Your Advocacy Influences Tobacco Policy Wins

Over the past 6 months, many of you personally met with dozens of lawmakers in your communities and in Springfield. RHA and advocates talked to lawmakers about Tobacco 21, clean energy jobs legislation and the dangers of tobacco and e-cigarettes. The impact of your visits, letters and emails can be felt in the many legislative initiatives that passed the Illinois Legislature this session.

Here’s an update on the tobacco control victories we achieved together!

Tobacco 21 Becomes Law in Illinois

After four years of advocacy efforts, Tobacco 21 was signed into law. The new law will take effect on July 1, 2019.  In the past few years, we had over 150 in-person visits with lawmakers where we discussed Tobacco 21. Youth advocates, volunteers with COPD, special event participants and health professionals joined RHA staff for these visits. We also had monthly in-district visits with Advocacy Champions and volunteers thanking legislators who supported lung health policies during the 2018 session.  Congratulations and thank you! Your personal stories, experiences and connections to this issue made a difference!

State Cigarette Tax to Increase by $1 per Pack

Raising the tobacco tax is one of the most effective tobacco prevention initiatives. To demonstrate support for a tobacco tax, RHA joined with partners to commission a poll that showed over 60% of Illinoisans support a tobacco tax. Increasing the Illinois cigarette tax by $1.00 per pack will generate $159.35 million in new annual revenue for the state as well as providing many health benefits:

  • Reduce youth smoking by 11 percent.
  • Prevent 28,700 kids under 18 from becoming adults who smoke.
  • Help 48,700 adults who currently smoke quit.
  • Prevent 21,000 premature smoking-caused deaths.
  • Provide $1.56 billion in long-term health care cost savings from adult and youth smoking declines.

Illinois to Tax E-cigarettes

Consistent with the federal government, e-cigs are now defined by the state as tobacco products and will be subject to licensing requirements as a result of this legislation.  E-cigarettes will now be taxed at 15% of wholesale price. This is a significant step because e-cig use is skyrocketing. Our polling also showed that 73% of Illinoisans support taxing e-cigarettes.  We applaud the Illinois Legislature for adding a tax to these addictive products.

No Smoking in Motor Vehicles

There is no safe level of secondhand smoke, and young people, in particular, are susceptible to the dangers of inhaling secondhand smoke. Legislation passed this year that will make it illegal to smoke in cars with children in the vehicle. Illinois joins eight other states that currently offer protections from secondhand smoke for minors in vehicles

RHA Advocates for Federal Investment in Prevention

Respiratory Health Association joined partners in the public health community in supporting federal legislation that aims to restore funding to the Prevention and Public Health Fund. This bill would increase the funding level starting in FY2020. Investments in prevention provide a return on investment in health care savings and improved health outcomes.

 

Thank you for your continued support in reducing the deadly toll of tobacco in our community!

If you’d like to get move involved in Respiratory Health Association’s advocacy work, become an Advocacy Champion  or e-advocate today.

Statement Applauding Signing of Statewide Tobacco 21 Law

April 7, 2019 – Chicago, IL – Today Governor J.B. Pritzker made an important stride toward a healthier future for Illinois as he signed a bill into law that raises the age to purchase tobacco products in the state from 18 to 21 years old. Special thanks to Rep. Camille Lilly who sponsored the bill and Senator Julie Morrison who championed the statewide “Tobacco 21” legislation.

A cornerstone of RHA’s work is to reduce the toll of tobacco on our communities, particularly among our youth. Tobacco 21 laws are important because 95 percent of adult smokers take up the habit before they turn 21. By raising the purchase age from 18 to 21, the law will help keep tobacco out of schools and away from teens.

“Tobacco 21 laws, like other laws inspired by public health, save thousands of lives a year.  Tobacco 21 in Illinois will reduce youth smoking and, as a result, mean fewer adult smokers, too,” said Joel Africk, president and chief executive officer of Respiratory Health Association. “Ultimately the new law will save more lives than Alcohol 21 and most other public health measures like it.”

Tobacco 21 will yield significant health and economic benefits.  The Institute of Medicine estimates that raising the tobacco purchase age to 21 could result in a 12 percent decrease in smoking rates by the time today’s teenagers become adults.

