Tobacco Control Archives - Respiratory Health Association

Smoke Free Illinois 15 Years Later – More Change is Needed

Posted on February 8, 2023 by Sarah Meyer Hughes

February 8, 2023 – Chicago, IL – January 2023 marks 15 years since the Smoke Free Illinois Act went into effect, banning smoking in public spaces across the state. This law has saved an estimated 37,000 lives in Illinois, helped reduce heart attacks and other health problems, and saved millions of dollars in healthcare costs. And the law has helped place Illinois on the path to a generation of children who have grown up in a smoke-free world.

“How often in our lives do we have an opportunity to save a life—let alone thousands of lives?” commented Joel Africk, President and Chief Executive Officer of Respiratory Health Association (RHA), which advocated for the passage of Smoke Free Illinois. “That’s why we continue this fight to keep tobacco out of the hands of our children and reduce exposure to secondhand smoke.” Currently, RHA is working to add e-cigarettes to the Smoke Free Illinois Act and to restrict the sales of flavored tobacco products that are marketed to youth.

Tobacco advocates highlight the need for public health funding to support their efforts. Illinois currently ranks 39th in the US in funding for tobacco prevention and cessation programs. Only 7.4% of the $220 million Illinois receives annually in Master Tobacco Settlement Agreement is being used to support tobacco control programs.

The need is greater than ever to strengthen vaping restrictions and increase programming to protect our youth from the dangers of vaping and e-cigarettes.

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Respiratory Health Association has been a public health leader in Illinois since 1906, focusing on lung health and clean air issues. RHA works to prevent lung disease, promote clean air, and help people live better through education, research, and policy change. As a policy leader, RHA is committed to advancing innovative and meaningful tobacco control policies. We have been one of the state’s leading advocates for federal oversight of tobacco and vaping products, smoke-free laws, Tobacco 21, and other tobacco product policies.

LGBTQ+ Tobacco Use and Lung Health

Posted on June 14, 2022June 15, 2022 by Sarah Meyer Hughes

During Pride Month, we celebrate LGBTQ+ communities. We also recognize people in these communities face numerous health disparities – an important reason to keep fighting for equality. Unfortunately, tobacco use among lesbian, gay, and bisexual adults is known to be significantly higher compared to the general population.

According to the CDC, 19.2% of LGB people are smokers compared to 13.8% of straight people. Transgender people have also reported higher rates of smoking in some studies. Tobacco use, primarily cigarette smoking, is the leading cause of preventable illness and death in the United States. It is a major contributor to deaths from cancer, heart disease, and lung diseases.

A history of targeted marketing from tobacco companies – particularly with flavored products like menthol – has contributed greatly to increased tobacco use among these communities.

Every year, more than 1 million people quit smoking for good. When you quit smoking, you immediately gain health benefits such as improved lung function, improved circulation and a new confidence to live a tobacco-free life

We provide resources and programs to help people quit smoking. It’s important to remember that LGBTQ+ smokers aren’t alone in their journey to quit. We continue to raise awareness about the dangers of smoking and programs available to help. To learn more about RHA’s quit smoking programs and other resources, click here.

FDA’s Proposed Rules to Prohibit Menthol Cigarettes and Flavored Cigars Will Protect Lung Health

Posted on April 28, 2022April 28, 2022 by Sarah Meyer Hughes

Today the U.S. Food and Drug Administration (FDA) proposed product standards that ban menthol as a characterizing flavor in cigarettes and ban all characterizing flavors (including menthol) in cigars. The decision comes as the result of a citizen complaint filed by public health organizations and over a decade of advocacy efforts.

“Respiratory Health Association applauds the FDA’s decision to move forward with greater regulation of these harmful tobacco products,” commented Joel Africk, RHA’s President & Chief Executive Officer. “We continue to fight to reduce the burden of tobacco-related lung illnesses in our communities and believe removing menthol products from store shelves is the right thing to do.”

The less harsh, mint-like flavoring of menthol products makes them easier to smoke and often appeals to younger or new smokers. Additionally, tobacco companies have historically marketed these products to teens and in minority communities. Studies have shown as many as 70% of teen smokers use menthol cigarettes. Of Black smokers, nearly 85% smoke menthol cigarettes compared to 30% of all white smokers – contributing to health disparities including risk for lung disease. In total, an estimated 18.6 million current smokers use menthol cigarettes.

