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HomeMy WebLinkAboutCC WORKSESSION PACKET 04132021If you would like to request special accommodations or alternative formats, please contact the City Clerk at 612-782-3313 or email city@savmn.com. People who are deaf or hard of hearing can contact us by using 711 Relay. The meeting can be viewed live via cable channel 16 in the North Suburbs or the web broadcast at https://www.ctvnorthsuburbs.org/live-tv/channel-15. Due to health concerns and limited seating, we encourage people to view the meeting by using this link: https://www.savmn.com/Calendar.aspx?EID=1257 A dial-in option is available. Members of the public who wish to attend the meeting may do so in person. Following guidance from state health officials, some City Council Members may choose to participate in upcoming meetings electronically pursuant to MN Stat. §13D.021. Work Session Agenda Tuesday, April 13, 2021 5:30 p.m. 1. Ordinance prohibiting the sale of flavored tobacco. Katie Engman, ANSR presenting 2. Wildlife Management Plan. Charlie Yunker, City Manager presenting 3. Tour of the City. Charlie Yunker, City Manager presenting 4. Coffee with the Council. Charlie Yunker, City Manager presenting 5. Future Work Session Dates, Times & Agenda Items. Charlie Yunker, City Manager presenting  Next Work Session – May 11, 2021 5:30 p.m.?  Topics to discuss and prioritize: PROPOSED BY STAFF PROPOSED BY COUNCIL - Communications Plan - Electronic Packets Module Demonstration - Community Survey - Joint meetings with Parks & Planning - Strategic plan for housing initiatives - Ordinance to Reduce Gift Card Fraud 6. Adjournment Minnesota communi�es restric�ng the sale of flavored tobacco www.ansrmn.org Duluth Updated February 2021 20% of Minnesotans are covered by a flavored tobacco policy. Communi�es that restrict sales of fruit- and candy-flavored tobacco Communi�es that restrict sales of all flavored tobacco, including menthol Communi�es that prohibit sales of all flavored tobacco, including menthol Rushford Saint Paul Roseville Shoreview Minneapolis St. Louis Park Robbinsdale Falcon Heights MendotaHeights Arden Hills New Hope Golden Valley LilydaleEdina Fridley Lauderdale TraverseCounty Brown’s Valley Wheaton SWISS CHEESE MODEL OF COMMERCIAL TOBACCO HARM REDUCTION Effective commercial tobacco prevention happens when interventions are layered together to create a healthy tobacco-free community. Targeted tobacco industry marketing, social media misinformation, and tobacco lobbyists weakening regulations 2395 University Avenue W, Ste 310, St. Paul, MN 55114 651-646-3005 www.ansrmn.org (February 2021)Source: Adapted from James T. Reason Interventions C a r i n g a n d t r u s t e d a d u l t s A v a i l a b i l i t y I n c r e a s e a g e t o p u r c h a s e p r o d u c t sSmoke-f r e e e n v i r o n m e n t s N o n -s m o k i n g f r i e n d s a n d f a m i l y Y o u t h e d u c a t i o n a l p r o g r a m s a n d t o b a c c o -f r e e c a m p a i g n s H i g h p r i c e s C o m p l i a n c e c h e c k s a n d v e n d o r t r a i n i n g E l i m i n a t e f l a v o r s a n d m e n t h o l Flavored Tobacco Products WHAT TYPES OF TOBACCO PRODUCTS ARE FLAVORED? Flavored tobacco products include cigarettes, cigars, chewing tobacco, blunt wraps, electronic cigarettes, and shisha, the tobacco used in hookah. These products help the tobacco industry get around the FDA’s 2009 ban of cigarettes with flavors other than menthol.1 Menthol is the only flavor allowed in cigarettes. E-cigarettes, also known as vapes, come in a variety of youth-friendly flavors. JUUL, the most popular e-cigarette on the market, resembles a USB flash drive. These devices deliver a high dose of nicotine with a modern design that is easy to conceal.2 WHAT ARE SOME COMMON FLAVORS USED IN TOBACCO PRODUCTS? Cigars, chewing tobacco, blunt wraps, vapes and shisha are sold in fruit, candy, dessert and novelty flavors. Popular flavors include chocolate, piña colada, apple, grape, berry, cotton candy, bubble gum, mango, mint/ wintergreen and menthol. The same flavorings used in tobacco products are also used in candy and Kool-Aid drink mixes.3 Menthol flavored tobacco is easier to start and harder to quit.4 Tobacco companies add menthol to tobacco products to cool the throat and make them taste better. WHO USES FLAVORED TOBACCO PRODUCTS? The tobacco industry uses flavored tobacco to attract the next generation of smokers.5 Young people are much more likely to use flavored tobacco products than adults.6 In fact, 80 percent of youth who use tobacco use fruit, candy or menthol flavored tobacco.7 Studies show that young people perceive flavored tobacco products as tasting better and being safer than unflavored products, even though they are just as dangerous and addictive.8 Disposable vapes like these were not regulated by the U.S Government when it instituted restrictions on flavored vapes in February 2020. Cheap cigars come in bright packages and a wide variety of flavors, such as chocolate, grape, peach, strawberry, blueberry, tropical fusion and pineapple, that appeal to youth. JUUL is still the top-selling e-cigarette brand despite the company stopping sales of some flavored pods, such as cool cucumber and mango. JUUL and other brands that use disposable pods are prohibited by the federal government from selling pods in flavors other than tobacco, mint and menthol. Suorin is a popular e-cigarette among youth because of the many available flavors.These devices are refillable and are not regulated by the federal government. This publication is made possible by funding from the Minnesota Department of Health’s Tobacco-Free Communities Grant Program. 2395 University Avenue W, Suite 310, St. Paul, MN 55114 651-646-3005 | www.ansrmn.org HOW DOES THIS IMPACT COMMUNITIES? As a result of industry targeting, African Americans smoke menthol cigarettes at higher rates and are more likely to suffer from tobacco related diseases. In fact, 88 percent of African American adults who smoke use menthol, compared to 25 percent of adult smokers overall.11 Menthol smoking significantly reduces quitting success among African American smokers.12 In Minnesota, 34 percent of teen smokers smoke menthol.13 Nationally, 70 percent of LGBTQ youth smokers smoke menthol.14 The Association for Nonsmokers-Minnesota is dedicated to reducing the human and economic costs of tobacco use in Minnesota. (September 2020) The tobacco industry heavily targets African Americans with menthol tobacco by advertising in popular magazines, as well as supporting music festivals. The tobacco industry has a long history of targeting the African American community, women, LGBTQ and youth with menthol tobacco marketing. Tobacco industry documents show targeted efforts to market menthol products to African Americans, LGBTQ communities and youth. 9,10 Menthol makes tobacco easier to start smoking and harder to quit.4 WHAT CAN COMMUNITIES DO ABOUT FLAVORED PRODUCTS? While the FDA banned flavored cigarettes other than menthol in 2009, the ban does not affect other tobacco products. Because the FDA ruling does not prevent local communities from addressing other types of flavored tobacco products, state and local governments can adopt laws that restrict the sale of flavored tobacco products within their jurisdiction. Limiting the sale of products, setting a minimum price or creating a minimum pack size are some of the ways communities can protect their youth by making flavored tobacco products less accessible and less appealing. The FDA issued a ruling in February 2020 that banned flavored, disposable e-cigarette cartridges like those used by JUUL, except for tobacco and menthol flavors. This ruling left thousands of appealing flavored products, such as Puff Bars or refillable systems like Suorin, on the market. The ruling also allows for the continued sale of tobacco-flavored and menthol-flavored e-cigarette cartridges. As a result, mint and menthol are popular among youth. MORE ABOUT MENTHOL FLAVORED TOBACCO References are available at www.ansrmn.org/flavors Communities that restrict sales of fruit- and candy-flavored tobacco Communities that restrict sales of all flavored tobacco, including menthol www.BeautifulLieUglyTruth.org Communities that prohibit sales of all flavored tobacco, including menthol 1-12-21 Flavored products mask the harshness of tobacco, AND ARE LURING KIDS INTO ADDICTION. • The tobacco industry deliberately uses flavors to attract the next generation of smokers.5 • Nicotine is highly addictive, harms the adolescent brain and primes youth for addiction.6 • Today’s popular e-cigarettes contain high levels of nicotine.7 • Flavorings in e-liquids are harmful when inhaled and can damage airway and lung tissue.8,9,10,11 Flavored products are a key reason Minnesota is facing a youth TOBACCO epidemic. • FDA’s failure to end all flavored e-cigarette sales has led to dramatic increases among products still available, including a 1000 percent increase in disposable e-cigarette use by high-schoolers.1 • Nearly 3 million students in the U.S. reported using flavored e-cigarettes, including 1.9 million using mint or menthol.1 Weak federal rules allow the tobacco industry to use flavors to attract new TOBACCO users. • In Minnesota, more than a quarter of 11th-graders use e-cigarettes, and 8th-grade vaping rates doubled from 2016 to 2019.2 • Seven in 10 youth say they use e-cigarettes “because they come in flavors [they] like.”3 • In Minnesota, 67 percent of high-school tobacco users use flavored products.4 Minnesotans agree: We can do more to prevent kids from becoming addicted. Minnesotans for a Smoke-Free Generation supports ending the sale of all flavored tobacco products, to create a healthier future for our kids and address tobacco-related health disparities. END the sale of all flavored tobacco products The tobacco industry targets Black, LGBTQ and young people with menthol tobacco. • Menthol flavoring makes it easier for kids to start smoking and harder for adults to quit.12 • For decades, tobacco companies have channeled menthol tobacco products into Black communities, causing death and disease.13,14 • Nationally, 85 percent of Black smokers smoke menthols, versus 29 percent of white smokers.14 • The tobacco industry uses menthol to target Black Americans, LGBTQ communities, and youth.13,15 The COVID-19 pandemic demonstrates the need for strong public health policies to improve lung health and reduce commercial tobacco addiction. 