tacoma-pierce county health department -- e-cigarette e-mails may 2011 part 2

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

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

Subject: FW: E-cigarette issue

Please add to public record.

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

Pierce County Councilmember -

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

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

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

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

Thank you,

Stacy Emerson

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


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

Dear Mr. Muri,

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

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

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

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

Sincerely,Jacinda Ross

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Subject: FW: TPCHD's intended ban/restrictions on E-cigarettes


-----Original Message-----From: Stacy Emerson [mailto:[email protected]]Sent: Thursday, May 05, 2011 12:53 PMSubject: TPCHD's intended ban/restrictions on E-cigarettes

Dear TPCHD Health Board Members and Elected Officials -

I am a 47 year old property-owning female taxpayer of unincorporatedPierce County who started smoking in my teenage years; then switchedto cigars in my 30's. I have experience intermittent--perhapspermanent--health problems due to my decades of smoking, yet failed tosuccessfully quit for more than a few weeks at a time.

I obtained my first e-cigarette last year as a hand-me-down fromsomeone I met through an employee of the TPCHD. The person who gave itto me had successfully broke his 30-year smoking addiction by usingthe E-cig, and that gave me tremendous hope, as my prior experiencewith hypnosis, nicotine gum, lozenges, patches, and whatever the pillwas back in about 2000, before Chantix went on the market, and severalother 'devices', etc., did not work for me..

Since then, a convenience store chain started selling full E-cig kitsfor $20, with 10-pk refills for about $10 (refills for thehand-me-down one was $19.99/5-pk). They are available in a variety ofstrengths of nicotine, as well as zero-nicotine. I started with the22mg nicotine cartridges, am happy to report that I am now down to the5mg cartridges and plan to switch to the zero-nicotine in the nearfuture. I view this as a huge success, and therefore feel I must voicemy objection to your intended ban on low-cost e-cigs (unless aparticular brand is proven to contain other-than nicotine andglycerin), and on your intended ban on E-cig coupons (you have notbanned cigarette coupons, have you?).

I also object to what appears to be your effort to protect thefinancial resources you garner through cigarette tax bybanning/restricting E-cigs.

I am asking you to drop this issue and instead focus your time,attention and resources on other, more important issues-as there arePLENTY of them which need your attention.

In closing, I ask that you add me to your Interested Parties Listregarding any meetings or actions relating to your efforts at banning

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or restricting E-cigs in Pierce County.

Thank you,

Stacy Emerson

Midland (Tacoma), WA 98445

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Subject: FW: Vapor Cigarette Ban - NO


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

Carl Halverson

Tacoma WA 98407

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

Please add me to the IPL (Interested Parties List)

Regards,

Carl Halverson

Tacoma WA 98407

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From: Tutrecia GilesTo: Kirsten Frandsen

Date: 5/10/2011 6:12:54 PMSubject: From CM Muri's office to Dr. Chen

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

These Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected] From: Tawana BellamySent: Monday, May 09, 2011 2:30 PMTo: Tutrecia GilesSubject: Here's another batch of comments from the public on e-cigarettes Again, some maybe duplicates, but I’m forwarding them to you since they are being sent to me from differentsources. Thank you,Tawana BellamyConfidential Assistant IIOffice of the DirectorTacoma-Pierce County Health DepartmentPhone: (253) 798-2899

Healthy People in Healthy Communities

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From: Frank DibiaseTo: Steve Marek

Date: 5/10/2011 3:32:06 PMSubject: FW: AMAZING site

FYI. Kinda wild. Thought you might like to see some of these. From: Bridget VandeventerSent: Monday, May 09, 2011 1:21 PMTo: Kirsten Frandsen; Frank DibiaseSubject: AMAZING site Hey guys-Check this out. I was looking for the source of those old Doctors Smoking ads, and found this site at StanfordSchool of Medicine.http://lane.stanford.edu/tobacco/index.html Read the “About the Exhibit” section; it’s really in line with our message right now on e-cigarettes. The ads areamazing, and they have such a great collection, searchable by brand, theme, etc. Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Frank DibiaseTo: Jaime Paulson

Date: 5/10/2011 12:41:16 PMSubject: FW: E-cig Research Doc's

Hi Jaime, Can you please see if there’s a time when Kirsten, Steve and I can meet for about ½ hour between now and Fridaymorning? Thank you. From: Steve MarekSent: Tuesday, May 10, 2011 7:28 AMTo: Kirsten Frandsen; Frank DibiaseSubject: RE: E-cig Research Doc's I would like to take a look at the BOH packet. We should touch base before Friday to catch me up on things. From: Kirsten FrandsenSent: Tuesday, May 10, 2011 6:41 AMTo: Frank DibiaseCc: Steve MarekSubject: RE: E-cig Research Doc's Sounds good- thanks. The BOH packets are going out on the 11th. Do either of you want to take a final look? Thanks, Kirsten

From: Frank DibiaseSent: Monday, May 09, 2011 5:19 PMTo: Kirsten FrandsenCc: Steve MarekSubject: RE: E-cig Research Doc's

It’s unlikely that they’ll read it. If we want to make sure they get certain pieces of information we should presentit to them at the BOH meeting, but were time limited there as well. What are we currently planning to send them in the BOH packets and when is the packet going out? Also, let’s be sure to discuss the May 18th Board meeting when we meet this Friday. Thanks. From: Kirsten FrandsenSent: Monday, May 09, 2011 11:34 AMTo: Frank Dibiase; Steve MarekSubject: FW: E-cig Research Doc's Hi, can you please see the weblink in the email below from GASP…. It is a white paper that is very comprehensive on e-cigarettes. What are your thoughts on including this in theBOH packet that we’re sending out? If not, an alternate idea might be to have one of our speakers (providingtestimony) at the BOH meeting, distribute this to all members (or we can). Thanks, Kirsten

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From: Bruce RytkonenSent: Monday, May 09, 2011 9:53 AMTo: Kirsten Frandsen; Tutrecia GilesSubject: E-cig Research Doc's I’ve looked at three of the documents about e-cigs that we have received…..1. Americans for Nonsmokers’Rights 2. The Tobacco Control Legal Consortium (what Scott Neal provided) and 3. The GASP White Paper on E-cigs (link provided below). I think that the GASP White Paper provides a very comprehensive listing of issuesassociated with e-cigs. Also…..Kirsten……I had a question for Paul Davis last week and when he answered it he included the FDA April 25News & Events write-up on e-cigs that he or Frances had provided to you. It seems to me that Paul (Madigan) and Greg could take what’s being provided in this write-up (how the FDA will now regulate e-cigs as a “tobaccoproduct”), and come up with a legitimate position supporting prohibiting the use of e-cigs where tobacco isprohibited. From: Karen Haines [mailto:[email protected]]Sent: Tuesday, April 26, 2011 9:01 AMTo: Bruce RytkonenCc: [email protected]; [email protected]: TCPHD ordinance on e-cigarette ban on sale to minors? Bruce RytkonenTacoma-Pierce County Health Department Dear Bruce, Julie Scholer from the Spokane County health department suggested I email you to find out where theCounty is with regards to a proposal to ban the sale of e-cigarettes to minors, and if you are alsoconsidering a ban on the use of e-cigs in public places and workplaces where smoking is currentlybanned. Our nonprofit publishes a white paper supporting restrictions on e-cigarettes that lists jurisdictions thathave already banned or are considering a ban on the sale of e-cigs to minors, and use of e-cigs in publicplaces and workplaces. Please feel free to circulate the white paper to your County’s health commissionduring their hearing on the ordinance. http://njgasp.org/E-Cigs_White_Paper.pdf We provided technical assistance to the NJ Legislature, which was the first state jurisdiction in the USAto ban the use of e-cigs in public places and workplaces where smoking is banned as well as banningtheir sale to minors. Look forward to hearing from you soon. Please respond using ‘reply all’. Tx. Karen HainesFinance and Technology AdministratorGlobal Advisors on Smokefree Policy (GASP)7 Cedar St., Suite A, Summit, NJ 07901(908)273-9368 office(908)273-9222 [email protected]

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From: Frank DibiaseTo: Bridget Vandeventer

Date: 5/10/2011 12:49:46 PMSubject: FW: Op-Ed for your review

Attachments: Op Ed Tobacco Regs revAC.doc

I just had a chance to review Anthony’s edits. I think most of his edits are improvements. A couple areas hedelves into more details than are probably needed. My one concern is length. It’s now up to 861 words. I believeour original goal was around 600 words. Does the Tribune place a limit on the number of words? From: Anthony ChenSent: Monday, May 09, 2011 9:41 PMTo: Bridget VandeventerCc: Laurie Jinkins; Steve Marek; Frank Dibiase; Kirsten Frandsen; Cindan GizziSubject: RE: Op-Ed for your review Bridget, Thanks for putting this together. It was helpful for us to talk on the phone this evening. Try this version with edits. It may be hard for me to respond in a timely fashion tomorrow, so I will be relying on Frank, Kirsten, and you to put thefinal version together. If you have significant concerns, call my cell 253-377-1134 and leave a message. AC

From: Bridget VandeventerSent: Monday, May 09, 2011 12:44 PMTo: Anthony ChenCc: Laurie Jinkins; Steve Marek; Frank Dibiase; Kirsten Frandsen; Cindan GizziSubject: Op-Ed for your review

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

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From: Laurel JellisonTo: Laurel Parshall

Adria MoskowitzAnne DillonBrad CostelloCarol FunkhouserEmma McDanielJackie ParkerJaime PaulsonJennifer BurchfieldJennifer MeekerJulia J. ShraderKesha GaaslandKimberly ValenciaLaurel JellisonLinda SorrellLisa LeppardPeggy McMurtrieRyan SharpSherrilyn Reed

Date: 5/10/2011 3:20:50 PMSubject: FW: Phone calls/e-cig regulations

Hello,I want you all to be aware for the potential of increased inquiries related to e-cigarettes. Tutrecia has providedsome guidelines below on how to respond/direct those calls/questions. I’ve included Laurel Parshall on this e-mail to disseminate to the other staff who cover the information desk. Please contact Tutrecia if you have any questions. Thank you,Laurel Jellison From: Tutrecia GilesSent: Monday, May 09, 2011 9:00 AMTo: Laurel JellisonCc: Kirsten FrandsenSubject: Phone calls/e-cig regulations Good morning Laurel,The e-cig team had a meeting last Friday and Selina mentioned that the front desk was getting questions andinquires about the proposed regulations. Please direct the callers to the tpchd’s website for comments orquestions. There is a link to the regulations and a comment box. If there any emails from the public, they can beforwarded to me.-Thanks,Tutrecia Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected]

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From: Kirsten FrandsenTo: Tobacco PC

PANDate: 5/10/2011 6:33:08 PM

Subject: Op Ed in the TNT

Good afternoon everyone, I wanted to give you a heads up that there may be an op editorial in the TNT tomorrow – authored by Dr. Chen. The op ed takes a pretty strong stance regarding our position on e-cigarettes and responds to points made inearlier articles that have been written about the topic. Just an fyi so you may want to look out for it. Thanks- Kirsten FrandsenTacoma-Pierce County Health DepartmentProgram Coordinator: Physical Activity, Nutrition, and [email protected]

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From: Kirsten FrandsenTo: Frank Dibiase

Date: 5/10/2011 9:41:00 AMSubject: RE: E-cig Research Doc's

Sounds good- thanks. The BOH packets are going out on the 11th. Do either of you want to take a final look? Thanks, Kirsten


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

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Sent: Tuesday, April 26, 2011 9:01 AMTo: Bruce RytkonenCc: [email protected]; [email protected]: TCPHD ordinance on e-cigarette ban on sale to minors? Bruce RytkonenTacoma-Pierce County Health Department Dear Bruce, Julie Scholer from the Spokane County health department suggested I email you to find out where theCounty is with regards to a proposal to ban the sale of e-cigarettes to minors, and if you are alsoconsidering a ban on the use of e-cigs in public places and workplaces where smoking is currentlybanned. Our nonprofit publishes a white paper supporting restrictions on e-cigarettes that lists jurisdictions thathave already banned or are considering a ban on the sale of e-cigs to minors, and use of e-cigs in publicplaces and workplaces. Please feel free to circulate the white paper to your County’s health commissionduring their hearing on the ordinance. http://njgasp.org/E-Cigs_White_Paper.pdf We provided technical assistance to the NJ Legislature, which was the first state jurisdiction in the USAto ban the use of e-cigs in public places and workplaces where smoking is banned as well as banningtheir sale to minors. Look forward to hearing from you soon. Please respond using ‘reply all’. Tx. Karen HainesFinance and Technology AdministratorGlobal Advisors on Smokefree Policy (GASP)7 Cedar St., Suite A, Summit, NJ 07901(908)273-9368 office(908)273-9222 [email protected]

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From: Steve MarekTo: Kirsten Frandsen

Frank DibiaseDate: 5/10/2011 10:28:12 AM

Subject: RE: E-cig Research Doc's

I would like to take a look at the BOH packet. We should touch base before Friday to catch me up on things. From: Kirsten FrandsenSent: Tuesday, May 10, 2011 6:41 AMTo: Frank DibiaseCc: Steve MarekSubject: RE: E-cig Research Doc's Sounds good- thanks. The BOH packets are going out on the 11th. Do either of you want to take a final look? Thanks, Kirsten


It’s unlikely that they’ll read it. If we want to make sure they get certain pieces of information we should presentit to them at the BOH meeting, but were time limited there as well. What are we currently planning to send them in the BOH packets and when is the packet going out? Also, let’s be sure to discuss the May 18th Board meeting when we meet this Friday. Thanks. From: Kirsten FrandsenSent: Monday, May 09, 2011 11:34 AMTo: Frank Dibiase; Steve MarekSubject: FW: E-cig Research Doc's Hi, can you please see the weblink in the email below from GASP…. It is a white paper that is very comprehensive on e-cigarettes. What are your thoughts on including this in theBOH packet that we’re sending out? If not, an alternate idea might be to have one of our speakers (providingtestimony) at the BOH meeting, distribute this to all members (or we can). Thanks, Kirsten From: Bruce RytkonenSent: Monday, May 09, 2011 9:53 AMTo: Kirsten Frandsen; Tutrecia GilesSubject: E-cig Research Doc's I’ve looked at three of the documents about e-cigs that we have received…..1. Americans for Nonsmokers’Rights 2. The Tobacco Control Legal Consortium (what Scott Neal provided) and 3. The GASP White Paper on E-cigs (link provided below). I think that the GASP White Paper provides a very comprehensive listing of issues

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associated with e-cigs. Also…..Kirsten……I had a question for Paul Davis last week and when he answered it he included the FDA April 25News & Events write-up on e-cigs that he or Frances had provided to you. It seems to me that Paul (Madigan) and Greg could take what’s being provided in this write-up (how the FDA will now regulate e-cigs as a “tobaccoproduct”), and come up with a legitimate position supporting prohibiting the use of e-cigs where tobacco isprohibited. From: Karen Haines [mailto:[email protected]]Sent: Tuesday, April 26, 2011 9:01 AMTo: Bruce RytkonenCc: [email protected]; [email protected]: TCPHD ordinance on e-cigarette ban on sale to minors? Bruce RytkonenTacoma-Pierce County Health Department Dear Bruce, Julie Scholer from the Spokane County health department suggested I email you to find out where theCounty is with regards to a proposal to ban the sale of e-cigarettes to minors, and if you are alsoconsidering a ban on the use of e-cigs in public places and workplaces where smoking is currentlybanned. Our nonprofit publishes a white paper supporting restrictions on e-cigarettes that lists jurisdictions thathave already banned or are considering a ban on the sale of e-cigs to minors, and use of e-cigs in publicplaces and workplaces. Please feel free to circulate the white paper to your County’s health commissionduring their hearing on the ordinance. http://njgasp.org/E-Cigs_White_Paper.pdf We provided technical assistance to the NJ Legislature, which was the first state jurisdiction in the USAto ban the use of e-cigs in public places and workplaces where smoking is banned as well as banningtheir sale to minors. Look forward to hearing from you soon. Please respond using ‘reply all’. Tx. Karen HainesFinance and Technology AdministratorGlobal Advisors on Smokefree Policy (GASP)7 Cedar St., Suite A, Summit, NJ 07901(908)273-9368 office(908)273-9222 [email protected]

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From: Brad CostelloTo: Tutrecia Giles

Date: 5/10/2011 5:31:26 PMSubject: RE: E-cig website change

Tutrecia,

The web pages have been updated.

Brad

From: Tutrecia GilesSent: Tuesday, May 10, 2011 9:42 AMTo: Brad CostelloCc: Kirsten FrandsenSubject: E-cig website change

Hello Brad,Kirsten wants to remove the Q&A reference in the announcement about the public hearing. The panel will bepresenting briefly then the facilitator will open the meeting for public comment.- Thanks

As it reads now:

“The Tacoma-Pierce County Health Department will host a public meeting to preview and receive public feedbackregarding the two regulations. The meeting will include a brief presentation of the proposed regulations, a questionand answer period and an opportunity for attendees to provide brief comment.”

Change to:

“The Tacoma-Pierce County Health Department will host a public meeting to preview and receive public feedbackregarding the two regulations. The meeting will include a brief presentation of the proposed regulations, followed byan opportunity for attendees to provide brief comment.” Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected]

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From: Tutrecia GilesTo: Brad Costello

Date: 5/10/2011 6:09:16 PMSubject: RE: E-cig website change

Thanks. Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected] From: Brad CostelloSent: Tuesday, May 10, 2011 2:31 PMTo: Tutrecia GilesCc: Kirsten FrandsenSubject: RE: E-cig website change Tutrecia, The web pages have been updated. Brad

From: Tutrecia GilesSent: Tuesday, May 10, 2011 9:42 AMTo: Brad CostelloCc: Kirsten FrandsenSubject: E-cig website change

Hello Brad,Kirsten wants to remove the Q&A reference in the announcement about the public hearing. The panel will bepresenting briefly then the facilitator will open the meeting for public comment.- Thanks

As it reads now:

“The Tacoma-Pierce County Health Department will host a public meeting to preview and receive public feedbackregarding the two regulations. The meeting will include a brief presentation of the proposed regulations, a questionand answer period and an opportunity for attendees to provide brief comment.”

Change to:

“The Tacoma-Pierce County Health Department will host a public meeting to preview and receive public feedbackregarding the two regulations. The meeting will include a brief presentation of the proposed regulations, followed byan opportunity for attendees to provide brief comment.” Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected]

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From: Bridget VandeventerTo: 'Yuan, Teresa'

Date: 5/10/2011 4:31:52 PMSubject: RE: electronic cigarette ban

Hi Teresa,I was hoping we could wait until Dr. Chen is back, but if you’re already scheduled to be down here we can make this work. We will have Frank Dibiase, deputy division director for Environmental Health do the interview instead. Can you come to our building to do the shoot? Frank and I will both be in meetings at that time, but are able to step out. It would be great if you could give me a call when you’re on I-5 and headed our way. My cell is253-405-6822. As you’re researching for the piece, you might want to check out this interesting gallery that Stanford School of Medicine put together a couple of years ago. http://lane.stanford.edu/tobacco/index.html. The exhibit features cigarette ads from decades past, many of which convincingly state that cigarettes are not only safe, but even good for you. As e-cigarettes gain in popularity, the claims their manufacturers and retailers make bear astriking resemblance to these. It’s an interesting comparison to make. Looking forward to seeing you again tomorrow!Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Yuan, Teresa [mailto:[email protected]]Sent: Tuesday, May 10, 2011 12:35 PMTo: Bridget VandeventerCc: Kirsten FrandsenSubject: RE: electronic cigarette ban Hello, Okay we are locked in for an interview at 9:30 at the Vaporium in Lakewood (I didn't hear back from you guys, and she was available at that time). So we can be available to shoot around 10:15 if that works you guy all. We definitely want to get both sides of the story. This is a morning news story that air closer to May 18th date. Hope that helps, Teresa415-710-8589 c

From: Bridget Vandeventer [[email protected]]Sent: Monday, May 09, 2011 5:25 PMTo: Yuan, TeresaCc: Kirsten FrandsenSubject: RE: electronic cigarette ban

Hi Teresa,Thanks for your interest. I’m trying to see if we have someone available that morning to do the interview. Normally I’d say yes quickly, but Dr. Chen is out of town this week on business, so I’m having a little more trouble identifying the right spokesperson. Is the story for the morning news or evening? Are you interviewing others about the issue and would you mind sharing who? And then finally, is there anything specific about the timing? Our Board of Health meeting, where this will be discussed is next Wednesday, May 18, so it will be especially relevant that day. And thanks for your patience on Friday while I was out. Did you get what you needed for that story? I’ll be in touch tomorrow. Thanks!Bridget

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

From: Yuan, Teresa [mailto:[email protected]]Sent: Monday, May 09, 2011 1:53 PMTo: Yuan, Teresa; Bridget VandeventerCc: Kirsten FrandsenSubject: electronic cigarette ban Hello, Teresa Yuan here with KING 5 News. I was wondering if we could interview someone with the the Tacoma-Pierce County Health Department or someone you think would be appropriate to talk about a story we read in the News Tribune, about the county considering a ban on battery-powered electronic cigarettes that deliver nicotine without smoking. We're looking to do the interview Wednesday morning 9:30 am, hopefully that time would work. Let me know if that works and where we should meet. Thanks again for all your help, Teresa415-710-8589 c *************************************************************************************

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From: Yuan, Teresa <[email protected]>To: Bridget Vandeventer


Hi Bridget, We can absolutely come to your building: 3629 S D St Tacoma, WA 98418-6813, correct?I can definitely give you a call as we head to your building. Thanks again for being flexible. And thank you for the extra background information. - Teresa

From: Bridget Vandeventer [[email protected]]Sent: Tuesday, May 10, 2011 1:31 PMTo: Yuan, TeresaCc: Kirsten FrandsenSubject: RE: electronic cigarette ban

Hi Teresa,I was hoping we could wait until Dr. Chen is back, but if you’re already scheduled to be down here we can make this work. We will have Frank Dibiase, deputy division director for Environmental Health do the interview instead. Can you come to our building to do the shoot? Frank and I will both be in meetings at that time, but are able to step out. It would be great if you could give me a call when you’re on I-5 and headed our way. My cell is253-405-6822. As you’re researching for the piece, you might want to check out this interesting gallery that Stanford School of Medicine put together a couple of years ago. http://lane.stanford.edu/tobacco/index.html. The exhibit features cigarette ads from decades past, many of which convincingly state that cigarettes are not only safe, but even good for you. As e-cigarettes gain in popularity, the claims their manufacturers and retailers make bear astriking resemblance to these. It’s an interesting comparison to make. Looking forward to seeing you again tomorrow!Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

From: Yuan, Teresa [mailto:[email protected]]Sent: Tuesday, May 10, 2011 12:35 PMTo: Bridget VandeventerCc: Kirsten FrandsenSubject: RE: electronic cigarette ban Hello, Okay we are locked in for an interview at 9:30 at the Vaporium in Lakewood (I didn't hear back from you guys, and she was available at that time). So we can be available to shoot around 10:15 if that works you guy all. We definitely want to get both sides of the story. This is a morning news story that air closer to May 18th date. Hope that helps, Teresa415-710-8589 c

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Hi Teresa,Thanks for your interest. I’m trying to see if we have someone available that morning to do the interview. Normally I’d say yes quickly, but Dr. Chen is out of town this week on business, so I’m having a little more trouble identifying the right spokesperson. Is the story for the morning news or evening? Are you interviewing others about the issue and would you mind sharing who? And then finally, is there anything specific about the timing? Our Board of Health meeting, where this will be discussed is next Wednesday, May 18, so it will be especially relevant that day. And thanks for your patience on Friday while I was out. Did you get what you needed for that story? I’ll be in touch tomorrow. Thanks!Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

From: Yuan, Teresa [mailto:[email protected]]Sent: Monday, May 09, 2011 1:53 PMTo: Yuan, Teresa; Bridget VandeventerCc: Kirsten FrandsenSubject: electronic cigarette ban Hello, Teresa Yuan here with KING 5 News. I was wondering if we could interview someone with the the Tacoma-Pierce County Health Department or someone you think would be appropriate to talk about a story we read in the News Tribune, about the county considering a ban on battery-powered electronic cigarettes that deliver nicotine without smoking. We're looking to do the interview Wednesday morning 9:30 am, hopefully that time would work. Let me know if that works and where we should meet. Thanks again for all your help, Teresa415-710-8589 c *************************************************************************************


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From: Yuan, Teresa <[email protected]>To: Bridget Vandeventer


Hello, Okay we are locked in for an interview at 9:30 at the Vaporium in Lakewood (I didn't hear back from you guys, and she was available at that time). So we can be available to shoot around 10:15 if that works you guy all. We definitely want to get both sides of the story. This is a morning news story that air closer to May 18th date. Hope that helps, Teresa415-710-8589 c


Hi Teresa,Thanks for your interest. I’m trying to see if we have someone available that morning to do the interview. Normally I’d say yes quickly, but Dr. Chen is out of town this week on business, so I’m having a little more trouble identifying the right spokesperson. Is the story for the morning news or evening? Are you interviewing others about the issue and would you mind sharing who? And then finally, is there anything specific about the timing? Our Board of Health meeting, where this will be discussed is next Wednesday, May 18, so it will be especially relevant that day. And thanks for your patience on Friday while I was out. Did you get what you needed for that story? I’ll be in touch tomorrow. Thanks!Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

From: Yuan, Teresa [mailto:[email protected]]Sent: Monday, May 09, 2011 1:53 PMTo: Yuan, Teresa; Bridget VandeventerCc: Kirsten FrandsenSubject: electronic cigarette ban Hello, Teresa Yuan here with KING 5 News. I was wondering if we could interview someone with the the Tacoma-Pierce County Health Department or someone you think would be appropriate to talk about a story we read in the News Tribune, about the county considering a ban on battery-powered electronic cigarettes that deliver nicotine without smoking. We're looking to do the interview Wednesday morning 9:30 am, hopefully that time would work. Let me know if that works and where we should meet. Thanks again for all your help, Teresa

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415-710-8589 c *************************************************************************************


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From: Madigan ResidentTo: Tutrecia Giles

Date: 5/10/2011 7:39:04 PMSubject: RE: Notes-Public hearing prep mtg 5/6

I would appreciate it if we did not mention Madigan resident.

I don't want to involve Madigan or the Army in anyway.

I could just be introduced as an internist completing a public health rotation at TCPHD.

Thanks,Paul

From: Tutrecia GilesSent: Tuesday, May 10, 2011 3:48 PMTo: Madigan ResidentSubject: RE: Notes-Public hearing prep mtg 5/6

Hello Paul,I’m going to send the facilitator Lori Bemis introduction information for the panel presenters. How would you liketo be introduced? Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected] From: Madigan ResidentSent: Monday, May 09, 2011 1:37 PMTo: Tutrecia Giles; Kirsten Frandsen; Frank Dibiase; Steve Marek; Bridget Vandeventer; Bruce Rytkonen; 'Gregory Jacoby';Lori Bemis; John BrittSubject: RE: Notes-Public hearing prep mtg 5/6 All, I had the opportunity to speak to Bob Morcerf from Suffolk County in New York State. They have passedlegislation in regards to e-cigarettes in 2009. I have placed this legislation on the sharepoint in case anyone is interested. (Regs and Resolutions from PeerCounties‡ E-cigs‡ Suffolk County Legislation) Mr. Morcerf mentioned that the legislation was passed due to the health concerns of nicotine as well as to allowfor better enforcement of already existing indoor smoking laws. Best,Paul From: Tutrecia GilesSent: Monday, May 09, 2011 11:06 AMTo: Kirsten Frandsen; Frank Dibiase; Steve Marek; Bridget Vandeventer; Bruce Rytkonen; 'Gregory Jacoby'; MadiganResident; Lori Bemis; John BrittSubject: Notes-Public hearing prep mtg 5/6

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Hello all,Here’s what I recall from the public hearing prep meeting on 5/6 . Please feel free to add anything that I may haveoverlooked from the discussion. In attendance at this meeting-Frank, Kirsten, John B., Paul, Bruce, Greg, Lori andTutrecia

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

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

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

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

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

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

Action Items

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

2. Request security for event (Done)

3. Handouts of regulations located at sign-in table

4. 2 laptops for public comment (Requested)

5. Podium for community(Requested)

6. Wireless microphone for Lori (Requested)

7. Two microphones at panel table (Requested)

8. Tables for panel (Requested)

9. Comment cards

10. Box for comment cards

11. Pens

12. Water/cups for community (Requested)

13. Table for water set-up(Requested)

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

15. Meeting for the panel members and Bridget

Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department

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3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected]

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From: Tutrecia GilesTo: Madigan Resident


Sure thing.-Tg Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected] From: Madigan ResidentSent: Tuesday, May 10, 2011 4:39 PMTo: Tutrecia GilesSubject: RE: Notes-Public hearing prep mtg 5/6 I would appreciate it if we did not mention Madigan resident.

I don't want to involve Madigan or the Army in anyway.

I could just be introduced as an internist completing a public health rotation at TCPHD.

Thanks,Paul

From: Tutrecia GilesSent: Tuesday, May 10, 2011 3:48 PMTo: Madigan ResidentSubject: RE: Notes-Public hearing prep mtg 5/6

Hello Paul,I’m going to send the facilitator Lori Bemis introduction information for the panel presenters. How would you liketo be introduced? Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected] From: Madigan ResidentSent: Monday, May 09, 2011 1:37 PMTo: Tutrecia Giles; Kirsten Frandsen; Frank Dibiase; Steve Marek; Bridget Vandeventer; Bruce Rytkonen; 'Gregory Jacoby';Lori Bemis; John BrittSubject: RE: Notes-Public hearing prep mtg 5/6 All, I had the opportunity to speak to Bob Morcerf from Suffolk County in New York State. They have passedlegislation in regards to e-cigarettes in 2009. I have placed this legislation on the sharepoint in case anyone is interested. (Regs and Resolutions from Peer

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Counties‡ E-cigs‡ Suffolk County Legislation) Mr. Morcerf mentioned that the legislation was passed due to the health concerns of nicotine as well as to allowfor better enforcement of already existing indoor smoking laws. Best,Paul From: Tutrecia GilesSent: Monday, May 09, 2011 11:06 AMTo: Kirsten Frandsen; Frank Dibiase; Steve Marek; Bridget Vandeventer; Bruce Rytkonen; 'Gregory Jacoby'; MadiganResident; Lori Bemis; John BrittSubject: Notes-Public hearing prep mtg 5/6 Hello all,Here’s what I recall from the public hearing prep meeting on 5/6 . Please feel free to add anything that I may haveoverlooked from the discussion. In attendance at this meeting-Frank, Kirsten, John B., Paul, Bruce, Greg, Lori andTutrecia



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




Action Items









9. Comment cards

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11. Pens





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

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From: Tutrecia GilesTo: Madigan Resident


Hello Paul,I’m going to send the facilitator Lori Bemis introduction information for the panel presenters. How would you liketo be introduced? Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected] From: Madigan ResidentSent: Monday, May 09, 2011 1:37 PMTo: Tutrecia Giles; Kirsten Frandsen; Frank Dibiase; Steve Marek; Bridget Vandeventer; Bruce Rytkonen; 'Gregory Jacoby';Lori Bemis; John BrittSubject: RE: Notes-Public hearing prep mtg 5/6 All, I had the opportunity to speak to Bob Morcerf from Suffolk County in New York State. They have passedlegislation in regards to e-cigarettes in 2009. I have placed this legislation on the sharepoint in case anyone is interested. (Regs and Resolutions from PeerCounties‡ E-cigs‡ Suffolk County Legislation) Mr. Morcerf mentioned that the legislation was passed due to the health concerns of nicotine as well as to allowfor better enforcement of already existing indoor smoking laws. Best,Paul From: Tutrecia GilesSent: Monday, May 09, 2011 11:06 AMTo: Kirsten Frandsen; Frank Dibiase; Steve Marek; Bridget Vandeventer; Bruce Rytkonen; 'Gregory Jacoby'; MadiganResident; Lori Bemis; John BrittSubject: Notes-Public hearing prep mtg 5/6 Hello all,Here’s what I recall from the public hearing prep meeting on 5/6 . Please feel free to add anything that I may haveoverlooked from the discussion. In attendance at this meeting-Frank, Kirsten, John B., Paul, Bruce, Greg, Lori andTutrecia



· Lori will provide an overview of the agenda (i.e. presentation by panel, 3min public comments, sign-in

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




Action Items









9. Comment cards


11. Pens






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8_19_2011

From: Anthony ChenTo: Bridget Vandeventer

Date: 5/10/2011 12:40:46 AMSubject: RE: Op-Ed for your review

Attachments: Op Ed Tobacco Regs revAC.doc

Bridget,

Thanks for putting this together. It was helpful for us to talk on the phone this evening. Try this version with edits.

It may be hard for me to respond in a timely fashion tomorrow, so I will be relying on Frank, Kirsten, and you to put thefinal version together. If you have significant concerns, call my cell 253-377-1134 and leave a message.

AC


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

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From: Bridget VandeventerTo: Frank Dibiase

Date: 5/10/2011 2:42:08 PMSubject: RE: Op-Ed for your review

Attachments: Op Ed Tobacco Regs lp.docx

Shoot, our messages crossed.Ok, looking through her feedback, I think a lot of it was addressed in the revisions that both AC and I made today.She brings up two questions that really hit at our position as a whole, so we’d have to reconsider how we thinkabout this if we are going to take hers.

1. Burden of proof of safety on the manufacturers and retailers. Kirsten has been hitting hard on this pointin the last few days, so she’d need to weigh in. I think what we’re saying is that it’s not proven safe yet, sountil it is we have to protect from it.

2. Common sense. Similar to the point above, we’re saying that until we know it’s safe, we’ll protect fromit. Instead of not doing anything until we know it’s dangerous. Again, this is one of Kirsten’s big points

I’ll let you tobacco experts discuss. But, if we change the direction in this way, I’m doubtful we’d get it in by todaywhich gives us one less day for this to run before the meetings next week. Thanks! Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Frank DibiaseSent: Tuesday, May 10, 2011 11:34 AMTo: Bridget VandeventerSubject: FW: Op-Ed for your review Hi Bridget, Attached is a version of the draft Op Ed piece pre-Anthony’s comments from Liz Pulos in OCA. I shared with herprimarily because she’s a “fact checker” on Tobacco issues. Her comments are not really in this regard but Ithought I would share with you anyway. You can decide if they’re helpful or not. When you have a chance can you also please give us an update of where you’re at on the Op Ed piece? Thanks Bridget. From: Elizabeth PulosSent: Tuesday, May 10, 2011 10:49 AMTo: Frank DibiaseSubject: RE: Op-Ed for your review Here’s my input. From: Frank DibiaseSent: Monday, May 09, 2011 4:06 PMTo: Elizabeth PulosSubject: FW: Op-Ed for your reviewImportance: High Here’s the draft Op Ed piece I mentioned earlier. There are not data in it but thought you should see it “just incase” and as an FYI. Let me know if you have any thoughts or “catch” anything that looks sketchy. Thanks.From: Bridget Vandeventer

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

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From: Bridget VandeventerTo: Kirsten Frandsen

Frank DibiaseDate: 5/10/2011 5:33:54 PM

Subject: RE: Op-Ed for your reviewAttachments: Op Ed Tobacco Regs_Anthony Chen_V2.doc

I just submitted it, but they immediately came back and asked me to cut it from 770 words to 650. Here’s the 120-less word version. I think it still maintains all the same thoughts and power, but there were a few sentences thathad to come out. I’ll let you know what I hear on timing. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Kirsten FrandsenSent: Tuesday, May 10, 2011 2:13 PMTo: Bridget Vandeventer; Frank DibiaseCc: Steve MarekSubject: RE: Op-Ed for your review Sorry, I haven’t had a chance to review until now. Thanks! Kirsten From: Bridget VandeventerSent: Tuesday, May 10, 2011 1:37 PMTo: Frank DibiaseCc: Kirsten Frandsen; Steve MarekSubject: RE: Op-Ed for your review Ok, the vote is in. With that, I’m sending this off to the TNT now.Thanks all! Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Frank DibiaseSent: Tuesday, May 10, 2011 12:08 PMTo: Bridget VandeventerCc: Kirsten Frandsen; Steve MarekSubject: RE: Op-Ed for your review Looks good to me Bridget. In the second to last paragraph, last sentence, I would make one very minor change to by deleting the “and”between “cancer and heart” and replacing with a coma. I think both of the titles are a bit vague but I like Anthony’s suggestion a little better of the two. Thanks.

