What are ESD s & Why are Youth VAPING?? Jen Valera Hawai i Island Coalition Assistant Hawaiʻi Public Health Institute

What are ESD s & Why are Youth VAPING?? Jen Valera Hawai i Island Coalition Assistant Hawaiʻi Public Health Institute

Tobacco/Vape Laws Hawaiʻi Age 21 unlawful to sell or furnish tobacco/vape in any form to under 21 [HRS 712-1258] possession/use by under 21 prohibited in public places [HRS 312-212] HI County parks and beaches- tobacco/vape prohibited [HCC 14-21b] HI County smoke/vape in cars carrying under age 18 prohibited [HCC 14-12(12), Ord #10-33]

Youth ESD Use US1 HI State2 49.6% HI County2 42.3% 35.8% 34.1% 25.5% 27% 23% 15.7% 11.7% 3.3% 1. 2. CDC. Tobacco Use among Middle and High School Students United States 2011-2017. Hawaiʻi Youth Risk Behavior Survey 2017.

What Are E-Cigarettes? Nicotine aerosol Battery Atomizer/coil Absorbent material/cotton & e-juice: Nicotine Propylene glycol Vegetable glycerin Flavorants

Electronic Smoking Devices (ESDs)

Pod-Based ESDs Electronic smoking device USB charger Pre-filled e-juice modules (pods)

Suorin Air Pods Starter Kits-$19.99 2 ML Nicotine

Juul 3% = Juul 5% =

E-Juice/E-Liquid E-Liquid Ingredients Nicotine Propylene Glycol Vegetable Glycerin Flavoring Chemicals

E-Cig Cloud: Just Water Vapor, Right?

It s Aerosol not Water Vapor Mixture of many different chemical droplets and particles suspended in the air, some present in e-juice, others produced during e-cig heating process Evaporated water

Ingestion vs. Inhalation Flavorings and other e-juice ingredients may be approved as safe for use in foods but have NOT been approved as safe for inhaling. Consuming Breathing In D E V PRO P A NOT Digestive Tract Respiratory Tract

Nicotine Highly addictive substance Causes changes in brain chemistry Brain NEEDS nicotine to feel pleasure

Nicotine CHANGES YOUTH brain development Increases risk of mood and attention problems in youth Increases heart rate variability

Flavorings & Other Ingredients Over 7,000 e-juice flavors Some ingredients are toxic Other ingredients are converted to toxic compounds during e-cig heating process METALS INHALED: aluminum chromium lead manganese nickel zinc

Other Vape Effects on the Body Mouth & Airway Irritation Cough Increases airway resistance Alters lung function similarly to tobacco smoke Popcorn lung Heart & Circulation Chest pain Increases artery stiffness Doubles risk of heart attack Stomach Nausea Vomiting Increased acid reflux

Long-Term Health Effects? Too soon to know... The human body is designed to breathe fresh air

YOUTH TOBACCO/ESD PREVENTION PROGRAMS WHAT ABOUT TOBACCO- A one-hour interactive presentation conducted in 4th Grade classes in East HI (UHH College of Pharm) ELECTRONIC SMOKING DEVICES (ESD) PREVENTION-A one-hour presentation, which includes touching real lungs, (pig lungs), Middle School/ High School students (TFHI Partners/UHH CoP) VAPE 101: 20 minute-one hour Power point presentations for educators, parent groups, coaches, any adult group working with youth (HIPHI Staff & TFHI Partners) Stanford Tobacco Prevention Toolkit: Pilot project spring 2019 for 4th grades to prevent ESD use-east HI. (UHH Nursing Program)

NEXT STEPS ESD PREVENTION PRESENTATION TRAINING-School Staff/Faculty STANFORD TOOL KIT MATERIALS -Pilot PARENT EDUCATION -Newsletter Article SUPPORT YOUTH COUNCILFLAVOR BAN HB276 or SB1009 JOIN HIPHI/TFHI team