Preventing Youth Electronic Cigarette Use: Partnering with ... · Youth Electronic Cigarette Use: Partnering with Schools. ... E-Juice (Liquid Nicotine) 1 Teaspoon can kill a child
Post on 03-Dec-2018
215 Views
Preview:
Transcript
Kris MinardMontana Office of Public InstructionTobacco Use Prevention Education
Kminard@mt.gov(406) 444-0785
I work for the State of Montana and have no disclosures.
PreventingYouth Electronic Cigarette Use:
Partnering with Schools
We’ve come a long way…. A little bit of history
Electronic Cigarettes An explosion …..in more ways than one!
“Harmless Water Vapor?”…… Not
What’s the Appeal for Youth? You might be surprised….
Prevention Resources Sharing those I know about
Tobacco use is still the leading cause ofpreventable death in the United States
Cigarette smoking is responsible for more than than
480,000 deaths per year in the United States1.
1 - Jha P, Ramasundarahettige C, Landsman V, et al. 21st Century Hazards of Smoking and Benefits of Cessationin the United States. New England Journal of Medicine 2013;368:341–50 [accessed 2017 Mar 28].
That’s more than three fully loaded 747’s,crashing every day for a year……
with no survivors.
Youth Tobacco Trends
Ever tried cigarette smoking in their lifetime% of U.S. high school students
70.463.9
58.454.3
50.346.3 44.7 41.1
32.3
0
25
50
75
100
1999 2001 2003 2005 2007 2009 2011 2013 2015
2015 Youth Risk Behavior Survey – Centers for Disease Control and Prevention
Smoked cigarettes on one or more of the past 30 days% of U.S. high school students
34.828.5
21.9 23 [VALUE] 19.5 18.1 15.710.8
0
25
50
75
100
1999 2001 2003 2005 2007 2009 2011 2013 2015
2015 Youth Risk Behavior Survey – Centers for Disease Control and Prevention
Not Your Grandfather’s Cigar
Today’s cigars/cigarillos arepriced, promoted, packagedand placed in ways that appealto kids.
Tobaccofreekids.org
Smoked cigars, cigarillos, or little cigars on one or more of the past 30 days% of U.S. high school students
17.7 15.2 14.8 14 13.6 14 13.1 12.6 10.3
0
25
50
75
100
1999 2001 2003 2005 2007 2009 2011 2013 2015
2015 Youth Risk Behavior Survey – Centers for Disease Control and Prevention
Used chewing tobacco, snuff, or dip on one or more of the past 30 days% of U.S. high school students
7.8 8.2 6.7 8 7.9 8.9 7.7 8.8 7.3
0
25
50
75
100
1999 2001 2003 2005 2007 2009 2011 2013 2015
*Question changed to include more sample products. Loss of trend data, but it looks good!
2015 Youth Risk Behavior Survey – Centers for Disease Control and Prevention
Traditional Tobacco Product Last 30 Day Use% of U.S. high school students
28.5
21.9 2320 19.5 18.1 15.7
10.8
15.2 14.8 14 13.6 14 13.1 12.6 10.3
8.2 6.7 8 7.9 8.9 7.7 8.8 7.3
0
25
50
75
100
2001 2003 2005 2007 2009 2011 2013 2015
Cigarettes
Cigars, Cigarillos
Chewing Tobacco,Snuff or Dip
2015 Youth Risk Behavior Survey – Centers for Disease Control and Prevention
Anti-smoking campaigns have been very successful.
But now we have these………
What are they?A battery powered, most often nicotine delivering device
ENDS – Electronic Nicotine Delivery System
A variety of ever changing styles
U.S. Food & Drug Administrationhttps://www.fda.gov/ucm/groups/fdagov-public/documents/image/ucm491663.jpg
"Parts of an Electronic cigarette" by FEMA - https://www.usfa.fema.gov/downloads/pdf/publications/electronic_cigarettes.pdf.
Controls theheater and lights
Lithium
Nothing burns – there is no combustion.The E-Juice is aerosolized as it heats.
HOW TO VAPE
Electronic Cigarettes
MODS
RDA - Rebuildable Dripping Atomizer
Nearly 5 Million Views on YouTube
Then and now……
The tobacco industryspends more than
$1,000,000 per houradvertising their products
http://tobacco.stanford.edu/tobacco_main/main.php
Innovative Marketing Tactics
Missoula Billings Bozeman
Helena and Great FallsButte
Kalispell
KURE Vaporium and Lounge – Franchise
“We are moving light years beyond the traditional vapestore concept by offering a revolutionary high-end, in-storeretail and lounge experience which appeals to Millennials,Boomers, nascent vapors and vaping enthusiasts alike.”
US Vapor Sales
$2.5$3.5
$4.1 $4.4$5.5
0
2
4
6
8
10
2014 2015 2016 2017 Projected2018
$ Billions
Bonnie Herzog – Wells Fargo E Cigarette Sales and Estimate for 2018 - ECF
“Harmless Water Vapor?”……
What’s often described as a “harmless water vapor” is
an aerosol that usually contains nicotine, ultrafine
metallic particles and low levels of toxins – some
that are known to cause cancer.
