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

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From: To: Date: Subject: Hi Anthony,
Frank Dibiase Anthony Chen 10/27/2010 11:25:48 PM Re: More on strips, sticks, and orbs
I haven't seen this specific piece of info but one of the concerns about e-cigarettes, orbs, snus, etc is the lack of standardization of nicotine content and about the non-tobacco contents which are often unknown and potentially hazardous.
From: Anthony Chen Sent: Wednesday, October 27, 2010 08:10 PM To: Frank Dibiase Subject: More on strips, sticks, and orbs
I just saw on this webpage http://tobaccoproducts.org/index.php/Camel_Sticks,_Camel_Orbs_and_Camel_Strips that the amount of nicotine from these products can be much higher (and last longer) than a cigarette. Sounds bad to me.
Anthony
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From: To: Date: Subject:
Anthony Chen Frank Dibiase 10/27/2010 11:07:20 PM RE: Smoke-Free Apartment Buildings article
Unless you have a pressing feeling that one of the three directions take precedence, I think it makes sense to wait until Jan or Feb (it may take a month to have committee assignments worked out) and to continue any internal reorganization or strategic planning.
For the BOH meeting, I think we just need to respond in a timely fashion to the request to learn more about ecigarettes, Orbs, Strips, and Sticks. It could simply be: show some pictures of what they are, quote literature about the public health concerns, and state that we will see how it fits into our work plan after we come back to the BOH next year.
Let me know what you think.
Anthony
From: Frank Dibiase Sent: Wednesday, October 27, 2010 3:07 PM To: Anthony Chen Cc: Steve Marek; Joby Winans Subject: RE: Smoke-Free Apartment Buildings article
Hi Anthony,
Joby sent an email yesterday asking about an e-cigarette presentation. I spoke with Steve about it. Steve and I feel that you, Steve, Joby and I should meet to discuss next steps with the Board since we really didn't have an opportunity to get direction from them at the study session. Steve believes we should wait until at least January before raising additional tobacco policy issues with the board since we'll have new board members in 2011.
I can prepare a brief presentation on e-cigarettes if you would like. I think the question is then, what we'll we expect from the Board? Will the purpose be solely for information sharing or do we expect them to take a stance or give direction on e-cigarettes? If we don't expect them to give us direction at the November board meeting it might make more sense to give the e-cigarette presentation at a future study session where we can better discussion policy options.
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Please let me know what you'd like to do and we'll make it happen.
Thanks.
From: Anthony Chen Sent: Wednesday, October 27, 2010 2:54 PM To: Frank Dibiase Subject: RE: Smoke-Free Apartment Buildings article
Thanks!
We need to reach closure on the decisions from the last BOH SS (BOH did not really answer the question).
Also, will you be doing a presentation on e-cigarette and tobacco/nicotine alternatives for BOH Mtg?
Anthony
From: Frank Dibiase Sent: Wednesday, October 27, 2010 2:10 PM To: Steve Marek; Anthony Chen; Joby Winans; Tobacco PC Subject: FW: Smoke-Free Apartment Buildings article
Thought you might find this info interesting .
From: Julie Peterson [mailto:JulieP@chef.org] Sent: Tuesday, October 26, 2010 9:32 AM To: Anne Gale-Peterson; Annette Hayden; April Davis; Bill Cook; Charlie Gray; Christopher Zilar; Cindy Sribhibhadh; Dave Harrelson; Diane Bare; Ellen Michaud; Errol Flagler; Frank Dibiase; Gail Tanaka; Gary Fuller; George Hermosillo; Heidi Wiersma; John Poling; Judith Anderson; Julie Peterson; Julie Scholer; Karen BoysenKnapp; Karen Brawley; Kari Lewis; Kate Donnelley; Kathy Burgoyne; Kurt Wiest; Liz Wilhelm; Lucy Lepinski; Pam Wessel Estes; Renee Rooker; Ron Oldham; Roy Johnson; Sara Bru ; Sarah Ross Viles; Sarah Van Cleve; Shelley Smith-Rose; Steve Cervantes; Theresa Cross; Theresa Fuller; Yvonne Ginoulis
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Subject: Smoke-Free Apartment Buildings article
Coming Soon: Smoke-Free Apartment Buildings? October 21, 2010 - MSN http://health.msn.com/health-topics/cancer/articlepage.aspx?cp-documentid=100266210 If you're a nonsmoker who lives in an apartment, your health may be at risk from your neighbors who smoke, says a new study. Researchers at Roswell Park Cancer Institute in Buffalo, N.Y., analyzed air quality data from 30 apartments within 11 buildings and found that secondhand smoke can travel from the apartments of smokers to hallways and apartments of nonsmokers. The extent of the secondhand smoke transfer depends on a number of factors, including ventilation and distance between apartments, the investigators found. The researchers said the best way to protect apartment residents from secondhand smoke is to have smoke-free buildings. "This study suggests that individuals who live in apartment buildings are particularly susceptible to secondhand smoke exposure in their homes," lead investigator Brian King, of RPCI's department of health behavior, said in a news release from the institute. "Since many factors can impact the amount of secondhand smoke transfer between apartments, smoke-free building policies are the most effective way to protect apartment residents and their visitors from exposure." The study appears online ahead of print in the journal Nicotine & Tobacco Research. David G. Harrelson, Washington State Department of Health, 111 Israel Road SE Tumwater, WA 98501 PH: 360/236-3685, FX: 360/236-3646, david.harrelson@doh.wa.gov www.wa.gov/tobacco www.quitline.com www.smokefreewashington.com Public Health - Always Working for a Safer and Healthier Washington
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From: To: Date: Subject: Hi Anthony,
Frank Dibiase Anthony Chen 10/27/2010 6:06:30 PM RE: Smoke-Free Apartment Buildings article
Joby sent an email yesterday asking about an e-cigarette presentation. I spoke with Steve about it. Steve and I feel that you, Steve, Joby and I should meet to discuss next steps with the Board since we really didn't have an opportunity to get direction from them at the study session. Steve believes we should wait until at least January before raising additional tobacco policy issues with the board since we'll have new board members in 2011.
I can prepare a brief presentation on e-cigarettes if you would like. I think the question is then, what we'll we expect from the Board? Will the purpose be solely for information sharing or do we expect them to take a stance or give direction on e-cigarettes? If we don't expect them to give us direction at the November board meeting it might make more sense to give the e-cigarette presentation at a future study session where we can better discussion policy options.
Please let me know what you'd like to do and we'll make it happen.
Thanks.
Thanks!
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Anthony
From: Julie Peterson [mailto:JulieP@chef.org] Sent: Tuesday, October 26, 2010 9:32 AM To: Anne Gale-Peterson; Annette Hayden; April Davis; Bill Cook; Charlie Gray; Christopher Zilar; Cindy Sribhibhadh; Dave Harrelson; Diane Bare; Ellen Michaud; Errol Flagler; Frank Dibiase; Gail Tanaka; Gary Fuller; George Hermosillo; Heidi Wiersma; John Poling; Judith Anderson; Julie Peterson; Julie Scholer; Karen BoysenKnapp; Karen Brawley; Kari Lewis; Kate Donnelley; Kathy Burgoyne; Kurt Wiest; Liz Wilhelm; Lucy Lepinski; Pam Wessel Estes; Renee Rooker; Ron Oldham; Roy Johnson; Sara Bru ; Sarah Ross Viles; Sarah Van Cleve; Shelley Smith-Rose; Steve Cervantes; Theresa Cross; Theresa Fuller; Yvonne Ginoulis Subject: Smoke-Free Apartment Buildings article
Coming Soon: Smoke-Free Apartment Buildings? October 21, 2010 - MSN http://health.msn.com/health-topics/cancer/articlepage.aspx?cp-documentid=100266210 If you're a nonsmoker who lives in an apartment, your health may be at risk from your neighbors who smoke, says a new study. Researchers at Roswell Park Cancer Institute in Buffalo, N.Y., analyzed air quality data from 30 apartments within 11 buildings and found that secondhand smoke can travel from the apartments of smokers to hallways and apartments of nonsmokers. The extent of the secondhand smoke transfer depends on a number of factors, including ventilation and distance between apartments, the investigators found. The researchers said the best way to protect apartment residents from secondhand smoke is to have smoke-free buildings. "This study suggests that individuals who live in apartment buildings are particularly susceptible to secondhand smoke exposure in their homes," lead investigator Brian King, of RPCI's department of health behavior, said in a news release from the institute. "Since many factors can impact the amount of secondhand smoke transfer between apartments, smoke-free building policies are the most effective way to protect apartment residents and their visitors
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from exposure." The study appears online ahead of print in the journal Nicotine & Tobacco Research. David G. Harrelson, Washington State Department of Health, 111 Israel Road SE Tumwater, WA 98501 PH: 360/236-3685, FX: 360/236-3646, david.harrelson@doh.wa.gov www.wa.gov/tobacco www.quitline.com www.smokefreewashington.com Public Health - Always Working for a Safer and Healthier Washington
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Anthony Chen Frank Dibiase 10/28/2010 12:03:08 AM RE: Smoke-Free Apartment Buildings article
Your call. If you do a brief PPT, we can also post on the Intranet to share with staff. Check with Cheryl may be too late for BOH packets. I just need to know what to say at the BOH meeting.
Anthony
From: Frank Dibiase Sent: Wednesday, October 27, 2010 8:21 PM To: Anthony Chen Cc: Steve Marek; Joby Winans Subject: Re: Smoke-Free Apartment Buildings article
Hi Anthony, One idea would be to send them info on the alternative tobacco products in their BOH packets or via email. There's a great demonstration of e-cigarettes on YouTube. This would be timely follow-up and would prevent us from having to repeat the presentation with new board members. Even if there's only two new board members their votes could be key to passing a policy or resolution.
From: Anthony Chen Sent: Wednesday, October 27, 2010 08:07 PM To: Frank Dibiase Cc: Steve Marek; Joby Winans Subject: RE: Smoke-Free Apartment Buildings article
Unless you have a pressing feeling that one of the three directions take precedence, I think it makes sense to wait until Jan or Feb (it may take a month to have committee assignments worked out) and to continue any internal reorganization or strategic planning.
For the BOH meeting, I think we just need to respond in a timely fashion to the request to learn more about ecigarettes, Orbs, Strips, and Sticks. It could simply be: show some pictures of what they are, quote literature about the public health concerns, and state that we will see how it fits into our work plan after we come back to the BOH next year.
Let me know what you think.

