Kosciusko County Tobacco Free Coalition Presenter: Heidi Blake PU PURPO POSE: TO ENFORCE AND ACCOMPL PLIS ISH TOBACCO PR PREVENTIO ION AN AND C CESSATION (T (TPC) C ) COMMISSION’S V VISION T TO S SIGNIFICAN ANTLY IM IMPR PROVE THE HEALTH OF HOOSIE IERS AND ND TO REDUCE THE DIS ISEASE AN AND E ECONOMIC B BURD RDEN T THAT T TOBACCO U USE P PLACES O ON H HOOSIERS OF OF ALL AGES.
Vaping and Facts and Stats E-cigarettes:
State of Tobacco in Kosciusko County As of January 2019 Total Population 77,358 Adults who smoke 24.9% (14,330) in 2020 down from 25% of Kosciusko County Adults smoke (15,707), and down from 27% in 2017 Yearly Deaths Attributed to Smoking 131 Births Affected by Smoking 160 (low birth weight, SIDS, reduced lung function) 11.2% (down from 14.3% in 2019)
About 6 % of adult Hoosiers vape, leaving Indiana with the Indiana third-highest vaping rate in the country. 3 rd in the nation for 79,344 Kosciusko County residents = 60,304 adults = 6% adult vaping population should equal 3,618 adults. 4,642 Kosciusko County adult residents (approximate) report using e-cigarettes (8%). Approximate figures https://indianaeconomicdigest.com/Content/Default/Major-Indiana-News/Article/Hoosiers-rank-third-in-the-nation-in- vaping-says-Centers-for-Disease-Control-and-Prevention-study/-3/5308/96524
Indiana Youth Survey The Indiana Youth Survey is a biennial survey of students in grades 6- 12. The INYS assesses students’ substance use, mental health, gambling, and risk and protective factors that can impact student success. All public and private schools are invited to participate free of charge, through funding provided by the Indiana Division of Mental Health and Addiction. The INYS is conducted in the spring of even- numbered years . Participating schools receive a corporation-level report of their students’ responses.
After a decline in use of electronic vapor products in 2017, this year's survey shows: • 45 percent increase in the number of seniors using these products, from 19.7 percent to 28.6 percent. • The use rate for all students in seventh through 12th grade was 16.9 percent, and 5.7 percent reported they smoked Highlights cigarettes. from the 2018 Indiana Monthly use of marijuana is more prevalent than use of synthetic marijuana, which is chemical-grade synthetic cannabinoids. Youth Survey • High school seniors reported a 17.3 percent use rate of marijuana, but only reported 0.1 percent use of synthetic cannabinoids. • Marijuana use has declined 1 to 2 percent for most grades since the 2017 survey.
JUUL 101: A New Generation of E-cigarettes
What is JUUL?
E-cigarettes come in many forms… E-cigarettes are also commonly known as e-cigs, e-hookahs, mods, vape pens, or tank systems. Source: Office of the U.S. Surgeon General. The facts on e-cigarette use among youth and young adults. https://e-cigarettes.surgeongeneral.gov.
Electronic nicotine delivery systems (ENDS) Electronic nicotine delivery systems (ENDS), of which electronic cigarettes are the most common prototype, are devices that do not burn or use tobacco leaves but instead creates an aerosol that the user then inhales. The main constituents of the solution, in addition to nicotine when nicotine is present, are propylene glycol, with or without glycerol and flavoring agents. ENDS solutions and emissions contain other chemicals, some of them considered to be toxicants. Although some e-cigarettes look like tobacco products (e.g. cigarettes, cigars, cigarillos, pipes, hookahs, or shishas), they may be produced in the form of everyday items such as pens, USB memory sticks or larger cylindrical or rectangular devices. E-cigarette aerosol is not harmless. It can contain several harmful chemicals.
JUUL is a New E-cigarette JUUL (pronounced “Jewel”) is a new type of e-cigarette It launched in 2015 It has grown in popularity and now accounts for nearly half of the e- cigarette market share (as of the last quarter in 2017)
Anatomy of a JUUL Th The JUUL is made up of of two o com ompon onents: • The part on the left is the power source and contains the battery that can be charged through a USB port. • The smaller piece on the right is the JUUL pod. The pod or cartridge provides 200 puffs and contains a variety of different flavored e-juices with different JUUL pod covers. • When plugged into the battery piece, the e-juice in the JUUL pod is heated to produce an aerosol. The aerosol produced is sent through the chimney and out of the mouthpiece.