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From: Bridget VandeventerSent: Tuesday, May 10, 2011 11:34 AMTo: Frank DibiaseCc: Kirsten Frandsen; Steve MarekSubject: RE: Op-Ed for your review I scrubbed through his edits and got it down to 760ish words. It’s a bit long, but I’m ok with it. And they maychoose to cut some, which is fine. The only point I’m still stuck on is the title. My suggestion was “Protecting Pierce County During an Absence ofProof”, and his was “Protecting Pierce County from an Emerging Health Threat.” Mine was driving at the point thatwe don’t know enough, so we’re erring on the side of safety. His is calling it out as a threat. I’d like to advocatekeeping mine because it’s aligned with the theme of the piece, but was hoping one of you could cast the finalvote. Let me know what you think on the final review (attached) and then I can get it off to the TNT. Thanks! Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Frank DibiaseSent: Tuesday, May 10, 2011 9:50 AMTo: Bridget VandeventerCc: Kirsten Frandsen; Steve MarekSubject: FW: Op-Ed for your review I just had a chance to review Anthony’s edits. I think most of his edits are improvements. A couple areas hedelves into more details than are probably needed. My one concern is length. It’s now up to 861 words. I believeour original goal was around 600 words. Does the Tribune place a limit on the number of words? From: Anthony ChenSent: Monday, May 09, 2011 9:41 PMTo: Bridget VandeventerCc: Laurie Jinkins; Steve Marek; Frank Dibiase; Kirsten Frandsen; Cindan GizziSubject: RE: Op-Ed for your review Bridget, Thanks for putting this together. It was helpful for us to talk on the phone this evening. Try this version with edits. It may be hard for me to respond in a timely fashion tomorrow, so I will be relying on Frank, Kirsten, and you to put thefinal version together. If you have significant concerns, call my cell 253-377-1134 and leave a message. AC


Hi Anthony,I hope you had a great trip out East. I know you’re busy in meetings today but hope you are able to access this onyour Blackberry. We’ve drafted an Op-Ed to be attributed to you for the News Tribune. It addresses some of theissues brought up in the first story and Friday’s editorial. This also helps contextualize our proposed regulation.

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Upon your approval, I will submit this to the News Tribune. They are aware that we were planning this, so we’rehopeful for a placement early in the week. Looking forward to your feedback!Bridget and team Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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Attachments: Op Ed Tobacco Regs_Anthony Chen.doc

I scrubbed through his edits and got it down to 760ish words. It’s a bit long, but I’m ok with it. And they maychoose to cut some, which is fine. The only point I’m still stuck on is the title. My suggestion was “Protecting Pierce County During an Absence ofProof”, and his was “Protecting Pierce County from an Emerging Health Threat.” Mine was driving at the point thatwe don’t know enough, so we’re erring on the side of safety. His is calling it out as a threat. I’d like to advocatekeeping mine because it’s aligned with the theme of the piece, but was hoping one of you could cast the finalvote. Let me know what you think on the final review (attached) and then I can get it off to the TNT. Thanks! Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Frank DibiaseSent: Tuesday, May 10, 2011 9:50 AMTo: Bridget VandeventerCc: Kirsten Frandsen; Steve MarekSubject: FW: Op-Ed for your review I just had a chance to review Anthony’s edits. I think most of his edits are improvements. A couple areas hedelves into more details than are probably needed. My one concern is length. It’s now up to 861 words. I believeour original goal was around 600 words. Does the Tribune place a limit on the number of words? From: Anthony ChenSent: Monday, May 09, 2011 9:41 PMTo: Bridget VandeventerCc: Laurie Jinkins; Steve Marek; Frank Dibiase; Kirsten Frandsen; Cindan GizziSubject: RE: Op-Ed for your review Bridget, Thanks for putting this together. It was helpful for us to talk on the phone this evening. Try this version with edits. It may be hard for me to respond in a timely fashion tomorrow, so I will be relying on Frank, Kirsten, and you to put thefinal version together. If you have significant concerns, call my cell 253-377-1134 and leave a message. AC


Hi Anthony,I hope you had a great trip out East. I know you’re busy in meetings today but hope you are able to access this on

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

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From: Elizabeth PulosTo: Frank Dibiase


Attachments: Op Ed Tobacco Regs lp.docx

Here’s my input. From: Frank DibiaseSent: Monday, May 09, 2011 4:06 PMTo: Elizabeth PulosSubject: FW: Op-Ed for your reviewImportance: High Here’s the draft Op Ed piece I mentioned earlier. There are not data in it but thought you should see it “just incase” and as an FYI. Let me know if you have any thoughts or “catch” anything that looks sketchy. Thanks.From: Bridget VandeventerSent: Monday, May 09, 2011 12:44 PMTo: Anthony ChenCc: Laurie Jinkins; Steve Marek; Frank Dibiase; Kirsten Frandsen; Cindan GizziSubject: Op-Ed for your reviewImportance: High Hi Anthony,I hope you had a great trip out East. I know you’re busy in meetings today but hope you are able to access this onyour Blackberry. We’ve drafted an Op-Ed to be attributed to you for the News Tribune. It addresses some of theissues brought up in the first story and Friday’s editorial. This also helps contextualize our proposed regulation. Upon your approval, I will submit this to the News Tribune. They are aware that we were planning this, so we’rehopeful for a placement early in the week. Looking forward to your feedback!Bridget and team Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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Hi Bridget, Regarding point #1, it’s at the heart of public health which is to be prevention oriented. From a public healthperspective, if there’s a potential for harm, and there’s really no compelling or practical reason to take the risk,we should “…err on the side of safety.” This is also the approach that’s taken regarding regulation ofpharmaceuticals in our country. So, why should we take a chance with e-cigarettes? Let the manufacturers provesafety and effectiveness. Regarding point #2, I have to say I’m not sure what “common sense” really is, but in this context I was thinkingthat we’re trying to be “practical” and weighing the pros and cons. As I mention above, there’s no compellingreason to take a risk. There are plenty of other safe and effective cessation products currently available. Anexample of when we might want to take a risk would be when someone is dying, or will die, unless a new cure isfound. In such cases FDA makes exception and will allow the use of “experimental” medicines. For them toadhere to strict rules that would result in needless deaths would be foolish or impractical. There’s no compellingargument as to why this should be done for e-cigarettes. We could also just drop the use of the statement regarding common sense. I don’t think it would detract from thepiece. Thanks.From: Bridget VandeventerSent: Tuesday, May 10, 2011 11:42 AMTo: Frank DibiaseCc: Kirsten FrandsenSubject: RE: Op-Ed for your review Shoot, our messages crossed.Ok, looking through her feedback, I think a lot of it was addressed in the revisions that both AC and I made today.She brings up two questions that really hit at our position as a whole, so we’d have to reconsider how we thinkabout this if we are going to take hers.

1. Burden of proof of safety on the manufacturers and retailers. Kirsten has been hitting hard on this pointin the last few days, so she’d need to weigh in. I think what we’re saying is that it’s not proven safe yet, sountil it is we have to protect from it.

2. Common sense. Similar to the point above, we’re saying that until we know it’s safe, we’ll protect fromit. Instead of not doing anything until we know it’s dangerous. Again, this is one of Kirsten’s big points

I’ll let you tobacco experts discuss. But, if we change the direction in this way, I’m doubtful we’d get it in by todaywhich gives us one less day for this to run before the meetings next week. Thanks! Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Frank DibiaseSent: Tuesday, May 10, 2011 11:34 AMTo: Bridget VandeventerSubject: FW: Op-Ed for your review Hi Bridget,

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Attached is a version of the draft Op Ed piece pre-Anthony’s comments from Liz Pulos in OCA. I shared with herprimarily because she’s a “fact checker” on Tobacco issues. Her comments are not really in this regard but Ithought I would share with you anyway. You can decide if they’re helpful or not. When you have a chance can you also please give us an update of where you’re at on the Op Ed piece? Thanks Bridget. From: Elizabeth PulosSent: Tuesday, May 10, 2011 10:49 AMTo: Frank DibiaseSubject: RE: Op-Ed for your review Here’s my input. From: Frank DibiaseSent: Monday, May 09, 2011 4:06 PMTo: Elizabeth PulosSubject: FW: Op-Ed for your reviewImportance: High Here’s the draft Op Ed piece I mentioned earlier. There are not data in it but thought you should see it “just incase” and as an FYI. Let me know if you have any thoughts or “catch” anything that looks sketchy. Thanks.From: Bridget VandeventerSent: Monday, May 09, 2011 12:44 PMTo: Anthony ChenCc: Laurie Jinkins; Steve Marek; Frank Dibiase; Kirsten Frandsen; Cindan GizziSubject: Op-Ed for your reviewImportance: High Hi Anthony,I hope you had a great trip out East. I know you’re busy in meetings today but hope you are able to access this onyour Blackberry. We’ve drafted an Op-Ed to be attributed to you for the News Tribune. It addresses some of theissues brought up in the first story and Friday’s editorial. This also helps contextualize our proposed regulation. Upon your approval, I will submit this to the News Tribune. They are aware that we were planning this, so we’rehopeful for a placement early in the week. Looking forward to your feedback!Bridget and team Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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Date: 5/10/2011 8:02:40 PMSubject: RE: Practice/warm up session for King 5 interview

Oh dear, don't do that. 30 minutes in the morning should be fine. You know this stuff. And if you look bad, you getto blame me.


_____________________________________________From: Frank DibiaseSent: Tuesday, May 10, 2011 5:02 PMTo: Bridget VandeventerSubject: RE: Practice/warm up session for King 5 interview

Thanks Bridget. I'll pull an "all nighter" studying these! I just hope I don't fall asleep in the interview. Anthonyprobably won't like that, eh?

_____________________________________________From: Bridget VandeventerSent: Tuesday, May 10, 2011 5:00 PMTo: Frank DibiaseSubject: RE: Practice/warm up session for King 5 interview

Ok, you're allowed goofy hair.

So here are the key messages, and I've started working up some sound bites for you from the Op-Ed, etc. I'mrunning out of time and have to race home for an appt, so we might need to do some of this together in the morning.We know she will have just been coming from the Vaporium, so we can imagine what some of the questions will be.

Thanks for doing this!

Sound bites:* Our role at the health department is to safeguard the health of the residents of Pierce County.* For decades, tobacco companies hid the harmful effects of cigarettes behind clever marketing. The messages we'rehearing from e-cigarette retailers and manufacturers sounds eerily similar, so we feel it's best to protect the people ofPierce County unless the e-cigarette companies can prove to us that they are safe. We still haven't seen the proof thatthey don't harm people.* They are telling people that e-cigarettes help you quit smoking, but no one seems to have any evidence to provethis.Key Messages:* The Tacoma-Pierce County Health Department is tasked with safeguarding and enhancing the health of thecommunities of Pierce County. As part of its mission, the Health Department tackles emerging health risks throughpolicy, programs and treatment in order to protect public health.

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* At the June 1, 2011 Board of Health meeting, the Board of Health may vote on two pieces of regulation. Bothregulations relate to the Health Department's ongoing work to protect the people of Pierce County from risksassociated with tobacco use.

* Environmental Health Code, Chapter 8: Smoking in Public Places.- This local regulation provides greater clarity and interpretation of RCW 70.160, Washington State's Smoking inPublic Places law, and allows for local enforcement including fees and fines.- This regulation aids local businesses that wish to comply with the State law.- Adopting a local regulation facilitates compliance of the state code and keeps enforcement monies in Pierce Countyto better serve the residents here.- This regulation further protects the people of Pierce County from the harmful effects of secondhand smoke.

* Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devicesand Unregulated Nicotine Delivery Products.- Currently, e-cigarettes are unregulated in the United States. They contain varying levels of nicotine and other knowncarcinogens and toxic chemicals.* The FDA recently (4/27/11) announced that it intends to regulate e-cigarettes as a tobacco product and not anapproved cessation aid.- Often marketed as cessation aids, e-cigarettes have not been proven to successfully help people quit smoking.- There is no conclusive analysis of the health risks that exist from secondhand vapor from e-cigarettes, so we cannotbe assured that they do not pose a secondhand risk.- The proposed regulation does the following:o prohibits smoking and purchase of e-cigarettes and other unregulated nicotine delivery products by youth underage 18o disallows e-cigarettes and other unregulated nicotine delivery products to be used in public places and anywherethat regular cigarettes are prohibitedo prohibits free or heavily discounted e-cigarettes and other unregulated nicotine delivery products



I consider messy hair, especially the "cow-lick" on the top corner of my head to be my signature trademark! Blueshirt - probably. Neat hair - no chance.

-----Original Appointment-----From: Bridget VandeventerSent: Tuesday, May 10, 2011 1:33 PMTo: Frank DibiaseSubject: Practice/warm up session for King 5 interview

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When: Wednesday, May 11, 2011 8:30 AM-9:00 AM (GMT-08:00) Pacific Time (US & Canada).Where: Frank's office

I'll send you the key messages and some sound bites tonight. Remember to wear something good for the camera (aFrench blue shirt is always a good choice) and have a good hair day.

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* Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devicesand Unregulated Nicotine Delivery Products.- Currently, e-cigarettes are unregulated in the United States. They contain varying levels of nicotine and other knowncarcinogens and toxic chemicals.* The FDA recently (4/27/11) announced that it intends to regulate e-cigarettes as a tobacco product and not anapproved cessation aid.- Often marketed as cessation aids, e-cigarettes have not been proven to successfully help people quit smoking.- There is no conclusive analysis of the health risks that exist from secondhand vapor from e-cigarettes, so we cannotbe assured that they do not pose a secondhand risk.- The proposed regulation does the following:o prohibits smoking and purchase of e-cigarettes and other unregulated nicotine delivery products by youth underage 18o disallows e-cigarettes and other unregulated nicotine delivery products to be used in public places and anywhere

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that regular cigarettes are prohibitedo prohibits free or heavily discounted e-cigarettes and other unregulated nicotine delivery products




-----Original Appointment-----From: Bridget VandeventerSent: Tuesday, May 10, 2011 1:33 PMTo: Frank DibiaseSubject: Practice/warm up session for King 5 interviewWhen: Wednesday, May 11, 2011 8:30 AM-9:00 AM (GMT-08:00) Pacific Time (US & Canada).Where: Frank's office


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Perrrfect!


Oh dear, don't do that. 30 minutes in the morning should be fine. You know this stuff. And if you look bad, you getto blame me.








Sound bites:* Our role at the health department is to safeguard the health of the residents of Pierce County.* For decades, tobacco companies hid the harmful effects of cigarettes behind clever marketing. The messages we're

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hearing from e-cigarette retailers and manufacturers sounds eerily similar, so we feel it's best to protect the people ofPierce County unless the e-cigarette companies can prove to us that they are safe. We still haven't seen the proof thatthey don't harm people.* They are telling people that e-cigarettes help you quit smoking, but no one seems to have any evidence to provethis.Key Messages:* The Tacoma-Pierce County Health Department is tasked with safeguarding and enhancing the health of thecommunities of Pierce County. As part of its mission, the Health Department tackles emerging health risks throughpolicy, programs and treatment in order to protect public health.



* Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devicesand Unregulated Nicotine Delivery Products.- Currently, e-cigarettes are unregulated in the United States. They contain varying levels of nicotine and other knowncarcinogens and toxic chemicals.* The FDA recently (4/27/11) announced that it intends to regulate e-cigarettes as a tobacco product and not anapproved cessation aid.- Often marketed as cessation aids, e-cigarettes have not been proven to successfully help people quit smoking.- There is no conclusive analysis of the health risks that exist from secondhand vapor from e-cigarettes, so we cannotbe assured that they do not pose a secondhand risk.- The proposed regulation does the following:o prohibits smoking and purchase of e-cigarettes and other unregulated nicotine delivery products by youth underage 18o disallows e-cigarettes and other unregulated nicotine delivery products to be used in public places and anywherethat regular cigarettes are prohibitedo prohibits free or heavily discounted e-cigarettes and other unregulated nicotine delivery products



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* Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devicesand Unregulated Nicotine Delivery Products.- Currently, e-cigarettes are unregulated in the United States. They contain varying levels of nicotine and other known

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carcinogens and toxic chemicals.* The FDA recently (4/27/11) announced that it intends to regulate e-cigarettes as a tobacco product and not anapproved cessation aid.- Often marketed as cessation aids, e-cigarettes have not been proven to successfully help people quit smoking.- There is no conclusive analysis of the health risks that exist from secondhand vapor from e-cigarettes, so we cannotbe assured that they do not pose a secondhand risk.- The proposed regulation does the following:o prohibits smoking and purchase of e-cigarettes and other unregulated nicotine delivery products by youth underage 18o disallows e-cigarettes and other unregulated nicotine delivery products to be used in public places and anywherethat regular cigarettes are prohibitedo prohibits free or heavily discounted e-cigarettes and other unregulated nicotine delivery products






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From: Bridget VandeventerTo: 'Kim Bradford'

Date: 5/10/2011 5:07:34 PMSubject: RE: Tacoma-Pierce County Health Director Op-Ed submission

Well I was hoping you wouldn’t notice that. J I’ll take the first stab. Stay tuned. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Kim Bradford [mailto:[email protected]]Sent: Tuesday, May 10, 2011 2:25 PMTo: Bridget VandeventerSubject: Re: Tacoma-Pierce County Health Director Op-Ed submission Bridget,

I hit “send” before opening the attachment. It is longer than we usually allow for op-eds. It’s at 770 wordsnow, and we need to get it down closer to 650. Do you want to take a stab at paring it or would you ratherwe did the work?

Kim

On 5/10/11 2:03 PM, "Bridget Vandeventer" <[email protected]> wrote:

Thank you!

Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] <mailto:[email protected]> |[email protected] <mailto:[email protected]>

From: Kim Bradford [mailto:[email protected]]Sent: Tuesday, May 10, 2011 2:22 PMTo: Bridget VandeventerSubject: Re: Tacoma-Pierce County Health Director Op-Ed submission

Thanks, Bridget. I’ve forwarded the op-ed to Cheryl Tucker, who edits submissions for publication. You mayreceive a release form from her.

Kim Bradford

On 5/10/11 2:00 PM, "Bridget Vandeventer" <[email protected]> wrote:Hello Kim,Thanks again for taking my call last Thursday and for your thoughtful work on the editorial that ran Friday. Aswe get closer to the next phase in our public process for the proposed tobacco regulation, we do wish tocontribute and op-ed from Dr. Anthony Chen on the issue of e-cigarettes. Please see the attached piece byhim. I know it’s a busy news week and anticipate you have a full schedule already, but hopefully there is spacefor this sometime in the next week or so. Let me know if you have any questions.Thanks again,Bridget Vandeventer

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Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] <mailto:[email protected]> |[email protected] <mailto:[email protected]> *************************************************************************************This e-mail and any attachments may contain confidential and privileged information. It has been scanned forviruses. If you are not the intended recipient, please notify the sender immediately by return e-mail, delete thise-mail and destroy any copies.**************************************************************************************

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Attachments: Op Ed Tobacco Regs_Anthony Chen_V2.doc

Kim,The attached copy is down to 650 words not including the headline and byline. I hope this will work Thanks again,Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Tuesday, May 10, 2011 2:08 PMTo: 'Kim Bradford'Subject: RE: Tacoma-Pierce County Health Director Op-Ed submission Well I was hoping you wouldn’t notice that. J I’ll take the first stab. Stay tuned. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Kim Bradford [mailto:[email protected]]Sent: Tuesday, May 10, 2011 2:25 PMTo: Bridget VandeventerSubject: Re: Tacoma-Pierce County Health Director Op-Ed submission Bridget,


Kim


Thank you!



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Kim Bradford

On 5/10/11 2:00 PM, "Bridget Vandeventer" <[email protected]> wrote:Hello Kim,Thanks again for taking my call last Thursday and for your thoughtful work on the editorial that ran Friday. Aswe get closer to the next phase in our public process for the proposed tobacco regulation, we do wish tocontribute and op-ed from Dr. Anthony Chen on the issue of e-cigarettes. Please see the attached piece byhim. I know it’s a busy news week and anticipate you have a full schedule already, but hopefully there is spacefor this sometime in the next week or so. Let me know if you have any questions.Thanks again,Bridget Vandeventer Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] <mailto:[email protected]> |[email protected] <mailto:[email protected]> *************************************************************************************This e-mail and any attachments may contain confidential and privileged information. It has been scanned forviruses. If you are not the intended recipient, please notify the sender immediately by return e-mail, delete thise-mail and destroy any copies.**************************************************************************************

--

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Thank you! Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Kim Bradford [mailto:[email protected]]Sent: Tuesday, May 10, 2011 2:22 PMTo: Bridget VandeventerSubject: Re: Tacoma-Pierce County Health Director Op-Ed submission Thanks, Bridget. I’ve forwarded the op-ed to Cheryl Tucker, who edits submissions for publication. You mayreceive a release form from her.

Kim Bradford


Hello Kim,Thanks again for taking my call last Thursday and for your thoughtful work on the editorial that ran Friday. Aswe get closer to the next phase in our public process for the proposed tobacco regulation, we do wish tocontribute and op-ed from Dr. Anthony Chen on the issue of e-cigarettes. Please see the attached piece byhim. I know it’s a busy news week and anticipate you have a full schedule already, but hopefully there is spacefor this sometime in the next week or so. Let me know if you have any questions.Thanks again,Bridget Vandeventer Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] <mailto:[email protected]> |[email protected] <mailto:[email protected]> *************************************************************************************This e-mail and any attachments may contain confidential and privileged information. It has been scanned forviruses. If you are not the intended recipient, please notify the sender immediately by return e-mail, delete thise-mail and destroy any copies.**************************************************************************************

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From: Kim Bradford <[email protected]>To: Bridget Vandeventer

Date: 5/10/2011 5:24:50 PMSubject: Re: Tacoma-Pierce County Health Director Op-Ed submission

Bridget,

I hit “send” before opening the attachment. It is longer than we usually allow for op-eds. It’s at 770 words now,and we need to get it down closer to 650. Do you want to take a stab at paring it or would you rather we did thework?

Kim


Thank you!




Kim Bradford

On 5/10/11 2:00 PM, "Bridget Vandeventer" <[email protected]> wrote:Hello Kim,Thanks again for taking my call last Thursday and for your thoughtful work on the editorial that ran Friday. Aswe get closer to the next phase in our public process for the proposed tobacco regulation, we do wish tocontribute and op-ed from Dr. Anthony Chen on the issue of e-cigarettes. Please see the attached piece byhim. I know it’s a busy news week and anticipate you have a full schedule already, but hopefully there isspace for this sometime in the next week or so. Let me know if you have any questions.Thanks again,Bridget Vandeventer Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] <mailto:[email protected]> |[email protected] <mailto:[email protected]> *************************************************************************************This e-mail and any attachments may contain confidential and privileged information. It has been scanned forviruses. If you are not the intended recipient, please notify the sender immediately by return e-mail, deletethis e-mail and destroy any copies.**************************************************************************************

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--

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Thanks for the extra effort. We’ll get back to you if we have any questions. (I checked with Cheryl and no releaseform is needed since Chen is considered a public official.)

Kim


Kim,The attached copy is down to 650 words not including the headline and byline. I hope this willwork Thanks again,Bridget


From: Bridget VandeventerSent: Tuesday, May 10, 2011 2:08 PMTo: 'Kim Bradford'Subject: RE: Tacoma-Pierce County Health Director Op-Ed submission

Well I was hoping you wouldn’t notice that. J

I’ll take the first stab. Stay tuned.



Bridget,


Kim

On 5/10/11 2:03 PM, "Bridget Vandeventer" <[email protected]> wrote:Thank you!

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Kim Bradford


--

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Kim Bradford


Hello Kim,Thanks again for taking my call last Thursday and for your thoughtful work on the editorial that ran Friday. Aswe get closer to the next phase in our public process for the proposed tobacco regulation, we do wish tocontribute and op-ed from Dr. Anthony Chen on the issue of e-cigarettes. Please see the attached piece byhim. I know it’s a busy news week and anticipate you have a full schedule already, but hopefully there isspace for this sometime in the next week or so. Let me know if you have any questions.Thanks again,Bridget Vandeventer Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] <mailto:[email protected]> |[email protected] <mailto:[email protected]> *************************************************************************************This e-mail and any attachments may contain confidential and privileged information. It has been scanned forviruses. If you are not the intended recipient, please notify the sender immediately by return e-mail, deletethis e-mail and destroy any copies.**************************************************************************************

--

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From: Bridget VandeventerTo: '[email protected]'

Date: 5/10/2011 5:00:08 PMSubject: Tacoma-Pierce County Health Director Op-Ed submission

Attachments: Op Ed Tobacco Regs_Anthony Chen.doc

Hello Kim,Thanks again for taking my call last Thursday and for your thoughtful work on the editorial that ran Friday. As weget closer to the next phase in our public process for the proposed tobacco regulation, we do wish to contributeand op-ed from Dr. Anthony Chen on the issue of e-cigarettes. Please see the attached piece by him. I know it’s abusy news week and anticipate you have a full schedule already, but hopefully there is space for this sometime inthe next week or so. Let me know if you have any questions.Thanks again,Bridget Vandeventer Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Steve MarekTo: Laurie Jinkins

Anthony ChenDate: 5/11/2011 6:27:22 PM

Subject: FW: Lakewood Chamber of Commerce

fyi From: Bridget VandeventerSent: Wednesday, May 11, 2011 2:17 PMTo: Steve Marek; Kirsten Frandsen; Frank DibiaseSubject: Lakewood Chamber of Commerce Lakewood Chamber of Commerce came out on their Facebook page against the e-cigarette regulation. See below.

Lakewood Chamber of CommerceWe stand with - and beside Kim Thompson, The Vaporium in her fight with the Tacoma-Pierce County HealthDepartment's odious attack on e-cigarettes. They have no evidence of health risks to others, and yet continue to beat asoundless drum. At what point do we close enough tax paying businesses that we can finally not fund governmentprograms like this? Your thoughts?

Tacoma-Pierce County health officials take hard look at electronic cigaretteswww.thenewstribune.comIf you fire up a battery-powered cigarette in public, are you harming yourself and others? Or are you exercising your rightto use an alternative to incendiary tobacco that might help you kick a nasty and dangerous habit?

Top of Form May 5 at 6:51pm · Share

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

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From: Bridget VandeventerTo: Steve Marek

Kirsten FrandsenFrank Dibiase

Date: 5/11/2011 5:16:40 PMSubject: Lakewood Chamber of Commerce

Lakewood Chamber of Commerce came out on their Facebook page against the e-cigarette regulation. See below.



Top of FormMay 5 at 6:51pm · Share


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From: Steve MarekTo: Frank Dibiase

Kirsten FrandsenDate: 5/11/2011 6:35:16 PM

Subject: RE:

I think the most important thing to look at is what we know the facts to be. I guess the rest would then beassumptions. We assume they don’t help someone to quit smoking, we assume that they are targeting children,we assume the vapor is harmful to both the smoker and to others, we assume that others will light up when theysee e-cigs used etc. From: Frank DibiaseSent: Wednesday, May 11, 2011 2:23 PMTo: Kirsten FrandsenCc: Steve MarekSubject: Hi Kirsten, Steve, Laurie and I were on a conference call with Anthony this afternoon regarding the proposed Tobaccoregulations. Anthony wanted to discuss communication with Board members regarding the regulations. Anthony had 2 requests for Tobacco staff:

1) He’d like staff to identify key pieces of information regarding e-cigarettes and to clarify what we know(facts) and what we don’t know or where we’re making some assumptions. For example, “What’s in thevapor? “ What do we know or not know? (I’m having trouble coming up with other examples. Steve doyou remember any of the others he mentioned or can you clafiry?)

2) He’d like to make sure the Board receives info and/or links to FDA information that clarifies what the FDAknows and is doing on this issue. He indicated he continues to get questions about this. Also, related tothis, FDA has conducted analyses of the vapor and e-cigarette liquid, is the actual data of what they foundavailable. He has been unable to find this information.

I don’t think staff need to spend a ton of time on this, but he was pretty specific about wanting this done. We candiscuss more if you want. Thanks.

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From: Anthony ChenTo: Steve Marek

Laurie JinkinsBridget Vandeventer

Date: 5/11/2011 10:31:38 PMSubject: Re: Lakewood Chamber of Commerce

Any response necessary?

AC From: Steve MarekSent: Wednesday, May 11, 2011 03:27 PMTo: Laurie Jinkins; Anthony ChenSubject: FW: Lakewood Chamber of Commerce fyi From: Bridget VandeventerSent: Wednesday, May 11, 2011 2:17 PMTo: Steve Marek; Kirsten Frandsen; Frank DibiaseSubject: Lakewood Chamber of Commerce Lakewood Chamber of Commerce came out on their Facebook page against the e-cigarette regulation. See below.





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From: Kirsten FrandsenTo: Bridget Vandeventer

Steve MarekFrank Dibiase

Date: 5/11/2011 7:43:50 PMSubject: RE: Lakewood Chamber of Commerce

Disturbing. From: Bridget VandeventerSent: Wednesday, May 11, 2011 2:17 PMTo: Steve Marek; Kirsten Frandsen; Frank DibiaseSubject: Lakewood Chamber of Commerce Lakewood Chamber of Commerce came out on their Facebook page against the e-cigarette regulation. See below.





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From: Laurie JinkinsTo: Anthony Chen

Steve MarekBridget Vandeventer

Date: 5/11/2011 10:39:56 PMSubject: Re: Lakewood Chamber of Commerce

The only thing I'd consider is perhaps a letter or e-mail offering to meet with them at some point and discuss thehealth concerns since we didn't get the chance to talk to them about it before they developed their position.

That's probably a little snarky. From: Anthony ChenSent: Wednesday, May 11, 2011 07:31 PMTo: Steve Marek; Laurie Jinkins; Bridget VandeventerSubject: Re: Lakewood Chamber of Commerce Any response necessary?





Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department

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253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Steve MarekTo: Bridget Vandeventer


Date: 5/11/2011 6:26:58 PMSubject: RE: Lakewood Chamber of Commerce

Seems a little harsh! I will forward to AC and LJ. From: Bridget VandeventerSent: Wednesday, May 11, 2011 2:17 PMTo: Steve Marek; Kirsten Frandsen; Frank DibiaseSubject: Lakewood Chamber of Commerce Lakewood Chamber of Commerce came out on their Facebook page against the e-cigarette regulation. See below.





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From: Bruce RytkonenTo: Kirsten Frandsen

Tutrecia GilesDate: 5/11/2011 2:37:38 PM

Subject: RE: Letter to DOH

I’m working on a draft right now. From: Kirsten FrandsenSent: Wednesday, May 11, 2011 11:37 AMTo: Tutrecia Giles; Bruce RytkonenSubject: RE: Letter to DOH Thanks- If we could get this out today, that would be appreciated. Thanks, Kirsten From: Tutrecia GilesSent: Wednesday, May 11, 2011 10:10 AMTo: Bruce RytkonenCc: Kirsten FrandsenSubject: Letter to DOH Hello Bruce,Thanks for writing the letter to DOH requesting Mary Selecky or Dr. Haynes.Key components to include, per Kirsten:

1. Requesting a DOH representative to attend the May 18th BOH meeting to speak to the safety and stats as itrelates to e-cigs

2. Recap what we’re doing (i.e. overview of regs)3. TPCHD’s concern about the effect that e-cigs being smoked in public places will have on social

acceptability (Adults and children)4. The effect on the overall smoking rate, it would jump back up due to the social triggers presented by

allowing e-cigs to be smoke in public places5. It would be a defeat of the considerable resources and effort of the past 10+ years by the Tobacco

Prevention and Control6. Possible split vote of the BOH7. Letter to be set to Paul and Frances8. Requesting Mary S. and Maxine H., but in lieu of their attendance ,would welcome whomever Paul or

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

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From: Kirsten FrandsenTo: Tutrecia Giles

Bruce RytkonenDate: 5/11/2011 2:36:44 PM

Subject: RE: Letter to DOH

Thanks- If we could get this out today, that would be appreciated. Thanks, Kirsten From: Tutrecia GilesSent: Wednesday, May 11, 2011 10:10 AMTo: Bruce RytkonenCc: Kirsten FrandsenSubject: Letter to DOH Hello Bruce,Thanks for writing the letter to DOH requesting Mary Selecky or Dr. Haynes.Key components to include, per Kirsten:







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From: Kirsten FrandsenTo: Bruce Rytkonen

Date: 5/11/2011 2:40:10 PMSubject: RE: Letter to DOH

Excellent- thanks! From: Bruce RytkonenSent: Wednesday, May 11, 2011 11:38 AMTo: Kirsten Frandsen; Tutrecia GilesSubject: RE: Letter to DOH I’m working on a draft right now. From: Kirsten FrandsenSent: Wednesday, May 11, 2011 11:37 AMTo: Tutrecia Giles; Bruce RytkonenSubject: RE: Letter to DOH Thanks- If we could get this out today, that would be appreciated. Thanks, Kirsten From: Tutrecia GilesSent: Wednesday, May 11, 2011 10:10 AMTo: Bruce RytkonenCc: Kirsten FrandsenSubject: Letter to DOH Hello Bruce,Thanks for writing the letter to DOH requesting Mary Selecky or Dr. Haynes.Key components to include, per Kirsten:







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Date: 5/11/2011 1:15:44 PMSubject: RE: Op Ed in the TNT

I don’t think that Dr. Chen’s op ed made it into Wednesday’s paper. Do you have copy of his submission to the News Tribune so that some of the docs that Tutrecia and I are workingcan be consistent with what Dr. Chen is saying? From: Kirsten FrandsenSent: Tuesday, May 10, 2011 3:33 PMTo: Tobacco PC; PANSubject: Op Ed in the TNT Good afternoon everyone, I wanted to give you a heads up that there may be an op editorial in the TNT tomorrow – authored by Dr. Chen. The op ed takes a pretty strong stance regarding our position on e-cigarettes and responds to points made inearlier articles that have been written about the topic. Just an fyi so you may want to look out for it. Thanks- Kirsten FrandsenTacoma-Pierce County Health DepartmentProgram Coordinator: Physical Activity, Nutrition, and [email protected]

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Date: 5/11/2011 2:37:12 PMSubject: RE: Op Ed in the TNT

I didn’t see it either- maybe tomorrow? I’ll send the op-ed in a moment. Thanks, Kirsten From: Bruce RytkonenSent: Wednesday, May 11, 2011 10:16 AMTo: Kirsten FrandsenCc: Tutrecia GilesSubject: RE: Op Ed in the TNT I don’t think that Dr. Chen’s op ed made it into Wednesday’s paper. Do you have copy of his submission to the News Tribune so that some of the docs that Tutrecia and I are workingcan be consistent with what Dr. Chen is saying? From: Kirsten FrandsenSent: Tuesday, May 10, 2011 3:33 PMTo: Tobacco PC; PANSubject: Op Ed in the TNT Good afternoon everyone, I wanted to give you a heads up that there may be an op editorial in the TNT tomorrow – authored by Dr. Chen. The op ed takes a pretty strong stance regarding our position on e-cigarettes and responds to points made inearlier articles that have been written about the topic. Just an fyi so you may want to look out for it. Thanks- Kirsten FrandsenTacoma-Pierce County Health DepartmentProgram Coordinator: Physical Activity, Nutrition, and [email protected]

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Bridget VandeventerDate: 5/11/2011 2:41:46 PM

Subject: RE: smoking regs

Thanks- From: Frank DibiaseSent: Wednesday, May 11, 2011 10:41 AMTo: Kirsten Frandsen; Bridget VandeventerSubject: FW: smoking regs FYI From: Steve MarekSent: Wednesday, May 11, 2011 10:40 AMTo: Rachel Knight; Frank DibiaseSubject: RE: smoking regs Thanks for the heads up. From: Rachel KnightSent: Wednesday, May 11, 2011 10:02 AMTo: Steve Marek; Frank DibiaseSubject: smoking regs I just finished a meeting with City of Tacoma regarding the food carts downtown. Marty Campbell city councilmember asked about e-cigarettes because there was an article and he has received multiple complaints (5) abouthaving more regulations. I let him know that we do have some regulations that are in the works and they are onour webpage. I told him I would send the link so he could take a look since we are looking for feedback. Thank you,Rachel Knight

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Subject: Regs Ltr DOH May 11.docxAttachments: Regs Ltr DOH May 11.docx

Okay…..here’s a draft of the DOH letter. There’s two versions. The first version includes the content/outline ofthe letter that was (I believe) discussed between you two on Tuesday. The second version is the letter withoutthe content/outline.

