Madison County -- Christine Green E-Mails Part 2 (E-Cigarette FOIA Request Results)

8/4/2019 Madison County -- Christine Green E-Mails Part 2 (E-Cigarette FOIA Request Results)

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rom: Green, Christie L (LHD-Madison Co)ent: Tuesday, January 11, 2011 12:27 PMo: Owens, Kelly S (LHD - Madison Co)

Cc: Hawkins, Ruth R (LHD-Madison Co)ubject: RE: P.O. for ads in Berea Citizen

Attachments: image001.jpg

hanks Kelly, will do.

n the future, if I am the one arranging for an ad – I’ll take responsibility for submitting a non-routine requisition tohe program director and completing a PO. That should keep it less complicated.

g

rom: Owens, Kelly S (LHD - Madison Co)ent: Tuesday, January 11, 2011 11:49 AM

o: Green, Christie L (LHD-Madison Co)Cc: Hawkins, Ruth R (LHD-Madison Co)

ubject: RE: P.O. for ads in Berea Citizen

never filled out purchase order for the ads. Please create one 836/125

Kelly S. Owens, MPH, CHES

obacco Prevention and Cessation Specialist/Health Educator II

Madison County Health Department

001 Ace Drive

erea, KY 40403

859) 228-2043

Web Address: www.madison-co-ky-health.org

Need Help Quitting? http://www.becomeanex.org/

y_quitline_logo_2010




Please consider the environment before printing this e-mail

rom: Green, Christie L (LHD-Madison Co)ent: Tuesday, January 11, 2011 9:07 AMo: Owens, Kelly S (LHD - Madison Co); Dixon, Marvin (LHD-Madison Co)ubject: P.O. for ads in Berea Citizen

Hello Kelly and Marvin,

Angie just brought me the bill for two ads – the environmental fee increase notice and the Clean Indoor Air Regulamendments invitation for public comment. Do you have PO’s for these? Or do I need to create them?

hanks,

g

Christie L. GreenDevelopment and Communications

ublic Information OfficerMadison County Health Dept.14 Boggs Lane

Richmond, KY 40476-120859-623-7312 cell 859-661-0853

www.madison-co-ky-health.org <http://www.madison-co-ky-health.org>..what it really takes to change the world isn't so much wealth or power as creativity, determination and passion."

Nicholas Kristof

Please consider the environment before printing this e-mail.

NOTICE OF CONFIDENTIALITY: This e-mail, including any attachments, is intended only for the use of thendividual or entity to which it is addressed and may contain confidential information that is legally privileged andxempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you areotified that any review, use, disclosure, distribution or copying of this communication is strictly prohibited. If youave received this communication in error, please contact the sender by reply e-mail and destroy all copies of theriginal message.

rom: Green, Christie L (LHD-Madison Co)ent: Monday, December 13, 2010 11:27 AM




o: Owens, Kelly S (LHD - Madison Co)ubject: FW: Tobacco Program Ad

Hello Kelly,

Here’s the price for the Richmond ad – it ran in Sunday’s paper, as well as a local brief on A2 in Saturday’s paper.will forward those in interoffice mail

hanks,

g

rom: Classified Advertising [mailto:[email protected]]ent: Friday, December 10, 2010 3:15 PMo: Green, Christie L (LHD-Madison Co)ubject: Tobacco Program Ad

Hi, Christie --

have received your ad and have scheduled it to run Sunday, December 12th, as you requested. Your total is $133will forward a tear sheet for your reference.

f you should have any questions, don't hesitate to contact me. I'll be happy to help.

hank you.-

Kathy SmithClassified Advertising ExecutiveRichmond Register

.O. Box 99Richmond, KY 40476-0099

hone: 859-624-6681ax: 859-623-2337

rom: Green, Christie L (LHD-Madison Co)ent: Friday, December 10, 2010 12:25 PMo: 'Lorie Love Hailey'ubject: clean indoor air public comments legal advert

Attachments: Press Release - Clean Indoor Air Regulation public comment.docx

Hello Lorie,

Attached is the language for the clean indoor amendments public comment period. We would like to run it on SundDecember 12th. Please ask the ad department to send me a cost via email so that I can do a requisition. Also, it welp us if they stipulate “tobacco program” on the billing invoice.

appreciate your help with this.




Have a good weekend,

g

S – Ronica’s flu article was very informative with lots of good information. I hope all is going well for her.



Richmond, KY 40476-120859-623-7312 cell 859-661-0853

www.madison-co-ky-health.org <http://www.madison-co-ky-health.org>..what it really takes to change the world isn't so much wealth or power as creativity, determination and passion."

