Fax: 859-323-1057
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu


G" G
ind Iwsmokefree on
3
Spagnuolo. Amy R
From: Riker, Carol A
Sent:
To:
Thursday, May 05, 2011 8:34 AM
Hahn, Ellen J
Subject: RE: Bullitt suppor letter
Thanks for your help. Yes, I thinl< it is important for you to sign. I just thought I would draft something and see how close
I could get, since it's new ground!
Should we mail to each board member? (Does anyone on the team do mail merge?) The sooner the better? {Board
meeting May i7}.
Thanks,
Carol
from: Hahn, Ellen J
Sent: Thursday, May 05, 2011 8:06 AM
To: Riker, Carol A
Subject: RE: Bullitt suppor letter
It is really good. See my minor changes. Do you want this to come from me as Director? I am happy to do so, but it is
your call.
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.ulw.edu/tobaccopolicy
www.kcsp.uky.edu
I Find kysmokejree on
, COLLEGE OF NURSING
. ,I Our 18 tc ;;jt..tjp 'Yi;}'d 'l.On!S?'6
From: .Riker, Carol A
Sent: Thursday, May 05,2011 7:52 AM
To: Hahn, Ellen]
Subject: RE: Bullitt suppor letter
1
ARGHH!
From: Hahn, Ellen J
Sent: Thursday, May 05, 2011 5:42 AM
To: Riker, Carol A
Subject: RE: Bullitt suppor letter
No attachment
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.ukV.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmoke/ree on and
COllEGE Of' NURSING
OU r GGiJllu --'tli i:-h;)lp '--fty\.! /'\ctlkt8 \1)Ui.;.;
From: Riker, Carol A
Sent: Wednesday, May 04, 2011 4:47 PM
To: Hahn, Ellen J
Subject: Bullitt suppor letter
See what you think and which parts might be useful
Thanks,
Carol
Carol Riker, RN, MSN
Associate Professor
Provost's Distinguished Service Professor
Community Advisor, Rural Smoke-free Communities
Faculty Associate, Kentucky Center for Smoke-free policy
555 College of Nursing
University of Kentucky
751 Rose Street
Lexington, KY 40536-0232
Cell: 859-619-3776
2
office Phone: 859-323-6615
Fax: 859-323-1057
www.mc.uky.edu/tobaccopolic
y
www.kcsp.uky.edu
COLLEGE OF NURSING
(1Uf Gcul is to- You \{t)Uff:-'
3
Spagnuolo. Amy R
From: Hahn, Ellen J
Sent:
To:
Thursday, May 05, 2011 7:50 AM
Riker, Carol A; Record, Rachael A
Subject: RE: County Level Heart Attack One-pagers
We found a 23% reduction among women so a larger effect.
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Ceoter for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.ukv.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmakejree an
COLLEGE OF NURSING
From: Riker, Carol A
Sent: Thursday, May OS, 2011 7:21 AM
To: Hahn, Ellen J; Record, Rachael A
Subject: RE: County Level Heart Attack One-pagers
I agree about the counties with laws/regs. For those with one city covered, could the wording be something about the
levels that could be achieved if the whole county were SF?
How does the 14 % jive with what Lexington actually achieved? (I know there were gender differences, but did we
achieve the 14% per year overall?
Thanl{s,
Carol
From: Hahn, Ellen J
Sent: Thursday, May OS, 2011 6:15 AM
To: Riker, Carol A; Record, Rachael A
Subject: RE: County Level Heart Attack One-pagers
1
My gut feeling is that for entire counties that have COMPREHENSIVE smoke-free laws/regulations (i.e., Lexington,
Madison, Clark) that have been in place for a while, we not create these sheets. If the county has one city (Le.,
Prestonsburg in Floyd), we would do it for the entire county since the entire county is not covered. I just think the data
may be tough to interpret if they already have a law. Thoughts?
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.ukv.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmoke/ree on and-
COLLEGE Of NURSING
;., Ou r G.oD! is -to He'!)'} "Y1)lJ C{t)l1.Fzfl
From: Riker, Carol A
Sent: Wednesday, May 04, 201110:45 AM
To: Record, Rachael A; Hahn, Ellen J
Subject: RE: County Level Heart Attack One-pagers
I think she's talking about under the bars ... see what you think.
Carol
From: Record, Rachael A
Sent: Wednesday, May 04, 201110:04 AM
To: Hahn, Ellen J
Cc: Riker, Carol A
Subject: County Level Heart Attack One-pagers
How do you want to word the bar graph for counties that already have a comprehensive SF regulation?
Currently it reads: _ Year(s) after a Comprehensive Smoke-free Regulation
Rachael
Rachael A. Record
University of Kentucky
M.A. Candidate
2
College of Communications & Information Studies
Research Assistant
college of Nursing
rachael.record@ulw.
edu
~ {Qn[u fr>-r .
1""d,r,,'i<1 Find Icysmo/{ejree on
3
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent:
To:
Subject:
Thursday, May 05, 2011 6:23 AM
Riker, Carol A; Record, Rachael A
RE: County level heart attacks
Looks fine, Carol These will be great to do for Bullitt if ErinjRachael have time.
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
:sp
_Ir .. ~ Find kysmoke/ree on and
COLLEGE OF NURSING
OU r Gool is 10 H'Jip You R0aHZ(01'rours
From: Riker, Carol A
Sent: Wednesday, May 04,2011 9:43 AM
To: Hahn, Ellen J; Record, Rachael A
Subject: RE: County level heart attacks
Looks great! Will the County Level Heart Attacks be final when Rachael changes the chart legends?
Re Leading Causes of Death one-pager, I made a stab at how we would change the wording; see what you think! Should
we make one of these for Bullitt, too? We could do both Bullitt and Franklin using the 2007 stats if Erin has time?(How
quickly priorities change!) I was thinking that we might send whatever we have ready with our support letter to BOH.
Thanks everyone,
Carol
From: Hahn, Ellen J
Sent: Tuesday, May 03, 2011 9: 12 PM
To: Record, Rachael A
Cc: Riker, Carol A
Subject: RE: County level heart attacks
1
See my cha nges
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on and
COLLEGE OF NURSING
Our GO;)J It; to Help YOl.! Realize V<.lUfS'
From: Record, Rachael A
Sent: Tuesday, May 03, 2011 12:03 PM
To: Hahn, Ellen J
Subject: County level heart attacks
Here is the county level heart attack one pager. I didn't change anything below the graph. Please let me know what
you'd like changed.
Rachael
Rachael A. Record
University of Kentucky
M.A. Candidate
College of Communications & Information Studies
Research Assistant
College of Nursing
rachael.record@uky.edu
Find kysmokefree on and
2
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent:
To:
Subject:
Thursday, May 05, 2011 6:21 AM
Record, Rachael A; Riker, Carol A
RE: County level heart attacks
Rachael and Carol,
These need to be tailored to the community. In Bullitt, we used the term, 'regulation' because they had adopted a BOH
reg. If a community does not yet have an identified policy target (i.e. Pendleton), I suggest we use the term, 'law'. With
Franklin and Nelson, both, we need to change the terminology slightly. We might want to say 'comprehensive smoke-
free law covering the entire county' (and make a note that Frankfort, for example, has a law covering public places but
not all workplaces.)
So these need to be tweaked a bit
Thanks,
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
~ - -
r : ~
_tmJ\oli<y Find kysmokefree on and
COLLEGE OF NURSING
Our GOlJIIS 10 Halp 'You floaJim 'fiJUY,;;
From: Record, Rachael A
Sent: Wednesday, May 04, 2011 9:59 AM
To: Riker, Carol A; Hahn, Ellen J
Subject: RE: County level heart attacks
Here are the other counties that you asked for.
Rachael
1
Rachael A .. Record
University of Kentucky
M.A. Candidate
College of Communications & Information Studies
Research Assistant
College of Nursing
rachael.record@uky.edu
Find kysmokejree on .. ond
From: Riker, Carol A
Sent: Wednesday, May 04, 2011 9:43 AM
To: Hahn, Ellen J; Record, Rachael A
Subject: RE: County level heart attacks
Looks great! Will the County Level Heart Attacks be final when Rachael changes the chart legends?
Re Leading Causes of Death one-pager, I made a stab at how we would change the wording; see what you think! Sho\lld
we make one of these for Bullitt, too? We could do both Bullitt and Franklin using the 2007 stats if Erin has time?(How
quickly priorities change!) I was thinking that we might send whatever we have ready with our support letter to BOH.
Thanks everyone,
Carol
From: Hahn, Ellen J
Sent: Tuesday, May 03,2011 9:12 PM
To: Record, Rachael A
Cc: Riker, Carol A
Subject: RE: County level heart attacks
See my changes
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
~
t _ j , . . ~ Find kysmokejree on and
2
COLLEGE OF NURSING
OU r Grxll Is to Help You :>{0al ize "burs
From: Record, Rachael A
Sent: Tuesday, May 03, 201112:03 PM
To: Hahn, Ellen J
Subject: County level heart attacks
Here is the county level heart attack one pager. I didn't change anything below the graph. Please let me know what
you'd like changed.
Rachael
Rachael A. Record
University of Kentucky
M.A. Candidate
College of Communications & Information Studies
Research Assistant
College of Nursing
rachael.record@uky.edu
Find kysmokefree on and
3
Spagnuolo. Amy R
From: Hahn, Ellen J
Sent:
To:
Thursday, May 05, 2011 8:07 AM
Riker, Carol A
Cc: Record, Rachael A
Subject: RE: County level heart attacks & leading COD
Please be sure to run all documents by me so they can be finalized
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.llcsp.uky.edu
Find kysmokejree on and
COLLEGE OF NURSING
From: Riker, Carol A
Sent: Thursday, May 05,2011 7:50 AM
To: Hahn, Ellen J
Cc: Record, Rachael A
Subject: County level heart attacks & leading COD
OK, thanks! So we have several different issues (not copying Erin yet as she's busy until 77?).
Leading Causes of Death fact sheets (just a few have been done and the word docs are in "Word Versions" on
one-pagers in Hahn group
o Need to change the bullet addressing heart attacks as well as the reference (see Franklin, attached).
That's a quick fix. If Rachael or Erin have time to do just that on the existing documents, that would be
great.
o We could also update with 2007 data and change references to reflect that. (Erin has 2007 data from th
Cabinet and so do I.) This will take longer and need double-checking.
o Leading COD fact sheets for the other counties that don't have comprehensive laws/regs would be
great, prioritizing ones we're actively working with.
Heart Attack Reduction one-pagers
o Revise existing documents and tailor to communities.
1
o Create documents for counties that haven't had comprehensive laws/regs in place for awhile.
prioritizing ones we're actively working with.
o Notes re tailoring for revisions/new creations:
In Bullitt, we used the term, 'regulation' because they had adopted a BOH reg.
If a community does not yet have an identified policy target (Le. Pendleton), I suggest we use
the term, 'law'.
With Franklin and Nelson, both, we need to change the terminology slightly. We might want to
say 'comprehensive smoke-free law covering the entire county' (and make a note that Frankfort,
for example, has a law covering public places but not all worl<places.)
After any fixing is done, then turn to pdfs, post in regular one-pager section, and let CAs know please.)
Here are some of my time-sensitive needs:
& Bullitt Heart Attack piece needed as soon as possible (well before May 17'" as we need to put them in with a
letter to the Board of Health before then).
$ Franklin's (and probably Owen, Carroll, Gallatin, and Pendleton) by the last week in May
" Bourbon materials by June 1st.
Carol
From: Hahn, Ellen J
Sent: Thursday, May 05, 2011 6:21 AM
To: Record, Rachael A; Riker, Carol A
Subject: RE: County level heart attacks
Rachael and Carol,
These need to be tailored to the com,munity. In Bullltt, we used the term, 'regulation' because they had adopted a BOH
reg. If a community does not yet have an identified policy target (i.e. Pendleton), I suggest we use the term, 'law'. With
Franklin and Nelson, both, we need to change the terminology slightly. We might want to say 'comprehensive smoke-
free law covering the entire county' (and make a note that Frankfort, for example, has a law covering public places but
not all workplaces.)
So these need to be tweaked a bit
Thanks,
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2353
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
2
Find kysmo/<e/ree on and
COllEGE OF NUHSING
Ollr (lc:'U! h b Help '.ofhu ilodiz(} ) ' b u n ~ ,
From: Record, Rachael A
Sent: Wednesday, May 04, 2011 9:59 AM
To: Riker, Carol A; Hahn, Ellen J
Subject: RE: County level heart attacks
Here are the other counties that you asked for.
Rachael
RachaelA. Record
University of Kentucky
M.A. Candidate
College of Communications & Information Studies
Research Assistant
College of Nursing
rachael.record@uky.edu
Find kysmoke/ree on
From: Riker, carol A
Sent: Wednesday, May 04, 2011 9:43 AM
To: Hahn, Ellen J; Record, Rachael A
Subject: RE: County level heart attacks
Looks great! Will the County Level Heart Attacks be final when Rachael changes the chart legends?
Re Leading Causes of Death one-pager, I made a stab at how we would change the wording; see what you think! Should
we make one of these for Bullitt, too? We could do both Bullitt and Franl<lin using the 2007 stats if Erin has time?(How
quickly priorities change!) I was thinking that we might send whatever we have ready with our support letter to BOH.
Thanks everyone,
Carol
From: Hahn, Ellen J
Sent: Tuesday, May 03, 2.011 9: 12 PM
To: Record, Rachael A
Cc: Riker, Carol A
Subject: RE: County level heart attacks
See my changes
3
I
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmoke/ree on
COllEGE OF NURSING
From: Record, Rachael A
Sent: Tuesday, May 03, 201112:03 PM
To: Hahn, Ellen J
Subject: County level heart attacks
Here is the county level heart attack one pager. I didn't change anything below the graph. please let me know what
you'd like changed.
Rachael
Rachael A. Record
University of Kentucky
M.A. Candidate
College of Communications & Information Studies
Research Assistant
College of Nursing
rachael.record@ukv.edu
Find kysmoJceJree on
4
Spagnuolo. Amy R
From: Hahn, Ellen J
Sent:
To:
Thursday, May 05, 2011 8:06 AM
Riker, Carol A .
Subject: RE: Bullilt suppor letter
Attachments: Letter KCSP Bullitt leiter of support 5-11 draft EH.doG
It is really good. See my minor changes. Do you want this to come from me as Director? 1 am happy to do so, but it is
your call.
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu!tobaccopolicy
www.kcsp.uky.edu
Find kysmokejree on
From: Riker, Carol A
sent: Thursday, May OS, 2011 7:52 AM
To: Hahn, Ellen J
Subject: RE: Bullitt suppor letter
ARGHH!
From: Hahn, Ellen J
Sent: Thursday, May OS, 2011 5:42 AM
To: Riker, Carol A
Subject: RE: Bullitt suppor letter
No attachment
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
1
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.ukv.edu
COLLEGE OF' NURSING
{lur G(.'-.all$ to t l ~ - l p You nCu!rlO VOtlf131
From: Riker, Carol A
Sent: Wednesday, May 04, 2011 4:47 PM
To: Hahn, Ellen J
Subject: Bullitt suppor letter
See what you think and which parts might be useful
Thanks,
Carol
Carol Riker, RN, MSN
Associate Professor
Provost's Distinguished Service Professor
Community Advisor, Rural Smoke-free Communities
Faculty Associate, Kentucky Center for Smoke-free Policy
555 College of Nursing
University of Kentucky
751 Rose Street
Lexington, KY 40536-0232
Cell: 859-619-3776
Office Phone: 859-323-6615
Fax: 859-323-1057
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
and lIm
COllEGE OF NURSING
2
Add Date
Dear Board of Health Member,
We at the Kentucky Center for Smoke-free Policy (KCSP) are writing to express strong support for
Director Jett's leadership in bringing smoke-free policy to Bunitt County, The Bullitt County Board of
Health was honored on March 24, 2011 with the kcsp _________ ______ comment:-[el1: Getactua),language-from
comprehensive smoke-free regulation.
