South Florida Sun-Sentinel (Sunday)

Hawaii targets teen vaping, proposes flavored-liquid ban

- By Audrey McAvoy

HONOLULU — The first state to limit tobacco and electronic cigarette sales to people 21 and older is contemplat­ing a new nicotine crackdown: outlawing flavored electronic cigarette liquids and flavored tobacco to combat a spike in teenage vaping.

Hawaii would be the first state to adopt such a ban under a bill before the Legislatur­e. San Francisco was the first U.S. city to do so.

The proposal would ban flavored e-cigarette liquids such as Maui Mango and Cookie Monsta, along with cloves and other flavored tobacco products, but it would exempt menthol cigarettes and vaping liquids.

Supporters aim to make e-cigarettes less alluring to teenagers as studies show increasing numbers of high school and middle school students are becoming addicted to nicotine through vaping.

Battery-powered e-cigarettes typically heat flavored nicotine solutions into an inhalable vapor. They're more popular among teens than regular cigarettes, and most experts agree they're less harmful than cigarettes because the vapors don't contain tar and other cancer-causing byproducts of burning tobacco.

But there is virtually no research on the long-term effects of the chemicals in the vapor, some of which are toxic. And some researcher­s believe vaping will make kids more likely to take up cigarettes.

The U.S. Food and Drug Administra­tion this month proposed restrictin­g sales of most flavored tobacco products to stores that verify the customer's age upon entry or include a separate, age-restricted area for vaping products. The FDA said it would prioritize removing vaping products that clearly appeal to kids, such as those with packaging that resembles juice boxes, candy or cookies.

Students testified to Hawaii lawmakers last week that their classmates were vaping in bathrooms and isolated corners of campus. Some teens post social media videos of themselves exhaling plumes, the students said.

“I can't keep on walking into the bathroom at school and get hit in the face with a vape cloud that smells like cotton candy and not be able to work the rest of the day because of a headache,” said Paige McCurdy, a sophomore at Kapolei High School near Honolulu, in testimony at the Legislatur­e. “It is affecting students, Two bottles of e-liquid — Apple Peach Strawberry and Fuji Apple Strawberry Nectarine — at a store in Aiea, Hawaii.

and it just needs to stop.”

A 2017 Hawaii Health Department study found 16 percent of middle schoolers and 26 percent of high school students were users of e-cigarettes. The number of high school students experiment­ing with vaping jumped four-fold between 2011 and 2015, the study said.

The National Youth Tobacco Survey found youth vaping surged 78 percent between 2017 and 2018 across the country.

Hawaii's health agency said teen vaping is particular­ly concerning because nicotine in adolescent­s can disrupt the growth of brain circuits that control attention and learning and lead to increased impulsivit­y and mood disorders.

A House committee exempted menthol from the bill because prohibitin­g the flavor would dramatical­ly reduce the tax revenue the state brings in from menthol cigarettes.

Bill opponents say ecigarette­s play an important role in helping smokers of traditiona­l cigarettes reduce or stop smoking. They cite a recent study in the New England Journal of Medicine showing e-cigarettes were nearly twice as effective as nicotine gums and patches at helping people quit.

A separate bill would bring taxes on e-cigarette sales in line with traditiona­l cigarettes.

About 10 states already tax e-cigarettes, according to the Public Health Law Center, a Minnesota-based nonprofit organizati­on. Mark Meaney, an attorney at the center, said taxes are one of the most effective ways to discourage tobacco use.

The state Senate has passed versions of both bills. Both measures must pass the House Finance Committee by April 5 to advance to the full House.

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