American Lung Association ‘State of Tobacco Control’ Report Highlights Opportunity for Maryland 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 Maryland made progress on its efforts to reduce and prevent tobacco use, including e-cigarettes. The American Lung Association finds opportunities in 2020 for Maryland officials to take action by removing all flavored tobacco products from the market and increasing the tobacco tax to restore funding to tobacco prevention and control funding in order to support public health and save lives in 2020.

The need for Maryland 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 Maryland, our smoking rates remain at 12.5%. 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 Maryland needs to implement the proven measures to prevent and reduce tobacco use outlined in ‘State of Tobacco Control’,” said American Lung Association, Director of Advocacy, Maryland, Aleks Casper. 

The 18th annual “State of Tobacco Control” report grades states and the federal government on policies proven to prevent and reduce tobacco use, and finds that while Maryland has taken significant steps to reduce tobacco use, including passing Tobacco 21 legislation, elected officials should do more to save lives and ensure all Maryland residents benefit from reductions in tobacco use and exposure to secondhand smoke.

Maryland’s Grades:

• Funding for State Tobacco Prevention Programs – Grade F

• Strength of Smokefree Workplace Laws - Grade A

• Level of State Tobacco Taxes - Grade F

• Coverage and Access to Services to Quit Tobacco - Grade B

• Minimum Age of Sale for Tobacco Products to 21 – Grade B

The American Lung Association encourages Maryland 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:

• Addressing youth tobacco use by removing all flavored tobacco products from the market. The Maryland General Assembly has before them HB 3/SB 233 which would remove all flavored tobacco products from the market. “The Lung Association strongly supports legislation HB 3/SB 233 as we believe that an effective way to protect our youth is through a comprehensive policy measure that includes all flavors and all tobacco products, including but not limited to menthol cigarettes, cigars and smokeless products as we know youth are attracted to these products and use them at alarming rates,” said Aleks Casper. 

• Increasing tobacco taxes. 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% increase in the price of cigarettes reduces consumption by about 4% among adults and about 7% among youth. “To protect kids from a lifetime of nicotine addiction, the Lung Association in Maryland encourages Maryland to increase cigarette taxes by $2.00 per pack and equalize the tax on other tobacco products, including e-cigarettes with its cigarette tax as proposed in SB 3. The revenue would also be used to restore much needed funding to tobacco control programs. These steps are critical to Maryland as current tobacco use, including vaping, among youth is 21.6%” said Aleks Casper.

One powerful tool to address the youth vaping epidemic is increasing the minimum age of sale for tobacco products, including e-cigarettes, to 21. The U.S. Congress finished off 2019 with a huge victory passing a federal law to increase the national tobacco sales age to 21. This law will ensure that all states have a sales age of 21 in 2020. In 2019, Maryland was one of the 13 states that moved forward with increasing the tobacco sales age to 21 this year, an important victory in the fight to prevent youth tobacco use. Virtually all adult smokers had their first cigarette before age 21, and most before the age of 18. 

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 more states to follow Massachusetts’ lead and pass comprehensive laws eliminating flavored tobacco products in 2020 and will support Maryland’s efforts do this.

“State of Tobacco Control” 2020 provides an important roadmap on how states like Maryland 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 Maryland to act and take this opportunity to achieve lasting reductions in tobacco-related death and disease,” said Casper. 

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 717-971-1123.