Not only is policy development one of the three core functions of public health, but eliminating
exposure to secondhand smoke is one of the four Centers for Disease Control and Prevention goals for
to baceo (http://www.cdc.gov{tobacco/ash/missionvision/index.htm) .. Additionally,
environments assist with the other three goals: preventing people from starting tobacco use; helping
people quit smoking; and eliminating tobacco-related disparities. This last goal is especially important
because those who in a smoky environme nt today are apt to be low income workers.
Restaurant and bar workers have the greatest risk of developing lung cancer and heart disease
compared to other occupations; they are truly a vulnerable population in need of protection.
A recent quote from a public health official in Alabama dearly spelled out the health department's role
in smoke-free policy: liThe board is responsible for the health of all [of the) 'cltizens .... They look at the
county like you would a patient, and then diagnose things that are wrong and how to make the county's
health better" {T. Sawyer, 4{28{2100, from aLcom}, looking at Bullitt County as the patient,
secondhand smoke is a huge risk factor for heart disease and cancer, two of BulJitt's leading causes of
death, Smoke-free polley is the only public health solution that protects all workers completely
(Surgeon General's Report, 2006),
Director Jett took appropriate steps to establish smoke-free policy, He and his staff educated the
community and the board about the hazards of secondhand smoke and the benefits of smoke-free
policy, Public fforums were held In four areas of the county providing easy access to the public who
wanted to comment or ask questions about the proposed regulation, Kentucky laws allowing boards of
health to create health regulations were discussed in the forums and published in the paper. Additional
publlc comment was taken via phone/email and also at first reading of the proposed regulation. Many
issues raIsed by the public had already been decided by the Kentucky Supreme Court ruling in the case
I of Lexington's smoke-free law, As you know. t1=he regulation moved ahead and was adopted at second

,
a etRer also know that Bullltt
County has experienced its share of opposition from apparently well-funded sources who established a
website and have brought two lawsuits against the regulation, Intimidation is a typical form of
opposition when other tactics do not work, We want the Board of Health t9 realize that such tactics are,
unfortunatelY, common, especially where bIg money is involved as with the sale of tobacco, Despite
opposition we hope that the Board will remain proud of its decision and Director Jett's leadership in
a smokewfree regulatIon that can save Bullitt County lives, Once citizens experience
smoke-free they will be delighted and the publle health will improve-fer those
If you have questions or need additional information about smoke-free contact us,
ComQ1ent [ell:'! would mention any
attachments if you dedde to include the heart
attack one page.r -
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent: Thursday, May OS, 2011 7:59 AM
To:
Subject:
Riker, Carol A; Darville, Audrey K; Owens, Kelly S (LHD - Madison Co)
e-cigarettes
More detail from Rachel (works as a postdoc in Stan Glantz's shop). A bit more detail below about the
implications of FDA reg as a tob product.
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.nky .edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on and
-----Original Message-----
From: Grana, Rachel [mailto:Rache1.Grana@ucsf.edu]
Sent: Wednesday, May 04, 2011 8:57 PM
To: Hahn, Ellen J
Subject: RE: Animoto - Vaapor-Stix radio debut
Hi Ellen,
Thanks for sending this. I actually am preparing to give a talk about my research on the electronic cigarette
Web-based marketing for the Smokeless Summit in Austin Texas. In doing so, I am framing my concerns and
take home points about the marketing of these products around that new ruling from the US Court of Appeals
and the FDA's decision not to appeal to the Supreme Court. So, good timing to ask me what I think and I would
love to hear what you think too!
So, my thoughts are these .. .! think it would have been better for public health if they were regulated as nicotine
delivery devices. Never mind the fact that they do not contain tobacco - I do not agree with the ruling primarily
because the rationale provided was based on the premise that the ecigarette companies are not making
therapeutic claims. Although I did not see the evidence provided at trial, even my brief presentation about a
content analysis of the Websites shows that they contain overt health and cessation messages even if they do not
use the word quit or cessation. They state clearly that these are healthier than traditional cigarettes because they
do not contain, tar, ash, carcinogens, toxic chemicals, etc. They are using doctors (images and actual doctors in
videos) to promote and assure viewers of the safety and utility of the products to switch from tobacco cigarettes,
in text and spoken word. Also, if they are being regulated as a tobacco product there will probably be no burden
1
of proof of safety since tobacco products were defined in the legislation as inherently unsafe. Therefore, this
leaves no manufacturing or safety of use standards for these products. In fact, under the Family Smoking and
Prevention Act, smokeless tobacco, cigars and cigarillos do not have the same restrictions as to flavors and
taxation that cigarettes do. For instance although cigarettes cannot come in candy flavors, smokeless tobacco
can come in fruit flavors, and cigarillos still come in tons of flavors, including fruit, alcohol flavors, vanilla
chocolate. It appears that people are just gearing up the battles about smokeless tobacco regulation after a 2-year
(maybe even really just I-year) focus on cigarettes. I fear that the whole tobacco product regulation is moving
so slowly that placing ecigarettes in the same category will all but guarantee they remain on the market in a
regulatory vacuum for a few years at best. Therefore they will have way too much time to continue promoting
and selling flavored ecigarettes on-line and in the malls where people can try them (probably high school
students, because that is who is in the mall). I hope I am wrong and the FDA puts an end to the unsubstantiated
health and safety advertising (especially with medical doctors!) and tackles the flavor issue and mall kiosks
distribution.
Rachel
-----Original Message-----
From: Hahn, Ellen J [mailto:ejhahnOO@email.uky.edu]
Sent: Wednesday, May 04, 20112:41 PM
To: Grana, Rachel
Subject: FW: Animoto - Vaapor-Stix radio debut
Importance: High
See below. This is an interesting tum of events with FDA taking them on as a tob product. Your thoughts?
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc .uky .edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on and
-----Original Message-----
From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov]
Sent: Wednesday, May 04, 201111:06 AM
To: Centers, Irene (CHFS HPB-Health Promotions); Beauchamp, Jan (CHFS HPB-Health Promotions); Riker,
Carol A; Hahn, Ellen J
Subject: Animoto - Vaapor-Stix radio debut
Importance: High
2
http://animoto.com/play/qOEBgn6zRqlkFCAhlwCtVQ
Vapor Stix (our local e-cig vendor) has a radio ad that is getting lots of air time. (VERY EXPENSIVE ... ) My
question is, w/ these devices now being under FDA regulation as a tobacco product, do the same rules regarding
advertising apply?
Kelly S. Owens, MPH, CHES
Tobacco Prevention and Cessation SpecialistlHealth Educator III/CPS Technician Madison County Health
Department
1001 Ace Drive
Berea, KY 40403
(859) 228-2043
Web Address: http://www .madisoncountyhealthdept.org/
Need Help Quitting? http://www.becomeanex.org/
P Please consider the environment before printing this e-mail
3
Spagnuolo, Amy R
From: Riker, Carol A
Sent: Thursday, May 05, 2011 7:50 AM
Hahn, Ellen J To:
Cc: Record, Rachael A
Subject: County level heart attacks & leading COD
Attachments: tobcont R01 Franklin Leading Causes of Death rev 5-11 (3).doc
01<, thanks! So we have several different issues (not copying Erin yet as she's busy until 777).
Leading Causes of Death fact sheets (just a few have been done and the word docs are in "Word Versions" on
one-pagers in Hahn group
o Need to change the bullet addressing heart attacks as well as the reference (see Franklin, attached).
That's a quick fix. If Rachael or Erin have time to do just that on the existing documents, that would be
great.
o We could also update with 2007 data and change references to reflect that. (Erin has 2007 data from the
Cabinet and so do I.) This will take longer and need double-checking.
o Leading COD fact sheets for the other counties that don't have comprehensive laws/regs would be
great, prioritizing ones we're actively working with.
Heart Attack Reduction one-pagers
o Revise existing documents and tailor to communities.
o Create documents for counties that haven't had comprehensive laws/regs in place for awhile.
prioritizing ones we're actively working with.
o Notes re tailoring for revisions/new creations:
o In Bullitt, we used the term, 'regulation' because they had adopted a BaH reg.
o If a community does not yet have an identified policy target (i.e. Pendleton), I suggest we use
the term, 'law'.
With Franklin and Nelson, both, we need to change the terminology slightly. We might want to
say 'comprehensive smoke-free law covering the entire county' (and make a note that Frankfort,
for example, has a law covering public places but not all workplaces.)
. After any fixing is done, then turn to pdfs, post inregularone'pager section,and let CAs know please.)
Here are some ofmytlme-serisitive needs:
Bullitt Heart Attack piece needed as soon as possible (well before May 17'h as we need to put them in with a
letter to the Board of Health before then).
Franklin's (and probably Owen, Carroll, Gallatin, and Pendleton) by the last week in May
Bourbon materials by June 1st.
Carol
From: Hahn, Ellen J
Sent: Thursday, May 05, 2011 6:21 AM
To: Record, Rachael A; Riker, Carol A
Subject: RE: County level heart attacks
Rachael and Carol,
These need to be tailored to the community. In Bullitt, we used the term, 'regulation' because they had adopted a BOH
reg. If a community does not yet have an identified policy target (i.e. Pendleton), I suggest we use the term, 'law'. With
Franklin and Nelson, both, we need to change the terminology slightly. We might want to say 'comprehensive smoke-
free law covering the entire county' (and make a note that Frankfort, for example, has a law covering public places but
not all workplaces.)
1
So these need to be tweaked a bit
Thanks,
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street .
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu


_t",,1\l!l(y Find kysmokefree on
and I)
COLLEGE OF NURSING
OU r Gmil 18 to Ho-lp You lzo 'rburs;
From: Record, Rachael A
Sent: Wednesday, May 04, 2011 9:59 AM
To: Riker, Carol A; Hahn, Ellen J
Subject: RE: County level heart attacks
Here are the other counties that you asked for.
Rachael
Rachael A. Record
University of Kentucky
M.A. Candidate
College of Communications & Information Studies
Research Assistant
College of Nursing
rachael.record@uky.edu
Find kysmokefree on and
From: Riker, Carol A
Sent: Wednesday, May 04, 2011 9:43 AM
2
To: Hahn, Ellen J; Record, Rachael A
Subject: RE: County level heart attacks
Looks great! Will the County Level Heart Attacks be final when Rachael changes the chart legends?
Re Leading Causes of Death one-pager, I made a stab at how we would change the wording; see what you think! Should
we make one of these for Bullitt, too? We could do both Bullitt and Franklin using the 2007 stats if Erin has time?{How
quickly priorities change!) I was thinking that we might send whatever we have ready with our support letter to BOH.
Thanks everyone,
Carol
From: Hahn, Ellen J
Sent: Tuesday, May 03,2011 9:12 PM
To: Record, Rachael A
Cc: Riker, Carol A
Subject: RE: County level heart attacks
See my changes
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on and
COLLEGE OF NURSING
Our GfXll is \0 HOI" You 'rburcc
From: Record, Rachael A
Sent: Tuesday, May 03, 2011 12:03 PM
To: Hahn, Ellen J
Subject: County level heart attacks
Here is the county level heart attack one pager. I didn't change anything below the graph. Please let me know what
you'd like changed.
Rachael
3
Rachael A. Record
University of Kentucky
M.A. Candidate
College of Communications & Information Studies
Research Assistant
College of Nursing
rachael.record@uky.edu
Find kysmoke/ree on and
4
Leading Causes of Death in Franklin County, Kentucky, 2005
Number of
Rate per 100,000 Total Population
Deaths in
Franklin
County'
(% of all Franklin
Cause of Death deaths) County'
tHeart Disease 124 (24.1 %) 257.7
tAli Malignant Neoplasms (Cancer) 121 (23.5%) 233.8
tStroke 28 (5.4%) 57.4
tChronic Lower Respiratory 25 (4.9%) 50.7
Unintentional Injuries 21 (4.1%) 45.8
t Leading causes of death known to be assOCiated with secondhand smoke exposure.
a2005 Vital Statistics Reports from the Kentucky Cabinet for Health and Family Services
http://chfs.ky.gov/dphlvital/2005+Vital+Statistics+Reports .htm)
United
Kentuckyb
States
b
258.5 211.1
219.9 183.8
52.8 46.6
61.3 43.2
57.3 39.1
All age-adjusted death rates use the year 2000 standard. Age-adjusted rates based upon different standard
populations cannot be accurately compared.
bNational Center for Health Statistics State Profiles 2009 (hUp:llwww.cdc.gov/nchs/PRESSROOM/data/Kentucky09.pdf),
age-adjusted rates.
How Secondhand Smoke is Connected with the Leading Causes of Death:
.:. Nonsmokers who are exposed to secondhand smoke at home or work increase their risks of
developing lung cancer by 20-30%.1
.:. Nonsmokers who are exposed to secondhand smoke at home or work increase their heart
disease risk by 25-30%.1
Public Health Solutions:
.:. After strong smoke-free laws go into effect, communities experience a 15% drop in heart
attacks during the first year, 'lJith continued decline in d yearsper year.2
.:. Smoke-free laws create healthy places for workers and patrons and reduce health care costs.
Smoke-free laws are a known public health solution.1
1 U.s. Department of Health and Human Services. The Health Consequences of Involuntary Exposure to Tobacco Smoke: A
Report of the Surgeon General. Rockville, MD: U. S. Department of Health and Human Services, 2006.
'/dglwA'eeG JM, SiaRteR AG. DeGiifles fR asute FflYfJsardlai iRfflrs#eR aller _eke free k,wls BRG imJi'lif!uai risk atldl3utal3te-te
Meyers
For more information, contact Kentucky Center for Smoke-free Policy
UK College of Nursing at 859-323-4587
Auaust 2011 Mav 2Q11
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent:
To:
Thursday, May 05, 2011 7:10AM
Riker, Carol A
Subject: RE: j.1360-0443.2011.03446.x.pdf
Follow Up Flag:
Flag Status:
Follow up
Flagged
If they have a doi number, it is OK to cite. But it looked like this one was one step before doL I am surprised it was up
online actually. Their outcomes are not surprising given the varying strength of law. Did they take that into account?
Also time since seems to matter. In my AJPM review (Dec. 2010), I report that the results on smoking prevalence and SF
laws are mixed! Have fun at the hair place.
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
!!r---

.... Find kysmoke/ree on and III
COLLEGE OF NURSING
OU r Go,alls to Holp You rZB
From: Riker, Carol A
Sent: Thursday, May 05, 2011 7:07 AM
To: Hahn, Ellen J
Subject: RE: j.1360-0443.2011.03446.x.pdf
Working in too much of a hurry yesterday ... must have pushed send too fast. The research does NOT show a correlation
in the majority of the places studied. I think it is a worldwide study that had certain criteria for the type/quality of data
available for the places studies. That's as much as I gathered from a quick look.
I was wondering how we cite online .... so we don't! Why is that? Are they not guaranteed to be publish if they're put out
in advance?
I'm getting niy hair cut before I come in this am. See you at Full team meeting.
1
Thanks,
CArol
From: Hahn, Ellen J
Sent: Thursday, May OS, 2011 6:58 AM
To: Riker, Carol A
Subject: RE: j.1360-0443.2011.03446.x.pdf
Thanks. Let's ask Gail to get the final version. We cannot cite until it is the final version anyway
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu

Find kysmokefree on and
COLLEGE OF NURSING
Our GOB! is to You 111ot.\!lz0 "tburs
From: Riker, Carol A
Sent: Wednesday, May 04, 2011 2:45 PM
To: Hahn, Ellen J
Subject: j.1360-0443.2011.03446.x.pdf
Bajoga article accepted for Addiction on smoking prevalence and SF; see what you think. I haven't read it yet,
but it does show a correlation for the majority of places studied
2
Spagnuolo. Amy R
From: Hahn, Ellen J
Sent:
To:
Wednesday, May 04, 2011 7:57 PM
Riker, Carol A
Subject: RE: Bullitt County
Shall I ask the State SF Group for letters? Or have you reached out to the tri agencies already?
