ROM CANADA TO CALIFORNIA - Public Health Law...• Smoking prevalence 18% current, 14% daily (2015),...
Transcript of ROM CANADA TO CALIFORNIA - Public Health Law...• Smoking prevalence 18% current, 14% daily (2015),...
FROM CANADA TO CALIFORNIABUILDING MOMENTUM ON MENTHOL RESTRICTIONS
92020171
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9202017Presentation Title 2
FROM CANADA TO CALIFORNIABUILDING MOMENTUM ON MENTHOL RESTRICTIONS
92020173
THE PUBLIC HEALTH LAW CENTER
9202017
From Canada to California Building Momentum on
Menthol Restrictions4
LEGAL TECHNICAL ASSISTANCE
9202017
From Canada to California Building Momentum on
Menthol Restrictions5
Legal Research
Policy Development Implementation Defense
Publications
Trainings
Direct Representation
Lobby
9202017
From Canada to California Building Momentum on
Menthol Restrictions6
AGENDA
bull Introduction
bull Lessons from Canada
bull US Legal Issues
bull US Advocacy
bull Q amp A
9202017
From Canada to California Building Momentum on
Menthol Restrictions7
MENTHOLBACKGROUND
bull Evidence Base
bull Action on Menthol
9202017
From Canada to California Building Momentum on
Menthol Restrictions8
MENTHOLEVIDENCE BASE
bull 545 of High School Students who smoked cigarettes in the last 30 days smoked menthol cigarettes
9202017
From Canada to California Building Momentum on
Menthol Restrictions9
Catherine G Corey et al Flavored Tobacco Product Use Among Middle and High School Students mdash United States 2014 64 MORBIDITY AND MORTALITY WKLY REP 1066 (2015)
MENTHOLEVIDENCE BASE
bull The younger the smoker the more likely that they smoke menthols
9202017
From Canada to California Building Momentum on
Menthol Restrictions10
Andrea Villanti et al Changes in the prevalence and correlates of menthol cigarette use in the USA 2004ndash2014 25 TOBACCOCONTROL ii14 (2016)
00
100
200
300
400
500
600
12-15 16-17 18-21 22-25 26-34 35+
Menthol Use by Age
MENTHOLEVIDENCE BASE
9202017
From Canada to California Building Momentum on
Menthol Restrictions11
US DEPrsquoT OF HEALTH amp HUM SERVS THE HEALTH CONSEQUENCES OF SMOKINGmdash50 YEARS OF PROGRESS A REPORT OF THESURGEON GENERAL 18 (Figure 21) (2014)
MENTHOLEVIDENCE BASE
bull Decline in menthol use among 12-17 is slower than non-menthol
bull Menthol use is increasing for 18-25
bull Menthol use is flat for 26+
9202017
From Canada to California Building Momentum on
Menthol Restrictions12
Andrea Villanti et al Changes in the prevalence and correlates of menthol cigarette use in the USA 2004ndash2014 25 TOBACCOCONTROL ii14 (2016)
MENTHOLEVIDENCE BASE
9202017
From Canada to California Building Momentum on
Menthol Restrictions13
David T Levy et al Quit Attempts and Quit Rates Among Menthol and Nonmenthol Smokers in the United States 101 AM J PUB HEALTH 1241 (2011)
360
370
380
390
400
410
420
2003 2007
Quit Attempts in the Past Year
Non-Menthol Menthol
38
39
40
41
42
43
44
45
46
47
2003 2007
Quit ge 3 Months and le 1 Year
Non-Menthol Menthol
165
170
175
180
185
190
195
200
205
210
215
2003 2007
Quit ge 3 Months and le 5 Years
Non-Menthol Menthol
MENTHOLEVIDENCE BASE
9202017
From Canada to California Building Momentum on
Menthol Restrictions14
Andrea Villanti et al Changes in the prevalence and correlates of menthol cigarette use in the USA 2004ndash2014 25 TOBACCOCONTROL ii14 (2016)
00
100
200
300
400
500
600
700
800
900
1000
White Black Asian Hispanic gt 1 Race
Prevalence of menthol cigarette use among past 30-day smokers by race
2008-2010 2012-2014
MENTHOLACTION
9202017
From Canada to California Building Momentum on
Menthol Restrictions15
MENTHOLACTION OUTSIDE OF NORTH AMERICA
9202017
From Canada to California Building Momentum on
Menthol Restrictions16
Implemented (future)bullEthiopiabullUgandabullTurkey (2020)bullMoldova (2020)bullEU(2020)
PendingDefendingbullBrazilbullChile
MENTHOLACTION IN OF NORTH AMERICA
9202017
From Canada to California Building Momentum on
Menthol Restrictions17
CanadabullNova ScotiabullAlbertabullNew BrunswickbullQuebecbullOntariobullPrince Edward IslandbullNewfoundland and LabradorbullFederal Legislation