“Big Tobacco – a multi-billion-dollar industry – has long used menthol flavoring to target new smokers and minority communities,” continued Africk. “The FDA’s move will prevent a new generation of smokers, help address significant lung health inequities, and save lives.”

The FDA’s rules also offer protections to consumers, as enforcement will only address manufacturers, distributors, and retailers. RHA looks forward to President Biden’s administration finalizing these new rules – and helping implement a policy that focuses on improving lung health and holding the tobacco industry accountable instead of criminalizing individual use of these products.

For media inquiries, please contact Joe Siebelts at jsiebelts@resphealth.org or (312) 628-0204.

Respiratory Health Association has been a local public health leader in Illinois since 1906, focusing on lung health and clean air issues. RHA works to prevent lung disease, promote clean air, and help people live better through education, research, and policy change. As a policy leader, RHA is committed to advancing innovative and meaningful tobacco control policies. We have been one of the state’s leading advocates for federal oversight of tobacco and vaping products, smoke-free laws, Tobacco 21, and other tobacco product policies.

Skokie Flavored Vaping Product Ban Falls Short

Posted on September 24, 2021September 24, 2021 by Sarah Meyer Hughes

For Immediate Release

September 24, 2021

Contact: Erica Krutsch

ekrutsch@resphealth.org

Respiratory Health Association Statement on Skokie’s Ban of Certain Flavored Vaping Products

Skokie, IL – This week the village of Skokie passed an ordinance banning the sale of certain flavored vaping products within village limits. The ordinance is part of a local effort to curb tobacco use by teens, as recent surveys have shown that over 80 percent of e-cigarette users between ages 12 to 17 report flavoring as a primary reason for using a tobacco product.

Notably, the new law does not restrict the sale of menthol flavorings.

In response to the ordinance, Respiratory Health Association issued the following statement:

“Respiratory Health Association applauds the village of Skokie for taking steps to limit access to some flavored vaping products that disproportionately drive teen tobacco use today. Nicotine is an addictive, dangerous drug that harms brain development and poses other significant health risks. We only wish the ordinance had followed the science and banned menthol flavoring— one of the preferred flavors among the teens Skokie is trying to protect. In fact, research suggests that banning some flavors while still allowing menthol flavoring will simply lead to young people switching to menthol products.

The vaping industry’s illegal marketing to children has been well documented, and one of the industry’s largest players, JUUL, has been sued by the FDA for making illegal claims about the safety of their products. Additionally, no level of chemical aerosol inhalation is good for the lungs, and other long-term health impacts of these products are completely unknown.

The soothing sensation of menthol-flavored tobacco makes it easier to inhale and potentially harder to quit. Because menthol products feel less harsh, they have greater appeal to new smokers and young people.[i]

We hope the village of Skokie will continue to develop additional measures that deter youth nicotine use, improve health equity, and protect vulnerable communities.”

[i] https://www.cdc.gov/tobacco/basic_information/tobacco_industry/menthol-cigarettes/index.html

A Recap of 2021 Lung Health Advocacy Victories

Posted on July 15, 2021 by Sarah Meyer Hughes

Together we made great progress toward healthy lungs and clean air for all during the spring legislative session. With your support, we advocated new laws and changes to benefit the health of everyone in Illinois. Join us in celebrating these victories,:

RHA worked with the Illinois Department of Public Health on an advocacy effort to increase statewide funding for asthma education in Illinois. These efforts resulted in an additional $1 million in funding for school-based asthma education.
SB2294 will encourage more Illinoisans to quit smoking by providing expanded Medicaid coverage for FDA approved quit smoking medications, tobacco counseling services, and telephone-based quit smoking services provided through the Illinois Tobacco Quitline.
HB3202 will add e-cigarettes and other vapor devices to the state’s health education programs in schools.
SB512 will prohibit companies from marketing e-cigarettes to minors and from running misleading e-cigarette advertising.
HB1779 will provide easier access to care for people living with cancer by not requiring prior authorization for biomarker testing, which can guide health professionals in developing a treatment plan.
HB1745 will reduce out-of-pocket costs for Illinoisans’ prescription drugs, like asthma and COPD medications, by requiring insurance companies to offer plans with predictable co-pays or cap these amounts.
HB3498 makes innovative telehealth approaches permanent, so Illinoisans can continue to access critically needed care beyond the pandemic regardless of transportation, scheduling barriers – and with less stigma or risk to safety.
SB2563 expands vehicle emissions testing by permitting owners of vehicle service companies to operate an official portable emissions testing company – a win for clean air.
SB2133 focuses on health equity by ensuring the state reports data related to race, sexual orientation, gender identity, and disabilities for public health indicators, such as COVID infections.

