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2019 Regulation of Tobacco Sales - Community Input ReportREGULATION OF TOBACCO SALES COMMUNITY INPUT REPORT Regulation of Tobacco Sales Community Input Report Page 1 Contents Overview…. ……………………………………………………………….………………2 Demographics………….………………………………………………….………………4 Vaping And E-Cigarettes…………………………………………………..………………5 Age Of Tobacco Product Buyers…..……………………………………….………….…...7 Minimum Price……….…………………………………………………..……………….13 Flavored And Menthol Tobacco…………………………………………..………………14 General Survey Comments...……………………………………………..…………….…16 Staff Notes From Public Forum…………………………………………..………………23 Appendix A: Detailed Survey Responses..………………………………..………………25 Appendix B: Social Media Reach And Engagement……………………..…………….…27 Appendix C: Additional Resources………………………………..………………..……29 Regulation of Tobacco Sales Community Input Report Page 2 Overview Soliciting public input was a major component of the Golden Valley City Council’s consideration of whether and how to regulate the sale of tobacco products in Golden Valley. Staff solicited impact from the community through an online survey, social media, and an interactive public forum regarding the following four policy areas: prohibiting the sale of tobacco to people under age 21 restricting the density of tobacco retailers enacting minimum price or pack size requirements for certain tobacco products restricting the sale of flavored tobacco, including menthol To promote the survey and open house, the City published two online news stories and sent out press releases with information about the regulations being considered by the City Council. News reports were published in the SunPost both print and online) and broadcast on CCX Media. All information included links to the online survey. The City further promoted the survey and open house through social media posts on Facebook and Twitter. Online Survey The survey asked for public input on each of the four policy areas under consideration. It also asked two demographic questions, one regarding whether respondents lived or worked in Golden Valley, and the other to establish the age range or respondents. See Appendix A for detailed survey responses. The survey was active from July 17-Aug 6, was limited to one response per IP address, and had 727 responses. Regulation of Tobacco Sales Community Input Report Page 3 Public Forum The City hosted an interactive public forum Aug 5, 6–8 pm, at Brookview, where community members could learn more about the issue and offer input. Representatives from the City, the Hennepin County Department of Health, the Association for Nonsmokers-Minnesota (ANSR), and local tobacco retailers were on hand to provide information and answer questions. The online survey was open during the public forum, with real-time results showing on a display screen. Printed versions of the survey and comment cards were also available. Social Media Outreach The City posted information and reminders about the public forum and the survey six times on Facebook and five times on Twitter between July 12 and Aug 5. See Appendix B for reach and engagement details for each post. The public forum was live-streamed and archived on Facebook for later viewing. To date, it has had 483 views. Additional Information In addition to the online and social media responses, staff received a wide variety of other submissions from members of the public, advocacy groups, and other governmental organizations. These materials are included in Appendix C and are organized into the following categories: Vaping and E-Cigarettes Tobacco 21 Location of Tobacco Retailers Minimum Price Flavored Tobacco See Appendix C for details. Regulation of Tobacco Sales Community Input Report Page 4 Demographics Live or work in Golden Valley? Of the 772 respondents, 613 (86 percent) live in Golden Valley, 52 (7 percent) work in Golden Valley, 45 (6 percent) responded “Other,” and 21 chose not to answer the question. Age range? Approximately two-thirds of respondents were between the ages of 31 and 65, with 257 (36 percent) age 31-45 and 235 (33 percent) age 46-65. One hundred ten respondents were age 66+ (16 percent), 85 (12 percent) were age 22-30, 15 were age 18-21 (2 percent), and four were under age 17. Twenty respondents chose not to answer the question. Regulation of Tobacco Sales Community Input Report Page 5 Vaping And E-Cigarettes Should the City of Golden Valley regulate the sale of electronic cigarettes and vapes? Of the 711 respondents who answered this question, 436 (61 percent) are in favor of regulating electronic cigarettes and vapes in Golden Valley, 245 (34 percent) are not, and 30 (4 percent) don’t care. Survey Comments There needs to be much tighter regulation on e-cigs and vapes. As the tobacco industry has lost users through regulation, taxes, and education, they have fought back to gain new users through e-cigs and vapes. Millennials and Gen-Z do not associate the same caution and stigma to vapes as they do to cigarettes, in fact some see it as a status symbol. Nicotine should be a highly controlled substance. I started smoking when I was 15 years old and it took me 38 years to finally quit and I still struggle with it from time to time. When I started there were virtually no barriers: unenforced age restrictions, open availability at cigarette machines, very low prices, almost no restriction as to where one could smoke, role models everywhere, advertising in every media, no warnings on packaging, and active marketing to youth. Thank you. With kids in the school system they talk about how prevalent vaping is in the bathrooms at AHS. Let us also think about e-cigarettes. Thank you. Ban sale of tobacco and vaping products to people under age of 19 years. This reduces impact on high school age students. No need to make people wait until they are 21 years old. Poorly worded survey -regulate means what? Can adults have menthol or fruit tobacco? What is science here. The goal is stopping kids access to tobacco and vaping until they are out of high school. Regulate sales by not selling to those under 19 years old. This keeps vaping and tobacco out of high schools. As a parent of young children, I see vaping and flavored products, electronic cigarettes as a potential temptation and would like to see the city get ahead. Regulate away, increase the price of all tobacco products (and tax them heavily). Very concerned about data on youth smoking and vaping. Once they're hooked, the tobacco industry usually has them for life. Glad to see other cities moving in the direction of more regulation. Regulation of Tobacco Sales Community Input Report Page 6 Rather than regulate the sale of vape and menthol, please intact a law that outlaws The possession of said items to those under 18. That is the only way to stop youth. I am especially against restrictions on the sale of vaping products other than to prohibit the sale of them to minors. As an adult and former cigarette smoker, vaping has allowed me to cut down on my nicotine usage, stop smoking cigarettes, and save money. I am healthier and breathe more easily. I do not want to pay more or have to jump through hoops to buy vaping products. Also, I think adults should be able to make decisions about their bodies and therefore should be allowed to smoke cigarettes and use tobacco products even if it causes them to become ill. Let people buy cigs if they want them. Also regulate the number of vape/e-cig stores and/or “places” within the city. Please begin to look at vapes. More of a concern than tobacco at this time. I think we are behind and the regulations should start shifting focus to vapes. The only regulation that would be useful pertaining to ecigs and vapes would be a quality rating system and a requirement that all ingredients be listed on the label. I am against over- regulation but concerned about flavored/e-cig products marketing towards children. We don't want "our" kids to have easy access to vaping or flavored nicotine. Studies show how vaping can hinder brain development. There should be a PSA for parents regarding teenage e-cig/vape use (e.g. Juul) In the past few years youth vaping has become an epidemic. Youth are targeted by e-cig companies, and due to the high nicotine in these products are quickly addicted. I work for Hopkins Public Schools, which serves many Golden Valley families, and have seen the direct impact of the teen vaping epidemic. Many teens have 18 year olds buy them their vapes. By placing restrictions on tobacco products (including vapes) and flavored products, youth will restricted access. Research shows raising the purchase age to 21 will prevent youth from starting, and ultimately save lives. Regulation of Tobacco Sales Community Input Report Page 7 Age Of Tobacco Product Buyers Should the City of Golden Valley prohibit the sale of tobacco to people under 21? Of the 727 respondents who answered this question, 431 (59 percent) are in prohibiting tobacco sales to people under age 21 in Golden Valley, 257 (35 percent) are not, and 39 (5 percent) don’t care. Survey Comments I feel if someone really wants it, they’re just going to go to the closest city that has it. That means golden valley business will lose out on income and the city loses out on sales tax. Personally, I don’t smoke and I don’t enjoy being around people that do, but those people are going to do it no matter what. Also, if a 19 has been able to buy tobacco legally for a year and is addicted, they now either have to illegally have someone buy it for them, or again, cause golden valley to lose out on their revenue. It seems silly to raise the age when developmentally 21 isn’t much different than 18. 18 is the defined date for being an adult. We need to let adults make their own decisions. If 18 year olds can not make these decisions for themselves, we should not be labeling them adults. I'd also urge you to look outside of the US at ages people are allowed to smoke and drink at. We are already one of the most strict nations. I'm assuming 'legal' age is 18...to vote, live as an adult and to serve our country. If a person wants to smoke cigarettes, they will find away regardless of age. I think we need just one legal age. At 18 your considered and adult but not old enough to purchase alcohol (that happens @ 21). I think Minnesota needs to have just 1 legal age and then that person can purchase whatever and live as they please. Legally an individual is an adult at 18. If they can die protecting your country and your rights.. they can make there own decisions. You can not tell and individual they are only a partial adult. And yes I feel the same way about alcohol. For adults over 21 options should be available. I am all for tobacco limitations. However, I have a problem with conflicting messages on what constitutes an adult in our society. If we say 18 for voting and serving our country, then we need to be consistent. Do whatever it takes to keep tobacco products out of the hands of people under age 21. Regulation of Tobacco Sales Community Input Report Page 8 It's time to protect our children from tobacco consume. Tobacco is a known killer and one of the most difficult addictions to break -- worse than opioids or heroin. Regulating the sale of tobacco to young people is a responsible, important public response to this preventable health hazard at a time when addictions are easily acquired. Golden Valley should be in the forefront of tobacco use prevention, not dragged kicking and screaming into it. Making it more difficult for under 21 makes sense to me. Until we are aware of the consequences of vaping long term, I would support a total ban. I do not see what banning menthol will do. Increasing the age limit will not restrict access to tobacco. Increased enforcement, and substantial penalties to businesses caught selling to under 18 would have a greater impact. Besides, if you are old enough to join the military and die for this country, you should be also allowed to buy tobacco. Electronic cigarettes & vapes should be regulated exactly the same as tobacco products because they impact others besides the smoker. Penalties for stores that sell to under-age purchasers should be increased but if a person is considered an adult at age 18 they should be able to make their own decision about smoking. I think if someone is old enough to enlist in the military, they are old enough to choose whether to purchase tobacco products. While I agree that flavored tobacco is targeted to the younger crowd, it’s still a personal choice and government should not be regulating it. Assuming we are talking about those old enough to purchase. Regulate meaning heavily tax it. Don’t get in the game of limiting it to a certain age (ie 21+). If they’re considered adults at 18, they should be able to make that choice. I think that people are educated enough today to know the risks of using tobacco products. If we consider an 18 year old an adult, then they should be able to make their own decisions about what they put in their body. I'm fine with restricting where smoking can take place since second-hand smoke is a risk to those around the smoker, but otherwise it's up to us to choose what we do as adults. The government definitely shouldn't have anything to do with setting prices or package sizes on any products, tobacco or otherwise. If you want to spend tax money on something related, then consider education to further awareness of the risks or maybe on some form of incentive to quit tobacco products. I guess it really comes down to what age we define as an adult. I'd rather see that changed to 21 than these one off rules that effectively say, "you are now responsible as an adult and you can do anything... except this and that.. Oh and this too." That being said, I don't want to see the age of adulthood changed either. I like the 21+ rule, however think GV should not regulate what type of products can be sold. Especially to those adults that are using those products to try and quit smoking. Just as with alcohol, if this age restriction helps in the effort to limit access to tobacco products for younger people, I am for it. I have COPD. My partner has lung cancer and COPD. We were both smokers for more than 30 years. Cigarettes were inexpensive and easy to get even before were 18. Need I say more? Tobacco companies are brilliant marketing a destructive, environementally harmful product that is devastatingly expensive to individuals and communities. Regulation is a critical public health priority. As long as it is restricted from people under 21 years of age, the person should be allowed to purchase whichever type of tobacco and flavoring they want. They are considered as actual adults at age 21 should be free to make their decisions. Government should not be involved in personal choices. Regulation of Tobacco Sales Community Input Report Page 9 There is sufficient legislation currently and it seems Golden Valley is just copying other cities they've seen do this. To my knowledge underage smoking in Golden Valley hasn't been a problem. People's rights need to be protected and in this case, choice of wether to consume tobacco or not. You can send 18-20 year olds to war but they can't buy cigarettes? If the age requirement changes from 18 to 21, people who aren't 21 before the effective date should be grandfathered in. 18 year-olds are adults. Let adults make the choice to smoke or vape. Less government oversight, please. Tobacco is legal to 18 and above in the US. Why does Golden Valley believe it has the right to violate federal law? Also, does this mean people under 21 are no longer adults and should be treated as such (in ALL aspects)? I support regulations that make it more difficult for teens to gain access to tobacco products. My age is none of your business While I support efforts to reduce the ability of children and teens accessing tobacco products, I also don't believe in limiting freedoms for adults. I would support exploring a 19 age limit, as it would provide a buffer between high school aged teens and access to products. Protecting children is an admirable idea, but 21? Those people have been adults for 3 years. You can join the Army at 17, get married, vote, and buy a house at 18. I don't think the decision to buy tobacco is a more monumental decision than any of these and we allow the individual to make those choices. You can't legislate good choices, all you do is make criminals of people who don't agree with your assessment and add a layer of expensive enforcement to shopkeepers and the police. I'd prefer you to raise taxes on the products and use the money for education. Flavored tobacco shouldn’t be a option for anyone. If by law you are grown up enough to make legal decisions, vote and go into the service (where you may be killed) then you should be able to buy tobacco. Stop trying to save people from themselves. If they are old enough to vote and are considered an adult in the City of GV, etc at 18 then treat them like one. I would STRONGLY prefer you not make it an option for my young daughter to purchase cigarettes of any kind under the age of 21. Let's show some integrity here and send the right message to young people. This is not rocket science. Anyone who can vote and join the military should be able to buy tobacco. 21 and up. No regulation needed. If you are 18 you are an adult. Let adults make decisions for themselves. Just enforce the age with stings to make sure retailers are checking IDs. We need to make it as difficult as possible for young people to start this horrible habit. I'm a former smoker who started at 12 yrs. It was easy to get cigarettes and I luckily quit at 27. An age restriction would help curb teen smoking which is when most people start. All for it. I have 3 kids - 21 yrs 18 yrs & 15 - None of them smoke - but I still think if you can fight & die for your country, you should be able to smoke. Legal adult age is 18 - federal law has not changed it. If my kids wanted to smoke they would travel a few more miles to buy cigarettes where the age is still 18. Vaping has not been proven bad for you, and only has nicotien in it - which is a harmless - only addictive. Not any different the wearing a patch or chewing the gum. Either way kids are going to find a way to do either option. Drinking age is 21 - but they seam to find a way to drink when they want. Minnesota is already enough of a nanny state. It is a legal product for adults over the age of 18. Regulation of Tobacco Sales Community Input Report Page 10 The city should be responsible to our youth even if National or State pressure develops for liberalization. Know what we do not know. Use research-based policy making approach on these crucial decisions. Smoking, vaping, or other such behaviors need to be kept as far away from our youth as possible. The behaviors should be marginalized and made rare. Everything we know of social network effects point to the power of mimicry. The research is also becoming clear - cannabis and derivatives are extremely dangerous for early adolescent brain development. https://www.sfgate.com/news/article/In-first-states-to-legalize-pot-teen-use-14001768.php https://www.jneurosci.org/content/39/10/1817 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6433615/ Root cause - the impulse - stress or fear - can be overwhelmed with joy and contentment! Celebrate GV in deep and powerful ways - not multiple shallow, easy-to-forget events. Help residents connect with the marginalized. Not easy without the bold action of Leaders. You can give the kid a gun and have him kill political enemies, he should be able to make decisions on smoking, and buying a beer. Get out of our lives. I want us to keep young people from starting to smoke or vape. If the city chooses to regulate the sale of tobacco to restrict people under the age of 21 from purchasing tobacco I think the city should consider changing the age at which people can vote to 21. If those under 21 are not capable of deciding whether or not to smoke, should they really be deciding who should represent them as elected officials? If this isn't the issue and we are just trying to ban the sale of cigarettes then the Council should just outright ban the sale of all tobacco and e cigs. If young adults have the right to vote and serve their country, they should have the choice to buy tobacco products. More education is key. I have lived in Golden Valley for 3 years now. Definitely am for raising the minimum age to 21. 1. The city should not regulate it. Minimum purchasing age should be 18. Other than that, the city should not get involved with the topic. 2. Regulating that will hurt some small businesses that make some of their profit from those sales, restricting certain sales can damage the businesses and limit taxes that the city is collecting. If we raise the minimum age I don’t think we should limit the flavors. If we don’t raise the age, then we should limit the flavors. If you're old enough to vote and be in the military you're old enough to legally buy tobacco of any kind. The societal costs of tobacco use are incredibly high. Tobacco companies prey on teens , minorities, and the poor. As a teacher, I am aware of 6th and 7th graders vaping in the bathroom, and kids are getting this from older teen siblings. I support regulation and price increases. Really, Your asking for no sales under 21 Is that because those under 21 can’t make sound choices ? I’m not clear on the why of this topic.. It’s getting to be a bit much.. CHILDREN SHOULD NOT BE EXPOSED TO TOBACCO ADDITION IN OUR COMMUNITY. WE NEED TO PROMOTE THE NATIONAL TREND OF LESS SMOKING IN OUR POPULATION. I don’t use tobacco. I have small children and don’t want them to purchase tobacco when they turn 18. I purchased a pack of flavored Camels shortly after I turned 18 myself. However I am opposed to these regulations because I don’t want excessive government restriction of individual choices. Regulation of Tobacco Sales Community Input Report Page 11 This fight is against Big Tobacco and its targeting of young people. Adults should be able to make informed decisions about the substances they ingest, government should have no say as long as the substance doesn't make you a risk to people around you. As a close to 30 something, I personally feel that the tobacco age should be higher, between 22 and 25. This would allow young adults to fully form opinions and become educated on tobacco before being scooped up by enticing advertisements, cheap prices or quick “feel good” activities while in college. I’m not sure what the current age restriction is on who can sell tobacco but I feel that one should be unable to sell tobacco unless they are 28 or older. Tobacco should not be able to be smoked around businesses that sell it. It’s been nearly impossible to go into gas stations and grocery stores without being exposed to someone smoking right outside the door. I urge you to push the limit to smoking near an entrance or sidewalk to 50 or 100 feet distance from public areas and crack down on smoking near restaurants, places of businesses and parks. Tobacco sales should, in my opinion, be restricted on the weekends and tobacco should not be able to be sold after 9 pm. If people are old enough to vote at age 18, they should be able to make their own decision on tobacco products. Too much government involvement! I am a non-smoker. I am a little torn on this. I hate seeing teens have access to tobacco products and I hate being around anyone that is smoking. But . . . if an 18 year old can enlist in the armed services and protect our country, I think that pretty much makes that person an adult. Shouldn't he/she then be allowed to buy tobacco products? This is a solution looking for a problem and infringes on the rights of adults 18 to 20. Also not worth enforcing. If at age 18 you are considered a legal adult then you should have the right to make your own bad decisions. Whatever can be done to stop young people from starting to smoke, should be done. Lives can be saved and so many health problems can be avoided. We all end up paying the huge medical costs associated with smoking. So many health issues and death could be avoided by not smoking. It is the most stupid and unnecessary habit. Government has the right to regulate smoking, because even the chemicals left behind on someone's clothing, if they smoke outside, can impact a child's health. Changing the age to 21 to buy tobacco is a great idea. I remember when I was in high school and adult teens buying tobacco for the younger kids. This is at the heart of the addition cycle. Now with e-cigs becoming an epidemic it is vitally important to reduce the availability of these products. The flavored tobacco products should only