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From: Bridget VandeventerTo: Laurie Jinkins

Anthony ChenSteve Marek

Date: 5/12/2011 12:50:56 PMSubject: Anthony Op-Ed running tomorrow

Attachments: Op Ed Tobacco Regs_Anthony Chen_V2.doc

Hi All,I just heard from the Tribune staff that Anthony’s op-ed will run tomorrow. I’m pleased with the timing; it givesour perspective a few days to sit out there before next week’s activities. We also then pick up on some of theideas in the op-ed with the KING 5 piece that will run on Monday morning. Attached is the final version that will run. We had to cut about 100 words out, so there are some minor changesfrom the last version most of you saw. Let me know if you have any questions.Bridget Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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'Gregory Jacoby'Date: 5/12/2011 12:58:18 PM

Subject: FW: Anthony Op-Ed running tomorrowAttachments: Op Ed Tobacco Regs_Anthony Chen_V2.doc

Hi Lori and Greg,See below and attached for an update on the op-ed. Thanks!Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bridget VandeventerSent: Thursday, May 12, 2011 9:51 AMTo: Laurie Jinkins; Anthony Chen; Steve MarekCc: Frank Dibiase; Kirsten Frandsen; Madigan ResidentSubject: Anthony Op-Ed running tomorrow Hi All,I just heard from the Tribune staff that Anthony’s op-ed will run tomorrow. I’m pleased with the timing; it givesour perspective a few days to sit out there before next week’s activities. We also then pick up on some of theideas in the op-ed with the KING 5 piece that will run on Monday morning. Attached is the final version that will run. We had to cut about 100 words out, so there are some minor changesfrom the last version most of you saw. Let me know if you have any questions.Bridget Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Kirsten FrandsenTo: PAN

Tobacco PCDate: 5/12/2011 2:48:08 PM

Subject: FW: Anthony Op-Ed running tomorrowAttachments: Op Ed Tobacco Regs_Anthony Chen_V2.doc

Hi all, Just an fyi. The op-ed on the Tobacco Regs that I mentioned previously will be coming out tomorrow. The op-edis attached for your reading pleasure. Thanks, Kirsten From: Bridget VandeventerSent: Thursday, May 12, 2011 9:51 AMTo: Laurie Jinkins; Anthony Chen; Steve MarekCc: Frank Dibiase; Kirsten Frandsen; Madigan ResidentSubject: Anthony Op-Ed running tomorrow Hi All,I just heard from the Tribune staff that Anthony’s op-ed will run tomorrow. I’m pleased with the timing; it givesour perspective a few days to sit out there before next week’s activities. We also then pick up on some of theideas in the op-ed with the KING 5 piece that will run on Monday morning. Attached is the final version that will run. We had to cut about 100 words out, so there are some minor changesfrom the last version most of you saw. Let me know if you have any questions.Bridget Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Tawana BellamyTo: Tutrecia Giles

Date: 5/12/2011 6:24:04 PMSubject: FW: Comment posted from the Internet site

-----Original Message-----From: Leslie Swalley [mailto:[email protected]]Sent: Thursday, May 12, 2011 3:20 PMTo: Tawana Bellamy; Anthony ChenCc: Dick MuriSubject: FW: Comment posted from the Internet site

Please add to public record, thank you.

Leslie SwalleyCouncil Assistant to Dick MuriPierce County Council District 6253.798.3308

-----Original Message-----From: Tim FarrellSent: Thursday, May 12, 2011 3:17 PMTo: Leslie SwalleySubject: FW: Comment posted from the Internet site

-----Original Message-----From: Michael J. Day [mailto:Sent: Thursday, May 05, 2011 3:20 PMTo: Tim FarrellCc: Whitney RhodesSubject: Comment posted from the Internet site

Regarding a News Tribune article today concerning E-cigarettes. I would hope that the County would not doanything to discourage these alternatives to smoking regular cigarettes at this time. The new product seems animprovement over regular cigs.

Name: Michael J. DayAddress:

Tacoma, WA 98406Phone: Email:

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From: Bruce RytkonenTo: Tutrecia Giles

Date: 5/12/2011 1:30:56 PMSubject: FW: E-cig Info Darcy.docx

Attachments: E-cig Info Darcy.docx

Tutrecia……I was able to make contact with the Washington State School Directors’ Association and they did sendout recently to all of school boards in the state an update to their Policy No. 4215…….Use of Tobacco and NicotineSubstances. Several districts have modified their tobacco policy in response to 4215. And the language in quotesin the last paragraph of my talking points for Darcy are correct. So I think that my note in [brackets] can bedeleted from what you (or Kirsten) forward to Darcy. From: Bruce RytkonenSent: Thursday, May 12, 2011 8:24 AMTo: Tutrecia GilesCc: Kirsten FrandsenSubject: E-cig Info Darcy.docx Tutrecia……here’s a list of talking points that I believe Darcy from the Y could consider using for comments thatshe wants to make at either the public meeting or at the BOH meeting. There is a little redundancy but this willgive Darcy the opportunity to choose the wording that she most likes.

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Kirsten FrandsenDate: 5/12/2011 9:14:14 AM

Subject: FW: Lakewood Chamber of Commerce

fyi From: Laurie JinkinsSent: Wednesday, May 11, 2011 7:40 PMTo: Anthony Chen; Steve Marek; Bridget VandeventerSubject: Re: Lakewood Chamber of Commerce The only thing I'd consider is perhaps a letter or e-mail offering to meet with them at some point and discuss thehealth concerns since we didn't get the chance to talk to them about it before they developed their position.

That's probably a little snarky. From: Anthony ChenSent: Wednesday, May 11, 2011 07:31 PMTo: Steve Marek; Laurie Jinkins; Bridget VandeventerSubject: Re: Lakewood Chamber of Commerce Any response necessary?




Top of Form May 5 at 6:51pm Â· Share

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From: Kirsten FrandsenTo: Steve Marek


Subject: Implementation of SIPP and E-Cigs

Hi, I feel that we need to start thinking of implementation of SIPP and E-Cigs. I had a conversation with Bruce aboutthis today. We’re going to meet with King County to discuss their implementation system but I think we needsome help from our colleagues such as John Sherman et al, that has experience with regs/enforcement. I wanted to give you a heads up that Bruce is having resistance to wanting to work with John and friends- he feelsthat their systems may be too cumbersome, time consuming and not applicable to our situation. He really doesnot want to have EH enforcement involved. I disagree but wanted to check with you. I stressed to Bruce that weneed good systems in place and need consistency in enforcement across programs. Always better to be morestrict/conservative and back off if not needed. As an aside, he’s feeling some stress around the issue- feeling that30 hours is not enough time to get everything done. I told him again that I wanted to back off on the “courtesy”education visits but again, he is resistant to this. Would appreciate your back up here and would like to havesome resolve on this issue esp as it pertains to FC&S role. I would like to start a small implementation team for these regs to include Bruce, myself, and EH regulator andanyone else you feel would be good to include. I would appreciate your perspective on this. A couple of quick questions:

1. If the policies are passed, would they be effective immediately or will there be a lag period?2. When would you like for an implementation plan to be in place?

Can we discuss at tomorrow’s meeting or can we have a short, separate 30 minute meeting to discuss? Thanks!

Kirsten FrandsenTacoma-Pierce County Health DepartmentProgram Coordinator: Physical Activity, Nutrition, and [email protected]

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From: Frank DibiaseTo: Kirsten Frandsen

Date: 5/12/2011 5:57:14 PMSubject: RE:

Thanks Kirsten. Thanks for tracking and “jumping on” the FDA info before it went to Board members. From: Kirsten FrandsenSent: Thursday, May 12, 2011 1:43 PMTo: Frank DibiaseCc: Steve MarekSubject: RE: Yes- Monday works for getting the comparison of fact v. assumption. Also, BOH packets went out this morning. I checked the materials with Tawana to review the strength of the FDApiece on our fact sheet on e-cigs per your conversation with Dr. Chen yesterday afternoon. It was too late tomake substantive changes but I think that the paragraph that we had on e-cigs and the FDA was good- talkedabout the chemicals and concern over safety. However; I was able to modify the document to include the FDA e-cig website link in a very visible manner so that the Board could go to that site for reference. As an aside, I believe that we did send the FDA e-cig link in the previous materials that we emailed the BOH. Thanks- Kirsten From: Frank DibiaseSent: Thursday, May 12, 2011 12:47 PMTo: Kirsten FrandsenCc: Steve MarekSubject: RE: Is Monday possible? From: Kirsten FrandsenSent: Thursday, May 12, 2011 5:27 AMTo: Steve Marek; Frank DibiaseSubject: RE: Sounds good- we've already got something like this started. When would you like this by? Thanks, KIrsten

From: Steve MarekSent: Wednesday, May 11, 2011 3:35 PMTo: Frank Dibiase; Kirsten FrandsenSubject: RE:

I think the most important thing to look at is what we know the facts to be. I guess the rest would then beassumptions. We assume they don’t help someone to quit smoking, we assume that they are targeting children,we assume the vapor is harmful to both the smoker and to others, we assume that others will light up when theysee e-cigs used etc. From: Frank DibiaseSent: Wednesday, May 11, 2011 2:23 PMTo: Kirsten FrandsenCc: Steve Marek

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Subject: Hi Kirsten, Steve, Laurie and I were on a conference call with Anthony this afternoon regarding the proposed Tobaccoregulations. Anthony wanted to discuss communication with Board members regarding the regulations. Anthony had 2 requests for Tobacco staff:




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Is Monday possible? From: Kirsten FrandsenSent: Thursday, May 12, 2011 5:27 AMTo: Steve Marek; Frank DibiaseSubject: RE: Sounds good- we've already got something like this started. When would you like this by? Thanks, KIrsten






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Yes- Monday works for getting the comparison of fact v. assumption. Also, BOH packets went out this morning. I checked the materials with Tawana to review the strength of the FDApiece on our fact sheet on e-cigs per your conversation with Dr. Chen yesterday afternoon. It was too late tomake substantive changes but I think that the paragraph that we had on e-cigs and the FDA was good- talkedabout the chemicals and concern over safety. However; I was able to modify the document to include the FDA e-cig website link in a very visible manner so that the Board could go to that site for reference. As an aside, I believe that we did send the FDA e-cig link in the previous materials that we emailed the BOH. Thanks- Kirsten From: Frank DibiaseSent: Thursday, May 12, 2011 12:47 PMTo: Kirsten FrandsenCc: Steve MarekSubject: RE: Is Monday possible? From: Kirsten FrandsenSent: Thursday, May 12, 2011 5:27 AMTo: Steve Marek; Frank DibiaseSubject: RE: Sounds good- we've already got something like this started. When would you like this by? Thanks, KIrsten



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1) He’d like staff to identify key pieces of information regarding e-cigarettes and to clarify what we know

(facts) and what we don’t know or where we’re making some assumptions. For example, “What’s in thevapor? “ What do we know or not know? (I’m having trouble coming up with other examples. Steve doyou remember any of the others he mentioned or can you clafiry?)



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Frank DibiaseDate: 5/12/2011 8:27:24 AM

Subject: RE:

Sounds good- we've already got something like this started. When would you like this by? Thanks, KIrsten






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Steve MarekDate: 5/12/2011 5:51:02 PM

Subject: RE: Implementation of SIPP and E-Cigs

I think we should try to include this discussion in tomorrow’s “after” meeting. If time doesn’t allow let’s re-schedule. When I was supervising Tobacco, Bruce worked closely with John and Rachel (then lead for Code Enforcement). The intent was to put in place a Tobacco code enforcement process which was consistent with other areas of EHcode enforcement. This was largely prompted by some pretty obvious shortcomings in the Tobacco codeenforcement process which were quickly identified once we began to discuss enforcement against El Gauchos. These shortcomings were not related to Bruce’s activities but more along the lines of – little to no record keeping,inconsistencies around implementation, lack of an overarching plan, etc,. I believe some of Bruce’s resistance may in part be due to a belief that he seems to think that other EH codeenforcement processes do not work for Tobacco. Complete consistency across for EH is not necessary butconsistency in how we approach code enforcement is a key part of being able to withstand legal challenges. Lastly, I think we should, at some point, consider involving food inspectors with some aspect of Tobacco codeenforcement, but I don’t think now is the time. I think Rachel has her hands pretty full with other more pressingissues in food. Thanks. From: Kirsten FrandsenSent: Thursday, May 12, 2011 2:28 PMTo: Steve Marek; Frank DibiaseSubject: Implementation of SIPP and E-Cigs Hi, I feel that we need to start thinking of implementation of SIPP and E-Cigs. I had a conversation with Bruce aboutthis today. We’re going to meet with King County to discuss their implementation system but I think we needsome help from our colleagues such as John Sherman et al, that has experience with regs/enforcement. I wanted to give you a heads up that Bruce is having resistance to wanting to work with John and friends- he feelsthat their systems may be too cumbersome, time consuming and not applicable to our situation. He really doesnot want to have EH enforcement involved. I disagree but wanted to check with you. I stressed to Bruce that weneed good systems in place and need consistency in enforcement across programs. Always better to be morestrict/conservative and back off if not needed. As an aside, he’s feeling some stress around the issue- feeling that30 hours is not enough time to get everything done. I told him again that I wanted to back off on the “courtesy”education visits but again, he is resistant to this. Would appreciate your back up here and would like to havesome resolve on this issue esp as it pertains to FC&S role. I would like to start a small implementation team for these regs to include Bruce, myself, and EH regulator andanyone else you feel would be good to include. I would appreciate your perspective on this. A couple of quick questions:


Can we discuss at tomorrow’s meeting or can we have a short, separate 30 minute meeting to discuss?

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Thanks!


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Sounds good- thanks, Kirsten From: Steve MarekSent: Thursday, May 12, 2011 2:46 PMTo: Kirsten Frandsen; Frank DibiaseSubject: RE: Implementation of SIPP and E-Cigs Let’s discuss tomorrow a.m. From: Kirsten FrandsenSent: Thursday, May 12, 2011 2:28 PMTo: Steve Marek; Frank DibiaseSubject: Implementation of SIPP and E-Cigs Hi, I feel that we need to start thinking of implementation of SIPP and E-Cigs. I had a conversation with Bruce aboutthis today. We’re going to meet with King County to discuss their implementation system but I think we needsome help from our colleagues such as John Sherman et al, that has experience with regs/enforcement. I wanted to give you a heads up that Bruce is having resistance to wanting to work with John and friends- he feelsthat their systems may be too cumbersome, time consuming and not applicable to our situation. He really doesnot want to have EH enforcement involved. I disagree but wanted to check with you. I stressed to Bruce that weneed good systems in place and need consistency in enforcement across programs. Always better to be morestrict/conservative and back off if not needed. As an aside, he’s feeling some stress around the issue- feeling that30 hours is not enough time to get everything done. I told him again that I wanted to back off on the “courtesy”education visits but again, he is resistant to this. Would appreciate your back up here and would like to havesome resolve on this issue esp as it pertains to FC&S role. I would like to start a small implementation team for these regs to include Bruce, myself, and EH regulator andanyone else you feel would be good to include. I would appreciate your perspective on this. A couple of quick questions:




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Thanks for the info and all sounds good- thanks, Kirsten From: Frank DibiaseSent: Thursday, May 12, 2011 2:51 PMTo: Kirsten Frandsen; Steve MarekSubject: RE: Implementation of SIPP and E-Cigs I think we should try to include this discussion in tomorrow’s “after” meeting. If time doesn’t allow let’s re-schedule. When I was supervising Tobacco, Bruce worked closely with John and Rachel (then lead for Code Enforcement). The intent was to put in place a Tobacco code enforcement process which was consistent with other areas of EHcode enforcement. This was largely prompted by some pretty obvious shortcomings in the Tobacco codeenforcement process which were quickly identified once we began to discuss enforcement against El Gauchos. These shortcomings were not related to Bruce’s activities but more along the lines of – little to no record keeping,inconsistencies around implementation, lack of an overarching plan, etc,. I believe some of Bruce’s resistance may in part be due to a belief that he seems to think that other EH codeenforcement processes do not work for Tobacco. Complete consistency across for EH is not necessary butconsistency in how we approach code enforcement is a key part of being able to withstand legal challenges. Lastly, I think we should, at some point, consider involving food inspectors with some aspect of Tobacco codeenforcement, but I don’t think now is the time. I think Rachel has her hands pretty full with other more pressingissues in food. Thanks. From: Kirsten FrandsenSent: Thursday, May 12, 2011 2:28 PMTo: Steve Marek; Frank DibiaseSubject: Implementation of SIPP and E-Cigs Hi, I feel that we need to start thinking of implementation of SIPP and E-Cigs. I had a conversation with Bruce aboutthis today. We’re going to meet with King County to discuss their implementation system but I think we needsome help from our colleagues such as John Sherman et al, that has experience with regs/enforcement. I wanted to give you a heads up that Bruce is having resistance to wanting to work with John and friends- he feelsthat their systems may be too cumbersome, time consuming and not applicable to our situation. He really doesnot want to have EH enforcement involved. I disagree but wanted to check with you. I stressed to Bruce that weneed good systems in place and need consistency in enforcement across programs. Always better to be morestrict/conservative and back off if not needed. As an aside, he’s feeling some stress around the issue- feeling that30 hours is not enough time to get everything done. I told him again that I wanted to back off on the “courtesy”education visits but again, he is resistant to this. Would appreciate your back up here and would like to havesome resolve on this issue esp as it pertains to FC&S role. I would like to start a small implementation team for these regs to include Bruce, myself, and EH regulator andanyone else you feel would be good to include. I would appreciate your perspective on this.

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A couple of quick questions:




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Let’s discuss tomorrow a.m. From: Kirsten FrandsenSent: Thursday, May 12, 2011 2:28 PMTo: Steve Marek; Frank DibiaseSubject: Implementation of SIPP and E-Cigs Hi, I feel that we need to start thinking of implementation of SIPP and E-Cigs. I had a conversation with Bruce aboutthis today. We’re going to meet with King County to discuss their implementation system but I think we needsome help from our colleagues such as John Sherman et al, that has experience with regs/enforcement. I wanted to give you a heads up that Bruce is having resistance to wanting to work with John and friends- he feelsthat their systems may be too cumbersome, time consuming and not applicable to our situation. He really doesnot want to have EH enforcement involved. I disagree but wanted to check with you. I stressed to Bruce that weneed good systems in place and need consistency in enforcement across programs. Always better to be morestrict/conservative and back off if not needed. As an aside, he’s feeling some stress around the issue- feeling that30 hours is not enough time to get everything done. I told him again that I wanted to back off on the “courtesy”education visits but again, he is resistant to this. Would appreciate your back up here and would like to havesome resolve on this issue esp as it pertains to FC&S role. I would like to start a small implementation team for these regs to include Bruce, myself, and EH regulator andanyone else you feel would be good to include. I would appreciate your perspective on this. A couple of quick questions:




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Date: 5/12/2011 2:57:54 PMSubject: RE: SB 5005 signed into law today

Hi Halley,Ok, two three J sentences on tobacco regulations. We are proposing two pieces of regulation; one a local version of the smoking in public places law, and the second proposing that e-cigarettes be regulated the same as traditional cigarettes. The next steps in the process are a public meeting on Monday, May 16 and the Board of Health meeting on May 18. There is some controversy on the issue, and it’s drawn a lot of attention in the lastweek so I want to make sure you have the information and access you need. You can read more here. With regards to immunization exemptions:In Pierce County schools (public and private), the current exemption rate is 4.74%. This is up from 4.60% last year. The state rate is 6.2%, which is double what it was a decade ago. Obviously, this is concerning because of the impact this will have on the rates of diseases that we know are preventable by simple and safe vaccines. For vaccine preventable diseases, we have relatively low rates here in Pierce County. This is good – it means that vaccines are working—but that’s why it’s important to keep exemption rates low and children vaccinated. SB 5005, when implemented, it should help with that. This chart shows the cases of vaccine preventable diseases for 2010, and compared to 2009.

Vaccine Preventable Disease 2010 2009Measles 0 0Mumps 3 2Rubella 0 0Pertussis 87 31

Let me know if you want to talk to someone about this and when would be a good time.Thanks!Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: [email protected] [mailto:[email protected]]Sent: Wednesday, May 11, 2011 7:01 PMTo: Bridget VandeventerSubject: Re: SB 5005 signed into law today I totally have no clue what's happening with tobacco regs - is it something you could summarize in a sentence or two? If you think iit's big, then yes!

Sent from my Verizon Wireless BlackBerry

From: Bridget Vandeventer <[email protected]>Date: Wed, 11 May 2011 23:59:28 +0000To: 'Communities, Tacoma'<[email protected]>Subject: RE: SB 5005 signed into law today Hi Halley,Sorry for my delay on this. I do have that kind of information, and am pulling that together for you. I know you have a different full time job, so when are you available to speak with someone? Do you want to come in here, or is phone ok for you? Unrelated, I want to make sure you know about the activities next week related to the proposed tobacco regulations. I’m getting a lot of inquiries from other outlets, so I want to make sure you’re included. I really like what you’re doing with Tacoma KOMO, so want to make sure I’m keeping you in the loop! Thanks,Bridget

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Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Communities, Tacoma [mailto:[email protected]]Sent: Wednesday, May 11, 2011 8:09 AMTo: Bridget VandeventerSubject: RE: SB 5005 signed into law today

Hi Bridget - I might be interested in following up with this ... do you have any stats on non-vaccinated children + outbreak deaths in Pierce County ... or anything like that? Also not sure if there is someone there whose expertise is vaccinations but I'd love to chat with them if so.

--Halley GriffinKOMO Communities Reporter(253) 468-4427http://tacoma.komonews.comhttp://www.facebook.com/tacomakomohttp://www.twitter.com/tacomakomo

-----Original Message-----From: Bridget Vandeventer [mailto:[email protected]]Sent: Tue 5/10/2011 2:59 PMTo: Communities, TacomaSubject: SB 5005 signed into law today

Hello Halley,This afternoon, Governor Gregoire will sign senate bill 5005, concerning immunization exemptions. The Tacoma-Pierce County Health Department advocated for this bill throughout the 2011 legislative session because of the tremendous impact immunizations have on public health, and the dangers associated with immunization exemptions. The bill requires that parents receive medical

There are strong data linking increased levels of exemptions with increased risk of outbreaks of vaccine preventable disease. One study showed that states with philosophical exemptions had 90 percent more cases of pertussis (whooping cough) than states with stricter rules.

A pilot project in a Pierce County school district in 2010 showed that many exemptions are provided from convenience rather than conviction. When vaccine records were reviewed it was found that about a third of the exemptions were being claimed for vaccinations children already had. Parents were claiming exemptions for convenience rather than actually checking records. Follow-up with calls to parents claiming exemptions found that many were willing to have their children come in for immunizations andfew were adamantly opposed to vaccinating their children.

The Governor, the Senate and the House of Representatives wisely passed this bill, which should lead to higher rates of immunization, greater herd immunity and an overall healthier Pierce County.

Please let me know if you have any questions.Thank you,Bridget Vandeventer

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

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Great, thank you.I’m sure the photo you have is the most current. Enjoy the sunny day!Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Kim Bradford [mailto:[email protected]]Sent: Thursday, May 12, 2011 9:54 AMTo: Bridget VandeventerSubject: Re: Tacoma-Pierce County Health Director Op-Ed submission We have a headshot from the last time he did an op-ed for us. Has he recently had a new photo taken?

We’re planning to run his piece tomorrow.

Kim

On 5/12/11 9:31 AM, "Bridget Vandeventer" <[email protected]> wrote:

Hi Kim,I wanted to touch base with you on this. Do you guys have any questions? Do you need aheadshot of Dr. Chen? Do you know what day it will run? Thanks so much.Bridget



Thanks for the extra effort. We’ll get back to you if we have any questions. (I checked with Cheryl and norelease form is needed since Chen is considered a public official.)

Kim

On 5/10/11 2:32 PM, "Bridget Vandeventer" <[email protected]> wrote:Kim,The attached copy is down to 650 words not including the headline and byline. I hope this will work Thanks again,

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Bridget




I’l l take the first stab. Stay tuned.



Bridget,

I hi t “send” before opening the attachment. I t is longer than we usual ly al low for op-eds. I t ’s at 770 wordsnow, and we need to get i t down closer to 650. Do you want to take a stab at paring i t or would you ratherwe did the work?

Kim




Thanks, Bridget. I ’ve forwarded the op-ed to Cheryl Tucker, who edits submissions for publication. You mayreceive a release form from her.

Kim Bradford

On 5/10/11 2:00 PM, "Bridget Vandeventer" <[email protected]> wrote:Hello Kim,Thanks again for taking my call last Thursday and for your thoughtful work on the editorial that ran Friday. Aswe get closer to the next phase in our publ ic process for the proposed tobacco regulat ion, we do wish tocontribute and op-ed from Dr. Anthony Chen on the issue of e-cigarettes. Please see the attached piece byhim. I know it ’s a busy news week and anticipate you have a ful l schedule already, but hopeful ly there is spacefor this sometime in the next week or so.

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Let me know if you have any questions.Thanks again,Bridget Vandeventer Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] <mailto:[email protected]> |[email protected] <mailto:[email protected]> *************************************************************************************This e-mail and any attachments may contain confidential and privileged information. It has been scanned forviruses. If you are not the intended recipient, please notify the sender immediately by return e-mail, delete thise-mail and destroy any copies.**************************************************************************************

--

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Great, thank you.I’m sure the photo you have is the most current. Enjoy the sunny day!Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Kim Bradford [mailto:[email protected]]Sent: Thursday, May 12, 2011 9:54 AMTo: Bridget VandeventerSubject: Re: Tacoma-Pierce County Health Director Op-Ed submission We have a headshot from the last time he did an op-ed for us. Has he recently had a new photo taken?


Kim






Kim

On 5/10/11 2:32 PM, "Bridget Vandeventer" <[email protected]> wrote:Kim,The attached copy is down to 650 words not including the headline and byline. I hope this will work Thanks again,

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Bridget







Bridget,


Kim





Kim Bradford

On 5/10/11 2:00 PM, "Bridget Vandeventer" <[email protected]> wrote:Hello Kim,Thanks again for taking my call last Thursday and for your thoughtful work on the editorial that ran Friday. Aswe get closer to the next phase in our public process for the proposed tobacco regulation, we do wish tocontribute and op-ed from Dr. Anthony Chen on the issue of e-cigarettes. Please see the attached piece byhim. I know it’s a busy news week and anticipate you have a full schedule already, but hopefully there is spacefor this sometime in the next week or so.

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Let me know if you have any questions.Thanks again,Bridget Vandeventer Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] <mailto:[email protected]> |[email protected] <mailto:[email protected]> *************************************************************************************This e-mail and any attachments may contain confidential and privileged information. It has been scanned forviruses. If you are not the intended recipient, please notify the sender immediately by return e-mail, delete thise-mail and destroy any copies.**************************************************************************************

--

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Hi Kim,I wanted to touch base with you on this. Do you guys have any questions? Do you need a headshot of Dr. Chen?Do you know what day it will run? Thanks so much.Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Kim Bradford [mailto:[email protected]]Sent: Tuesday, May 10, 2011 2:53 PMTo: Bridget VandeventerSubject: Re: Tacoma-Pierce County Health Director Op-Ed submission Thanks for the extra effort. We’ll get back to you if we have any questions. (I checked with Cheryl and norelease form is needed since Chen is considered a public official.)

Kim


Kim,The attached copy is down to 650 words not including the headline and byline. I hope this will work Thanks again,Bridget






From: Kim Bradford [mailto:[email protected]]Sent: Tuesday, May 10, 2011 2:25 PM

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To: Bridget VandeventerSubject: Re: Tacoma-Pierce County Health Director Op-Ed submission

Bridget,

I hi t “send” before opening the attachment. I t is longer than we usual ly al low for op-eds. I t ’s at 770 wordsnow, and we need to get i t down closer to 650. Do you want to take a stab at paring i t or would you ratherwe did the work?

Kim




Thanks, Bridget. I ’ve forwarded the op-ed to Cheryl Tucker, who edits submissions for publication. You mayreceive a release form from her.

Kim Bradford

On 5/10/11 2:00 PM, "Bridget Vandeventer" <[email protected]> wrote:Hello Kim,Thanks again for taking my call last Thursday and for your thoughtful work on the editorial that ran Friday. Aswe get closer to the next phase in our publ ic process for the proposed tobacco regulat ion, we do wish tocontribute and op-ed from Dr. Anthony Chen on the issue of e-cigarettes. Please see the attached piece byhim. I know it ’s a busy news week and anticipate you have a ful l schedule already, but hopeful ly there is spacefor this sometime in the next week or so. Let me know if you have any questions.Thanks again,Bridget Vandeventer Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] <mai l to:[email protected]> |[email protected] <mai l to:[email protected]> * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *This e-mail and any attachments may contain confidential and privi leged information. It has been scanned forviruses. If you are not the intended recipient, please notify the sender immediately by return e-mail, delete thise-mail and destroy any copies.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

--

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We have a headshot from the last time he did an op-ed for us. Has he recently had a new photo taken?


Kim






Kim

On 5/10/11 2:32 PM, "Bridget Vandeventer" <[email protected]> wrote:Kim,The attached copy is down to 650 words not including the headline and byline. I hope this will work Thanks again,Bridget




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Bridget,


Kim





Kim Bradford


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--

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From: Madigan ResidentTo: Kirsten Frandsen

Date: 5/12/2011 7:23:34 PMSubject: RE: Tobacco Harm Reduction Update (5/12/11)

Kirsten, The article is not from Seigel. Instead, it is a study out of Italy which looked at the quit rates after using a nicotinefree device. I could not open the study in order to read it and it is not on PubMed yet. However, it seems to me that the device was regulated such that they knew there was no nicotine in the plasticdevices (unlike the e-cigarettes the FDA tested). Hope this helps. Paul From: Kirsten FrandsenSent: Thursday, May 12, 2011 3:51 PMTo: Madigan ResidentSubject: FW: Tobacco Harm Reduction Update (5/12/11) Hi Paul- please see reference to research re: e-cigs and cessation below. Can you check it out- is it the Seigelarticle? Thanks, Kirsten From: Adria MoskowitzSent: Thursday, May 12, 2011 3:45 PMTo: Tobacco PCSubject: FW: Tobacco Harm Reduction Update (5/12/11) From: Bill Godshall [mailto:[email protected]]Sent: Thursday, May 12, 2011 3:45 PMTo: Bill GodshallSubject: Tobacco Harm Reduction Update (5/12/11) FDA Tobacco Regulation IOM Committee on Scientific Standards for Studies on Modified Risk Tobacco Products meets in DChttp://iom.edu/Activities/PublicHealth/ModifiedRiskTobacco/2011-MAY-09/Agenda.aspx http://iom.edu/Activities/PublicHealth/ModifiedRiskTobacco/2011-MAY-09.aspxInvited tobacco manufacturers focus on MR cigarettes; Invited anti-tobacco activists misrepresent comparable healthrisks of combustible versus noncombustible tobacco; Invited activists, regulators and researchers propose dozens ofdifferent studies costing tens of millions of dollars before any smokefree product could be truthfully marketed tosmokers as less hazardous alternative; IOM committee didn't invite tobacco harm reduction or consumer healthadvocates to present. Food Drug and Law Institute article on IOM committee meetinghttp://www.fdli.org//membersonly/tobacco/index.html

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Smokeless Tobacco NCI funded clinical trial now studying Camel Snus for smoking cessation http://projectreporter.nih.gov/project_info_description.cfm?aid=8023918&icde=8004341 Electronic cigarettes Study finds no-nicotine e-cigarettes helpful for smoking cessation among smokers with high behavioral dependencehttp://www.medicalnewstoday.com/releases/224925.phphttp://erj.ersjournals.com/content/early/2011/05/12/09031936.00109610.abstract?sid=eadf9ad0-c457-41ce-a423-830a9879ef42 Argentina protects cigarette markets and threatens health of smokers and e-cigarette users by banning e-cigarettes,misrepresents scientific evidence and repeats inaccurate claims by WHOhttp://www.google.com/hostednews/afp/article/ALeqM5hp-8u6CP7z_FK_VZplzqt2LPIEPQ?docId=CNG.30e357e71daa13de0e8cb2b59ccbe657.661 Hahn and Riker misrepresent health risks, scientific evidence and FDA regulation of e-cigarettes, opposesmokers switching to far less hazardous alternatives, inaccurately claim CASAA and long defunct ECA opposesmokefree workplace laws http://www.kentucky.com/2011/05/09/1735010/e-cigs-must-be-tested-regulated.html Cigarette markets benefit from Queensland Health (AU) campaign to prevent smokers from switching to far lesshazardous e-cigarettes, seizing products and falsely claiming they are poisonous and deadly http://www.health.qld.gov.au/news/media_releases/qhe_cigs0515.pdfhttp://www.youtube.com/watch?v=_HBZ1PcWlfc&amphttp://www.couriermail.com.au/lifestyle/health/queensland-health-issues-a-warning-that-e-cigarettes-can-kill-you/story-e6frer7f-1226051143585http://www.andhranews.net/Health/2011/e-cigarettes-can-fatal-if-used-inappropriately-497.htmhttp://www.magnetictimes.com.au/article-3754.htmlhttp://www.themorningbulletin.com.au/story/2011/05/12/deadly-e-cigarettes-seized-brisbane-rockhampton/ CASSA urges Dekalb County (GA) Commissioners to delete e-cigarette usage from definition of "smoking" insmokefree workplace legislation since e-cigarettes are smokefree and pose no known health risks to users ornonusershttp://casaa.org/news/article.asp?articleID=166&l=a&p= Adams (MA) Health Board urged to ban e-cigarette usage despite health benefits for users and no evidence of harmhttp://iberkshires.com/story/38485/Adams-Board-Of-Health-Eye-E-Cigarette-Ban.html Usage of e-cigarettes inaccurately defined as "smoking" in proposed smokefree workplace law in Deleware County(IN)http://www.thestarpress.com/article/20110503/NEWS01/105030307/1002/Smoking-ban-hearing-set Arkansas Health Dept. falsely claims tobacco companies make e-cigarettes, denies existance of scientific evidenceon e-cigarettes http://www.todaysthv.com/news/article/156200/2/What-are-e-cigarettes Breathe New Hampshire claims e-cigarettes could be gateway for tobacco usage, despite evidence that virtuallyall e-cigarette users are former smokers and no evidence of e-cigarette usage prior to tobacco usagehttp://www.wmur.com/health/27722039/detail.html A Social Networking Device for E-Cigarette Usershttp://www.nytimes.com/2011/05/11/technology/11smoke.html?emc=tnt&tntemail1=yhttp://theweek.com/article/index/215187/blu-the-cigarette-that-helps-you-social-network NRT

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British Columbia taxpayers to subsidize costs of NRT products (that have a 95% failure rate) as Health Canadacontinues to ban sales of e-cigarettes and misrepresent health risks of smokeless tobacco to discourage smokersfrom reducing riskshttp://www.theprovince.com/health/provide+free+nicotine+patches+help+smokers+kick+habit/4752790/story.html USA Nicorette Sales: Most Nicotine Replacement Therapy Products are Imports from Overseas (2010)http://www.suite101.com/content/usa-nicorette-sales-a208535#ixzz1M48aiBZO Tobacco Farming VA company developing new tobacco plant for ethanol and biodieselhttp://www2.timesdispatch.com/business/2011/may/12/TDBIZ03-danville-company-proposes-new-use-for-toba-ar-1033336/ Smokefree Air California Senate approves bill (SB 332) to ban smoking in some apartment buildingshttp://latimesblogs.latimes.com/california-politics/2011/05/smoking-could-be-restricted-in-apartments.htmlhttp://www.leginfo.ca.gov/pub/11-12/bill/sen/sb_0301-0350/sb_332_bill_20110503_amended_sen_v97.html Common sense from Mike Siegel on NYC and other outdoor smoking banshttp://www.nytimes.com/2011/05/06/opinion/06siegel.html?nl=todaysheadlines&emc=tha212 ACS and Farley respond to Siegel by exaggerating health risks of brief exposure to tobacco smoke outdoorshttp://www.nytimes.com/2011/05/12/opinion/l12smoke.html?_r=2 China smoking ban is all puff and no penaltieshttp://www.independent.co.uk/news/world/asia/china-smoking-ban-is-all-puff-and-no-penalties-2277707.html Most smoking fines in Ohio are going unpaidhttp://www.daytondailynews.com/news/dayton-news/most-smoking-fines-in-ohio-are-going-unpaid-1155232.html?cxtype=ynews_rss Tobacco Prohibition After widespread criticism, Bhutan scaling down penalties for draconian tobacco prohibition lawhttp://www.kuenselonline.com/2010/modules.php?name=News&file=article&sid=19328 Islamists ban sale and use of tobacco and alcohol in Somalia districtshttp://www.kuenselonline.com/2010/modules.php?name=News&file=article&sid=19328 Cigarettes Six decades later, some tobacco companies still trying to develop less hazardous cigarettehttp://www.physorg.com/news/2011-05-titanate-cigarette-filter-safer.htmlhttp://www.tcetoday.com/latest%20news/2011/april/reducing%20tobacco%20toxicants.aspxhttp://informahealthcare.com/doi/abs/10.3109/08958378.2010.546440http://informahealthcare.com/doi/abs/10.3109/08958378.2010.547229http://pubs.rsc.org/en/Content/ArticleLanding/2011/CC/c1cc10794a Tax rise sees smoking rates among Hong Kong students fall by halfhttp://www.monstersandcritics.com/news/health/news/article_1635684.php/Tax-rise-sees-smoking-rates-among-Hong-Kong-students-fall-by-half Mike Siegel on TPSAC and its menthol cigarette reporthttp://healthpolicyandreform.nejm.org/?p=14231&query=homehttp://www.boston.com/news/health/blog/2011/05/bu_doctor_blast.html

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TPSAC members Samet and Benowitz defend menthol cigarette reporthttp://healthpolicyandreform.nejm.org/?p=14233&query=home Bill GodshallExecutive DirectorSmokefree Pennsylvania1926 Monongahela AvenuePittsburgh, PA [email protected]

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Subject: E-cig Docs

Kirsten…..the documents that we used as resources for our e-cig questions are now on Sharepoint. There is onethat I couldn’t get transferred. It’s the an article in the Lexington Herald Leader. If you Googlewww.Kentucky e-cigs you should get an article dated April 26. It has a picture of a man holding an e-cig. There’s another article from Argentina that you can connect with as it’s the second article in the ANR file in thearticles section just after Dr. Chen’s op-ed. PS……just to let you know…..I was unfairly accused by the staff this afternoon of putting a monkey on your door. They know I’m the monkey on your back……but it wasn’t me. I think it was Walt.

