“E-cigarettes are branded as alternatives to cigarettes that can help people stop smoking. But teenagers are using these devices to start smoking. Schools across Summit County have seen an increase in vaping, and local health officials are working to combat the issue that’s now considered a national epidemic.
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Vaping as a gateway
“Research is showing youth that start this, it’s a one way street to not only long term vaping addiction, but also traditional tobacco use,” said Cory Kendrick, director of population health at the Summit County health department. He said principals and superintendents across the county have identified this as a problem in their schools.
“It’s almost like a cool thing to do to show hey, I’m vaping in class,” he said. “There’s techniques on how to do this in class like blowing the vapor in your shirt and those sorts of things.”
Eighteen-year-old Ashlee Barnett told me she tried vaping once when she was in the car with her friends.
“I was just like, ‘Eh, like I don’t know.’ They were like ‘it’s not a big deal, it doesn’t have nicotine in it, like, it’s fine. You can just do it once and you don’t have to do it ever again,” she said. “I was just like, ‘okay.’”
. . .
Barnett said the vape was green apple flavored.
Lack of regulation cause for concern
While some vapor fluids are nicotine-free, Kendrick from Summit County Public Health says there is little government regulation on the devices, especially ones that are purchased online coming from overseas.
The fluid, or “juice,” comes in many different flavors, which Kendrick suspects is one of the reasons vaping has become so popular among kids. According to a report from the U.S. Surgeon General, that juice contains cancer-causing substances.
North High School resource officer Evans said kids might not be informed of the health risks of these flavored e-cigarettes.
“If you’ve ever been around someone who’s vaping or e-cigarettes, you get that sweet smell, and I’m not sure kids understand the harmful effects of it,” he said.
A suburban problem
While vaping is a problem for Officer Evans, he says there are bigger concerns in the district, particularly with illegal drugs. According to Kendrick’s research at the county health department, vaping seems to be more prevalent in the suburbs.
“The schools that have a higher socioeconomic status, students can afford more,” he said. “Juuls aren’t cheap…whereas you can get a two pack of black and mild cigarellos for a dollar.”
At Green High School just south of Akron, Principal Cindy Brown has seen an increase in students vaping over the past three years. She said principals at similar schools are seeing the uptick as well.
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One way officials nationwide are trying to combat the teen vaping epidemic is through Tobacco 21, an initiative focused on raising the legal age to purchase tobacco from 18 to 21. In Summit County, six of the 33 municipalities have already passed this ordinance, including Akron and Green.
But Green principal Cindy Brown said kids can still find ways to vape. Some have told her adults have bought the devices for them. She’s also seen other ways.
“I think a lot of people get around that doing it through some online purchases and buying loadable credit cards, you know, like a visa gift card or something like that, and then kids can use that to purchase them online.”
Brown said the health classes at Green teach a whole unit on vaping in order to inform students of the health risks. Districts across the county have adopted stricter punishments for vaping in their codes of conduct. Kendrick says the county needs to take steps to inform both parents and kids about the dangers of vaping.
“It’s something we’re going to have to look at as a community – how do we solve this issue, especially for those who are already addicted,” he said.
The Tobacco 21 ordinance was recently introduced to Stow City Council. If passed, Stow would become the seventh municipality to raise the tobacco buying age to 21 in Summit County.
The U.S. Food and Drug Administration today initiated enforcement action against certain retail locations of Walgreen Co. and Circle K, Inc. for repeated violations of restrictions on the sale and distribution of tobacco products, including sales of cigars and menthol cigarettes to minors. The agency filed complaints seeking No-Tobacco-Sale Orders (NTSO), which seek to bar the two specific retail locations from selling tobacco products for 30 days. The two retail outlets that are the subject of these NTSO actions are a Walgreens store in Miami, Florida, and a Circle K store in Charleston, South Carolina. Notably, Walgreens is currently the top violator among pharmacies that sell tobacco products, with 22 percent of the stores inspected having illegally sold tobacco products to minors.
“I will be writing the corporate management of Walgreens and requesting a meeting with them to discuss whether there is a corporate-wide issue related to their stores’ non-compliance and put them on notice that the FDA is considering additional enforcement avenues to address their record of violative tobacco sales to youth. We all share the important responsibility of keeping harmful and addictive tobacco products out of the hands of kids. Retailers in particular – especially those who position themselves as health-and-wellness-minded businesses – are on the frontlines of these efforts and must take that legal obligation seriously. I’m also deeply disturbed that a single pharmacy chain racked up almost 1,800 violations for selling tobacco products to minors across the country. I have particular concerns about whether the pharmacy setting is influencing consumer and retailer perceptions around tobacco products in a way that’s contributing to these troubling findings,” said FDA Commissioner Scott Gottlieb, M.D. “The FDA will continue to hold retailers accountable by vigorously enforcing the law. We are also evaluating our data on other large, national retail chains to identify other entities that also have high rates of repeat violations and are considering what additional measures we should pursue. While many of our recent enforcement actions focused on the illegal sales and marketing of e-cigarettes, today’s announcement is a reminder that youth access to all tobacco products remains a public health problem. No child should be using any tobacco or nicotine-containing product. And no retailer should be illegally selling these products to minors. As part of our Youth Tobacco Prevention Plan, we’ll continue to employ all the tools at our disposal to monitor, penalize and prevent sales of all tobacco products, including e-cigarettes, to minors at brick-and-mortar stores and Internet storefronts as we work to ensure these products are sold in ways that make them less accessible and appealing to kids.”
