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CORRESPONDENCE - #39
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CORRESPONDENCE - #39
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FDA's policy. Among high school e-cigarette users, use of disposable e-cigarettes increased by 1,000% <br /> from 2019 to 2020, and in 2020, 37% of high school users of flavored e-cigarettes reported using <br /> menthol products.19 E-cigarette market share data from California confirm these trends: <br /> • From February 2020 to June 2021, disposable e-cigarette sales in California increased by 51.9%. <br /> Disposable products are sleek, easily concealed, pre-charged, cheap (some for less than $5) and <br /> can even have higher nicotine concentrations than JUUL. They are widely sold in kid-friendly <br /> flavors like fruit and candy. <br /> • From February 2020 to June 2021, menthol-flavored e-cigarette sales in California increased by <br /> 43.1% (from 226.4 thousand to 324.0 thousand units) and menthol-flavored cartridge sales <br /> increased by 44%. <br /> While the FDA recently announced that it had denied marketing applications for certain flavored e- <br /> cigarettes, many of the flavored products most popular among kids, like Juul, are still on the market. <br /> Every day these products remain on the market, our kids remain in jeopardy. Because of the delays and <br /> gaps in the FDA's actions, it is critical that states and cities step up their efforts to eliminate ALL <br /> flavored e-cigarettes, as well as other flavored tobacco products. The evidence is also clear that as long <br /> as any flavored e-cigarettes— including menthol-flavored products—are on the market, kids will shift <br /> to them and we will not end this public health crisis. Santa Ana must close the gaps left by the FDA and <br /> protect our kids from these dangerous and addictive products. <br /> As the only flavored cigarette left on the market, it's also no surprise that menthol cigarettes are <br /> popular among youth. Menthol cools and numbs the throat, reducing the harshness of cigarette <br /> smoke, thereby making menthol cigarettes more appealing to youth who are initiating smoking. About <br /> half of youth smokers use menthol cigarettes.20 As noted previously, young people who initiate using <br /> menthol cigarettes are more likely to become addicted and become long-term daily smokers.21 <br /> Tobacco companies have a long history of targeting and marketing flavored tobacco products to <br /> Black Americas and youth. Tobacco industry marketing, often targeted at minority communities, has <br /> been instrumental in increasing the use of menthol products and in the disproportionate use of <br /> menthol products by minority groups and youth.TPSAC concluded that menthol cigarettes are <br /> marketed disproportionately to younger smokers and Black Americans.22 Dating back to the 1950s, the <br /> tobacco industry has targeted these communities with marketing for menthol cigarettes through <br /> sponsorship of community and music events, targeted magazine advertising, youthful imagery, and <br /> marketing in the retail environment. This targeting continues today: in 2018, California tobacco <br /> retailers in neighborhoods with the highest proportions of Black residents were more likely to <br /> advertise menthol cigarettes and charged an estimated 25 cents less for Newport cigarettes, compared <br /> with stores in neighborhoods with the lowest proportion of Black residents.23 Nationwide, as a result of <br /> this targeting, 85% of Black smokers smoke menthol cigarettes, compared to 29% of White smokers. 24 <br />
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