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WHAT CAN STATE AND LOCAL GOVERNMENTS DO? <br />California, Hawaii, New Jersey, Maine, Oregon and Massachusetts have <br />raised the age to 21. Edina, Saint Louis Park, Bloomington, Plymouth, <br />North Mankato, Falcon Heights, Shoreview, Minneapolis, Saint Peter, <br />Richfield, Roseville, Minnetonka, Excelsior, Lauderdale, Brooklyn Center, <br />Hermantown, Mendota Heights, Eden Prairie, Otter Tail, Pope and Beltrami <br />Counties, Waseca and Duluth have raised the age in Minnesota. Needham, <br />Mass., raised the legal tobacco sales age to 21 in 2005. Within five years, <br />tobacco use among high school students decreased by nearly half.11 <br />IS YOUTH TOBACCO USE STILL A PROBLEM? <br />The percent of students who smoke cigarettes is declining, but the 2016 <br />Minnesota Student Survey found that 9th and 11th graders in Minnesota are <br />now using e-cigarettes at twice the rate of regular cigarettes.10 Increasing <br />the sale age to 21 would reduce youth access to all harmful tobacco <br />products, including e-cigarettes, cigars and hookah. <br />The Association for Nonsmokers-Minnesota is dedicated to reducing the human and economic costs of tobacco use in Minnesota. <br />2395 University Avenue W, Suite 310, St. Paul, MN 55114 | 651-646-3005 | www.ansrmn.org <br />SOURCES <br />"Raising the legal <br />minimum age for <br />cigarette purchaser <br />to 21 could gut our <br />young adult market <br />where we sell about <br />25 billion cigarettes <br />and enjoy a <br />70 percent market <br />share." <br />Philip Morris <br />report, 1986 <br />California, Hawaii, New <br />Jersey, Maine, Oregon <br />and Massachusetts raised <br />the minimum legal sale age <br />for tobacco products to 21 <br />since 2016. <br />More than 350 localities <br />in the United States <br />have raised the minimum <br />legal sale age for tobacco <br />products to 21. <br />Some organizations who support raising <br />tobacco sale age to 21 include: <br />• American Cancer Society Cancer <br />Action Network <br />• American Heart Association <br />• American Lung Association <br />• ClearWay MinnesotaSM <br />• Minnesota Academy of Family <br />Physicians <br />• Service Employees International <br />Union Minnesota State Council <br />1 U.S. Department of Health and Human Services. Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General. U.S. Department of Health <br />and Human Services, Centers for Disease Control and Prevention, National 2 Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. <br />2012. <br />2 Institute of Medicine. Public Health Implications of Raising the Minimum Age of Legal Access to Tobacco Products. National Academy Press. 2015. <br />3 Boyle, R., Kingsbury, J. & Parks, M. Raising the Minimum Legal Sales Age for Tobacco to 21. Minnesota Medicine. 2017. <br />4 U.S. Department of Health and Human Services. The Health Consequences of Smoking: 50 Years of Progress. A Report of the Surgeon General. U.S. Department of <br />Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and <br />Health. 2014. <br />5 Goriounova, N., Mansvelder, H. Nicotine exposure during adolescence alters the rules for prefrontal cortical synaptic plasticity during adulthood. Frontiers in synaptic <br />neuroscience. 2012. <br />6 Nelson, D. et al. Long-term trends in adolescent and young adult smoking in the United States: metapatterns and implications. Am J Public Health. 2008. <br />7 Abreu-Villaca, Y et al. Short-term adolescent nicotine exposure has immediate and persistent effects on cholinergic systems: critical periods, patterns of exposure, dose <br />thresholds. Neuropsychopharmacology. 2003. <br />8 Slikker W Jr. et al. Mode of action: disruption of brain cell replication, second messenger, and neurotransmitter systems during development leading to cognitive <br />dysfunction—developmental neurotoxicity of nicotine. Crit Rev Toxicol. 2005. <br />9 King BA et al. Attitudes Toward Raising the Minimum Age of Sale for Tobacco Among U.S. Adults. Am J Prev Med. 2015. <br />10 Minnesota Student Survey Data. Minnesota Department of Health. 2016; http://education.state.mn.us/MDE/dse/health/mss/. Accessed November 22, 2016. <br />11 Kessed Schneider S et al. Community reductions in youth smoking after raising the minimum tobacco sales age to 21. Tob Control. 2015. <br />(February 2019) <br />Key: <br />Statewide law <br />Number of <br />cities within the <br />state that have <br />passed age 21 <br />policies