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Anthony
From: Frank Dibiase Sent: Wednesday, October 27, 2010 3:07 PM To: Anthony Chen Cc: Steve Marek; Joby Winans Subject: RE: Smoke-Free Apartment Buildings article
Hi Anthony,
Joby sent an email yesterday asking about an e-cigarette presentation. I spoke with Steve about it. Steve and I feel that you, Steve, Joby and I should meet to discuss next steps with the Board since we really didnt have an opportunity to get direction from them at the study session. Steve believes we should wait until at least January before raising additional tobacco policy issues with the board since well have new board members in 2011.
I can prepare a brief presentation on e-cigarettes if you would like. I think the question is then, what well we expect from the Board? Will the purpose be solely for information sharing or do we expect them to take a stance or give direction on e-cigarettes? If we dont expect them to give us direction at the November board meeting it might make more sense to give the e-cigarette presentation at a future study session where we can better discussion policy options.
Please let me know what youd like to do and well make it happen.
Thanks.
Thanks!
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Anthony
From: Julie Peterson [mailto:JulieP@chef.org] Sent: Tuesday, October 26, 2010 9:32 AM To: Anne Gale-Peterson; Annette Hayden; April Davis; Bill Cook; Charlie Gray; Christopher Zilar; Cindy Sribhibhadh; Dave Harrelson; Diane Bare; Ellen Michaud; Errol Flagler; Frank Dibiase; Gail Tanaka; Gary Fuller; George Hermosillo; Heidi Wiersma; John Poling; Judith Anderson; Julie Peterson; Julie Scholer; Karen BoysenKnapp; Karen Brawley; Kari Lewis; Kate Donnelley; Kathy Burgoyne; Kurt Wiest; Liz Wilhelm; Lucy Lepinski; Pam Wessel Estes; Renee Rooker; Ron Oldham; Roy Johnson; Sara Bru ; Sarah Ross Viles; Sarah Van Cleve; Shelley Smith-Rose; Steve Cervantes; Theresa Cross; Theresa Fuller; Yvonne Ginoulis Subject: Smoke-Free Apartment Buildings article
Coming Soon: Smoke-Free Apartment Buildings? October 21, 2010 MSN http://health.msn.com/health-topics/cancer/articlepage.aspx?cp-documentid=100266210 If you're a nonsmoker who lives in an apartment, your health may be at risk from your neighbors who smoke, says a new study. Researchers at Roswell Park Cancer Institute in Buffalo, N.Y., analyzed air quality data from 30 apartments within 11 buildings and found that secondhand smoke can travel from the apartments of smokers to hallways and apartments of nonsmokers. The extent of the secondhand smoke transfer depends on a number of factors, including ventilation and distance
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between apartments, the investigators found. The researchers said the best way to protect apartment residents from secondhand smoke is to have smoke-free buildings. "This study suggests that individuals who live in apartment buildings are particularly susceptible to secondhand smoke exposure in their homes," lead investigator Brian King, of RPCI's department of health behavior, said in a news release from the institute. "Since many factors can impact the amount of secondhand smoke transfer between apartments, smoke-free building policies are the most effective way to protect apartment residents and their visitors from exposure." The study appears online ahead of print in the journal Nicotine & Tobacco Research. David G. Harrelson, Washington State Department of Health, 111 Israel Road SE Tumwater, WA 98501 PH: 360/236-3685, FX: 360/236-3646, david.harrelson@doh.wa.gov www.wa.gov/tobacco www.quitline.com www.smokefreewashington.com Public Health - Always Working for a Safer and Healthier Washington
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Frank Dibiase Anthony Chen 10/28/2010 12:18:48 AM Re: Smoke-Free Apartment Buildings article
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From: To: Date: Subject: Frank,
Anthony Chen Frank Dibiase 10/29/2010 9:14:22 PM RE: Draft email to Board of Health
Thanks for the well composed message. Rather than confusing them that we might be bringing this issue up again before the end of the year, just say "In response to BOH members' requests for more information about ..." and give them the links (ie, the 2nd to last para). Then the last two sentences of the last para and that's it. Thanks!
Anthony
From: Frank Dibiase Sent: Friday, October 29, 2010 1:02 PM To: Anthony Chen Cc: Steve Marek Subject: Draft email to Board of Health
Hi Anthony,
I checked with Cheryl the other day. The Board of Health packets for next week's meeting have already gone out. Below is a draft email that could be sent to Board members from you which contains links to info on the web regarding e-cigarettes and other alternative tobacco products.
Let me know your thoughts and how you would like to proceed.
Thanks.
Dear Board Members,
This email is in follow-up to tobacco policy information shared with you at previous Board of Health study sessions.
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One of the policy options, shared with you at the October 20th study session, is to take action which will result in the reduced use of tobacco by youth in Pierce County. As stated in the October presentation results from the Washington State Department of Health's Healthy Youth Survey indicates that the rate of tobacco use in 2008 among 12th grade youth in Pierce county is 21%. The current adult tobacco use rate in Pierce County is 16.9%.
A specific policy option presented on October 20th would be to ban the sale of e-cigarettes to youth in Pierce County. E-cigarettes do not actually contain tobacco so they can currently be sold to youth. Unfortunately, ecigarettes do contain nicotine and other chemicals that are hazardous to health and, while promoted as a way to stop smoking, when taken up by non-smoking youth could be the start of a tobacco addiction.
Below are some internet links that provide information related to e-cigarettes and alternative tobacco products used by youth.
Smoking Everywhere is the name of the company that distributes/makes e-cigs. This link is to a video on YouTube that demonstrates how e-cigarettes work. http://www.youtube.com/watch?v=aVJPGF8qM4w &feature=player_embedded
On October 5, 2010 the Spokane Regional Health District's board of health unanimously passed a resolution requesting that jurisdictions in Spokane County adopt policies prohibiting the sale of electronic cigarettes and their component parts to minors. This is the first resolution of its kind in Washington state. I've been told by staff at WA State Dept of Health Spokane is now in the process of preparing an ordinance to ban the sale of e-cigarettes in Spokane County. (Note; I have an email to staff at Spokane to confirm this. I hope to know before sending this email. ) http://www.srhd.org/news.asp?id=179
Here is a link to good information about new types of smokeless tobacco products and the risks they present for youth: http://thenationshealth.aphapublications.org/content/40/6/1.2.full
I hope this information is informative for you. We plan to share additional information regarding youth tobacco use and other tobacco policy options at future board of health sessions beginning in 2011. In the meantime if you have questions please feel free to contact me or Frank DiBiase in our Tobacco Prevention and Control program at: 253
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798-7674 or via email at: fdibiase@tpchd.org.
Thank you.
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From: To: Date: Subject: Frank,
Anthony Chen Frank Dibiase 10/29/2010 9:14:22 PM RE: Draft email to Board of Health
Thanks for the well composed message. Rather than confusing them that we might be bringing this issue up again before the end of the year, just say "In response to BOH members' requests for more information about ..." and give them the links (ie, the 2nd to last para). Then the last two sentences of the last para and that's it. Thanks!
Anthony
From: Frank Dibiase Sent: Friday, October 29, 2010 1:02 PM To: Anthony Chen Cc: Steve Marek Subject: Draft email to Board of Health
Hi Anthony,
I checked with Cheryl the other day. The Board of Health packets for next week's meeting have already gone out. Below is a draft email that could be sent to Board members from you which contains links to info on the web regarding e-cigarettes and other alternative tobacco products.
Let me know your thoughts and how you would like to proceed.
Thanks.
Dear Board Members,
This email is in follow-up to tobacco policy information shared with you at previous Board of Health study sessions.
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One of the policy options, shared with you at the October 20th study session, is to take action which will result in the reduced use of tobacco by youth in Pierce County. As stated in the October presentation results from the Washington State Department of Health's Healthy Youth Survey indicates that the rate of tobacco use in 2008 among 12th grade youth in Pierce county is 21%. The current adult tobacco use rate in Pierce County is 16.9%.
A specific policy option presented on October 20th would be to ban the sale of e-cigarettes to youth in Pierce County. E-cigarettes do not actually contain tobacco so they can currently be sold to youth. Unfortunately, ecigarettes do contain nicotine and other chemicals that are hazardous to health and, while promoted as a way to stop smoking, when taken up by non-smoking youth could be the start of a tobacco addiction.
Below are some internet links that provide information related to e-cigarettes and alternative tobacco products used by youth.
Smoking Everywhere is the name of the company that distributes/makes e-cigs. This link is to a video on YouTube that demonstrates how e-cigarettes work. http://www.youtube.com/watch?v=aVJPGF8qM4w &feature=player_embedded
On October 5, 2010 the Spokane Regional Health District's board of health unanimously passed a resolution requesting that jurisdictions in Spokane County adopt policies prohibiting the sale of electronic cigarettes and their component parts to minors. This is the first resolution of its kind in Washington state. I've been told by staff at WA State Dept of Health Spokane is now in the process of preparing an ordinance to ban the sale of e-cigarettes in Spokane County. (Note; I have an email to staff at Spokane to confirm this. I hope to know before sending this email. ) http://www.srhd.org/news.asp?id=179
I hope this information is informative for you. We plan to share additional information regarding youth tobacco use and other tobacco policy options at future board of health sessions beginning in 2011. In the meantime if you have questions please feel free to contact me or Frank DiBiase in our Tobacco Prevention and Control program at: 253
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798-7674 or via email at: fdibiase@tpchd.org.
Thank you.
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Frank Dibiase Anthony Chen 10/29/2010 9:46:16 PM Re: Draft email to Board of Health
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From: To: Date: Subject: Hi Selina,
Frank Dibiase Selina Chambliss 11/1/2010 5:58:08 PM FW: Email to BOH regarding tobacco products
Can you please send the message below to BOH member from Anthony? Please let me know if you need anything else to make this happen. Thanks.
From: Anthony Chen Sent: Monday, November 01, 2010 2:47 PM To: Frank Dibiase Cc: Steve Marek; Joby Winans Subject: RE: Email to BOH regarding tobacco products
Sounds fine. Cheryl is out sick today. Selina should be able to send it out for you.
Anthony
From: Frank Dibiase Sent: Monday, November 01, 2010 8:40 AM To: Anthony Chen Cc: Steve Marek; Joby Winans Subject: Email to BOH regarding tobacco products
Good morning Anthony,
Here is a revised email to BOH members based on your suggested edits. Please let me know if you would like to make any other changes. Thanks.
Dear Board Members,

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This email is in follow-up to your request for additional information related to e-cigarettes and alternative tobacco products used by youth.
Smoking Everywhere is the name of a company that sells e-cigarettes. They currently have a kiosk in the Tacoma Mall. This link is to a video on YouTube that demonstrates how e-cigarettes work. http://www.youtube.com/watch?v=aVJPGF8qM4w &feature=player_embedded
On October 5, 2010 the Spokane Regional Health District's board of health unanimously passed a resolution requesting that jurisdictions in Spokane County adopt policies prohibiting the sale of electronic cigarettes and their component parts to minors. This is the first resolution of its kind in Washington state. Spokane health district staff are now in the process of drafting ordinances for adoption by local cities and towns which would prohibit the sale of ecigarettes to minors. http://www.srhd.org/news.asp?id=179
In the meantime if you have questions please feel free to contact me or Frank DiBiase in our Tobacco Prevention and Control program at: 253 798-7674 or via email at: fdibiase@tpchd.org.
Thank you.
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From: To: Date: Subject: FYI
Frank Dibiase Tobacco PC 11/1/2010 6:20:16 PM FW: Information on Tobacco Products
From: Anthony Chen Sent: Monday, November 01, 2010 3:05 PM To: BOH M&A Cc: Frank Dibiase Subject: Information on Tobacco Products
Dear Board Members,
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Thank you,
Anthony L-T Chen Director of Health Tacoma-Pierce County Health Department (253) 798-2899
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From: To: Date: Subject: Dear Board Members,
Anthony Chen BOH M&A 11/1/2010 6:05:10 PM Information on Tobacco Products
Thank you,
Anthony L-T Chen