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
LeXington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on
andl)
COLLEGE OF NURSING
Our GOUI is "1<; '-1B1P YO;J :r.;oiJl-'zG '(bun:.;
From: Riker, Carol A
Sent: Wednesday, May 04, 2011 9:01 AM
To: Hahn, Ellen J
Subject: FW: Bullitt County
Fyi; somehow I missed you on the list; sorry.
From: swannie.jett@ky.gov [mailto:swannie.jett@ky.govl
Sent: Tuesday, May 03, 2011 11:23 PM
To: Lockard, Anthony S (LHD - Clark Co); Riker, Carol A
Cc: Wagner, Kristian K; Kercsmar, Sarah; Johnson, John D; Mundy, Monica E
Subject: Re: Bullitt County
Thank you. I already touched base with Linda.
Sent from my BlackBerry smartphone with Nextel Direct Connect
From: "Lockard, Anthony S (LHD - Clark Co)" 4nthonyS .Lockard@ky.gov>
1
Date: Tue, 3 May 2011 12:30:54 -0400
To: Jett, Swannie (LHD - Bullitt Co) <Swannie.Jett@ky.gov?, Riker, Carol A <tiker@emai1.uky.edu>
Cc: Wagner, Kristian K 4ckwagn3@uky.edu?, K((rcsmar, Sarah <scave2@emai1.uky.edu?, Johnson, John
D <jdjohnson@nky.edu?, Mundy, Monica E <1nonica.mundy@uky.edu>
Subject: RE: Bullitt County
Swannie,
I will get to work on one from KPHA and will send a request to Linda for KHDA.
Scott
From: Jett, Swannie (LHD - Bullitt Co)
Sent: Tuesday, May 03, 201112:16 PM
To: Lockard, Anthony 5 (LHD - Clark Co); Riker, Carol A
Cc: Wagner, Kristian K; Kercsmar, Sarah; Johnson, John D; Mundy, Monica E
Subject: Re: Bullitt County
Thanks Scott. I was thinking to the BOH members to defuse some of the character assaults.
Sent from my BlackBerry smartphone with Nextel Direct Connect
From: "Lockard, Anthony S (LHD - Clark Co)" <AnthonyS.Lockard@ky.gov>
Date: Tue, 3 May 2011 11:55:06 -0400
To: Riker, Carol A<tiker@emai1.uky.edu>
Cc: J ett, Swannie (LHD - Bullitt Co) <swannie.J ett@ky.gov?, Wagner, Kristian K 4ckwagn3@uky.edu?,
Kercsmar, Sarah <Scave2@emai1.uky.edu?, Johnson, John D <jdjohnson@uky.edu?, Mundy, Monica
E <1nonica.mundy@uky.edu>
Subject: RE: Bullitt County
Carol,
What did you have in mind? Who are you suggesting letters be written too?
I was with Swannie last week at a meeting in North Carolina and we discussed the issue. He is dealing with the pressure
well.
Scott
From: Riker, Carol A [mailto:riker@email.uky.edu]
Sent: Tuesday, May 03, 2011 9:55 AM
To: Lockard, Anthony S (LHD - Clark Co)
Cc: Jett, Swannie (LHD - Bullitt Co); Wagner, Kristian K; Kercsmar, Sarah; Johnson, John D; Mundy, Monica E
Subject: Bullitt County
Importance: High
Hi Scott,
Swannie is experiencing serious intimidation in Bullitt and we're wondering if you can get some support letters from
KPHA and KHDA. We will definitely write a letter and offer to present on opposition tactics at a board meeting if Swannie
thinks that will be helpful. As you know, this has occurred in other counties.
Thanks for considering,
Carol
2
Carol Riker, RN, MSN
Associate Professor
Provost's Distinguished Service Professor
Community Advisor, Rural Smoke-free Communities
Faculty Associate, Kentucky Center for Smoke-free Policy
555 College of Nursing
University of Kentucky
751 Rose Street
Lexington, KY 40536-0232
Cell: 859-619-3776
Office Phone: 859-323-6615
Fax: 859-323-1057
www.mc.ui<y.edu/tobaccopolicy
www.kcsp.ukv.edu
Find I<ysmol<efree on
and()
COllEGE OF NURS[NG
From: swannie.jett@i<y.gov [mailto:swannie.jett@ky.gov]
Sent: Tuesday, May 03, 2011 9:07 AM
To: Riker, Carol A
Subject: Re: TCLC info re Bullitt Federal Complaint
Good morning, since our last court date numerous entities city attornies and the county attorney are attempting
to have me removed. If possible, I would like a letter from you to the board to counter their efforts and dismiss
these character assaults. Let me kuow thanks.
Sent from my BlackBerry smartphone with Nextel Direct Connect
3
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent: Wednesday, May 04, 2011 7:56 PM
To:
Cc:
Moser, Debra; Frazier, Susan K; Lock, Sharon E; Riker, Carol A
Hahn, Ellen J
Subject: Can faculty skip rank?
Hi,
I need your input on whether or not faculty should be allowed to skip rank. We have a faculty member in the Clinical
Title Series (Lecturer) who is requesting to skip the Assistant Professor rank and apply for Associate Professor. We have
checked with the ARs and there is no regulation that would prohibit this. The Provost's office says it is up to the
individual unit. Jane is asking for our recommendation.
Personally, I do not support this idea. If we allow this faculty member in the Clinical Title Series to bypass the Assistant
Prof rank, I believe this will have implications for all title series regardless of tenure. I would like to recommend that we
not allow faculty to skip rank.
Please let me know your thoughts by the end of the day tomorrow if possible.
Thanks!
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on . and
COLLEGE OF NURSING
OUf (lou! is to Holp Y()1.1 !Rcm!;ZD 'l'burs
1
Spagnuolo. Amy R
From: Hahn, Ellen J
Sent: Wednesday, May 04, 2011 5:40 PM
To:
Cc:
Riker, Carol A; Owens, Kelly S (LHD - Madison Co)
Darville, Audrey K
Subject: RE: Animoto - Vaapor-Stix radio debut
Kelly--The FDA plans to regulate ecigs as a tobacco product but they have not yet done so. FDA is still trying
to get its act together in regulating traditional tobacco products, so I expect it will take awhile. The advertising
regulations were in place for traditional tobacco products, and I don t know how quic1dy they will move to
regulate ecigs, or if the restrictions in place for traditional cigs will automatically apply to ecigs. You could get
on the FDA site and pose these questions.
Audrey may have other information.
Hang in there,
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky .edu/tobaccopolicy
www .kcsp .uky.edu
Find kysmokefree on and
-----Original Message-----
From: Riker, Carol A
Sent: Wednesday, May 04, 201111:09 AM
To: Owens, Kelly S (LHD - Madison Co)
Cc: Hahn, Ellen J; Darville, Audrey K
Subject: RE: Animoto - Vaapor-Stix radio debut
Good question ... I1l have to look into that.
Carol
-----Original Message-----
From: Owens, Kelly S (LHD - Madison Co) [mailto:KellyS.Owens@ky.gov]
Sent: Wednesday, May 04,201111:06 AM
To: Centers, Irene (CHFS HPB-Health Promotions); Beauchamp, Jan (CHFS HPB-Health Promotions); Riker,
Carol A; Hahn, Ellen J
1
Subject: Animoto - Vaapor-Stix radio debut
Importance: High
http://animoto.com/play/qOEBgn6zRqIkFCAhIwCtVQ
Vapor Stix (our local e-cig vendor) has a radio ad that is getting lots of air time. (VERY EXPENSIVE ... ) My
question is, wI these devices now being under FDA regulation as a tobacco product, do the same rules regarding
advertising apply?
Kelly S. Owens, MPH, CHES
Tobacco Prevention and Cessation Specialist/Health Educator III/CPS Technician Madison County Health
Department
1001 Ace Drive
Berea, KY 40403
(859) 228-2043
Web Address: http://www .madisoncountyhealthdept.orgl
Need Help Quitting? http://www.becomeanex.org/
P Please consider the environment before printing this e-mail
2
Spagnuolo, Amy R
From:
Sent:
To:
Cc:
Subject:
Riker, Carol A
Wednesday, May 04, 2011 11 :03 AM
Hahn, Ellen J; Wagner, Krislian K; Mundy, Monica E
Fallin, Amanda T; Ricks, Janelle; Kercsmar, Sarah; Johnson, John D
FW: Newspaper Ad
For the R01, thought you'd like to see which ad Owen used with their own money.
Also of interest to all an article from Alabama (I first thought they were talking about Jefferson Co KY and
couldn ~ figure it out) and how they're approaching county-wide SF campaign.
Carol
-----Original Message-----
From: Gilson, Katherine B (LHD - Three Rivers Dist) [mailto:katherineb.gilson@ky.gov]
Sent: Wednesday, May 04, 2011 9:12 AM
To: Riker, Carol A
Subject: Newspaper Ad
Carol,
Here is the newspaper ad we ran about 2 weeks ago. Also, check out this article
http://blog.al.comJIiving-news/2011/04/jefferson county mounts new yu.html
Have a great day!
Thanks,
Katie
Katherine Gilson, MPH
Health Educator II
Three Rivers District Health Department
Owen County Health Center
502-484-5736 ext. 112
"All One Team, Striving for Excellence, Educating & Empowering with Every Encounter."
NOTICE OF CONFIDENTIALITY: This email, including all attachments, is intended only for the use of the
individual or entity to which it is addressed and may contain confidential information that is legally privileged
and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient,
you are notified that any review, use, disclosure, distribution of this communication is strictly prohibited. If you
have received this communication in error, please contact the sender by reply email and destroy all copies of the
original message.
1
Spagnuolo. Amy R
From: Riker, Carol A
Sent:
To:
Wednesday, May 04,2011 10:45 AM
Record, Rachael A; Hahn, Ellen J
Subject: RE: County Level Heart Attack One-pagers
I think she's talking about under the bars ... see what you think.
Carol
From: Record, Rachael A
Sent: Wednesday, May 04,201110:04 AM
To: Hahn, Ellen J
Cc: Riker, Carol A
Subject: County Level Heart Attack One-pagers
How do you want to word the bar graph for counties that already have a comprehensive SF regulation?
Currently it reads: _ Year(s) after a Comprehensive Smoke-free Regulation
Rachael
Rachael A. Record
University of Kentucky
M.A. Candidate
College of Communications & Information Studies
Research Assistant
College of Nursing
rachael.record@uky.edu
Find kysmoke/ree on
1
. Spagnuolo, Amy R
From: Riker, Carol A
Sent:
To:
Subject:
Wednesday, May 04, 2011 9:43 AM
Hahn, Ellen J; Record, Rachael A
RE: County level heart attacks
Attachments: Leading Causes of Death in Franklin County rev 5-4-11 using Meyers.doc
Looks great! Will the County Level Heart Attacks be final when Rachael changes the chart legends?
Re Leading Causes of Death one-pager, I made a stab at how we would change the wording; see what you think! Should
we make one of these for Bullitt, too? We could do both Bullitt and Franklin using the 2007 stats if Erin has time?(How
quickly priorities change!} I was thinking that we might send whatever we have ready with our support letter to BOH.
Thanks everyone,
Carol
From: Hahn, Ellen J
Sent: Tuesday, May 03,2011 9:12 PM
To: Record, Rachael A
Cc: Riker, Carol A
Subject: RE: County level heart attacks
See my cha nges
EllenJ.Hahn,PhD,RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40535-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmoke/ree on and
COLLEGE OF NURSING
Om Ot'lll is t() Help You Hoalizo \ixnt
From: Record, Rachael A
Sent: Tuesday, May 03,2011 12:03 PM
To: Hahn, Ellen J
Subject: County level heart attacks
1
Here is the county level heart attack one pager. I didn't change anything below the graph. Please let me know what
you'd like changed.
Rachael
Rachael A. Record
University of Kentucky
M.A. Candidate
College of Communications & Information Studies
Research Assistant
College of Nursing
rachael.record@uky.edu
~
--... ~ Find kysmokejree on and
2
Spagnuolo, Amy R
From: Riker, Carol A
Sent:
To:
Wednesday, May 04, 2011 9:02 AM
Hahn, Ellen J
Cc:
Subject:
Johnson, John D; Kercsmar, Sarah; Mundy, Monica E
FW: TCLC info re Bullitt Federal Complaint
fyi
From: Jett, Swannie (LHD - Bullitt Co) [mailto:SwannieJett@ky.qovl
Sent: Tuesday, May 03, 2011 11:29 PM
To: Riker, Carol A
Subject: RE: TCLC info re Bullitt Federal Complaint
I will let you know.
From: Riker, Carol A [mailto:riker@email.uky.edu]
Sent: Tue 5/3/2011 6:11 PM
To: Jett, Swannie (LHD - Bullitt Co)
Cc: Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E
Subject: RE: TCLC info re Bullitt Federal Complaint
Would you like us to present on opposition tactics at that meeting? Or are there other needs we can help with?
Is the meeting at 7?
Carol
From: swannie.jett@ky.qov [mailto:swannie.jett@ky.qov]
Sent: Tuesday, May 03, 201111:49 AM
To: Riker, Carol A
Subject: Re: TCLC info re Bullitt Federal Complaint
May 17th
Sent from my BlackBerry smartphone with Nextel Direct Connect
From: "Riker, Carol A" <tiker@emai1.uky.edu>
Date: Tue, 3 May 2011 10:28:37 -0400
To: swannie.jett@ky.gov<swannie.jett@ky.gov>
Cc: Hahn, Ellen J <ejhahnOO@emai1.uky.edu>, Johnson, John D <jdjohnson@ukv.edu>, Kercsmar,
Sarah <Scave2@emai1.ukv.edu >, Mundy,Monica E <fuonica.mundy@uky.edu>
Subject: RE: TCLC info re Bullitt Federal Complaint
Take heart; both suits in Bowling Green got nixed!
When is your next board meeting?
Carol
1
From: swannie.jett@ky.gov [mailto:swannie.jett@ky.gov]
Sent: Tuesday, May 03,201110:14 AM
To: Riker, Carol A
Subject: Re: TCLC info re Bullitt Federal Complaint
I believe anything will help to shed light on the bigger issues. The opposition is definitely at work.
Sent from my BlackBerry smartphone with Nextel Direct Connect
From: "Riker, Carol A" <:['iker@emai1.uky.edu>
Date: Tue, 3 May 2011 09:57:05 -0400
To: swannie.jett@ky.gov <swannie.jett@ky.gov>
Subject: RE: TCLC info re Bullitt Federal Complaint
I just wrote to Scott for some help and we will devise a letter to the board. Do you think it would be helpful if we
presented to the board on opposition tactics? (This is definitely a tactic to intimidate.)
Let us know.
Carol
From: swannie.jett@ky.gov [mailto:swannie.jett@ky.gov]
Sent: Tuesday, May 03, 2011 9:07 AM
To: Riker, Carol A
Subject: Re: TCLC info re Bullitt Federal Complaint
Good morning, since our last court date numerous entities city attornies and the county attorney are attempting
to have me removed. If possible, I would like a letter from you to the board to counter their efforts and dismiss
these character assaults. Let me know thanks.
Sent from my BlackBerry smartphone with Nextel Direct Connect .
From: "Riker, Carol A" <tiker@emai1.uky.edu>
Date: Fri, 22 Apr 2011 08:56:07 -0400
To: J ett, Swannie (LHD - Bullitt Co) <Swannie.Jett@ky.gov ?, Cyndi Steele <tyndisteele57@gmail.com?,
Taylor, Brittany P (LHD - Bullitt Co) <BrittanyP.Taylor@ky.gov>
Cc: Miller, Margaret <MAM@GDM.com?, Jujulew <jujulew@ao1.com?, Hahn, Ellen
J <ejhahnOO@emai1.uky.edu?, Johnson, John D <jdjohnson@uky.edu?, Kercsmar,
Sarah <Scave2@email.uky.edu ?, Mundy, Monica E <tnonica.mundY@uky.edu >
Subject: TCLC info re Bullitt Federal Complaint
Hi Everyone,
Maggie Mahoney sent a very helpful snippet from the Family Smoking Prevention and Tobacco Control Act in relation to
the Federal Complaint, so I'm sending on to you all for your information.