Want to get involved with our advocacy efforts and help promote laws that will benefit everyone’s health? Learn more and sign-up to receive our emails here.

Building a Healthy Future Together

Posted on June 28, 2021June 28, 2021 by Sarah Meyer Hughes

Your support made it possible for us to have an impact in communities throughout Illinois and beyond this past year. Together we faced new challenges, found new solutions, and made progress toward a future free of lung disease. As we come to the end of our program year, we want to share some of our work to prevent lung disease, promote clean air, and help people with lung disease live better lives.

Project STRENGTH for COPD

Thanks to support from the Learn More Breathe BetterSM program of the National Heart, Lung, and Blood Institute, we created resources that provide information on how people with COPD can live well at home. Each informational packet aims at keeping people with COPD healthy and provides guidance to help build exercise routines, manage breathing, put together a nutrition plan, and more.

Improving Our Asthma Programs

We collaborated with University of Chicago to conduct a formal evaluation of our two asthma programs – Fight Asthma Now© and Asthma Management. The evaluation showed kids and parents participating in these programs learned a lot about asthma triggers, medications, and staying healthy. The results were even better with repeat sessions.

A New Approach to Quitting

We began testing a new format for our Courage to Quit® program that helps people stop smoking. The new “rolling” model allows people to attend group Courage to Quit sessions with more flexibility, which increases accessibility and makes the program work for more people. We’re pushing forward to expand this idea and increase access to the program in the coming year.

Educational Webinar Series

In August, we launched a new educational webinar series. Lung health content reached nearly 1,000 people on important topics like COVID vaccines, women’s lung health, lung cancer screening, and environmental justice issues. Because the programs were entirely online, we were able to reach a national audience.

Funding Asthma Education

Asthma is the No. 1 cause of school absences due to chronic illness. RHA led an advocacy effort to increase statewide funding for asthma education in Illinois. These efforts resulted in an additional $1 million in funding for school-based asthma education.

Lung Cancer & COPD Research

We awarded two grants to fund promising research into lung cancer and one new COPD research award. One of the lung cancer studies is looking at a specific gene mutation that can cause cancer even in non-smokers. Our annual Solovy Award for Advancement in COPD was awarded to support the research efforts of Dr. Nadia Hansel at Johns Hopkins University School of Medicine.

School-based Asthma Policy Study

We conducted a study to see how well school staff understand current rules about asthma inhalers in schools. We found that 60% of school nurses in Illinois surveyed didn’t fully understand current rules that allow students to bring and use their inhalers in school. We will now focus some of our program resources on educating school health staff to better serve students.

Investing in Clean Air

In April, the Illinois Environmental Protection Agency released a plan to invest $88.6 million in electric public transportation, school buses, and charging infrastructure for electric cars. For years RHA has given testimony and fought for money to support clean transportation because transportation is a leading cause of air pollution. This investment is a huge victory for clean air.

Women’s Lung Health Research

Thanks to amazing growth in our Catch Your Breath® women’s lung health initiative, we were able to partner with CHEST Foundation to fund a new research award addressing gender disparities in lung disease. Lung disease impacts one in every six US women, and this award will increase research into the unique aspects of lung disease in women.

To learn more about the educational programs, research, and policy work your contributions support, as well as to receive updates on our work toward healthy lungs and clean air for all, sign-up for our monthly newsletter.

If you’d like to support RHA’s work to prevent lung disease, promote clean air, and help people living with lung disease, you can donate here.

RHA Statement on FDA’s Proposed Menthol Cigarette Ban

Posted on April 29, 2021May 12, 2021 by Sarah Meyer Hughes

In Lung Health Victory, FDA Plans New Product Standards to Ban Menthol Cigarettes and Flavored Cigars

Today the US Food and Drug Administration (FDA) announced plans to issue product standards within the next year to ban menthol as a characterizing flavor in cigarettes and ban all characterizing flavors (including menthol) in cigars. The decision comes as the result of a citizen complaint filed by public health organizations.