1. Wang TW et al. E-cigarette use among middle- and high-school students - United States, 2020. MMWR Morb Mortal Wkly Rep. 2020. 2. Minnesota Department of Health. 2019 Minnesota Student Survey: E-cigarette and Cigarette Findings. 2019. 3. U.S. Department of Health and Human Services, Food and Drug Administration, Center for Tobacco Products. Modifications to Compliance Policy for Certain Deemed Tobacco Products Guidance for Industry DRAFT GUIDANCE. 2019. 4. Minnesota Department of Health. Teens and Tobacco in Minnesota: Highlights from the 2017 Youth Tobacco Survey. 2018. 5. Ritchy AP (RJR Tobacco). Apple Wine Cigarette Project. 1972. http://legacy.library. ucsf.edu/tid/buq49d00/pdf. 6. U.S. Department of Health and Human Services. E-Cigarette Use Among Youth and Young Adults: A Report From the Surgeon General. 2016. 7. Jackler RK et al. Nicotine arms race: JUUL and the high-nicotine product market. Tob Control. 2019. 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. Front Physiol. 2017. 9. Behar RZ et al. Identification of toxicants in cinnamon-flavored electronic cigarette refill fluids. Toxicol In Vitro. 2014. 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-cigarettes. Environ Health Perspect. 2016. 11. Bitzer ZT et al. Effect of flavoring chemicals on free radical formation in electronic cigarette aerosols. Free Radic Biol Med. 2018. 12. U.S. Food and Drug Administration. Preliminary Scientific Evaluation of the Possible Public Health Effects of Menthol Versus Nonmenthol Cigarettes. 2013. 13. Gardiner PS. The African Americanization of menthol cigarette use in the United States. Nicotine Tob Res. 2004. 14. Delnevo CD et al. Banning menthol cigarettes: A social justice issue long overdue. Nicotine Tob Res. 2020. 15. Stevens P et al. An analysis of tobacco industry marketing to lesbian, gay, bisexual, and transgender (LGBT) populations: Strategies for mainstream tobacco control and prevention. Health Promot Pract. 2004. 16. D’Silva J et al. Quitting and switching: Menthol smokers’ responses to a menthol ban. Tob Regul Sci. 2015. 17. Brock B et al. A tale of two cities: Exploring the retail impact of flavored tobacco restrictions in the Twin Cities of Minneapolis and Saint Paul, Minnesota. Tob Control. 2019. Available at https://www.ansrmn.org/issues-resources/flavored-tobacco/. 18. Farley SM, Johns M. New York City flavored tobacco product sales ban evaluation. Tob Control. 2016. 19. The Morris Leatherman Company: Statewide Issues Survey, January 2020. Tobacco Issues. 2020. Restricting sales of flavored tobacco products can reduce tobacco use. • Ending the sale of flavored tobacco products will improve the health of Black communities and other groups targeted by Big Tobacco.13,14 • Among Minnesota menthol smokers, half reported they would quit smoking if menthol cigarettes were no longer sold.16 • More than a dozen Minnesota communities have restricted the sale of flavored tobacco products.17 • Studies show that local flavor restrictions reduce the chance that teens will ever try tobacco products.18 Minnesota is ready to clear the market of all flavored tobacco products. A 2020 statewide poll found that 74 percent of Minnesotans support prohibiting the sales of all flavored commercial tobacco products, including menthol cigarettes. Support for this policy was high across demographics and regions, including among African Americans (77 percent support) and rural residents (81 percent support).19 Minnesotans for a Smoke-Free Generation is a coalition of more than 60 organizations that share a common goal of saving Minnesota youth from a lifetime of addiction to tobacco. The coalition supports policies that reduce youth smoking and nicotine addiction, including increasing tobacco prices, ending the sale of menthol and all flavored tobacco products, and funding tobacco prevention and treatment programs. Find out more at www.smokefreegenmn.org. 4/7/2021 Menthol Cigarettes Kill Many Black People. A Ban May Finally Be Near. - The New York Times https://www.nytimes.com/2021/03/22/health/methol-smoking-ban.html?eType=EmailBlastContent&eId=bd8daf2b-5b8f-41c2-9965-e86e972f975f 1/4 Menthol Cigarettes Kill Many Black People. A Ban May Finally Be Near. Advocates are hoping that President Biden will soon come out in favor of banning mint-flavored cigarettes and other tobacco products. By Sheila Kaplan March 22, 2021 The banning of menthol cigarettes, the mint-flavored products that have been aggressively marketed to Black Americans, has long been an elusive goal for public health regulators. But Covid-19 and the Black Lives Matter movement have put new pressure on Congress and the White House to reduce racial health disparities. And there are few starker examples than this: Black smokers smoke less but die of heart attacks, strokes and other causes linked to tobacco use at higher rates than white smokers do, according to the Centers for Disease Control and Prevention. And 85 percent of Black smokers use Newport, Kool and other menthol brands that are easier to become addicted to and harder to quit than plain tobacco, according to the Food and Drug Administration. “Covid-19 exposed the discriminatory treatment that Black people have been facing for hundreds of years,” said Dr. Phillip Gardiner, a co- chairman of the African American Tobacco Control Leadership Council, which has been pushing for menthol bans in communities across the country. Calling menthol cigarettes and cigarillos “main vectors” of disease and death among Black Americans, he added, “It’s precisely at this time that we need strong public health measures.” There is now growing momentum in Congress to enact a ban. In states and municipalities across the country, Black public health activists have been organizing support and getting new laws passed at the state and local level. Public opposition among white parents to all flavored e-cigarettes, including menthol, has brought new resources to the issue. And the F.D.A. is under a court order to respond to a citizens’ petition to ban menthol by April 29. Advocates are hoping that President Biden, whose campaign had strong support from Black voters and who has put addressing health inequities front and center among his goals, will soon come out in favor of a ban. “I have no doubt that it’s time for a ban on menthol,” said Representative Karen Bass, of California, who led the Congressional Black Caucus during the last Congress. “We should never allow a chemical that is specifically targeted to a population, that increases death, no matter who it is. In this case, it’s menthol and the Black population. I’m so excited that we have an administration that puts racial equity and health disparities at top of its agenda.” Kevin Munoz, a spokesman for the White House, declined to say whether Mr. Biden supported a menthol ban, but he noted the president’s past support for tobacco control measures. “We are thinking about all of our options that could help reduce tobacco use and address persistent disparities,” Mr. Munoz said. Dr. Gardiner and other public health advocates are particularly concerned about the growing popularity of menthol cigars and cigarillos among Black teenagers. The 2020 National Youth Tobacco Survey, conducted by the federal government, found that 6.5 percent of Black students in high school and middle school, smoked cigars and cigarillos compared with 2.5 percent who smoked traditional cigarettes. The F.D.A. says that menthol is the preferred flavor for the cigarillos, which are cheap and mass-produced, unlike premium cigars. https://www.nytimes.com/2021/03/22/health/methol-smoking-ban.html 4/7/2021 Menthol Cigarettes Kill Many Black People. A Ban May Finally Be Near. - The New York Times https://www.nytimes.com/2021/03/22/health/methol-smoking-ban.html?eType=EmailBlastContent&eId=bd8daf2b-5b8f-41c2-9965-e86e972f975f 2/4 Menthol is a substance found in mint plants, and it can also be synthesized in a lab. It creates a cooling sensation in tobacco products and masks the harshness of the smoke, making it more tolerable. Some studies have shown that menthol also acts as a mild anesthetic. Back in 1953, when menthol was not widely used, a Philip Morris Co. survey revealed that 2 percent of white smokers preferred a menthol brand, while 5 percent of Black smokers did, according to a review of tobacco industry documents by Dr. Gardiner that was published in 2004 by the medical journal Nicotine & Tobacco Research. “The industry looked at that and said, ‘We’re missing an opportunity,’ and consciously targeted the African-American community,” said Matthew L. Myers, president of the Campaign for Tobacco-Free Kids, which has long lobbied for a menthol ban and also helps fund the African American Tobacco Leadership Council. What followed has been well-documented in records made public from numerous lawsuits, that tobacco companies have targeted Black communities with menthol cigarettes for decades. They distributed free samples, offered discounts and sponsored countless concerts and special events, among them the famous Kool Jazz Festival. Tobacco companies also gained good will by advertising in newspapers and magazines geared to a Black readership — and by donating money to civil rights organizations. The companies have also been frequent donors to Black political candidates, and they have been generous supporters of the Congressional Black Caucus and the Congressional Black Caucus Foundation. Officials with Juul and Altria, which owns Philip Morris and also has a 35 percent stake in Juul, serve on the foundation’s corporate advisory board. The Biden administration still lacks a permanent F.D.A. commissioner, and Dr. Janet Woodcock, the acting commissioner, has not been vocal on tobacco issues. But public health advocates were heartened by the confirmation on Thursday of Xavier Becerra, the former attorney general of California, as the secretary of health and human services. In California, Mr. Becerra took aggressive action against tobacco and e-cigarette companies. In August, California became the second state — after Massachusetts’ lead — to ban the sale of all flavored tobacco products. (The law is on hold, pending an industry-sponsored referendum to repeal it, which will be on the