21,000 HAWAIʻI YOUTH, ALIVE TODAY, ARE PROJECTED TO DIE FROM A TOBACCO-RELATED ILLNESS…

95% OF SMOKERS START BEFORE THE AGE OF 21
8 IN 10 YOUTH WHO USE TOBACCO STARTED WITH A FLAVORED PRODUCT
78% OF NATIVE HAWAIIAN AND PACIFIC ISLANDERS SMOKERS USE MENTHOL CIGARETTES

ENDORSE THE
CAMPAIGN!

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1 in

Hawaiʻi high school students have tried e-cigarettes

mg
amount of nicotine in a ELF Bar, equal to 30 packs of cigarettes
%

of Hawai‘i voters
support ending the sale
of flavored tobacco

8 in

youth who use
tobacco products started
with a flavored product

WE NEED COMPREHENSIVE REGULATIONS TO PREVENT A LIFETIME OF ADDICTION FOR OUR KEIKI!

REAL TALK

HIGH SCHOOL STUDENT, HAWAIʻI
Read More
“…I often hear them discussing flavors, and it is a big part of the allure that vaping has. If you care about the health and well-being of Hawaii’s youth, please ban flavored tobacco.”
quote
FLAVORAH, A US-BASED COMPANY THAT PROVIDES CHEMICALS TO THE E-CIGARETTE INDUSTRY.
Read More
“The inhalation of flavoring may expose you to hazardous chemicals, toxins, and nanoparticles, including diacetyl, acetyl propionyl and/or acetoin, which have been associated with permanent lung injury and disease, including bronchiolitis obliterans, a disease characterized by inflammation and scarring of the small airways of the lungs, which leads to severe and disabling shortness of breath. Exposure to the aerosol can trigger, aggravate, and exacerbate various adverse health effects including but not limited to cancer, carcinoma, addiction, birth defects, heart disease, arteriosclerosis, liver and kidney disease, abnormal conditions, disorders, symptoms, and illness of the human body.”
quote
BRIAN KING, OFFICE ON SMOKING AND HEALTH, CDC NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION.
Read More
“So a question you may also be asking yourself, is do we know why youth tobacco use is increasing. The answer to that is yes. As I noted before the advertising will bring a horse to water, the flavors will get them to drink, and the nicotine will keep them coming back for more. We know that exposure to tobacco product advertising and imaging through various media including retail stores, the Internet, television, and other sources can cause youth to start using tobacco products.”
JOSHUA CHING, YOUTH COUNCIL MEMBER
Read More
“E-cigarettes, and flavors in both their normal and mentholated forms, have persisted as a disproportionately pervasive product in our Native Hawaiian community, specifically with Native Hawaiian youth, like me. As we garner greater awareness about the consequences of social inequities and the systemic imprints that have been made on the lāhui, there is an increasing burden to call the targeted marketing yielding a vaping epidemic what it is—an issue of social justice.”
NIKKYA TALIAFERRO, YOUTH COUNCIL MEMBER
Read More
“The Tobacco Industry disproportionately targets low income and black and brown communities through menthol products, advertising and reduced tobacco prices. These marketing disparities can only be solved through a restriction of the Tobacco Industry in our historically vulnerable communities.”
HIGH SCHOOL STUDENT, HAWAIʻI
Read More
“A lot of people my age and even younger vape. My little sister is addicted to vaping and it’s because of the candy-flavored liquids. She is only in the 7th grade.”
HIGH SCHOOL STUDENT, HAWAIʻI
Read More
“…I know a friend who does vape but says cigarettes are disgusting. If all e-cigarettes had the same smell and taste as regular cigarettes, I truly believe we will have a decrease of vaping users.”
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LEGISLATION

PURSUING ACTION AT THE STATE AND COUNTY LEVEL TO:

END THE SALE OF FLAVORED TOBACCO PRODUCTS

E-cigarette flavors like Rainbow Candy, Fruit Punch, Blue Razz Ice, and other fruity candy flavors undeniably attract youth. These flavors lure our keiki in, while the high levels of nicotine hook them for a potentially lifelong addiction meant to provide billions of dollars of revenue for tobacco companies.

Menthol cigarettes have helped to addict generations of African Americans, Filipinos, and Native Hawaiians; they are by far the most popular type of cigarettes with these populations. 78% of Native Hawaiians and Pacific Islander smokers smoke menthol cigarettes. By ending the sale of flavored tobacco products, we can break the cycle of addiction and help create the first tobacco- and nicotine-free generation.

