E - Cig a re tte s 101: Unde rsta nding the Va ping Cra ze Plac - - PowerPoint PPT Presentation

E

• Cig a re tte s 101:

Unde rsta nding the Va ping Cra ze

Plac e r County T

• bac c o Contr
• l Pr
• gr

am Amie Mc Gr ath & Ale xandr a Wr ide

Wha t is a n E

• Cig a re tte ?
• An e -c ig a re tte is a b a tte ry po we re d

de vic e tha t he a ts up a liq uid—tha t usua lly c o nta ins nic o tine —a nd a llo ws the use r to b re a the in the va po r liq uid

An E

• c ig a re tte by Any

Othe r Na me …

• Bre e ze
• JUUL
• No vo
• Mo d
• T

a nk

• Va pe
• E
• Ho o ka h
• Va pe Pe n
• E
• Cig
• Ho o ka h Pe n
• Va pe Pipe
• Rig
• E

le c tro nic Smo king De vic e (E SD)

• E

le c tro nic Nic o tine De live ry Syste m (E NDS)

Is still an E

• Cigar

e tte .

E

• Cig a re tte Ge ne ra tions

E

• Juic e , Va pe Juic e ,

E

• L

iquid, Pods…

• E
• juic e is the liq uid tha t is put into a n

e -c ig a re tte to pro duc e a smo ke -like va po r.

What is in E

• Juic e ?
• Pro pyle ne g lyc o l a nd/ o r
• Ve g e ta b le g lyc e rin
• F

la vo ring

• Dia c e tyl (c re a my a nd so me fruit fla vo rs)
• Nic o tine (still fo und in b o ttle s tha t sa y

0mg o n the m)

• ???????

What’s in JUUL Pods?

• Nic o tine (Nic o tine Sa lts)
• Be nzo ic Ac id
• Glyc e ro l
• Pro pyle ne Glyc o l
• Na tura l Oils
• E

xtra c ts a nd F la vo r

E

• Cig a re tte Va por Ae rosol

L ithium Silve r Co ppe r Rub idium Ca dmium Aluminum N-Nitro -So no r-Nic o tine E thylb e nze ne Ac e tic a c id Be nza lde hyde Nic ke l F luo rine L e a d F

• rma lde hyde

Be nzo (g hi)pe ryle ne Ac e ta lde hyde Arse nic

While the se c he mic als may var y, studie s have ide ntifie d at le ast 10 known c ar c inoge ns found in all e - c igar e tte vapor .

Va ping on Soc ia l Me dia

Vaping at Sc hool

• E

a sy to hide

• L
• w va po r
• Sme lls F

ruity

Hidde n Vape s

Youth Use Rate s

E ve r smo ke d a who le c ig a re tte 1% 4% 8% 52% Curre nt c ig a re tte use 1% 2% 3% 28% E ve r use d a n e -c ig a re tte 6% 15% 24% 60% Curre nt use o f a n e -c ig a re tte 3% 7% 12% 30% Use d a n e -c ig a re tte 4 o r mo re time s 2% 7% 14% 45% 7th Gra de 9th Gra de 11th Gra de NT *

*NT =Co ntinua tio n, Co mmunity Da y, a nd

• the r Alte rna tive sc ho o l type s

Nic otine a nd the Bra in

• Nic o tine is de rive d fro m to b a c c o a nd

ha s psyc hoac tive and physiologic al

e ffe c ts

• Nic o tine is kno wn to c ause bir

th de fe c ts during pre g na nc y a nd affe c ts the de ve loping br ain

• Nic o tine is as addic tive as he r
• in,

c oc aine , and alc ohol

Nic otine a nd the Bra in

• Va ping re sults in the ra pid distrib utio n o f

nic o tine to the b ra in, with dr

ug le ve ls pe aking within 10 se c onds

• Nic o tine inha le d r

e ac he s the br ain two time s faste r tha n he ro in

• Mo st nic o tine use rs ne e d to use e ve r

y 30 to 50 minute s to fe e l “nor mal”

• T

hro ug h inha ling smo ke , the a ve ra g e smo ke r ta ke s in 1 or

2 mg of nic otine pe r c igar e tte

• Pre fro nta l Co rte x (PF

C)

• Ado le sc e nt smo ke rs sho w r

e duc e d PF C Ac tivity (Me mo ry a nd Atte ntio n)

• Yo uth smo king / va ping a sso c ia te d with

substanc e abuse and me ntal he alth pr

• ble ms la te r in life
• Addic tion

Nic otine a nd the T e e na g e Bra in

Nic otine a nd the Body

Popc or n L ung

(Bronc hiolitis Oblite ra ns)

E

• Cigar

e tte E ffe c ts

(re porte d by Ac tua l use rs)

• RE

SPIRAT ORY

• Sho rtne ss o f b re a th, whe e zing , no se b le e ds,

c o ug hing , a sthma , disc o lo re d muc us, sinus infe c tio ns

• MOUT

H/ T HROAT

• Dry to ng ue , numb ne ss, so re thro a t, lip so re s,

re c e ding g um line , to nsil sto ne s, thrush, la ryng itis

• CIRCUL

AT ORY

• I

rre g ula r he a rtb e a t, inc re a se d b lo o d pre ssure , b ruising e a sily, he a rt pa lpita tio ns

