Chris Farmer-Lies Alicia Leizinger Association for Nonsmokers-MN

Transcription

1 Chris Farmer-Lies Alicia Leizinger Association for Nonsmokers-MN

2 Agenda What is an e-cigarette? What is in an e-cigarette? Who s using e-cigarettes? Where are e-cigarettes sold? How are e-cigarettes being marketed? What options are there to regulate e- cigarettes?

3 Why do we care about electronic cigarettes? Use is increasing among kids Re-glamorizing smoking Normalizes smoking Dual use may deepen nicotine addiction

4 History and FDA Regulation Invented in 2003, first imported ca Classified as drug delivery devices by FDA & seized Industry lawsuit in January 2010 lifted ban FDA can regulate as tobacco product, announcement expected before November

5 What is an electronic cigarette? Electronic inhaler meant to simulate smoking Often flavored Fewer regulations Primarily manufactured in China About 250 different brands Three basic types: mini, mid-size, and Advanced Personal Vaporizer (APV)

6 Components Cartridge/Cart: Holds E-juice Atomizer/Atty: Heats e-juice Battery/Batt: Powers atomizer LED lights up Image Credit: Wikipedia user Horsten

7 Mini Typically disposable Cartridge and atomizer can be combined into a cartomizer Resembles traditional cigarette Common brands: blu, Njoy, Fin, Smoking Everywhere, White Cloud Used as a gateway device $5 20 for the equivalent of two packs

8 Mid-Size Roughly cigarsized and shaped Swappable components Often purchased as part of a starter kit May also resemble a pipe or cigar Flickr user: pixelblume

9 Advanced Personal Vaporizer May not resemble other e-cigarettes More expensive Customizable Designed for advanced users More expensive, generally $100+ Flickr user: Ced

10 Flavors Bakery Drinks Fruit Candy Cigars Menthol/Mint Tobacco

11 Electronic Cigarettes & Nicotine Electronic cigarettes are poorly regulated and highly variable Nicotine content labeling is not always accurate; some cartridges labeled no nicotine actually contained high doses of nicotine Secondhand electronic cigarette vapor contains nicotine Source: Trehy, M.L., Ye, W., Hadwiger, M.E., Moore, T.W., Allgire, J.F., Woodruff, J.T., Ahadi, S.S., Black, J.C., & Westenberger, B.J. (2011). Analysis of electronic cigarette cartridges, refill solutions, and smoke for nicotine and nicotine related impurities. Journal of Liquid Chromotography & Related Technologoies, 34(14),

12 Nicotine A potent stimulant drug High amounts can be fatal especially to children Extremely addictive perhaps more so than heroin or cocaine Side effects include increased blood pressure, bronchospasms, joint pain, insulin resistance, heart arrhythmias and coronary artery constriction

13 Nicotine Poisoning HCMC has reported an increase in calls to poison control related to nicotine exposure caused by e-cigarettes In 2012, one call per month In 2013, one call each week

14 What else is in electronic cigarettes? Vapor contains metal and silicate particles at or above levels found in cigarette smoke. Many of these elements are known to be dangerous to human health and can cause respiratory irritation, cardiac inflammation, and cancer. Williams M, Villarreal A, Bozhilov K, Lin S, et al. (2013) Metal and Silicate Particles Including Nanoparticles Are Present in Electronic Cigarette Cartomizer Fluid and Aerosol. PLoS ONE 8(3): e doi: /journal.pone

15 Table 1. Elemental abundance in EC aerosol and cigarettes and associated health effects. Williams M, Villarreal A, Bozhilov K, Lin S, et al. (2013) Metal and Silicate Particles Including Nanoparticles Are Present in Electronic Cigarette Cartomizer Fluid and Aerosol. PLoS ONE 8(3): e doi: /journal.pone

16 Who owns electronic cigarette brands? Lorillard also owns Newport Photo source:

17 Who owns electronic cigarette brands? RJ Reynolds also owns Camel Photo source:

18 Who owns electronic cigarette brands? Altria also owns Marlboro Photo source:

19 NJOY Photo source:

20 Sales Sales are increasing rapidly Expected to reach $1 billion in 2013, double 2012 sales Cigarette sales = $80 billion Some think e-cigarette sales could overtake traditional sales in the next decade or three. Source: Wells Fargo Securities, Forbes

21 Prevalence: MN Adults in 2010 About 1% of MN adults reported that they currently use electronic cigarettes 4% of current cigarette smokers also use electronic cigarettes 6% of year old current cigarette smokers also report using electronic cigarettes Source: Minnesota Adult Tobacco Survey, 2010

22 Prevalence: Youth 10% of high school students reported ever using electronic cigarettes in 2012 More than doubled since 2011 Four of every five current electronic cigarette users also smokes traditional cigarettes Source: National Youth Tobacco Survey, 2012

23 Dual Use Nationally, 20% of cigarette smokers report that they have used an e-cigarette (2011) E-cigarette use was significantly higher among current smokers than former or never smokers We need to think about this on a population level! Source: Centers for Disease Control and Prevention

24 The Retail Environment Carried in gas stations, convenience stores, tobacco shops, and vaping lounges About 20% of licensed tobacco vendors in Bloomington, Minneapolis, and Brooklyn Park sold them in October 2012 Regulations on placement, advertising, youth access laws, marketing, licensing may not apply

25 Internet Sales Hundreds or thousands of retailers Selling devices, disposables, juice, raw ingredients, etc. Close with online vaping community promotions, prize giveaways Effective age verification is rare

26 Vaping Lounges Boutique-style retail, resembles coffee shop or art studio Employees are heavy users Flavors for sampling include candy, cocktails, fruit, tobacco Two unlicensed lounges opened in the Uptown Minneapolis area in 2013

27 Vaping Lounges - Products

28 Marketing Key themes Stylish, sexy Advanced Technology Celebrity Endorsements A Smoking Alternative Take Back Your Freedom No smoke, no ash

29 Source: Ad found in Spin - January/February 2012

30 Point of sale advertisement found inside a campus store, on a smokefree college campus. Source:

31 Appeared in Men s Journal, October 2011 Source:

32 Print ad, October 2011 Source:

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38 Jenny McCarthy blu spokesperson

39 RJ Reynolds TV Commercial

40 MN City Policies MN Tobacco Modernization and Compliance Act of 2010 Prohibits the sale of nicotine delivery products to minors Requires a license to sell electronic cigarettes Cities should update local ordinance to mirror state law Cities can also: 1. Include e-cigs in sampling prohibition 2. Include e-cigs in local clean indoor air law

41 MN City Policies Cont cities have included e-cigs in tobacco licensing ordinance cities have prohibited sampling 3. Duluth has updated their clean indoor air ordinance to include e-cigarettes North Mankato, Ely, Hermantown, Hopkins have all enacted moratoriums

42 Model School Policy Minnesota School Boards Assn. model policy 419 Addresses electronic cigarette use for students, staff, and visitors Restricts the district from accepting gifts, scholarships, curricula, etc. from tobacco industry 90+ districts have updated the policy

43 The Opposition MN Vapers Advocacy Lorillard We believe the accumulating evidence indicates that electronic cigarettes may reduce tobacco consumption, provide an effective aid to smoking cessation, and be safer than traditional cigarettes.

44 Thank you! For future questions, contact RTC staff: Chris Farmer-Lies Alicia Leizinger