NYC E-Cigarettes Update October 17, 2019

Kim Kessler, JDAssistant Commissioner

Bureau of Chronic Disease PreventionCenter for Health Equity and Community Wellness

NYC DOHMHCONFIDENTIAL AND PROPRIETARY

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Bureau of Chronic Disease PreventionWe strive to reduce the burden of chronic disease and focus on reducing gaps in health equity.

17.6

14.8

11.2

8.5 8.4 8.5 8.2

5.85.0

2001 2003 2005 2007 2009 2011 2013 2015 2017

% o

f P

ub

lic H

igh

Sch

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l Stu

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Current Youth Cigarette Use in NYC 2001-2017

Source: NYC Youth Risk Behavior Survey, 2001-2017

The New Threat: Youth Epidemic of E-Cigarette Use

5.04.0

5.8

17.3

Cigarettes Smokeless Cigars/Cigarillos E-cigarettes/Vapes

% o

f P

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igh

Sch

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Current Youth Tobacco and E-cigarette Use in NYC, 2017

Source: NYC Youth Risk Behavior Survey, 2017

Percentage of public middle school students who currently use e-cigarettes and cigarettes, New York City, 2018

How did we get here: Industry’s role

Policy: gaps & industry lobbying

Product: flavors, tech appeal, nicotine content

Marketing: youth oriented and aggressive

Our strategy: Tackling E-Cigarette Use

• NYC Policy • Smoke Free Air Act coverage (2013)

• Tobacco 21 (2013)

• Pharmacy ban (2017)

• License & cap (2017)

• Education and Outreach

• Research and Surveillance

E-cigarette Policy: In Schools & Other Spaces

City law prohibits e-cigarettes use in all places where smoking is prohibited, including residential common areas, restaurants, sports arenas, and other workplaces and schools since 2014.

The NYC Public School Code of Conduct has been updated to state that “possession and/or use of cigarettes, electronic cigarettes, matches, lighters, and/or vaping devices” is considered disorderly behavior

E-cigarette Policy: New License

Why?

• Since 2013, Tobacco 21 has banned e-cigarettes sales to persons under 21

• Without a license, enforcement gaps persist

How?

• Create a new e-cigarette license with community district caps

• Pharmacies cannot get a license

E-cigarette Policy: The Pharmacy Ban

Community-Based Outreach: The DEFEND Campaign

School-Based Outreach

Provider-Based Outreach

Digital Media Campaign

Going forward

• Policy landscape – rapidly evolving

• Continued outreach and education

• New developments

With thanks to many DOHMH colleagues

CONFIDENTIAL AND PROPRIETARYAny use of this material without specific permission of DOHMH is strictly prohibited