Carcinogens found inElectronic Cigarettes Vapor
AcetaldehydeBenzeneFormaldehydeNickelNitrosamines
Metals, Toxins, Stimulants and
Irritants found inElectronic Cigarettes Vapor
DiacetylDiethylene GlycolCadmiumLeadNicotineSilverTinToluene
Chemical Evaluation of Electronic Cigarettes: Tobacco Control 2014 Tianrong Cheng, Center for Tobacco Products FDA
E-Juice(Liquid Nicotine)
1 Teaspoon can kill a childAmerican Association of Poison Control Centers
Dec 2014 Press Release
Propylene Glycol - Nicotine - FlavoringChild Nicotine Poisoning Prevention ActEnacted by Congress on January 11, 2016
DIACETYL
Poison Control Center CallsAmerican Association of Poison Control Centers
460
1543
40233774
29072453
674
2696
0
500
1000
1500
2000
2500
3000
3500
4000
4500
5000
2012 2013 2014 2015 2016 2017 2018 2018
Liquid NicotineExposure Calls
Extrapolated
RESEARCH
Explosions
E-cigarettes Are Unsafe for Young People
Attention, Learning, MoodDisorders, Impulse Control
Adolescent Brain MoreSusceptible to Addiction
Linked to use of other tobaccoproducts, alcohol, marijuana
Non-smoking users likely totry combustible cigarettes
Inhale nicotine, ultrafineparticles and harmful chemicals
https://www.ncbi.nlm.nih.gov/pubmed/26811353
Teens who vape are 3x morelikely to smoke traditionalcigarettes 1 year later.
What’s the Appeal for Youth?
2015 and 2017Youth Risk Behavior Survey Questions
The next 2 questions ask about electronic vaporproducts such as blu, NJOY or Starbuzz.
Electronic vapor products include e-cigarettes,e-cigars, e-pipes, vaping pens, e-hookahs and hookah pens.
Q. Have you ever used an electronic vaporproduct? (Y/N)
Q. In the past 30 days, on how many days did youuse an electronic vapor product?
Ever used electronic vapor products in their lifetime% of U.S. and Montana high school students
44.951.1
46.6
0
25
50
75
100
2015 2017
U.S. Montana
(48.7-53.4)
Montana – 2015 4th highest prevalence of use in the U.S2015/17 Youth Risk Behavior Survey – Centers for Disease Control and Prevention
(41.9-48.0) (44.4-48.8)
Used electronic vapor products on one or more of the past 30 days% of U.S. and Montana high school students
2429.5
22.5
0
25
50
75
100
2015 2017
US Montana
(27.4-31.7) (20.2-24.9)
Montana – 2015 4th highest prevalence of use in the U.S
2015/17 Youth Risk Behavior Survey – Centers for Disease Control and Prevention
(22.1-26.2)
Tobacco Product Past 30 Day (Current) Use% of U.S. high school students
19.5 18.1 15.710.8
14 13.1 12.6 10.3
8.9 7.7 8.8 7.3
24.1
0
25
50
75
100
2009 2011 2013 2015
Cigarettes
Chewing Tobacco, Snuff or Dip
Cigars, Cigarillos
Electronic Vapor Products
2015 Youth Risk Behavior Survey – Centers for Disease Control and Prevention
Yale School of Medicine & National Institutes of Health (NIH)asked 5,400 Connecticut teens to identifywhat they found "cool about e-cigarettes?"
Top 2 Answers:
THE FLAVORSTHE ABILITY TO DO TRICKS
"We expected the flavors were attractive," said SuchitraKrishnan-Sarin, a psychiatry professor at the Yale School
of Medicine. “But smoke tricks were a surprise to us.”
Oxford Journals: Nicotine & Tobacco Research Volume 17 Issue 7: “E-Cigarette Use Among High School and Middle SchoolAdolescents in Connecticut” 11/3/2014
www.tobaccofreekids.org/research/factsheets/pdf/0382.pdf
Cloud Chasing with Mods
France’s Got Talent
Underwater Vape Tricks
STILLBLOWINGSMOKE.ORG California Department of Public Health
4 pack of pods - $15.99
$49.99
This video contains some strong language.
A JUUL Challenge
YouTube: Everything Juul
Youtube: Juul sesh #7 _Gavinvapes_
Prevention ResourcesSharing those I know about
www.opi.mt.gov/tobaccoed
PREVENTION
RESOURCES
Grades 3-5Grades 6-7
http://www.scholastic.com/get_smart_about_tobacco/
Scholastic
New Classroom Resources
Student Created Skit: Superior, St. Regis and Alberton, MT High Schools
Montana Strategies…..
Montana Clean Indoor Air Act – Enacted 2005
Tobacco Free Schools –Prohibits use of “Tobacco Product” in a publicschool building or on public school property
"Tobacco product" means a substance intended for humanconsumption that contains tobacco, including cigarettes, cigars,snuff, smoking tobacco, and smokeless tobacco.
No E-Cigarette Prohibition* Eight of 56 counties have adopted an
e-cigarette prohibition protocol.
Montana School Districts’ Primary Tool:
SCHOOL BOARD POLICYAdopted and enforced at the school district level
Currently 80% of Montana School Districts have beenrecognized as Tobacco-Free School Districts of Excellence
A message from the Surgeon General
http://e-cigarettes.surgeongeneral.gov/
Unknown HealthRisks – Carcinogenshave been identified
(Why don’t we have to prove a productsafe before we market it?)
Potential for renormalizingcigarette use andsomething that looks likesmoking
Appeal to non-smokers,especially youth
Addiction to Nicotine –Youth are more vulnerable
Dual Use
We hear people say theyhave used E-cigs to helpthem quit smoking.
Likely safer than smoking
Putting known andunknown health risksaside, there’s potential toreduce the number oftobacco related deaths
Yes, we’ve come a long way over many years intobacco use prevention.
With effective prevention strategies we’ve changed socialnorms on smoking.
We’ve got more work to do.
www.opi.mt.gov/tobaccoed
Kris MinardMontana Office of Public InstructionTobacco Use Prevention Education
Kminard@mt.gov(406) 444-0785
Thank you for your work to help ourkids choose not to use tobacco of
any kind…..for life.
top related