County supervisors ban e-cigarette sales, calling on cities like Mountain View to do more to curb teen vaping

Thursday event at Los Altos High School to dig into vaping epidemic, role of parents and teachers

Santa Clara County's Board of Supervisors sought to make a strong statement on the widespread teen vaping epidemic, voting unanimously last week to prohibit the sale of e-cigarettes in unincorporated areas.

But the vote came shortly after a new report showing many cities aren't on the same page, muting the strength of the county's message. Several cities, including Mountain View, haven't adopted smoking or tobacco-related restrictions in years, missing key restrictions that could curtail the number of underage smokers getting hooked on nicotine.

Countywide surveys last year show that nearly one in three teens in 10th and 12th grade have tried electronic cigarettes at some point, and 13.9% have used e-cigarettes in the last 30 days. While the survey shows what would otherwise be positive trends -- use of cigarettes, cigars and most other tobacco products are down -- e-cigarette usage has spiked in recent years.

"The bad news is that we are seeing one of the most rapid increases in youth use of nicotine-containing products in the country's history," said Nicole Coxe, program manager for the county's tobacco-free communities program.

Availability is at least part of the problem, according to the survey. Almost half of the teen respondents said they bought their own e-cigarettes, most commonly from vape shops, and more than two-thirds of those said it was "very easy" or "somewhat easy" to get their hands on an e-cigarette or vape pen.

The most pressing health issue leading to the county's ban on Nov. 5 is the sudden spike in vaping-related illnesses and deaths. More than 2,000 people have reportedly suffered lung injuries related to the use of e-cigarettes across the country, and 39 people have died, according to the U.S. Centers for Disease Control.

What precise compound or ingredient is making people sick is still under investigation, and the agency is recommending in the meantime that the public not use any vaping products that were obtained from illicit sources, and avoid using any vaping products that contain THC -- the psychoactive component of marijuana and a common link between the illnesses.

"Smoking certainly kills, everyone knows that, but I do not recall ever hearing about smokers in their teens or 20s ending up in the emergency room or in the morgue," said Palo Alto resident Erwin Morton at the meeting. "This is new, and this is worse."

Palo Alto PTA Council President Jade Chao urged supervisors to pass the ban, adding that it could be coupled with stringent tobacco control policies that keep smoking out of schools, libraries, sports centers and other public areas. Parent Diana Pang said immediate action needs is needed to stop the prevalence of e-cigarette usage among students, which she believes were directly marketed to kids with appealing flavors and easily concealed designs.

The 5-0 vote at the meeting prohibits the sale and distribution of all e-cigarette products in unincorporated Santa Clara County, as well as eliminating exemptions that allowed retailers to sell mint and menthol-flavored tobacco products. Supervisor Cindy Chavez conceded in a guest opinion last week that it was the strongest action the county could take, yet it seemed "depressingly inadequate given the growing evidence of the product’s harmfulness," particularly for youth.

At the meeting, Chavez instead turned her focus to what cities can do to curb the epidemic, asking staff to come back with a work plan to assist cities in adopting restrictions on the sale of tobacco products and stronger smoking prohibitions. A county report at the meeting showed that some cities have already approved strong regulations on where people can smoke and where tobacco can be sold, particularly Los Gatos, Palo Alto and Saratoga.

The report put Mountain View at the bottom, with no smoking restrictions on parks, public trails, multi-unit housing or "service areas" -- shorthand for places that include bus stops, ATMs and ticket lines. The city also has a dearth of restrictions limiting the sale of tobacco products near schools and in pharmacies, and does not restrict the sale of flavored tobacco products.

Chavez said the county could consider offering grant funds to help cities research and draft ordinances with stronger smoking and e-cigarette restrictions, which she described as an opportunity to fill in the gaps among agencies lagging in the fight against the youth vaping epidemic. She also floated the idea of school districts adopting more stringent policies for curtailing e-cigarette use on campus, particularly detection devices in restrooms.

The county's report shows that the last substantive restrictions on smoking in Mountain View came in 2012, when the city adopted restrictions on smoking near outdoor dining areas and entryways, including a 25-foot buffer from workplaces, restaurants and public buildings where smoking is already prohibited. The outdoor dining and buffer zones won approval by a 4-3 margin by the council at the time.

Councilwoman Margaret Abe-Koga, who cast a vote in favor of the prohibitions in 2012, told the Voice she would be interested in revisiting the topic. She said it's concerning to hear how much teen use of e-cigarettes has gone up in recent years, and that more jurisdictions are responding with a mix of smoking restrictions and either partial or full bans on the sale of the devices.

Abe-Koga said her children have been forthcoming about their first-hand accounts on the prevalence of teen vaping, which indicate that it happens frequently and openly at school.

"I'm concerned when I hear stories about how kids bring their vape pens and charge them in class and no one says anything," Abe-Koga said. "There definitely seems to be concerns among parents and even some teens at the high schools."

