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HomeMy WebLinkAboutCOM 0593.002 2022-2024 -Mtv0;N . Susan L.K. Lee Loy '�, Office: (808)961-8396 : y",,.'�h'-' • Fax: (808)961-8912 Council Member ;�; � � ,��►: District 3 • __. .T.� • Email: sue.leeloy@hawaiicounty.gov n a C=:• L^^J LW V'C) HAWAII COUNTY COUNCIL 25 Aupuni Street,Hilo,Hawai`i 96720 -1 Cs r. MEMORANDUM " are t DATE: December 1, 2023 TO: Heather Kimball, Council Chair; and Members of the Hawai`i County Council FROM: pusan L.K. Lee Loy, Council Member SUBJECT: Re: Communication 593.1 —presentation by Tobacco Free Hawai`i Island Attached to this memorandum is a copy of a presentation to the Committee on Health, Safety and Well Being for the meeting on December 5, 2023. Please distribute as appropriate. sll:jv Comn. No. 5 q3. Ref 'To 15.A 1 a_9 7 Hawai'i County Is an Equal Opportunity Provider And Employer - ,Ref'''.01te ,i EC -0 .2O2: ENDING THE YOUTH VAPING EPIDEMIC COAL/HON FOR A TOBACCO-FBEE HAWAII - YOUTH COUNCil 500 TOBACCO Iq O 450 .E - -- TOBACCO KILLS MORE " 48� RELATED ILLNESS o IS THE LEADING la-- 400 THAN CAR CRASHES, CAUSE OF DEATH 35o COVID, HOMICIDES & IN THE US = ALCOHOL COMBINED. I- 300 ;: V. W 1 250410 L.A.... 00 F I CD � � W 150 s . m m 100 == 50 HOMICIDES CAR CRASHES ALCOHOL COVID TOBACCO "N ' mot, CAUSES OF DEATH Every year people in Hawai 'i die from a tobacco- related illness. How many ::�.�y re lives will it take before we take action? FOOD FOR THOUGHT 95% Of SMOKERS START BEFORE THE AGE 0F21 THE ROLE FLAP PLAY 8 OF 10 YOUTH WHO HAVE EVER TRIED A TOBACCO PRODUCT STARTED WITH A FLAVORED PRODUCT HOME PRODUCTS ELFLIQ QUAQ TECH WHOLESALE v SUPPORT FLAVORS 15,500+ mostly candy and Be Colorful, Be Full Of Energy fruit flavors, packed in bright Brief Style And Contrast Color Application Show Young colors, marketed to young And Fashionable Quality. children ADDITIONAL CONCERN Flavors mask the harsh taste, making it easier for kids to get hooked on nicotine and harder to quit - . ‘ , i i ii. i ' \ Nrirarilr4747 4174/,‘"4 / , ' .'I - l MARKEITINa ' I . 4 1 = * i ..\ o 1 1 I TO 141Di? ,,, 0 , . ' . poN'T BE ,-„ tr\-\--s, IP 1f 44 ? 1 1 I 0 os, . ,, 1 ................,..........,.,,.,,,„,,,...,„......,..-I-------r , „ ,:0.,.......,.., 7 i _ 1 .• 1 _ Iwo 01. _ . . . / AIP if r----- c it, ,,, , /4 • I 1‘ if.0 ,.. .... - ,t... 1 ...it k / ' • t po 1,,,, co, . ,, , e ilr ILI", •‘'./ , .• , ..; -, i ,,,!:. • ,,, 1 , i , •• i rik,,,.........s 74' 4 4 •. I 4 HA , . ee.0 , liti ' . " • , L .._. , , ; 41 P ii 'N` 1 , % • k. ,;., /L... _ ,. ...„„ \,.,...,, . . i 4, , . . -. _ , ... ., , . • prod WARNING: This .0, ' I ciosnataninasddniicctoivtienechNeelco __,. ,4;,.4490roarrm„ ,,,„roweimmikasisar f• VidtiVANDCS : . • , 4 ,-/---1,,4: ,,,e4.--wo-ov 1,7,-; , !, , . i ‘„ ) (0'. 4 , '1,040; :d'4(:# 1. 11"1 ., I 0 1 il 19i 171; '',-/i.gr,,N.11A0C`tit . - t i n,;'i, i 1 1 i , ii' t i;,1 itiftwomisr. '`,‘2,341.local Arigity . :. 'Ik' \, '1 'tko' tt.