Nicholas Kristof



rom: Farris, Leslie D (LHD-Madison Co)ent: Monday, March 21, 2011 5:59 PMo: Green, Christie L (LHD-Madison Co)ubject: RE: E-Cigarettes and Smoke-free Policies

ounds just fine to me.

Have a good evening

rom: Green, Christie L (LHD-Madison Co)ent: Monday, March 21, 2011 5:54 PMo: Hensley, Martin (LHD-Madison Co ); Farris, Leslie D (LHD-Madison Co)ubject: FW: E-Cigarettes and Smoke-free Policiesmportance: High




think we shouldn’t respond to this as “web contacts.” Kelly and Ruth can sort it out. I will mention it at branchhiefs in the morning to make sure that Nancy is aware of it.

hanks,

g



Richmond, KY 40476-120859-623-7312 cell 859-661-0853

www.madisoncountyhealthdept.org <http://www.madison-co-ky-health.org>..what it really takes to change the world isn't so much wealth or power as creativity, determination and passion."

Nicholas Kristof



rom: Elaine Keller [mailto:[email protected]]ent: Monday, March 21, 2011 5:51 PMo: Owens, Kelly S (LHD - Madison Co)

Cc: [email protected]; Owens, Kelly S (LHD - Madison Co); [email protected]; mchd@madisoncountyhealthdeptubject: E-Cigarettes and Smoke-free Policies

Dear Ms. Owens:

he Consumer Advocates for Smoke-free Alternatives Association (CASAA) is pleased to be able to provide you wnformation regarding research on electronic cigarettes. CASAA is a non-profit organization that works to ensure thvailability of reduced harm alternatives to smoking and to provide smokers and non-smokers alike with truthfulnformation about such alternatives.

he document “E-cigarettes and Smoke-free Policies” posted on the Madison County Health Department web site




http://www.madisoncountyhealthdept.org/Documents/Community/One-pager%20e-igarettes%20and%20Secondhand%20Smoke%20EH%20112110.pdf) contains many inaccuracies. Only one of thources (Trtchounian et al, 2010) describes the findings of research conducted on electronic cigarettes. The remainources include a press release, opinion pieces, and research conducted on smoke. This document appears to be ban a document of the same name produced by the Tobacco Policy Research Program at the University of Kentuckyam copying Ellen Hahn on this message as well.

ullet points in the document regarding the FDA’s testing of 18 cartridges are based on an FDA press conference,ather than the on the laboratory report issued by the scientist who conducted the testing.ttp://www.fda.gov/downloads/Drugs/ScienceResearch/UCM173250.pdf

naccurate statements were lifted verbatim from the press release, e.g. “they contain carcinogens and toxic chemicauch as diethylene glycol, an ingredient used in antifreeze.” The truth of the matter is that the 8 nanograms of tobapecific nitrosamines (TSNAs) found in the liquid of a “high” dose cartridge are no more likely to cause cancer thahe 8 nanograms of the very same TSNAs in a 21-mg Nicoderm patch. No TSNAs were detected in the vapor. The

was only one potentially toxic chemical found, again in the liquid but not the vapor. However, the quantity of

iethylene glycol (DEG) that the FDA measured was 0.01 ml -- thousands of times below the toxic level of 1 ml peg. Screening for tobacco-specific impurities in the vapor was negative except for a non-toxic quantity of ?-Nicoty

When you compare the lab report to statements in the press release, it becomes obvious that the FDA found nothinghe e-cigarettes tested that would endanger health. However, the Agency used inflammatory wording in its pressonference to make it appear as though the using an e-cigarette is more dangerous than continuing to smoke. Thatgregious behavior on the part of officials of an Agency charged with protection of public health.

Henningfield and Zaatari might suspect that e-cigarettes emit carcinogens, but the scientists who actually studied thapor have found no carcinogens--or any other harmful substance--in vapor. One such scientist is Dr. Murrayaugesen of Health New Zealand who has been studying e-cigarettes for over four years. He states, “Lacking anyctive ingredient or any gaseous products of combustion, the PG mist or ‘smoke’ is not harmful to bystanders.” Mhan one researcher has found that e-cigarette vapor contains only one-tenth the amount of nicotine as a puff of obacco smoke, and most of the nicotine is absorbed by the user, rather than exhaled.

lieman’s research was conducted on smoke residue. Including bullet points that imply Slieman’s study results arepplicable to e-cigarette vapor is a gross misrepresentation of the science.

n 1990, there were 43.8 million smokers. Twenty years later that number stands at over 46 million smokers. Themoking prevalence statistics and the smoking cessation rates tell us quite clearly that a more effective approach iseeded. In “Harm Reduction in Nicotine Addiction: Helping Smokers Who Can’t Quit”, a 2007 report by the Toba

Advisory Group for the Royal College of Physicians, the authors discuss the relative harm of different nicotineroducts. They state that many lives could be saved and much morbidity prevented if we recommended that smokeubstitute less hazardous alternatives for smoking.




