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CIGARETTES

Cigarettes are the leading cause of preventable death in Oregon, the United States, and the world.9 In fact, smoking cigarettes kills more Oregonians than alcohol, car accidents, HIV, guns, and illicit drugs…combined.10

How did we get here? The tobacco industry designed cigarettes to be as addictive as possible and has spent billions of dollars advertising cigarettes – and covering up their deadly effects.11 Big Tobacco manipulated tobacco plants to have more nicotine, the addictive chemical in cigarettes. They add chemicals like ammonia to cigarettes to make the nicotine hit the brain faster. They even put in sugar and flavorings like menthol to make the smoke easier to inhale. And the “filters” on cigarettes? They’re designed to make people inhale smoke more deeply into their lungs.

How do we know all this? Tobacco companies were forced to admit they lied for years about their deadly products.12 The courts forced Big Tobacco to hand over a library of evidence that documents how these companies profited from designing such a lethal, addictive product.13

In Oregon, we’ve created smoke-free spaces, funded services for people who smoke to quit, and raised the age for buying cigarettes to 21. These are important steps, but Big Tobacco still pushes cigarettes through advertising and discounts in communities, targeting kids of color to hook the next generation.14

Our challenge: How can Oregon come together to end cigarette addiction for good?

 

VAPE (E-CIGARETTES)

E-cigarettes, also called vape, were created to get around smoke-free laws and health concerns, and keep people addicted to nicotine. Vape companies, many of which are owned by the tobacco industry, say they help people quit smoking. But this is another example of the industry’s lies. Consider these facts:

E-cigarettes are not an effective way to quit smoking.1 And, as of November 2019, no e-cigarette company has applied to have its products approved as a quit smoking aid.1

Because e-cigarettes are not regulated, people don’t know what they’re breathing into their lungs. Vaping isn’t just breathing water vapor; it’s breathing an aerosol filled with tiny chemical particles. Many of these are known to cause cancer.

E-cigarettes contain nicotine — a lot of it in most cases. They are the tobacco industry’s way of keeping people addicted. More than half of Oregon adults who vape also smoke cigarettes.1

E-cigarettes are used far more often by youth to start than by adults to quit.8 They were introduced in sweet flavors and designed to look like USB devices — appealing to young people and easy to hide from parents and teachers. In just two years, youth vaping in Oregon went up 80 percent.2 A recent study showed that youth who vape are three times more likely to start smoking cigarettes than their peers who don’t vape.3

SMOKELESS TOBACCO

Smokeless doesn’t mean harmless.

The tobacco industry has aggressively marketed pouches and cans of chew and snuff in rural areas for decades. Tobacco companies pitch smokeless tobacco as a safe alternative to cigarettes, but it is not.4 Smokeless tobacco causes cancer of the mouth, esophagus and pancreas. Smokeless tobacco also causes gum disease and tooth loss.5

In rural Oregon, the tobacco industry happily steps up to sponsor civic gatherings and popular sports events. Nicotine, wall-to-wall advertising and tradition combine for a potent blend: One in six young men (age 18-24) in rural Oregon6 use smokeless tobacco.

But smokeless tobacco isn’t limited to rural areas.

Young people, especially, love the sweet-flavored, candy-like varieties. In all, more than 120,000 adult Oregonians used smokeless tobacco in 2017.7

Can I get addicted to a smokeless tobacco product?

Yes.

Nicotine, found in all tobacco products, is a highly addictive drug that acts in the brain and throughout the body.4

  1. Oregon Health Authority Public Health Division, Health Promotion and Chronic Disease Prevention Section. (2019). Inhalant Delivery System Laws and Rules Report to the 2019 Oregon Legislature: Review of Scientific Evidence and Regulatory Context. Retrieved from https://www.oregon.gov/oha/PH/PREVENTIONWELLNESS/TOBACCOPREVENTION/Documents/HB2546Report.pdf

  2. Oregon Health Authority. (2019, October). Youth vaping crisis: 2019 data brief. Retrieved from https://www.oregon.gov/oha/PH/PREVENTIONWELLNESS/SUBSTANCEUSE/Documents/vaping/OHA-youth-vaping-crisis-2019-data-brief.pdf

  3. Berry, K. M., Fetterman, J.L., Benjamin, E. J., Bhatnagar, A., Barrington-Trimis, J. L., Leventhal, A. M., & Stokes A. (2019, February 1). Association of electronic cigarette use with subsequent initiation of tobacco cigarettes in US youths. JAMA Network Open, 2(2), e187794. doi.org/10.1001/jamanetworkopen.2018.7794

  4. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. (2014). The Health Consequences of Smoking—50 Years of Progress. A Report of the Surgeon General: Executive Summary. Atlanta, GA: Author. Retrieved from http://www.surgeongeneral.gov/library/reports/50-years-of-progress/exec-summary.pdf

  5. Centers for Disease Control and Prevention. Office on Smoking and Health. Smoking and tobacco use; Fact sheet; Smokeless tobacco: Health effects. Retrieved from https://www.cdc.gov/tobacco/data_statistics/fact_sheets/smokeless/health_effects/index.htm.

  6. Oregon Health Authority. Behavioral Risk Factor Surveillance (BRFSS) County-Combined 2014-2017. Unpublished data.

  7. Oregon Health Authority Public Health Division. Behavioral Risk Factor Surveillance (BRFSS), unpublished data.

  8. Soneji, S.S., Sung, H.-Y., Primack, B.A., Pierce, J.P., & Sargent, J.D. (2018). Quantifying population-level health benefits and harms of e-cigarette use in the United States. PLoS ONE, 13, e0193328. doi.org/10.1371/journal.pone.0193328

  9. https://www.cdc.gov/tobacco/data_statistics/fact_sheets/health_effects/effects_cig_smoking/index.htm; Oregon Health Authority. “Oregon Vital Statistics Annual Reports” 2 (2017). https://www.oregon.gov/oha/ph/BirthDeathCertificates/VitalStatistics/annualreports/Volume2/Pages/index.aspx.

  10. Campaign for Tobacco-Free Kids. “The Toll of Tobacco in Oregon,” 2019. https://www.tobaccofreekids.org/problem/toll-us/oregon.

  11. https://www.tobaccofreekids.org/assets/content/what_we_do/industry_watch/product_manipulation/2014_06_19_DesignedforAddiction_web.pdf

  12. https://smokefreeoregon.com/wp-content/uploads/2018/02/SFO_Tobacco-Corrective-statements-web-article_v4-1.pdf

  13. https://www.industrydocuments.ucsf.edu/tobacco/

  14. National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and Health. Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General. Reports of the Surgeon General. Atlanta (GA): Centers for Disease Control and Prevention (US), 2012. http://www.ncbi.nlm.nih.gov/books/NBK99237/.