USbullChicago IL (school buffer)bullBerkley CA (school buffer)bullContra Costa County CA (school buffer)bullHayward CA (school buffer)bullSanta Clara County CA (tobacco-only store exemption)bullYolo County CAbullSan Francisco CAbullMinneapolis MN (tobacco-only amp liquor store exemption)
Menthol BansThe Canadian Experience
Rob Cunningham
September 20 2017
Canada
bull 36 million peoplebull Bilingualbull Smoking prevalence 18 current 14 daily (2015)
down from 50 current smoking in 1965bull Current smoking among 15-19 year olds decreased
from 28 in 1999 to 10 in 2015bull 3 major tobacco companies affiliates of
bull BATRAI bull PMIbull JTI
20
Menthol - Canada
Menthol in Canada
bull Longstanding flavourbull 45 of the cigarette market (2015)bull Not identified with use by minority communities as
in USbull 7 of 10 provinces banned menthol cigarettes bull Menthol bans apply to ALL retailers
22
Provincial flavourmenthol bans
1 Nova Scotia (May 31 2015)2 Alberta (Sept 30 2015) 3 New Brunswick (Jan 1 2016)4 Quebec (Aug 26 2016)5 Ontario (Jan 1 2017) 6 Prince Edward Island (May 1 2017)7 Newfoundland and Labrador (July 1 2017)(more than 80 of Canadian population)
Earlier date for flavours other than menthol
National menthol ban pending
bull To come into force Oct 2 2017 at retailbull Apply to cigarettes most cigars blunt wrapsbull Bans menthol at any level not just
characterizing
Earlier date for flavours other than menthol
44 44 42 42 43 45 45 45 43 39 43 44 45 47 455454 57 60
125
0
2
4
6
8
10
12
14
01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16
Menthol market share for cigarettes Canada 2001-2016
Canada BC
Flavoured cigarillos
Canada ndash Little Cigars
27
28
ldquoTwinklerdquo brandbull Note little stars on packagebull Four pack
Youth Smoking Survey 2006-07
bull Results issued May 31 2008 World No Tobacco Day
bull Significant youth use of cigarillosbull Extensive media coverage
29
Prime Minister Harper September 17 2008 election campaign
30
Health MinisterLeona Aglukkaq2009
31
Canada Bill C-32 (in force July 5 2010)
bull applies to cigarettes cigarillos (14g or less or with cigarette filter) and blunt wraps
bull ban all flavours at any level of additivebull exemption for menthol
32
before Bill C-32
after Bill C-32
After Bill C-32 was implemented Oct 5 2010 if a cigarillo little cigar weighed more than 14g and did not have a cigarette filter the product could still be flavoured Bullseye products are shown here before and after Bill C-32 33
Prime Timepeach rum raspberry
Prime Time Pluspeach rum cherry
cigarillos before Bill C-32
ldquocigarsrdquo afterBill C-32
Cigarillos Canada
35
Cigarillos Canada
Grape Cherry Peach Strawberry Vanilla
36
Cigarillos sold individually Canada
Vanilla peach grape cherry individual Prime Time cigarillos
purchased for $146 eachIndividual M Colt flavoured
cigarillos purchased for 97 cents each 37
Blunts (type of cigar) Canada
Chocolate Peach Watermelon Cherry Grape38
Smokeless tobacco Canada
Citrus Cherry Mint
WintergreenWintergreenWintergreen
Peach
Berry39
Water pipe tobacco Canada
Strawberry Lemon Watermelon Grape MintFruit cocktail
Orange Pistachio Lemon SweetCoffee
Water pipe tobacco Canada
Caramel Cappucino Licorice Apple
Banana Melon Coconut Cola Tropicana
Cinnamon
Youth Smoking Survey 2010-11
bull Propel report released October 7 2013
bull Of high school students who use tobacco 52 use flavoured tobacco
bull Of high school students who smoke 32 smoke menthol
42
Coordinated national call for action
43
Oct 7 2013
Youth Smoking Survey 2012-13
bull Propel report released September 10 2014
bull Of high school students who use tobacco 50 use flavoured tobacco
44
Youth Smoking Survey (2012-13)
bull Of high school students (grades 9-12) Canada-wide who use smoke 29 smoke menthol
bull Of high school students who smoke daily 43 smoke menthol
bull High school students who smoke menthol smoke more cigarettes per week and more likely to intend to continue smoking next year (Cancer Causes and Control)
- only 45 of cigarettes sold in Canada are menthol
46
Number of high school students using in past 30 days ndash Canada 2012-13 YSS
137000 ndash any flavoured tobacco50900 ndash menthol cigarettes70500 ndash cigarillos41300 ndash cigars10000 ndash bidis34000 ndash smokeless39600 ndash waterpipe
48
49
Bill C-32 in effect