be allowed to be sold in adult tobacco stores as this is another key way the youth get hooked on tobacco. Any store owner selling to underage kids should be severally fined. Also please consider doing something about the target marketing tobacco products to the youth as this should be banned. I am happy to see that you are getting on top of this big problem. I have two kids 8 and 11 and warn them about the dangers of these tobacco products. Having Golden Valley step up and say we are going to protect our kids means the world to me and other families I know. Regulation necessary to protect our youth. I think raising the legal age to buy tobacco/vaping products to 21 is enough regulation for now. 18 is the age still they can be drafted? Then 18 I think. Remember some buy tobacco for ceremony. we are allowed to drive cars, buy guns, The tobacco industry is targeting the youth in our community to take the place of those dying from tobacco related diseases. We must protect our youth - smoking cigarettes and e-cigarettes is deadly, and we do not want to take a vote that essentially says we are okay with killing our youth! Regulating tobacco is regulating how legal adults spend their time and relieve stress or enjoy themselves. This isn't the government's place. If 18 year olds can serve in the military, they should be allowed to smoke. Regulation of Tobacco Sales Community Input Report Page 12 Facebook/Email Comments Carrie Shanahan à Smoking kills. Tobacco companies intentionally target young people. Anyone fired up about fighting for their kids’ and grandkids’ right to smoke might want to think about finding a better cause to celebrate. Amber Smith à response to above) So, what you're saying is protecting Golden Valley resident's health, particularly our youth's health, should NOT be a priority? Rb Brandt à Amber Smith yes, hun, that is exactly what I am saying Holly Koch Staples à Probably because people don't think it's a big enough issue to waste their time on voting on something that is increasing the age of an adult to make an adult decision from 18 to 21. Justin Zollarà Holly Koch Staples do 18 years olds then have the ability to make an adult decision to vote? Own a house? Holly Koch Staplesà Yes they do. My point is that if we consider people adults at 18, then they should be able to make adult decisions if they want to smoke, buy smokeless tobacco, drink alcohol, etc. Why does the government need to get involved in saving us from ourselves if we are old enough to vote, buy a house, go to college, join the military, etc. Cindy à Here are some links and articles in support of Tobacco 21. Another argument is that tobacco use is the number 1 actual cause of death and causes many of the top 10 causes of death in the US. This costs a lot of healthcare dollars for us all. All of our premiums go up because people have tobacco related illnesses. We don't live in a bubble when it comes to our healthcare costs. I pay for all those smokers who have diseases from using. https://www.tobaccofreekids.org/what-we-do/us/sale-age-21 http://www.nationalacademies.org/hmd/Reports/2015/TobaccoMinimumAgeReport.aspx https://www.lung.org/our-initiatives/tobacco/cessation-and-prevention/tobacco-21-laws.html https://www.tobaccofreekids.org/what-we-do/us/sale-age-21 http://www.nationalacademies.org/hmd/Reports/2015/TobaccoMinimumAgeReport.aspx https://www.lung.org/our-initiatives/tobacco/cessation-and-prevention/tobacco-21-laws.html Justin Zollar à Then let's raise the voting age to 21. You're an adult or you're not. Stephen Voydà Justin Zollar Apples and Oranges. Voting generally doesn’t contribute toward your early death or those around you. Nick Haugeà Going off to war can. Rob Swanson à Unfortunately these days it does Diana Weber Beutnerà I was upset to see the tobacco e-cig store go in at Golden Valley commons. Definitely in favor of raising the age limit to buy these products to 21. Janet Averyà These regulations would improve the health of GV and they are so important in helping young people to not start using nicotine or tobacco products. Our neighboring communities already have similar regulations Jon Nelson à 18 years old - you can go to war, you can legally vote to change the laws, you can also make your own choice to have a smoke. Why are we desiring to legislate to take more peoples rights to choose away from them? How about continuing towards education and less regulation? #myrights #mybodymychoice Robin Weaverà Understandable, and I agree we need to push education so individuals don't want to start to smoke in the first place. However, your examples (voting, military) help to build strength, character, future etc. Smoking is literally the opposite. And while it's "your body", the cost of cigarettes from a healthcare perspective are astronomical, and we ALL essentially subsidize smokers. That said, I don't see a problem with making it difficult to purchase tobacco products, but agree that if you are an adult at 18, it's your decision. Regulation of Tobacco Sales Community Input Report Page 13 Minimum Price Should the City of Golden Valley require a minimum price for tobacco products sold in packages of three or less? Tobacco products sold in packages of three or fewer are known as “loosies.” Of the 708 respondents who answered this question, 292 (41 percent) are in favor of requiring a minimum price for loosies in Golden Valley, 299 (42 percent) are not, and 117 (16 percent) don’t care. Regulation options include broadening the definition of a loosie, raising the price of loosies, or both. Regulation of Tobacco Sales Community Input Report Page 14 Flavored And Menthol Tobacco Should the City of Golden Valley regulate the sale of flavored tobacco? Of the 725 respondents who answered this question, 395 (54 percent) are in favor of requiring a minimum price for loosies in Golden Valley, 288 (39 percent) are not, and 42 (5 percent) don’t care. Should the City of Golden Valley regulate the sale of menthol flavored tobacco? Of the 717 respondents who answered this question, 371 (51 percent) are in favor of requiring a minimum price for loosies in Golden Valley, 295 (41 percent) are not, and 51 (7 percent) don’t care. Regulation of Tobacco Sales Community Input Report Page 15 Regulation options include: completely banning the sale of all flavored tobacco completely banning the sale of flavored tobacco, excluding menthol allowing the sale of all flavored tobacco only at adult stores allow the sale of flavored tobacco only at adult stores, but allow the sale of menthol tobacco at all tobacco retailers allow the sale of flavored tobacco only at designated tobacco shops Survey Comments Golden Valley should do everything in its power to restrict the sale of flavored tobacco and all other measures to reduce the risk of youth addiction to tobacco. Only real concern is regulating menthol tobacco for adults.... Nothing said here about what was involved in decision or purchase. I would be against regulating menthol for adults, and why just menthol????? I don't consider it really a "flavor". Some people seem to have concern for the younger generation due to the flavors, which I share. (Sorry if I'm repeating here, but I can't see what I've written as the sidebar disappears.) Is regulation of any of it necessary? People make their own choices. Just because do gooders from one city think it's a good idea to regulate, Golden Valley has to do it too????? Regarding the regulation of flavored tobacco - I don't think they should be regulated any differently than "regular" tobacco products. Flavors don’t mean it attracts kids. Especially if it’s for 21 and over only. Kids are attracted to anything they aren’t supposed to have that’s nature but you can’t take away the freedom and right of everyone else because of the few bad apples. Vaping is safer then cigarettes and is a much safer alternative. People can drink all they want but can’t enjoy a tasty cloud of water vapor? I am especially concerned about the use of menthol products and vaping among teens and young adults. As a former smoker, I understand the dangers of tobacco use and would like to see more regulation. I feel like regulating menthol cigarettes is systematic racism at it's finest, and MN and GV should be better than that and above such things. Also, old enough to go to war? Old enough to make decisions about smoking. Flavored products are a worry of mine. If we have to make it taste good to pull in a younger clientele that creates a problem in my opinon. If the city passes a flavor restriction, it should include menthol, and there should be no exception for adult-only tobacco stores. If the minimum sales age is raised to 21, the penalties should be on the retailers for violation, not on young people. While the goal of your revised ordinance is to keep vape products out of the hands of minors, you are going a step too far when looking at a ban on menthol, mint and wintergreen products. I do hope you will consider the many small business owners who have supported this community and will suffer devastating losses due to the restrictive and ill planned ordinances I think there should be more regulations on tobacco products in general, especially the flavored ones and vibrant packaging that attracts younger users. I think nationally more regulation needs to happen, but it is a good start with our city Regulation of Tobacco Sales Community Input Report Page 16 General Survey Comments I started smoking at 15 and know the struggle of resisting (at that age) and of stopping the bad habit later in life It's very important to have strict regulation in tobacco products. It impacts the health of us all, and also taxpayer money to treat the health and pollution issues created. This is a public health issue and is long overdue. I am extremely disappointed to see the new tobacco/e-cig shop in the Golden Valley mall where families and children hang out. It does not seem like a good fit and is not what I want my children exposed to when going to Dairy Queen or grabbing a quick dinner. I'm surprised that there is not better zoning to prevent it. I like these proposals Thanks for tackling this issue. We know the health risks associated with tobacco usage. It seems like a no brainer to restrict sales and similar ordinances have been successful in other cities. I don't believe these types of regulations are effective at the city level. Also, if someone is old enough to join the military, they are old enough to make (legal) life choices and not have the city impose their ideas on them. There are more important public safety issues already in Golden Valley. Such as the unsafe drivers every day on Olympia (speeding and not stopping for stop signs). Would also appreciate no tobacco sales near schools. Maybe this is already a rule? Please explain that these measures have been proven to reduce the number of young people who start smoking and save lives. Prohibiting sales to minors is ok, but don't treat adults like they are children. It's insulting and paternalistic. The city of Golden Valley should ban the sale of all tobacco related products in the whole city within the city limits. Don't restrict the individual freedoms of people to use legal products. This is a very important topic. As a parent, I worry about my kids having access to this stuff, so any extra regulation and restrictions that we can impose can help prevent them from getting addicted to cigarettes or ecigarettes. Anything evidence based to reduce tobacco use is a great idea. If you adopt these regulations, Golden Valley will join a growing list of communities in Minnesota (many of them adjacent to Golden Valley) who have adopted similar policies. Increase taxes to pay for the public health implications of all of these products and support tobacco use cessation resources, please! Thank you for bringing up this very important subject! if you can vote and join the military then the government has no place to someone what they can or can not buy 18-year-olds can vote and be drafted. They should be able to buy tobacco. I realize tobacco is a public health problem. So is alcohol. Where's the call to prohibit sales of fruity-flavored alcohol? So is food. Where's the call to limit fast food sales? Exactly. Leave it alone. People have to be responsible for their own decisions. People can own homes, have kids and service our country at 18. We need to be able to smoke inside!! Cigs inside or else. There are bigger fish to fry than regulating legal purchases Raise tax on it Tobacco use should be highly discouraged everywhere. It pollutes the body and causes sickness. State issue. We encourage regulations that would inhibit the sales of tobacco products in pharmacies. Regulation of Tobacco Sales Community Input Report Page 17 Tobacco and related products are contributing to a public health crisis which taxpayers all eventually underwrite with their hard earned dollars. It's time to take action! Instead of requiring a minimum price on the sales of cigarettes &/or e-cigarettes raise the overall price through a city tax and then use the tax money raised towards improving the City’s air quality, the health of the residents &/or more education on the effects smoking/vaping does to oneself & second hand smoke. Another option to help limit sales of cigarettes &/or e-cigarettes require licenses to sell the products & if that is already in place set higher requirements to obtain/renew a tobacco/vape sales license. Set higher penalties for underage smoking/vaping. Set higher penalties for disposing of cigarette butts illegally a.ka. littering. I don’t smoke tobacco but last time I checked it is a legal substance. Stop being a nanny and let people make their own choices. Also if you raise the age to 21 then that should also be the legal voting age. You can’t say your mature enough to vote at 18 but not mature enough to make decisions concerning tobacco product. Enough PC Big Brother!! GV resident since 1957. People will just drive elsewhere. Just tax it and move on to the next real issue Having smoked for many years, I have been diagnosed with COPD and am on supplemental oxygen. No cigarette is safe in my opinion. There needs to be some kind of restricition on the use of signs; a new tobacco shop just went up near the Cub off Hwy 55 - why do they need LARGE signs in front of the grocery where kids are in view to publicize? Regulate smoking in public places! Stop this! Other communities have already put these types of restrictions in place. I would like our city to catch up. You should have two types of licenses: tobacco products shop and over the counter tobacco retailer. Only tobacco products shops at least 90% tobacco sales) should be able to sell flavored tobacco and vaping products. You should limit the number and location of tobacco shops in the city. I think tobacco should not be sold at all. I am curious about how much it would cost to regulate all of these products? And how many smokers and business owners would really be affected? Other nearby cities have increased regulation. Golden valley should too. Increase the tax on tobacco and offset that with a reduction in property tax Focus on bigger issues. Golden Valley should simply stick to the business of running the City. This seems like an unenforceable measure in reality. Golden Valley should follow what surrounding communities decide on this subject. Smokers have been "regulated" enough. And as much as the majority may wish that the world would go smoke-free, there will always be people who smoke. Please stop this this endless persecution of smokers. Leave it alone, and hopefully the pendulum one day may start swinging the other way. Let people make their own decisions. As long as it’s legal it shouldn’t be restricted. I personally do not use these products but it feels like it’s being used to shame the people that do. Government has no business regulating sales of tobacco. I am not a smoker but this is government and nanny-state over reach. City government should not be worried about this. Worry about crime, policing the city, roads, traffic, and attracting more businesses into the city. Why doesn’t the city worry about more important things? I smoked for years and would have found a way to buy tobacco if it was restricted. Also all the talk of restricting tobacco but marijuana is going to be ok in a couple years does not make sense. Work with other nearby cities to implement similar regulations to level the playing field for stores that sell tobacco products, i.e. so people don't just go to crystal and Golden Valley business's suffer If you care about the health of your residents, you will regulate tobacco products. Thank you for making this a priority. Regulation of Tobacco Sales Community Input Report Page 18 Education about the dangers of smoking has been very effective in decreasing smoking. Keep the education going, and any statute changes should be statewide. Tobacco store should not have been allowed to open in the commons. Very poor choice. I am not a user of any of these products, but I don't see what difference it'll make when those restricted can simply go to another community & spend their money there. The city should focus on things that benefit all residents. I do not support making a choice separate from the state of Minnesota in regards to tobacco sales. We should ban the sale to tobacco altogether. It has zero positive impact on society other than the collecting of tax revenue. Golden Valley should not be involved in the regulation of tobacco. This is a state matter. I’m a non smoker. It’s still a legal product. People should have the right to decide for themselves if/when they want to use tobacco. The city shouldn’t try to act as my mother! Fix streets, move bikes and scooters that are blocking sidewalks, stop creating bike lanes that no one uses, and let people be use their own judgement on buying tobacco products... it's not the city's role to dictate to anyone over the state's age of majority. History: Prior to 1973, the drinking age was the age of legal adulthood (age of majority), which was 21 (Minnesota Statutes 1971, section 645.45). In 1973, the age of majority was lowered from 21 to 18. They should close ALL smoke shops NOW I don't think this is a very important topic for the city to waste time and effort on. Less regulation just abide by state laws How much will this tobacco enforcement cost for the city? Stay out of peoples business. You are too small to make a difference, I will drive to slp, new hope, mpls, Plymouth or crystal. They will get my money and I will still smoke in my yard in golden valley. Why dont you stop picking on us Don't Education phamphets to be posted at sale locations. The city should not enact any legislation or place any restrictions on tobacco sales that are already covered by state government. There are already federal and state tobacco sale regulations. Stop the unnecessary intervention and expansion of government where it is not needed. This is a public health issue and GV should be a leader in the prevention of addiction thru products like this. This is a public health no-brainer Don’t sell it Cities should stay out of this business. I strongly detest smoking by anyone at any age. GV’s proposed attempt to restrict the sale of tobacco products will do the following: 1. Drive consumers under the age of 21 to purchase tobacco in neighboring communities. 2. Drive business away from GV retailers that sell tobacco products. 3. Fail to restrict use of tobacco by adults under the age of 21. 4. Shine a bright light on the classist, ageist and racist motives underlying this effort. Also consider an extra tax on tobacco that could go to things like fixing our roads, etc... I think the city should stop putting their hands on everything. We don’t need more city/govt control or regulations...we have enough! Regulation of Tobacco Sales Community Input Report Page 19 I agree with all of the changes the council is considering and that makes me wonder why we, as a city, are licensing tobacco sales at all? Can the City afford to stop licensing tobacco sales for any more new locations, existing licensed outlets could remain? It’s a state issue not a city issue Anything to stop people taking it up or restarting would be helpful. Thank you. I would also like to limit the number of smoke shops in the city as well You're on the right track. I think the city should stay out of it Other addictive products are regulated by law, enforcing higher age limits or Dr. prescription. I’m in favor of changes that being these substances into alignment with controls already enforced for other addictive products. I have not smoked for 35 years but I don't think it's fair to regulate tobacco sales. It sounds like a left-wing idea Allow grown adults to make their own decisions. No new laws that impede on one’s individual freedoms to consume products. This seems like a waste of resources and would be a nusiance for local retailers. I believe we are going too extreme with this possible regulation. People know the dangers of smoking; there are already age restrictions on cigarettes in place. I believe similar regulations should be in place for vaping products. But we need to stop policing behaviors with more regulations I don't even smoke. It's frustrating to see you think you have the right to "regulate" people from engaging in legal activities. Leave people alone to live the life they choose. Is this not a free nation? Thank you to Golden Valley for considering these life-saving ordinances. Regulation has never worked. Any attempts at restriction simply create law breakers. Education is the only reasonable way to reduce use of dangerous chemicals, and even then people should be allowed to do dangerous things. Tobacco is bad Make it expensive and difficult to get so I don't have to deal with smoke and butts. I'd love to see as few locations selling tobacco products as possible and as many restrictions on accessibility as possible to limit product availability for new users. All in hope to see less people suffer and die each year from tobacco-related addiction and illnesses. I am a retired nurse and watched the scare tactics about so king in restaurants and other public places. The only outcomes were positive. This should be done at a state level. As a small city with a limited retail base, we need to consider non-tobacco sales that would be lost by Golden Valley businesses to surrounding communities. Remember Prohibition! Tobacco sales are not the problem. The problem is lack of morals and values. I have no issue with the current tobacco laws and am strongly opposed to changing them. Stop controlling things that have nothing to do with you The government should not be regulating ANY businesses based on "moral standards" . Stay out of regulating legal businesses. I feel there are more important issues that the council should be working on. Although I am a non-smoker (and find the habit gross on many levels), if someone wants to waste their money, that's THEIR choice. As far as kids taking up the habit? Let's put that responsibility on THEIR PARENTS - not elected officials. I oppose government regulating EVERYTHING. Ban all sales of tobacco products and vaping products unless prescribed by a doctor. Tobacco/nicotine is a health-care burden on our community and country. It should be expensive and regulated. Regulation of Tobacco Sales Community Input Report Page 20 Do anything to STOP the sale of tobacco. It kills! Price it high, and tax the crap out of it. Make it so unpleasantly expensive that it’s not easily accessible or appealing, especially to younger people. The flavor issue is totally irrelevant; it’s lethal in every flavor. Tobacco related illness only kills about 1/2 million Americans every day. Yes I understand freedom, but suicide is against the law for a reason and tobacco use is suicide in slow motion. Former 2 pack a day smoker. Don't you have anything more important to do like waste more money on bicycle lanes that no one uses. BTW, where are all those green bicycles? It is not the government's job to tell people how to live. Stay out of private business and personal choices. Let people be free to make their own choices. No vape stores near school buildings. Not sure if possible but saw one go up near Hopkins High School and don’t want that here. Stay out of our lives with regard to vices. Mind the coffers. Plow the roads. Maintain the green spaces. Pay the police. (You do all those things. Just maintain your focus, please). We regulate the availability and sale of alcohol. I believe we should do the same for tobacco-related products. Liquor store owners abide these regulations. So cam vendors who sell tobacco-related products. I think there are better ways of