Preventing Youth Electronic Cigarette Use: Partnering with Schools Kris Minard Montana Office of Public Instruction Tobacco Use Prevention Education Kminard@mt.gov (406) 444-0785 I work for the State of Montana and have no disclosures.
We ve come a long way. A little bit of history Electronic Cigarettes An explosion..in more ways than one! Harmless Water Vapor? Not What s the Appeal for Youth? You might be surprised. Prevention Resources Sharing those I know about
Tobacco use is still the leading cause of preventable death in the United States Cigarette smoking is responsible for more than than 480,000 deaths per year in the United States1. 1 - Jha P, Ramasundarahettige C, Landsman V, et al. 21st Century Hazards of Smoking and Benefits of Cessation in the United States. New England Journal of Medicine 2013;368:341 50 [accessed 2017 Mar 28].
That s more than three fully loaded 747 s, crashing every day for a year with no survivors.
Youth Tobacco Trends
Ever tried cigarette smoking in their lifetime % of U.S. high school students 100 75 70.4 63.9 58.4 54.3 50 50.3 46.3 44.7 41.1 32.3 25 0 1999 2001 2003 2005 2007 2009 2011 2013 2015 Youth Risk Behavior Survey Centers for Disease Control and Prevention 2015
Smoked cigarettes on one or more of the past 30 days % of U.S. high school students 100 75 50 34.8 28.5 25 0 1999 2001 21.9 2003 23 2005 [VALUE] 19.5 2007 2009 18.1 15.7 2011 2013 2015 Youth Risk Behavior Survey Centers for Disease Control and Prevention 10.8 2015
Not Your Grandfather s Cigar Today s cigars/cigarillos are priced, promoted, packaged and placed in ways that appeal to kids. Tobaccofreekids.org
Smoked cigars, cigarillos, or little cigars on one or more of the past 30 days % of U.S. high school students 100 75 50 25 0 17.7 1999 15.2 14.8 14 13.6 14 13.1 12.6 10.3 2001 2003 2005 2007 2009 2011 2013 2015 2015 Youth Risk Behavior Survey Centers for Disease Control and Prevention
Used chewing tobacco, snuff, or dip on one or more of the past 30 days % of U.S. high school students 100 75 50 25 0 7.8 8.2 6.7 8 7.9 8.9 7.7 8.8 7.3 1999 2001 2003 2005 2007 2009 2011 2013 2015 *Question changed to include more sample products. Loss of trend data, but it looks good! 2015 Youth Risk Behavior Survey Centers for Disease Control and Prevention
Traditional Tobacco Product Last 30 Day Use % of U.S. high school students 100 Cigarettes 75 Cigars, Cigarillos Chewing Tobacco, Snuff or Dip 50 28.5 25 8.2 0 23 21.9 20 19.5 8 6.7 18.1 8.9 7.9 15.7 7.7 8.8 10.8 7.3 15.2 14.8 14 13.6 14 13.1 12.6 10.3 2001 2003 2005 2007 2009 2011 2013 2015 2015 Youth Risk Behavior Survey Centers for Disease Control and Prevention
Anti-smoking campaigns have been very successful.
But now we have these
What are they? A battery powered, most often nicotine delivering device ENDS Electronic Nicotine Delivery System
A variety of ever changing styles U.S. Food & Drug Administration https://www.fda.gov/ucm/groups/fdagov-public/documents/image/ucm491663.jpg
"Parts of an Electronic cigarette" by FEMA - https://www.usfa.fema.gov/downloads/pdf/publications/electronic_cigarettes.pdf. Lithium Controls the heater and lights Nothing burns there is no combustion. The E-Juice is aerosolized as it heats.
HOW TO VAPE
Electronic Cigarettes
MODS
RDA - Rebuildable Dripping Atomizer
Nearly 5 Million Views on YouTube
The tobacco industry spends more than $1,000,000 per hour advertising their products Then and now
http://tobacco.stanford.edu/tobacco_main/main.php
Innovative Marketing Tactics
Kalispell Helena and Great Falls Butte Missoula Billings Bozeman
KURE Vaporium and Lounge Franchise We are moving light years beyond the traditional vape store concept by offering a revolutionary high-end, in-store retail and lounge experience which appeals to Millennials, Boomers, nascent vapors and vaping enthusiasts alike.
US Vapor Sales 10 $ Billions 8 $5.5 6 $3.5 4 $4.1 $4.4 2016 2017 $2.5 2 0 2014 2015 Bonnie Herzog Wells Fargo E Cigarette Sales and Estimate for 2018 - ECF Projected 2018
Harmless Water Vapor? What s often described as a harmless water vapor is an aerosol that usually contains nicotine, ultrafine metallic particles and low levels of toxins some that are known to cause cancer.