We would be interested in knowing how things went on Monday!
Thanks and have a good weekend,
2
Carol
Carol Riker, RN, MSN
Associate Professor
Provost's Distinguished Service Professor
Community Advisor, Rural Smoke-free Communities
Faculty Associate, Kentucky Center for Smoke-free Policy
555 College of Nursing
University of Kentucky
751 Rose Street
Lexington, KY 40536-0232
Cell: 859-619-3776
Office Phone: 859-323-6615
Fax: 859-323-1057
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
3
Spagnuolo. Amy R
From:
Sent:
To:
Riker, Carol A
Tuesday, May 03, 2011 6:11 PM
swannie.jett@ky.gov
Cc:
Subject:
Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E
RE: TCLC info re Bullitt Federal Complaint
Would you like us to present on opposition tactics at that meeting? Or are there other needs we can help with?
Is the meeting at 7?
Carol
From: swannie.iett@ky.gov [mailto:swannie.jett@ky.gov]
Sent: Tuesday, May 03, 201111:49 AM
To: Riker, Carol A
Subject: Re: TCLC info re Bullitt Federal Complaint
May 17th
Sent from my BlackBerry smartphone with Nextel Direct Connect
From: "Riker, Carol A" <i'iker@email.uky.edu>
Date: Tue, 3 May 201110:28:37 -0400
To: swannie.jett@ky.gov <swannie.jett@ky.gov >
Cc: Hahn, Ellen J <ejhahnOO@email.ukv.edu ~ Johnson, John D <)djohnson@uky.edu ~ Kercsmar,
Sarah <scave2@email.ukv.edu ~ Mundy,Monica E<fuonica.mundy@uky.edu>
Subject: RE: TCLC info re Bullitt Federal Complaint
Take heart; both suits in Bowling Green got nixed!
When is your next board meeting?
Carol
From: swannie.jett@ky.gov [mailto:swannie.jett@ky.gov]
Sent: Tuesday, May 03, 201110:14 AM
To: Riker, Carol A
Subject: Re: TCLC info re Bullitt Federal Complaint
I believe anything will help to shed light on the bigger issues. The opposition is definitely at work.
Sent from my BlackBerry smartphone with Nextel Direct Connect
From: "Riker, Carol A" <tiker@email.uky.edu>
Date: Tue, 3 May 2011 09:57:05 -0400
To: swannie.jett@ky.gov<swannie.jett@ky.gov>
Subject: RE: TCLC info re Bullitt Federal Complaint
1
I just wrote to Scott for some help and we will devise a letter to the board, Do you think it would be helpful if we
presented to the board on opposition tactics? (This is definitely a tactic to intimidate,)
Let us know,
Carol
From: swannie.jett@ky,gov [mailto:swannie.jett@ky,gov]
Sent: Tuesday, May 03, 2011 9:07 AM
To: Riker, Carol A
Subject: Re: TCLC info re Bullitt Federal Complaint
Good morning, since our last court date numerous entities city attomies and the county attorney are attempting
to have me removed. If possible, I would like a letter from you to the board to counter their efforts and dismiss
these character assaults. Let me know thanks.
Sent from my BlackBerry smartphone with Nextel Direct Connect
From: "Riker, Carol A" <liker@email.uky.edu>
Date: Fri, 22 Apr 2011 08:56:07 -0400
To: J ett, Swannie (LHD - Bullitt Co) <Swannie.Jett@ky.goy ?, Cyndi Steele <cyndisteele57@gmail.com?,
Taylor, Brittany P (LHD - Bullitt Co) <BlittanyP.Taylor@ky.gov>
Cc: Miller, Margaret <lVIAM@GDM.com?, Jujulew <jujulew@aol.com?, Hahn, Ellen
J <ejhahnOO@email.uky.edu?, Johnson, John D <jdjohnson@uky,edu?, Kercsmar,
Sarah <Scave2@email.uky.edu ?, Mundy, Monica E <[nonica.mundy@uky.edu>
Subject: TCLC info re Bullitt Federal Complaint
Hi Everyone,
Maggie Mahoney sent a very helpful snippet from the Family Smoking Prevention and Tobacco Control Act in relation to
the Federal Complaint, so I'm sending on to you all for your information.
We would be interested in knowing how things went on Monday!
Thanks and have a good weekend,
Carol
Carol Riker, RN, MSN
Associate Professor
Provost's Distinguished Service Professor
Community Advisor, Rural Smoke-free Communities
Faculty ASSOCiate, Kentucky Center for Smoke-free Policy
555 College of Nursing
University of Kentucky
751 Rose Street
Lexington, KY 40536-0232
Cell: 859-619-3776
Office Phone: 859-323-6615
Fax: 859-323-1057
2
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
D
x.-
~ r 0-
ind kysmokefree on ~ a n d ~
3
Spagnuolo, Amy R
From:
Sent:
To:
Subject:
Hahn, Ellen J
Tuesday, May 03, 2011 2:01 PM
Riker, Carol A
FW: Rural Tobacco Control
Is this something you might want to do?
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
~
__ 1 ... 1'<i<1 Find kysmoke/ree on and
COL.L.EGE OF NURSING
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From: Stephanie Herbers fmailto:sherbers@qwbmail.wustLedul
Sent: Tuesday, May 03,20111:41 PM
To: Hahn, Ellen J
Subject: Rural Tobacco Control
Hi Ellen-
I hope this email finds you doing well. We are working on finalizing an event we are planning with the Missouri
Foundation for Health, entitled the Healthy Communities Summit. This will be a replacement to our annual Summer
Training Institute (that you presented at last summer). The event is in Columbia, MO on July 27'h and 28
th
. The Summit
will bring together MFH grantees from three initiatives:
1. Tobacco Prevention and Cessation Initiative
2. Healthy and Active Communities (obesity prevention)
3. Social Innovation for Missouri (combination of tobacco and obesity interventions)
On the second day of the Summit we are planning topical breakout sessions for grantees to choose from. The sessions
are 90 minutes long. One of the requests from grantees has been a session on implementing tobacco control
interventions in rural communities and your group came to mind in regard to this topic.
1
I am inquiring to see if you are someone in your group might be interested in facilitating this session. The amount of
time for this session is short, so we are hoping this could be a session that grantees can hear from others in the field as
far as facilitators (and barriers) to implementing tobacco-related interventions in rural areas (e.g., cessation, smokefree
policies) and have some opportunity to talk and learn from everyone in the room.
I appreciate any thoughts you might have on this session. If you are interested, or know someone who may be, I would
be happy to talk further via phone.
Sincerely,
Stephanie
Stephanie Herbers, MPH, MSW
Assistant Director of Evaluation
Center for Tobacco Policy Research
George Warren Brown School of Sodal Work
Washington University in St. Louis
700 Rosedale Avenue, CB 1009
St. Louis, MO 63112
[P]314.935.3721 [f]314.935.3756 [e] sherbers@wustLedu
2
Spagnuolo, Amy R
From:
Sent:
To:
Hahn, Ellen J
Tuesday, May 03, 2011 9:42 AM
Riker, Carol A
Subject: Re: TCLC info re Bullitt Federal Complaint
Wow! Yes, ask Scott if KPHA and KHDA would do this. Yes, we can as well. The award at KCSP should help as well. We
can attend a board mtg and present on the tactics if that would help. Does he have board support?
Ellen J. Hahn, PhD
Professor, UK CON
859-257-2358
From: Riker, Carol A
To: Hahn, Ellen J
Sent: Tue May 03 09:23:30 2011
Subject: FW: TCLC info re Bullitt Federal Complaint
It seems like the thing to do when you can't get your way; just threaten peoples' jobs. Have we ever done such a letter?
Would we suggest getting letters from PH organizations too?
Carol
From: swannie.iett@ky.gov [mailto:swannie.jett@ky.govl
Sent: Tuesday, May 03, 2011 9:07 AM
To: Riker, Carol A
Subject: Re: TCLC info re Bullitt Federal Complaint
Good morning, since our last court date numerous entities cityattomies and the county attorney are attempting
to have me removed. If possible, I would like a letter from you to the board to counter their efforts and dismiss
these character assaults. Let me know thanks.
Sent from my BlackBerry smartphone with Nextel Direct Connect
From: "Riker, Carol A" <i'iker@email.uky.edu>
Date: Fri, 22 Apr 2011 08:56:07 -0400
To: Jett, Swannie (LHD - Bullitt Co) <swannieJett@ky.gov>;CyndiSteele<tyndisteele57@gmail.com>;
Taylor, Brittany P (LHD - Bullitt Co) <BrittanyP.Taylor@ky.gov>
Cc: Miller, Margaret <MAM@GDM.com>; Jujulew <jujulew@aol.com>; Hahn, Ellen
J <ejhahnOO@email.uky.edu>; Johnson, John D <jdjohnson@uky.edu>; Kercsmar,
Sarah <Scave2@email.uky.edu>; Mundy, Monica E <fuonica.mundVuky .edu >
Subject: TCLC info re Bullitt Federal Complaint
Hi Everyone,
Maggie Mahoney sent a very helpful snippet from the Family Smoking Prevention and Tobacco Control Act in relation to
the Federal Complaint, so I'm sending on to you all for your information.
We would be interested in knowing how things went on Monday!
Thanks and have a good weekend,
1
Carol
Carol Riker, RN, MSN
Associate Professor
Provost's Distinguished Service Professor
Community Advisor, Rural Smoke-free Communities
Faculty Associate, Kentucky Center for Smoke-free Policy
555 College of Nursing
University of Kentucky
751 Rose Street
Lexington, KY 40536-0232
Cell: 859-619-3776
Office Phone: 859-323-6615
Fax: 859-323-1057
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
D
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2
Spagnuolo. Amy R
From:
Sent:
To:
Cc:
Riker, Carol A
Tuesday, May 03, 2011 9:15 AM
swannie.jett@ky.gov
Hahn, Ellen J
Subject: RE: TCLC info re Bullitt Federal Complaint
Importance: High
Good morning, Swannie. This is typical intimidation unfortunately, which we're seeing in other counties. Let me consult
with Ellen about the most effective ways to give support. You are absolutely doing your job, which is HEALTH! I'm sorry
you're going through this.
Carol
From: swannie.jett@ky.gov [mailto:swannie.jett@ky.gov]
Sent: Tuesday, May 03, 2011 9:07 AM
To: Riker, Carol A
Subject: Re: TCLC info re Bullitt Federal Complaint
Good morning, since our last court date numerous entities city attornies and the countyattomey are attempting
to have me removed. If possible, I would like a letter from you to the board to counter their efforts and dismiss
these character assaults. Let me know thanks.
Sent from my BlackBerry smartphone with Nextel Direct Connect
From: ''Riker, Carol AU <tiker@emai1.uky.edu>
Date: Fri, 22 Apr 2011 08:56:07 -0400
To: Jett, Swannie (LHD - Bullitt Co) <swannie.J ett@ky.gov ?, Cyndi Steele <tyndisteele57@gmai1.com?,
Taylor, Brittany P (LHD - Bullitt Co) <BrittanyP.Taylor@ky.gov>
Cc: Miller, Margaret <MAM@GDM.com?, Jujulew <jujulew@ao1.com?, Hahn, Ellen
J <tjhahnOO@emai1.uky.edu?, Johnson, John D <jdjohnson@uky.edu?, Kercsmar,
Sarah <Scave2@emai1.uky.edu?, Mundy, Monica E <1nonica.mundy@uky.edu>
Subject: TCLC info re Bullitt Federal Complaint
Hi Everyone,
Maggie Mahoney sent a very helpful snippet from the Family Smoking Prevention and Tobacco Control Act in relation to
. the Federal Complaint, so I'm sending on to you all for your information.
We would be interested in knowing how things went on Monday!
Thanks and have a good weekend,
Carol
Carol Riker, RN, MSN
Associate Professor
Provost's Distinguished Service Professor
Community Advisor, Rural Smoke-free Communities
1
Faculty Associate, Kentucky Center for Smoke-free Policy
555 College of Nursing
University of Kentucky
751 Rose Street
Lexington, KY 40536-0232
Cell: 859-619-3776
Office Phone: 859-323-6615
Fax: 859-323-1057
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
D
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0" 0'
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2
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent: Tuesday, May 03, 2011 8:45 AM
To:
Cc:
Record, Rachael A; Riker, Carol A; Wagner, Kristian K; Fallin, Amanda T; Mundy, Monica E
Robertson, Heather E; Kercsmar, Sarah; Johnson, John D; Kostygina, Ganna Y
Subject: RE: Public Opinion Poll
Wow! You are quick. Amanda, will you review first given your concern about the weighting issue and tell me when I can
review? We might want MK or Sarah A. to take a look as well.
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
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COLLEGE OF NURSING
OU r Gool is to Holp You iR()allzo you,e,
From: Record, Rachael A
Sent: Tuesday, May 03, 2011 8:27 AM
To: Riker, Carol A; Wagner, Kristian K; Fallin, Amanda T; Mundy, Monica E
Cc: Hahn, Ellen J; Robertson, Heather E; Kercsmar, Sarah; Johnson, John D; Kostygina, Ganna Y
Subject: Public Opinion Poll
Good morning,
The 2-paged Public Opinion Poll one-pager is on sharepoint. Please let me know your thoughts.
Kristian and Monica- will you keep me updated on getting the narratives?
Thank you!
Rachael
Rachael A. Record
University of Kentucky
1
M.A. Candidate
College of Communications & Information Studies
Research Assistant
College of Nursing
rachael.record@uky.edu
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2
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent: Tuesday, May 03, 2011 8:44 AM
To:
Subject:
Monica Warren; Fallin, Amanda T; Ricks, Janelle; Wagner, Kristian K; Riker, Carol A
RE: In office today
Be careful. The rain is making the roads very slick.
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc .ukv.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on and
-----Original Message-----
From: Monica Warren [mailto:monni24@gmail.com]
Sent: Tuesday,May 03, 2011 8:37 AM
To: Hahn, Ellen J; Fallin, Amanda T; Ricks, Janelle; Wagner, Kristian K; Riker, Carol A
Subject: In office today
Ohio pushed the meeting to tomorrow so I will be in the office in a bit.
Thanks,
Monica
1
Spagnuolo, Amy R
From: Riker, Carol A
Sent: Tuesday, May 03, 2011 8:39 AM
To:
Subject:
'Monica Warren'; Hahn, Ellen J; Fallin, Amanda T; Ricks, Janelle; Wagner, Kristian K
RE: In office today
I'm working at home til II , meeting a student, then going to Frankfort for I pm mtg, then back home to work.
Available by cell.
Carol
-----Original Message-----
From: Monica Warren [mailto:monni24@gmail.com]
Sent: Tuesday, May 03, 2011 8:37 AM
To: Hahn, EllenJ; Fallin, Amanda T; Ricks, Janelle; Wagner, Kristian K; Riker, Carol A
Subject: In office today
Ohio pushed the meeting to tomorrow so I will be in the office in a bit.
Thanks,
Monica
1
Spagnuolo. Amy R
From: Hahn, Ellen J
Sent: Monday, May 02, 2011 3:33 PM
To:
Subject:
Begley, Kathy; Riker, Carol A; Johnson, John D
RE: Web Updates MORE
Right. No date changes for Glasgow or Bardstown.
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
COLLEGE OF NURSING
OU r Goal iH 10 Hid!IJ You
From: Begley, Kathy
Sent: Monday, May 02, 2011 10:07 AM
To: Riker, Carol A; Johnson, John D; Hahn, Elien J
Subject: RE: Web Updates MORE
Okay, thanks for the clarification.
Kathy Begley
Find kysmokejree on
andlj
From: Riker, Carol A
Sent: Monday, May 02, 2011 10:05 AM
To: Begley, Kathy; Johnson, John D; Hahn, Elien J
Subject: RE: Web Updates MORE
I don't think so as they were passed with ecigs already included (those weren't amendments as Madison was).