\ 1 ' iiii.t • 1 klt‘ ti), i , 1\ 1 = = : , 1k CDC DIRECTOR DR . TOM HOW DID Tills FRIEDEN - 2016 "The same advertising tactics the tobacco imppEN ? industry used years ago to get kids addicted C" "' to nicotine are now being used to entice a new generation of young people to use e- cigarettes," THE BASE OF OUR BUSINESS IS THE HIGH SCHOOL STUDENT LORILLARD TOBACCO EXECUTIVE aoe"' Regtp".. �.+o �� /4 111111- a+ht- ♦ a - 3:t1111. ot�d :tto .: �•0 -. • > lq� � e�tlatl�� lOAt+�enet ,. - r a + +,�„�. ....toe j, -' they otth the .., . m1 /'�j 5' a�Nin ofAt `ice Anton&hvatr _ , , . .. 1 ,.� t .,_ .-..: ♦'w, �� �O �GL �YYT :' ttav+;{At�tdYµ, ty1 , ..., cttoS UU� nt, tt yc\'o5mtidd to w ) vi� �..,otnPAaVa°µ cs. _.m- �� __,- �� f� 1a tits rgK'tlht t '',.....,,,,,,, YeAt-I, °To ug 4, 2 ..,.. „., • ......, ___,, ........., ,,,..,,,,,,,„,..:,,,,,..,... ,,..,. ., i ,. .6 1 u£� CALLING iS , ,..,,,,,,„ , .,: . „, . . . a VAeL ADu LTA Qo,�r ciaAR-eTre k iiiirigNir . . 44413 .C.10,:! tjc i°Itt jjork •iin c i Juul Tar eted Schools and Youth Camps, �' �� House Panel on Va in Claims .'' , r sf ' ''''"'� �� ,;/ t aping � .'err ,��# 5046 ,.-- �� � . ..�1 1> , , r,� 44) Stanford �n. �'� MEOiCiNE TOBACCO ,4 REACH Lab CIGS I N A N E - C ! G TOOLKIT WHY THE ' CONCERN ? :,, 1 Pack of Cigarettes 1 JUUL Pod 1 Flum Float 1 Elf Bar _ -22mg of Nicotine = -41.3mg of Nicotine -400mg of Nicotine = -650mg of NicotineIli ) illl ' <' \ 7\\\(.),</„. \ ,,,,,,\;</:,,., \*)..:://11,')/'::///). Iola 1,-- s. 1/\\'..<7/>f<:'/< ,,>,,<'''j,....I'l / ., , ,, ,, , . // , , / , , , , ,,, , ,, _, K „ . \\\ , < , „,, ,., .. , \, rrr „:>-/›„ /›..... .,,, \ ,,,, Mr363 wi590 „ „ ,,,., .) ..., fit. . „ CIGARETTES CIGARETTES CIGARETTES CIGARETTES � �� �� ..;\ \ c, A HEALTH IMPACTS m p BRAIN HEART LUNG MENTAL HEALTH Nicotine harms E-cigarettes the developing Significantly produce 55% more likely to brain, impacting impair the acetaldehyde, suffer from Memory function of the acrolein, and depression or Attention body's blood formaldehyde. anxiety Concentration vessels, These aldehydes Cognition can cause lung Impulse Control disease -. . CHEMICAL COMPOUNDS IN E-CIGARETTE AEROSOL THIS GRAPHIC OFFERS A SUMMARY OF A SELECTION OF HAZARDOUS COMPOUNDS IN E-CIGARETTE AEROSOL&THEIR EFFECTS ' The compounds shown below are all found in e•cigarette aerosol.The mass figures given in pg.take iv.- WM.'S ""�"iinto account both mainstream(inhaled)and stdestream aerosol t pg is equal to 1 millionth of a gram N THE cLoo? ESTIMATED NUMBER OF CHEMICAL Amounts of these compounds vary in different brandsofecigarettes these figures are approximate. :, COMPOUNDS IN E-CIGARETTE AEROSOL • •One nil of 5%nicotine ejuice •Can cause pulmonary edema eryuats 2 µxks of c gurettes Q Additties • ft •$ Increases heart rate X •Irr.tant to skin&ryes '` ( •Increases bleed pressure H3C H •irritant to respiratory tract •Harms teen brain development If I Oil FORMALDEHYDE' 0 •Irritant to