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• The federal government (FDA) has proposed rules
<br />that would remove flavored combustible tobacco
<br />products, including menthol cigarettes and flavored
<br />cigars, from the marketplace. That proposed rule is
<br />not finalized and would likely face years of delays
<br />from the industry. Minnesota should act now to
<br />improve health.22
<br />ENDING THE SALE OF ALL FLAVORED TOBACCO
<br />PRODUCTS WILL REDUCE TOBACCO USE
<br />• Ending the sale of all commercial flavored tobacco
<br />products, including menthol cigarettes, flavored
<br />cigars, e-cigarettes, hookah, and smokeless tobacco
<br />will improve the health of Black communities and
<br />other groups targeted by Big Tobacco.14,15
<br />• Among Minnesota menthol smokers, half reported
<br />they would quit smoking if menthol cigarettes were
<br />no longer sold.23
<br />• Minnesota communities are leading the way. 25%
<br />of Minnesotans are covered by a local ordinance that
<br />restrict or prohibit the sale of flavored and/or menthol
<br />tobacco products.24
<br />• Studies show that local flavor restrictions reduce the
<br />chance that teens will ever try tobacco products.25
<br />• Minnesota’s proposal to end flavored tobacco sales
<br />has strong bipartisan support.
<br />• These policies are overwhelmingly popular. A 2023
<br />statewide poll found that 62 percent of Minnesotans
<br />support the proposal to end the sale of all flavored
<br />tobacco products. Support for this policy was high
<br />across demographics and regions, including among
<br />African Americans (68 percent support) and rural
<br />residents (67 percent support).26
<br />@smokefreegenMN /smokefreegenMN @smokefreegenMN
<br />Our Mission
<br />Minnesotans for a Smoke-Free Generation is a coalition of over 50 organizations that share a common goal of advancing
<br />justice by striving toward a future where every person is free from commercial tobacco’s harms and can reach their full
<br />health potential.
<br />Note: Tobacco in this document refers specifically to the use of manufactured, commercial tobacco products, and not to
<br />the sacred, medicinal and traditional use of tobacco by American Indians and other groups.
<br />1 Minnesota Department of Health. 2022 Minnesota Student Survey.
<br />2 Minnesota Department of Health. 2020 Minnesota Youth Tobacco Survey, 2021
<br />3 U.S. Department of Health and Human Services, Food and Drug Administration, Center for Tobacco Products. Modifications to Compliance Policy for Certain Deemed
<br />Tobacco Products Guidance for Industry DRAFT GUIDANCE. 2019.
<br />4 Minnesota Department of Health. 2022 Minnesota Student Survey.
<br />5 Ritchy AP (RJR Tobacco). Apple Wine Cigarette Project. 1972. http://legacy.library. ucsf.edu/tid/buq49d00/pdf.
<br />6 Jackler RK et al. Nicotine arms race: JUUL and the high-nicotine product market. Tob Control. 2019.
<br />7 U.S. Department of Health and Human Services. E-Cigarette Use Among Youth and Young Adults: A Report from the Surgeon General. 2016.
<br />8 Muthumalage T et al. Inflammatory and oxidative responses induced by exposure to commonly used e-cigarette flavoring chemicals and flavored e-liquids without nicotine.
<br />Front Physiol. 2017.
<br />9 Behar RZ et al. Identification of toxicants in cinnamon-flavored electronic cigarette refill fluids. Toxicol In Vitro. 2014.
<br />10 Allen JG et al. Flavoring chemicals in e-cigarettes: Diacetyl, 2,3-pentanedione, and acetoin in a sample of 51 products, including fruit-, candy-, and cocktail-flavored e-ciga-
<br />rettes. Environ Health Perspect. 2016.
<br />11 Bitzer ZT et al. Effect of flavoring chemicals on free radical formation in electronic cigarette aerosols. Free Radic Biol Med. 2018.
<br />12 Momenabadi, V., Hossein Kaveh PhD, M., Hashemi, S. Y., & Borhaninejad, V. R. (2016). Factors Affecting Hookah Smoking Trend in the Society: A Review Article. Addiction
<br />& health, 8(2), 123–135.
<br />13 U.S. Food and Drug Administration. Preliminary Scientific Evaluation of the Possible Public Health Effects of Menthol Versus Nonmenthol Cigarettes. 2013.
<br />14 Gardiner PS. The African Americanization of menthol cigarette use in the United States. Nicotine Tob Res. 2004.
<br />15 Delnevo CD et al. Banning menthol cigarettes: A social justice issue long overdue. Nicotine Tob Res. 2020.
<br />16 Stevens P et al. An analysis of tobacco industry marketing to lesbian, gay, bisexual, and transgender (LGBT) populations: Strategies for mainstream tobacco control and
<br />prevention. Health Promot Pract. 2004.
<br />17 Minnesota Department of Health. 2020 Minnesota Student Survey: E-cigarette and Cigarette Findings. February 22, 2021.
<br />18 American Indian Community Tobacco Projects. Tribal Tobacco Use Project Survey, Statewide American Indian Community Report. 2013.
<br />19 Forster J, Poupart J, Rhodes K, et al. Cigarette Smoking Among Urban American Indian Adults — Hennepin and Ramsey Counties, Minnesota, 2011. MMWR Morb Mortal
<br />Wkly Rep. 2016;2016(65):534–537.
<br />20 Wang TW et al. E-cigarette use among middle- and high-school students - United States, 2021. MMWR Morb Mortal Wkly Rep. 2021.
<br />21 Cooper M, Park-Lee E, Ren C, Cornelius M, Jamal A, Cullen KA. E-cigarette Use Among Middle and High School Students — United States, 2022. MMWR Morb Mortal
<br />Wkly Rep 2022, Notes from the Field.
<br />22 FDA news release. FDA Proposes Rules Prohibiting Menthol Cigarettes and Flavored Cigars to Prevent Youth Initiation, Significantly Reduce Tobacco-Related Disease and
<br />Death, April 28, 2022.
<br />23 D’Silva J et al. Quitting and switching: Menthol smokers’ responses to a menthol ban. Tob Regul Sci. 2015.
<br />24 Association for Nonsmokers-Minnesota: https://www.ansrmn.org/issues-resources/flavored-tobacco/, updated January 2023.
<br />25 Farley SM, Johns M. New York City flavored tobacco product sales ban evaluation. Tob Control. 2016.
<br />26 The Morris Leatherman Company: Statewide Tobacco Survey, January 18-February 2, 2023.
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