ballot in November 2022.) The tobacco industry is in a tricky spot. For several years, the largest companies, Altria and R.J. Reynolds Tobacco, now owned by British American Tobacco, have sought to position themselves as transforming their companies into responsible businesses being eager to to preventing young people from smoking and to developing less harmful products. For critics, the industry’s lobbying to protect its menthol brands contradicts that assertion. “It doesn’t seem very transformative if you’ve taken zero steps to address a particular product that has so disproportionately and detrimentally harmed Black Americans,” said Maura Healey, the attorney general of Massachusetts, which enacted a ban on flavors, including menthol, in June. “It’s time for the F.D.A. to act on the scientific evidence that is out there.” Dr. Phillip Gardiner has been pushing for menthol bans in communities across the country. “It’s precisely at this time that we need strong public health measures,” he said.Jim Wilson/The New York Times 4/7/2021 Menthol Cigarettes Kill Many Black People. A Ban May Finally Be Near. - The New York Times https://www.nytimes.com/2021/03/22/health/methol-smoking-ban.html?eType=EmailBlastContent&eId=bd8daf2b-5b8f-41c2-9965-e86e972f975f 3/4 The number of Americans who smoke cigarettes has declined to 14 percent in 2019 from a peak of 40 percent in the mid-1960s, according to the F.D.A. That translates to an estimated 34.1 million adult smokers in the United States, nearly 20 million of whom smoke menthol cigarettes. Roughly 480,000 Americans die each year from tobacco-related illnesses and more than 16 million Americans live with a smoking-related disease. In 2009, Congress gave the F.D.A. the authority to regulate the tobacco industry. That year, the Family Smoking Prevention and Tobacco Control Act banned all intentionally flavored cigarettes except menthol, which it referred to the F.D.A. for further study. The F.D.A. came close to a ban under the Obama administration but did not have sufficient White House support. In 2018, Dr. Scott Gottlieb, the first F.D.A. commissioner of the Trump administration, announced the agency would ban menthol cigarettes. He was immediately opposed by Senator Richard Burr, Republican of North Carolina, one of the few unapologetically pro-tobacco lawmakers left in Congress. Mr. Burr often promotes the jobs that the industry provides in his home state. His sons have two of those jobs: Tyler Burr works in state governmental affairs at R.J. Reynolds Tobacco Co., and William Burr works in regulatory affairs at Altria, which owns Philip Morris. After the announcement, Mr. Burr started dispatching oversight letters to the F.D.A. every Friday from mid-November 2018 through early January 2019, with the exception of the week of Thanksgiving. Emails obtained under the Freedom of Information Act show the hundreds of minute questions from Mr. Burr that tied up staff for weeks. He also demanded personal travel records for the agency’s seven center directors and accused the F.D.A. of leaks. The F.D.A. did not back down, but Mr. Burr helped to persuade the Trump administration to kill the plan in early 2019, according to former White House officials. Mr. Burr’s office declined to comment. David Sutton, a spokesman for Altria, which makes Marlboro and other brands that come in menthol, defended keeping menthol cigarettes on the market. “Prohibition and criminalization of adult behavior does not work for products intended for adults 21-plus,” Mr. Sutton said. Kaelan Hollon, a spokeswoman for R.J. Reynolds, whose Newport brand is the biggest menthol seller in the United States, said a menthol ban would infringe on the rights of adults who preferred it to plain tobacco. But such arguments ignore the fact that most smokers start the habit and become addicted to nicotine when they are young, and are most likely to seek flavored products, according to the F.D.A. At this point, the F.D.A. could again propose a federal ban, which would then have to be approved by the White House. Alternatively, Congress could adopt legislation expanding the current restrictions on sales of flavored cigarettes to include menthol — effectively undoing the current exemption. More than 120 localities have already enacted bans of flavored tobacco products, including menthol cigarettes, according to the Campaign for Tobacco-Free Kids. The African American Tobacco Control Leadership Council is running an anti-menthol campaign with Delta Sigma Theta, a historically Black sorority, and others. The council is also a plaintiff, along with the Action on Smoking and Health, in the citizens’ petition that forced the April 29 deadline for the F.D.A. to say whether or not it will ban menthol. A 2008 issue of Essence magazine. Tobacco companies gained good will by advertising in newspapers and magazines geared to a Black readership — and by donating money to civil rights organizations.Tony Cenicola/The New York Times 4/7/2021 Menthol Cigarettes Kill Many Black People. A Ban May Finally Be Near. - The New York Times https://www.nytimes.com/2021/03/22/health/methol-smoking-ban.html?eType=EmailBlastContent&eId=bd8daf2b-5b8f-41c2-9965-e86e972f975f 4/4 The Center for Black Health and Equity, a nonprofit organization in North Carolina, has also pushed hard on the issue, enlisting churches to sponsor “No Menthol Sundays.” In recent years, the tobacco industry has joined forces with certain civil rights activists, among them the Rev. Al Sharpton, who according to the California Department of Public Health, visited Black communities in the state, raising fear that a menthol ban would give the police an excuse to stop and frisk more Black individuals. Mr. Sharpton also helped to defeat a ban in New York. Ms. Bass has lost patience with that argument, saying a ban would prohibit selling menthol cigarettes, not possessing them. Ms. Bass said that a majority of lawmakers, including those in the Congressional Black Caucus, favor banning all tobacco flavors, including menthol. Eighty percent of the Congressional Black Caucus members voted last year for legislation that would have banned menthol cigarettes. Marc Scheineson, a lawyer with Alston and Bird, who represents small tobacco companies, believes that Representative James Clyburn, Democrat of South Carolina, may be the decisive vote. Mr. Clyburn was instrumental in developing support for Mr. Biden among Black Americans during his presidential campaign. “He can get whatever he wants,” Mr. Scheineson said. “I’m sure he’s got a wish list, but I’m sure all the African-American groups are coming to him and he’s got to prioritize.” Last year, Mr. Clyburn was absent for the House vote on legislation that would have banned menthol cigarettes. He has kept a low profile on the issue, not lobbying for tobacco companies but not standing in the way, either. Mr. Clyburn did not return requests seeking comment. Dr. Gottlieb believes the Biden administration will finally ban menthol cigarettes. “We opened the door on this in a Republican administration,” he said. “You don’t think a Democratic administration will finish the business? Of course they will.” Advocates hope President Biden, whose campaign had strong support from Black voters and who has put addressing health inequities front and center, will come out in favor of a ban.Bryan Thomas for The New York Times 1 2 Suggested Citation: Institute for Global Tobacco Control. State of the Evidence: Flavored Tobacco Product Bans or Restrictions. January 2020. Available at: https://www.globaltobaccocontrol.org/resources/flavorreportsummary. Contributorship Statement: Jeffrey J. Hardesty was the lead author of the report. Ayodeji J. Awopegba, Jennifer L. Brown, Graziele Grilo, Michael Iacobelli, Naseeb Kibria, and Sejal Saraf contributed significantly to the initial draft of the report. The section on business and labor market impact was developed in consultation with Rajeev Cherukupalli. Joanna Cohen and Elizabeth Crespi also contributed to the writing of the report. Inquiries: For inquiries, email jhardesty@jhu.edu or igtc@jhu.edu. 3 Table of Contents BACKGROUND ________________________________________________________________ 4 PUBLIC SUPPORT ______________________________________________________________ 5 PUBLIC HEALTH IMPACT ________________________________________________________ 6 Comprehensive Flavored Tobacco Product Ban or Restriction _______________________________ 6 E-cigarette Flavor Ban or Restriction ___________________________________________________ 7 Menthol Cigarette Ban or Restriction ___________________________________________________ 7 Cigar Flavor Ban or Restriction ________________________________________________________ 8 BUSINESS AND LABOR MARKET IMPACT ___________________________________________ 9 COMPLIANCE ________________________________________________________________ 10 SUMMARY AND POLICY RECOMMENDATIONS _____________________________________ 12 REFERENCES _________________________________________________________________ 13 4 In recent years, the evidence around flavored tobacco product bans and restrictions has grown in terms of public support, public health and financial impact, and compliance. The purpose of this report is to provide an overview of the projected impacts of a policy that bans or restricts the use of flavors in tobacco products and to provide evidence-based policy recommendations for maximizing public health benefits and minimizing unintended consequences. BACKGROUND In 2009 the U.S. Food and Drug Administration (FDA) banned flavored cigarettes with an exemption for menthol additives. As intended, cigarette use among youth declined in the years following the ban; however, unintended consequences have emerged, with youth increasing their use of other products known for their flavors, such as menthol cigarettes, cigars, and pipes.1 In this historical context, pod-based electronic cigarettes (e-cigarettes),* such as JUUL, have emerged as the tobacco product of choice among youth due to kid-appealing flavors (e.g., mango and mint), discreet design (i.e., flash drive-like appearance), savvy social media marketing (e.g., social media influencers and celebrity endorsements), and extremely high nicotine levels with chemicals added to ensure the nicotine is less harsh to users. The totality of these factors has resulted in