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Arizonans Concerned About Smoking, Inc., a 501(c)(3) Corporation, would like to expressour appreciation for
partial funding provided by
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With your generous support, we are able to blaze new trails into areas where others fear to tread.
We can continue our life-saving health educational efforts thanks to you.
"Partial funding provided by the Arizona Community Foundation"
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Gilbert becomes 3rd Arizona city to regulate e-cigarettes
The regulation came after the town received
several complaints of people using e-cigarettes
inside the Freestone Recreation Center.
Councilwoman Jenn Daniels said she had seen
people using them in the Town Hall lobby.

The council first discussed an e-cigarette ordinance
in June, but held off until council members spoke
with supporters, opponents and businesses.
E-cigarettes are battery-powered devices and
release a vapor that contains nicotine but no
The Food and Drug Administration has yet to
regulate e-cigarettes, and there is little conclusive
research regarding the long-term effects of inhaling
e-cigarette vapor. Some states and cities have
taken regulation into their own hands, including
Arizona, which prohibits minors from purchasing
In August, Tempe became the first city in Arizona to regulate e-cigarettes with an amendment prohibiting their use in public
areas, including private businesses and workplaces. Neighboring Guadalupe passed a similar ordinance around the same time.

Please click
|>HERE to read the entire article.
ACAS stands for "Arizonans
Concerned About Smoking."
ACAS stands for Arizonans Concerned About Smoking
www. vox.com

Lots of college students hugely underestimate
the risk of smoking hookah, a new federal
report shows.
The Centers for Disease Control and Prevention
published new data about 500 undergrad and
graduate students at the University of South Florida,
on their views on and uses of the increasingly
popular waterpipe.

They discovered that more than half of the students
(54.4 percent) had smoked hookah — also known as
shisha —  at some point in their lives, and 16 percent
had used hookah recently, in the past 30 days. This
squares with a broader trend the CDC has
documented: that young people in this country are
increasingly using hookah along with other non-
cigarette tobacco products, like e-cigarettes.

But the most unsettling part of the study was the utter
lack of awareness about harms related to hookah:
more than half of the students thought smoking from
a waterpipe is less dangerous than cigarette smoking
and 13 percent thought hookah wasn’t harmful at all.
ADEM ALTAN/AFP Courtesy: vox.com

More and more of our Youth are using
e-cigarettes and becoming addicted to
We must do all we can to stop this
un-healthy trend while we can.
Please see to the left for an easy
opportunity regarding a CFTFK Action
Please take a minute or two to voice Your
concern regarding this threat.
Thank You,

Philip J Carpenter, Executive Director

Arizonans Concerned About Smoking
(Please click above)
Take action! Fight big tobacco:
Smoking related videos
A must-read for
landlords and those
living in multi-unit
housing -
FREE Download
Just released! Protect Your
Family from E-Cigarettes,

available as a free download.
provides all the facts your
community needs to know
about e-cigarettes. English or
Spanish. Click graphic above!
Despite our growing knowledge that smoking tobacco is bad for us more than 40 million Americans are
cigarette smokers. Smoking cigarettes is known to cause damage to every organ in your body, and smoking-
related illnesses are responsible for one out of every five deaths in the U.S. [source: CDC]. But nearly 70
percent of smokers report they want to quit, and a little more than 42 percent say they've tried to quit during
the past year [source: CDC].
  In an attempt to quit the tobacco habit as many as one-fifth of smokers have tried e-cigarettes [source:
Before you consider taking up the e-cigarette habit, read on to get the facts [or read entire article
Little-known Facts About E-cigarettes from How Stuff Works
You'll never worry about misplacing your lighter or your matches if you're smoking an e-cigarette -- there's
nothing to light. Instead, e-cigarettes run on a lithium battery; Each also contains a vaporization chamber
and a cartridge filled with liquid. Because they don't burn tobacco, there's no smoke, no carbon monoxide
and no odor; what you inhale is vapor [source: FDA].
    E-cigarettes are smoke-free and tobacco-free, but they're not nicotine-free. The liquid in e-cigarettes is
typically a combination of nicotine, flavorings (such as bubble gum or watermelon), propylene glycol (a
solvent), and other additives. There are also cartridges available that contain flavored liquid without
nicotine, for users who want the sensory experience of smoking a cigarette without the harmful effects.
    Cigarette smoke contains more than 7,000 chemicals, and among those, 69 are known carcinogens
[source: American Lung Association]. E-cigarettes, too, come with health and safety concerns. The problem?
Liquid nicotine. liquid nicotine can be lethal. It can cause harm when it's inhaled, but it can also be harmful
when ingested or absorbed through your skin. Only a small dose is dangerous -- less than one tablespoon
of many of the e-liquids on the market is enough to kill an adult, and as little as a teaspoon could kill a child)
[source: Richtel]. Certain e-cigarette devices may also release metals during use -- including tin in some
cases -- as well as other impurities known to be toxic and/or carcinogenic.
    Many regulatory agencies and health experts aren't sure just how safe e-cigarettes actually are. In 2009,
for example, the Food and Drug Administration (FDA) found some cartridges of liquid nicotine contained
about 1 percent diethylene glycol (DEG), a toxic chemical ingredient also found in antifreeze [source: FDA].
Also,  the amount of nicotine listed on a cartridge label may not match the actual amount in the cartridge.
    It's not only smokers who are impacted by the effects of cigarettes; as many as 2.5 million nonsmokers
have died from the lethal effects of secondhand smoke between 1964 and 2014 [source: CDC]. Despite the
claims they're safer than regular cigarettes, e-cigarettes may not completely solve the problem of
secondhand exposure to nicotine.
    In the lab, cells exposed to e-cigarette vapor show unhealthy changes similar to cells exposed to
tobacco smoke [source: Park et al]. Users who vape nicotine-free e-cigs can't escape the effects, either;
they also experience airway resistance and other signs of inflammation as side effects of e-cigarette use.
Smoke- and tobacco-free college campus policies are working
Submitted by sglantz on Sat, 2014-12-20 08:47
Amanda Fallin, Maria Roditis, and I just published "Association of Campus Tobacco Policies With Secondhand Smoke Exposure,
Intention to Smoke on Campus, and Attitudes About Outdoor Smoking Restrictions" in American Journal of Public Health.

