Lesson Seven: Sharing Our Findings: Taking Action Lesson Seven (PDF) Lesson Seven (PPT) Lesson Files How We Will Gather Support Issues and Goals Store Survey Results Tools to Build Support Who Will Support Us Videos Saint Paul Advocates at Work Minneapolis Ordinance Prevents Youth Tobacco Use

ENVIRONMENTAL IMPACT OF COMMERCIAL TOBACCO Commercial tobacco products like cigarettes and e-cigarettes have a substantial impact on our environment. These products contribute to the litter problem, with cigarettes being the most littered product in the US and e-cigarettes contributing to the single-use plastic problem and electronic waste. Throughout their life cycle, commercial tobacco products contribute to deforestation, greenhouse gas emissions, litter, single-use plastic waste and electronic waste, threatening our planet and our people. Environmental Impact of Commercial Tobacco Toolkit Environmental Impact of Commercial Tobacco Factsheet Paragraph Download the PDF Hazardous Waste Disposal Factsheet Paragraph Download the Fact Sheet Youth E-Cigarette Environmental Graphic Paragraph Download the Graphic Additional Environmental Resources From the Public Health Law Center, FDA and more. ​ Download Resources Environmental Impacts Lesson Plan This is Chapter 9 of ANSR's Tobacco 101 curriculum. Download Lesson Plan Additional Materials Available Upon Request ​ Environmental Impacts and Hazardous Waste Presentation Examples of Letters of Support Letters to the Editors on the Environmental Impacts Request Materials Tobacco - Threat to our Environment (WHO SEARO)

TOBACCO 101 What is Tobacco 101? “Tobacco 101: A Teacher’s Guide to Anti-Tobacco Lesson Planning” is a free, web-accessible, ten-lesson guide that will help you teach your students about the harms of tobacco and the deceptive marketing tactics of the tobacco industry, all while supporting their development into young tobacco prevention advocates. ​ The curriculum is geared towards middle and high school students and can be used in a classroom, after school or out-of-school setting. Within the guide you’ll find: downloadable resources, video and other multimedia links, activities for a variety of learning styles, hands-on student engagement, student-led discussion and learning and supplemental materials. The guide contains 11 lessons. Click the images to access and download the lesson PDFs: Lesson One Tobacco 101 -- Intro to Tobacco ​ Lesson Four Flavored Tobacco, Menthol and E-Cigarettes ​ Lesson Seven Sharing Our Findings: Taking Action ​ Lesson Ten Environmental Impact ​ ​ Lesson Two Marketing and Advertising: What You See is Not Always What You Get Lesson Five People Power vs. Tobacco Industry ​ Lesson Eight ​ ​ Price Discounting ​ ​ Lesson Eleven Mental Health and Nicotine ​ Lesson Three Child Labor in the Tobacco Industry Lesson Six What is the Tobacco Industry Doing in my Neighborhood? Lesson Nine Electronic Cigarettes (Vapes): A Deeper Dive ​ DOWNLOAD THE FULL CURRICULUM DOWNLOAD THE FULL CURRICULUM ​ We hope you enjoy engaging your students with this fun, interactive tool aimed at helping them become young commercial tobacco prevention advocates in their own communities. Please contact tobacco101@ansrmn.org with questions. Forms Sample Parent Letter and Permission Forms Certificate of Completion Resources

Lesson Four: Flavored Tobacco, Menthol and E-Cigarettes Lesson Four (PDF) Lesson Four (PPT) Lesson Files Advertisement Worksheet Electronic Cigarette Factsheet Flavored Tobacco Products Factsheet Menthol Factsheet Post Activity Factsheet Surgeon General Warning Labels Top Secret Letter Videos E-Cigarettes in Minnesota The Problem with Flavored Tobacco Menthol Cigarettes 101

