Sweet Cheap Easy to Get. Tobacco industry tactics. Introduction. Tobacco Industry Tactics 5/1/2018

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Tobacco industry tactics Introduction Kathleen Wilbur, Southeast Tobacco-Free Community Partnership Bob Collett, Cape Cod Regional Tobacco Control kawilbur@sevenhills.org bcollett@barnstablecounty.org Tobacco Industry Tactics Sweet Cheap Easy to Get 1

Tobacco industry tactics are working In 2015. Nearly half (44.8%) of MA high school youth had ever used e-cigarettes High school youth current use of e-cigarettes was higher than use of any other tobacco products* combined *Any tobacco is defined as cigarettes, cigars (including little cigars and cigarillos), and smokeless tobacco (such as chewing tobacco, snuff, or dip). Current Use of Tobacco Products by MA High School Youth, 2015 Use in the past 30 days Any tobacco defined as cigarettes, cigars (including little cigars and cigarillos), and smokeless tobacco (chewing tobacco, snuff, dip) E-Cigarette Use Among MA High School Youth and Adults, 2015 Use in the past 30 days 2

Blunts and Blunt Wraps Usually associated with marijuana, but made of tobacco Sweet and cheap Contains nicotine Cigars and Cigarillos Chew and Dip Chew: tobacco leaves that are placed between cheeks and gums and chewed. Excess liquid is spit Dip: shredded tobacco leaves placed between lower lip and gum. Not chewed Easy to get at convenience stores 3

Electronic Nicotine Delivery Products Also called e-cigs, vape pens, vapes, e-hookahs, and tanks Battery operated devices that turn flavored liquid nicotine into aerosol that is inhaled Originally designed to mimic smoking traditional cigarettes Most commonly used tobacco product among youth What is an E-Cigarette? Battery Powers the Device Mouthpiece Allows user to inhale the aerosol Atomizer Heats the e-liquid into an aerosol Cartridge Stores the e-liquid https://e-cigarettes.surgeongeneral.gov/getthefacts.html 4

E-Liquids Used in vaping products like e-cigarettes Come in a range of sweet flavors and nicotine strengths Usually contain dangerous chemicals like propylene glycol and glycerin* 5

JUUL JUUL is a new e-cigarette/vaping device that is popular on high school and college campuses Looks like a USB flash drive and charges when plugged into a laptop Small enough to fit into the palm of a hand 6

JUUL JUUL https://www.cdc.gov/tobacco/basic_information/ecigarettes/pdfs/parent-teacher-ecig-508.pdf Constantly Evolving Suorin Air PHIX Suorin Drop 7

Good News / Bad News The Good News Local policies work against tobacco industry tactics. In 2015, 15.9% of Massachusetts high school youth reported currently using any tobacco products compared to 23.9% in 2009. The Bad News Tobacco companies are using the same tactics to hook youth on other tobacco products, especially e-cigarettes. What can you do? Talk to your children and other young people Let them know that flavored tobacco products and e-cigarettes have nicotine and are harmful and addictive! Ask them what they see in your community What can you do? Know the facts and risks Surgeon General s Report on E-Cigarette Use Among Youth and Yong Adults https://e-cigarettes.surgeongeneral.gov/default.htm 8

What can you do? Engage young people in The 84 Movement Visit www.the84.org Schools can update existing policies to include nicotine delivery products. Sample language is available through Massachusetts Association of Health Boards http://www.mahb.org/updatedschool-policy-guide/ Schools can implement curriculum such as C.A.T.C.H My Breath https://catchinfo.org/modules/e-cigarettes/ 9

What can you do? Support local strategies Visit My Community on makesmokinghistory.org to learn more What can you do? Spread the word. Know the facts. Get Outraged! The youth cigarette smoking rate continues to decline, but 2,500 young people STILL become new smokers every year in Massachusetts 5 References 1. U.S. Department of Health and Human Services. E-Cigarette Use Among Youth and Young Adults: A Report of the Surgeon General Executive Summary. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2016. 2.Many published studies have shown this, including: Abreu-Villaca, Y. et al (2003). Short-term adolescent nicotine exposure has immediate and persistent effects on cholinergic systems: Critical periods, patterns of exposure, dose thresholds. Neuropsychopharmocology, 28 pp. 1935-1949. 3. Chaloupka, F., Macro-Social Influences: The Effects of Prices and Tobacco Control Policies on the Demand for Tobacco Products," Nicotine and Tobacco Research, 1999; and others. 4. Henriksen, Schleicher, Feiughery and Fortmann. Pediatrics: The Official Journal of the American Academy of Pediatrics. July 19, 2010, DOI: 10.1542/peds.2009 3021. 5.New underage daily smoker estimate based on data from U.S. Dept of Health and Human Services(HHS), *Results from the 2014 National Survey on Drug Use and Health,* with the state share of national initiation number based on CDC data on future youth smokers in each state compared to national total. Information accessed July 2016 from: http://www.tobaccofreekids.org/facts_issues/toll_us/massachusetts. 10

For more information Visit E-mail: insert e-mail 11