addressing the issue of an unwanted tobacco/smoke shop in the area. Limit the % of sales from that one lane of products to no more than 25% of the total business. Example would be a gas station or convenience store like Walgreens. When SLP didn’t want Pawn America, they limited their function through something creative like this. While I voted no to this questionnaire, I would rather see the tobacco shop go. I think these kinds of businesses harm communities from the promotion of unhealthy products and lifestyle. We can do better and should demand better business for Golden Valley. The city has no reason to be in the regulation of this. They have no ability to perform unbiased research and analysis. It is purely a feel good “look how much I care” grab. Both Federal and State entities are fully aware of to pro and con of these situations. Leave it alone. Prohibition of undesirable products only drives illegal sales. Taxation, coupled with using that tax money for addiction treatment, is the only effective method to discourage use. If the city can't implement that, then it should lobby the state, rather than trying to push tobacco sales to neighboring cities. Tobacco is a “luxury” item and should be heavily taxed to allow the community to: 1. Clean up after users 2. Effectively pay for health impact 3. Cover the cost of anti-tobacco educational campaigns. While teen use is at alarming levels, focusing on city regulation is misplaced. These are legal products. The city has no business trying to futher regulate this area. Access to these products is in easy in walking or biking distance outside of city limits. GV is starting to become "Big Brother". Stick to your city charter and not get into people's personal choices. Cigarettes are legal, right? Don't like small businesses? Who's going to pay for highway construction? (smokers tax on cigs is huge) Who are you trying to please/placate by doing this? Don't like children smoking but it's really the parents who should be monitoring/teaching their kids - not the city. What's next - prohibition? I think that the regulation of tobacco sales in Golden Valley is very important to help protect the health of our young citizens. It is a responsible action for supporting good public health in Golden Valley. Free will is excellent. Placing appropriate guardrails around deadly activity is excellent. Let's create policy that does both. sometimes government regulation isn't necessary. But, tobacco sales is a public health issue and therefore should be regulated Regulation of Tobacco Sales Community Input Report Page 21 Why? I am not interested in smoking or vaping myself. But why spend the time and energy on this? The health risks that are associated with tobacco use are so well known, but people, especially young people, are still being lured into trying it. Some people say that it is their "right" to use tobacco and it is a question of "free will". I see the addiction to tobacco as the opposite of "free will". You give up your "free will" to an addictive substance. Anything that the city can do to stop people from becoming addicted would be great and maybe save someone's life. Golden Valley should match the state regulations I think there should be citywide PSAs on the ingredients of e-cigarettes, including their long-term effects and levels of toxicity. I also think that shops that advertise that they sell nicotine products should not be allowed to do business within a two mile radius of any elementary, middle or high schools. Now that Minneapolis has/is changing its Tobacco ordinance we need to as well. Otherwise we’ll have people driving here from nearby MPLS to acquire these products. There are way bigger issues than wasting time with this. Literally saves lives if enacted I am not a smoker, nor a tobacco user of any kind. There is no need to restrict tobacco sales any further than the already enacted and enforced state regulations on cigarettes, chewing tobacco, and vape/electronic cigarettes. Given the number of deaths that tobacco industry is responsible for, these products should be restricted. I would have to take my business to a neighboring city. I also fee that I should be the one to decide what I smoke and it should not be determined my anyone else, especially the government. These are critical to providing a safe environment for our youth and savings on future health costs. Many other cities in Mn have already moved ahead on these measures. G. V. should not be left behind. Stop meddling with free market capitalism. The FDA ALREADY HAS RETAIL REGULATIONS IN PLACE. mostly questions around enforcement (and potential for bias) any comparitive burbs doing this? around regulating sales of flavored/menthol - just regulating for businesses, not penalties for kids right? if businesses are penalized, what is the penalty? fees? where does the $ go? will kids be penalized if they try to buy? or does the penalty go to the business? if kids are penalized, what is the penalty? is it civil or criminal? lots of issues with this One correlation I need someone to tell me more detail on, is how does serving in the military at 18 relate to the health affects and healthcare costs associated with People need to think of this as a spectrum. If you shift the legal age it could move the age of first use up, which could reduce the length of time someone uses and has health issues. If we can get people to not start using tobacco by 18, then they probably won’t use. This is nanny state ridiculousness. City government has no business regulating tobacco sales. Responsibilities of city government: fix the roads, build roads, reduce crime, fund the police and fire department, get the scooters out in the spring not when summer is half over, plow the roads, provide clean water, to name a few. Get out of legislating behavior and get back to the business of running the city. Honestly. I agree that this should not be city government's responsibility, but so many things are now because of gridlock at the state legislature and in DC. Legislators wait for cities to do their work for them because they don't want to take any responsibility and then jump on the bandwagon at the end. That said, I would rather address this one state-wide so as not to disadvantage Golden Valley businesses and because the impact of one small city on health won't be measurable. The whole problem would shrink if federal subsidies for tobacco growers were eliminated. Regulation of Tobacco Sales Community Input Report Page 22 response to above) I agree, yet respectfully disagree. Policies, particularly health behavior, starts at the local level. It's been discussed at the state level because so many cities have passed these changes to protect our youth and community's health. Should be a state issue not a city by city issue. I am curious why people want to violate federal law? I agree with Jon - if you can’t realize the rights of an adult, don’t require them to go to war and don’t try them as adults for illegal activities. Any other things people personally don’t like they would like a law for, even if it’s not fair/legal to others? Teach don’t legislate. Don’t use unnecessary laws to enforce your will on others - go out and make the difference yourself no one asked our opinion before a smoke shop opened up Why does Golden Valley want to violate federal law? Think you should tax the heck out of it The city shouldn't be involved in regulating legal products. Facebook/Email Comments Cindy Schiebe à One correlation I need someone to tell me more detail on, is how does serving in the military at 18 relate to the health affects and healthcare costs associated with People need to think of this as a spectrum. If you shift the legal age it could move the age of first use up, which could reduce the length of time someone uses and has health issues. If we can get people to not start using tobacco by 18, then they probably won’t use. Rob Brandt à This is nanny state ridiculousness. City government has no business regulating tobacco sales. Responsibilities of city government: fix the roads, build roads, reduce crime, fund the police and fire department, get the scooters out in the spring not when summer is half over, plow the roads, provide clean water, to name a few. Get out of legislating behavior and get back to the business of running the city. Honestly. Cathy Howard Waldhauser à I agree that this should not be city government's responsibility, but so many things are now because of gridlock at the state legislature and in DC. Legislators wait for cities to do their work for them because they don't want to take any responsibility and then jump on the bandwagon at the end. That said, I would rather address this one state- wide so as not to disadvantage Golden Valley businesses and because the impact of one small city on health won't be measurable. The whole problem would shrink if federal subsidies for tobacco growers were eliminated. Amber Smith à response to above) I agree, yet respectfully disagree. Policies, particularly health behavior, starts at the local level. It's been discussed at the state level because so many cities have passed these changes to protect our youth and community's health. Greg Robberstad à Should be a state issue not a city by city issue Casey J Ratliff à I am curious why people want to violate federal law? I agree with Jon - if you can’t realize the rights of an adult, don’t require them to go to war and don’t try them as adults for illegal activities. Any other things people personally don’t like they would like a law for, even if it’s not fair/legal to others? Teach don’t legislate. Don’t use unnecessary laws to enforce your will on others - go out and make the difference yourself Kay Villarrealà no one asked our opinion before a smoke shop opened up Casey J Ratliff à Why does Golden Valley want to violate federal law? Barbara à Prindle mostly questions around enforcement (and potential for bias) any comparitive burbs doing this? around regulating sales of flavored/menthol - just regulating for businesses, not penalties for kids right? if businesses are penalized, what is the penalty? fees? where does the $ go? will kids be penalized if they try to buy? or does the penalty go to the business? if kids are penalized, what is the penalty? is it civil or criminal? lots of issues with this Regulation of Tobacco Sales Community Input Report Page 23 Staff Notes From Public Forum Association For Nonsmokers-Minnesota (ANSR) Table Juul pods inexpensive, sold at stores. Price of unit ends up evening up when compared to tobacco Question on min price. Has someone done a regulation on pack size? Mostly in MN, single cig at a certain price How many communities have done flavor and how does that effect? St. Paul 91 percent completed. With flavor restricted most e-cigs — yes it would. Is Juul flavored? Yes it is. Tobacco Retailers Table Question to Down In The Valley: How much money comes from tobacco? — ½ of our profits Why do you sell other things? Records, etc? — We are a unique, shopping experience. The structure works. E cigs are low profit on our business. Top Star Tobacco and E-cig: New store, we depend on E-Cig products. Over 70 percent of our sales Gas station retailer: We have been in business for a long time. If we don’t sell cigarettes, we can’t survive on gas sales only. 8 to 15 percent profit from tobacco products. Tobacco is 40 percent of product sales. State law should be passed across the board. I think you shouldn’t sell a product that kills half the people that use it. Advocate for informed decision making. Tobacco is linked to brain damage, childhood development. Ingredients are not listed. Not full idea of effects by 21. It kills! How do you prevent retailers from going out of business? Cap retailer number. They would take licenses away from business that decided to remove them at some point in time. GV would not allow them to apply for them again. Retailer: against regulations in general. I hear the term, my ears ring. If you want it, you’ll find a way to get it! It will only create a black market for tobacco Asked about 21 and over ok in tobacco store only. What percentage of lost revenue if stop of flavor tobacco. Depends on the store. Gas station- 50 percent of store. Menthol big sales. Asked where minors are getting it. Vendor said, many from internet. In store they have to show ID. Resident asked about minimum package. Asked about flavor ban Against because tobacco stores will still be able to sell, but other retailers won’t. For because it will keep it out of the reach of youth. Against if its only 21 and over regulation enacted. Existence of black market means 21 won’t solve everything. I think they should limit number of tobacco stores. 21 is a step, we need more. The younger people start, the earlier they get addicted. Price will prohibit kids from purchasing. Retailers responded that higher prices are good for them. Concern that there is a level field—if one community adopts a ban but neighboring cities don’t, it won’t help. How much of retailers business is Juul? — Zero to little, but those are available online. Hennepin County Department Of Health Table Regulation of Tobacco Sales Community Input Report Page 24 Advertisement question (Shep) — Certain percentage of the window can be designated for ads. Limiting signage in front windows. The county did not address advertisement. The signage policy applies to any business. Question: Has it been difficult to instill changes, from policy perspectives, in different cities? What is the likelihood of the regulations being implemented in Golden Valley? Hennepin County can’t comment on city’s implementation. What we can say is you want to give retailers time to work on inventory before enacting a flavor ordinance. Are any cities banning all sales? San Francisco is trying to ban all e-cigs sales. PowerPoint used available somewhere. Contact Maria. Asked about the cap of licenses, how it would work. Normally, grandfather in but it would be up to the city. If someone close if over limit, would not be able to add another. Would raising age to 21 solve most of the problems? HC said it would reduce. Residents said you can see other places. What percentage would be taking away from retailers? HC said ask retailers. Resident said 21 makes sense. Another person said it makes sense for pharmacy not to sell. Commented that other neighboring cities already limit density (noted it from the handouts) For, because price is deterrent for younger people Has anyone considered a compromise on age, like 19, to keep it away from schools without taking freedoms away from adults? APPENDIX A Detailed Survey Responses Page 25 APPENDIX B Social Media Reach And Engagement Page 27 SOCIAL MEDIA REACH AND ENGAGEMENT Regulation Of Tobacco Sales Reach = Number of people who saw the post Engagement = Number of people who interacted with the post July 12 PLATFORM REACH ENGAGEMENT LIKES SHARES/RETWEETS COMMENTS Facebook 929 92 4 1 4 Twitter 448 4 0 1 0 July 17 PLATFORM REACH ENGAGEMENT LIKES SHARES/RETWEETS COMMENTS Facebook 1,928 630 12 7 6 July 18 PLATFORM REACH ENGAGEMENT LIKES SHARES/RETWEETS COMMENTS Twitter 227 9 0 0 0 July 22 PLATFORM REACH ENGAGEMENT LIKES SHARES/RETWEETS COMMENTS Facebook 1,341 346 8 3 2 Twitter 210 5 0 0 0 July 26 PLATFORM REACH ENGAGEMENT LIKES SHARES/RETWEETS COMMENTS Facebook 2,434 787 8 8 12 Twitter 199 5 0 0 0 July 30 PLATFORM REACH ENGAGEMENT LIKES SHARES/RETWEETS COMMENTS Facebook 783 36 4 1 0 Aug 5 PLATFORM REACH ENGAGEMENT LIKES SHARES/RETWEETS COMMENTS Facebook 408 15 3 2 0 Twitter 190 2 0 1 0 APPENDIX C Additional Resources Regulation of Tobacco Sales Community Input Report Page 31 Contents Vaping And E-Cigarettes E-Cigarette Regulations (Minnesota Public Health Law Center) Ecigs 2.0: The Next Generation (Association For Nonsmokers-Minnesota) Electronic Cigarettes Focus Group (Hopkins High School) Which Teens Try Vaping? (Minnesota Department of Heath) Age Of Tobacco Product Buyers Raising the Legal Age to Purchase Tobacco and Restricting Flavored Tobacco Coalition of Neighborhood Retailers) Where Do Youth Get Tobacco? (Food and Drug Administration) Golden Valley Compliance Check Inspection (Food and Drug Administration) Hennepin County Tobacco Profile Regulation Of Tobacco Sales – Golden Valley Letter Of Support For Tobacco Ordinance (HealthPartners) Youth Tobacco Use Rises For First Time In 17 Years (Minnesota Department Of Health) Health Advisory: Nicotine And The Escalating Risk Of Addition For Youth Minnesota Department Of Heath) Tobacco Forum Talking Points (Golden Valley Tobacco Retailers) Increasing The Tobacco Sale Age To 21 (Association For Nonsmokers-Minnesota) Tobacco 21: Health Impacts Of Raising The Minimum Tobacco Sale Age Association For Nonsmokers-Minnesota) Tobacco Retail Sales Ordinance Restrictions (Hennepin County Public Health) Location Of Tobacco Retailers 2019 Tobacco License Holders (City of Golden Valley) How To Reduce Tobacco Retailer Density And Why (CounterTobacco.org) Retailer Correspondence (Minnesota Service Station & Convenience Store Association) Minimum Price Cigars & Cigarillos Fact Sheet (Association For Nonsmokers-Minnesota) Regulation of Tobacco Sales Community Input Report Page 31 Flavored Tobacco Banning Flavored Tobacco Sales Will Severely Harm Or Force Local Retailers To Close Coalition of Neighborhood Retailers) The Potential Impact Of A Menthol Restriction On Convenience Stores Association For Nonsmokers-Minnesota) Flavored Tobacco Products Fact Sheet (Association For Nonsmokers-Minnesota) Menthol Flavored Tobacco Products (Hennepin County Public Health) Economic Impact Analysis: Menthol Tobacco Ban (Management Science Associates, Inc) Beautiful Lie, Ugly Truth About Menthol Tobacco (Association For Nonsmokers-Minnesota) Tobacco Market Trends (Management Science Associates, Inc) U.S.-born African American Menthol Tobacco Post Survey Data Highlights (Hennepin and Ramsey Counties) VAPING AND E-CIGARETTES 8/9/2019 E-Cigarette Regulations - Minnesota | Public Health Law Center https://www.publichealthlawcenter.org/resources/us-e-cigarette-regulations-50-state-review/mn 1/2 E - C I G A R E T T E R E G U L AT I O N S - M I N N E S O TA Are e-cigarettes in any section of the state’s statutes included in the de nition of "TobaccoProducts"? Yes Minn. Stat. § 297F.01(19) (2019) How does the state de ne an e-cigarette? Electronic delivery device means “any product containing or delivering nicotine, lobelia, or any other substance intended for human consumption that can be used by a person to simulate smoking in the delivery of nicotine or any other substance through inhalation of vapor from the product. Electronic delivery device includes any component part of a product, whether or not marketed or sold separately.” Minn. Stat. Ann. § 609.685(1)(c) (2019) Is there a state excise or special tax (non-sales tax) placed on e-cigarettes? Tax of 95% of wholesale price imposed on tobacco products, including e-cigarettes. Minn. Stat. Ann. § 297F.05(3) (2019); Minn. Dep’t of Revenue Notice #12-10 What regulations are in place for e-cigarette packaging? Liquids intended for human consumption and use in an electronic delivery device (whether they contain nicotine or not) must be sold in child resistant packaging. Minn. Stat. Ann. § 461.20(b) (2019) What restrictions are in place for retail or youth access? Sale/distribution of electronic delivery devices prohibited to persons under age 18. Minn. Stat. §§ 609.685(1)(a), (2)(a) (2019) Purchase/possession/use of electronic delivery device by person under age 18 prohibited. Minn. Stat. §§ 609.685(2)(b), (3) (2019) Tobacco Control Healthy Eating Active Living Other Public Health Law About Us Webinars 8/9/2019 E-Cigarette Regulations - Minnesota | Public Health Law Center https://www.publichealthlawcenter.org/resources/us-e-cigarette-regulations-50-state-review/mn 2/2 Sale of electronic delivery devices from a moveable place of business (kiosk) prohibited. Minn. Stat. § 461.21 (2019) Self-service displays of electronic delivery devices restricted to adult-only, tobacco-only businesses; vending machines restricted to locations inaccessible to persons under age 18. Minn. Stat. § 461.18 (2019) Is a retail license or permit required to sell e-cigarettes? Yes. A town board or the governing body may license and regulate electronic delivery devices however, if they do not, the county board shall license and regulate electronic delivery devices. Minn. Stat. § 461.12(1) (2019) What smoke-f ree restrictions exist for e-cigarette use? Use of electronic cigarettes prohibited in day care and health facilities, government owned or operated buildings, facilities owned by Minnesota State Colleges and Universities, the University of Minnesota, facilities licensed by the commissioner of human services and those licensed by the commissioner of health (with some exceptions). Minn. Stat. § 144.414 (2019) Use of electronic delivery devices prohibited in public and charter schools and any facility or vehicle owned, rented or leased by a school district. Minn. Stat. § 144.4165 (2019) Salon employees may not use electronic cigarettes while performing any services. Minn. R.2105.0375 (2019) Minnesota e-cigarette regulation as of March 15, 2019. Click to return to the map page. 2019 Public Health Law Center 875 Summit Avenue | Saint Paul, MN 55105 651.290.7506 | fax 651.290.7515 | publichealthlawcenter@mitchellhamline.edu Mitchell Hamline School of Law Privacy | Terms of Use E-Cigs 2.0: TheNextGeneration In the decade-plus since their U.S. introduction, electronic cigarettes, known as e-cigarettes or vapes, drastically evolved. E-cigarettes first resembled conventional cigarettes, and now have morphed into sleek gadgets, like the JUUL pictured at left, that have become the next big thing. Youth love them for the big hit of nicotine and their easily- hidden, deceptive looks. Their resemblance to USB flash drives prompted some schools to ban the drives as teachers can’t tell the difference between the two. Terms like “JUULing or jeweling” and “vaping” have entered the teen vernacular. Users have coined dedicated hash tags on social media and created videos of themselves doing vape tricks or blatantly vaping at school. Blu was formerly the market leader in e-cigarette sales but was redesigned and now resembles JUUL e-cigarettes. JUUL has the largest market share. FACT: Nicotine is harmful to developing brains. Nicotine interferes with brain development and can have a long-term effect on mental health. Even brief or intermittent nicotine exposure during adolescence can cause lasting damage.1 E-cigarette use by youth and young adults increases their risk of using conventional cigarettes in the future.2 So, what’s an e-cigarette? E-cigarettes are battery-operated devices that contain a mixture of liquid nicotine and other chemicals. The device heats this mixture, called e-juice, producing a nicotine aerosol that is inhaled. E-cigarettes are also called e-hookahs, e-pipes, vape pens, hookah pens or personal vaporizers. FACT: E-cigarette use has increased among MN youth. The youth tobacco usage rate has increased for the first time since 2000. This is because of the increase in the use of e-cigarettes. One in five youth 19.2 percent) currently use e-cigarettes, according to the 2017 Minnesota Youth Tobacco Survey. That is a 49 percent increase since 2014’s survey.3 FACT: E-cigarettes are not approved as a cessation tool. E-cigarettes have not been proven to be better for quitting than existing programs.2 For those wanting to quit, there are FDA-approved quit aids such as gum, patches and lozenges, available at little or no cost through insurance companies or Minnesota’s statewide QUITPLAN® Services (www. quitplan.com). The evolution of e-cigarettes Early e-cigarettes resembled conventional cigarettes and were called “cig-a-likes.” They evolved into pen-shaped devices with small tanks that held “e-juice.” Tanks got bigger, morphing into the “mods,” which give users more control of the device. Now, USB-shaped e-cigarettes such as JUUL and Myblu are often discreetly used by youth and pack a huge nicotine punch. SOURCES 1 U.S. Department of Health and Human Services. The Health Consequences of Smoking: 50 Years of Progress. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, January 2014. 2 National Academies of Sciences, Engineering, and Medicine. 2018 Public Health Consequences of E-Cigarettes. The National Academies Press. 2018 3 Evered SR. Teens and Tobacco in Minnesota: Highlights from the 2017 Minnesota Youth Tobacco Survey: Minnesota Center for Health Statistics, Minnesota Department of Health, February 2018. 