Electronic Smoking Devices Overview, Illinois Youth Survey Data, and - - PowerPoint PPT Presentation

Overview, Illinois Youth Survey Data, and Regulations

Electronic Smoking Devices

Danielle Ryan January 15, 2019

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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

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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

• n 8 December 2017 from https://e-

cigarettes.surgeongeneral.gov/getthefacts.html

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Electronic Smoking Devices

• 1st Generation “Cig-a-

likes”

• Resemble a traditional

cigarette

• Disposable and

reusable devices

• 2nd Generation
• Tank systems
• Larger than 1st

generation

• Refillable liquid tanks
• 3rd Generation
• Mechanical

modifications

• Ability to adjust the

voltage

• Can be ornate or

discreet

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• 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

JUUL

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• 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

Risks Associated with Use

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Chemicals and Carcinogens

Surgeon General. Know the risks e-cigarettes and young people. Retrieved

• n 8 December 2017 from https://e-

cigarettes.surgeongeneral.gov/getthefacts.html

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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

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Illinois Youth Survey Data

Lake County E-Cigarette Use 2016 and 2018

5% 11.0% 18.0% 7% 20.0% 31.0% 0% 5% 10% 15% 20% 25% 30% 35% 8th Grade 10th Grade 12th Grade Percentage of Students 30 Day Use of E-cigarettes among Lake County Students

30 Day E-Cigarette Use

2016 2018

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Illinois Youth Survey Data Perceived Risk Associated with Used

5 10 15 20 25 30 35 40 No Risk Slight Risk Moerate Risk Great Risk

Percent of Students Perceived Risk of E-cigarettes Among Lake County Students

8th Grade 10th Grade 12th Grade

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Illinois Youth Survey Data – Tobacco and Vaping Sources

10 20 30 40 50 60 70 80 Friend Retail Stores Online

Percent of Students Sources of Tobacco and Vaping Products by Grade – Lake County Students

8th Grade 10th Grade 12th Grade

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• Targeted Marketing
• Celebrity Endorsements
• Cartoon/Characters
• Sex appeal
• Sports Sponsorship
• Flavors
• Addiction

Why Are Youth Using

A page from Big Tobacco’s playbook

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• 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

Regulation of E-Cigarettes

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• THC Oil is concentrated THC (tetrahydrocannabinol)
• Vaping devices with THC vs. E-liquid
• While not as strong as traditional marijuana, there is a sent
• f 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

Vaping and THC

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• 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

Contact Information and Resources

3010 Grand Avenue, Waukegan, Illinois 60085 (847) 377-8000 health.lakecountyil.gov

HealthDepartment @LakeCoHealth HealthDepartment