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Director of Health Tacoma-Pierce County Health Department (253) 798-2899
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Anthony Chen Frank Dibiase 11/1/2010 5:46:38 PM RE: Email to BOH regarding tobacco products
Anthony
Dear Board Members,
On October 5, 2010 the Spokane Regional Health District's board of health unanimously passed a resolution
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requesting that jurisdictions in Spokane County adopt policies prohibiting the sale of electronic cigarettes and their component parts to minors. This is the first resolution of its kind in Washington state. Spokane health district staff are now in the process of drafting ordinances for adoption by local cities and towns which would prohibit the sale of ecigarettes to minors. http://www.srhd.org/news.asp?id=179
Thank you.
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Frank Dibiase Selina Chambliss 11/1/2010 6:19:16 PM RE: Email to BOH regarding tobacco products
Got it! Thanks Selina.
From: Selina Chambliss Sent: Monday, November 01, 2010 3:06 PM To: Frank Dibiase Subject: RE: Email to BOH regarding tobacco products
Done. I cc'd you, so you should see it soon.
Selina
From: Frank Dibiase Sent: Monday, November 01, 2010 2:58 PM To: Selina Chambliss Subject: FW: Email to BOH regarding tobacco products
Hi Selina,
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Anthony
Dear Board Members,
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Thank you.
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Selina Chambliss Frank Dibiase 11/1/2010 6:05:56 PM RE: Email to BOH regarding tobacco products
Done. I cc'd you, so you should see it soon.
Selina
From: Frank Dibiase Sent: Monday, November 01, 2010 2:58 PM To: Selina Chambliss Subject: FW: Email to BOH regarding tobacco products
Hi Selina,
Anthony
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Dear Board Members,
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Thank you.
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Bruce Rytkonen 'Annie Tegen' 11/10/2010 3:49:08 PM RE: November TAP Meeting Minutes
Annie......our Director (Dr. Anthony LT Chen) recently provided to all of the members of the Board of Health some information about e-cigs, including information about the resolution passed on Oct 5 by the board of the Spokane Regional Health District regarding "requesting that jurisdictions in Spokane County adopt policies prohibiting the sale of e-cigs and their component parts to minors." Dr. Chen went on to note that Spokane health department staff were drafting ordinances for use/adoption by local towns and cities.
So from my perspective Dr. Chen could be priming our board to consider a similar resolution. Unlike Spokane and King County health departments, we have yet to take the necessary steps to allow for full enforcement and the issuing of civil fines for violations of 70.160. But.....I do have as an assignment from my boss to start working on a resolution. I advised him that my first cut would probably include any and all of the harshest terms and the most fines (the reinspection fees can be very expensive once you start doing a full costing of staff time) implemented by other health departments in Washington State. I have 7-8 examples of resolutions/practices from other counties. If you, or anyone you know, have some examples please send them my way.
It would be great if you could join us at our December 3 TAP Summit meeting. Your work and insight about what's going on (or should be going on) in the anti-tobacco world would be very beneficial.
From: Annie Tegen [mailto:annie.tegen@no-smoke.org] Sent: Wednesday, November 10, 2010 11:02 AM To: Bruce Rytkonen Subject: Re: November TAP Meeting Minutes
Thanks, Bruce! Do you know if you guys will be pushing for any regulations to prohibit the use of e-cigarettes any time soon? Just curious. Take care, Annie
At 10:51 AM 11/10/2010, you wrote:
Good morning everyone. Attached are the minutes from the November TAP meeting. As a part of this meeting we worked on the agenda for the Annual TAP Summit meeting to be held on December 3. As we've done in the past, one of our primary activities at the Summit is to figure out what projects/activities that we want to accomplish in
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2011. So here's some reminders and to do's for the Summit Meeting: 1. The Summit meeting will be held on Dec 3 from 9:00 to 2:00 at Allenmore Hospital in the Basement Classroom. 2. For refreshment and room arrangement planning purposes we would like to hear from you by Nov 24 if you're planning to attend. Thank you.... 3. If you are able to help with refreshments that would be very much appreciated. Please let me know. 4. Nominations are still open for one TAP Co-Chair position (Leonard's). Voting will be held after the December meeting and the results will be announced at the January TAP meeting. Looking forward to seeing you on December 3.
************************************************************************************* This e-mail and any attachments may contain confidential and privileged information. It has been scanned for viruses. If you are not the intended recipient, please notify the sender immediately by return e-mail, delete this e-mail and destroy any copies. Any dissemination, use, review, disclosure, or distribution of this information by a person other than the intended recipient is unauthorized and may be illegal. **************************************************************************************
Annie Tegen, MPH Senior Program Manager Americans for Nonsmokers' Rights American Nonsmokers Rights Foundation annie.tegen@no-smoke.org Phone: 206.545.7175
Are you a member of ANR? If not, please join us today. Our work depends on members like you!
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From: Joby Winans To: Anthony Chen Steve Marek Frank Dibiase Date: 12/14/2010 7:45:06 PM Subject: Response to Media re King County Ban on E-Cigarettes King 5's Eric Wilkerson called to ask whether TPCHD was going to ban e-cigarettes now that PHSKC has done so. I talked with Dr. Chen and gave Eric this statement:
"TPCHD is concerned about e-cigarettes and the dissolvable nicotine candy (e.g., Orbs). We're especially concerned about the health impacts on youth. We're exploring options on how to address these concerns."
I shared that and he followed up with "and are you in agreement with PHSKC's ban?" "Are you going to follow suit?" I explained that we had presented information to the Board of Health last month about the health impacts of ecigarettes and nicotine candy but were still in the exploration phase to determine our options.
He asked for a timeline and I said we did not have one but were actively engaged in exploring what we could do about the health impacts on youth of e-cigarettes and the nicotine candy.
I expect him to run a story at 5:00 tonight. - Joby
Joby Winans Public Information Officer Tacoma-Pierce County Health Department 3629 South D Street Tacoma, Washington 98418-6813 Phone: (253) 798-2853 Pager: (253) 396-3936 Fax: (253) 798-7627
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Bruce Rytkonen Frank Dibiase 12/17/2010 2:19:10 PM RE: Board of Health Meeting - Thursday Morning!
Frank.......you're probably a KIRO talk-show listener in the morning so you may have missed the news on KPLU that the Seattle-KC BOH approved the e-cig package.
So how about if I take a shot at adding what they did to our resolution? I'll do it as a separate doc so it won't be too much for Dr. Chen to deal with that's what you and Steve choose to do (or not do depending on your perspective).
From: Frank Dibiase Sent: Wednesday, December 15, 2010 11:17 AM To: Tobacco PC Subject: FW: Board of Health Meeting - Thursday Morning! Importance: High
FYI
From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Tuesday, December 14, 2010 4:33 PM To: (shelleyc@cschc.org); Brandie Flood (brandie.flood@cschc.org); (janelle@cschc.org); 'Eric Mose'; Elaine Ishihara; 'Julie Peterson'; 'fred@gaycity.org'; 'Carlos Mejia'; 'robynp@sihb.org'; 'lark@gaycity.org'; Alison Shigaki (alishigaki@sprynet.com); Antoinette Angulo; Frank Dibiase; kelly.kasner@cancer.org; Stephanie Silvernail (ssilvernail@psesd.org); 'wgilreath@psesd.org'; 'Zilar, Christopher' Subject: Board of Health Meeting - Thursday Morning! Importance: High
As you may already know, the King County Board of Health is scheduled to meet this Thursday, December 16th at 9:30am.
The agenda for the meeting includes: 1. Regulations relating to electronic smoking devices (also known as e-cigarettes) and unapproved nicotine delivery products. These regulations will help protect youth from starting to use electronic cigarettes and will protect the social norms created by the smoking in public places/places of employment laws. 2. A resolution calling on the state of Washington to provide dedicated and long-term financing so local public health jurisdictions can protect and improve the health of all community residents.
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3. An annual report for Public Health Seattle-King County presented by the director, Dr. David Fleming.
For more information about any of these items, please see the meeting packet.
Public comments can be made in person at the beginning of the meeting or submitted in written form. For more details, please consult the Board of Health website .
The Board of Health meeting will be at 9:30 am on December 16th in the King County Council Chambers (10th floor of the King County Courthouse, 516 3rd Avenue, Room 1001).
If you have any questions or concerns, please feel free to contact me.
Thanks
Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov
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Bruce Rytkonen Frank Dibiase 12/17/2010 2:41:38 PM RE: Board of Health Meeting - Thursday Morning!
Your wife sounds like my wife.
From: Frank Dibiase Sent: Friday, December 17, 2010 10:36 AM To: Bruce Rytkonen Subject: RE: Board of Health Meeting - Thursday Morning!
Actually, I did catch the piece on KPLU (my wife was in the car and made me change the channel). What you're suggesting makes sense. Thanks.
From: Bruce Rytkonen Sent: Friday, December 17, 2010 10:19 AM To: Frank Dibiase Subject: RE: Board of Health Meeting - Thursday Morning!
FYI
From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov]