4 US Surgeon General (2012). Preventing Tobacco Use among Youth and Young Adults. Atlanta, GA: Department of Health and Human Services, Centers for Disease Control and Prevention. The Association for Nonsmokers-Minnesota is dedicated to reducing the human and economic costs of tobacco use in Minnesota. April 2018) 2395 University Avenue W, Suite 310, St. Paul, MN 55114 651-646-3005 | www.ansrmn.org FACT: E-cigarettes are marketed toward youth. FACT: E-cigarettes are not harm-free. E-cigarettes contribute to indoor air pollution. Studies have found nicotine, heavy metals, toxins, and carcinogens in e-cigarette aerosol.2 Companies such as JUUL, NJoy, blu and MarkTen target youth with heavy marketing in magazines and social media. In Minnesota, 88.4 percent of students had seen ads promoting e-cigarettes in the past 30 days.3 E-cigarettes come in a variety of youth- friendly flavors, such as gummy bear, fruit punch, chocolate, cherry crush and mango.4 Images courtesy of trinketsandtrash.org) Electronic Cigarettes: Hopkins High School February 2018 Overview: The Hopkins High School Student Wellness Group identified youth use of electronic cigarettes e-cigs) as a concern in their school and community. Hennepin County Public Health Promotion partnered with One Voice leadership to hold a student focus group to explore the perceived practices of e-cig use. Sixteen students joined the focus group discussion. Most were 11th graders; all were female except one. Students provided a signed permission slip to participate. This report highlights key points and future recommendations. Hopkins Student Survey report of tobacco use: Products like e-cigarettes and vape pens typically contain nicotine, and are currently unregulated. No amount of nicotine is safe for youth; it is highly addictive and may harm adolescent brain development. Damaging long-term effects may have implications for learning, memory, attention, behavior problems, and future addiction. Student focus group objectives: To explore the perceived practices of underage e-cig use. To understand underage youth access to e-cig products. To understand the educational needs to increase perception of harm. To identify strategies to decrease underage e-cig use. To use the youth voice to develop recommendations for policies, practices, and environmental changes to reduce youth e-cig access and use. Summary of the key findings from the focus group: Students report seeing an increase in e-cig use at school, often in the parking lot, bathrooms, and/or buses. Students also report vaping occurring in the classroom without teacher knowledge. Vaping is common outside of the school setting as well. E-cigs are easy to purchase in tobacco shops and online. There is a vape store within walking distance to Hopkins High School and North Jr. High. It is legal for 18-year-old students to purchase tobacco products in the cities of Minnetonka and Hopkins. Students feel this increases access to younger teens as18- year-olds can purchase tobacco products for younger students. Vaping is happening at the junior high level as well. E-cigarettes Cigarettes Cigars Hookah Smokeless 9th 11th 1% 2% 3% 2% 4% 2% 2% 5% 7% Percent using various forms of tobacco in last 30 days Hopkins School District Minnesota Student Survey, 2016 13% 15% 10% 5% 0% The youth are unsure of the health risks of vaping and some have misunderstandings or misinformation about the risk of addiction and the presence of nicotine. Minimal information is taught about e-cigs in the health curriculum currently. Youth feel most adults are unfamiliar with vape products and/or the health risks. Youth believe staff knows vaping is occurring, but don’t know what to do about it or chooses to ignore it. When asked for solutions, teens stated more education is needed. Staff needs more information on current youth tobacco trends, how to recognize student use, the school policy, and appropriate policy enforcement actions. Recommendations 1. Improve enforcement of the tobacco free policy: a. Conduct an assessment of the current policy and update it as appropriate. Consider the following questions: Why isn’t it being enforced? How should it be enforced? What are appropriate consequences? b. Implement a plan to improve policy enforcement. Be clear on specific roles and responsibilities for all school staff. c. Communicate clear expectations and consequences of policy violations to students, staff, and parents. Determine suitable communication channels and develop appropriate messaging (e.g., staff meetings, announcements, signage, handbooks, newsletters to parents, etc.). Create a norm where e-cigs are seen the same as other tobacco products. d. Enforce the policy, collect violation data, and have a plan to review the process. 2. Increase awareness and understanding of tobacco products. a. Develop and implement a plan to increase awareness amongst students, staff, and parents on electronic and emerging tobacco products, their use, health risks, and misperceptions. b. Ensure sustainable education and awareness activities are in place (e.g., embed in curriculum, communications to parents, staff orientation, and ongoing training). c. Note: One Voice plans to create a student poster campaign with students and Community Blue Print in spring 2018. 3. Increase community awareness regarding youth e-cig concerns. a. Increase general community awareness of tobacco products by communicating the policy through newsletters, handbooks, and events. b. Examine how the community supports or discourages e-cig/tobacco use (density of tobacco retailers, retailer proximity to school and other youth venues, youth reports on underage access, retailer compliance check data). c. Encourage stronger city policies, such as Tobacco 21. 4. Collaborate with partners for community solutions to build a healthy environment. a. The following partners may be interested in participating in a youth tobacco prevention collaborative: Hopkins Student Wellness Group, One Voice Coalition, junior and senior high health teachers, police resource officer, Association for Non-Smokers (ANSR), Hennepin County Public Health Department, myHealth Clinic, city staff. Focus group questioning was conducted by Cathy Rude and Ruth Tripp, Hennepin County Public Health Promotion, and Holly Magdanz, Hopkins One Voice. Volume 01, Issue 02 November 2018 Which Minnesota Teens Try Vaping? The 2017 Minnesota Youth Tobacco Survey (MYTS) revealed that one in four middle school and high school students in Minnesota had tried e-cigarettes (teens call it vaping or juuling). i Half of high school seniors reported having tried e-cigarettes at least once (Figure 1). The latest e-cigarettes are made with sleek, customizable designs, deliver cigarette-like levels of nicotine, and come in fruity and candy-like flavors that appeal to youth (Figure 2). The growing popularity of e- cigarettes among Minnesota’s youth caused the first rise in overall tobacco use since the first MYTS in 1998. Which teens try e-cigarettes? This data brief demonstrates that teens whose environments put them at risk for use of e-cigarettes are more likely to try them. THE PROBLEM WITH TEEN VAPING E-cigarettes contain nicotine, and no amount of nicotine is safe for youth.xvii Nicotine exposure puts youth at risk for lasting deficits in attention, learning, and memory, and may increase their susceptibility to addiction to other substances.iii In addition, youth who use e-cigarettes are two times more likely than non-users to start using conventional cigarettes in the future.xviii Figure 1. Percent of students that tried an e-cigarette, by grade in school 5.6% 9.1% 15.3% 25.5% 32.0% 43.6% 49.9% Overall, 25.9% 6th 7th 8th 9th 10th 11th 12th Grade in School Figure 2. Newer e-cigarettes more closely resemble school supplies than cigarettes WHICH MINNESOTA TEENS TRY VAPING 2 Teens who are highly exposed to advertising are more likely to try vaping Expenditures for e-cigarette advertising have rapidly accelerated in recent years. Manufacturers spent more than $125M on advertisements in 2014, not including expenditures for retail marketing, social media, and sponsored events,ii which are essential components of the industry’s marketing strategy.iii Ads for newer brands of e-cigarettes promote kid-friendly flavors and use the same themes of sex, independence, and rebellion that tobacco companies have effectively used to market conventional cigarettes to young people.iii Successful advertising increases awareness of and stimulates interest in products, so it is not surprising that research confirms that exposure to manufacturers’ ads can increase interest in using e-cigarettes.iv Correlational studies show that teens who report extensive exposure to e-cigarette ads are more likely to vape.v,vi Minnesota students reported a great deal of exposure to e-cigarette advertising. In 2017, nearly nine in ten students (88.4 percent) encountered promotions or advertising for e-cigarettes in the past 30 days in one or more channels (for example, in stores or on the Internet) (Figure 3). In addition, 23.2 percent of students reported frequent exposure to e-cigarette ads online student sees ads sometimes, most of the time, or always when online); 42.3 percent reported frequent exposure to e-cigarette ads in stores. Any” refers to the six sources in the survey: radio, billboard, magazine, TV, internet, or convenience store. 6.8% 14.5% 18.6% 38.6%39.6% 50.9% 88.4% Radio Billboard Magazine TV Internet Convenience store Any* Figure 3. Percent of students that reported seeing an ad for e-cigarettes, by source of ad WHICH MINNESOTA TEENS TRY VAPING 3 Students who encountered advertising for e-cigarettes were more likely to have tried e- cigarettes than those who had not, and those who encountered ads across many channels (at least 5 of 6) were the most likely to have tried them (Figure 4). Similarly, more students had tried vaping if they had been frequently exposed to e-cigarette advertising when they were online or in stores (Figure 5). Teens who live with someone who vapes are more likely to try vaping Research shows that teens and young adults whose family members use tobacco are more likely to use tobacco themselves.vii,viii,ix Parents, siblings, and other household members who use tobacco products may unintentionally encourage tobacco use among teens by modeling the behavior. In addition, household members who use tobacco products give teens greater access to these products by having them in the home. Figure 4. Percent of students that tried e-cigarettes, by number of channels encountered e-cig ads. 21.3% 26.2% 33.1% None One to four Five to six Figure 5. Percent of students that tried e-cigarettes, by how often encountered e-cig ads online or in stores Sometimes, most of the time, or always 22.9% 34.8% 24.0% 28.3% Never/rarely Frequently* Never/rarely Frequently* WHICH MINNESOTA TEENS TRY VAPING 4 In 2017, 37.7 percent of students in Minnesota (an estimated 160,000 teens) reported that they live with someone who uses a tobacco product; 8.6 percent reported a household member uses e- cigarettes, specifically. Consistent with previous studies, more Minnesota students who live with tobacco users reported trying e-cigarettes than those whose households are tobacco-free. More than twice as many students (39.1 vs. 18.1 percent) reported trying e- cigarettes if a household member uses a tobacco product (Figure 6). The association is even stronger if the household member uses e-cigarettes; nearly three times as many students tried e-cigarettes if a household member uses e-cigarettes (64.3 vs. 22.4 percent) (Figure 6). Teens whose best friends vape are more likely to try vaping Adolescence is the period where the influence of peers and friends becomes increasingly important. This period is also characterized by increased interest in trying new things, often without adequate consideration of the consequences.x These factors contribute to experimentation with substances during adolescence,xi including e-cigarettes.xii Teens who believe many people their age use tobacco or their friends would approve of them using tobacco are more likely to use tobacco. xiii Less is known about the impact of similar social influences on the use of e-cigarettes specifically, but several studies show that teens (and young adults) who report that their friends use e-cigarettes or would approve of their use are more likely to try or regularly use e- cigarettes.xiv,xv To measure peer influences on adolescent e- cigarette use, the 2017 MYTS asked students to report how many of their four best friends use e- cigarettes; 8.0 percent of middle school students and 24.6 percent of high school students reported at least one best friend uses them. The percentage of students that tried e- cigarettes was strongly associated with the number of best friends that use e-cigarettes. Only 11.8 percent of students tried e-cigarettes if none of their best friends use them. Among Figure 6. Percent of students that tried e-cigarettes, by household members’ use of tobacco products 18.1% 39.1% 22.4% 64.3% No Yes No Yes Household members use a tobacco product Household members use e-cigarettes Figure 7. Percent of students that tried e-cigarettes, by number of four closest friends who use e-cigarettes. 11.8% 53.3% 85.9% None One to two Three to four WHICH MINNESOTA TEENS TRY VAPING 5 those who reported one or two best friends use them, 53.3 percent of students had tried e- cigarettes. A startling 85.9 percent of students had tried e-cigarettes if the majority of their best friends use them (Figure 7). This strong association between the number of friends who vape and vaping initiation is alarming, because the number of Minnesota students that vape has risen rapidly and may continue to rise with the availability of easy-to-conceal e-cigarettes that deliver cigarette-like levels of nicotine in kid-friendly flavors.xvi Summary The 2017 MYTS revealed that one in four Minnesota students had tried e-cigarettes. Teens who use e-cigarettes risk nicotine addiction and harm to their developing brains. To help reduce the number of students that try e-cigarettes, public health interventions must address the factors that may be influencing or enabling students to try them. According to the 2017 MYTS, students in Minnesota who tried e-cigarettes were exposed to more advertising and were around others who use e-cigarettes. Advertising restrictions and raising the legal age to purchase (a policy known as “Tobacco 21"), and other interventions targeting social use that have effectively reduced conventional tobacco use could be expanded to minimize the threat of e-cigarettes for Minnesota’s youth. Suggested citation: Helgertz, S. R. (2018). Which Minnesota teens try vaping? Saint Paul, MN: Minnesota Minnesota Department of Health Center for Health Statistics. For questions, to request Youth Tobacco Survey data, or to obtain this document in a different format please contact the Minnesota Center for Health Statistics. Minnesota Department of Health Center for Health Statistics PO Box 64882 St. Paul, MN 55164-0882 651-201-5942 Email: healthstats@state.mn.us Website: www.health.state.mn.us i Helgertz, S. R. (2018). Teen vaping initiation in Minnesota. Saint Paul, MN: Minnesota Department of Health Center for Health Statistics. ii Kornfield, R., Huang, J., Vera, L., & Emery, S. L. (2015). Rapidly increasing promotional expenditures for e- cigarettes. Tobacco Control, 24(2), 110-1. WHICH MINNESOTA TEENS TRY VAPING 6 iii U.S. Department of Health and Human Services. E-Cigarette Use Among Youth and Young Adults. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2016. iv Farrelly, M. C., Duke, J. C., Crankshaw, E. C., Eggers, M. E., Lee, Y. O., Nonnemaker, J. M., Kim, A. E., & Porter, L. 2015). A randomized trial of the effect of e-cigarette TV advertisements on intentions to use e-cigarettes. American Journal of Preventive Medicine, 49(5), 686-693. v Mantey, D. S., Cooper, M. R., Clendennen, S. L., Pasch, K. E., & Perry, C. L. (2016). E-cigarette marketing exposure is associated with e-cigarette use among US youth. Journal of Adolescent Health, 58, 686-690. vi Nicksic, N. E., Snell, L. M., & Barnes, A. J. (2017). Does exposure and receptivity to e-cigarette advertisements relate to e-cigarette and conventional cigarette use behaviors among youth? Results from Wave 1 of the Population Assessment of Tobacco and Health Study. Journal of Applied Research on Children: Informing Policy for Children at Risk, 8(2), 1-18. Available at: http://digitalcommons.library.tmc.edu/childrenatrisk/vol8/iss2/3 vii Noland, M,. Ickes, M. J., Rayens, M., Butler, K. Wiggins, A. T., & Hahn, E. (2016). Social influences on use of cigarettes, e-cigarettes, and hookah by college students. Journal of American College Health 64(4), 319-328. viii Leatherdale, S. T., McDonald, P. W., Cameron, R., & Brown, K. S. (2005). A multilevel analysis examining the relationship between social influences for smoking and smoking onset. American Journal of Health Behavior, 29(6), 520-39). ix Barrington, J. L., Berhane, K., Unger, J. B., Boley Cruz, T., Huh, J., Leventhanl, A. M., Urman, R., Wang, K., Howland S., Gilreath, T. D., Chou, C., Pentz, M. & McConnell, R. (2015). Psychosocial factors associated with adolescent electronic cigarette and cigarette use. Pediatrics, 136(2), 308-317. x Kelley, A. E., Schochet, T., & Landry, C. F. (2004). Risk taking and novelty seeking in adolescence: Introduction to Part 1. Annals of the New York Academy of Sciences, 1021(1), 27-32. xi Wills, T. A., Vaccaro, D., & McNamara, G. (1994). Novelty seeking, risk taking, and related constructs as predictors of adolescent substance use: An application of Cloninger’s theory. Journal of Substance Abuse 6(1), 1-20. xii Wills, T. A., Knight, R., Williams, R. J., Pagano, I., & Sargent, J. D. (2015). Risk factors for exclusive e-cigarette use and dual e-cigarette use and tobacco use in adolescents. Pediatrics, 135(1), 43-51. xiii U.S. Department of Health and Human Services. Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2012. xiv Urman, R., McConnell, R., Unger, J. B., Cruz, T. B., Samet, J. M., Berhane, K., & Barrington-Trimis, J. L., (2018). Electronic cigarette and cigarette social environments and ever use of each product: A prospective study of young adults in southern California. Nicotine & Tobacco Research, 1-8. (advance access publication) xv Barrington-Trimis, J. L., Berhane, K., Unger, J. B., Boley Cruz, T., Huh, J., Leventhal, A. M., Urman, R. Wang, K., Howland, S., Gilreath, T. D. Chou, C. Pentz, M., & McConnell, R. (2015). Psychosocial factors associated with adolescent electronic cigarette and cigarette use. Pediatric, 136(2), 308-317. xvi Centers for Disease Control and Prevention. (2018, February 22). E-cigarettes shaped like USB flash drives: Information for parents, educators, and health care providers. Retrieved Octorber 19, 2018. https://www.cdc.gov/tobacco/infographics/youth/pdfs/e-cigarettes-usb-flash-508.pdf. xvii Minnesota Department of Health. (2018, September 12). Health Risks of Nicotine for Youth. Retrieved October 19, 2018, from http://www.health.state.mn.us/divs/hpcd/tpc/topics/nicotine.html. xviii Watkins, S. L., Glantz, S. A., & Chaffee, B. W. (2018). Association of noncigarette tobacco product use with future cigarette smoking among youth in the Population Assessment of Tobacco and Health (PATH) study, 2013- 2015. JAMA Pediatrics, 172(2), 181-187. AGE OF TOBACCO PRODUCT BUYERS Coalition of Neighborhood Retailers August 8, 2019 Mayor Shep Harris Council Member Joanie Clausen Council Member Larry Fonnest Council Member Steve Schmidgall Council Member Gillian Rosenquist 7800 Golden Valley Road Golden Valley, MN 55427 Re: Raising the Legal Age to Purchase Tobacco and Restricting Flavored Tobacco Dear Mayor Harris and Golden Valley City Council Members: The five retail trade associations that comprise the Coalition of Neighborhood Retailers and their respective retail store members believe that it is vitally important to thoroughly consider the many questions that are raised by the proposed ordinance that would restrict the sale of flavored tobacco products including menthol cigarettes and mint and wintergreen smokeless tobacco products and raise the age to purchase tobacco products to 21. Golden Valley Retailers Compliance Rate of 99% Golden Valley retailers have undergone tobacco inspection compliance checks by the FDA and Minnesota Department of Human Services which utilize minors trying to buy tobacco products. Golden Valley retailers have compiled a 99% compliance rate by not selling tobacco to minors since 2015. The data sheet accompanying this letter directly from the FDA reflects these results and can be accessed at www.FDA.gov). This information shows overwhelmingly that minors are predominantly accessing tobacco from sources other than retailers. In other words, retailers are part of the solution, not the problem and new sales restrictioins should not be imposed on your local stores. Hennepin County Cities Deciding to Supercede County Flavor Ban with Local Ordinances Even though Hennepin County has recently passed an ordinance restricting flavor ed tobacco sales in five cities for which they were the licensing authority in 2019, three of those five cities (Rogers, Mound, and St. Bonifacius) have now either passed or are in the processing of passing their own less restrictive retail licensing ordinance to supersede the licensing authority of the county. This means that the flavored tobacco product sales ban included in the Hennepin County ordinance will be of no effect in these three cities. Also, of the two other affected cities, Greenfield may follow the lead of Rogers, Mound and St. Bonifacius and adopt its own ordinance to prevent its one retail store from being at a competit ive disadvantage and in Rockford there is no retail store that is impacted by the county’s ordinance restrictions. Also, an increasing number of other cities around the state have considered restricting the sale of flavored tobacco products and made the decision not to move forward. These cities include: Bloomington, Eden Prairie, Excelsior, Mankato, Minnetonka, New Brighton, Plymouth, Richfield and Hermantown. Banning Tobacco Flavors Would Cause Severe Economic Hardship for Retailers The information provided to the Golden Valley Council by advocacy groups that are lobbying in favor of imposing restrictions on menthol cigarettes , mint and wintergreen smokeless tobacco products, flavored cigars and flavored electronic cigarettes is insufficient to support adoption of these restrictions. The information is not sufficient because these advocates have failed to consider the following issues: 1. Flavored tobacco sales account for up to or more than 40% of a retailer’s tobacco sales and losing that substantial amount of sales revenue will put employee jobs at risk and lead to illicit sellers seizing an opportunity to create and supply an illegal underground market in restricted tobacco products. 2. Scientific studies have shown that flavored mint and wintergreen smokeless tobacco products are less harmful than combustible tobacco products and the same is also true for flavored electronic cigarette products. These flavored products should remain on the market because of the reduced har m that they offer to adults who need nicotine. 