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From: Anthony ChenTo: Steve Marek

Date: 5/13/2011 8:10:46 PMSubject: Fw: South Tacoma Business District - Ash Butt Can Project

FYI

AC From: Greg TanbaraSent: Friday, May 13, 2011 09:51 AMTo: Bruce RytkonenCc: Anthony Chen; John ShermanSubject: South Tacoma Business District - Ash Butt Can Project Bruce, I want to thank you and give you some great feedback I got from people at the South Tacoma Business District onwork you did with them on this project. I went to the South Tacoma Business District’s Spring Social last night. I had the opportunity to visit with KarenRich and Gloria Egan, the District Manager. As I was telling them how good the business district was looking theytold me how much they appreciated the work you did with them on getting the “ash butt” cans installed. Karentook me outside on the street and showed me how they have been positioned along the sidewalk near StonegatePizza. Later during Karen’s remarks on behalf of the business district to the 40+ people there, she told them about thesupport the business district has gotten from various organizations in their efforts to make the area a better placeto do business and live. She told everyone about the work the Health Department did with district on the ashbutt cans. I was really flattered by the way she emphasized her appreciation for our agency’s willingness to getthis done. You should know that besides members of the business district, Deputy Mayor Lauren Walker andCouncil Member David Boe, members of Historic Tacoma, and business owners from some of the affiliatedbusiness districts in the City were there. Karen Rich is the owner of Guardian Security Group, Inc., a current board member of the South Tacoma BusinessDistrict, a past president of the Cross District Association of the Neighborhood Business Districts, and a person Iworked with a lot during the time I was with the City of Tacoma’s Economic Development Department. She is agood friend and I felt really good that you and your work was an asset in something that means a lot to her. I’m sending a copy of this to Dr. Chen because this happen in such a timely manner with regard his editorial thatappeared in the TNT this morning. FYI - I ended up in a lengthy conversation on the subject of e-cigarettes lastnight at the social. Thanks for what you are doing. Gregory M. TanbaraBrownfields Coordinator(253) 798-4784 or [email protected]

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Date: 5/13/2011 1:34:00 PMSubject: FW: South Tacoma Business District - Ash Butt Can Project

Here’s one outcome from Business Education Kit type of work. J From: Greg TanbaraSent: Friday, May 13, 2011 9:51 AMTo: Bruce RytkonenCc: Anthony Chen; John ShermanSubject: South Tacoma Business District - Ash Butt Can Project Bruce, I want to thank you and give you some great feedback I got from people at the South Tacoma Business District onwork you did with them on this project. I went to the South Tacoma Business District’s Spring Social last night. I had the opportunity to visit with KarenRich and Gloria Egan, the District Manager. As I was telling them how good the business district was looking theytold me how much they appreciated the work you did with them on getting the “ash butt” cans installed. Karentook me outside on the street and showed me how they have been positioned along the sidewalk near StonegatePizza. Later during Karen’s remarks on behalf of the business district to the 40+ people there, she told them about thesupport the business district has gotten from various organizations in their efforts to make the area a better placeto do business and live. She told everyone about the work the Health Department did with district on the ashbutt cans. I was really flattered by the way she emphasized her appreciation for our agency’s willingness to getthis done. You should know that besides members of the business district, Deputy Mayor Lauren Walker andCouncil Member David Boe, members of Historic Tacoma, and business owners from some of the affiliatedbusiness districts in the City were there. Karen Rich is the owner of Guardian Security Group, Inc., a current board member of the South Tacoma BusinessDistrict, a past president of the Cross District Association of the Neighborhood Business Districts, and a person Iworked with a lot during the time I was with the City of Tacoma’s Economic Development Department. She is agood friend and I felt really good that you and your work was an asset in something that means a lot to her. I’m sending a copy of this to Dr. Chen because this happen in such a timely manner with regard his editorial thatappeared in the TNT this morning. FYI - I ended up in a lengthy conversation on the subject of e-cigarettes lastnight at the social. Thanks for what you are doing. Gregory M. TanbaraBrownfields Coordinator(253) 798-4784 or [email protected]

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Frank DibiaseSteve Marek

Date: 5/13/2011 9:02:12 AMSubject: Op Ed

There’s been a couple of blog responses to Dr. Chen’s op-ed this am. One from someone who is advertisingwhere to get free samples of product using your zip code and one stating that he doesn’t want to buy e-cigs untilthere’s better safety data. Maybe this is a good sign …. Thanks, Kirsten

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Subject: RE: E-cig Docs

Thanks for all! I will check all of the stuff out. Re: the monkey. No worries- it was ME that did it. I loved the message :) Thanks again, Kirsten

From: Bruce RytkonenSent: Friday, May 13, 2011 4:21 PMTo: Kirsten Frandsen; Tutrecia GilesSubject: E-cig Docs

Kirsten…..the documents that we used as resources for our e-cig questions are now on Sharepoint. There is onethat I couldn’t get transferred. It’s the an article in the Lexington Herald Leader. If you Googlewww.Kentucky e-cigs you should get an article dated April 26. It has a picture of a man holding an e-cig. There’s another article from Argentina that you can connect with as it’s the second article in the ANR file in thearticles section just after Dr. Chen’s op-ed. PS……just to let you know…..I was unfairly accused by the staff this afternoon of putting a monkey on your door. They know I’m the monkey on your back……but it wasn’t me. I think it was Walt.

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From: Bridget VandeventerTo: Kirsten Frandsen

Frank DibiaseSteve Marek

Date: 5/13/2011 10:29:42 AMSubject: RE: Op Ed

Yikes, do you see what they changed the title to?“If e-cigarettes aren’t safe, then prove it.” Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Kirsten FrandsenSent: Friday, May 13, 2011 6:02 AMTo: Bridget Vandeventer; Frank Dibiase; Steve MarekCc: Bruce Rytkonen; Tutrecia Giles; Madigan ResidentSubject: Op Ed There’s been a couple of blog responses to Dr. Chen’s op-ed this am. One from someone who is advertisingwhere to get free samples of product using your zip code and one stating that he doesn’t want to buy e-cigs untilthere’s better safety data. Maybe this is a good sign …. Thanks, Kirsten

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From: Bruce RytkonenTo: Bridget Vandeventer

Kirsten FrandsenFrank DibiaseSteve Marek


In my paper the title is “If e-cigarettes aren’t harmful, then prove it.” From: Bridget VandeventerSent: Friday, May 13, 2011 7:30 AMTo: Kirsten Frandsen; Frank Dibiase; Steve MarekCc: Bruce Rytkonen; Tutrecia Giles; Madigan ResidentSubject: RE: Op Ed Yikes, do you see what they changed the title to?“If e-cigarettes aren’t safe, then prove it.” Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Kirsten FrandsenSent: Friday, May 13, 2011 6:02 AMTo: Bridget Vandeventer; Frank Dibiase; Steve MarekCc: Bruce Rytkonen; Tutrecia Giles; Madigan ResidentSubject: Op Ed There’s been a couple of blog responses to Dr. Chen’s op-ed this am. One from someone who is advertisingwhere to get free samples of product using your zip code and one stating that he doesn’t want to buy e-cigs untilthere’s better safety data. Maybe this is a good sign …. Thanks, Kirsten

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Yup, I noticed that. Yikes is right. From: Bridget VandeventerSent: Friday, May 13, 2011 7:30 AMTo: Kirsten Frandsen; Frank Dibiase; Steve MarekCc: Bruce Rytkonen; Tutrecia Giles; Madigan ResidentSubject: RE: Op Ed Yikes, do you see what they changed the title to?“If e-cigarettes aren’t safe, then prove it.” Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Kirsten FrandsenSent: Friday, May 13, 2011 6:02 AMTo: Bridget Vandeventer; Frank Dibiase; Steve MarekCc: Bruce Rytkonen; Tutrecia Giles; Madigan ResidentSubject: Op Ed There’s been a couple of blog responses to Dr. Chen’s op-ed this am. One from someone who is advertisingwhere to get free samples of product using your zip code and one stating that he doesn’t want to buy e-cigs untilthere’s better safety data. Maybe this is a good sign …. Thanks, Kirsten

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From: Madigan ResidentTo: Kirsten Frandsen

Date: 5/13/2011 7:00:56 PMSubject: RE: Research

Kirsten, Sure thing. I will have a look at these articles. I met with Dr. Darby. He thinks he has patients at the time of the meeting on Wednesday, but will try and make it. Thanks! Paul

From: Kirsten FrandsenSent: Friday, May 13, 2011 11:29 AMTo: Madigan ResidentSubject: Research

Hi Paul, On one of the blogs that was written as a result of the op-ed article, a gentleman named Thad Marney (who weexpect at the Public Meeting as he said in another place that he will be coming) has given some scientificreferences for e-cigarettes. Would you be able to take a look at these in prep for the public meeting? I anticipate that you may get questionsabout this….http://www.thenewstribune.com/2011/05/13/1663467/if-e-cigarettes-arent-harmful.html#storylink=misearch (blog by Thad Marney). Thanks, Kirsten Kirsten FrandsenTacoma-Pierce County Health DepartmentProgram Coordinator: Physical Activity, Nutrition, and [email protected]

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From: Anthony ChenTo: Greg Tanbara

Bruce RytkonenDate: 5/13/2011 8:11:30 PM

Subject: Re: South Tacoma Business District - Ash Butt Can Project

Bruce,

Good work!

Greg - thanks for bringing to my attention.

AC From: Greg TanbaraSent: Friday, May 13, 2011 09:51 AMTo: Bruce RytkonenCc: Anthony Chen; John ShermanSubject: South Tacoma Business District - Ash Butt Can Project Bruce, I want to thank you and give you some great feedback I got from people at the South Tacoma Business District onwork you did with them on this project. I went to the South Tacoma Business District’s Spring Social last night. I had the opportunity to visit with KarenRich and Gloria Egan, the District Manager. As I was telling them how good the business district was looking theytold me how much they appreciated the work you did with them on getting the “ash butt” cans installed. Karentook me outside on the street and showed me how they have been positioned along the sidewalk near StonegatePizza. Later during Karen’s remarks on behalf of the business district to the 40+ people there, she told them about thesupport the business district has gotten from various organizations in their efforts to make the area a better placeto do business and live. She told everyone about the work the Health Department did with district on the ashbutt cans. I was really flattered by the way she emphasized her appreciation for our agency’s willingness to getthis done. You should know that besides members of the business district, Deputy Mayor Lauren Walker andCouncil Member David Boe, members of Historic Tacoma, and business owners from some of the affiliatedbusiness districts in the City were there. Karen Rich is the owner of Guardian Security Group, Inc., a current board member of the South Tacoma BusinessDistrict, a past president of the Cross District Association of the Neighborhood Business Districts, and a person Iworked with a lot during the time I was with the City of Tacoma’s Economic Development Department. She is agood friend and I felt really good that you and your work was an asset in something that means a lot to her. I’m sending a copy of this to Dr. Chen because this happen in such a timely manner with regard his editorial thatappeared in the TNT this morning. FYI - I ended up in a lengthy conversation on the subject of e-cigarettes lastnight at the social. Thanks for what you are doing. Gregory M. TanbaraBrownfields Coordinator(253) 798-4784 or [email protected]

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From: Bruce RytkonenTo: Greg Tanbara

Date: 5/13/2011 1:38:10 PMSubject: RE: South Tacoma Business District - Ash Butt Can Project

Greg……well for me it’s very satisfying that the community is acknowledging our work. All too often the workthat the Health Dept does gets characterized as something bad or negative. I’m glad that you were at their SpringSocial and heard Gloria’s appreciation first hand. And thank you for letting me know how she felt about ourwork. From: Greg TanbaraSent: Friday, May 13, 2011 9:51 AMTo: Bruce RytkonenCc: Anthony Chen; John ShermanSubject: South Tacoma Business District - Ash Butt Can Project Bruce, I want to thank you and give you some great feedback I got from people at the South Tacoma Business District onwork you did with them on this project. I went to the South Tacoma Business District’s Spring Social last night. I had the opportunity to visit with KarenRich and Gloria Egan, the District Manager. As I was telling them how good the business district was looking theytold me how much they appreciated the work you did with them on getting the “ash butt” cans installed. Karentook me outside on the street and showed me how they have been positioned along the sidewalk near StonegatePizza. Later during Karen’s remarks on behalf of the business district to the 40+ people there, she told them about thesupport the business district has gotten from various organizations in their efforts to make the area a better placeto do business and live. She told everyone about the work the Health Department did with district on the ashbutt cans. I was really flattered by the way she emphasized her appreciation for our agency’s willingness to getthis done. You should know that besides members of the business district, Deputy Mayor Lauren Walker andCouncil Member David Boe, members of Historic Tacoma, and business owners from some of the affiliatedbusiness districts in the City were there. Karen Rich is the owner of Guardian Security Group, Inc., a current board member of the South Tacoma BusinessDistrict, a past president of the Cross District Association of the Neighborhood Business Districts, and a person Iworked with a lot during the time I was with the City of Tacoma’s Economic Development Department. She is agood friend and I felt really good that you and your work was an asset in something that means a lot to her. I’m sending a copy of this to Dr. Chen because this happen in such a timely manner with regard his editorial thatappeared in the TNT this morning. FYI - I ended up in a lengthy conversation on the subject of e-cigarettes lastnight at the social. Thanks for what you are doing. Gregory M. TanbaraBrownfields Coordinator(253) 798-4784 or [email protected]

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From: Kirsten FrandsenTo: Madigan Resident

Date: 5/13/2011 8:42:36 AMSubject: RE: Tobacco Harm Reduction Update (5/12/11)

Thanks Paul- From: Madigan ResidentSent: Thursday, May 12, 2011 4:24 PMTo: Kirsten FrandsenSubject: RE: Tobacco Harm Reduction Update (5/12/11) Kirsten, The article is not from Seigel. Instead, it is a study out of Italy which looked at the quit rates after using a nicotinefree device. I could not open the study in order to read it and it is not on PubMed yet. However, it seems to me that the device was regulated such that they knew there was no nicotine in the plasticdevices (unlike the e-cigarettes the FDA tested). Hope this helps. Paul From: Kirsten FrandsenSent: Thursday, May 12, 2011 3:51 PMTo: Madigan ResidentSubject: FW: Tobacco Harm Reduction Update (5/12/11) Hi Paul- please see reference to research re: e-cigs and cessation below. Can you check it out- is it the Seigelarticle? Thanks, Kirsten From: Adria MoskowitzSent: Thursday, May 12, 2011 3:45 PMTo: Tobacco PCSubject: FW: Tobacco Harm Reduction Update (5/12/11) From: Bill Godshall [mailto:[email protected]]Sent: Thursday, May 12, 2011 3:45 PMTo: Bill GodshallSubject: Tobacco Harm Reduction Update (5/12/11) FDA Tobacco Regulation IOM Committee on Scientific Standards for Studies on Modified Risk Tobacco Products meets in DChttp://iom.edu/Activities/PublicHealth/ModifiedRiskTobacco/2011-MAY-09/Agenda.aspx http://iom.edu/Activities/PublicHealth/ModifiedRiskTobacco/2011-MAY-09.aspxInvited tobacco manufacturers focus on MR cigarettes; Invited anti-tobacco activists misrepresent comparable healthrisks of combustible versus noncombustible tobacco; Invited activists, regulators and researchers propose dozens ofdifferent studies costing tens of millions of dollars before any smokefree product could be truthfully marketed to

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smokers as less hazardous alternative; IOM committee didn't invite tobacco harm reduction or consumer healthadvocates to present. Food Drug and Law Institute article on IOM committee meetinghttp://www.fdli.org//membersonly/tobacco/index.html Smokeless Tobacco NCI funded clinical trial now studying Camel Snus for smoking cessation http://projectreporter.nih.gov/project_info_description.cfm?aid=8023918&icde=8004341 Electronic cigarettes Study finds no-nicotine e-cigarettes helpful for smoking cessation among smokers with high behavioral dependencehttp://www.medicalnewstoday.com/releases/224925.phphttp://erj.ersjournals.com/content/early/2011/05/12/09031936.00109610.abstract?sid=eadf9ad0-c457-41ce-a423-830a9879ef42 Argentina protects cigarette markets and threatens health of smokers and e-cigarette users by banning e-cigarettes,misrepresents scientific evidence and repeats inaccurate claims by WHOhttp://www.google.com/hostednews/afp/article/ALeqM5hp-8u6CP7z_FK_VZplzqt2LPIEPQ?docId=CNG.30e357e71daa13de0e8cb2b59ccbe657.661 Hahn and Riker misrepresent health risks, scientific evidence and FDA regulation of e-cigarettes, opposesmokers switching to far less hazardous alternatives, inaccurately claim CASAA and long defunct ECA opposesmokefree workplace laws http://www.kentucky.com/2011/05/09/1735010/e-cigs-must-be-tested-regulated.html Cigarette markets benefit from Queensland Health (AU) campaign to prevent smokers from switching to far lesshazardous e-cigarettes, seizing products and falsely claiming they are poisonous and deadly http://www.health.qld.gov.au/news/media_releases/qhe_cigs0515.pdfhttp://www.youtube.com/watch?v=_HBZ1PcWlfc&amphttp://www.couriermail.com.au/lifestyle/health/queensland-health-issues-a-warning-that-e-cigarettes-can-kill-you/story-e6frer7f-1226051143585http://www.andhranews.net/Health/2011/e-cigarettes-can-fatal-if-used-inappropriately-497.htmhttp://www.magnetictimes.com.au/article-3754.htmlhttp://www.themorningbulletin.com.au/story/2011/05/12/deadly-e-cigarettes-seized-brisbane-rockhampton/ CASSA urges Dekalb County (GA) Commissioners to delete e-cigarette usage from definition of "smoking" insmokefree workplace legislation since e-cigarettes are smokefree and pose no known health risks to users ornonusershttp://casaa.org/news/article.asp?articleID=166&l=a&p= Adams (MA) Health Board urged to ban e-cigarette usage despite health benefits for users and no evidence of harmhttp://iberkshires.com/story/38485/Adams-Board-Of-Health-Eye-E-Cigarette-Ban.html Usage of e-cigarettes inaccurately defined as "smoking" in proposed smokefree workplace law in Deleware County(IN)http://www.thestarpress.com/article/20110503/NEWS01/105030307/1002/Smoking-ban-hearing-set Arkansas Health Dept. falsely claims tobacco companies make e-cigarettes, denies existance of scientific evidenceon e-cigarettes http://www.todaysthv.com/news/article/156200/2/What-are-e-cigarettes Breathe New Hampshire claims e-cigarettes could be gateway for tobacco usage, despite evidence that virtuallyall e-cigarette users are former smokers and no evidence of e-cigarette usage prior to tobacco usagehttp://www.wmur.com/health/27722039/detail.html

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A Social Networking Device for E-Cigarette Usershttp://www.nytimes.com/2011/05/11/technology/11smoke.html?emc=tnt&tntemail1=yhttp://theweek.com/article/index/215187/blu-the-cigarette-that-helps-you-social-network NRT British Columbia taxpayers to subsidize costs of NRT products (that have a 95% failure rate) as Health Canadacontinues to ban sales of e-cigarettes and misrepresent health risks of smokeless tobacco to discourage smokersfrom reducing riskshttp://www.theprovince.com/health/provide+free+nicotine+patches+help+smokers+kick+habit/4752790/story.html USA Nicorette Sales: Most Nicotine Replacement Therapy Products are Imports from Overseas (2010)http://www.suite101.com/content/usa-nicorette-sales-a208535#ixzz1M48aiBZO Tobacco Farming VA company developing new tobacco plant for ethanol and biodieselhttp://www2.timesdispatch.com/business/2011/may/12/TDBIZ03-danville-company-proposes-new-use-for-toba-ar-1033336/ Smokefree Air California Senate approves bill (SB 332) to ban smoking in some apartment buildingshttp://latimesblogs.latimes.com/california-politics/2011/05/smoking-could-be-restricted-in-apartments.htmlhttp://www.leginfo.ca.gov/pub/11-12/bill/sen/sb_0301-0350/sb_332_bill_20110503_amended_sen_v97.html Common sense from Mike Siegel on NYC and other outdoor smoking banshttp://www.nytimes.com/2011/05/06/opinion/06siegel.html?nl=todaysheadlines&emc=tha212 ACS and Farley respond to Siegel by exaggerating health risks of brief exposure to tobacco smoke outdoorshttp://www.nytimes.com/2011/05/12/opinion/l12smoke.html?_r=2 China smoking ban is all puff and no penaltieshttp://www.independent.co.uk/news/world/asia/china-smoking-ban-is-all-puff-and-no-penalties-2277707.html Most smoking fines in Ohio are going unpaidhttp://www.daytondailynews.com/news/dayton-news/most-smoking-fines-in-ohio-are-going-unpaid-1155232.html?cxtype=ynews_rss Tobacco Prohibition After widespread criticism, Bhutan scaling down penalties for draconian tobacco prohibition lawhttp://www.kuenselonline.com/2010/modules.php?name=News&file=article&sid=19328 Islamists ban sale and use of tobacco and alcohol in Somalia districtshttp://www.kuenselonline.com/2010/modules.php?name=News&file=article&sid=19328 Cigarettes Six decades later, some tobacco companies still trying to develop less hazardous cigarettehttp://www.physorg.com/news/2011-05-titanate-cigarette-filter-safer.htmlhttp://www.tcetoday.com/latest%20news/2011/april/reducing%20tobacco%20toxicants.aspxhttp://informahealthcare.com/doi/abs/10.3109/08958378.2010.546440http://informahealthcare.com/doi/abs/10.3109/08958378.2010.547229http://pubs.rsc.org/en/Content/ArticleLanding/2011/CC/c1cc10794a Tax rise sees smoking rates among Hong Kong students fall by half

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http://www.monstersandcritics.com/news/health/news/article_1635684.php/Tax-rise-sees-smoking-rates-among-Hong-Kong-students-fall-by-half Mike Siegel on TPSAC and its menthol cigarette reporthttp://healthpolicyandreform.nejm.org/?p=14231&query=homehttp://www.boston.com/news/health/blog/2011/05/bu_doctor_blast.html TPSAC members Samet and Benowitz defend menthol cigarette reporthttp://healthpolicyandreform.nejm.org/?p=14233&query=home Bill GodshallExecutive DirectorSmokefree Pennsylvania1926 Monongahela AvenuePittsburgh, PA [email protected]

To unsubscribe from this list, please send a reply stating "unsubscribe".

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From: Marce Edwards Olson <[email protected]>To: Bridget Vandeventer

Date: 5/13/2011 3:02:58 PMSubject: RE: TPCHD Board of Health meeting-- request for speaker

Hi Bridget, I’m checking on this. I’ll try to get you more information soon.Thanks. Marce EdwardsMedia Relations ManagerMultiCare Health System253-403-1716cell: [email protected]: Bridget Vandeventer [mailto:[email protected]]Sent: Friday, May 13, 2011 11:02 AMTo: Marce Edwards OlsonSubject: TPCHD Board of Health meeting-- request for speaker Hi Marce,I just left you a voicemail about this, but wanted to follow up in writing. As you may have heard, we are proposing two pieces of regulation related to tobacco. The most controversial relates to e-cigarettes, and proposes a ban of e-cigarette use in public places. Essentially it treats e-cigarettes like traditional cigarettes. You can read about it here, in the TNT article from last week and then in this Op-Ed from our director today. As part of the public process, we are discussing the matter at the Board of Health meeting on May 18. Because MultiCare has a regulation on e-cigarettes, we were hoping that someone from your organization could come to the meeting to give testimony about your policy and the reasons behind it. Our tobacco prevention team said that Dr. Waltman has been a big advocate of this and would make a good spokesperson, but they’re having ahard time getting a hold of him. Since you’re the largest health provider in the area, I think it would be especially helpful to have your perspective presented at the meeting. The board is made up of Pierce county elected officials, including Pierce County Executive Pat McCarthy, Mayor Strickland, etc. They are scheduled to vote on the regulation on June 1. Let me know if you have any questions, or if there’s someone else you suggest I speak to. We’d love MultiCare’s support on this!Thanks,Bridget Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] *************************************************************************************


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

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From: Kirsten FrandsenTo: Limtiaco, Frances (DOH)

Davis, Paul A (DOH)Date: 5/13/2011 12:07:02 PM

Subject: Request for DOH Testimony at Tacoma/Pierce Board Meeting on May 18th

Frances and Paul; As discussed on the phone, the Tacoma-Pierce County Health Department will be proposing two newtobacco regulations to our Board of Health on May 18. These new regulations will deal with localadoptions of Washington State’s Smoking In Public Places Act RCW 70.160 and the regulation of e-cigarettes and unregulated nicotine delivery products. On behalf of our Health Dept., I would like to extend an invitation for a representative from the StateDepartment of Health to address our Board on May 18, and provide your perspective on these proposedregulations. We believe that providing information addressing issues associated with the safety of e-cigarettes and other relevant statistics on the usage of e-cigarettes would be helpful and educational tothe members of the Board. Here’s a brief summary of each of the regulations that are being proposed:

Smoking In Public Places· Greater clarity and interpretation of RCW 70.160· Allows for local enforcement including fees and fines· Aids local businesses that wish to comply with State law· Local regulation facilitates compliance with state code

Restrictions on Sale, Use and Availability of Electronic Smoking Devices and Unregulated NicotineDelivery Products

· Youth less than 18 will be prohibited from buying e-cigarettes and other unregulated smokingdevices.

· Prohibits the use of e-cigarettes in any location where smoking is presently lawfully prohibited.· Prohibits providing e-cigarettes at no cost or on a heavily discounted basis.

At this time we believe that the Board will strongly support the SIPP regulation. We feel though that theyare evenly divided on where the usage of e-cigs should be prohibited. Our team is interested in having arepresentative from DOH attend the Board of Health meeting and provide testimony in support of ourregulations- particularly regarding e-cigarettes. Specifically, we hope that you can speak to:

· Decrease in smoking rates in Washington State over the past decade- due to hard work. Wemust not let these numbers slip back up.

· Safety concerns regarding e-cigarettes· Lack of evidence to support e-cigarettes as cessation aids· Concern over potential for increased social acceptability or normalization of e-cigarettes which

could lead to increased smoking· Importance of having a local SIPP regulation that provides LHJ’s with enforcement authority

specific to their communities

Given the high stakes of the outcome of this policy for our community and for neighboring counties, ourteam would like to request that either Sec. Mary Selecky or Dr. Maxine Hayes address the Board. If this isnot possible, we would very much appreciate having one of the State Tobacco team managers present.Additionally, a letter from DOH addressed to our Board members would be appreciated. The Board ofHealth meeting on the 18th begins at 3:00 pm. For more information regarding the legislation, please visitour website at: www.tpchd.org/tobaccoregs Additionally, here is a link to an article and an op-ed (written by us) on the issue:

1. http://www.thenewstribune.com/2011/05/05/1653162/apply-cigarette-ban-to-

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vaping.html#storylink=misearch2. http://www.thenewstribune.com/2011/05/13/1663467/if-e-cigarettes-arent-

harmful.html#storylink=misearch

If you have any questions on the above please do not hesitate to give me a call.

Thanks again, Kirsten Frandsen Kirsten FrandsenTacoma-Pierce County Health DepartmentProgram Coordinator: Physical Activity, Nutrition, and [email protected]

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From: Kirsten FrandsenTo: Madigan Resident

Date: 5/13/2011 2:29:18 PMSubject: Research

Hi Paul, On one of the blogs that was written as a result of the op-ed article, a gentleman named Thad Marney (who weexpect at the Public Meeting as he said in another place that he will be coming) has given some scientificreferences for e-cigarettes. Would you be able to take a look at these in prep for the public meeting? I anticipate that you may get questionsabout this….http://www.thenewstribune.com/2011/05/13/1663467/if-e-cigarettes-arent-harmful.html#storylink=misearch (blog by Thad Marney). Thanks, Kirsten Kirsten FrandsenTacoma-Pierce County Health DepartmentProgram Coordinator: Physical Activity, Nutrition, and [email protected]

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From: Greg TanbaraTo: Bruce Rytkonen

Date: 5/13/2011 12:51:24 PMSubject: South Tacoma Business District - Ash Butt Can Project

Bruce, I want to thank you and give you some great feedback I got from people at the South Tacoma Business District onwork you did with them on this project. I went to the South Tacoma Business District’s Spring Social last night. I had the opportunity to visit with KarenRich and Gloria Egan, the District Manager. As I was telling them how good the business district was looking theytold me how much they appreciated the work you did with them on getting the “ash butt” cans installed. Karentook me outside on the street and showed me how they have been positioned along the sidewalk near StonegatePizza. Later during Karen’s remarks on behalf of the business district to the 40+ people there, she told them about thesupport the business district has gotten from various organizations in their efforts to make the area a better placeto do business and live. She told everyone about the work the Health Department did with district on the ashbutt cans. I was really flattered by the way she emphasized her appreciation for our agency’s willingness to getthis done. You should know that besides members of the business district, Deputy Mayor Lauren Walker andCouncil Member David Boe, members of Historic Tacoma, and business owners from some of the affiliatedbusiness districts in the City were there. Karen Rich is the owner of Guardian Security Group, Inc., a current board member of the South Tacoma BusinessDistrict, a past president of the Cross District Association of the Neighborhood Business Districts, and a person Iworked with a lot during the time I was with the City of Tacoma’s Economic Development Department. She is agood friend and I felt really good that you and your work was an asset in something that means a lot to her. I’m sending a copy of this to Dr. Chen because this happen in such a timely manner with regard his editorial thatappeared in the TNT this morning. FYI - I ended up in a lengthy conversation on the subject of e-cigarettes lastnight at the social. Thanks for what you are doing. Gregory M. TanbaraBrownfields Coordinator(253) 798-4784 or [email protected]

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From: Document Center <[email protected]>To: Brad Costello

Date: 5/13/2011 6:00:18 PMSubject: Tobacco Regulations

Document Center

Tobacco Regulations - Weekly SummaryModify my alert settings | View Tobacco Regulations | Mobile View

Title Modified Modified by

TPCHD E-Cig regs_Final pre commu... 5/9/2011 9:03 AM Kirsten Frandsen New!

TPCHD SIPP regs FINAL pre commun... 5/9/2011 9:03 AM Kirsten Frandsen New!

Final notes from Board of Health... 5/9/2011 9:05 AM Kirsten Frandsen New!

Suffolk_County_legislation.pdf 5/9/2011 1:25 PM Madigan Resident New!

E-cig article_Internal_Med.pdf 5/9/2011 3:18 PM Madigan Resident New!

Kuschner_e_cig.pdf 5/9/2011 3:19 PM Madigan Resident New!

SmokeFreeEnv-OrdinanceApril411.p... 5/10/2011 1:12 PM Madigan Resident New!

Public Comments 5/10/2011 2:58 PM Adria Moskowitz New!

Title Public Comments

One page summary_E-cig.docx 5/11/2011 12:58 PM Adria Moskowitz Edited

One page summary_E-cig_BVedits.d... 5/11/2011 12:58 PM Adria Moskowitz Deleted

One page summary_SIPP.docx 5/11/2011 1:00 PM Adria Moskowitz Edited

One page summary_SIPP_BVedits.do... 5/11/2011 1:01 PM Adria Moskowitz Deleted

Staff Report E-Cigs Final_BVedit... 5/11/2011 1:02 PM Adria Moskowitz Edited

Staff Report E-Cigs Final.docx 5/11/2011 1:02 PM Adria Moskowitz Edited

Staff Report E-Cigs Final_BVedit... 5/11/2011 1:02 PM Adria Moskowitz Deleted

Staff Report SIPP Final.docx 5/11/2011 1:03 PM Adria Moskowitz Edited

Staff Report SIPP Final_BVedits.... 5/11/2011 1:04 PM Adria Moskowitz Deleted

Public Comment.docx 5/11/2011 1:20 PM Adria Moskowitz New!

One page summary_SIPP.docx 5/11/2011 1:57 PM Kirsten Frandsen Edited

Staff Report E-Cigs Final.docx 5/11/2011 1:58 PM Kirsten Frandsen Edited

Staff Report SIPP Final.docx 5/11/2011 1:59 PM Kirsten Frandsen Edited

Research 5/11/2011 2:17 PM Bridget Vandeventer New!

Title Research

Vaproium Facebook event.docx 5/11/2011 2:17 PM Bridget Vandeventer New!

Lakewood Chamber of Commerce_pos... 5/11/2011 2:18 PM Bridget Vandeventer New!

CASAA Director Thad Marney Speak... 5/11/2011 2:19 PM Bridget Vandeventer New!

CASAA Testimony for Smokeless Al... 5/11/2011 2:19 PM Bridget Vandeventer New!

Media clips 5/11/2011 2:21 PM Bridget Vandeventer New!

Title Media clips

Op Ed Tobacco Regs_Anthony Chen_... 5/11/2011 2:22 PM Bridget Vandeventer New!

Title Protecting Pierce County During an Absence of Proof

Op Ed Tobacco Regs_Anthony Chen.... 5/11/2011 2:22 PM Bridget Vandeventer New!

Title Protecting Pierce County During an Absence of Proof

TNT_May5_e-ciggs.docx 5/11/2011 2:24 PM Bridget Vandeventer New!

TNT_May4_e-ciggs.docx 5/11/2011 2:25 PM Bridget Vandeventer New!

Public Comment.docx 5/13/2011 8:16 AM Adria Moskowitz Edited



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Tobacco Policy Process and Timel... 5/13/2011 10:26 AM Adria Moskowitz Edited

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Date: 5/13/2011 2:02:14 PMSubject: TPCHD Board of Health meeting-- request for speaker

Hi Marce,I just left you a voicemail about this, but wanted to follow up in writing. As you may have heard, we are proposingtwo pieces of regulation related to tobacco. The most controversial relates to e-cigarettes, and proposes a ban ofe-cigarette use in public places. Essentially it treats e-cigarettes like traditional cigarettes. You can read about ithere, in the TNT article from last week and then in this Op-Ed from our director today. As part of the public process, we are discussing the matter at the Board of Health meeting on May 18. BecauseMultiCare has a regulation on e-cigarettes, we were hoping that someone from your organization could come tothe meeting to give testimony about your policy and the reasons behind it. Our tobacco prevention team said thatDr. Waltman has been a big advocate of this and would make a good spokesperson, but they’re having a hard timegetting a hold of him. Since you’re the largest health provider in the area, I think it would be especially helpful tohave your perspective presented at the meeting. The board is made up of Pierce county elected officials, including Pierce County Executive Pat McCarthy, MayorStrickland, etc. They are scheduled to vote on the regulation on June 1. Let me know if you have any questions, or if there’s someone else you suggest I speak to. We’d love MultiCare’ssupport on this!Thanks,Bridget Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Steve MarekTo: '[email protected]'

Date: 5/16/2011 8:22:54 PMSubject: FW: AMAZING site

fyi From: Frank DibiaseSent: Tuesday, May 10, 2011 12:32 PMTo: Steve MarekSubject: FW: AMAZING site FYI. Kinda wild. Thought you might like to see some of these. From: Bridget VandeventerSent: Monday, May 09, 2011 1:21 PMTo: Kirsten Frandsen; Frank DibiaseSubject: AMAZING site Hey guys-Check this out. I was looking for the source of those old Doctors Smoking ads, and found this site at StanfordSchool of Medicine.http://lane.stanford.edu/tobacco/index.html Read the “About the Exhibit” section; it’s really in line with our message right now on e-cigarettes. The ads areamazing, and they have such a great collection, searchable by brand, theme, etc. Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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Date: 5/16/2011 1:29:12 PMSubject: FW: Comment posted from the Internet site

Here another one.

Tawana Bellamy

-----Original Message-----From: Leslie Swalley [mailto:[email protected]]Sent: Monday, May 16, 2011 10:27 AMTo: Tawana Bellamy; Anthony ChenSubject: FW: Comment posted from the Internet site

Please add to public comment records.

