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E-Cigarettes and Vaping
Presented by Libby Thomas, BSPH, CHES, CTTS
Creating a Health Environment, Healthy People, and a Healthy Community.
E-Cigarette Products
www.medinahealth.org
In 2018:
21 out of 100 high school students, or 20.8%,
reported using electronic cigarettes in the past 30
days. In 2011 it was 1.5%.
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It’s an Aerosol, Not a
Vapor
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NicotineFormaldehyde
Acetone
Rubidium
Propylene glycol Antifreeze Ethylbenzene Paints, Pesticides
Cigarettes
Nail Polish Remover
Embalming Fireworks
Vape Contents
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Vape Contents
Compounds in yellow are from FDA 2012, Harmful and Potentially Harmful Substances
– Established List
• Propylene glycol
• Glycerin
• Flavorings (many)
• Nicotine
• NNN
• NNK
• NAB
• NAT
• Ethylbenzene
• Benzene
• Xylene
• Toluene
• Acetaldehyde
• Formaldehyde
• Naphthalene
• Styrene
• Benzo(b)fluoranthe
ne
• Cadmium
• Silicon
• Lithium
• Lead
• Magnesium
• Manganese
• Potassium
• Titanium
• Zinc
• Zirconium
• Calcium
• Iron
• Sulfur
• Vanadium
• Cobalt
• Rubidium
• Benzo(ghi)perylene
• Acetone
• Acrolein
• Silver
• Nickel
• Tin
• Sodium
• Strontium
• Barium
• Aluminum
• Chromium
• Boron
• Copper
• Selenium
• Arsenic
• Nitrosamines,
• Polycyclic aromatic hydrocarbons
• Chlorobenzene
• Crotonaldehyde
• Propionaldehyde
• Benzaldehyde
• Valeric acid
• Hexanal
• Fluorine
• Anthracene
• Pyrene
• Acenaphthylene
• Acenapthene
• Fluoranthene
• Benz(a)anthracene
• Chrysene
• Retene
• Benzo(a)pyrene
• Indeno(1,2,3-
cd)pyrene
All of these have been found in e-cig aerosol
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Health Risks
• Nicotine Related Risks
Nicotine poisoning
Altered brain
development
Increased risk of
tobacco use
Increased risk of
illicit drug use
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Health Risks
• Lung residue
• Ear, eye and throat irritation
• Increased risk of cancer and heart disease
• Increased risk of Pneumonia
• Regulation
• Limited research
• Physical injury
• Wet lung
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Health Risks- Popcorn Lung
Diacetyl
Alveoli & BronchiolesExperience scarring
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Advertising
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References• American Lung Association. (2016). What’s in a cigarette? Retrieved from http://www.lung.org/stop-smoking/smoking-
facts/whats-in-a-cigarette.html?referrer=https://www.google.com/
• Baby and Me Tobacco Free Program
• Bach, Laura. (2015). Electronic Cigarettes and Youth. Campaign for Tobacco-Free Kids.
• Campaign for Tobacco Free Kids. (2016). Electronic Cigarettes: An Overview of Key Issues.
• Centers for Disease Control and Prevention. (2015). Youth and Tobacco Use. Retrieved from
http://www.cdc.gov/tobacco/data_statistics/fact_sheets/youth_data/tobacco_use/
• Michael Blanding & Madeline Drexler. (2016). The E-Cig Quandary. Harvard School of Public Health. Retrieved February 1,
2016 from http://www.hsph.harvard.edu/magazine-features/e-cigarette-quandary.
• http://www.atsdr.cdc.gov/asbestos/asbestos/health_effects/
• http://www.cancer.org/cancer/cancercauses/tobaccocancer/smokeless-tobacco
• The Breathing Association
• https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Richmond-Center/Pages/Electronic-Nicotine-Delivery-
Systems.aspx
• https://www.cdc.gov/tobacco/basic_information/e-cigarettes/index.htm
• https://e-cigarettes.surgeongeneral.gov/knowtherisks.html
• http://www.lung.org/about-us/blog/2016/07/popcorn-lung-risk-ecigs.html
• https://www.drugabuse.gov/publications/drugfacts/electronic-cigarettes-e-cigarettes
www.medinahealth.org
Medina County Health Department
4800 Ledgewood Drive
Medina, Ohio 44256
330-723-9688
www.medinahealth.org
Creating a Health Environment, Healthy People, and a Healthy Community.
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