3. The projected sales loss that would be experienced by retailers who would no longer be permitted to sell flavored tobacco products, including menthol cigarettes and mint and wintergreen flavored tobacco products, on average in Minneapolis is between $238,00 to $259,000 annual sales loss per store. Additional sales loss data has been provided to the Golden Valley City Council regarding the City of Duluth, MN. Please take time to review the accompanying scientific economic impact study executive summary of restricting menthol, mint and wintergreen tobacco product sales in Minneapolis completed for the Coalition of Neighborhood Retailers by Management Science Associates. Social Sources Are the Real Problem that an Age 21 Ordinance Would Not Solve According to proponents of this proposal, raising the age to 21 is necessary because of access and marketing to youth. However, a 2018 report titled “Substance Abuse in Minnesota: A State Epidemiological Profile,” found that underage 8th, 9th and 11th graders in Minnesota use marijuana at much higher rates than tobacco. Marijuana is not legal and the product is not commercially marketed. This study suggests that teens deciding to use a chemical or product is less about marketing and access and more about social “peer” pressure and stigma. The report also shows that educating youth about the risks and health impacts of tobacco has been effective in reducing underage use of tobacco across Minnesota. The study can be found at http://sumn.org/~/media/542/MNEpiProfile2018.pdf and the actual data is listed in the table below: Substances used in the last 30 days: Grade Tobacco (Extensive education campaign) Marijuana (Illegal substance in MN) 8th graders 2.8% 5.4% 9th graders 4% 6.7% 11th graders 8.4% 22.7% In 2016, the U.S. Food and Drug Administration (FDA) published the findings of the agency’s Population Assessment of Tobacco and Health (PATH) Study which demonstrate that the vast majority of underage youth obtain access to tobacco from non-retail sources, also referred to as “social sources.” These social sources include older friends, adult age siblings, parents and even strangers. As shown on the accompanying chart provided by the FDA and summarized in the table below, minors rely on social sources and use various methods to obtain access to cigarettes 86.1% of the t ime, to obtain access to electronic cigarettes 89.5% of the time, and to obtain access to cigars 75.6% of the time. Product Gave Someone Money to Buy Bought From Someone Else, Stole From a Person or Store Asked Someone for a Tobacco Product or Someone Offered a Tobacco Product Other or Don’t Know or Refused to Answer Social Sources Percentage Bought at a Retail Store Cigarettes 32% 6.6% 42.5% 5% 86.1% 13.8% E- Cigarettes 17.3% 5.8% 56.7% 9.7% 89.5% 10.5% Cigars 34.2% 4.1% 37.3% NA 75.6% 21% Allowing Possession and Use Changes Nothing, Except Harming Retail Businesses in Golden Valley The dialogue around raising the legal age to 21 centers on whether to make it illegal for 18, 19 and 20 year olds to possess and consume tobacco products in addition to prohibiting the sale to these adults. The advocates who are proposing to raise the legal purchase age to 21 claim that there will be a health benefit because 18, 19 and 20 year olds would then not use tobacco products nor serve as a social source for underage youth. However, if 18, 19 and 20-year-old adults are not prohibited from possessing and using tobacco products, these adults will simply drive to a neighboring or nearby city or town, purchase their preferred tobacco products, and then legally possess and use them in Golden Valley. In other words, the public health benefit claimed will be marginal to non-existent, but your local retailers would suffer the financial loss of tobacco sales to legal age adults along with reduced gasoline, snack and beverage sales when these adults drive to nearby towns to patronize other retailers. Time for Implementation The cities of Minneapolis and St. Paul they allowed a year for retailers to make plans, adjust inventory and train employees. We request that you give the same consideration to the retailers in your community in the event that the council proceeds with this economically devastating ordinance. Please do not move ahead on the ban of flavored tobacco including menthol, mint and wintergreen because the consequences are severe and the public health impact will be negligible. Instead, save neighborhood stores, allow employees to keep their jobs, and let retailers continue to serve the residents of their neighborhoods We appreciate you considering our concerns and urge you to not pass an ordinance that would ban the purchase of flavored tobacco products. Sincerely, Lance Klatt, Executive Director Jamie Pfuhl, President Minnesota Service Station Association Minnesota Grocers Association Tim Gross, Executive Director Thomas Briant, Executive Director Minnesota Petroleum Marketers Association National Association of Tobacco Outlets Bruce Nustad, President Minnesota Retailers Association April 21, 2016 | NATO YOUTH ACCESS TO TOBACCO PRODUCTS AMONG PAST 30-DAY USERS: WHERE DO YOUTH GET TOBACCO? 40 You searched for: City contains: Golden Valley State is: MN Decision Date: 01/01/2015 through 08/08/2019 76 record(s) returned RETAILER NAME ADDRESS MINOR INVOLVED SALE TO MINOR PRODUCT TYPE BRAND INSPECTION DATE DECISION DATE INSPECTION RESULT CHARGES AMSTAR TOBACCO DEPOT 9405 MEDICINE LAKE ROAD GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 6/13/19 NO VIOLATIONS OBSERVED N/A SPEEDWAY 1930 DOUGLAS DR. N. GOLDEN VALLEY MN - 55422 YES NO N/A N/A NOT AVAILABLE 6/13/19 NO VIOLATIONS OBSERVED N/A SPEEDWAY 6955 MARKET ST. GOLDEN VALLEY MN - 55426 YES NO N/A N/A NOT AVAILABLE 6/13/19 NO VIOLATIONS OBSERVED N/A FEIST AUTOMOTIVE/ MINNOCO 1875 N. LILAC DR. GOLDEN VALLEY MN - 55422 YES NO N/A N/A NOT AVAILABLE 6/12/19 NO VIOLATIONS OBSERVED N/A HOLIDAY 600 BOONE AVE. N. GOLDEN VALLEY MN - 55422 YES NO N/A N/A NOT AVAILABLE 6/12/19 NO VIOLATIONS OBSERVED N/A DOWN IN THE VALLEY 8020 OLSON MEMORIAL HWY. GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 6/11/19 NO VIOLATIONS OBSERVED N/A LIQUOR BARREL 7890 OLSON MEMORIAL HWY. GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 6/11/19 NO VIOLATIONS OBSERVED N/A HOLIDAY 7925 WAYZATA BLVD. GOLDEN VALLEY MN - 55426 YES NO N/A N/A NOT AVAILABLE 6/11/19 NO VIOLATIONS OBSERVED N/A WALGREENS 5695 DULUTH ST. GOLDEN VALLEY MN - 55422 YES NO N/A N/A NOT AVAILABLE 6/10/19 NO VIOLATIONS OBSERVED N/A SCHULLERS 7345 COUNTRY CLUB DR. GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 6/10/19 NO VIOLATIONS OBSERVED N/A Page 1 of 7 Compliance Check Inspections of Tobacco Product Retailers Through 6/30/19 - Search Results WALGREENS 2500 WINNETKA AVENUE NORTH GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 2/15/19 NO VIOLATIONS OBSERVED N/A WALGREENS 2500 WINNETKA AVENUE NORTH GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 7/3/18 NO VIOLATIONS OBSERVED N/A WALGREENS 2500 WINNETKA AVENUE NORTH GOLDEN VALLEY MN - 55427 YES YES ENDS Vuse 11/22/17 12/14/17 WARNING LETTER ISSUED 1140.14(b)(1)-Sale to a Minor; 1140.14(b)(2)(i)-Failure to verify age LIQUOR BARREL 7890 OLSON MEMORIAL HWY. GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 11/28/17 NO VIOLATIONS OBSERVED N/A FEIST AUTOMOTIVE/ MINNOCO 1875 N. LILAC DR. GOLDEN VALLEY MN - 55422 YES NO N/A N/A NOT AVAILABLE 11/28/17 NO VIOLATIONS OBSERVED N/A DOWN IN THE VALLEY 8020 OLSON MEMORIAL HWY. GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 11/27/17 NO VIOLATIONS OBSERVED N/A HOLIDAY 600 BOONE AVE. N. GOLDEN VALLEY MN - 55422 YES NO N/A N/A NOT AVAILABLE 11/27/17 NO VIOLATIONS OBSERVED N/A HOLIDAY 7925 WAYZATA BLVD. GOLDEN VALLEY MN - 55426 YES NO N/A N/A NOT AVAILABLE 11/27/17 NO VIOLATIONS OBSERVED N/A J.J.S CLUBHOUSE 6400 WAYZATA BLVD. GOLDEN VALLEY MN - 55426 YES NO N/A N/A NOT AVAILABLE 11/27/17 NO VIOLATIONS OBSERVED N/A SUPERAMERICA 6955 MARKET ST. GOLDEN VALLEY MN - 55426 YES NO N/A N/A NOT AVAILABLE 11/27/17 NO VIOLATIONS OBSERVED N/A WALGREENS 5695 DULUTH ST. GOLDEN VALLEY MN - 55422 YES NO N/A N/A NOT AVAILABLE 11/27/17 NO VIOLATIONS OBSERVED N/A Page 2 of 7 Compliance Check Inspections of Tobacco Product Retailers Through 6/30/19 - Search Results SUPERAMERICA 1930 DOUGLAS DR. N. GOLDEN VALLEY MN - 55422 YES NO N/A N/A NOT AVAILABLE 11/27/17 NO VIOLATIONS OBSERVED N/A SCHULLERS 7345 COUNTRY CLUB DR. GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 11/27/17 NO VIOLATIONS OBSERVED N/A AMSTAR 9405 MEDICINE LAKE ROAD GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 11/22/17 NO VIOLATIONS OBSERVED N/A SUPERAMERICA 6955 MARKET ST. GOLDEN VALLEY MN - 55426 YES NO N/A N/A NOT AVAILABLE 6/15/17 NO VIOLATIONS OBSERVED N/A AMSTAR 9405 MEDICINE LAKE ROAD GOLDEN VALLEY MN - 55427 NO NO N/A N/A NOT AVAILABLE 3/16/17 NO VIOLATIONS OBSERVED N/A GOLDEN VALLEY LIQUOR BARREL 7890 OLSON MEMORIAL HWY. GOLDEN VALLEY MN - 55427 NO NO N/A N/A NOT AVAILABLE 3/16/17 NO VIOLATIONS OBSERVED N/A FEIST AUTOMOTIVE 1875 N. LILAC DR. GOLDEN VALLEY MN - 55422 NO NO N/A N/A NOT AVAILABLE 3/10/17 NO VIOLATIONS OBSERVED N/A SUPERAMERICA 6955 MARKET ST. GOLDEN VALLEY MN - 55426 NO NO N/A N/A NOT AVAILABLE 3/10/17 NO VIOLATIONS OBSERVED N/A SCHULLERS 7345 COUNTRY CLUB DR. GOLDEN VALLEY MN - 55427 NO NO N/A N/A NOT AVAILABLE 3/10/17 NO VIOLATIONS OBSERVED N/A J.J.S CLUBHOUSE 6400 WAYZATA BLVD. GOLDEN VALLEY MN - 55426 NO NO N/A N/A NOT AVAILABLE 3/10/17 NO VIOLATIONS OBSERVED N/A HOLIDAY 7925 WAYZATA BLVD. GOLDEN VALLEY MN - 55426 NO NO N/A N/A NOT AVAILABLE 3/10/17 NO VIOLATIONS OBSERVED N/A Page 3 of 7 Compliance Check Inspections of Tobacco Product Retailers Through 6/30/19 - Search Results DOWN IN THE VALLEY 8020 OLSON MEMORIAL HWY. GOLDEN VALLEY MN - 55427 NO NO N/A N/A NOT AVAILABLE 3/10/17 NO VIOLATIONS OBSERVED N/A WALGREENS 2500 WINNETKA AVE. N. GOLDEN VALLEY MN - 55422 NO NO N/A N/A NOT AVAILABLE 3/10/17 NO VIOLATIONS OBSERVED N/A WALGREENS 5695 DULUTH ST. GOLDEN VALLEY MN - 55422 NO NO N/A N/A NOT AVAILABLE 3/10/17 NO VIOLATIONS OBSERVED N/A SUPERAMERICA 1930 DOUGLAS DR. N. GOLDEN VALLEY MN - 55422 NO NO N/A N/A NOT AVAILABLE 3/10/17 NO VIOLATIONS OBSERVED N/A HOLIDAY 600 BOONE AVE. N. GOLDEN VALLEY MN - 55422 NO NO N/A N/A NOT AVAILABLE 2/16/17 NO VIOLATIONS OBSERVED N/A MGM LIQUOR WAREHOUSE 7702 OLSON MEMORIAL HWY GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 11/14/16 NO VIOLATIONS OBSERVED N/A GOLDEN VALLEY LIQUOR BARREL 7890 OLSON MEMORIAL HWY. GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 11/14/16 NO VIOLATIONS OBSERVED N/A SCHULLERS 7345 COUNTRY CLUB DR. GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 11/8/16 NO VIOLATIONS OBSERVED N/A DOWN IN THE VALLEY 8020 OLSON MEMORIAL HWY. GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 11/8/16 NO VIOLATIONS OBSERVED N/A HOLIDAY 600 BOONE AVE. N. GOLDEN VALLEY MN - 55422 YES NO N/A N/A NOT AVAILABLE 11/8/16 NO VIOLATIONS OBSERVED N/A HOLIDAY 7925 WAYZATA BLVD. GOLDEN VALLEY MN - 55426 YES NO N/A N/A NOT AVAILABLE 11/8/16 NO VIOLATIONS OBSERVED N/A SUPERAMERICA 6955 MARKET ST. GOLDEN VALLEY MN - 55426 YES NO N/A N/A NOT AVAILABLE 11/8/16 NO VIOLATIONS OBSERVED N/A Page 4 of 7 Compliance Check Inspections of Tobacco Product Retailers Through 6/30/19 - Search Results J.J.S CLUBHOUSE 6400 WAYZATA BLVD. GOLDEN VALLEY MN - 55426 YES NO N/A N/A NOT AVAILABLE 11/8/16 NO VIOLATIONS OBSERVED N/A AMSTAR GAS STATION 9405 MEDICINE LAKE ROAD GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 11/7/16 NO VIOLATIONS OBSERVED N/A FEIST AUTOMOTIVE 1875 N. LILAC DR. GOLDEN VALLEY MN - 55422 YES NO N/A N/A NOT AVAILABLE 11/2/16 NO VIOLATIONS OBSERVED N/A WALGREENS 5695 DULUTH ST. GOLDEN VALLEY MN - 55422 YES NO N/A N/A NOT AVAILABLE 11/2/16 NO VIOLATIONS OBSERVED N/A WALGREENS 2500 WINNETKA AVE. N. GOLDEN VALLEY MN - 55422 YES NO N/A N/A NOT AVAILABLE 11/2/16 NO VIOLATIONS OBSERVED N/A SUPERAMERICA 1930 DOUGLAS DR. N. GOLDEN VALLEY MN - 55422 YES NO N/A N/A NOT AVAILABLE 11/2/16 NO VIOLATIONS OBSERVED N/A MGM LIQUOR WAREHOUSE 7702 OLSON MEMORIAL HWY GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 12/29/15 NO VIOLATIONS OBSERVED N/A GOLDEN VALLEY LIQUOR BARREL 7890 OLSON MEMORIAL HWY. GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 12/29/15 NO VIOLATIONS OBSERVED N/A J.J.S CLUBHOUSE 6400 WAYZATA BLVD. GOLDEN VALLEY MN - 55426 YES NO N/A N/A NOT AVAILABLE 12/15/15 NO VIOLATIONS OBSERVED N/A POTPOURRI GIFTS 5500 WAYZATA BLVD. GOLDEN VALLEY MN - 55422 YES NO N/A N/A NOT AVAILABLE 12/15/15 NO VIOLATIONS OBSERVED N/A SCHULLERS 7345 COUNTRY CLUB DR. GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 12/15/15 NO VIOLATIONS OBSERVED N/A HOLIDAY 7925 WAYZATA BLVD. GOLDEN VALLEY MN - 55426 YES NO N/A N/A NOT AVAILABLE 12/15/15 NO VIOLATIONS OBSERVED N/A Page 5 of 7 Compliance Check Inspections of Tobacco Product Retailers Through 6/30/19 - Search Results SUPERAMERICA 6955 MARKET ST. GOLDEN VALLEY MN - 55426 YES NO N/A N/A NOT AVAILABLE 12/15/15 NO VIOLATIONS OBSERVED N/A DOWN IN THE VALLEY 8020 OLSON MEMORIAL HWY. GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 12/15/15 NO VIOLATIONS OBSERVED N/A HOLIDAY 600 BOONE AVE. N. GOLDEN VALLEY MN - 55422 YES NO N/A N/A NOT AVAILABLE 12/15/15 NO VIOLATIONS OBSERVED N/A FEIST AUTOMOTIVE 1875 N. LILAC DR. GOLDEN VALLEY MN - 55422 YES NO N/A N/A NOT AVAILABLE 12/15/15 NO VIOLATIONS OBSERVED N/A AMSTAR GAS STATION 9405 MEDICINE LAKE ROAD GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 12/15/15 NO VIOLATIONS OBSERVED N/A WALGREENS 2500 WINNETKA AVE. N. GOLDEN VALLEY MN - 55422 YES NO N/A N/A NOT AVAILABLE 12/15/15 NO VIOLATIONS OBSERVED N/A SUPERAMERICA 1930 DOUGLAS DR. N. GOLDEN VALLEY MN - 55422 YES NO N/A N/A NOT AVAILABLE 12/15/15 NO VIOLATIONS OBSERVED N/A WALGREENS 5695 DULUTH ST. GOLDEN VALLEY MN - 55422 YES NO N/A N/A NOT AVAILABLE 12/15/15 NO VIOLATIONS OBSERVED N/A GOLDEN VALLEY LIQUOR BARREL 7890 OLSON MEMORIAL HWY. GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 2/18/15 NO VIOLATIONS OBSERVED N/A MGM LIQUOR WAREHOUSE 7702 OLSON MEMORIAL HWY GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 2/18/15 NO VIOLATIONS OBSERVED N/A UNITED LIQUOR #2 7751 MEDICINE LAKE RD. GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 2/18/15 NO VIOLATIONS OBSERVED N/A FEIST AUTOMOTIVE 1875 N. LILAC DR. GOLDEN VALLEY MN - 55422 YES NO N/A N/A NOT AVAILABLE 2/16/15 NO VIOLATIONS OBSERVED N/A Page 6 of 7 Compliance Check Inspections of Tobacco Product Retailers Through 6/30/19 - Search Results WALGREENS 5695 DULUTH ST. GOLDEN VALLEY MN - 55422 YES NO N/A N/A NOT AVAILABLE 2/16/15 NO VIOLATIONS OBSERVED N/A SUPERAMERICA 1930 DOUGLAS DR. N. GOLDEN VALLEY MN - 55422 YES NO N/A N/A NOT AVAILABLE 2/16/15 NO VIOLATIONS OBSERVED N/A DOWN IN THE VALLEY 8020 OLSON MEMORIAL HWY. GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 2/16/15 NO VIOLATIONS OBSERVED N/A SCHULLERS 7345 COUNTRY CLUB DR. GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 2/16/15 NO VIOLATIONS OBSERVED N/A HOLIDAY 7925 WAYZATA BLVD. GOLDEN VALLEY MN - 55426 YES NO N/A N/A NOT AVAILABLE 2/16/15 NO VIOLATIONS OBSERVED N/A SUPERAMERICA 6955 MARKET ST. GOLDEN VALLEY MN - 55426 YES NO N/A N/A NOT AVAILABLE 2/16/15 NO VIOLATIONS OBSERVED N/A J.J.S CLUBHOUSE 6400 WAYZATA BLVD. GOLDEN VALLEY MN - 55426 YES NO N/A N/A NOT AVAILABLE 2/16/15 NO VIOLATIONS OBSERVED N/A AMSTAR GAS STATION 9405 MEDICINE LAKE ROAD GOLDEN VALLEY MN - 55427 YES NO N/A N/A NOT AVAILABLE 1/30/15 NO VIOLATIONS OBSERVED N/A Page 7 of 7 Compliance Check Inspections of Tobacco Product Retailers Through 6/30/19 - Search Results Population Youth 271,399 Adults 951,750 Total residents 1,223,149 The Tobacco Industry spends $110.5 million each year promoting tobacco products in Minnesota. That’s about $12,614 every hour. offered little cigars for less than $1.001in3 2FOR1 sold tobacco at discountedprices2in5 sold mentholtobaccoMENTHOL2in3 sold flavored tobacco Over Among retailers assessed in Hennepin County Adults smoke cigarettes 73,300 Tobacco’s toll in one year TobaccoProfileHennepinCounty 2 in 3 Deaths are tobacco-related Tax burden per household 1 in 7 $753 In excess medical costs 585.8 MILLION Local action for effective tobacco prevention The Minnesota Department of Health supports community driven solutions to create tobacco-free environments and promote quitting. Communities are working to: Reduce tobacco industry influence in retail stores. Increase the price of tobacco. Provide support and resources to Minnesota smokers who want to quit. Raise the minimum tobacco sales age to 21. Promote smoke-free environments. Engage diverse populations throughout Minnesota. Sources: Blue Cross and Blue Shield of Minnesota Cost of Smoking Report, MDH Vital Statistics, Minnesota Adult Tobacco Survey, Minnesota Student Survey, SHIP County Surveys and Retailer Assessments, and U.S. Census Population Estimates Want to know more about the burden of tobacco in Minnesota? Visit www.health.mn.gov/tobacco. Statewide, over 17% of 11th graders use e-cigarettes, while only 8.4% use cigarettes and 5.1% use smokeless tobacco. Fetal exposure to nicotine can have long-term health consequences, including sudden infant death syndrome (SIDS), impaired fetal brain and lung development, hearing problems, effects on behaviors and obesity, and deficits in attention and cognition. Despite declines in tobacco use overall, significant disparities remain among populations historically targeted by the Tobacco Industry. Statewide, 21.8% of 11th graders use tobacco. Hennepin County Tobacco Profile 5/18 Youth tobacco use in Hennepin County Statewide disparities in youth tobacco use Cigarette smoking during pregnancy Regulation of Tobacco Sales –Golden Valley Ruth Tripp, MPH, RNPrincipalHealthPromotionSpecialistHennepinCountyPublicHealth Why are we here? Tobacco is still the #1 cause of preventable death in the U.S. – killing 480,000/year More than alcohol, homicides, car accidents, AIDS, illegal drugs, and suicide COMBINED Toll of tobacco in Hennepin County 1 in 7 deaths is due to tobacco use Cost to the county: $585.8 million/year in excess health care costs Tax burden: $753/household annually SOURCE: MN Department of Health. (2018). Hennepin County Tobacco Profile Health inequities -adult smoking In suburban Hennepin County: Those with low income or less education are more likely to smoke; and Twice as many African American residents report smoking compared to white residents 18% 6% 17%17% 4% 22% 14% 12% 10% Smoking by population group SOURCE: Hennepin County Public Health, SHAPE 2018 Adult Data Book MN youth tobacco use rises –first time in 17 years Over 26% of MN high school students use tobacco 50% increase in e-cigarette use since 2014 Over 60% of e-cigarette users used menthol or other flavors Research indicates use of e- cigarettes is predictive of later use of other tobacco products 1 in 3 e-cigarette users have used it to vape marijuana or THC oil/wax SOURCE: MN Youth Tobacco Survey (2017) MN Youth Tobacco Use, 2000-2017 Local youth tobacco use Youth who used the following products in the past 30 days: Hopkins & Robbinsdale School Districts, combined 9th grade 11th grade Any tobacco use*9%15% Cigarettes 2%5% Cigars, cigarillos, little cigars 1%4% Electronic cigarettes 7%11% Of those who use any tobacco, proportion who use menthol tobacco 25%32% Of those who use any tobacco, proportionwhouseflavoredtobacco 42%30% 1 in 6 eleventh graders use some form of tobacco Many who use tobacco use menthol and other flavored products Potential reach of prevention is substantial: 4,100 people under age 18 4,400 people under age 21* Cigarettes, chewing tobacco, cigar products, e-cigarettes, and hookah SOURCE: MN Student Survey, Hopkins & Robbinsdale School Districts combined (2016) Tobacco appeal and accessibility to youth Industry MN marketing spending: over $114M/year, mostly in stores Two -thirds of teens visit a convenience store at least once/week Most students (88%) have seen adspromotinge-cigarettes –most ofteninstores, on the internet, or TV Nearly 1/3 of high school e-cigarette users got their products from stores Adopting retail policies is a recommended strategy to prevent youth from starting SOURCE: MN Youth Tobacco Survey (2017) What have surrounding cities done? Minneapolis Plymouth Robbinsdale St. Louis Park Tobacco retail environment in Golden Valley… There are 15 retailers licensed to sell tobacco Nearly all (86%) sell cigarettes, including menthols, and over half sell cigarillos or little cigars, chew, and e-cigarettes Retailers can sell tobacco to anyone 18 years and older Retailer density Key Retailer within 500 feet of another tobacco retailer Retailer not within 500 feet of another tobacco retailer 500 feet buffer zone around retailer Proximity to other retailers Two retailers are within 500 feet of another retailer licensed by Golden Valley Retailer density Proximity to schools One school serving students in grades 1-8 has a retailer within 1000 feet No schools in Golden Valley have a tobacco retailer within 500 feet Key SchoollocationRetailerwithin1000 feet of a school Retailer not within 1000 feet of aschool1000feetbufferzonearoundschools Flavored products Flavored products (non-menthol)57% Menthol products 86% Percent of Golden Valley retailers selling: n = 14 Cheap cigars 36 36 0 5 10 15 20 25 30 35 40 single cigarillos or little cigars cigarillos or little cigars advertised for less than $1PercentPercent of Golden Valley retailers that sell… n=15 Price promotions 50 29 14 00 10 20 30 40 50 60 menthol cigarettes smokeless e-cigarettes cigarillos or littlecigarsPercentPercent of Golden Valley retailers with price promotions on… n = 15 Placement of products and advertising 21 14 7 0 5 10 15 20 25 placed near youth- oriented products advertised w/in 3 feet of the floor placed in self- servicedisplaysPercentPercent of retailers with tobacco products… n=15 Ruth.Tripp@hennepin.us,612-348-5367 Health Services Building 525 Portland Avenue South Minneapolis, Minnesota 55415-1569 Ruth Tripp, MPH, RN HealthPartners 8170 33rd Avenue South Bloomington, MN 55425 healthpartners.com Mailing Address: PO Box 1309 Minneapolis, MN 55440-1309 August 6, 2019 Golden Valley City Hall 7800 Golden Valley Rd Golden Valley, MN 55427 Dear Mayor Harris and City Council Members: On behalf of the 26,000 employees at HealthPartners, 150 of whom live in the city of Golden Valley, we want to express our strong support for the proposed ordinance to raise the age for sales of tobacco products to 21, restrict the sale of flavored tobacco, and other measures to restrict tobacco sales to children. It is HealthPartners’ mission to improve health and well-being in partnership with our members, patients and the community. Nearly every adult smoker (approximately 95%) started before they were 21. For years tobacco use has been the number one preventable cause of death in our country and our state. Smoking costs the state more than $3 billion annually in excess health care costs and each year more than 6,000 Minnesotans die from tobacco-related diseases. As you may know, teen tobacco use in Minnesota has also risen, primarily due to a sharp increase in e- cigarette use. The FDA recently called youth e-cigarette use an epidemic, and in a recent editorial, said “We cannot let e-cigarettes become an on-ramp to teenage addiction.” We echo those concerns and implore you to include e- cigarettes in any proposal considered by the city. 18-21 is a critical time when young people move from intermittent smoking to daily use. In addition to the countless long-term negative health effects of tobacco, nicotine itself is known to be particularly harmful to the development of the adolescent brain. Research suggests that nicotine interferes with brain maturation and can have long term effects on development and mental health. A recent report from the Institute of Medicine found that increasing the tobacco sales age to 21 would also mean that smoking initiation among 15-17-year-olds would be reduced by 25 percent. Thank you for you for being a leader in our state and taking a positive step towards keeping tobacco out of the hands of our children. Sincerely, Dr. Thomas Kottke, M.D. HealthPartners Medical Director, Well-being E-cigarettes havedisrupted a 17-year downward trend in youth tobacco use Why the Rise? Flavors Appeal to Kids Over 60 percent of students who use tobacco reported using menthol or other flavored products Easy Access Nearly a third of high school e-cigarette users report they got their e-cigarettes from retail outlets, about one in five got them from vape shops The Good News: Less Youth Smoking Fewer than 10 percent of high-school students now report smoking cigarettes a 70 percent decrease since 2000. Due to high cigarette prices and decades of tobacco prevention efforts, youth cigarette smoking is at an all-time low – but that progress is threatened by the changing tobacco industry. 