what many public health advocates have labeled an epidemic. * Claims that e-cigarettes are “95% less harmful” are from a 2014 academic paper endorsed and publicized by Public Health England and the Royal College of Physicians. By the authors own admission, “A limitation of this study is the lack of hard evidence for the harms of most products on most of the criteria.”2 Since this study was published, evidence has emerged suggesting e-cigarettes are not safe, particularly for nicotine naïve users. E-cigarettes harm cells, users, and increase the risk of smoking. The long-term health effects of vaping are not yet known though. The “95% safer” estimate is unreliable information repeated so often that it has been accepted as fact.3 Notably, one of the study funders, Lega Italiana Anti Fumo (LIAF), has previously worked with Philip Morris USA, and the Chief Scientific Advisor of LIAF was an author. They also previously consulted for Arbi Group Srl., an e-cigarette distributor.4 † One well executed study suggests e-cigarettes in combination with cognitive behavioral therapy can help smokers quit.6 However, there is no high-quality clinical trial evidence to support the idea that e-cigarettes can help smokers quit without these added professional health care services. Nationally, 3.6 million middle and high school students are reported to be current e-cigarette users (any use in past 30 days), with e-cigarette use among high-school students more than doubling from 2017 to 2019, increasing from 12% to 28%.5 In Maryland, use in high schools has increased from 13% in 2016-17 to 23% in 2018-19, representing an increase of 73%. For comparison, use among adults in Maryland increased from 3% in 2016 to 4% in 2018,† representing an increase of 34%.7 To help combat this public health issue, in 2019 the Maryland General Assembly passed HB1169, an evidenced-based bill that raised the minimum age of tobacco sale from 18 to 21 years old, with an exemption for 18-20 year old adults with a military identification. The strength of this bill will be aided with the recent signing of a 2020 Federal appropriations bill that raises the federal minimum age to 21 and does not include an exemption for military service members. While these are positive steps, there are many ways in which youth can acquire tobacco products and the evidence available suggests compliance is highly unlikely to be 100%, with tobacco and vape specialty shops being the most likely to violate the law.8 These data suggest additional policy interventions, such as flavor bans or restrictions, may be necessary to prevent youth from using tobacco products. Broadly speaking, flavors are added to tobacco products to increase palatability and decrease harshness, which makes these products more appealing to youth and young adults.9 Flavors can be classified as 1) characterizing, such as mint/menthol, strawberry, chocolate, coffee, 5 etc.; and, 2) concept, such as “Jazz”, “Golden”, “Snap”, etc. The Surgeon General Report on e-cigarettes previously concluded that flavors are among the most commonly cited reasons for using e- cigarettes among youth and young adults.10 With over 7700 flavors and 460 brands being available on the e-cigarette market alone, flavors play a significant role in making these products appealing to youth, especially first-time users.11 In fact, a systematic review of the literature found flavored e-cigarettes increase willingness to try and initiation of e-cigarette use,12 and a 2016-17 study found that 96% of youth who had initiated e-cigarette use started with a flavored product.13 For adult users of e-cigarettes, flavored e-cigarettes are also a primary reason for use; however, the role of flavors in helping smokers quit cigarettes remains uncertain.12 The FDA’s latest move to stop the sale of flavored pods and cartridges is unlikely to be sufficient in preventing youth use. The move applies to a limited number of manufacturers and may not prevent companies, like JUUL, from manufacturing refillable pods with the flavored e-liquids sold separately. Moreover, refillable pods for JUUL are already available through other manufacturers. The FDA’s plan also allows menthol flavored pods to remain on the market and does not address menthol-flavored combustible cigarettes. Menthol flavoring, in particular, masks the harshness of smoking14 and is associated with increased smoking initiation,15 and higher likelihood of addiction.16 The tobacco industry has targeted youth and minority populations with menthol cigarette advertising, and menthol cigarettes are disproportionately smoked by vulnerable populations such as African Americans, who have the highest rates of ‡ Comprehensive flavor bans and restrictions are defined in this report as policies that ban or restrict the use of flavors for multiple tobacco products. For example, a policy that bans all flavors and exempts menthol is still considered comprehensive assuming it applies to multiple products. § Michigan, Montana, New York, Oregon, and Utah are attempting to implement similar policies, pending legal challenges. use compared to other racial and ethnic groups.17 Comprehensive flavor bans and restrictions‡ are an increasingly popular means of combating youth vaping. Massachusetts became the first state to pass a bill restricting use of flavors in November 2019. Other jurisdictions, including San Francisco, Minneapolis/St. Paul, and Boston have previously passed such policies. Less comprehensive flavor bans and restrictions have been implemented in Rhode Island and Washington,§ which have temporarily banned the sale of flavored e-cigarettes, and in Maine, which banned the sale of flavored non-premium cigars. Local restrictions have been approved in over 250 localities.18 PUBLIC SUPPORT Comprehensive flavored tobacco product bans or restrictions are a relatively new phenomenon thereby limiting the available public support data on flavor bans or restrictions to specific tobacco products. For e-cigarettes, the latest data indicate the majority of U.S. adults support a flavor ban. A USA Today/Ipsos survey conducted September 25-26th, 2019 indicated 52% of U.S. adults are in favor of a ban, with 72% of those over age 55 and one in five current e-cigarette users supporting the move.19 During 2018, a separate survey found public support for an e-cigarette flavor ban among parents of middle- and high school students was 75%.20 Recent data on support for a menthol cigarette ban or restriction is limited. Data that exist are mixed and vary by smoking status, race/ethnicity, education, gender, and age.21,22 In 2009, a public opinion survey of U.S. adults indicated 56% 6 supported a menthol cigarette ban,23 with a 2012 survey in two metropolitan areas indicating similar support (60%).24 More recently, a 2014- 15 survey found that 33% of U.S. adults support a menthol ban, whereas 62% did not support one. One possible explanation for this divergence is that the latter survey did not remind participants about the 2009 flavored cigarette ban or indicate that a scientific panel told the FDA that removing menthol cigarettes would reduce the number of people who start smoking.22 Support for a menthol cigarette ban also appears to be higher among never and former smokers, non-whites (including African Americans), the less educated, females, and older adults.22-25 Public support data on little cigars and cigarillos are limited to a single study from 2014-15, which found 56% of U.S. adults supported banning candy and fruit flavors. Nearly 40% did not support this policy, with 4% indicating they did not know.22 Data regarding flavor bans or restrictions of other tobacco products were not identified as part of our literature search. PUBLIC HEALTH IMPACT A comprehensive flavor ban or restriction may impact two key groups: 1) youth and young adults and 2) adults who smoke and vape. For youth and young adults, it has been argued that these policies will reduce smoking and vaping via reduced attractiveness and less palatable products. Others have stated that these policies or particular provisions may encourage adults who vape to switch to cigarettes, which would be an unintended consequence to the extent one can argue e-cigarettes may be less harmful than cigarettes. Policies that include exemptions to particular flavors, such as menthol/mint, or to particular products, such as cigars, risk losing their effectiveness (e.g., youth e-cigarette users may switch to menthol flavor only) or risk funneling current users to exempted products (e.g., adult e-cigarette users may switch to cigars). The literature modeling or evaluating comprehensive flavor bans or restrictions is limited; however, there are additional modeling studies suggestive of what might occur for product-specific bans or restrictions on e- cigarettes, menthol cigarettes, and cigars. Comprehensive Flavored Tobacco Product Ban or Restriction In 2010, New York City restricted sales of flavored cigars, cigarillos, little cigars, chew, snuff, snus, tobacco, pipe tobacco, roll-your-own tobacco, and dissolvables, excluding menthol. Evaluation data suggest sales of all flavored tobacco products declined by 87%, with sales of flavored cigars decreasing by 86% and flavored pipe and roll-your-own cigarettes decreasing by 91%. As compared to 2010, teens in New York City during 2013 had 37% lower odds of ever trying flavored tobacco products and 28% lower odds of using any type of tobacco product. Sales of non-flavored tobacco products did not significantly increase, but product-specific sales of non-flavored cigars and pipe and roll-your- own increased by 5% and 4%, respectively. These increases in non-flavored product-specific sales may have been due to the restriction; however, they also came during a period of increasing national cigar sales. It should be noted that the New York City restriction did not cover e-cigarettes and therefore they were not included as part of the study’s results.26 Another study of discarded cigar packages in New York City following the comprehensive restriction, found 19% of the discarded packages were products with characterizing flavors and 9% were products with concept flavors. Concept flavoring in cigars along with the availability of flavored products from neighboring jurisdictions remain a challenge for New York City.27 In 2013, Providence, Rhode Island restricted the sale of all non-cigarette tobacco products with characterizing flavors and included an exemption for menthol. An assessment of the impact of the policy found a 51% decrease in flavored cigar sales after policy implementation compared to a 10% sales increase in other areas within the state that had no such policy. 