Slick ways tobacco companies are targeting youth

By Carrie McDermott • Wahpeton Daily News

Although the tobacco industry states its marketing only promotes brand choices among adult smokers, they appear to be targeting youth with candy and fruit flavored tobacco products. Tobacco companies spend more than $1 million per hour in the United States alone to market their product, according to the U.S. Surgeon General’s Office.
Tobacco companies spend nearly $10 billion annually to advertise and promote their products in convenience stores, gas stations and other retail outlets. The marketing is very effective because two-thirds of teenagers visit a convenience store at least once a week, according to Tobacco Free Kids.
The Wilkin County Youth and Community Prevention Coalition recently shared examples of tobacco products packaged to mimic gum, candy and mints during its board meeting this month. Part of the group’s mission is to prevent and reduce tobacco usage by youth.
Naomi Miranowski, co-coordinator with YCPC, presented trays of candy, gum, breath mints and tobacco products, showing how closely the colors and packaging match.
“Tobacco companies are studying candy marketing to make their products appear safer,” she said. “One of my favorites is the new Camel Snus Frost. It looks like Ice Breakers Frost gum. Young people may think the Snus is okay as it resembles the gum in mom’s purse.”
Snus is a smokeless, moist powder tobacco product, similar to chew, consumed by placing it under the upper lip. The user gets a nicotine buzz on par with that of a cigarette. Unlike chew or dip, the user swallows the by-product rather than spitting it out. Snus is often produced in teen-friendly flavors such as cherry, apple and citrus.
Miranowski held up a recently redesigned box of Marlboro Black menthol cigarettes that uses the same mint green color packaging as Wrigley’s gum.
“They’re doing this purposely,” she said. “The general coloring is the same, bright green like the Mike and Ike’s candy. There are pinks, oranges and yellows that match candy colors.”
Skoal named one of their chews X-tra Mint, similar to Wrigley’s Extra gum. Other new smokeless tobacco products, which are dissolvable and easily concealed, include sticks, strips and orbs, that look like mints, breath strips and toothpicks.
She held up a three-pack of cigarillos that come in a bright pink package and are strawberry flavored. Another pack, grape flavored cigarillos, is bright purple and white. Even a cigar brand, Santa Fe, has a bright purple box.
Cigarillos are small cigars with sweet flavors, colorful packaging and cheap pricing. Brands include Swisher Sweets and Sugarillos, and come in flavors including peach, apple, grape and cherry.
Miranowski said she purchased the tobacco, candy and gum from the local Walmart and explained what she was doing to the clerk, who told her that young tobacco users, those who have recently turned 18 — the legal age to purchase tobacco – usually buy the fruit-flavored tobacco products.
“‘That’s what they go for,’ she told me,” Miranowski said. “They sell out of these things. Kids buy these because they’re cool.”
The YCPC board also examined an e-cigarette in black packaging.
“Stop ‘n’ Go sells a candy that matched the refills almost exactly,” she said. “It’s been eye-opening.”
She said she will use the examples to share during the Hidden in Plain Sight event that’s held at local high schools during their parent-teacher conference nights.
“I want these to be set out so parents can see what these are and how these tobacco products are not safe,” she said.
http://www.wahpetondailynews.com/news/article_92ec8fe0-a094-11e3-9da1-0019bb2963f4.html

E-cigarette regulation bill begins to move in Minnesota Legislature

By Don Davis, Forum Communications

ST. PAUL — Electronic cigarettes would not be available to youths under a bill the Minnesota House is considering, but a provision that would have banned them from public locations was not expected to survive.

The bill would prohibit e-cigarette sales to anyone younger than 18 and ban them from schools.

“It seems like a no brainer,” Rep. Laurie Halverson, D-Eagan, said about her bill.

The use of e-cigarettes among youths doubled in the last year, state Health Commissioner Edward Ehlinger told the House Health and Human Services Committee Wednesday. He said he thinks the products are marketed to hook youths on nicotine in the product, and later they will smoke tobacco cigarettes.

E-cigarettes often include flavors to appeal to children, he said. Some are linked to Gummy Bears and others connected with Hello Kitty.