88% Youth TobaccoUse Rises for First Time in 17 Years What’s Driving This Trend? Explosion of E-Cigarette Use Nearly one in five high-school students used e-cigarettes in past 30 days Nearly a 50 percent increase since 2014 Aggressive Marketing Most students (88 percent) have seen ads for e-cigarettes – of those who are heavily exposed on social media, nearly 40 percent use e-cigarettes Changing Landscape One in three high-school e-cigarette users reported they had used an e-cigarette to vape marijuana or THC oil/wax Over 26 percent of high-school students surveyed reported using tobacco products in past 30 days SINCE 2000 Proven Strategies to Decrease Tobacco Use: Increase the price of tobacco products Increase prevention and cessation funding Restrict the sale of flavored and menthol tobacco products Raise the minimum legal sale age for tobacco products to 21 2017 Minnesota Youth Tobacco Survey • www.health.mn.gov/tobacco Health Advisory NICOTINE AND THE ESCALATING RISK OF ADDICTION FOR YOUTH October 8, 2018 Youth e-cigarette use has risen dramatically in Minnesota in the last three years, with an almost 50 percent increase in high school student e-cigarette use since 2014.1 This is a major public health concern. Youth use of nicotine increases their risk of addiction, and can make them more susceptible to addiction to tobacco products and other substances in the future. The Minnesota Department of Health recommends immediate action requiring the participation of parents, educators, health care providers, and policy makers. Nicotine primes the adolescent brain for addiction. Addiction is a form of learning, where the brain learns to connect a stimulus (for example, smoking a cigarette or e-cigarette) with a response (feelings of pleasure and calming of cravings).2 Each time a new skill or memory is learned, stronger connections – or synapses – are built between brain cells. Young people build synapses faster than adults. Nicotine changes the way these synapses are formed. Youth exposed to nicotine are at higher risk for addiction than are adults because youth brains are still forming and making permanent connections.2,3,4,5 Studies show that symptoms of nicotine addiction can appear among youth within only a few days or weeks after smoking initiation.6,7 The use of nicotine in e-cigarettes—nearly all of which contain nicotine8,9,10—and other tobacco products primes the adolescent brain for addiction. This could have significant public health consequences, including potentially increasing the risk for youth of future addiction.2 Youth who are exposed to nicotine are more likely to use other substances. Receptors in the brain are stimulated by exposure to nicotine, which triggers a rewarding effect on the brain. These receptors respond to and enhance the effects of nicotine and other drugs. The more adolescents are exposed to nicotine, the greater the sense of enjoyment because the effects of nicotine and other drugs are made stronger by repeated exposure. This effect increases the likelihood that youth will develop a dependence on those drugs.3,4,11 For example, studies have found that young adults who smoke cigarettes or who use e-cigarettes are much more likely to binge drink than non-smokers.11,12 More recent studies have identified similar patterns between use of nicotine and use of other drugs, including marijuana, cocaine, and methamphetamines.13,14,15,16,17,18,19,20 New e-cigarette technologies pose greater risks for youth. Popular e-cigarettes like JUUL have developed new technologies utilizing nicotine salts that are absorbed into the body more effectively and come in record-high levels of nicotine. According to the HEALTH ADVISORY: NICOTINE AND THE ESCALATING RISK OF ADDICTION FOR YOUTH 2 manufacturer, a single JUUL pod contains as much nicotine as a pack of 20 regular cigarettes.21 E- cigarettes like JUUL, come in a wide variety of fruit and other flavors that appeal to youth. They are also easily hidden, have limited odor, and emit aerosol that disappears quickly enabling youth to use them in public places where cigarette use is prohibited. Youth who use e-cigarettes (vapes, JUUL) are more likely to smoke cigarettes. Use of e-cigarettes could lead to future cigarette smoking among youth who have never smoked cigarettes. In fact, multiple research studies have demonstrated that e-cigarette users are twice as likely to smoke cigarettes in the future.5 In addition, the younger someone is when they start using e- cigarettes, the more likely they are to smoke cigarettes later.5,14,22,23,24,25,26,27,28 Youth hold many misperceptions around the danger of e- cigarettes. Many youth incorrectly perceive that e-cigarettes are not addictive and are easier to quit compared to cigarettes. These perceptions are more common among youth who use e-cigarettes. These misperceptions reinforce the need to increase awareness and education around the dangerous consequences of youth nicotine use.12,29,30,31 Opportunities for Action Given the danger of youth nicotine use, it is important for parents, educators, health care providers, and policy makers to be aware and take action. Parents Talk to your kids about the risks of using e-cigarettes. Ask about e-cigarette use as it can indicate risk for use of cigarettes and other addictive substances (e.g., alcohol, marijuana, and other illicit drugs). If your child is using e-cigarettes, begin to ask about and look for signs of use of conventional cigarettes, alcohol, marijuana, and other illicit substances. Be aware of the risks of nicotine and the different products kids are using. Know that e-cigarettes almost always contain nicotine. HEALTH ADVISORY: NICOTINE AND THE ESCALATING RISK OF ADDICTION FOR YOUTH 3 Health Care Providers Talk to your young patients about the risks of e-cigarette use. Ask about use of e-cigarettes, as it can indicate risk for use of cigarettes and other substances e.g., alcohol, marijuana, and other illicit drugs). Also ask about use of conventional cigarettes, alcohol, marijuana, and other substance use. If your patient reports using e-cigarettes, provide education about nicotine including harms to the brain from nicotine exposure, and that nicotine in any form (smoked or vaped) can be addictive. Screen parents for use of all tobacco products, encourage cessation, and refer patients to cessation services (e.g., in-person counseling and/or quitline). School Staff Partner with local public health for information on risks of nicotine addiction, and the use of e- cigarettes and other tobacco products. Beware of outreach from e-cigarette manufacturers offering assistance with educating students about nicotine addiction. Educate students and staff that that nicotine is highly addictive. Educate students, staff, and parents that e-cigarettes almost always contain nicotine. Educate teachers and parents on the harms of nicotine exposure, including impact to brain development and risks for engaging in other high-risk activities like use of cigarettes, alcohol, marijuana, and other illicit substance. Enforce existing prohibitions of tobacco and nicotine product use in schools. Policy Makers Restrict the use of e-cigarettes in public places where combustible cigarette use is already prohibited. Restrict the sale of flavored tobacco to adult-only retail establishments. Increase the minimum legal sales age to 21 years of age. Minnesota Department of Health Tobacco Prevention and Control 651-201-3535 tobacco@state.mn.us www.health.state.mn.us/nicotine October 8, 2018 To obtain this information in a different format, call: 651-201-3535. Printed on recycled paper. HEALTH ADVISORY: NICOTINE AND THE ESCALATING RISK OF ADDICTION FOR YOUTH 4 References 1. Evered SR. Teens and Tobacco in Minnesota: Highlights from the 2017 Minnesota Youth Tobacco Survey: Minnesota Center for Health Statistics, Minnesota Department of Health, February 2018. 2. U.S. Department of Health and Human Services. E-Cigarette Use Among Youth and Young Adults. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2016. 3. O'Dell LE, Bruijnzeel AW, Smith RT, Parsons LH, Merves ML, Goldberger BA, Richardson HN, Koob GF, Markou. Diminished nicotine withdrawal in adolescent rats: implications for vulnerability to addiction. Psychopharmacology (Berl). 2006. 186(4): p. 612-619. 4. Tarren, J.R., Bartlett, S.E., Alcohol and nicotine interactions: pre-clinical models of dependence. Am J Drug and Alcohol Abuse, 2017. 43(2): p. 146-154. 5. Watkins SL, Glantz SA, Chaffee, BW. Association of Noncigarette Tobacco Product Use With Future Cigarette Smoking Among Youth in the Population Assessment of Tobacco and Health (PATH) Study, 2013-2015. JAMA Pediatr, 2018. 172(2): p.181-187. 6. DiFranza, JR, et al., “Initial Symptoms of Nicotine Dependence in Adolescents,” Tobacco Control 9:313-19, September 2000. 7. U.S. Department of Health and Human Services. The Health Consequences of Smoking: 50 Years of Progress. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014. 8. Raymond BH, Collette-Merrill K, Harrison RG, Jarvis S, Rasmussen RJ. The Nicotine Content of a Sample of E- cigarette Liquid Manufactured in the United States. J Addict Med. 2018 Mar/Apr;12(2):127-131. 9. Marynak KL, Gammon DG, Rogers T, Coats EM, Singh T, King BA. Sales of Nicotine-Containing Electronic Cigarette Products, United States, 2015. Am J Public Health. 2017;107(5):702-705. 10. Goniewicz ML, Gupta R, Lee YH, Reinhardt S, Kim S, Kim B, Kosmider L, Sobczak A. Nicotine levels in electronic cigarette refill solutions: A comparative analysis of products from the U.S., Korea, and Poland. Int J Drug Policy. 2015 Jun;26(6):583-8 11. Cross, B.A., Lotfipour, S., Leslie, F.M., Mechanisms and genetic factors underlying co-use of nicotine and alcohol or other drug use. Am J Drug Alcohol Abuse, 2017. 43(2): p. 171-185. 12. Chaffee, B.W., and Cheng, J., Tobacco product initiation is correlated with cross-product changes in tobacco harm perception and susceptibility: Longitudinal analysis of the Population Assessment of Tobacco and Health youth cohort. Preventive Medicine, 2018. 114: p. 72-78. 13. Unger, J.B., Soto, D.W., and Leventhal, A., E-cigarette use and subsequent cigarette and marijuana use among Hispanic young adults. Drug and Alcohol Dependence, 2016. 163: p. 261-264. 14. Wills TA, Knight R, Williams RJ, Pagano I, and Sargent JD, Risk Factors for Exclusive E-cigarette Use and Dual E- cigarette Use and Tobacco Use in Adolescents. Pediatrics, 2015. 135(1):p. e43-e51. 15. McCabe, S.E., West, B.T., Veliz, P., Boyde, C.J., E-cigarette Use, Cigarette Smoking, Dual Use and Problem Behaviors Among U.S. Adolescents: Results From a National Survey. Journal of Adolescent Health, 2017. 61: p. 155-162. 16. Morean, M.E., Kong, G., Camenga, D.R., et. al., Latent class analysis of current e-cigarette and other substance use in high school students. Drug and Alcohol Dependence, 2016. 161: p. 292-297. 17. Kristjansson, A.L., Mann, M.J., and Smith, M.L., Prevalence of substance use among middle school-aged e- cigarette users compared with cigarette smokers, nonusers, and dual users: Implications for primary prevention. Substance Abuse, 2017. 38(4): p.473-476. 18. Kristjansson, A.L., Mann, M.J., and Sigfusdottir, I.D., Licit and Illicit Substance Use by Adolescent E-cigarette Users Compared with Conventional Cigarette Smokers, Dual Users and Nonusers. Journal of Adolescent Health, 2015. 57: p. 562-564. 19. Azagba, S., E-cigarette use, dual use of e-cigarettes and tobacco cigarettes, and frequency of cannabis use among high school students. Addictive Behaviors, 2018. 79: p.166-170. HEALTH ADVISORY: NICOTINE AND THE ESCALATING RISK OF ADDICTION FOR YOUTH 5 20. Hershberger AR, Karyadi KA, VanderVeen D, Cyderes MA, Combined expectancies of alcohol and e-cigarette use relate to higher alcohol use. Addictive Behaviors, 2016. 52: p.13-21. 21. Centers for Disease Control and Prevention. Keep Kids E-cigarette Free. 2018. 22. Wills TA, Sargent JD, Gibbons FX, Pagano I, Schweitzer R. E-cigarette use is differentially related to smoking onset among lower risk adolescents. Tob Control, 2017. 26: p.534-539. 23. Leventhal, A.M., Stone, M.D., Andrabi, N., et. al., Association of e-Cigarette Vaping and Progression to Heavier Patterns of Cigarette Smoking. JAMA, 2016. 316(18):p. 1918-1920 24. Leventhal, A.M., Strong, D.R., Kirkpatrick, M.G., et. al., Association of Electronic Cigarette Use with Initiation of Combustible Tobacco Product Smoking in Early Adolescence, 2015. 314(7): p.700-707. 25. Soneji, S., Barrington-Trimis, J. L., Wills, T. A., Leventhal, A. M., Unger, J. B., Gibson, L. A., . . . Sargent, J. D. 2017). Association between initial use of e-cigarettes and subsequent cigarette smoking among adolescents and young adults: A systematic review and meta-analysis. JAMA Pediatrics, 171(8), 788797. 26. Miech, R. A., Patrick, M. E., O'Malley, P. M., & Johnston, L. D. (2017). E-cigarette use as a predictor of cigarette smoking: Results from a 1-year follow-up of a national sample of 12th grade students. Tobacco Control, 26(e2), e106-e111. 27. Primack, B.A., Shensa, A., Sidani, J.E., et. al., Initiation of Traditional Cigarette Smoking after Electronic Cigarette Use Among Tobacco-Naïve US Young Adults, 2017. 131(4): p. 443.e1 – 443.-e9. 28. McCabe, S.E., West, B.T., and McCabe, V.V., Associations Between Early Onset of E-cigarette Use and Cigarette Smoking and Other Substance Use Among US Adolescents: A National Study. Nic Tob Res, 2018. 20(8): p. 923-930. 29. Bernat, D., Gasquet, N., Wilson K.O., et. al., Electronic Cigarette Harm and Benefit Perceptions and Use Among Youth. Am J Prev Med, 2018. pii: S0749-3797(18)31868-3. doi: 10.1016/j.amepre.2018.04.043. 30. Ambrose BK, Rostron BL, Johnson SE, Portnoy DB, Apelberg BJ, Kaufman AR, Choiniere CJ. Perceptions of the relative harm of cigarettes and e-cigarettes among U.S. youth. Am J Prev Med. 2014 Aug;47(2 Suppl 1):S53- 60. 31. Amrock SM, Zakhar J, Zhou S, Weitzman M. Perception of e-cigarette harm and its correlation with use among U.S. adolescents. Nicotine Tob Res. 2015, 17(3):330-6. Down In The Valley City Of Golden Valley RE: Tobacco Regulations Down In The Valley has held a tobacco license and been a trusted retailer for over 47 years in Golden Valley. Down In The Valley is a destination retailer bringing many customers to the Golden Valley area that would otherwise not visit and spend money here. We have conducted ourselves responsibly and are a model businesses in this city. Some of the proposed regulations we fear will force those folks to bypass Golden Valley in pursuit of the products Golden Valley is proposing to regulate. This change in traffic patterns could also trickle down to other businesses in the area and lead to lost sales and revenue to not only our business but others in the area. This includes the numerous businesses located in the shopping malls on Highway 55. In reality, these customers will search to buy these products elsewhere if unavailable to buy them in Golden Valley, which would lead them to possibly bypass businesses on Hwy 55 to other neighboring cities with more relaxed regulations. In short, we are not opposed to raising the tobacco age to 21+ but we do oppose banning flavored tobacco, menthol, and electronic cigarettes/vape. We feel a move to 21+ for tobacco would make regulating flavors, menthol, etc. unnecessary. Down In The Valley has held a tobacco license in the city of Golden Valley for 47 years. We have shown over the course of our tenancy to be responsible and trusted in regards to tobacco laws and regulations. We are not opposed to change but feel some of the proposed regulations are overreaching and unnecessary. Down In The Valley supports the change from 18 to 21+. 21 + would make the need for regulating flavors and menthol unnecessary. Currently, 21 + can purchase an array of products with flavoring, including liquor, beer, and other marketed items with flavor such as hard seltzers and ciders. 21 + would create an age separation in social circles that will greatly reduce the access of tobacco products and devices compared to 18+. (Jr. & Sr. High School) Further regulations than just moving the age to 21+ could have a negative impact on businesses in Golden Valley, including all the other businesses along the commercial hot spots on Hwy 55. Customers will seek to purchase these regulated products in nearby cities and do their additional shopping at businesses around those tobacco retailers in Crystal, New Hope, etc ... Increasing the Tobacco Sale Age to 21 The tobacco industry heavily targets young adults ages 18-21 in order to recruit new tobacco users and guarantee profits. Approximately 95 percent of current adult smokers started before they were 21.1 In Minnesota, no one under 18 years old is allowed to buy tobacco. Youth get tobacco from several sources, including social sources. A 16-year-old has more contact with and access to 18-year-olds who can buy tobacco. However, it is less likely a 16-year-old would ask a 21-year-old for tobacco. Increasing the age gap between young people and those who can legally buy tobacco will reduce youth access to tobacco. WHAT IS THE IMPACT OF NICOTINE ON ADOLESCENT BRAIN DEVELOPMENT? Nicotine is harmful to the development of the adolescent brain. WHY RAISE THE TOBACCO SALE AGE? WHO SUPPORTS RAISING THE TOBACCO SALE AGE TO 21? A 2014 national survey shows that 75 percent of adults favor increasing the minimum sale age for tobacco to 21. A national consensus is growing to protect young people from a lifetime of addiction and health problems caused by tobacco by raising the tobacco sale age. In addition, 70 percent of current smokers and 65 percent of those age 18-24 support raising the minimum tobacco sale age.9 Nicotine is addictive and is particularly harmful to the developing adolescent brain. Evidence suggests that nicotine interferes with brain maturation and can have a long-term effect on cognitive development and mental health.4 Even brief or intermittent nicotine exposure during adolescence can cause lasting damage.5 3 out of 4 adults favor increasing the sale age for tobacco to 21. A 2015 report from the Institute of Medicine (IOM) found that increasing the legal age to purchase tobacco to 21 would decrease smoking initiation among 15-17-year-olds by 25 percent.2 A Minnesota-specific study looked at the impact of raising the tobacco age and found that 25 percent fewer 15-year-olds would start smoking by the time they turn 18 and 15 percent fewer 18-year-olds would start smoking by the time they turn 18. This translates into 30,000 young people not becoming smokers over the next 15 years.3 If youth don't smoke by the time they are 21, they likely never will. The addictive properties of nicotine can lead adolescents to heavier daily tobacco use and a more difficult time quitting later in life.6 Nicotine exposure can also increase the risk of addiction to other harmful substances.5 The long-term effects of nicotine on the adolescent brain is a significant public health concern.7,8 WHAT CAN STATE AND LOCAL GOVERNMENTS DO? Seventeen states have raised the age to 21 since 2016: California, Hawaii, New Jersey, Maine, Oregon, Massachusetts, Virginia, Utah, Arkansas, Illinois, Washington, Delaware, Maryland, Vermont, Texas. Connecticut and New York. In Minnesota, 40 communities have raised the age to 21, joining 475-plus nationwide. IS YOUTH TOBACCO USE STILL A PROBLEM? The percent of students who smoke cigarettes is declining, but the 2016 Minnesota Student Survey found that 9th and 11th graders in Minnesota are now using e-cigarettes at twice the rate of regular cigarettes.10 Increasing the sale age to 21 would reduce youth access to all harmful tobacco products, including e-cigarettes, cigars and hookah. The Association for Nonsmokers-Minnesota is dedicated to reducing the human and economic costs of tobacco use in Minnesota. 2395 University Avenue W, Suite 310 St. Paul, MN 55114 651-646-3005 | www.ansrmn.org Raising the legal minimum age for cigarette purchaser to 21 could gut our young adult market where we sell about 25 billion cigarettes and enjoy a 70 percent market share." Philip Morris report, 1986 Updated: July 2019 Sources may be found at www.ansrmn.org Counties with T21 policies Tobacco 21: Health Impacts of Raising the Minimum Tobacco Sale Age Research shows that raising the legal sale age from 18 to 21, known as “Tobacco 21,” would greatly reduce youth tobacco use and prevent kids from starting to smoke, according to a 2015 Institute of Medicine report.1 Notably, the report estimated there would be a 25 percent reduction in smoking initiation among 15-to-17-year-olds if the age to purchase tobacco were raised to 21.1 Nearly all tobacco users start before age 21.1,2 According to a 2017 Minnesota Department of Health advisory on nicotine, teens are especially susceptible to nicotine addiction and the harmful effects of nicotine on the developing brain. Raising the minimum tobacco sale age to 21 would limit youth access to tobacco until age 21, when the portion of the brain responsible for rational decision-making is more fully developed.3 Research shows raising the tobacco sale age would keep Minnesota kids from starting. In Minnesota, raising the legal sale age to 21 would have a one-time effect of preventing over 3,300 young Minnesotans from starting to smoke, according to a January 2017 Minnesota Medicine article.4 Increasing the age gap between kids and those who can legally buy tobacco would help keep tobacco out of the high school environment. Results from the 2017 Minnesota Youth Tobacco Survey revealed that one in four students still use tobacco products of some kind,5 and according to the Centers for Disease Control and Prevention, 102,100 Minnesota youth are projected to die from smoking.6 Communities are taking action to protect youth. Long term, Tobacco 21 has the potential to significantly reduce smoking,1 and the Minnesota Comprehensive Tobacco Control Framework: 2016-2021 identifies Tobacco 21 as a step for reducing youth tobacco use. The Minnesota Department of Health supports statewide efforts to raise the legal sale age to 21. Nationally, more than 290 communities in 19 states have adopted a Tobacco 21 policy. California, Hawaii, Maine, New Jersey, and Oregon have raised their minimum tobacco sale age to 21 statewide. Learn more at www.health.mn.gov/tobacco21. TOBACCO 21: HEALTH IMPACTS OF RAISING THE MINIMUM TOBACCO SALE AGE 2 Minnesota Department of Health Tobacco Prevention and Control PO Box 64882 St. Paul, MN 55164-0882 651-201-3535 tobacco@state.mn.us www.health.mn.gov/tobacco21 1/3/2019 To obtain this information in a different format, call: 651-201-3535. Printed on recycled paper. 1 Institute of Medicine, Public Health Implications of Raising the Minimum Age of Legal Access to Tobacco Products, Washington, DC: The National Academies Press, 2015, http://iom.nationalacademies.org/Reports/2015/TobaccoMinimumAgeReport.aspx 2 United States Department of Health and Human Services. Substance Abuse and Mental Health Services Administration. Center for Behavioral Health Statistics and Quality. National Survey on Drug Use and Health, 2014. ICPSR36361-v1. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2016-03- 22. http://doi.org/10.3886/ICPSR36361.v1 3 Furlong, A. (Ed.). (2009). Handbook of youth and young adulthood: New perspectives and agendas. Routledge. 4 Boyle, R. G., Kingsbury, J. H., & Parks, M. J. (2017). Raising the Minimum Legal Sale Age for Tobacco to 21: The Estimated Effect for Minnesota. Minnesota Medicine, 35-37. http://www.mnmed.org/MMA/media/Minnesota- Medicine-Magazine/Clinical-BOYLE.pdf 5 2017 Minnesota Youth Tobacco Survey 6 Centers for Disease Control and Prevention. (2014). Best Practices for Comprehensive Tobacco Control Program - 2014. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. Tobacco R etail Sales Ordinance Restrictions Map Disclaimer: This map (i) is furnished "AS IS" with no representation as to completeness or accuracy; (ii) is furnished with no warranty of any kind; and (iii) is not suitable for legal, engineering or surveying purposes. Hennepin County shall not be liable for any damage, injury or loss resulting from this map. Hennepin County Map Published: July, 2019 HennepinCountyPublicHealth MINNEAPOLIS MEDINA ORONO PLYMOUTH CORCORAN DAYTONROGERS EDINA BLOOMINGTONEDENPRAIRIE MAPLE GROVE MINNETRISTA INDEPENDENCE MINNETONKA GREENFIELD BROOKLYN PARK CHAMPLIN MOUND RICHFIELD WAYZATA ST. LOUISPARK GOLDENVALLEY CRYSTAL SHOREWOOD NEWHOPE HOPKINS BROOKLYNCENTER DEEPHAVEN MSP INTL. AIRPORT ST. ANTHONY OSSEO WOODLAND LONG LAKE MAPLE PLAIN GREENWOOD MINNETONKABEACH ST. BONIFACIUS LORETTO ROCKFORD MEDICINELAKE CHANHASSEN HANOVER EXCELSIOR TONKABAYSPRINGPARK FORTSNELLINGTER. ROBBINSDALE 0 105 Hennepin County Miles Municipalities prohibiting the sale of all tobacco products, including electronic cigarettes, to persons under the age of 21. NotesGreenfield, Mound, Rockford, St. Bonifacius, MSP Int’l.Airport: Effective 1/1/2020. Tobacco 21 (T21)Minimum Cigar Pricing & PackagingFlavoredTobacco MINNEAPOLIS MEDINA ORONO PLYMOUTH CORCORAN DAYTONROGERS EDINA BLOOMINGTONEDENPRAIRIE MAPLE GROVE MINNETRISTA INDEPENDENCE MINNETONKA GREENFIELD BROOKLYN PARK CHAMPLIN MOUND RICHFIELD WAYZATA ST. LOUISPARK GOLDENVALLEY CRYSTAL SHOREWOOD NEWHOPE HOPKINS BROOKLYNCENTER DEEPHAVEN MSP INTL.AIRPORT ST. ANTHONY OSSEO WOODLAND LONG LAKE MAPLE PLAIN GREENWOOD MINNETONKABEACH ST. BONIFACIUS LORETTO ROCKFORD MEDICINELAKE CHANHASSEN HANOVER EXCELSIOR TONKABAYSPRINGPARK FORTSNELLINGTER. ROBBINSDALE MINNEAPOLIS MEDINA ORONO PLYMOUTH CORCORAN DAYTONROGERS EDINA BLOOMINGTONEDENPRAIRIE MAPLE GROVE MINNETRISTA INDEPENDENCE MINNETONKA GREENFIELD BROOKLYN PARK CHAMPLIN MOUND RICHFIELD WAYZATA ST. LOUISPARK GOLDENVALLEY CRYSTAL SHOREWOOD NEWHOPE HOPKINS BROOKLYNCENTER DEEPHAVEN MSP INTL.AIRPORT ST. ANTHONY OSSEO WOODLAND LONG LAKE MAPLE PLAIN GREENWOOD MINNETONKABEACH ST. BONIFACIUS LORETTO ROCKFORD MEDICINELAKE CHANHASSEN HANOVER EXCELSIOR TONKABAYSPRINGPARK FORTSNELLINGTER. ROBBINSDALE Municipalities prohibiting the sale of all flavored tobacco products, including electronic cigarettes. NotesGreenfield, Mound, Rockford, St. Bonifacius, MSP Int’l. Airport: Adult tobacco stores are exempt. Effective 1/1/2020 Minneapolis: Adult tobacco stores are allow ed to sell all flavors; and liquor stores are allowed to sell menthol, mint and wintergreen. Robbinsdale: All flavors except menthol, mint and wintergreen will be restricted. Adult tobacco stores will be exempt from all restrictions. St. Louis Park: All flavors except menthol, mint and wintergreen restricted. Municipalities prohibiting at minimum: the sale of cigarpackagescontaininglessthan5cigarsand/or sets a minimum cigar price of at least $2.10 per cigar in a package of 1-5 cigars withtheminimumpricedeterminedafteranypricepromotionordiscount. NotesGreenfield, Mound, Rockford, St. Bonifacius, MSP Int’l.Airport: Effective 1/1/2020. Sup ported by the Statewide Health Imp ro vem ent Partnership, Minnesota Department of Health. Legend Municipalities with thetobaccorestriction LOCATION OF TOBACCO RETAILERS City of Golden Valley Tobacco License Holders January 1, 2019 to December 31, 2019 DBA Licensee: Address AM Star Gas Station AM Star Gas Station 9405 Medicine Lake Road Down in the Valley, Inc Down in the Valley, Inc 8020 Olson Memorial Hwy Feist Minnoco Feist Automotive Group 1875 Lilac Drive N Golden Valley Country Club Golden Valley Country Club 7001 Golden Valley Road Golden Valley Holiday Store #3520 Linn Retail Centers 600 Boone Ave N Golden Valley Liquor Barrel Golden Valley Liquor Barrel 7890 Olson Memorial Hwy Holiday Stationstore Holiday StationStore Inc 7925 Wayzata Blvd J.J's Clubhouse Scoreboard Inc 6400 Wayzata Blvd Potpourri Gifts KKS Inc/Potpourri Gifts 5500 Wayzata Blvd Schuller's Tavern Schuller's Tavern 7345 Country Club Drive Speedway #4443 Northern Tier Retail Inc/Andeavor 1930 Douglas Drive Speedway #4497 Northern Tier Retail Inc/Andeavor 6955 Market Street Top Star Tobacco and E-Cig Top Star Tobacco and E-Cig 7734 Olson Memorial Hwy Walgreens #13841 Walgreens Company 2500 Winnetka Ave N Walgreens #430 Walgreens Company 5695 Duluth Street FreshFruitSmoothies WELCOME TO HEALTH Sparkling Water Sold Here PHARMACY MINIMUM1,000 FT GASCIGARETTES Local Tobacco Retailers These policy solutions can be implemented in most communities through local regulation, such as tobacco retailer licensing or changes to zoning restrictions. How to reduce tobacco retailer density and why Prohibit retailers from locating near schools and other youth-sensitive areas Example: Stores cannot locate within 1,000 ft of a school or playground. Prohibit sales of tobacco products at pharmacies or other types of retailers Example: Pharmacies cannot be licensed to sell tobacco products. Numbers will vary by community. Example: There can be no more than 1 store* per 1,000 residents. Cap the number of retailers relative to population size Require a minimum distance between retailers Example: Stores cannot locate within 1,000 ft of an existing store. Cap the number of retailers in a geographic area Example: There can be no more than 15 stores* per district. HEALTH: When more tobacco retailers are located in a given area, residents’ health suffers. Youth are more likely to start smoking. People who smoke consume more cigarettes per day and have a harder time quitting. EQUITY: Tobacco retailers cluster in neighborhoods with a high percentage of low-income residents or residents of color. These communities are targeted by tobacco companies, and they disproportionately suffer the health harms caused by tobacco use. This publication was supported by the Grant or Cooperative Agreement Number 5U38OT000141-03 awarded to ChangeLab Solutions and funded by the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention or the Department of Health and Human Services. ChangeLab Solutions is a nonprofit organization that provides legal information on matters relating to public health. The legal information in this document does not constitute legal advice or legal representation. For legal advice, readers should consult a lawyer in their state. © 2016 ChangeLab Solutions www.changelabsolutions.org/tobacco-retailer-licensing www.countertobacco.org/policy/licensing-and-zoning From:Lance Klatt To:Harris, Shep; Clausen, Joanie; Fonnest, Larry; Schmidgall, Steve; Rosenquist, Gillian Cc:Cisneros, Maria Subject:Raising the Legal Age to Purchase Tobacco and Restricting Flavored Tobacco Date:Thursday, August 8, 2019 1:30:45 PM Attachments:Coalition Letter to Golden Valley 8.8.19.pdf Golden Valley FDA Compliance 8.8.19.pdf MSA Power Point Slides on Duluth, MN.pdf Menthol Economic Impact Study (Executive Summary).pdf FDA PATH Study Social Sources Data[1] - Read-Only.pdf Hennepin County Duluth Study 5.19.pdf Dear Mayor Harris and Golden Valley City Council Members, My name is Lance Klatt, Executive Director of the Minnesota Service Station & Convenience Store Association. I have attached a letter from my coalition I am very proud to be part of. My organization “The Minnesota Service Station & Convenience Store Association” represents many independent retailers in your great city. Many of these retailers are 2nd and 3rd generation family owners. I ask on behalf of my small corner stone retailers, for the Golden Valley City Council to please do not raise the legal age to purchase tobacco products to 21 while restricting flavored tobacco. Passing these ordinance’s in Golden Valley creates an island of regulation and is unnecessary, especially when legislation for raising the purchase age to 21 is currently pending at the state legislature. Finally, increasing the purchase age to 21 without also including a consumption and possession ban for individuals 18, 19, or 20 years of age achieves nothing, except to create a toothless ordinance that will harm lawful retail businesses while exacerbating the social sources problem. In addition, I personally fell there should be more of a concern with the use of illegal drugs such as Marijuana use in teens. You can regulate tobacco products but who is going to regulate marijuana use? Our retailers have done an excellent job not selling to underage/young adults! Golden Valley retailers are not the problem, social sources and a lack of education is the problem. Please be one of the first in Minnesota and address the real problem of underage tobacco use rather than hurting the local businesses that are doing their jobs. I have also attached some slides concerning an impact study conducted in the city of Duluth, and Hennepin County regarding the impact of a flavor ban and MSA slides. A flavor ban will deeply affect these small retailers in a very negative way. Restricting retailers from selling flavored tobacco and passing such an ordinance, only picks winners and losers within our retail society. We are small Minnesota gas branded sites and take pride in establishing our businesses within your community! Thanks for listening, and please take my letter and the attached information with as you have your discussions in the near future. Thanks, Lance Lance L. Klatt Executive Director Minnesota Service Station & Convenience Store Association Minnesota Professional Towing Association Minnesota Independent Oil Co. (Minnoco) ph: (651) 487-1983 cell: (612-916-9917 e-mail : lance@mnssa.com This is a transmission from Minnesota Service Station & Convenience Store Association and may contain information which is privileged, confidential, and protected by the work product privileges. If you are nottheaddressee, note that any disclosure, copying, distribution, or use of the contents of this message is prohibited. If you have received this transmission in error, please destroy it and notify us immediately at our telephone number 651) 487-1983. The name and biographical data provided above are for informational purposes only and are not intended to be a signature or other indication of an intent by the sender to authenticate the contents of this electronic message.** MINIMUM PRICE Regulation is lacking for cigars and cigarillos. In 2009, Congress gave oversight on the manufacture and sale of cigarettes to the Food and Drug Administration (FDA)1, which prohibited the sale of flavored cigarettes. In response, tobacco companies increasingly added flavoring to cigars, making them appealing to youth. Not only are many cigars and cigarillos flavored, they are often cheap. In 2009, small cigars were subject to increased federal taxes. Cigar makers responded by slightly increasing the weight of their products to avoid this taxation.1 In Minnesota, cigars and cigarillos became subject to increased state tobacco taxes in 2013, but these products are still much less expensive than cigarettes, costing as little as three for 99 cents. The FDA began regulating cigars and cigarillos in 2016. The new regulations: Require that one of six rotating warnings labels be placed on the packaging of all cigars; Prohibit free samples of cigar products; Require registration of cigar manufacturers and product lists with the FDA; Require manufacturers to disclose ingredient lists to the FDA; and Require a review process for new products marketed.2 Cigars & Cigarillos Cheap cigars and cigarillos are machine-made, often flavored, and inhaled like a cigarette. These cigars are wrapped in paper that contains a small amount of finely milled tobacco. Cigarillos are a type of cigar with increasing popularity among youth. They are slightly larger than a cigarette, usually do not contain a filter, and have tobacco in the paper. Cigarillos vary in packaging size and are sold in an assortment of flavors. ARE CIGARS & CIGARILLOS REGULATED? In most Minnesota cities, cigars and cigarillos can be purchased cheaply. This three-pack of cigars costs 99 cents, which is highly affordable for youth. This Splitarillos advertisement was on the company’s Facebook page. Their tag line Split it with your friends” is a youth- friendly message. WHAT ARE CIGARS & CIGARILLOS? WHAT ARE THE HEALTH EFFECTS OF CIGARS & CIGARILLOS? Cigar smoke is composed of the same toxic and carcinogenic constituents found in cigarette smoke. Cigars smoke causes cancers of the lung, larynx, oral cavity, and esophagus, coronary heart disease and chronic obstructive pulmonary disease.3 Cigars and cigarillos are often smoked and inhaled like cigarettes. Flavoring can disguise the harshness of the smoke, making it easier for first time tobacco users to smoke these products. SOURCES 1 One Hundred Eleventh United States Congress. (2009). Family Smoking Prevention and Tobacco Control Act. Retrieved from https://www.gpo.gov/fdsys/pkg/PLAW- 111publ31/html/PLAW-111publ31.htm 2 US Food and Drug Administration. (2016, August 7). Cigars, Cigarillos, Little Filtered Cigars. Retrieved from http://www.fda.gov/TobaccoProducts/Labeling/ ProductsIngredientsComponents/ucm482562.htm 3 National Cancer Institute. (1998, February). Cigars: Health Effects and Trends. Smoking and Tobacco Control Monograph No. 9. Retrieved from http://cancercontrol. cancer.gov/Brp/tcrb/monographs/9/m9_complete.pdf. 4 U.S. Centers for Disease Control & Prevention, (2016, April). Tobacco Use Among Middle and High School Students — United States, 2011-2015. Morbidity and Mortality Weekly Report. Retrieved from http://www.cdc.gov/mmwr/volumes/65/wr/mm6514a1.htm 5 Minnesota Department of Health. (2014, November). Teens and Tobacco in Minnesota: 2014 Update Data Book for the Minnesota Youth Tobacco Survey. Retrieved from: http://www.health.state.mn.us/divs/chs/tobacco/teenstobaccodata110714.pdf WHAT CAN BE DONE TO PREVENT YOUTH USE OF CIGARS & CIGARILLOS? Local communities can regulate these products to prevent youth use. Several options are available including: Prohibit the sale of all flavored tobacco products; Require minimum pack sizes for cigars; and Require a minimum price per cigar. In Minnesota, Brooklyn Center adopted an ordinance that requires cigars to be sold for a minimum price of $2.10 unless sold in packs of five or more. Minneapolis, Saint Paul, Maplewood, Richfield and Bloomington adopted an ordinance setting the minimum price at $2.60. These ordinances are meant to make cigars, many of which are flavored, more expensive and less appealing to price-sensitive youth. Nationally, Boston and many surrounding Massachusetts communities set minimum prices for cigars. WHO USES CIGARS & CIGARILLOS? Each day, more than 2,500 kids under 18 years old try cigar smoking for the first time.4 With fruity flavors, candy-like packaging and deals like two for 89 cents or three for $1, cigars and cigarillos are attractive, accessible, and affordable for young people. In Minnesota, almost one in four high school students have used cigars or cigarillos.5 Nearly one in three boys and one in six girls currently use cigars or cigarillos.5 The Minnesota Youth Tobacco Survey found the percentage of high school current tobacco users who only smoked cigar products in the past 30 days rose from 10.9 percent in 2011 to 15.8 percent in 2014.5 Many brands market heavily on social media to reach new users. Above, Swisher Sweets posts beach-themed photos to its Instagram acount. Below, Executive Branch Cigar uses rap celebrities Big Sean, left, and Snoop Dogg to reach youth. This photo appears on Executive Branch’s Instagram. The Association for Nonsmokers-Minnesota is dedicated to reducing the human and economic costs of tobacco use in Minnesota. August, 2016) 2395 University Avenue W, Suite 310, St. Paul, MN 55114 651-646-3005 | www.ansrmn.org This publication is made possible by funding from the Minnesota Department of Health’s Tobacco-Free Communities grant program. Cigarettes Cigars, Cigarillos 50% 40% 30% 20% 10% 0% 31.5 % TotalPercent of MN high school students who have ever used specific tobacco products, by FLAVORED TOBACCO Coalition of Neighborhood Retailers Banning Flavored Tobacco Sales Will Severely Harm or Force Local Retailers to Close Empirical Financial Data Demonstrates Loss of Tobacco Sales by Duluth Retailers Prohibiting the sale of flavored tobacco products including menthol cigarettes, mint and wintergreen flavored smokeless tobacco products, flavored cigars, and flavored electronic cigarettes would have a very serious economic impact on those retail stores licensed by Hennepin County. The Coalition of Neighborhood Retalers now has empirical data to support this likely outcome based on a scientific review of the impact of a virtually similar menthol and flavored tobacco restriction ordinance adopted by the Duluth, Minnesota City Council in 2018. The results of the Duluth survey should give the Hennepin County Board of Commissioners serious pause to avoid forcing local stores licensed by Hennpein County to close their doors. For background purposes, the average convenience store business model is primarily based on gasoline sales outside at the pumps and tobacco sales inside the store. According to the National Association of Convenience Stores, cigarette and tobacco sales account for approximately 36% of all in -store sales. Management Science Associates, an analytics firm that has monitored and reported on tobacco sales data for several decades, conducted an empirical review of Duluth tobacco sales figures and determined that while Duluth stores lost all sales of menthol cigarettes and mint and wintergreen smokeless tobacco products, other stores located less than or up to just one mile from the Duluth city border experienced a 156.3% increase in menthol cigarette sales and an 83.7% increase in flavored smokeless (moist) tobacco sales. Similarly, stores located less than or up to five miles from the Duluth city border experienced a 26% increase in menthol cigarette sales. In other words, adults did not stop buying menthol cigarettes or smokeless tobacco products, they just drove a short distance to adjacent cities or towns to purchase these products. A copy of the Management Science Associates slide deck on the Duluth, Minnesota ordinance financial impact on Duluth retailers is attached for your reference. It is equally important that the Hennepin County Board as a policymaking body understand that Management Science Associates has been in business for over fifty years and has developed an expertise in using analytics and informatics to help various industries answer questions and solve problems. Every day, Management Science Associates analyzes data, develops systems, and creates IT infrastructure to help inform decision-making and forecast outcomes. Specifically, Management Science Associates has been providing tobacco-related reporting and analysis for over 40 years. In addition, the firm was selected by the National Association of Attorneys General to be an independent, neutral third party for confirming cigarette volumes for purposes of the 1998 Master Settlement Agreement between certain cigarette manufacturers and the attorneys general for 46 states. The convenience industry The Potential Impact of a Menthol Restriction on Convenience Stores Nationally, convenience store tobacco profits are much lower than tobacco sales Profit=What the store takes home after taxes and operational costs are taken out Sales=The sale value before taxes and operational costs are taken out Tobacco isn't the primary reason customers shop at convenience stores Percentage of in-store sales in 2017Percentageofin-store profits in 2017 Purchase a drink:49% Purchase food or a snack:35% Other reasons tobacco,ATM,) restroom):17% Nationwide in 2015, convenience stores profited twice as much from food service then from tobacco sales. Tobacco:34% Prepared food:23% Packaged beverages:16% Salty snacks and candy:10% Beer:9% Other:9% Prepared food: 34% Packaged beverages:20% Tobacco:17% Salty snacks and candy: 12% Other:11% Beer:6% Oller,S.2018).Preliminary Data from National Association Convenience Stores State of the Industry Summit.Convenience Store Petroleum Daily News,May 2018. A 2015 national industry report on why customers go to convenience stores shows: 2395 University Ave.W,Suite 310 St.Paul,MN 55114 651-646-3005 www.ansrmn.org Sources: Kress,M.2017)CSNews Realities of the Aisle annual consumer study,February 2017. Oller,S.2018).Preliminary Data from NACS State of the Industry Summit.CSP Daily News,May 2018. Oller,S.2016).Region by region:NACS State of the Industry Summit.CSP Daily News,July 2016. NACS.2015).How convenience stores work their contribution to communities.www.nacsonline.com/YourBusiness/Refresh/Document/How-Stores-Work.pdf8 In 2015,the National Association of Convenience Stores reported that in the Central Region of the U.S.,which includes Minnesota,profit from cigarettes was 6,253 per convenience store per month. Market share of menthol cigarettes Loss of profit from menthol cigarettes per store per month 24.3%$1,519 Projections of the cost of a menthol ordinance in Minnesota The market share of menthol cigarettes in Minnesota was 24%in 2015. If the sale of menthol cigarettes were restricted to adult-only tobacco stores in Minnesota, each convenience store would lose an estimated 1,519 per month. 30%$1,876 40%$2,501 50%$3,752 For stores where menthol makes up a larger market share: April 2019 Take away points: Non-tobacco convenience store items Profit per store per month Salty snacks $2,669 Candy $2,662 Packaged beverages $10,272 Compared to other non-tobacco items: National reports show that convenience stores make more money from prepared food,snacks and packaged beverages than tobacco.Purchasing these items is the primary reason customers shop at convenience stores. If Minnesota restricts menthol to adult-only tobacco shops,convenience stores would lose an estimated 1,519 per store per month. The estimated cost of a menthol restriction in Minnesota is small compared to the harmful effects of menthol tobacco. Restricting menthol cigarettes to adult-only stores would have little financial impact on convenience stores Flavored Tobacco Products WHAT TYPES OF TOBACCO PRODUCTS ARE FLAVORED? Flavored tobacco products include cigarettes, cigars, chewing tobacco, blunt wraps, electronic cigarettes and shisha, the tobacco used in hookah. These products help the tobacco industry get around the FDA’s 2009 ban of cigarettes with flavors other than menthol.1 Menthol is the only flavor allowed in cigarettes. E-cigarettes also come in a variety of youth-friendly flavors. JUUL, the most popular e-cigarette on the market, resembles a USB flash drive. These devices deliver a high dose of nicotine with a modern design that is easy to conceal.2 WHAT ARE SOME COMMON FLAVORS USED IN TOBACCO PRODUCTS? Cigars, chewing tobacco, blunt wraps, electronic cigarettes and shisha are sold in fruit, candy, dessert and novelty flavors. Popular flavors include chocolate, piña colada, apple, grape, berry, cotton candy, bubble gum, mango, mint/wintergreen and menthol. The same flavorings used in tobacco products are also used in candy and Kool-Aid drink mixes.3 Menthol flavored tobacco is easier to start and harder to quit.4 Tobacco companies add menthol to tobacco products to cool the throat and make them taste better. WHO USES FLAVORED TOBACCO PRODUCTS? The tobacco industry uses flavored tobacco to attract the next generation of smokers.5 Young people are much more likely to use flavored tobacco products than adults.6 In fact, 80 percent of youth who use tobacco use fruit, candy or menthol flavored tobacco.7 Studies show that young people perceive flavored tobacco products as tasting better and being safer than unflavored products, even though they are just as dangerous and addictive.8 Menthol makes it easier to start smoking and harder to stop. Cheap cigars come in bright packages and a wide variety of flavors, such as chocolate, grape, peach, strawberry, blueberry, tropical fusion and pineapple, that appeal to youth. JUULs have become the top-selling e-cigarette, largely because its pods are available in flavors like mint, cool cucumber and mango. Like JUUL, Sourin is a poular e-cigarette brand because of the many flavors youth can use in them. This publication is made possible by funding from the Minnesota Department of Health’s Tobacco-Free Communities Grant Program. 2395 University Avenue W, Suite 310, St. Paul, MN 55114 651-646-3005 | www.ansrmn.org HOW DOES THIS IMPACT COMMUNITIES? As a result of industry targeting, African Americans smoke menthol cigarettes at higher rates and are more likely to suffer from tobacco related diseases. In fact, 88 percent of African American adults who smoke use menthol, compared to 25 percent of adult smokers overall.11 Menthol smoking significantly reduces quitting success among African American smokers.12 In Minnesota, 34 percent of teen smokers smoke menthol.13 Nationally, 70 percent of LGBTQ youth smokers smoke menthol.14 The Association for Nonsmokers-Minnesota is dedicated to reducing the human and economic costs of tobacco use in Minnesota. July 2019) The tobacco industry heavily targets African Americans with menthol tobacco by advertising in popular magazines, as well as supporting music festivals. WHY DO CERTAIN POPULATIONS USE MENTHOL TOBACCO AT A HIGHER RATE? The tobacco industry has a long history of targeting the African American community, women, LGBTQ and youth with menthol tobacco marketing. Tobacco industry documents show targeted efforts to market menthol products to African Americans, LGBTQ communities and youth. 9,10 Menthol makes tobacco easier to start smoking and harder to quit.4 WHAT CAN COMMUNITIES DO ABOUT FLAVORED PRODUCTS? While the FDA banned flavored cigarettes other than menthol in 2009, the ban does not affect other tobacco products. Because the FDA ruling does not prevent local communities from addressing other types of flavored tobacco products, state and local governments can adopt laws that restrict the sale of flavored tobacco products within their jurisdiction. Limiting the sale of products, setting a minimum price or creating a minimum pack size are some of the ways communities can protect their youth by making flavored tobacco products less accessible and less appealing. In Minnesota, the cities of Minneapolis, Saint Paul, Shoreview, St. Louis Park, Robbinsdale, Duluth, Falcon Heights, Mendota Heights, Lauderdale, Arden Hills, Lilydale and Hennepin County restrict the sale of flavored tobacco products. Minneapolis, Saint Paul, Duluth, Falcon Heights, Lauderdale, Mendota Heights, Arden Hills, Lilydale and Hennepin County also restrict the sale of menthol tobacco products. MORE ABOUT MENTHOL References are available at www.ansrmn.org/flavors Communities that restrict flavored tobacco Communities that restrict flavored tobacco, including menthol www.BeautifulLieUglyTruth.org Menthol Flavored Tobacco Products Menthol is a flavor additive commonly used in cigarettes and other tobacco products. Federal law currently prohibits the manufacture and sale of flavored cigarettes, with the exception of menthol.