Thank you,

Leslie

-----Original Message-----From: John Jasper [mailto ]Sent: Friday, May 13, 2011 12:14 PMTo: Dick Muri; Leslie SwalleySubject: Comment posted from the Internet site

Dear Councilman Dick Muri,I would hope you vote against banning e-cigarettes in Pierce Co. After smoking for 50 yr. and learning from mydoctor on my last visit how impressed he is with the condition of my bronchial tubes since I started using the e-cigarette and gave up smoking it would be a travesty to send people back to smoking tobacco. It would also upsetmy doctor greatly.Thank You,John Jasper

Name: John JasperAddress:

Tacoma, Washington 98418Phone: Email:

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From: Frank DibiaseTo: Steve Marek

Date: 5/16/2011 2:07:36 PMSubject: FW: CTG

FYI… From: Kirsten FrandsenSent: Monday, May 16, 2011 11:03 AMTo: Frank DibiaseSubject: FW: CTG Just an fyi- Seattle King County is applying for the new CTG grant. Thanks, Kirsten From: Kirsten FrandsenSent: Monday, May 16, 2011 11:00 AMTo: Porso, Rick F (DOH)Subject: RE: CTG Hey! Thanks for your message. I personally feel that you should manage all of Chronic Disease at DOH. We needyou. Anyhow, I’m quite sure that we’ll be applying- just haven’t gotten together as an agency yet to discuss. Weshouldn’t miss the opportunity but you know, there’s a sign off process that we have to use now J Been really busy with Tobacco. Not sure if you knew this but I’ve picked up Dan’s position in addition to my own-so now I’m managing PAN and Tobacco. Oh lord, is all I can say. We’re bringing forward 2 Tobaccoresolutions/regulations on Wed. (e-cigarettes and a local SIPP) to the Board of Health and a Public Meetingtonight on the issues and I have to present/sit before an angry crowd and I’m sure will be spit on. Hazard of thejob? So, anyhow, won’t be able to look at the CTG grant until after Wed. Thanks for letting me know that SeaKing is applying. While I love Seattle, I must admit that I’m surprised they’reapplying. Not very neighborly of them. They’re so strong, the rest of us have a hell of a time competing withthem. Is DOH in a position to talk with them and alert them to this fact and to politely ask them to step down sothe rest of us have a chance? Chronic disease is Washington State is not going to decrease if all of the resourcesgo to Seattle/King- need more capacity building in the rest of the counties….. Hope you’re well and thanks again! Kirsten From: Porso, Rick F (DOH) [mailto:[email protected]]Sent: Monday, May 16, 2011 9:14 AMTo: Kirsten FrandsenSubject: CTG Hi, How are things? You know I couldn’t stay away too long from chronic disease prevention work. So, in addition tomy regular duties, I’m the EH division representative on matters of chronic disease working on moving EH towardsdoing the right thing and improving the built environment. Anyway, I’m on a cross agency workgroup related tothe community transformation grant as we figure out what’s the best role for DOH to assist others. I noticed thatcounties with population over 500K can apply on their own, are you considering? I know Sea-King is going to forsure. Happy Monday!

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R Rick Porso, RS, REHSManager, Licensing and CertificationOffice of Shellfish and Water ProtectionDivision of Environmental HealthWA State Department of HealthPO Box 47824Olympia, WA 98504-7824Phone: 360-236-3302Fax: 360-236-2257E-mail: [email protected] Public Health - Always Working for a Safer and Healthier Washington

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Date: 5/16/2011 2:03:06 PMSubject: FW: CTG

Just an fyi- Seattle King County is applying for the new CTG grant. Thanks, Kirsten From: Kirsten FrandsenSent: Monday, May 16, 2011 11:00 AMTo: Porso, Rick F (DOH)Subject: RE: CTG Hey! Thanks for your message. I personally feel that you should manage all of Chronic Disease at DOH. We needyou. Anyhow, I’m quite sure that we’ll be applying- just haven’t gotten together as an agency yet to discuss. Weshouldn’t miss the opportunity but you know, there’s a sign off process that we have to use now J Been really busy with Tobacco. Not sure if you knew this but I’ve picked up Dan’s position in addition to my own-so now I’m managing PAN and Tobacco. Oh lord, is all I can say. We’re bringing forward 2 Tobaccoresolutions/regulations on Wed. (e-cigarettes and a local SIPP) to the Board of Health and a Public Meetingtonight on the issues and I have to present/sit before an angry crowd and I’m sure will be spit on. Hazard of thejob? So, anyhow, won’t be able to look at the CTG grant until after Wed. Thanks for letting me know that SeaKing is applying. While I love Seattle, I must admit that I’m surprised they’reapplying. Not very neighborly of them. They’re so strong, the rest of us have a hell of a time competing withthem. Is DOH in a position to talk with them and alert them to this fact and to politely ask them to step down sothe rest of us have a chance? Chronic disease is Washington State is not going to decrease if all of the resourcesgo to Seattle/King- need more capacity building in the rest of the counties….. Hope you’re well and thanks again! Kirsten From: Porso, Rick F (DOH) [mailto:[email protected]]Sent: Monday, May 16, 2011 9:14 AMTo: Kirsten FrandsenSubject: CTG Hi, How are things? You know I couldn’t stay away too long from chronic disease prevention work. So, in addition tomy regular duties, I’m the EH division representative on matters of chronic disease working on moving EH towardsdoing the right thing and improving the built environment. Anyway, I’m on a cross agency workgroup related tothe community transformation grant as we figure out what’s the best role for DOH to assist others. I noticed thatcounties with population over 500K can apply on their own, are you considering? I know Sea-King is going to forsure. Happy Monday! R Rick Porso, RS, REHSManager, Licensing and CertificationOffice of Shellfish and Water ProtectionDivision of Environmental Health

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WA State Department of HealthPO Box 47824Olympia, WA 98504-7824Phone: 360-236-3302Fax: 360-236-2257E-mail: [email protected] Public Health - Always Working for a Safer and Healthier Washington

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Date: 5/16/2011 1:46:28 PMSubject: FW: E-Cig Public Comment

From: Leslie Swalley [mailto:[email protected]]Sent: Monday, May 16, 2011 10:30 AMTo: Tawana Bellamy; Anthony ChenSubject: E-Cig Public Comment Hi Tawana,

One more for public records. Thanks, Leslie

From: To: Dick MuriSent: Sun May 15 01:07:10 2011Subject: e-cigarettes

Mr. Muri, I don't know if you remember me, but I sent you an email last year and you contacted me by phone. I was muchimpressed! (I literally shed a tear over the election). I mentioned to you that I was the white haired granny with the furryfriend, Duncan MacDonald, the voting dog. Having been disenfranchised by the political system, I gave up on any politicalenvolvment. But.................. I would like to share my story with you. The very day I "quit" smoking with the aid of Chantix, was the day the detectiveand prosecutor came to the door about Duncan. I was so sick to my stomach, I couldn't think straight. This was not theway (Chantix has horrible side affects) or the time to try to quit. For the next year I felt very ill. It turned out my arteriesto my kidneys and stomach were 80 to 100% blocked, thanks to my addiction to nicotine. In June of last year, I wasgiven a year to live. After being in the hospital 4 times and a stent to one of my arteries, I tried e-cigarettes. It was thefirst time in 50 years of smoking that I was able to quit cigarettes. After 4 months, I no longer needed the e-cigarettes. Iwas so cocky about my "will power", I thought I could handle an occasional puff. Hooked again. When I wanted to goback to the e-cigarettes, the seller of the batteries was out of business. I am going tomorrow to Vaporium (thanks to the article in the TNT) to try the e-cigarettes again. Every smoker I know hasused e-cigarettes to quit....even teens. I have never heard of someone starting with e-cigarettes. It has only beenused as a method of quiting. Isn't it interesting that our government gives methadone to drug users, needles too, but legalcigarette smokers take it in the shorts. We are so vilified, yet our government is so lax about all the lead, melamine andGod knows what coming in from China. Smokers are an easy target. Please take my comments into consideration. You and Dr. Flemming have hit the nail on the head. Smoking is sodetrimental to health, but many of the approved treatments are even more dangerous than e-cigarettes. Thank you for listening. Jane Murray Balogh

Federal Way, WA 98023-2275

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From: John ShermanTo: Steve Marek

Date: 5/16/2011 11:06:38 AMSubject: FW: South Tacoma Business District - Ash Butt Can Project

FYI from Friday.Â From: Anthony ChenSent: Friday, May 13, 2011 5:12 PMTo: Greg Tanbara; Bruce RytkonenCc: John ShermanSubject: Re: South Tacoma Business District - Ash Butt Can Project Bruce,

Good work!


AC From: Greg TanbaraSent: Friday, May 13, 2011 09:51 AMTo: Bruce RytkonenCc: Anthony Chen; John ShermanSubject: South Tacoma Business District - Ash Butt Can Project Bruce, I want to thank you and give you some great feedback I got from people at the South Tacoma Business District onwork you did with them on this project. I went to the South Tacoma Business Districtâ€™s Spring Social last night. I had the opportunity to visit with KarenRich and Gloria Egan, the District Manager. As I was telling them how good the business district was looking theytold me how much they appreciated the work you did with them on getting the â€œash buttâ€• cans installed. Karen took me outside on the street and showed me how they have been positioned along the sidewalk nearStonegate Pizza. Later during Karenâ€™s remarks on behalf of the business district to the 40+ people there, she told them aboutthe support the business district has gotten from various organizations in their efforts to make the area a betterplace to do business and live. She told everyone about the work the Health Department did with district on theash butt cans. I was really flattered by the way she emphasized her appreciation for our agencyâ€™s willingness to get this done. You should know that besides members of the business district, Deputy Mayor Lauren Walkerand Council Member David Boe, members of Historic Tacoma, and business owners from some of the affiliatedbusiness districts in the City were there. Karen Rich is the owner of Guardian Security Group, Inc., a current board member of the South Tacoma BusinessDistrict, a past president of the Cross District Association of the Neighborhood Business Districts, and a person Iworked with a lot during the time I was with the City of Tacomaâ€™s Economic Development Department. She isa good friend and I felt really good that you and your work was an asset in something that means a lot to her. Iâ€™m sending a copy of this to Dr. Chen because this happen in such a timely manner with regard his editorialthat appeared in the TNT this morning. FYI - I ended up in a lengthy conversation on the subject of e-cigaretteslast night at the social. Thanks for what you are doing.

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Gregory M. TanbaraBrownfields Coordinator(253) 798-4784 or [email protected]

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Kirsten FrandsenBruce Rytkonen

Date: 5/16/2011 10:32:44 AMSubject: FW: South Tacoma Business District - Ash Butt Can Project

Bruce. Thanks for your efforts on this. Nice to get positive feedback from the community. Steve. From: Anthony ChenSent: Friday, May 13, 2011 5:11 PMTo: Steve MarekSubject: Fw: South Tacoma Business District - Ash Butt Can Project FYI

AC From: Greg TanbaraSent: Friday, May 13, 2011 09:51 AMTo: Bruce RytkonenCc: Anthony Chen; John ShermanSubject: South Tacoma Business District - Ash Butt Can Project Bruce, I want to thank you and give you some great feedback I got from people at the South Tacoma Business District onwork you did with them on this project. I went to the South Tacoma Business Districtâ€™s Spring Social last night. I had the opportunity to visit with KarenRich and Gloria Egan, the District Manager. As I was telling them how good the business district was looking theytold me how much they appreciated the work you did with them on getting the â€œash buttâ€• cans installed. Karen took me outside on the street and showed me how they have been positioned along the sidewalk nearStonegate Pizza. Later during Karenâ€™s remarks on behalf of the business district to the 40+ people there, she told them aboutthe support the business district has gotten from various organizations in their efforts to make the area a betterplace to do business and live. She told everyone about the work the Health Department did with district on theash butt cans. I was really flattered by the way she emphasized her appreciation for our agencyâ€™s willingness to get this done. You should know that besides members of the business district, Deputy Mayor Lauren Walkerand Council Member David Boe, members of Historic Tacoma, and business owners from some of the affiliatedbusiness districts in the City were there. Karen Rich is the owner of Guardian Security Group, Inc., a current board member of the South Tacoma BusinessDistrict, a past president of the Cross District Association of the Neighborhood Business Districts, and a person Iworked with a lot during the time I was with the City of Tacomaâ€™s Economic Development Department. She isa good friend and I felt really good that you and your work was an asset in something that means a lot to her. Iâ€™m sending a copy of this to Dr. Chen because this happen in such a timely manner with regard his editorialthat appeared in the TNT this morning. FYI - I ended up in a lengthy conversation on the subject of e-cigaretteslast night at the social. Thanks for what you are doing. Gregory M. Tanbara

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Brownfields Coordinator(253) 798-4784 or [email protected]

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From: Steve MarekTo: Anthony Chen

Date: 5/16/2011 7:46:54 PMSubject: FW: Spokane e-cig resolution

Attachments: SIPP Spokane e-cigs.docx

fyi From: Bridget VandeventerSent: Monday, May 16, 2011 4:38 PMTo: Steve MarekSubject: Spokane e-cig resolution This is what I found in the Sharepoint folder. Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Tutrecia GilesTo: 'Gregory Jacoby'

Lori BemisDate: 5/16/2011 12:23:20 PM

Subject: Public Comment to DateAttachments: Public Comment 05-13-11.docx

Hello,Here’s a copy of the comments. Let me know if you have any questions or problem w/ doc.-Tutrecia Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected]

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From: Tawana BellamyTo: 'Leslie Swalley'


Subject: RE: Comment posted from the Internet site

Thanks Leslie.

Tawana

-----Original Message-----From: Leslie Swalley [mailto:[email protected]]Sent: Monday, May 16, 2011 10:27 AMTo: Tawana Bellamy; Anthony ChenSubject: FW: Comment posted from the Internet site

Please add to public comment records.

Thank you,

Leslie

-----Original Message-----From: John Jasper [mailto:j ]Sent: Friday, May 13, 2011 12:14 PMTo: Dick Muri; Leslie SwalleySubject: Comment posted from the Internet site

Dear Councilman Dick Muri,I would hope you vote against banning e-cigarettes in Pierce Co. After smoking for 50 yr. and learning from mydoctor on my last visit how impressed he is with the condition of my bronchial tubes since I started using the e-cigarette and gave up smoking it would be a travesty to send people back to smoking tobacco. It would also upsetmy doctor greatly.Thank You,John Jasper

Name: John JasperAddress:

Tacoma, Washington 98418Phone: Email:

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From: Kirsten FrandsenTo: Porso, Rick F (DOH)

Date: 5/16/2011 2:00:30 PMSubject: RE: CTG

Hey! Thanks for your message. I personally feel that you should manage all of Chronic Disease at DOH. We needyou. Anyhow, I’m quite sure that we’ll be applying- just haven’t gotten together as an agency yet to discuss. Weshouldn’t miss the opportunity but you know, there’s a sign off process that we have to use now J Been really busy with Tobacco. Not sure if you knew this but I’ve picked up Dan’s position in addition to my own-so now I’m managing PAN and Tobacco. Oh lord, is all I can say. We’re bringing forward 2 Tobaccoresolutions/regulations on Wed. (e-cigarettes and a local SIPP) to the Board of Health and a Public Meetingtonight on the issues and I have to present/sit before an angry crowd and I’m sure will be spit on. Hazard of thejob? So, anyhow, won’t be able to look at the CTG grant until after Wed. Thanks for letting me know that SeaKing is applying. While I love Seattle, I must admit that I’m surprised they’reapplying. Not very neighborly of them. They’re so strong, the rest of us have a hell of a time competing withthem. Is DOH in a position to talk with them and alert them to this fact and to politely ask them to step down sothe rest of us have a chance? Chronic disease is Washington State is not going to decrease if all of the resourcesgo to Seattle/King- need more capacity building in the rest of the counties….. Hope you’re well and thanks again! Kirsten From: Porso, Rick F (DOH) [mailto:[email protected]]Sent: Monday, May 16, 2011 9:14 AMTo: Kirsten FrandsenSubject: CTG Hi, How are things? You know I couldn’t stay away too long from chronic disease prevention work. So, in addition tomy regular duties, I’m the EH division representative on matters of chronic disease working on moving EH towardsdoing the right thing and improving the built environment. Anyway, I’m on a cross agency workgroup related tothe community transformation grant as we figure out what’s the best role for DOH to assist others. I noticed thatcounties with population over 500K can apply on their own, are you considering? I know Sea-King is going to forsure. Happy Monday! R Rick Porso, RS, REHSManager, Licensing and CertificationOffice of Shellfish and Water ProtectionDivision of Environmental HealthWA State Department of HealthPO Box 47824Olympia, WA 98504-7824Phone: 360-236-3302Fax: 360-236-2257E-mail: [email protected] Public Health - Always Working for a Safer and Healthier Washington

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8_19_2011

From: Porso, Rick F (DOH) <[email protected]>To: Kirsten Frandsen


Congrats on your new post, I hope the promotion came with a big salary increase! I’m sure you’ll have some balance tonight. I have followed things a bit, it’s unfortunate that some board members spoke with media about their opposing view. Balancing prevention statewide is a challenge due to lack of funds among other things, however, we are committed to building a statewide structure. The challenge with King is that from their perspective, they will be developing programs, proving what works, and then sharing with others – it makes it hard to argue since it sounds like they’re trying to help others while taking all the money… I really hope everything goes well this evening. As Federico always said, those in front of issues get beat up (not literally). I remember that well when we moved forward with our smoke free resolution. It was tough, but well worth it. Is what you’re proposing similar to what Sea-King did? R Rick Porso, RS, REHSManager, Licensing and CertificationOffice of Shellfish and Water ProtectionDivision of Environmental HealthWA State Department of HealthPO Box 47824Olympia, WA 98504-7824Phone: 360-236-3302Fax: 360-236-2257E-mail: [email protected] Public Health - Always Working for a Safer and Healthier Washington From: Kirsten Frandsen [mailto:[email protected]]Sent: Monday, May 16, 2011 11:00 AMTo: Porso, Rick F (DOH)Subject: RE: CTG Hey! Thanks for your message. I personally feel that you should manage all of Chronic Disease at DOH. We need you. Anyhow, I’m quite sure that we’ll be applying- just haven’t gotten together as an agency yet to discuss. We shouldn’t miss the opportunity but you know, there’s a sign off process that we have to use now J Been really busy with Tobacco. Not sure if you knew this but I’ve picked up Dan’s position in addition to my own- so now I’m managing PAN and Tobacco. Oh lord, is all I can say. We’re bringing forward 2 Tobacco resolutions/regulations on Wed. (e-cigarettes and a local SIPP) to the Board of Health and a Public Meeting tonight on the issues and I have to present/sit before an angry crowd and I’m sure will be spit on. Hazard of the job? So,anyhow, won’t be able to look at the CTG grant until after Wed. Thanks for letting me know that SeaKing is applying. While I love Seattle, I must admit that I’m surprised they’re applying. Not very neighborly of them. They’re so strong, the rest of us have a hell of a time competing with them. Is DOH in a position to talk with them and alert them to this fact and to politely ask them to step down so the rest of us have a chance? Chronic disease is Washington State is not going to decrease if all of theresources go to Seattle/King- need more capacity building in the rest of the counties….. Hope you’re well and thanks again! Kirsten From: Porso, Rick F (DOH) [mailto:[email protected]]Sent: Monday, May 16, 2011 9:14 AMTo: Kirsten FrandsenSubject: CTG Hi, How are things? You know I couldn’t stay away too long from chronic disease prevention work. So, in addition to my regular duties, I’m the EH division representative on matters of chronic disease working on moving EH towards doing the right thing and improving the built environment. Anyway, I’m on a cross agency workgroup related to the community transformation grant as we figure out what’s the best role for DOH to assist others. Inoticed that counties with population over 500K can apply on their own, are you considering? I know Sea-King is going to for sure. Happy Monday! R

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Rick Porso, RS, REHSManager, Licensing and CertificationOffice of Shellfish and Water ProtectionDivision of Environmental HealthWA State Department of HealthPO Box 47824Olympia, WA 98504-7824Phone: 360-236-3302Fax: 360-236-2257E-mail: [email protected] Public Health - Always Working for a Safer and Healthier Washington *************************************************************************************


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I hope they don’t have him supervise anyone! From: Frank DibiaseSent: Monday, May 16, 2011 11:08 AMTo: Steve MarekSubject: FW: CTG FYI… From: Kirsten FrandsenSent: Monday, May 16, 2011 11:03 AMTo: Frank DibiaseSubject: FW: CTG Just an fyi- Seattle King County is applying for the new CTG grant. Thanks, Kirsten From: Kirsten FrandsenSent: Monday, May 16, 2011 11:00 AMTo: Porso, Rick F (DOH)Subject: RE: CTG Hey! Thanks for your message. I personally feel that you should manage all of Chronic Disease at DOH. We needyou. Anyhow, I’m quite sure that we’ll be applying- just haven’t gotten together as an agency yet to discuss. Weshouldn’t miss the opportunity but you know, there’s a sign off process that we have to use now J Been really busy with Tobacco. Not sure if you knew this but I’ve picked up Dan’s position in addition to my own-so now I’m managing PAN and Tobacco. Oh lord, is all I can say. We’re bringing forward 2 Tobaccoresolutions/regulations on Wed. (e-cigarettes and a local SIPP) to the Board of Health and a Public Meetingtonight on the issues and I have to present/sit before an angry crowd and I’m sure will be spit on. Hazard of thejob? So, anyhow, won’t be able to look at the CTG grant until after Wed. Thanks for letting me know that SeaKing is applying. While I love Seattle, I must admit that I’m surprised they’reapplying. Not very neighborly of them. They’re so strong, the rest of us have a hell of a time competing withthem. Is DOH in a position to talk with them and alert them to this fact and to politely ask them to step down sothe rest of us have a chance? Chronic disease is Washington State is not going to decrease if all of the resourcesgo to Seattle/King- need more capacity building in the rest of the counties….. Hope you’re well and thanks again! Kirsten From: Porso, Rick F (DOH) [mailto:[email protected]]Sent: Monday, May 16, 2011 9:14 AMTo: Kirsten FrandsenSubject: CTG Hi, How are things? You know I couldn’t stay away too long from chronic disease prevention work. So, in addition tomy regular duties, I’m the EH division representative on matters of chronic disease working on moving EH towards

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doing the right thing and improving the built environment. Anyway, I’m on a cross agency workgroup related tothe community transformation grant as we figure out what’s the best role for DOH to assist others. I noticed thatcounties with population over 500K can apply on their own, are you considering? I know Sea-King is going to forsure. Happy Monday! R Rick Porso, RS, REHSManager, Licensing and CertificationOffice of Shellfish and Water ProtectionDivision of Environmental HealthWA State Department of HealthPO Box 47824Olympia, WA 98504-7824Phone: 360-236-3302Fax: 360-236-2257E-mail: [email protected] Public Health - Always Working for a Safer and Healthier Washington

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From: Anthony ChenTo: Frank Dibiase


Subject: RE: KOMO-TV call

Thanks! AC From: Frank DibiaseSent: Monday, May 16, 2011 12:15 PMTo: Bridget Vandeventer; Anthony ChenCc: Steve MarekSubject: RE: KOMO-TV call Just wrapped it up. I think it went OK. Weâ€™ll see what their piece looks like. From: Bridget VandeventerSent: Monday, May 16, 2011 12:14 PMTo: Anthony Chen; Frank DibiaseSubject: Re: KOMO-TV call Thanks Anthony,Frank is doing the interview now. He did a great job with KING last week. See you later this afternoon.Sent from my BlackBerry, please pardon any typos. From: Anthony ChenSent: Monday, May 16, 2011 11:36 AMTo: Bridget VandeventerSubject: KOMO-TV call Bridget, Here is the info: Elisa Jaffe, KOMO-TV206-795-9981 Wants to talk about e-cigarettes. Is on her way to Tacoma, 20 mins away. Her deadline would be 3 PM because sheis shooting for the 5 PM news. Thanks! AC

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From: Bridget VandeventerTo: Anthony Chen


Subject: Re: KOMO-TV call

Thanks Anthony,Frank is doing the interview now. He did a great job with KING last week. See you later this afternoon.Sent from my BlackBerry, please pardon any typos. From: Anthony ChenSent: Monday, May 16, 2011 11:36 AMTo: Bridget VandeventerSubject: KOMO-TV call Bridget, Here is the info: Elisa Jaffe, KOMO-TV206-795-9981 Wants to talk about e-cigarettes. Is on her way to Tacoma, 20 mins away. Her deadline would be 3 PM because sheis shooting for the 5 PM news. Thanks! AC

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Subject: RE: KOMO-TV call

Just wrapped it up.Â I think it went OK.Â Weâ€™ll see what their piece looks like. From: Bridget VandeventerSent: Monday, May 16, 2011 12:14 PMTo: Anthony Chen; Frank DibiaseSubject: Re: KOMO-TV call Thanks Anthony,Frank is doing the interview now. He did a great job with KING last week. See you later this afternoon.Sent from my BlackBerry, please pardon any typos. From: Anthony ChenSent: Monday, May 16, 2011 11:36 AMTo: Bridget VandeventerSubject: KOMO-TV call Bridget, Here is the info: Elisa Jaffe, KOMO-TV206-795-9981 Wants to talk about e-cigarettes. Is on her way to Tacoma, 20 mins away. Her deadline would be 3 PM because sheis shooting for the 5 PM news. Thanks! AC

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Date: 5/16/2011 6:20:08 PMSubject: RE: KOMO-TV call

Youâ€™re getting to be quite the TV personality. From: Frank DibiaseSent: Monday, May 16, 2011 12:15 PMTo: Bridget Vandeventer; Anthony ChenCc: Steve MarekSubject: RE: KOMO-TV call Just wrapped it up. I think it went OK. Weâ€™ll see what their piece looks like. From: Bridget VandeventerSent: Monday, May 16, 2011 12:14 PMTo: Anthony Chen; Frank DibiaseSubject: Re: KOMO-TV call Thanks Anthony,Frank is doing the interview now. He did a great job with KING last week. See you later this afternoon.Sent from my BlackBerry, please pardon any typos. From: Anthony ChenSent: Monday, May 16, 2011 11:36 AMTo: Bridget VandeventerSubject: KOMO-TV call Bridget, Here is the info: Elisa Jaffe, KOMO-TV206-795-9981 Wants to talk about e-cigarettes. Is on her way to Tacoma, 20 mins away. Her deadline would be 3 PM because sheis shooting for the 5 PM news. Thanks! AC

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From: Bruce RytkonenTo: Anthony Chen

Date: 5/16/2011 11:33:10 AMSubject: RE: South Tacoma Business District - Ash Butt Can Project

Thank youâ€¦. From: Anthony ChenSent: Friday, May 13, 2011 5:12 PMTo: Greg Tanbara; Bruce RytkonenCc: John ShermanSubject: Re: South Tacoma Business District - Ash Butt Can Project Bruce,

Good work!


AC From: Greg TanbaraSent: Friday, May 13, 2011 09:51 AMTo: Bruce RytkonenCc: Anthony Chen; John ShermanSubject: South Tacoma Business District - Ash Butt Can Project Bruce, I want to thank you and give you some great feedback I got from people at the South Tacoma Business District onwork you did with them on this project. I went to the South Tacoma Business Districtâ€™s Spring Social last night. I had the opportunity to visit with KarenRich and Gloria Egan, the District Manager. As I was telling them how good the business district was looking theytold me how much they appreciated the work you did with them on getting the â€œash buttâ€• cans installed. Karen took me outside on the street and showed me how they have been positioned along the sidewalk nearStonegate Pizza. Later during Karenâ€™s remarks on behalf of the business district to the 40+ people there, she told them aboutthe support the business district has gotten from various organizations in their efforts to make the area a betterplace to do business and live. She told everyone about the work the Health Department did with district on theash butt cans. I was really flattered by the way she emphasized her appreciation for our agencyâ€™s willingness to get this done. You should know that besides members of the business district, Deputy Mayor Lauren Walkerand Council Member David Boe, members of Historic Tacoma, and business owners from some of the affiliatedbusiness districts in the City were there. Karen Rich is the owner of Guardian Security Group, Inc., a current board member of the South Tacoma BusinessDistrict, a past president of the Cross District Association of the Neighborhood Business Districts, and a person Iworked with a lot during the time I was with the City of Tacomaâ€™s Economic Development Department. She isa good friend and I felt really good that you and your work was an asset in something that means a lot to her. Iâ€™m sending a copy of this to Dr. Chen because this happen in such a timely manner with regard his editorialthat appeared in the TNT this morning. FYI - I ended up in a lengthy conversation on the subject of e-cigaretteslast night at the social. Thanks for what you are doing.

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Gregory M. TanbaraBrownfields Coordinator(253) 798-4784 or [email protected]

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From: Frank DibiaseTo: Greg Tanbara


Hi Greg,Â When you have a few moments,Â could you share some info about your conversation regarding e-cigarettes withfolks in S. Tacoma?Â Thanks. From: Steve MarekSent: Monday, May 16, 2011 7:33 AMTo: Frank Dibiase; Kirsten Frandsen; Bruce RytkonenSubject: FW: South Tacoma Business District - Ash Butt Can Project Bruce. Thanks for your efforts on this. Nice to get positive feedback from the community. Steve. From: Anthony ChenSent: Friday, May 13, 2011 5:11 PMTo: Steve MarekSubject: Fw: South Tacoma Business District - Ash Butt Can Project FYI

AC From: Greg TanbaraSent: Friday, May 13, 2011 09:51 AMTo: Bruce RytkonenCc: Anthony Chen; John ShermanSubject: South Tacoma Business District - Ash Butt Can Project Bruce, I want to thank you and give you some great feedback I got from people at the South Tacoma Business District onwork you did with them on this project. I went to the South Tacoma Business Districtâ€™s Spring Social last night. I had the opportunity to visit with KarenRich and Gloria Egan, the District Manager. As I was telling them how good the business district was looking theytold me how much they appreciated the work you did with them on getting the â€œash buttâ€• cans installed. Karen took me outside on the street and showed me how they have been positioned along the sidewalk nearStonegate Pizza. Later during Karenâ€™s remarks on behalf of the business district to the 40+ people there, she told them aboutthe support the business district has gotten from various organizations in their efforts to make the area a betterplace to do business and live. She told everyone about the work the Health Department did with district on theash butt cans. I was really flattered by the way she emphasized her appreciation for our agencyâ€™s willingness to get this done. You should know that besides members of the business district, Deputy Mayor Lauren Walkerand Council Member David Boe, members of Historic Tacoma, and business owners from some of the affiliatedbusiness districts in the City were there. Karen Rich is the owner of Guardian Security Group, Inc., a current board member of the South Tacoma BusinessDistrict, a past president of the Cross District Association of the Neighborhood Business Districts, and a person I

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worked with a lot during the time I was with the City of Tacomaâ€™s Economic Development Department. She isa good friend and I felt really good that you and your work was an asset in something that means a lot to her. Iâ€™m sending a copy of this to Dr. Chen because this happen in such a timely manner with regard his editorialthat appeared in the TNT this morning. FYI - I ended up in a lengthy conversation on the subject of e-cigaretteslast night at the social. Thanks for what you are doing. Gregory M. TanbaraBrownfields Coordinator(253) 798-4784 or [email protected]

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From: Greg TanbaraTo: Frank Dibiase

Date: 5/16/2011 12:29:36 PMSubject: RE: South Tacoma Business District - Ash Butt Can Project

Sure. I just tried catching you in your office.Â Missed you. Give me a call.Â I am in most of the day. Gregory M. TanbaraBrownfields Coordinator(253) 798-4784 or [email protected] From: Frank DibiaseSent: Monday, May 16, 2011 8:39 AMTo: Greg TanbaraSubject: RE: South Tacoma Business District - Ash Butt Can Project Hi Greg, When you have a few moments, could you share some info about your conversation regarding e-cigarettes withfolks in S. Tacoma? Thanks. From: Steve MarekSent: Monday, May 16, 2011 7:33 AMTo: Frank Dibiase; Kirsten Frandsen; Bruce RytkonenSubject: FW: South Tacoma Business District - Ash Butt Can Project Bruce. Thanks for your efforts on this. Nice to get positive feedback from the community. Steve. From: Anthony ChenSent: Friday, May 13, 2011 5:11 PMTo: Steve MarekSubject: Fw: South Tacoma Business District - Ash Butt Can Project FYI

AC From: Greg TanbaraSent: Friday, May 13, 2011 09:51 AMTo: Bruce RytkonenCc: Anthony Chen; John ShermanSubject: South Tacoma Business District - Ash Butt Can Project Bruce, I want to thank you and give you some great feedback I got from people at the South Tacoma Business District onwork you did with them on this project. I went to the South Tacoma Business Districtâ€™s Spring Social last night. I had the opportunity to visit with KarenRich and Gloria Egan, the District Manager. As I was telling them how good the business district was looking they

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told me how much they appreciated the work you did with them on getting the â€œash buttâ€• cans installed. Karen took me outside on the street and showed me how they have been positioned along the sidewalk nearStonegate Pizza. Later during Karenâ€™s remarks on behalf of the business district to the 40+ people there, she told them aboutthe support the business district has gotten from various organizations in their efforts to make the area a betterplace to do business and live. She told everyone about the work the Health Department did with district on theash butt cans. I was really flattered by the way she emphasized her appreciation for our agencyâ€™s willingness to get this done. You should know that besides members of the business district, Deputy Mayor Lauren Walkerand Council Member David Boe, members of Historic Tacoma, and business owners from some of the affiliatedbusiness districts in the City were there. Karen Rich is the owner of Guardian Security Group, Inc., a current board member of the South Tacoma BusinessDistrict, a past president of the Cross District Association of the Neighborhood Business Districts, and a person Iworked with a lot during the time I was with the City of Tacomaâ€™s Economic Development Department. She isa good friend and I felt really good that you and your work was an asset in something that means a lot to her. Iâ€™m sending a copy of this to Dr. Chen because this happen in such a timely manner with regard his editorialthat appeared in the TNT this morning. FYI - I ended up in a lengthy conversation on the subject of e-cigaretteslast night at the social. Thanks for what you are doing. Gregory M. TanbaraBrownfields Coordinator(253) 798-4784 or [email protected]

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From: Steve MarekTo: John Sherman


Thanks. AC sent it to me. From: John ShermanSent: Monday, May 16, 2011 8:07 AMTo: Steve MarekSubject: FW: South Tacoma Business District - Ash Butt Can Project FYI from Friday. From: Anthony ChenSent: Friday, May 13, 2011 5:12 PMTo: Greg Tanbara; Bruce RytkonenCc: John ShermanSubject: Re: South Tacoma Business District - Ash Butt Can Project Bruce,

Good work!


AC From: Greg TanbaraSent: Friday, May 13, 2011 09:51 AMTo: Bruce RytkonenCc: Anthony Chen; John ShermanSubject: South Tacoma Business District - Ash Butt Can Project Bruce, I want to thank you and give you some great feedback I got from people at the South Tacoma Business District onwork you did with them on this project. I went to the South Tacoma Business Districtâ€™s Spring Social last night. I had the opportunity to visit with KarenRich and Gloria Egan, the District Manager. As I was telling them how good the business district was looking theytold me how much they appreciated the work you did with them on getting the â€œash buttâ€• cans installed. Karen took me outside on the street and showed me how they have been positioned along the sidewalk nearStonegate Pizza. Later during Karenâ€™s remarks on behalf of the business district to the 40+ people there, she told them aboutthe support the business district has gotten from various organizations in their efforts to make the area a betterplace to do business and live. She told everyone about the work the Health Department did with district on theash butt cans. I was really flattered by the way she emphasized her appreciation for our agencyâ€™s willingness to get this done. You should know that besides members of the business district, Deputy Mayor Lauren Walkerand Council Member David Boe, members of Historic Tacoma, and business owners from some of the affiliatedbusiness districts in the City were there. Karen Rich is the owner of Guardian Security Group, Inc., a current board member of the South Tacoma BusinessDistrict, a past president of the Cross District Association of the Neighborhood Business Districts, and a person Iworked with a lot during the time I was with the City of Tacomaâ€™s Economic Development Department. She isa good friend and I felt really good that you and your work was an asset in something that means a lot to her.

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Iâ€™m sending a copy of this to Dr. Chen because this happen in such a timely manner with regard his editorialthat appeared in the TNT this morning. FYI - I ended up in a lengthy conversation on the subject of e-cigaretteslast night at the social. Thanks for what you are doing. Gregory M. TanbaraBrownfields Coordinator(253) 798-4784 or [email protected]

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From: Leslie Swalley <[email protected]>To: Tawana Bellamy


Subject: E-Cig Comment for Public Records

Good morning Tawana,

Please add this to the public records.

Thank you,

Leslie SwalleyCouncil Assistant to Dick MuriPierce County Council District 6253.798.3308

From: Matt Zukowski <[email protected]>To: Stanley Flemming; PCEXECUTIVE; [email protected] <[email protected]>Cc: [email protected] <[email protected]>; [email protected] <[email protected]>; Dick Muri;[email protected] <[email protected]>; [email protected]<[email protected]>Sent: Tue May 17 10:29:58 2011Subject: E-cigs and zero Nicotine

Dear Stan Flemming and other interested parties, I was told after the public meeting that you were unaware that e-fluid for personal vaporizers has the option for zeronicotine, and zero nicotine is actually used by some former smokers. I personally have only going down as low as12mg/ml. Dr. Anthony Chen, who didn't even bother to attend the meeting, seems to be under the belief that kids who want toblow smoke rings, but don't want tobacco, will experiment with personal vaporizers. It's a little far fetchedthat adolescents will spend in excess of $80 just for the benefit of smoke rings without tobacco. Still, if they are sohealth conscious to avoid tobacco, odds are they'd avoid nicotine. Even then, they'd have to find a shop that allowedminors inside, which frankly does not exist in Pierce County. Still we accept the risk when it comes to FDAapproved NRPs like the patch, gum, and lossage despite objective evidence that they are ineffective at promotingsmoking cessation. Kids do experiment with NRPs, but like personal vaporizers they are cost prohibitive and noevidence to date exists that nicotine in any delivery system outside of real tobacco leads to a life long addiction. IfNRPs are an acceptable risk and are shown to be quite ineffective at promoting cessation, then a product used byformer smokers who are not smoking should be equally an acceptable risk. Not applying the smoking ban to e-cigarettes makes sense since there is no objective benefit that they cause harm tothe user and by-standards, and provides an objective benefit to those who represent the hard core addicted of beingable to use personal vaporizers indoors. Until further studies are conducted, we can still say there is the side benefitof these users not smoking, and reducing their purchase of the real thing. If it's the objective goal of the Health Department to reduce smoking in Pierce county, and we can't make tobaccoillegal, the only way we can do is make the cigarette industry less viable. A competing product that all evidence todate suggest doesn't kill the user, can do just that. I stopped buying cigarettes in under a month after a friend boughtme my first personal vaporizer in late January 2011. I broke the habit of going outside to smoke in favor of vapingindoors.