To continue reading, visit http://www.grandforksherald.com/content/e-cigarette-regulation-bill-begins-move-minnesota-legislature

E-cigarette worries

Minot ordinance would keep e-cigarettes from kids

JILL SCHRAMM (jschramm@ minotdailynews.com), Minot Daily News
Electronic cigarettes should be treated like tobacco when it comes to minors, Minot’s STAMP Coalition told a city committee Wednesday.
The Minot City Council’s Public Works and Safety Committee voted at the coalition’s urging to recommend the council make it illegal to sell or provide e-cigarettes to minors and for minors to possess the devices.
E-cigarettes are designed like a cigarette but are battery powered with a vaporizer and mouthpiece to deliver nicotine.
They don’t fall under the definition of tobacco so there is no legal requirement for stores to restrict sales to minors. Many stores are checking identification and restricting on their own, but there is no penalty if a store fails to do so.
Some legislators are considering changing state law to bring e-cigarettes under the same rules as conventional cigarettes.
“We are absolutely going to be working toward that and hoping for that during the next session,” said Erin Oban-Hill, executive director for Tobacco Free North Dakota, in Bismarck. In the meantime, she said, “A number of communities didn’t want to wait.”
To continue reading, visit http://www.minotdailynews.com/page/content.detail/id/592629/E-cigarette-worries.html?nav=5010

To the Editor: Curbs on E-Cigarettes

To the Editor:

Re “Hot Debate Over E-Cigarettes as Path to Tobacco, or From It” (“The New Smoke” series, front page, Feb. 23):

As you note, the health effects of e-cigarette use remain unknown, and their use may actually be leading to greater smoking of traditional cigarettes, especially among children.

In fact, a recent study of 76,000 South Korean teenagers indicates that users of e-cigarettes were less likely to succeed in quitting smoking and were more likely to be heavy smokers.

The availability of e-cigarette flavored vapors (mango and watermelon) enhances the attraction. The troubling increase in the use of e-cigarettes among American teenagers found in the survey by the Centers for Disease Control and Prevention, also reported in the article, suggests that e-cigarettes are a gateway to tobacco addiction.

The American Thoracic Society, as a member of the Forum of International Respiratory Societies, supports an age restriction and government regulation of the sale of e-cigarettes, which in many states do not exist. Until more research is done, it is dangerous to promote their widespread use.

PATRICIA FINN
Chicago, Feb. 24, 2014

The writer is president of the American Thoracic Society and chairwoman of the department of medicine at the University of Illinois Chicago.

http://www.nytimes.com/2014/02/28/opinion/curbs-on-e-cigarettes.html?_r=0

Poll: Minnesotans strongly support prohibiting e-cigarette use indoors

MINNEAPOLIS, Feb. 26, 2014 /PRNewswire/ — A poll released today shows that a strong majority of Minnesotans (79 percent) support prohibiting e-cigarette use indoors in places where smoking is prohibited. Other regulations to prevent youth from using e-cigarettes are also overwhelmingly supported by Minnesotans.
“This new poll shows that a strong majority of Minnesotans – 79 percent – support prohibiting e-cigarette use in indoor public places, including workplaces,” said Janelle Waldock, Director of the Center for Prevention at Blue Cross and Blue Shield of Minnesota. “E-cigarette use threatens our high standard of clean indoor air. Limiting their use the same way we limit conventional cigarettes will protect the clean air that Minnesotans have come to expect and support.”
To continue reading, visit: http://www.digitaljournal.com/pr/1758111#ixzz2uT8Px5H7