[1] Menthol cigarette use is high among Minnesota youth and African Americans. One in three Minnesota high school smokers use menthol;[2] overall 25 percent of adult smokers use menthol.[3] From 2004 to 2014, as the use of non-menthol cigarettes by youth and young adults declined, the use of menthol cigarettes among these groups increased or remained constant.[4] This disparate progress in reducing youth smoking rates is likely perpetuated by the sale and marketing of menthol cigarettes.[5] Additionally, almost one in four Minnesota African-Americans are current smokers (compared to 14.4 percent of adults statewide), with the vast majority using menthol.[6] While menthol use is high in many communities, use by African-Americans is particularly concerning as they are 30-36 percent more likely to die of lung cancer than non-Latino whites;[7] they are also 53 percent more likely to die of heart disease.[8] Menthol tobacco products are serious public health threat. Menthol makes smoking easier and more attractive for youth. Menthol makes experimentation easier because it can mask irritation from smoking. It has a minty taste and smell and produces cooling and numbing sensations that reduce the harshness of cigarette smoke.[9-16] This may encourage youth to keep smoking when they would otherwise stop.[9] The use of characterizing flavors began in the 1970s to make it easier for new smokers to start, and to become regular smokers more easily.[17-19] Menthol intensifies addiction, especially for young smokers. Youth who smoke menthol cigarettes are more dependent on cigarettes and show stronger addiction to nicotine than those who smoke non-menthol cigarettes.[9, 10, 15, 20-22] Additionally, youth who start smoking with menthol cigarettes are more likely to transition to regular smoking than those who start with non-menthol cigarettes.[9, 22] 34% 74% 25% 0% 20% 40% 60% 80% High School Student Smokers Adult African American Smokers Overall Adult Smokers Percent of MN smokers who use menthol MENTHOL FLAVORED TOBACCO PRODUCTS 2 Menthol makes it harder for smokers to quit for good. A large number of studies show that menthol users have a higher nicotine dependence and smoking urge.[14] Thus, menthol users have a harder time quitting than non-menthol users.[23, 24] This finding is stronger among African- American and other minority populations than among white smokers,[25-27] despite African-American menthol users expressing greater confidence in their ability to quit than non-menthol users.[28] Women who smoke menthol cigarettes before a pregnancy are also more likely to start smoking again after the pregnancy than those who smoke non-menthol cigarettes.[29] Industry marketing practices target specific populations. Menthol cigarette marketing practices are targeted more toward younger people and African-Americans than older adults and other racial or ethnic groups.[9, 10, 30-32] Menthol cigarette marketing has consistently targeted minority and low-income communities.[33-36] This strategy results in higher smoking rates among these groups.[9, 10, 37] Advertising is a strong driver of brand preference, especially among youth, and it is likely that price discounts, promotions, product placement, and geographic location have been used to drive menthol cigarette preference among youth and young adults as well as the African-American community.[9, 10] Communities are addressing menthol tobacco use. The African American Leadership Forum – in partnership with Hennepin County Public Health, Bloomington Public Health, Minneapolis Health Department and St. Paul-Ramsey County Public Health – recently surveyed residents to learn about menthol tobacco use in local communities. It was conducted as part of the Menthol Cigarette Intervention Grant, required by the Minnesota Legislature, to deepen understanding of African American use patterns and perceptions and attitudes toward menthol tobacco, and it will serve as a basis for community engagement and education moving forward. Survey results reinforce the need to educate and raise awareness on the harms of menthol tobacco use, and they also show that a majority of African American community members support new laws to reduce tobacco’s harm. Proven tobacco control policies and evidenced-based strategies are necessary to prevent all forms of tobacco use, including flavored tobacco products.[38] Effective strategies include price increases as well as restricting youth access to tobacco products and exposure to tobacco product marketing.[39] The Tobacco Products Scientific Advisory Committee of the Food and Drug Administration states that removal of menthol cigarettes from the marketplace would benefit public health in the United States.”[9] Learn more at www.health.mn.gov/menthol. MENTHOL FLAVORED TOBACCO PRODUCTS 3 Minnesota Department of Health PO Box 64882 St. Paul, MN 55164-0882 651-201-3535 tobacco@state.mn.us www.health.mn.gov/tobacco 3/8/2018 To obtain this information in a different format, call: 651-201-3535. Printed on recycled paper. 1. Federal Trade Commission, Cigarette Report for 2012. 2015, Federal Trade Commission: Washington, DC. 2. Health, M.D.o., Teens and Tobacco in Minnesota: Highlights from the 2017 Minnesota Youth Tobacco Survey. 2018. 3. Minnesota, C. and M.D.o. Health, Tobacco Use in Minnesota: 2014. 2014. 4. United States. Public Health Service. Office of the Surgeon General., The health consequences of smoking--50 years of progress : a report of the surgeon general. 2014, Rockville, MD: U.S. Department of Health and Human Services, Public Health Service, Office of the Surgeon General. 2 volumes. 5. Giovino, G.A., et al., Differential trends in cigarette smoking in the USA: is menthol slowing progress? Tobacco control, 2013: p. tobaccocontrol-2013-051159. 6. Minnesota, C. and M.D.o. Health, Tobacco Use in Minnesota: 2014. 2015(Unpublished Data). 7. Society, A.C., Cancer Facts & Figures 2010. 2010. 8. Kayani, N., S. Homan, and S. Yun, Racial disparities in smoking-attributable mortality and years of potential life lost- Missouri, 2003-2007. Morbidity and Mortality Weekly Report, 2010. 59(46): p. 1518-1522. 9. TPSAC, Menthol Cigarettes and Public Health: Review of the Scientific Evidence and Recommendations. 2011, Tobacco Products Scientific Advisory Committee, Center for Tobacco Products, Food and Drug Administration: Washington, DC. 10. FDA, Preliminary Scientific Evaluation of the Possible Public Health Effects of Menthol versus Nonmenthol Cigarettes. 2013, Food and Drug Administration: Silver Spring, MD. 11. Kuhn, F.J., C. Kuhn, and A. Luckhoff, Inhibition of TRPM8 by icilin distinct from desensitization induced by menthol and menthol derivatives. J Biol Chem, 2009. 284(7): p. 4102-11. 12. Henningfield, J.E., et al., Does menthol enhance the addictiveness of cigarettes? An agenda for research. Nicotine Tob Res, 2003. 5(1): p. 9-11. 13. Giovino, G.A., et al., Epidemiology of menthol cigarette use. Nicotine Tob Res, 2004. 6 Suppl 1: p. S67-81. 14. Ahijevych, K. and B.E. Garrett, The role of menthol in cigarettes as a reinforcer of smoking behavior. Nicotine Tob Res, 2010. 12 Suppl 2: p. S110-6. 15. Hersey, J.C., J.M. Nonnemaker, and G. Homsi, Menthol cigarettes contribute to the appeal and addiction potential of smoking for youth. Nicotine Tob Res, 2010. 12 Suppl 2: p. S136-46. 16. Klausner, K., Menthol cigarettes and smoking initiation: a tobacco industry perspective. Tob Control, 2011. 20 Suppl 2: p. ii12-9. 17. R.J. Reynolds Tobacco Company. Conference report #23, June 5, 1974 Bates No. 500254578-4580 1974; Available from: https://industrydocuments.library.ucsf.edu/tobacco/docs/#id jfcb0102. 18. Kreslake, J.M., et al., Tobacco industry control of menthol in cigarettes and targeting of adolescents and young adults. Am J Public Health, 2008. 98(9): p. 1685-92. 19. Kreslake, J.M., G.F. Wayne, and G.N. Connolly, The menthol smoker: tobacco industry research on consumer sensory perception of menthol cigarettes and its role in smoking behavior. Nicotine Tob Res, 2008. 10(4): p. 705-15. 20. Hersey, J.C., et al., Are menthol cigarettes a starter product for youth? Nicotine Tob Res, 2006. 8(3): p. 403-13. 21. Collins, C.C. and E.T. Moolchan, Shorter time to first cigarette of the day in menthol adolescent cigarette smokers. Addict Behav, 2006. 31(8): p. 1460-4. 22. Nonnemaker, J., et al., Initiation with menthol cigarettes and youth smoking uptake. Addiction, 2013. 108(1): p. 171-8. 23. Delnevo, C.D., et al., Smoking-cessation prevalence among U.S. smokers of menthol versus non-menthol cigarettes. Am J Prev Med, 2011. 41(4): p. 357-65. 24. Rojewski, A.M., B.A. Toll, and S.S. O'Malley, Menthol cigarette use predicts treatment outcomes of weight-concerned smokers. Nicotine Tob Res, 2014. 16(1): p. 115-9. 25. Levy, D.T., et al., Quit attempts and quit rates among menthol and nonmenthol smokers in the United States. Am J Public Health, 2011. 101(7): p. 1241-7. 26. Gundersen, D.A., C.D. Delnevo, and O. Wackowski, Exploring the relationship between race/ethnicity, menthol smoking, and cessation, in a nationally representative sample of adults. Prev Med, 2009. 49(6): p. 553-7. 27. Okuyemi, K.S., et al., Relationship between menthol cigarettes and smoking cessation among African American light smokers. Addiction, 2007. 102(12): p. 1979-86. 28. Reitzel, L.R., et al., Associations of menthol use with motivation and confidence to quit smoking. Am J Health Behav, 2013. 37(5): p. 629-34. 29. Reitzel, L.R., et al., Race/ethnicity moderates the effect of prepartum menthol cigarette use on postpartum smoking abstinence. Nicotine Tob Res, 2011. 13(12): p. 1305-10. 30. Anderson, S.J., Menthol cigarettes and smoking cessation behaviour: a review of tobacco industry documents. Tob Control, 2011. 20 Suppl 2: p. ii49-56. 31. Yerger, V.B., J. Przewoznik, and R.E. Malone, Racialized geography, corporate activity, and health disparities: tobacco industry targeting of inner cities. J Health Care Poor Underserved, 2007. 18(4 Suppl): p. 10-38. 32. Cruz, T.B., L.T. Wright, and G. Crawford, The menthol marketing mix: targeted promotions for focus communities in the United States. Nicotine Tob Res, 2010. 12 Suppl 2: p. S147-53. 33. Hyland, A., et al., Tobacco outlet density and demographics in Erie County, New York. Am J Public Health, 2003. 93(7): p. 1075-6. MENTHOL FLAVORED TOBACCO PRODUCTS 4 34. Yu, D., et al., Tobacco outlet density and demographics: analysing the relationships with a spatial regression approach. Public Health, 2010. 124(7): p. 412-6. 35. Schneider, J.E., et al., Tobacco outlet density and demographics at the tract level of analysis in Iowa: implications for environmentally based prevention initiatives. Prev Sci, 2005. 6(4): p. 319-25. 36. Novak, S.P., et al., Retail tobacco outlet density and youth cigarette smoking: a propensity-modeling approach. Am J Public Health, 2006. 96(4): p. 670-6. 37. Dauphinee, A.L., et al., Racial differences in cigarette brand recognition and impact on youth smoking. BMC Public Health, 2013. 13: p. 170. 38. Neff, L.J., et al., Frequency of tobacco use among middle and high school students—United States, 2014. MMWR Morb Mortal Wkly Rep, 2015. 64(38): p. 1061-1065. 39. Control, C.f.D. and Prevention, Best practices for comprehensive tobacco control programs, in Best practices for comprehensive tobacco control programs. 2014, CDC. Economic Impact Analysis: Menthol Tobacco Ban August 2017 2017 Management Science Associates, Inc. All rights reserved.2 About MSAi w Management Science Associates (“MSAi”) was founded in 1963 by Dr. Alfred A. Kuehn, a faculty member at Carnegie Mellon University w MSAi has been providing tobacco-related reporting and analysis for over 40 years w Named in the 1998 Master Settlement Agreement as a neutral 3rd party and tasked with confirming the cigarette volumes for those manufacturers that have agreed to the settlement w MSAi’s confirmed shipment volumes are used to determine the payment amounts made by manufacturers as defined in the Master Settlement Agreement 2017 Management Science Associates, Inc. All rights reserved.3 Menthol Economic Impact Study w Menthol cigarettes currently account for 43% of total cigarette volume and 88% of total menthol tobacco volume in Minneapolis. w The convenience store channel represents 73% of menthol cigarette volume in Minneapolis. Together, tobacco outlets and liquor stores comprise only 9% of menthol cigarette volume. w In the U.S., 35% of convenience stores’ in-store revenue comes from tobacco. Tobacco is convenience stores’ 2nd largest source of in-store gross margin dollars. w Management Science Associates leveraged distributor to retail shipment data and retail sales data to develop statistical models and estimate the potential sales impact of the proposed menthol, mint and wintergreen regulations on retailers within the city of Minneapolis. 2017 Management Science Associates, Inc. All rights reserved.4 Menthol Restrictions’ Impact on Convenience Stores Scenario #1 100% Ancillary Sales Lost Scenario #2 50% Ancillary Sales Lost Sales Loss in MPLS C-Stores Tobacco Purchases 33,554,337 -$33,554,337 Sales Loss in MPLS C-Stores Ancillary Purchases 6,322,077 -$3,161,039 Tax Revenue Loss in MPLS C-Stores Ancillary Purchases 31,610 -$15,805 TOTAL -$39,908,024 -$36,731,180 w It is estimated that Minneapolis convenience stores would lose $36.7MM 39.9MM annually in menthol, mint and wintergreen tobacco sales and ancillary in-store purchases. w This equates to an annual sales loss of $238K -$259K and an annual gross margin loss of $38K -$44K per convenience store. 2017 Management Science Associates, Inc. All rights reserved.5 Economic impact at the store level w The average US convenience store provides 15 jobs, split about equally between full-and part-time workers. w At the current minimum wage of $7.75 per hour for small businesses in Minnesota, this is equivalent to 2,900 –3,600 hours of employee wages. w If those 30 stores would close and the other remaining stores in MPLS (excl. tobacco outlets) cut employee hours in line with their lost menthol tobacco profits, it is estimated that this would affect approximately 940 employees (a mix of full-time and part-time jobs) or the equivalent of 630 full-time jobs*. Source: NACS, Distributor to Retail Shipments This assumes that any stores that remain open will offset their lost menthol tobacco gross margin dollars by making equivalent cuts to employee hours. The number of employees in MPLS stores is assumed to be in line with the U.S. average (per NACS). Many people choose menthol cigarettes because they believe they are safer than non-menthol cigarettes. They are not. The tobacco industry has marketed menthol cigarettes as healthier and safer, but they are just as deadly. Studies have shown that the tobacco industry has manipulated menthol levels to broaden youth appeal. Menthol cigarettes cause cancer, heart and lung diseases, and death. Tobacco use, including menthol-flavored products, is still the No. 1 preventable cause of death in Minnesota. Easier to start, harder to quit. Tobacco companies add menthol to tobacco products to cool the throat and make them taste better. ABOUT MENTHOL 88%African Americans: of African American adults who smoke use menthol, compared to 25% of adult smokers overall. MENTHOL USE IN MINNESOTA HARMFUL EFFECTS OF MENTHOL of adult LGBTQ smokers smoke menthol cigarettes. 36% of LGBTQ youth smokers smoke menthols. 70%High School Students: LGBTQ Youth & Adults: 44% of Minnesota high school students who smoke use menthol. Use of menthol cigarettes among Minnesota high school smokers more than doubled since 2000. What can we do to stop the tobacco industry from harming our communities with menthol tobacco? Minnesota communities have the authority to regulate the sale of menthol tobacco products, which will help protect youth from a lifetime of addiction. Minneapolis and Saint Paul already prohibit the sale of fruit and candy-flavored tobacco products in any store that allows children to enter. The same needs to be done for menthol. Brands such as Salem and Newport would give out free packs of menthol cigarettes from vans. Tobacco industry documents show these vans targeted young, lower-income, black smokers at retail outlets, currency exchanges/check cashing stations, public aid offices, large housing complexes, shopping malls, rapid transit locations, busy street corners, and nightclubs/bars.” RJ Reynolds, 1989 Tobacco companies began heavily targeting African Americans with menthol cigarettes in the 1960s. TAKE ACTION Join us at: BeautifulLieUglyTruth.org the base of our business is the high school student.” Lorillard (Makers of Newport), 1978 AND NOW, A MESSAGE FROM TOBACCO EXECUTIVES INDUSTRY MANIPULATION: The tobacco industry has a long history of targeting the African American community, women, LGBTQ, and youth with menthol tobacco marketing. We don’t smoke that s***. We just sell it. We reserve the right to smoke for the young, the poor, the black and stupid.” RJ Reynolds Executive, 1971 References available at: BeautifulLieUglyTruth.org July 2016) Tobacco Market Trends Don Burke Senior Vice President Management Science Associates, Inc. February 11, 2019 2© 2018 Management Science Associates, Inc. All rights reserved.Source: Wholesale Shipment to Retail data through 12/29/2018 About MSAi w Management Science Associates (“MSAi”) was founded in 1963 by Dr. Alfred A. Kuehn, a faculty member at Carnegie Mellon University w MSAi has been providing tobacco-related reporting and analysis for over 40 years w Named in the 1998 Master Settlement Agreement as a neutral 3rd party and tasked with confirming the cigarette volumes for those manufacturers that have agreed to the settlement w MSAi’s confirmed shipment volumes are used to determine the payment amounts made by manufacturers as defined in the Master Settlement Agreement 3© 2018 Management Science Associates, Inc. All rights reserved. TOBACCO FLAVOR RESTRICTION DULUTH, MINNESOTA 4© 2018 Management Science Associates, Inc. All rights reserved.Source: Wholesale Shipment to Retail data through 12/29/2018 Flavored Tobacco Restriction w Effective June 1st, 2018, Duluth, Minnesota restricted the sale of flavored products to adult only smoke shops. Such items are: Menthol Cigarettes Wintergreen / Mint Moist Tobacco Chocolate, Vanilla, Candy or Fruit Vapor Items w Only stores that prohibit persons under the age of 18 from entering at all times AND derive at least 90% of their revenue from the sale of tobacco can sell flavored tobacco products. 5© 2018 Management Science Associates, Inc. All rights reserved.Source: Wholesale Shipment to Retail data through 12/29/2018 Flavored Tobacco Restriction w Red –Flavored Products Banned (69 Stores) w Light Red –Less than 1 Mile (14 Stores) w Blue –Less than 5 Miles (29 Stores) w Green –Less than 10 Miles (32 Stores) w Yellow –Less than 25 Miles (20 Stores) w Black –Greater than 25 Miles (185 Stores) 6© 2018 Management Science Associates, Inc. All rights reserved.Source: Wholesale Shipment to Retail data through 12/29/2018 Impact on Cigarettes w Overall Cigarette volume increased by 4.9% in the post time period, with a majority of the increase from non-menthol cigarettes. w While Menthol volume virtually went away in Restricted Stores, stores within 1 Mile and within 5 miles saw substantial increase in volume. w Restricted Stores saw an increase of 3.4% for non-menthol, but not as much as the other stores used in the analysis. Total Restricted Stores <= 1 Mile <= 5 Miles <= 10 Miles <= 25 Miles > 25 Miles Total 4.9%-18.1%53.2%9.7%9.5%6.4%6.4% Non-Menthol 6.2%3.4%12.4%4.8%8.7%5.5%6.6% Menthol 0.2%-99.2%156.3%26.0%12.8%10.3%5.5% Change in Volume (July ‘18 through Dec ’18 vs. Jan ‘18 through June ‘18) 7© 2018 Management Science Associates, Inc. All rights reserved.Source: Wholesale Shipment to Retail data through 12/29/2018 Impact on Moist Total Restricted Stores <= 1 Mile <= 5 Miles <= 10 Miles <= 25 Miles > 25 Miles Total 0.5%-53.8%62.6%13.0%9.6%12.3%3.8% Tobacco 9.0%34.7%6.0%1.2%6.6%5.9%2.3% Wintergreen -3.6%-98.3%81.4%20.0%10.6%16.2%5.4% Mint -5.5%-100.6%89.0%17.1%12.8%20.5%2.2% All Other 3.6%-37.9%83.7%10.1%9.6%0.1%-5.9% Change in Volume (July ‘18 through Dec ’18 vs. Jan ‘18 through June ‘18) w In total, Moist had very little to no increase in the post time period. Tobacco flavored styles though did see an increase of 9% across all stores. w Restricted stores saw a reduction in total moist volume of 53.8%. However, Tobacco styles saw an increase of 34.7%. w Stores within a mile of restricted stores saw an increase of over 80% for wintergreen and mint styles. U.S.-born African American Menthol Tobacco Post Survey Data Highlights December 2017 Hennepin & Ramsey Counties Surveys and key informant interviews were completed as part of a Statewide Health Improvement Partnership (SHIP) grant. The Minnesota Legislature required that the SHIP grant address African American menthol tobacco use.1 Post-surveys and key informant interviews were completed to evaluate efforts to increase awareness of harmful effects of menthol tobacco products and to develop community-driven recommendations to decrease tobacco use in the African American community. The African American Leadership Forum (AALF), in coordination with Hennepin County Public Health, surveyed a convenience sample of 382 African Americans in Hennepin and Ramsey counties from July through October 2017. In addition, AALF conducted interviews with nine key stakeholders in the community, the results of which support the findings highlighted below and support subsequent community-driven recommendations to reduce tobacco use in the African American community. Eighteen percent of the respondents to the post-survey were current smokers. Consistent with the pre-survey, African American smokers at post overwhelmingly reported using menthol brands (83 percent). Many African Americans agree that menthol cigarettes are marketed to their community more than other racial groups. African American smokers noticed coupons (54 percent), free cigarettes (30 percent), and cigarette promotions in the mail (25 percent) and online (19 percent) in the past 30 days. African American smokers and nonsmokers strongly support policies to restrict sale and availability of tobacco. Most smokers (68 percent) and nonsmokers (77 percent) also support restricting sale of flavored products, including menthol, to certain retailers such as tobacco-only stores. Smokers and nonsmokers alike (71 percent and 73 percent, respectively) support increasing the legal age for sale of tobacco products from 18 to 21. Similarly, 67 percent of smokers and 74 percent of nonsmokers support reducing the number and density of stores that sell tobacco. Two-thirds of smokers (62 percent) and three-quarters of nonsmokers (74 percent) support efforts to keep prices of tobacco high. 1 Statewide Health Improvement Partnership: Menthol Cigarette Intervention Grant http://www.health.state.mn.us/divs/oshii/ship/menthol.html Sixty percent of smokers in both the pre- and post-surveys said they would quit smoking if menthol were no longer sold in stores. Most smokers (70 percent) tried to quit in the past 12 months. Additionally, 68 percent knew where to get information or resources for quitting. o However, relatively few of those who tried to quit reported using common resources, such as telephone programs (15 percent), in-person counseling (17 percent), or medications (13 percent). One-quarter (27 percent) talked to their health care provider about their tobacco use, although it is not known what actions they took as a result. Those who tried to quit but were unsuccessful reported that the craving to smoke was too strong 46 percent) and that they have family and friends who still smoke (42 percent). Community members who attended education sessions were more aware of the harms of menthol tobacco and marketing directed to the African American community. This grant-funded initiative supported more than 60 education sessions that reached more than 3,000 community members in Hennepin and Ramsey counties. Seventy nine percent of those who attended education sessions agreed that menthol makes it harder for smokers to quit; by comparison, just under half (49 percent) of those who did not attend education sessions agreed with the previous statement. Eighty three percent of those who attended education sessions agreed that menthol is marketed to African Americans more than other racial groups; just over half (58 percent) of those who did not attend education sessions agreed with the previous statement.