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IK <br />CancerAction <br />March 9, 2020Network^ <br />The Honorable Diane Howard P my <br />Members of the Redwood City City Council <br />1017 Middlefield Rd <br />Redwood City, CA 94063 <br />Dear Mayor Howard and Members of the Redwood City City Council: <br />We are deeply concerned about the epidemic of teenage e -cigarette use fueled by the availability of <br />flavored tobacco products. By moving this issue forward through tonight's study session, you have made <br />it clear that you are concerned, too. The consensus of the public health community is that it is flavors <br />that are driving the epidemic of e -cigarette use among teenagers and the best way to address that <br />epidemic is to remove flavors from retail tobacco sellers. <br />We are writing today to urge you to address this issue of youth tobacco use through a comprehensive <br />tobacco control policy that would prohibit the sale of all flavored tobacco products, including menthol <br />cigarettes, flavored hookah and little cigars from all stores in Redwood City with no exemptions. This <br />provision functions best under the umbrella of a tobacco retailer license as a self-sustaining mechanism <br />of enforcement, and we applaud your foresight to already have this in place in your city. Comprehensive <br />tobacco control policies are a proven strategy to help reduce youth access to tobacco products, which <br />can help protect kids from a lifetime addiction to a deadly product. <br />Provisions that would lead to an ineffective ordinance would include: <br />• Banning all e -cigarettes, while leaving other flavored tobacco products on the shelves <br />• Exemptions for some types of flavored tobacco products like menthol cigarettes <br />• Exemptions for adult only stores <br />• Flavor restrictions without a tobacco retailer license <br />• Criminalization of possession of tobacco products for those under 21 years of age. <br />The epidemic of e -cigarette use is alarming, but e -cigarettes are not the only flavored product being <br />used by youth. Flavors are driving the epidemic of teenage e -cigarette use. Prohibiting the sale of some <br />types of flavored tobacco products while leaving menthol cigarettes or other flavored products available <br />in your community means that flavored products will still find their way into the hands of youth. The <br />long-term health consequences of e -cigarette use are just now emerging. However, the health impacts <br />of other forms of tobacco have long been known, and policies that could push young people from one <br />tobacco product to another should be avoided. We encourage you to prioritize the strongest possible <br />ordinance—one that ends the sale of all flavored tobacco products --to help protect all youth in your <br />jurisdiction. <br />The CDC reports that 70% of students who use tobacco use a flavored product, and 2 of 5 high school <br />students are using more than one type of tobacco product. Prohibiting the sale of some types of <br />flavored tobacco products while leaving menthol cigarettes or other flavored products available in your <br />community means that flavored products will still find their way into the hands of youth. The long-term <br />health consequences of e -cigarette use are just now emerging while the health impacts of other forms <br />of tobacco have long been known. Policies that could push young people from one tobacco product to <br />