E-CIGARETTES Electronic cigarettes, or e-cigarettes, are battery-operated devices that contain a mixture of liquid nicotine and other chemicals. The device heats this mixture, called e-juice, producing a nicotine aerosol that is inhaled. E-cigarettes are also called vapes, vape pens, e-hookahs, e-pipes, hookah pens or personal vaporizers. ​ The 2017 Minnesota Youth Tobacco Survey, conducted by the Minnesota Department of Health, showed that the youth commercial tobacco usage rate increased for the first time since 2000 when the survey first began. The rise was due to e-cigarettes. E-cigarette use among Minnesota high school students peaked around the beginning of the COVID-19 pandemic, and has decreased since. In 2023, one in seven (13.9%) of Minnesota high school students had vaped in the past 30 days. The Beginning: JUUL The rise of market leader JUUL, pictured left, in the 2010s lead to a massive increase in e-cigarette use among youth. ​ JUUL pods come in youth-friendly flavors and provide a doubled dose of nicotine when compared to typical e-cigarettes. This is dangerous, as nicotine is harmful to developing adolescent brains. Nicotine interferes with brain development and can have a long-term effect on mental health. Even brief or intermittent nicotine exposure during adolescence can cause lasting damage. E-cigarette use by youth and young adults increases their risk of using conventional cigarettes in the future. "Disposable" Vapes Unlike refillable or pod-based vapes such as JUUL, disposable vapes are meant to be discarded after a single use. These products come in a wide variety of shapes, flavors, and colors and are becoming increasingly popular. They are not FDA approved nor regulated. ​ The term "disposable" is misleading. E-cigarettes contain nicotine, plastics, heavy metals, and lithium-ion batteries, all of which cannot be disposed of in the garbage. They are classified as hazardous waste. E-Cigarettes and Schools It’s easy for youth to hide e-cigarettes among everyday school supplies in their backpacks. Since the rise of JUUL, other look-alike products have hit the market in a wide range of flavors. ​ Some schools have gone so far as to ban USB drives, as it is too difficult for teachers to discern between the devices. There are many deceptive products on the market that are designed for youth to hide their use. These include vape hoodies, devices built into working watches, and devices made to look like lipstick or highlighters. ​ With these issues in mind, ANSR put together the Tools for Schools Toolkit to help schools address commercial tobacco use, including the use of vapes, on school property. The guide also includes tools and resources to adopt and implement a commercial tobacco-free policy. Download Tools for Schools Toolkit Regulations Minnesota law prohibits e-cigarette use in public schools, hospitals, clinics, daycare facilities during hours of operations, and government-owned buildings, including city and county buildings. Minnesota law requires e-cigarette liquids and systems to be sold in child-resistant packaging. E-cigarettes cannot be sold from movable places of business, like mall kiosks or community events, or in self-service displays. Retailers are required to obtain a tobacco license before selling these products and to ensure these products are only sold to those who are 21 years of age or older. Youth Tobacco Usage & COVID-19 Research has shown commercial tobacco use can affect COVID-19 outcomes. In 2020 ANSR worked with youth advocates in Ramsey County to conduct a pair of surveys of youth in the Twin Cities Metro. The youth assembled and disseminated the survey questions, putting together a survey early during the Stay at Home orders and again in late summer 2020. Youth Vaping Survey Toolkit: ​ ANSR created a toolkit, based on the surveys (shown left), outlining youth engagement and survey implementation. This toolkit also includes sample questions to ask, as well as a step-by-step guide on how to create your own survey and engage youth in collecting data. Download Toolkit E-Cigarette Resources E-Cigarettes Fact Sheet E-Cigarettes Fact Sheet Citations Big Tobacco Desk Image Vaping and Mental Health Fact Sheet Spanish Version Big Tobacco Backpack Image

BOARD OF DIRECTORS Many of our board members do not have an office at ANSR, but they are still available if you would like to speak with them. To contact any of our board members, please call 651-646-3005 and ask to speak with Jeanne Weigum, ANSR President. Below you will find a list of our board members’ names and the titles they hold on the board. Jeanne Weigum ANSR President Bernie Hesse Vice-President Mary Bergaas Treasurer Eugene Nichols Secretary Jean Forster, Ph.D, MPH Director at Large Deb Hennrikus, Ph.D Director Martha Hewett Director Natalie Johnson Lee Director Lisa Marshall, MS, RD, LD Director Monique Muggli, JD Director Paul Pentel, MD Director Kris Rhodes, MPH Director ***The Association for Nonsmokers - Minnesota will hold it's annual membership meeting on October 17th beginning at 5:30p.m. At this meeting, elections will be held for board positions with terms that are ending.***