skin&eyes 82 •Damage to central nervous I p y trm• de •- H r aant to respiratory tract 41'N''"'` H i isp . C H •Flammable&expiosive •Harms Main development 207.2 •Can rausedamage to DNA ' ` •Cao cause a e Cute'uag injury 'a •May harm reproductive organs Q I iii \ •Damages bone marrow •Known DNA mut:gee •Lowers red blood cell count H •Irritant to skm&nose CADMIUM TOLUENE NUMBER OF THESE COMPOUNDS WITH 48 •Irritant toskn&eyes ,.1 •Damages lungs&kidneys CH3 • •Can cause f rn&e to liver CONFIRMED CARCINOGENIC ACTIVITY Cd :May barns reproducbyeorgans •AndMuc any:ety&insomnia Cadmium .weAens b nos 112.414 •Irritant to respiratory tract -ir,,• t i i. ^:.r 1vI,.ntsgcrvt202212Jleaturee34feature-e-cigasettes-an)trztic-metals https:AJwbs.acs^argtiotlf V10.1021tacs.est.6b01741 /ti en..rrii t os:,l-tewscertterIt4.gaw2016(07127te cipxettes-emi harmful-chentitals emit-olheesl l ` „AWAPI Safety Information-Flavoral X -I- C O flavorah.com/resources-information/safety/ u TO * * fl ® Flavored Tobacco... Q Edit Page Flavor... ID Asian American,N... 0 (2)Yes on Prop E... M Inbox(8)-Scott*... CI Location-Tobacco... Q Taking Down Toba... m Youth Risk Behavi... WARNING:This product may contain compounds that may be hazardous to your health.There is no FDA approved flavoring for inhalation. We do not add Diacetyl or Acetyl Propionyl(a/k/a 2,3-pentanedione)to any of our products,but diacetyl and/or acetyl propionyl may naturally occur in the flavor extraction process in some of our products.Acetoin is used in the compounding of some of our products. The inhalation of flavoring may expose you to hazardous chemicals,toxins,and nanoparticles,including diacetyl,acetyl propionyl and/or acetoin,which have been associated with permanent lung injury and disease,including bronchiolitis obliterans,a disease characterized by inflammation and scarring of the small airways of the lungs,which leads to severe and disabling shortness of breath.Exposure to the aerosol can trigger,aggravate,and exacerbate various adverse health effects including but not limited to cancer,carcinoma,addiction,birth defects,heart disease,arteriosclerosis,liver and kidney disease,abnormal conditions,disorders,symptoms,and illness of the human body. STATE OF CALIFORNIA WARNING:This product may contain chemicals known to the State of California to cause cancer and birth defects or other reproductive harm. ACETOIN,ACETYL PROPIONYL&DIACETYL (updated 4/12/2077) We do not add Diacetyl or Acetyl Propionyl(also known as 2,3-pentanedione)to our flavors.However,there is naturally occurring diacetyl in some of our products based upon the natural chemistry and flavor extraction process.Acetoin is used in compounding some of our flavors. Inhalation of diacetyl,acetyl propionyl and/or acetoin has been linked to damage to the respiratory tract and lungs,including the lung disease bronchiolitis obliterans.Exposure could result in irritation and damage to the eyes,skin,nose,throat