Clear the Vapor: FILTERING FACTS FROM MYTHS ON VAPING, JUULING & CANNABIS

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Clear the Vapor: FILTERING FACTS FROM MYTHS ON VAPING, JUULING & CANNABIS JANUARY 31, 2018

Community - The Anti-Drug Coalition Community wide organization Bannockburn, Deerfield, Highland Park, Highwood, & Riverwoods Data Driven & Community Focused Partner Collaboration Partner with all community sectors schools, parents, youth, government, healthcare, faith, law enforcement, youth-serving organizations and more!

Mission & Vision To reduce the use and abuse of alcohol, marijuana, and other drugs among youth in Bannockburn, Deerfield, Highland Park, Highwood & Riverwoods. To build and sustain a safe and drug-free community in which youth feel protected, confident and empowered to make healthy choices. Our goal is to make the drug-free choice the easy choice.

Financial Support from Grants Highland Park Community Foundation YEA! Highland Park The Healthcare Foundation of Highland Park Highland Park Human Relations Commission Drug Free Communities grant from Office of National Drug Control Policy & Substance Abuse & Mental Health Services Administration Local organizations and donors

Support from you! Time and Talent Join one of our committees that meets on a monthly basis Join a work group for a limited time commitment based on specific activities Financial Donate on your way out Donate with a credit card via the CTAD website: http://communitytheantidrug.org

E-Cigs, Vaping, & Marijuana Emerging Drug Trends in Today s Adolescents Aaron Weiner, PhD Director of Addiction Services, Linden Oaks

Overview E-cigs & Vaping 101 Cannavaping Cannabis: Facts and Fiction 7

E-Cigs and & Vaporizers What are they? Devices to heat a substance into a vapor Figure 1. Parts of an e-cigarette. 8 (Prochnow, 2017)

9 (Giroud et al., 2015)

Wet & Dry Vaping Cartridges = wet Refillable or closed Cannabis or THC wax = dry most of the time 10

11 JUUL

12

Vaping Jargon A Select List Drug subculture, group identification Terms Juice Analog/Burner Throat hit Dry puff Vape Tricks Blend 13

E-Liquids PG vs. VG PG Thinner, + Throat Hit VG Thicker, sweeter, more vapor Buying E-Liquid 14

Vaping Appealing to Adolescents Easy to conceal use No odor No smoke Marketing advantage Flavors: E-cigs not included in Tobacco Control Act of 2009 JUUL looks like a flash drive 15

Background and Prevalence Invented in 2003 in China Introduced to the US in 2006 Generally produced in China, few regulations exist Adult use is rare, less than cigarettes 8.5%-12.6% ever used 2.4%-5.5% current use Many also smoke cigarettes 16 (NAS, 2018)

Youth Use Trends 17 (NAS, 2018) (Raloff, 2016)

Why vape? Perceived as healthier than regular cigarettes PG and VG based solutions are viewed as natural Smoking cessation Easy to change dosages Adolescents It looks cool Entry into a social group/identity 18

19 (Yule & Tinson, 2017)

20 Vaping and Health: What We Know

21 Health Impact Jury is Out

22 Concerns for Children and Adolescents

23 Areas of Benefit Current Smokers

Bottom Line on E-Cigs They aren t as bad for you as combustible cigarettes But they re not good for you either They are habit-forming via nicotine And socially reinforcing through vaping culture They are a significant risk for looping new kids into cigarette smoking They might be useful as a smoking cessation tool 24

Cannavaping Vaporizers specially designed for leaves or extracts Perceived as healthier, better tasting than smoking If similar trends hold, puts adolescents at greater risk for cannabis use disorder Secondary risk greater exposure to highpotency extracts 25

Cannabis A Particularly Bad Idea for Kids Increased risk for addiction 26 (Volkow, 2014)

Cannabis A Particularly Bad Idea for Kids Increased risk for addiction Higher dropout rates, school disciplinary problems Lower lifetime earning potential Diminished IQ (6-8 points) This isn t Woodstock pot anymore much stronger 28 (Volkow, 2014)

Marijuana Potency Today s marijuana is even stronger 29 (Volkow, 2014)

Cannabis A Particularly Bad Idea for Kids Increased risk for addiction Higher dropout rates, school disciplinary problems Lower lifetime earning potential Diminished IQ (6-8 points) This isn t Woodstock pot anymore much stronger Impaired judgement Increased risky sexual behavior Psychotic breaks Increases with higher % THC Drugged driving 30 (Volkow, 2014)

31

32

Youth Target Demographic 90% of addictions start in adolescence Current practices Local dispensaries 33

Summary Vaping is very popular among adolescents Vaping has its own subculture among users Vaping is not as harmful as combustible cigarettes, but does lead more kids to use Cannabis and cannabis extracts can be vaped Cannabis is particularly harmful for adolescent health and behavioral outcomes 34

Questions?

Thank You!