7 However, 93% of the sales reduction in Providence was due to a decrease in sales of cigars with characterizing flavors; sales of concept flavored cigars actually increased by 74%.28 A separate discrete choice study presented adult smokers and recent quitters with a number of products and asked which product they would choose. By restricting certain product choices, these data were then modeled to examine the potential impact of a comprehensive flavor ban. They found a comprehensive flavor ban might reduce ‘choice’ of any tobacco product by 5% while simultaneously decreasing e-cigarette ‘choice’ by 8% and increasing cigarette ‘choice’ by 3%.29 This particular study did not model how such a policy would impact youth and young adults. E-cigarette Flavor Ban or Restriction A study predicting the impact of an e-cigarette flavor restriction suggests a product-specific restriction may reduce selection of e-cigarettes by 20% among younger adult smokers and have no functional impact on older adult smokers. Irrespective of interest in quitting cigarettes, decreasing flavor availability might decrease choice of e-cigarettes.30 Another study from 2015 asked youth and young adults from Texas who use flavored e-cigarettes if they would continue using their product of choice if it were not flavored. With the caveat that these data predate JUUL and other pod-based e-cigarettes, they found 66% of those 25-29 years of age, 74% of those 18-24 years of age, 74% of those in high school, and 93% of those in middle school would not use their e-cigarette anymore.31 In addition, researchers found that a policy that prohibits flavors in e-cigarettes and permits menthol cigarettes may drive adult smokers and former smokers to products known to cause significant long-term harm. In fact, such a policy may ** No data on youth were found as part of our literature search. decrease selection of e-cigarettes by 11% and increase selection of cigarettes by 8.3%.29 These data suggest an e-cigarette flavor ban or restriction may reduce e-cigarette use among adults and youth, with larger reductions for younger users. One possible unintended consequence is an uptick in cigarette use among adults,** but a comprehensive flavor ban may prevent or mitigate such a consequence. Menthol Cigarette Ban or Restriction In 2017, the province of Ontario, Canada implemented a menthol ban on all tobacco products, including cigarettes. Evaluation data of the Ontario policy is the best evidence to-date regarding the potential impact of a menthol cigarette ban in the U.S. Given policies restricting the sale of menthol cigarettes have only recently begun being implemented in the U.S., there is limited research on their observable public health impact. However, researchers have used modeling and surveys to project their impact. To evaluate the policy in Ontario, researchers compared menthol smokers planned behavior before the ban to their actual behavior one month following the ban. Before the ban, 15% said they would quit, 60% of smokers said they would switch to nonmenthol cigarettes, and 6% said they would use other flavored tobacco or e- cigarette products. One month following the ban, 29% had attempted to quit smoking, only 28% of respondents had switched to smoking nonmenthol cigarettes, and 29% reported using other flavored tobacco or e-cigarette products.32 One year following the ban, 63% of daily and 62% of occasional menthol smokers reported having made a quit attempt versus 43% of non-menthol smokers who were not directly impacted by the policy. Furthermore, 24% of daily and 20% of occasional menthol smokers quit smoking versus 14% of non-menthol smokers.33 These data are reinforced by another study that found the ban 8 in Ontario was also associated with a significant reduction in menthol cigarette sales and total cigarette sales.34 In the U.S., several surveys have asked menthol smokers about their planned behavior should a hypothetical menthol cigarette ban be implemented, and they have consistently found even more encouraging pre-implementation results as compared to findings from Ontario. In one longitudinal study using data from 2011 – 2016, 24% of young adult smokers said they would quit menthol cigarettes. This response did not vary greatly across time and African Americans, females, and those with less than a high school education were more likely to report the intention to quit smoking. However, there was a significant increase in respondents who said they would switch to another tobacco product if menthol cigarettes were no longer available, from 7% in 2011 to 13% in 2016.35 Of the cross-sectional surveys predicting the impact of a menthol cigarette ban, a 2010 study with adolescent and adult smokers found that 35% of menthol smokers reported that they would quit smoking and 25% reported that they “would find a way to buy a menthol brand”.36 In a 2011 study of young adults, ages 18 – 34, 66% of menthol cigarette smokers reported the intention to quit smoking, 18% of respondents reported that they would switch to non-menthol cigarettes, and 16%said they would switch to some other tobacco product. Intention to quit was most prevalent among African American menthol smokers (79%) and intention to switch to some other tobacco product was more prevalent among menthol smokers who also reported currently using another tobacco product (35%).37 To examine the impact a menthol cigarette ban may have on future smoking prevalence and tobacco caused deaths in the U.S, another study used simulation modeling. Under different scenarios assuming that 10%, 20%, or 30% of smokers would quit in the event of a menthol cigarette ban, researchers found that overall smoking prevalence would decrease by 4 – 10% (9% – 25% among African Americans) and between 323,000 and 633,000 deaths would be avoided in the United States over a 40 year period (2011 – 2050), with almost one third of lives saved being African American.38 Finally, some research has examined the effect of other tobacco control policies on menthol cigarette use. One study using Nielsen Homescan Data, a dataset where a national panel of households scan their cigarette purchases, explored the impact of taxes and public smoking restrictions on menthol cigarette smoking and found that neither higher prices nor public smoking restrictions increase the likelihood of quitting among menthol smokers.39 Notably, much of the menthol cigarette policy research found in our literature search was conducted prior to the rise of e-cigarettes in the United States and before JUUL went to market. While there is still a gap in the literature with regard to the number of US consumers who might switch to menthol e-cigarettes in light of a ban on combustible menthol cigarettes and with regard to the consumer response to a ban on all menthol tobacco products, it is clear that bans on menthol cigarettes would result in higher rates of quitting among smokers, particularly African American smokers in the United States who are disproportionately affected by menthol cigarettes. Furthermore, the evidence shows that existing tobacco control policies, such as increased tobacco taxes and public smoking restrictions, are not sufficient in reducing menthol cigarette use. Cigar Flavor Ban or Restriction The Population Assessment of Tobacco and Health Study, a national longitudinal study of tobacco use, was used to model the potential public health benefits of a hypothetical national ban of flavored cigars by extending the known benefits of local and state policies to the nation. The authors indicate a national law equaling the net effectiveness of the local and state policies would prevent 15% of premature deaths from exclusive and regular cigar smoking and reduce 9 the number of current cigar smokers within each cohort of 18 year old adults by approximately 112,000.40 Their model did not take into account mortality rates among dual users suggesting the benefits might be underreported. BUSINESS AND LABOR MARKET IMPACT Policymakers have an interest in understanding the fiscal and labor market impacts of regulations on flavored tobacco products. Here we provide economic arguments examining the extent to which banning or restricting tobacco flavors may impact tobacco retailer sales and downstream effects on businesses and employment. When compliance is high, a comprehensive flavor ban or restriction without exemptions is likely to significantly affect sales of flavored tobacco products. As previously mentioned, in New York City after a flavor restriction was implemented,†† sales on all flavored tobacco products declined by 87%.26 A concern for policymakers is whether a decline of such a magnitude would affect businesses and the labor market in a significant way. Economic research indicates that the impact of a ban on flavored tobacco products would be relatively narrow, for three reasons: 1. Most retailers selling flavored tobacco products do not rely on these products as their only or primary source of their revenue, 2. Consumers are likely to spend money originally intended for a banned tobacco product on other purchases, including tobacco products and other goods and services, and 3. Labor and other resources not used in the supply and sale of a banned product tend to be redirected to other uses.41 An enduring feature of the tobacco retailer environment is that the majority of tobacco sellers do not specialize in the sale of tobacco †† Again, e-cigarettes were not included in New York City’s flavor restriction and therefore not included in the data. products. In 2012, convenience stores (including those linked to gas stations), supermarkets and pharmacies accounted for 80% of locations where tobacco is sold.42 At the retailer level, regulations that affect particular classes of products result in changes in the composition of what is sold. For example, when retailers in Boston, MA were asked what was done with shelf-space after their policy was implemented, over 70% indicated they replaced the flavored products with non-flavored tobacco