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Sent: Tuesday, December 14, 2010 4:33 PM To: (shelleyc@cschc.org); Brandie Flood (brandie.flood@cschc.org); (janelle@cschc.org); 'Eric Mose'; Elaine Ishihara; 'Julie Peterson'; 'fred@gaycity.org'; 'Carlos Mejia'; 'robynp@sihb.org'; 'lark@gaycity.org'; Alison Shigaki (alishigaki@sprynet.com); Antoinette Angulo; Frank Dibiase; kelly.kasner@cancer.org; Stephanie Silvernail (ssilvernail@psesd.org); 'wgilreath@psesd.org'; 'Zilar, Christopher' Subject: Board of Health Meeting - Thursday Morning! Importance: High
As you may already know, the King County Board of Health is scheduled to meet this Thursday, December 16th at 9:30am.
The agenda for the meeting includes: 1. Regulations relating to electronic smoking devices (also known as e-cigarettes) and unapproved nicotine delivery products. These regulations will help protect youth from starting to use electronic cigarettes and will protect the social norms created by the smoking in public places/places of employment laws. 2. A resolution calling on the state of Washington to provide dedicated and long-term financing so local public health jurisdictions can protect and improve the health of all community residents. 3. An annual report for Public Health Seattle-King County presented by the director, Dr. David Fleming.
Thanks
Scott Neal
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Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177 Email: scott.neal@kingcounty.gov
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Frank Dibiase Bruce Rytkonen 12/17/2010 2:36:26 PM RE: Board of Health Meeting - Thursday Morning!
Actually, I did catch the piece on KPLU (my wife was in the car and made me change the channel). What you're suggesting makes sense. Thanks.
From: Bruce Rytkonen Sent: Friday, December 17, 2010 10:19 AM To: Frank Dibiase Subject: RE: Board of Health Meeting - Thursday Morning!
FYI
From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov] Sent: Tuesday, December 14, 2010 4:33 PM To: (shelleyc@cschc.org); Brandie Flood (brandie.flood@cschc.org); (janelle@cschc.org); 'Eric Mose'; Elaine Ishihara; 'Julie Peterson'; 'fred@gaycity.org'; 'Carlos Mejia'; 'robynp@sihb.org'; 'lark@gaycity.org'; Alison Shigaki (alishigaki@sprynet.com); Antoinette Angulo; Frank Dibiase; kelly.kasner@cancer.org; Stephanie Silvernail (ssilvernail@psesd.org); 'wgilreath@psesd.org'; 'Zilar, Christopher' Subject: Board of Health Meeting - Thursday Morning! Importance: High
As you may already know, the King County Board of Health is scheduled to meet this Thursday, December 16th at
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9:30am.
The agenda for the meeting includes: 1. Regulations relating to electronic smoking devices (also known as e-cigarettes) and unapproved nicotine delivery products. These regulations will help protect youth from starting to use electronic cigarettes and will protect the social norms created by the smoking in public places/places of employment laws. 2. A resolution calling on the state of Washington to provide dedicated and long-term financing so local public health jurisdictions can protect and improve the health of all community residents. 3. An annual report for Public Health Seattle-King County presented by the director, Dr. David Fleming.
Thanks
Scott Neal Tobacco Prevention Program Manager Public Health - Seattle & King County 401 Fifth Avenue, Suite 900 Seattle, WA 98104 Phone: 206-263-8197 Fax: 206-296-0177
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Email: scott.neal@kingcounty.gov
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From: To: Date: Subject: Welcome! : )
Frank Dibiase Kirsten Frandsen 12/19/2010 2:34:28 PM RE: New Court Ruling on E-Cigarettes
From: Kirsten Frandsen Sent: Saturday, December 18, 2010 7:02 AM To: Frank Dibiase Subject: RE: New Court Ruling on E-Cigarettes
I guess my receiving this email is a sign that there's no turning back now, right? :)
_____ From: Frank Dibiase Sent: Friday, December 17, 2010 4:26 PM To: Bruce Rytkonen; Tobacco PC Subject: RE: New Court Ruling on E-Cigarettes Thanks for sharing this Bruce.
By the way, has our department used the Public Health Law & Policy Center as a resource. Last week I was on a webinar listening to the services they provide...at no cost. Sounds like a resource we should take advantage of not just in Tobacco but across our department.
Thanks.
From: Bruce Rytkonen Sent: Friday, December 17, 2010 10:51 AM To: Frank Dibiase Subject: FW: New Court Ruling on E-Cigarettes
Frank......in the third paragraph it says that "state and local governments can pass laws restricting the sale or use of e8_19_2011
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cigs."
From: Public Health Law & Policy [mailto:Public_Health_Law__Policy@mail.vresp.com] Sent: Thursday, December 16, 2010 11:47 AM To: Bruce Rytkonen Subject: New Court Ruling on E-Cigarettes
Dear Bruce, A federal appeals court recently issued a decision allowing e-cigarettes to continue to be legally sold in the United States under federal law. (E-cigarettes are battery-powered devices that provide inhaled doses of nicotine and, when used, emit vapor rather than smoke.) In 2009 the U.S. Food and Drug Administration (FDA) moved to establish authority over e-cigarettes as drugs or drug delivery devices by blocking the import of new e-cigarette shipments into the U.S. However, this month the court ruled in Sottera v. FDA that the FDA does not have the authority to continue to block the shipments. The court's decision does not necessarily apply to all e-cigarettes on the market. If an e-cigarette company markets its products as a smoking cessation aid, the FDA may still have the authority to regulate it as a drug or drug delivery device. The ruling also does not diminish the power of state or local governments to pass laws restricting e-cigarettes' sale or use. The FDA may choose to appeal the ruling to the U.S. Supreme Court. Our website explains in greater detail the implications of the court decision, the issues involved, what the FDA may do next, and how local governments may restrict e-cigarettes. If you have any questions about the ruling after reading the information on our FAQ page, you may submit them to www.phlpnet.org/tobaccoquestions.
You are receiving this e-mail because you gave TALC permission to contact you about future products and events.
_____
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Click to view this email in a browser If you no longer wish to receive these emails, please reply to this message with "Unsubscribe" in the subject line or simply click on the following link: Unsubscribe _____
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From: To: Date: Subject: Thanks!
Kirsten Frandsen Bruce Rytkonen 1/4/2011 4:54:44 PM RE:
From: Bruce Rytkonen Sent: Tuesday, January 04, 2011 12:07 PM To: Kirsten Frandsen Cc: Frank Dibiase Subject:
Kirsten.....as we were just discussing.....here's the version of the BOH Tobacco Resolution with terms on e-cigs and a copy of the Smoking In Public Places Act RCW 70.160.
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From: Elizabeth West To: Barry Johnson (bjohnson@cityoffife.org) Bruce Hopkins (hopkinsb@townofruston.org) Cheryl Temple (ctemple@cityoforting.org) Chuck Hunter (hunterc@cityofgigharbor.net) Dave Enslow (denslow@ci.sumner.wa.us) David Viafore (mayor@cityoffircrest.net) Debbie Klosowski (dklosowski@cityofup.com) Debra Perry (dperry@cityofmilton.net) Donna Hogerhuis (mshirey@townofwilkeson.com) Douglas Richardson (drichardson@cityoflakewood.us) Jeff Hogan (cityhall@cityofedgewood.org) Karen Yates (roymayor@comcast.net) Kathy Turner (kturner@ci.puyallup.wa.us) Marilyn Strickland (marilyn.strickland@cityoftacoma.org) Neil Johnson (neiljohnsonjr@comcast.net) Patricia Johnson (city@cityofbuckley.com) Peggy Levesque (south_prairie@yahoo.com) Peter Lewis (plewis@auburnwa.gov) Ray Harper (rharper@eatonville-wa.gov) Richard Hildreth (rhildreth@ci.pacific.wa.us) Rickie Morgan (carbonado@qwestoffice.net) Ron Lucas (ron.lucas@ci.steilacoom.wa.us) Tamara Jenkins (tjenkins@ci.dupont.wa.us) Date: 1/20/2011 5:50:00 PM Subject: Board of Health Approved Minutes Attachments: 121510 - BOH MINS.pdf Attached is the approved minutes from the December 15, 2010 Board of Health Meetings.
Elizabeth West Confidential Assistant II Office of the Director Tacoma-Pierce County Health Department Healthy People in Healthy Communities www.tpchd.org 253-798-2899
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From: Kirsten Frandsen To: Steve Marek Frank Dibiase Date: 1/25/2011 12:34:44 AM Subject: FW: The Vaporium Just an fyi follow up on the Vaporium (from the ad Dr. Chen pulled out of the Tacoma Weekly). Please see Bruce's email below.
Thanks, Kirsten
From: Bruce Rytkonen Sent: Friday, January 21, 2011 3:26 PM To: Kirsten Frandsen Subject: The Vaporium
Today I visited The Vaporium in Lakewood. It's a new e-cig retailer. The owner smoked for 20 years and the only way that she was able to quit was with using e-cigs. She said that so far she has about 20 customers. I told her that the BOH was considering a law prohibiting the sale of e-cigs to anyone less than 18. She said that she doesn't sell to anyone less than 18. She's hopeful that the BOH doesn't enact all of the prohibitions on using e-cigs as was approved by the King County BOH. I took the opportunity of this visit to provide her with one of my normal tobacco business kits. She said that she would be putting up one of the Mtn cling signs.
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From: To: Date: Subject: Thank you!!
Kirsten Frandsen Bruce Rytkonen 1/25/2011 12:34:58 AM RE: The Vaporium
From: Bruce Rytkonen Sent: Friday, January 21, 2011 3:26 PM To: Kirsten Frandsen Subject: The Vaporium
Today I visited The Vaporium in Lakewood. It's a new e-cig retailer. The owner smoked for 20 years and the only way that she was able to quit was with using e-cigs. She said that so far she has about 20 customers. I told her that the BOH was considering a law prohibiting the sale of e-cigs to anyone less than 18. She said that she doesn't sell to anyone less than 18. She's hopeful that the BOH doesn't enact all of the prohibitions on using e-cigs as was approved by the King County BOH. I took the opportunity of this visit to provide her with one of my normal tobacco business kits. She said that she would be putting up one of the Mtn cling signs.
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Anthony Chen Frank Dibiase 2/1/2011 9:13:20 PM RE: King County ban on e-cigarettes
Thanks for the follow up. I think we should forward to the BOH. I like their talking points - we need to prepare our own talking points, if not borrow some of theirs. With the article in the Tacoma Weekly, I think it is only one symptom that this will be coming more into discussion.
AC
From: Frank Dibiase Sent: Tuesday, February 01, 2011 3:25 PM To: Anthony Chen Cc: Steve Marek; Kirsten Frandsen Subject: King County ban on e-cigarettes
Hi Anthony,
You asked me about this just prior to the last BOH mtg on Dec. 15. It looks like they passed this restriction on Dec. 16th.
King County put restrictions on e-cigarettes that includes: * restrict the sales of e-cigarettes or any other unapproved nicotine delivery devices only to people 18 and older; * prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products; * prohibit the use of e-cigarette devices in places where smoking is prohibited by law. http://www.kingcounty.gov/council/news/2010/December/JP_Ecig.aspx
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Steve Marek Frank Dibiase 2/3/2011 11:37:54 AM RE: King County ban on e-cigarettes
This should be one of our first strategies to move forward after the BOH meeting in a couple of weeks. It might be good to have something drafted and ready to go by March BOH. Let's discuss.
From: Frank Dibiase Sent: Tuesday, February 01, 2011 3:25 PM To: Anthony Chen Cc: Steve Marek; Kirsten Frandsen Subject: King County ban on e-cigarettes
Hi Anthony,
You asked me about this just prior to the last BOH mtg on Dec. 15. It looks like they passed this restriction on Dec. 16th.
King County put restrictions on e-cigarettes that includes: * restrict the sales of e-cigarettes or any other unapproved nicotine delivery devices only to people 18 and older; * prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products; * prohibit the use of e-cigarette devices in places where smoking is prohibited by law. http://www.kingcounty.gov/council/news/2010/December/JP_Ecig.aspx
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From: To: Date: Subject: Hi Kirsten,
Frank Dibiase Kirsten Frandsen 2/7/2011 8:08:06 PM FW: bills related to tobacco
I left you a voice mail message earlier today regarding pending tobacco-related legislation. I indicated I had it pretty much covered but need to update you.
What I don't have covered is the legislative tracking form. I believe George has been completing the bill summary document, but someone, either you or George, should go to Sharepoint, click on "Legislative Tracking" and click on "EH" and enter the info for the bills mentioned below. These are the only ones that I'm aware of that pertain to Tobacco. Anthony and Steve routinely go to this spreadsheet to see check on bills.
Also, are there any PAN related bills that we should be tracking? If so, it would be good to designate someone from PAN to track in Sharepoint.
Thing should slow down by Feb. 18th. For non-budget related bills that don't make it out of committee, they're effectively dead. The number of surviving bills really dwindles at this point.
Thanks.
From: Limtiaco, Frances (DOH) [mailto:Frances.Limtiaco@DOH.WA.GOV] Sent: Tuesday, February 01, 2011 2:42 PM To: Pam Wessel-Estes; Frank Dibiase; Kirsten Frandsen Cc: Davis, Paul A (DOH) Subject: FW: bills related to tobacco
FYI. Forwarding to you email and information from policy specialist Paul Davis. As an FYI, I believe the Spokane City Council will have its final reading next week, February 7th. Thanks! _____________________________________________ From: Davis, Paul A (DOH) Sent: Tuesday, February 01, 2011 1:56 PM To: 'Cross, Theresa' Cc: Harrelson, David (DOH); Limtiaco, Frances (DOH); Huyck, Carla (DOH); 'Scott Neal'; Zilar, Christopher
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Subject: bills related to tobacco Theresa, here's the pertinent bills and local policies that you asked about. Christopher or Scott may have better local information than what I provided below. 1246/ 5380 would 1) Ban flavored tobacco (this appears to include e-cigarettes) 2) Require tobacco to be behind the counter 3) Remove preemption so locals could pass more restrictive tobacco ordinances and/or have local taxes 1246 just got a hearing yesterday 5016 would ban smoking in cars with kids under 18. Penalty would be a secondary infraction. Got a hearing and is scheduled for executive action today, so we'll see if it moves or not at 3:30 pm. 5039 would require insurance policies to cover cessation benefits. Got a hearing and was scheduled for executive action, but the lengthy testimony on marijuana pushed it off the agenda. HB 1683 and SB 5542 would allow cigar bars and tobacco retailers to have an endorsement allowing smoking. Cigar bars would have a $15,000 fee and tobacco shops would have a $5000 fee. One bill would deposit the money into education legacy fund that provides scholarships. The other bill puts money into a trust fund for basic health plan. No hearing scheduled yet. At the local level, King County put restrictions on e-cigarettes that includes: * restrict the sales of e-cigarettes or any other unapproved nicotine delivery devices only to people 18 and older; * prohibit free or highly discounted electronic smoking devices or unapproved nicotine delivery products; * prohibit the use of e-cigarette devices in places where smoking is prohibited by law. http://www.kingcounty.gov/council/news/2010/December/JP_Ecig.aspx I wasn't able to find any definitive document that the City of Spokane has passed its ban on sale of e-cigarettes to minors, but it is in the works. If you find out some details, please pass them along. The current posting on the SRHD web site says that their sale is unregulated. http://www.srhd.org/topics/e-cigarettes.asp Call me if you have questions. Paul Davis, Policy Specialist Washington State Department of Health Tobacco Prevention and Control office - 360-236-3642 cell - 360-507-6556 email - paul.davis@doh.wa.gov PO Box 47848 Olympia, WA 98503
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Public Health - Always Working for a Healthier Washington offices will be closed for Temporary Layoff Days as follows: 2010 Monday, July 12 Friday, August 6 Tuesday, September 7 Monday, October 11 Monday, December 27 2011 Friday, January 28 Tuesday, February 22 Friday, March 11 Friday, April 22 Friday, June 10 www.doh.wa.gov/tobacco
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From: To: Date: Subject: Attachments:
Dawn Jacobs 'da2jaco@aol.com' 2/10/2011 7:25:08 PM February 10[1].pdf
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From: To: Date: Subject: Attachments: Cindan,
Selina Chambliss Cindan Gizzi 2/10/2011 5:01:22 PM February 10 Latest February 10.doc
I'm not sure how available you are today by email. With Outlook down for a good portion of the morning, I just received Anthony's comments so here is the draft of the Latest for your review. I will wait to hear from you by the end of the day, otherwise I will probably go ahead and send.
Elizabeth - can you also take a look at it.
Thanks,
Selina
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From: To: Date: Subject: Attachments: Brad,
Selina Chambliss Brad Costello 2/10/2011 6:01:16 PM February 10 Latest February 10.doc
Here is the Latest. Can you post on the intranet?
Thanks!
Selina
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Selina Chambliss Elizabeth West 2/10/2011 5:10:22 PM FW: February 10 Latest February 10.doc
From: Selina Chambliss Sent: Thursday, February 10, 2011 1:01 PM To: Cindan Gizzi Subject: February 10 Latest
Cindan,
Thanks,
Selina
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Elizabeth West Selina Chambliss 2/10/2011 5:23:36 PM RE: February 10 Latest February 10.doc
I took out 2 commas and updated the reading level otherwise looks good. Elizabeth
From: Selina Chambliss Sent: Thursday, February 10, 2011 1:10 PM To: Elizabeth West Subject: FW: February 10 Latest
Cindan, Im not sure how available you are today by email. With Outlook down for a good portion of the morning, I just received Anthonys comments so here is the draft of the Latest for your review. I will wait to hear from you by the end of the day, otherwise I will probably go ahead and send. Elizabeth can you also take a look at it. Thanks, Selina
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Elizabeth West Selina Chambliss 2/10/2011 5:23:34 PM RE: February 10 Latest February 10.doc
I took out 2 commas and updated the reading level - otherwise looks good. Elizabeth
From: Selina Chambliss Sent: Thursday, February 10, 2011 1:10 PM To: Elizabeth West Subject: FW: February 10 Latest
Cindan,
Thanks,
Selina
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From: Bruce Rytkonen To: 'Leonard Sanderson' 'Heidi Henson' Date: 2/10/2011 8:30:42 PM Subject: TAB Min 11 02 Feb 4 2011.doc Attachments: TAB Min 11 02 Feb 4 2011.doc Draft minutes for review.
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From: Anthony Chen To: Cindy DeGrosse, Asst Marilyn Strickland Cindy Leingang, Asst to Victoria Woodards Cindy Willis, Assistant to Stan Flemming Connie Perry, Assistant to Pat McCarthy Dick Muri (dick.muri@co.pierce.wa.us) Jake Fey (Jake.Fey@cityoftacoma.org) Leslie Swalley, Assistant to Dick Muri Marilyn Strickland (marilyn.strickland@cityoftacoma.org) Mark Williams, Assistant to Rick Talbert Pat McCarthy (pmccart@co.pierce.wa.us) Patricia Johnson (city@cityofbuckley.com) Rebecca Sullivan (annreid42@lycos.com) Rick Talbert (rtalber@co.pierce.wa.us) Ron Lucas (ron.lucas@ci.steilacoom.wa.us) Stan Flemming (sflemmi@co.pierce.wa.us) Victoria Woodards (victoria.woodards@cityoftacoma.org) Date: 2/10/2011 6:38:16 PM Subject: TPCHD's Latest Attachments: February 10.pdf Good Afternoon Board of Health,
Attached is the Health Department's Latest newsletter for your reading enjoyment.
Thanks,
Anthony
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From: Heidi Henson <barefootheidi@mindspring.com> To: Bruce Rytkonen lensand@mindspring.com kfransden@tpchd.org Date: 2/11/2011 11:49:02 AM Subject: changes for TAP minutes Attachments: TAB Min 11 02 Feb 4 2011 DRAFT Hi, I made suggested changes in RED. Thanks, Heidi
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From: To: Date: Subject: Hi Sarah,
Frank Dibiase Ross-Viles, Sarah 2/11/2011 4:52:18 PM FW: Smoking in Cars with Kids and e-cigarette regulation
Thought I would forward this on to you in case you didn't already see this info.
Also, when you have a chance could you please forward me the ordinance your board passed related to ecigarettes? I went to the PHSKC web site but did not find the actual regulation. This would help in our work with our Board.
Thanks Sarah.
Frank DiBiase Assistant Division Director Environmental Health Division 253 798-7674 fdibiase@tpchd.org
From: Limtiaco, Frances (DOH) [mailto:Frances.Limtiaco@DOH.WA.GOV] Sent: Thursday, February 10, 2011 10:37 AM To: Frank Dibiase; George Hermosillo; Kirsten Frandsen Subject: Smoking in Cars with Kids
Hello All, Don't know if you were aware that the public health law center recently came out with this policy brief. http://publichealthlawcenter.org/sites/default/files/resources/phlc-policybrief-kidscarssmoke-2010_0.pdf
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Regards, Fances Frances Limtiaco Healthy Communities Consultant Tobacco Prevention and Control Contract Manager Washington State Department of Health Chronic Disease Prevention Unit Physical Address: 111 Israel Road SE P.O. Box 47848 Olympia, WA 98504-7848 Phone: (360) 236-3771; Cell: (360) 790-8727 Fax: (360) 236-3646 frances.limtiaco@doh.wa.gov website: www.doh.wa.gov/tobacco Public Health -- always working for a safer and healthier Washington
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From: Bruce Rytkonen To: Frank Dibiase Kirsten Frandsen Date: 2/11/2011 5:53:06 PM Subject: RE: Attachments: SIPP SeaKing Title 19 Dec 2010.pdf I now sort of have an idea of how PHSKC adopts new policies and regulations. The actual final wording will be contained in different "Title" sections in the "Code of the Board of Health Seattle King County." Changes to Title sections are document using the type of form dated Sept 17, 2010, that Frank just provided. In December another form of this type, or "resolution," was passed by the PHSKC BOH adopting terms limiting the sale of e-cigs and where they can be used.
I believe that then all of the changes to their smoking policies (Sept 2010 and Dec 2010) got incorporated into an updated version of their Title 19.
The terms that PHSKC adopted on e-cigs were included in my second draft on the resolution that I provided to Frank on Dec 28.
Kirsten.....I'll provide a hard copy of this for your information.
From: Frank Dibiase Sent: Friday, February 11, 2011 12:23 PM To: Kirsten Frandsen; Bruce Rytkonen Subject:
Hi folks,
Attached is the ordinance PHSKC passed related to SIPP enforcement. Thought you might like to see the details if you haven't already.
Thanks.
