Tobacco- April 18, 2014


Wall of Tobacco Products at Gas Station

Wall of Tobacco Products at Gas Station

Point-of-Sale Strategies: A Tobacco Control Guide
The Center for Public Health Systems Science at Washington University in St. Louis, in partnership with the Tobacco Control Legal Consortium, a program of the Public Health Law Center in St. Paul, Minnesota, is excited to announce the release of our Point-of-Sale Strategies Tobacco Control Guide. The guide content is based on current research and interviews with local, state, and national point-of-sale experts. The 52-page guide provides practical guidance on selecting and implementing strategies to limit the sale, display, and advertising of tobacco products in the retail environment.

The Point-of-Sale Strategies Tobacco Control Guide covers six broad point-of-sale approaches, including:

  1. Reducing (or restricting) the number, location, density, and types of tobacco retail outlets;
  2. Increasing the cost of tobacco products through non-tax approaches;
  3. Implementing prevention and cessation messaging;
  4. Restricting point-of-sale advertising;
  5. Restricting product placement; and
  6. Other point-of-sale strategies (e.g., restricting the sale of flavored non-cigarette tobacco products).

This guide can help you:

  • Understand the mechanisms and legal considerations for point-of-sale strategies;
  • Select and implement point-of-sale strategies based on their legal feasibility;
  • Learn from case studies of other practitioners’ successes;
  • Provide information to stakeholders to gain support for point-of-sale efforts; and
  • Identify the best tobacco control resources and tools on point-of-sale strategies.

Reports and Articles
E-cig truck E-Cig Marketing Budgets Growing by More than 100% Year over Year
The second coming of tobacco marketing is pouring millions into adland, a new report confirmed.
Last year, the largest e-cigarette makers spent nearly $60 million combined on advertising and promotion, with marketing budgets at some e-cig companies growing by more than 100% year over year,according to the report, released Monday by Sen. Dick Durbin, the Democrat from Illinois.
Lawmakers are concerned that e-cigarette companies’ marketing strategies are targeting young people, a tactic from Big Tobacco’s old playbook that anti-smoking advocates spent years trying to stop. The report from Sen. Durbin, who was joined by a consortium of other Democratic members of Congress, urges the Food and Drug Administration to “promptly” issue regulations around the booming e-cig industry. It also calls upon the e-cig makers to refrain from certain kinds of marketing, including radio and TV ads.

Reynolds American touts e-cig safety features in wake of CDC warning
Winston-Salem Journal: April 4, 2014
A federal report on the potential safety risks of electronic cigarettes has drawn a response from Reynolds American Inc. that claims its Vuse product is designed to “minimize chances for accidental exposure.”
The federal Centers for Disease Control and Prevention released a report Thursday that found a higher level of poisoning events related to the liquid used in electronic cigarettes, particularly for those age 5 and under.
E-cigarettes are battery-powered devices that heat a liquid nicotine solution in a disposable cartridge and create a vapor that is inhaled.
The industry, advocacy groups and consumers have been waiting since 2009 for the Food and Drug Administration to decide how it will regulate e-cigs for product safety, minimum legal age for use, flavors, marketing and retail availability.
Reynolds placed on its website information about Vuse’s safety features, including that it contains a “keep out of the reach of children” warning. The Vuse e-cigs are designed and assembled domestically, with the liquid made in Winston-Salem. The company said it plans to begin national distribution of Vuse later this year.
The CDC reported 2,405 e-cig exposure calls from September 2010 through February 2014, including 215 in February 2014. About 51 percent of the e-cig exposure calls were related to individuals age 5 and under, while another 42 percent were to those over age 20.
Exposure risks came primarily from the nicotine liquid and/or the e-cig device, and included ingestion, inhalation, eyes and skin. The most common adverse health effects in e-cig exposure calls were vomiting, nausea and eye irritation.