Senators look for e-cigarette marketing limits

By MICHAEL FELBERBAUM AP Tobacco Writer
RICHMOND, Va.—Several U.S. senators on Wednesday introduced a bill that would curb electronic cigarette marketing while the fast-growing industry awaits regulation by the Food and Drug Administration.
The bill is co-sponsored by California Sen. Barbara Boxer, Iowa Sen. Tom Harkin, both Democrats, and others. It would ban marketing to children based on standards set by the Federal Trade Commission and allow the agency to work with state attorneys general to enforce the ban on advertising. The battery-powered devices heat a liquid nicotine solution and create vapor that’s inhaled.
Companies vying for a stake in the electronic cigarette business are reviving the decades-old marketing tactics the tobacco industry used to hook generations of Americans on regular smokes. Those tactics, such as running TV commercials and sponsoring race cars and other events, are raising worries that e-cigarette makers could tempt young people to take up something that could prove addictive.
While the FDA plans to set marketing and product regulations for electronic cigarettes in the near future, for now, almost anything goes.
And Harkin said e-cigarette makers are attempting to create “a new generation of nicotine addicts.”
“When it comes to the marketing of e-cigarettes to children and teens, it’s ‘Joe Camel’ all over again,” Harkin said in a statement.
A 2009 law gave the FDA the power to regulate a number of aspects of tobacco marketing and manufacturing, though it cannot ban nicotine or cigarettes outright.
The agency first said it planned to assert authority over e-cigarettes in 2011 but hasn’t yet. The proposed FDA regulation was submitted to the Office of Management and Budget for review in October.
While FDA regulation of these products remains critical, Harkin said the legislation would complement the agency’s oversight.
http://www.twincities.com/nation/ci_25233292/senators-look-e-cigarette-marketing-limits

Hookah is not harmless, experts say

By: REUTERS/SUSANA VERA
Smoking hookah can be addictive and harmful, though many dabblers may not realize the dangers, according to a new review.
“The cooled and sweetened flavor of hookah tobacco makes it more enticing to kids and they falsely believe it’s less harmful,” Tracey E. Barnett from the University of Florida in Gainesville told Reuters Health.
Barnett has studied the recent rise in teen hookah smoking. She was not involved in the new review, published in Respiratory Medicine.
“One-time use can lead to carbon monoxide poisoning or other diseases, including but not limited to tuberculosis, herpes, respiratory illnesses including the flu, and long-term use can lead to heart disease and many cancers,” Barnett said.
To read more, visit http://www.foxnews.com/health/2014/02/24/hookah-is-not-harmless-experts-say/

Colorado, Utah Want To Raise Tobacco Age To 21

DENVER (AP) – Two Western states with some of the nation’s lowest smoking rates are considering cracking down even more by raising the tobacco age to 21.
Utah and Colorado lawmakers both voted favorably on proposals Thursday to treat tobacco like alcohol and take it away from 18- to 20-year-olds, a move inspired by new research on how many smokers start the habit as teenagers.
“By raising the age limit, it puts them in a situation where they’re not going to pick it up until a much later age,” said Marla Brannum of Lehi, Utah, who testified in favor of the idea there.
In Colorado, the testimony was similar – that pushing the tobacco age could make it harder for teens to access tobacco, and possibly reduce usage rates among adults.
“What I’m hoping to do is make it harder for kids to obtain cigarettes,” said Rep. Cheri Gerou, a Republican who sponsored the measure.
To read more, visit http://sacramento.cbslocal.com/2014/02/22/colorado-utah-want-to-raise-tobacco-age-to-21/

A Hot Debate Over E-Cigarettes as a Path to Tobacco, or From It

By , The New York Times

Dr. Michael Siegel, a hard-charging public health researcher at Boston University, argues that e-cigarettes could be the beginning of the end of smoking in America. He sees them as a disruptive innovation that could make cigarettes obsolete, like the computer did to the typewriter.

But his former teacher and mentor, Stanton A. Glantz, a professor of medicine at the University of California, San Francisco, is convinced that e-cigarettes may erase the hard-won progress achieved over the last half-century in reducing smoking. He predicts that the modern gadgetry will be a glittering gateway to the deadly, old-fashioned habit for children, and that adult smokers will stay hooked longer now that they can get a nicotine fix at their desks.

These experts represent the two camps now at war over the public health implications of e-cigarettes. The devices, intended to feed nicotine addiction without the toxic tar of conventional cigarettes, have divided a normally sedate public health community that had long been united in the fight against smoking and Big Tobacco.

The essence of their disagreement comes down to a simple question: Will e-cigarettes cause more or fewer people to smoke? The answer matters. Cigarette smoking is still the single largest cause of preventable death in the United States, killing about 480,000 people a year.

