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Flavored Tobacco March 1, 2022 Page 3 2 4 7 7 such devices, and any component of substances made of tobacco or electronic smoking devices (such as filters, rolling papers, blunt or hemp wraps, hookahs, mouthpieces, and pipes). Tobacco Retailer Licenses; Enforcement Santa Ana businesses that sell tobacco must obtain a Tobacco Retailer License, which is issued by the Santa Ana Police Department (SAPD). As such, SAPD is responsible for the administration, oversight, and enforcement of said Tobacco Retailer Licenses. There are 261 active tobacco retailer licenses. Within the permitting process, SAPD personnel verifies with the California Department of Tax and Fee Administration (CDTFA) that each business’ retail license is valid and correct on an annual basis. Once the information is verified and payment is received, a permit is issued. To enforce the issuance of Tobacco Retailer Licenses, SAPD conducts weekly enforcement operations that target the illegal use, sales, and distribution of tobacco-related products. In 2021, SAPD personnel conducted 25 operations, which netted 91 citations for tobacco-related infractions. U.S. Surgeon General Declares Tobacco Use as a Public Health Priority According to the U.S. Centers for Disease Control and Prevention (CDC), tobacco use is the leading cause of preventable death in the United States and worldwide. More than 16 million U.S. residents are living with a disease caused by smoking. Worldwide, tobacco use causes more than 7 million deaths per year. A 2016 report by the U.S. Surgeon General entitled E-Cigarette Use Among Youth and Young Adults: A Report of the Surgeon General. - PDF finds that while nicotine is a highly addictive drug at any age, youth and young adults are uniquely vulnerable to the long-term consequences of exposing the brain to nicotine. The report also finds that secondhand aerosol exhaled into the air by e-cigarette users can expose others to potentially harmful chemicals. In 2018, the Surgeon General’s Advisory on E-Cigarette Use among Youth noted that e-cigarette use increased 78 percent among high school students during the past year, and one in five high school students and one in 20 middle school students currently use e-cigarettes. To clarify, these substances are tobacco products. U.S. Food and Drug Administration and Flavored Tobacco Products On their website, the U.S. Food and Drug Administration (FDA) declares that the use of flavorings in tobacco products raises important public health questions. For example, the FDA is aware of scholarly and peer-reviewed research that asserts that flavorings in tobacco products are particularly appealing to youth and young adults. Acknowledging these findings, in 2009, the FDA banned cigarettes with characterizing flavors other than menthol (which have been proven to appeal to youth and young adults). More recently, in April 2021, the FDA announced plans to propose tobacco product standards to ban menthol as a characterizing flavor in cigarettes, as well as to ban all flavors in cigars— including menthol. Currently, no flavors are banned from other tobacco products (those other than cigarettes with characterizing flavors other than menthol), although scholarly and peer-reviewed