and respiratory tract,and could cause permane ,, ks.),,,t,. , _ , , .4. AP 0 .7r '� � The inhalation of flavoring may expose you to hazardous chemicals, '` toxins, and nanoparticles, including diacety0, acetyl prropionyl and/orr acetoin, which have been associated with permanent lung injury and v , i j disease, including bronchiolitis obliterans, a disease characterized by inflammation and scarring of the small airways of the lungs, which leads "` 1 to severe and disabling shortness of breath. Exposure to the aerosol can trigger, aggravate, and exacerbate various adverse health effects A, including but not limited to cancer, carcinoma, addiction, birth defects, heart disease, arteriosclerosis, liver and kidney disease, abnormal conditions, disorders, symptoms, and illness of the human body. .„,o, YE ON snIT'S NOT JUST E_CIGARETTES — S 2 wr"99, .a.:ti. ... '>.3w w a" m. \* im Newport cRysN R � own csaus.tlurn eirws sg 3t and tooth 1o�lfl4_ ;s9 ao,.ow - , e b �� MA P¢1"� `^. 3 i4 y .� ' ifs-F�=, CIGARETTES i _ .af ib 1 N E " s t 1 L 1. 6t7 ry (,.(�[)�J� ,,wi SALEM IGP Kam' 0 Cr„ox wARNlNG:Cigars M�g1 t 1i f1 pp(n1 natveto tK M1 riborn ernative to arettes. SMALL SMOKELESS MENTHOL CIGARS TOBACCO CIGARETTES ww,s THE pROBLEN WITH MENTHOL ? HEALTH DISPARITY IN E-LIQhJID 78% of Native Hawaiian/Pacific Islanders Menthol flavor significantly increases cell smokers, smoke menthol cigarettes damage, even without nicotine YOUTH IN EL/QUID Over half (54 percent) of youth smokers ages Exposed to up to 1,600 times as much 12-17 use menthol cigarettes, pulegone as smokers of menthol cigarettes. PART Of THE SOLUTION, ENDING THE SALE Of FLAVORED TOBACCO IN HAWAII -�., .. VOTER SUPPORT 76% of Hawaii registered voters support a ban on flavored tobacco products that includes menthol DECRIMINALIZE PUP LAWS - STOP THE DON ' T WORK CHOOL TO YOUTH TOBACCO RISON USE Youth need help with Use some of the tax their addiction, not revenues to support punishment for youth cessation falling victim to programs predatory practices I t S ØYONDr0vce j, ALL �f = H o oREMOVE V FL QS0 IN ALL • PtIDS rrDUCti � FOR ALL EOPE mop HAWAI 'I www. flavorshookkidshLor . M SOURCES • Youth projected to die prematurely: The Health Consequences of Smoking: 50 Years of Progress. A Report of the Surgeon General, 2014. • NSC, Analysis of unintentional, preventable injury https://www.nsc.org/in-the-newsroom/nsc-statement- on-new-cdc-data-showing-a-rise-in-accidental-death • CDC , National Youth Tobacco Survey • Hawaii Youth Risk Behavior Survey • https://www.acc.org/about-acc/press-releases/2019/03/07/10/03/ecigarettes-linked-to-heart-attacks coronary-artery-disease-and-depression • https://www.lung.org/stop-smoking/smoking-facts/impact-of-e-cigarettes-on-lung.html • Villanti. A., et al., "Changes in the prevalence and correlates of menthol cigarette use in the USA, 2004- 2014," Tobacco Control, published online October 20, 2016 • https://med.stanford.edu/news/all-news/2019/05/e-cigarette-use-and-flavorings-may-increase-heart- disease-risk.html • https://www.nih.gov/news-events/news-releases/nih-funded-studies-show-damaging-effects-vaping- smoki ng-blood-vessels • https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2751245 • by Ward Research 2022 �'.,,at , ,. A‘'',.