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Orozco, Norma <br />From: Rodriguez, Yaneth <ylr@med.usc.edu> <br />Sent: Tuesday, December 21, 2021 3:39 PM <br />To:eComment; Sarmiento, Vicente; Mendoza, Nelida; Bacerra, Phil; Penaloza, David; <br />Lopez, Jorge (SAPD); Penaloza, David; Phan, Thai; Hernandez, Johnathan <br />Cc: Lourdes Baez Conde;Jessica L. Barrington-Trimis; 'ylr@usc.edu' <br />Subject: Info & Education for Agenda item #39 Ordinance Prohibiting the Sale of Flavored <br />Tobacco Products <br />Attachments: Flavor and E-cigarette_Info Sheet_05.22.19 (updated w logo) FINAL PDF.pdf; Tobacco <br />Retail Licensing and Youth Product Use.pdf, Examining Hookah as an Introduction to <br />Nicotine Products among College Students.pdf, Measurement and predictive value of <br />susceptibility to cigarettes ecigarettes cigars and hookah among Texas <br />adolescents.pdf <br />Importance: High <br />Dear Mayor and City Council Members of the City of Santa Ana, <br />I am writing in regards to agenda item#39 "Ordinance Prohibiting the Sale of Flavored Tobacco Products." Attached is <br />an information sheet which contains research findings from the University of Southern California's Tobacco Center of <br />Regulatory Science (USC TCORS). I also attached the journal articles where some of the information below can be <br />found. I hope this information is useful in your consideration of prohibiting the sale of Flavored tobacco Products. <br />A main research point I would like to highlight is that a strong comprehensive ordinance to regulate e-cigarettes, <br />flavored,and menthol tobacco products has tremendous potential to substantially reduce youth-use of tobacco <br />products including e-cigarettes. A Southern California research study showed that strong a tobacco retail license and <br />enforcement preventing sales to minors was associated with lower rates of youth and adult initiation of combustible <br />and e-cigarette use. A comprehensive ban on the sale of flavored tobacco products would include traditional <br />combustible menthol cigarettes and cigars, as well as chewing tobacco and flavored hookah. <br />I have also attached to this email additional information for your consideration regarding hookah. For each of the data <br />points below, I have included a copy of the PDF article with important data points highlighted. <br />Hookah considerations: <br />Hispanic/Latinx adolescents are more susceptible to hookah and 44% more likely reported current hookah use. <br />One out of four college nicotine users started with hookah. <br />We hope that this research can educate and inform your decisions. Please let me know if you have any questions our <br />team may be able to answer. <br />Thank you, <br />Yaneth Rodriguez <br />Yaneth L. Rodriguez, MPH <br />Center for Health Equity in the Americas <br />Department of Population and Public Health Sciences <br />Keck School of Medicine of USC <br />University of Southern California <br />i