1
Thanks,
Carol
From: Begley, Kathy
Sent: Monday, May 02, 2011 9:38 AM
To: Johnson, John D; Hahn, Ellen J
Cc: Riker, Carol A
Subject: RE: Web Updates MORE
One other question ... are the dates in the history changing for Glasgow and Bardstown?
Kathy Begley
From: Johnson, John D
Sent: Monday, May 02, 2011 9:37 AM
To: Begley, Kathy; Hahn, Ellen J
Cc: Riker, Carol A
Subject: RE: Web Updates MORE
I can get a signed copy unless someone else already has.
John
From: Begley, Kathy
Sent: Monday, May 02, 2011 9:36 AM
To: Hahn, Ellen J
Cc: Johnson, John D; Riker, carol A
Subject: RE: Web Updates MORE
Importance: High
I have updated the Madison County ordinance summary and added "E-cigarettes included" to Glasgow and Bardstown
and fixed the typo. Is there an amended orci ina n<;e to post along with these updates?
Kathy Begley
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From: Hahn, Ellen J
Sent: Sunday, May 01, 201110:13 AM
To: Begley, Kathy
Cc: Johnson, John D; Riker, Carol A
Subject: Web Updates MORE
Hi, Kathy,
2
Can you please update the Madison County ordinance summary tomorrow when you do the others. See attached. Also
notice Carol's comments below. Can you please add the 'E-cigarettes included' phrase to Glasgow and Bardstown's
summaries. Also, fix the Glasgow typo (see below).
Thanksl
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on
and I]
COLLEGE OF NURSING
Our Go"mlls 10 f"181p ,XW2>
From: Riker, Carol A
Sent: Monday, April 25, 2011 4:44 PM
To: Hahn, Ellen J; Marijanovic, Nina; Kercsmar, Sarah; Johnson, John D
Subject: RE: Madison blurb for website
Hi all,
There were a couple things in the first paragraph that I didn't know what to do with, so I worked them into the narrative.
I just left the e-cigarette comment stand alone as I didn't see a model on the Glasgow or Bardstown ordinance blurbs.
Would we go back and add the statement about e-cig to those?
Hope this is helpful.
Carol
PS ..... __ ,_"'., ., ,,' .. ,. __ __ . __
From: Hahn, Ellen J
Sent: Monday, April 25, 2011 7:09 AM
To: Marijanovic, Nina; Kercsmar, Sarah; Johnson, John D
Cc: Riker, Carol A
Subject: Madison blurb for website
Nina,
3
I am focusing just on Madison at this time (Kenton is already posted and Bullitt won't be posted until implementation in
Sept). Since we already have Madison on the web, I would like to finalize this so Kathy can update with the May 1 web
updates. Carol, can you please take a look and make any changes based on your reading ofthe ordinance?
Here is the current blurb:
http://www.mc.uky.edu/tobaccopolicv/Ordinances/Reports/Madison.html
I tried to make the revisions in the wording to be consistent with Lex and Lou when they revised.
Thanks,
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
,859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
,"1
""'ii'" '(-(j'
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COLLEGE OF NURSING
Our G()ill is 11 Holp Yo'u '\"tJ!Jft;;
From: Marijanovic, Nina
Sent: Wednesday, April 13, 2011 4:19 PM
To: Kercsmar, Sarah; Hahn, Ellen J; Johnson, John D
Afternoon Update 4/13
Afternoon-
Updated Ordinance write-ups for inspection. Working on Bowling Green ordinance write-up.
Newsletter for April in fine shape.
When should we start using 2011 Census population count in our calculations for %Smoke-free ?
Met with Kathy and talked over the update procedure. Plan set in place.
VFW 1-pager in process of revision.
Nina
4
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent: Monday, May 02, 2011 3:26 PM
To:
Subject:
Riker, Carol A; Wagner, Kristian K; Ricks, Janelle; Fallin, Amanda T; Mundy, Monica E
RE: e-cigarette informational email
Thanks to everyone for getting this sent out this week if possible. Feel free to tailor the message to your community ...
Thanks, Carol!!
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
~
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From: Riker, Carol A
Sent: Monday, May 02, 2011 10:36 AM
To: Wagner, Kristian K; Ricks, Janelle; Fallin, Amanda T; Mundy, Monica E
Cc: Hahn, Ellen J
Subject: e-cigarette informational email
Hi everyone,
I didn't quite make April, but attached in a word doc is the info email on e-cigs so you can copy and paste it into your
email. Please attach the OP ED we have out to the Herald-Leader and the e-cig one pager. (The one-pager could use a
few updates, but Ellen said it's OK to use. The updates are included in the info email and OP-ED.)
Thanks,
Carol
Carol Riker, RN, MSN
Associate Professor
Provost's Distinguished Service Professor
1
Community Advisor, Rural Smoke-free Communities
Faculty Associate, Kentucky Center for Smoke-free Policy
555 College of Nursing
University of Kentucky
751 Rose Street
Lexington, KY 40536-0232
Cell: 859-619-3776
Office Phone: 859-323-6615
Fax: 859-323-1057
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmoke/ree on and
2
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent: Monday, May 02, 2011 9:22 AM
To:
Cc:
Johnson, John D; Kercsmar, Sarah; Riker, Carol A; Mundy, Monica E
Record, Rachael A
Subject: RE: Google Alert - kentucky smoke-free
The housing issue below if of interest. Seattle/King? Where is that? Is it Hancock in KY?
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu

_1,..i\*y Find kysmokejree on and
COllEGE OF NURSING
Our Gooll" \() HBlp Yw
From: Johnson,John D
Sent: Monday, May 02, 2011 9:20 AM
To: Kercsmar, Sarah; Hahn, Ellen J; Riker, Carol A; Mundy, Monica E
Cc: Record, Rachael A
Subject: FW: Google-Alert-- kentucky smoke-free
Smoke-free movement in Hancock and Seattle/King County ...
From: Google Alerts [mailto:googlealerts-noreply@google.coml
Sent: Friday, April 29, 20111:35 PM
To: Johnson, John D
Subject: Google Alert - kentucky smoke-free
Web
Hancock students push for smoke free school events - News ...
3 new results for kentucky smoke-free
They are pushing a new policy to include smoke-free grounds during ... The service also includes a weekly link to the texts of all
Kentucky stories ...
1
www.ksba.org/ ... lhaneoek-stndents-pnsh-for-smoke-free-seho ...
Affordable Housing Providers Join Smoke-Free Trend - WAVE 3 News ...
WAVE 3 News - Louisville, KentnckyAffordable Housing Providers Join Smoke-Free Trend. Member Center: Create Account
Log In; Manage Account Log Out ...
. . .
Affordable Housing Providers Join Smoke-Free Trend - FOX41.com ...
FOX41.com Louisville News Kentucky Indiana News Weather SportsAffordable Housing Providers Join Smoke-Free Trend.
Member Center: ...
www.fox41.com/ .. Jafford.ble-housing -providers .. join-smoke-...
Tip: Use a plus sign (+) to match a term in your query exactly as is. Learn more.
Remove this alert.
Create another alert.
Manage your alerts.
2
Spagnuolo, Amy R
From:
Sent:
To:
Riker, Carol A
Monday, May 02, 2011 9:07 AM
Hahn, Ellen J
Subject: RE: Media Outcomes from a Rural Smoke-free Communities Trial manuscript
Wow!
From: Hahn, Ellen J
Sent: Sunday, May 01, 2011 8:21 PM
To: Riker, Carol A
Subject: RE: Media Outcomes from a Rural Smoke-free Communities Trial manuscript
Our next president knows something about tobacco control!!
http://www.nber.org/papers/w6486.pdf
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmoke/ree on
andlJ
COLLEGE OF NURSING
OUf Gool IS to HoJrJ You 'fburs
From: Riker, Carol A
Sent: Sunday, May 01, 2011 6:46 PM
To: Richardson, Patrick M; Kolpek, Jeslyn K
Cc: Hahn, Ellen J; York, Nancy; Wagner, Kristian K
Subject: FW: Media Outcomes from a Rural Smoke-free Communities Trial manuscript
Hi Patrick and Jeslyn,
After your finals, take a look at this "shell' of the manuscript we'll be developing for submission to the Journal of Rural
Health and start thinking about how you might contribute in some small way. I know this is all brand new, Jeslyn, so just
skim over it and get a general idea where we're going for now.
1
Elien. will anything about entering into Atlas.ti be including near the section on coding? I was thinking of Patrickifthere
is any discussion on that, or perhaps making some graphs of the data/data analysis?
Thanks, all!
Carol
From: Hahn, Ellen J
Sent: Friday, April 29, 2011 12:26 PM
To: Riker, Carol A
Subject: FW: Media Outcomes from a Rural Smoke-free Communities Trial manuscript
See my last email.
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
. ~ S p
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COLLEGE OF NURSING
OU r GCK11 is to Help YOt! 1 R 8 ~ 1 ill) i'ours
From: York, Dr. Nancy Lizabeth [mailto:nyork@bellarmine.edu]
Sent: Friday, April 29, 201112:10 PM
To: Wagner, Kristian K; Kostygina, Ganna Y
Cc: Rayens, Mary Kay; Hahn, Ellen J
Subject: RE: Media Outcomes from a Rural Smoke-free Communities Trial manuscript
Kristian and Ganna,
It looks like it will be us - plus MK & Ellen - working on this paper.
Attached is the revised shell - plus the journal we are submitting to. Let me know which parts of the paper you
are willing to work on. Kristian - I really need you to draft the methods section if possible - I know absolutely
nothing about whatlwhen/where/why/how. Hopefully MK will add data analyses to the methods section and will
do the results section.
2
Let me know!
Nancy
Nancy York, PhD, RN, CNE
Assistant Professor
Bellarmine University
Lansing School of Nursing & Health Sciences
2001 Newburg Road - Miles Hall 201
nyork@bellarmine.edu
1-502-272-8639
From: Wagner, Kristian K [mailto:kkwagn3@uky.edu]
Sent: Thursday, March 17, 2011 3:06 PM
To: York, Nancy
Subject: RE: Media Outcomes from a Rural Smoke-free Communities Trial manuscript
Hi Nancv,
I am happy to help where I can! When do you hope to discuss?
I hope you are enjoying being in KY!!
Thanks,
Kristian
Kristian Wagner, MS, RD, LD
Health Policy Director
Kentucky Cancer Consortium
Technical Assistance Coordinator
Kentucky Center for Smoke-free Policy
2365 Harrodsburg Rd. Suite B100
Lexington, KY 40504
(859) 219-0772 x244
Kristian.Wagner@uky.edu
www.kcsp.uky.edu
~
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3
Communities:
Good for People, Good for Business
From: York, Dr. Nancy Lizabeth [mailto:nyork@bellarmine.eduj
Sent: Thursday, March 17, 2011 9:33 AM
To: Riker, Carol A; Rayens, Mary Kay; erinmarielee@insightbb.com; Kostygina, Ganna Y; Lee, Erin M; Wagner, Kristian K
Cc: Hahn, Ellen J
Subject: Media Outcomes from a Rural Smoke-free Communities Trial manuscript
Ellen and I are working on this manuscript - and she has suggested all of you as potential co-authors.
Please let me know if you are (or are not) interested ASAP. After we know who will be working on this - we
will divide up the work appropriately.
I have attached a brief shell for your review. Suggestions are welcome.
Thanks!
Nancy
Nancy York, PhD, RN, CNE
Assistant Professor
Bellarmine University
Lansing School of Nursing & Health Sciences
2001 Newburg Road - Miles Hall 201
nyork@bellarmine.edu
1-502-272-8639
4
Spagnuolo, Amy R
From: Riker, Carol A
Sent: Monday, May 02, 2011 8:47 AM
To:
Subject:
Rayens, Mary Kay; Hahn, Ellen J; Record, Rachael A
RE: Statistics Question
Follow Up Flag:
Flag Status:
Follow up
Flagged
So then we're back to figuring out what we want the one-pager to look like. Will we illustrate the one-year decline and
leave it at that?
Thanks,
Carol
From: Rayens, Mary Kay
Sent: Monday, May 02, 2011 6:22 AM
To: Hahn, Ellen J; Riker, Carol A; Record, Rachael A
Subject: RE: Statistics Question
I would just report the percent decline per year and leave it at that. Otherwise, it looks like after some number of years
the percent decline exceeds 100, and I know that cannot be the case. In other words, there has to be a time that the
percent decline is less than 15%, so I would say that the estimate is that there is at least a decline of 15% per year and
leave it at that ... Let me know if I've misunderstood something that either of you have below ... MKR
From: Hahn, Ellen J
Sent: Sunday, May 01, 2011 9:42 AM
To: Riker, carol A; Rayens, Mary Kay; Record, Rachael A
Subject: RE: Statistics Question
Carol et aI.,
The Lightwood paper is one study. The Meyers article is a meta-analysis which reviewed multiple heart attack studies.
They later did an erratum, meaning they reanalyzed the meta analysis data. I think we should use the 15% per year
since it is based on multiple study estimates (vs. the Lightwood estimate based on one study). I know we cite Lightwood
in several places (slides and one pagers) and it is still a correct citation for that one study. Going forward, though, I am
suggesting we use the 15% per year estimate when projecting heart attack 'savings' over time with smoke-free laws.
Let's remember please to talk about this at CA meeting so everyone hears the same thing (Rachael, can you please
remind me?).
Your calculations look right below (MK, chime in). I don't think we have to report the number saved after 3 years
necessarily (that is what Lightwood did). But we certainly can. Or we could choose a longer time (5 years?).
The only thing that would need to be revised on the county level sheets (like the Franklin one attached) along with the
2007 updates is the Lightwood citation and the wording of that bullet.
Based on this slight change, we could revise the Bullitt one; just need to decide the longer time interval. What do you
think? Should we show the first year and the 3-year or 4- or 5-year decline? What will have most punch?
Thanks,
Ellen
1
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentllcky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
.,
Find kysmokefree on and
COLLEGE OF NURSING
Om GOHlls !o HBip You !Rulli flO Yours
From: Riker, Carol A
Sent: Thursday, April 28, 2011 10:03 AM
To: Rayens, Mary Kay; Hahn, Ellen J; Record, Rachael A
Subject: RE: Statistics Question
Thanks Mary Kay and Ellen,
So was it later reported that there were not "exponential declines" as stated in Lightwood??
It looks like the two references from the manuscript are from the same author (Meyers) and the second one is a
correction related to the first. Here is your statement from the point at which they are cited:
This 23% decline in AMls is slightly higher than the estimate from one meta-analysis that reported a decline of 15% for
each year after implementation.(26, 39)
In the case of Bullitt County would the calculations look like this (or am I misinterpreting):
185 - 15% (28) = 157 (first year)
157 - 15% (24) = 133 (second year)
133 -15% (20) = 113 (third year)
That would be 72 fewer deaths by the third year, for 39%?77
This is so not my thing, so I'm going to stop trying to figure it out! I just hope my question makes sense at this point@ It
isn't urgent except that I would like to revise the statement under PH Solutions in the Leading Causes of Death one-
2
pagers we're developing as we're going to use it in Frankfort soon. I'll attach the latest that Erin just did. (BTW she got
2007 stats from the Cabinet and could update the three or four we've developed so far, so it's a good time to figure this
out!)
Thanks, everyone, and thanks for your patience, Rachael.
carol
From: Rayens, Mary Kay
Sent: Thursday, April 28, 2011 8:21 AM
To: Hahn, Ellen Ji Riker, Carol Ai Record, Rachael A
Subject: RE: Statistics Question
I didn't remember that this was the paper that had the correction ... So you would just need to get rid of the second bar
and talk about the 15% reduction per year ... I agree it is best to be conservative in this one-pager, and it will probably be
easier for lay people to absorb if it is just one percent decrease anyway ... MKR
From: Hahn, Ellen J
Sent: Thursday, April 28, 2011 7:43 AM
To: Riker, carol Ai Rayens, Mary KaYi Record, Rachael A
Subject: RE: Statistics Question
Importance: High
MK and others,
I am thinking we had to change our estimates for heart attack reductions based on later work (MK, we had to do this for
the recent heart attack paper accepted in Public Health Reports due to a later erratum-I think the estimate is 15% per
year without the 36% over 3 year estimate .... ). I am attaching the paper that is in press ... see our Discussion and citations
(26 and 39). I think these cites are more recent than Lightwood (although all in 2009), and we really need to make this
more conservative change. MK, can you weigh in again?