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The only rational response to e-cigarettes is healthy skepticism and putting the product to objective evaluation. Given the potential benefit of making the tobacco industry less viable, a ban at this juncture is not indicated. Until thesame standard of evidence exists that put the smoking ban into place exists, this is a freedom of expression issue, myfreedom to use a personal vaporizer in public and tell kids that cigarettes are so addictive that as an adult, I mustpretend to smoke to not smoke. We are on the same side, and I hope Pierce County sees the wisdom of acting on objective evidence rather thanconjecture.

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From: Matt Zukowski <[email protected]>To: [email protected]

[email protected]@cityoftacoma.org

Date: 5/17/2011 1:29:58 PMSubject: E-cigs and zero Nicotine

Dear Stan Flemming and other interested parties,

I was told after the public meeting that you were unaware that e-fluid for personal vaporizers has the option for zeronicotine, and zero nicotine is actually used by some former smokers. I personally have only going down as low as12mg/ml.

Dr. Anthony Chen, who didn't even bother to attend the meeting, seems to be under the belief that kids who want toblow smoke rings, but don't want tobacco, will experiment with personal vaporizers. It's a little far fetchedthat adolescents will spend in excess of $80 just for the benefit of smoke rings without tobacco. Still, if they are sohealth conscious to avoid tobacco, odds are they'd avoid nicotine. Even then, they'd have to find a shop that allowedminors inside, which frankly does not exist in Pierce County. Still we accept the risk when it comes to FDAapproved NRPs like the patch, gum, and lossage despite objective evidence that they are ineffective at promotingsmoking cessation. Kids do experiment with NRPs, but like personal vaporizers they are cost prohibitive and noevidence to date exists that nicotine in any delivery system outside of real tobacco leads to a life long addiction. IfNRPs are an acceptable risk and are shown to be quite ineffective at promoting cessation, then a product used byformer smokers who are not smoking should be equally an acceptable risk.

Not applying the smoking ban to e-cigarettes makes sense since there is no objective benefit that they cause harm tothe user and by-standards, and provides an objective benefit to those who represent the hard core addicted of beingable to use personal vaporizers indoors. Until further studies are conducted, we can still say there is the side benefitof these users not smoking, and reducing their purchase of the real thing.

If it's the objective goal of the Health Department to reduce smoking in Pierce county, and we can't make tobaccoillegal, the only way we can do is make the cigarette industry less viable. A competing product that all evidence todate suggest doesn't kill the user, can do just that. I stopped buying cigarettes in under a month after a friend boughtme my first personal vaporizer in late January 2011. I broke the habit of going outside to smoke in favor of vapingindoors.

The only rational response to e-cigarettes is healthy skepticism and putting the product to objective evaluation. Given the potential benefit of making the tobacco industry less viable, a ban at this juncture is not indicated. Until thesame standard of evidence exists that put the smoking ban into place exists, this is a freedom of expression issue, myfreedom to use a personal vaporizer in public and tell kids that cigarettes are so addictive that as an adult, I mustpretend to smoke to not smoke.

We are on the same side, and I hope Pierce County sees the wisdom of acting on objective evidence rather thanconjecture.

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From: Samantha YeunTo: Tutrecia Giles

Date: 5/17/2011 3:38:32 PMSubject: FW: E-cig. in workplace - NEEDS RESPONSE

Here’s the response from Multicare. CCed Kirsten. From: Lori Tanner [mailto:[email protected]]Sent: Wednesday, April 13, 2011 11:56 AMTo: Samantha Yeun; Kirsten FrandsenSubject: FW: E-cig. in workplace - NEEDS RESPONSE Hi Samantha, Yes, you can count on our support! Please let us know what we can do. Thanks, Lori From: Sherry HammondSent: Tuesday, April 12, 2011 1:47 PMTo: Lori TannerSubject: FW: E-cig. in workplace - NEEDS RESPONSE Please move ahead with our support. Thank you. SherryFrom: Samantha Yeun [mailto:[email protected]]Sent: Friday, April 08, 2011 12:38 PMTo: Lori TannerSubject: RE: E-cig. in workplace Thank you! This is very helpful. Reasoning are similar to many other workplaces and hospitals across the country. We're working on proposing our BOH to set this regulation in place and stop selling of E-cig. to minor in the near future, can I ask your/Multicare support? I will let you know once we finalized our process. Thanks again, Samantha From: Lori Tanner [mailto:[email protected]]Sent: Friday, April 08, 2011 12:35 PMTo: Samantha Yeun; Kathy WordenSubject: RE: E-cig. in workplace Hi Sam, It’s so good to hear from you. To answer your questions below, we have a no e-cig policy for smoke-free campus. See policy attached. We would not allow an employee to use an e-cig to help reduce their smoking. See letter that went out to all employees about our policy and e-cigs. Thanks! Lori From: Samantha Yeun [mailto:[email protected]]Sent: Friday, April 08, 2011 11:28 AMTo: Kathy Worden; Lori TannerSubject: E-cig. in workplace Hi Lori and Kathy, How are you doing? I am doing a research on e-cig and I hope you can help me. I know MultiCare has a no tobacco use policy and offers additional benefit to cessation support for staff and family members.

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A scenario is, if an employee thinks that e-cig. can help reduce their smoking, would Multicare allows that individual to smoke e-cig. Inside the building/office? If yes, why and if no, why not? Samantha YeunPrevention SpecialistEnvironmental Health/ Tobacco Prevention and Control Program253-798-2931 *************************************************************************************


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


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From: Samantha YeunTo: Bruce Rytkonen

Tutrecia GilesKirsten Frandsen

Date: 5/17/2011 5:39:22 PMSubject: FW: E-cig. in workplace - NEEDS RESPONSE

Fyi. . . Here’s the latest conversation I had with Lori. Just in case someone from here is doing a follow up on Multicare. From: Lori Tanner [mailto:[email protected]]Sent: Wednesday, April 13, 2011 11:56 AMTo: Samantha Yeun; Kirsten FrandsenSubject: FW: E-cig. in workplace - NEEDS RESPONSE Hi Samantha, Yes, you can count on our support! Please let us know what we can do. Thanks, Lori From: Sherry HammondSent: Tuesday, April 12, 2011 1:47 PMTo: Lori TannerSubject: FW: E-cig. in workplace - NEEDS RESPONSE Please move ahead with our support. Thank you. SherryFrom: Samantha Yeun [mailto:[email protected]]Sent: Friday, April 08, 2011 12:38 PMTo: Lori TannerSubject: RE: E-cig. in workplace Thank you! This is very helpful. Reasoning are similar to many other workplaces and hospitals across the country. We're working on proposing our BOH to set this regulation in place and stop selling of E-cig. to minor in the near future, can I ask your/Multicare support? I will let you know once we finalized our process. Thanks again, Samantha From: Lori Tanner [mailto:[email protected]]Sent: Friday, April 08, 2011 12:35 PMTo: Samantha Yeun; Kathy WordenSubject: RE: E-cig. in workplace Hi Sam, It’s so good to hear from you. To answer your questions below, we have a no e-cig policy for smoke-free campus. See policy attached. We would not allow an employee to use an e-cig to help reduce their smoking. See letter that went out to all employees about our policy and e-cigs. Thanks! Lori From: Samantha Yeun [mailto:[email protected]]Sent: Friday, April 08, 2011 11:28 AMTo: Kathy Worden; Lori TannerSubject: E-cig. in workplace

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Hi Lori and Kathy, How are you doing? I am doing a research on e-cig and I hope you can help me. I know MultiCare has a no tobacco use policy and offers additional benefit to cessation support for staff and family members. A scenario is, if an employee thinks that e-cig. can help reduce their smoking, would Multicare allows that individual to smoke e-cig. Inside the building/office? If yes, why and if no, why not? Samantha YeunPrevention SpecialistEnvironmental Health/ Tobacco Prevention and Control Program253-798-2931 *************************************************************************************


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


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From: Info TPCHDTo: Anthony Chen


Subject: FW: E-cigs and zero Nicotine

The following message was received at the Info Desk in-box. It is my job to monitor incoming messageswhen Laurel Parshell is out of the office. I believe this is feedback from the Tobacco public meeting held lastevening in our auditorium. I hope I am sending it to the appropriate individuals for action or response. Diana Abel, BSA, Purchasing Office, ext 6525 From: Matt Zukowski [mailto:[email protected]]Sent: Tuesday, May 17, 2011 10:30 AMTo: [email protected]; [email protected]; [email protected]: Director; Info TPCHD; [email protected]; [email protected]; [email protected]: E-cigs and zero Nicotine Dear Stan Flemming and other interested parties, I was told after the public meeting that you were unaware that e-fluid for personal vaporizers has the option for zeronicotine, and zero nicotine is actually used by some former smokers. I personally have only going down as low as12mg/ml. Dr. Anthony Chen, who didn't even bother to attend the meeting, seems to be under the belief that kids who want toblow smoke rings, but don't want tobacco, will experiment with personal vaporizers. It's a little far fetchedthat adolescents will spend in excess of $80 just for the benefit of smoke rings without tobacco. Still, if they are sohealth conscious to avoid tobacco, odds are they'd avoid nicotine. Even then, they'd have to find a shop that allowedminors inside, which frankly does not exist in Pierce County. Still we accept the risk when it comes to FDAapproved NRPs like the patch, gum, and lossage despite objective evidence that they are ineffective at promotingsmoking cessation. Kids do experiment with NRPs, but like personal vaporizers they are cost prohibitive and noevidence to date exists that nicotine in any delivery system outside of real tobacco leads to a life long addiction. IfNRPs are an acceptable risk and are shown to be quite ineffective at promoting cessation, then a product used byformer smokers who are not smoking should be equally an acceptable risk. Not applying the smoking ban to e-cigarettes makes sense since there is no objective benefit that they cause harm tothe user and by-standards, and provides an objective benefit to those who represent the hard core addicted of beingable to use personal vaporizers indoors. Until further studies are conducted, we can still say there is the side benefitof these users not smoking, and reducing their purchase of the real thing. If it's the objective goal of the Health Department to reduce smoking in Pierce county, and we can't make tobaccoillegal, the only way we can do is make the cigarette industry less viable. A competing product that all evidence todate suggest doesn't kill the user, can do just that. I stopped buying cigarettes in under a month after a friend boughtme my first personal vaporizer in late January 2011. I broke the habit of going outside to smoke in favor of vapingindoors. The only rational response to e-cigarettes is healthy skepticism and putting the product to objective evaluation. Given the potential benefit of making the tobacco industry less viable, a ban at this juncture is not indicated. Until thesame standard of evidence exists that put the smoking ban into place exists, this is a freedom of expression issue, myfreedom to use a personal vaporizer in public and tell kids that cigarettes are so addictive that as an adult, I mustpretend to smoke to not smoke. We are on the same side, and I hope Pierce County sees the wisdom of acting on objective evidence rather than

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conjecture.

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Subject: Fw: E-cigs and zero Nicotine

Fyi From: Info TPCHDSent: Tuesday, May 17, 2011 10:52 AMTo: Anthony Chen; Steve MarekSubject: FW: E-cigs and zero Nicotine The following message was received at the Info Desk in-box. It is my job to monitor incoming messageswhen Laurel Parshell is out of the office. I believe this is feedback from the Tobacco public meeting held lastevening in our auditorium. I hope I am sending it to the appropriate individuals for action or response. Diana Abel, BSA, Purchasing Office, ext 6525 From: Matt Zukowski [mailto:[email protected]]Sent: Tuesday, May 17, 2011 10:30 AMTo: [email protected]; [email protected]; [email protected]: Director; Info TPCHD; [email protected]; [email protected]; [email protected]: E-cigs and zero Nicotine Dear Stan Flemming and other interested parties, I was told after the public meeting that you were unaware that e-fluid for personal vaporizers has the option for zeronicotine, and zero nicotine is actually used by some former smokers. I personally have only going down as low as12mg/ml. Dr. Anthony Chen, who didn't even bother to attend the meeting, seems to be under the belief that kids who want toblow smoke rings, but don't want tobacco, will experiment with personal vaporizers. It's a little far fetchedthat adolescents will spend in excess of $80 just for the benefit of smoke rings without tobacco. Still, if they are sohealth conscious to avoid tobacco, odds are they'd avoid nicotine. Even then, they'd have to find a shop that allowedminors inside, which frankly does not exist in Pierce County. Still we accept the risk when it comes to FDAapproved NRPs like the patch, gum, and lossage despite objective evidence that they are ineffective at promotingsmoking cessation. Kids do experiment with NRPs, but like personal vaporizers they are cost prohibitive and noevidence to date exists that nicotine in any delivery system outside of real tobacco leads to a life long addiction. IfNRPs are an acceptable risk and are shown to be quite ineffective at promoting cessation, then a product used byformer smokers who are not smoking should be equally an acceptable risk. Not applying the smoking ban to e-cigarettes makes sense since there is no objective benefit that they cause harm tothe user and by-standards, and provides an objective benefit to those who represent the hard core addicted of beingable to use personal vaporizers indoors. Until further studies are conducted, we can still say there is the side benefitof these users not smoking, and reducing their purchase of the real thing. If it's the objective goal of the Health Department to reduce smoking in Pierce county, and we can't make tobaccoillegal, the only way we can do is make the cigarette industry less viable. A competing product that all evidence todate suggest doesn't kill the user, can do just that. I stopped buying cigarettes in under a month after a friend boughtme my first personal vaporizer in late January 2011. I broke the habit of going outside to smoke in favor of vapingindoors.

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From: Laurie JinkinsTo: '[email protected]'

Date: 5/17/2011 11:31:54 PMSubject: Fw: Modified proposal messages

Attachments: May 2011 Tobacco Regulations_modification revAC.docx

From: Anthony ChenSent: Tuesday, May 17, 2011 06:37 PMTo: Bridget Vandeventer; Laurie Jinkins; Steve MarekCc: Frank Dibiase; Kirsten Frandsen; Madigan ResidentSubject: RE: Modified proposal messages Here are my edits. I made some policy decisions (see comments) which I need feedback on before my meetingwith Dick and Stan at 2:30 before the BOH meeting. AC From: Bridget VandeventerSent: Tuesday, May 17, 2011 5:31 PMTo: Anthony Chen; Laurie Jinkins; Steve MarekCc: Frank Dibiase; Kirsten Frandsen; Madigan ResidentSubject: Modified proposal messages Hi Anthony and team,Attached is my draft of messages for tomorrow, outlining the results of the public process and the modifiedproposal. These basically become the outline of Anthony’s comments for tomorrow’s meeting. Once we finalizethese, they become the basis of other communications; letters to staff, any media, etc. Please let me know your feedback. Also, I wanted to share this article/notice from CASAA that posted to the site today.http://www.casaa.org/news/article.asp?articleID=175&l=a&pMy read on this is that a.) they feel duped that BOH members weren’t there yesterday and that this wasn’t the“real” meeting for sharing feedback and b.) they are calling for their supporters to come out tomorrow as well.Just for discussion, I think we should consider having someone make a call to Thad from CASAA to soft sound themodified proposal with him in an effort to soften the angst they may come with tomorrow. I’m interested in youropinions on this. Thanks!Bridget Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Samantha YeunTo: 'Hae-Man Song'

Date: 5/17/2011 4:14:10 PMSubject: FW: Proposed tobacco regulations

Hi Hae-man,Here’s the information on our proposed regulations. The public comments starts at 3PM, please come about 10 min. early to sign-in to make your comment. Thank you for your support on this effort. Samantha The two proposed regulations relate to the Health Department’s ongoing work to protect the people of Pierce County from the risks associated with tobacco use. The two regulations are:

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

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

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

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

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



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From: Bruce RytkonenTo: Linda Graves

Date: 5/17/2011 2:56:08 PMSubject: FW: Telecon

Fyi…. From: Bridget VandeventerSent: Tuesday, May 17, 2011 11:50 AMTo: Bruce Rytkonen; Kirsten FrandsenSubject: RE: Telecon He called me too and we had this conversation. He’s double teaming us. We responded the same though, so that’s good. Thanks Bruce. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bruce RytkonenSent: Tuesday, May 17, 2011 10:30 AMTo: Bridget Vandeventer; Kirsten FrandsenSubject: Telecon A call/voice-mail message came in to the person in the cubicle next to me from a Bob Alexander [206-760-6018]. He said that he was at the public meeting last night but didn’t have the names of the panelists. I called him backthinking that he would ask for those names. He didn’t……but he did ask about what would be the next steps inthe process of the BOH voting on the regulations….specifically e-cigs. I asked him who he was with and he saidhimself and that he had been writing about e-cigs for about a year. I advised him of the following:

1. At the BOH meeting on the 18th the public will have the opportunity to make comments on any topicduring the public comment period.

2. It was my understanding that Dr. Chen would be presenting the two proposed tobacco regs to the BOH.3. At the BOH meeting on June 1 the public would again have the opportunity to address the BOH [on any

topic] during a public comment period.4. At the June 1 BOH meeting we (the HD staff) believe that the BOH will vote on the two tobacco regs.

Do either of you know anything about Mr. Alexander?

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From: Hayes, Maxine (DOH) <[email protected]>To: [email protected]

[email protected]@[email protected]@[email protected]@[email protected]

Date: 5/17/2011 6:28:48 PMSubject: sale and use of electronic smoking devices

Attachments: 1690_001.pdf

<<1690_001.pdf>>

Maxine Hayes, MD, MPH

State Health Officer

Washington State Department of Health

PO Box 47890

Olympia WA 98504-7890

360.236.4030 Desk

360.586.7424 FAX

[email protected]

Public Health - Always Working for a Safer and Healthier Washington

Page 1

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

Date: 5/17/2011 6:45:52 PMSubject: FW: TPC Board of Health Talking Points

Attachments: sale and use of electronic smoking devices

Dr. Chen was previously copied. Here ya go. Paul Davis, Policy SpecialistWashington State Department of HealthTobacco Prevention and Controloffice - 360-236-3642cell - 360-507-6556email - [email protected] Box 47848Olympia, WA 98503Public Health - Always Working for a Healthier Washingtonwww.doh.wa.gov/tobacco From: Peyton, Brian (DOH)Sent: Tuesday, May 17, 2011 3:39 PMTo: Davis, Paul A (DOH); Boruchowitz, Steve A (DOH); Reid, Terry (DOH)Cc: Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH); Limtiaco, Frances (DOH)Subject: RE: TPC Board of Health Talking Points Dr. Chen was included in the original e-mail (see attached). Brian PeytonDirectorPolicy, Legislative & Constituent RelationsDepartment of HealthVoice 360.236.4048Fax [email protected] Health – Always Working for a Safer and Healthier Washington From: Davis, Paul A (DOH)Sent: Tuesday, May 17, 2011 3:36 PMTo: Peyton, Brian (DOH); Boruchowitz, Steve A (DOH); Reid, Terry (DOH)Cc: Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH); Limtiaco, Frances (DOH)Subject: RE: TPC Board of Health Talking Points Kirsten was very happy to hear we are sending a letter and asked if it’s possible to copy her and Dr. Chen whenthe letter is [email protected] is Kirsten’s email and Dr. Chen is on the global outlook at [email protected] Paul Davis, Policy SpecialistWashington State Department of HealthTobacco Prevention and Controloffice - 360-236-3642cell - 360-507-6556email - [email protected] Box 47848Olympia, WA 98503Public Health - Always Working for a Healthier Washingtonwww.doh.wa.gov/tobacco

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From: Peyton, Brian (DOH)Sent: Tuesday, May 17, 2011 3:22 PMTo: Davis, Paul A (DOH); Boruchowitz, Steve A (DOH); Reid, Terry (DOH)Cc: Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH)Subject: RE: TPC Board of Health Talking Points We are sending a letter from Maxine Hayes. It will be sent by email this afternoon to board of health members. Brian PeytonDirectorPolicy, Legislative & Constituent RelationsDepartment of HealthVoice 360.236.4048Fax [email protected] Health – Always Working for a Safer and Healthier Washington From: Davis, Paul A (DOH)Sent: Tuesday, May 17, 2011 3:20 PMTo: Boruchowitz, Steve A (DOH); Peyton, Brian (DOH); Reid, Terry (DOH)Cc: Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH)Subject: RE: TPC Board of Health Talking Points Just got a phone message from Kirsten.I got that we aren’t sending anyone, but I need to know if we’re sending a letter. Can you clarify for me ASAP so Ican return her call?Paul Davis, Policy SpecialistWashington State Department of HealthTobacco Prevention and Controloffice - 360-236-3642cell - 360-507-6556email - [email protected] Box 47848Olympia, WA 98503Public Health - Always Working for a Healthier Washingtonwww.doh.wa.gov/tobacco From: Boruchowitz, Steve A (DOH)Sent: Tuesday, May 17, 2011 1:09 PMTo: Davis, Paul A (DOH); Peyton, Brian (DOH); Reid, Terry (DOH)Cc: Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH)Subject: RE: TPC Board of Health Talking Points Sorry for the delay, Brian just got back to me. He asks that Paul contact Tacomaand tell them we are sorry, esp. on short notice, we cannot schedule someone to bethere. Steve BoruchowitzLegislative, Policy and Rules ManagerWashington State Department of HealthCommunity and Family Health DivisionPhone: Olympia 360-236-3731 Readability ScoresAverage Words per sentence:Reading ease:

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Grade level: From: Davis, Paul A (DOH)Sent: Tuesday, May 17, 2011 8:26 AMTo: Peyton, Brian (DOH); Reid, Terry (DOH)Cc: Boruchowitz, Steve A (DOH); Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH)Subject: RE: TPC Board of Health Talking Points Has someone connected with Pierce County to let them know what DOH will be doing? I have not contacted themyet. Paul From: Peyton, Brian (DOH)Sent: Monday, May 16, 2011 5:34 PMTo: Reid, Terry (DOH); Davis, Paul A (DOH)Cc: Boruchowitz, Steve A (DOH); Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH)Subject: RE: TPC Board of Health Talking Points Thanks, I had seen all this. Brian PeytonDirectorPolicy, Legislative & Constituent RelationsDepartment of HealthVoice 360.236.4048Fax [email protected] Health – Always Working for a Safer and Healthier Washington From: Reid, Terry (DOH)Sent: Monday, May 16, 2011 2:52 PMTo: Peyton, Brian (DOH); Davis, Paul A (DOH)Cc: Boruchowitz, Steve A (DOH); Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH)Subject: RE: TPC Board of Health Talking Points Brian, below is the request from TPCHD. As you can see it requests support for both resolutions and giveshighlights of each. Regarding SIPP that is our Smoking In Public Places law RCW 70.160. I will let Paul speak to thenicotine issue.

Frances and Paul; As discussed on the phone, the Tacoma-Pierce County Health Department will be proposing two newtobacco regulations to our Board of Health on May 18. These new regulations will deal with localadoptions of Washington State’s Smoking In Public Places Act RCW 70.160 and the regulation of e-cigarettes and unregulated nicotine delivery products. On behalf of our Health Dept., I would like to extend an invitation for a representative from the StateDepartment of Health to address our Board on May 18, and provide your perspective on these proposedregulations. We believe that providing information addressing issues associated with the safety of e-cigarettes and other relevant statistics on the usage of e-cigarettes would be helpful and educational tothe members of the Board. Here’s a brief summary of each of the regulations that are being proposed:

Smoking In Public Places· Greater clarity and interpretation of RCW 70.160· Allows for local enforcement including fees and fines

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8_19_2011

· Aids local businesses that wish to comply with State law· Local regulation facilitates compliance with state code


· Youth less than 18 will be prohibited from buying e-cigarettes and other unregulated smokingdevices.

· Prohibits the use of e-cigarettes in any location where smoking is presently lawfully prohibited.· Prohibits providing e-cigarettes at no cost or on a heavily discounted basis.


· Decrease in smoking rates in Washington State over the past decade- due to hard work. We mustnot let these numbers slip back up.

· Safety concerns regarding e-cigarettes· Lack of evidence to support e-cigarettes as cessation aids· Concern over potential for increased social acceptability or normalization of e-cigarettes which

could lead to increased smoking· Importance of having a local SIPP regulation that provides LHJ’s with enforcement authority



1. http://www.thenewstribune.com/2011/05/05/1653162/apply-cigarette-ban-to-vaping.html#storylink=misearch

2. http://www.thenewstribune.com/2011/05/13/1663467/if-e-cigarettes-arent-harmful.html#storylink=misearch

If you have any questions on the above please do not hesitate to give me a call. Thanks again, Kirsten Frandsen Kirsten FrandsenTacoma-Pierce County Health DepartmentProgram Coordinator: Physical Activity, Nutrition, and [email protected] Terry R Reid, DirectorChronic Disease Prevention UnitWashington State Department of Health111 Israel RD SEPO Box 47848Olympia, WA 98504-7848

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(360) 236-3665 fax (360) [email protected] From: Peyton, Brian (DOH)Sent: Monday, May 16, 2011 2:17 PMTo: Davis, Paul A (DOH); Reid, Terry (DOH)Cc: Boruchowitz, Steve A (DOH); Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH)Subject: TPC Board of Health Talking PointsImportance: High I am reviewing the talking points, with an eye to creating a letter to send, instead of sending Maxine Hayes – the latenotice and the logistics make it very difficult to meet a last minute request like that. Two to three days notice is notreally enough. I have some questions about the information: Have you seen the proposed regulations? Where might I get a copy? Official comment on rules is best if we’d had achance to review them What is “SIPP”? Are we supposed to speak in favor of the clean indoor air stuff or just the e-cig ban? Do we have any evidence that the use of nicotine is harmful? The e-cigs do “dispense” nicotine, and I thought that itsuse was not good for your health. Need this information ASAP. Thanks. Brian PeytonDirectorPolicy, Legislative & Constituent RelationsDepartment of HealthVoice 360.236.4048Fax [email protected] Health – Always Working for a Safer and Healthier Washington

Page 5

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Date: 5/17/2011 6:58:56 PMSubject: Fw: TPC Board of Health Talking Points


Hi, letter of support from DOH signed by Maxine Hayes went out to BOH members and Dr. Chen this afternoon.Apparently, this was a big deal at DOH as they had not yet taken a formal position. In this message, Maxine is clearthat do not support eicigs.

Thanks, Kirsten From: Davis, Paul A (DOH) [mailto:[email protected]]Sent: Tuesday, May 17, 2011 03:45 PMTo: Kirsten FrandsenSubject: FW: TPC Board of Health Talking Points Dr. Chen was previously copied. Here ya go. Paul Davis, Policy SpecialistWashington State Department of HealthTobacco Prevention and Controloffice - 360-236-3642cell - 360-507-6556email - [email protected] Box 47848Olympia, WA 98503Public Health - Always Working for a Healthier Washingtonwww.doh.wa.gov/tobacco From: Peyton, Brian (DOH)Sent: Tuesday, May 17, 2011 3:39 PMTo: Davis, Paul A (DOH); Boruchowitz, Steve A (DOH); Reid, Terry (DOH)Cc: Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH); Limtiaco, Frances (DOH)Subject: RE: TPC Board of Health Talking Points Dr. Chen was included in the original e-mail (see attached). Brian PeytonDirectorPolicy, Legislative & Constituent RelationsDepartment of HealthVoice 360.236.4048Fax [email protected] Health â€“ Always Working for a Safer and Healthier Washington From: Davis, Paul A (DOH)Sent: Tuesday, May 17, 2011 3:36 PMTo: Peyton, Brian (DOH); Boruchowitz, Steve A (DOH); Reid, Terry (DOH)Cc: Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH); Limtiaco, Frances (DOH)Subject: RE: TPC Board of Health Talking Points Kirsten was very happy to hear we are sending a letter and asked if itâ€™s possible to copy her and Dr. Chen whenthe letter is [email protected] is Kirstenâ€™s email and Dr. Chen is on the global outlook at [email protected]

Page 1

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Paul Davis, Policy SpecialistWashington State Department of HealthTobacco Prevention and Controloffice - 360-236-3642cell - 360-507-6556email - [email protected] Box 47848Olympia, WA 98503Public Health - Always Working for a Healthier Washingtonwww.doh.wa.gov/tobacco From: Peyton, Brian (DOH)Sent: Tuesday, May 17, 2011 3:22 PMTo: Davis, Paul A (DOH); Boruchowitz, Steve A (DOH); Reid, Terry (DOH)Cc: Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH)Subject: RE: TPC Board of Health Talking Points We are sending a letter from Maxine Hayes. It will be sent by email this afternoon to board of health members. Brian PeytonDirectorPolicy, Legislative & Constituent RelationsDepartment of HealthVoice 360.236.4048Fax [email protected] Health â€“ Always Working for a Safer and Healthier Washington From: Davis, Paul A (DOH)Sent: Tuesday, May 17, 2011 3:20 PMTo: Boruchowitz, Steve A (DOH); Peyton, Brian (DOH); Reid, Terry (DOH)Cc: Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH)Subject: RE: TPC Board of Health Talking Points Just got a phone message from Kirsten.I got that we arenâ€™t sending anyone, but I need to know if weâ€™re sending a letter. Can you clarify for meASAP so I can return her call?Paul Davis, Policy SpecialistWashington State Department of HealthTobacco Prevention and Controloffice - 360-236-3642cell - 360-507-6556email - [email protected] Box 47848Olympia, WA 98503Public Health - Always Working for a Healthier Washingtonwww.doh.wa.gov/tobacco From: Boruchowitz, Steve A (DOH)Sent: Tuesday, May 17, 2011 1:09 PMTo: Davis, Paul A (DOH); Peyton, Brian (DOH); Reid, Terry (DOH)Cc: Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH)Subject: RE: TPC Board of Health Talking Points Sorry for the delay, Brian just got back to me. He asks that Paul contact Tacomaand tell them we are sorry, esp. on short notice, we cannot schedule someone to bethere.

Page 2

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Steve BoruchowitzLegislative, Policy and Rules ManagerWashington State Department of HealthCommunity and Family Health DivisionPhone: Olympia 360-236-3731 Readability ScoresAverage Words per sentence:Reading ease: Grade level: From: Davis, Paul A (DOH)Sent: Tuesday, May 17, 2011 8:26 AMTo: Peyton, Brian (DOH); Reid, Terry (DOH)Cc: Boruchowitz, Steve A (DOH); Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH)Subject: RE: TPC Board of Health Talking Points Has someone connected with Pierce County to let them know what DOH will be doing? I have not contacted themyet. Paul From: Peyton, Brian (DOH)Sent: Monday, May 16, 2011 5:34 PMTo: Reid, Terry (DOH); Davis, Paul A (DOH)Cc: Boruchowitz, Steve A (DOH); Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH)Subject: RE: TPC Board of Health Talking Points Thanks, I had seen all this. Brian PeytonDirectorPolicy, Legislative & Constituent RelationsDepartment of HealthVoice 360.236.4048Fax [email protected] Health â€“ Always Working for a Safer and Healthier Washington From: Reid, Terry (DOH)Sent: Monday, May 16, 2011 2:52 PMTo: Peyton, Brian (DOH); Davis, Paul A (DOH)Cc: Boruchowitz, Steve A (DOH); Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH)Subject: RE: TPC Board of Health Talking Points Brian, below is the request from TPCHD. As you can see it requests support for both resolutions and giveshighlights of each. Regarding SIPP that is our Smoking In Public Places law RCW 70.160. I will let Paul speak to thenicotine issue.

Frances and Paul; As discussed on the phone, the Tacoma-Pierce County Health Department will be proposing two newtobacco regulations to our Board of Health on May 18. These new regulations will deal with localadoptions of Washington Stateâ€™s Smoking In Public Places Act RCW 70.160 and the regulation of e-cigarettes and unregulated nicotine delivery products.

Page 3

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On behalf of our Health Dept., I would like to extend an invitation for a representative from the StateDepartment of Health to address our Board on May 18, and provide your perspective on these proposedregulations. We believe that providing information addressing issues associated with the safety of e-cigarettes and other relevant statistics on the usage of e-cigarettes would be helpful and educational tothe members of the Board. Hereâ€™s a brief summary of each of the regulations that are being proposed:

Smoking In Public PlacesÂ· Greater clarity and interpretation of RCW 70.160Â· Allows for local enforcement including fees and finesÂ· Aids local businesses that wish to comply with State lawÂ· Local regulation facilitates compliance with state code


Â· Youth less than 18 will be prohibited from buying e-cigarettes and other unregulated smokingdevices.

Â· Prohibits the use of e-cigarettes in any location where smoking is presently lawfully prohibited.Â· Prohibits providing e-cigarettes at no cost or on a heavily discounted basis.


Â· Decrease in smoking rates in Washington State over the past decade- due to hard work. Wemust not let these numbers slip back up.

Â· Safety concerns regarding e-cigarettesÂ· Lack of evidence to support e-cigarettes as cessation aidsÂ· Concern over potential for increased social acceptability or normalization of e-cigarettes which

could lead to increased smokingÂ· Importance of having a local SIPP regulation that provides LHJâ€™s with enforcement authority





If you have any questions on the above please do not hesitate to give me a call. Thanks again, Kirsten Frandsen Kirsten FrandsenTacoma-Pierce County Health Department

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Program Coordinator: Physical Activity, Nutrition, and [email protected] Terry R Reid, DirectorChronic Disease Prevention UnitWashington State Department of Health111 Israel RD SEPO Box 47848Olympia, WA 98504-7848(360) 236-3665 fax (360) [email protected] From: Peyton, Brian (DOH)Sent: Monday, May 16, 2011 2:17 PMTo: Davis, Paul A (DOH); Reid, Terry (DOH)Cc: Boruchowitz, Steve A (DOH); Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH)Subject: TPC Board of Health Talking PointsImportance: High I am reviewing the talking points, with an eye to creating a letter to send, instead of sending Maxine Hayes â€“ thelate notice and the logistics make it very difficult to meet a last minute request like that. Two to three days notice isnot really enough. I have some questions about the information: Have you seen the proposed regulations? Where might I get a copy? Official comment on rules is best if weâ€™dhad a chance to review them What is â€œSIPPâ€•? Are we supposed to speak in favor of the clean indoor air stuff or just the e-cig ban? Do we have any evidence that the use of nicotine is harmful? The e-cigs do â€œdispenseâ€• nicotine, and I thoughtthat its use was not good for your health. Need this information ASAP. Thanks. Brian PeytonDirectorPolicy, Legislative & Constituent RelationsDepartment of HealthVoice 360.236.4048Fax [email protected] Health â€“ Always Working for a Safer and Healthier Washington

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From: Hayes, Maxine (DOH) <[email protected]>To: [email protected]

[email protected]@[email protected]@[email protected]@[email protected]

Date: 5/17/2011 6:28:48 PMSubject: sale and use of electronic smoking devices

Attachments: 1690_001.pdf

<<1690_001.pdf>>

Maxine Hayes, MD, MPH

State Health Officer

Washington State Department of Health

PO Box 47890

Olympia WA 98504-7890

360.236.4030 Desk

360.586.7424 FAX

[email protected]

Public Health - Always Working for a Safer and Healthier Washington

Page 1

8_19_2011


Date: 5/17/2011 6:58:58 PMSubject: Fw: TPC Board of Health Talking Points


Hi, letter of support from DOH signed by Maxine Hayes went out to BOH members and Dr. Chen this afternoon.Apparently, this was a big deal at DOH as they had not yet taken a formal position. In this message, Maxine is clearthat do not support eicigs.

