'State of Tobacco Control' Report: North Dakota Gets Mixed Grades for Work to Prevent Tobacco Use, Prioritize Public Health

Today, the American Lung Association released the 18th annual “State of Tobacco Control” report, which finds that in 2019 North Dakota had mixed progress on its efforts to reduce and prevent tobacco use, including e-cigarettes. The Lung Association finds opportunities in 2020 for North Dakota officials to take action by raising the state tobacco tax, ensuring Tobacco 21 compliance and restricting access to all flavored tobacco products in order to support public health and save lives in 2020.

This year’s “State of Tobacco Control” calls for proven tobacco control policies in light of the fact that the country’s youth vaping epidemic worsened in 2019. The need for North Dakota 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%. 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 North Dakota, our smoking rates remain at 19%. Sadly, with the youth vaping epidemic still rising, we may have squandered an opportunity to make the current generation of kids the first tobacco-free generation. Tobacco use is a serious addiction and North Dakota needs to implement the proven measures to prevent and reduce tobacco use outlined in ‘State of Tobacco Control,’” said Pat McKone, senior director of health promotions for the Lung Association. 

The “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 North Dakota has taken significant steps to reduce tobacco use, including securing continued funding for tobacco prevention and control programs, elected officials should do more to ensure all North Dakota residents benefit from reductions in tobacco use and exposure to secondhand smoke.

North Dakota’ Grades:

• Funding for State Tobacco Prevention Programs – Grade C
• Strength of Smokefree Workplace Laws - Grade A
• 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 Lung Association encourages North Dakota to put in place all the public policies called for in “State of Tobacco Control.” This year’s report noted the need to focus on raising the state tobacco tax by a significant amount, ensuring compliance and enforcement of the Tobacco 21 law and restricting access to all flavored tobacco products. 

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 encourages North Dakota to increase cigarette taxes significantly and equalize the tax on other tobacco products, including e-cigarettes with its cigarette tax. These steps are critical to North Dakota as current tobacco use, including vaping, among youth is 28.8%,” said McKone.

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.

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.

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.