The new law has been strongly supported by a number youth advocates who joined RHA on advocacy visits and testified at local hearings. “I lost my dad in 2015 when I was 10 to lung disease and lung cancer,” says 14-year-old Ian Piet of Tinley Park. “Because of that, I am supporting tobacco 21 and other measures to help prevent lung disease.”

Respiratory Health Association estimates statewide Tobacco 21 legislation in Illinois will save the lives of more than 24,000 children alive today who otherwise would have died from tobacco-related illness. In addition the policy will save $500 million in future healthcare costs and avoid $500 million more in lost productivity associated with smoking and tobacco related illnesses.

Tobacco 21 previously passed the General Assembly in 2018, but then-Governor Bruce Rauner vetoed the measure. A majority of adults in Illinois support the law. Growing support for Tobacco 21 led to thirty-six communities across the state adopting local laws to raise the tobacco purchase age. These local laws cover approximately 30 percent of the state’s population and paved the way for statewide action.

Prior to working on Tobacco 21, RHA advocated strongly for the Smoke-free Illinois Act, which passed in 2007. That legislation was the strongest statewide smoke-free law in the country.

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Respiratory Health Association has been a local public health leader in Illinois since 1906. A policy leader, our organization remains committed to advancing innovative and meaningful tobacco control policies. We have been one of the state’s leading advocates for Tobacco 21 and Other Tobacco Product policies. For more information, visit www.resphealth.org.

RHA Statement on E-Cigarettes & Vaping Products

Respiratory Health Association Statement on Electronic Cigarettes & Vaping Products

As conventional cigarette use in the United States has declined, electronic cigarette (e-cigarette) use rates have continued to climb, particularly among youth. Vaping devices, such as the widely popularized Juul, have become a mainstay in places of education, with 42.2 percent of U.S. high school students having used an e-cigarette. Recent data show that U.S. youth e-cigarette use increased by 78 percent in 2018, prompting U.S. Food and Drug Administration (FDA) Commissioner Gottlieb to declare youth use of e-cigarettes an “epidemic”.

The increased use of e-cigarettes and vaping devices by youth poses a grave public health concern. These products are unregulated and contain at least 60 different chemical compounds, some of which are known to be toxic, carcinogenic and linked to cardiac disease. E-cigarette vapor is not just water vapor. E-cigarettes have not been proven safe—especially for young people. Exposure to nicotine during adolescence can negatively impact brain development and cognition and can serve as a gateway to conventional tobacco use. E-cigarette use is also associated with an increased risk of heart attack, heart disease and stroke.

Studies show that flavored tobacco products serve as starter products for many smokers, which lead to nicotine addiction and can serve as a gateway to traditional tobacco use. According to data from 2013-2014, 4 out of 5 youth who are current tobacco users started by using a flavored product. Flavors can also alter youth perception of the dangers of tobacco products, including e-cigarettes (which come in over 15,000 flavors), which results in increased use of these products.

E-cigarettes are not an FDA-approved tobacco cessation product. Although a recent study published in the New England Journal of Medicine found that e-cigarettes are more effective in smoking cessation than nicotine-replacement therapy, the results are not generalizable. The study was conducted in the United Kingdom with different e-cigarette products than those offered in the U.S., and the treatment included intensive behavioral support. In addition, it is difficult to assign a standard risk-reduction label to all e-cigarette products because they are not currently regulated, and the array of available e-cigarette products and technologies can vary so much. The long-term health effects of e-cigarette use are still not known, and the study did not address the dangers of nicotine addiction. At the conclusion of the study, 80 percent of those in the e-cigarette treatment group were still using e-cigarettes, compared with 9 percent of those in the nicotine-replacement group still using nicotine replacement. In the U.S., more than half of all e-cigarette users aged 25 and older are also current cigarette smokers.