Thanks, Kirsten From: Davis, Paul A (DOH) [mailto:[email protected]]Sent: Tuesday, May 17, 2011 03:45 PMTo: Kirsten FrandsenSubject: FW: TPC Board of Health Talking Points Dr. Chen was previously copied. Here ya go. Paul Davis, Policy SpecialistWashington State Department of HealthTobacco Prevention and Controloffice - 360-236-3642cell - 360-507-6556email - [email protected] Box 47848Olympia, WA 98503Public Health - Always Working for a Healthier Washingtonwww.doh.wa.gov/tobacco From: Peyton, Brian (DOH)Sent: Tuesday, May 17, 2011 3:39 PMTo: Davis, Paul A (DOH); Boruchowitz, Steve A (DOH); Reid, Terry (DOH)Cc: Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH); Limtiaco, Frances (DOH)Subject: RE: TPC Board of Health Talking Points Dr. Chen was included in the original e-mail (see attached). Brian PeytonDirectorPolicy, Legislative & Constituent RelationsDepartment of HealthVoice 360.236.4048Fax [email protected] Health â€“ Always Working for a Safer and Healthier Washington From: Davis, Paul A (DOH)Sent: Tuesday, May 17, 2011 3:36 PMTo: Peyton, Brian (DOH); Boruchowitz, Steve A (DOH); Reid, Terry (DOH)Cc: Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH); Limtiaco, Frances (DOH)Subject: RE: TPC Board of Health Talking Points Kirsten was very happy to hear we are sending a letter and asked if itâ€™s possible to copy her and Dr. Chen whenthe letter is [email protected] is Kirstenâ€™s email and Dr. Chen is on the global outlook at [email protected]

Page 1

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Paul Davis, Policy SpecialistWashington State Department of HealthTobacco Prevention and Controloffice - 360-236-3642cell - 360-507-6556email - [email protected] Box 47848Olympia, WA 98503Public Health - Always Working for a Healthier Washingtonwww.doh.wa.gov/tobacco From: Peyton, Brian (DOH)Sent: Tuesday, May 17, 2011 3:22 PMTo: Davis, Paul A (DOH); Boruchowitz, Steve A (DOH); Reid, Terry (DOH)Cc: Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH)Subject: RE: TPC Board of Health Talking Points We are sending a letter from Maxine Hayes. It will be sent by email this afternoon to board of health members. Brian PeytonDirectorPolicy, Legislative & Constituent RelationsDepartment of HealthVoice 360.236.4048Fax [email protected] Health â€“ Always Working for a Safer and Healthier Washington From: Davis, Paul A (DOH)Sent: Tuesday, May 17, 2011 3:20 PMTo: Boruchowitz, Steve A (DOH); Peyton, Brian (DOH); Reid, Terry (DOH)Cc: Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH)Subject: RE: TPC Board of Health Talking Points Just got a phone message from Kirsten.I got that we arenâ€™t sending anyone, but I need to know if weâ€™re sending a letter. Can you clarify for meASAP so I can return her call?Paul Davis, Policy SpecialistWashington State Department of HealthTobacco Prevention and Controloffice - 360-236-3642cell - 360-507-6556email - [email protected] Box 47848Olympia, WA 98503Public Health - Always Working for a Healthier Washingtonwww.doh.wa.gov/tobacco From: Boruchowitz, Steve A (DOH)Sent: Tuesday, May 17, 2011 1:09 PMTo: Davis, Paul A (DOH); Peyton, Brian (DOH); Reid, Terry (DOH)Cc: Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH)Subject: RE: TPC Board of Health Talking Points Sorry for the delay, Brian just got back to me. He asks that Paul contact Tacomaand tell them we are sorry, esp. on short notice, we cannot schedule someone to bethere.

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Steve BoruchowitzLegislative, Policy and Rules ManagerWashington State Department of HealthCommunity and Family Health DivisionPhone: Olympia 360-236-3731 Readability ScoresAverage Words per sentence:Reading ease: Grade level: From: Davis, Paul A (DOH)Sent: Tuesday, May 17, 2011 8:26 AMTo: Peyton, Brian (DOH); Reid, Terry (DOH)Cc: Boruchowitz, Steve A (DOH); Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH)Subject: RE: TPC Board of Health Talking Points Has someone connected with Pierce County to let them know what DOH will be doing? I have not contacted themyet. Paul From: Peyton, Brian (DOH)Sent: Monday, May 16, 2011 5:34 PMTo: Reid, Terry (DOH); Davis, Paul A (DOH)Cc: Boruchowitz, Steve A (DOH); Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH)Subject: RE: TPC Board of Health Talking Points Thanks, I had seen all this. Brian PeytonDirectorPolicy, Legislative & Constituent RelationsDepartment of HealthVoice 360.236.4048Fax [email protected] Health â€“ Always Working for a Safer and Healthier Washington From: Reid, Terry (DOH)Sent: Monday, May 16, 2011 2:52 PMTo: Peyton, Brian (DOH); Davis, Paul A (DOH)Cc: Boruchowitz, Steve A (DOH); Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH)Subject: RE: TPC Board of Health Talking Points Brian, below is the request from TPCHD. As you can see it requests support for both resolutions and giveshighlights of each. Regarding SIPP that is our Smoking In Public Places law RCW 70.160. I will let Paul speak to thenicotine issue.

Frances and Paul; As discussed on the phone, the Tacoma-Pierce County Health Department will be proposing two newtobacco regulations to our Board of Health on May 18. These new regulations will deal with localadoptions of Washington Stateâ€™s Smoking In Public Places Act RCW 70.160 and the regulation of e-cigarettes and unregulated nicotine delivery products.

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On behalf of our Health Dept., I would like to extend an invitation for a representative from the StateDepartment of Health to address our Board on May 18, and provide your perspective on these proposedregulations. We believe that providing information addressing issues associated with the safety of e-cigarettes and other relevant statistics on the usage of e-cigarettes would be helpful and educational tothe members of the Board. Hereâ€™s a brief summary of each of the regulations that are being proposed:

Smoking In Public PlacesÂ· Greater clarity and interpretation of RCW 70.160Â· Allows for local enforcement including fees and finesÂ· Aids local businesses that wish to comply with State lawÂ· Local regulation facilitates compliance with state code


Â· Youth less than 18 will be prohibited from buying e-cigarettes and other unregulated smokingdevices.

Â· Prohibits the use of e-cigarettes in any location where smoking is presently lawfully prohibited.Â· Prohibits providing e-cigarettes at no cost or on a heavily discounted basis.


Â· Decrease in smoking rates in Washington State over the past decade- due to hard work. Wemust not let these numbers slip back up.

Â· Safety concerns regarding e-cigarettesÂ· Lack of evidence to support e-cigarettes as cessation aidsÂ· Concern over potential for increased social acceptability or normalization of e-cigarettes which

could lead to increased smokingÂ· Importance of having a local SIPP regulation that provides LHJâ€™s with enforcement authority





If you have any questions on the above please do not hesitate to give me a call. Thanks again, Kirsten Frandsen Kirsten FrandsenTacoma-Pierce County Health Department

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Program Coordinator: Physical Activity, Nutrition, and [email protected] Terry R Reid, DirectorChronic Disease Prevention UnitWashington State Department of Health111 Israel RD SEPO Box 47848Olympia, WA 98504-7848(360) 236-3665 fax (360) [email protected] From: Peyton, Brian (DOH)Sent: Monday, May 16, 2011 2:17 PMTo: Davis, Paul A (DOH); Reid, Terry (DOH)Cc: Boruchowitz, Steve A (DOH); Grinnell, Sue A (DOH); Church, Timothy J (DOH); Moyer, Donn T (DOH)Subject: TPC Board of Health Talking PointsImportance: High I am reviewing the talking points, with an eye to creating a letter to send, instead of sending Maxine Hayes â€“ thelate notice and the logistics make it very difficult to meet a last minute request like that. Two to three days notice isnot really enough. I have some questions about the information: Have you seen the proposed regulations? Where might I get a copy? Official comment on rules is best if weâ€™dhad a chance to review them What is â€œSIPPâ€•? Are we supposed to speak in favor of the clean indoor air stuff or just the e-cig ban? Do we have any evidence that the use of nicotine is harmful? The e-cigs do â€œdispenseâ€• nicotine, and I thoughtthat its use was not good for your health. Need this information ASAP. Thanks. Brian PeytonDirectorPolicy, Legislative & Constituent RelationsDepartment of HealthVoice 360.236.4048Fax [email protected] Health â€“ Always Working for a Safer and Healthier Washington

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From: Andrea Tull <[email protected]>To: Bridget Vandeventer

Date: 5/17/2011 1:43:40 PMSubject: FW: TPCHD Board of Health meeting-- request for speaker

Bridget,I wanted to follow up on a request to have someone from MultiCare attend the TPCHD Board meeting this Thursday, May 18th to testify regarding our tobacco policy. We were able to reach Dr. Waltman, but unfortunately, he is not available. However, Lori Tanner who is the Director for MultiCare’s Center for Healthy Living, will be able to attend and testify. I have cc’d her on this email so you two can connect aboutlogistics/details. Thanks,Andrea

_____________________________Andrea M. TullManager, Government Relations & Public Affairs

From: Bridget Vandeventer [mailto:[email protected]]Sent: Friday, May 13, 2011 11:02 AMTo: Marce Edwards OlsonSubject: TPCHD Board of Health meeting-- request for speaker Hi Marce,I just left you a voicemail about this, but wanted to follow up in writing. As you may have heard, we are proposing two pieces of regulation related to tobacco. The most controversial relates to e-cigarettes, and proposes a ban of e-cigarette use in public places. Essentially it treats e-cigarettes like traditional cigarettes. You can read about it here, in the TNT article from last week and then in this Op-Ed from our director today. As part of the public process, we are discussing the matter at the Board of Health meeting on May 18. Because MultiCare has a regulation on e-cigarettes, we were hoping that someone from your organization could come to the meeting to give testimony about your policy and the reasons behind it. Our tobacco prevention team said that Dr. Waltman has been a big advocate of this and would make a good spokesperson, but they’re having ahard time getting a hold of him. Since you’re the largest health provider in the area, I think it would be especially helpful to have your perspective presented at the meeting. The board is made up of Pierce county elected officials, including Pierce County Executive Pat McCarthy, Mayor Strickland, etc. They are scheduled to vote on the regulation on June 1. Let me know if you have any questions, or if there’s someone else you suggest I speak to. We’d love MultiCare’s support on this!Thanks,Bridget Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] *************************************************************************************



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From: Gretchen Hansen <[email protected]>To: Samantha Yeun

Date: 5/17/2011 6:20:08 PMSubject: Fwd: RE: Proposed tobacco regulations

Can you email Julie or call her? Her meassage is below.

Sent from my Verizon Wireless PhoneSo she is looking for people to testify? I think we can find some other ways to help her. Please ask Samantha who isleading the charge internally for TPCHD.

From: Gretchen HansenSent: Tuesday, May 17, 2011 3:16 PMTo: Julie PetersonSubject: RE: Proposed tobacco regulations

She wants me to come to meeting and Just say I support the regs if CHEF does. I will email her to see if she has fulltext

Sent from my Verizon Wireless PhoneJulie Peterson wrote:Gretchen DAAHHling,What does Samantha need/want in terms of support? Does she need people lined up to testify? Letters?

Would you ask her if she has the full text of the two draft proposals?

Let me chat with Kathy about this. I think we can find ways to help.

Much grass,Julie

From: Gretchen HansenSent: Tuesday, May 17, 2011 2:58 PMTo: Julie PetersonSubject: FW: Proposed tobacco regulations

Julie,Hello DAAHHling. Samantha from the Health Dept asked if I would support her on this. I told her I had to checkwith you. It is a hearing with their board to adopt some regulations regarding the electronic cigs. She has laid out thetwo different regs I can support.What are your thoughts?

From: Samantha Yeun [mailto:[email protected]]Sent: Tuesday, May 17, 2011 1:21 PMTo: Gretchen HansenSubject: FW: Proposed tobacco regulations

Hi Gretchen,

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Here’s the information on our proposed regulations. The public comments starts at 3PM, please come about 10 min.early to sign-in to make your comment. Thank you for your support on this effort.

Samantha

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

Environmental Health Code, Chapter 8: Smoking in Public Places: This local regulation provides greater clarity andinterpretation of RCW 70.160, Washington State’s Smoking in Public Places law, and allows for local enforcementincluding fees and fines.

Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devicesand Unregulated Nicotine Delivery Products: Prohibits smoking and purchase of e-cigarettes and other unregulatednicotine delivery products by youth under age 18; disallows e-cigarettes and other unregulated nicotine deliveryproducts to be used in public places and anywhere that regular cigarettes are prohibited; and prohibits free or heavilydiscounted e-cigarettes and other unregulated nicotine delivery products.

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

The Tacoma News Tribune is writing a story about the two issues, and we anticipate that it will post tomorrow.

Thank you for your ongoing work and support of public health in Pierce County. Please feel free to share yourfeedback on these two regulations with the team.

Thank you.


NewsMedia Contact InformationThe Tacoma-Pierce County Health Department Proposes New Regulations Related to Tobacco Prevention andControlMay 4, 2011The Tacoma-Pierce County Health Department is tasked with safeguarding and enhancing the health of thecommunities of Pierce County. As part of its mission, the Health Department tackles emerging health risks throughpolicy, programs and treatment in order to protect public health.According to the Centers for Disease Control, tobacco use is the number one cause of preventable deaths in the

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

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

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 anddestroy any copies.**************************************************************************************

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

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From: Bridget VandeventerTo: Anthony Chen

Laurie JinkinsSteve Marek

Date: 5/17/2011 8:31:04 PMSubject: Modified proposal messages

Attachments: May 2011 Tobacco Regulations_modification.docx

Hi Anthony and team,Attached is my draft of messages for tomorrow, outlining the results of the public process and the modifiedproposal. These basically become the outline of Anthony’s comments for tomorrow’s meeting. Once we finalizethese, they become the basis of other communications; letters to staff, any media, etc. Please let me know your feedback. Also, I wanted to share this article/notice from CASAA that posted to the site today.http://www.casaa.org/news/article.asp?articleID=175&l=a&pMy read on this is that a.) they feel duped that BOH members weren’t there yesterday and that this wasn’t the“real” meeting for sharing feedback and b.) they are calling for their supporters to come out tomorrow as well.Just for discussion, I think we should consider having someone make a call to Thad from CASAA to soft sound themodified proposal with him in an effort to soften the angst they may come with tomorrow. I’m interested in youropinions on this. Thanks!Bridget Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Steve MarekTo: Info TPCHD


Subject: Re: E-cigs and zero Nicotine

Thanks From: Info TPCHDSent: Tuesday, May 17, 2011 10:52 AMTo: Anthony Chen; Steve MarekSubject: FW: E-cigs and zero Nicotine The following message was received at the Info Desk in-box. It is my job to monitor incoming messageswhen Laurel Parshell is out of the office. I believe this is feedback from the Tobacco public meeting held lastevening in our auditorium. I hope I am sending it to the appropriate individuals for action or response. Diana Abel, BSA, Purchasing Office, ext 6525 From: Matt Zukowski [mailto:[email protected]]Sent: Tuesday, May 17, 2011 10:30 AMTo: [email protected]; [email protected]; [email protected]: Director; Info TPCHD; [email protected]; [email protected]; [email protected]: E-cigs and zero Nicotine Dear Stan Flemming and other interested parties, I was told after the public meeting that you were unaware that e-fluid for personal vaporizers has the option for zeronicotine, and zero nicotine is actually used by some former smokers. I personally have only going down as low as12mg/ml. Dr. Anthony Chen, who didn't even bother to attend the meeting, seems to be under the belief that kids who want toblow smoke rings, but don't want tobacco, will experiment with personal vaporizers. It's a little far fetchedthat adolescents will spend in excess of $80 just for the benefit of smoke rings without tobacco. Still, if they are sohealth conscious to avoid tobacco, odds are they'd avoid nicotine. Even then, they'd have to find a shop that allowedminors inside, which frankly does not exist in Pierce County. Still we accept the risk when it comes to FDAapproved NRPs like the patch, gum, and lossage despite objective evidence that they are ineffective at promotingsmoking cessation. Kids do experiment with NRPs, but like personal vaporizers they are cost prohibitive and noevidence to date exists that nicotine in any delivery system outside of real tobacco leads to a life long addiction. IfNRPs are an acceptable risk and are shown to be quite ineffective at promoting cessation, then a product used byformer smokers who are not smoking should be equally an acceptable risk. Not applying the smoking ban to e-cigarettes makes sense since there is no objective benefit that they cause harm tothe user and by-standards, and provides an objective benefit to those who represent the hard core addicted of beingable to use personal vaporizers indoors. Until further studies are conducted, we can still say there is the side benefitof these users not smoking, and reducing their purchase of the real thing. If it's the objective goal of the Health Department to reduce smoking in Pierce county, and we can't make tobaccoillegal, the only way we can do is make the cigarette industry less viable. A competing product that all evidence todate suggest doesn't kill the user, can do just that. I stopped buying cigarettes in under a month after a friend boughtme my first personal vaporizer in late January 2011. I broke the habit of going outside to smoke in favor of vapingindoors.

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From: Anthony ChenTo: Frank Dibiase


Date: 5/17/2011 6:15:48 PMSubject: RE: FDA eCig test results

IÂ am finding that BOH members are saying they cannot remember seeing the link to the report. I remember wesummarized the findings but am not sure that we provided the actual link. I do not remember seeing this fullreport myself. AC From: Frank DibiaseSent: Monday, May 16, 2011 9:42 PMTo: Anthony Chen; Steve Marek; Bridget VandeventerCc: Kirsten FrandsenSubject: Re: FDA eCig test results Board members received info about FDA and links to FDA web pages, prepared by Kirsten, in the packet Tawanasent them last week. Not sure if it's the same info in your link Anthony, but the info they received was specific toyour request made in the phone call Steve, Laurie and I had with you last week. I also have a packet of inforegarding your request identifying "what we know" and "what we don't know" about various aspects of e-cigarettes, prepared by Kirsten and her staff, which we'll provide to you tomorrow.

I thought the meeting tonight went smoothly. The preparation paid off. Lots of interesting comments. Chair Muriwas in attendance.

From: Anthony ChenSent: Monday, May 16, 2011 09:16 PMTo: Steve Marek; Bridget Vandeventer; Frank DibiaseSubject: FDA eCig test results Several BOH members had asked for the link to the FDA website. Here is the link to the actual report:http://www.fda.gov/downloads/Drugs/ScienceResearch/UCM173250.pdfShould we send this? AC

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Subject: RE: FDA eCig test results

Hi,Can the two of you please connect on this to see what Board members actually received and then let Anthony,Steve and I know.Â Â Thanks. From: Anthony ChenSent: Tuesday, May 17, 2011 3:16 PMTo: Frank Dibiase; Steve Marek; Bridget VandeventerCc: Kirsten FrandsenSubject: RE: FDA eCig test results I am finding that BOH members are saying they cannot remember seeing the link to the report. I remember wesummarized the findings but am not sure that we provided the actual link. I do not remember seeing this fullreport myself. AC From: Frank DibiaseSent: Monday, May 16, 2011 9:42 PMTo: Anthony Chen; Steve Marek; Bridget VandeventerCc: Kirsten FrandsenSubject: Re: FDA eCig test results Board members received info about FDA and links to FDA web pages, prepared by Kirsten, in the packet Tawanasent them last week. Not sure if it's the same info in your link Anthony, but the info they received was specific toyour request made in the phone call Steve, Laurie and I had with you last week. I also have a packet of inforegarding your request identifying "what we know" and "what we don't know" about various aspects of e-cigarettes, prepared by Kirsten and her staff, which we'll provide to you tomorrow.



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From: Frank DibiaseTo: Anthony Chen

Date: 5/17/2011 7:50:22 PMSubject: RE: FDA eCig test results

Kirsten will connect with Tawana to make sure they receive the correct information.Â Thanks. From: Anthony ChenSent: Tuesday, May 17, 2011 3:16 PMTo: Frank Dibiase; Steve Marek; Bridget VandeventerCc: Kirsten FrandsenSubject: RE: FDA eCig test results I am finding that BOH members are saying they cannot remember seeing the link to the report. I remember wesummarized the findings but am not sure that we provided the actual link. I do not remember seeing this fullreport myself. AC From: Frank DibiaseSent: Monday, May 16, 2011 9:42 PMTo: Anthony Chen; Steve Marek; Bridget VandeventerCc: Kirsten FrandsenSubject: Re: FDA eCig test results Board members received info about FDA and links to FDA web pages, prepared by Kirsten, in the packet Tawanasent them last week. Not sure if it's the same info in your link Anthony, but the info they received was specific toyour request made in the phone call Steve, Laurie and I had with you last week. I also have a packet of inforegarding your request identifying "what we know" and "what we don't know" about various aspects of e-cigarettes, prepared by Kirsten and her staff, which we'll provide to you tomorrow.



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From: Frank DibiaseTo: Anthony Chen


Date: 5/17/2011 12:41:58 AMSubject: Re: FDA eCig test results

Board members received info about FDA and links to FDA web pages, prepared by Kirsten, in the packet Tawanasent them last week. Not sure if it's the same info in your link Anthony, but the info they received was specific toyour request made in the phone call Steve, Laurie and I had with you last week. I also have a packet of inforegarding your request identifying "what we know" and "what we don't know" about various aspects of e-cigarettes, prepared by Kirsten and her staff, which we'll provide to you tomorrow.



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From: Anthony ChenTo: Bridget Vandeventer

Laurie JinkinsSteve Marek

Date: 5/17/2011 8:50:10 PMSubject: RE: Modified proposal messages

The pro-regulation supporters’ strategy to come to the BOH instead of the public hearing only feeds the CASAAconspiracy theory of “bait and switch.” I am not sure saying anything to Thad would affect what his group willthink or do. AC From: Bridget VandeventerSent: Tuesday, May 17, 2011 5:31 PMTo: Anthony Chen; Laurie Jinkins; Steve MarekCc: Frank Dibiase; Kirsten Frandsen; Madigan ResidentSubject: Modified proposal messages Hi Anthony and team,Attached is my draft of messages for tomorrow, outlining the results of the public process and the modifiedproposal. These basically become the outline of Anthony’s comments for tomorrow’s meeting. Once we finalizethese, they become the basis of other communications; letters to staff, any media, etc. Please let me know your feedback. Also, I wanted to share this article/notice from CASAA that posted to the site today.http://www.casaa.org/news/article.asp?articleID=175&l=a&pMy read on this is that a.) they feel duped that BOH members weren’t there yesterday and that this wasn’t the“real” meeting for sharing feedback and b.) they are calling for their supporters to come out tomorrow as well.Just for discussion, I think we should consider having someone make a call to Thad from CASAA to soft sound themodified proposal with him in an effort to soften the angst they may come with tomorrow. I’m interested in youropinions on this. Thanks!Bridget Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Laurie JinkinsTo: Steve Marek

Anthony ChenBridget Vandeventer

Date: 5/17/2011 10:12:04 PMSubject: Re: Modified proposal messages

I'm just reading on my bb and this looks good to me too. We may want to think about alternative language just incase.

My only substantive comment before I look more thoroughly is that I think we shouldn't lock ourselves intomaking a change oly as a result of research data. There are other things, including public concern or evidence of"bad acting" on behalf of the industry (like burying adverse reports) that might make us consider a ban.

I'll send some draft language when I get home. From: Steve MarekSent: Tuesday, May 17, 2011 06:58 PMTo: Anthony Chen; Bridget Vandeventer; Laurie JinkinsCc: Frank Dibiase; Kirsten Frandsen; Madigan Resident; 'Gregory Jacoby' <[email protected]>Subject: RE: Modified proposal messages I like Bridget’s work with your edits. I think we may get some push back from Dick and others on the “places whichare not visible to minors” restriction which would include quite a few restaurants with attached bars e.g Ram,Stanley’s, E9 ,MASA, Matador even El Gaucho’s. So if we stay with language we will basically only be allowing e-cigs in taverns which do not allow minors on the premise. So we are giving but not much. I am forwarding this onto Greg for his feedback especially on the two year clause. What do others think? From: Anthony ChenSent: Tuesday, May 17, 2011 6:38 PMTo: Bridget Vandeventer; Laurie Jinkins; Steve MarekCc: Frank Dibiase; Kirsten Frandsen; Madigan ResidentSubject: RE: Modified proposal messages Here are my edits. I made some policy decisions (see comments) which I need feedback on before my meetingwith Dick and Stan at 2:30 before the BOH meeting. AC From: Bridget VandeventerSent: Tuesday, May 17, 2011 5:31 PMTo: Anthony Chen; Laurie Jinkins; Steve MarekCc: Frank Dibiase; Kirsten Frandsen; Madigan ResidentSubject: Modified proposal messages Hi Anthony and team,Attached is my draft of messages for tomorrow, outlining the results of the public process and the modifiedproposal. These basically become the outline of Anthony’s comments for tomorrow’s meeting. Once we finalizethese, they become the basis of other communications; letters to staff, any media, etc. Please let me know your feedback. Also, I wanted to share this article/notice from CASAA that posted to the site today.http://www.casaa.org/news/article.asp?articleID=175&l=a&pMy read on this is that a.) they feel duped that BOH members weren’t there yesterday and that this wasn’t the

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“real” meeting for sharing feedback and b.) they are calling for their supporters to come out tomorrow as well.Just for discussion, I think we should consider having someone make a call to Thad from CASAA to soft sound themodified proposal with him in an effort to soften the angst they may come with tomorrow. I’m interested in youropinions on this. Thanks!Bridget Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Steve MarekTo: Anthony Chen

Bridget VandeventerLaurie Jinkins

Date: 5/17/2011 9:58:36 PMSubject: RE: Modified proposal messages

I like Bridget’s work with your edits. I think we may get some push back from Dick and others on the “places whichare not visible to minors” restriction which would include quite a few restaurants with attached bars e.g Ram,Stanley’s, E9 ,MASA, Matador even El Gaucho’s. So if we stay with language we will basically only be allowing e-cigs in taverns which do not allow minors on the premise. So we are giving but not much. I am forwarding this onto Greg for his feedback especially on the two year clause. What do others think? From: Anthony ChenSent: Tuesday, May 17, 2011 6:38 PMTo: Bridget Vandeventer; Laurie Jinkins; Steve MarekCc: Frank Dibiase; Kirsten Frandsen; Madigan ResidentSubject: RE: Modified proposal messages Here are my edits. I made some policy decisions (see comments) which I need feedback on before my meetingwith Dick and Stan at 2:30 before the BOH meeting. AC From: Bridget VandeventerSent: Tuesday, May 17, 2011 5:31 PMTo: Anthony Chen; Laurie Jinkins; Steve MarekCc: Frank Dibiase; Kirsten Frandsen; Madigan ResidentSubject: Modified proposal messages Hi Anthony and team,Attached is my draft of messages for tomorrow, outlining the results of the public process and the modifiedproposal. These basically become the outline of Anthony’s comments for tomorrow’s meeting. Once we finalizethese, they become the basis of other communications; letters to staff, any media, etc. Please let me know your feedback. Also, I wanted to share this article/notice from CASAA that posted to the site today.http://www.casaa.org/news/article.asp?articleID=175&l=a&pMy read on this is that a.) they feel duped that BOH members weren’t there yesterday and that this wasn’t the“real” meeting for sharing feedback and b.) they are calling for their supporters to come out tomorrow as well.Just for discussion, I think we should consider having someone make a call to Thad from CASAA to soft sound themodified proposal with him in an effort to soften the angst they may come with tomorrow. I’m interested in youropinions on this. Thanks!Bridget Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Gretchen Hansen <[email protected]>To: Samantha Yeun

Date: 5/17/2011 6:37:56 PMSubject: RE: RE: Proposed tobacco regulations

206-824-2907 ext1898

Sent from my Verizon Wireless Phone

Samantha Yeun wrote:I can call her. Can you tell me what is Julie's #?

-----Original Message-----From: Gretchen Hansen [mailto:[email protected]]Sent: Tuesday, May 17, 2011 3:20 PMTo: Samantha YeunSubject: Fwd: RE: Proposed tobacco regulations








Much grass,Julie


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Julie,Hello DAAHHling. Samantha from the Health Dept asked if I would support her on this. I told her I had to checkwith you. It is a hearing with their board to adopt some regulations regarding the electronic cigs. She has laid out thetwo different regs I can support.What are your thoughts?


Hi Gretchen,

Here's the information on our proposed regulations. The public comments starts at 3PM, please come about 10 min.early to sign-in to make your comment. Thank you for your support on this effort.

Samantha

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

Environmental Health Code, Chapter 8: Smoking in Public Places: This local regulation provides greater clarity andinterpretation of RCW 70.160, Washington State's Smoking in Public Places law, and allows for local enforcementincluding fees and fines.





Thank you.

Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department

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253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

NewsMedia Contact InformationThe Tacoma-Pierce County Health Department Proposes New Regulations Related to Tobacco Prevention andControlMay 4, 2011The Tacoma-Pierce County Health Department is tasked with safeguarding and enhancing the health of thecommunities of Pierce County. As part of its mission, the Health Department tackles emerging health risks throughpolicy, programs and treatment in order to protect public health.According to the Centers for Disease Control, tobacco use is the number one cause of preventable deaths in theUnited States and is responsible for one in every five deaths annually. In Pierce County, 17% of adults smoke,representing more than 100,000 of our family members, neighbors, co-workers and friends. Even for individuals whodon't smoke, secondhand smoke poses a serious health risk. In adults, secondhand smoke can cause heart diseaseand lung cancer. For children, secondhand smoke can increase symptoms of asthma, respiratory infections, suddeninfant death syndrome and a number of other health conditions.The Tacoma-Pierce County Health Department has brought forth two proposed regulations that relate to the HealthDepartment's ongoing work to protect the people of Pierce County from the risks associated with tobacco use. TheBoard of Health may vote on these regulations at the June 1, 2011 Board of Health meeting and the HealthDepartment is interested in receiving feedback from the community prior to that date.The two proposed regulations are:Environmental Health Code, Chapter 8: Smoking in Public Places.This local regulation provides greater clarity and interpretation of RCW 70.160, Washington State's Smoking inPublic Places law, allows for local enforcement including fees and fines and aids local businesses that wish to complywith the State law. Adopting a local regulation facilitates compliance of the state code.Review the full regulation.Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devicesand Unregulated Nicotine Delivery Products.The proposed regulation prohibits smoking and the purchase of e-cigarettes and other unregulated nicotine deliveryproducts by youth under age 18, disallows e-cigarettes to be used in public places and anywhere that regularcigarettes are prohibited and prohibits free or heavily discounted e-cigarettesCurrently, e-cigarettes are unregulated in the United States. They contain varying levels of nicotine and other knowncarcinogens and toxic chemicals. The FDA recently announced that it intends to regulate e-cigarettes as a tobaccoproduct and not an approved cessation aid.Review the full regulation.Public MeetingThe Tacoma-Pierce County Health Department will host a public meeting to preview and receive public feedbackregarding the two regulations. The meeting will include a brief presentation of the proposed regulations, a questionand answer period and an opportunity for attendees to provide brief comment.When:Monday, May 16, 20116:00-7:00 PMWhere:Tacoma-Pierce County Health Department Auditorium3629 South D StreetTacoma, WA 98418To provide written feedback on the proposed regulations, please fill out the public input from which can be foundhere.

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________________________________MULTICARE'S SHARED VALUES | Respect | Integrity | Stewardship | Excellence | Collaboration | Kindness

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


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

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From: Samantha YeunTo: 'Gretchen Hansen'

Date: 5/17/2011 6:30:58 PMSubject: RE: RE: Proposed tobacco regulations

I can call her. Can you tell me what is Julie's #?

-----Original Message-----From: Gretchen Hansen [mailto:[email protected]]Sent: Tuesday, May 17, 2011 3:20 PMTo: Samantha YeunSubject: Fwd: RE: Proposed tobacco regulations








Much grass,Julie


Julie,Hello DAAHHling. Samantha from the Health Dept asked if I would support her on this. I told her I had to checkwith you. It is a hearing with their board to adopt some regulations regarding the electronic cigs. She has laid out thetwo different regs I can support.

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What are your thoughts?


Hi Gretchen,

Here's the information on our proposed regulations. The public comments starts at 3PM, please come about 10 min.early to sign-in to make your comment. Thank you for your support on this effort.

Samantha

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

Environmental Health Code, Chapter 8: Smoking in Public Places: This local regulation provides greater clarity andinterpretation of RCW 70.160, Washington State's Smoking in Public Places law, and allows for local enforcementincluding fees and fines.





Thank you.


News

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Media Contact InformationThe Tacoma-Pierce County Health Department Proposes New Regulations Related to Tobacco Prevention andControlMay 4, 2011The Tacoma-Pierce County Health Department is tasked with safeguarding and enhancing the health of thecommunities of Pierce County. As part of its mission, the Health Department tackles emerging health risks throughpolicy, programs and treatment in order to protect public health.According to the Centers for Disease Control, tobacco use is the number one cause of preventable deaths in theUnited States and is responsible for one in every five deaths annually. In Pierce County, 17% of adults smoke,representing more than 100,000 of our family members, neighbors, co-workers and friends. Even for individuals whodon't smoke, secondhand smoke poses a serious health risk. In adults, secondhand smoke can cause heart diseaseand lung cancer. For children, secondhand smoke can increase symptoms of asthma, respiratory infections, suddeninfant death syndrome and a number of other health conditions.The Tacoma-Pierce County Health Department has brought forth two proposed regulations that relate to the HealthDepartment's ongoing work to protect the people of Pierce County from the risks associated with tobacco use. TheBoard of Health may vote on these regulations at the June 1, 2011 Board of Health meeting and the HealthDepartment is interested in receiving feedback from the community prior to that date.The two proposed regulations are:Environmental Health Code, Chapter 8: Smoking in Public Places.This local regulation provides greater clarity and interpretation of RCW 70.160, Washington State's Smoking inPublic Places law, allows for local enforcement including fees and fines and aids local businesses that wish to complywith the State law. Adopting a local regulation facilitates compliance of the state code.Review the full regulation.Environmental Health Code, Chapter 9: Restrictions on Sale, Use and Availability of Electronic Smoking Devicesand Unregulated Nicotine Delivery Products.The proposed regulation prohibits smoking and the purchase of e-cigarettes and other unregulated nicotine deliveryproducts by youth under age 18, disallows e-cigarettes to be used in public places and anywhere that regularcigarettes are prohibited and prohibits free or heavily discounted e-cigarettesCurrently, e-cigarettes are unregulated in the United States. They contain varying levels of nicotine and other knowncarcinogens and toxic chemicals. The FDA recently announced that it intends to regulate e-cigarettes as a tobaccoproduct and not an approved cessation aid.Review the full regulation.Public MeetingThe Tacoma-Pierce County Health Department will host a public meeting to preview and receive public feedbackregarding the two regulations. The meeting will include a brief presentation of the proposed regulations, a questionand answer period and an opportunity for attendees to provide brief comment.When:Monday, May 16, 20116:00-7:00 PMWhere:Tacoma-Pierce County Health Department Auditorium3629 South D StreetTacoma, WA 98418To provide written feedback on the proposed regulations, please fill out the public input from which can be foundhere.

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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 anddestroy any copies.

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________________________________MULTICARE'S SHARED VALUES | Respect | Integrity | Stewardship | Excellence | Collaboration | Kindness

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From: Bridget VandeventerTo: 'Hunter George'

Date: 5/17/2011 7:52:56 PMSubject: RE: smoke-free alternatives rally to the cause

Argh. Thank you for sharing. They called me about it this morning, but I hadn’t seen this article yet. Yesterday was interesting. We heard a lot, and I really believe we took it to heart. It wasn’t cursory at all, which Iwas pleased with. Tomorrow should be interesting. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Hunter George [mailto:[email protected]]Sent: Tuesday, May 17, 2011 2:51 PMTo: Bridget VandeventerSubject: smoke-free alternatives rally to the cause Hey BV-I saw a link to this on Twitter, so I thought I’d share in case you haven’t already seen it:http://www.casaa.org/news/article.asp?articleID=175&l=a&p Hunter T. GeorgePierce County Communications Director253-798-6606 | cell: 253-961-8422 | [email protected]

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George HermosilloTutrecia GilesAllison CoxSamantha YeunHanna ZarellijacksonLinda Graves

Date: 5/17/2011 6:50:56 PMSubject: RE: Speakers

As Kirsten was going out the door this afternoon she asked that I pass on to everyone a request that by 9:00 AMWednesday that everyone provide a listing of:

1. Speakers that are coming for sure…… their topic(s)….e-cigs or SIPP or both, and

2. Speakers that may be coming……and their topic…..e-cigs or SIPP or both

If you’re not going to be in by 9:00 on Wednesday please send this listing to Kirsten with cc to me before youleave today. Thank you…. From: Kirsten FrandsenSent: Tuesday, May 17, 2011 12:54 PMTo: George Hermosillo; Tutrecia Giles; Allison Cox; Samantha Yeun; Hanna ZarellijacksonCc: Bruce RytkonenSubject: RE: Speakers Thanks so much to all of you. Tutrecia and Bruce- can you please make sure that our speakers have all of the information that they need inorder to present? So they are well informed to the issue and can speak to it directly- esp. re: e-cigs. Thanks! Kirsten From: George HermosilloSent: Tuesday, May 17, 2011 12:50 PMTo: Tutrecia Giles; Allison Cox; Samantha Yeun; Hanna ZarellijacksonCc: Bruce Rytkonen; Kirsten FrandsenSubject: RE: Speakers Tutrecia, Jerome Wahl will be available to speak tomorrow. Thx,George From: Tutrecia GilesSent: Tuesday, May 17, 2011 12:48 PMTo: Allison Cox; George Hermosillo; Samantha Yeun; Hanna ZarellijacksonCc: Bruce Rytkonen; Kirsten FrandsenSubject: Speakers Hello all,Thanks for assistance in identifying additional testimony. I sent the group a general blurb that can be send out w/the date and time of BOH meeting and a link to proposed regs.

