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 obac c o Contr ol Pr ogr 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 Va pe Pipe • • JUUL Rig • • No vo E le c tro nic • • Smo king De vic e Mo d • (E SD) T a nk • E le c tro nic • Va pe • Nic o tine De live ry E -Ho o ka h • Syste m (E NDS) Va pe Pe n • E -Cig • Ho o ka h Pe n • 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 Aluminum Be nza lde hyde F luo rine Be nzo (g hi)pe ryle ne Ac e tic a c id N-Nitro -So no r-Nic o tine Ca dmium E thylb e nze ne L e a d F o rma lde hyde Nic ke l Arse nic Ac e ta lde hyde 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 o w va po r • Sme lls F ruity

Hidde n Vape s

Youth Use Rate s 7 th 9 th 11 th NT * Gra de Gra de Gra de 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% *NT =Co ntinua tio n, Co mmunity Da y, a nd o 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 oin, • 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

Nic otine a nd the T e e na g e Bra in 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 oble ms la te r in life pr Addic tion •

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

E - Cigar e tte E ffe c ts (re porte d by Ac tua l use rs) 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 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 ol Calls 4500 4,024 3,744 4000 3500 2,907 2,836 3000 2,478 2500 2000 1,543 1500 1000 460 500 0 2012 2013 2014 2015 2016 2017 2018

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 o 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 o 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 o llo w o ur F a c e b o o k pa g e ; Pla c e r Co unty T o b a c c o Pre ve ntio n Pro g ra m • Jo in the Pla c e r Co unty T o 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 o 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