An Opinion Piece: CVS pharmacies will stop sales of all tobacco products and Walgreens won’t:
 New York Times: April 10, 2014
I DON’T smoke, but if during the day I wanted to buy cigarettes, I could walk into the CVS pharmacy across the street from my office, or the Walgreens two blocks away, and get them. They’re kept right behind the cash register.
But beginning this fall, that is going to change. CVS pharmacies will stop sales of all tobacco products. Walgreens, well, won’t.
So, here’s a quiz. Which chain do you think is more heavily celebrated on the website of the American Cancer Society? Well, it’s not CVS. Instead,testimonials and profiles hailing Walgreens abound. There is a glowing profileof the Walgreens chief executive that focuses on his tireless efforts to promote healthy living in his workplace and stores. There is no mention of the tobacco sales at the front of those stores.
The Cancer Society is the brass ring of advocacy partnerships. It ranks in the Top 10 of Forbes magazine’s largest United States charities in the donations it receives, and is the largest cancer charity. Its reputation as a vanguard of tobacco control efforts makes its support of Walgreens particularly sanitizing. The society was, for instance, one of the first organizations to decide that people who applied for research grants could not have any ties to the tobacco industry.

ecigsign e-Cig Signs.
The Hawaii Department of Health has a sign available on its website that says, “No Smoking, Including E-cigarettes and All Other Electronic Smoking Devices.”

Smoking Motives, Quitting Motives, and Opinions About Smoking Cessation Support Among Expectant or New Fathers.
Journal of Addictions Nursing: July 2013
The perinatal period may be an opportune time for a motivationally based proactive smoking cessation intervention among male smokers.

FDA’s “Real Cost” Campaign – Free Print Materials Available for Stakeholders
Orders can be placed online for prints of stakeholder posters and postcards. Stakeholders can use these materials to promote awareness of “The Real Cost” campaign. For example, healthcare practitioners can make these materials available in waiting rooms and clinics frequented by teens.

CVS Goes Cold Turkey; May Pressure Rivals, or Not
The New York Times: April, 9 2014
It has long been gospel among retailers that tobacco pulls so much business into stores, with smokers also picking up water, gum or a bag of chips, that dumping it would be a sales killer.
However, with pressure from anti-smoking forces growing, tobacco use waning and now a national drugstore chain jettisoning cigarettes for good, is this calculus starting to crack?
It’s probably too early to say, but major retailers will be paying close attention to the sales numbers after CVS Caremark pulls tobacco from its shelves by October. If the old retail rules governing tobacco have not changed outright, they are at least coming up for review.

FDA Sees Rising Number of Cases of Injuries Linked to E-cigarettes
The rising use of e-cigarettes has been accompanied by a rising number of injury complaints linked to e-cigarettes, including burns, nicotine toxicity, respiratory problems and cardiovascular problems, according to new data. From March 2013 to March 2014 there were more than 50 such complaints filed with the U.S. Food and Drug Administration (FDA), roughly the total reported over the previous five years. The findings come as the FDA prepares to regulate e-cigarettes and other “vaping” devices for the first time.

Decreased Smoking Disparities Among Vietnamese and Cambodian Communities — Racial and Ethnic Approaches to Community Health (REACH) Project, 2002–2006
Morbidity and Mortality Weekly Report (MMWR): April 18, 2014
Since 1964, smoking prevalence in the United States has declined because of nationwide intervention efforts. However, smoking interventions have not been implemented uniformly throughout all communities. Some of the highest smoking rates in the United States have been reported among Southeast Asian men, and socioeconomic status has been strongly associated with smoking. To compare the effect in reducing racial and ethnic disparities between men in Southeast Asian (Vietnamese and Cambodian) communities and men residing in the same states, CDC analyzed 2002–2006 data from The Racial and Ethnic Approaches to Community Health (REACH) project. The prevalence of current smoking significantly decreased and the quit ratio (percentage of ever smokers who have quit) significantly increased in REACH Vietnamese and Cambodian communities, but changes were minimal among all men in California or all men in Massachusetts (where these communities were located). The smoking rate also declined significantly, and the quit ratio showed an upward trend in U.S. men overall; however, the changes were significantly greater in REACH communities than in the nation. Stratified analyses showed decreasing trends of smoking and increasing trends of quit ratio in persons of both high and low education levels in Vietnamese REACH communities. The relative disparities in the prevalence of smoking and in the quit ratio decreased or were eliminated between less educated Vietnamese and less educated California men and between Cambodian and Massachusetts men regardless of education level.