* l� r SS P�i ... Via;: lY a AiVii .._,..,__...,,...,,.......„_ tip , . .4.. .. ,,, .„,„.....,... di, ----- ,.., _ ,_-,_---,,,/, , ''''' ::;l':1/-,.'F':,,,,,,‘, /, ' 1. Our -""-L:''''.-.':';':"...,.74-1'\:.':.-,,,:,•,,,:il.0 ' : e s• - a er is Dr Br an Mih, MPH, FAAP ` " ' ,A _-._- • + „>.< �+, �. f • w g Y `l S 5y1 � d �. �I,, `4p N / , `1}Git N1, ABM ' '! jy' »f � s Y'�` Health Impacts of Electronic Smoking Devices !el a 0, - ,-,-, ,,,,„,,. 4 kw. IlliP IN --vi 0 ,/ A, Negative Health Nicotine on the Mental Health Oral Health Impact Brain tj' A•i' a R,. - •..x? .. `""t .'sK `-'.t, Wt Z.. 2§^ s;b. r .. �` 3. l +tea.. !,T$1.f ix «, ,;air. , ' .,_, ...,..._ f mahal T _. ,:„.::„....., .. rf , , t;n1 .. . � ne Beaker is Kealoha Madriaga, - St - � y "! � COS"t HEAL Coalition Coordinator ` -•-:.:74v"..'''''..„..:::'''' r . k .•-•,te. • ., iii(-: • ..„.... (/ r� 10—: .... 3. i . t Introduction and Public Health Impact: HIPHI Presenter: Kealoha Madriaga, West Hawaii Tobacco and HEAL Coalition Coordinator ki AWA I `I COUNTY .43-Plat,' . I; it ©T' �u°1 VOTERS WANT HAWAII ,( STATISTICS AROUND FLAVORS *k`;,;, - -€* 00 ° 1 #.*** NUMBERS OR DATA 40.44. il = Alt- - Restr+cted RESTRICTING ACCESS ,' " CREATES A HEALTHY COMMUNITY Access DECREASES USE - ' ," , Hawaii Island has the HIGHEST youth rate in the state. 39.7% /10 35.4% 36.6% HAWAI`I COUNTY DP 29.7% 30 Q. (} 2 I, t 10 l 0 • ' HAWAII ' I COUNTY DATA , ,. Hawaii County's Young People Are Using IR 4.,4. Grade 6 5.8% Grade 7 7.6% Grade 8 12.7% Overall 9.3% 0 1 2 3 4 5 6 7 8 9 percent "IT TASTES LIKE COT1uNCAND11' 47-04,,,f,r, , , , 11 -'1';:t;'1'.:,, V,:: IT ;,..ti,Tiqz, i': l'r-,..-: '''',-.1.:,' ...iT..4,7" 7.,! i, -: 1.,, ,...„-4.-- ...-. , : . ,-. ,..„:,;;-„,,,;:,..: ; ,,,, ,,,.;,;,,,, , i,„, 2; ,;;-,; ,,,,,.., ,.., .;:, : ,.., ,,,,.: ,:..., 4.,,,,,,.,,,,, i.„. „1, " ,,,.47)1 ,,, „:,,,„:c. Impact of flavored tobacco products t At. "- get, ir-- 4/IL 4ea Of youth who ever used a tobacco product I, 81% started with flavored tobacco \ i -1- 11'&, ,. 97% Of youth use they a flavored product . , , .., t,,,,,,,,,::,,..,4',:.1::'4*i.N.-;:.4.4.A.;:,..c4i.;:tic;‘,4,,,,*';: -., -(tr.t': '''''''''—'''''""' ''' ' "" ' " 14::":'''''''.::...,;:i.-,;;XN't,;iiii-:&':,,'.• ,i;/'' ' ',.. '1,; ,..*Ii%, , ,,\ \ • N -4,1.1=k4c.1-e,=,• ,, ... . , . , . . ,. -.‘- i . . .. . ...,. ._, . 4 a a ot.., _,...,. ... ..,.. . . .........k.. . 4.;. ,.._. ,.. i ., ., _ ..,. .. r . . n - ---- ' - - I -Y-51 --- ' . ,.. • 44,VtA.! sf H • waiii ,---- nty CTFH . .irk_......, ._ ... ._,... . . , . „ , _.. , . . .. .., . -11%.14.1itiatititiP4-414400;W:11W' "" ,L. . ,, ‘ . . , . _,is.zo, ''-&,0='''f'I, 141.11‘,.4.1.,4V,I.N,,:lt •4194.4,,','Als-...'Z,-)". ..,' .. *lisiV4117,511Ve041.47,04140, , - • _ . ... ., ... I . .,,. .