products, 13% with non-tobacco products, 7% with no additional products, and the remaining retailers cited something else or that they did not know.43 These data suggest the vast majority of tobacco retailers can adapt and thereby significantly mitigate risk of business closures and reduced employment. The e-cigarette retail sector is relatively new, with low barriers to entry – by some estimates, setting up a vape shop can involve an investment of as little as $25,000.44 Business expansion and closure are also common phenomena in the retail sector. In Maryland, for example, of the 117 businesses with the word “vape” in their business name in January 2020, 58 were active, while the rest were not. In fact, the inactive businesses were typically forfeited (43 of 117 businesses) or dissolved, suggesting that vape shops close or consolidate as a matter of course.45 It is plausible that adult-only vape shops will be significantly more impacted by a flavor ban or restriction given the breadth of flavored e-liquids each sells and the amount of shelf-space that will need to be replaced. With the data currently available, it is challenging to predict the exact impact a ban or restriction may have on vape shop closures and employment. Nevertheless, we modeled varying degrees of impact such a policy may have on vape shop closures and employment in Maryland. As of January 2020, there were 124 verified and 284 unverified e- cigarette retailers in the state, and 90 percent of 10 those employed fewer than 5 employees.46 Based on these data, the average number of employees ‡‡ in verified e-cigarette retailer stores was 378 and in unverified e-cigarette retailer stores was 715. Under scenarios in which 100%, 50%, and 25% of these businesses close due to a ban or restriction, approximately 1,093, 547, and 274 employees would face the prospect of job separation, respectively. By way of comparison, Maryland’s employment in the retail sector was approximately 270,000 workers in 2018.47 An important consideration is that a ban or restriction on flavored tobacco products is not a ban on all electronic cigarettes. Assuming existing specialized retailers modify their product offerings to drop flavored products and add other products, there may be little to no impact on the number of these businesses and the people they employ. A related concern in the event of job separation in any specialized sub-industry is the ease with which workers are absorbed into other jobs. Labor economists rely on 1) an understanding of job requirements and 2) the availability of similar jobs to understand the ease with which one group of workers might find alternative livelihood opportunities in the event of an industry-specific change. With respect to job requirements, frontline retail jobs tend to be relatively low in the intensity of human capital requirements for training and retraining—by some estimates 72% of frontline retail workers receive less than 20 hours of training.48 Employment in most categories of retail jobs in the state of Maryland are predicted to grow at over 1.5% between 2018 and 2020.49 Within the context of continued declines in overall unemployment in the state, these point to both the availability of comparable jobs and relative ease with which the small group of potentially displaced retail workers might be ‡‡ ReferenceUSA data categorizes establishments by employee size. The mid-points of these categories (1-4, 5-9 and 10-19) were used to estimate the average number of employees. Upper bounds for the number of employees in verified and unverified stores is 576, and 1141 respectively.46 absorbed in those comparable jobs and sectors.50,51 COMPLIANCE Compliance studies from several of the early adopters can serve as an early barometer for a policy’s ability to succeed. Here we explore findings and lessons learned from Boston, Massachusetts, other Massachusetts communities, St. Paul/Minneapolis, Minnesota, and Chicago, Illinois. In 2016, the city of Boston, Massachusetts implemented a policy restricting the sale of flavored tobacco products, including cigars, smokeless tobacco, and e-cigarettes, to adult- only retailers. A Guidance List was provided to retailers in order to better delineate what is a flavored versus non-flavored product, and the list is periodically updated to reflect additional products, with adequate time given to retailers to comply with the updates to the list. A pre- /post- study design was used to evaluate retailer compliance with this law. Baseline data collected prior to implementation of the policy indicate 89% of the retailers surveyed were selling flavored products (average of 19.5 unique flavored tobacco products were available for sale). At the follow-up stage, 8-months after the policy went into effect, 14% of the retailers were selling flavored tobacco products (average of 0.4 unique flavored tobacco products were available for sale). Approximately 86% and 62% of retailers reported that educational visits and the Guidance List were the most helpful in achieving compliance, respectively. In total, the researchers found that 51 retailers were not compliant after the policy effective date; 73% of these did not know a product was in violation of the policy. When the non-compliant retailers were asked about the challenges, 36% indicated 11 that distributors would not take back the flavored product supply, 34% did not know which products they were allowed to sell, and 30% reported not having enough time to sell down their supply.43 Between 2015 and 2017, several other Massachusetts communities implemented flavored tobacco product restrictions allowing researchers to evaluate additional jurisdictions. The researchers found 6 months to 1 year post- implementation that 21 of the 38 communities with a restriction achieved 100% compliance. While 11 of the communities had non-compliant retailers,§§ only 12% of retailers in those communities were not in compliance. Among those not in compliance, retailers cited uncertainty as to whether particular products, particularly concept flavors, were on the Guidance List.52 In order to reduce youth access to flavored tobacco products, Minneapolis and St. Paul, Minnesota restricted the sale of flavored tobacco to adult-only tobacco product shops in 2016. Their policies applied to all tobacco products, including e-cigarettes, and exempted menthol. An observational study was conducted pre- and post- policy implementation at retail stores. In both cities, significantly fewer stores sold flavored tobacco after the policy went into effect; in Minneapolis the number of stores selling flavored tobacco dropped from 85% to 39% and in St. Paul from 97% to 8%.53 While the sample sizes were small, these data were similar to those found in Boston and other Massachusetts communities. In 2017, Minneapolis City Council closed their menthol flavored tobacco product exemption but allowed the products to be sold in adult-only tobacco product shops and liquor stores. At the time the ordinance was passed, there were 342 §§ The remaining 6 communities did not have data collected. *** Existing shops with licenses to sell exclusively tobacco products were grandfathered in. ††† It may also increase the direct cost (i.e., purchase price of cigarettes) and indirect cost (i.e., travel costs and opportunity cost of time not doing other things) by 10% for menthol smokers and 9% for African American menthol smokers thereby reducing access to menthol tobacco products.56 outlets selling menthol tobacco (317 convenience stores, gas stations, and liquor stores and 25 tobacco product shops) and the shops were given a year before the policy was implemented. In anticipation of fewer sales or because of them, 24 convenience store owners applied for licenses to establish new adult-only tobacco product shops. Some store owners split their existing stores into two stores: an adult- only tobacco product shop and a convenience store. Other owners simply converted their store into adult-only tobacco product shops. Many additional owners had inquired about applying for these licenses before the city passed a moratorium on the establishment of new tobacco product shops in August 2018 in order to study the issue.54,55 In July 2019, to combat the licensure loophole, the city passed a requirement that there must be 2000 feet between any two adult-only tobacco product shops.*** The requirement is theorized to work, in part, by minimizing the number of new and existing retailers who can apply for licenses.††† As of August 2019, there were 52 exclusive tobacco product shops in Minneapolis, up from 25 shops in 2017 (108% increase). Assuming the buffer zone provision is effective, this trend should slow or reverse with time. Beyond these 24 convenience store owners, the policy has been relatively effective at reducing the total number of retailers authorized to sell menthol flavored tobacco products, with the number decreasing by 76% since 2017.54 Finally, a research team examined compliance with a menthol cigarette restriction in Chicago, Illinois, which banned menthol cigarette sales within 500 feet of schools starting in 2016. Compliance of relevant retailers was 57%, with gas stations complying less with the ban as compared to larger/chain stores. The authors concluded that a partial menthol ban (i.e. near schools) results in poor compliance.20 12 Compliance data from Boston, St.Paul/Minneapolis, and other Massachusetts communities suggest that high compliance can be achieved. However, the challenges in Minneapolis demonstrate that adult-only store exemptions can threaten the public health benefits of such a policy and should be avoided. If such a provision is unavoidable, including a sizeable buffer zone between retailers and/or a cap on the total number of retailers‡‡‡ may, in theory, mitigate unintended consequences. In addition, concept flavors represent a unique challenge to retailer compliance, but this can be mitigated by issuing a Guidance List and implementing a robust education program. Data from Chicago forewarn that partial bans may be difficult to implement and therefore unlikely to be successful. SUMMARY AND POLICY RECOMMENDATIONS Flavored tobacco bans or restrictions are a relatively new phenomenon. Even so, the latest public opinion polls indicate the majority of Americans support these policies, and both predictive and evaluation studies, including compliance studies, suggest that under the right conditions comprehensive flavor bans or restrictions have the ability to reduce tobacco use and save lives. Furthermore, a comprehensive ban or restriction is unlikely to adversely impact the retail economy in Maryland. Relative to other retailers, it is plausible that vape shops that do not diversify product offerings may be more negatively affected by the policy; however, there are not enough publicly available data to accurately predict the magnitude of the impact on their businesses and labor market. Policymakers should consider lessons learned from previous flavor ban or restriction attempts. Based on the available evidence we make the following recommendations: 1. The FDA’s flavored cigarette ban had the unintended consequence of pushing users to other flavored products. Minneapolis’ restriction had an adult-only store exemption that threatened to undermine the intended public health benefits. Chicago’s partial menthol ban was too difficult to implement and enforce. In Massachusetts communities, retailers were selling concept flavored tobacco products. These four examples suggest limited product and flavor bans, partial bans, and adult-only retailer restrictions have negative public health consequences and create loopholes that are likely to be exploited by industry. A comprehensive flavor ban without product, flavor, and retailer exemptions may maximize public health benefits and minimize the opportunity for unintended consequences. 