Early Data in E-Cigarette Study May Raise Safety Concerns
The New York Times: April 15, 2014
A laboratory study presented early this year reported that the nicotine-laced vapor generated by an electronic cigarette promoted the development of cancer in certain types of human cells much in the same way that tobacco smoke does.
Researchers involved in the little-noticed study emphasized that their findings were preliminary and that the study did not involve people but specially treated human lung cells. Many researchers have expressed the belief that e-cigarettes pose a far lower cancer risk than conventional cigarettes because they do not burn tobacco, a major source of carcinogens.
However, the findings, which were presented in January at a meeting of lung cancer researchers, may attract the interest of federal officials who are considering how to regulate e-cigarettes. In a report to investors sent Tuesday, David J. Adelman, an industry analyst at Morgan Stanley, said the report, while preliminary, could “result in legitimate questions from public health officials.”

Congressional Report Presses for e-Cigarette Rules
The New York Times: April 14, 2015
Concerns about electronic cigarettes, including flavors and marketing that could appeal to young people, underscore the need to regulate the fast-growing industry, according to a Congressional report released Monday.
The report written by the staff of Illinois Sen. Dick Durbin, Iowa Sen. Tom Harkin, California Rep. Henry Waxman and others highlights several issues including the lack of age restrictions and no uniform warning labels for the battery-powered devices that heat a liquid nicotine solution and create vapor that’s inhaled.
While the Food and Drug Administration plans to set marketing and product regulations for electronic cigarettes in the near future, for now, almost anything goes. 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.

E-Cigarettes Are Targeted at Youths, Report Says
The New York Times: April 14, 2014
An investigation by Democratic members of Congress into the marketing practices of electronic cigarette companies has found that major producers are targeting young people by giving away free samples at music and sporting events and running radio and television advertisements during youth-oriented programs.
The inquiry, led by Senator Richard J. Durbin, Democrat of Illinois, and Representative Henry A. Waxman, Democrat of California, was conducted as the Food and Drug Administration prepared a major package of tobacco control rules that would place e-cigarettes under federal regulation for the first time.
The new rules have been slow to appear, and lawmakers said they hoped their report, which came out Monday, might help speed their release.
“It’s time for the F.D.A. to step up and regulate these products,” Senator Durbin said during a conference call with reporters. “We’ve got to put an end to the marketing of these products to kids.”

Mizuno Campaign Asks What Makes Sammy — and Everybody Else — Run
The New York Times: April 14, 2014
A running shoe firm is seeking to attract new customers and encourage current ones with a campaign that promotes the positive changes that could occur if only more people were to put one foot in front of the other.
The campaign, now underway, is for the Mizuno line of running shoes sold by the Mizuno USA division of the Mizuno Corporation, the Japanese maker of sporting goods and sportswear. The campaign, by the McKinney advertising agency in Durham, N.C., delivers its theme in the form of a question, as if it were part of a game of “Jeopardy”: “What if everybody ran?”

Letter to the Editor regarding smoking on Miami’s beaches
Washington Post
I must take exception to Michael W. Shue’s Free for All letter [“Stub out Travel’s opinion pieces,” April 5] about including in the Travel section the opinion of a writer dismayed by smoking on Miami’s beaches. As someone with a lung disease, I most certainly do not want to be assaulted by cigarette smoke. Ocean air truly is — or should be — a breath of fresh air.

Letter to the Editor regarding how e-cigarettes helped the contributor quit smoking
Washington Post
I smoked off and on for more than 60 years. Nothing — not patches, not gum — helped beat my desire to smoke until the electronic cigarette came along. I have not smoked conventional cigarettes for two years.

Chicago Sets Example for the Nation by Reducing High School Smoking to Record Low
Chicago has set an example for other cities and the nation as a whole by reducing its high smoking rate to a record low of just 10.7 percent in 2013, representing a decline of over 20 percent since 2011 and nearly 60 percent since 2001. Chicago’s high school smoking rate is well below the national rate, which was 18.1 percent in 2011 (data are from the CDC’s Youth Risk Behavior Survey. New national data for 2013 are expected to be released later this year).

Social influence is particularly difficult to measure.
But researchers in New Zealand have come up with one potential method on the cigarette front: mapping smoking visibility on local city streets. The result is a fascinating cross-pollination of geospatial data and public health: WashingtonPost


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