Thanks,
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, I(Y 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
3
~ - ~
~
_,{tNl'<IIl<y Find kysmokefree on .and(j
COLLEGE OF NURSING
OU r Goal 18 k) Help Y(AI s'loJI izil Yours,
From: Riker, Carol A
Sent: Wednesday, April 27, 2011 4:53 PM
To: Rayens, Mary Kay; Record, Rachael A
Cc: Hahn, Ellen J
Subject: RE: Statistics Question
Oh good, because I kept thinking it meant (for Bullitt) 28 deaths would be prevented the first year, X prevented in year
two, and 67 in year three and that the three would be added together to get the number that was prevented over 3
years. Sorry to create questions as I figured you all had thought this through for the initial NKY one-pager, but I never
truly understood it.
Rachael will clean this up a bit more and then put on Sharepoint; OK Rachael?
This will be powerful data and now that Bullitt has passed their regulation, Franklin & Bourbon would be a priority for
me now (and I'm sure others, like Ohio?)
Thanks everyone.
Carol
From: Rayens, Mary Kay
Sent: Wednesday, April 27, 2011 2:42 PM
To: Record, Rachael A
Cc: Riker, Carol A; Hahn, Ellen J
Subject: RE: Statistics Question
This is a great one-pager, and I agree with the interpretation (15% decrease after one year and 36% decrease after 3,
based on the citation). Also, your numbers are correct for corresponding decreases in the number of cases in Bullitt.
MKR
From: Record, Rachael A
Sent: Wednesday, April 27, 201110:10 AM
To: Rayens, Mary Kay
Cc: Riker, Carol A; Hahn, Ellen J
Subject: Statistics Question
Hi Mary Kay,
Carol and I are working on updating some one-pagers about the decrease in heart attacks after a smoke-free law is
passed. The attached PDF is the article that we are basing our percent reduction on. The information is in first paragraph
of the discussion on page 1377. Would you mind checking the attached word document (Bullitt County) to make sure
that I interpreted the calculations correctly (based on the article) in the first two bullets and in the chart.
4
Rachael
Rachael A. Record
University of Kentucky
M.A. Candidate
College of Communications & Information Studies
Research Assistant
College of Nursing
rachael.record@uky.edu
Find kysmokefree on and
5
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent: Monday, May 02, 2011 7:58 AM
To:
Subject:
Rayens, Mary Kay; Riker, Carol A; Record, Rachael A
RE: Statistics Question
MK,
So we typically estimate the actual numbers of heart attacl\ saved by county. Are we safe in estimating the number of
heart attack savings in one year post-law, and leave it at that? Or can we go out to 3 year, as we typically do?
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.eclu
Find kysmokefree on and
From: Rayens, Mary Kay
Sent: Monday, May 02, 2011 6:22 AM
To: Hahn, Ellen J; Riker, Carol A; Record, Rachael A
Subject: RE: Statistics Question
I would just report the percent decline per year and leave it at that. otherwise, it looks like after some number of years
the percent decline exceeds 100, and I know that cannot be the case. In other words, there has to be a time that the
percent decline is less than 15%, so I would say that the estimate is that there is at least a decline of 15% per year and
leave it at that... Let me know if I've misunderstood something that either of you have below ... MKR
From: Hahn, Ellen J
Sent: Sunday, May 01, 2011 9:42 AM
To: Riker, Carol A; Rayens, Mary Kay; Record, Rachael A
Subject: RE: Statistics Question
Carol et aI.,
1
The Lightwood paper is one study. The Meyers article is a meta-analysis which reviewed multiple heart attack studies.
They later did an erratum, meaning they reanalyzed the meta analysis data. I think we should use the 15% per year
since it is based on multiple study estimates (vs. the Lightwood estimate based on one study). I know we cite Lightwood
in several places (slides and one pagers) and it is still a correct citation for that one study. Going forward, though, I am
suggesting we use the 15% per year estimate when projecting heart attack 'savings' over time with smoke-free laws.
Let's remember please to talk about this at CA meeting so everyone hears the same thing (Rachael, can you please
remind me?).
Your calculations look right below (MK, chime in). I don't think we have to report the number saved after 3 years
necessarily (that is what Lightwood did). But we certainly can. Or we could choose a longer time (5 years?).
The only thing that would need to be revised on the county level sheets (like the Franklin one attached) along with the
2007 updates is the Lightwood citation and the wording of that bullet.
Based on this slight change, we could revise the Bullitt one; just need to decide the longer time interval. What do you
think? Should we show the first year and the 3-year or 4- or 5-year decline? What will have most punch?
Thanks,
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
ftasp
~ .... """, Find kysmokefree on and
COLLEGE OF NURSING
Our Goal is!o Ht,lp You iRo8lim \bUfS
From: Riker, Carol A
Sent: Thursday, April 28, 2011 10:03 AM
To: Rayens, Mary Kay; Hahn, Ellen J; Record, Rachael A
Subject: RE: Statistics Question
Thanks Mary Kay and Ellen,
So was it later reported that there were not "exponential declines" as stated in Lightwood??
2
It looks like the two references from the manuscript are from the same author (Meyers) and the second one is a
correction related to the first. Here is your statement from the point at which they are cited:
This 23% decline in AM Is is slightly higher than the estimate from one meta-analysis that reported a decline of 15% for
each year after implementation.(26, 39)
In the case of Bullitt County would the calculations look like this (or am I misinterpreting):
185 -15% (28) = 157 (first year)
157 -15% (24) = 133 (second year)
133 -15% (20) = 113 (third year)
That would be 72 fewer deaths by the third year, for 39%77?
This is so not my thing, so I'm going to stop trying to figure it out! I just hope my question makes sense at this point@ It
isn't urgent except that I would like to revise the statement under PH Solutions in the Leading Causes of Death one-
pagers we're developing as we're going to use it in Frankfort soon. I'll attach the latest that Erin just did. (BTW she got
2007 stats from the Cabinet and could update the three or four we've developed so far, so it's a good time to figure this
outl)
Thanks, everyone, and thanks for your patience, Rachael.
carol
From: Rayens, Mary Kay
Sent: Thursday, April 28, 2011 8:21 AM
To: Hahn, Ellen J; Riker, Carol A; Record, Rachael A
Subject: RE: Statistics Question
I didn't remember that this was the paper that had the correction ... So you would just need to get rid of the second bar
and talk about the 15% reduction per year ... I agree it is best to be conservative in this one-pager, and it will probably be
easier for lay people to absorb if it is just one percent decrease anyway ... MKR
From: Hahn, Ellen J
Sent: Thursday, April 28, 2011 7:43 AM
To: Riker, Carol A; Rayens, Mary Kay; Record, Rachael A
Subject: RE: Statistics Question
Importance: High
MK and others,
I am thinking we had to change our estimates for heart attack reductions based on later work (MK, we had to do this for
the recent heart attack paper accepted in Public Health Reports due to a later erratum-I think the estimate is 15% per
year without the 36% over 3 year estimate .... ). I am attaching the paper that is in press ... see our Discussion and citations
(26 and 39). I think these cites are more recent than Lightwood (although all in 2009), and we really need to make this
more conservative change. MK, can you weigh in again?
3
Thanks,
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
lfi;p
_"'l\lIi<y Find kysmoke/ree on and
". COLLEGE OF NURSING
I ~
OU r Gc:alls !o HB!p You neal!ze )'bum
From: Riker, Carol A
Sent: Wednesday, April 27, 2011 4:53 PM
To: Rayens, Mary Kay; Record, Rachael A
Cc: Hahn, Ellen J
Subject: RE: Statistics Question
Oh good, because I kept thinking it meant (for Bullitt) 28 deaths would be prevented the first year, X prevented in year
two, and 67 in year three and that the three would be added together to get the number that was prevented over 3
years. Sorry to create questions as I figured you all had thought this through for the initial NKY one-pager, but I never
truly understood it.
Rachael will clean this up a bit more and then put on Share point; OK Rachael?
This will be powerful data and now that Bullitt has passed their regulation, Franklin & Bourbon would be a priority for
me now (and I'm sure others, like Ohio?)
Thanks everyone.
Carol
From: Rayens, Mary Kay
Sent: Wednesday, April 27, 2011 2:42 PM
To: Record, Rachael A
Cc: Riker, Carol A; Hahn, Ellen J
Subject: RE: Statistics Question
4
This is a great one-pager, and I agree with the interpretation (15% decrease after one year and 36% decrease after 3,
based onthe citation). Also, your numbers are correct for corresponding decreases in the number of cases in Bullitt.
MKR
From: Record, Rachael A
Sent: Wednesday, April 27, 2011 10:10 AM
To: Rayens, Mary Kay
Cc: Riker, Carol A; Hahn, Ellen J
Subject: Statistics Question
Hi Mary Kay,
Carol and I are working on updating some one-pagers about the decrease in heart attacks after a smoke-free law is
passed. The attached PDF is the article that we are basing our percent reduction on. The information is in first paragraph
of the discussion on page 1377. Would you mind checking the attached word document (Bullitt County) to make sure
that I interpreted the calculations correctly (based on the article) in the first two bullets and in the chart.
Rachael
Rachael A. Record
University of Kentucky
M.A. Candidate
College of Communications & Information Studies
Research Assistant
College of Nursing
rachael.record@uky.edu
lisP
_111'$<1 Find kysmoke/ree on and
5
Spagnuolo. Amy R
From:
Sent:
To:
Subject:
Hahn, Ellen J
Sunday, May 01, 2011 8:21 PM
Riker, Carol A
RE: UK President
Our next president knows something about tobacco control!!
http:Uwww.nber.org[papers[w6486.pdf
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu[tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on . and
COLLEGE OF NURSING
OUf Gu.ul!g tc H\'J1p YOtJ rRoal;:t:1j ';"bUff.)'
From: Riker, Carol A
Sent: Sunday, May 01, 2011 6:46 PM
To: Richardson, Patrick M; Kolpek, Jeslyn K
Cc: Hahn, Ellen J; York, Nancy; Wagner, Kristian K
Subject: FW: Media Outcomes from a Rural Smoke-free Communities Trial manuscript
Hi Patrick and Jeslyn,
After your finals, tal<e a look at this "shell' of the manuscript we'll be developing for submission to the Journal of Rural
Health a'nd start thinking about how you might contribute in some small way. I know this is all brand new, Jeslyn, so just
skim over it and get a general idea where we're going for now.
Ellen, will anything about entering into Atlas.ti be including near the section on coding? I was thinking of Patrick if there
is any discussion on that, or perhaps making some graphs of the data/data analysis?
Thanks, alii
Carol
1
From: Hahn, Ellen J
Sent: Friday, April 29, 201112:26 PM
To: Riker, carol A
Subject: FW: Media Outcomes from a Rural Smoke-free Communities Trial manuscript
See my last email.
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
COLLEGE Of NURSING
OUf G ( . ~ ~ ! IS to }+::llP Yi".hl T\8ttliZG \'ours
From: York, Dr. Nancy Lizabeth [mailto:nyork@bellarmine.edu]
Sent: Friday, April 29, 201112:10 PM
To: Wagner, Kristian K; Kostygina, Ganna Y
Cc: Rayens, Mary Kay; Hahn, Ellen J
Subject: RE: Media Outcomes from a Rural Smoke-free Communities Trial manuscript
Kristian and Ganna,
It looks like it will be us - plus MK & Ellen - working on this paper.
Attached is the revised shell - plus the journal we are submitting to. Let me know which parts of the paper you
are willing to work on. Kristian - I really need you to draft the methods section if possible - I know absolutely
nothing about what/when/where/why/how. Hopefully MK will add data analyses to the methods section and will
do the results section.
Let me know!
Nancy
Nancy York, PhD, RN, CNE
Assistant Professor
2
Beliannine University
Lansing School of Nursing & Health Sciences
2001 Newburg Road - Miles Hall 201
nyork@bellarmine.edu
1-502-272-8639
From: Wagner, Kristian K [mailto:kkwagn3@uky.edu]
Sent: Thursday, March 17, 2011 3:06 PM
To: York, Nancy
Subject: RE: Media Outcomes from a Rural Smoke-free Communities Trial manuscript
Hi Nancy,
I am happy to help where I can! When do you hope to discuss?
I hope you are enjoying being in KY!!
Thanks,
Kristian
Kristian Wagner, MS, RD, LD
Health Policy Director
Kentucky Cancer Consortium
Technical Assistance Coordinator
Kentucky Center for Smoke-free Policy
2365 Harrodsburg Rd. Suite 8100
Lexington, KY 40504
(859) 219-0772 x244
Kristian.Wagner@uky.edu
www.kcsp.uky.edu
Find Icysmolcefree on
Smoke-free Communities:
Good for People, Good for Business
a n ~ r j
3
From: York, Dr. Nancy Lizabeth [mailto:nyork@bellarmine.edu]
Sent: Thursday, March 17, 2011 9:33 AM
To: Riker, Carol A; Rayens, Mary KaYi erinmarielee@insightbb.comi Kostygina, Ganna Yi Lee, Erin Mi Wagner, Kristian K
Cc: Hahn, Ellen J
Subject: Media Outcomes from a Rural Smoke-free Communities Trial manuscript
Ellen and I are working on this manuscript - and she has suggested all of you as potential co-authors.
Please let me know if you are (or are not) interested ASAP. After we know,who will be working on this - we
will divide up the work appropriately.
I have attached a brief shell for your review. Suggestions are welcome.
Thanks!
Nancy
Nancy York, PhD, RN, CNE
Assistant Professor
Bellarmine University
Lansing School of Nursing & Health Sciences
2001 Newburg Road - Miles Hall 201
nyork@bellarmine.edu
1-502-272-8639
4
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent: Sunday, May01, 20117:00 PM
To:
Cc:
Riker, Carol A; Richardson, Patrick M; Kolpek, Jeslyn K
York, Nancy; Wagner, Kristian K
Subject: RE: Media Outcomes from a Rural Smoke-free Communities Trial manuscript
We need the Methods section written; I think Nancy asked Kristian to coordinate that. Patrick, you could write up the
procedures you are using to enter data. That would be great! Yes, creating graphs and charts of the data will be helpful
but we won't need that until we have all the data entered (2007 through March 2011).
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu(tobaccopolicy
www.kcsp.uky.edu
Find kysmoke/ree on and
COllEGE OF NURSING
OUf Goolls lo Help Yo" i10tlJiZ9 \tum
From: Riker, Carol A
Sent: Sunday, May 01, 2011 6:46 PM
To: Richardson, Patrick M; Kolpek, Jeslyn K
Cc: Hahn, Ellen J; York, Nancy; Wagner, Kristian K
Subject: FW: Media Outcomes from a Rural Smoke-free Communities Trial manuscript
Hi Patrick and Jeslyn,
After your finals, take a look at this "shell' of the manuscript we'll be developing for submission to the Journal of Rural
Health and start thinking about how you might contribute in some small way. I know this is all brand new, Jeslyn, so just
skim over it and get a general idea where we're going for now.
Ellen, will anything about entering into Atlas.ti be including near the section on coding? I was thinking of Patrick if there
is any discussion on that, or perhaps making some graphs of the data/data analysis?
Thanks, all!
1
Carol
From: Hahn, Ellen J
Sent: Friday, April 29, 201112:26 PM
To: Riker, Carol A
Subject: FW: Media Outcomes from a Rural Smoke-free Communities Trial manuscript
See my last email.