2. To ensure maximal benefit now and in the future, policymakers should consider providing the Maryland Department of Health with the resources needed for a robust retailer education campaign and provide the Department of Health with the flexibility to include all characterizing and concept flavored tobacco products on a Guidance List that can be periodically updated. ‡‡‡ St. Paul, MN has a cap on the number of adult-only tobacco product shops allowed. 13 REFERENCES 1. Courtemanche CJ, Palmer MK, Pesko MF. Influence of the flavored cigarette ban on adolescent tobacco use. American Journal of Preventive Medicine. 2017;52(5):e139-e146. doi: 10.1016/j.amepre.2016.11.019. 2. Nutt DJ, Phillips LD, Balfour D, et al. Estimating the harms of nicotine-containing products using the MCDA approach. European Addiction Research. 2014;20(5):218-225. doi: 10.1159/000360220. 3. Eissenberg T, Bhatnager A, Chapman S, Sven-Eric J, Shihadeh A, Soule EK. 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Tobacco Control. 2019:[Epub ahead of print]. doi: 10.1136/tobaccocontrol-2018-054703. 53. Brock B, Carlson SC, Leizinger A, D'Silva J, Matter CM, Schillo BA. A tale of two cities: Exploring the retail impact of flavoured tobacco restrictions in the twin cities of Minneapolis and Saint Paul, Minnesota. Tobacco Control. 2019;28(2):176-180. doi: 10.1136/tobaccocontrol-2017-054154. 54. City of Minneapolis: Community Planning and Economic Development. Tobacco density study. 2019. Available at: https://lims.minneapolismn.gov/Download/File/2550/Tobacco%20Density%20Study%20updated.pdf. Accessed Jan 21, 2020. 55. City Council of the City of Minneapolis. Amending title 21 of the Minneapolis code of ordinances by adding a new chapter 595 to interim ordinances: Providing for a moratorium on the creation of new tobacco products shops and the issuance of new tobacco licenses. Available at: https://lims.minneapolismn.gov/Download/File/1483/Moratorium%20Tobacco%20Products%20Shops.p df. Accessed Jan 21, 2020. 56. Combs TB, McKay VR, Ornstein J, et al. Modelling the impact of menthol sales restrictions and retailer density reduction policies: Insights from tobacco town Minnesota. Tobacco Control. 2019:[Epub ahead of print]. doi: 10.1136/tobaccocontrol-2019-054986. THIS PAGE LEFT INTENTIONALLY BLANK MEMORANDUM To: St. Anthony Village City Council From: Charlie Yunker, City Manager Date: April 13, 2021 City Council Work Session Request: Proposal to Adopt Wild Turkey Management Plan BACKGROUND In the fall of 2020 staff was contacted by residents that were encountering difficulties in managing wild turkeys on and near their property. The turkeys were causing a nuisance to the residents and the neighborhood, and deterrence techniques were not effective in relocating the flock. Staff took some time to research options for removal of the turkeys and found that residents do not have options for professional removal services for turkeys. The U.S. Department of Agriculture (USDA) is currently the only organization able to perform removals, and they will only do so if a city has a formal management plan in place. This plan allows for a city to request a removal permit for public property, or on behalf of a resident/business owner of private property, to have the USDA perform removal if determined to be necessary. To date, wild turkeys have not presented a significant problem on any city-owned property. Staff received guidance from the Minnesota Department of Natural Resources on implementing a Wild Turkey Management Plan, and was provided with a template plan and a workflow document that detailed the steps needed for adoption of a plan. A draft plan for the City and the workflow document are attached. RECOMMENDATION Staff is recommending the adoption of a Wild Turkey Management Plan in order to give private property owners an option for wild turkey removal when all other avenues for deterrence have been exhausted. There is a cost associated with removal, and staff is recommending that cost be the responsibility of the property owner. Staff recommends not implementing a fee for the City permit, as the staff time to process is anticipated to be minimal. The permit fee and removal cost can be re-evaluated at any time. This also gives the City an option for removal should wild turkeys present an issue on publicly-owned property in the future. DISCUSSION ITEMS FOR COUNCIL FEEDBACK Below are the specific items for discussion and feedback for the City Council: • Does the Council support the adoption of a Wild Turkey Management Plan? • Does the Council support no fee for the permit and property owners being responsible for removal cost? • Any other considerations for Staff? NEXT STEPS 1. If supported by the Council, staff will present the draft plan to the Parks & Environmental Commission for feedback and public comment. 2. Staff will bring the final draft to a future City Council meeting for consideration to adopt and implementation. 3. If adopted, information on wild turkey management will be added to the City website and included in an edition of the City newsletter ATTACHMENTS: • Draft Wild Turkey Management Plan • Turkey Management Plan Workflow A WILD TURKEY MANAGEMENT PLAN FOR THE CITY OF SAINT ANTHONY TABLE OF CONTENTS City of Saint Anthony Wild Turkey Management Concerns 1.1 Wild Turkey Habitat Use and Population Estimate 1.2 Visitation and Recreation Areas 1.3 Concentrated Habitat Use and Human Safety Issues 1.3.1 Proximity Sensitive Areas Wild Turkey Management Recommendations 2.1 Goals and Measures 2.2 Geographic Scope 2.3 Management Techniques 2.3.1 Population Reduction 2.3.2 Tracking Management Activities for Future Adjustments 2.3.3 Habitat Modification 2.3.4 Temporary Physical Barriers 2.3.5 Permanent Physical Barriers 2.3.6 Redistribution Techniques 2.3.7 Excrement Removal in Roost Areas 2.4 Public Information 2.5 Partner Relationships and Permit Requirements Appendices: Appendix A: City of Saint Anthony Context and Land Cover Map Appendix B: Management Activity Tracking Form 1. City of Saint Anthony Wild Turkey Management Concerns 1.1 Wild Turkey Habitat Use and Population Estimate The City is fully developed with areas of public recreation and pockets of open space that are conducive to turkey populations, so wild turkeys are found in areas of the city. Nesting occurs in a variety of habitats including wooded and marsh areas and thick shrubbery public and private property. Newly hatched broods tend to feed within the city boundary areas and in communities that border Saint Anthony. After their flightless period of a few days, wild turkeys are more mobile and frequently use private and public property for dusting, roosting and feeding. The City of Saint Anthony does not monitor wild turkey populations annually. City protocol is to respond and assist residents when an issue arises due to a large flock of wild turkeys or unique situations that create a public safety and/or public health issue. 1.2 Visitation and Recreation Areas Flocks of wild turkeys can be found in our parks, playgrounds, roads, parking lots, wooded areas, and other public and private property. 1.3 Concentrated Habitat Use and Human Safety Issues Areas in which wild turkeys can cause damage or health and human safety issues include public property, private residential property and business property throughout the city. Turkeys can be difficult to deter and can become aggressive with people. 1.3.1 Proximity Sensitive areas Because our wild turkey removal plan is based on managing specific problem areas only and not an annual removal program, all property at any potential location will have sensitivity issues. Therefore, staff will not support the use of firearms for the removal of problem turkeys unless directed by Public Safety staff in very specific situations that have no other options. Generally a drop net process or baited traps will be utilized. Depending on the types of baited traps used, this process may attract non-target wildlife and domestic pets. Contracted services for wild turkey removal will employ strategies and systems that minimize the impact to all other domestic and wild animals. 2. Wild Turkey Management Recommendations 2.1 Goals and Measures The City of Saint Anthony’s Wil Turkey Management Plan is designed for problem area response due to wild turkey issues when identified by residents and city staff. This is not a citywide annual removal process plan. The two primary areas of concern are public safety and property damage. Staff has identified two goals for implementing a Wild Turkey Management Plan: 1. Develop and implement a communication process that informs both residential and business property owners about strategies to deter feeding and loafing wild turkeys. Information will include insight regarding the issues of feeding wildlife and options to make property areas unattractive for turkeys by developing natural barriers that deter turkeys from loafing on and around property. 