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k <br />NATO <br />December 21, 2021 <br />Mayor Vicente Sarmiento <br />Members of the Santa Ana City Council <br />22 Civic Center Plaza <br />Santa Ana, CA 92701 <br />RE: Proposed Flavored Tobacco Products Ban <br />Dear Mayor Sarmiento and Councilmembers: <br />As the Executive Director of the National Association of Tobacco Outlets (NATO), a national retail <br />trade association that represents more than 60,000 retail stores throughout the country including many <br />Santa Ana retail stores, I am writing to submit our comments and concerns regarding Ordinance <br />Prohibiting the Sale of Flavored Tobacco Products on your December 21, 2021, agenda. This would <br />ban the sale of all flavored tobacco products, including menthol cigarettes, mint and wintergreen <br />smokeless tobacco products, flavored cigars and flavored pipe tobacco. We would ask that the City <br />Council not adopt this ordinance for the reasons explained below. <br />Three Studies Find that Banning Flavored Tobacco Products Is Associated with Increased Youth and <br />Young Adult Smoking <br />According to a growing number of studies, the banning of all flavored tobacco products can result in <br />increasing the number of underage youth and young adults that start to smoke, or return to smoking, <br />cigarettes. This would result in a new public health issue that policymakers should avoid. <br />Study No. 1: University of Memphis School of Public Health, Science Direct-Addictive Behavior <br />Reports (June 2020): The first study, funded by the National Institute of Drug Abuse of the National <br />Institutes of Health, investigated the impact of the City of San Francisco flavored tobacco ban ordinance <br />after the ban was in force for nearly a year, finding that flavored tobacco product use was reduced, <br />but cigarette smoking among 18-24 year-olds increased by over 35%. The study also found that most <br />consumers of flavored tobacco find other sources for these products. <br />Link: https://www.sciencedirect.com/science/article/pii/S2352853220300134?via%3Dihub <br />Study No. 2: Yale School of Public Health Study, JAMA Pediatrics (May 2021): The second study <br />regarding San Francisco's flavored tobacco ban ordinance was funded by the National Institute on Drug <br />Abuse of the National Institutes of Health and the US Food and Drug Administration Center for Tobacco <br />Products and conducted by the Yale School of Public Health. It compared youth smoking rates among high <br />National Association of Tobacco Outlets,Inc.,17595 Kenwood Trail,Minneapolis,MN 55044 952-683-9270 <br />www.natocentral.org