Vaping 101 – A Conversation Around

Youth Vaping

ME Middle SchoolFeb. 12, 2020

Lucas Kinard – experienced a seizure and attended rehab for 39 days for nicotine addiction

AGENDA1. E-Cigarette BasicsAppearance, commonalities, nicotine types, aerosol ingredients

2. Use by YouthNationally and locally

3. Impact on Brain, Body

4. Why are Youth Using E-Cigarettes?5. What Can Be Done?

6. Recognizing Evidence

JUUL DOMINATED THE MARKET

- JUUL HAD OVER 70% OF THE E-CIGARETTEMARKET MID 2019

- 59% HIGH SCHOOL STUDENTS REPORTEDPREFERRING JUUL AS A BRAND

SIZE, AEROSOL, FLAVORS

WHY ARE JUUL AND JUUL TYPE E-CIGS SIGNIFICANT?

JUUL and JUUL-Like E-Cigarettes Contain Nicotine Salts

Disposable Lower price Nicotine Salts Flavors+++ Avoid Federal Laws

New Players =Puff Bars, Mojo,Cali, Hyde

E-CIGARETTE INGREDIENTS, ETC.

• Most contain nicotine. All JUULs contain nicotine.

• Propylene glycol, vegetable glycerin, flavoring, coloring and other chemicals are added to the liquid (e-juice)

• Not fully regulated by the FDA – additional regulationsbegin May 2020

• Majority manufactured by tobacco companies – not anapproved cessation device

Caused by the decomposition of the heating

element!

What’s in the Aerosol?

Use of E-Cigarettes among Middle and High School Youth Has Increased Dramatically

Dec 2018 - US Surgeon General Declares Vaping Among Adolescents an Epidemic

JUUL Enters the Market

Broome County Prevention Needs AssessmentFall 2018 - Winter 2019

29% of Broome County high school students reported that theyhad vaped in the last 30 days.

Of Seniors reporting vaping in last 30 days, 37% reportedvaping 40+ times within 30 days.

90% of all high school students reported that they thoughtpeople their age could definitely or probably get addicted to electronic vapor products

Nicotine in the Youth Brain

https://www.sciencenewsforstudents.org/article/explainer-nico-teen-brain

From Science News for Students

NICOTINE IS AN ADDICTIVE DRUG THAT CAN: Harm brain circuits that

control attention, memory and learning

Lead to irritability, mood disorders and problems with impulse control

Increase risk for addiction to other substances

Nicotine can:• Cause the heart to beat faster and harm blood

vessels• Lead to an increased risk for heart attack and

stroke

What is the appeal of vaping, e-cigarettes?

Why Do Adolescents use E-cigarettes?

Flavors81% of youth who ever used a tobacco product report the first product they tried was flavored

74% - 97% of youth who currently use tobacco products use flavored products

https://www.cdc.gov/mmwr/volumes/68/ss/ss6812a1.htm?s_cid=ss6812a1_w, https://academic.oup.com/ntr/advance-article/doi/10.1093/ntr/ntz222/5651027?guestAccessKey=95d57f41-4ddf-4ed5-bda8-63d020632b95

EducationSupport for Cessation Policy

Tobacco Control Policies 80%+ parents support:•Limiting tobacco retailer density near schools•Keeping tobacco products out of view where youth shop

90%+ support restricting e-cigarettes marketing to youth

Currently 13 counties and municipalities in New York State have

Tobacco Control Policies Nicotine & Tobacco Research, ntz222, https://doi.org/10.1093/ntr/ntz222

E-CIGARETTES: WHAT TO LOOK FOR

Scent: fruity or mint

Pens (that aren’t pens)

Increased hydrationNose bleeds

Decrease in caffeine intake

HOW ARE STUDENTS GETTING AWAY WITH USING THEM?

Vapor from a Juul is not as visible

Minimal time of use

Hidden under the sleeve of a shirt

Easy to conceal in your pants pocket

Looks very similar to a USB

Stash compartments / items

THE FASHION OF VAPING

JUUL “SKINS”

VAPRWEAR

DISPOSABLE VAPES AND SOCIAL MEDIA

OTHER RELATED ITEMS

More than half – 52.9% - of MS and HS students currently using e-cigarettes reported trying to quit in the past year

CDC – National Youth Tobacco Survey 2019

This is QuittingCessation Resources

TRUTH INITIATIVE’S QUITTING E-CIGS TEXT PROGRAM

Parent Text Program, too!