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County Health Department Reports Few Problems with New Smoke Free Law

E (lectronic) Cigarettes Not Covered by Law, But State Discourages Use

May 22, 2010       1 Comments
By: Dave Rogers

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Although e-cigarettes are not covered under Michigan's smoke-free air law, businesses may set their own policy banning the use of e-cigarettes in their establishment.
 

The Bay County Health Department official charged with enforcing the state's new Dr. Ron Davis Smoke-Free Air Law says few problems have arisen so far.

"We thought we would be inundated with complaints, but that hasn't happened," said Joel Strasz, public services manager of the health department.

An estimated 75-78 percent of the public does not smoke, said Mr. Strasz.

Smoking is prohibited in most public places in Michigan, including workplaces and food service establishments. The law covers restaurants, bars, hotel-motel guest rooms, shopping malls, bowling alleys, concert halls, arenas, museums, mechanic's shops, health facilities, nursing homes, educational facilities and child care centers.

Living units of apartments and condominium buildings are not covered by the law, but common areas must be smoke free. Owners of such buildings are free to adopt smoke-free policies covering the entire building including the living units.

Smoking may be allowed in outdoor areas but the law is silent on distance requirements, although local ordinances may cover that aspect. State law also is silent on mandatory smoking breaks for employees.

Since the law took effect May 1, Mr. Strasz said in Bay County "everything is pretty good so far."

He said owners of bars, restaurants and other public establishments have the primary responsibility to control smoking. If violations are reported by customers, the operator, since they are liable, must take action, said Mr. Strasz.

If a complaint is made to the health department, officials determine if it is legitimate and, if so, they contact the owner. If the situation continues, health officials may issue tickets that call for fines of $100 to $500.

Businesses must post "no smoking" signs where smoking is prohibited under the act, including outdoor areas such as patios or rooftops where patrons are intended to receive service or sonsume food, beverages or both.

Owners also must remove all ashtrays or other smoking paraphernalia and are empowered to refuse service to an individual smoking in violation of this act. "If the individual continues to smoke in violation of this act, the business owner is required to inform them they are in violation of the acts and are subject to penalties and to ask the smoker to leave.

Violations in Bay County may be reported by calling the health department at 895-4281, said Mr. Strasz.

"We do a great deal of education," said Mr. Strasz. Funds have been received from the Michigan Department of Education to pay for the cost of the classes. "We have already held a dozen classes for business owners, primarily bar and restaurant owners."

The only exception to the law is if an individual proprietor has an office with no employee other than themselves, the law does not apply, he said.

Another issue has arisen in the wake of the new law: electronic cigarettes, explained by the state as follows:

"E-cigarettes (or electronic cigarettes) are battery-powered devices that provide inhaled doses of nicotine by way of a vaporized solution.

"Current legal analysis concludes that because e-cigarettes do not contain tobacco, they are not covered under Michigan's Smoke-Free Air Law, which took effect May 1, 2010."

Although e-cigarettes are not covered under Michigan's smoke-free air law, businesses may set their own policy banning the use of e-cigarettes in their establishment.


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Because of unresolved health issues with the e-cigarettes, the state health department encourages businesses to consider adopting such a policy.

"Businesses should be aware that e-cigarettes closely resemble real cigarettes. Therefore, it is possible that from a distance an individual may think that a person using an e-cigarette is smoking a real cigarette, which could trigger a complaint against a business related to the smoke-free air law.

"The e-cigarette is not a proven safe alternative to smoking and we discourage its use both for the user's safety and the safety of the people in the same room.

"The Food and Drug Administration (FDA) has determined that e-cigarettes meet the definition of a combination drug device product and therefore should be regulated by the FDA. Currently e-cigarettes are not approved by the FDA.

"The FDA has concluded that e-cigarettes pose acute health risks and contain detectable levels of carcinogens and toxic chemicals. The carcinogenic substances diethylene glycol and nitrosamines have been found in FDA tested samples, as well as other tobacco-specific impurities that may be harmful to humans.

"The vapor emitted into a room, either from exhalation or the vapor emitted from the e-cigarette itself, may not be safe. E-cigarettes contain varying levels of nicotine, a toxic substance known to contribute to heart disease and heart attacks."