Respiratory Health Association applauds the FDA decision to move forward with greater regulation of these harmful products.

The soothing sensation of menthol cigarettes makes them easier to smoke and potentially harder to quit; and because they feel less harsh, they have greater appeal to new smokers and young people.[i] In fact, 70% of youth smokers use menthol cigarettes.[ii] And because big tobacco companies have intentionally marketed menthol cigarettes to Black communities since World War II, it is not surprising that nearly 9 in 10 Black smokers (88.5 percent) of all ages use menthol cigarettes.[iii]

Both the FDA and the U.S. Surgeon General have established that menthol cigarettes contribute to racial health disparities in the U.S.[iv]^,[v] Therefore, banning the sale of menthol cigarettes is an important step in broader efforts to achieving racial equity in health. Further, a ban on all flavored cigarettes and cigars will decrease youth smoking and could increase the impact of successful cessation efforts, particularly among communities of color, low-income communities, and LGBTQ+ individuals.

RHA looks forward to moving toward a policy that focuses on industry accountability and not criminalizing possession.

Respiratory Health Association is committed to continuing to fight to reduce the burden of tobacco-related illnesses in our communities and believe removing flavored tobacco from store shelves is the right thing to do. Big Tobacco, a multi-billion-dollar industry, must be held responsible for the distribution of products that addict young people and increase the harm caused by smoking.

[i] https://www.cdc.gov/tobacco/basic_information/tobacco_industry/menthol-cigarettes/index.html

[ii] Gardiner PS. The African Americanization of Menthol Cigarette Use in the United States. Nicotine and Tobacco Research 2004; 6:Suppl 1:S55-65 [cited 2018 Jun 12].

[iii] https://truthinitiative.org/research-resources/traditional-tobacco-products/menthol-facts-stats-and-regulations

[iv] Food and Drug Administration. Preliminary Scientific Evaluation of the Possible Public Health Effects of Menthol Versus Nonmenthol Cigarettes pdf icon[PDF–1.6 MB]external icon. 2013.

[v] U.S. Department of Health and Human Services. Smoking Cessation. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2020.

Opposition to Proposed Watered-Down Chicago Tobacco Control Ordinance

Posted on September 4, 2020 by Sarah Meyer Hughes

For Immediate Release

September 4, 2020

Opposition to Proposed Watered-Down Chicago Tobacco Control Ordinance

September 4, 2020 – Chicago, IL – Today the Chicago City Council Committee on Health and Human Relations met to vote on a revised and greatly weakened ordinance to regulate the sale of flavored tobacco products in Chicago. Respiratory Health Association’s President & Chief Executive Officer, Joel Africk, has issued the following statement in opposition to the revised ordinance. This statement was originally given as testimony during the committee meeting.

“Good morning Mr. Chairman and members of the Committee. Respiratory Health Association opposes the watered-down flavored tobacco substitute ordinance. Chicago needs restrictions on all flavored and menthol products, including conventional cigarettes that are killing our vulnerable communities. This ordinance is unanimously opposed by Respiratory Health Association, the American Heart Association, the American Cancer Society, and the American Lung Association—the local patient service organizations who have spent the past 30 years advising Chicago government on tobacco control policy.

For almost 20 years—and until today– Chicago has had an unblemished record of getting tough on Big Tobacco. That record has driven smoking rates in Chicago to their lowest rates on record. In each case, the key has been to reject the watered-down versions of laws deemed as more acceptable to the tobacco industry. You see, the Big Tobacco playbook says to oppose tobacco control until it is inevitable, and then water it down as much as possible to preserve cigarette sales. That tactic works because the watered-down ordinances relieve the political pressure to do something more comprehensive. That’s a pretty effective tactic. Watered-down ordinances relieve political pressure. And the legislature can always claim “at least we did something.”

In December 2005, with unanimous support from the service organizations, this Council passed one of the strongest smoke-free laws in the United States, under the leadership of Ald. Ed Smith. The Council did so because it didn’t take a watered-down deal. There were offers of watered-down deals. “No smoking in restaurants but not bars.” “Exclude Chicago’s private clubs.” The watered-down offers kept flowing. But this Council said no, and it passed a comprehensive Chicago smoke-free ordinance that saves an estimated 2500 lives a year. Chicago resisted the same argument being advanced here, that a weaker watered-down ordinance would “do some good” and be a stepping stone on the way to solving a public health problem that is addicting and killing our community in record numbers.