We surveyed California college students between September 2013 and May 2014 with a range of policies (smoke-free indoors only,
designated outdoor smoking areas, smoke-free, and tobacco-free).  We found:

Stronger policies were associated with fewer students reporting exposure to secondhand smoke or seeing someone smoke on
On tobacco-free college campuses, fewer students smoked and reported intention to smoke on campus.
Strong majorities of students supported outdoor smoking restrictions across all policy types.
Comprehensive tobacco-free policies are effective in reducing exposure to smoking and intention to smoke on campus.

In short, smoke and tobacco free policies are widely accepted and are working on campus.

The paper is available
Arizonans Concerned About Smoking, Inc.
50th Anniversary Surgeon General's Report  2014 Surgeon General's Report on Smoking and Health  Available Now  Read the report
Should E-Cigarettes be Covered in Tobacco-Free Policies?
Click logo to go to Ashline
Arizona Smokers' Helpline
Tue, 01/06/2015 - 10:14am  |  Ryan Reikowsky
by : Karen Akin, MPA
Reasons to consider including e-cigarettes in your tobacco-free policy:
01) E-cigarettes pollute the air giving off ultrafine particulate matter (or extremely tiny particles) that can lodge in the lungs
and cause disease.3-4

02) E-cigarette vapor often contains a number of chemicals and additives, including  nicotine (a highly addictive chemical),
formaldehyde (known to cause cancer), metal and silicate particles (toxic to human cells) and propylene glycol (known lung
& eye irritant), among others.2-4

03) E-cigarette use can undermine smoke-free and tobacco-free policies causing confusion due to their resemblance to
traditional cigarettes and the “smoky look” of vapors being emitted.

04) High nicotine concentrations in e-cigarette fluid can be acutely toxic if spilled on the skin or accidently ingested.2-3

05) There are no current regulations on the manufacture and sale of e-cigarettes – consumers don’t know what they are
breathing in or exhaling into the air for others to breathe.

If you are interested in creating a new tobacco-free policy, or making changes to your existing policy, to specifically address
the use of e-cigarettes, please contact ASHLine. We are available to assist in this process. And if you or your staff are
interested in scheduling a training on e-cigarettes and assisting e-cigarette users with the quit process, please call the
ASHLine Community Development Team at 1-800-556-6222 x290 or e-mail us at
Please read Ashline's entire e-cigarette newsletter |>HERE
E-cigarette poisonings skyrocket!
President Obama: Regulate All Tobacco Products by April 2015
Right now, the FDA regulates cigarettes, smokeless tobacco and roll-your-own
tobacco to prevent kids from using them and protect public health. But other
products, including e-cigarettes and cigars, are exempt. The FDA must close this
gap to stop tobacco companies from targeting our kids with a new generation of
unregulated tobacco products.

We need the FDA to protect our kids from ALL tobacco products. You can help by
signing our petition to President Obama urging his Administration to issue a
final rule to regulate all tobacco products, including e-cigarettes and cigars.

Help us send a strong message to President Obama today! Please click
E-Cigarettes Can Churn Out High Levels Of Formaldehyde
JANUARY 21, 2015 5:03 PM ET
Rob Stein
Vapor produced by electronic cigarettes can contain
a surprisingly high concentration of formaldehyde —
a known carcinogen — researchers reported Wednesday.