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.ukv.edu
www.mc.ukv.edu/tobaccopolicy
www.kcsp.uky.edu
lisP
_, ... 1'01<, Find kysmokefree on and
COLLEGE OF NURSING
Our Goolls io Holp You Roalize 'it)U([;
From: York, Dr. Nancy Lizabeth [mailto:nyork@bellarmine.edu]
Sent: Friday, April 29, 201112:10 PM
To: Wagner, Kristian K; Kostygina, Ganna Y
Cc: Rayens, Mary Kay; Hahn, Ellen J
Subject: RE: Media Outcomes from a Rural Smoke-free Communities Trial manuscript
Kristian and Ganna,
It looks like it will be us - plus MK & Ellen - working on this paper.
Attached is the revised shell - plus the journal we are submitting to. Let me know which parts of the paper you
are willing to work on. Kristian - I really need you to draft the methods section if possible - I know absolutely
nothing about what/when/where/why/how. Hopefully MK will add data analyses to the methods section and will
do the results section.
Let me know!
Nancy
Nancy York, PhD, RN, CNE
2
Assistant Professor
Bellarmine University
Lansing School of Nursing & Health Sciences
2001 Newburg Road - Miles Hall 201
nyork@bellarmine.edu
1-502-272-8639
From: Wagner, Kristian K [mailto:kkwagn3@uky.edu]
Sent: Thursday, March 17, 2011 3:06 PM
To: York, Nancy
Subject: RE: Media Outcomes from a Rural Smoke-free Communities Trial manuscript
Hi Nancy,
I am happy to help where I can! When do you hope to discuss?
I hope you are enjoying being in KY!!
Thanks,
Kristian
Kristian Wagner, MS, RD, LD
Health Policy Director
Kentucky Cancer Consortium
Technical Assistance Coordinator
Kentucky Center for Smoke-free Policy
2365 Harrodsburg Rd. Suite B100
Lexington, KY 40504
(859) 219-0772 x244
Kristian.Wagner@uky.edu
www.kcsp.uky.edu
~ s p
_,.(tl'<M<" Find kysmoke/ree on and
Smoke-tree Communities:
Good tor People, Good tor Business
3
From: York, Dr. Nancy Lizabeth [mailto:nyork@bellarmine.edu]
Sent: Thursday, March 17, 2011 9:33 AM
To: Riker, Carol A; Rayens, Mary Kay; erinmarielee@insightbb.com; Kostygina, Ganna Y; Lee, Erin M; Wagner, Kristian K
Cc: Hahn, Ellen J
Subject: Media Outcomes from a Rural Smoke-free Communities Trial manuscript
Ellen and I are working on this manuscript - and she has suggested all of you as potential co-authors.
Please let me know if you are (or are not) interested ASAP. After we know who will be working on this - we
will divide up the work appropriately.
I have attached a brief shell for your review. Suggestions are welcome.
Thanks!
Nancy
Nancy York, PhD, RN, CNE
Assistant Professor
Bellarmine University
Lansing School of Nursing & Health Sciences
2001 Newburg Road - Miles Hall 201
nyork@bellarmine.edu
1-502-272-8639
4
Spagnuolo, Amy R
From:
Sent:
To:
Subject:
Hahn, Ellen J
Sunday, May 01, 2011 6:08 PM
Riker, Carol A
RE: ecig info email draft
He is a dentist with an MPH from UAB
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
f:rsp
Find kysmokefree on and
COLLEGE OF NURSING
OU r GC1<fll is if) HBlp You zo 'rbun};
From: Riker, Carol A
Sent: Sunday, May 01, 2011 6:07 PM
To: Hahn, Ellen J
Subject: RE: ecig info email draft
Haven't let myself look at it; I'm going to start back on papers now!
From: Hahn, Ellen J
Sent: Sunday, May 01, 2011 6:06 PM
To: Riker, Carol A
Subject: RE: ecig info email draft
OK. What do you think of the pick for UK Pres?
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
1
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu

_-t",1\II!cf Find kysmokefree on and
COLLEGE OF NURSING
Our Goal is iO Holp You r.8JIil:e VOUfti;
From: Riker, Carol A
Sent: Sunday, May 01, 2011 5:53 PM
To: Hahn, Ellen J
Subject: RE: ecig info email draft
I took a look at the one-pager and the updates will take more time than I have right now, although I would love to get
everything in sync. The newer info is covered in the email.soit should be OK for now.
Carol
From: Hahn, Ellen J
Sent: Sunday, May 01, 2011 9:30 AM
To: Riker, Carol A
Subject: RE: ecig info email draft
See my changes. You are welcome to attach our Op-Ed, depending on when this actually goes out. Would be better to
attach the link when it is actually published, but I don't want to wait for that. What is the deadline for this?
If you want to tweak our one-pager, that would be fine to attach to this as well. But, again, it is fine for now if we need
to get this out.
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicv
2
www.kcsp.uky.edu
.;P
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COLLEGE OF NURSING
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From: Riker, Carol A
Sent: Sunday, May 01, 2011 8:47 AM
To: Hahn, Ellen J
Subject: ecig info email draft
See what you think and change anything (or suggest changes & I'll do them).
Are we sending your op-ed or anything else with the email (I've kinda lost track). I'd still like to update the one-pager a
bit.
Thanks,
Carol
Carol Riker, RN, MSN
Associate Professor
Provost's Distinguished Service Professor
Community Advisor, Rural Smoke-free Communities
Faculty Associate, Kentucky Center for Smoke-free Policy
555 College of Nursing
University of Kentucky
751 Rose Street
lexington, KY 40536-0232
Cell: 859-619-3776
Office Phone: 859-323-6615
Fax: 859-323-1057
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on and
3
Spagnuolo, Amy R
From:
Sent:
To:
Subject:
Hahn, Ellen J
Sunday, May 01, 2011 5:20 PM
Riker, Carol A
RE: ecig info email draft
Attachments: E-cig info email for R01 FINAL.doc
I caught a few things and added a few sentences to wrap it up
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
~
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COLLEGE OF NURSING
Our Gool i ~ 10 !-jilip '(Otl R011lit:0 YQuri'
From: Riker, Carol A
Sent: Sunday, May 01, 2011 4:42 PM
To: Hahn, Ellen J
Subject: RE: ecig info email draft
Thanks for the help with this; attached for a final check if you'd like. It's supposed to go out in April !
Carol
From: Hahn, Ellen J
Sent: Sunday, May 01, 2011 9:30 AM
To: Riker, Carol A
Subject: RE: ecig info email draft
See my changes. You are welcome to attach our Op-Ed, depending on when this actua lIy goes out. Would be better to
attach the link when it is actually published, but I don't want to wait for that. What is the deadline for this?
If you want to tweak our one-pager, that would be fine to attach to this as well. But, again, it is fine for now if we need
to get this out.
1
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
ltsP
> - { " " . ~ Find kysmokefree on and
COLLEGE OF NURSING
OU r Goal is 10 Help You iRoallzt "burs
From: Riker, Carol A
Sent: Sunday, May 01, 2011 8:47 AM
To: Hahn, Ellen J
Subject: ecig info email draft
See what you think and change anything (or suggest changes & I'll do them).
Are we sending your op-ed or anything else with the email (I've kinda lost track). I'd still like to update the one-pager a
bit.
Thanks,
Carol
Carol Riker, RN, MSN
Associate Professor
Provost's Distinguished Service Professor
Community Advisor, Rural Smoke-free Communities
Faculty Associate, Kentucky Center for Smoke-free Policy
555 College of Nursing
University of Kentucky
751 Rose Street
lexington, KY 40536-0232
Cell: 859-619-3776
Office Phone: 859-323-6615
Fax: 859-323-1057
www.mc.uky.edu/tobaccopolicy
2
www.kcsp.uky.edu
Find kysmokefree on and
COLLEGE OF NURSING
Our Goal i ~ \() H0!p YQU f l Q i l l i l ' ~ \Illlf$
3
Spagnuolo, Amy R
From:
Sent:
To:
Subject:
Hahn, Ellen J
Sunday, May 01,2011 5:14 PM
Riker, Carol A
RE: ecig info email draft
I think ENDS may be an obsolete term given the new decision to regulation as a tobacco product. Don't you think?
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu

-'4m>1'<Ii<t Find kysmoke/ree on and
COLLEGE OF NURSING
OU r 0011.118 fo You lllDBJizO
From: Riker, Carol A
Sent: Sunday, May 01, 2011 4:44 PM
To: Hahn, Ellen J
Subject: RE: ecig info email draft
Oops, I just saw that I accidentally put the ENDS back in; do you think they'll need to know that ENDS are the same
thing?
Carol
From: Hahn, Ellen J
Sent: Sunday, May 01, 2011 9:30 AM
To: Riker, Carol A
Subject: RE: ecig info email draft
See my changes. You are welcome to attach our Op-Ed, depending on when this actually goes out. Would be better to
attach the link when it is actually published, but I don't want to wait for that. What is the deadline for this?
1
If you want to tweak our one-pager, that would be fine to attach to this as well. But, again, it is fine for now if we need
to get this out.
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
!!r-- 11 ~ ..
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COLLEGE OF NURSING
Our Go,,1 i ~ 10 Help YQU iRQu[(zo '(iX1r"r
From: Riker, Carol A
Sent: Sunday, May 01, 2011 8:47 AM
To: Hahn, Ellen J
Subject: ecig info email draft
See what you think and change anything (or suggest changes & I'll do them).
Are we sending your op-ed or anything else with the email (I've kinda lost track). I'd still like to update the one-pager a
bit.
Thanks,
Carol
Carol Riker, RN, MSN
Associate Professor
Provost's Distinguished Service Professor
Community Advisor, Rural Smoke-free Communities
Faculty Associate, Kentucky Center for Smoke-free Policy
555 College of Nursing
University of Kentucky
751 Rose Street
Lexington, KY 40536-0232
Cell: 859-619-3776
Office Phone: 859-323-6615
2
Fax: &59-323-1057
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
COLLEGE OF NURSING
OU r G011i is l1.l rlelp YOli R0ailzD Your(,
3
Spagnuolo, Amy R
From:'
Sent:
To:
Subject:
Attachments:
Riker, Carol A
Sunday, May 01, 2011 4:17 PM
Hahn, Ellen J; Rayens, Mary Kay; Record, Rachael A
RE: Statistics Question
tobcont R01 Franklin Leading Causes of Death rev 5-11 (3).doc
Sounds like a good plan. From Meyers, do we know that the 15% continues out to 5 years?
For my current needs, the important task would be to change the wording on the Franklin Leading Causes of Death
sheet as we may use that fairly soon. I've made a stab at changing Franklin (attached). Would we cite Meyers plus the
Erratum? There are a couple other communities for which we have these sheets, so they will need to be updated too. I
like to get the updated one to Jessamine if the PHD is getting ready to do something, but that doesn't have to be a
priority.
For the Heart Attack sheets, my priority would Franklin, Bourbon, Owen (plus Carroll, Gallatin & Pendleton). Maybe
Monroe & Ohio and?? for the other CAs?
I'll only be at the CA meeting for a half hour due to my monthly meeting at Gainesway.
Thanks, everyone!
Carol
From: Hahn, Ellen J
Sent: Sunday, May 01, 2011 9:42 AM
To: Riker, Carol A; Rayens, Mary Kay; Record, Rachael A
Subject: RE: Statistics Question
Carol et aI.,
The Lightwood paper is one study. The Meyers article is a meta-analysis which reviewed mUltiple heart attack studies.
They later did an erratum, meaning they reanalyzed the meta analysis data. I think we should use the 15% per year
since it is based on multiple study estimates (vs. the Lightwood estimate based on one study). I know we cite Lightwood
in several places (slides and one pagers) and it is still a correct citation for that one study. Going forward, though, I am
suggesting we use the 15% per year estimate when projecting heart attack 'savings' over time with smoke-free laws.
Let's remember please to talk about this at CA meeting so everyone hears the same thing (Rachael, can you please
remind me?).
Your calculations look right below (MK, chime in). I don't think we have to report the number saved after 3 years
necessarily (that is what Lightwood did). But we certainly can. Or we could choose a longer time (5 years?).
The only thing that would need to be revised on the county level sheets (like the Franklin one attached) along with the
2007 updates is the Lightwood citation and the wording of that bullet.
Based on this slight change, we could revise the Bullitt one; just need to decide the longer time interval. What do you
think? Should we show the first year and the 3-year or 4- or 5-year decline? What will have most punch?
Thanks,
Ellen
Ellen J. Hahn, PhD, RN
1
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
~ s p
_-m.!'oI<'I Find kysmokejree on and
From: Riker, Carol A
Sent: Thursday, April 28, 201110:03 AM
To: Rayens, Mary Kay; Hahn, Ellen J; Record, Rachael A
Subject: RE: Statistics Question
Thanks Mary Kay and Ellen,
So was it later reported that there were not "exponential declines" as stated in lightwood77
It looks like the two references from the manuscript are from the same author (Meyers) and the second one is a
correction related to the first. Here is your statement from the point at which they are cited:
This 23% decline in AMls is slightly higher than the estimate from one meta-analysis that reported a decline of 15% for
each year after implementation.(26, 39)
In the case of Bullitt County would the calculations look like this (or am I misinterpreting):
185 - 15% (28) = 157 (first year)
157 - 15% (24) = 133 (second year)
133 -15% (20) = 113 (third year)
That would be 72 fewer deaths by the third year, for 39%777
This is so not my thing, so I'm going to stop trying to figure it out! I just hope my question makes sense at this point@ It
isn't urgent except that I would like to revise the statement under PH Solutions in the Leading Causes of Death one-
pagers we're developing as we're going to use it in Frankfort soon. I'll attach the latest that Erin just did. (BTW she got
2
2007 stats from the Cabinet and could update the three or four we've developed so far, so it's a good time to figure this
out!)
Thanks, everyone, and thanks for your patience, Rachael.
carol
From: Rayens, Mary Kay
Sent: Thursday, April 28, 2011 8:21 AM
To: Hahn, Ellen J; Riker, Carol A; Record, Rachael A
Subject: RE: Statistics Question
I didn't remember that this was the paper that had the correction ... So you would just need to get rid of the second bar
and talk about the 15% reduction per year. .. I agree it is best to be conservative in this one-pager, and it will probably be
easier for lay people to absorb if it is just one percent decrease anyway ... MKR
From: Hahn, Ellen J
Sent: Thursday, April 28, 2011 7:43 AM
To: Riker, Carol A; Rayens, Mary Kay; Record, Rachael A
Subject: RE: Statistics Question
Importance: High
MK and others,
I am thinking we had to change our estimates for heart attack reductions based on later work (MK, we had to do this for
the recent heart attack paper accepted in Public Health Reports due to a later erratum-I think the estimate is 15% per
year without the 36% over 3 year estimate .... ). I am attaching the paper that is in press ... see our Discussion and citations
(26 and 39). I think these cites are more recent than lightwood (although all in 2009), and we really need to make this
more conservative change. MK, can you weigh in again?
Thanks,
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
I[sp
...... !,.,4'o!i<y Find kysmoke/ree on and
3
From: Riker, Carol A
COLLEGE OF NURSING
Qur Goal is to liolp You Il(l(illZ0 'rZ)U($
Sent: Wednesday, April 27, 2011 4:S3 PM
To: Rayens, Mary Kay; Record, Rachael A
Cc: Hahn, Ellen J
Subject: RE: Statistics Question
Oh good, because I kept thinking it meant (for Bullitt) 28 deaths would be prevented the first year, X prevented in year
two, and 67 in year three and that the three would be added together to get the number that was prevented over 3
years. Sorry to create questions as I figured you all had thought this through for the initial NKY one-pager, but I never
truly understood it.
Rachael will clean this up a bit more and then put on Share point; OK Rachael?
This will be powerful data and now that Bullitt has passed their regulation, Franklin & Bourbon would be a priority for
me now (and I'm sure others, like Ohio?)
Thanks everyone.
Carol
From: Rayens, Mary Kay
Sent: Wednesday, April 27, 2011 2:42 PM
To: Record, Rachael A
Cc: Riker, Carol A; Hahn, Ellen J
Subject: RE: Statistics Question
This is a great one-pager, and I agree with the interpretation (15% decrease after one year and 36% decrease after 3,
based on the citation). Also, your numbers are correct for corresponding decreases in the number of cases in Bullitt.
