Marin County Health & Human Services
20 N San Pedro Rd
San Rafael, CA 94903
https://www.marinhhs.org/tps
Reducing Youth Access to
Tobacco and Nicotine Products
Fairfax Town Council
January 12, 2026
Marin County Health & Human Services
Fairfax Tobacco Prevention Presentation
January 12, 2026
https://www.marinhhs.org/tps
Slide 2
Marin: A Public Health Leader in Tobacco Prevention
• Across Marin, County HHS, Smoke-Free Marin
and Youth coalitions, and local city/town councils:
Adopted smoke-free rules
Made flavored products illegal
Ended tobacco sales at stores with pharmacies
Marin County Health & Human Services
Fairfax Tobacco Prevention Presentation
January 12, 2026
https://www.marinhhs.org/tps
Slide 3
And Yet…
Health and Financial (CA): • Smoking – 40k deaths/year • Smoking costs: $18 billion/year • $1 spent on tobacco control, healthcare costs fell $231.
Health Disparities: • Adults in poverty & LGBTQ+ youth • Black Americans • Low-income communities Vapes are Strong
Marin County Health & Human Services
Fairfax Tobacco Prevention Presentation
January 12, 2026
https://www.marinhhs.org/tps
Slide 5
Vapes are Addicting a New Generation
IT'S NOT YOUR PARENTS' NICOTINE PRODUCTS
• About half of 11th graders admit to vaping
• One third regularly use nicotine products
• Nearly three fourths of 11th graders say it’s
“easy” to get vapes!
Just 2 of 388 vapes collected
last year in schools (per MCOE)
Nicotine affects young brains.
In Marin:
Marin County Health & Human Services
Fairfax Tobacco Prevention Presentation
January 12, 2026
https://www.marinhhs.org/tps
Slide 6
Oral Nicotine Pouches (“ONPs”)
Photo Credit: Getty Images
Photo Credit: Truth Initiative
Health Concerns:
• High nicotine content
• Easy to hide
• Misleading claims
• US vape sales up 200%; teen use up 60%
• Dual use by youth:
• Most use pouches and smoke
• About half of pouch users also vape
ONPS ARE SMALL WHITE SACHETS OF NICOTINE POWDER
Marin County Health & Human Services
Fairfax Tobacco Prevention Presentation
January 12, 2026
https://www.marinhhs.org/tps
Slide 7
Highlights of Your Proposed Ordinance
1. Set minimum price of $12 for tobacco items
2. Set minimum pack size for cigarettes, small
cigars, and smokeless tobacco
3. End vape and heated smoking system sales
4. End nicotine pouch sales
5. End discounts and coupons
6. Auto-increase price by $1 every 2 years
Marin County Health & Human Services
Fairfax Tobacco Prevention Presentation
January 12, 2026
https://www.marinhhs.org/tps
Slide 8
Enforcement, Cessation, and Education
1. Enforcement:
o County contract with sheriff’s office
2. Cessation (Quit) Resources:
o Marin HHS Tobacco Prevention webpage
3. Education:
o Marin’s outreach
Youth/families
Priority populations
KickItCA.org
Marin County Health & Human Services
20 N San Pedro Rd
San Rafael, CA 94903
https://www.marinhhs.org/tps
MARIN COUNTY HEALTH AND HUMAN SERVICES
For questions or additional information:
[email protected] or
[email protected]
Conclusion
Marin County Health & Human Services
Fairfax Tobacco Prevention Presentation
January 12, 2026
https://www.marinhhs.org/tps
Slide 10
References
1. U.S. Department of Health and Human Services.The Health Consequences of Smoking—50 Years of Progress. A Report of the Surgeon General. Atlanta: 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 [accessed 2015 Aug 17].
2. Public Health Law Center, Comprehensive Minimum Pricing & Packaging, June 2024.
3. Fernandez, E.. “$18 Billion Tobacco Toll in California.” UCSF, October 15, 2014.
4. Cameron, S. “California’s Anti-Smoking Push Spurs Big Savings on Health Costs: For Every Dollar Spent, the State Has Seen a $231 Return.” UCSF, March 16, 2023
5. California Department of Public Health, California Tobacco Control Program. California Tobacco Facts and Figures 2022. Sacramento, CA: CDPH May 2023
6. California Department of Public Health; May 2023.Vaping: An under the radar epidemic. 2018–2019 Marin County Grand Jury.
7. Pierce JP, et al. Use of E-cigarettes and Other Tobacco Products and Progression to Daily Cigarette Smoking. Pediatrics, January 11, 2021.
Marin County Health & Human Services
Fairfax Tobacco Prevention Presentation
January 12, 2026
https://www.marinhhs.org/tps
Slide 11
References, continued
8. Centers for Disease Control and Prevention. Smoking and Tobacco Use: Health Effects of Vaping.
9. The Stanford REACH Lab, Resources & Infographics. Cigs in an E-Cig. Stanford Medicine, 2024.
10. Do E K, et al. Underage Youth Continue to Obtain E-Cigarettes from Retail Sources in 2022: Evidence from the Truth Continuous Tracking Survey. International Journal of Environmental Research and Public Health, January 2023.
11. Centers for Disease Control and Prevention. Tobacco Related Health Disparities Fact Sheet.
12. Doogan N J, Wewers M E, Berman M. The Impact of a Federal Cigarette Minimum Pack Price Policy on Cigarette Use in the U.S. Research Paper, British Medical Journal. 2016.
13. Marr C, Huang C-C. Higher Tobacco Taxes Can Improve Health And Raise Revenue. Center on Budget and Policy Priorities, March 19, 2014
14. See, e.g., Nigar Nargis et al., Price, Income, and Affordability as the Determinants of Tobacco Consumption: A Practitioner’s Guide to Tobacco Taxation, 23 Nicotine & Tobacco Res. 40 (2021).
15. Truth Initiative, Can Oral Nicotine Pouches like Zyn Help People Stop Vaping Nicotine? Sept. 9, 2023