Prevent disease Protect from injury Promote healthy lifestyles

Transcription

1 Prevent disease Protect from injury Promote healthy lifestyles

2 Objectives 1. Obtain a better understanding of local policies that make a difference 2. Establish a plan of action to address local policies Kye Nordfelt Southwest Utah Public Health Department Director of Health Promotions E-Cigarettes Turns kids into addicts E-Cigs are the future of teen drug use Prevent disease Protect from injury Promote healthy lifestyles

3 HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

4 NATIONAL USE RATES 12 th GRADE E-CIG USE INCREASES 300% 30 Day Use 18% 16% 17.3% 14% 12% 10% 8% 12% 10% % 4% 2% 4% 1% % Alcohol E-cig Marijuana Cigarette Prescription HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

5 Where are they getting their vape?

6 HARMS STRATEGY 12 Graders Ever Tried E-Cigs 1 in every 3 youth HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

7 HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

8 E-Cigarettes Harm Health HARMS HEALTH KIDS TO ADDICT BIG TOBACCO Prevent disease Protect from injury Promote healthy lifestyles

9 Mouthpiece Tank Battery Atomizer and Base Atomizer Pre-filled Cartridge Battery Link E-CIGARETTES 101

10 HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

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14 1980

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16 1992

17 ~2007 Video

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19 HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

20 HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

21 HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

22 HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

23 Ads for E-Cigarettes Hearken Back to the Banned Tricks of Big Tobacco

24 Real world example of its appeal

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26 We just don t know enough about vaping yet.

27 We just don t know enough about vaping yet. YES WE DO!!

28 E-Cigarettes to Cigarettes 2017 University of Leeds, 2017 University of Michigan, 2016 University Southern California, 2017 University of Pittsburg: 4 studies found teenagers who had tried an e- cigarette were 2 to 4 times more likely to start smoking a conventional cigarette within a year, when compared to classmates who had not. HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

29 Click Image Click here HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

30 HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

31 HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

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33 Lung Disease A 2015 Harvard study found: Diacetyl present in vapor Diacetyl has been directly linked to bronchiolitis obliterans, which in serious cases can require lung transplants HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

34 Lung Disease 2015 Johns Hopkins study found: Exposure to vapor can compromise the immune health of lungs Vapor can give rise to free radicals, the particles responsible for accelerated DNA damage and cancer growth HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

35 Lung Disease 2016 University of North Carolina: E-cigarettes alter hundreds of genes important for immune defense. Changes likely increase the risk of bacterial infections, viruses, and inflammation. HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

36 Lung Disease 2017 UNC School of Medicine Study shows they do not help patients quit smoking and do not reduce harm to lungs for COPD patients. HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

37 Lung Disease 2016 University of Southern California: Study found that teens, when compared to those who never tried e-cigarettes, the risk of the respiratory symptoms (persistent cough, bronchitis and congestion or phlegm) was. 85 percent higher among past users, and Double among current users "E-cigarettes are known to deliver chemicals toxic to the lungs, including oxidant metals, glycerol vapor, diketone flavoring compounds and nicotine," HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

38 Lung and Heart Disease 2017 Study: 3 Studies presented at European Respiratory Society International Congress showing E-cigs harm the lungs and heart.," HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

39 Heart Disease 2016 University of Athens Medical School: Vaping is as harmful to your heart as smoking Nicotine stiffens the heart's vital aorta artery, damaging it like regular cigarettes HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

40 Heart Disease 2017 Study Researchers from the Karolinska Institute, a medical university in Stockholm, found that vaping devices containing nicotine can result in a stiffening of the arteries, as well as an increase in heart rate and blood pressure. HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

41 Heart Disease 2017 UCLA Study "Study showed...electronic cigarette use with nicotine increases cardiac adrenaline levels - same pattern that is associated with increased cardiac risk in patients who have known cardiac disease." HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

42 Oral Disease 2016 ULCA Study: Vaping is not significantly safer than regular cigs Contain toxic substances impacting the top layer of skin cells in the oral cavity. E-cigarettes could increase users risk for oral disease. HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

43 Oral Disease 2016 University of Rochester Study: EC s equally damaging to gums and teeth as conventional cigarettes. cells release inflammatory proteins, aggravate stress within cells - damage could lead to various oral diseases e-cig contain nicotine - known to contribute to gum disease HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