The FDA recently won a case in the U.S. Court of Appeals that bans the import of e-cigarettes. Several states and localities in the U.S. have already banned the use of e-cigarettes in non-smoking areas, and at least two attorneys general have filed suits to stop their sale until an industry legal challenge to the FDA is resolved. Several other countries have already banned the sale of e-cigarettes.

There are proven safe and effective nicotine replacement medications available over-the-counter at pharmacies including patches, gum, lozenges -- oral inhalers and nasal sprays can be obtained with a prescription. Nicotine replacement patches, gum and lozenges are also available free to uninsured and county health plan clients through the Michigan Tobacco Quit Line (1-800-QUIT-NOW). ###

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"The BUZZ" - Read Feedback From Readers!

ekeller Says:       On July 11, 2010 at 03:26 PM
With all due respect, the Michigan Health Department is terribly misinformed about electronic cigarettes. It is now estimated that 1 out of 40 smokers (yes, that's over a million) have switched to this alternative. Let's consider what these former smokers have lost: tar, carbon monoxide, particles of ash, and 4,000 chemicals that are created when tobacco is burned. By losing the smoke, they have lost everything that causes smoking-related lung disease, heart disease, and cancer.

Instead, they vaporize 3 or 4 ingredients found in every home: propylene glycol and/or vegetable glycerin, water, and food-grade flavoring. Nicotine is optional. Nicotine does not cause any of the smoking-related diseases.

What nicotine does cause is alertness, relaxation, stress relief, memory improvement, improvement in symptoms of ulcerative colitis, and prevention of Alzheimer's and Parkinson's. The Michigan Health Department should look that up.

There is no vapor emitted from the e-cigarette itself, because the devices are activated by the user inhaling. The vapor goes directly into the user's body. Health New Zealand has tested the vapor and found that it contains only one-tenth the amount of nicotine that is found in a puff of smoke, and that is mostly absorbed in the user's body. Thus, what the user exhales is essentially harmless water vapor. http://www.healthnz.co.nz/ECigsExhaledSmoke.htm

Surveys show that 90% of users are reporting their health has improved--especially their lung function, but also markers of cardiovascular health and general well-being. http://tobaccoharmreduction.org/wpapers/011v1.pdf

If users who inhale the vapor directly from the devices are experiencing improvements in their health, how in the world could what they exhale present any danger to bystanders?

It is quite unfortunate that the FDA decided to try to win a law suit by demonizing the products of the two Plaintiff companies. It's easy to mislead others when you choose to tell only part of the truth. Yes, the FDA detected "carcinogens". But is the Michigan Health Department aware of the fact that the quantity of these carcinogens is equivalent to the quantity in an FDA-approved nicotine patch?

Probably not, because the FDA conveniently forgot to mention that fact, or to put into perspective the fact that tobacco smoke contains thousands of times as many carcinogens and thousands of toxins, compared to the one substance (diethylene glycol) that is not actually toxic in the quantity that FDA detected in the e-cigarette liquid. Furthermore, neither diethylene glycol nor any substance proven to cause cancer have been found in the vapor.

By the way, the Michigan Health Department is misinformed regarding the court case, as well. The FDA has not won a case in the U.S. Court of Appeals. The FDA was automatically granted a stay, pending the outcome of the Appeal hearing in September. If the Plaintiffs win in the Appeals court, the stay will be lifted, which will reimpose the lower court's injunction against the FDA seizing incoming shipments.

In closing, I'd like to point out to the Michigan Health Department that the million e-cigarette users were not novices at the smoking cessation game. Most users tried multiple methods, including every single FDA-approved product, counseling, 12-step programs, hypnosis, acupuncture, and you-name-it, alone and in combination, to no avail. So please don't try to sell us on the effectiveness of these products. And as far as safety goes, in the 6 years that e-cigarettes have been in use world-wide, not one serious adverse event has been reported. Can the Michigan Health Department say the same about the smoking-cessation drugs Chantix and Zyban?
Agree? or Disagree?


Dave Rogers

Dave Rogers is a former editorial writer for the Bay City Times and a widely read,
respected journalist/writer in and around Bay City.
(Contact Dave Via Email at carraroe@aol.com)

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