An estimated 4.9 million middle and high school students reported current (past 30 days) use of any tobacco product in 2018, according to preliminary results of the 2018 National Youth Tobacco Survey. An epidemic-level rise in e-cigarette use over the last year has led overall tobacco product use to increase by 38 percent among high school students (to 27.1 percent) and by 29 percent among middle school students (to 7.2 percent) in the last year, reversing the declines seen in the last few years.
Because tobacco use is almost always initiated and established during adolescence, early intervention ‒ including making sure tobacco products aren’t being sold to kids ‒ is critical. One of the ways the FDA combats youth tobacco use is through its compliance and enforcement efforts. In particular, the agency provides education and training opportunities to retailers to encourage compliance with restrictions on sales to minors, monitors compliance through surveillance, inspections and investigations, and then takes action when violations occur.
When violations are found, the agency generally issues warning letters and may take enforcement actions, including civil money penalties and NTSOs. Since its retailer enforcement program began in 2010, the FDA has issued more than 81,570 warning letters to retailers for violating the law, initiated more than 19,800 civil money penalty cases and issued 145 NTSOs, as of Dec. 31, 2018.
The NTSO action against this Walgreens outlet follows the issuance of more than 1,550 warning letters and 240 civil money penalty actions against Walgreens stores nationwide for unlawful tobacco product sales to minors. This is, however, the first NTSO action taken against a Walgreens store. While the NTSO action against Circle K is not its first, it marks the first time the agency has initiated an NTSO complaint for the sale of deemed products (cigars) to minors. Since 2010, the FDA has issued over 1,045 warning letters and 205 civil money penalty actions to retailers doing business as Circle K for sales to minors. To put Walgreens’ rate of violations into perspective, among other national, corporate-owned chains, 17.5 percent of Walmart Inc. stores inspected had violations for illegal sales of tobacco products to minors. Additionally, 14 percent of Dollar General Corp. stores inspected, and 9.6 percent of Rite Aid Corp. stores inspected had illegally sold tobacco products to minors.
Under the law, the FDA may pursue an NTSO against a retail outlet that has committed a total of five or more repeated violations of federal tobacco regulations within 36 months. After the FDA initiates an NTSO action by filing a complaint, a retailer has the opportunity to respond to the complaint, and must generally do so within 30 days. Retailers who receive an NTSO complaint from the FDA may enter into a settlement agreement or respond with an answer and contest the allegations before an administrative law judge. If an NTSO goes into effect, a retailer is responsible for ensuring that the establishment does not sell tobacco products during the specified period. Removing or covering up tobacco products are examples of steps that a retailer may choose to take to ensure compliance with an NTSO, but these specific actions are not required. It is up to the retailer to decide what measures to take to ensure no regulated tobacco products are sold at the store during the time period specified in the order. The FDA plans to conduct unannounced compliance check inspections during that period to check whether each establishment is complying with the terms of the order and will take further action if necessary. Consumers and other interested parties can report a potential tobacco-related violation of the Food Drug & Cosmetic Act, including sale of tobacco products to minors, by using the FDA’s Potential Tobacco Product Violation Reporting Form.
The FDA, an agency within the U.S. Department of Health and Human Services, protects the public health by assuring the safety, effectiveness, and security of human and veterinary drugs, vaccines and other biological products for human use, and medical devices. The agency also is responsible for the safety and security of our nation’s food supply, cosmetics, dietary supplements, products that give off electronic radiation, and for regulating tobacco products.
BRIDGEPORT — The City of Bridgeport became the second city in the state to raise the age of sale of tobacco to 21-years-old.
The vote passed 16-1.
Bryte Johnson Chairman of the MATCH Coalition, said this is good news for Bridgeport and is a step forward in protecting kids from the dangers of tobacco.
“It’s great news that Bridgeport is taking such a decisive step forward in protecting kids from the dangers of tobacco use in all forms,” said Bryte Johnson Chairman of the MATCH Coalition. “Leaders in Bridgeport and Hartford should be commended for these actions, and our state lawmakers need to follow their lead in passing Tobacco 21 legislation across Connecticut.”
