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Menthol, Flavors, and Vaping Products: Evoluti...

Avatar for Tobacco Free Mass Tobacco Free Mass
September 24, 2019
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Menthol, Flavors, and Vaping Products: Evolution of Local Policies to Ban Sales

Valerie Yerger's slides from the 2019 Tobacco Free Mass Policy Forum

Avatar for Tobacco Free Mass

Tobacco Free Mass

September 24, 2019

Transcript

  1. Menthol, Flavors, and Vaping Products: Evolution of Local Policies to

    Ban Sales Dr. Valerie Yerger Associate Professor in Health Policy University of California, San Francisco Founding member African American Tobacco Control Leadership Council Tobacco Free Mass Annual Policy Forum September 24, 2019
  2. What’s Menthol Got To Do With It? Basically…EVERYTHING! • Menthol

    cigarettes are easier to smoke than regular cigarettes, which contributes to smoking initiation among youth • Menthol keeps smokers exposed to the addictive power of nicotine and makes it difficult for them to quit smoking • Due to its role in smoking initiation and inhibiting cessation, menthol is more important to the tobacco industry than just an ingredient in tobacco taste recipes
  3. Menthol Ain’t Just a Flavor Menthol Modulates Nicotine’s Effects (Philip

    Morris, 1991) 2 3 4 5 0 0.04 0.08 0.16 Impact Score Menthol Delivery (mg/cig) No Nicotine Intermediate Nicotine High Nicotine tid/fxk48e00 3
  4. Menthol Ain’t Just a Flavor Menthol Modulates Nicotine’s Effects (Philip

    Morris, 1991) 2 3 4 5 0 0.04 0.08 0.16 Impact Score Menthol Delivery (mg/cig) No Nicotine Intermediate Nicotine High Nicotine tid/fxk48e00 4
  5. Menthol Ain’t Just a Flavor Menthol Modulates Nicotine’s Effects (Philip

    Morris, 1991) 2 3 4 5 0 0.04 0.08 0.16 Impact Score Menthol Delivery (mg/cig) No Nicotine Intermediate Nicotine High Nicotine tid/fxk48e00 5
  6. “The Racialized Menthol Wars” • Major tobacco companies aggressively competed

    against one another in low-income neighborhoods • Tobacco companies targeted these neighborhoods with highly concentrated menthol marketing • Used innovative marketing tactics to adapt to inner city challenges and to exploit residents • Inner city communities represented efficient sites for an industrial exploitation (1980s and 1990s) Yerger VB, Przewoznik J, & Malone RE (2007). Racialized geography, corporate activity, and health disparities: Tobacco industry targeting of lower income inner city residents. Journal of Health Care for the Poor and Underserved, 18(S4), 10-38.
  7. www.savingblacklives.org Formed in 2008. We educate the African American community

    about tobacco use and cessation, partner with community stakeholders and public health agencies to inform and affect the direction of tobacco control policy, practices, and priorities, as it affects the lives of Black American and African immigrant populations.
  8. Family Smoking Prevention and Tobacco Control Act, 2009 Granted the

    FDA the authority to regulate tobacco products to protect the public health
  9. FDA Tobacco Products Scientific Advisory Committee, July 21, 2011 “Removal

    of menthol cigarettes from the marketplace would benefit public health in the United States,” and prevent the death of 200,000 African Americans by 2050.”
  10. Explosion of Other Flavored Tobacco Products • Most teens who

    use tobacco start with a flavored tobacco product (Ambrose, 2015)
  11. Bonnie Herzog - Wells Fargo Securities, LLC | Beverage &

    Tobacco Sectors 15 15 Tobacco Industry Volume Outlook (Herzog) Total cigarette volume – representing $85 billion in retail sales - is declining around 3-4% per year. Over the last few years, the decline has accelerated, largely due to smoking bans, health concerns, pricing and other government regulations. Premium Brands’ share is declining – Premium brands now represent ~70% of total industry volume, down from 91% in 1984. The other tobacco product (OTP) category and e-cigs will provide opportunity for growth in our view. Source for both graphs: Company data and Wells Fargo Securities, LLC estimates
  12. Bonnie Herzog - Wells Fargo Securities, LLC | Beverage &

    Tobacco Sectors E-Cigs Revolutionizing Tobacco Industry (Herzog)  E-Cig Consumption Could Surpass Combustible Cigs in 10 Years 16 Source for graphs: Company data and Wells Fargo Securities, LLC estimates 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0 2011 2012 2013 2014E 2015E 2016E 2017E 2018E 2019E 2020E 2021E 2022E 2023E Equivalent Pack Volume (in billions) E-Cigarettes (in equivalent packs) Combustible Cigarettes (in packs) 2011 2012 2013 2014E 2015E 2016E 2017E 2018E 2019E 2020E 2021E 2022E 2023E 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0 18.0 Operating Profit Pool (in $ billions) E-Cigarettes Combustible Cigarettes
  13. “Increased awareness and trial of e-cigarettes have driven category growth,

    and we estimate that 90% of adult smokers are aware of e-vapor products …While awareness and trial are high, only a small number of adult smokers use these products daily.” Marty Barrington, Altria CEO, CAGNY 2014
  14. A RESOLUTION TO SUPPORT STATE AND LOCAL EFFORTS TO RESTRICT

    THE SALE OF MENTHOL CIGARETTES AND OTHER FLAVORED TOBACCO PRODUCTS Passed at 53rd National Convention Las Vegas, Aug 2017
  15. NAACP Adopts Menthol Resolution July 19, 2016 Calling on chapters

    to support state and local efforts to regulate menthol cigarettes and other flavored tobacco products October 15, 2016 National Board of Directors ratified resolution
  16. Tobacco Task Force – EAC • Cameron House • CLASH

    • Campaign for Tobacco-Free Kids • Delta Sigma Theta Sorority, Inc., San Francisco Alumnae Chapter • Gracenter • Healing 4 Our Families & Our Nation • Pacific Islander Task Force • RIDE • Samoan Community Development Center • San Francisco Dept of Public Health • African American Tobacco Control Leadership Council • American Cancer Society Cancer Action Network • American Heart Assoc • American Lung Assoc • Americans for Nonsmokers’ Rights • APPEAL • Bay Area Community Resources • Boys and Girls Clubs of San Francisco • Breathe California: Golden Gate Public Health Partnership • San Francisco Marin Medical Society • San Francisco NAACP, San Francisco Branch • San Francisco Tobacco Free Coalition • San Francisco Unified School District • University of California San Francisco • Vietnamese Youth Development Center • Youth Leadership Institute • Zuckerberg General Hospital and Trauma Center “All Hands on Deck” Approach
  17. “The strongest law in the country limiting sales of flavored

    tobacco products,” including menthol cigarettes. On June 27, 2017 the San Francisco Board of Supervisors unanimously passed
  18. July 7, 2017: Signed into law by Mayor Ed Lee

    Effective April 1, 2018 but….
  19. Reynolds American Inc. acquired Lorillard (Newport) in 2015 for British

    American Tobacco bought out Reynolds American (including Newport) in 2017 for $27 Billion $53 Billion #1 Menthol
  20. San Francisco Supervisor Shamann Walton Introduced ordinance that bans the

    sales of JUULs and other e- cigarettes (June 2019)
  21. Gov Gretchen Whitmer In September 2019, Michigan became the first

    state to ban all flavored e-cigarettes State of Emergency Order