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Heidi Henson <barefootheidi@mindspring.com> Bruce Rytkonen 2/11/2011 10:43:52 PM RE: changes for TAP minutes
Tobacco-free Alliance Meeting of Pierce County
Meeting Minutes
February 4, 2011
Attendees: Leonard Sanderson (Community), Heidi Henson (Community) Pat Richmond (Community), Joanna Cummings (Kick Butts, Take Names), Mary Tudor (Community), Annie Holt (Pfizer), George Hermosillo, Kirsten Frandsen and Bruce Rytkonen (TPCHD)
Co-Chairs: Heidi Henson (presiding) and Leonard Sanderson
1. Welcome and Introductions
New attendees to TAP: Kirsten Frandsen is now the manager of the Health Departments Tobacco Program.
2. Brief Announcements and Upcoming Events
Heidi This week Franciscan Health Systems implemented a tobacco-free hiring policy. All current tobacco users will be grandfathered in and not be required to quit, but will be given encouragement and support to quit.
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Auburn Valley YMCA grant was renewed from the Muckleshoot Indian Tribe for a tobacco cessation and education program. The work will focus on Muckleshoot tribal youth, Free support groups, free workshops, community and medical provider education, and expanding the program to the YMCAs of Greater Seattle, teaching them about developing partnerships with their local hospitals and health departments, and Auburn businesses helping employees quit tobacco.
API New Year celebration on February 12 at the Tacoma Dome.
A retail shop in Lakewood has a machine for customers to make their own cigarettes. Bruce The US Bureau of Alcohol, Firearms and Tobacco (responsible for collecting and administering the $10/carton federal tax on tobacco) has initiated a suit claiming taxes owed on the use of these machines. A federal judge did not support the issuing of an immediate injunction to collect any taxes. The parties are to begin meetings in February.
Pat In the latest Time magazine there was an e-cig ad that took up one whole page.
Leonard Provided information on getting materials on the FDAs Break the Chain campaign from The FDA Center for Tobacco Products Clearing House. Break the Chain deals with not selling tobacco to minors.
Bruce Passed out information about an upcoming webinar on February 10 about the Role of hospitals in Tobacco Cessation, and information about an upcoming teleconference about local opportunities and implications of federal tobacco regulations (to be given by Sarah Ross-Viles).
On regular basis more ads are appearing for smoke-free facilities at local tribal casinos.
Joanna Brought in a copy of magazine based upon the Mad Men TV show. Lots of examples of smoking.
The second (new and improved) edition of Kick ButtsTake Names is now available.
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Kirsten The Tobacco Program (now without any funding from the State) is being developed. The primary areas will be secondhand smoke, youth and cessation.
3. January TAP Minutes Approved
4. Drug Free Community Program
Leonard has been working on one of the local Drug Free Community Programs. They are very comprehensive and require a substantial amount of involvement and work. The programs generally include the following: Are funded at the rate of $125,000 per year for 10 years There are several local projects in process at this time Each project has broad community involvement and commitments The Milton-Fife project is related to ZIP codeswhich causes some problems. The projects are coalition driven The priorities of the projects need to deal with marijuana, alcohol and tobacco.
There are five groups with new applications in process. Maybe TAP could get involved with one or more of these projects if they are selected for funding.
5. Legislative News
Annie SB5039 Requiring private insurance companies to cover tobacco cessation treatment. A hearing was held with testimony by Heidi, Meghan Sullivan (TOGETHERThurston), Pat sent a letter of support. Joanna was in attendance. Joanna wrote a letter to her local Sen. Carol (a Republican) seeking his support. The bill moved on to the Rules Committee. Twenty groups showed support for the bill. The insurance companies had four representatives who testified against it.
Heidi/George SB5016 bans smoking in cars with kids. Testimony provided by Heidi, Meghan and John from UWT.
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The bill has now been referred to the Health and Long Term Care Committee. The organs are feeling positive about the bill getting passed this time.
HB1683/SB5542 provides an exemption for cigar lounges and stores from the Smoking In Public Places Act RCW 70.160.On Feb 10 it will be read at the Business Finance Services Committee and its scheduled for an executive session on Feb 11. *Pat wrote a letter to the TNT against this bill, which had many negative comments.
HB1246/SB5380 banning flavored other tobacco products and all dissolvable tobacco.
To Track Individual Bills..Go To.www.leg.wa.gov.and click on Bill Information where you can search by bill number or key word or call the Legislative Hotline 1-800-562-6000 to give your comments on any bill.
5. Discussion and Planning 2011 Goals and Objectives
Before getting the discussion on our 2011 Goals and Objectives, Annie wanted to pose to the TAP members some questions about TAP that could help us with our planning:
1. Where is TAP right now in the scheme of things? 2. Where does TAP want to go? 3. How can we improve?
TAP has many strengths: -we have powerful voices -we can be quick to act.we are action oriented -we are goal oriented Some things that we could do-be more organized
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-better marketing of our name (eg. a better letterhead) -increase our membership
She developed a quick survey which will be sent to all persons on the TAP e-mail listing to see if we can get some insight on improving TAPs role in the community (and beyond). A quick response to the survey is appreciated. It will come under separate email.
6. Next TAP Meeting March 4, 2011 9:00 am to 11:00 pm Allenmore Hospital Basement Conference--------Note Different Location 19th and Union Tacoma 98405
Tobacco-free Alliance of Pierce County Ranking of 2011Suggested Goals and Objectives
# Votes Goals and Objectives
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1050
Free and ongoing tobacco cessation groups accessible to all.
750
Work to ensure that at least 3% of tobacco taxes and revenues go to tobacco prevention and cessation.
17
500
Ban sale of e-cigs to youth (<18) in Pierce County.
8
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400
Youth prevention and intervention.
350
No smoking in cars with kids.
350
Restrict access to tobacco products (eg. reduce # of retail outlets, increase minimum age, increase advertising)
12
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350 Continue outreach to underserved populations through New Year..New Life campaigns for tobacco prevention and cessation.
10
300
Work to increase prevalence of smoke-free housing in Pierce County.
14
300 Establish contact with parallel network groups (similar to TAP) in other Western Washington counties/communities who are not as organized.
200
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Increase awareness about the health risk and deglamorize smokeless tobacco.
200
Increase awareness of secondhand smoke.
16
200
More concentration of chronic disease and tobacco prevention.
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100
Increase the age to purchase tobacco to 19.
100
Increase accessibility to low-cost nicotine replacement therapy.
15
50
Get better cooperation with PC med docs for establishment of support groups.
11
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Alternative tobacco products (education, decrease use, policy)
13
Create new messaging to deglamorize smoking among teens.
From: Bruce Rytkonen [mailto:BRytkonen@tpchd.org] Sent: Friday, February 11, 2011 8:45 AM To: 'Heidi Henson'; lensand@mindspring.com; kfransden@tpchd.org Subject: RE: changes for TAP minutes
Heidi..cant open your document.
From: Heidi Henson [mailto:barefootheidi@mindspring.com] Sent: Friday, February 11, 2011 7:49 AM To: Bruce Rytkonen; lensand@mindspring.com; kfransden@tpchd.org Cc: barefootheidi@mindspring.com Subject: changes for TAP minutes
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Hi, I made suggested changes in RED. Thanks, Heidi ************************************************************************************* This e-mail and any attachments may contain confidential and privileged information. It has been scanned for viruses. If you are not the intended recipient, please notify the sender immediately by return e-mail, delete this e-mail and destroy any copies. **************************************************************************************
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Frank Dibiase 'Ross-Viles, Sarah' 2/11/2011 6:54:06 PM RE: Smoking in Cars with Kids and e-cigarette regulation
Thanks Sarah. Have a good weekend.
From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Friday, February 11, 2011 2:20 PM To: Frank Dibiase Cc: Neal, Scott Subject: RE: Smoking in Cars with Kids and e-cigarette regulation
Forgot the attachment. It starts on page 22 of this chapter.
Sarah
Sarah Ross-Viles CPPW Tobacco Project Manager Public Health - Seattle & King County Suite 900 401 5th Avenue Seattle, WA 98102 (206) 263-8211
_____ From: Frank Dibiase [mailto:FDibiase@tpchd.org] Sent: Friday, February 11, 2011 12:52 PM To: Ross-Viles, Sarah Subject: FW: Smoking in Cars with Kids and e-cigarette regulation Hi Sarah,
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Thought I would forward this on to you in case you didn't already see this info.
Thanks Sarah.
Hello All, Don't know if you were aware that the public health law center recently came out with this policy brief. http://publichealthlawcenter.org/sites/default/files/resources/phlc-policybrief-kidscarssmoke-2010_0.pdf Regards, Fances Frances Limtiaco Healthy Communities Consultant
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Tobacco Prevention and Control Contract Manager Washington State Department of Health Chronic Disease Prevention Unit Physical Address: 111 Israel Road SE P.O. Box 47848 Olympia, WA 98504-7848 Phone: (360) 236-3771; Cell: (360) 790-8727 Fax: (360) 236-3646 frances.limtiaco@doh.wa.gov website: www.doh.wa.gov/tobacco Public Health -- always working for a safer and healthier Washington ************************************************************************************* This e-mail and any attachments may contain confidential and privileged information. It has been scanned for viruses. If you are not the intended recipient, please notify the sender immediately by return e-mail, delete this e-mail and destroy any copies. **************************************************************************************
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Ross-Viles, Sarah <Sarah.Ross-Viles@kingcounty.gov> Frank Dibiase 2/11/2011 6:20:06 PM RE: Smoking in Cars with Kids and e-cigarette regulation 26-BOH-Title 19[1].pdf
Forgot the attachment. It starts on page 22 of this chapter. Sarah
_____ From: Frank Dibiase [mailto:FDibiase@tpchd.org] Sent: Friday, February 11, 2011 12:52 PM To: Ross-Viles, Sarah Subject: FW: Smoking in Cars with Kids and e-cigarette regulation
Hi Sarah,
Thought I would forward this on to you in case you didnt already see this info.
Thanks Sarah.
Frank DiBiase
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Assistant Division Director Environmental Health Division 253 798-7674 fdibiase@tpchd.org
Hello All, Dont know if you were aware that the public health law center recently came out with this policy brief. http://publichealthlawcenter.org/sites/default/files/resources/phlc-policybrief-kidscarssmoke-2010_0.pdf Regards, Fances Frances Limtiaco Healthy Communities Consultant Tobacco Prevention and Control Contract Manager Washington State Department of Health Chronic Disease Prevention Unit Physical Address: 111 Israel Road SE P.O. Box 47848 Olympia, WA 98504-7848 Phone: (360) 236-3771; Cell: (360) 790-8727 Fax: (360) 236-3646 frances.limtiaco@doh.wa.gov website: www.doh.wa.gov/tobacco Public Health -- always working for a safer and healthier Washington ************************************************************************************* This e-mail and any attachments may contain confidential and privileged information. It has been scanned for viruses. If you are not the intended recipient, please notify the sender immediately by return e-mail, delete this e-mail and
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destroy any copies. **************************************************************************************
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From: To: Date: Subject: You too!
Ross-Viles, Sarah <Sarah.Ross-Viles@kingcounty.gov> Frank Dibiase 2/11/2011 7:14:38 PM RE: Smoking in Cars with Kids and e-cigarette regulation
_____ From: Frank Dibiase [mailto:FDibiase@tpchd.org] Sent: Friday, February 11, 2011 2:54 PM To: Ross-Viles, Sarah Subject: RE: Smoking in Cars with Kids and e-cigarette regulation
Thanks Sarah. Have a good weekend.
From: Ross-Viles, Sarah [mailto:Sarah.Ross-Viles@kingcounty.gov] Sent: Friday, February 11, 2011 2:20 PM To: Frank Dibiase Cc: Neal, Scott Subject: RE: Smoking in Cars with Kids and e-cigarette regulation
Forgot the attachment. It starts on page 22 of this chapter.
Sarah
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_____ From: Frank Dibiase [mailto:FDibiase@tpchd.org] Sent: Friday, February 11, 2011 12:52 PM To: Ross-Viles, Sarah Subject: FW: Smoking in Cars with Kids and e-cigarette regulation Hi Sarah,
Thanks Sarah.
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Hello All, Dont know if you were aware that the public health law center recently came out with this policy brief. http://publichealthlawcenter.org/sites/default/files/resources/phlc-policybrief-kidscarssmoke-2010_0.pdf Regards, Fances Frances Limtiaco Healthy Communities Consultant Tobacco Prevention and Control Contract Manager Washington State Department of Health Chronic Disease Prevention Unit Physical Address: 111 Israel Road SE P.O. Box 47848 Olympia, WA 98504-7848 Phone: (360) 236-3771; Cell: (360) 790-8727 Fax: (360) 236-3646 frances.limtiaco@doh.wa.gov website: www.doh.wa.gov/tobacco Public Health -- always working for a safer and healthier Washington ************************************************************************************* This e-mail and any attachments may contain confidential and privileged information. It has been scanned for viruses. If you are not the intended recipient, please notify the sender immediately by return e-mail, delete this e-mail and destroy any copies. **************************************************************************************
************************************************************************************* This e-mail and any attachments may contain confidential and privileged information. It has been scanned for viruses. If you are not the intended recipient, please notify the sender immediately by return e-mail, delete this e-mail and destroy any copies. **************************************************************************************
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Thanks, Frank. I had not seen the brief. Here is the e-cig code. Please let us know if you have any questions. I am putting Scott on this email too as he will return next week from paternity leave and is lead in our leg work. Sarah
Hi Sarah,
Thanks Sarah.
Frank DiBiase
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Hello All, Dont know if you were aware that the public health law center recently came out with this policy brief. http://publichealthlawcenter.org/sites/default/files/resources/phlc-policybrief-kidscarssmoke-2010_0.pdf Regards, Fances Frances Limtiaco Healthy Communities Consultant Tobacco Prevention and Control Contract Manager Washington State Department of Health Chronic Disease Prevention Unit Physical Address: 111 Israel Road SE P.O. Box 47848 Olympia, WA 98504-7848 Phone: (360) 236-3771; Cell: (360) 790-8727 Fax: (360) 236-3646 frances.limtiaco@doh.wa.gov website: www.doh.wa.gov/tobacco Public Health -- always working for a safer and healthier Washington ************************************************************************************* This e-mail and any attachments may contain confidential and privileged information. It has been scanned for viruses. If you are not the intended recipient, please notify the sender immediately by return e-mail, delete this e-mail and destroy any copies.
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**************************************************************************************
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Thanks, Frank. I had not seen the brief. Here is the e-cig code. Please let us know if you have any questions. I am putting Scott on this email too as he will return next week from paternity leave and is lead in our leg work. Sarah
Hi Sarah,
Thanks Sarah.
Frank DiBiase
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Hello All, Dont know if you were aware that the public health law center recently came out with this policy brief. http://publichealthlawcenter.org/sites/default/files/resources/phlc-policybrief-kidscarssmoke-2010_0.pdf Regards, Fances Frances Limtiaco Healthy Communities Consultant Tobacco Prevention and Control Contract Manager Washington State Department of Health Chronic Disease Prevention Unit Physical Address: 111 Israel Road SE P.O. Box 47848 Olympia, WA 98504-7848 Phone: (360) 236-3771; Cell: (360) 790-8727 Fax: (360) 236-3646 frances.limtiaco@doh.wa.gov website: www.doh.wa.gov/tobacco Public Health -- always working for a safer and healthier Washington ************************************************************************************* This e-mail and any attachments may contain confidential and privileged information. It has been scanned for viruses. If you are not the intended recipient, please notify the sender immediately by return e-mail, delete this e-mail and destroy any copies.
8_19_2011
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**************************************************************************************
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From: Bruce Rytkonen To: Holt, Anna Tegen, Anne Annette Squetimkin-Anqoue Grider, Brent Bruce Rytkonen Carrie Nyssen Cynthia Hawthorne Warnaca, Dawn DeAnne Baer Eric Hatzenbuehler (Eric.Hatzenbuehler@kingcounty.gov) Erin Dziedzic Limtiaco, Frances Frank Dibiase George Hermosillo (gbell@seattlecca.org) Greg C Puno (gcp3@u.washington.edu) Bissell, Janet Sarthou, Jennifer Cummings, Joanna Ruze, John Karon, Judy Scholer, Julie Pritchard, Kathie Iverson, Ken Keonwha Kim (Keonwhakim@fhshealth.org) Nygard, Kim Gregerson, Lindsey Rasmussen, Lynette Lynn Abegglen Mandy Ma Marianne Seifert Meghan M. Sullivan CHES (msullivan@ThurstonTOGETHER.org) 'Michael Nagata' Nelson, Monica Nan Hogan Tatom, Nanette Richmond, Pat Patricia Ramirez Neagle Patrick Hogan, MD Kowald, Roberta Pebeasy, Robyn Scott Neal (scott.neal@kingcounty.gov) Rose, Shelley Soon Ja Han Theophilus Mungen Tricia Sinek Dorn, Trixy Wendi Gilreath
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Date: 2/14/2011 6:27:24 PM Subject: February TAP Minutes and Survey Reminder Attachments: TAB Min 11 02 Feb 4 2011.doc Good Valentine's Day everyone. Attached are the minutes for the February TAP meeting.
The other day we sent everyone the TAP survey that is intended to help figure out some new directions for TAP. If you've already submitted your survey responses back to Annie Holt then a "thank you very much" is in order. If you haven't yet made your submission, then for your convenience noted below are the three survey questions.
1. How do you think TAP is seen in the community?
2. How do you want TAP to be recognized in Pierce County, the region and the State?
3. What do we need to do to move TAP to where we are to where we want to be?
It would be appreciated if you could send your responses by Feb 21 to Annie at anna.k.holt@pfizer and to me at brytkonen@tpchd.org.
Thank you very much.
We'll see you at the next TAP meeting on March 4 at Allenmore hospital from 9:00 to 11:00 in Conference Room D.
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From: To: Date: Subject: Hi Kirsten,
Frank Dibiase Kirsten Frandsen 2/14/2011 12:22:20 PM RE: e-cigarette
We considered this for October BOH study session but didn't pursue it due to the limited time for the Tobacco part of the meeting.
I don't really feel it's necessary for February's meeting. It could be more of distraction than it's worth.
From: Kirsten Frandsen Sent: Monday, February 14, 2011 6:03 AM To: Frank Dibiase Subject: e-cigarette
Hi Frank, for the BOH presentation, would you like me to get/buy an e-cigarette to show the members?
Thanks, Kirsten
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From: To: Date: Subject: Thank you Tutricia- I appreciate it.
Kirsten Frandsen Tutrecia Giles 2/14/2011 4:01:00 PM RE: Presentation to BOH
From: Tutrecia Giles Sent: Monday, February 14, 2011 12:00 PM To: Kirsten Frandsen Subject: RE: Presentation to BOH
Kirsten, I plugged in the following suggestions. Let me know if you have any questions.-Tutrecia
} Challenge: o Rates of adult tobacco use in PC are declining, but youth rates have remained stable. o Youth appear to be targeted with alternative tobacco products. o Most addiction to tobacco begins among youth under the age of 18. o A person who hasn't started smoking by age 19 is unlikely to ever become a smoker. As it pertains to your fourth bullet, there was some discussion about young adult tobacco initiation(18-24) from Frank and Liz. Liz said that there was research stating that there was initiation after the age 18. I still believe that the statement is true, but some people may start later.
} Overall, nearly 80 percent of all adult smokers first become regular smokers before the age of 18 and 90 percent do so before leaving their teens.15 15 SAMHSA, Calculated based on data in 2006 National Household Survey on Drug Use and Health, http://www.oas.samhsa.gov/nsduh.htm, } Goal: Implement policy strategies that prevent or reduce tobacco use among youth. } Recommended Policy Action: o Ban sale of E-cigarettes to youth. o Other Recommended Strategies:
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o Ban sale of E-cigarettes to youth------Repeated o Possible- Enforcement of existing tobacco sales regulations o Multi-media and social marketing campaigns o Support school based interventions and policy actions o Pros * Focus on primary prevention with long lasting health implications. * Reduced tobacco use. * High return on investment. * Support from local businesses.
Cons * If e-cigarettes are ban, the logistics of the enforcement of the ban * Fines for retailers who sell to minors.
Tutrecia Giles, M.Ed. Prevention Specialist Tacoma-Pierce County Health Department 3629 So 'D' Street, MS-409 Tacoma, Washington 98418-6813 Direct (253) 798-4727 fax (253) 798-6450 tgiles@tpchd.org
From: Kirsten Frandsen Sent: Monday, February 14, 2011 8:51 AM To: Kirsten Frandsen; George Hermosillo; Samantha Yeun; Bruce Rytkonen; Allison Cox; Tutrecia Giles; Hanna Zarellijackson Subject: RE: Presentation to BOH
Hi everyone, George pointed out that I forgot to attach the powerpoint- thanks George.
It is attached- thanks, Kirsten

