Emerging Nicotine Products Tobacco Use Prevention and Control - PowerPoint PPT Presentation

Emerging Nicotine Products Tobacco Use Prevention and Control (TUPAC) Program 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

Learning Objectives As a result of this presentation, participants will: ▪ Recognize an e-cigarette and where kids like to hide them ▪ Review the latest data regarding e-cigarettes ▪ Understand how kids help market e-cigarettes ▪ Become familiar with the tobacco industry’s marketing tactics ▪ Become familiar with the signs and symptoms of acute nicotine poisoning ▪ Review data and information about how nicotine effects the adolescent brain and social and emotional learning ▪ Review the findings and recommendations of the Surgeon General and Centers for Disease Control and Prevention ▪ Become familiar with campaigns and resources available from TUPAC and other national partners The TUPAC Program strives to reduce and prevent the harmful and addictive use of tobacco products outside of its use in traditional Native American practices. 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

Anatomy of an E-cigarette Electronic Smoking Devices, including e-Cigarettes ▪ Battery-operated products designed to turn liquid nicotine, flavorings, and other chemicals into an aerosol that is ingested by the user into a vapor that is inhaled by the user 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

Evolution of E-Cigarettes 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

Nicotine + Flavor = Pediatric Addiction All these products have two things in common … the addictive drug nicotine and candy flavor. 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

(dis)tasteful Findings NM youth collected 2,481 public opinion surveys from 87 communities across the state to assess what New Mexicans thought about flavored tobacco products. 83% think flavored tobacco products are more appealing to youth than regular tobacco products. 85% were more likely to try a flavored cigarillo than an unflavored one. 17% think flavored tobacco is probably or definitely safer than regular tobacco 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

Flavor Danger 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

More than 7 in 10 NM high school youth tobacco users used a flavored product in past month 1 Product 72.1% SOURCE: 2015 YRRS-NM DS 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

Nicotine Addiction 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

Deceptive Packaging 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

JUUL: Nicotine Delivery in Disguise 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

Hidden in Plain Sight 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

Peer-to-Peer Marketing: Kids Share Social Media ▪ Snap Chat ▪ Instagram ▪ Twitter ▪ YouTube - Kids provide “instructional” and “aspirational” videos ▪ “How to Hide Your JUUL at Home” ▪ “How to Hide Your JUUL at School” SOURCE: https://www.youtube.com/watch?v=9n3JdsQlm64 SOURCE: https://www.youtube.com/watch?v=ESmNW1Mp2M4 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

JUUL Use in School Bathrooms and Classrooms 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

Nicotine is Poison Source: https://www.tobaccofreekids.org/press-releases/2015_01_13_poisoning 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

New Mexico Poison & Drug Information Center (NMPDIC) The lethal dose of nicotine (1.4 mg/kg) is half that of morphine (2.7 mg/kg) and similar to arsenic. SOURCE: NMPDIC - Exposures to e-Cigarettes and Liquid Nicotine in NM 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

Acute Nicotine Poisoning Symptoms ▪ Symptoms typically last an hour or two after a mild overdose and up to 24 hours for severe poisoning ▪ Early symptoms can appear within the first 15 minutes to an hour ▪ Feeling queasy or throwing up ▪ Stomachache ▪ Mouth watering ▪ Quick, heavy breathing ▪ Faster heartbeat ▪ Higher blood pressure ▪ Pale skin ▪ Headache ▪ Dizzy, off-balance, or confused 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

Emerging Data 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

Current Tobacco Use by New Mexico HS Youth 2017 e-Cigarettes 24.7% 10.6% Cigarettes Cigars 10.2% 9.3% Hookah 8.2% Spit/Chew U.S. (2019): 27.5% use e-cigarettes and 5.8% use cigarettes SOURCE: 2017 YRRS & 2017 YRBS 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

NM High School Youth Tobacco Use Trends 2009-2017 24.7 24.0 24.0 21.9 Percent Use in Past Month 19.9 19.9 18.1 15.1 14.4 12.3 11.9 11.8 11.4 10.6 10.5 10.2 9.5 9.3 8.7 8.2 8.0 Cigarettes Cigars Spit/Chew Hookah E-Cigarettes SOURCE: 2009-2017 YRRS 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

More HS youth have tried e-cigarettes than regular cigarettes Youth who have ever tried Youth who have ever tried e-cigarettes cigarettes 51.0% 35.3% SOURCE: 2017 YRRS 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

E-cigarette use highest in HS youth, while cigarette use is higher among adults E-Cigarette Cigarette 24.7% 17.8% 16.5% 12.0% 10.6% 10.6% 4.0% 3.4% Mid School High School 18-29 yrs 30+yrs Age Group SOURCE: 2017 YRRS & 2017 BRFSS 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

Emerging Findings and Recommendations 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

CDC Findings and Recommendations 1. Protect Youth 2. Protect Unborn Children 3. Encourage Cessation 4. Protect Clean Indoor Air 5. Enact Rules to Restrict Use and Exposure 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

Findings and Recommendations 1. Protect Youth ▪ Nicotine exposure is not safe for youth ▪ Nicotine is highly addictive and can harm brain development , which continues until about age 25 ▪ Nicotine use during adolescence can disrupt the formation of brain circuits that control attention, learning, and susceptibility to addiction ▪ Nicotine can train the brain to be more easily addicted to other drugs ▪ Children are at risk for poisoning by accidental exposure to e-cigarettes and liquid nicotine SOURCE: E-Cigarette Use Among Youth and Young Adults. A Report of the Surgeon General 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

Findings and Recommendations 2. Protect Unborn Children ▪ Nicotine exposure is not safe for unborn children ▪ Nicotine can cross the placenta and affect fetal and postnatal development ▪ The Surgeon General has concluded that nicotine adversely affects maternal and fetal health during pregnancy, contributing to multiple outcomes such as preterm delivery and stillbirth ▪ Nicotine is known as a cause of Sudden Infant Death Syndrome SOURCE: E-Cigarette Use Among Youth and Young Adults. A Report of the Surgeon General 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org

Findings and Recommendations 3. Encourage Cessation ▪ Although e-cigarettes have been marketed as smoking cessation aids, there is currently no conclusive scientific evidence that e-cigarettes promote successful long-term quitting. ▪ There are proven adult cessation strategies and treatments, including counseling and FDA-approved cessation medications . ▪ Electronic nicotine delivery systems may have the potential to benefit established adult smokers if used as a complete substitute for all smoked tobacco products. SOURCE: E-Cigarette Use Among Youth and Young Adults. A Report of the Surgeon General 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505 -827- 2613 • Fax: 505 -827- 2530 • nmhealth.org