Electronic Smoking Devices Overview, Illinois Youth Survey Data, and Regulations Danielle Ryan January 15, 2019
What are Electronic Cigarettes • Electronic Nicotine Delivery Systems (ENDS) • Developed by a pharmacist in China in 2003 • Battery Operated • Delivers nicotine, along with other chemicals and flavors, in a vapor instead of smoke like regular cigarettes • The liquid is heated up and the user inhales the aerosol created 2
Inside E-Cigarettes • E-Cigarette fluid contains nicotine, propylene glycol, glycerin, volatile organic compounds, heavy metals and flavorings • Diacetyl, a buttery flavored chemical, can cause an irreversible lung disease known as “popcorn lung.” • Some e-cigarettes marketed as 0% nicotine have been found to contain nicotine. • E-cigarettes can be used to deliver marijuana Surgeon General. Know the risks e-cigarettes and young people. Retrieved on 8 December 2017 from https://e- cigarettes.surgeongeneral.gov/getthefacts.html 3
Electronic Smoking Devices • 1 st Generation “Cig-a- • 3 rd Generation likes” • Mechanical • Resemble a traditional modifications cigarette • Ability to adjust the • Disposable and reusable devices voltage • Can be ornate or • 2 nd Generation discreet • Tank systems • Larger than 1 st generation • Refillable liquid tanks 4
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JUUL • Most popular e-cigarette with youth • Discreet, looks like a USB • Flavors include mango, mint, crème brulee • Referred to as “juuling” not vaping • 1 pod has the same amount of nicotine as an entire pack of cigarettes • Online purchases require 21 age verification, 18 at retailers • “Juul in school” trends on social media and internet 6
Risks Associated with Use • Nicotine is highly addictive • Nicotine can harm the developing brain • E-cigarette aerosol can contain harmful and potentially harmful substances including cancer causing chemicals • Defective batteries have caused fires and explosions • Acute nicotine exposure can be toxic • Young children more susceptible 7
Chemicals and Carcinogens Surgeon General. Know the risks e-cigarettes and young people. Retrieved on 8 December 2017 from https://e- cigarettes.surgeongeneral.gov/getthefacts.html 8
Electronic Cigarettes and Youth • Youth usage rate is increasing • The number of students who’ve used e- cigarettes at least once has tripled since 2011 (79,000 to over 263,000) • “Never smokers” who tried e-cigs were twice as likely to have an intention to try traditional cigarettes than those who have never tried e- cigs (43.9% vs 21.5%) • Local E-cigarette Use is Increasing 9
Illinois Youth Survey Data Lake County E-Cigarette Use 2016 and 2018 30 Day E-Cigarette Use 35% 31.0% 30% Percentage of Students 25% 20.0% 18.0% 20% 15% 11.0% 10% 7% 5% 5% 0% 8th Grade 10th Grade 12th Grade 30 Day Use of E-cigarettes among Lake County Students 2016 2018 10
Illinois Youth Survey Data Perceived Risk Associated with Used 40 35 30 Percent of Students 25 20 15 10 5 0 No Risk Slight Risk Moerate Risk Great Risk Perceived Risk of E-cigarettes Among Lake County Students 8th Grade 10th Grade 12th Grade 11
Illinois Youth Survey Data – Tobacco and Vaping Sources 80 70 60 Percent of Students 50 40 30 20 10 0 Friend Retail Stores Online Sources of Tobacco and Vaping Products by Grade – Lake County Students 8th Grade 10th Grade 12th Grade 12
Why Are Youth Using A page from Big Tobacco’s playbook • Targeted Marketing • Celebrity Endorsements • Cartoon/Characters • Sex appeal • Sports Sponsorship • Flavors • Addiction 13
Regulation of E-Cigarettes • Not Currently Regulated • FDA Ruling August 2016 – long process • Recent FDA statement (September 2018) • Youth use has reached “epidemic proportions” • 1300 violation letters • 60 days for 5 e-cigarette companies to submit plans to combat youth use • Tobacco 21 – Local Ordinaces 14
Vaping and THC • THC Oil is concentrated THC (tetrahydrocannabinol) • Vaping devices with THC vs. E-liquid • While not as strong as traditional marijuana, there is a sent of marijuana to the oil and vapor (dissipates quickly) • Dabs are a waxy concentration that can be visible in the vape’s tank. • Nicotine based e-liquid often smells sweet • Any phycological effects/risks associated with marijuana would be present in THC oil as well. • Cannabidiol (CBD) does not produce the “high” feeling associated with THC or marijuana 15
Contact Information and Resources • Danielle Ryan • Email – dryan@lakecountyil.gov • Phone – 847-377-8108 • Centers for Disease Control and Prevention • E-Cig USB Infographic – For parents, educators, and healthcare providers • E-cig USB 2 • E-Cig Infographic • Surgeon General - https://e- cigarettes.surgeongeneral.gov/ • Fact Sheet • Parents Tip Sheet 16
3010 Grand Avenue, Waukegan, Illinois 60085 (847) 377-8000 health.lakecountyil.gov HealthDepartment HealthDepartment @LakeCoHealth
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