• NE

UROL OGICAL

• pa nic a tta c ks, de pre ssio n, ho t fla she s, fa inting ,

inso mnia , slurre d spe e c h, fa tig ue

• UROGE

NIT AL

• Blo o d a nd “fo a m” in urine , pa inful me nstrua l

c yc le , kidne y pa in

• SE

NSORY

• Me ta llic ta ste , lo st ta ste , swo lle n e ye s, disto rte d

visio n, ring ing e a rs, plug g e d e a rs

• DIGE

ST IVE

• he a rtb urn, vo miting , fla tule nc e , c o nstipa tio n,

indig e stio n, b lo a ting

• IMMUNE
• Co ld/ flu sympto ms, inc re a se in c o ld/ flu se nsitivity

E

• Cigar

e tte E ffe c ts

(re porte d by Ac tua l use rs)

• MUSCUL

AR/ SKE L E T AL

• Co ld/ flu sympto ms, inc re a se in c o ld/ flu se nsitivity
• SKIN
• Ac ne , ra she s, sta ins fro m e -juic e , b urning skin,

itc he s

E

• Cigar

e tte E ffe c ts

(re porte d by Ac tua l use rs)

E xploding E

• Cig a re tte s

F ro m 2015-2017 e stima te d 2035 e -c ig e xplo sio n a nd b urn injurie s pre se nting to US ho spita l e me rg e nc y de pa rtme nts

Ca lls to Poison Control

2,836

Numbe r of c a lls in 2018

Poison Contr

• l Calls

500 1000 1500 2000 2500 3000 3500 4000 4500 2012 2013 2014 2015 2016 2017 2018

460 1,543 4,024 3,744 2,907 2,478 2,836

NIC SICK a ka

NICOT INE POISONING

E ARL Y SYPT OMS:

• F

e e ling q ue a sy o r thro wing up

• Sto ma c ha c he
• Mo uth wa te ring
• Quic k, he a vy b re a thing
• F

a ste r he a rtb e a t

• Hig he r b lo o d pre ssure
• Pa le skin
• He a da c he
• Dizzy, o ff-b a la nc e , o r c o nfuse d

NIC SICK a ka

NICOT INE POISONING

L AT E

• PHASE

SYMPT OMS:

• Dia rrhe a
• Sha llo w b re a thing
• Slo we r he a rtb e a t
• L
• we r b lo o d pre ssure
• L

e tha rg y

• F

e e ling we a k, slo w re fle xe s, o r una b le to c o ntro l musc le s

• Se izure s

Nic otine Poisoning

• As little a s 1 te aspoon o f

liq uid nic o tine c a n b e fatal fo r the a ve ra g e 26-po und to ddle r

Va ping Othe r Produc ts

• Ma rijua na
• Supple me nts
• Co c a ine
• Plus Mo re

E

• Cigar

e tte L aws

• 21 a nd o lde r
• I

lle g a l to pro vide o r purc ha se a ny to b a c c o pro duc t to a nyo ne unde r 21

• No va ping whe re smo king is

no t a llo we d

What is Be ing Done ?

• F

DA

– re stric t the sa le o f fla vo re d e -c ig a re tte s

to a g e -re stric te d/ a dult-o nly, in-pe rso n sto re s (e .g ., to b a c c o o nly sto re s, va pe sho ps)

– b a n fla vo re d c ig a rs – b a n me ntho l-fla vo re d c ig a re tte s.

What is Be ing Done ?

• Califor

nia

– SB 424: Sing le -use to b a c c o pro duc ts – SB 39: Pa c ka g e s o f o nline to b a c c o

sa le s

– SB 538: E

• c ig a re tte ma nufa c ture r

re q uire me nts

What is Be ing Done ?

• Plac e r

County

– T

• b a c c o Re ta ile r De nsity & Zo ning
• Aub urn

– Smo ke -F

re e Pa rks

– Yo uth E

ng a g e me nt

What is Be ing Done ?

• DOJ Gr

ant F unding

– Pla c e r Co unty Divisio n o f Pub lic

He a lth

– Re duc e pre va le nc e a mo ng st yo uth

thro ug ho ut Pla c e r Co unty

– Pro vide e duc a tio n fo r sc ho o l

a dministra to rs, te a c he rs, stude nts, a nd to b a c c o re ta ile rs

What c an you do?

• E

duc a te yo urse lf a b o ut e -c ig a re tte s

• F
• llo w o ur F

a c e b o o k pa g e ; Pla c e r Co unty T

• b a c c o Pre ve ntio n

Pro g ra m

• Jo in the Pla c e r Co unty T
• b a c c o

Pre ve ntio n Co a litio n

He lpful We bsite s

• stillb lo wing smo ke .o rg
• e -c ig a re tte s.surg e o ng e ne ra l.g o v
• fla vo rsho o kkids.o rg
• to b a c c o fre e c a .c o m
• truthinitia tive .o rg
• te e n.smo ke fre e .g o v
• no b utts.o rg

Que stions?

Contac t Us

Amie Mc Gra th Pla c e r Co unty T

• b a c c o Co ntro l Pro g ra m

11484 B Ave , Aub urn, CA 95603 (530) 889-3629 a mc g ra th@ pla c e r.c a .g o v

Re fe r e nc e s

• Va pe I

• rums.” J Me d I

• c ig a re tte s & Yo ung Pe o ple | U.S. Surg e o n Ge ne ra l's Re po rt. (n.d.). Re trie ve d F

• Cig s/ E