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5
<br />WHEREAS, a recent study found that higher dispensary density in states with legal
<br />cannabis laws was associated with higher likelihood of youth ages 14-18 experimenting
<br />with cannabis vaping and edibles;25 and
<br />WHEREAS, home delivery of alcohol products has been associated with increased rates
<br />of purchase by minors;z6 z' and
<br />WHEREAS, unintentional exposure to marijuana by children under age 10 resulting in
<br />seeking care at poison centers in Colo�ado increased by 34% between 2009 and 2016,
<br />including increases from the two years before to the two years after Iegalization;28and
<br />WHEREAS, children and young people are particularly influenced by cues suggesting
<br />tobacco smoking is acceptable, which holds relevance for cannabis smoking;29 and
<br />WHEREAS, young people are much more likely to use candy — and fruit-flavored
<br />tobacco3o 31 and alcohol products;3z and nationwide, minors are twice as likely to
<br />consume alcopops as adults;33 the U.S. Food and Drug Administration and the U.S.
<br />Surgeon General have stated that flavored tobacco products are considered to be
<br />"starter" products that help establish smoking habits that can lead to long-term
<br />addiction;3° 35 and similar findings are expected for cannabis; and
<br />WHEREAS, the federal Family Smoking Prevention and Tobacco Control Act (FSPTCA),
<br />enacted in 2009, prohibited candy- and fruit-flavored cigarettes,36 and in 2020 FDA
<br />guidance prioritized enforcement against flavored e-cigarettes largely because these
<br />flavored products were marketed to youth and young adults,37 and younger smokers
<br />z5 Borodovsky JT, Lee DC, Crosier BS, Gabrielli JL, Sargent JD, Budney AJ. U.S. cannabis legalization and use of vaping and edible
<br />products among youth. Drug Alcohol Depend. 2017;0[0), doi:30.1016/j.drugalcdep.2017.02.017.
<br />zb Fletcher LA, Toomey TL, Wagenaar AC, Short B, Willenbring ML. Alcohol home delivery services: a source of alcohol for
<br />underage drinkers.JStudAlcohoL 2000;61(1):81-84.
<br />27 Williams RS, Ribisl KM. Internet Alcohol Sales to Minors. Arch PediatrAdalescMed. 2012;166(9):8�8-813.
<br />doi:10.1001/archpediatrics.2012.265.
<br />26 Wang GS, Le Lait M, Deakyne SJ, Bronstein AC, Bajaj L, Roosevelt G. Unintentional Pediatric Exposures to Marijuana in
<br />Colorado, 2009-2015.JAMA Pediatr. 2016;170(9):e160971. doi:10.1001/jamapediatrics.2016.0971.
<br />z9 DiFranza JR, Wellman RJ, Sargent JD, et aL Tobacco promotion and the initiation of tobacco use: assessing the evidence for
<br />causality. Pediatrics. 2006;117(6):e1237-1248. doi:10.1542/peds.2005-1817.
<br />3o King BA, Dube SR, Tynan MA. Flavored Cigar Smoking Among U.S. Adults: Findings From the 2009-2010 National Adult
<br />Tobacco Survey. Nicotine Tob Res. 2013;15(2):608-614. doi:10.1093/ntr/nts178.
<br />31 Villanti AC, Richardson A, Vallane DM, Rath JM. Flavored tobacco product use among U.S. young adults. Am J Prev Med.
<br />2013;44[4):388-391. doi:10.1016/j.amepre.2012.11.031.
<br />3z Siegel M, Chen K, DeJong W, etal. Differences in alcohol brand consumption between underage youth and adults-United
<br />States, 2012. SubstAbase. 2015;36(1):106-112. doi:10.1080/08897077.2014.883344.
<br />33 Siegel et al., ibid.
<br />34 Food and Drug Administrarion. Fact Sheet: Flavored Tobacco Producix; 2011.
<br />35 U.S. Department of Health and Human Services. Preventing Tobacco Use among Youth and Your{g Adults: A Report of the
<br />Surgeon Genernl. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention,
<br />National Center for Chronic Disease Prevention and Health Promotion, Office on Smoldng and Health; 2012:539.
<br />36111th Congress. Family Smoking Prevention and To6acco Condrol Act. Vol Public Law 111-31 [ H.R 1256].; 2U09.
<br />37 Food and Drug Administration. Enforcement Prroritres for Electronic Nicotrne Delievery Systems (ENDS) and Other Deemed
<br />Products on the Market WithoutPremarketAuthorization (Revised); 20Z0. Available at:
<br />P: 651.290.7506 F+ 651.290.7515 875 Summit Avenue. St, Paul,
<br />W: www.PublicMealthLawCenter.org Minnesota 55105
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