The specific problem with the watered-down substitute ordinance here is that it lets people addicted to vaping simply switch back to flavored cigarettes, including menthol cigarettes, and continue their addiction. You don’t have to take my word for it. That is what Altria, the parent of Philip Morris, acknowledged in July 2020 in the Wall Street Journal. Vaping-only restrictions, like the one before you, have caused sales of conventional cigarettes to increase. It’s like plugging one leak in your pipe and leaving the other leaks un-repaired.

So, who wins and who loses from the passage of this substitute ordinance instead of the alderman’s original ordinance? It’s easy to see who wins. Big Tobacco wins. The tobacco companies get to sell more cigarettes, including flavors and menthol, to Chicagoans. The ordinance gives young people who vape a chance to move to conventional cigarettes. That is what Altria reported. So we know who wins.

And who loses? Who typically loses these things? How about the vulnerable populations with high smoking rates, especially for menthol cigarettes, including young African American Chicagoans, who have already increased smoking regular cigarettes by 30% in the past two years? They need a comprehensive solution to the problem, but instead they will continue to live with increased heart disease, lung disease, and cancer. All because the substitute ordinance doesn’t solve the real problem. Aren’t they the ones who always lose?

That is why this substitute ordinance is opposed by all of the local service organizations. We pick up the pieces from what the tobacco industry lobbyists and some selfish retailers leave behind. We see the patients who are sick. We help people addicted to tobacco break their addiction. And we are trying to end the racial disparities in so many diseases tied to tobacco use. It would be better to pass no ordinance at all, and let the political pressure build for true tobacco control in the City of Chicago.

We ask you to reject the substitute ordinance.”

Teen Vaping Rates Soar as Researchers Find COVID-19 Link

Posted on August 24, 2020August 24, 2020 by Sarah Meyer Hughes

Teen Vaping Rates Soar as Researchers Find Link to COVID-19 Infection

CDC Study Shows Urgent Need for Federal, State, and Local Action to Reduce Youth E-Cigarette Use

Contact: Erica Krutsch, Director, Marketing & Communications
734-262-4527 | ekrutsch@resphealth.org

Chicago, IL – The U.S. Centers for Disease Control and Prevention (CDC) recently released new findings on youth tobacco use, including e-cigarettes and vaping products, as part of the 2019 Youth Risk Behavior Survey.

The survey found that nationally 32.7% of high school students used e-cigarettes in 2019. That number represents a 148% increase since 2017. In Illinois, the survey found nearly 20% of high school students used vaping products, a 51% increase, and in Chicago, 12.4% of high schoolers vaped, which is an 88% increase.

“The data show that Illinois and Chicago have made more progress in addressing the teen vaping crisis than some areas of the country, but there is still work to be done,” says Joel Africk, President and Chief Executive Officer at Respiratory Health Association, a Chicago-based lung health organization. “We know e-cigarettes are dangerous, and we need to do everything in our power to prevent a generation of kids from starting.”

The CDC findings come less than two weeks after a Stanford University study found that young people who smoke or use e-cigarettes are five times more likely to contract coronavirus than nonsmokers. Preliminary research also suggests that smokers infected with COVID-19 are nearly 1.5 times more likely to have severe symptoms and 2.5 times more likely to be admitted to the ICU, need mechanical ventilation, or die compared to non-smokers.

“Emerging research has already shown that e-cigarette use may increase coronavirus infection and cause more severe cases of lung disease – and we are only beginning to understand the lasting health impacts of this virus,” commented Ravi Kalhan, MD, Director, Asthma and COPD Program at Northwestern University and RHA board member. “Just a year after we first saw unprecedented cases of lung illness related to vaping, and now facing the COVID-19 pandemic, it is especially concerning to see a growing number of teens are putting themselves at risk by using e-cigarettes.”

Respiratory Health Association advocates strengthening state and local indoor clean air laws to include e-cigarette and vaping use and banning flavored tobacco products that entice young people to start smoking as meaningful ways to curb teen vaping.

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Respiratory Health Association has been a local public health leader in Illinois since 1906 focusing on lung health and clean air issues. 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 federal oversight of tobacco and vaping products, smoke-free laws, Tobacco 21, and other tobacco product policies. For more information, visit resphealth.org.