Vapes, Ecigs, Mods, Juuls. Chris Harnish Mercer Island Youth & Family Services

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1 Vapes, Ecigs, Mods, Juuls Chris Harnish Mercer Island Youth & Family Services

2 Current Alcohol Use Percent of students who report having drunk a glass, can or bottle of alcohol in the past 30 days Mercer Island School District - Source: 2016 Healthy Youth Survey 2

3 Current Binge Drinking Percent of students who report having drunk 5 or more drinks in a row in the past 2 weeks Mercer Island School District - Source: 2016 Healthy Youth Survey 3

4 Current Marijuana Use Percent of students who report using marijuana in the past 30 days Mercer Island School District - Source: 2016 Healthy Youth Survey 4

5 2017 YFS Norms Survey During the past 30 days, on how many occasions (if any) have you used electronic vaping products (e-cigarettes, vaping pens, e-hookah pens, etc.) Grade 0 Occasions 1-2 Occasions 3-5 Occasions 6-9 Occasions Occasions Occasions 40 or more Occasions 6th 98.7% 0.9% 0.3% 7th 98.7% 1.0% 0.3% 8th 95.0% 3.1% 0.6% 0.3% 0.3% 0.3% 0.3% 9th 90.6% 4.9% 0.9% 1.2% 1.2% 1.2% 10th 71.8% 8.9% 4.9% 3.6% 3.3% 3.9% 3.6% 11th 73.7% 10.7% 1.7% 3.7% 2.7% 2.7% 5.0% 12th 73.2% 11.7% 1.7% 0.9% 3.5% 2.2% 6.9%

6 Vapes, Mods, Tanks, E-Cigs

7 Vaping Culture

8 What s in E-cigarettes/Vape Pens

9 Signs and Symptoms

10 E-Juice/E-Liquid E-Cigarette/Vape Pen Liquid Ingredients Propylene Glycol Vegetable Glycerin Nicotine Flavoring Chemicals

11 It s an Aerosol, Not a Vapor

12 E-Cig Aerosol Composition Propylene glycol Glycerin Flavorings (many) Nicotine NNN NNK NAB NAT Ethylbenzene Benzene Xylene Toluene Acetaldehyde Formaldehyde Naphthalene Styrene Benzo(b)fluoranthe ne Chlorobenzene Crotonaldehyde Propionaldehyde Benzaldehyde Benzo(ghi)perylene Acetone Acrolein Silver Valeric acid Nickel Hexanal Tin Fluorine Sodium All of these have been Anthracene Strontium Pyrene Barium found in e-cig aerosol Acenaphthylene Acenapthene Fluoranthene Benz(a)anthracene Chrysene Retene Benzo(a)pyrene Indeno(1,2,3- cd)pyrene Aluminum Chromium Boron Copper Selenium Arsenic Nitrosamines, Cadmium Silicon Lithium Lead Magnesium Manganese Potassium Titanium Zinc Zirconium Calcium Iron Sulfur Vanadium Cobalt Rubidium Polycyclic aromatic Compounds in yellow are from FDA hydrocarbons 2012, Harmful and Potentially Harmful Substances Established List

13 Where Else Can You Find These Chemicals Propylene glycol Antifreeze Acetone Nail Polish Remover Ethylbenzene Paints, Pesticides Formaldehyde Embalming Nicotine Cigarettes Rubidium Fireworks

14 Electronic Joints

15 E-Juices

16 E-Juices with THC

17 Why JUUL Rechargeable/Reusable Cost: $35 4 pods - $15.99 DIY refills Discreet In bathroom

18 Anatomy of a JUUL Juulpod Cartridge Device with Rechargeable Battery Outer Shell -contains e-juice / liquid with NICOTINE! Juulpod Cover tobaccopreventiontoolkit.stanford.edu

19 JUUL

20 What s in that JUULpod Nicotine Benzoic Acid Glycerol devices and pods produced Propylene Glycol Natural Oils Extracts and Flavors of the total e-cigarette market

21 How Much is That 59 mg/ml! They want you to be confused! A A 5% strength of what How much is 5%

22 Strength of a Pack 59 mg/ml = extremely high! 59 mg/ml = pack of cigarettes NOTE: EVERY JUULPOD CONTAINS NICOTINE!

23 Are Vapes safe Higher Nicotine/THC content Side effects elevated Teen vapers more likely to use AOD Vape liquids not well regulated No long term studies on inhaling glycol or glycerin based vapors - Popcorn Lung Battery related dangers

24 E- Joints, Dabs, Edibles Highly concentrated THC products Difficult to regulate dosage Risk of nausea, anxiety, paranoia, panic attacks, hallucinations, passing out Regular use of MJ can lead to emotional and social stagnation Can make the diagnosis and treatment of mental health issues a challenge

25 Edibles

26 Addressing Vape use on MI Presentations in Image and AP Psych Faculty training Parent ed and awareness raising Changes to the MISD AOD Policy Advocacy work by the SAFE Club Assessment, Intervention, Treatment

27 What Parents can do Educate yourself Role model responsible use/lock it up Be clear about family expectations Use teachable moments vs lectures Emphasize health and safety first Reward good choices Seek out professional help as needed

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