Dr. Siegel, whose graduate school manuscripts Dr. Glantz used to read, says e-cigarette pessimists are stuck on the idea that anything that looks like smoking is bad. “They are so blinded by this ideology that they are not able to see e-cigarettes objectively,” he said. Dr. Glantz disagrees. “E-cigarettes seem like a good idea,” he said, “but they aren’t.”

Science that might resolve questions about e-cigarettes is still developing, and many experts agree that the evidence so far is too skimpy to draw definitive conclusions about the long-term effects of the devices on the broader population.

“The popularity is outpacing the knowledge,” said Dr. Michael B. Steinberg, associate professor of medicine at the Robert Wood Johnson Medical School at Rutgers University. “We’ll have a better idea in another year or two of how safe these products are, but the question is, will the horse be out of the barn by then?”

This high-stakes debate over what e-cigarettes mean for the nation’s 42 million smokers comes at a crucial moment. Soon, the Food and Drug Administration is expected to issue regulations that would give the agency control over the devices, which have had explosive growth virtually free of any federal oversight. (Some cities, like Boston and New York, and states, like New Jersey and Utah, have already weighed in, enacting bans in public places.)

The new federal rules will have broad implications for public health. If they are too tough, experts say, they risk snuffing out small e-cigarette companies in favor of Big Tobacco, which has recently entered the e-cigarette business. If they are too lax, sloppy manufacturing could lead to devices that do not work properly or even harm people.

And many scientists say e-cigarettes will be truly effective in reducing the death toll from smoking only with the right kind of federal regulation — for example, rules that make ordinary cigarettes more expensive than e-cigarettes, or that reduce the amount of nicotine in ordinary cigarettes so smokers turn to e-cigarettes for their nicotine.

“E-cigarettes are not a miracle cure,” said David B. Abrams, executive director of the Schroeder National Institute for Tobacco Research and Policy Studies at the Legacy Foundation, an antismoking research group. “They need a little help to eclipse cigarettes, which are still the most satisfying and deadly product ever made.”

Smoking is already undergoing a rapid evolution. Nicotine, the powerful stimulant that makes traditional cigarettes addictive, is the crucial ingredient in e-cigarettes, whose current incarnation was developed by a Chinese pharmacist whose father died of lung cancer. With e-cigarettes, nicotine is inhaled through a liquid that is heated into vapor. New research suggests that e-cigarettes deliver nicotine faster than gum or lozenges, two therapies that have never quite taken off.

Sales of e-cigarettes more than doubled last year from 2012, to $1.7 billion, according to Bonnie Herzog, an analyst at Wells Fargo Securities. Ms. Herzog said that in the next decade, consumption of e-cigarettes could outstrip that of conventional cigarettes. The number of stores that sell them has quadrupled in just the last year, according to the Smoke Free Alternatives Trade Association, an e-cigarette industry trade group.

“E-cigarette users sure seem to be speaking with their pocketbooks,” said Mitchell Zeller, director of the F.D.A.’s Center for Tobacco Products.

Public health experts like to say that people smoke for the nicotine but die from the tar. And the reason e-cigarettes have caused such a stir is that they take the deadly tar out of the equation while offering the nicotine fix and the sensation of smoking. For all that is unknown about the new devices — they have been on the American market for only seven years — most researchers agree that puffing on one is far less harmful than smoking a traditional cigarette.

But then their views diverge.

Pessimists like Dr. Glantz say that while e-cigarettes might be good in theory, they are bad in practice. The vast majority of people who smoke them now also smoke conventional cigarettes, he said, and there is little evidence that much switching is happening. E-cigarettes may even prolong the habit, he said, by offering a dose of nicotine at times when getting one from a traditional cigarette is inconvenient or illegal.

What is more, critics say, they make smoking look alluring again, with images on billboards and television ads for the first time in decades. Dr. Glantz says that only about half the people alive today have ever seen a broadcast ad for cigarettes. “I feel like I’ve gotten into a time machine and gone back to the 1980s,” he said.

Researchers also worry that e-cigarettes could be a gateway to traditional cigarettes for young people. The devices are sold on the Internet. The liquids that make their vapor come in flavors like mango and watermelon. Celebrities smoke them: Julia Louis-Dreyfus and Leonardo DiCaprio puffed on them at the Golden Globe Awards.

