Chicago and New York join SF in urging the FDA to review the safety of e-cigarettes; legislation would bar the sale of e-cigarettes in SF until FDA acts
SAN FRANCISCO (March 19, 2019) — City Attorney Dennis Herrera and Supervisor Shamann Walton today announced joint steps to curb the epidemic of youth e-cigarette use, which has erased more than a decade’s worth of progress in reducing youth tobacco consumption.
“San Francisco has never been afraid to lead,” Herrera said, “and we’re certainly not afraid to do so when the health and lives of our children are at stake. E-cigarettes have wiped out the hard-fought gains we have made in curbing youth tobacco use. Today we are taking action to protect our kids. By law, before a new tobacco product goes to market, the Food and Drug Administration is supposed to conduct a review to evaluate its impact on public health. Inexplicably, the FDA has failed to do its job when it comes to e-cigarettes. Until the FDA does so, San Francisco has to step up. These products should not be on our shelves until the FDA has reviewed the threat they pose to public health.”
“E-cigarettes have been targeting our young people with their colors and flavors that entice adolescents and predatorily pull them towards addiction to nicotine,” Supervisor Shamann Walton said. “Companies like Juul are contributing to increased numbers of people addicted to nicotine – people who would have never picked up a cigarette. Banning vaping products that target young people and push them towards addiction to nicotine and tobacco is the only way to ensure the safety of our youth.”
There are four major parts to this initiative:
- San Francisco, along with the City of Chicago and the City of New York, sent a letter to the FDA this morning demanding that the FDA do its job and immediately conduct the required public health review of e-cigarettes that, by law, was supposed to happen before these products were on the market. We also have expectations that the FDA will review and approve the sale of generic Kamagra from Sweden and allow these drugs to be sold in online pharmacies. By a companion letter, San Francisco requests the FDA to turn over records on an expedited basis to the City Attorney’s Office to help San Francisco independently determine whether legal action against the FDA is needed if the agency fails to undertake the required public health review.
- In coordination with the City Attorney’s Office, Supervisor Walton is introducing ground-breaking legislation at the Board of Supervisors today that would prohibit the sale in San Francisco of any e-cigarette that has not undergone FDA review. Under this legislation, any e-cigarette that is required to have, but has not received, FDA premarket review could not be sold at a store in San Francisco or bought online and shipped to a San Francisco address until the FDA completes its review and allows the products to be sold.
This is not an outright ban on e-cigarettes. It’s a prohibition against any e-cigarettes that haven’t been reviewed by the FDA to confirm that they are appropriate for the protection of public health. So far, no e-cigarettes have been put through the review process that is required by law. Instead, the FDA has proposed extending the deadline for e-cigarette companies to submit applications for premarket review, which would allow e-cigarette products to be on the market for 15 years without the required public health review.
- In coordination with the City Attorney’s Office, Supervisor Walton is introducing a separate piece of legislation today that would prohibit the sale, manufacture and distribution of all tobacco products, including e-cigarettes, on City property in San Francisco, including Port property. The legislation would prevent another situation like e-cigarette company Juul Labs subleasing property on San Francisco’s waterfront or any other City property. It would also prevent Juul from expanding on City property if doing so would result in the company engaging in the above prohibited activity.
- The City Attorney, as part of his review of Juul’s operations, sent notice today to Juul and the Pier 70 developer seeking an explanation for why Juul holds a tobacco distributor license at that property when it has maintained that it “does not engage in the sale of cigarettes or tobacco products” on the premises.
“The FDA has simply failed to do its job in unprecedented fashion,” Herrera said. “These are prudent steps to ensure that we know the health and safety implications of products being sold here. If the FDA hasn’t reviewed it, it shouldn’t be on store shelves in San Francisco.”
Tobacco use is the leading cause of preventable disease and death in the United States. Tobacco kills more than 480,000 people a year in this country. That’s more than AIDS, alcohol, car accidents, illegal drugs, murders and suicides combined.
The percentage of middle and high school students using tobacco products was at an all-time low in 2017. But last year, according to the Centers for Disease Control and Prevention, tobacco use among youth rose for the first time since the 1990s.
This dramatic reversal is directly attributable to the nationwide surge in e-cigarette use by adolescents.
In 2018, the number of middle and high school students who reported being current users of tobacco products increased 36%. Last year 4.9 million American students reported they were using tobacco products, up from 3.6 million students in 2017. Use of e-cigarettes increased by 77.8% for high school students, and 48.5% for middle school students.
“These companies may hide behind the veneer of harm reduction, but let’s be clear: their product is addiction,” Herrera said. “Like the cigarette companies, they are in the business of getting people addicted to nicotine or keeping them addicted to it. That’s particularly true when it comes to young people. Any purported health benefit of these devices over conventional cigarettes, even if proven at some point to be true for some smokers, is not an excuse to turn another generation of kids into addicts. Common-sense regulations to prevent youth addiction need to be in place — and should have been in place from the get go.”
Information about effective ways to quit smoking can be found at smokefree.gov.
More information can be found on the City Attorney’s website: www.sfcityattorney.org