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9 <br />the number of current cigar smokers within each <br />cohort of 18 year old adults by approximately <br />112,000.40 Their model did not take into account <br />mortality rates among dual users suggesting the <br />benefits might be underreported. <br /> <br />BUSINESS AND LABOR MARKET <br />IMPACT <br /> <br />Policymakers have an interest in understanding <br />the fiscal and labor market impacts of <br />regulations on flavored tobacco products. Here <br />we provide economic arguments examining the <br />extent to which banning or restricting tobacco <br />flavors may impact tobacco retailer sales and <br />downstream effects on businesses and <br />employment. <br /> <br />When compliance is high, a comprehensive <br />flavor ban or restriction without exemptions is <br />likely to significantly affect sales of flavored <br />tobacco products. As previously mentioned, in <br />New York City after a flavor restriction was <br />implemented,†† sales on all flavored tobacco <br />products declined by 87%.26 A concern for <br />policymakers is whether a decline of such a <br />magnitude would affect businesses and the labor <br />market in a significant way. Economic research <br />indicates that the impact of a ban on flavored <br />tobacco products would be relatively narrow, for <br />three reasons: 1. Most retailers selling flavored <br />tobacco products do not rely on these products <br />as their only or primary source of their revenue, <br />2. Consumers are likely to spend money <br />originally intended for a banned tobacco product <br />on other purchases, including tobacco products <br />and other goods and services, and 3. Labor and <br />other resources not used in the supply and sale <br />of a banned product tend to be redirected to <br />other uses.41 <br /> <br />An enduring feature of the tobacco retailer <br />environment is that the majority of tobacco <br />sellers do not specialize in the sale of tobacco <br /> <br />†† Again, e-cigarettes were not included in New York City’s flavor restriction and therefore not included in the data. <br />products. In 2012, convenience stores (including <br />those linked to gas stations), supermarkets and <br />pharmacies accounted for 80% of locations <br />where tobacco is sold.42 At the retailer level, <br />regulations that affect particular classes of <br />products result in changes in the composition of <br />what is sold. For example, when retailers in <br />Boston, MA were asked what was done with <br />shelf-space after their policy was implemented, <br />over 70% indicated they replaced the flavored <br />products with non-flavored tobacco products, <br />13% with non-tobacco products, 7% with no <br />additional products, and the remaining retailers <br />cited something else or that they did not know.43 <br />These data suggest the vast majority of tobacco <br />retailers can adapt and thereby significantly <br />mitigate risk of business closures and reduced <br />employment. <br /> <br />The e-cigarette retail sector is relatively new, <br />with low barriers to entry – by some estimates, <br />setting up a vape shop can involve an investment <br />of as little as $25,000.44 Business expansion and <br />closure are also common phenomena in the <br />retail sector. In Maryland, for example, of the <br />117 businesses with the word “vape” in their <br />business name in January 2020, 58 were active, <br />while the rest were not. In fact, the inactive <br />businesses were typically forfeited (43 of 117 <br />businesses) or dissolved, suggesting that vape <br />shops close or consolidate as a matter of <br />course.45 <br /> <br />It is plausible that adult-only vape shops will be <br />significantly more impacted by a flavor ban or <br />restriction given the breadth of flavored e-liquids <br />each sells and the amount of shelf-space that will <br />need to be replaced. With the data currently <br />available, it is challenging to predict the exact <br />impact a ban or restriction may have on vape <br />shop closures and employment. Nevertheless, <br />we modeled varying degrees of impact such a <br />policy may have on vape shop closures and <br />employment in Maryland. As of January 2020, <br />there were 124 verified and 284 unverified e- <br />cigarette retailers in the state, and 90 percent of