“Raising the tobacco age of sale to 21 is one of the best things cities can do to focus on reducing youth initiation and addiction to tobacco products, including e-cigarettes,” said Kevin O’Flaherty, Regional Director of Advocacy for the Campaign for Tobacco-Free Kids during his testimony in front of the Council. “While other policies work to increase cessation and reduce consumption among adults, Tobacco 21 is focused on exclusively on protecting kids and keeping all addictive tobacco products out of schools and out of their hands.”
“Tobacco remains the leading cause of preventable death and disease in our state. It continues to kill more people in Connecticut each year than alcohol, AIDS, car accidents, illegal drugs, murders and suicides combined,” said Michael Smith, MD, Medical Director, Primary Care Clinic Bridgeport Hospital. “Tobacco also costs the state more than $2 billion in health care costs annually. Tobacco 21 is a promising policy to help protect youth from this lifetime addiction to these deadly products.”
Statewide Tobacco 21 policies have been enacted in California, Hawaii, Maine, New Jersey, Oregon, and Massachusetts.
LINCOLN COUNTY –– With at least half of youths saying they have no problem acquiring cigarettes, local officials are considering possible licensing requirements for retailers in Lincoln County.
A proposal to curb tobacco purchases and consumption by Lincoln County youth is making the rounds among public health officials, with members of the county’s public health advisory committee strongly supporting the licensure and monitoring of local tobacco retailers here.
“One of the benefits of this is that the penalties are stronger,” said Lincoln County Public Health Advisory Committee member Faire Holliday. “What we’re seeing in other communities is that fines and the cost of a license might not be enough to make them stop selling or change their ways if they are selling to youth.”
Fear of losing a tobacco license, she added, might be motivation enough for many local tobacco retailers to comply with any licensure requirements imposed by the county.
“Especially with stores in which there is a big portion of their revenue, that could help them change their habits so at least they’re not selling to youth,” Holliday said. “Even if they are still selling products, this does have a couple of other benefits.”
According to Holliday, the rate of tobacco use among adults in Lincoln County is among the highest in the state. One in three adults in Lincoln County smoke, and Holliday found that youth smoking, while not as high, is still fairly prevalent. As of the end of November, 7.5 percent of 11th graders smoked cigarettes, 1.9 percent used a tobacco product of some kind and 9 percent smoked e-cigarettes.
“You may have also seen in the news that the use of e-cigarettes is going up sort of exponentially,” Holliday said in a December county public health advisory committee meeting. “I think it was 77 percent in the last year, so these numbers are certainly higher over the course of the year.”
Holliday also said it’s easy for teens to get cigarettes, with 52 percent of 11th graders across the country saying cigarettes are easy to acquire and 57 percent said the same of e-cigarettes. Almost three-quarters of youth who responded to the survey said they got tobacco products from a retail outlet.
“We also know youth obtain it from other youth, so really targeting in on the retail locations, if someone is buying it, can really help reduce the rate,” Holliday said.
Mixed response to previous proposals
While numbers weren’t immediately available regarding the number of local youth who buy or use tobacco products, Holliday’s efforts to target local business that sell cigarettes and similar products will crack down on the retailers selling such merchandise to local teens.
Her proposal would require local businesses to obtain a tobacco-selling license, just as liquor stores, restaurants and grocery stores are required to get a liquor license or dispensaries have to get a license to sell cannabis. The license, once awarded, would not be transferable if the business is sold.
An added benefit of requiring tobacco retailers to sell tobacco products, Holliday added, is that the county would have a way of keeping inventory of which businesses in the area are selling tobacco. The county currently does not keep such a list.
To get a tobacco license, retailers would have to fill out and submit an application and pay a fee which has yet to be determined. Holliday suggests between $150 and $400, although in other communities across the state the fee is as low as $125 annually or as high as $580 a year.
“The fee has to be enough to cover enforcement, but it can’t exceed the cost of the program or else it’s considered a tax,” Holliday said. “That’s something we’d be figuring out on the county level to determine what would be appropriate.”
According to chair of the Lincoln County Board of Commissioners, Doug Hunt, the county does not currently impose a fee for the sale of tobacco products. The proposal of regulating and licensing tobacco retailers came before the board of commissioners in years past, with some in the community supporting the effort and some against it.
“It has been discussed before the board of commissioners,” Hunt said during the December public health advisory committee meeting. “And as I remember, there was mixed response.”
With Lincoln County being one of the highest tobacco-consuming counties in the state, the proposition to license tobacco retailers was met with considerable support from other members of the county’s public health advisory committee.
“It would not only be advisable in my mind to have a fee that pays for some sort of monitoring program, but it also is high enough that it would somehow reduce the sales opportunities,” said committee chair Gary Lahman. “There may be small retail places that if the fee was too high, they would say, ‘Well, I don’t want to sell cigarettes.’ To me, anytime you reduce the availability of sales, you might reduce usage.””