RESTORE POWER TO THE COUNTIES TO REGULATE THE SALE OF TOBACCO

For decades, counties in Hawai‘i had the authority to make their own rules about selling tobacco products. This meant they could quickly create and enforce policies to protect the health of their local communities. However, in 2018, the state took away the county’s ability to regulate the sale of tobacco. We must give power back to the counties so they once again can lead the way and enact the policies that best fit the needs of their communities.

FUND TOBACCO PREVENTION AND CONTROL PROGRAMS

Tobacco prevention, education, and cessation programs are critical to further reducing the burden of tobacco in our state. Currently, no tobacco tax revenue is allocated to tobacco prevention and control.

ABOUT THE CAMPAIGN

For decades, tobacco companies have been using flavors as a tactic to hook people on their products. First, they targeted communities like Blacks, Filipinos, and Native Hawaiians, as well as young people, by making menthol cigarettes. Now they are trying to attract a new generation with e-cigarette flavors such as “Fruit Punch,” “Rainbow Candy,” and “POG.”

These flavored tobacco products undermine public health’s successful efforts to reduce youth tobacco use; 81 percent of kids who have used tobacco started with a flavored product, and over half of youth smokers use menthol cigarettes.

Tobacco companies actively seek ways to stop strong public health policies. In Hawaiʻi, the counties were once able to regulate the sale of tobacco products. They used this ability to create meaningful policies that protected people’s health, such as raising the age of tobacco sales to 21, creating smoke-free indoor air laws, and prohibiting smoking and vaping in a car when a minor is present. Following all four counties passing smoke-free cars with keiki inside, the tobacco industry worked relentlessly to limit the counties’ ability to regulate tobacco, fearing it would impact their profits.

In 2018, the state took away the counties’ ability to regulate tobacco sales. This strategy of removing a lower jurisdiction’s power and moving it to a higher institution is called preemption. Today, we are working with counties to return the power back to the counties so they may take action to protect their community.

A coalition of more than 200 organizations, community leaders, and advocates are working on these issues. We know what works to reduce youth tobacco use – we did it before with cigarettes. The recent passage of regulations on e-cigarettes, including restricting online sales, taxation, and permitting, is a step in the right direction. If we can end the sale of all flavors in all tobacco products and invest in effective tobacco prevention, education, and cessation programs, we can bring Hawaiʻi’s adult and youth tobacco use to record lows, saving thousands of lives every year by breaking the cycle of addiction.

NEWS

HONOLULU – Mayor Rick Blangiardi signed a bill Friday afternoon designed to prohibit the sale of flavored tobacco products within the City and County of

Multnomah County Board of Commissioners voted unanimously Thursday afternoon to end the sale of all flavored tobacco products for the county. The ban will take

Columbus City Council voted unanimously to end the sale of flavored tobacco products Monday night. The Coalition to End Tobacco Targeting advocated for legislative change

FACTS THE TOBACCO INDUSTRY DOESN’T WANT YOU TO KNOW

E-CIGARETTE USERS ARE 56% MORE LIKELY TO HAVE A HEART ATTACK AND 30% MORE LIKELY TO SUFFER A STROKE
E-CIGARETTES PRODUCE ACETALDEHYDE, ACROLEIN AND FORMALDEHYDE. THESE ALDEHYDES CAN CAUSE LUNG DISEASE.
NONE OF THE CHEMICALS USED TO CREATE THE MORE THAN 15,000 DIFFERENT FLAVORS FOR E-LIQUIDS HAVE BEEN APPROVED BY THE FDA FOR INHALATION.
NICOTINE HARMS THE DEVELOPING BRAIN, IMPACTING MEMORY, ATTENTION, CONCENTRATION, COGNITION AND IMPULSE CONTROL.

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PARTIAL LIST OF SUPPORTERS

Updated 06/13/2023

HEALTH ORGANIZATIONS

‘Ohana Health Plan
Adventist Health – Castle
Aloha Care
AMA/HMA Student Chapter at JABSOM
American Academy of Pediatrics – Hawaii Chapter
American Heart Association
American Lung Association
Bay Clinic Inc.
Blue Zones Project
Campaign for Tobacco-Free Kids
Coalition for a Drug-Free Hawaii
Coalition for a Tobacco-Free Hawai‘i a program of Hawai‘i Public Health Institute
Hamakua Kohala Health Centers
Hawaii – American Nurses Association (Hawaii-ANA)
Hawaii COPD Coalition
Hawaii Dental Hygienists’ Association
Hawaii Health and Harm Reduction Center
Hawai‘i Nurses’ Association OPEIU Local 50
Hawaii Public Health Association
Hui No Ke Ola Pono
Hui Ola Pono (UH Public Health’s Student Organization)
Kaho’omiki; Hawaii Council of Physical Activity and Nutrition
Kauai Rural Health Association
Keiki Injury Prevention Coalition
Na Lei Wili Area Health Education Center, Inc.
The Queen’s Health Systems
Tobacco Prevention Project, Daniel K. Inouye College of Pharmacy
University of Hawaii Student Health Advisory Council
US COPD Coalition
Waimānalo Health Center

