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10.1 SR 09-16-2024City of Elk - River To City Council Meeting Date September 16, 2024 Item Description Commercial Tobacco Use Action Requested Listen to the presentation. Request for Action Item Number 10.1 Prepared By Tina Allard, City Clerk Reviewed by Cal Portner Tina Allard Background/Discussion Sherburne County staff requested a meeting before the City Council to discuss the impact of and share solutions to reducing the harm of commercial tobacco use. Presenters who will be in attendance: ■ Alicia Maxwell, Community Health Coordinator, Sherburne County Public Health ■ ISD 728 representative ■ Sherburne County Substance Use Prevention Coalition student representatives ■ Emily Anderson, Director of Policy with Association for Nonsmokers -MN Financial Impact N/A Mission/Policy/Goal Elk River Vision and Mission Statement Attachments 1. Sherburne County Tobacco Presentation The Elk River Vision A avelcoming community with revolutionary and spirited resourcefulness, exceptional service, and community p p W E H E U 6 engagement that encourages and inspires prosperity 381 ELK RIVER TOBACCO WORKSHOP AGENDA: WHAT WE WILL COVER • Commercial Tobacco Use in Minnesota & Sherburne County • Health Impacts & Economic Costs of Commercial Tobacco Use • Tobacco Industry Marketing • Solutions to Protect our Kids and Community Page 223 of 381 ADULT TOBACCO USE SHERBURNE COUNTY 50% • Adults that are high school graduates or have a GED or less and report being a 22% 18°Y 17 current cigarette smoker. 11% Sherburne Region St. Cloud Benton Stearns Source: 2021 Community Health Survey Page 224 of 381 YOUTHTOBACCOUSE* SHERBURNE COUNTY VS MN Past 30-Day Use of Tobacco 20.0°% 18.0% t7.2% 16.0% 14.8% 14.0% 12.0% ■ Sherburne 10.0% 8.0% 7.6% County 6.2% Minnesota 6.0% 4.0% 2.0% 0.0% 8th Grade 9th Grade 11th Grade Total *Includes cigarettes, cigars, chew, hookah, e-cigarettes Source: 2022 MN Student Survey page 225 of 381 MINNESOTA S SHERBURNE HEALTH CARE S ECONOMIC COSTS • In Minnesota, smoking -related illness costs exceed $9 billion each year. • In 2018, smoking -related illness costs in Sherburne County were nearly $41.9 million. Sources: Blue Cross and Blue Shield of Minnesota Cost of Smoking Report, January 2024, MDH, Sherburne County Tobacco Profile, May 2018 Sherburne County A uditor- Treasurer $41.9 million COULD ALSO BUY 119 PLOW TRUCKS JOBS AT $85,075 00 No & 598 PATROL CARS Page 226 of 381 HEALTH IMPACTS OF TOBACCO USE • Tobacco use is the leading preventable cause of disease and death in the U.S. More than 480,000 deaths each year — this is nearly 1 in 5 deaths. • Smoking causes more deaths each year than the following causes combined: HIV, illegal drug use, alcohol use, motor vehicle injuries, and firearm -related incidents. • Secondhand smoke causes disease and early death in children and adults who do not smoke. Risks from Smoking Smoking can damage every part of the body Cancers Head or !Neck Lung Leukemia Stomach Kidney Pancreas Colon Bladder Cervix Chronic Diseases Stroke Blindness Gum infection Aortic rupture Heart disease Pneumonia Hardening of the arteries Chronic lung disease & asthma Reduced fertility Hip fracture Sources: CDC, FDA P OV, 55� o1C:3tf1 IMPACT OF NICOTINE • Nicotine harms brain development. • No amount of nicotine is safe for young people. • Nicotine is highly addictive. j • Nicotine can affect learning, memory, AM I'll mood and attention span. TW I 1 Inl * Nicotine can worsen feelings of depression and anxiety. Youth exposed to nicotine are more likely to smoke or use other substances. Sources: CDC, Truth InitiaffuTe 228 of 381 NICOTINE ADDICTION S WITHDMWAL • Symptoms of nicotine addiction can appear among youth within only 4 tew nays or weeKs after initiation. • Side effects of withdrawal can be uncomfortable and can trigger cravings for nicotine. ■■■■■ ■■■■■■■ ■■■■■■■ ■■■■■ NEW TECHNOLOGIES S NEW RISKS Appealing & easy to conceal Low -Cost More than 15,000 flavors High levels of nicotine t tz s 3500 • _- WAPNINGUF s • aeain�.e=n =a� P 30 Photo Source: ANSR-MN Loon Pluto 2500 puffs (6ml x 50mg) _ 10 Packs of Cigarettes ELFBAR k1V 3500 FUFFs WARNING This product contains nicotine. Nicotine is an addictive chemical. Photo Source: ANSR-MN Elf Bar 3500+ puffs (10.5mI X 50mg)= 17.5 Packs of Cigarettes 0 rya Photo Source: ANSR-MN Loon Juice Box 4000 puffs (14ml x 50mg) _ 23 Packs of Cigarettes NICOTINE LEVELS IN VAPES Photo Source: tienda 273 Loon Air 6000 puffs (13ml x 60mg) _ 26 Packs of Cigarettes Sourc@a of 381 TOBACCO MARKETING SOCIAL MEDIA INFLUENCE �. oar SHERBURNE TOBACCO RETAIL LOCATIONS S a COMPARED TO MCDONALD'S, SUBWAY, AND CARIBOU COFFEE � Number of Establishments County -Wide McDonald°s 0 4 Subway 0 5 Caribou Coffee 0 6 Tobacco Retailer 66 0 10 20 30 40 50 60 70 80 Page 233 of 381 TOBACCO RETAIL LOCATIONS ELK RIVER ORDINANCE Toud intieello Annandale X d09- o erman >_ivonia r rk A 1091 ft =� 1! od Elk River 1. Casey's General Store 2. Coborn's 3. Cub Foods 4. Charlie Brown's 5. Elk River Smokes 4 Less 6. Elk River Vape Bar 7. Holiday Store (Business Ctr) 8. Holiday Store (Freeport) 9. Holiday (Zane) 10. M N Roots 11. Northbound Liquor 12. Speedway (193rd) 13. Speedway (Main) 14. Speedway (Yale Court) 15. Walgreens 16. Westbound Liquor 17. Beaudry Express 18. Elk River Golf Club 19. Elk River Tobacco 20. Ralphie's 21. Walmart Paae 234 ol 381 ELK RIVER TOBACCO RETAIL LOCATIONS 1 69 Elk'�7//II�� er H' z Otsego ® s, Tobacco Retail Buffer F1 21 distance ' Quarter Mile Half Mile Mlle Page 235 of 381 FEDERAL S STATE LAW UPDATES • In 2019, federal legislation increased the age for tobacco sales from age 18 to 21. • On August 1, 2020, legislation known as Tobacco 21 became Minnesota law. o This raised the age for residents to buy tobacco products from age 18 to 21. • Eliminated penalties on underage Purchase, Use and Possession (PUP). o PUP penalties have not been proven effective in reducing tobacco use. Page 237 of 381 SWISS CHEESE MODEL OF COMMERCIAL TOBACCO PREVENTION Effective commercial tobacco prevention happens when interventions are layered together to create a healthy tobacco -free community. and family Youth educational pro8ran''s >,fon•smoking ns llancecheck9 ate flavors friends and tobacco -free cam wi$ nd lning Compendortra abndlmenth°l High prices a sn'o .. a'6- aringr a its pvailabit Vncreas .ducts vironttlents d adults en trusted Purchase P �� Intenrentions FA 1 ,� JI t�_ `] ALLIANCE Targeted tobacco industry marketing, social media 111 \,M_ misinformation, and tobacco lobbyists weakening regulations 2395 University Avenue W, Ste 31q St. Paul, MN 55114 source: Adapted from James T. Rea son 651£46-3005 wmv.a n.org IFebruary2021j Page 238 of 381 BEST PRACTICES FOR TOBACCO PREVENTION -+ Restricting the sale of all flavored tobacco products -+ Setting a cap on the maximum number of tobacco licenses Setting a distance requirement between licensed tobacco retailers Setting minimum price for cigarettes and chew and prohibiting the redemption of coupons and price discounting -+ Requiring retailer education -+ Increasing the minimum age for clerks -+ Restricting retailer signage Page 239 of 381 BEST PRACTICES FOR TOBACCO PREVENTION WHY ARE THF3F INPoRTNII? • Reduce tobacco retail availability, youth accessibility, and exposure to tobacco products and marketing. Reducing retail availability and accessibility decreases tobacco use rates and increases rates of quitting among current users. Limiting exposure to tobacco marketing and promotions reduces youth appeal and curiosity. e Reduce tobacco -related health disparities by making tobacco products less appealing and less available. • Encourage healthy behaviors and norms. `. Promote healthier environments for all community members. Page 240 of 381 THANK YOU! Alicia Maxwell, Community Health Coordinator alicia.maxwell@co.sherburne.mn.us