Does JUUL Have Nicotine?
Nicotine Content of JUUL Pods All JUUL Pods contain nicotine. According to the JUUL website, each JUUL Pod (cartridge) has 59 milligrams per milliliter of nicotine, which is equal to the amount of nicotine found in a pack of cigarettes. JUUL Pods have a higher concentration of nicotine than many other e-cigarettes, and nicotine-free pods are not available. The pods provide approximately 200 puffs each. (Again, equal to the nicotine found in a pack of cigarettes.) A 4-pack of JUUL Pods (approx. $15.99) is cheaper than 4 packs of cigarettes.
JUUL imitates combustible cigarettes
Health Risks of Nicotine Nicotine is highly addictive. Nicotine exposure during adolescence can cause addiction and harm the developing brain. Nicotine in e-liquids can cause accidental poisoning, especially among children. Use of Use f products s containing nicotine in an any form am among youth, including e- ci cigarettes, is unsafe. Source: Office of the U.S. Surgeon General. The facts on e-cigarette use among youth and young adults. https://e-cigarettes.surgeongeneral.gov.
Youth Appeal and Use
E-cigarettes are the most commonly used tobacco product among Indiana youth. Pe Perce centage of Hoosier Middle and High Sch chool Students Wh Who Currently Use To Tobacco, , 2016 IYTS TS 30 Middle School 20.3 High School 20 Percent 10.5 8.7 8.7 10 5.3 4.9 4.1 2.8 2.5 1.8 1.5 1.3 1.0 0.6 0 Any tobacco E-cigarettes Cigarettes Cigars, Chewing Hookah Other product cigarillos, or tobacco, tobacco* little cigars snuff, or dip Source: Indiana Youth Tobacco Survey, 2016
However… A study from Truth Initiative found that 1 in 4 youth JUUL users don’t refer to JUUL use as “e-cigarette use” or even “vaping,” but rather as “JUULing.” Youth tobacco surveys have not included questions on “JUULing.” Therefore, existing survey data may not capture all youth e-cigarette use.
JUUL is Available in Enticing Flavors The creators of the JUUL claim that their target Flavored Tobacco Use among Hoosier Youth, 2016 audience is adult cigarette smokers. JUUL Pods come in flavors including mint, mango, and crème brulee. Candy and fruit-flavored tobacco are proven to of middle school appeal to youth and facilitate initiation of tobacco 51.5% tobacco users use. Nationwide, the majority of youth who have ever tried tobacco first tried a flavored product, and youth commonly cite flavors as a reason for using 62.4% of high school tobacco products. tobacco users
JUUL Labs’ school-based prevention initiative JUUL has developed prevention curricula for parents and students Schools receive $10,000 from JUUL to participate Participating schools can receive technology that shuts down JUUL devices and potentially allows administrators to identify where devices are in the school building There’s a 25+ year history of tobacco industry-sponsored prevention curriculum, which has proven to be ineffective
E-cigarette Facts E-cigarette aerosols have been shown to contain heavy metals and cancer- causing agents. E-cigarette aerosols have high concentrations of ultrafine particles, which may exacerbate respiratory conditions and constrict arteries. The U.S. Surgeon General has stated that e-cigarette aerosol is NOT harmless “water vapor.” In addition to nicotine, most e-cigarettes contain other potentially toxic substances. There is substantial evidence that e-cigarette use increases the risk of combustible cigarette use among youth and young adults.
U.S. Surgeon General In October 2018 U.S. Surgeon General Dr. Jerome Adams declared youth e-cigarette use an epidemic. Juul has dominated the e-cigarette market since launching in 2015. It now represents about 75 percent of the market, according to Nielsen data, with much of the growth coming over the past year. Federal data proved anecdotal reports from parents and teachers sounding the alarm about teens using Juul were accurate. The number of high school students who reported being current e-cigarette users, meaning they used the product within the past 30 days, increased 78 percent between 2017 and 2018, according to the Centers for Disease Control and Prevention's National Youth Tobacco Survey. That equates to 3.05 million high school students, or 20.8 percent of this group.
U.S. Surgeon General Results from the National Institute on Drug Abuse's Monitoring the Future survey released in the fall of 2018 showed the increase in e-cigarette use among 10th and 12th graders was the largest year-over-year jump for any substance measured in the survey's 44-year history. "The bottom line is this: In the data sets we use, we have never seen any substance used by America's young people rise this rapidly," Health and Human Services Secretary Alex Azar said. "This is an unprecedented challenge.”
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