„ ,-, 7• . '14:i A, ;1',..'„i':mil,,24i,,,, ,._. ".„.1,,,,,*".. ''‘ -.-71:::1400101*,ti'-'4 ':* '''' . , 4" ' ,1S, , . "' - 4'' 'Inkik,, _ 'v,,,,4..t,,h 4';,'11! it \e. ' ','. ' .., • ''' • ' V. ''. ,.., -„,...i... , .., ... , it . . .,,-", — , ,,,.. ,,, ... ' ' ...,,,,,,,Vt.4i`, \* '"'',/'• 1. , , . , -.:,. i-: --;,--x•-• , ,.- . ,,,...iot , , ' 14 ' ,„, ,,„, ,,IVO' ,,„.4.,,,,,,i1/4, $ a w Member of Coalition for a Tobacco-Free Hawai'i(CTFH) Presenter: Kai Carvalho, Chair of Hawaii County CTFH / ' Gov. Green signed SB 975 into law ���,�. )` d y� 1 nJ � t c '�. C !14 ...,.... . wen n o of ec on u y 1.13y .`� %fi . ydYo /i d 1 P-• r 1 x • �' , 1 �" . a' f r164 ?; t = .-.^mow_ � '�'_. Z ! ti •3.-i. . _ . - l 't-+M•i a ,y -:d','d i "� e d;, y, ' .p' nv'�� -n..p;4. yH � , r;�i vim1- %.i trP.± '>Ea,,-'^`Z ` ,. r.''' '` � ,s, -,, t ,,,, ' 'at +c i - ,." - rg `� r , €:- ;" 4' i • ,, ahaIo ,, , , , ur next speaker is Tiffany Edwards-Hunt, ' '" eaau Middle School Teac i , fit;- 1 { r'� 7 ' § F r' ai '- \ i {> i � t kA , .. . .. ..., ' '• .-1,--'..-: ..:,_ I ,•.•.' ..: . .. ,.. , . , . . ... -.-,:• 7,, :: 1 i' ,,,,,:-. .. ,-.. .'. •,•,,%,;i.... '••,'!. .,,,,:.)1_,,,, ,,, ','.',• , /I „:,/, ,i/.., , • .: iT - . -,44.:!::':','• -'-' ',: •40e ', ' • .''''' 11''''::.' i „„-- i'..',.:1;.::, .,,ii-:: :-:,--• --,--<'-• k, '' -'''';'-';'' - '- fr''.., ,,', ‘- .. 71: . - .,,,,'., ' "1:1,:., 2.'.: ,.(,,, ,,,,'', ,, , n i kn."' ,.. . . , I •—•:1':— .. ... .. . i . ... •,6:4. .v1 i • ,---:•- I ' ' --..- '... .,,-... ?. ,.• 4 V' ''' ...,4", V 41441/4. 411, 141P° -' P '''' - r 1 t,'-_,---',,, ' ..,.,. .'' , .........._.:-: .... .. - -..... , ko--.1 ,-, a,.. ' - 17 ij 4.:- ' ' ' •41* ..,.,, ., .. \ 4r ,-,.,•.HAWAI ' l COUNTY „ . 1.w. ;- ' .t;., - t....:'... ., School Impacts of Electronic Smoking Devices . ...... i *-- Presenter: Tiffany Edwards-Hunt, Keaau Middle School Teacher i. ilifitaitit — Mahalo !• Jay thara I Kea oha Madriaga East Hawaii Tobacco-Free West Hawaii Tobacco& HEAL Coalition Coordinator Coalition Coordinator kealoha(@hiphi.org kealoha@hiphi.org (808) 591-6508 (808) 591-6508 ext. 15 . , VONLVMP.grirl. ., r rOkViNdrigAM, t...,,,,c Peggy Mierwza .„„.... , 1,10,..4,,,,,,, ...,. , , 1,4,..4,...,, Policy & Advocacy Director „ ,,L„.1,..,,,w.„......„,,,.. '..k ,....,..4,.,..... peggy©hiphi.org Hawaii Public Health I tP. _ (808) 591-6508 ext 6 ".. : OAHU ,,.. , MAUI. ot.tr .,,,:,, ,:::,,,".:,`,:,`",,,H-,,:,,`,';.";: '''''':''',3X,','''''' N''''.:XA'i,,,4iiltiki"•'., 0,4,4),^L„.- 707 Richards StrP(.‘t. S LI i te 300fittil t,„1: 244 Papa place, Suite 101 Honolulu, HI 9681::., „*0.1.,....,4,440, Kahului, HI 96732 ilk HAWAII COALITION (808) 591-6508 -.NA:,A,...t -i„.„-. ...k,..f„,,...., (808) 591-6508 u PUBLIC (4,,,,,f HEALTH iNsmuTE • HAWAI I ''..il.;*•,,,, r 74:Litig',::