The findings, described in a letter published in
the New England Journal of Medicine, intensify
concern about the safety of electronic cigarettes,
which have become increasingly popular.

The e-cigarette industry immediately dismissed the
regular cigarettes [contain] — between five[fold]
and fifteenfold higher concentration of
formaldehyde than in cigarettes," Peyton says.

And formaldehyde is a known carcinogen.

"Long-term exposure is recognized as contributing
to lung cancer," says Peyton. "And so we would like
to minimize contact (to the extent one can)
especially to delicate tissues like the lungs."

Conley says the researchers found formaldehyde only
when the e-cigarettes were cranked up to their
highest voltage levels.

"If you hold the button on an e-cigarette for 100
seconds, you could potentially produce 100 times
more formaldehyde than you would ever get from a
cigarette," Conley says. "But no human vaper would
ever vape at that condition, because within one
second their lungs would be incredibly

That's because the vapor would be so hot. Conley
compares it to overcooking a steak.

"I can take a steak and I can cook it on the grill
for the next 18 hours, and that steak will be
absolutely chock-full of carcinogens," he says.
"But the steak will also be charcoal, so no one
will eat it."

Peyton acknowledges that he found no formaldehyde
when the e-cigarettes were set at low levels. But
he says he thinks plenty of people use the high

"As I walk around town and look at people using
these electronic cigarette devices it's not
difficult to tell what sort of setting they're
using," Peyton says.

"You can see how much of the aerosol they're
blowing out. It's not small amounts."

"It's pretty clear to me," he says, "that at least
some of the users are using the high levels."
findings, saying the measurements were made under
unrealistic conditions.

"They clearly did not talk to [people who use e-
cigarettes] to understand this," says Gregory
Conley of the American Vaping Association. "They
think, 'Oh well. If we hit the button for so many
seconds and that produces formaldehyde, then we
have a new public health crisis to report.' " But
that's not the right way to think about it, Conley

E-cigarettes work by heating a liquid that contains
nicotine to create a vapor that users inhale.
They're generally considered safer than regular
cigarettes, because some research has suggested
that the level of most toxicants in the vapor is
much lower than the levels in smoke.

Some public health experts think vaping could
prevent some people from starting to smoke
traditional tobacco cigarettes and help some
longtime smokers kick the habit.

But many health experts are also worried that so
little is known about e-cigarettes, they may pose
unknown risks. So Peyton and his colleagues decided
to take a closer look at what's in that vapor.

"We simulated vaping by drawing the vapor — the
aerosol — into a syringe, sort of simulating the
lungs," Peyton says. That enabled the researchers
to conduct a detailed chemical analysis of the
vapor. They found something unexpected when the
devices were dialed up to their highest settings.
"To our surprise, we found masked formaldehyde in
the liquid droplet particles in the aerosol,"
Peyton says.

He calls it "masked" formaldehyde because it's in a
slightly different form than regular formaldehyde —
a form that could increase the likelihood it would
get deposited in the lung. And the researchers
didn't just find a little of the toxicant.

"We found this form of formaldehyde at
significantly higher concentrations than even
No Smoking Including E-cigarettes and All Other Electronic Smoking Devices
California declares electronic cigarettes a health threat
SACRAMENTO, Calif. — California health officials on Wednesday declared electronic cigarettes a health threat that should
be strictly regulated like tobacco products, joining other states and health advocates across the U.S. in seeking tighter
controls as "vaping" grows in popularity.          Please read full story
ETR E-Cigarette Educational Materials (ad) |>HERE
Philadelphia City Council Bans
E-Cigarettes In Public Places
By Dan Stamm
Vince Lattanzio
Please read the article and see the video |>HERE
New England Journal of Medicine has new study on smoking deaths
Smoking and Mortality — Beyond Established Causes
Vanishing Y Chromosomes
Decades of epidemiological data
demonstrate that men have higher
overall cancer rates than women.
This difference in risk is more than
four-fold for some types of cancer,
but the reasons for the disparity
remain mostly mysterious.

In an investigation of blood samples
from more than 1,000 men, scientists
at Uppsala University in Sweden and
their colleagues found that those
with higher rates of chromosome Y
loss tended to die younger and were
more susceptible to a variety of
cancers. Now, some of the same
researchers have shown that
smoking behavior is strongly linked
to the loss of the Y chromosome—a
relatively common occurrence. The
results, reported today (December 4)
in Science, suggest a mechanism for
the increased risk of many cancers
observed in male smokers compared
to female smokers.

