Preventing Youth Electronic Cigarette Use: Partnering with ... · Youth Electronic Cigarette Use:...
Transcript of Preventing Youth Electronic Cigarette Use: Partnering with ... · Youth Electronic Cigarette Use:...
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Kris MinardMontana Office of Public InstructionTobacco Use Prevention Education
[email protected](406) 444-0785
I work for the State of Montana and have no disclosures.
PreventingYouth Electronic Cigarette Use:
Partnering with Schools
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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
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Tobacco use is still the leading cause ofpreventable 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 Cessationin the United States. New England Journal of Medicine 2013;368:341–50 [accessed 2017 Mar 28].
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That’s more than three fully loaded 747’s,crashing every day for a year……
with no survivors.
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Youth Tobacco Trends
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Ever tried cigarette smoking in their lifetime% of U.S. high school students
70.463.9
58.454.3
50.346.3 44.7 41.1
32.3
0
25
50
75
100
1999 2001 2003 2005 2007 2009 2011 2013 2015
2015 Youth Risk Behavior Survey – Centers for Disease Control and Prevention
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Smoked cigarettes on one or more of the past 30 days% of U.S. high school students
34.828.5
21.9 23 [VALUE] 19.5 18.1 15.710.8
0
25
50
75
100
1999 2001 2003 2005 2007 2009 2011 2013 2015
2015 Youth Risk Behavior Survey – Centers for Disease Control and Prevention
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Not Your Grandfather’s Cigar
Today’s cigars/cigarillos arepriced, promoted, packagedand placed in ways that appealto kids.
Tobaccofreekids.org
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Smoked cigars, cigarillos, or little cigars on one or more of the past 30 days% of U.S. high school students
17.7 15.2 14.8 14 13.6 14 13.1 12.6 10.3
0
25
50
75
100
1999 2001 2003 2005 2007 2009 2011 2013 2015
2015 Youth Risk Behavior Survey – Centers for Disease Control and Prevention
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Used chewing tobacco, snuff, or dip on one or more of the past 30 days% of U.S. high school students
7.8 8.2 6.7 8 7.9 8.9 7.7 8.8 7.3
0
25
50
75
100
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
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Traditional Tobacco Product Last 30 Day Use% of U.S. high school students
28.5
21.9 2320 19.5 18.1 15.7
10.8
15.2 14.8 14 13.6 14 13.1 12.6 10.3
8.2 6.7 8 7.9 8.9 7.7 8.8 7.3
0
25
50
75
100
2001 2003 2005 2007 2009 2011 2013 2015
Cigarettes
Cigars, Cigarillos
Chewing Tobacco,Snuff or Dip
2015 Youth Risk Behavior Survey – Centers for Disease Control and Prevention
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Anti-smoking campaigns have been very successful.
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But now we have these………
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What are they?A battery powered, most often nicotine delivering device
ENDS – Electronic Nicotine Delivery System
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A variety of ever changing styles
U.S. Food & Drug Administrationhttps://www.fda.gov/ucm/groups/fdagov-public/documents/image/ucm491663.jpg
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"Parts of an Electronic cigarette" by FEMA - https://www.usfa.fema.gov/downloads/pdf/publications/electronic_cigarettes.pdf.
Controls theheater and lights
Lithium
Nothing burns – there is no combustion.The E-Juice is aerosolized as it heats.
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HOW TO VAPE
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Electronic Cigarettes
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MODS
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RDA - Rebuildable Dripping Atomizer
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Nearly 5 Million Views on YouTube
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Then and now……
The tobacco industryspends more than
$1,000,000 per houradvertising their products
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http://tobacco.stanford.edu/tobacco_main/main.php
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Innovative Marketing Tactics
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Missoula Billings Bozeman
Helena and Great FallsButte
Kalispell
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KURE Vaporium and Lounge – Franchise
“We are moving light years beyond the traditional vapestore concept by offering a revolutionary high-end, in-storeretail and lounge experience which appeals to Millennials,Boomers, nascent vapors and vaping enthusiasts alike.”
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US Vapor Sales
$2.5$3.5
$4.1 $4.4$5.5
0
2
4
6
8
10
2014 2015 2016 2017 Projected2018
$ Billions
Bonnie Herzog – Wells Fargo E Cigarette Sales and Estimate for 2018 - ECF
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“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.