Respiratory Health Association is committed to taking action to reduce the toll of all tobacco products, including e-cigarettes, on our communities, including:

  • Raising the minimum legal sales age of tobacco products, including e-cigarettes and vaping products, from 18 to 21
  • Adding e-cigarettes to existing smoke-free laws
  • Clarifying definitions of tobacco to include e-cigarette and vaping products
  • Licensing tobacco and e-cigarette retailers
  • Restricting the sales of flavored tobacco and vape products
  • Raising the tax on e-cigarettes and vaping products

Statement Supporting Wider Restrictions on Vaping Products and E-Cigarettes

Respiratory Health Association (RHA) applauds the expected FDA action to ban sales of most flavored e-cigarettes in convenience stores and gas stations across the country.

Vaping devices, such as the widely popularized Juul, have become a mainstay in places of education, with 42.2 percent of U.S. high school students having used an e-cigarette. Recent data show e-cigarette use skyrocketed among youth, prompting Commissioner Gottlieb to declare youth use of e-cigarettes an “epidemic”.

The increased use of e-cigarettes and vaping devices by youth poses a grave public health concern. These products are unregulated and contain nicotine, heavy metals, ultrafine particles, and other carcinogens. They have not been proven safe – especially for young people. They are not an FDA-approved tobacco cessation product, and e-cigarette vapor is not just water vapor, despite what some may claim.

Flavored tobacco products appeal to youth. According to data from 2013-2014, 4 out of 5 youth who tried tobacco started by using a flavored product. Flavors can also alter youth perception of the dangers of tobacco products, including e-cigarettes, which results in increased use of these products. Studies show that flavored tobacco products serve as starter products for many smokers, which lead to nicotine addiction and can serve as a gateway to traditional tobacco use.

Restricted access is a proven strategy and logical step for discouraging youth from using these products.  These actions will saves lives and bring us one step closer to a tobacco-free generation.

Respiratory Health Association has submitted public comments and testimony to the federal government regarding the impact of flavored tobacco and vaping products. We remain committed to taking action to reduce youth use of all tobacco products including e-cigarettes.

RHA Statement on Governor Rauner’s Veto of Tobacco 21

On Friday, August 24, 2018, Illinois Governor Bruce Rauner vetoed Senate Bill 2332, legislation that would have substantially reduced youth smoking and saved the state hundreds of millions of dollars in future health care costs by raising the tobacco purchase age to 21 from 18.

Respiratory Health Association (RHA) is incredibly disappointed in Governor Rauner’s decision to veto this legislation after it passed the Illinois General Assembly.  The bill is also supported by a majority of Illinois residents. A recent study, conducted by Fako and Associates, showed that two out of three adults in Illinois support Tobacco 21, a figure that is even higher among current and former smokers.

A cornerstone of RHA’s work has been to reduce the toll of tobacco on our communities, particularly among our youth. At this point, 26 communities across the state have adopted local laws to raise the tobacco purchase age. These local laws cover more than 30 percent of the state’s population and will remain in full force and effect.

Tobacco 21 laws are important because 95 percent of adult smokers take up the habit before they turn 21. By raising the purchase age from 18 to 21, the law would have helped keep tobacco out of schools and away from teens.

“Too many kids are being exposed to tobacco products in their teenage years,” said Joel Africk, President and CEO, Respiratory Health Association. “If we can keep kids away from tobacco until they’re 21, they’re far less likely to become addicted and can live healthier lives.”

Tobacco 21 also would have yielded significant health and economic benefits.  The Institute of Medicine estimates that raising the tobacco purchase age to 21 could result in a 12 percent decrease in smoking rates by the time today’s teenagers become adults. RHA estimates that in Illinois alone the law would save $500 million in future healthcare costs and avoid $500 million more in lost productivity associated with smoking and tobacco related illnesses.

“Respiratory Health Association is undeterred.  We will continue to fight to protect kids across Illinois from smoking and tobacco addiction in the next legislative session. Tobacco 21 is the right thing to do,” continued Africk.

To date five states – California, Hawaii, Maine, New Jersey and Oregon – and hundreds of municipalities around the US have raised the tobacco purchase age to 21.

Prior to working on Tobacco 21, RHA advocated strongly for the Smoke-free Illinois Act, which passed in 2007. That legislation was the strongest statewide smoke-free law in the country.