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From: Kirsten Frandsen Sent: Monday, February 14, 2011 6:46 AM To: George Hermosillo; Samantha Yeun; Bruce Rytkonen; Allison Cox; Tutrecia Giles; Hanna Zarellijackson Subject: Presentation to BOH
Good morning everyone,
Attached you will find a draft powerpoint for the BOH presentation on Feb. 23rd for our program. If you would kindly go through the presentation- particularly your sections (current or future work) and make edits/modifications, etc. We need to keep the presentation brief as we only have 20-30 minutes to present, so please keep this in mind as you review.
George- I haven't added any results from your Housing Assessment so if you would be interested and feel it's appropriate to add one slide in there with data, that would be great.
I'd appreciate your edits by end of day today.
Thanks, Kirsten
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From: To: Date: Subject: Attachments: Kirsten,
Tutrecia Giles Kirsten Frandsen 2/14/2011 4:00:16 PM RE: Presentation to BOH BOH Briefing February 23 study session1.pptx
I plugged in the following suggestions. Let me know if you have any questions.-Tutrecia
} Challenge: o Rates of adult tobacco use in PC are declining, but youth rates have remained stable. o Youth appear to be targeted with alternative tobacco products. o Most addiction to tobacco begins among youth under the age of 18. o A person who hasn't started smoking by age 19 is unlikely to ever become a smoker. As it pertains to your fourth bullet, there was some discussion about young adult tobacco initiation(18-24) from Frank and Liz. Liz said that there was research stating that there was initiation after the age 18. I still believe that the statement is true, but some people may start later.
} Overall, nearly 80 percent of all adult smokers first become regular smokers before the age of 18 and 90 percent do so before leaving their teens.15 15 SAMHSA, Calculated based on data in 2006 National Household Survey on Drug Use and Health, http://www.oas.samhsa.gov/nsduh.htm, } Goal: Implement policy strategies that prevent or reduce tobacco use among youth. } Recommended Policy Action: o Ban sale of E-cigarettes to youth. o Other Recommended Strategies: o Ban sale of E-cigarettes to youth------Repeated o Possible- Enforcement of existing tobacco sales regulations o Multi-media and social marketing campaigns o Support school based interventions and policy actions o Pros
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* Focus on primary prevention with long lasting health implications. * Reduced tobacco use. * High return on investment. * Support from local businesses.
Cons * If e-cigarettes are ban, the logistics of the enforcement of the ban * Fines for retailers who sell to minors.
Tutrecia Giles, M.Ed. Prevention Specialist Tacoma-Pierce County Health Department 3629 So 'D' Street, MS-409 Tacoma, Washington 98418-6813 Direct (253) 798-4727 fax (253) 798-6450 tgiles@tpchd.org
From: Kirsten Frandsen Sent: Monday, February 14, 2011 8:51 AM To: Kirsten Frandsen; George Hermosillo; Samantha Yeun; Bruce Rytkonen; Allison Cox; Tutrecia Giles; Hanna Zarellijackson Subject: RE: Presentation to BOH
Hi everyone, George pointed out that I forgot to attach the powerpoint- thanks George.
It is attached- thanks, Kirsten
From: Kirsten Frandsen Sent: Monday, February 14, 2011 6:46 AM To: George Hermosillo; Samantha Yeun; Bruce Rytkonen; Allison Cox; Tutrecia Giles; Hanna Zarellijackson Subject: Presentation to BOH
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Good morning everyone,
Attached you will find a draft powerpoint for the BOH presentation on Feb. 23rd for our program. If you would kindly go through the presentation- particularly your sections (current or future work) and make edits/modifications, etc. We need to keep the presentation brief as we only have 20-30 minutes to present, so please keep this in mind as you review.
George- I haven't added any results from your Housing Assessment so if you would be interested and feel it's appropriate to add one slide in there with data, that would be great.
I'd appreciate your edits by end of day today.
Thanks, Kirsten
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From: Kirsten Frandsen To: Frank Dibiase Steve Marek Date: 2/17/2011 5:23:46 PM Subject: FW: Sea-King, Kitsap and Spokane SIPP Ordinances and Policies Attachments: SIPP SeaKing Title 19 Dec 2010.pdf SIPP Spokane 70.160.docx SIPP Spokane e-cigs.docx Fyi-
From: Bruce Rytkonen Sent: Thursday, February 17, 2011 11:29 AM To: 'Gregory Jacoby' Cc: Kirsten Frandsen Subject: Sea-King, Kitsap and Spokane SIPP Ordinances and Policies
Greg......here are the Ordinances for SIPP for Sea-King and Kitsap***. For Spokane attached is their "Draft Enforcement Procedure" dated July 19,2010. I have a request in to them for an updated or final version of this procedure. I don't think that they did an ordinance in the same manner as SeaKing and Kitsap. I believe that they decided on their own that they had the authority to issue citations for violations and the $100 civil fine. When they've determined that someone gets a violation letter, they always then do a follow-up first reinspection and charge the business $100. If the business fails that first reinspection, they get another $100 civil fine and a second reinspection with a cost of $200 (I think). It goes up from there.
The Spokane Board of Health did pass Resolution #10-05 regarding restrictions on e-cigs. Copy attached.
***I'm having trouble getting transfer access to the Kitsap ordinance. If you Google "Kitsap County Board of Health Ordinance 2006-2" you'll get to this document and you or someone more expert in your office can either just print it out or put it in an accessible e-file. Sorry about that.
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Kirsten Frandsen Bruce Rytkonen 2/17/2011 5:23:26 PM RE: Sea-King, Kitsap and Spokane SIPP Ordinances and Policies
Thanks Bruce-
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Kirsten Frandsen Frank Dibiase 2/22/2011 10:37:58 AM pp attached Feb 14 DRAFT BOH February 23 Tobacco Study Session.pptx
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Frank Dibiase Frank Dibiase 2/23/2011 1:41:44 PM FW: PHSKC SIPP Title 19 Document SIPP SeaKing Title 19 Dec 2010.pdf
From: Bruce Rytkonen Sent: Friday, February 11, 2011 1:53 PM To: Frank Dibiase; Kirsten Frandsen Subject: RE:
I now sort of have an idea of how PHSKC adopts new policies and regulations. The actual final wording will be contained in different "Title" sections in the "Code of the Board of Health Seattle King County." Changes to Title sections are document using the type of form dated Sept 17, 2010, that Frank just provided. In December another form of this type, or "resolution," was passed by the PHSKC BOH adopting terms limiting the sale of e-cigs and where they can be used.
I believe that then all of the changes to their smoking policies (Sept 2010 and Dec 2010) got incorporated into an updated version of their Title 19.
The terms that PHSKC adopted on e-cigs were included in my second draft on the resolution that I provided to Frank on Dec 28.
Kirsten.....I'll provide a hard copy of this for your information.
From: Frank Dibiase Sent: Friday, February 11, 2011 12:23 PM To: Kirsten Frandsen; Bruce Rytkonen Subject:
Hi folks,
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Attached is the ordinance PHSKC passed related to SIPP enforcement. Thought you might like to see the details if you haven't already.
Thanks.
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From: To: Date: Subject: Attachments: Just an fyi-
Kirsten Frandsen Frank Dibiase 2/23/2011 9:33:38 AM FW: Signed County Ordinance County Ordinance Signed.pdf
Thanks, Kirsten
From: Bruce Rytkonen Sent: Tuesday, February 22, 2011 11:37 AM To: Kirsten Frandsen Subject: FW: Signed County Ordinance
Here's a signed version of the Spokane County e-cig ordinance that I sent to you earlier today.
From: Scholer, Julie [mailto:JSCHOLER@spokanecounty.org] Sent: Tuesday, February 22, 2011 9:43 AM To: Bruce Rytkonen Subject: Signed County Ordinance
Bruce,
Here is the signed County ordinance.
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Kirsten Frandsen Frank Dibiase 2/23/2011 9:43:56 AM FW: Spokane Ordinance or Policies Resolution #10-05.pdf E-cigarette012311 County Ordinance.docx City of Spokane.docx
Fyi only-
From: Bruce Rytkonen Sent: Tuesday, February 22, 2011 9:34 AM To: Kirsten Frandsen Subject: Spokane Ordinance or Policies
As a result of the Spokane Health Dept's Resolution 10-05 (copy attached) "asking/proposing" that the legal jurisdictions in Spokane County adopt policies prohibiting/restricting the sale and/or use of e-cigs, the City of Spokane and the County of Spokane have drafted ordinances (copies attached).
From: Scholer, Julie [mailto:JSCHOLER@spokanecounty.org] Sent: Tuesday, February 22, 2011 8:43 AM To: Bruce Rytkonen Cc: Zilar, Christopher Subject: FW: Ordinance or Policies
Bruce,
I am not sure what Christopher has sent you. Here is some information on e-cigs from our BOH and from the County and City.
I will have to get the final signed versions of the ordinances from the city and county. The city made a couple of amendments prior to passing in relation to the fines so that it matched the county. Also, our attorneys are looking at adding an amendment that gives police/SRHD authority to confiscate the items from youth.
I think that Christopher probably already gave you everything we have on enforcement. I will check with him later
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today.
Take care Bruce.
From: Bruce Rytkonen [mailto:BRytkonen@tpchd.org] Sent: Wednesday, February 16, 2011 10:04 AM To: Zilar, Christopher Subject: Ordinance or Policies
Hi Chris.....yeah.....me again. I've drafted a resolution/ordinance to get from our BOH authorization to actually do enforcement. My draft is now with senior management and that then also means outside legal counsel. My draft included (from wherever I could find them) some of the more stringent or broader terms used by other LHJ's around the State. I did review and include some of what you provided previously to me. General counsel has asked that I obtain current policies and ordinances from King, Kitsap and Spokane. So could I ask if you could forward to me anything that you have that today serves as the policy, ordinance, procedure, etc. that is associated with 70.160 and e-cigs, as we were discussing yesterday. Thank you very much for all of your time and help. ************************************************************************************* This e-mail and any attachments may contain confidential and privileged information. It has been scanned for viruses. If you are not the intended recipient, please notify the sender immediately by return e-mail, delete this e-mail and destroy any copies. **************************************************************************************
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From: Samantha Yeun To: George Hermosillo Kirsten Frandsen Tobacco PC Elizabeth Pulos Date: 2/23/2011 7:07:10 PM Subject: RE: E-cigarettes & youth access Here's what I found on E-cigarettes and youth access. There's no evidence that youth accessing E-cigarettes right now, but there are recent state laws (Seattle, NY, etc.) that prohibit youth under the age of 18 from purchasing them. Most of the rulings and bans are based on social acceptability and social norm.
http://www.acscan.org/action/ny/campaigns/ecigarettes/
Sam
From: George Hermosillo Sent: Wednesday, February 23, 2011 2:23 PM To: Kirsten Frandsen; Tobacco PC; Elizabeth Pulos Subject:
Good Afternoon All,
Here's the report we were talking about today in the our planning session. I've attached the report which includes socio economic status from 2009.
Disparities in Youth Tobacco Use in Washington State June 2009
Thanks,
George Hermosillo, B.A; SDVC Prevention Specialist Enviromental Health Program