44 Bladder Cancer Risk 2017 American Urological Association Study: Researchers compared the urine of people who use e-cigarettes with that of nonsmokers. The investigators looked for five chemicals known to cause bladder cancer and may be found in e-cigarette liquid. Ninety-two percent of e-cigarette users tested positive for two of the five chemicals. HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

45 E-Cigarettes to Cigarettes 2017 University of Leeds, 2017 University of Michigan, 2016 University Southern California, 2017 University of Pittsburg: 3 studies found teenagers who had tried an e- cigarette were 2 to 4 times more likely to start smoking a conventional cigarette within a year, when compared to classmates who had not. HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

46 Distilled Water Propylene Glycol Vegetable Glycerin Nicotine Concentrate Artificial Flavoring HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

47 Toxic chemical that can cause cancer or reproductive harm. Class Action suite against e-cig manufacturers for not warning consumers product has Formaldehyde and Acetaldehyde linked to cancer. HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

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51 Second Hand Aerosol 2017 Virginia Commonwealth University Study: "This study is the first to show that e- cigarette/vaporizer use could pose a potential hazard to a developing embryo and cause craniofacial birth defects. " HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

52 E-Cigarettes Aren t Helping Smokers Quit Meta-analysis of 38 published articles the largest to quantify whether e- cigarettes assist smokers in quitting cigs. Study concluded the odds of quitting smoking were 28% lower in smokers who used e-cigarettes compared to those who did not. No e-cigarette company has submitted an application to the U.S. FDA to approve e-cigarettes for smoking cession (FDA has approved 7 types of cessation aids. Study out of University of California San Francisco, 2015

53 Cost to Benefit Ratio of E-cig Not adding up

54 HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

55 Assuming teen, light, daily tobacco user $7 $18 E-Cig Cigarette ~ 130 puffs per day ~ 170 puffs per day 5 times cheaper $4.20 p/week $20 p/week $18 p/month $87 p/month $219 p/year $1,022 p/year HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

56 Turn Kid s to Addicts HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

57 HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

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59 Nicotine Manipulates Reward Center of Brain HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

60 HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

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67 According to a 2015 CDC report 7 in 10 $6.4 million in 2011 to $115 million in % increase in youth use

68 HARMS STRATEGY 12 Graders Ever Tried E-Cigs 1 in every 3 youth HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

69 HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

70 What if e-cig laws were based on brain science? Brain develops up till mid 20 s - Nicotine damages developing brain - 95% of adult users start ~ 14 yrs old What if preventing addiction among kids was our main goal? HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

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75 E-cigs Connection to Drugs HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

76 E-Cigarettes to Cigarettes 2017 University of Leeds, 2017 University of Michigan, 2016 University Southern California: 3 studies found teenagers who had tried an e- cigarette were 2 to 4 times more likely to start smoking a conventional cigarette within a year, when compared to classmates who had not. HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

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78 HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

79 HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

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81 HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

82 HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

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84 How do we discourage use? HARMS HEALTH KIDS TO ADDICT BIG TOBACCO

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86 What can we do? Education Evidence based cessation, Hard hitting media campaigns Tax as tobacco product, reduce # outlets sold and proximity to school, ban internet sales, restrict advertising, Sell e-cigs only in stores allowing adults Reduce poverty, increase educational and employment opportunities, improve human rights

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88 Clearing the Vapor

89 Tools

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92 Public Policies Change Tobacco Use Rates More Expensive, Less Youth Use Increase in Tax 12 th Grade Projected Use rates (2017) Status Quo 15% to 24% 10% 13% to 5% 50% 10% to 4.5% 80% 6% to 3.5%

93 What can Parents do? Bonding Know your teen talk and bond Notice changes in friends, dress, grades, emotions Boundaries Set clear rules regarding drug use Remind and educate your kids regularly Monitoring Look through their phone, show up occasionally at parties, monitor social media Notice unusual smells on clothes.

94 Federal Needed Ban advertising Restrict colors and flavors Regulate internet sales In Place Review new tobacco products not yet on the market Help prevent misleading claims Evaluate the ingredients of tobacco Communicate the potential risks of tobacco products Back to 2007 State Needed Define e-cigarettes like a tobacco product Tax as a tobacco product Age restricting the purchase of e-cigarette mechanism. Ban Internet sales (partially in place) In Place Labeling Packaging tamper proof Safety warning Local Needed Restrictions on the number of outlets In Place E-liquid manufacturing permit