This work “provides an interesting
hypothesis for a biological
mechanism that could contribute to
the sex ratio in cancer,” said cancer
epidemiologist Ellen Chang of the
Stanford School of Medicine who was
not involved in the study. “It certainly
doesn’t provide a definitive answer,”
she added. “It’s more of a

To explore potential causes for the
loss of the Y chromosome, Uppsala’s
Jan Dumanski, Lars Forsberg, and
their colleagues examined the blood
samples and medical records of 6,000
Swedish men from three independent
cohorts. They used single-nucleotide
polymorphism (SNP) array analysis to
quantify the loss of the Y
chromosome (LOY) in blood cells, and
then tested for associations between
LOY rates and factors such as age,
education level, exercise habits,
smoking, and cholesterol levels.

“We analyzed many, many different
potential confounders, but smoking
was sticking out,” said Forsberg. “In
all three cohorts, we see an
independent effect: that smokers
have more loss of Y in their blood
compared to nonsmokers.”
blood cells may reflect this process in
many cell types, it is also possible that
specific cancer-fighting abilities are
compromised in immune cells that lack
the Y chromosome.

In a small experiment, the researchers
sorted blood cells from three 91-year-
old cancer-free members of the
Uppsala Longitudinal Study of Adult
Men, which was initiated in 1970. This
analysis showed low levels of LOY in
CD4+ T cells, which participate in
cancer immunosurveillance, but higher
LOY rates in other cell types. Forsberg
said his team is working to obtain
samples from a larger group of men to
follow up on this finding.

While the underlying molecular links
between smoking, LOY, and cancer
remain unclear, this work contributes to
“a rising tide of respect for and interest
in the Y chromosome and its role in
human biology and health and disease,”
said David Page, an expert on sex
chromosome biology and the director of
the Whitehead Institute for Biomedical
Research in Cambridge,
Massachusetts. “The publication of this
paper in a high-profile journal is
symptomatic of that.” Until recently,
Page added, scientists believed the Y
chromosome contributed only to sex
determination and male fertility, but “it’s
now plausible that loss of the Y
chromosome could have consequences
in every nook and cranny of the body.”

J.P. Dumanski et al., “Smoking is
associated with mosaic loss of
chromosome Y,” Science, doi:10.1126
/science.1262092, 2014.
A new study reveals an association between smoking and rates of Y chromosome loss in blood cells, which may
explain elevated cancer risk among male smokers.
By Molly Sharlach | December 4, 2014

In two of the groups, the team was
able to compare LOY levels in men
who were current smokers to LOY
levels in those who had quit.
Strikingly, they found that former
smokers had LOY rates similar to
those of men who had never smoked.
Further, data on smoking frequency
suggested that occasional smokers
experienced less LOY than heavier
smokers, added Forsberg.

The researchers hypothesize that the
loss of the Y chromosome may give
cells a “proliferative advantage” due
to the elimination of important
regulators—an idea consistent with
recent evidence that the Y
chromosome contains tumor
suppressor genes. While LOY in
Photographs - Health Leadership Awards 2015 | Please click |>HERE
E-Cigarettes Extinguished in
Posted: 03/03/2015, 01:30pm | NBC Washington                                           Sun Times
An e-cigarette looks like a cigarette, works like a cigarette, and now -- like a traditional cigarette -- it's banned in
Montgomery County.
The Montgomery County Council unanimously approved Bill 56-14 on Tuesday, banning the use of e-cigarettes in public
places where traditional cigarette smoking is banned.
The bill will now move to Montgomery County Executive
Ike Leggett for approval; it will go into effect 91 days
after he signs it.
If the bill becomes law, smoking e-cigars, e-hookahs, e-
pipes and vape pens would also be illegal in the same
places where smoking traditional cigarettes is banned.
The bill also bans retail outlets from selling certain liquid
nicotine or liquid nicotine containers unless they are in
packaging that makes it difficult for children to get into.
While e-cigarettes do not produce tobacco smoke, they
do contain nicotine and other potentially harmful
chemicals, according to the council.
“Perhaps swayed by the belief that electronic cigarettes
are safe [...] teens who have never tried traditional
cigarettes are using e-cigs, putting themselves at risk
for nicotine addiction, nicotine poisoning or exposure to
harmful chemicals. I am not willing to gamble with the health of our current generation of young people by waiting for
federal regulations,” said Councilmember Nancy Floreen.
Only a few states have extended their tobacco laws to cover e-cigarettes. New Jersey, North Dakota and Utah have
specifically prohibited the use of e-cigarettes in public places and work places, the council said.
With the approval of this bill, Montgomery follows several counties in the quest to crack down on e-cigarettes.
Hover mouse
Nicotine and the Developing Human:
        A Neglected Element in the Electronic Cigarette Debate
Published Online: March 16, 2015                  http://www.ajpmonline.org/article/S0749-3797(15)00035-5/fulltext
                                                                                 - or -                                            

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