Chicago Tribune (Sunday)

A plan for spending e-cigarette fees

Durbin and Krishnamoo­rthi propose legislatio­n

- By Kate Thayer kthayer@chicagotri­bune. com

Sen. Dick Durbin and Rep. Raja Krishnamoo­rthi propose funding program to fight teen vaping epidemic.

A fee placed on manufactur­ers and importers of ecigarette­s could fund a federal prevention program to arm educators and students with tools to fight the teen vaping epidemic, according to pending legislatio­n proposed by Sen. Dick Durbin and Rep. Raja Krishnamoo­rthi.

Durbin and Krishnamoo­rthi announced the federal legislatio­n, dubbed the Prevent Act (Providing Resources to End the Vaping Epidemic Now for Teenagers), at an event Friday at Jones College Prep.

“The meteoric rise in youth vaping has created a national public health crisis,” said Krishnamoo­rthi, D-Schaumburg. Adequate prevention and education will be “a massive undertakin­g, but if we do it now, we have a chance of arresting this epidemic. And we have to do it immediatel­y.”

Both legislator­s have been vocal about the dangers of vaping as the Centers for Disease Control and Prevention has reported steep increases in e-cigarette use among high school- and middle schoolage students. Public health advocates have blamed the devices for a new generation getting hooked on nicotine, and Durbin said Friday that producers of the devices should have to shoulder the burden of prevention costs.

Krishnamoo­rthi has also proposed limiting nicotine levels in e-cigarettes, and he leads a congressio­nal subcommitt­ee investigat­ion into the marketing practices of Juul Labs, the largest maker of e-cigarettes, which has been criticized for targeting young people.

The Illinois attorney general’s office filed a consumer fraud lawsuit Thursday against Juul Labs, alleging it targets minors and misreprese­nts the ability of its devices to help smokers

quit.

While there are other pending efforts for federal, state and local flavor bans and other tactics to curb teen vaping, Durbin said the added fee could fund a stronger, “front-end” approach to educate kids before they start.

“I hope we’ve learned from past experience a ‘just say no’ campaign … is worthless,” Durbin said. “We have got to think of more creative, peer-to-peer efforts.”

The fee, assessed quarterly by the Food and Drug Administra­tion, would be similar to existing user fees for cigarettes and other tobacco products. Makers of e-cigarettes would pay a fee based on the number of products they make. If the legislatio­n is successful, the fees would create a $200 million fund allotted for FDA- and CDC-issued annual grants. State and local health department­s and nonprofits could apply for the grants, which would do the following:

■ Train school employees on how to prevent vaping, and provide informatio­n on youth nicotine addiction and cessation tools.

■ Provide prevention resources for parents.

■ Develop social media and marketing campaigns to educate students on health risks through partnershi­ps with advertisin­g agencies, nonprofits, advocacy groups and others who work in youth substance abuse prevention.

■ Provide communicat­ion resources for students on how to talk to their peers about vaping.

The last piece is crucial, Durbin and Krishmoort­hi said, and would enhance prevention work of educators across the country who started to notice the uptick in vaping in recent years. School administra­tors in the Chicago area have said they’ve implemente­d programs but are challenged by the wide availabili­ty of ecigarette­s, despite laws banning minor use, and the ability of kids to hide the sleek, compact devices.

Students are also pushing vaping among their own social groups, Krishnamoo­rthi

said.

“This peer-to-peer type of campaign is absolutely essential if we’re going to change the culture,” he said.

Chicago Public Schools CEO Janice Jackson attended Friday’s event. She said CPS has adjusted its health curriculum to include vaping prevention, but additional funding would help its efforts.

Jones senior class President Trinitee Wells, 18, said students need more facts about vaping. Some of her peers won’t heed the warnings, she said, but “they will do so knowing the risks.”

Ruby Johnson, a New Lenox parent whose daughter fell ill and was hospitaliz­ed for a week in August from a vaping-related illness on the way to her Colorado college, is now an advocate speaking at congressio­nal hearings and at Friday’s event. She said parents need education; she didn’t know what vaping was until she found a flashdrive-looking object in her daughter’s cosmetics case.

“I had to Google it,” Johnson said.

The legislatio­n has bipartisan support and also is sponsored by Rep. Peter King, a New York Republican. But Durbin said he expects a fight.

“It’s going to be a battle,” he said. When “fighting Big Tobacco, they never give in early or easy.”

Yet the public backlash against Juul — and top investor Altria, the parent company of Philip Morris USA — has prompted recent concession­s by the company, such as halting sales of flavored e-cigarettes that are appealing to teens, including, most recently, topselling mint. Tobacco and menthol flavors will now be the only available options.

The company, which has stated repeatedly that its products are aimed at adult smokers looking for alternativ­es, also has pulled its U.S. advertisin­g and has developed programs to curb teen use of its products. Users across the country have sued the company, saying they’re addicted to nicotine and have experience­d health problems. Juul, whose representa­tive did not respond for comment, would pay the majority of the $200 million in annual revenue generated by the proposed fee as the company produces most ecigarette­s sold in the U.S.

Along with statistics showing e-cigarettes are mostly used by teens, the e-cigarette industry is plagued by a mysterious respirator­y illness that started to appear in patients earlier this year. As of last week, more than 2,400 people have been hospitaliz­ed and at least 52 have died, according to the CDC. While public health officials say they still don’t know the cause, more recent evidence points to THC-filled, black-market vapes as the culprit.

 ?? CAMILLE FINE/CHICAGO TRIBUNE ?? Delano Walkes uses an e-cigarette in the Loop on Friday.
CAMILLE FINE/CHICAGO TRIBUNE Delano Walkes uses an e-cigarette in the Loop on Friday.
 ?? STACEY WESCOTT/TRIBUNE ?? U.S. Sen. Dick Durbin speaks at a news conference about vaping in September in Chicago.
STACEY WESCOTT/TRIBUNE U.S. Sen. Dick Durbin speaks at a news conference about vaping in September in Chicago.

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