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Please send me the names of confirmed speakers ASAP. I will roll up the names and send back out to group Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected]

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From: Kirsten FrandsenTo: George Hermosillo

Tutrecia GilesAllison CoxSamantha YeunHanna Zarellijackson

Date: 5/17/2011 3:53:52 PMSubject: RE: Speakers

Thanks so much to all of you. Tutrecia and Bruce- can you please make sure that our speakers have all of the information that they need inorder to present? So they are well informed to the issue and can speak to it directly- esp. re: e-cigs. Thanks! Kirsten From: George HermosilloSent: Tuesday, May 17, 2011 12:50 PMTo: Tutrecia Giles; Allison Cox; Samantha Yeun; Hanna ZarellijacksonCc: Bruce Rytkonen; Kirsten FrandsenSubject: RE: Speakers Tutrecia, Jerome Wahl will be available to speak tomorrow. Thx,George From: Tutrecia GilesSent: Tuesday, May 17, 2011 12:48 PMTo: Allison Cox; George Hermosillo; Samantha Yeun; Hanna ZarellijacksonCc: Bruce Rytkonen; Kirsten FrandsenSubject: Speakers Hello all,Thanks for assistance in identifying additional testimony. I sent the group a general blurb that can be send out w/the date and time of BOH meeting and a link to proposed regs.Please send me the names of confirmed speakers ASAP. I will roll up the names and send back out to group Tutrecia Giles, M.Ed.Prevention SpecialistTacoma-Pierce County Health Department3629 So 'D' Street, MS-409Tacoma, Washington 98418-6813Direct (253) 798-4727fax (253) [email protected]

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From: Bridget VandeventerTo: Bruce Rytkonen


Subject: RE: Telecon

He called me too and we had this conversation. He’s double teaming us. We responded the same though, so that’s good. Thanks Bruce. Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Bruce RytkonenSent: Tuesday, May 17, 2011 10:30 AMTo: Bridget Vandeventer; Kirsten FrandsenSubject: Telecon A call/voice-mail message came in to the person in the cubicle next to me from a Bob Alexander [206-760-6018]. He said that he was at the public meeting last night but didn’t have the names of the panelists. I called him backthinking that he would ask for those names. He didn’t……but he did ask about what would be the next steps inthe process of the BOH voting on the regulations….specifically e-cigs. I asked him who he was with and he saidhimself and that he had been writing about e-cigs for about a year. I advised him of the following:





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Subject: RE: Telecon

Hi, no I don’t know Bob Alexander…… From: Bruce RytkonenSent: Tuesday, May 17, 2011 10:30 AMTo: Bridget Vandeventer; Kirsten FrandsenSubject: Telecon A call/voice-mail message came in to the person in the cubicle next to me from a Bob Alexander [206-760-6018]. He said that he was at the public meeting last night but didn’t have the names of the panelists. I called him backthinking that he would ask for those names. He didn’t……but he did ask about what would be the next steps inthe process of the BOH voting on the regulations….specifically e-cigs. I asked him who he was with and he saidhimself and that he had been writing about e-cigs for about a year. I advised him of the following:





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Date: 5/17/2011 12:24:04 PMSubject: RE: TPCHD's intended ban/restrictions on E-cigarettes

I will work on getting the notes and public comments typed up today.

Tawana

-----Original Message-----From: Tutrecia GilesSent: Tuesday, May 17, 2011 7:29 AMTo: Tawana BellamySubject: Re: TPCHD's intended ban/restrictions on E-cigarettes

Thanks, TawanaSteve asked if the notes/transcription of the public meeting would be available tomorrow. He said he knows it's a lotof work and he didn't want to put added pressure on you. He thought it would be good for Dr. Chen to have thenotes tomorrow before wednesday's board meeting. I told him I would relay the inquiry.-Thanks,Tutrecia------Original Message------From: Tawana BellamyCc: Tutrecia GilesSubject: FW: TPCHD's intended ban/restrictions on E-cigarettesSent: May 16, 2011 7:35 PM

This came today, but says it was sent on 5/5/11. Might be a duplicate.

Tawana





Since then, a convenience store chain started selling full E-cig kits

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for $20, with 10-pk refills for about $10 (refills for thehand-me-down one was $19.99/5-pk). They are available in a variety ofstrengths of nicotine, as well as zero-nicotine. I started with the22mg nicotine cartridges, am happy to report that I am now down to the5mg cartridges and plan to switch to the zero-nicotine in the nearfuture. I view this as a huge success, and therefore feel I must voicemy objection to your intended ban on low-cost e-cigs (unless aparticular brand is proven to contain other-than nicotine andglycerin), and on your intended ban on E-cig coupons (you have notbanned cigarette coupons, have you?).



In closing, I ask that you add me to your Interested Parties Listregarding any meetings or actions relating to your efforts at banningor restricting E-cigs in Pierce County.

Thank you,

Stacy Emerson1809 99th Street EastMidland (Tacoma), WA 98445253-921-6874

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From: Tutrecia GilesTo: Tawana Bellamy

Date: 5/17/2011 10:29:18 AMSubject: Re: TPCHD's intended ban/restrictions on E-cigarettes

Thanks, TawanaSteve asked if the notes/transcription of the public meeting would be available tomorrow. He said he knows it's a lotof work and he didn't want to put added pressure on you. He thought it would be good for Dr. Chen to have thenotes tomorrow before wednesday's board meeting. I told him I would relay the inquiry.-Thanks,Tutrecia------Original Message------From: Tawana BellamyCc: Tutrecia GilesSubject: FW: TPCHD's intended ban/restrictions on E-cigarettesSent: May 16, 2011 7:35 PM

This came today, but says it was sent on 5/5/11. Might be a duplicate.

Tawana





Since then, a convenience store chain started selling full E-cig kitsfor $20, with 10-pk refills for about $10 (refills for thehand-me-down one was $19.99/5-pk). They are available in a variety ofstrengths of nicotine, as well as zero-nicotine. I started with the22mg nicotine cartridges, am happy to report that I am now down to the5mg cartridges and plan to switch to the zero-nicotine in the nearfuture. I view this as a huge success, and therefore feel I must voicemy objection to your intended ban on low-cost e-cigs (unless aparticular brand is proven to contain other-than nicotine andglycerin), and on your intended ban on E-cig coupons (you have notbanned cigarette coupons, have you?).

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In closing, I ask that you add me to your Interested Parties Listregarding any meetings or actions relating to your efforts at banningor restricting E-cigs in Pierce County.

Thank you,

Stacy Emerson1809 99th Street EastMidland (Tacoma), WA 98445253-921-6874

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Date: 5/17/2011 5:34:00 PMSubject: RE: Wed BOH Meeting

Very interesting- thanks for letting me know.Â Kirsten From: Bruce RytkonenSent: Tuesday, May 17, 2011 12:40 PMTo: Kirsten FrandsenSubject: Wed BOH Meeting This is a surprise to me. At the TAP meetings Joanna was (I believe) not a supporter of e-cigs. And at the last TAP meeting I had every indication that sheâ€™d be providing testimony. It will be interesting to see how she and Heidi interact at the next TAP meeting. From: Joanna [mailto:[email protected]]Sent: Tuesday, May 17, 2011 11:58 AMTo: Bruce RytkonenSubject: Re: Wed BOH Meeting Hi Bruce, I'm unable to make it. I needed to schedule something into that time. I may have given comments that would not be ideal, though, too.Because my message is more about freedom of choice, and some I know cite the e-cigs as a stepping stone to their quit, and I feel strongly about there being lots and lots of options, it may be best if I'm not there to offer my thoughts, anyway. I went back and forth about this and that is where I landed. Lots of variables! Thanks, Joanna Joanna CummingsM.Ed., LMHC, LADAC, NCCKick Butts, Take Names:It's All About Freedom.KickButtsTakeNames.com

From: Bruce Rytkonen <[email protected]>To: "Cummings, Joanna" <[email protected]>Sent: Tue, May 17, 2011 10:35:01 AMSubject: Wed BOH Meeting

Hi Joannaâ€¦.are we going to see you tomorrow at the 3:00 at the BOH meeting to make a comment to the Board?*************************************************************************************


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Date: 5/17/2011 5:34:00 PMSubject: RE: Wed BOH Meeting

Very interesting- thanks for letting me know.Â Kirsten From: Bruce RytkonenSent: Tuesday, May 17, 2011 12:40 PMTo: Kirsten FrandsenSubject: Wed BOH Meeting This is a surprise to me. At the TAP meetings Joanna was (I believe) not a supporter of e-cigs. And at the last TAP meeting I had every indication that sheâ€™d be providing testimony. It will be interesting to see how she and Heidi interact at the next TAP meeting. From: Joanna [mailto:[email protected]]Sent: Tuesday, May 17, 2011 11:58 AMTo: Bruce RytkonenSubject: Re: Wed BOH Meeting Hi Bruce, I'm unable to make it. I needed to schedule something into that time. I may have given comments that would not be ideal, though, too.Because my message is more about freedom of choice, and some I know cite the e-cigs as a stepping stone to their quit, and I feel strongly about there being lots and lots of options, it may be best if I'm not there to offer my thoughts, anyway. I went back and forth about this and that is where I landed. Lots of variables! Thanks, Joanna Joanna CummingsM.Ed., LMHC, LADAC, NCCKick Butts, Take Names:It's All About Freedom.KickButtsTakeNames.com

From: Bruce Rytkonen <[email protected]>To: "Cummings, Joanna" <[email protected]>Sent: Tue, May 17, 2011 10:35:01 AMSubject: Wed BOH Meeting

Hi Joannaâ€¦.are we going to see you tomorrow at the 3:00 at the BOH meeting to make a comment to the Board?* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *Thi s e- mai l and any at t achment s may cont ai n conf i dent i al and pr i v i l eged i nf or mat i on. I t has been scanned f or v i r uses. I f you ar e not t he i nt ended r eci pi ent , pl ease not i f y t he sender i mmedi at el y by r et ur n e- mai l , del et e t hi s e- mai l and dest r oy any copi es. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

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From: Bruce RytkonenTo: Bridget Vandeventer


Subject: Telecon

A call/voice-mail message came in to the person in the cubicle next to me from a Bob Alexander [206-760-6018]. He said that he was at the public meeting last night but didn’t have the names of the panelists. I called him backthinking that he would ask for those names. He didn’t……but he did ask about what would be the next steps inthe process of the BOH voting on the regulations….specifically e-cigs. I asked him who he was with and he saidhimself and that he had been writing about e-cigs for about a year. I advised him of the following:





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From: Tutrecia GilesTo: Steve Marek


Date: 5/17/2011 12:32:06 PMSubject: transcript of public meeting


-----Original Message-----From: Tawana BellamySent: Tuesday, May 17, 2011 9:24 AMTo: Tutrecia GilesSubject: RE: TPCHD's intended ban/restrictions on E-cigarettes

I will work on getting the notes and public comments typed up today.

Tawana

-----Original Message-----From: Tutrecia GilesSent: Tuesday, May 17, 2011 7:29 AMTo: Tawana BellamySubject: Re: TPCHD's intended ban/restrictions on E-cigarettes

Thanks, TawanaSteve asked if the notes/transcription of the public meeting would be available tomorrow. He said he knows it's a lotof work and he didn't want to put added pressure on you. He thought it would be good for Dr. Chen to have thenotes tomorrow before wednesday's board meeting. I told him I would relay the inquiry.-Thanks,Tutrecia

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From: Anthony ChenTo: Cindy DeGrosse ([email protected])

Cindy Leingang ([email protected])Cindy Willis ([email protected])Connie Perry ([email protected])Dick Muri ([email protected])DO Stan Flemming ([email protected])Kathy McVayWalker, LaurenLeslie Swalley ([email protected])Marilyn Strickland ([email protected])Mark Williams ([email protected])Pat McCarthy ([email protected])Patricia Johnson ([email protected])Rebecca Sullivan ([email protected])Rick Talbert ([email protected])Victoria Woodards ([email protected])

Date: 5/18/2011 3:25:10 PMSubject: May 16, 2011 Proposed Tobacco Regulations Meeting Minutes & Comments

Attachments: Comments from Tobacco Mtg 051611.pdf051611 - Public Meeting - Proposed Tobacco Regulations SM MINS.docx

Dear Board of Health members, Attached is a transcript of the comments made by the public at the meeting on Monday evening. We willsummarize these this afternoon, but I wanted you to have them in full prior to the meeting. We are very pleased with the level of engagement from the community, and appreciate the public discourse thathas taken place thus far regarding these proposed regulations. We do anticipate more feedback to be presentedtoday, and will enter that into the public record as well. Thanks,Anthony L-T Chen, MD, MPHDirector of HealthTacoma-Pierce County Health Department3629 South D StreetTacoma, WA 98418-6813Phone: 253-798-6411Fax: [email protected]

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From: [email protected] <[email protected]>To: Laurie Jinkins

Date: 5/18/2011 12:17:30 AMSubject: Re: Modified proposal messages

Attachments: May_2011_Tobacco_Regulations_modification_revLAJ.docx

I've done some edits to the proposed language too. My feeling is that these are not key messages. They're good talking points, however, I think that our key messages get lost in them. From my point of view, our key messages need to explain succently why we're doing what we're doing. The talking points discuss a lot of process, which is important, but that's not the substance of why this is a good regulation. They may not be the most articulately put, but I think wehave 3 key messages:

We are very pleased with how engaged members of the Pierce County community, on all sides of the issue, have been in discussing the serious public health issues raised by e-cigarettes. The Tacoma-Pierce County Health Department's mission is to safeguard and enhance the health of communities in Pierce County. The proposal we are putting forth today cleary advances our mission. It both safeguards and enhances the health of our communities.There are a number of elements to the proposal. The most important piece(s) of the proposal is agreed upon by virtually everyone who commented on the issue: children should not have access to or be exposed to e-cigarettes, (we could add more here).

Beyond this, I think we want to ask Board members to say things like:

I am so pleased that this proposal protects our kids. We know that smoking kills and making sure that our youth don't have access to an "entry drug" for smoking is very important. I'm also glad to know that nearly everyone who commented on the proposal agreed with this.I respect the work that the health department staff did in engaging the community on this issue and I am also impressed with their willingness to listen to feedback from our community, even when there is not unanimity on the issue.I am skeptical that e-cigarettes are safe or healthy or actually help people quit smoking, however, as health department staff recognize, skepticism is not enough to base a regulation on. I look forward to seeing a report from health department staff sometimie in the next two years discussing the state of research, public concern, production and marketing of e-cigarettes.

-----Original Message-----From: Laurie Jinkins <[email protected]>To: '[email protected]' <[email protected]>Sent: Tue, May 17, 2011 8:31 pmSubject: Fw: Modified proposal messages

From: Anthony ChenSent: Tuesday, May 17, 2011 06:37 PMTo: Bridget Vandeventer; Laurie Jinkins; Steve MarekCc: Frank Dibiase; Kirsten Frandsen; Madigan ResidentSubject: RE: Modified proposal messages Here are my edits. I made some policy decisions (see comments) which I need feedback on before my meeting with Dick and Stan at 2:30 before the BOH meeting. AC From: Bridget VandeventerSent: Tuesday, May 17, 2011 5:31 PMTo: Anthony Chen; Laurie Jinkins; Steve MarekCc: Frank Dibiase; Kirsten Frandsen; Madigan ResidentSubject: Modified proposal messages Hi Anthony and team,Attached is my draft of messages for tomorrow, outlining the results of the public process and the modified proposal. These basically become the outline of Anthonyâ€™s comments for tomorrowâ€™s meeting. Once we finalize these, they become the basis of other communications; letters to staff, any media, etc. Please let me know your feedback. Also, I wanted to share this article/notice from CASAA that posted to the site today.http://www.casaa.org/news/article.asp?articleID=175&l=a&pMy read on this is that a.) they feel duped that BOH members werenâ€™t there yesterday and that this wasnâ€™t the â€œrealâ€• meeting for sharing feedback and b.) they are calling for their supporters to come out tomorrow as well. Just for discussion, I think we should consider having someone make a call to Thad from CASAA to soft sound the modified proposal with him in an effort to soften the angst they may come with tomorrow. Iâ€™minterested in your opinions on this. Thanks!Bridget

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


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From: Adria MoskowitzTo: Frank Dibiase

George HermosilloDate: 5/19/2010 6:57:24 PM

Subject: Minutes from 5-19 PUSH MeetingAttachments: PUSH 5-19-10.doc

For correction and/or amending before sending out to PUSH team

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From: Info TPCHDTo: David Vance

Date: 5/19/2011 5:26:42 PMSubject: FW: E-cigs and zero Nicotine

From: Stanley Flemming [mailto:[email protected]]Sent: Thursday, May 19, 2011 1:02 PMTo: 'Matt Zukowski'; PCEXECUTIVE; [email protected]: Director; Info TPCHD; Dick Muri; [email protected]; [email protected]: RE: E-cigs and zero Nicotine Matt;Thank you for your email. I appreciate the concerns you have raised. Please know, as a physician, I am quitefamiliar with this product and the various solutions that can be used with it to include those that have no nicotinecontent. I likewise thank you for your continued interest in this issue.stan Stan FlemmingMember of Council, Pierce CountyDistrict [email protected] From: Matt Zukowski [mailto:[email protected]]Sent: Tuesday, May 17, 2011 10:30 AMTo: Stanley Flemming; PCEXECUTIVE; [email protected]: [email protected]; [email protected]; Dick Muri; [email protected]; [email protected]: E-cigs and zero Nicotine Dear Stan Flemming and other interested parties, I was told after the public meeting that you were unaware that e-fluid for personal vaporizers has the option for zeronicotine, and zero nicotine is actually used by some former smokers. I personally have only going down as low as12mg/ml. Dr. Anthony Chen, who didn't even bother to attend the meeting, seems to be under the belief that kids who want toblow smoke rings, but don't want tobacco, will experiment with personal vaporizers. It's a little far fetchedthat adolescents will spend in excess of $80 just for the benefit of smoke rings without tobacco. Still, if they are sohealth conscious to avoid tobacco, odds are they'd avoid nicotine. Even then, they'd have to find a shop that allowedminors inside, which frankly does not exist in Pierce County. Still we accept the risk when it comes to FDAapproved NRPs like the patch, gum, and lossage despite objective evidence that they are ineffective at promotingsmoking cessation. Kids do experiment with NRPs, but like personal vaporizers they are cost prohibitive and noevidence to date exists that nicotine in any delivery system outside of real tobacco leads to a life long addiction. IfNRPs are an acceptable risk and are shown to be quite ineffective at promoting cessation, then a product used byformer smokers who are not smoking should be equally an acceptable risk. Not applying the smoking ban to e-cigarettes makes sense since there is no objective benefit that they cause harm tothe user and by-standards, and provides an objective benefit to those who represent the hard core addicted of beingable to use personal vaporizers indoors. Until further studies are conducted, we can still say there is the side benefitof these users not smoking, and reducing their purchase of the real thing. If it's the objective goal of the Health Department to reduce smoking in Pierce county, and we can't make tobacco

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illegal, the only way we can do is make the cigarette industry less viable. A competing product that all evidence todate suggest doesn't kill the user, can do just that. I stopped buying cigarettes in under a month after a friend boughtme my first personal vaporizer in late January 2011. I broke the habit of going outside to smoke in favor of vapingindoors. The only rational response to e-cigarettes is healthy skepticism and putting the product to objective evaluation. Given the potential benefit of making the tobacco industry less viable, a ban at this juncture is not indicated. Until thesame standard of evidence exists that put the smoking ban into place exists, this is a freedom of expression issue, myfreedom to use a personal vaporizer in public and tell kids that cigarettes are so addictive that as an adult, I mustpretend to smoke to not smoke. We are on the same side, and I hope Pierce County sees the wisdom of acting on objective evidence rather thanconjecture.

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From: TPCHD Help DeskTo: Janet Azevedo

Date: 5/19/2011 8:20:28 PMSubject: FW: Posting Latest on Sharepoint

Attachments: May 19.pdf

From: Bridget VandeventerSent: Thursday, May 19, 2011 5:20:26 PM (UTC-08:00) Pacific Time (US & Canada)To: Brad Costello; Shirley KnudsonCc: TPCHD Help DeskSubject: Posting Latest on Sharepoint

Hi Brad and Shirley,I’m hoping one of you can post the Latest on Sharepoint. We ran into some scheduling/timing challenges today,so we’re just going to have to be late. I think that Brad might be out tomorrow, so I’m adding the Helpdesk in caseI need someone else to post for me. I need it to go first thing in the morning. And as a side note: I need to get permissions to post myself so I don’t have to keep relying on you all. Thanks!Bridget Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Bridget VandeventerTo: Brad Costello

Shirley KnudsonDate: 5/19/2011 8:20:26 PM

Subject: Posting Latest on SharepointAttachments: May 19.pdf

Hi Brad and Shirley,I’m hoping one of you can post the Latest on Sharepoint. We ran into some scheduling/timing challenges today,so we’re just going to have to be late. I think that Brad might be out tomorrow, so I’m adding the Helpdesk in caseI need someone else to post for me. I need it to go first thing in the morning. And as a side note: I need to get permissions to post myself so I don’t have to keep relying on you all. Thanks!Bridget Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Stanley Flemming <[email protected]>To: 'Matt Zukowski'

[email protected]

Date: 5/19/2011 4:01:38 PMSubject: RE: E-cigs and zero Nicotine

Matt;Thank you for your email. I appreciate the concerns you have raised. Please know, as a physician, I am quitefamiliar with this product and the various solutions that can be used with it to include those that have no nicotinecontent. I likewise thank you for your continued interest in this issue.stan Stan FlemmingMember of Council, Pierce CountyDistrict [email protected] From: Matt Zukowski [mailto:[email protected]]Sent: Tuesday, May 17, 2011 10:30 AMTo: Stanley Flemming; PCEXECUTIVE; [email protected]: [email protected]; [email protected]; Dick Muri; [email protected]; [email protected]: E-cigs and zero Nicotine Dear Stan Flemming and other interested parties, I was told after the public meeting that you were unaware that e-fluid for personal vaporizers has the option for zeronicotine, and zero nicotine is actually used by some former smokers. I personally have only going down as low as12mg/ml. Dr. Anthony Chen, who didn't even bother to attend the meeting, seems to be under the belief that kids who want toblow smoke rings, but don't want tobacco, will experiment with personal vaporizers. It's a little far fetchedthat adolescents will spend in excess of $80 just for the benefit of smoke rings without tobacco. Still, if they are sohealth conscious to avoid tobacco, odds are they'd avoid nicotine. Even then, they'd have to find a shop that allowedminors inside, which frankly does not exist in Pierce County. Still we accept the risk when it comes to FDAapproved NRPs like the patch, gum, and lossage despite objective evidence that they are ineffective at promotingsmoking cessation. Kids do experiment with NRPs, but like personal vaporizers they are cost prohibitive and noevidence to date exists that nicotine in any delivery system outside of real tobacco leads to a life long addiction. IfNRPs are an acceptable risk and are shown to be quite ineffective at promoting cessation, then a product used byformer smokers who are not smoking should be equally an acceptable risk. Not applying the smoking ban to e-cigarettes makes sense since there is no objective benefit that they cause harm tothe user and by-standards, and provides an objective benefit to those who represent the hard core addicted of beingable to use personal vaporizers indoors. Until further studies are conducted, we can still say there is the side benefitof these users not smoking, and reducing their purchase of the real thing. If it's the objective goal of the Health Department to reduce smoking in Pierce county, and we can't make tobaccoillegal, the only way we can do is make the cigarette industry less viable. A competing product that all evidence todate suggest doesn't kill the user, can do just that. I stopped buying cigarettes in under a month after a friend boughtme my first personal vaporizer in late January 2011. I broke the habit of going outside to smoke in favor of vapingindoors.

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From: Selina ChamblissTo: Gregory Conley

Date: 5/19/2011 5:01:58 PMSubject: RE: Public Records Request

Attachments: May 16 Pub Hearing Sign In.pdfMay 18 BOH Sign In.pdf051611 - Public Meeting - Proposed Tobacco Regulations SM MINS.pdf

May 19, 2011 Gregory Conley10 Dakota TrailMedford, NJ 08055 Re: Public Records Request dated May 18, 2011 Dear Mr. Conley, The Tacoma-Pierce County Health Department received your public records request in our office on May 18, 2011 requesting the following items:

1) Transcript of May 16, 2011 Board of Health public hearing2) Sign-in sheet of May 16, 2011 Board of Health public hearing3) Sign-in sheet of May 18, 2011 Board of Health meeting

I am attaching the documents you requested to this email. If you have any questions please feel free to contact me. Thank you! Sincerely, Selina ChamblissOffice of the DirectorConfidential Assistant II(253) 798-3536 From: Gregory Conley [mailto:[email protected]]Sent: Wednesday, May 18, 2011 1:19 PMTo: Selina ChamblissSubject: Re: Public Records Request Selina,

Please see attached. I'd appreciate a follow-up e-mail to confirm receipt.

Thank you

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On Wed, May 18, 2011 at 4:11 PM, Selina Chambliss <[email protected]> wrote:Here you go! Selina ChamblissConfidential Assistant IIOffice of the Director(253) 798-3536Tacoma-Pierce County Health DepartmentHealthy People in Healthy Communities

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


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From: Frank DibiaseTo: Tawana Bellamy

Date: 5/20/2011 6:16:48 PMSubject: BOH - EH Code Chapter 9 E-Cigs.docx

Attachments: BOH - EH Code Chapter 9 E-Cigs.docx

Here’s another BOH action request for June 1 BOH mtg

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From: Don WilsonTo: Kirsten Frandsen

Date: 5/20/2011 2:15:32 PMSubject: File

Attachments: Staff Report E-Cigs Final.docx

Don Wilson

PC Support AnalystTacoma Pierce County Health DepartmentEmail: [email protected]: (253) 798-6452

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From: Don WilsonTo: IS Team

Date: 5/20/2011 10:45:54 AMSubject: FW: Posting Latest on Sharepoint

Attachments: May 19.pdf

I don’t have rights to upload this to the correct directory. Can someone help Bridget getting this up? Also, can wegive Bridget permissions to upload the Latest herself? Don Wilson

PC Support AnalystTacoma Pierce County Health DepartmentEmail: [email protected]: (253) 798-6452 From: Bridget VandeventerSent: Thursday, May 19, 2011 5:20 PMTo: Brad Costello; Shirley KnudsonCc: TPCHD Help DeskSubject: Posting Latest on SharepointImportance: High Hi Brad and Shirley,I’m hoping one of you can post the Latest on Sharepoint. We ran into some scheduling/timing challenges today,so we’re just going to have to be late. I think that Brad might be out tomorrow, so I’m adding the Helpdesk in caseI need someone else to post for me. I need it to go first thing in the morning. And as a side note: I need to get permissions to post myself so I don’t have to keep relying on you all. Thanks!Bridget Bridget VandeventerCommunications and Community Relations ManagerTacoma-Pierce County Health Department253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected]

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From: Steve MarekTo: Tawana Bellamy

Date: 5/20/2011 10:06:54 AMSubject: FW: Steve Marek Performance Review.docx 2011.docx 3.docx

Attachments: Steve Marek Performance Review.docx 2011.docx 3.docx

Hi Tawana. I filled this out on the wrong form. I will get the correct one to you in next couple of days. From: Steve MarekSent: Wednesday, May 18, 2011 1:27 PMTo: Tawana BellamySubject: Steve Marek Performance Review.docx 2011.docx 3.docx Here is a link to my PE with part 2 filled out. Let me know if you need anything else. Thanks.

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From: Bridget VandeventerTo: Danette Gundy

CommunicationTeamKirsten Frandsen

Date: 5/23/2011 6:34:40 PMSubject: RE: Signs posted on Glass Front Door

Thanks for being so vigilant Danette! The no e-cigarette signs were temporarily placed for the public meeting on Monday evening and the BOHmeeting on Wednesday afternoon. This was to prevent the e-cigarette proponents from smoking them in theauditorium to prove a point during the meetings. The signs technically belong to Kirsten and her team, so I’ve added her here in case she would like them back. Thanks! Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Danette GundySent: Monday, May 23, 2011 12:44 PMTo: CommunicationTeamSubject: Signs posted on Glass Front Door Did anyone approve the No e-cigarettes sign that was placed on the glass door to our entrance? Just a reminderthat there is a policy regarding signage—communication liaisons are to approve them before they are posted andonly in locations that were agreed on (entrance doors were not to be used). If this is an employee who postedthem without approval – then we should be educating them with the policy. I did pull them off the front entrance upstairs – if they are yours, let me know and I’ll give them back. Since this isan issue that our Board of Health and some HD staff are working on, then something like this should go throughBridget for her to review for accuracy and appropriateness. It would be easier if after you approved a sign to post that you initial the document—that way we know it’s beenpreapproved. Thanks, Danette GundyOffice AdministratorTacoma-Pierce County Health Department3629 S D St, MS: 1069Tacoma, WA 98418-6813 Phone: (253) 798-6482

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From: Frank DibiaseTo: Tawana Bellamy

Date: 5/23/2011 8:09:54 PMSubject: RE: Smoking Regulations - Board Ready

Thanks. From: Tawana BellamySent: Monday, May 23, 2011 5:09 PMTo: Frank DibiaseSubject: RE: Smoking Regulations - Board Ready Yes, that is correct. I will wait to make my corrections until I received the final word from you. From: Frank DibiaseSent: Monday, May 23, 2011 5:07 PMTo: Tawana BellamySubject: RE: Smoking Regulations - Board Ready Hi Tawana, I’ve asked Kirsten and her staff to review all the info provided by Greg to check grammar, possible typos, etc. Gregtypically gets it all correct, but we’ll double-check and get back in touch with you tomorrow. Your plan is to send outpackets on Wednesday. Is that correct?

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From: Tawana BellamySent: Monday, May 23, 2011 5:05 PMTo: 'Gregory Jacoby'Cc: Steve Marek; Frank DibiaseSubject: RE: Smoking Regulations - Board Ready Thanks Greg. I will add the resolution number as requested and format the first page so that there is no page number on the titlepage but on the first page of text. Thanks,Tawana From: Gregory Jacoby [mailto:[email protected]]Sent: Monday, May 23, 2011 4:59 PMTo: Tawana BellamyCc: Steve Marek; Frank DibiaseSubject: Smoking Regulations - Board Ready Tawana,The following documents are attached and should be included with the BOH’s packet for the June 1st meeting.

· Resolution adopting Chapter 8 (Local SIPP)· Chapter 8 Regulations· Resolution adopting Chapter 9 (E-Cigs)· Chapter 9 Regulations

The two resolutions will need resolution numbers inserted on the first and second pages (see highlighted text).If the BOH uses a different format, feel free to re-format the documents. With respect to the two regulations, if you are more familiar with Microsoft’s Word, could you try and figure outhow to format the regulations so that there is no page number on the title page and instead page 1 begins onthe first page of text. Thanks. Greg Gregory A. JacobyMcGavick Graves, P.S.1102 Broadway, Suite 500Tacoma, WA [email protected] The information contained in this e-mail message may be privileged, confidential and protected from disclosure. If you are not the intended recipient, any dissemination, distribution or copying is strictly prohibited. If you think

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

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Danette GundyCommunicationTeam

Date: 5/24/2011 9:12:56 AMSubject: RE: Signs posted on Glass Front Door

Danette and Communications Team, Danette- thanks for noticing the sign and pulling it off of the door. As Bridget mentioned, the signs were placedon the door specifically for 2 events and we inadvertently forgot to remove them. We do not need these signsback. Thanks again, Kirsten From: Bridget VandeventerSent: Monday, May 23, 2011 3:35 PMTo: Danette Gundy; CommunicationTeam; Kirsten FrandsenSubject: RE: Signs posted on Glass Front Door Thanks for being so vigilant Danette! The no e-cigarette signs were temporarily placed for the public meeting on Monday evening and the BOHmeeting on Wednesday afternoon. This was to prevent the e-cigarette proponents from smoking them in theauditorium to prove a point during the meetings. The signs technically belong to Kirsten and her team, so I’ve added her here in case she would like them back. Thanks! Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Danette GundySent: Monday, May 23, 2011 12:44 PMTo: CommunicationTeamSubject: Signs posted on Glass Front Door Did anyone approve the No e-cigarettes sign that was placed on the glass door to our entrance? Just a reminderthat there is a policy regarding signage—communication liaisons are to approve them before they are posted andonly in locations that were agreed on (entrance doors were not to be used). If this is an employee who postedthem without approval – then we should be educating them with the policy. I did pull them off the front entrance upstairs – if they are yours, let me know and I’ll give them back. Since this isan issue that our Board of Health and some HD staff are working on, then something like this should go throughBridget for her to review for accuracy and appropriateness. It would be easier if after you approved a sign to post that you initial the document—that way we know it’s beenpreapproved. Thanks, Danette GundyOffice AdministratorTacoma-Pierce County Health Department

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3629 S D St, MS: 1069Tacoma, WA 98418-6813 Phone: (253) 798-6482

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Steve MarekKirsten Frandsen

Date: 5/24/2011 4:03:28 PMSubject: RE: Smoking Regulations - Board Ready

Hi Bridget, Kirsten and her staff have just completed a review of the document which she’ll be sending to me. I’d like to take alook before we call the documents “final.” Also, in the meeting we had yesterday, it was agreed that the info wouldbe posted on our web site tomorrow to be sure Board members received the information first. Thanks. From: Bridget VandeventerSent: Tuesday, May 24, 2011 12:40 PMTo: Steve Marek; Kirsten FrandsenCc: Frank DibiaseSubject: RE: Smoking Regulations - Board Ready Hi Steve-Thanks for sharing. I’m updating the website copy now, and will send around for you all to approve hopefully by endof day. I think we should get these up on the website as soon as possible, and share with the media I’ve alreadybeen working with on the issue.

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Quick question: Are there any changes to the SIPP regulation? Thanks.Bridget Bridget Vandeventer253-798-2853 | cell: 253-405-6822 | [email protected] | [email protected] From: Steve MarekSent: Tuesday, May 24, 2011 7:28 AMTo: Bridget Vandeventer; Kirsten FrandsenCc: Frank DibiaseSubject: FW: Smoking Regulations - Board Ready Fyi. Here is what is going to the BOH next week. From: Gregory Jacoby [mailto:[email protected]]Sent: Monday, May 23, 2011 4:59 PMTo: Tawana BellamyCc: Steve Marek; Frank DibiaseSubject: Smoking Regulations - Board Ready Tawana,The following documents are attached and should be included with the BOH’s packet for the June 1st meeting.

· Resolution adopting Chapter 8 (Local SIPP)· Chapter 8 Regulations· Resolution adopting Chapter 9 (E-Cigs)· Chapter 9 Regulations

The two resolutions will need resolution numbers inserted on the first and second pages (see highlighted text).If the BOH uses a different format, feel free to re-format the documents. With respect to the two regulations, if you are more familiar with Microsoft’s Word, could you try and figure outhow to format the regulations so that there is no page number on the title page and instead page 1 begins onthe first page of text. Thanks. Greg Gregory A. JacobyMcGavick Graves, P.S.1102 Broadway, Suite 500Tacoma, WA [email protected] The information contained in this e-mail message may be privileged, confidential and protected from disclosure. If you are not the intended recipient, any dissemination, distribution or copying is strictly prohibited. If you think

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

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From: Adria MoskowitzTo: George Hermosillo

Date: 5/27/2010 2:47:38 PMSubject: Minutes from 5/19 PUSH Meeting

Attachments: 05-19-20.doc

Attached are the minutes from the 5/19 PUSH Meeting. I am emailing them to:Len, Nan and John because you are the only ones I have contact information for.I would appreciate e-mail addresses for Dennis if anyone has it.Also, if anyone can forward me Kelly's address, I will happily mail her a hard-copy as shedoesn't have e-mail-ability.

Thank you.Adria

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From: George HermosilloTo: Adria Moskowitz

Date: 5/27/2010 1:55:08 PMSubject: PUSH revised Minutes for May 19 2010

Attachments: PUSH Minutes for May 19 2010.doc

Hi Adria,

Thank you for taking minutes. I have revised and added info I thought was missing. Great job. I would like you tosend out the minutes to the group.

Thanks,

George Hermosillo, B.A; SDVCPrevention SpecialistTacoma Pierce County Health Dept.3629 So. D St.Tacoma, Wa. 98418(253) 798-7664(253) 405-8244 cellemail: [email protected]

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From: George HermosilloTo: Frank Dibiase

Date: 5/27/2010 7:14:34 PMSubject: Re: Push meeting minutes?

Attachments: PUSH Minutes for May 19 2010.doc

Hi Frank,

I've reviewed the minutes. Thanks for taking the time to go over them.

George

>>> Frank Dibiase 5/27/2010 3:40 PM >>>

Hi George,

Have you reviewed the minutes. Once you do please forward to me with any edits made. I'll check and get back toAdria. Thanks.

>>> Adria Moskowitz 05/27/2010 8:28 AM >>>

Before I left for VL, I'd sent PUSH meeting minutes to you and George for correcting/amending. I have not heardback from either of you and I was wondering what had happened?

Are you satisfied with the minutes or have changes been made?

Did one of you forward them to the PUSH group?Thank you for letting me know.

Adria

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tacoma-pierce county health department -- e-cigarette e-mails may 2011 part 2

Documents