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Carcinogens found inElectronic Cigarettes Vapor
AcetaldehydeBenzeneFormaldehydeNickelNitrosamines
Metals, Toxins, Stimulants and
Irritants found inElectronic Cigarettes Vapor
DiacetylDiethylene GlycolCadmiumLeadNicotineSilverTinToluene
Chemical Evaluation of Electronic Cigarettes: Tobacco Control 2014 Tianrong Cheng, Center for Tobacco Products FDA
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E-Juice(Liquid Nicotine)
1 Teaspoon can kill a childAmerican Association of Poison Control Centers
Dec 2014 Press Release
Propylene Glycol - Nicotine - FlavoringChild Nicotine Poisoning Prevention ActEnacted by Congress on January 11, 2016
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DIACETYL
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Poison Control Center CallsAmerican Association of Poison Control Centers
460
1543
40233774
29072453
674
2696
0
500
1000
1500
2000
2500
3000
3500
4000
4500
5000
2012 2013 2014 2015 2016 2017 2018 2018
Liquid NicotineExposure Calls
Extrapolated
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RESEARCH
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Explosions
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E-cigarettes Are Unsafe for Young People
Attention, Learning, MoodDisorders, Impulse Control
Adolescent Brain MoreSusceptible to Addiction
Linked to use of other tobaccoproducts, alcohol, marijuana
Non-smoking users likely totry combustible cigarettes
Inhale nicotine, ultrafineparticles and harmful chemicals
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https://www.ncbi.nlm.nih.gov/pubmed/26811353
Teens who vape are 3x morelikely to smoke traditionalcigarettes 1 year later.
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What’s the Appeal for Youth?
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2015 and 2017Youth Risk Behavior Survey Questions
The next 2 questions ask about electronic vaporproducts 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 vaporproduct? (Y/N)
Q. In the past 30 days, on how many days did youuse an electronic vapor product?
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Ever used electronic vapor products in their lifetime% of U.S. and Montana high school students
44.951.1
46.6
0
25
50
75
100
2015 2017
U.S. Montana
(48.7-53.4)
Montana – 2015 4th highest prevalence of use in the U.S2015/17 Youth Risk Behavior Survey – Centers for Disease Control and Prevention
(41.9-48.0) (44.4-48.8)
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Used electronic vapor products on one or more of the past 30 days% of U.S. and Montana high school students
2429.5
22.5
0
25
50
75
100
2015 2017
US Montana
(27.4-31.7) (20.2-24.9)
Montana – 2015 4th highest prevalence of use in the U.S
2015/17 Youth Risk Behavior Survey – Centers for Disease Control and Prevention
(22.1-26.2)
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Tobacco Product Past 30 Day (Current) Use% of U.S. high school students
19.5 18.1 15.710.8
14 13.1 12.6 10.3
8.9 7.7 8.8 7.3
24.1
0
25
50
75
100
2009 2011 2013 2015
Cigarettes
Chewing Tobacco, Snuff or Dip
Cigars, Cigarillos
Electronic Vapor Products
2015 Youth Risk Behavior Survey – Centers for Disease Control and Prevention
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Yale School of Medicine & National Institutes of Health (NIH)asked 5,400 Connecticut teens to identifywhat they found "cool about e-cigarettes?"
Top 2 Answers:
THE FLAVORSTHE ABILITY TO DO TRICKS
"We expected the flavors were attractive," said SuchitraKrishnan-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 SchoolAdolescents in Connecticut” 11/3/2014
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www.tobaccofreekids.org/research/factsheets/pdf/0382.pdf
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Cloud Chasing with Mods
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France’s Got Talent
Underwater Vape Tricks
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STILLBLOWINGSMOKE.ORG California Department of Public Health
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4 pack of pods - $15.99
$49.99
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This video contains some strong language.
A JUUL Challenge
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YouTube: Everything Juul
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Youtube: Juul sesh #7 _Gavinvapes_
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Prevention ResourcesSharing those I know about
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www.opi.mt.gov/tobaccoed
PREVENTION
RESOURCES
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Grades 3-5Grades 6-7
http://www.scholastic.com/get_smart_about_tobacco/
Scholastic
New Classroom Resources
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Student Created Skit: Superior, St. Regis and Alberton, MT High Schools
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Montana Strategies…..
Montana Clean Indoor Air Act – Enacted 2005
Tobacco Free Schools –Prohibits use of “Tobacco Product” in a publicschool building or on public school property
"Tobacco product" means a substance intended for humanconsumption 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.
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Montana School Districts’ Primary Tool:
SCHOOL BOARD POLICYAdopted and enforced at the school district level
Currently 80% of Montana School Districts have beenrecognized as Tobacco-Free School Districts of Excellence
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A message from the Surgeon General
http://e-cigarettes.surgeongeneral.gov/
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Unknown HealthRisks – Carcinogenshave been identified
(Why don’t we have to prove a productsafe before we market it?)
Potential for renormalizingcigarette use andsomething that looks likesmoking
Appeal to non-smokers,especially youth
Addiction to Nicotine –Youth are more vulnerable
Dual Use
We hear people say theyhave used E-cigs to helpthem quit smoking.
Likely safer than smoking
Putting known andunknown health risksaside, there’s potential toreduce the number oftobacco related deaths
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Yes, we’ve come a long way over many years intobacco use prevention.
With effective prevention strategies we’ve changed socialnorms on smoking.
We’ve got more work to do.
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www.opi.mt.gov/tobaccoed
Kris MinardMontana Office of Public InstructionTobacco Use Prevention Education
[email protected](406) 444-0785
Thank you for your work to help ourkids choose not to use tobacco of
any kind…..for life.