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Tacoma Pierce County Health Dept. 3629 So. D St. Tacoma, Wa. 98418 (253) 798-7664 (253) 405-8244 cell (253 798-6450 fax email: ghermosillo@tpchd.org
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From: To: Date: Subject: Thanks!
Kirsten Frandsen Bruce Rytkonen 2/23/2011 9:33:22 AM RE: Signed County Ordinance
From: Bruce Rytkonen Sent: Tuesday, February 22, 2011 11:37 AM To: Kirsten Frandsen Subject: FW: Signed County Ordinance
Here's a signed version of the Spokane County e-cig ordinance that I sent to you earlier today.
From: Scholer, Julie [mailto:JSCHOLER@spokanecounty.org] Sent: Tuesday, February 22, 2011 9:43 AM To: Bruce Rytkonen Subject: Signed County Ordinance
Bruce,
Here is the signed County ordinance.
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Bruce Rytkonen Kirsten Frandsen 2/24/2011 3:14:12 PM FW: Sea-King, Kitsap and Spokane SIPP Ordinances and Policies SIPP SeaKing Title 19 Dec 2010.pdf SIPP Spokane 70.160.docx SIPP Spokane e-cigs.docx
Here's the county ordinances that I sent the other day to Greg that has the final version of the SeaKing SIPP Ordinance that I think you said you wanted to pass on to the Mayor.
Also.....when you were talking to Linda I handed you a Wikipedia document on e-cigs. This may be something you would want to pass on to the Mayor to give her some general/specific info on e-cigs.
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From: Allison Cox To: Samantha Yeun George Hermosillo Kirsten Frandsen Tobacco PC Elizabeth Pulos Date: 2/24/2011 12:03:40 PM Subject: RE: E-cigarettes & youth access I have 2 long phone messages from Bill Godshall on this on my phone at work. Bill agrees - no evidence but makes perfect sense to keep access away from minors. I can give you more details on his comments if need be. Allison _____ From: Samantha Yeun Sent: Wednesday, February 23, 2011 3:07 PM To: George Hermosillo; Kirsten Frandsen; Tobacco PC; Elizabeth Pulos Subject: RE: E-cigarettes & youth access
Heres what I found on E-cigarettes and youth access. Theres no evidence that youth accessing E-cigarettes right now, but there are recent state laws (Seattle, NY, etc.) that prohibit youth under the age of 18 from purchasing them. Most of the rulings and bans are based on social acceptability and social norm.
Sam
Good Afternoon All,
Heres the report we were talking about today in the our planning session. Ive attached the report which includes
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socio economic status from 2009.
Thanks,
George Hermosillo, B.A; SDVC Prevention Specialist Enviromental Health Program Tacoma Pierce County Health Dept. 3629 So. D St. Tacoma, Wa. 98418 (253) 798-7664 (253) 405-8244 cell (253 798-6450 fax email: ghermosillo@tpchd.org
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From: Kirsten Frandsen To: Allison Cox Samantha Yeun George Hermosillo Tobacco PC Elizabeth Pulos Date: 2/24/2011 12:12:10 PM Subject: RE: E-cigarettes & youth access Thanks George, Allison and Sam for your sleuthing.
Frank and I are combining our notes from our meeting with Mayor Strickland and BOH yesterday. I'll let you know when these are available and what follow up we need to do.....
Thanks again, Kirsten
From: Allison Cox Sent: Thursday, February 24, 2011 8:04 AM To: Samantha Yeun; George Hermosillo; Kirsten Frandsen; Tobacco PC; Elizabeth Pulos Subject: RE: E-cigarettes & youth access
I have 2 long phone messages from Bill Godshall on this on my phone at work. Bill agrees - no evidence but makes perfect sense to keep access away from minors. I can give you more details on his comments if need be.
Allison _____ From: Samantha Yeun Sent: Wednesday, February 23, 2011 3:07 PM To: George Hermosillo; Kirsten Frandsen; Tobacco PC; Elizabeth Pulos Subject: RE: E-cigarettes & youth access Here's what I found on E-cigarettes and youth access. There's no evidence that youth accessing E-cigarettes right now, but there are recent state laws (Seattle, NY, etc.) that prohibit youth under the age of 18 from purchasing them. Most of the rulings and bans are based on social acceptability and social norm.
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Sam
Good Afternoon All,
Here's the report we were talking about today in the our planning session. I've attached the report which includes socio economic status from 2009.
Thanks,
George Hermosillo, B.A; SDVC Prevention Specialist Enviromental Health Program Tacoma Pierce County Health Dept. 3629 So. D St. Tacoma, Wa. 98418 (253) 798-7664 (253) 405-8244 cell (253 798-6450 fax email: ghermosillo@tpchd.org
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Kirsten Frandsen Bruce Rytkonen 2/24/2011 3:31:18 PM RE: Sea-King, Kitsap and Spokane SIPP Ordinances and Policies
Thanks Bruce-
From: Bruce Rytkonen Sent: Thursday, February 24, 2011 11:14 AM To: Kirsten Frandsen Subject: FW: Sea-King, Kitsap and Spokane SIPP Ordinances and Policies
Here's the county ordinances that I sent the other day to Greg that has the final version of the SeaKing SIPP Ordinance that I think you said you wanted to pass on to the Mayor.
Also.....when you were talking to Linda I handed you a Wikipedia document on e-cigs. This may be something you would want to pass on to the Mayor to give her some general/specific info on e-cigs.
***I'm having trouble getting transfer access to the Kitsap ordinance. If you Google "Kitsap County Board of Health
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Ordinance 2006-2" you'll get to this document and you or someone more expert in your office can either just print it out or put it in an accessible e-file. Sorry about that.
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Selina Chambliss Frank Dibiase 2/25/2011 7:49:28 PM 022311 - BOH SM SS MINS.pdf - Adobe Acrobat Professional 022311 - BOH SM SS MINS.pdf
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From: Selina Chambliss To: Cindy DeGrosse, Asst Marilyn Strickland Cindy Leingang, Asst to Victoria Woodards Cindy Willis, Assistant to Stan Flemming Connie Perry, Assistant to Pat McCarthy Dick Muri (dick.muri@co.pierce.wa.us) Jake Fey (Jake.Fey@cityoftacoma.org) Leslie Swalley, Assistant to Dick Muri Marilyn Strickland (marilyn.strickland@cityoftacoma.org) Mark Williams, Assistant to Rick Talbert Pat McCarthy (pmccart@co.pierce.wa.us) Patricia Johnson (city@cityofbuckley.com) Rebecca Sullivan (annreid42@lycos.com) Rick Talbert (rtalber@co.pierce.wa.us) Ron Lucas (ron.lucas@ci.steilacoom.wa.us) Stan Flemming (sflemmi@co.pierce.wa.us) Victoria Woodards (victoria.woodards@cityoftacoma.org) Date: 2/25/2011 7:52:58 PM Subject: BOH Study Session Meeting Minutes Attachments: 022311 - BOH SM SS MINS.pdf Good Afternoon Board of Health members,
Due to rescheduling the Board of Health Study Session to later in the month, we were unable to include the minutes in your packets that we mailed out Wednesday morning. Therefore I am attaching the meeting minutes for you to include in your packets for next Wednesday.
Thanks and have a fabulous weekend.
Stay warm!
Selina Chambliss Confidential Assistant II Office of the Director (253) 798-3536 Tacoma-Pierce County Health Department Healthy People in Healthy Communities
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From: To: Date: Subject: Thank you !
Kirsten Frandsen Bruce Rytkonen 2/25/2011 10:33:06 AM RE: SIPP Spokane e-cigs.docx
From: Bruce Rytkonen Sent: Thursday, February 24, 2011 9:28 AM To: Kirsten Frandsen Subject: SIPP Spokane e-cigs.docx
The references at the end of this resolution may be of interest to you.
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From: To: Date: Subject: Attachments: Oops!
Frank Dibiase Kirsten Frandsen 2/28/2011 12:23:26 PM FW: 022311 - BOH SM SS MINS.pdf - Adobe Acrobat Professional 022311 - BOH SM SS MINS.pdf
From: Selina Chambliss Sent: Friday, February 25, 2011 3:49 PM To: Frank Dibiase Subject: 022311 - BOH SM SS MINS.pdf - Adobe Acrobat Professional
8_19_2011