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Respiratory Health Association has been a local public health leader in Chicago since 1906. A policy leader, our organization remains committed to advancing innovative and meaningful tobacco control policies. We have been one of the state’s leading advocates for Tobacco 21 and Other Tobacco Product policies. For more information, visit www.resphealth.org.

Respiratory Health Association Statement Applauding Illinois’s Adoption of Tobacco 21

Respiratory Health Association Statement Applauding Illinois’s Adoption of Tobacco 21

Respiratory Health Association congratulates the Illinois General Assembly on the passage of statewide “Tobacco 21” legislation raising the age to purchase tobacco products in the state from 18 to 21. With the enactment of this legislation, Illinois becomes the sixth state in the U.S. to adopt a Tobacco 21 law.

A cornerstone of RHA’s work has been to reduce the toll of tobacco on our communities, particularly among our youth. Growing support for Tobacco 21 had previously led to twenty-five communities across the state adopting local laws to raise the tobacco purchase age. These local laws covered approximately 30 percent of the state’s population and paved the way for statewide action.

Tobacco 21 laws are important because 95 percent of adult smokers take up the habit before they turn 21. By raising the purchase age from 18 to 21, the law will help keep tobacco out of schools.

Tobacco 21 will yield significant health and economic benefits. The Institute of Medicine estimates that raising the tobacco purchase age to 21 could result in a 12 percent decrease in smoking rates by the time today’s teenagers become adults.

“We estimate statewide Tobacco 21 legislation in Illinois will save $2 billion in future healthcare costs. This doesn’t even include savings in lost productivity costs, which could be nearly as much,” said Joel Africk, president and chief executive officer of Respiratory Health Association.

Prior to working on Tobacco 21, RHA advocated strongly for the Smoke-free Illinois Act, which passed in 2007. That legislation was the strongest statewide smoke-free law in the country. By passing Tobacco 21 now, we celebrate the 10th anniversary of that innovative policy by further protecting our youth from the harmful impact of tobacco.

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Respiratory Health Association has been a local public health leader in Chicago since 1906. A policy leader, our organization remains committed to advancing innovative and meaningful tobacco control policies. We have been one of the state’s leading advocates for Tobacco 21 and Other Tobacco Product policies. For more information, visit www.resphealth.org.

Chicago Youth Cigarette Use Hits Historic Low

Respiratory Health Association joined with other patient advocacy organizations in congratulating the City of Chicago on its announcement that cigarette smoking by high school students in Chicago is at an all-time low. According to new data from the Centers for Disease Control and Prevention (CDC), only 6 percent of Chicago high school students reported current cigarette smoking in 2017 – a 56 percent decline from 2011.

graph showing youth smoking rates in Chicago in 2011 compared to 2016

Since 2011 the Chicago youth cigarette smoking rate has declined from 13.6% to just 6%.

In Chicago, the decline in youth cigarette smoking represents nearly 7,000 fewer teen smokers and an estimated $100 million in long-term health care savings.

Chicago has been recognized as a national leader in tobacco control. Key efforts include:

 

  • The nation’s strongest smoke-free ordinance in 2006
  • A prestigious $11.5 million tobacco control grant from the CDC in 2009
  • The nation’s first flavored tobacco regulation inclusive of menthol cigarettes in 2013
  • The nation’s second e-cigarette ordinance in 2014
  • Expansive smoke-free parks ordinance in 2014
  • Establishing the nation’s highest tobacco unit price, and
  • A comprehensive youth tobacco prevention package including Tobacco 21 in 2016.

 

RHA was a local leader in the advocacy efforts leading to the adoption of these policies, including Tobacco 21, in Chicago.

“Chicago continues to lead the fight against tobacco. We’re encouraged by the data because it demonstrates that our collective efforts are successful in building a tobacco-free generation,” said Joel Africk, President and Chief Executive Officer of Respiratory Health Association and Healthy Chicago community co-leader for tobacco control. “More work remains to be done to prevent the use of other tobacco products,” he added, “including cigars, electronic cigarettes and smokeless tobacco.”

Healthy Chicago is the citywide plan to improve health equity, launched by Mayor Emanuel and Chicago Department of Public Health. Respiratory Health Association serves as Healthy Chicago’s community co-chair for tobacco control and offers evidence-based tobacco control strategies and smoking cessation programs.