NORTH SUBURBAN TOBACCO COMPLIANCE PROJECT (NSTCP) The North Suburban Tobacco Compliance Project (NSTCP) offers law enforcement, decision makers, vendors and communities a proven and comprehensive method to ensure youth don’t have access to commercial tobacco products. NSTCP recruits and trains all youth buyers to follow a specific compliance check protocol, and they continually receive feedback after each time they assist. Each student receives a gift certificate to reimburse them for their time or verification of service hours completed. NSTCP Trainings NSTCP holds two scheduled tobacco vendor trainings per year open. These trainings are open to all vendors in participating cities and cost nothing to the vendor. Program coordinator Katie Engman is also available to provide onsite vendor trainings when requested. This allows for all employees to be present at the training, provides individualized attention and offers flexibility to the vendors. Training materials are also available for vendors. ​ After the tobacco compliance check is completed, a certificate is sent by NSTCP to notify vendor management that the store has passed a tobacco compliance check. This saves time for law enforcement, as they do not need to go in after each check and notify the vendor. ​ All tobacco compliance check results are tracked to create a longitudinal look at trends. Each city receives its results, so it can identify problems and celebrate success in reducing youth access to commercial tobacco. All results are communicated to city, county and state elected officials. The cost of the program is based on a per vendor ratio. State law allows for cities to charge a tobacco license fee large enough to cover all enforcement and administrative costs. The only limitation is that the fee should not exceed the direct and indirect costs in issuing the license and policing the licensed activities. The fee for participation in the North Suburban Tobacco Compliance Project could fall under this category. The project continues to receive a grant from the Association for Nonsmokers-MN to offset each city’s cost to participate in the program. ​ Learn how to conduct compliance checks during the COVID-19 pandemic using this factsheet . For more information: Katie H. Engman Project Coordinator 651-646-3005 katie@ansrmn.org

EQUITY STATEMENT Our Values The Association for Nonsmokers-Minnesota (ANSR) is a values-driven organization. We regularly review, discuss, and document the values that drive our work. Read Our Values (PDF) Why Does ANSR Have an Equity Statement? Equity, specifically health equity, is both an ANSR value and central to ANSR’s mission . For 50 years ANSR has been dedicated to reducing the human and economic costs of commercial tobacco, nicotine and other drug use in Minnesota. These costs disproportionately fall on already marginalized (e.g. BIPOC, LGBTQ+, low-income) communities and are embedded throughout our society in public laws, institutional policies and practices, societal norms and workplace culture. ​ We at ANSR acknowledge that structural injustices (i.e., inequities) exist in our society that unjustly advantage some and disadvantage others. We acknowledge that racism, white supremacy, and prejudice are at the root of these inequities and that countering these injustices takes deliberate and ongoing actions. ​ The work we do in policy advocacy, research, substance misuse prevention, and community engagement is both shaped and impacted by equity. To accomplish our mission, we must acknowledge and address inequities in our community, in our workplace, and in society. Equity is important to our organization and community partners. We work in, with, and for communities. Our partners’ daily lives are impacted by inequities. By talking about and addressing these inequities, we hope to develop more trusting and authentic relationships with our partners and allies. ​ As an organization we are committed to learning and action. This statement is a living document for ANSR to revisit, process, and grow equity in our work. How Are We Learning About Equity? ANSR continuously seeks to learn about the following topics surrounding equity and inclusion: ​ Fostering anti-bias workplace culture including in hiring, supervision, and programming. Initiating important conversations about identity, bias, prejudice, and stereotypes. Taking action against bias-based mistreatment. Developing policy initiatives and program materials with an equity-first approach. ​ ​ ANSR also engages with these topics through training, suggested readings, and continuing education opportunities. ANSR recognizes that this is not a comprehensive list, and we welcome new suggested topic areas for learning and professional and personal growth. Our Goals to Center Equity in Our Workplace and Work: Maintain a “Spectrum Committee” to support, empower, and foster an inclusive environment for all staff, Board of Directors, partners, and visitors. Regularly conduct an organization-wide analysis of systemic racism, power, and discrimination in all forms. Articulate our analysis to members and partners. Prioritize equity when developing and implementing programs and policy. Hold equity- and antiracism-focused trainings. Diversify organizational leadership and internal decision makers. Create mechanisms for input, accountability, and ongoing feedback from staff, community partners, and the public. When You See We Can Do Better, Tell Us. ANSR’s goal is to center equity and our values in all of our work. We know that this requires thoughtful commitment. We are still learning. We’ve fallen short in the past and are working to do better in the future. When you see we can do better, tell us. Land Acknowledgement Statement Against Racism Statement Against Antisemitism Statement Against Islamophobia Statement Against 2SLGBTQ+ Discrimination Statement archive (PDF). *Thank you to The Improve Group and The Loft for inspiring this equity statement. *Statement finalized April 2024

