Smoking will be allowed again inside some Louisville businesses. Here's what to know
It's official: Louisvillians will soon be able to smoke inside cigar bars.
Louisville Metro Council voted Thursday to create an exemption to the city's smoking ordinance. It allows patrons to smoke inside businesses that make at least 15% of their revenue from selling cigars or tobacco products.
While there are a few rare places where cigars can be smoked indoors, including Derby City Gaming Downtown, the change would expand where indoor cigar smoking is allowed.
"I think this is going to be a tremendous benefit to our community, aligned with our tourism industries, particularly around bourbonism, horse racing and others," said Councilman Anthony Piagentini, the ordinance's sponsor.
The exemption does not include cigarettes or other smoking products. The ordinance also requires a smoke-free area for the delivery of items or mail and prohibits cigar smoke from passing into other businesses that might share a wall or other space with the cigar bar.
It passed 20-6 despite facing opposition from health experts — and coming less than four years after a similar Metro Council measure failed with a 15-11 vote.
Councilman Markus Winkler voted against the ordinance both in 2021 and on Thursday.
"As somebody who likes to go to restaurants, occasionally goes to a bar and does not smoke, I enjoy being able to go to those establishments without coming home and smelling like an ashtray," he said. "I think that any loosening of that regulation, to me, opens the door to further reductions of (the smoking ban)."
Unlike cigarettes, cigar smoke is often not inhaled. However, the National Cancer Institute says there is "no safe level of tobacco use."
Councilman JP Lyninger quoted from John Hopkins Medicine: "Compared with nonsmokers, regular cigar smokers are four to 10 times more likely to die from oral cancer, esophageal cancer and laryngeal cancer."
Lyninger also voiced concerns for workers' health — a point he brought up previously at the March 18 Labor and Economic Development Committee.
"Workers do not enter into a 100% voluntary activity when they accept employment," Lyninger said. "They are doing it because they need a job. They need to feed their kids, they need to put a roof over their heads."
Council members Shameka Parrish-Wright, Paula McCraney, Ben Reno-Weber and Betsy Ruhe were the other "no" votes.
Proponents of the ordinance, meanwhile, say it will boost tourism. Louisville Tourism President and Chief Executive Officer Cleo Battle submitted a statement in support of the ordinance.
"We know from countless conversations with visitors that there is demand for a venue where they can enjoy a premium bourbon alongside a cigar," Battle wrote. "Currently, guests looking for this experience are leaving Louisville and taking their business to Southern Indiana, which puts our hospitality industry at a disadvantage."
Joshua Pickett, founder of the Louisville Cigar Company, previously told The Courier Journal the legislation would be a significant boost for his business.
Despite repeated requests for comment from The Courier Journal, Mayor Craig Greenberg's spokespeople did not respond to an inquiry on his perspective on the ordinance. Former Mayor Greg Fischer previously commended the council for rejecting the similar 2021 ordinance.
In the Republican Caucus meeting on Thursday, Piagentini said Greenberg would not veto the legislation, but he also would not sign it into law. This means the new cigar bar exemption won't go into effect until the start of the next council meeting on April 24th.
Reach reporter Eleanor McCrary at EMcCrary@courier-journal.com or at @ellie_mccrary on X, formerly known as Twitter.
This article originally appeared on Louisville Courier Journal: Louisville lifts smoking ban inside some businesses
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Medscape
13 hours ago
- Medscape
How ‘Patron Saint of Renegades' Transformed Cancer Care
Chinese American physician researcher Min Chiu Li, MD, liked breaking barriers and busting chops. Min Chiu Li, MD At a time when virtually every cancer researcher in the US was White, he landed a job at the National Cancer Institute (NCI) in the 1950s. As colleagues got along to get along, he made enemies galore. Then he went rogue, insisting on treating patients with chemotherapy beyond the point when their tumors had disappeared. The strategy turned out to be the right approach, even though Li lost his job over his failure to follow the rules. His work helped transform cancer therapy by showing how biomarkers tell the real story of how treatment is working. Li and his colleague Roy Hertz, MD, 'set the stage for a modern approach to chemotherapy, set the stage for hope,' Alan J. Hunter, MD, an internist at Oregon Health & Science University, Portland, Oregon, who studied Li's life for a 2003 report, told Medscape Medical News . Pushing Forward and Paying the Price In the mid-1950s, Li and Hertz were thrilled when antifolate treatment eliminated a young woman's metastatic tumors from choriocarcinoma, a rare type of cancer that develops from placenta cells after pregnancy. But Li was concerned because levels of a hormone linked to the cancerous cells didn't dwindle back to normal. 'Li became progressively obsessed with the number,' author and cancer physician Siddhartha Mukherjee, MD, DPhil, Columbia University, New York City, wrote in his landmark 2010 book The Emperor of All Maladies: A Biography of Cancer . Li refused to stop treating the patient despite fears that toxicity would hurt her. 'He kept on doing it' because the therapy worked, recalled Vincent DeVita, Jr, MD, a former director of the NCI and cancer therapy pioneer in his own right, in an interview. 'And he was told to leave at that point.' The stubborn researcher had been sacked. 'Li was already known to be a renegade, an iconoclast. This time, the NCI felt, he had gone too far,' Mukherjee wrote. But it turned out that treating cancer beyond the point when tumors are eliminated can be a wise approach. That's because it can kill off a hidden reservoir of tumor cells that are only revealed through biomarkers. The strategy worked in Li's patients. The ultimate result: The obstinance that cost him his job led to the first chemotherapeutic cure of cancer in adults. From China to Los Angeles, Chicago, and Beyond As colleague and childhood leukemia treatment pioneer Emil J. Freireich, MD, DSc, wrote in a 2002 remembrance, Li came to the US from China in 1947 for postgraduate studies in bacteriology and immunology at the University of Southern California, Los Angeles. However, Li couldn't return home due to the 1949 Communist revolution. He went on to jobs at Presbyterian Hospital in Chicago, the Sloan-Kettering Institute in New York City (now an arm of the Memorial Sloan Kettering Cancer Center), and then the NCI in Bethesda, Maryland. As Hertz recalled in a 1998 NCI oral history interview, he hired Li as a clinical associate after a colleague recommended him. 