All of the smoking cessation programs in existence today are based on the concept of imposing nicotine abstinencepproach that does not work for the overwhelming majority of smokers. When used as directed, to wean down andicotine, the FDA-approved products have a 7% success rate at 6 months, dropping to 5% at one year, and only 2%fter 20 months. (Moore D, Aveyard P, Connock, M, Wang D, Fry-Smith A, Barton P: Effectiveness and safety oicotine replacement therapy assisted reduction to stop smoking: systematic review and meta-analysis. BMJ 338:b1009.)

he success rates reported in surveys of e-cigarette users indicate that the harm reduction approach is much moreffective than the nicotine abstinence approach. In studies limited to a single product, success rates of 31% have beported (Siegel, et al. Electronic Cigarettes as a Smoking-Cessation Tool: Results from an Online Survey. Americournal of Preventive Medicine. http://www.ajpm-online.net/webfiles/images/journals/amepre/AMEPRE3013.pdf).

m sure you will agree that a 6-month point prevalence rate of smoking abstinence of 31% is superior to a 7% ratemoking abstinence.

Now what happens if you don’t limit users to a single product, allow them to find the combination of hardware andquid that works best for them, and provide advice and assistance by an online community of experienced users?uccess rates soar. A survey of 270 e-cigarette consumers (303 before excluding possible duplicates) found that 1moked before starting to use the e-cigarette, 92% had tried to stop smoking—63% trying 4 or more times to do sond 87% had tried pharmaceutical nicotine products. Only 1% reported that pharmaceutical products helped them top smoking permanently. How well did the e-cigarette work? Only 3% were using the product in addition tomoking, 15% were using them as a partial replacement for smoking, and an astonishing 82% were using them as omplete replacement for smoking.

Which would save more lives? If a range of 2% to 7% of smokers can quit nicotine altogether, or if a range of 31%2% of smoker are able to abstain from smoking but use a less hazardous alternative source of nicotine?

n the case of Smoking Everywhere and Sottera (dba NJOY) versus the U.S. Food and Drug Administration, theHonorable Richard J. Leon, of the U.S. District Court for the District of Columbia stated that the FDA failed torovide any evidence that the products have harmed anyone. Since that opinion was issued, millions more of theroducts have been sold; and to date there have been zero reports of any serious adverse event. Side effects reportre no different from those reported with use of FDA-approved nicotine products.

oth the lower court and the U.S. District Court of Appeals for the District of Columbia have issued opinions that, ong as vendors make no claims that electronic cigarettes can cure or treat a disease, the FDA cannot regulate theroducts as a drug or drug-delivery device combination under the Food Drug and Cosmetics Act. If electronicigarettes are marketed without health claims, the FDA can use the authority granted under the Family Smokingrevention and Tobacco Control Act to regulate e-cigarettes as tobacco products.




here is no evidence that vapor presents any sort of danger to bystanders. In fact the same surveys that reportxceptional rates of smoking abstinence with e-cigarette use also report that more than 90% of users are experienciealth improvements. Given that fact, how could the vapor they exhale possibly endanger the health of bystanders

When continuing smokers see electronic cigarette users staying in a nice, climate-controlled environment while there exiled outside to the elements, this observation can serve as a powerful incentive. They may think, “Why not g-cigarettes a try?” Many e-cigarette users at first had no intention of quitting smoking. But once they began usin

-cigarette, they no longer had any urge to smoke.

CASAA has revised “E-cigarettes and Smoke-free Policies” to provide a more accurate picture of the scientific facbout e-cigarettes. A copy is attached. I have sent a printed copy of this document to members of the Madison

County Board of Health. Feel free to contact me with any questions you might have.

Very truly yours,

laine Keller

CASAA Vice President

ttp://www.casaa.org <http://www.casaa.org/>

703) 244-8692

rom: Classified Advertising [[email protected]]ent: Friday, December 10, 2010 3:15 PMo: Green, Christie L (LHD-Madison Co)ubject: Tobacco Program Ad

Hi, Christie --

have received your ad and have scheduled it to run Sunday, December 12th, as you requested. Your total is $133will forward a tear sheet for your reference.

f you should have any questions, don't hesitate to contact me. I'll be happy to help.

hank you.-

Kathy SmithClassified Advertising ExecutiveRichmond Register

.O. Box 99Richmond, KY 40476-0099

hone: 859-624-6681ax: 859-623-2337

Madison County -- Christine Green E-Mails Part 2 (E-Cigarette FOIA Request Results)

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