Policy Tip Sheet: Tobacco Harm Reduction 101: Washington
Analysis of the vaping industry in Washington, including economic data, state health department findings on vaping-related lung illnesses, youth e-cigarette use, tobacco retail compliance checks, and state funding dedicated to tobacco control programs.
Since their introduction to the U.S. market in 2007, e-cigarettes and vaping devices—tobacco harm reduction products that are 95 percent safer than combustible cigarettes—have helped more than three million American adults quit smoking.
1. Economic Impact
According to the Vapor Technology Association, in 2018, the industry created 1,995 direct vaping-related jobs, including manufacturing, retail, and wholesale jobs in Washington, which generated $68 million in wages alone. Moreover, the industry has created hundreds of secondary jobs in the Evergreen State, bringing the total economic impact in 2018 to $483,715,400. In the same year, Washington received more than $40 million in state taxes attributable to the vaping industry. These figures do not include sales in convenience stores, which sell vapor products including disposables and prefilled cartridges. In 2016, sales of these products in Washington eclipsed $11 million.
2. State Health Department Data
As of January 15, 2020, the Washington State Department of Health (WSDH) has reported 23 cases of vaping-related lung illnesses.  Patients range in age from 10 to 79 years-old, 54 percent of patients are 30 years of age or older, and 57 percent of patients are male. Further, nine patients report vaping tetrahydrocannabinol (THC), and two patients vaped an “unknown” substance. The Heartland Institute gives WSDH a grade of A for information available on vaping-related lung illnesses.
3. More Information Needed
The most recent report on youth e-cigarette use in Washington is from the 2018 Healthy Youth Survey. According to the survey, in 2018, only 5.2 percent of Washington 10th and 12th graders reported daily e-cigarette use. Further, 74.6 percent of Washington 10th and 12th grade students reported not using a vapor product in the 30 days prior to the survey. More data is needed to understand the effects of public health campaigns on youth e-cigarette use.
4. Youth Sales Miniscule
From January 1, 2018 to September 30, 2019, the U.S. Food and Drug Administration (FDA) administered 9,767 tobacco age compliance inspections in Washington, in which the agency used a minor in an attempt to purchase tobacco products. Of those, 1,192, or 12 percent, resulted in a sale to a minor. Of the violations, 381 (31 percent of violations and 3 percent of all compliance checks) involved the sale of e-cigarettes or vaping devices. The number of violations involving sales of cigars and cigarettes were 375 and 432, respectively, during the same period.
5. Misspent Money
In 2019, Washington received an estimated $552.6 million in tobacco taxes and tobacco settlement payments. In the same year, the state spent only $1.5 million, or less than 1 percent on funding tobacco control programs, including education and prevention.
Electronic cigarettes and vaping devices have proven to be tremendous tobacco harm reduction tools, helping many smokers transition away from combustible cigarettes. Despite recent fearmongering, their use is significantly safer than traditional cigarettes, as noted by numerous public health groups including the Royal College of Physicians, Public Health England, and the American Cancer Society. Rather than restricting their use, and undoubtedly reducing public health gains and millions of dollars in economic output, lawmakers should dedicate existing tobacco funds on programs that actually reduce youth use.
1. Washington’s vaping industry provided more than $483 million in economic activity in 2018 while generating 1,995 direct vaping-related jobs. Sales of disposables and prefilled cartridges in Washington exceeded $11 million in 2016.
2. As of January 15, 2020, WSDH has reported 23 cases of vaping-related lung illnesses, with nine patients reporting having used a THC-containing vapor product. WSDH earns an A for its reporting on vaping-related lung illnesses.
3. In 2018, only 5.2 percent of Washington 10th and 12th graders reported daily e-cigarette use. More data is needed.
4. Only 3 percent of FDA retail compliance checks in Washington resulted in sales of e-cigarettes to minors from January 1, 2018 to September 30, 2019.
5. Washington spends very little on tobacco prevention. In 2019, Washington dedicated only $1.5 million on tobacco control, or less than 1 percent of what the state received in tobacco settlement payments and taxes.
 Vapor Technology Association, “The Economic Impact of the Vapor Industry WASHINGTON,” 2019, https://vta.guerrillaeconomics.net/reports/7e62a55c-b3cc-4903-8e61-8f69d43288cc?.
 Teresa W. Wang et al., “National and State-Specific Unit Sales and Prices for Electronic Cigarettes, United States, 2012-2016,” Preventing Chronic Disease, Centers for Disease Control and Prevention, August 2, 2018, https://www.cdc.gov/pcd/issues/2018/17_0555.htm.
 Washington State Department of Health, “Vaping Associated Lung Injury,” January 15, 2020, https://www.doh.wa.gov/Emergencies/VapingAssociatedLungInjury#case-information. Accessed January 16, 2020.
 Looking Glass Analytics, “Healthy Youth Survey 2018 Report of Results,” March 1, 2019, https://www.doh.wa.gov/Portals/1/Documents/8350/HYSStateMultiGradeReport.pdf.
 U.S. Food and Drug Administration, “Compliance Check Inspections of Tobacco Product Retailers,” September 30, 2019, https://www.accessdata.fda.gov/scripts/oce/inspections/oce_insp_searching.cfm.
 Truth Initiative, “Tobacco use in Washington,” June 28, 2019, https://truthinitiative.org/research-resources/smoking-region/tobacco-use-washington-2019.
 Royal College of Physicians, Nicotine without Smoke: Tobacco Harm Reduction, April 2016, https://www.rcplondon.ac.uk/projects/outputs/nicotinewithout-smoke-tobacco-harm-reduction-0.
 A. McNeill et al., “Evidence review of e-cigarettes and heated tobacco products 2018,” Public Health England, February 2018, https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/684963/Evidence_review_of_e-cigarettes_and_heated_tobacco_products_2018.pdf.
 The American Cancer Society, “What Do We Know About E-Cigarettes?” June 19, 2019, https://web.archive.org/web/20190806152535/https://www.cancer.org/cancer/cancer-causes/tobacco-and-cancer/e-cigarettes.html.
For more information, please refer to:
Tobacco Harm Reduction 101: A Guidebook for Policymakers
This booklet from The Heartland Institute aims to inform key stakeholders on the much-needed information on the benefits of electronic cigarettes and vaping devices. Tobacco Harm Reduction 101 details the history of e-cigarettes, including regulatory actions on these products. The booklet also explains the role of nicotine, addresses tax policy and debunks many of the myths associated with e-cigarettes, including assertions about “popcorn lung,” formaldehyde, and the so-called youth vaping epidemic.
Nothing in this Policy Tip Sheet is intended to influence the passage of legislation, and it does not necessarily represent the views of The Heartland Institute. For further information on this and other topics, visit the Budget & Tax News website, The Heartland Institute’s website, and PolicyBot, Heartland’s free online research database.
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