'Li had become a naturalized American citizen, and as soon as he became American, he was an MD, and as soon as he got his citizenship papers, he got drafted [in the Korean War], and when he got drafted, he wanted to stay out of the draft,' said in a 1998 NCI oral history interview. Mukherjee picks up the story: 'His current plan was to lie low in Bethesda until the war blew over.' In the mid-1950s, Li decided to test the antifolate methotrexate — which had recently become a breakthrough new treatment for leukemia — in a 24-year-old woman who'd developed lung metastases from choriocarcinoma. 'There was nothing to lose,' Li wrote in a 1979 report. 'To everyone's surprise,' he wrote, the woman — who was near death — survived the next 20 hours. She ultimately recovered after Li continued to treat her even though her tumors had vanished. 'The response was real: A metastatic, solid cancer had vanished with chemotherapy,' Mukherjee wrote. But the NCI wasn't impressed. 'They were calling this a spontaneous disappearance, probably an immunologic effect,' DeVita said. 'Everybody was pushing it off as something that was being done mostly by the body.' As DeVita recalled, Li tried the approach again with a second patient, and it worked again. 'He was told not to do it anymore because it was too dangerous. And he kept on doing it.' NCI Decides It's Seen Enough In his 1979 report, Li says he then went to the State University of New York in 1957, but he doesn't explain why he left the NCI. In fact, he'd been fired for failing to follow protocol when he treated patients past the point when their tumors were gone. But Li had discovered something vitally important about chemotherapy. According to Freireich, who died in 2021, Li realized that patients with metastatic choriocarcinoma 'required intensive systemic 'adjuvant' treatment despite the fact that they had no clinical evidence of disease. This has subsequently proven to be an extraordinarily important new principle in cancer treatment, ie, the treatment of patients who have no [physical] evidence of disease because of either tumor marker or other indirect evidence of a high probability of developing recurrent malignancies.' But the cautious brass at the NCI concerned itself with rules. 'Li was accused of experimenting on people,' Freireich told Mukherjee in a 2009 interview. 'But of course, all of us were experimenting…To not experiment would mean to follow the old rules — to do absolutely nothing. Li wasn't prepared to sit back and watch and do nothing. So he was fired for acting on his convictions, for doing something.' 'Irascible, Irritable, Pugnacious' Li, known as 'MC,' had tense relationships with some colleagues. 'He was very irascible, very irritable, pugnacious individual, got into fights with everybody…,' Hertz recalled in the oral history interview. 'He got into fights with a number of people, and I had to intervene a number of times.' According to Hertz, 'we attributed [this] to his loneliness and his privations' — Li had left his family in China — and 'I was the only one knew how to get along with Li.' But a lifelong rift apparently developed between the two colleagues. According to Hertz, Li believed he — Hertz — had taken the credit and won a major award for work that Li had done. 'I feel so bad about the whole thing,' Hertz said. 'I've had 40-odd clinical associates. He's the only one who does not honor me. The only one. And that hurts.' Racism may have played a role in isolating Li from his colleagues. Or perhaps it caused him to be resentful and bitter. Maybe both. DeVita, the former director of the NCI, said casual racism was common in mid-century. 'People would do it and do it casually, not even think they were doing something. That could be part of it,' said DeVita, 90, who once went to Li's home to meet him. Jonathan P. Yarris, MD, an emergency medicine physician in Oregon City, Oregon, who co-authored the 2003 report that examined the work of Hertz and Li, recalled that he interviewed Hertz and looked at old photos of his lab. 'There's usually one woman in the room, and sometimes, there's someone who's not White. I can only imagine what he heard in the hallways and how he was being slighted at every corner,' Yarris told Medscape Medical News . As for Li's stubbornness, 'having been a person who didn't always follow the rules, I was sympathetic,' DeVita said. 'Sure, he didn't follow the rules. But what people should have done is look at what happened. Nobody was seriously harmed by what he did, and the patients were actually cured.' More Medical Advances and a 'Renegade' Legacy Li conducted more pioneering research after the NCI imbroglio. He pioneered combination drug treatment for testicular cancer, and DeVita considers him to be the first to cure the disease. Patients were cured 'maybe 10% or 20% [of the time] when he tried it, not the 80%, 90% we get now, but it was significant enough to be mentioned in publications, and he usually wasn't,' DeVita said. 'He was generally not given the credit he deserved.' In 1972, Li won the Albert Lasker Medical Research Award, and colleague Freireich noted in his 2002 report that 'Dr Li remained active both in clinical research, laboratory research, patient care, and perhaps most important, teaching.' Later, Freireich wrote, 'one of his most important publications appeared…in which he showed that 5-fluorouracil given after colon cancer surgery could result in substantial improvement in long-term survival rate.' Li died in 1980, decades before several colleagues of his generation, from what Freireich calls 'a tragic illness.' As for his legacy, Yarris said that Li was 'ultimately vindicated.' And while his name isn't remembered as well as some other cancer researchers, Li's reputation survives at the NCI. There, Mukherjee wrote, he's the 'patron saint of renegades.'


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a day ago
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Yahoo
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