The Food and Drug Administration could soon ban the manufacture and sale of menthol cigarettes, a move advocates in Ohio said could have a positive impact on health, particularly in Black communities.

Yvonka Hall, executive director of the Northeast Ohio Black Health Coalition, explained menthol tobacco products have a cool, smooth taste, making them more appealing and easier to use, especially among new tobacco users. She added they also have a mild anesthetic effect which suppresses coughing.

"Normally when you are taking something into your lungs that should not be there, your body rejects it by coughing," Hall explained. "Menthol allows you to take in the full 'poison' of the tobacco, by making sure that your body doesn't do what your body should do."

Research found nearly 85% of non-Hispanic Black smokers use mentholated products, putting them at increased risk of smoking-related illnesses. The FDA also estimates a proposed ban on menthol cigarettes could reduce up to 200,000 tobacco-related deaths among African Americans. Public comment on the proposed rule ends on July 5.

Studies showed the tobacco industry has been marketing menthol brands to African Americans since the 1950s, a trend Hall noted continues to this day.

"Whether you see signage around cigarettes or sponsoring concerts, whether they're rap concerts or the jazz fest, tobacco corporations have looked at things that the community likes as a way for them to perpetuate glamorizing smoking," Hall asserted.

The Northeast Ohio Black Health Coalition works with local partners in an effort to create menthol-free communities. Hall pointed out a key focus of their work is educating people about the risks of smoking, and mentholated products.

"For parents, when you talk to them about the potential harm that it does to their children, it kind of changes the way they perceive things," Hall observed. "Making it personal for our communities is more important than ever."

Hall added Ohioans who need help quitting smoking can reach out to the coalition or other local health-advocacy groups. Health insurance programs also offer smoking cessation programs. For immediate help, she suggested calling the Ohio Quitline, at 1-800-QUIT-NOW.

Hundreds of millions of American young people are exposed to vaping and smoking in popular movies, TV shows and music videos each year, according to the 7th annual "While You Were Streaming" report from the nonprofit Truth Initiative.

Tobacco depictions are down in the most popular Hollywood shows but they are heavily featured in programs like The Bear, Euphoria, and Stranger Things.

Dr. Jessica Rath, a behavioral scientist and senior vice president of Truth Initiative, said youth and young adults are three times more likely to start vaping when exposed to tobacco imagery in shows.

"Animated shows remain a consistent offender," Rath emphasized. "Five out of six of the top 15 animated shows contain tobacco depictions and those are more popular with Gen Z than any other demographic."

The report found in 2023, 70% of binge-watched streaming shows contained tobacco imagery, a 6% increase from the year before. Shows fueling the increase included "American Dad," "Law & Order SVU," "Never Have I Ever," and "South Park."

Rath noted her organization is working with entertainment companies and state attorneys general to get information added before or after the shows, like you might see for suicide prevention.

"Companies can roll advertisements with tested prevention messaging or quit line resources up in the top corner when the content that they're showing contains tobacco," Rath suggested.

The good news is youth vaping is actually at its lowest rate in a decade but smoking in entertainment threatens to reverse progress.

Truth Initiative developed a free resource to help people quit: Text "EXPROGRAM" to 88709.

Kentucky will soon begin licensing retailers who sell nicotine, which advocates have said will help regulate an industry and protect minors from addictive chemicals.

Gov. Andy Beshear signed Senate Bill 100 into law earlier this week.

Griffin Nemeth, a student and coordinator for the iCANendthetrend Youth Advisory Board coordinator at the University of Kentucky, explained the legislation is no different from what's currently in place for retailers who sell alcohol.

"We're really just trying to make sure that tobacco and nicotine products are on par with what is already expected of some of these other establishments," Nemeth explained.

In a state where about 5% of high school students smoke and almost 20% use e-cigarettes, according to The Campaign for Tobacco-Free Kids, advocates said the new regulations are a welcome effort to curb tobacco use among minors. Data show smoking costs the state more than $2 billion every year.

Under the new law, Kentucky will license all retailers who sell tobacco and vape products, empowering the Department of Alcoholic Beverage Control to inspect and enforce rules for the businesses. Nemeth argued licensing is a strong tool to protect youth at the point of sale.

"We're now starting to see an increase in use of alternative nicotine products, like oral nicotine pouches, and we're still seeing pretty significant use of vapes and e-cigarettes," Nemeth observed.

The new law will also fine retailers who sell nicotine products to minors, and give half the money collected to a youth prevention program.

This story is based on original reporting by Sarah Ladd for the Kentucky Lantern.

Nebraska needs to do better when it comes to tobacco use prevention and cessation, according to a newly released report.

In the American Lung Association's 2024 State of Tobacco Control report, Nebraska received an "F" in three of the five areas rated. One is for tobacco prevention and cessation funding.

Michael Seilback, national assistant vice president for state public policy for the American Lung Association, said Nebraska is spending vastly less than what the Centers for Disease Control and Prevention recommends.

"The fact is that the state is taking in these dollars, and we're saying, reinvest just some of them," Seilback explained. "You can easily meet CDC best practices with tens of millions of dollars to spare."

The report showed Nebraska's tobacco-related revenue is nearly $98 million per year. However, for fiscal year 2024, state funding for tobacco control programs is less than $4 million.

On the bright side, the state received an "A" for smoke-free air.

Responding to the report, a spokesperson with the Public Information Office at the Nebraska Department of Health and Human Services pointed to the Nebraska Quitline. It has received more than 100,000 calls since 2000, with Quitline users six to 10 times more likely to still have quit after seven months than those who try to quit cold turkey. The Nebraska Quitline number is 1-800-784-8669, and 1-800-355-3569 for Spanish speakers. Web-based coaching and texting and free "quit medication starter kits" are also available.

The state also received an "F" for tobacco taxes. Seilback called the state's cigarette tax of 64 cents per pack extremely low and supports Gov. Jim Pillen's proposal to increase it by as much as $2 per pack. He added the American Lung Association always pushes for increased tobacco tax dollars to be used for prevention and control and helping people quit.

"To be clear, even if not one dollar was spent -- and we wouldn't encourage it -- on its own, just increasing the price has an impact on the amount of people that use it," Seilback pointed out. "Increasing that price would help prevent kids from starting."

Nebraska's third "F" is on flavored tobacco products, as a result of having no state laws or restrictions.

Seilback commended the state for participating in the multistate lawsuit against e-cigarette manufacturer, JUUL Labs, with the settlement money going to programs to curb addiction.


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