American Lung Association 'State of Tobacco Control' Report Highlights New Hampshire's Failure to Prioritize Public Health over the Tobacco Industry

Tobacco use remains the nation’s leading cause of preventable death and disease, taking an estimated 480,000 lives every year. This year’s “State of Tobacco Control” report from the American Lung Association calls for proven tobacco control policies in light of the fact that the country’s youth vaping epidemic worsened in 2019. This dire situation is a result of states and the federal government’s failure to enact policies called for in the report such as increased tobacco taxes and stronger federal oversight of tobacco products, including e-cigarettes. This year’s 18th annual report finds that in 2019 New Hampshire had little to no progress on its efforts to reduce and prevent tobacco use, including e-cigarettes. Overall the state’s grades, which consist of 3 Fs and 2 Ds, signal a failure to support public health.

The need for New Hampshire to take action to protect youth from all tobacco products, including e-cigarettes, is more urgent than ever, with the youth vaping epidemic continuing its alarming rise to 27.5% or more than one in four high school students. This is a staggering 135% increase in high school e-cigarette use in just the past two years, and close to three million more kids started vaping in that time period, setting them up for a lifetime of addiction.

“In New Hampshire, our high school tobacco use rates remain at 30.3% – the highest in the northeast, and higher than the national average. Sadly, with the youth vaping epidemic still rising, we may have lost an opportunity to make the current generation of kids the first tobacco-free generation. Tobacco use is a serious addiction and New Hampshire needs to implement the proven measures to prevent and reduce tobacco use outlined in ‘State of Tobacco Control’,” said American Lung Association Senior Division Director for State Public Policy, Lance Boucher.

The 18th annual “State of Tobacco Control” report grades states and the federal government on policies proven to prevent and reduce tobacco use.  The report finds that while New Hampshire did successfully pass legislation restricting e-cigarette use in public spaces and forcing retailers to obtain licenses, the state failed to act on several proposals and initiatives that could save lives and ensure all New Hampshire residents benefit from reductions in tobacco use and exposure to secondhand smoke.

New Hampshire Grades:

• Funding for State Tobacco Prevention Programs – Grade F
• Strength of Smokefree Workplace Laws - Grade D
• Level of State Tobacco Taxes - Grade F
• Coverage and Access to Services to Quit Tobacco - Grade D
• Minimum Age of Sale for Tobacco Products to 21 – Grade F

The American Lung Association encourages New Hampshire to put in place all the public policies called for in “State of Tobacco Control,” and in particular, this year’s report noted the need to focus on increasing funding for tobacco prevention and quit smoking programs.  An investment in prevention is especially important given the skyrocketing number of youth who are vaping. “Despite New Hampshire receiving $245.3 million from tobacco settlement payments and tobacco taxes, the state funds tobacco control efforts at only 13.2% of the level recommended by the Centers for Disease Control and Prevention (CDC). The American Lung Association believe the funds should be used to support the health of our communities, and to prevent tobacco use and help smokers quit, not switch,” said Boucher.

The report also noted New Hampshire’s failed attempts to equalize the e-cigarette tax with other tobacco products, and raise the age of sale to 21. 

One of the most effective ways to reduce tobacco use, not only among low-income individuals but also for youth is to significantly increase the tax on all tobacco products, including e-cigarettes. Multiple studies have shown that every 10 percent increase in the price of cigarettes reduces consumption by about four percent among adults and about seven percent among youth. In New Hampshire, Governor Sununu proposed equalizing the tax rate but the legislature instead enacted an industry proposed inadequate tax rate that will do little to increase the price for these products and deter youth initiation. “To protect kids from a lifetime of nicotine addiction, the Lung Association encourages New Hampshire to increase cigarette taxes and equalize the tax on other tobacco products, including e-cigarettes with its cigarette tax. These steps are critical to New Hampshire as current tobacco use, including vaping, among youth is higher than the national average,” said Boucher.

While New Hampshire failed to raise the age of sale within the state, the report celebrated the U.S. Congress’s victory in passing a federal law to increase the national tobacco sales age to 21. This law will ensure that all states, including New Hampshire, have a sales age of 21 in 2020.

However, Congress failed to pass legislation to eliminate all flavored tobacco products, making the need for state action to end the sale of all flavored products critical. Massachusetts took that historic step by prohibiting the sale of all flavored tobacco products, including menthol cigarettes in November 2019, becoming the first such state to do so. The Lung Association urges New Hampshire, and all states, to follow Massachusetts’ lead and pass comprehensive laws eliminating flavored tobacco products in 2020.

“State of Tobacco Control” 2020 provides an important roadmap on how states like New Hampshire and the federal government can put in place the policies proven to have the greatest impact on reducing tobacco use and exposure to secondhand smoke. Now is the time for lawmakers in New Hampshire end their failure to act and take this opportunity to achieve lasting reductions in tobacco-related death and disease,” said Boucher. 

The question remains, will 2020 be the year that public health is prioritized over tobacco product manufacturers so that another generation is spared the addiction to dangerous tobacco products? As the result of successful lawsuits filed by the American Lung Association and several public health partners, FDA will be required to take several important and long overdue actions to protect the public health from tobacco products in 2020. These include finalizing graphic warning labels on all cigarette packs by March 15, and requiring all e-cigarette, and most cigar, hookah, pipe and other manufacturers of deemed products to submit applications to FDA by May 12, 2020 to remain on the market in the U.S. 

For media interested in speaking with an expert about the “State of Tobacco Control” report, lung health, tobacco use and tobacco control policies, contact the American Lung Association at [email protected] or 516-680-8927