Carcinogens found in Electronic Cigarettes Vapor Acetaldehyde Benzene Formaldehyde Nickel Nitrosamines Irritants found in Electronic Cigarettes Vapor Diacetyl Diethylene Glycol Cadmium Lead Nicotine Silver Tin Toluene Chemical Evaluation of Electronic Cigarettes: Tobacco Control 2014 Tianrong Cheng, Center for Tobacco Products FDA
E-Juice (Liquid Nicotine) 1 Teaspoon can kill a child American Association of Poison Control Centers Dec 2014 Press Release Propylene Glycol - Nicotine - Flavoring Child Nicotine Poisoning Prevention Act Enacted by Congress on January 11, 2016
DIACETYL
Poison Control Center Calls American Association of Poison Control Centers 5000 4500 4023 4000 3774 3500 Liquid Nicotine Exposure Calls 2907 3000 2500 2000 1543 1500 1000 500 2696 2453 674 460 0 2012 2013 2014 2015 2016 2017 2018 2018 Extrapolated
R E S E A R C H
Explosions
E-cigarettes Are Unsafe for Young People Attention, Learning, Mood Disorders, Impulse Control Adolescent Brain More Susceptible to Addiction Non-smoking users likely to try combustible cigarettes Linked to use of other tobacco products, alcohol, marijuana Inhale nicotine, ultrafine particles and harmful chemicals
Teens who vape are 3x more likely to smoke traditional cigarettes 1 year later. https://www.ncbi.nlm.nih.gov/pubmed/26811353
What s the Appeal for Youth?
2015 and 2017 Youth Risk Behavior Survey Questions The next 2 questions ask about electronic vapor products such as blu, NJOY or Starbuzz. Electronic vapor products include e-cigarettes, e-cigars, e-pipes, vaping pens, e-hookahs and hookah pens. Q. Have you ever used an electronic vapor product? (Y/N) Q. In the past 30 days, on how many days did you use an electronic vapor product?
Ever used electronic vapor products in their lifetime % of U.S. and Montana high school students 100 U.S. Montana 75 50 51.1 44.9 46.6 25 0 (41.9-48.0) (48.7-53.4) 2015 Montana 2015 2017 (44.4-48.8) 4th highest prevalence of use in the U.S 2015/17 Youth Risk Behavior Survey Centers for Disease Control and Prevention
Used electronic vapor products on one or more of the past 30 days % of U.S. and Montana high school students 100 US Montana 75 50 25 0 29.5 24 (22.1-26.2) (27.4-31.7) 2015 Montana 2015 22.5 (20.2-24.9) 2017 4th highest prevalence of use in the U.S 2015/17 Youth Risk Behavior Survey Centers for Disease Control and Prevention
Tobacco Product Past 30 Day (Current) Use % of U.S. high school students 100 Cigarettes 75 Chewing Tobacco, Snuff or Dip Cigars, Cigarillos 50 25 Electronic Vapor Products 19.5 24.1 18.1 15.7 8.9 0 14 2009 8.8 7.7 13.1 2011 12.6 10.8 7.3 10.3 2013 2015 Youth Risk Behavior Survey Centers for Disease Control and Prevention 2015
Yale School of Medicine & National Institutes of Health (NIH) asked 5,400 Connecticut teens to identify what they found "cool about e-cigarettes?" Top 2 Answers: THE FLAVORS THE ABILITY TO DO TRICKS "We expected the flavors were attractive," said Suchitra Krishnan-Sarin, a psychiatry professor at the Yale School of Medicine. But smoke tricks were a surprise to us. Oxford Journals: Nicotine & Tobacco Research Volume 17 Issue 7: E-Cigarette Use Among High School and Middle School Adolescents in Connecticut 11/3/2014
www.tobaccofreekids.org/research/factsheets/pdf/0382.pdf
Cloud Chasing with Mods
Underwater Vape Tricks France s Got Talent
STILLBLOWINGSMOKE.ORG California Department of Public Health
$49.99 4 pack of pods - $15.99
A JUUL Challenge This video contains some strong language.
YouTube: Everything Juul
Youtube: Juul sesh #7 _Gavinvapes_
Prevention Resources Sharing those I know about
P R E V E N T I O N R E S O U R C E S www.opi.mt.gov/tobaccoed
New Classroom Resources Grades 6-7 Grades 3-5 Scholastic http://www.scholastic.com/get_smart_about_tobacco/
Student Created Skit: Superior, St. Regis and Alberton, MT High Schools
Montana Strategies.. Montana Clean Indoor Air Act Enacted 2005 Tobacco Free Schools Prohibits use of Tobacco Product in a public school building or on public school property "Tobacco product" means a substance intended for human consumption that contains tobacco, including cigarettes, cigars, snuff, smoking tobacco, and smokeless tobacco. No E-Cigarette Prohibition * Eight of 56 counties have adopted an e-cigarette prohibition protocol.
Montana School Districts Primary Tool: SCHOOL BOARD POLICY Adopted and enforced at the school district level Currently 80% of Montana School Districts have been recognized as Tobacco-Free School Districts of Excellence
A message from the Surgeon General http://e-cigarettes.surgeongeneral.gov/
We hear people say they have used E-cigs to help them quit smoking. Likely safer than smoking Putting known and unknown health risks aside, there s potential to reduce the number of tobacco related deaths Unknown Health Risks Carcinogens have been identified (Why don t we have to prove a product safe before we market it?) Potential for renormalizing cigarette use and something that looks like smoking Appeal to non-smokers, especially youth Addiction to Nicotine Youth are more vulnerable Dual Use
Yes, we ve come a long way over many years in tobacco use prevention. With effective prevention strategies we ve changed social norms on smoking. We ve got more work to do.
Thank you for your work to help our kids choose not to use tobacco of any kind..for life. www.opi.mt.gov/tobaccoed Kris Minard Montana Office of Public Instruction Tobacco Use Prevention Education Kminard@mt.gov (406) 444-0785