HEALTH & COMMUNITY LEADERS

Kathryn Akioka, RRT / TTS
Joy Barua
Forrest Batz, PharmD
Frank Baum, MD
Deborah Bond-Upson
Dale Carstensen
Valerie Chang
Dyson Chee
Danelle Cheng
Bridgitte Daniel
May Rose Dela Cruz, DrPH
Andrew Fox, MD
Shani Gacayan
Donita Garcia
Asaka Herman
Pedro Haro, MPH
Cyd Hoffeld
Colleen Inouye, MD
Lila Johnson
Leilani Kailiawa
Lehua Kaulukukui
Ken Kozuma
Mark Levin
Loren Lindborg
Katherine May, PsychD
Bryan Mih, MD
Kristin Mills
Shelly Ogata
Gregg Pacilio, PT
Matthew Prellberg
Jordan Ragasa
Nathalie Razo
Keenan Reader
Crystal Robello
Kimberly Golis-Robello
Mary Santa Maria
Anne Takata, DC
Patty Kahanamoku-Teruya
Chien-Wen Tseng, MD
John A Hau’oli Tomoso
Jennifer Valera
Cecilia Villafuerte
Linda Weiner, MD
Andre Weston, MDiv
Matthew Wong

YOUTH AND COMMUNITY ORGANIZATIONS

After-School All-Stars Hawaii
American Youth Soccer Organization (AYSO)
Association of Hawaiian Civic Clubs
Bad Boys Football Club
Big Island Interscholastic Federation (BIIF)
Hale ‘Ōpio Kaua’i Inc.
Hawaii Children’s Action Network
Hawaii Interscholastic Athletic Directors Association
Hawaii State Commission on Fatherhood
Hawaii State Teachers Association (HSTA)
Hawaiʻi Youth Climate Coalition
Hawaii Youth Services Network
Honolulu Youth Commision
Kanu o ka ʻĀina Learning Ohana (KALO)
Kauai Path Inc.
LearningBond
Pacific American Foundation
Parents for Public Schools of Hawai’i
Partners in Development Foundation
Residential Youth Services & Empowerment (RYSE)
The Friends of Kamalani and Lydgate Park
Waipahu Intermediate Youth For Safety

BUSINESSES

Country Courier, LLC
Hana Lima Physical Therapy
Home Remedies Interior Design
JCS Enterprises Inc.
Pediatric Therapies Hawaii

NEIGHBORHOOD BOARDS

Kuliouou-Kalani Iki Neighborhood Board 02
Kaimuki Neighborhood Board 04
Diamond Head Neighborhood Board 05
Palolo Neighborhood Board 06
McCully-Moiliili Neighborhood Board 08
Makiki-Tantalu Neighborhood Board 10
Ala Moana/Kakaako Neighborhood Board 11
Nuuanu/Punchbowl Neighborhood Board 12
Downtown-Chinatown Neighborhood Board 13
Liliha/Puunui/Alewa Neighborhood Board 14
Aliamanu-Salt Lake Neighborhood Board 18
Aiea Neighborhood Board 20
Pearl City Neighborhood Board 21
Waipahu Neighborhood Board 22
Ewa Neighborhood Board 23
Mililani-Waipio Neighborhood Board 25
North Shore Neighborhood Board 27
Koolauloa Neighborhood Board 28
Kahaluu Neighborhood Board 29
Kaneohe Neighborhood Board 30
Kailua Neighborhood Board 31
Waimanalo Neighborhood Board 32
Mililani Mauka- Launani Valley Neighborhood Board 35
Nanakuli-Maili Neighborhood Board 36

SCHOOLS

Damien Memorial School
Hawaii Association of Independent Schools (HAIS)
Hawaii Council of Private Schools (HCPS)
Holy Family Catholic Academy
Island Pacific Academy
Maryknoll School
Maui Preparatory Academy
Mid-Pacific Institute
Roots School
St. Andrew’s Schools
Saint Louis School