MKR
From: Record, Rachael A
Sent: Wednesday, April 27, 201110:10 AM
To: Rayens, Mary Kay
Cc: Riker, Carol A; Hahn, Ellen J
Subject: Statistics Question
Hi Mary Kay,
Carol and I are working on updating some one-pagers about the decrease in heart attacks after a smoke-free law is
passed. The attached PDF is the article that we are basing our percent reduction on. The information is in first paragraph
of the discussion on page 1377. Would you mind checking the attached word document (Bullitt County) to make sure
that I interpreted the calculations correctly (based on the article) in the first two bullets and in the chart.
Rachael
Rachael A. Record
University of Kentucky
M.A. Candidate
4
College of Communications & Information Studies
Research Assistant
College of Nursing
rachael.record@uky.edu
!!r-*-
~ ~
- ~ Find kysmokefree on
and 11
5
Leading Causes of Death in Franklin County, Kentucky, 2005

Number of
Rate per 100,000 Total Population
Deaths in
Franklin
County'
(% of all Franklin
Cause of Death deaths) County'
tHeart Disease 124 (24.1 %) 257.7
tAli Malignant Neoplasms (Cancer) 121 (23.5%) 233.8
tStroke 28 (5.4%) 57.4
tChronic Lower Respiratory 25 (4.9%) 50.7
Unintentional Injuries 21 (4.1%) 45.8
t Leading causes of death known to be associated with secondhand smoke exposure.
"2005 Vital Statistics Reports from the Kentucky Cabinet for Health and Family Services
http://chfs.ky.gov/dph/vital/2005+Vital+Statistics+Reports.htm)
United
Kentuckyb
States
b
258.5 211.1
219.9 183.8
52.8 46.6
61.3 43.2
57.3 39.1
All age-adjusted death rates use the year 2000 standard. Age-adjusted rates based upon different standard
populations cannot be accurately compared.
bNational Center for Health Statistics State Profiles 2009 (http://www.cdc.gov/nchs/PRESSROOM/data/Kentucky09.pdf),
age-adjusted rates.
How Secondhand Smoke is Connected with the Leading Causes of Death:
.:. Nonsmokers who are exposed to secondhand smoke at home or work increase their risks of
developing lung cancer by 20-30%.1
.:. Nonsmokers who are exposed to secondhand smoke at home or work increase their heart
disease risk by 25-30%.1
Public Health Solutions:
.:. After strong smoke-free laws go into effect, communities experience a 15% drop in heart
attacks during the first year, with continued deeline reaching 36% in 3 yearsper year.2
.:. Smoke-free laws create healthy places for workers and patrons and reduce health care costs.
Smoke-free laws are a known public health solution.
1
1 U. S. Department of Health and Human Services. The Health Consequences oflnvoluntary Exposure to Tobacco Smoke: A
Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, 2006.
2Lighlwoofi Stanten AG. Peet/nes in ",]'oGard/a,' /nfaro&OR a#er smoke ffee iflVl8 ami iRfi/viciYa! risk aUr/bYlab.'" 10
sesORdhaRG-smeke. Meyers
For more information, contact Kentucky Center for Smoke-free Policy
UK College of Nursing at 859-323-4587
Auaust 2011 Mav 2Q11
Spagnuolo, Amy R
From: Hahn, Ellen J
Sent: Sunday, May 01, 2011 9:42 AM
To:
Subject:
Riker, Carol A; Rayens, Mary Kay; Record, Rachael A
RE: Statistics Question
Carol et aI.,
The Lightwood paper is one study. The Meyers article is a meta-analysis which reviewed multiple heart attack studies.
They later did an erratum, meaning they reanalyzed the meta analysis data. I think we should use the 15% per year
since it is based on multiple study estimates (vs. the Lightwood estimate based on one study). I know we cite Lightwood
in several places (slides and one pagers) and it is still a correct citation for that one study. Going forward, though, I am
suggesting we use the 15% per year estimate when projecting heart attack 'savings' over time with smoke-free laws.
Let's remember please to talk about this at CA meeting so everyone hears the same thing (Rachael, can you please
remind me?).
Your calculations look right below (MK, chime in). I don't think we have to report the number saved after 3 years
necessarily (that is what Lightwood did). But we certainly can. Or we could choose a longer time (5 years?).
The only thing that would need to be revised on the county level sheets (like the Franklin one attached) along with the
2007 updates is the Lightwood citation and the wording of that bullet.
Based on this slight change, we could revise the Bullitt one; just need to decide the longer time interval. What do you
think? Should we show the first year and the 3-year or 4- or 5-year decline? What will have most punch?
Thanks,
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on and
COLLEGE OF NURSING
Our <loul is to Hclll YCII Yow"
1
From: Riker, Carol A
Sent: Thursday, April 28, 2011 10:03 AM
To: Rayens, Mary Kay; Hahn, Ellen J; Record, Rachael A
Subject: RE: Statistics Question
Thanks Mary Kay and Ellen,
So was it later reported that there were not "exponential declines" as stated in Lightwood??
It looks like the two references from the manuscript are from the same author (Meyers) and the second one is a
correction related to the first. Here is your statement from the point at which they are cited:
This 23% decline in AMls is slightly higher than the estimate from one meta-analysis that reported a decline of 15% for
each year after implementation.(26, 39)
In the case of Bullitt County would the calculations look like this (or am I misinterpreting):
185 - 15% (28) = 157 (first year)
157 - 15% (24) = 133 (second year)
133 - 15% (20) = 113 (third year)
That would be 72 fewer deaths by the third year, for 39%777
This is so not my thing, so I'm going to stop trying to figure it out! I just hope my question makes sense at this point@ It
isn't urgent except that I would like to revise the statement under PH Solutions in the Leading Causes of Death one-
pagers we're developing as we're going to use it in Frankfort soon. I'll attach the latest that Erin just did. (BTW she got
2007 stats from the Cabinet and could update the three or four we've developed so far, so it's a good time to figure this
out!)
Thanks, everyone, and thanks for your patience, Rachael.
carol
From: Rayens, Mary Kay
Sent: Thursday, April 28, 2011 8:21 AM
To: Hahn, Ellen J; Riker, Carol A; Record, Rachael A
Subject: RE: Statistics Question
I didn't remember that this was the paper that had the correction ... So you would just need to get rid of the second bar
and talk about the 15% reduction per year ... I agree it is best to be conservative in this one-pager, and it will probably be
easier for lay people to absorb if it is just one percent decrease anyway ... MKR
From: Hahn, Ellen J
Sent: Thursday, April 28, 2011 7:43 AM
To: Riker, carol A; Rayens, Mary Kay; Record, Rachael A
2
Subject: RE: Statistics Question
Importance: High
MK and others,
I am thinking we had to change our estimates for heart attack reductions based on later work (MK, we had to do this for
the recent heart attack paper accepted in Public Health Reports due to a later erratum-I think the estimate is 15% per
year without the 36% over 3 year estimate .... ). I am attaching the paper that is in press ... see our Discussion and citations
(26 and 39). I think these cites are more recent than Lightwood (although all in 2009), and we really need to make this
more conservative change. MK, can you weigh in again?
Thanks,
Ellen
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicv
www.kcsp.uky.edu


Find kysmokefree on andIJ
COLLEGE OF NURSING
Our 13(.>;11 iSc Ie iiolp You iR'J,lIiz(.\i')Uf(J;
From: Riker, Carol A
Sent: Wednesday, April 27, 2011 4:53 PM
To: Rayens, Mary Kay; Record, Rachael A
Cc: Hahn, Ellen J
Subject: RE: Statistics Question
Oh good, because I kept thinking it meant (for Bullitt) 28 deaths would be prevented the first year, X prevented in year
two, and 67 in year three and that the three would be added together to get the number that was prevented over 3
years. Sorry to create questions as I figured you all had thought this through for the initial NKY one-pager, but I never
truly understood it.
Rachael will clean this up a bit more and then put on Share point; OK Rachael?
This will be powerful data and now that Bullitt has passed their regulation, Franklin & Bourbon would be a priority for
me now (and I'm sure others, like Ohio?)
3
Thanks everyone.
Carol
From: Rayens, Mary Kay
Sent: Wednesday, April 27, 2011 2:42 PM
To: Record, Rachael A
Cc: Riker, Carol Ai Hahn, Ellen J
Subject: RE: Statistics Question
This is a great one-pager, and I agree with the interpretation (15% decrease after one year and 36% decrease after 3,
based on the citation). Also, your numbers are correct for corresponding decreases in the number of cases in Bullitt.
MKR
From: Record, Rachael A
Sent: Wednesday, April 27, 2011 10: 10 AM
To: Rayens, Mary Kay
Cc: Riker, Carol Ai Hahn, Ellen J
Subject: Statistics Question
Hi Mary Kay,
Carol and I are working on updating some one-pagers about the decrease in heart attacks after a smoke-free law is
passed. The attached PDF is the article that we are basing our percent reduction on. The information is in first paragraph
of the discussion on page 1377. Would you mind checking the attached word document (Bullitt County) to make sure
that I interpreted the calculations correctly (based on the article) in the first two bullets and in the chart.
Rachael
Rachael A. Record
University of Kentucky
MA Candidate
College of Communications & Information Studies
Research Assistant
College of Nursing
rachael.record@uky.edu

_I,..I'clI'q Find kysmokejree on and
4
Spagnuolo. Amy R
From:
Sent:
To:
Riker, Carol A
Sunday, May 01, 2011 8:43 AM
Hahn, Ellen J
Subject: RE: Congratulations to Bowling Green!
Maybe; I think Code Enforcement is on there after police, too.
Carol
From: Hahn, Ellen J
Sent: Saturday, April 30, 2011 11:10 AM
To: Riker, Carol A
Subject: RE: Congratulations to Bowling Green!
Nice email. Their police are citing so I wonder if the issues will be easier
Ellen J. Hahn, PhD, RN
Professor and Director, Tobacco Policy Research Program
Director, Kentucky Center for Smoke-free Policy
Assistant Director, Center for Biobehavioral Research in Self-Management of Cardiopulmonary Disease
University of Kentucky
College of Nursing and College of Public Health
751 Rose Street
Lexington, KY 40536-0232
859-257-2358
859-323-1057 (FAX)
ejhahnOO@email.uky.edu
www.mc.uky.edu/tobaccopolicy
www.kcsp.uky.edu
Find kysmokefree on
COLLEGE OF NURSING
From: Riker, Carol A
Sent: Saturday, April 30, 2011 10:46 AM
To: Douglas, Carol F (LHD-Barren River Dist)
Cc: Hahn, Ellen J; Johnson, John D; Kercsmar, Sarah; Mundy, Monica E
Subject: RE: Congratulations to Bowling Green!
Carol,
So glad you were able to implement! The public will love it!
1
In responding to the most recent news article, I'm sending a couple things I've sent before about the lack of financial
impact on gaming in KY and the experience in Georgetown with participant numbers quickly returning to normal (bingo
may even get some new customers!) We're hoping that your coalition may write some letters to the editor that will put
to rest any fears about loss of charitable gaming revenues. Also, if you have any contacts with the legion and VFW, they
may like to Imow that they could sell pull-tabs outside (on smoke breaks!) as long as they are selling at the address of
the license and not selling to passers-by, going across the street to sell, etc.
Finally, I was concerned about the statement in the article:
"The citation is deficient on its face," Simpson said this morning. "It doesn't say what the facts constituting the violation are.
The citation has a space for It and it's blank."
lexington went through a period of problems with their citations being thrown out for things like enforcement officers
didn't ask the smoker if the owner/manager had asked them to stop smoking. I've attached the protocol that Lexington
developed (as of 03) to fine-tune that. You'll find a section about things that need to be included in the report.
Lexington's experience was that the citations need to be completed with detail to be heard in court. Enforcement
personnel (the health dept environmentalists in Lexington's case) figured out what needed to be included and wrote a
protocol to insure that they got that info. As advocates, we asked for Citation and conviction data periodically, discusse d
possible improvements with the health dept, and encouraged them to be persistent in follow through. Most bUsinesses
comply immediately, but for the few persistent violators continual monitoring of the enforcement and judicial processS
are needed.
We also had some trouble with the judge "combining" offenses, so that they didn't amount to much for the bUSinesses
that were violating, so the coalition could monitor how the cases fare in court too.
I'm glad Bowling Green has already cited so that the community knows the city is serious about compliance.
Again, congratulations!!
Carol
__ __ __ __ -__ ___ < __ _____ __ ___ __ ___ __ __

From: Douglas, Carol F (LHD-Barren River Dist) [mailto:CaroIF.Douglas@ky.gov]
Sent: Friday, April 29, 20111:49 PM
To: Absher Mark; Adkins Joyce; Advani, Shailesh; Alloway Michelle; Applebee's; Baldwin Robin; Barnhouse Lara; Bedard I
Robert; Bell Jessica; Berger Jim; Billingsley Margaret; Bohannon Carla; Bonaguro John; Booth Nancy; Broady Susan; ,
Brown Susan; Bryant Beth; Carrigan Misti; Cash, Allison; Chaney Amie; Chaney Brenda; Chaney Dennis; Chang Tonya' I
Cherry Jeanine; Clark Paul<l; Compton Judy; Copas Jackie; Cunningham Terri; Daniels Karen; Douglas Carol; Drexler'
Angie; Duncan Martha "Sue"; Emerson Jeanann; Flora Kim; Ford Joy White; Forrest Marilee; Forte Bernice; Fugate,
Jennifer; Gardner Marilyn; Gibson Nancy; Greene, Janet; Gregory Eric; Hartz Sharon; Hawkins, Kelli; Houchens Marla'
Houchin Lisa; Houchins, Denise (LHD-Warren County Health Dept.); Isenhower, Jataun; Iyiegbuniwe Emmanuel;
Betsy; Jennings Katy; LaManna Frank; Lawrence Brenda; Lovely Teresa; Miller AI; Monroe Lori; Nagy Chris; Napier
Melanie; Palmer Alan; Parnell Heather; Perdue Olivia; Peters, Rachael; Petrovic Danijela; Pollard Venica; Prunty Melody'
Richardson Jama; Richey Brent; Rowland Crissy; Rush Linda; Ryan Lorie; Shindhelm Karen; Shirley Melissa Walton- '
,
Simmons, Jeri; Smith Beth; Smith, Julana; Stein Margaret; Steward Kathryn; Sweetman Maryellen; Taylor Brad; Thweatt
Kathy; Tinsley Tammy; Troyer Mike; Tuck Missy; Voakes Rick; Walston Rachel; Walton lori; Watkins Cecilia; Webb
Alonzo; Westbrook Elizabeth; Wheat Marilyn; Wininger, Amy; Wolff, lnga; Wollin Andrew; Woods Monica
Subject: FW: Congratulations to Bowling Green!
Here's the latest news .......
http :Uwww.bgdailynews.com/a rticlesI2011/04/2 9/ news!news2. txt
2
I
I
Carol Douglas, BS
Health Educator III
Barren River District Health Department
1109 State Street
P.O. Box 1157
Bowling Green, Ky. 42102
Ph: 270-781-8039, ext. 144
Fax: 270-796-8946
E-mail: carolf.douglas@ky.gov
Smokefree Communities Coalition Website: www.smokefreesoky.org
Barren River District Health Department Website: www.barrenriverhealth.org
NOTICE OF CONFIDENTIALITY: This e-mail, induding any attachments, is intended only for the use of the individual or entity to which it is
addressed and may contain confidential information that is legally privileged and exempt from disclosure under applicable law. If the reader
of this message is not the intended reCipient, you are notified that any review, use, disclosure, distribution or copying of this communication
is strictly prohibited. If you have received this communication in error, please contact the sender by reply e-mail and destroy all copies of the
original message.
From: Rachael Peters [mailto:roeters@lifeskills.coml
Sent: Friday, April 29, 201111:40 AM
To: Douglas, Carol F (LHD-Barren River Dist)
Subject: RE: Congratulations to Bowling Green!
FYI-- American Legion was cited last night
3

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