Building on Chicago’s success, RHA is now advocating for statewide adoption of Tobacco 21 in Illinois.

Contact us for more information on how you can support Tobacco 21.

Decreasing youth tobacco use across Illinois

With the support of RHA and other organizations, State Sen. Julie Morrison (D-Deerfield) and State Rep. Camille Lilly (D-Oak Park) have introduced legislation to raise the minimum age for tobacco sales in Illinois from 18 to 21.

Known commonly as Tobacco 21, the effort aims to curb youth smoking, which will lead to fewer adult smokers in the future and result in substantial long-term health care savings.

“Statistics show that 95 percent of smokers start before the age of 21,” said Matt Maloney, director of health policy for Respiratory Health Association. “By raising the age of sale for tobacco to 21, Illinois will greatly reduce smoking among high school children.”

“Our goal is to create the first smoke-free generation,” said Joel Africk, President and Chief Executive Officer of Respiratory Health Association. “Tobacco 21 gives us a great chance of making that happen.”

Each year in Illinois, 5700 teens under the age of 18 become new daily smokers. If these rates persist, 230,000 Illinois teens alive today will die prematurely from smoking.

The economic impact of smoking is staggering. Each year, tobacco use costs Illinois $5.49 billion in health care costs and $5.27 billion in lost productivity, according to research from the Campaign for Tobacco-free Kids. “By reducing youth smoking, we can make a meaningful change in the adult smoking rate and reduce these staggering costs,” said Africk.

Nearly 300 cities across 16 states, plus the states of California, Hawaii, New Jersey, Maine and Oregon have enacted Tobacco 21 laws. In Illinois, Tobacco 21 has been adopted by Evanston, Chicago, Oak Park, Deerfield, Highland Park, Naperville, Maywood, Lincolnshire, Vernon Hills, Berwyn, Buffalo Grove, Elk Grove Village, Mundelein, and unincorporated Lake County, and it is being considered by dozens more communities.

Public support for Tobacco 21 gives a big boost to this year’s legislative effort.  New polling data shows that 65 percent of registered Illinois voters support Tobacco 21. With your advocacy and support we can continue to gain ground.

To join our efforts to pass statewide Tobacco 21 and create a smoke-free generation, take a few clicks to email your local lawmakers.

New RHA Quit Smoking Resources Available

Do you work with clients or patients who smoke? Are you interested in providing resources to individuals who are thinking about quitting? Respiratory Health Association has developed new print materials to assist and motivate individuals throughout their quit smoking journey. They are appropriate for distribution in a variety of health and community settings and include a self-help guide, a poster identifying the benefits of quitting smoking and other resources. To learn more, visit our Quit Smoking Resources or contact Lesli Vaughan by email at [email protected] or by phone at (312) 628-0208.

Celebrating Tobacco 21 Success

Village of Maywood is recognized for raising tobacco purchase age.

RHA has presented the Village of Maywood with a Lung Health Champion award in recognition of its trailblazing Tobacco 21 ordinance. In May, the Village Board unanimously voted to raise the minimum legal age for tobacco product sales in the village from 18 to 21. The ordinance took effect immediately.

“Someone has to step up and take a stand and we, the village of Maywood have taken one… it’s to save a generation that’s coming behind us,” said Mayor Edwina Perkins at the time of enactment. The Institute of Medicine projects that Tobacco 21 could reduce overall smoking by 12 percent by the time today’s teenagers become adults.

It’s been a busy summer for Tobacco 21 advocates. In addition to Maywood, the villages of Berwyn, Buffalo Grove, Lincolnshire and Vernon Hills have adopted ordinances, bringing the total number of municipalities in Illinois to 11. This week, Lake County became the first in Illinois to raise the minimum age to buy cigarettes, tobacco products and electronic cigarettes to 21 in unincorporated areas of the county.

Want to bring a Tobacco 21 ordinance to your community? Contact Matt Maloney, RHA’s Director of Health Policy, via email at [email protected] or by phone at (312) 628-0233.

Tobacco 21 from Cook County Public Health on Vimeo.