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San Francisco policy makers and many residents feel the ordinance is necessary due to the clearly documented impacts of flavored (including menthol) tobacco products on youth initiation to tobacco use and because of the well documented disparities in menthol tobacco use for LGBTQ, Black, and Asian/Pacific Islander (API) due to the tobacco industrys targeted marketing

A statement for healthcare professionals from the American Heart Association/American Stroke Association

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Approximately 90 percent of cigarette consumers continue to consume but either engage in cross-border trade, switch to other flavored tobacco products, or start smoking non-flavored cigarettes

This practice can contribute to environmental contamination and imposes a degree of social unpleasantness, prompting concern among nearby individuals