A survey from the Centers for Disease Control and Prevention found that in 2012, about 10 percent of high school students said they had tried an e-cigarette, up from 5 percent in 2011. But 7 percent of those who had tried e-cigarettes said they had never smoked a traditional cigarette, prompting concern that e-cigarettes were, in fact, becoming a gateway.

“I think the precautionary principle — better safe than sorry — rules here,” said Dr. Thomas Frieden, director of the C.D.C.

E-cigarette skeptics have also raised concerns about nicotine addiction. But many researchers say that the nicotine by itself is not a serious health hazard. Nicotine-replacement therapies like lozenges and patches have been used for years. Some even argue that nicotine is a lot like caffeine: an addictive substance that stimulates the mind.

“Nicotine may have some adverse health effects, but they are relatively minor,” said Dr. Neal L. Benowitz, a professor of medicine at the University of California, San Francisco, who has spent his career studying the pharmacology of nicotine.

Another ingredient, propylene glycol, the vapor that e-cigarettes emit — whose main alternative use is as fake smoke on concert and theater stages — is a lung irritant, and the effects of inhaling it over time are a concern, Dr. Benowitz said.

But Dr. Siegel and others contend that some public health experts, after a single-minded battle against smoking that has run for decades, are too inflexible about e-cigarettes. The strategy should be to reduce harm from conventional cigarettes, and e-cigarettes offer a way to do that, he said, much in the way that giving clean needles to intravenous drug users reduces their odds of getting infected with the virus that causes AIDS.

Solid evidence about e-cigarettes is limited. A clinical trial in New Zealand, which many researchers regard as the most reliable study to date, found that after six months about 7 percent of people given e-cigarettes had quit smoking, a slightly better rate than those with patches.

“The findings were intriguing but nothing to write home about yet,” said Thomas J. Glynn, a researcher at the American Cancer Society.

In Britain, where the regulatory process is more developed than in the United States, researchers say that smoking trends are heading in the right direction.

“Motivation to quit is up, success of quit attempts are up, and prevalence is coming down faster than it has for the last six or seven years,” said Robert West, director of tobacco studies at University College London. It is impossible to know whether e-cigarettes drove the changes, he said, but “we can certainly say they are not undermining quitting.”

The scientific uncertainties have intensified the public health fight, with each side seizing on scraps of new data to bolster its position. One recent study in Germany on secondhand vapor from e-cigarettes prompted Dr. Glantz to write on his blog, “More evidence that e-cigs cause substantial air pollution.” Dr. Siegel highlighted the same study, concluding that it showed “no evidence of a significant public health hazard.”

That Big Tobacco is now selling e-cigarettes has contributed to skepticism among experts and advocates.

Cigarettes went into broad use in the 1920s — and by the 1940s, lung cancer rates had exploded. More Americans have died from smoking than in all the wars the United States has fought. Smoking rates have declined sharply since the 1960s, when about half of all men and a third of women smoked. But progress has slowed, with a smoking rate now of around 18 percent.

“Part of the furniture for us is that the tobacco industry is evil and everything they do has to be opposed,” said John Britton, a professor of epidemiology at the University of Nottingham in England, and the director for the U.K. Center for Tobacco and Alcohol Studies. “But one doesn’t want that to get in the way of public health.”

Carefully devised federal regulations might channel the marketing might of major tobacco companies into e-cigarettes, cannibalizing sales of traditional cigarettes, Dr. Abrams of the Schroeder Institute said. “We need a jujitsu move to take their own weight and use it against them,” he said.

Dr. Benowitz said he could see a situation under which the F.D.A. would gradually reduce the nicotine levels allowable in traditional cigarettes, pushing smokers to e-cigarettes.

“If we make it too hard for this experiment to continue, we’ve wasted an opportunity that could eventually save millions of lives,” Dr. Siegel said.

Dr. Glantz disagreed.