It's a major problem affecting middle school and high school students in the area, said Suzy Heltzel, a member of the Los Altos Mountain View PTA Council. The trend seems to be skewing younger to the point where older elementary school students are experimenting with vaping.

"This topic is more important than many realize," she said.

In order to get the word out, Heltzel's group is hosting a speaker series event with Dr. Bonnie Halpern-Felsher, a professor of pediatrics at Stanford University, at Los Altos High School on Thursday, Nov. 14. The event will delve into the epidemic, why adolescents are drawn to e-cigarettes and vaping products, and what can be done by parents and teachers to prevent exposure to addictive nicotine or THC products. The talk will be followed by a panel with school administrators and Veronica Foster, a clinical supervisor at Community Health Awareness Council (CHAC).

Abe-Koga said she wasn't aware of how many tobacco retailers were in Mountain View, but she said residents have raised concerns in recent months about e-cigarette manufacturer Juul Labs and its presence in the city. Earlier this year, the company shifted some of its operations into Mountain View amid heightened scrutiny in San Francisco, where the company is headquartered. Media reports from earlier this year say that the company now leases about 30,000 square feet for research and development at 420 N. Bernardo Ave. in the East Whisman area of Mountain View.

Juul, which has been deeply criticized for designing and advertising products with an eye toward hooking youth, announced a series of voluntary changes last month aimed at bringing down teen vaping. Juul CEO K.C. Crosthwaite said in an Oct. 17 statement that the company would be suspending its broadcast, print and digital advertisements in the U.S., as well as suspending the sale of certain flavored products pending an FDA review -- mango, creme, fruit and cucumber.

Crosthwaite's statement also formally announced that the company was no longer supporting Proposition C in San Francisco, a failed ballot measure that sought to overturn an e-cigarette ban similar to the one passed in Santa Clara County earlier this month.

Though the studies into what causes lung injuries in e-cigarette users are still ongoing, the most recent discovery by CDC researchers on Nov. 8 indicate that vitamin E acetate is at least partly to blame. The oil is an additive in some THC products, and has been directly linked with lung injuries in 29 out of 29 fluid samples submitted across 10 states. Health officials told the Washington Post last week that the oil is normally innocuous, but could interfere with lung function when heated and inhaled.

The Thursday, Nov. 14, talk on vaping will be held from 7 p.m. to 9 p.m. in Los Altos High School's Eagle Theatre, located at 201 Almond Ave. in Los Altos.

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33 people like this
Posted by Dan Waylonis
a resident of Jackson Park
on Nov 13, 2019 at 3:19 pm

Dan Waylonis is a registered user.

CA already has laws limiting the sale of tobacco, e-cigarette, and vaping products to those 21 years old or older. There are plenty of legal consumers of vaping products. And many people use them as a safer (see UK study) alternative to traditional tobacco cigarettes. This ban strikes me as "throwing out the baby with the bathwater".

If the cities and county are so paternalistic, why don't they also ban all tobacco products?

5 people like this
Posted by Frank Lee
a resident of Sylvan Park
on Nov 15, 2019 at 5:42 pm

Frank Lee is a registered user.

Just when tobacco use among youngsters was being held down, some enterprising drug dealers came up with vaping and flavors. - a new cool thing to do. If dumb adults want to kill or harm themselves vaping, it is a free country - although maybe we should prohibit them from getting a ride to the hospital or morgue at public expense. But when drugs trickle down to minors, we have a wholely different problem. Children and teens are becoming addicted and otherwise harmed before they can even grow up enough to know better.

Like this comment
Posted by Julie Cremoux
a resident of Cuesta Park
on Dec 3, 2019 at 4:59 pm

Hi all, I am a Masters Student at Academy of Art University. Currently my team and I, are working on a Vaping Awareness Campaign as part of a final project under the mentorship of renowned photographer and social activist Benjamin Von Wong.

We are looking to create video content as well as photographs that will reach the teen demographic. We would love your help! If you would like to be interviewed and or have a part in the project please email me ASAP at

2 people like this
Posted by Jim Neal
a resident of Old Mountain View
on Dec 5, 2019 at 1:59 pm

Jim Neal is a registered user.

Ah, yet another case of leap before you look. Vaping products were sold and used safely for years before this sudden spike in deaths and the answer is to pass more restrictive laws and raise taxes or spend taxpayer money without even understanding what the underlying problem is first! I don't use vaping products and have no intention to ever do so in the future, but from the standpoint of civil liberties, I think that the problem should at least be fully understood before enacting a bunch of new restrictions on people just so that the elected class can say they 'did something'. Once they understand exactly what is causing the deaths, then they can discuss with the community what actions are necessary. If young people are illegally obtaining the products already, new laws will have no effect. In that case, the issue is strengthening ENFORCEMENT of existing laws. Something that many elected officials seem to always overlook.

Jim Neal
Modesto, Ca
(Formerly Old Mountain View)

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