Lesson Three: Child Labor in the Tobacco Industry Lesson Three (PDF) Lesson Three (PPT) Lesson Files Child Labor Factsheet Child Labor Photo New York Times Article Videos Made in the USA - Child Labor and Tobacco Malawi's Tobacco Children

FUNDERS AND RELATED SITES Current Funders Blue Cross Blue Shield Minnesota Center for Prevention Minneapolis Health Department ​ Campaign for Tobacco-Free Kids Saint Paul-Ramsey County Public Health Department Department of Human Services​ Behavioral Health Division Minnesota Department of Health Hennepin County Public Health Department Past Funders ASPiRE Center ​​ ​ Clearway Minnesota ​ CDC Office on Smoking and Health Minnesota Cancer Alliance ​ ​ Programs Live Smoke Free ​​ Beautiful Lie Ugly Truth Minnesota Prevention Resource Center Don't Discount My Life Regional Prevention Coordinators Nicotine-Free Generation Substance Use in Minnesota Stop Sales to Minors Other Prevention Organizations Action on Smoking & Health ​ American Nonsmokers Rights Foundation ​ NorthPoint Health & Wellness ​ Advocates for Better Health Minnesota Public Health Association ​ Public Health Law Center ​ American Cancer Society Cancer Action Network Minnesota SOPHE ​ ​ Tobacco-Free Alliance ​ American Heart Association Minnesota Youth Council ​ American Lung Association ​​​ Minnesotans for a Smoke-Free Generation Related Sites Minnesota District Finder Minnesota State Legislature Quit Partner My Life My Quit MN Clean Indoor Air Act (MCIAA)

Lesson Ten: Environmental Impacts Lesson Ten (PDF) Lesson Files How Do Vapes Harm the Environment Factsheet "WHO Accuses Tobacco Industry of 'Greenwashing' in New Report" by Tracy J. Wholf and Eric Fayeulle Videos The Earth is Not Disposable Tobacco and the Environment Tobacco: Threat to Our Environment

SUPPORT ANSR Our commercial tobacco prevention work wouldn't be possible without the generous contributions of our donors. You can donate to ANSR any day by visiting our page on the GiveMN.org website. DONATE TODAY! Annual Plant Sale Fundraiser Every year since 1983, ANSR has raised money for the organization by hosting traditional plant and garage sales. Your support is vital to ANSR (and is tax-deductible!) The 41st annual plant sale will be held in May 2025. ANSR will no longer be hosting garage sale fundraisers. ​ Plant Sale Time: May 2025, 9 AM - 5 PM daily Location: 1647 Laurel Ave, Saint Paul, MN 55104 Want to get involved in our work? Protecting the next generation from the harms of commercial tobacco products starts with community members like YOU. Please fill out this form and an ANSR staff member will be in touch with more details. First Name Last Name Phone Email Address Address How would you like to get involved? (Please select at least one) Select... SUBMIT Thanks for submitting!