“I frankly think the fault line will be gone in another year,” he said. “The evidence will show their true colors.”

http://www.nytimes.com/2014/02/23/health/a-hot-debate-over-e-cigarettes-as-a-path-to-tobacco-or-from-it.html?_r=0

Candy Flavors Put E-Cigarettes On Kids' Menu

By Jenny Lei Bolario
Electronic-cigarettes are often billed as a safe way for smokers trying to kick their habit. But it’s not just smokers who are getting their fix this way. According to the Centers for Disease Control and Prevention, 1 in 5 middle schoolers who tried one say they’ve never smoked a cigarette. And between 2011 and 2012, e-cigarettes doubled in popularity among middle and high school students.
At a middle school in the San Francisco Bay Area, 8th grader Viviana Turincio noticed some kids smoking in class– or at least, that’s what it looked like.
“There was a group at the table and they were just smoking on the vape pen and the teacher was right there, and the teacher didn’t even notice,” she remembered.
That’s because her classmates were smoking an electronic cigarette, sometimes called a vape pen. It’s a hand-held, battery-powered device that vaporizes a liquid, which is often infused with nicotine. You inhale the vapor through a mouthpiece, and exhale what looks like smoke. In this case the smoke smelled like candy.
“My favorite flavor is gummy bears because it tastes really good,” Viviana said.
Vapor liquids come in various flavors but teens prefer dessert-inspired ones, which are more appealing than the smell and taste of burning tobacco. Marleny Samayoa, also in the 8th grade, thinks traditional cigarettes taste too bitter. “It has kind of a weird taste to it, like coffee without sugar,” she explained.
E-cigarettes are easier for kids to buy than regular cigarettes. There’s no federal age limit for how old you have to be. But some states, including California, prohibit the sale to minors. That’s why middle-schoolers turn to sites like E-bay, where independent sellers don’t ask for your age.
“A lot of kids are getting them online and they’re just introducing it to a lot of other kids and it just keeps going from there,” explained Marleny.
She has noticed the growing popularity of e cigs on social media sites like Instagram. Look up #Vapelife and the pictures are endless. “I take pictures and do tricks, like blowing O’s, blowing them on flat surfaces and making tornadoes,” Marleny described.
Swirling clouds of vapor are touching down in theatres, restaurants and malls, while health professionals are trying to catch up with this new fad.
Dr. Cathy McDonald runs a center for Tobacco Dependence, Treatment and Cessation for Alameda County in California. She admitted that, “right now we don’t have as much information as we would like.” What researchers do know, Dr. McDonald explained, is “ten minutes of smoking an e-cigarette for a person who has never smoked a cigarette does cause a noticeable increase in airway resistance in the lungs.”
But, she conceded, “it’s probably better than smoke and I say that because smoking a cigarette is 4000 chemicals, 400 are poison, 40 cause cancer.”
Researchers haven’t had the time to do long-term studies comparing traditional cigarettes to electronic ones. But at least among my friends, the ones who’ve made the switch have noticed a positive change. My boyfriend, Gray Keuankaew, is one of them.
“Within the two months that I’ve been vaping, my body feels a little bit more healthy,” he said. “I’m a runner, so I’m able to run a bit longer without having to catch my breath. So if it’s gonna be any type of positive benefit, then I’m definitely gonna stick to it.”
I’m glad it’s easier for him to run, but he hasn’t outrun his nicotine addiction. E-cigarettes still have nicotine – you choose what amount you want. The Tobacco Vapor Electronic Cigarette Association estimated that e-cigarette sales will surpass $2.5 billion dollars this year. Geoff Braithwaite owns Tasty Vapor, a company in Oakland that sells and distributes liquids for e-cigarettes.
“Our target customer base is those people who felt doomed to a life of smoking,” said Braithwaite. But he admits that adults aren’t the only ones who may be jumping on this new trend. “There’s going to be that novelty around it, it’s a brand new thing, it’s an electronic device. That kind of stuff will always appeal to kids, it would have appealed to me.”
Anti-smoking campaigns spent decades and billions of dollars to make smoking lessappealing to youth– helping cut teen smoking by 45%. But cheap prices for brightly colored e-cigs, sweet flavors, and the ability to vape anywhere is putting nicotine back on the kids menu. The Food and Drug Administration has said it plans to regulate e-cigarettes, but so far the agency hasn’t issued any rules.
http://www.huffingtonpost.com/youth-radio-youth-media-international/candy-flavors-put-e-cigar_b_4833286.html