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

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

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From: To: Date: Subject: Hi Anthony,

From: To: Date: Subject:

Let me know what you think.

Thought you might find this info interesting .

Subject: Smoke-Free Apartment Buildings article

From: To: Date: Subject: Hi Anthony,

Thought you might find this info interesting .

From: To: Date: Subject:

Let me know what you think.

Thought you might find this info interesting .

From: To: Date: Subject:

From: To: Date: Subject: Frank,

Dear Board Members,

798-7674 or via email at: fdibiase@tpchd.org.

From: To: Date: Subject: Frank,

Dear Board Members,

798-7674 or via email at: fdibiase@tpchd.org.

From: To: Date: Subject:

From: To: Date: Subject: Hi Selina,

Good morning Anthony,

Dear Board Members,

From: To: Date: Subject: FYI

Frank Dibiase Tobacco PC 11/1/2010 6:20:16 PM FW: Information on Tobacco Products

Dear Board Members,

From: To: Date: Subject: Dear Board Members,

Anthony Chen BOH M&A 11/1/2010 6:05:10 PM Information on Tobacco Products

Anthony L-T Chen

Director of Health Tacoma-Pierce County Health Department (253) 798-2899

From: To: Date: Subject:

Good morning Anthony,

Dear Board Members,

From: To: Date: Subject:

Got it! Thanks Selina.

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

Good morning Anthony,

Dear Board Members,

From: To: Date: Subject:

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

Good morning Anthony,

Dear Board Members,

From: To: Date: Subject:

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

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

From: To: Date: Subject:

From: To: Date: Subject:

Your wife sounds like my wife.

From: Neal, Scott [mailto:Scott.Neal@kingcounty.gov]

From: To: Date: Subject:

From: To: Date: Subject: Welcome! : )

From: To: Date: Subject: Thanks!

Kirsten Frandsen Bruce Rytkonen 1/4/2011 4:54:44 PM RE:

From: To: Date: Subject: Thank you!!

Kirsten Frandsen Bruce Rytkonen 1/25/2011 12:34:58 AM RE: The Vaporium

From: To: Date: Subject:

From: To: Date: Subject:

From: To: Date: Subject: Hi Kirsten,

From: To: Date: Subject: Attachments:

Dawn Jacobs 'da2jaco@aol.com' 2/10/2011 7:25:08 PM February 10[1].pdf

From: To: Date: Subject: Attachments: Cindan,

Elizabeth - can you also take a look at it.

From: To: Date: Subject: Attachments: Brad,