2. Support other community public and private property owners, if requested, to develop plans to implement processes to reduce/remove wild turkeys on property not owned by the City of Saint Anthony. This could also extend to removal when ongoing public safety and damage is identified. 2.2 Geographic Scope The removal goals are focused on an as needed basis throughout the City of Saint Anthony. Wild turkey management techniques are not planned for any specific locations at this time or as a scheduled annual removal process. If in the future the wild turkey populations grow to a point a planned and scheduled annual removal program is required, staff will work with the City Council and the Minnesota Department of Natural resources to develop and implement a process for the City of Saint Anthony. 2.3 Management Techniques The management techniques for wild turkey management for the City of Saint Anthony will be varied in type and geographic area. Meeting the goals as outlined may require the implementation of a broad set of options. Any one management technique used alone will likely be ineffective for any significant length of time, since tolerance and habituation will likely occur. As a result, we propose the use of an integrated management approach, where a number of techniques, applied in varying ways, times and locations will provide the best outcomes. 2.3.1 Population Reduction Animal Management The plan recommended is not an annual population reduction management process. When a problem area is identified and action required, staff will request a Removal Permit from the Minnesota Department of Natural Resources for the wild turkeys. Permit request will outline all issues, location(s) and conditions that will be followed as well as the reporting of any removal(s). Trapping and Removal (Winter Period) Capture and removal of, mixed age groups during the winter period is an effective way to reduce the localized population of wild turkeys. The use of contractors to capture, remove and disposition of wild turkeys from City of Saint Anthony is a management option. Such removal would need to be detailed as part of a removal permit application through the Minnesota Department of Natural Resources, and wild turkey removal and disposition would need to be conducted according to the permit conditions. Lethal Wild Turkey removal The City of Saint Anthony does not plan to use on-site lethal removal of wild turkeys unless a specific removal need is dictated by the Public Safety Personnel and no other non-lethal options are reasonable based on the situation. Selective and occasional lethal removal of individual or small groups of wild turkey may be needed if other redistribution or hazing methods do not work. Lethal removal of wild turkeys by means of shooting wild turkeys on an occasional basis is a management option. Such removal would need to be dictated by the City of Saint Anthony Police Department. This type of removal would be included as part of a removal permit application through the Minnesota Department of Natural Resources, and wild turkey removal and disposition would need to be conducted according to the specific permit conditions. Such conditions would include the number of individual wild turkeys and the specific information about the methods to be used for the removal and disposition. 2.3.2 Tracking Management Activities for Future Adjustments All management activities will be documented on the Management Activity Tracking Form in Appendix B and keep a copy of this on file to help facilitate future management activities that might need adjustments or improvements. 2.3.3 Habitat Modification There are some direct habitat modifications that may be beneficial long term for wild turkeys. Covering dusting sites with rock may deter them and encourage them to move to another area that has less public use. In some cases pruning of certain branches on roost trees may prove beneficial. However, being able to halt access, remove food sources, or altering other attractants will be beneficial. 2.3.4 Temporary Physical Barriers The use of temporary fencing, rocks and other natural barriers (botanical gardens - pollinator gardens) that limits wild turkey access to the high use pedestrian traffic areas during the various Minnesota seasons will be considered. Any fencing that may be installed would be established in a manner or distance that prevents wild turkeys from entering the fenced off area from the adjacent roost areas. 2.3.5 Permanent Physical Barriers Completely excluding wild turkeys from a specific area is difficult based on their ability to fly. The use of permanent woven wire fencing or more residential aesthetically pleasing fence such as composite, wood or privacy lattice, or other options may be considered if it limits wild turkey access to high pedestrian traffic use areas. Staff understands this may help to deter but not completely prevent access. These fences can be blended into the area with tall flowering forbs, grasses or shrubs. Any fencing that is installed would need to be approved by the Area Wildlife Manager and will be established in a manner that prevents wild turkeys from entering the fenced off area from adjoining areas. Routine inspection of the fence will be done by city staff when installed on publically owned property. 2.3.6 Redistribution Techniques Preventing large flocks of wild turkeys from roosting, feeding or dusting throughout Saint Anthony and adjacent areas will be an ongoing process. We anticipate using a number of techniques, when needed, through independent contractors to remove wild turkeys creating public safety issues and property damage. On City owned property, multiple techniques will be utilized at varied times and with subtle shifts in methods so that the wild turkeys do not become habituated to any one technique or become accustomed to a particular schedule of activity. Following is a list, though not necessarily exhaustive, of redistribution techniques recommended by Minnesota Department of Natural Resources the City will follow on publicly owned property and resident and business owners will be advised to follow before requesting a removal permit:  Human and mechanical disruption options that may be considered; • Disturbing roosting and feeding wild turkeys by individuals on foot so they can be moved out of the area to a location that is more supportive of wild turkey habitat • Sprinklers or water devices • Remote control cars/trucks  Dogs or other trained animals • Specially trained dogs that are capable of providing non-lethal hazing. • Use of trained dogs and handlers to move turkeys away from high used public areas. • Resident pets will not be allowed for this purpose.  Pyrotechnic Options • Limited use of pyrotechnic options such as flares, bangers, crackers, popper shells, etc. can be temporarily effective in moving wild turkeys and dissuading them from returning to a given area. Special training, handling and storage considerations would need to be considered. Use restrictions and notification requirements would be required prior to the use of pyrotechnics. Safety will always be the number one priority when considering pyrotechnics for the relocation of wild turkeys.  Options for Repellants for roosting • Bird spikes in common roost areas • Spray on products that create unwelcome residues have been successful to slow down roosting. An example is Bird-X “4 The Birds Repellant” – product leaves a sticky residue on surfaces including tree branches, rooftops, asphalt, etc. • Remote and automated lighting systems.  Predator decoys • The use of 2D or 3D coyote/dog decoys sometimes discourages area use by wild turkeys. The periodic use of decoys continues to be a management option. Decoys that are placed intermittently and exhibit periodic motion due to wind gusts can be effective at deterring geese however must be moved on a very regular schedule to be affective.  Feeding ban or future feeding ban on wild turkeys • No feeding wild turkeys within city limits • No feeding of wild turkeys on city property 2.3.7 Deterrents in Roost Areas and Excrement Removal At this point in time, the City of Saint Anthony does not remove wild turkey excrement on private property. The primary goal is to effectively redistribute wild turkeys away from these areas, with the goal being a reduction of feces in these areas. Staff would only remove wild turkey excrement from public owned property if the problem is extensive and persistent. 2.4 Public Information Informing the public about wild turkey management activities is an integral part of a successful wild turkey management plan. Information and signage detailing some of the methods being used will be developed to provide background information for residents. Signage or posted notices may be developed for certain activities. Additionally, city staff and all contractors performing removal services will provide a copy of the removal permit to all residents and patrons upon request. All persons performing management activities should provide users with accurate and thorough information about wild turkey management objective, and inform users how the particular management activity being conducted fits into the larger wild turkey management plan. The City of Saint Anthony will promote resident reporting options of turkey complaints/safety concerns to appropriate staff via e-mail or phone. The City will also provide information on residential turkey management techniques in both the city newsletter and website. 2.5 Partner Relationships and Permit Requirements Coordination of all wildlife management activities will be communicated with the Minnesota Department of Natural Resources, Parks & Recreation Department, Public Safety Department and City Administration. Permitting and all contracted removal activities, dates/conditions for removals, permit possession while conducting activities, notification and involvement of Conservation Officers, Area Wildlife Managers, etc. will be the responsibility of City staff and all contractors employed to implement wildlife management services. APPENDIX A: City of Saint Anthony Context and Land Cover Map APPENDIX B: Management Activity Tracking Form DATE Name Activity/Method Location Notes